Survey Information Research Articles

Determination of Accommodation Tax Spending Areas Using the SWARA Method

The allocation of revenue generated from the accommodation tax, which has recently been introduced in Türkiye, has not been specified within the framework of the law. In this context, the aim of the research is to determine the spending areas and establish priority ranking for the tax collected from tourists. In this regard, data was collected using a survey form consisting of 20 criteria and analyzed using the SWARA method. Upon examining the research findings, the highest average criteria for allocation are financing activities, improving infrastructure and superstructure services, preserving and restoring natural and cultural heritage sites, investing in destination marketing efforts, maintaining museums, and creating recreation activity areas. The lowest average criteria, on the other hand, include supporting projects for refugee integration, providing holiday support to disadvantaged groups, and offering campaigns for public transportation services. As a result of the research, participants indicated that the tax revenue should be allocated to creating permanent structures, restoration and maintenance efforts, and areas related to destination marketing rather than campaigns, projects, or aids that would directly benefit tourists, local residents, or refugees.

Knowledge, attitude, and perception about Marburg virus in healthcare workers of India

BackgroundThe recent Marburg virus outbreaks in Equatorial Guinea and Tanzania in March 2023 have sparked fears about potential worldwide spread. Thus, assessing healthcare workers’ (HCW) knowledge of the disease is critical, particularly in India, where the healthcare system is underfunded and understaffed and already has an immense burden of infectious illnesses.MethodsWe carried out a cross-sectional web-based survey among 300 healthcare workers including doctors, nurses, and pharmacists. The Google survey form was circulated online via email. To recruit participants, a convenience sample technique was utilized. Descriptive and logistic regression was applied to analyse data.Results50.9% were aware of Marburg virus disease, and 60.5% had a favourable attitude towards Marburg virus disease (MARVD) control and prevention. Bleeding was cited as the most common clinical symptom of MARVD by 53.3% of participants. Regarding the mode of transmission, 51.6% were aware of how MARVD is spread. Almost all HCWs (99%) claimed they would accept an approved vaccine for themselves, however, the readiness to receive experimental treatments was less certain. The logistic regression model showed gender [female—OR: 2.8 (1.75 to 3.5), p = 0.001] and job roles [pharmacist—OR: 4.1 (2.9 to 7.2), P < 0.001] as predictors of poor KAP about MARVD.ConclusionAlthough there was a high degree of awareness about MARVD, there were notable knowledge gaps and differences in attitudes among healthcare professionals. This underlines the importance of customized training programs for each group to increase healthcare workers’ knowledge of MARVD.

Customized Approaches for Introducing Road Maintenance Management in I-BIM Environments

Road maintenance management aims to satisfy quality, comfort, and safety requirements for the various assets. To overcome delays and barriers in the widespread adoption of road management systems, the Building Information Modeling (BIM) approach may offer significant advantages as a convenient alternative for road maintenance management. Although existing BIM platforms are not fully equipped for this purpose, defining original modules and scripts can extend their capabilities, allowing for the handling of road condition information and maintenance management. In this context, this paper presents an operative framework designed to leverage BIM benefits for road maintenance management, particularly in terms of virtual inspection, asset condition assessment, and maintenance design. To achieve this, specific original and customized smart objects and routines were coded in I-BIM platforms, tailored to different scales, aims, and detail levels. These smart objects incorporate user-defined extended attributes related to pavement condition and maintenance planning (such as roughness, rutting, structural capacity). In particular, the authors have developed original virtual smart objects in different platforms, serving as “containers” for the survey information. These objects are adapted to display quality levels of the pavement segments in a realistic and user-friendly environment. Additionally, original routines were coded to automatically import survey data from external datasets and associate this information with the appropriate objects. This customized and extended approach, not available in commercial platforms, can effectively support maintenance operators.

MEDIATION ROLE OF PSYCHOLOGICAL SAFETY IN THE EFFECT OF LEADER-MEMBERS EXCHANGE ON INDIVIDUAL CREATIVITY

Leader-member exchange theory argues that positive relationships between employees and leaders will positively contribute to organizations. This research was conducted to determine the effect of leader-member exchange on individual creativity through psychological safety. The research was performed with white-collar employees in various sectors in Istanbul. The study sample consists of 390 white-collar employees, and the data were collected through online survey forms. Mediation models were used to test the hypotheses. According to research findings, leader-member exchange positively affects employees' psychological safety and creativity. Additionally, psychological safety positively affects employees' creativity. Finally, psychological safety has a mediating role in the effect of leader-member exchange on individual creativity. According to the research results, the positive relationships of white-collar employees with their leaders motivate individual creativity by increasing psychological confidence. All research hypotheses were supported. Suggestions have been provided in terms of both practical and theoretical aspects.

Influence of Participatory Stakeholders Involvement Interventions on Performance of Commercial State Corporations in Kenya

Organizations worldwide face obstacles that hinder their ability to achieve long-term goals in change management in an optimal and sustainable manner. Failing to embrace change renders managers irrelevant in the competitive market. The success of any organization relies on the support of stakeholders. By considering the interests of various stakeholders, organizations can improve their performance. This study aimed to investigate the relationship between engaging stakeholders in the decision-making process and the success of state-owned businesses in Kenya. The researchers used a cross-sectional survey methodology and selected a sample of forty-eight commercial state enterprises through stratified random sampling. The study involved a total of one hundred and forty-four participants, including CEOs, Finance Managers, and HR Managers from each company. Survey forms were distributed to the participants in their respective institutions with the assistance of research aides to collect data. The collected data was analyzed using SPSS version 24 and Microsoft Excel. Regression models were used, and standard F and t tests were conducted for hypothesis testing. The research examined stakeholder involvement and support in three aspects: involvement in the change process, fostering positive relationships between different groups, and support from stakeholders. Factor analysis was applied to five factors. The majority of respondents agreed that involvement in the change process and support from stakeholders have a significant impact on participatory stakeholder involvement interventions. The findings revealed a significant positive relationship between involvement in the change process and performance, as well as between support from stakeholders and performance. The correlation coefficients were 0.502 and 0.580 respectively, with p-values of 0.000. The regression coefficients for participatory stakeholder involvement interventions were statistically significant at a 5% level of significance, with a coefficient of 0.632 and a p-value of 0.000. This indicates that the null hypothesis was rejected, supporting the alternative hypothesis that participatory stakeholder involvement interventions have an impact on the performance of commercial state corporations in Kenya. The research concluded that engaging stakeholders in decision-making, especially involving them in the change process and receiving their support, is closely linked to the performance of commercial state-owned companies in Kenya. Involvement in the change process showed a beneficial and direct connection with performance, while support from stakeholders also indicated a favorable association with performance. This research highlights the importance of stakeholder involvement interventions in implementing change initiatives in commercial state corporations in Kenya. It is crucial for these corporations to seek support from stakeholders when involving them in their operations, as the study revealed that stakeholder support significantly enhances organizational performance.

Validation of Spanish-Language Surveys Utilized for the Navigator-Assisted Hypofractionation (NAVAH) Program to Aid Hispanic-American Breast Cancer Patients.

Cancer accounts for 22% of all mortality and is the leading cause of death among Hispanic and/or Latinx patients in the United States. The disparities in access to radiation therapy (RT), mortality rates, and treatment outcomes among Hispanic-American breast cancer patients compared with other populations highlight the urgent need for targeted interventions. The Navigator-Assisted Hypofractionation (NAVAH) program, with its innovative patient navigation approach and culturally sensitive survey, aims to better identify the specific barriers faced by this population. This study is a report of the NAVAH program experience piloting a Spanish-language culturally sensitive survey in Hispanic-American volunteers. Hispanic-American volunteers with fluency in Spanish were recruited to participate in survey conduction, identified from local networks. Survey information was assessed by topic category, and survey responses were amalgamated into a representative score for each category. Survey categories include acceptability (comfort and prejudice among interactions with the system), accessibility (transportation, distance to care, and health care literacy), accommodation (access to the internet, navigating transportation), affordability (financial considerations, employment, and level of education), and availability (access to a medical center, coordinating care, and overall quality of care). A total of 6 volunteers meeting inclusion criteria completed the survey; 4 in person and 2 by telephone. The median survey completion time was 12 minutes 38 seconds. Respondents noted satisfaction and trust in their interactions with medical providers; however, responses in the acceptability category highlighted a high perception of disparities in the medical system, including a high prevalence of racial and ethnic prejudice and a high prevalence of treatment differences between high-income and low-income patients in clinical settings. In the first Spanish-language survey of its kind, our findings indicate that this survey design is feasible in the Hispanic-American population. Implementation of this survey in breast cancer patients will provide more definitive and comprehensive answers regarding other categories in the survey, including financial challenges during treatment, access to accommodations, and perception of treatment during cancer care. The investigation involving patients actively receiving breast cancer RT is currently underway.

British Muslims and the census: the need for statistical visibility vis-a-vis government surveillance concerns

ABSTRACT The National Census of Population is conducted every 10 years and produces the most comprehensive set of statistics about Muslims living in the United Kingdom. Yet, despite the census data’s utility, research among a sample of British Muslims, as discussed in this article, identified concerns on how such statistics can be misconstrued, due to a widespread normalisation of Islamophobia within British society and the media. Furthermore, a lack of trust in the government’s intentions to use such data to benefit Muslim neighbourhoods and communities is discussed as contributing towards both apathy and hesitancy in sharing personal information on survey forms. The findings of this study are important for agencies and relevant government departments, as well as academics and organisations for developing strategies for community engagement with official surveys. The benefits of doing so would be to encourage greater accuracy of data on Muslims, particularly hard-to-reach communities, better allocation of funds for local services and planning, and an increased trust between Muslims and relevant government agencies.

The influence of factors in the internal control system on financial reporting quality at administrative and public service units in Vietnam

The objective of the project is to measure the influence of factors in the internal control system on financial reporting quality at administrative and public service units in Vietnam. The author inherits five internal control components from the Committee of Sponsoring Organization [COSO], 2013: control environment, risk assessment, communication information, and supervision that affect financial reporting quality. The author uses a mixed research method including qualitative and quantitative, with primary data collected through a survey of 400 units with 30 observed variables, resulting in 350 valid survey forms. From there, the study analyzed EFA exploratory factor analysis and multivariate regression analysis with support from SPSS 27.0 software. Research results show that the internal control system has an impact on administrative and public service units in Vietnam, with the level of influence of the components gradually decreasing: (1) information and communication, (2) control environment, (3) control activities, (4) risk assessment, (5) monitoring. With the results of this research, it helps administrative and public service units to improve and enhance the financial reporting quality while helping to reduce and eliminate weaknesses in the internal control implementation process, in order to strengthen the internal foundation and influence positive impact on governance.

Shift Work, Shifted Diets: An Observational Follow-Up Study on Diet Quality and Sustainability among Healthcare Workers on Night Shifts.

This study aimed to investigate the change in diet quality in addition to dietary adherence to the planetary health diet during night shifts in healthcare workers. This observational follow-up study involved 450 healthcare workers working night shifts (327 females, 123 males). A survey form requesting sociodemographic information (gender, age, marital status), job title, sleeping duration during the night shift, 24 h dietary records for pre-night-shift, during night shift, and post-night-shift, and anthropometric measurements (body weight and height) was applied. The scores of the Planetary Health Diet Index (PHDI) and the Healthy Eating Index 2020 (HEI-2020) were calculated according to the dietary records. The total HEI-2020 and PHDI scores decreased significantly (p < 0.05) during the night shift (44.0 ± 8.8 and 48.3 ± 13.2, respectively) compared to pre-night-shift (46.1 ± 9.2 and 51.9 ± 13.4, respectively) and increased post-night-shift (44.7 ± 9.9 and 50.6 ± 14.9, respectively), with no statistically significant difference between pre- and post-night-shift. There was a significant main effect of night shift working on total PHDI (F(896, 2) = 8.208, p < 0.001, ηp2 = 0.018) and HEI-2020 scores (F(894, 2) = 6.277, p = 0.002, ηp2 = 0.014). Despite healthcare workers' knowledge of health factors, night shifts lead to poor dietary choices. To improve diet quality and sustainability, it is crucial to enhance access to healthy food options in their work environment.

Specific features of collecting nicknames in the process of academic work and research activity

The article considers the applied aspects of onomastics and is related to the major issue of collecting modern nicknames which students (schoolchildren and students) may encounter as part of their academic work and research activity. Since it is fundamentally impossible to record all unofficial anthroponyms, the study focuses on the issue of the effectiveness of various material collection methods, namely questionnaires and survey forms as the main ones, conversations, observations, and sampling data from various sources as secondary techniques. In particular, the article specifies the structure of the questionnaires used by the author in tabular form. Moreover, the presented detailed survey forms for obtaining individual and collective nicknames developed by the author are based on the recommendations given in previous studies as well as the author’s own experience. The proposed questionnaires and survey forms can be used in academic work and research activity within the framework of scientific projects. The paper also identifies the advantages and disadvantages of each method. The article discusses the specific features of field work in rural settlements and under stationary data collection conditions. The objective of certifying the obtained materials is raised. It is concluded that involving students in onomastic data collection as part of their academic work and research activity can help in solving relevant scientific issues.

Analisis Kelayakan Tarif Bus Trans Koetaradja Berdasarkan Ability To Pay (ATP) Koridor 2A Pusat Kota-Blang Bintang

Since in 2018, Trans Koetaradja Urban Mass Transit is expected to provide maximum service to the community as users. Corridor 2A with the route Masjid Raya Baiturrahman-Lambaro-Blang Bintang. For now, the government applies full subsidies for bus users, meaning that bus users can ride this bus without paying. However, this condition will certainly not last forever. Calculation of the feasibility of bus fare based on Ability to pay is done to see the ability of this bus user to pay the bus fare. This study uses a Quantitative Descriptive Research Method through Survey Techniques involving 392 respondents to bus users given a survey form containing questions regarding: frequency of bus use, average monthly income and expenses and expenses to pay for transportation Respondents were selected based on activities, which were divided into 7 categories based on occupation, including: Students, Self-employed, Workers, Civil Servants, Non-workers and Housewives. The results of the questionnaire were then tabulated and calculated to see the distribution of ATP rates by considering income, percentage of expenditure on transportation and frequency of use. From the research results, the percentage of gender is 57% female and 43% male. The average frequency of use of the bus in 1 week is 4 times the transportation costs obtained range between Rp. 10,000 and Rp. 200,000 The average ATP value is Rp. 2,400.

An Exploratory Randomized Controlled Study to Investigate Concentration-Dependence of Green Tea Catechin Gargling on Acute Upper Respiratory Tract Infections.

Green tea (GT) catechins exhibit antiviral effects in experimental studies. However, we lack clinical evidence on the preventive effects of catechin concentrations in gargling against acute upper respiratory tract infections (URTIs). Therefore, we aimed to investigate the concentration-dependence of GT catechins in gargling on the incidence of URTIs. We conducted an open-label randomized study. The target population consisted of 209 students from the University of Shizuoka and Meiji University, who were randomly assigned to high-catechin (approximate catechin concentration: 76.4 mg/dL), low-catechin (approximate catechin concentration: 30.8 mg/dL), and a control water gargling (catechin concentration: 0 mg/dL) group. All participants gargled water or GT daily for 12 weeks. The symptoms of URTIs were recorded on a daily survey form by participants. The incidences of URTIs occurred in 6 (9.1%), 7 (10.8%), and 11 (15.7%) participants in the high-catechin, low-catechin, and water groups, respectively. Cox proportional hazards analysis, using background factors and prevention status as covariates, revealed a hazard ratio of 0.57 (95% Confidence Interval (CI): 0.21-1.55, p = 0.261) for the high-catechin vs. water group and 0.54 (95% CI: 0.20-1.50, p = 0.341) for the low-catechin vs. water group. Our findings showed the incidence of URTIs in a concentration-dependent GT gargling was not significantly different, partly owing to the low event rates caused by intense precautions against the coronavirus disease 2019 pandemic. Our study would serve as a foundation for the development of an advanced protocol with optimal concentrations and a larger number of participants.

The effect of music on pain, anxiety and satisfaction during nonstress testing.

To determine the effect of instrumental music played during Nonstress Test (NST) on pain, anxiety and satisfaction. This research was planned as randomised controlled. The sample of the study consists of 64 pregnant women. In data collection, a survey form containing socio-demographic characteristics, State-Trait Anxiety Scale, Visual Analog Scale (VAS) and Evgeny Grinko-Valse piece were used as music. Among the groups where music was applied, satisfaction with the procedure was significantly high (X2: 12.666, p: 0.049). No significant difference was detected between anxiety and pain conditions (p > 0.05). The scale scores of the groups before and after the procedure were evaluated; Before the procedure, significant differences were detected between the groups in terms of trait anxiety and fear of pain. As a result of the evaluation made after the procedure, there are significant differences between state anxiety and fear of pain (p < 0.05). It was determined that music played during the NST procedure reduced state and trait anxiety. Satisfaction levels are also higher among the group that is listened to music. A successful pregnancy is important for the health of mother and baby. Reducing anxiety and stress, especially during the examinations, ensures that the process continues successfully. It is recommended that music played during pregnancy examinations and screening tests be used in clinics and during the procedure to increase satisfaction and reduce anxiety.

Data Quality in the Money Direct to School Program (MDSP): Overcoming the Garbage In, Garbage Out (GIGO) Challenge

Introduction: The investigation presents and discusses the relevance of data quality in Data Science, introducing the concept of "Garbage In, Garbage Out" (GIGO) to the Money Direct to School Program (PDDE). Objectives: The objective was to describe the process of data extraction, transformation, and loading for the generation of information panels by the Collaborative Support Center for Monitoring and Management of Educational Programs (CECAMPE/NE). Methodology: The employed methodology was quantitative and used typical Data Science tools. The data related to the PDDE were collected from transactional systems and surveys with the involved populations. Results: The results showed a satisfactory reduction of GIGO, although challenges were identified such as data update discrepancies, lack of adequate documentation of data tables, and issues with free typing fields in survey forms. Conclusion: The analysis reiterates that the GIGO concept is a significant challenge for the effective use of PDDE data and emphasizes the need to develop better data management practices in the context of the program. It suggests that all professionals who use data as raw material for their professional activities should be aware of these challenges and work towards effective solutions.

Nonnative pest establishment: Spatial patterns and public detection

Early detection of new pests can reduce their long-term impacts by enabling more rapid management response. Knowledge of pest establishment risk and background rates of detection (e.g., by the public) can help inform more cost-effective targeting of formal early detection survey programs. Here we quantify county-level locational attributes associated with pest establishment and detection by the public using data for 113 new pest incursions detected in the United States from 2010 through 2018. Aligning with expectations, we find a higher likelihood of new pest establishment in counties with higher human population numbers, nearer to ports (<250 km), and with amenable climate characteristics. Controlling for potential sample selection issues, we find that pests are less likely to be first detected by the public (e.g., homeowners, community members) versus by other sources (e.g., agency surveys, researchers, or agricultural operators) in counties with higher total crop sales values and lower human population number. The negative association between public detection and high agricultural values may reflect greater survey efforts by other sources (e.g., by agency surveillance programs, researchers, and agricultural operators) in high-value agricultural areas. The positive association between public detection and human population size may reflect larger numbers of public detectors (i.e., people) available to encounter the pests. Our models provide spatially explicit estimates of the likelihood of new pest establishment across U.S. counties and of the likelihood that an established pest would first be detected by the public. These estimates can serve as quantitative inputs to decision-support activities for new pest surveillance planning.

Cognitive Assessment in Grappling Athletes Following Choke versus Nonchoke Submissions.

Participation in Brazilian jiu-jitsu and mixed martial arts has increased over the last three decades. These sports feature submission attacks, including strangles. These strangles, termed "chokes" in this context, primarily limit blood flow to the brain via compression of neck vasculature. There has been discussion in literature of the possibility of measurable cognitive effects following transient choking episodes. The present study used the King-Devick test (KDT) platform, a tablet-based reaction time and accuracy task designed to measure participants' number recognition, cognition, and verbal expression. This task requires functional vision, saccadic eye movements, comprehension, and expression. Volunteer participants were screened for exclusion (prior brain injury) criteria and survey information before testing. Athletes were tested with the KDT immediately before a Brazilian jiu-jitsu training session, again immediately after succumbing to either a choke ("Choke" arm) or nonchoke ("Non-Choke" arm) submission while sparring, and again after a 10-min rest period following the postsubmission test. Analysis was done on test failures, total test times, and individual difference scores between baseline and subsequent testing. Sixty-two (32 Choke, 30 Non-Choke) participants were analyzed. There was no significant difference between Choke and Non-Choke in test failures ( χ2 (1,62) = 1.25, P = 0.263), total times ( t (60) = 0.62, P = 0.540; 95% CI, -3.44 to 6.51), and individual difference scores ( t (60) = 0.29, P = 0.776; 95% CI, -2.41 to 3.21). There were no significant differences between study arms in any of the three analyzed measures. This suggests that cognitive functioning, as measured by the KDT, is not affected by transient choking episodes.

A network analysis of self-compassion and burnout in a sample of nurses.

In the nursing profession, the concept of self-compassion has been associated with burnout. However, to date, the fine-grained relationships between different dimensions of self-compassion and symptoms of burnout have not been investigated. Network analysis provides a new avenue for exploring the fine-grained correlation paths of two related variables. To analyse the nuanced associations between self-compassion and burnout using network analysis in a large cohort of Chinese nurses. A cross-sectional multi-centre survey design study. Participants were recruited from 30 hospitals in China between April and May 2022. These nurses completed the Chinese Maslach Burnout Inventory-General Survey (C-MBI-GS) and Self-Compassion Scale-Short Form (SCS-SF). Network analysis was performed to illustrate the complex nuanced relationships between self-compassion and burnout. A total of 1467 nurses (age 32.2 [18-56] years; 89.9% were female) participated in the study. Nodes Mindfulness and Isolation had the highest centralities measured by strength. Nodes Mindfulness, reduced personal accomplishment and Isolation were the most negative and positive influential nodes that bridged self-compassion and burnout. There were no differences in terms of gender, age, professional title and job tenure in the structure or connectivity of the self-compassion and burnout network. Different components of self-compassion were specifically associated with different dimensions of burnout in registered nurses. Among these, Mindfulness, Isolation and Reduced personal accomplishment were the three most important components of self-compassion for burnout symptoms. No patient or public contribution. Understanding the intricate connections between self-compassion and burnout will allow hospital administrators to prioritize the elements of Mindfulness and Isolation within self-compassion and the dimension of Reduced personal accomplishment within burnout when designing preventative measures and interventions aimed at reducing nurse burnout.

The relationship between fear of birth and feelings of security

Fear of childbirth is experienced in the pre-pregnancy period, during pregnancy and in the postpartum period, and the source of fear may vary in each period. It is stated that the experience and fear of childbirth during the birth process also have effects in the postnatal period and it is thought that it may affect feelings of security. This research was conducted in a descriptive and relationship-seeking manner to determine the relationship between fear of birth and feelings of postpartum security. Survey Form, Wijma Birth Expectation/Experience Scale Version B and Mothers’ Postpartum Sense of Security Scale were used to collect data. It was determined that there was a negative and significant relationship between birth expectation/experience and mothers’ feelings of postpartum security (β = − 0.423. p < .001). It has been established that fear of birth is related to mothers’ feelings of birth security, and as the fear of birth increases, the feeling of postpartum security decreases. As a result of the research, it was reported that mothers with high education levels, medium and high income levels, planned pregnancies, receiving prenatal care, and support from their relatives felt safer.

Epidemiological characteristics of fatal drowning and related factors in children in Zhejiang Province, 2022

Objective: To understand the epidemiological characteristics of fatal drowning in children in Zhejiang Province in 2022, analyze factors such as the swimming ability of children, the caregiver behavior at drowning site, types of first aid personnel and methods of first aid of unintentional fatal drowning and provide evidence for targeted intervention. Methods: Using the "Survey Form of Fatal Drowning Case in Children" designed by National Center for Chronic and Non-communicable Disease Control and Prevention of the China CDC, we collected case information of children aged 0-17 years who died due to drowning in Zhejiang in 2022 from medical history/death investigation records, telephone interviews, and home visits. Results: A total of 341 fatal drowning cases in children occurred in Zhejiang in 2022 and 330 cases were investigated (96.77%). The male to female of the cases was 2.33∶1, most cases were aged 15-17 years and 0-4 years, and 54.24% of fatal drowning cases occurred in children from other provinces. In the drowning cases, 83.33% were unintentional ones, and the proportion of intentional fatal drowning cases in children increased with age. Fatal drowning cases mainly occurred in open natural water bodies and public water storage facilities. More fatal drowning cases occurred in open natural water bodies in older children, while more fatal drowning cases occurred in public water storage facilities in younger children. In 275 children who died due to unintentional drowning, 73.09% could not swim, and only 1.09% were fully supervised by adults within an arm's length. First aid personnel, mainly medical staffs, bystanders and adult caregivers, were present for 47.63% fatal drowning cases. The proportion of the cases who had cardiopulmonary resuscitation as the first aid within 5 minutes was 2.18%. Conclusions: Drowning poses a serious threat to children's lives and there are differences in reasons and locations of fatal drowning in children in different age groups in Zhejiang Province in 2022. It is necessary to conduct to interventions to improve children's swimming skills, strengthen effective adult care and conduct health education about field first aid of drowning to reduce the incidence of drowning and related deaths in children.

The effectiveness of multimedia use in relieving separation anxiety among first level kindergarten children from mothers viewpoint

The aim of this study was to determine the level of separation anxiety among children in the first level of kindergarten from the perspective of mothers , as well as the effect of multimedia use on relieving this anxiety and the effect of variable (gender) on the level of separation anxiety among children in the first level of kindergarten. The researcher used an experimental approach , the research community was the (Kazewa) kindergarten in the western education directorate in the center of Sulaimaniyah.The sample of study were purposely selected (30) children in the first level of kindergarten. The tool used was a survey form answered by the mothers of children. The results of study showed that the level of separation anxiety among children in the first level of kindergarten was high. there was a statistically significant difference between the pretest and the posttest ,and the difference was in favor of the posttest. This showed the effect of multimedia use on the relief of separation anxiety among the children in the study sample , as it was found that the variable (gender) has no role on the level of separation anxiety among the children in the sample.