Population Sample Research Articles

Cardiovascular risk factors and all-cause mortality in older age (15-year cohort study)

Cardiovascular diseases (CVD) occupy a leading position in the structure of all-cause mortality. Prospective and interventional studies have identified the major risk factors for CVD and shown their associations with the risk of cardiovascular outcomes and all-cause death. The impact on the individual risk of death may vary by age, sex, study design, and may be population-specific. We aimed to study the contribution of major CVD risk factors to the 15-year risk of all-cause death in the Russian (Siberian) population cohort aged 45–69 years.Material and methods. A random population sample (men and women 45–69 years old, n = 9360) was examined at baseline in 2003–2005 (Novosibirsk, Russian branch of the HAPIEE project) and re-examined twice in 2006–2008 and 2015–2018. Current analysis included individuals without baseline CVD (n = 8087), the average follow-up period – 15.6 (SD 0.69) years. The fatal events were registered based on death certificates from the Population Registration Bureau (ZAGS), and using the data received at serial examinations and postal interview. We analyzed the association between CVD risk factors and all-cause death using multivariate Cox regression.Results. In a cohort aged 45–69, in the adjusted model, 15-year risk of all-cause death was positively associated with age (HR = 1.08; 95 % CI 1.07–1.09), male sex (HR = 1.46; 95 % CI 1.24–1.71), hypertension (HT) (HR = 1.39; 95 % CI 1.25–1.55), smoking (HR = 2.37; 95 % CI 2.08–2.70), high WHR (HR = 1.19; 95 % CI 1.06–1.33), and type 2 diabetes (T2DM) (HR = 1.52; 95 % CI 1.34–1.73), and it was negatively associated with elevated total cholesterol (TC) or LDL-C in blood. In age- and sex-adjusted model, the risk was additionally associated with high triglycerides (HTG), obesity and elevated fasting plasma glucose (FPG). In men, the risk of death was independently associated with age, HT, smoking, low HDL-C, high WHR, and T2DM. In women, the risk of death was independently associated with age, HT, T2DM smoking, and, in age-standardized models, obesity, high WHR, and hyperglycemia.Conclusions. In a population cohort of 45 years and older, among CVD risk factors male sex, HT, smoking, central obesity, and T2DM independently contributed to the risk of all-cause death. Among lipid parameters, low HDL-C and high TG levels increased the risk of death in men. Associations between cardiovascular risk factors and the risk of all-cause death in older people have the patterns specific for older age; these features are important to take into account in a strategy to reduce mortality in the population.

PAPERLESS ASSIGNMENTS AND CHALLENGES INVOLVED: VOICE OF DISTANCE LEARNERS

The study was planned to explore the challenges faced by distance learners during paperless assignment process. This initiative was introduced a couple of years ago at a distance learning university in Pakistan. Target population comprised on distance learners of M. Phil Education and MBA (col) sessions 2017 to 2019 programs running online through Learning Management System (LMS). Total Population Sampling (TPS) technique was followed and all distance learners of both programs were engaged. It was mixed-method research comprising both structured and open-ended information. The instruments employed were two questionnaires: one on Likert Scale and the other was open-ended. The reliability coefficient was 0.71, and the open-ended questionnaire was validated through six subject experts. The structured questionnaire was sent to all 563 students and in response 132 students filled out the online questionnaire. Quantitative data was analyzed through descriptive statistics while qualitative data was analyzed through NVivo software. The main problems highlighted were study material relevance and late delivery, understanding and processing of paperless assignments, access and skills of ICT, financial constraints, evaluation of paperless assignments, and instructors’ feedback. Students suggested that textbooks should be revised and delivered in time, connectivity issues should be resolved, free internet packages should be introduced, LMS training should be conducted, in time feedback in descriptive form by instructors must be provided to the distance learners.

Cardiovascular Risk across Glycemic Categories: Insights from a Nationwide Screening in Mongolia, 2022–2023

(1) Background: Diabetes mellitus is a significant risk factor for cardiovascular disease (CVD), a leading cause of death globally. Recent studies have highlighted the role of pre-diabetes, particularly impaired fasting glucose (IFG), in elevating CVD risk even before the onset of diabetes. The objective of this study was to assess cardiovascular disease (CVD) risk across specific glycemic categories, including normoglycemia, impaired fasting glucose (IFG), newly diagnosed diabetes, and long-standing diabetes, in a large Mongolian population sample. (2) Methods: This cross-sectional study utilized data from a nationwide health screening program in Mongolia between 2022 and 2023, involving 120,266 adults after applying inclusion criteria. The participants were categorized based on fasting plasma glucose levels (NGT): normoglycemia, IFG, newly diagnosed diabetes, and long-standing diabetes. CVD risk was assessed using WHO risk prediction charts, considering factors like age, blood pressure, smoking status, and diabetes status. (3) Results: CVD risk varied significantly with glycemic status. Among those with NGT, 62.9% were at low risk, while 31.2% were at moderate risk. In contrast, the IFG participants had 49.5% at low risk and 39.9% at moderate risk. Newly diagnosed diabetes showed 38.1% at low risk and 43.3% at moderate risk, while long-standing diabetes had 33.7% at low risk and 45.9% at moderate risk. Regression analysis indicated that glycemic status was independently associated with moderate to high CVD risk (OR in IFG: 1.13; 95% CI: 1.09–1.18), even after adjusting for age, gender, and central obesity. (4) Conclusions: This study emphasizes the need for early cardiovascular risk assessment and intervention, even in pre-diabetic stages like IFG.

How well does a single blood sample represent long-term exposure for epidemiological studies of PFOA among men in the general population?

Many epidemiological studies use a single blood sample per participant to assess exposure, but it is unclear how well a single sample represents longer term exposure. We performed a simulation study using summary statistics for repeated serum PFOA measurements from several previous studies in men to generate plausible serum concentrations over time, taking within-subject correlations into account. Simulated serum concentrations for controls were categorized into quintiles at each time point, and used to determine the extent of misclassification at each time point compared to the “true” long-term average exposure. We then generated case counts by quintile needed to produce an odds ratio (OR) of 1.5 for the highest vs. lowest quintile categorized based on long term exposure, and used the same misclassification rates observed in the controls to simulate misclassified exposure quintiles for cases. Comparing long term vs. single baseline exposure measures for repeated serum samples collected within about 5–13 years of each other revealed similar effect estimates, although there was a small bias to the null. Trend tests across quintiles were mostly significant using either baseline or long-term exposure. For the general population sample of men in Norway, with 5 repeated measurements over 28 years, serum PFOA was substantially lower prior to 1987, and using either of the two earliest samples as the exposure metric, compared to the long term average, produced larger bias to the null and non-significant trend tests; however using later time points as the exposure metric resulted in only a small bias. Using data based on studies of men, single baseline serum samples represented rather well the mean of repeated samples collectedup to 13 years apart, but were not always reliable surrogates for average exposure over 3 decades, during which time PFOA exposure levels in the general population have changed substantially.

Bhutanese Primary Science Teachers’ Epistemic Beliefs of Science

AbstractEpistemic beliefs of science (EBS) are considered to have a strong influence on how science teachers view science itself and carry out science teaching. To this end, Bhutanese primary science teachers, as much as secondary science teachers, are expected to possess sophisticated EBS. While this is one of the aims of the Bhutanese science education system, there is little to no information regarding Bhutanese primary science teachers’ EBS. Hence, this cross-sectional study examined EBS held by primary science teachers from three districts in Bhutan. One hundred and ninety-five (N = 195) primary science teachers took part in the study using a total population sampling design. Data collected using the Epistemic Beliefs of Science Questionnaire (EBSQ) were analysed using descriptive and inferential statistical methods. Findings revealed that Bhutanese primary science teachers from three districts in Bhutan held naive EBS in several aspects of source, certainty, development, and justification dimensions of scientific knowledge. The chi-square test of independence (χ2) revealed that there were no significant relationships between Bhutanese primary science teachers’ EBS and their teaching background (p > .05). The one-way analysis of variance (one-way ANOVA), while showed significant differences in certainty dimension, revealed that were no significant differences among Bhutanese primary science teachers’ EBS in other dimensions based on their academic qualifications (p > .05). The implications of research findings to the Ministry of Education, science curriculum documents, and teacher preparation are discussed.

Assessing the inclusion of women of color in lichen sclerosus treatment studies: a scoping review.

Vulvar lichen sclerosus (VLS) is an underrecognized chronic inflammatory skin condition with significant clinical features and potential for malignant transformation. To date, there are no studies comparing the course of this disease in women of color to other racial groups. The objective of this study was to provide a scoping review examining racial demographic data in VLS treatment studies and specifically assessing for the inclusion of women of color. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a primary literature search was conducted using 4 databases: Ovid Medline(R), Scopus, Cochrane, and Web of Science from all years to December 2022. We included published studies with adult women diagnosed with VLS and containing a treatment arm using topical corticosteroids. Single case reports, literature reviews, systemic reviews, meta-analyses, and reports not available in English were excluded. Overall, 1340 nonduplicate studies were assessed for eligibility criteria. In total, 65 publications were included. Only 6 included racial demographic data. Black women made up at most 3.8% of the sample population and Latinx women made up at most 5.7%. Our review focused on a specific intervention (ie, the use of topical corticosteroids for the treatment of VLS), which may restrict the generalizability of our findings to other interventions. No risk of bias assessment was done due to the scoping nature of the review. Women of color are underrepresented in studies of topical corticosteroid use in adult women with VLS. Intentional diversity in recruitment will enable the collection of data that is both more accurate and reflective of a broader spectrum of perspectives and life experiences.

Psychological impact of physical distancing due to covid 19 pandemic on school and higher education students

MoHFW India, WHO, NHS, and CDC suggested imposing lockdown and closing educational institutions with the spread of covid 19 pandemic to reduce the risk of transmitting the disease. Students faced negative mental health symptoms due to unexpected transition from physical to virtual learning, increased screen time, physical distancing, altered habits, rumors through news, print media, social media, and other means. This study focuses on the psychological impact of covid 19 on school and higher education students due to psychosocial factors like physical distancing. 2140 students, mixed gender, in age from 17 years to 25 years (M = 22.73, SD = 6.12) are selected as sample population for the study. Mixed-method approach is used for data collection that include face to face interactions in clinics, Health Questionnaires & Self-Reports, online counseling to assess the stress & depression, Generalized Anxiety Disorder-7, rating scales for Behavior analysis, Warwick-Edinburgh Mental Well-being Scale to assess perceived stress, depression, anxiety, and mental health & well-being, respectively. Analysis of data shows that 42.7% of school and higher education students have either depression or anxiety. 71.7% of students reported poor health and well-being. 36.7% of students reported fear of getting infected by virus, many students were reported with cognitive dissonance in myths and truths about Covid-19. 37.9% of students spend their time on media & social media, including watching TV or reading Covid-19 related news and information on various platforms. About 56.2% students reported with increased use of social media. There was a minor difference between depression and anxiety, as reported by females and male students, however expression of separation fear was slightly higher in male students than female students. Physical distancing and lack of social interaction caused stress, anxiety (GAD) and depression symptoms in students due to imbalances in hormones & neurotransmitters.

Nutritional risk assessment using the Nutritional Prognostic Index predicts mortality in Advanced Chronic Liver Disease patients.

IntroductionEarly clinical prognosis and mortality reduction remains a challenge in Chronic Liver Disease (CLD). The full potential of the Nutritional Prognostic Index (NPI) for nutritional assessment and management in CLD patients remains unexplored. AimTo establish an NPI cutoff point for identification of nutritional risk in advanced CLD (ACLD) patients, and to assess the NPI's ability to predict ACLD-associated mortality. MethodThis ethically approved prospective cohort study investigated malnutrition risk using both the NPI and the Royal Free Hospital-Nutritional Prioritizing Tool (RFH-NPT) in patients hospitalized for ACLD. NPI reference values were determined using Receiver Operating Characteristic curve. Associations between nutritional risk identified by RFH-NPT and by NPI were assessed using Fisher's exact test, and agreement between tools assessed using the Kappa index. Association between NPI-defined nutritional risk and 12-month mortality was examined using Pearson Chi-square test. ResultsThe sample population consisted of 120 adults, 84 (70%) male and 57 (50.9%) of alcoholic aetiology, presenting Child-Pugh A, B or C at admission. The identified cutoff point for NPI was <41, identifying nutritional risk in 82.5% of patients. NPI presented a statistically significant association with RFH-NPT, with substantial agreement coefficient of 0.34. Association between NPI <41 cutoff and mortality were observed, with 82.1% of the sample below cutoff experiencing mortality within 12 months. ConclusionNPI is a valuable nutritional marker for identification of nutritional risk in ACLD. The NPI is a simple and effective assessment tool which can aid in CLD early diagnosis. Validation however remains necessary in other CLD populations of different aetiologies.

The COVID-19 Pandemic and Its Effects on Mental Health-A before, during, and after Comparison Using the U.S. Census Bureau's Household Pulse Survey.

Although significantly increased mental health concerns were noted globally during the first year of the COVID-19 pandemic, much less is known about the mental health trends during the COVID-19 recovery period. We aimed to compare current anxiety or depression rates to those before and during the first year of the pandemic and to evaluate demographic differences. We analyzed Household Pulse Survey data prospectively collected from a representative U.S. population sample. We compared the anxiety or depression rates from the first pandemic year (04/2020-05/2021) and recovery period (06/2023-03/2024) from the national cohort and demographic subgroups using two-sided paired t-tests and regression analyses and compared these to pre-pandemic (01/2019-12/2019) rates using one-sided t-tests. The national estimates for anxiety or depression improved during the recent COVID-19 recovery period as compared to the first year (29.5 ± 5.5 vs. 37.6 ± 3.1; p < 0.0001) but did not return to the pre-pandemic benchmark (29.5% vs. 10.8%; p < 0.001). Higher rates were noted in younger individuals aged 18-29 years (p < 0.0001), in individuals with less than a high school diploma (p < 0.0001), or with disabilities (p < 0.0001). Non-Hispanic Asians reported the lowest rates (p < 0.0001), and no significant gender differences were noted. The U.S. population's mental health concerns have improved since the first year of the pandemic but remain above pre-pandemic benchmarks. Certain demographic subgroups are at higher risk, indicating the need for targeted health care and economic policy interventions to address these disparities.

Breeding work with kazakh horses Zhabe type

Background and Aim. Kazakh horses of Zhabе type differ from local horses in their higher live weight and larger body measurements. Breeding work with Kazakh horses of the Zhabе type is carried out at Tailak farm in Zharminsky district of East Kazakhstan through targeted reproduction, cultivation, and widespread use of the best individuals based on their origin, exterior, productivity, adaptation to year-round grazing, and quality of offspring from stallions and mares. Individuals that are not up to these standards are strictly culled. The aim of the research is to determine meat productivity and study genetic characteristics of a sample of modern population of Kazakh horses of Zhabe type using DNA markers.Materials and Methods. The material for the study was DNA genotyping data from 20 horses of the Kazakh breed type Zhabe. The horses were genotyped according to 17 STR lоci rеcommended by the Internаtional Sоciety for Animаl Gеnetics (ISАG). The international alphabetical code was used to identify alleles. Genetic and population analyses were performed using the GenAIEx software 6.5. The follоwing indicаtors wеre calculаted: the averаge numbеr of allеles per lоcus (Na), the effеctive numbеr of allеles (Ne), levеls of expеcted (He) and obsеrved heterozygоsity (Ho), and inbreеding cоefficient (FIS) .Results. A study on 17 STR loci of DNA in Kazakh horses Zhabе type has shown that they have a unique allele pool with a significant number of identified alleles and high genetic variability. The average inbreeding coefficient (FIS) is negative (-0.059), indicating that the genetic diversity of this breed is preserved within this group.Conclusion. The improvement of these horses is achieved through breeding and cultivation of animals with high genetic potential for productivity, which is passed down through generations of descendants. This is done by carefully selecting horses with desirable traits for breeding.

Skeletal and dental features of class II malocclusion among Palestinian population: a retrospective cephalometric study

Aim. This study aims to assess the dentofacial characteristics for a sample of palestinian population with skeletal Class II malocclusion. Methods. A total of 170 lateral cephalograms for non-growing patients (age ranged between 19 and 32 years) with skeletal Class II malocclusion were retrieved. The lateral cephalograms were analyzed using virtual cephalometric analysis software - WeDoCeph® (Audax®, Ljubljana, Slovenia) to assess sagittal and vertical Skeletal parameters including SNA, SNB, ANB, SN/Mandibular Plane angle SN/Go-Gn, FMA and the Y axis angle were measured. Moreover, the upper and lower dental angular parameters (Maxillary incisor long axis with Sella - Nasion line (U1-SN), Maxillary incisor long axis with Nasion - point A angular (U1-A Point), Mandibular incisor long axis with mandibular plane (L1-MP), Mandibular incisor with nasion-point B (L1- NB) angular were also measured. The mean and standard deviation for each measurement were calculated using the Statistical Package for Social Sciences (Minitab) for Windows. Gender differences were analyzed using the independent t-test. Results. One-hundred and seventy lateral cephalometric radiographs were retrieved and analyzed. The Class II skeletal value (ANB value of 6.7 degrees) was mainly due to retrognathic mandible (SNB 75.5 degrees) rather than prognathic maxilla (SNA 82.2 degrees). In the vertical dimension, the Y axis angle, SN/Go-Gn angle, and FMA were generally increased. Regarding the dental parameters, the upper incisors were mostly retroclined, while the lower incisors were mostly proclined. There was a significant gender difference in two parameters (SN/Go-Gn and the L1-MP), where females showed more vertical growth and more lower incisors proclination. Conclusions. Skeletal class II malocclusion in the studied sample was characterized by retrognathic mandible, increased vertical growth, and compensated upper and lower incisors. Compared with male subjects, females significantly had more vertical growth and more lower incisor proclination.

Emotional Intelligence and Teacher Productivity and Performance in Public Elementary Schools: An Input for a School-Based Intervention Program

Emotional intelligence (EI) is crucial to every individual's well-being. It is a significant factor in establishing positive relationships, especially in the post-pandemic era. Teachers play vital roles in education as they are the front liners who directly interact with learners, parents, and stakeholders. Therefore, they should have a strong EI to employ constructive approaches in managing their school environment. Therefore, educational leaders and school administrators must recognize how personal challenges impact teachers' emotional intelligence, particularly during the pandemic, by establishing reliable support mechanisms that foster a positive learning atmosphere. These resources can help teachers manage personal issues and empower them to support their students effectively. The study analyzed the impact of Emotional Intelligence on teachers’ productivity and performance as input for a school-based intervention program. This descriptive research utilized a quantitative correlation approach. A simple random sampling technique was employed to determine the population sample size. The questionnaire was sent to 655 target respondents from two sub-offices of the Division of Laguna, Department of Education, Philippines, through two methods: via a Google link or using paper and pen, with the permission of their school heads. The questionnaire was sent to the target participants in two ways: through a Google link or through paper-and-pen with the permission of the participants’ school heads. The results revealed that the respondents demonstrated high emotional intelligence but average stress management. On the other hand, they were both at high levels in terms of productivity and performance. The relationship between emotional intelligence and teachers’ productivity exhibited moderate correlations, while there was a strong correlation between Emotional Intelligence and Teaching Performance. Finally, some demographic factors influenced the relationship between emotional intelligence (EI) and Teaching Performance. Most school interventions focus on skill development, curriculum development, teaching methodologies, or student support systems, and Emotional Intelligence is often neglected. Providing emotional support to teachers is important for recognizing how their emotional states impact their effectiveness and the learning environment. This support can help to continually enhance productivity and performance, leading to better learning outcomes.

Pattern of Mortality among Patients Admitted in Medical Wards in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study

Introduction: Most developing regions of the world are undergoing gradual epidemiological transition resulting in high burden of both communicable and noncommunicable diseases. Morbidity and mortality pattern is a reflection of disease burden. Detailed assessment of these parameters tends to aid in formulating pivotal aspects of in-hospital policies, standards of care and so consequently promoting efficient work systems. The aim of this study is to identify the pattern of mortalities in medical wards in a tertiary care hospital.Methods: This retrospective descriptive cross-sectional study was conducted in National Academy of Medical Sciences, Bir hospital focusing on all patients admitted to the medical wards (General Medical, Hepatology, Nephrology, Neurology, Endocrinology, Pulmonology, Cardiology and Gastrology) between January 1 to December 31, 2023 after obtaining ethical approval from Institutional Review Committee (Reference Number: 390/2080/81). Total population sampling was done. Data were analyzed using Microsoft Excel and SPSS.Results: Among 10124 admitted patients in medical wards, mortality was reported in 732 (7.22%). The number of deaths seen in general medical ward was 389 (53.14%) and in liver ward was 85 (11.61%). Systemic cause of death due to respiratory diseases was 157 (21.5%) and liver disease was 143 (19.6%).Conclusions: The respiratory disease is responsible for a higher proportion of deaths among admitted patients. However, the deaths due to liver disease are increasing because of the rise in cirrhosis of the liver in the younger age group.

Effect of Cyberbullying and Sexting on Adolescents in Jordan; Exploratory Research

Objective: Bullying of school-aged children is not new and has been well-established as a common and serious problem in society. The aim of the current study is to explore the nature of cyberbullying in a sample of Jordanian adolescents. Method: The study used the quantitative approach and opted for the Delphi Technique, an online survey of adolescents, and an interview-based research approach following with the reviewing of the responses in order to identify the trends and nature of cyberbullying in a sample of Jordanian adolescents. The population sample consists of adolescents from two private schools in Jordan in the Middle East. The combined Adolescents sample of both schools totals approximately 6,000 students. Results: The results of this study reveal that significant numbers of adolescents are sending or receiving sexually explicit photos. The results also suggested that prevalence rates are high in four main categories of cyberbullying. Also, there is a difference in gender and educational level as females are subjected to more incidences of cyberbullying, and 4th grades students have a more significant value of cyberbullying involvement. Conclusion: It is essential to activate the role of the media and education systems in training youths about the risks of cyberbullying to improve adolescent feelings about the value of treating others well and engaging in objective cultural dialogue with them, as well as the strategies for avoiding it.

Correlation between Serum Albumin Level and Severity of Acute Ischemic Stroke : A Cross-Sectional Study

Introduction: Stroke is a leading cause of disability with devastating consequences. Serum albumin has emerged as a significant prognostic marker in various conditions, including stroke. This study aims to investigate the relationship between serum albumin levels and stroke severity and outcomes in patients with acute ischemic stroke (AIS).Methods: An observational, cross-sectional study was conducted over six months at Bir Hospital, among patients admitted in medicine ward. Total population sampling was done. Serum albumin at the time of diagnosis was measured. Ischemic stroke severity was scored based on NIHSS score on admission and the functional outcome was evaluated as modified Rankin Scale (mRS). Finally, correlation of serum albumin with the severity and the outcome of stroke (mRS) was made.Results: The study of 37 patients showed significant correlation between serum albumin and NIHS score. For high severity (NIHSS≥10), logistic regression analysis identified (OR: 0.086; 95% CI: 0.01-0.75, p-value 0.027) indicating there is strong association between serum albumin and NIHSS score (or severity). The study showed significant correlation between serum albumin and modified Rankin scale at the 0.01 level (2 tailed). The mean serum albumin level was 0.364 units higher (95% CI: 0.103 to 0.625) units higher in non-poor mRS score compared to poor mRS score. P-value of 0.003 suggested strong association between Serum albumin and mRS score.Conclusion: Significant correlation of serum albumin level with clinical severity at the time of admission and with the outcome during discharge was found. Thus serum albumin has prognostic significance in acute ischemic stroke.

Development and validation of the modified Yale Food Addiction Scale for Children 2.0

ObjectiveScientific interest in the concept of food addiction is growing, but more studies are needed in youth samples. Brief, psychometrically valid, and developmentally appropriate measures are needed to support the assessment of food addiction in large-scale studies of youth that need to minimize participant burden. While a brief version of the Yale Food Addiction Scale 2.0 (YFAS 2.0) exists for adults, no comparable scale exists for youth. Thus, the current study aimed to develop a brief and valid measure of food addiction for use in youth populations (the modified YFAS for children 2.0). MethodData stem from the Food Addiction Denmark (FADK) Project, where random samples of 559 adolescents from the general population and 413 adolescents from a population with mental disorder completed the 35-item original YFAS for children 2.0 (YFAS-C 2.0). An abbreviated 13-item version was developed, and the psychometric properties of the modified YFAS-C 2.0 (mYFAS-C 2.0) were then evaluated. ResultsThe mYFAS-C 2.0 exhibited a one-factor structure and was found to have sound psychometric properties regarding internal consistency and convergent, discriminant, and incremental validity. This was evident in both the general adolescent population sample and the sample of adolescents with mental disorders. ConclusionsThe mYFAS-C 2.0 provides a brief and psychometrically valid measure of food addiction for youth, which may be beneficial for study designs (e.g., epidemiological samples) that aim to minimize participant burden. Future research on the test-retest reliability of the mYFAS-C 2.0 and its psychometric properties in younger children are important next steps.

Assessing Implementation of Strengthening Mathematics and Science in Secondary Education (SMASSE): In the Case of Selected Secondary School of Kellem Wollega Zone, Oromia Regional State, Ethiopia

This study aimed to identify the methods teachers use to integrate science and mathematics. These factors affect the implementation of integrated science and mathematics education and students' attitudes toward this integration in secondary schools in the Kellem Wollega zone of Ethiopia. Both open-ended and closed-ended questionnaires, along with structured interviews, were designed for the selected sample population. This targeted population was chosen from five different sites within the zone, comprising a total of 506 samples, of which 392 were students and 114 were teachers and school principals. The study found that teachers integrate science and mathematics using the PDSI approach, the ASEI approach, a student-centered approach, and generally the SMASSE approach. They employ various strategies, including assigning projects, conducting practical work with students, providing assignments and worksheets, and fostering team spirit among students. Several factors hindering the implementation of SMASSE in the study area were identified, including the teacher-student ratio, the disproportion between class size and the number of students, students' attitudes toward science and mathematics, a lack of laboratory facilities and equipment, an absence of a planned schedule, insufficient access to computers, inadequate assessment practices, a lack of sufficient time to complete the curriculum, and an inadequate quality assurance system. On the other hand, students exhibited a negative attitude toward the integration of science and mathematics education, which was influenced by factors such as their perceptions of mathematics, student-teacher interactions, feedback from teachers, teaching methods, course content, teachers' competencies, school management, and limited student participation in the classroom.

Determinants of intention to purchase online eco-friendly items amongst university students in Nilai, Malaysia

This study investigates the determinants of intention to purchase online eco-friendly items among university students in Nilai, Malaysia. This research builds upon previous studies regarding consumers' intentions to buy environmentally friendly items digitally. The theory of planned behavior (TPB) is used in this study since its concepts are applicable and relevant to understanding people's intentions to buy environmentally friendly goods digitally in Malaysia. The present research examined the variables influencing consumers' intentions to buy various environmentally friendly goods digitally and evaluated how well they fit into the Malaysian industry. Surveys were sent as part of the project's quantitative analysis methodology to gather data. With an expected sample population of 361 learners, this study's approach entails data collection through purposive sampling. The results of this research indicated that each independent factor employed has an impact on people's decisions to buy environmentally friendly products online in Nilai, Malaysia. It provided input on elements that might help businesses organize their advertising strategies. The findings have an impact on research as well as practice. Corporations may execute viable concepts by drawing the link between the desire to buy and acquiring knowledge about the purchasing patterns of young customers. Thus, a company's market worth and income in Malaysia may increase. The research also adds to the body of knowledge regarding people's intentions to buy eco-friendly products via the internet by offering insightful information. By addressing a gap in the existing literature, the research's focus on this specific setting advances our comprehension of how people behave while making online purchases of environmentally friendly items within the Malaysian context. So, this study helps in building a resilient eco-system aimed at sustainable growth.

The Structural Relationship Between Principal’s Instructional Leadership, Teacher Commitment and Teacher Self-Efficacy in Program Vokasional Menengah Atas (PVMA) in Malaysia

The academic achievement of students is influenced by the leadership capabilities of school administrators and the commitment and efficacy of teachers in their roles. However, within the Program Vokasional Menengah Atas (PVMA) context, there has been a concerning rise in students failing to meet minimum qualifications. This underscores the urgent need to assess the effectiveness of principals' instructional leadership as well as teachers’ commitment and self-efficacy. This study aims to identify the interrelationships between instructional leadership, teacher commitment, and self-efficacy, as well as how instructional leadership and teacher commitment impact teacher self-efficacy. The research utilized three questionnaires adapted from previous studies that had been validated through face, content, and construct validation. The sample consisted of 318 PVMA teachers, and the data was analyzed using descriptive and inferential statistics. The findings of the study directly address the research problem by demonstrating the significant impact of principals' instructional leadership on teachers' commitment and self-efficacy. Significant correlations were found between instructional leadership and teacher self-efficacy, instructional leadership and teacher commitment, and teacher commitment and self-efficacy. The study highlights the positive influence of instructional leadership and teacher commitment on enhancing teacherself-efficacy, emphasizing the pivotal role of principals in fostering a supportive environment that prevents student underachievement. It provides actionable insights for principals, teachers, and education stakeholders to prioritize instructional leadership, improve teacher commitment, and enhance overall effectiveness in educational outcomes. Future research could expand by incorporating additional variables influencing instructional leadership and diversifying the sample population to enrich understanding and applicability across diverse educational contexts.

The Establishment of Geriatric Multidisciplinary Service (GEMS) for the Identification and Management of Frailty and Delirium in Emergency Care

Abstract Background In Ireland the number of people aged 75 and over has grown by greater than 20% in recent years, as a consequence increasing numbers of older adults are presenting to emergency departments. Frailty is a multi-factorial syndrome that diminishes body reserves and impacts on the person's ability to respond to stressors, such as illness or trauma. In October 2023, a Consultant Geriatrician lead GEMS was launched to identify, assess and manage frailty and associated syndromes, this study concentrated on delirium. Methods All patients 75 and older are triaged by GEMS using an electronic IPM System against prioritisation inclusion and exclusion criteria, utilising a case management approach and Rockwood Clinical Frailty Scale to screen for frailty. CFS score 1 to 3 is fit and managing well, alternatively a CFS of 4 or greater initiates a Comprehensive Geriatric Assessment. A 4AT assessment identifies patients at risk and screening for delirium. Results The results demonstrate a total of 744 patients were reviewed by GEMS from Jan - April 2024, 67% (n=503) had a CGA completed and 72% (n=537) of the population sample are living with frailty. A CFS7 (n=121), CFS8 (n=15) and CFS9 (n=3) are severely frail 26% and moderate frailty CFS6 (n=149) 28%. The 4AT results identified 10% of patients had a positive delirium score (n=60). In addition, a total of (n=61) patients had a formal diagnosis of dementia of which (n=12) patients had a positive 4AT. Conclusion The data confirms the prevalence of frailty in emergency care is approximately 70% and the incidence of acute delirium is approximately 10%. These indicators significantly impact on outcomes of care and treatment plans. Therefore, substantiates the need for early identification of frailty and delirium and the requirement for a highly specialised Consultant Geriatrician Lead (GEM) Service to ensure patients are on the right journey.