Spearman's Rho Research Articles

Beyond the Classroom: The Influence of Food Insecurity, Mental Health, and Sleep Quality on University Students' Academic Performance.

We aimed to analyze the association between food insecurity (FI) and academic performance in university students, including mental health and sleep quality (SQ), in an association model. A cross-sectional design included university students (n = 466, 72.5% women) from Mexico. We applied the Latin American and Caribbean Food Security Scale, the Depression Anxiety and Stress Scale (DASS-21), and the Pittsburgh Sleep Quality Index. Students self-reported their academic grading (AG) and perceptions about their academic performance. Spearman's rho and multiple logistic regression models were used. Almost half (47%) experienced some level of FI. The median AG was 95. AG was not significantly (p > 0.05) correlated with FI, nor with depression, anxiety, stress, and SQ. Considering mental health and SQ, moderate/severe FI remained significantly associated with perceived overall progress in college (OR: 2.96; 95%CI: 1.49, 5.88) and attendance to classes (OR:3.14; 95%CI: 1.19, 8.28) as poor or regular, and it was positively related to perceiving difficulties in completing their studies (OR:2.75; 95%CI: 1.43, 5.29). Stress, anxiety, depression symptoms, and poor SQ were also significantly associated with poor/regular perception of academic performance. These findings highlight the need to address psychological and nutritional factors in university students to promote their well-being and academic success.

Performance of bowel preparation quality scales in patients with Crohn's disease.

The performance of bowel preparation (BP) in patients with Crohn's disease (CD) is unknown. To evaluate the operating properties of instruments used to assess BP quality in patients with CD. We used the Boston Bowel Preparation Scale, modified Boston Bowel Preparation Scale, Harefield Cleansing Scale, Food and Drug Administration Bowel Cleansing Assessment Scale (BCAS), and a 100-mm visual analogue scale of bowel cleanliness to assess BP quality in 50 videos from 40 patients with CD. We assessed endoscopic activity with the Simple Endoscopic Score for CD (SES-CD). Assessments were on endoscope insertion and withdrawal. Reliability was quantified using the intraclass correlation coefficient (ICC). We assessed validity by within-patient correlation between instruments and the visual analogue scale using mixed-effect models. The correlation between BP quality and SES-SD scores was assessed using Spearman's rho. Inter- and intra-rater reliability for all BP quality instruments was substantial (ICC ≥0.61) except for the Food and Drug Administration BCAS on insertion (inter-rater reliability ICC ≥0.41). The visual analogue scale had substantial inter- and almost perfect (ICC ≥0.81) intra-rater reliability. Correlation coefficients for the validity of the instruments exceeded 0.58. BP quality and endoscopic disease activity scores in the colon were negatively correlated. Most existing instruments reliably assess BP quality in patients with CD. These results support the use of these instruments in clinical practice, provide a framework for scoring BP quality in CD clinical trials, and support evaluation of novel BP agents in patients with CD.

THE RELATIONSHIP OF FAMILY SUPPORT TO THE PREVENTION OF HYPERTENSION COMPLICATIONS IN THE ELDERLY

ABSTRACT Introduction: Hypertension is a health problem that most often occurs in the elderly, because the elderly will experience a decrease in physiological function due to degenerative processes, one of the diseases of the cardiovascular system that most often occurs in the elderly due to aging and the cumulative impact of the lifestyle of the elderly in their youth. Hypertension in the elderly has the potential for complications such as coronary heart disease and kidney failure, so it requires routine treatment and several routine precautions that can prevent hypertension complications and support from the family is very influential. Methodology: This study aims to analyze the relationship between family support and the prevention of hypertension complications in the elderly. This research is a correlational descriptive study using a cross sectional design with a quantitative approach. The sample was selected using accidental sampling technique with a total sample of 68 respondents. Statistical tests use the Spearman rho test. Results: The results of the study show that there is a relationship between family support and the prevention of hypertension complications in the elderly with a positive correlation and very strong strength (p value = <0.001; r= 0.859). Conclusion: there is a relationship between family support and the prevention of hypertension complications in the elderly. The recommendation from the results of this research is the importance of family support in preventing hypertension complications in elderly people with hypertension so that they are more confident and obedient in preventing hypertension complications. Keywords: Hypertension, prevention of hypertension complications, family support, elderly

Financial equilibrium: An in-depth look at working capital management and productivity in manufacturing SMEs in Ecuador

The manufacturing industry is one of the main axes of the economy, which has been affected by the global economic crisis, so the competent authorities must address this problem by efficiently using the administration and management of resources. This research aimed to analyze working capital as a function of productivity in manufacturing SMEs in Zone 3 of Ecuador, one of the most important sectors worldwide. It has a quantitative approach, through the statements of financial situation presented in the SUPERCIAS of 112 SMEs in the years 2017 to 2020 that have remained constant over time, to carry out this process, data obtained from secondary sources were recorded by means of an observation sheet. Descriptive statistics, Spearman's Rho correlation, multivariate statistics, and principal component analysis, were used to perform a multiple linear regression model to detect the best year for predictions. The results showed that both small and medium-sized companies presented positive values with respect to the average working capital and productivity. On the other hand, for the year 2020 the two variables were affected due to the pandemic in this sector reducing their values, working capital and productivity have an average positive correlation; it was also determined that the year 2018 is the best year for predictions, being that the variables studied are financial indicators that contribute to the decision making in the companies.

Government Management for Sustainable Economic Development and Innovation

Objective: The objective of this study is to analyze whether efficient and effective government management promotes sustainable economic growth and innovation. It seeks to understand how the income generated through GDP per capita is related to the effectiveness and efficiency with which the government of the State of Nayarit performs. Theoretical Framework: Effective and efficient government management, which uses innovative technologies to improve public administration, is the basis of the research. The relevance of economic diversification for resilience to external events is highlighted, based on the endogenous growth theory, which emphasizes the role of innovation and human capital in economic development. Transparency and citizen participation, which are fundamental for a modern and effective government, are promoted by open government innovation. Method: A non-experimental research of quantitative type was established, in which information was collected on the study variables (Hernández et al., 2014). Subsequently, a correlational type of research was conducted, considering four socioeconomic development indicators of the Mexican Institute for Competitiveness A.C. The research was conducted in Nayarit, Mexico, considering the periods from 2021 to 2023. Subsequently, Spearman's Rho correlation was performed because the Shapiro-Wilk normality test did not meet the normality assumption. Results and Discussion: The findings reveal important relationships and implications in the theory of efficient and effective government administration; first, it shows that improvements in tax collection efficiency are directly related to economic growth and diversification in Nayarit, Mexico. On the other hand, economic growth is driven by internal factors such as investment in human capital and innovation, further suggesting that greater economic complexity can lead to lower own revenues and ultimately to a lack of technological infrastructure or adequate public policies. Implications of the research: The practical and theoretical implications of this study highlight the importance of efficient and strategic government management, the need for economic diversification policies, and the re-evaluation of economic theory in specific contexts. The differences and limitations observed suggest areas for future research and improvements in data collection. Originality/Value: The present research contributes to the line of public administration and economic development, since the results found motivate the generation of sustainable growth and economic diversification policies. The above, adds to the content on state level income and GDP, in this particular case to the state of Nayarit, Mexico.

Correlation between endoscopic ultrasound features and exocrine pancreatic function in chronic pancreatitis

BackgroundEndoscopic ultrasound (EUS) is the most sensitive method for diagnosing chronic pancreatitis (CP) in its early stages, and Rosemont Classification (RC) is used for its evaluation. Data on the correlation between EUS features and pancreatic exocrine insufficiency (PEI) are limited. We investigated the correlation between the EUS findings and PEI. MethodsThis was a retrospective, monocentric cohort study involving patients prospectively enrolled from 2018 to 2022, with definite or probable CP according to the M-ANNHEIM criteria. All the patients underwent EUS and exocrine function investigations within 12 months of diagnosis. PEI was diagnosed using fecal elastase (FE) or when overt steatorrhea was reversed by pancreatic enzyme replacement therapy. Logistic regression analyses, rank correlation, ROC curve, and area under the curve (AUROC) were performed to evaluate the association between EUS features and PEI, and the accuracy of RC in predicting PEI. ResultsAmong 128 patients examined (63.3 % male; mean age, 47 years), 69.5 % were diagnosed with PEI. In multivariate logistic regression among all the RC criteria, only lithiasis in the main pancreatic duct (MPD) was associated with increased risk of PEI (OR 2.92, 95 % CI 1.29–6.61; p = 0.01). Rank analysis showed a weak inverse correlation between RC and FE (Spearman's rho = −0.02; p = 0.03). The accuracy of RC was moderate (AUROC 0.62, p = 0.014). ConclusionsAmong RC EUS features, lithiasis in the MPD is helpful for predicting the risk of PEI, while other findings are of limited utility in evaluating exocrine function.

Reliability and validity of the Turkish version of the medication practical barriers to adherence questionnaire in patients with chronic diseases.

The aim of this study was to evaluate the validity and reliability of the Turkish version of the Medication Practical Barriers to Adherence Questionnaire (MPRAQ-TR). This is a validation study conducted between August 2022 and March 2023 in the ambulatory services of a secondary care private hospital located in Istanbul, Türkiye, among patients (18years of age and older) with chronic diseases. After the Turkish translation and cultural adaptation of the MPRAQ, and a pilot think-aloud study, the following psychometric properties were assessed: internal consistency by calculating the Cronbach's alpha coefficient, 2-week test-retest reliability, convergent validity by calculating Spearman's rank correlation between the MPRAQ-TR and the Turkish version of Medication Adherence Report Scale (MARS), and predictive validity by evaluating the association between the MPRAQ-TR score and nonadherence to medications. Among the 380 patients (response rate = 89.6%), 72.1% were nonadherent to their medications. The intraclass correlation coefficient was 0.99 for MPRAQ-TR scores (95% CI, 0.98-0.99; p < 0.001). The Cronbach's alpha of the MPRAQ-TR was 0.853. There was a moderate negative correlation between the scores on the MARS and the MPRAQ-TR (Spearman's rho = - 0.525; p < 0.01), supporting the convergent validity of the MPRAQ-TR. In the univariate analysis, the total score of MPRAQ-TR was associated with increased odds of nonadherence to medications (p < 0.01). MPRAQ-TR shows good psychometric properties and can be used to evaluate the practical adherence barriers of patients with chronic diseases.

MEDIATING EFFECT OF STUDY HABITS ON THE RELATIONSHIP BETWEEN MATHEMATICAL READING COMPREHENSION AND PROBLEM-SOLVING SKILLS OF JUNIOR HIGH SCHOOL STUDENTS

This study aimed to determine whether study habits significantly mediate the relationship between mathematical reading comprehension and problem-solving of students in mathematics of Grade 8 students in the Division of Davao del Norte. A descriptive-correlational research design was used. The respondents of this research were 302 Grade 8 learners from four public secondary high schools in Davao del Norte. A stratified random sampling was utilized. This study used one adapted questionnaire and two researcher-made questionnaires. Mean, spearman rho, standard deviation, and bootstrapping were used as statistical tools. Results of the study revealed that mathematical reading comprehension is infrequently manifested, problem-solving skills of students is rarely manifested, while the study habits of the students are oftentimes manifested. The findings further revealed that the variables mathematical reading comprehension and problem-solving skills are significant with one another but infrequently manifested that they are not significant with study habits. Moreover, mathematical reading comprehension exhibits a direct significant effect on problem- solving skills but study habits do not significantly mediate the relationship between mathematical reading comprehension and the problem-solving skills of the students. The results conclude that mathematical reading comprehension is contributory factor to improve the problem-solving skills of the students. The researcher recommends that the school administrators provide an opportunity to the teachers in professional development programs to improve students’ mathematical reading comprehension and problem-solving skills. KEYWORDS: Mathematics education, problem-solving skills, mathematical reading comprehension, study habits, descriptive and correlational design, bootstrapping, Davao del Norte, Philippines

Mechanical Ankle Joint Axis Point on a Hip-to-Calcaneus Long Leg View Correlates Significantly With SPECT/CT Activation in Symptomatic Asymmetric Ankle Osteoarthritis.

Asymmetric joint load is the main cause of development of ankle osteoarthritis (OA). Realignment surgery aims to transfer ankle joint load from the degenerative area toward the uninvolved area. Determination of the optimal shift is still challenging. When the degenerative area is correlated to the ankle joint mechanical axis establishing an optimal target angle for corrective surgery may become more feasible. The primary aim of our study was to investigate if the area of ankle joint activation on single-photon emission computed tomography and conventional computed tomography (SPECT/CT) imaging correlates with the mechanical ankle joint axis point (MAJAP). In this cross-sectional study, patients 18 years or older with symptomatic asymmetric ankle OA and a hip-to-calcaneus long leg view with SPECT/CT of the affected ankle were eligible for inclusion. Primary outcome was MAJAP divided into 3 alignment categories (medial shift, neutral, lateral shift). SPECT/CT activation was determined in 8 different areas of the ankle joint. A Spearman rho correlation coefficient was calculated to investigate the relationship between the alignment categories and SPECT/CT activation in the 8 areas. Forty-nine patients (mean age 58.8 [SD 10.0] years) with 52 ankles with moderate to severe asymmetric OA were included. A significantly (Spearman rho -0.379 [P = .006] and Spearman rho -0.279 [P = .045]) higher proportion of ankles with radioisotope uptake in the anteromedial ankle joint areas (zones 1 and 5) was seen in the medial shift category. A significantly (Spearman rho .312 (P = .025)) higher proportion of ankles with radioisotope uptake in the anterolateral ankle joint area (zone 8) was seen in the lateral shift category. We found in this patient group that the area of SPECT/CT uptake in asymmetric ankle OA was associated to MAJAP measured on hip-to-calcaneus weightbearing views, although the strength of the correlation is weak to moderate. Consequently, nonweightbearing metabolic SPECT/CT radiotracer uptake has the potential to help determine the area to unload in ankle joint-preserving alignment surgery.

Optimizing Regulatory Reviews for Clinical Protocols that Use Radiopharmaceuticals: Findings of the University of Pennsylvania Radiation Research Safety Committee.

Institutional radiation safety committees review research studies with radiation exposure. However, ensuring that the potential patient benefit and knowledge gained merit the radiation risks involved often necessitates revisions that inadvertently delay protocol activations. This quality-improvement study analyzed protocols, identified factors associated with approval time by a radiation safety committee, and developed guidelines to expedite reviews without compromising quality. Clinical protocols submitted to the University of Pennsylvania's Radiation Research Safety Committee (RRSC) for review between 2017 and 2021 were studied. Protocol characteristics, review outcome, stipulations, and approval times were summarized. Statistical analysis (Spearman's rho) was used to investigate stipulations and approval time; rank-sum analysis (Kruskal-Wallis or Wilcoxon) was used to determine whether approval time differed by protocol characteristics. One hundred ten (110) protocols were analyzed. Approximately two-thirds of protocols used approved radiopharmaceuticals to aid investigational therapy trials. Twenty-three percent (23%) of protocols received RRSC approval, and 73% had approval withheld with stipulations, which included requests for edits or additional information. Submissions had a median of three stipulations. Median and mean RRSC approval times were 62 and 80.1 d, and 41% of protocols received RRSC approval after IRB approval. RRSC approval time was positively correlated with stipulations (Spearman's rho = 0. 632, p < 0.001). RRSC approval time was longer for studies using investigational new drugs (median 80 d) than approved radiopharmaceuticals (median 57 d, p = 0.05). The review process is lengthy and may benefit from changes, including publishing standardized radiation safety language and commonly required documents and encouraging timely response to stipulations.

Prevalence, contributing factors and consequences of workplace bullying against nurse managers

Background/Aims Research has indicated a high prevalence of bullying among nurses, but there has been limited research into bullying among nurse managers. This study aimed to identify prevalence and consequences of workplace bullying, as well as the environmental factors that can contribute to this behaviour, towards nurse managers. Methods A descriptive correlational study was conducted with 135 nurse managers. Data were collected using a self-reported questionnaire, including a workplace bullying scale, authentic leadership scale, workplace culture scale, workplace justice scale, workplace trust scale, job demand and control scales, job satisfaction scale and stress scale. Items were scored using 5-point Likert scales. Data were analysed using the SPSS version 15, with Spearman's rho correlation and logistic regression analyses performed to identify relationships between variables. Results Participants reported a high prevalence of workplace bullying from staff nurses, leaders and other colleagues (64.7%). Factors that contributed to this behaviour included ineffective leadership, high workload, low job control, injustice, distrust in the organisation and weak organisational culture. Stress and dissatisfaction were identified as consequences of bullying. Conclusions High rates of bullying against nurse managers may lead to adverse consequences, including stress and job dissatisfaction. Healthcare managers and leaders need to target environmental factors that could reduce the incidence of workplace bullying, such as strong authentic leadership, organizational culture and job demand.

Relationship Between Force-Velocity Characteristics and Sprint Performance in Elite Sprinters: A Pilot Study.

Sprinting is a type of running that consists of producing a short and intense effort in order to performmaximal speed in a short period of time. Sprinting is widely investigated because of the multiple and complex mechanismsinvolved. Sprint studies are now focusing on how to improve performance by focusing their analyses on the mechanicvariables. The hamstrings are part of the most important muscle groups duringsprinting because of their role of stabilization and propulsion, but they must be able to produce the maximum strength during a short moment, this ability is characterized by rate of torque development (RTD). The main of this study was to investigate the association between hamstring RTD (Nm.s-1.kg-1) and mechanicalvariables composed of maximal power output (Pmax) (W.kg-1), maximal theoretical velocity (V0) (m.s-1), and maximal horizontal force production (F0) (N.kg-1) on short sprints in elite sprinters. For this clinical trial, we used a research method based on data collection. A single group composed of four male and one female elite sprinters (age: 17.2 ± 1.79 years) has been included in this study. The sprinters performed a hamstring strength test, which included five trials of four seconds for each leg. This test required a portable dynamometer, the Kforce®, to collect 100 and 200 milliseconds RTD. Then the subjects were submitted to a sprint test. My Sprint® application has been used to collect the sprint mechanicalvariables. The sprint test included two trials; a starting block has been used for this test. A linear regression analysis was used between the rates of torque development and mechanicalvariables composed of maximal power output (Pmax) (W.kg-1), maximal theoretical velocity (V0) (m. s-1), and maximal horizontal force production (F0) (N.kg-1). No significant correlation was observed between 100 and 200 ms hamstring RTDand sprint biomechanical variables: maximal power output(Pmax) (W.kg-1), maximal theoretical velocity (V0) (m. s-1), and horizontal force production (F0) (N.kg-1). However, 100 and 200 ms RTD collected on the dominant leg tends to be more correlated with maximal theoretical velocity (spearman's rho = 0.80; p-value = 0.13) and Pmax output (spearman's rho = 0.70; p-value = 0.23) while for non-dominant leg, RTD tends to be more correlated with maximal power output (spearman's rho = 0.60; p-value = 0.35) and horizontal force production (spearman's rho = 0.70; p-value = 0.23). Hamstring RTD is not correlated with sprint biomechanical variables in elite sprinters. Further investigations must be made to study the observed trends in this study.

Association of Prostate-Specific Antigen With Age, Digital Rectal Examination, and Lower Urinary Tract Symptoms in the Lebanese Population: A Cross-Sectional Study.

Prostate cancer (PCa) is a leading cause of mortality in men worldwide. Prostate-specific antigen (PSA) testing is a standard method for PCa detection, yet its associationwith age, digital rectal examination (DRE) results, and lower urinary tract symptoms (LUTS) remains understudied, particularly in the Lebanese population. This study aimed to investigate the associationof PSA levels with age, DRE results, and LUTS severity among Lebanese men. A total of 725 men aged 55-70 years were recruited from a men's health campaign at Saint George Hospital University Medical Center in Lebanon. PSA levels, DRE results, andInternational Prostate Symptom Score(IPSS)were assessed. Statistical analysis included Kruskal-Wallis tests and Spearman's rho correlation coefficient. Participants exhibited a significant correlation between age and PSA levels (r = 0.138, p < 0.01). PSA levels varied significantly across age groups (p = 0.029), with higher mean PSA levels observed in older age groups. IPSS status correlated positively with PSA levels (r = 0.23, p < 0.001), indicating higher PSA levels associated with increased LUTS severity. Abnormal DRE findings were significantly associated with elevated PSA levels (p < 0.00), suggesting their potential as an indicator of prostate abnormalities. This study highlights the importance of age-specific reference ranges for PSA levels in the Lebanese population. Elevated PSA levels were associated with older age, increased LUTS severity, and abnormal DRE findings. These findings highlight the significance of integrating PSA testing with clinical assessments for PCa detection and risk stratification in Lebanon.

The Chinese Mandarin COMHON Index and Braden Scale to assess pressure injury risk in intensive care: An inter-rater reliability and convergent validity study

BackgroundThe COMHON Index is an intensive-care-specific pressure injury risk assessment tool, which has demonstrated promising psychometric properties. It has been translated into Chinese Mandarin but requires inter-rater reliability testing and comparison to the standard care instrument (Braden Scale) before clinical use. ObjectivesThis study aimed to test and compare the inter-rater reliability and convergent validity of the Chinese Mandarin versions of the COMHON Index and Braden Scale. MethodsThe study was conducted in a Chinese comprehensive intensive care unit. Based on a sample size calculation, five registered nurse raters with at least 6-months experience independently conducted risk assessments for 20 adult patients using both the COMHON Index and Braden Scale. Intraclass correlations (ICC) for inter-rater reliability, standard errors of measurement (SEM), and minimally detectable change (MDC) were calculated. Convergent validity was assessed using Pearson Product Moment Correlation for sum scores and Spearman's rho for subscales. ResultsInter-rater reliability of COMHON Index and Braden Scale sum scores was very high (ICC [1,1] = 0.973; [95% confidence interval 0.949–0.988]; SEM 0.54; MDC 1.50) and high (ICC [1,1] = 0.891; [95% confidence interval 0.793-0.951]; SEM 0.93; MDC 2.57), respectively. All COMHON-Index subscales demonstrated ICC values >0.6, whereas two Braden Scale subscales (Mobility, Activity) were below this threshold. Instrument sum scores were strongly correlated (Pearson's r = −0.76 [r2 = 0.58]; p < 0.001), as were three subscale item pairs (mobility rs= −0.56 [r2 = 0.32]; nutrition rs= −0.63 [r2 = 0.39]; level of consciousness/sensory perception rs= −0.67 [r2 = 0.45] p < 0.001). ConclusionBoth the COMHON Index and Braden Scale demonstrated high levels of inter-rater reliability and measured similar constructs. However, the COMHON Index demonstrated superior inter-rater reliability and the results suggest that it better detects changes in patient condition and subsequently pressure injury risk. Further testing is recommended.

The effects of profession-related films on the professional pride of nursing students: A randomised controlled trial.

This study aimed to determine the effects of profession-related films on the professional pride of nursing students. The study was conducted with a randomised controlled experimental design. The sample of the study consisted of 102 students enrolled in the first year of the School of Nursing, Zonguldak Bulent Ecevit University in Türkiye in the 2022-2023 academic year. These students were randomly assigned to the experimental (n = 57) and control (n = 45) groups. The experimental group watched two documentaries and a film on YouTube with a one-week break. Self-administered online questionnaires were distributed via WhatsApp groups for pretests and posttests. Data were collected with a "Sociodemographic Data Form" and the "Nursing Professional Pride Scale (NPPS)" included in the questionnaire forms prepared on the Google Forms platform. Data were analysed using Spearman's rho, the Mann-Whitney U Test, and the Wilcoxon Signed-Rank Test. The mean age of the participants was 18.80 ± 0.99 years, 80% of the participants were female, the place where 79.4% had lived for the longest duration in their lives was the city, 85.3% had information about the profession of nursing before they started university (36.8% from the internet, 34.6% from people around them). The experimental group had significantly higher NPPS scores than the control group after the intervention (p = 0.017). There was also a significant increase in the dimensions of professional feeling (p = 0.012) and desire to continue the profession in the experimental group (p = 0.002). Patients and public were not involved in this research.

An initial investigation into the use of virtual reality (VR) glasses on self-reported pain perception during mammography

ObjectivePain is one of the causes of refraining from mammography. This study aimed to investigate the use of virtual reality (VR) glasses for management of pain during mammography. MethodsFifty subjects who were referred to the radiology unit for mammography screening were invited to participate in the study. The study was approved by the hospital's ethics committee and participants provided written and oral informed consent. Craniocaudal (CC) and mediolateral oblique (MLO) views of the right breast were first acquired, followed by left CC and MLO mammographic views with the VR glasses on. After the examination, participants completed a questionnaire including a validated visual analog scale (VAS) scoring system to analyze pain scores. Data were analyzed using Spearman's rho and the Kruskal-Wallis test, as well as the Bland–Altman analysis to examine discrepancy. ResultsThe association of the right breast pain score with the parameters of age, breast density, previous mammography, family history of breast cancer, educational attainment, and employment status was examined using a correlation test. All the parameters showed no significant correlation with the right breast pain score except age (p: 0.016, correlation coefficient: −.340). Apart from that this study demonstrated no significant correlation between the perceived pain experienced during mammography and the utilization of VR technology. ConclusionThe findings indicate an inverse correlation between participant's age and pain perception during mammography examinations. Moreover, the utilization of Virtual Reality (VR) did not demonstrate efficacy in reducing pain perception.

Assessing Immediate and Lasting Impacts of COVID-19-Induced Isolation on Green Space Usage Patterns.

The COVID-19 pandemic has profoundly influenced urban lifestyles, particularly the utilization of green spaces. While existing studies have primarily focused on the immediate effects of COVID-19-induced isolation, less attention has been given to the enduring impacts on green space usage patterns. This study addresses this gap by conducting three comprehensive surveys in Dezhou, China-before, during, and after the first wave of social isolation (December 2019, March 2020, December 2020). These surveys assessed socioeconomic conditions, commuting habits, green space usage habits, and landscape preferences, specifically focusing on usage frequency, duration of stays, and activities undertaken. Using Mann-Whitney U tests and Spearman's rho correlations, we identified significant long-term changes, including an increase in the frequency of visits by previously infrequent users, a reduction in visit durations, and a rise in high-intensity activities. These trends persisted 9months post-isolation, highlighting the pandemic's lasting impact on green space usage and its critical role in enhancing public health and pandemic preparedness through thoughtful urban environmental design. This study not only sheds light on behavioral adaptations during a public health crisis but also offers evidence-based strategies for urban planning to bolster societal resilience in the face of future pandemics.

Evaluation of Patellar Dysplasia and Postoperative Pain After Mini-Open, Thin-Flap Trochleoplasty: A Retrospective Analysis of 75 Consecutive Cases.

The association between inherent patellar anatomy and postoperative pain after trochleoplasty in patients with patellar instability is poorly understood. The study purpose was to evaluate outcomes after mini-open, thin-flap trochleoplasty. The hypothesis was that more severe patellar dysplasia would be correlated with increased postoperative pain after trochleoplasty. Case series; Level of evidence 4. Patients with patellar instability who underwent mini-open, thin-flap trochleoplasty in combination with other individualized procedures between 2013 and 2022 were included. Patellar dysplasia was evaluated by calculating the Wiberg index at the widest and most distal cartilaginous parts of the patella on preoperative magnetic resonance imaging. At the postoperative follow-up, participants completed the visual analog scale for usual pain (VAS-U), Banff Patellofemoral Instability Instrument 2.0 (BPII), global rating of change scale, and an evaluation of their current symptom state. Redislocations and complications were recorded. The correlation between the Wiberg index and the VAS-U was calculated with the Spearman rho. Between-group analyses based on demographic and pathoanatomic features were conducted using the Mann-Whitney U test, independent-samples t test, and chi-square test. Included were 75 knees in 63 patients (median age at surgery, 19.1 years; IQR, 16-22 years) with a median follow-up of 44 months (IQR, 23.8-83.2 months). The median BPII score was 78.2 (IQR, 54.8-92.5), with 88% reporting an improvement in knee function relative to before surgery, but 21.1% remained dissatisfied with their current knee symptom state. New episodes of patellar dislocation were seen in 3 knees (4%), and 14 knees (18.7%) underwent reoperation with either revision surgery (n = 7; 9.3%) or arthroscopic synovectomy (n = 7; 9.3%). A weak positive, nonsignificant correlation was found between increased postoperative pain and a higher Wiberg index, both at the widest (r S = 0.16; P = .23) and most distal (r S = 0.02; P = .89) parts of the patella. Significantly worse VAS-U scores were seen in female versus male patients (P = .013). Good patient-reported results with a low risk of redislocation were seen in the study cohort, but reoperation rates were high, and 21% of the patients remained dissatisfied with their current symptom state. More pronounced patellar dysplasia (increased Wiberg index) had only a poor association with more severe postoperative pain in the current study.

Assessment in community settings: Is there any role for individual competency-based assessment?

Oral forms of assessment remain a common part of competency-based assessment systems, yet their feasibility is being challenged. The focus on individual competence is problematic given the need to prepare health professionals for teamwork. The present study aimed to investigate how the assessment of collective competence compares to individual assessment, and to explore whether there is a need for individual assessment at all in community or population-based practice. A behavioural-based interview assessment was developed and trialled and correlated to performance as a team on placement. Correlation between student performance on individual behavioural-based interview and teamwork artefacts was assessed using Spearman rho. Differences between performance on individual oral assessment and team performance on artefacts at the cohort level was determined using the Mann-Whitney U-test. Bland-Altman analysis was completed to analyse agreement between performance on the individual oral assessment and team performance at the student level. Students were final year nutrition and dietetics students from 2020, 2021 and 2022 years (total sample = 216) from one Australian university. There was a difference in performance between assessment types in each year and as a total cohort (p < 0.001) with students performing better in teamwork. There was no correlation between individual oral interview and team performance across all years. The results of the Bland-Altman analysis showed little agreement between the two assessment tasks. Assessment of teamwork performance as part of a program of assessment is essential. More valid and reliable tools are needed to assess collective competence.

Emotional Eating on Sedentary Workers: Is It Caused by Individual Characteristics, Exercise Habits, and Work Stress?

Introduction:Emotional eating is a person's response to stress or inadequate and ineffective stress coping and is shown by the behavior of eating more than needed and is associated with increased body weight. Emotional eating is caused by age, gender, exercise habits, and work stress. Based on the observations carried out at Kalla Group Office, employees tend to work in a monotonous and static manner that has the potential to increase the risk of emotional eating. The aim of this research is to determine the strength and weakness of the correlation between age, gender, exercise habits, and work stress with emotional eating in Kalla Head Office workers. Methods: This quantitative research was carried out through analytical observational design. The number of samples taken is 133 people using purposive sampling. In this case, the independent variables measured are age, gender, exercise habits, and work stress. Meanwhile, the dependent variable studied is the level of emotional eating using "The Dutch Eating Behavior Questionnaire of 13 items (DEBQ-13)". Data were further analyzed using Spearman correlation coefficient test (Spearman rho). Results: The research results show varied relationship with the independent variables including age (r = 0.052), gender (r = 0.251), exercise habits (r = -0.128), and stress (r = 0.048). Conclusion: Age is a variable that has the weakest relationship, while gender has the strongest relationship with emotional eating compared to the variables exercise habits and work stress.