Collaborative Program Research Articles

Feasibility and Impact of Community Pharmacy and Novel Pick-up Points for Antiretroviral Therapy Pre-exposure Prophylaxis Initiation and Continuation in Low and Middle-income Countries.

This review assesses recent developments in community access to pre-exposure prophylaxis (PrEP) for HIV prevention in low-and middle-income countries (LMICs). It examines literature on differentiated service delivery (DSD) and alternative delivery modes for PrEP, focusing on the role of community pharmacies and novel pick-up points. Key considerations include barriers to access, potential benefits, and strategies for implementation. Challenges to optimal HIV healthcare delivery persist globally, with LMICs facing greater barriers due to resource constraints and structural obstacles. Community pharmacies and novel pick-up points offer promising avenues to expand access to HIV medication, especially in hard-to-reach populations. However, operational complexities and regulatory frameworks present significant challenges. Recent initiatives, such as collaborative practice agreements and programmes by global health agencies, highlight efforts to integrate community pharmacies into HIV prevention and care delivery. Mobile health clinics and home delivery services have also shown promise in improving treatment coverage. Community pharmacies and novel pick-up points play a crucial role in enhancing access to HIV PrEP in LMICs. Despite challenges related to infrastructure, funding, and regulatory oversight, innovative strategies like DSD and mobile outreach offer opportunities to reach marginalized populations. Real-life examples from LMICs demonstrate the feasibility and effectiveness of leveraging community pharmacies for HIV treatment. However, addressing policy gaps, strengthening pharmacist training, and promoting patient-centred approaches are essential for scaling up access to PrEP. Collaboration between governments, health agencies, and local communities is key to realizing the full potential of community pharmacies in HIV prevention and care.

Accurately Identifying Sound vs. Rotten Cranberries Using Convolutional Neural Network

Cranberries, native to North America, are known for their nutritional value and human health benefits. One hurdle to commercial production is losses due to fruit rot. Cranberry fruit rot results from a complex of more than ten filamentous fungi, challenging breeding for resistance. Nonetheless, our collaborative breeding program has fruit rot resistance as a significant target. This program currently relies heavily on manual sorting of sound vs. rotten cranberries. This process is labor-intensive and time-consuming, prompting the need for an automated classification (sound vs. rotten) system. Although many studies have focused on classifying different fruits and vegetables, no such approach has been developed for cranberries yet, partly because datasets are lacking for conducting the necessary image analyses. This research addresses this gap by introducing a novel image dataset comprising sound and rotten cranberries to facilitate computational analysis. In addition, we developed CARP (Cranberry Assessment for Rot Prediction), a convolutional neural network (CNN)-based model to distinguish sound cranberries from rotten ones. With an accuracy of 97.4%, a sensitivity of 97.2%, and a specificity of 97.2% on the training dataset and 94.8%, 95.4%, and 92.7% on the independent dataset, respectively, our proposed CNN model shows its effectiveness in accurately differentiating between sound and rotten cranberries.

Implementation of Convergence (Cross-Sectoral) Action for the Acceleration of Stunting Reduction in Palopo City, South Sulawesi, Indonesia

Background: The global trend of stunting incidence has been declining from 2000 to 2022; however, the WHO still categorizes Indonesia as a country with a very high prevalence of stunting. A multisectoral and multi-stakeholder approach is one of the methods utilized in the National Action Plan for Accelerating Stunting Reduction. This study aims to analyze the implementation of convergence actions for accelerating stunting reduction in Palopo City. Methods: The study was conducted for 1 months in Palopo City. This study was a qualitative study with 14 informants from different regional government agencies (OPDs) involved in the Palopo City Stunting Reduction Task Force (TPPS). Data related to the implementation convergence action for Accelerating Stunting Reduction in Palopo City owere obtained through in-depth interviews. Qualitative data were processed by searching for keywords and then content analysis was conducted. Qualitative data analysis uses an inductive thinking process. Results: The study reveals that at the initial stage, each OPD recognizes the importance of cross-sectoral participation. However, challenges persist in the utilization of human resources and budgeting. The collaboration process requires improvements as planning, governance structure, and actor roles are not yet optimal, with some OPDs still lacking clarity on their roles. Leadership in Palopo City involves regulation and communication, yet some OPDs lack specific Standard Operating Procedures (SOPs) and regulations, though inter-agency communication is fairly effective. The outputs of stunting interventions focus on health, education, infrastructure, and social welfare, with some programs being directly integrated while others provide indirect support. Conclusion: The implementation of convergence actions for accelerating stunting reduction in Palopo City is not yet optimal, with primary challenges in the utilization of human resources and budgeting. The collaboration process, leadership, and program outputs still require improvement, particularly in planning, governance structure, and inter-agency communication.

Structural Characteristics of Expressway Carbon Emission Correlation Network and Its Influencing Factors: A Case Study in Guangdong Province

Understanding the spatial correlation of transportation carbon emissions and their influencing factors is significant in achieving an overall regional carbon emission reduction. This study analyzed the structure characteristics of the expressway carbon emission correlation network in Guangdong Province and examined its influencing factors with intercity expressway traffic flow data using social network analysis (SNA). The findings indicate that the correlation network of expressway carbon emissions in Guangdong Province exhibited a “core-edge” spatial pattern. The overall network demonstrated strong cohesion and stability, and a significant difference existed between the passenger vehicle and freight vehicle carbon emission networks. The positions and roles of different cities varied within the carbon emission network, with the Pearl River Delta (PRD) cities being in a dominant position in the carbon network. Cities such as Guangzhou, Foshan, and Dongguan play the role of “bridges” in the carbon network. The expansion of differences in GDP per capita, industrial structure, technological level, and transportation intensity facilitates the formation of a carbon emission network. At the same time, geographical distance between cities and policy factors inhibit them. This study provides references for developing regional collaborative carbon emission governance programs.

Studies in Neotropical Araliaceae. X. Four new species of Sciodaphyllum P.Browne from Ecuador, each named in honor of a Danish botanist

Four new species of Sciodaphyllum (Araliaceae) from Ecuador are described, S. balslevii, S. borchsenii, S. oellgaardii and S. pedersenii, each named in honor of a Danish botanist who collected extensively in the country in the late 20th century while contributing to the multi‐decade collaborative botanical research program run by Aarhus University, the Pontificia Universidad Católica del Ecuador, and the Universidad Nacional de Loja. These new taxa increase to 27 the total number of described species in Ecuador belonging to Sciodaphyllum (whose members were formerly included in Schefflera J.R.Forst. & G.Forst.), which also has an additional 75 new species that remain to be described. Color photos are provided for three of the species along with a scan of the holotype of the fourth taxon. Distribution maps are provided along with preliminary risk of extinction assessments (following the IUCN Red List criteria); S. balslevii is assessed as Least Concern (LC), whereas S. borchsenii and S. oellgaardii are Endangered (EN), and S. pedersenii is Vulnerable (VU).

Strengthening science education in basic education through a professional development program on participatory action research for science teachers

Science education empowers individuals with critical thinking and problem-solving skills as well as creativity which drive sustainable development, social progress, and economic growth. Unfortunately, the basic education science curriculum does not seem to prepare students to become scientifically literate for a number of reasons. Toward this vein, this calls for science teachers to be creative being at the forefront of implementing science education curriculum successfully. One mechanism to draw out their creativity is to mentor and engage them in participatory action research. Hence, a four-year professional development program for science teachers aimed at designing, implementing, and publishing participatory action research project was introduced to them by specialists from a higher education institution as their community extension project. The program consisted of mentoring on action research problem conceptualization until publication of teachers' project, continuous monitoring, and feedbacking to support their progress. Guskeys' (2000) five level evaluation model for professional development program effectiveness serves as the guiding framework for evaluation. Quantitative and qualitative data were gathered from the participating science teachers of the school. It started with conducting an initial assessment of their action research skills as basis of the proposed professional development program on participatory action research. At the end of the program, the teachers disseminated their project in a reputable science education journal. The four-year professional development program resulted to a robust impact in all five levels of Guskey's evaluation model, namely: teachers' reactions, teachers' learning, organization support and change, teachers' use of new knowledge and skills, and student learning outcomes. The success of this program highlights the importance of sustained, collaborative, and research-oriented professional development program in form of action research mentoring. Moreover, the outcomes of the study suggest the need for a professional development program evaluation framework that will facilitate the evaluation of the program effectiveness.

Correction to: The infuence of scafolding for computational thinking on cognitive load and problemsolving skills in collaborative programming

Correction to: The infuence of scafolding for computational thinking on cognitive load and problemsolving skills in collaborative programming

Evidence-Base Update of Psychosocial and Combination Treatments for Child and Adolescent Depression

ABSTRACT Objective This evidence-based update (EBU) builds on three previous reviews (1998, 2008, 2017) sponsored by the Society of Clinical Child and Adolescent Psychology with the aim of evaluating the empirical support for psychosocial interventions for depression in youth. Method In the current review period (2014–2022), 25 randomized controlled trials (RCT) were identified: four in children and 21 in adolescents. Descriptive effect sizes and number-needed-to-treat (NNT) ratios were calculated for primary outcomes. Results were integrated with prior reviews, and cumulative evidence used to classify treatments as well-established, probably efficacious, possibly efficacious, or experimental. Published secondary analyses of predictors, moderators, and mediators were examined. Results For adolescents, cognitive behavioral therapy (CBT), interpersonal psychotherapy (IPT-A), CBT in combination with antidepressant medication, and collaborative care programs were all classified as well-established. The evidence was considerably weaker for children, with no treatments achieving well-established or probably efficacious status. New developments include greater exploration of parent- and family-mediated treatment models and increasing evidence on technology-assisted interventions. Data on predictors, moderators, and mediators continued to be focused on adolescent depression samples and drawn from a limited number of RCT datasets. Conclusion Since the prior EBU, there has been incremental progress in youth depression treatment research. There is an urgent need to: (a) develop innovative approaches to substantially improve on the modest effects seen in most RCTs, (b) expand the evidence base for children and other underserved groups, (c) craft evidence-based guidelines for choosing between interventions when multiple efficacious treatments do exist, and (d) address issues of treatment effectiveness and scalability to ameliorate the wide prevalence and high impact of depression in youth.

Awareness support in collaborative programming tools: An evaluation based on programmer's perception and eye tracking

Groupware technology is an essential asset for organizations and a successful medium to support social meetings and teacher-learning processes when people are geographically distributed. Computer programming is a domain that can take advantage of the Collaborative Work paradigm and of this technology. However, to be truly effective, groupware systems must provide suitable awareness support, i.e., be capable of informing users of the activity taking place and of the team outcome, so that they can build a setting for their work. The study of awareness mechanisms and their influence on collaborative programming processes is an open research question. In this context, this article contributes an experimental study to evaluate the mechanisms to support coordination, communication, and awareness of COLLECE, a distributed group programming system rich in awareness support. This study brings as a novel approach the combination of subjective and objective information sources, specifically eye tracking techniques, and incorporates a heuristic evaluation of awareness support based on a well-known framework. Thanks to this experiment, we have been able to verify that this blended approach, in which users participate intensively, provides a more comprehensive and deeper assessment of awareness and other coordination and communication mechanisms, and thus a better understanding of how their use can influence the collaborative programming process and outcome (program or piece of software). The study has revealed strengths, weaknesses and opportunities for improvement of the evaluated system, and has yielded concrete results as to which are the most useful awareness components of the user interface not related to the activity supported by the system (programming), these being the traffic lights; the easiest to use, such as the session panel; or the components that impose a greater cognitive load, such as the multi-scrollbar. Regarding the relationship between the supported awareness dimensions and the quality of the collaboration outcome (computer program), the results point to the need to adequately support the What-Artifact dimension, i.e., highlighting in which part of the shared workspace (the source code) the user with floor control is working.

You make me feel like dancing: the effects of dance exposure on children’s cultural interests and social-emotional development

Stratification by race and socioeconomic status generates disparities in cultural exposure and consumption. Though public education can serve as a mechanism for addressing social inequalities, schools with high concentrations of low-income and minority students often lack the resources to provide enriching cultural experiences. Efforts to make cultural exposure and consumption more equitable remain stymied by school and neighborhood stratification, as well as by lingering questions about the value of cultural consumption for students. Employing a randomized research design, we analyze the effects of elementary students in under-resourced school participating in a collaborative dance program provided by a major ballet company. We find that participation increases students’ enthusiasm for dance and sense of self-efficacy. Students with prior lower levels of arts and culture exposure demonstrate the largest gains in self-efficacy and experience an increase in their sense of school connectedness. Male students, who were less enthusiastic about dance prior to the program, show the largest increase in dance enthusiasm. These findings demonstrate that targeted efforts by schools and arts organizations can play a meaningful role in students’ cultural capital acquisition, which in turn leads to higher student self-efficacy and sense of belonging, particularly for students with lower levels of arts and cultural learning experience.

History of hydrological research in Slovakia and its links to water management

ABSTRACT The article outlines the development of water resources management and research in hydrology in Slovakia in the last century when the centralised water resources planning provided a robust framework for the development of hydrological research. We first present facts about the organisation of research in hydrology from 1948 to 1990, which dealt with various problems of practical relevance. Experimental research and its international outreach in the collaborative programs of the Danube countries or the UNESCO water programmes are described. Then, the main achievements related to experimental hydrological research in two small research catchments with long histories of operation, the Mošteník Brook and the Bystrianka Creek catchments, are presented. Short biographies of researchers who significantly contributed to the overall development of water management or hydrological research in small catchment in Slovakia are provided.

A university-based counseling program for perpetrators of family violence in Greece: initial evidence

Abstract Penal mediation is defined in Greek Law 3500/2006 and aims at repairing the harm caused to the victim of family violence and rebuild family relationships. Mediation process starts upon victims’ unreserved consent and perpetrators’ willingness to stop further acts of violence, attend a counseling program and restore any harm/damage caused to the victim. Then the prosecutor ceases the case for 3 years and refers the perpetrator to counseling. If any of the previous conditions are violated during this period the criminal procedure continues at the stage before mediation. A university lab in Crete, Greece (LaHeRS, HMU) offers one of the few in Greece perpetrators’ behavior change programs in collaboration with the Prosecutor’s Office. LaHeRS counseling program consists of a minimum of 24 sessions per offender based on an individual or group approach. Emphasis is placed on perceptions of power and control, anger management, trauma management, emotional expression, and social/communication skills. Each perpetrator is offered 2 sessions (intake/violence documentation and assessment of individual/couples’ needs), 2-3 sessions for psychiatric and risk assessment, 12-15 individual or group counseling sessions (combined with couples’ sessions, as necessary), 2-4 individual social support sessions. Sessions are conducted by trained psychologists and social workers. The current presentation reports on the Intimate partner violence (IPV) cases referred between February 2022 and December 2023. A total of 70 IPV cases attended the program (male n = 65; mean age 43.4; Greek n = 56; urban residence n = 49; children average=1.92). Physical violence was reported in 54 cases and verbal aggression in 43 cases. Four perpetrators had mental health problems and 6 were identified with some form of drug and alcohol misuse. Lack of communication and emotional skills, lack of parent emotional support, gender roles stereotypes and patriarchal attitudes were common among perpetrators. Key messages • It is important for perpetrators’ programs to address the underlying causes of criminal behavior to promote positive changes in perpetrators’ lives. • Effective penal mediation programs require collaboration and partnership between justice agencies, academia and community organizations.

Public health resilience and recovery in Ukraine: Academic partnerships to improve population health

Abstract Background Strengthening the public health workforce is among top priorities for the transformation of Ukraine’s public health system. As part of the USAID Public Health System Recovery and Resilience Activity, an Academic Partnership Collaborative brought together three Ukrainian universities (National University Kyiv-Mohyla Academy, I. Horbachevsky Ternopil National Medical University, Sumy State University), two American universities (Temple University and Drexel University), and the All-Ukrainian Association of Public Health Specialists (UPHA) to enhance the competencies of public health graduates in Ukraine. Objectives The collaborative focuses on strengthening the Ukrainian universities’ public health curricula and the teaching and research competencies of the Ukrainian faculty, making the curricular changes in Ukraine better aligned with US and European academic standards. The university partners are collaborating with the newly established UPHA in building partnerships with peer organizations in the US (American Public Health Association) and Europe (EuPHA) and sharing advancements in public health education with the broader community of public health practitioners in Ukraine to enhance their competencies to improve population health and align with European systems of public health. Results We have established linkages among all partners via an initial meeting in Uzhhorod, Ukraine in April 2024. We anticipate results by November 2024 to include curriculum review recommendations, coaching on prioritized topics for the Ukrainian partners, faculty development plans, and the establishment of continuing professional development programs in collaboration with UPHA. Conclusions Through this partnership, selected Ukrainian universities will have an enhanced and sustainable capacity to train the public health workforce and will become leading examples for other public health programs to simulate and collaborate with beyond the project. Key messages • Ukraine’s resilience and recovery relies upon the strength of the current and future public health workforce; mechanisms for building public health training are essential to a healthy population. • A collaborative process of strategic activities among American and Ukrainian universities and professional associations can be effective in building a resilient public health system in Ukraine.

Preparing health students for climate change: the impact of an innovative ‘Plan Health Faire’ course

Abstract Introduction Recent studies highlighted the need for climate change (CC) training in universities, especially for health students. In France, a collaborative teaching program, “Plan Health Faire” (PHF), addresses this need. This study aimed to assess PHF’s impact on health students’ reactions, knowledge, and behaviour. Methods A cross-sectional study was carried out among all second-year health students enrolled in Medicine, Pharmacy, Odontology, and Maieutics at the University of Poitiers in September 2022. During a mandatory seminar, all students took part in the innovative and scientific PHF teaching program which aims to raise awareness of the challenges of CC as applied to healthcare. Two structured questionnaires based on the Kirkpatrick evaluation model were administered before and after the course. Using a comparative statistical analysis, the changes in students’ knowledge were assessed. Results In all, 294 students took part in the study, and 97.4% were satisfied or very satisfied with PHF. An average score of 8.6/10 was given to the collaborative dynamics of the training. In terms of changes in their level of knowledge and their perception of these changes, 98.3% of students felt that they had learned new knowledge about CC and healthcare. A comparative analysis of the answers to the knowledge questions showed that students’ level of knowledge is indeed significantly higher at the end of the course (p<0.0001). Finally, 94% of students expressed their probable or certain intention to integrate these issues into their future professional practice. Conclusions These results indicate that the PHF training program has a significant impact on health students, particularly in terms of satisfaction and knowledge. PHF could be an interesting way to teach health students about the challenges of CC in healthcare. PHF is currently tested in other French Universities and health care facilities. Key messages • Plan Health Faire is an innovative and collaborative educational program aimed at raising awareness among healthcare stakeholders about the challenges of climate change. • Plan Health Faire is an effective program for raising awareness among health students about climate change and is also an interesting lever for integrating climate change into their future practice.

Real-Time Collaborative Programming in Undergraduate Education: A Comprehensive Empirical Analysis of Its Impact on Knowledge, Behaviors, and Attitudes

Real-time collaborative programming (RCP), which allows multiple programmers to work concurrently on the same codebase with changes instantly visible to all participants, has garnered considerable popularity in higher education. Despite this trend, little work has rigorously examined how undergraduates engage in collaborative programming when using RCP. This study utilized a quasi-experimental design to investigate the impact of RCP on undergraduates’ programming knowledge and skills, behaviors, and attitudes toward collaboration. Eighty-two participants were randomly assigned to either the RCP group or the Traditional Collaborative Programming (TCP) group. The data analysis yielded noteworthy findings. First, RCP significantly improved learners’ problem-solving skills and led to higher knowledge test scores compared to TCP. Second, there were no significant differences in attitudes toward collaboration between the two groups. Third, analysis of programming behaviors indicated that the RCP group exhibited more efficient coding practices, including producing a greater volume of code and executing it more successfully. Additionally, the RCP group’s code-testing activities were predominantly concentrated at the first half of the class sessions. Based on the empirical research results, three major pedagogical implications were proposed. These findings highlight the benefits of integrating RCP into programming education and suggest avenues for future research into collaborative learning dynamics.

Commercial Space Industry Development from the Perspective of the Triple Helix: Evidence from China and the United States

Abstract: The university-industry-government triple helix has been an ideal approach to interpret the growth of innovative industries, especially in the context of todays technological leap. This study examines the commercial space sectors in United States and China, the two leading space powers, to analyze how the triple helix structures evolve and synergize to shape their respective industries. It is found that in the United States, the helix is rooted in legislation and procurement support, spurred by a well-developed industrial system, and reinforced by extensive enterprise-university collaboration programs. In contrast, the Chinese triple helix formation trajectory begins with experimental policies and space infrastructure construction, evolves through enterprises considered positioning in reusable rocket and satellite internet, and is potentially propelled by an expanding scale of talents exiting state-owned space institutions or fostered by emerging academies. After that, a lateral comparison between the two triple-helix models is undertaken to unveil the characteristics, similarities, and disparities within the commercial space industries of these two nations. This paper concludes that, for nations aiming at establishing a commercially sustainable space industry, the essence lies in a fully developed triple helix where efforts of government, industry, and academia can systematically converge without significant lag in any aspect. The paper also mentions the potential benefits of commercial space cooperation between the United States and China.

The influence of scaffolding for computational thinking on cognitive load and problem-solving skills in collaborative programming

The influence of scaffolding for computational thinking on cognitive load and problem-solving skills in collaborative programming

Effects of collaborative learning-based food literacy program on healthy eating behavior and hemoglobin A1c among older adults with uncontrolled type 2 diabetes: A randomized controlled trial study in Thailand.

Uncontrolled type 2 diabetes mellitus (T2DM) is a prevalent issue among older adults. Healthy eating behavior (HEB) is a significant factor contributing to blood sugar control. It is a complex behavior that requires knowledge, attitudes, and skills in food literacy, which can be achieved through collaborative learning by nurses. Although collaborative learning has successfully improved food literacy and HEB among adults and older adults in general, its effectiveness has not been investigated among older adults with uncontrolled T2DM. This randomized controlled trial aimed to examine the effects of the Collaborative Learning-Based Food Literacy Enhancement Program (CLFLEP) on HEB and hemoglobin A1c (HbA1c) levels among older adults with uncontrolled T2DM. Participants were 80 older adults with uncontrolled T2DM attending primary care units (PCUs) or sub-district health promotion hospitals in northern Thailand. They were randomly assigned to either the experimental group (n = 40) or the control group (n = 40). The experimental group received the CLFLEP to enhance four domains of food literacy through five major elements of collaborative learning, while the control group received standard care. Data were collected between January and June 2023 using the Demographic Data Form, the Eating Behavior Questionnaire, the HbA1c test, and the Short Food Literacy Questionnaire. Data analysis involved descriptive statistics for demographic characteristics and independent t-test and paired sample t-test for HEB and HbA1c based on intention-to-treat (ITT) and per-protocol (PP) analyses. The experimental group had a higher HEB score than the control group (p <0.001 for ITT and PP) and higher than their scores before program participation (p <0.001 for ITT and PP). The effect size (Cohen's d) was 1.46. The experimental group also had a lower HbA1c level than the control group (p = 0.002 for ITT and PP) and lower than their levels before program participation (p = 0.005 for ITT and 0.001 for PP). The effect size (Cohen's d) was 0.70. The CLFLEP was effective in promoting food literacy, HEB, and blood sugar control. Nurses can be trained to use this program to provide collaborative health education for older adults with uncontrolled T2DM. Nursing administrators can use these findings to develop organizational policies that enhance nurses' competencies as educators skilled in collaborative learning. TCTR20221222005 [Thai Clinical Trials Registry].

Knowledge and Attitudes Regarding the Inappropriate Use of Proton Pump Inhibitors Among Students of Umm Al-Qura University in Saudi Arabia: A Cross-Sectional Study.

Background Proton pump inhibitors (PPIs) are commonly prescribed to manage various upper gastrointestinal conditions such as dyspepsia, gastroesophageal reflux disease (GERD), and peptic ulcer disease. However, concerns are increasing regarding their excessive and inappropriate use, particularly in cases where there is no clear medical indication. Inappropriate use can lead to unnecessary side effects and complications, emphasizing the need for better awareness of appropriate PPI use. Objectives This study aimed to assess the knowledge and attitudes of Umm Al-Qura University (UQU) students in Makkah, Saudi Arabia, regarding the inappropriate use of PPIs, highlighting the necessity of targeted educational interventions to improve awareness and promote safe PPI practices. Methods A cross-sectional online survey was conducted among 534 UQU students, aged 18-30, from both health-related and non-health-related majors. Participants were selected through convenience sampling, with the questionnaire distributed via Google Forms across various channels. Data were prepared using Microsoft Excel and analyzed with IBM SPSS Statistics for Windows, V. 25.0 (IBM Corp., Armonk, NY, USA). Results The survey revealed a significant lack of awareness about the potential side effects of PPIs, with 48.1% of participants (n=247) exhibiting low awareness, 30.9% (n=165) demonstrating high awareness, and 21% (n=112) showing moderate understanding. A chi-squared test confirmed that this awareness distribution significantly differed from what was expected, χ²(2, n=534)=60.48, p<0.001. In terms of behavior, 70.4% of participants adhered to good practices regarding PPI use, following appropriate guidelines such as using PPIs only when prescribed, following the correct dosage, and avoiding self-medication. Additionally, 21.3% (n=114) displayed moderate behavior, and 8.2% demonstrated poor behavior by engaging in practices such as using PPIs without medical supervision or not adhering to the recommended dosage and duration. A chi-squared test indicated significant differences in the behavior distribution, χ²(2, n=534)=344.14, p<0.001. Conclusion While most respondents displayed good behavior regarding PPI usage, there remains a significant gap in knowledge and attitudes. Addressing these gaps through targeted educational interventions, such as workshops, e-learning modules, and awareness campaigns, could promote the safe and effective use of PPIs among students in Saudi Arabia. The next steps would involve implementing these programs in collaboration with healthcare professionals and university departments, with effectiveness measured through follow-up surveys, behavior assessments, and analysis of PPI usage trends over time.

Health data science course for clinicians: Time to bridge the skills gap?

Data science skills are highly relevant for clinicians working in an era of big data in healthcare. However, these skills are not routinely taught, representing a growing unmet educational need. This education report presents a structured short course that was run to teach clinicians data science and the lessons learnt. A 1-day introductory course was conducted within a tertiary hospital in London. It consisted of lectures followed by facilitated pair programming exercises in R, an object-oriented programming language. Feedback was collated and participant responses were graded using a Likert scale. The course was attended by 20 participants. The majority of participants (69%) were in higher speciality cardiology training. While more than half of the participants (56%) received prior training in statistics either through formal taught programmes (e.g., a Master's degree) or online courses, the participants reported several barriers to expanding their skills in data science due to limited programming skills, lack of dedicated time, training opportunities and awareness. After the short course, there was a significant increase in participants' self-rated confidence in using R for data analysis (mean response; before the course: 1.69 ± 1.0, after the course: 3.2 ± 0.9, p = .0005) and awareness of the capabilities of R (mean response; before the course: 2.1 ± 0.9, after the course: 3.6 ± 0.7, p = .0001, on a 5-point Likert scale). This proof-of-concept study demonstrates that a structured short course can effectively introduce data science skills to clinicians and supports future educational initiatives to integrate data science teaching into medical education.