Qualitative Study Research Articles

An analysis of the use of 3D game engine technology in visualising sustainability data

Purpose Responding to calls for accountants to engage with modern technologies and explore data visualisation within a three-dimensional (3D) environment, this study aims to explore whether social and environmental accounting (SEA) data visualisation is a promising use case for 3D game engine technology. Design/methodology/approach Drawing on visual perception and embodiment theories, this study uses photo-elicitation, a qualitative research method, to explore the usefulness of two-dimensional (2D) and 3D visualisations of sustainability information in a 3D virtual environment. This study provides three stimuli: numerical data, 2D visualisations and 3D visualisations, and asks open-ended questions regarding future applications. Twelve semi-structured interviews were conducted with academics, preparers and users of sustainability reports to obtain responses to these stimuli. Findings The key finding is that visualisation of SEA information may indeed be a strong use case for 3D game technology, but only for certain data and for certain audiences. Presenting information within a 3D virtual environment offered enhanced engagement and contextual understanding but reduced navigation speed and data clarity. Participants were enthusiastic about the potential of a museum-like experience, incorporating interactivity and community, but felt that the appropriate audience was more likely to be novices than experts. Practical implications This study suggests that deploying 3D game engine technology can be a powerful tool for presenting sustainability information but requires significant resources. The optimum audience is likely to be novices, and a key design principle is to ensure the virtual environment supports, rather than overwhelms, the information presented within that environment. Originality/value This study introduces a novel application of 3D visualisation technology within the SEA context, offering original insights into its potential to enhance user understanding and decision-making capabilities. This study highlights the technology’s value not as a replacement for traditional reporting but as a supplementary educational tool. The study also provides a novel setting for the photo-elicitation method, demonstrating this approach’s utility in a 3D environment.

Usable Privacy and Security in Mobile Applications: Perception of Mobile End Users in Saudi Arabia

Privacy and security is very critical for mobile users and in-depth research into the area highlights a need for more scientific literature on the perception and challenges of end users to better align the design of privacy and security controls with user expectations. In this paper, we have explored the perceptions of the usability of privacy and security settings in mobile applications from mobile users in Saudi Arabia. The findings highlight that gender, age, and education level of users do not have any positive correlation with the privacy and security usability perceptions of mobile users. On the other hand, user concerns about privacy and security and the trustworthiness levels of end users regarding mobile phone privacy and security have a positive impact on end users’ perception of privacy and security usability. Furthermore, privacy usability perception has a positive impact on users’ feelings about their control over the privacy and security of their mobile phones. Based on the results of this empirical study, we propose that user-centric design of privacy and security controls, transparent data handling policies, periodic data management status preview and validation by end users, user education guidelines, strict governmental policies, and automated security settings recommendations can enhance the usability of the privacy and security of mobile phone applications. Our study did not take the geographical location of respondents into account, nor were the respondents balanced based on age and gender. In future work, these weaknesses need to be taken into account, and more qualitative studies can help to extract design guidelines for usable and secure mobile applications.

Experience with Mandatory Reporting of Intimate Partner Violence: An Explorative Qualitative Study of Service Providers and Help-Seeking IPV Victims and IPV Perpetrators

Abstract Purpose This study explored service providers’ and help-seeking intimate partner violence (IPV) victims’ and IPV perpetrators’ experiences with mandatory reporting of intimate partner violence (MR-IPV) in Norway. We examined the following research questions: How do service providers experience work within the context of MR-IPV? How do help-seeking IPV victims and IPV perpetrators experience MR-IPV? Methods This qualitative study used reflexive thematic analysis to identify, analyze and report themes and patterns uncovered in semi-structured interviews with 42 service providers and 6 help-seeking IPV victims and IPV perpetrators, following Braun and Clark’s Qualitative Research in Psychology six phases of reflexive thematic analysis. Results The service providers in this study aimed to establish collaboration with help-seeking IPV victims and IPV perpetrators to avert IPV rather than immediately reporting IPV to the police, thus working within the discretionary space allowed in the Norwegian legislation. Stories concerning breaches of trust related to MR-IPV were prominent in the interviews with both groups of help-seekers. The IPV perpetrators expressed having experienced a breach of trust when the IPV was reported to the police, while most of the IPV victims expressed a breach of trust due to a lack of MR-IPV. Conclusions IPV victims expressed ambivalence linked to a desire for interventions and a fear of not receiving adequate help. These findings highlight the challenges of certain requirements placed on service providers when working within the MR-IPV context; distinguishing between situations in which collaboration is appropriate and situations in which immediate reporting to the police is required.

Perspectives of patients with type 1 and type 2 diabetes on barriers to diabetes care: a qualitative study

Perspectives of patients with type 1 and type 2 diabetes on barriers to diabetes care: a qualitative study

Individual and System Level Factors Contributing to Guideline Non-Adherent Surgical Antibiotic Prophylaxis at a Tertiary Health Care System: A Qualitative Analysis

Background Antibiotics play a crucial role in preventing surgical site infections, yet adherence to Infectious Disease Society of America (IDSA) guidelines varies widely. This qualitative study aimed to explore factors influencing perioperative antibiotic administration and assess the potential impact of a clinical decision support (CDS) tool on guideline adherence. Methods In this qualitative study, perioperative personnel with diverse roles (surgeons, anesthesiologists, certified nurse anesthetists, trainees, and pharmacists) were interviewed using a semi-structured interview format from September 2023 through April 2024. Interviews were then analyzed for codes which were assigned to concepts using the constant comparison method for assessment of factors that were described as barriers or facilitators of guideline adherence. Results After piloting with three interviews, we conducted nine sessions with a total of 17 participants: 7 attending anesthesiologists, 3 resident trainees, 2 perioperative pharmacists, 3 Certified Registered Nurse Anesthetists (CRNAs), and 2 attending surgeons. Key themes emerged: (1) Limited familiarity with Infectious Disease Society of America (IDSA) antibiotic guidelines, (2) Lack of standardization and optimization of antibiotic decision-making process, (3) Challenges with managing beta-lactam allergies, (4) Difficulty optimizing vancomycin timing, and (5) Perceived benefit of a Clinical Decision Support (CDS) tool in enhancing workflow and guideline adherence. Conclusions Non-adherence to antibiotic guidelines in the perioperative setting often results from a lack of structured workflow. Our interviews provide a foundation for developing a clinical decision support tool tailored to provider needs, aiming to improve user satisfaction and promote better adherence to perioperative antibiotic guidelines.

Hospital nurses and physicians’ experiences practicing patient safety work to recognize deteriorating patients: a qualitative study

Abstract Background Measures to increase patient safety work aim to prevent patient harm and injuries in hospitals and are a priority worldwide. Several hospitals have implemented various rapid response systems to strengthen patient safety. Knowledge is limited concerning how health professionals interact and how they experience competence development and master emergency situations. The aim of the study was to explore and describe hospital nurses’ and physicians’ experiences with patient safety work, and the implications of this work for collaboration and competence in a hospital. Methods We used a qualitative descriptive design and interviewed 21 nurses and physicians from a hospital in Norway. Data were analysed with systematic text condensation, a four-step thematic cross-case analysis. The study adheres to the COREQ guidelines for conducting qualitative research. Results Through analysis, three categories were identified: strengthening a common clinical language for patient deterioration; sharing and transferring competencies across hospital wards and amongst professionals; and balancing time pressure and limited resources. The results showed that the patient safety work contributed to building bridges between health professionals and across hospital levels regarding deteriorating patients. It also provided structure and systematization to the hospital professionals’ work with deteriorating patients. However, the results also demonstrated the complexity of maintaining patient safety, pointing to the need to balance limited time and resources in hospital. Conclusions The patient safety work presumably provides better emergency care, which may enhance patient safety in hospital. The complexity of hospital work, however, can influence the patient safety performance negatively, requiring health professionals to adopt robust, up-to-date skills and competencies in observing and assessing patient deterioration. In a busy hospital setting, the ability of health professionals to collaborate and communicate is important as they are faced with the challenges of balancing time-pressure and limited resources, which can potentially compromise patient safety work.

Stakeholders’ perspectives on competency-based education program in Africa: A qualitative study

Background: Competency-based education (CBE) is adopted to reform health professionals’ education. The goal is to produce graduates who are not only competent in their fields but also equipped with the necessary social accountability skills for safe practice.Aim: The study aimed to explore nursing education stakeholders’ perspectives on competency-based primary healthcare (PHC)-oriented nursing education programmes in the South African context.Setting: The setting for this study was a higher education institution in South Africa.Methods: A descriptive qualitative method was used in this study. After taking ethical clearance from the university ethics committee, data were purposively collected and theoretically sampled from 40 participants through focus group discussion, individual interviews and document analysis.Results: The data findings reported categories that emerged from this study, which include the attributes of a competency-based PHC-oriented programme and the outcomes of a competency-based PHC-oriented programme.Conclusion: In the context of this study, the concept of CBE was portrayed as a programme with strong social accountability that aims at addressing priority health needs surrounding communities and ensuring that the health needs of the community are met while providing health delivery service to communities in their natural environment.Contribution: These findings add to the growing evidence base around CBE as an approach to strengthen PHC-oriented health services in low- and middle-income countries, a key aspect of which is providing service within communities. This enables the accessibility of quality healthcare closer to where people live and work to achieve Sustainable Development Goal number three.

Role of Cooperative Leadership in Driving Technological Innovation for Sustainable Solutions

This paper examines the critical role of leadership in fostering technological innovation within cooperatives, drawing from multiple recent studies across diverse sectors. The researcher set to determine the role of cooperative leadership in driving technological innovation and to evaluate how such leadership can facilitate the development and implementation of sustainable solutions within cooperative organizations. Descriptive survey research design was adopted for the study. To guide this study, research questions and hypothesis were formulated in line with the objectives of the study. The study was anchored on Diffusion of Innovations (DOI) Theory because of its relatedness. The instrument for data collection was a structured questionnaire. The sample size of the study was 150 selected cooperative leaders, cooperative members and external stakeholders in Awka South Local Government. Data collected were analyzed using both quantitative and qualitative methods. Inferential statistics such as chi-square tests was used to test the hypotheses. The findings revealed that there is a 5 % significant effect between strategic Cooperative leadership and technological innovation that can foster sustainable solutions within the Cooperative organization with a critical value of 5.991. The study therefore, recommends that cooperatives can strengthen their leadership capabilities, adopt innovative technologies, and achieve sustainable growth while remaining aligned with their core values.

How much time, effort and money is spent caring for wombats?

Wildlife care and rehabilitation are undertaken by thousands of volunteers throughout Australia every year. Bare-nosed (Vombatus ursinus) and southern hairy-nosed wombats (Lasiorhinus latifrons) regularly come into care, with the demands on wombat carers and the numbers of wombats increasing. Understanding the burdens placed on wombat carers and rehabilitators will provide information to wildlife managers to assess the risks to wombats and document the concerns of wildlife carers. Data were collected via an online quantitative and qualitative survey using Qualtrics. The survey was distributed through Facebook groups to wombat carers and rehabilitators and received 22 responses. The survey confirmed that caring for wombats is time-consuming and expensive, particularly when raising wombat joeys. Both adult and juvenile wombats were brought into care; the most common reasons were vehicle collisions, sarcoptic mange, and injuries resulting from dog or wombat attacks. Despite the significant financial and mental health costs to wombat carers, in most cases, carers thought young wombats that came into care were successfully rehabilitated and re-introduced into their natural habitat. Our study provides insights into the issues facing wombats, the people that care for wombats, and the wider carer sector.

Investigating Verbal Learners' Perspectives on Silence in English as a Foreign Language Classrooms in Myanmar

Recognising the value of silence in English as a Foreign Language classes, this study aims to extend critical discussion to similar issues in Myanmar classrooms. We explored how verbally active Myanmar EFL students interpreted classroom silence. A qualitative case study was used to interview three self-perceived EFL ‘verbal learners’. Data analysed thematically using Jaworski's (1993) silence categories and Kurzon's (1995) model of intentionality revealed that participants acknowledged the benefits of silence, yet complained about unintended and pointless silences. The study highlights the usefulness of silence in in-class group learning and the need to explore silence holistically for diverse learning styles.

Challenges And Solutions In Implementing Reading Policies In The Foundation Phase: A Multiple Case Study From The Lichtenburg Circuit, North West Province

This article aims to examine the policies guiding reading instruction and investigate how these policies are implemented in the FP to gain a deeper understanding of teachers’ experiences in this area. Implementing reading policies effectively in the FP is crucial for fostering early literacy skills, which form the foundation for lifelong learning. However, teachers often encounter various challenges that impact the successful application of these policies. This article explores the complexities associated with implementing reading policies within the FP, specifically focusing on the Lichtenburg Circuit in the North West Province. The Lichtenburg Circuit, a unique educational setting within the North West Province, provides a valuable multiple case study for examining these challenges and identifying effective solutions. Utilizing a qualitative case study approach, the research focused on the perspectives of Subject Advisors, Principals, HoDs, and FP teachers in three primary schools within the Lichtenburg circuit. Thirteen participants were purposively selected, and data were collected through document analysis, observations, and interviews. Thematic analysis revealed that the CAPS is the primary policy used for reading instruction, yet it lacks explicit directives on teaching reading, leading to challenges in implementation and application by teachers. By investigating the experiences of English Home Language this article aims to uncover the specific difficulties teachers face and assess the support mechanisms available. The findings will offer insights into improving policy implementation and enhancing literacy outcomes for young learners. The objective of this article is to identify and analyze the key factors that influence teachers’ implementation of reading policies in the FP. This article aims to understand how various contextual, professional, and institutional elements shape teachers’ approach to applying reading policies in their classrooms. By examining these factors, the article seeks to provide insights into the challenges and opportunities faced by teachers in translating policy into effective practice, ultimately contributing to the development of more supportive and practical strategies for improving reading outcomes in the FP. The purpose of this article is to investigate and evaluate the challenges and solutions in implementing reading policies, using the Lichtenburg Circuit in the North West Province as a multiple case study. The article also seeks to uncover the specific challenges that teachers encounter in implementing these policies and to analyze how these obstacles impact the effectiveness of reading instruction. The article aims to provide insights and recommendations for improving the implementation of reading policies to better support FP teachers.

Factors Influencing Domestic Human Trafficking in Africa: Protocol for a Scoping Review

Background Human trafficking is a human rights violation in every region of the world. The African continent is not spared. Every year, millions of people experience significant health and social consequences. International organizations and governments combating human trafficking are hindered by a lack of knowledge about what factors influence domestic (within-country) human trafficking. Objective This study aims to conduct a scoping review to collate and synthesize literature on factors influencing domestic trafficking in Africa. Methods We will follow Arksey and O’Malley’s framework to answer the question about reported influences on domestic human trafficking and their relative weight. The search strategy will explore PubMed, CINAHL, Web of Science, and Scopus. A total of 2 independent researchers will select quantitative, qualitative, or mixed methods studies that examine relationships influencing domestic human trafficking. We will document our results by following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. We will extract a list of all reported relationships between identified factors influencing domestic human trafficking in each study. Based on a discourse analysis approach, we will weigh the strengths of the relationships based on how frequently they are reported across the included studies. We will summarize the findings as fuzzy cognitive maps depicting the relationships reported in the literature. The maps represent the influences between concepts (nodes) linked by arrows (edges) going from each cause to its outcomes. These maps are helpful visual summaries of the factors associated with domestic human trafficking, allowing a comparison with maps to be created by stakeholder groups. Results This project received financial support in March 2023. We expect to start the project in March 2024. We recruited 2 research staff members to conduct the scoping review and expect to publish the results in March 2025. Conclusions The review will provide a comprehensive understanding of factors influencing domestic human trafficking in Africa. The overlap of human trafficking with other forms of exploitation, the limited literature on domestic human trafficking, and the likely diversity of factors are challenges for the review. We propose strategies to address these challenges. International Registered Report Identifier (IRRID) PRR1-10.2196/56392

The Doctors, Their Patients, and the Symptom Checker App: Qualitative Interview Study With General Practitioners in Germany

Background Symptom checkers are designed for laypeople and promise to provide a preliminary diagnosis, a sense of urgency, and a suggested course of action. Objective We used the international symptom checker app (SCA) Ada App as an example to answer the following question: How do general practitioners (GPs) experience the SCA in relation to the macro, meso, and micro level of their daily work, and how does this interact with work-related psychosocial resources and demands? Methods We conducted 8 semistructured interviews with GPs in Germany between December 2020 and February 2022. We analyzed the data using the integrative basic method, an interpretative-reconstructive method, to identify core themes and modes of thematization. Results Although most GPs in this study were open to digitization in health care and their practice, only one was familiar with the SCA. GPs considered the SCA as part of the “unorganized stage” of patients’ searching about their conditions. Some preferred it to popular search engines. They considered it relevant to their work as soon as the SCA would influence patients’ decisions to see a doctor. Some wanted to see the results of the SCA in advance in order to decide on the patient’s next steps. GPs described the diagnostic process as guided by shared decision-making, with the GP taking the lead and the patient deciding. They saw diagnosis as an act of making sense of data, which the SCA would not be able to do, despite the huge amounts of data. Conclusions GPs took a techno-pragmatic view of SCA. They operate in a health care system of increasing scarcity. They saw the SCA as a potential work-related resource if it helped them to reduce administrative tasks and unnecessary patient contacts. The SCA was seen as a potential work-related demand if it increased workload, for example, if it increased patients’ anxiety, was too risk-averse, or made patients more insistent on their own opinions.

Pengendalian persediaan berbasis economic order quantity pada UD Wenang Perkasa Manado

The economic order quantity is the number of goods ordered that will result in the lowest possible cost. This study will determine how inventory control is based on economic order quantity at UD Wenang Perkasa. This study employs a qualitative research method with a descriptive approach. The study results clearly show that the company's total merchandise inventory costs are higher than they would be if they used economic order quantity. This means that using economic order quantity will save the company costs and increase profits. The company must implement economic order quantity as a method for controlling its inventory because it will allow the company to order merchandise in optimal quantities with minimum total inventory costs, increasing the company's profits.

LEGALITY OF TRADITIONAL OIL MINING EXPLORATION IN RANTO PEUREULAK, EAST ACEH: AN ANALYSIS OF THE ISLAMIC ECONOMIC LAW PERSPECTIVE

This article aims to examine the legality of oil mining resulting from traditional mining exploitation by the Ranto Pereulak community, East Aceh. This research uses descriptive qualitative research methods and the approach used in this research is a sociological normative approach. This research was located in Ranto Peureulak District, which is one of the sub-districts in East Aceh Regency. The results of this research show that the East Aceh Government through Qanun Number 6 of 2009 provides space for the community to manage mining products, in this case oil, by obtaining an IUP issued by the East Aceh government and going through all the conditions therein. The IUP is granted by the Regent after obtaining principle permission or approval from the Governor through the relevant provincial and district level agencies. However, in practice, many people in Ranto Peureulak District, East Aceh Regency, in managing illegal wells traditionally do not follow the applicable SOPs or regulations. Then the oil drilling carried out can endanger the health of workers and the surrounding community. This can also have an impact on the environment, because it does not pay attention to health standards or Health Safety and Environment or abbreviated as (HSE), which is the main priority for mining. In terms of safety too, it often catches fire and causes casualties, both workers and residents. Because drilling oil and gas wells is a very complex process and at each step procedures, requirements and important decisions are required that must be considered and implemented very carefully.

Students’ Perceptions of Factors Contributing to a Happy School Environment in Iran

Abstract Background School is not only a place for acquiring academic skills but also a social environment where students develop emotional abilities and awareness. Prioritizing well-being in schools can foster confidence, satisfaction, and emotional awareness among students, contributing to their lifelong success and mental health. Objective This research hypothesizes that students will emphasize the importance of individual choice, autonomy, and enjoyment in school, along with a desire for more meaningful activities beyond academics. The study aims to investigate adolescents' perceptions of a happy school and the strategies they believe are effective for fostering this environment. Method Employing a purposive sampling approach, the researchers conducted indepth, semi-structured qualitative interviews involving 41 middle and high school students in Iran to explore their perspectives on the factors contributing to their happiness within an educational setting. Through phenomenological data analysis, four principal themes and thirteen subcategories emerged. Result The main themes included: (1) Enhancing overall health; (2) Creating schools with collaborative decisionmaking; (3) Fostering a love of learning; (4) Supporting joy and well-being in school. Conclusions The identified themes provide new, valuable insights for improving school climate, particularly in relation to student happiness and promoting positive mental health and optimal performance among students.

CTN-0138: adaptation, implementation, and cluster randomized trial of a Community Pharmacy-Based Prescription Drug Monitoring Program Opioid Risk Assessment Tool—a protocol paper

Abstract Background As the opioid epidemic continues to have a major negative impact across the US, community pharmacies have come under scrutiny from legal systems attempting to hold them accountable for their role in over dispensing and lack of patient intervention. While the most available tool for monitoring patients’ opioid use is Prescription Drug Monitoring Programs (PDMP), these do not provide pharmacists with actionable information and decision support. Our study addresses this gap through three objectives: [1] incorporate validated opioid risk metric thresholds into a PDMP platform to create the Opioid Risk Reduction Clinical Decision Support (ORRCDS) tool; [2] assess ORRCDS’ ability to reduce patient opioid risk; [3] assess ORRCDS’ sustainability and viability for broader dissemination in community pharmacy. Methods For objective 1, our team is partnering with leadership from the largest US PDMP organization and a top-five pharmacy chain to implement ORRCDS into the pharmacy chain’s workflow following the Guideline Implementation with Decision Support (GUIDES) framework. For objective 2, our team will conduct a type-1 implementation mixed methods study using a 2-arm parallel group clustered randomized design. We anticipate enrolling ~ 6,600 patients with moderate and high opioid use risk during the 6-month enrollment phase across 80 pharmacies. This sample size will provide 96.3% power to detect a 5% or greater difference in responder rate between the intervention and control arm. Responders are patients with moderate-risk at baseline who reduce to low-risk or those with high-risk at baseline who reduce to moderate or low-risk at 180 days post last intervention. To accomplish objective 3, we will use the Consolidated Framework for Implementation Research (CFIR) to develop and execute cross-sectional qualitative interviews with pharmacists (n = 15), pharmacy leaders (n = 15), and PDMP leaders (n = 15) regarding long term adoption and sustainability of the ORRCDS tool. Conclusions A PDMP tool that addresses moderate- and high-risk opioid use is not available in community pharmacy. This study will implement ORRCDS in a large retail pharmacy chain that will include additional screening and guidance to pharmacy staff to address risky opioid medication use. Our results will make critical advancements for protecting patient health and addressing the opioid epidemic.

Health-related quality of life and symptom-specific functional impairment among patients treated with parenterally administered complement inhibitors for paroxysmal nocturnal hemoglobinuria

AbstractThis study describes the health-related quality of life (HRQoL) and symptom-specific functional impairment of patients with paroxysmal nocturnal hemoglobinuria (PNH) in a real-world setting. US-based adults with PNH treated with a parenterally administered complement inhibitor (PACI) for ≥ 6 months completed an online, cross-sectional, observational survey; a subset of patients also participated in semi-structured qualitative interviews. The survey included the PROMIS® 29 + 2 Profile v2.1 (PROMIS 29 + 2) to measure HRQoL. The FACIT-Fatigue, Neuro-QOL Item Bank v2.0 Cognitive Function Short Form, and PROMIS Item Bank v1.0 Dyspnea Functional Limitations 10a Short Form measured symptom-specific functional impairment. For each patient with PNH who completed the online survey, 3 age- and sex-matched adults from the general population (GP) also completed the survey. The HRQoL and functional impairment of the PNH sample were compared to that of the GP sample. The association between HRQoL/functional impairment and fatigue severity for the PNH sample was also investigated. Compared to the age- and sex-matched GP sample, patients treated with PACIs for PNH had significantly worse HRQoL and greater functional impairment for all measured domains (p < 0.05). Within the PNH sample, statistically significant associations (p < 0.05) were observed between fatigue severity and HRQoL/functional impairment for all outcomes except the PROMIS 29 + 2 Sleep Disturbance domain. Interview participants described fatigue-related impairments in their physical, social, and cognitive functioning. Despite receiving treatment for PNH, patients experienced deficits in HRQoL and functional impairment, suggesting that opportunities to improve patient-relevant outcomes through treatment should be identified.

Implementation of Car-Free Days in Support of Sustainable Development to Reduce Vehicle CO2 Emissions in Urban Areas

The transportation sector is one of the main contributors to global greenhouse gas emissions, accounting for 18.52% of total emissions, with this percentage reaching 40% in developed countries. This research aims to assess the effectiveness of Car-Free Day (CFD) implementation in reducing emissions in Cirebon, Indonesia, as a contribution to the 13th Sustainable Development Goal on climate action. The research method used a mixed approach, combining quantitative analysis of fuel consumption data with qualitative interviews to gain a comprehensive understanding of the impact of CFD. Referring to the Ministry of Environment and Forestry's National Greenhouse Gas Inventory guidelines, Book I: The results showed that while CFD reduced emissions by 13-26% in the designated lane due to traffic diversion, it also led to an 8-14% increase in emissions in the alternative lane. Therefore, the overall emission reduction effort was not optimal, as the emission reduction in one lane was masked by the emission increase in the other lane. The implication of this research is that a more holistic approach is needed to effectively reduce urban greenhouse gas emissions. The results of this research can serve as a basis for formulating more effective transportation policies, such as extending the duration and coverage of CFD, restricting vehicles on alternative routes, and improving public transportation systems that are more environmentally friendly.

Perception of Gratitude During an Online Mindfulness-Based Intervention (eMBI) in Patients with Interstitial Lung Disease in Brazil: An Exploratory Qualitative Study

Perception of Gratitude During an Online Mindfulness-Based Intervention (eMBI) in Patients with Interstitial Lung Disease in Brazil: An Exploratory Qualitative Study