Quality Of Questionnaire Research Articles

Psychometric Properties of Schwartz Center Compassionate Care Scale with Iranian Patients

Background: Despite patients’ and caregivers’ approval of the importance of compassionate care, without proper measurement, we cannot know the level of compassion or the effectiveness of interventions. Thus, the aim of this study was to assess the reliability and validity of the Persian version of the Schwartz for Compassionate Care scale.
 Methods: The scale was translated using the back and forward technique. The construct validity was assessed using confirmatory factor analysis. Concurrent validity was examined by Pearson’s correlations between this scale and the patient satisfaction with nursing care quality questionnaire. The reliability was assessed using test-retest and internal consistency methods.
 Results: The results of the confirmatory factor analysis reported almost adequate values for all fit indices (χ2/df = 2/85, RMSEA= 0/07, CFI= 0/88, GFI=0/92, AGFI=0/88 TLI=0/90) and concurrent validity was high. Cronbach’s alpha was reported as 0.95 and the results of the test-retest in checking the time stability of the scale were reported as 0.78.
 Conclusion: It can be concluded that Schwartz’s Compassionate Care scale had almost acceptable validity and reliability for Iranian nurses’ caring behavior. Therefore, the Persian version of this scale should be used with caution in Iran.

Müller-Weiss disease: a functional and quality of life assessment.

Evaluate the functional health status and quality of life of patients diagnosed with Müller-Weiss disease and, secondarily, determine the influence of factors such as gender, social status, race, body mass index, and surgical and non-surgical treatment in patient outcome. This study included 30 affected feet (18 patients) with follow-up from 2002 to 2016. Five patients were excluded from reassessment, resulting in 20 feet (13 patients). Questionnaires for functional and quality of life assessments were administered, and statistical analysis was performed. Patients with obesity had poor functional results and low quality of life rates. Regarding quality of life, mainly in the mental health domain, there was a significant difference (p < 0.001) that was not observed in other domains investigated, except for surgical treatment, which was superior to non-surgical treatment in terms of the physical domain (p = 0.024). Bilateral treatment was also superior to unilateral treatment in Coughlin's classification (71.4% versus 66.7%). Müller-Weiss disease evolved with poor functional results and low quality of life rates in patients with obesity, with no method of treatment influence on patient outcome, except for the SF-12 physical domain, where surgical treatment showed better results than conservative treatment.

The role of teacher self-efficacy on the instructional quality in 21st century: A study on vocational teachers, Indonesia

The quality of learning for vocational teachers in Indonesia in the 21st century is still a very serious problem and has not yet received a practical solution. The prediction is that the self-efficacy of vocational teachers is weak and is motivated by very limited mastery of digital technology and low psychological well-being, which is strongly suspected as a contributing factor. This study examines the role of self-efficacy and mediation of digital technology intimacy and psychological well-being in improving the quality of vocational teacher learning. This research is an ex-post-facto study with 216 vocational teachers as respondents. Data was collected using a questionnaire technique consisting of digital technology intimacy (DTI), psychological well-being (PWB), self-efficacy (SE), and instructional quality (IQ) questionnaires using four Likert scales, namely strongly agree to strongly disagree. Data were analyzed using structural equation modeling (SEM) analysis techniques with path analysis and bootstrap methods. The results of the study revealed that SE had a significant and positive effect on DTI and PWB in influencing the quality of learning. On the other hand, DTI and PWB have a positive effect on self-efficacy and learning quality.

Association between social media addiction and sleep quality among undergraduate nursing students: a cross-sectional study

Abstract Objectives To examine the association between social media addiction and sleep quality among undergraduate nursing students. Methods This research is an analytical observational study with a cross-sectional approach. The sampling technique was purposive sampling of 150 nursing students at a private university in Malang, Indonesia. Respondents filled out a questionnaire about self-identity, a sleep quality questionnaire from the Pittsburgh Sleep Quality Index (PSQI), and social media addiction from Social Media Addiction Scale (SMAS). This was a bivariate analysis which was conducted using the Pearson Product Moment Correlation test. Results The results of this study reported that most nursing students were addicted to social media (76%). As for the parameter of the quality variable, most respondents had poor sleep quality, which were about 106 people (70.3%). The result of the Pearson Product Moment Correlation test obtained a P value of 0.000. The Pearson correlation coefficient was 0.358. Social media addiction (adjusted odds ratio [OR] 4.80, 95% confidence interval [CI] = 2.08–11.02), gender (adjusted OR 3.79, 95% CI = 1.58–9.12), and using social media for a long time (adjusted OR 4.21, 95% CI = 1.97–10.48) were associated with sleep quality. Conclusions We found that there is an association between social media addiction and sleep quality among nursing students. Furthermore, we might be educating nursing students to manage their time to improve their quality of sleep to avoid any health problems.

Percepción de la calidad de vida de los médicos residentes de neurología y neuropediatría en Colombia

Tanto las entidades públicas en salud como las asociaciones médicas se preocupan por mejorar la calidad de prestación de sus servicios olvidando que uno de los factores condicionantes básicos de la productividad es el grado de complacencia que los profesionales tienen con su trabajo.&#x0D; Fue un estudio observacional descriptivo, de corte transversal, realizado a través del Cuestionario de calidad de vida profesional (CVP-35), validado en español, que consta de treinta y cinco ítems.&#x0D; Se llevó a cabo un total de veinticinco encuestas, edad media: 29 años. Los resultados en la encuesta de calidad de vida revelan en el ítem "Trabajo que tengo" que el 100% está en valores &gt; 5 (Bastante a Mucho); en "Satisfacción con el tipo de trabajo" el 72% está distribuido en valores &gt; 5 (Bastante a Mucho); en "Satisfacción con el sueño", 72% fueron calificados con valores &lt; 5 (Algo o Nada); en "Calidad de vida percibida" 4% la calificó como "Nada", 40% "Algo", 44% "Bastante" y 12% "Mucho"; y en la variable "Estrés emocional", 76% puntuó valores &gt; 5 (Bastante a Mucho).&#x0D; El estudio de calidad de vida profesional medida por el cuestionario CVP-35 mostró que la mayoría de residentes viven en estrato socioeconómico 3 y 68% no tienen vivienda propia. Una gran cantidad de residentes trabajan más de cuarenta y ocho horas semanales. Llama la atención que el 40% reportó sufrir de alguna patología. Las horas de sueño diarias son siete en promedio, lo cual es aceptable, sin embargo 72% no están satisfechos con las horas de sueño; pese a que 76% refieren tener una gran cantidad de trabajo y presentar estrés emocional, 72% están satisfechos con el tipo de trabajo y más de la mitad de los residentes consideran tener una buena calidad de vida.

HUBUNGAN KUALITAS PELAYANAN DENGAN KEPUASAN PASIEN PENGGUNA BADAN PENYELENGGARA JAMINAN SOSIAL KESEHATAN

The quality of hospital services is a benchmark in assessing the success of a government program. The quality of service that provided by hospital may affects patient satisfaction. Patients using BPJS health insurance often feel dissatisfied with the services received. The measurement of patient satisfaction must be carried out by the hospital as an evaluation material for the quality of services provided, so that later it will have an impact on patient loyalty and hospital profitability. This research aims to identify the correlation of hospital quality of service with patients’ satisfaction among those who hold BPJS health insurance at BRSU Tabanan. The method of this research is quantitative with a cross sectional research design. The sample were 30 respondents selected by quota sampling technique. The service quality questionnaire and HCAHPS questionnaire are used in this research. The results showed that the quality of service reaches an average value of 109,80 and the average value of patient satisfaction of user of BPJS health insurance is 41,13. This study analysis showed that there is a significant moderate relationship between hospital quality of service with patients’ satisfaction (p value 0,001) and with positive direction. The value of the determinant coefficient was 34,2%. The direction of a positive relationship means the better the quality of service the higher the satisfaction of patients using BPJS health insurance, and vice versa.

0196 The relationship between brain functional connectivity and objective and subjective assessments of chronic habitual sleep status

Abstract Introduction Sleep is a multiscale phenomenon. It has subjective and objective components often not highly correlated. Given the importance of brain networks for cognition and evidence that sleep deprivation and variability in habitual sleep patterns affects Functional brain Connectivity (FC), we would expect brain networks would be differentially related to subjective and objective markers of sleep. As well as region specific studies, investigating the effect of habitual sleep measures across whole network interactions is important. This study investigates whether overall FC from 3 Intrinsically Connected Networks (ICN); Default mode(DMN), Salience(SN) and Central executive(CEN) network is differentially related to subjective and objective sleep measures from sleep quality questionnaire, sleep diary data and actigraphy metrics. Methods Functional Magnetic Resonance Imaging data acquired from 32 healthy adults (right handed, 14 female, age 23-59 years). Regions of interest (ROI) representing nodes of the ICN created from separate data of 55 subjects (28 male, age 25±4yrs). Seed-based FC analysis performed using in-house MATLAB code. Average FC across all paired connections in each ICN calculated to define overall mean FC. Two-way multiple measures factorial ANOVA split-plot analysis performed with a 2x3x6 design to determine any interaction of 6 sleep measures (Pittsburgh sleep quality index, subjective sleep efficiency, diary total sleep time, wake after sleep onset, total sleep time, sleep efficiency) with the FC of the ICN. Pairwise comparisons for significant interactions and univariate analysis on the linearly independent pairwise comparisons among the estimated marginal means performed to confirm significant interactions between ICN FC and sleep measures. Results No significant interactions for any of the sleep metrics tested, subjective or quantitative (P=&amp;gt;0.05). Except subjective sleep efficiency (SSE) which demonstrated a significant within subject interaction of overall network FC (F(2,30) = 3.682, P = 0.033, n2=0.109) for CEN. Conclusion Significant findings of SSE in relation to CEN demonstrate increased FC of the CEN in relation to higher SSE and lower CEN FC in subjects with low SSE. Overall findings suggests FC changes within ICN in relation to chronic habitual sleep status metrics (subjective or quantitative) don’t involve whole network FC, therefore we believe them to be region specific. Support (if any)

ANALISIS PERSEPSI PENYAKIT TERHADAP KUALITAS HIDUP PASIEN DIABETES MELITUS TIPE II DI RUMAH SAKIT UMUM DAERAH TORABELO

Diabetes mellitus is a disorder that occurs in heterogeneous metabolism due to chronic glycine. Diabetes mellitus also occurs due to disorders in insulin secretion or impaired insulin effect or both factors. Based on the results of the research of the Central Sulawesi Health Office, especially in Sigi Regency, the number of people with type II diabetes mellitus is 15,244 people suffering from type II diabetes mellitus. The purpose of this study was to determine the relationship of the perception of disease in the quality of life of patients with type II diabetes mellitus in the Torabelo regional hospitals. This study used a cross sectional method with the number of respondents, namely 100 respondents, data collection using disease perception questionnaires and live quality questionnaires provided to respondents directly. The results of the study that were obtained from disease perception questionnaires for positive categories, namely 70%, the neutral category of 20% and the negative category of 10%, while the result of life quality cakes are obtained by the category of good 12%, and 88% poor. The results of the chi square test received p = 0.028 or &lt; a (0.05), Ha accepted was rejected meaning to having a relationship between illness perception of the disease of patients with the type II diabetes mellitus. The conclusion was obtained from this study, namely there is a relationship between the perception of disease with the quality of life. The occurrence of increased quality of life due to good disease perceptions.

REAC Neurobiological Modulation as a Precision Medicine Treatment for Fibromyalgia.

Fibromyalgia syndrome (FS) is a disorder characterized by widespread musculoskeletal pain and psychopathological symptoms, often associated with central pain modulation failure and dysfunctional adaptive responses to environmental stress. The Radio Electric Asymmetric Conveyer (REAC) technology is a neuromodulation technology. The aim of this study was to evaluate the effects of some REAC treatments on psychomotor responses and quality of life in 37 patients with FS. Tests were conducted before and after a single session of Neuro Postural Optimization and after a cycle of 18 sessions of Neuro Psycho Physical Optimization (NPPO), using evaluation of the functional dysmetria (FD) phenomenon, Sitting and Standing (SS), Time Up and Go (TUG) tests for motor evaluation, Fibromyalgia Impact Questionnaire (FIQ) for quality of life. The data were statistically analyzed, and the results showed a statistically significant improvement in motor response and quality of life parameters, including pain, as well as reduced FD measures in all participants. The study concludes that the neurobiological balance established by the REAC therapeutic protocols NPO and NPPO improved the dysfunctional adaptive state caused by environmental and exposomal stress in FS patients, leading to an improvement in psychomotor responses and quality of life. The findings suggest that REAC treatments could be an effective approach for FS patients, reducing the excessive use of analgesic drugs and improving daily activities.

Nordic Airports’ service quality attributes: themes in online reviews

ABSTRACT User-generated online content can be an alternative data source for investigating airport perceived service quality, which effectively accompaniments as well as cross-validates the traditional service quality questionnaires. This research aims to identify the main themes shared in online reviews by airport passengers, then, distinguish key concepts for passengers’ distractors as well as enhancers of passenger satisfaction. The research uses mixed methods, qualitative (i.e. narratives) and quantitative (i.e. computer) approaches, to investigate the main components of passengers’ airport experiences in the top five largest Scandinavian airports. A content analysis of 704 passenger’s reviews shared on an online content through web site was implemented to identify key themes as well as satisfiers/dissatisfiers regarding airports’ service perception. The analyses demonstrated nine themes in descriptions of airport travel experiences. These are “staff”, “immigration”, “gate”, “shops”, “terminal”, “lounge”, “luggage”, “screen” and “restaurants”. The outcomes of this research posit beneficial insights into airport passengers’ overall experiences according to social media platform information and facilitate the identification of the main themes linked with distractors and enhancers.

Effect Of Six Weeks Of Whole-Body Vibration In Treatment Of Postnatal Constipation.

To determine the efficacy of whole-body vibration in the treatment of postnatal constipation. The prospective, randomised, single-blind, pre-post, controlled trial was conducted from December 2020 to May 2021 at the outpatient clinic of the Obstetrics and Gynaecology Department, Kafrelsheikh University Hospital, Egypt, and comprised women with complaint of postnatal constipation. They were randomised into two groups. Group A was subjected to whole-body vibration in addition to diet instructions, pelvic floor exercises and static abdominal exercisesforsix weeks. Group B wassubjected to pelvic floor exercises,static abdominal exercises and diet instructions. Constipation symptom questionnaire and patient assessment of constipation quality of life questionnaire were used at baseline and post-intervention. Data was analysed using SPSS 25. Of the 40 women, 20(50%) were in each of the 2 groups. Group A mean age was 24.88±2.22 years, while it was 24±2.25 years in Group B. Age, height and body mass index were not significantly different between the groups (p>0.05). There was significant improvement in Group A quality of life and constipation severity (p<0.05). Whole-body vibration had positive impact on postpartum women's constipation symptoms and quality of life. NCT05286476, Link: https://clinicaltrials.gov/ct2/show/NCT05286476.

The correlations between food security, diet quality and weight change among working women of reproductive age during the endemic phase of COVID-19.

This cross-sectional study aims to investigate the correlations between food security, diet quality and weight change among working women during the endemic phase of COVID-19 in the Klang Valley of Malaysia. Working women aged 18-49 years were required to self-report their socio-demographics and pre-pandemic body weight (body weight during February 2020). Body height and current body weight were measured using a SECA stadiometer and TANITA weighing scale. Food security was assessed using the Food Insecurity Experience Scale (FIES); the diet quality was determined with the Diet Quality Questionnaire (DQQ)for Malaysia. The prevalence of moderate-to-severe food insecurity was 19.9%. It is noted that 64.3% of working women gained weight throughout the pandemic, with an average weight gain of 4.36 ± 3.19 kg. Concerning diet quality, the majority (82.5%) achieved the Minimum Dietary Diversity for Women (MDD-W). Findings from linear regression revealed that food security was not significantly correlated with weight change. However, working women who failed to achieve the MDD-W gained, on average, 1.853 kg more than those who did (p = 0.040). On the other hand, no significant correlation was observed between food security status and diet quality in weight change of working women. The current study shall provide an impetus to develop intervention strategies for promoting healthy eating among working women.

AZAR eye and vision cohort study

According to World Health Organization (WHO), currently, 2.2 billion people are living with visual impairment worldwide, of which almost half could have been prevented. There are both modifiable and unmodifiable factors leading to visual disability and, ultimately, blindness. Several population-based studies in different parts of Iran have tried to determine these factors concerning their specific population and environment-related characteristics. AZAR Eye and Vision cohort is the second-largest cohort study in the whole country. AZAR Eye and Vision cohort is the ophthalmologic branch of AZAR cohort which is the largest eye cohort study in the country, which is trying to determine the prevalence and incidence of visual impairment, blindness, and other major ophthalmologic conditions and their associated risk factors in East Azerbaijan province located in Iran, a middle eastern country. A recently emerging phenomenon is the drying of the ultra-salty lake of Urmia located in the West Azerbaijan province which is a direct neighbor of our studied population and has caused recurrent salt storms in the immediate near areas. This phenomenon could adversely affect visual health via different conditions which our study will elucidate. The enrollment phase took place between 2014 and 2017 and 11,208 participants were enrolled out of 15,000 participants in the primary cohort. The resurvey phase will begin five years after the enrollment phase. In this phase, 30% of the participants are randomly selected to be reexamined and complete questionnaires. The participants showing any issues such as diabetes and being a glaucoma suspect will be included in the resurvey phase, too. Data categories gathered include demographics, lifestyle factors, past medical and drug histories, and a diet quality and quantity questionnaire including 130 edible items. Urine, hair, nail, and 25-ml blood samples, were collected from the participants. Then they were referred to an optometrist to complete an ophthalmologic questionnaire and undergo eye examination and lensometry. Then they underwent slit-lamp examinations and pictures were taken of the lens and fundus. People with suspected visual impairment were referred to an ophthalmology clinic. The data are processed and a four-level quality check is performed on each block. The most common visual impairment is cataracts. This study’s most important aim is to evaluate the effect of local environmental and ethnic factors on eye diseases in this specific population.

Design, implementation, and evaluation of a diabetes educational game for the pharmacy students: A parallel-group study

Background &amp; Objective: The objectives of this study were to design, implement, and evaluate an educational game on the diagnosis and management of diabetes for pharmacy students. Materials &amp; Methods: Educational content for diabetes was prepared and used to design a multimedia file and game scenario. The game was validated and consisted of 25 stages of diagnosing and managing diabetes. Participants were 8th-semester pharmacy students who were divided into two groups. Groups A and B had 10-day access to the multimedia and game files, respectively. Pretest and post-test were held to evaluate students’ learning, and the final exam was used to assess retention. Moreover, user experience was evaluated by a modified and validated version of the Model for the Evaluation of Educational Games questionnaire. Results: A total of 154 students participated in the study. The mean ranks were 69.25 and 60.99 (P=0.808) in the pretest; 64.80 and 67.63 (P=0.551) in the post-test; and 67.44 and 62.19 (P=0.490) in the final exam for groups A and B, respectively. Ninety-nine participants completed the quality questionnaire of the study. The students confirmed the quality of the game in nearly all quality dimensions. About 80 percent of the game users preferred it over usual teaching methods. Conclusion: A high-quality educational game for diabetes was designed and implemented. Although the use of the game was not associated with increased learning or retention scores, pharmacy students preferred it over traditional teaching methods.

The Perception of quality and the performance in primary health Care of central Alentejo – Portugal

Quality and performance are current issues and a strategic priority for the Portuguese National Health Service. Currently, there is a lack of studies in primary health care (PHC) that assess the relationship between the quality and the level of performance of the Primary Health Care Teams. In Portugal, those teams are monitored through the Global Performance Index (GPI), which demonstrates, through a score, the procedures and results obtained by electronic records and the metrics defined for each indicator. This paper aims to analyze the relationship between the perception of the quality of health professionals (service culture; leadership; service strategy; infrastructure and external resources; information and knowledge; processes; service management; human resource planning and skills development, commitment; conditions, satisfaction, performance, and recognition; and results) in the different Primary Health Care teams of the PHC of Central Alentejo—Portugal, and the level of performance of the given teams (care performance; professional training; organizational quality; and services). Self-Perception of Quality Questionnaire for Primary Health Care (SPQQ4PHC) was used as an assessment tool. The population comprises 324 health professionals (Family Doctors, Nurses, and Medical Secretaries) distributed over 34 Primary Health Care Teams. When analyzing the global correlation of the variables in the SPQQ4PHC questionnaire with the GPI, it´s possible to confirm that twenty-one out of twenty-five correlates with the GPI. Thus, this study allowed us to conclude that, as health professionals perceive the quality of the variables increases, the GPI also increases, demonstrating that the dimensions of quality and performance are closely related.

Service Quality in Higher Education Based on Students’ Perspectives

This study investigated quality service delivery in higher education based on students' perspectives. The study aimed to determine whether students' expectations of service quality in higher education significantly differed from what they experienced and whether their experience of service quality predicted their satisfaction and loyalty. Four hundred and twenty first-year students were sampled from two public universities to participate in the study. The data gathering instrument used in the study was the students' evaluation of service quality questionnaire. Analysis was done using descriptive statistics and structural equation modeling techniques. Results showed that the average mean score of prior expectations of university service quality was significantly higher than the average mean score of experience, suggesting that what students expected of university service quality was higher than what they experienced. The results also indicated that students' experiences of service quality had a significant direct effect on their satisfaction levels. Students' levels of satisfaction in turn significantly and positively predicted their loyalty. The results further indicated that students' service quality experience had an indirect (mediated by satisfaction) significant and positive effect on loyalty. Higher education authorities are encouraged to improve service quality, which is a critical way to enhance students' satisfaction and, for that matter, their loyalty and stay intentions.

Risk factors and prediction model for mental health in Chinese soldiers.

This study aimed to explore potential risk factors for mental health concerns, and the prediction model for mental health concerns in Chinese soldiers was constructed through combined eligible risk factors. This cross-sectional study was performed on soldiers under direct command from Gansu, Sichuan, and Chongqing in China, and the soldiers were selected by cluster convenient sampling from 16 October 2018 to 10 December 2018. The Symptom Checklist-90 (SCL-90) and three questionnaires (Military Mental Health Status Questionnaire, Military Mental Health Ability Questionnaire, and Mental Quality Questionnaire for Army Men) were administered, including demographics, military careers, and 18 factors. Of 1,430 Chinese soldiers, 162 soldiers presented mental disorders, with a prevalence of 11.33%. A total of five risk factors were identified, including serving place (Sichuan vs. Gansu: OR, 1.846, 95% CI: 1.028-3.315, P = 0.038; Chongqing vs. Gansu: OR, 3.129, 95% CI, 1.669-5.869, P = 0.003), psychosis (OR, 1.491, 95% CI, 1.152-1.928, P = 0.002), depression (OR, 1.482, 95% CI, 1.349-1.629, P < 0.001), sleep problems (OR, 1.235, 95% CI, 1.162-1.311, P < 0.001), and frustration (OR, 1.050, 95% CI, 1.015-1.087, P = 0.005). The area under the ROC curve by combining these factors was 0.930 (95% CI: 0.907-0.952) for predicting mental disorders in Chinese soldiers. The findings of this study demonstrate that mental disorders and onset in Chinese soldiers can be predicted on the basis of these three questionnaires, and the predictive value of the combined model was high.

A simple fruit and vegetable score is a valid tool to assess actual fruit and vegetable intake.

With the recent growing interest in improving fruit and vegetable intake for better health and limited research resources in many settings, simple-to-administer and low-priced indicators are essential tools for monitoring fruit and vegetable intake at the population level. A potential candidate indicator is the fruit and vegetable component of the Global Dietary Recommendation score (FV-GDR) based on data collected using the Diet Quality Questionnaire (DQQ). We investigated the relative validity of FV-GDR collected with the DQQ to measure fruit and vegetable intake by comparison with a 24-h recall (24hR) as a reference collected from 620 Vietnamese and 630 Nigerian adults in 2021. We found proportional differences in the prevalence of intake of vitamin A-rich vegetables, other vegetables and other fruits in Vietnam and all vegetable food groups in Nigeria. In both countries, we found a small difference in the total FV-GDR from DQQ compared with the 24hR, and the percentage of agreement between the two methods was quite high for the majority of the food groups. The FV-GDR calculated from the DQQ correlated with the actual intake, although less strongly than the FV-GDR from 24hR. The DQQ is a promising low-burden, low-cost and simple tool to calculate FV-GDR and to monitor fruit and vegetable consumption at the population level. This provides the possibility of evaluating an important aspect of diet quality in low-resource settings.

School climate and substance use in a sample of Chilean adolescents

Despite the importance of school climate for positive student health outcomes, few studies address its potential effects on substance use. This study aimed to examine whether dimensions of school climate — respectful treatment, discrimination, rules, safety, and harassment — relate to alcohol, tobacco, and marijuana use in a sample of Chilean students. The sample comprised 182,066 Year 10 students in 2,907 schools, who completed the Education Quality and Context Questionnaire as part of the SIMCE evaluation in 2017. Statistical analyses included a confirmatory factor analysis (CFA), multilevel logistic regression, and an estimate of predicted probabilities. Models were adjusted for sex and school socioeconomic level. The results showed that school climate was associated with adolescent alcohol, tobacco, and marijuana use. Negative treatment of students, discrimination, poorly defined school rules, inadequate safety, and perceived harassment were associated with an increased risk of substance use. School interventions addressing adolescent substance use should consider the influence of school climate on risky behaviors.

Clinical manifestations and vision-related quality of life in pediatric uveitis

Purpose: To analyze clinical manifestations, visual ability, and quality of life in pediatric uveitis and to explore factors affecting visual ability and quality of life. Methods: This cross-sectional study included 40 patients with pediatric uveitis in the database of Ophthalmology of Peking University First Hospital. All patients completed the Cardiff visual ability questionnaire for children (CVAQC) and pediatric quality of life inventory measurement models (PedsQL4.0). Results: A total of 40 cases (68 eyes) with pediatric uveitis were included in this study. Better visual acuity in the better eye was predictive of lower CVAQC, education, and distance vision scores. Better visual acuity in the worse eye was predictive of a lower CVAQC score and distance vision. Better CVAQC scores were predictive of lower PedsQL4.0, physical health, psychosocial health, and school functioning scores. Conclusion: Patients with pediatric uveitis tend to be seriously affected by ocular complications. The visual ability of patients with pediatric uveitis decreases significantly. Better visual acuity in the better eye is associated with better total visual ability, education, and distance vision. Better visual acuity in the worse eye is associated with better total visual ability and distance vision. Health-related quality of life is related to vision ability in pediatric uveitis.