Survey Of Residents Research Articles

Process model for multifactorial characteristics of the sense of place in the case of Budapest (Hungary) District VII

The existence of residential well-being of the locals in the sense of equilibrium-state is a competitive advantage for tourism in a given destination. The rise of overtourism could jeopardize this equilibrium and ultimately the effectiveness of tourism in a vulnerable destination. The research question of the study aimed to answer: what are the spiral dynamics of the multifactorial characteristics of the sense of place that can be mapped under the influence of overtourism. Answering the question draws attention to the sense of place—which can be interpreted as a synonym for local character—of the issues of overtourism and residential well-being. Mapping the mechanism of action of the multifactorial characteristic of locality can help to identify non-supportive functions, to pinpoint the balance point for moving towards a supportive quality, and to answer the “how yes” questions at individual, local and collective levels. The answer to the research question is the result of concluding three district-specific sub-questions. The assessment of the results was based on the content analysis of 251 posts (2017–2021) in the local public Facebook group (supplemented by a questionnaire survey of local residents (2022), 30 in-depth interviews with experts and residents (2022) conducted as part of the cross-sectional research, and 10 additional in-depth interviews with residents (2024) conducted for the last sub-question. The flowchart showing the current state of the district along a negative spiral dynamic, the possibility to turn it in a positive direction, and the mind-map-like summary of local, individual and collective mitigation and solution alternatives supporting the change of direction can be considered as a novel scientific result.

NIMG-67. THE CURRENT STATE OF LARGE LANGUAGE MODELS AND NEURO-ONCOLOGY IMAGING

Abstract INTRODUCTION Large language models (LLM), such as chatGPT by OpenAI, exist at the intersection of machine learning and natural language processing, and are poised to transform healthcare with rapid growth in recent years. The ability of these models to process visual data has also advanced in recent years, with GPT-4 being the first model to publicly process visual data, and GPT-4o adding additional capabilities. There has been significant interest in the application of GPT-4o to healthcare image processing. OBJECTIVE This study sought to examine the ability of GPT-4o in determining a final diagnosis based on a single MRI image of an intracranial neoplasm. We then compared the performance to GPT-4, as well as to humans including neurosurgery residents, fellow, and attendings. METHODS GPT-4 and GPT-4o were given a standard prompt and an accompanying image requesting the most likely diagnosis for 20 brain MRI images, including 5 gliomas, 5 meningiomas, 5 pituitary tumors, and 5 sham non-tumor images. These were compared to a survey of neurosurgery attendings, fellows, senior residents, and junior residents. RESULTS GPT-4 supplied correct diagnoses in just 40% of the cases, while GPT-4o correctly identified the pathology in 70% of cases. Neurosurgeons yielded correct responses in 92% of cases, with neurosurgery senior residents faring the best (albeit with a small sample size). CONCLUSION GPT-4 and GPT-4o underperformed neurosurgery residents, fellows, and attendings in correctly identifying CNS malignancies. Still, with no additional training, GPT-4o yielded significantly better results than GPT-4, showing rapid advancement in the LLM over is predecessor in identifying intracranial neoplasms via single-image MRIs.

Digital divide and digital engagement in small business owners: an examination of survey data

ABSTRACT This paper examines the digital divide among Small Business Owners (SBO). Most of the existing literature has focused on the digital divide among individuals and communities with little attention given to SBOs. This paper uses the Resources and Appropriation (RA) theory to explore the digital divide in SBOs. Data is analyzed from a survey of residents in the seventh-largest city in the US. The analysis indicates that many characteristics of the digital divide persist when comparing SBOs. However, when controlling for factors such as digital engagement, business characteristics, and expected revenue, demographic variables like race, ethnicity, education, gender, age, and household income did not significantly affect the level of digital engagement or expected revenue of SBOs. The findings support RA theory by demonstrating that access and the reasons for using the Internet play a crucial role among SBOs. The results emphasize the need to create opportunities for minority-owned small businesses to thrive in the digital age.

Perceptions of improvements and mental health outcomes of micro-renewal in old Danwei community: a survey of residents in Hengyang, China

IntroductionDanwei communities are a testament to China’s socialist urban development, characterized by the self-sufficiency, strong social networks, and institutional management. In the historical context of urban development in China, many old communities have evolved from former housing areas of Danwei. After more than 40 years of use, the buildings, and environments in the old Danwei communities remain in disrepair, dirty, disorderly and poor condition. Many functions have failed that negatively affect the quality of life and health of residents. After Covid-19, improving the mental health of residents has become a major goal of public policies in various countries.MethodsTo explore the residents’ mental health in the micro-renewal, this study carried out a survey regarding residents’ evaluation on the micro-renewal and their mental health in two renewed Danwei communities in Hengyang, China. More than 800 respondents joined the interview, among them, 634 samples are effective for analysis. Entropy-TOPSIS is applied to analyze the weights of various indicators of micro-renewal. And multinominal logit model is used to examine the relationship between the personal factors, satisfaction on various items of micro-renewal and mental health.Results and DiscussionThe findings indicates that the mental health level of residents living in Danwei community is affected by micro-renewal. The socio-demographic characteristics and behavior factors can influence on the possibility of being in different levels of mental health. The satisfaction on the components of micro-renewal and improvements after micro-renewal is also determiner of residents’ mental health level. In addition, the heterogeneity is address in mental health.

How Does Lacking a Home Program Impact Otolaryngology Applicants?

To compare otolaryngology interview and match outcomes between applicants with and without home residency programs. Otolaryngology applicants from US allopathic medical schools during the 2019-2023 cycles who responded to the Texas Seeking Transparency in Application to Residency (STAR) survey were identified. Students were stratified based upon whether their medical school had an affiliated otolaryngology residency program. The primary outcomes were number of interviews and match rate. Wilcoxon-rank sum and χ2 testing was used to assess associations between home program status and interview and match outcomes. Of the 633 fourth-year medical students applying to otolaryngology during the 2019-2023 application cycles, 89 had no home program (NHP) and 544 had a home program (HP). Applicants with NHP completed significantly more away rotations than applicants with a HP (2.2 vs. 1.5; p < 0.01). There was no difference in mean number of applications submitted between applicants with NHP and applicants with a HP. However, applicants with a HP received a significantly greater number of interviews (14.7 vs. 11.8; p < 0.01), attended more interviews (12.4 vs. 11.3; p = 0.02), attended a lower percentage of their offered interviews (84.4% vs. 95.8%), and had a higher match rate (81.8% vs. 70.8%; p = 0.02) than applicants with NHP. Applicants with NHP interviewed at (1.9 vs. 1.3; p < 0.01) and matched at (33.7% vs. 23.9%; p = 0.048) significantly more away rotation institutions than applicants with a HP. Applicants with NHP received fewer interviews and had lower match rates. Away rotations may be especially important for applicants with NHP. NA Laryngoscope, 134:4494-4500, 2024.

Evaluation of Resettled Residents’ Engagement in Community Gardens and Preferences for Garden Development Factors in Beijing

Resettlement communities arising from China’s urbanization process accommodate both landless resettled villagers and non-resettled villagers who migrate to cities for work. Community gardens help increase interactions in resettlement communities and facilitate the integration of resettled residents into the community. This paper, based on the differing characteristics of resettled and non-resettled villagers in China’s resettlement communities and the scarcity of outdoor public space, studies the participation willingness of resettled residents and their preferences for the construction of community gardens. Firstly, this study establishes a system of community garden construction elements for resettlement communities and conducts a Likert scale survey of residents in 30 resettlement communities in Beijing (n = 832). Secondly, variance analysis is used to explore the impact of demographic characteristics on garden preferences. Finally, a multiple linear regression model is employed to study the correlation between resettled residents’ willingness to participate in community gardens and the construction elements. The results show that (1) both resettled villagers and non-villagers have a willingness to participate in community gardens, and the spatial enhancement, facility supplementation, economic compensation, community integration, and identity recognition of garden construction elements are positively correlated with residents’ willingness to participate, with spatial enhancement having the strongest effect; (2) community gardens help achieve integration between resettled and non-resettled villagers; (3) gardens help enhance the identity recognition of resettled villagers. In summary, integrating community gardens into resettlement communities helps increase residents’ social interactions, enhances their sense of belonging, and assists resettled residents in integrating into urban society.

Nurse-led framework to improve the safety and quality of residential aged care (HIRAID® Aged Care): protocol for a stepped-wedge cluster randomised controlled trial

BackgroundThe health issues experienced by older people can often be severe and complex, and an increasing number are using residential aged care services to meet their care needs. High-quality nursing care is fundamental to the health and safety of aged care residents and is contingent on nurses’ accurate assessment, informed decision-making, and delivery of timely interventions. However, the role of the aged care nurse is often challenging, impeded by factors such as understaffing, high workloads, and a lack of access to clinical infrastructure and resources. When these challenges mount, residents are put at greater risk of adverse outcomes, such as avoidable clinical deterioration and hospital transfers. This study describes the adaptation and implementation of the emergency nursing framework, HIRAID® (History including Infection risk, Red Flags, Assessment, Interventions, Diagnostics, reassessment, communication and plan)—a tool to assist nurses’ assessment, decision-making and care in residential aged care.MethodsThe HIRAID® framework will be adapted for residential aged care using a real-time Delphi and panel of aged care and nursing experts. The co-designed HIRAID® Aged Care framework will be trialled in 23 residential aged care homes in Sydney, Australia, in a modified stepped-wedge cluster randomised controlled trial design. All homes will be randomised into one of four clusters. Outcomes of interest include the rate of clinical deterioration events resulting from nurses’ actions, the rate of hospital transfers determined to be inappropriate, performance against the national mandatory aged care quality indicators, resident satisfaction with care, nurse and medical staff satisfaction with communication, and the quality of nursing documentation. These outcomes will be evaluated using a combination of qualitative and quantitative analysis of routinely collected resident data, expert assessments of facility documentation events against validated criteria, and pre- and post-intervention surveys of residents, family carers, nurses, and medical staff.DiscussionThis protocol describes a pragmatic trial that aims to translate an evidence-based framework from the emergency care context into residential aged care. The adapted HIRAID® Aged Care framework will be the first of its kind to standardise and guide holistic nursing assessment, decision-making, and documentation in residential aged care in Australia.Ethics and disseminationThis research has been approved by the Western Sydney Local Health District Human Research Ethics Committee: 2023/ETH00523. A waiver of consent has been approved to access resident health data and nursing documentation at each participating site.Trial registrationAustralian and New Zealand Clinical Trial Registry, ACTRN12623000481673. Registered 12 May 2023.Protocol versionVersion 1.0 6 February 2024.

Evaluating the perceived significance of physical activity among patients with gynecologic cancer: An OBGYN resident survey

Evaluating the perceived significance of physical activity among patients with gynecologic cancer: An OBGYN resident survey

Sanitary sewer overflows, household sewage backups, and antibiotic-resistant bacteria: the new frontier of environmental health risks and disasters

Abstract Untreated sewage discharges leading to environmental contamination are increasingly common in communities across the globe. The cause of these discharges range from sewer lines in disrepair, blockages, and in the era of more extreme wet weather events, the infiltration of stormwater into the system during heavy downpours. Regardless of the driver of these events, the aftermath results in raw sewage spilling into local waterways, city streets, and commercial and residential structures. Historical research in public health has thoroughly documented the connection between exposure to untreated sewage and waterborne disease. Recent research has detected antibiotic-resistant bacteria at wastewater treatment facilities at a time when deaths by antibiotic-resistant infections are on the rise. However, no research has explored the exposure pathways of antibiotic resistant bacteria during sanitary sewer overflows and household-level sewage backups. In this commentary, we aim to introduce this new frontier of environmental health risks and disasters. To do this we describe the history of modern sanitation and sewer infrastructure with a particular focus on wastewater infrastructure in the U.S. We also explore emerging risks and current methods for identifying antibiotic-resistant bacteria in the environment. We end with future directions for interdisciplinary scholarship at the nexus of urban planning, engineering, and public health by introducing the Water Emergency Team (WET) Project. WET is a community-based multi-method effort to identify environmental risks in the aftermath of household backups through 1) residential surveys, 2) indoor visual inspections, 3) environmental sampling, and 4) laboratory processing and reporting. Our hope is that by introducing this comprehensive approach to environmental risks analysis, other scholars will join us in this effort and ultimately towards addressing this grand challenge of our time.

Attitudes, Beliefs, and Self-Reported Rates of Influenza and COVID-19 Vaccinations in the Canadian 2023–2024 National Influenza and Respiratory Viruses Survey

Background: We conducted a cross-sectional, online survey of adult Canadian residents to evaluate their attitudes and beliefs about vaccination against respiratory viruses, particularly influenza and coronavirus 2019 (COVID-19). Methodology: Survey participants aged ≥ 18 years were randomly recruited from the Léger Opinion (LEO) consumer panel. Results: Out of 3002 respondents, 76% reported being “up-to-date” on all of their recommended vaccinations, 86% reported understanding why the influenza vaccine was needed annually, 79% reported believing the influenza vaccine was safe, and 83% reported understanding that vaccines, in general, were important for health. However, only 49% reported receiving the influenza vaccine in the fall of 2023, and 46% received a COVID-19 vaccine (68% of those who received one received the other). More than half of the respondents (55%) reported that they found it difficult to keep track of which vaccines were recommended for them, while 74% indicated that they valued the opinion of their healthcare provider (HCP) when deciding whether to be vaccinated against influenza, and 73% said they would not hesitate to receive multiple vaccines at the same time if their HCP recommended it. Conclusions: These findings highlight the ongoing need for education and outreach in Canada.

Assessment of the Potential of Agrotourism in Samarkand to Attract Foreign Tourists

This study evaluates the potential of agrotourism in Samarkand as a means to diversify the tourism sector and improve the economic conditions of rural areas. Despite the rich agricultural heritage and cultural significance of the region, agrotourism remains underdeveloped. The research aims to assess the current landscape and growth potential for attracting international tourists. Employing a mixed-methods approach, the study analyzes statistical data, conducts surveys of foreign tourists and local residents, and interviews experts in the tourism sector. The findings reveal key tourist preferences and highlight challenges facing agrotourism development. Strategic recommendations are proposed to enhance agrotourism offerings, ultimately fostering sustainable economic growth in the region.

Skills Acquisition and Engagement with the Use of a Structured Journal Club Curriculum.

Journal clubs are a common element of many residency programs. However, there is little data showing that they improve residents' ability to interpret and use the scientific literature. The authors developed a structured journal club curriculum intended to improve scientific literacy skills among residents and increase acceptability and participation in meaningful discussion of high-quality articles among both residents and facilitators. This study examined the impact of the curriculum on objective skills, subjective skills, and engagement. Psychiatry residents from three academic medical centers completed 10-12 virtual journal clubs during academic year 2022-2023. At the start and end of that year, residents completed a knowledge assessment and a self-rating of scientific literacy skills; at the end of the year, residents self-rated participation in, preparation for, and attitudes towards journal club sessions and assessment of scientific literacy skills. Twenty-seven residents completed self-reports at both time points. Performance on the objective skills assessment did not improve over the course of the year. Subjectively, residents reported increased understanding of common statistical techniques, ability to determine if techniques used in an article are appropriate, and the extent to which information learned from articles informs clinical practice. In the sample of 62 resident engagement surveys at follow-up, the journal club curriculum was well-received. Use of a structured journal club curriculum was associated with improvements in self-rated scientific literacy skills among residents and had high acceptability. More work is needed to understand the impact of teaching methodology on journal club success.

Vaccine Hesitancy and COVID-19 Risk Behaviors Associated with Social Media Use in Japan

ABSTRACT We examined the associations between the use of different types of media and COVID-19 vaccine hesitancy, as well as risk behaviors of COVID-19 infection, in Japan in late 2021. Cross-sectional surveys were conducted using rapid online surveys of residents in Iwate Prefecture from February 5 to 7, 2021, and from October 1 to 3, 2021. Each individual’s risk of acquiring SARS-CoV-2 infection was calculated using a quantitative assessment tool (the microCOVID). Intention to get vaccinated for COVID-19 was assessed by self-report. Usage of five types of media for obtaining COVID-related information was assessed: (1) newspapers, (2) television or radio, (3) internet or news apps, (4) social network services (SNS) (excluding LINE, a popular messaging app), and (5) other. Reliance on SNS did not show significant associations with either intention to get vaccinated or engaging in risky behavior for acquiring COVID-19. Although users of the internet or news apps were marginally significantly less likely to engage in high-risk behavior, significant associations between vaccine hesitancy and the usage of the internet or news apps were found in the middle age and elderly groups (OR [95% confidence interval (CI)] in middle age: 1.55 [1.07–2.23]; in elderly; 9.24 [3.28–26.02]). The differential associations between different types of media use and COVID-19 prevention behaviors may assist in preparing for future pandemic outbreaks. One implication for public health risk communication is audience segmentation, such as emphasizing vaccine safety and effectiveness for older audiences.

Association Between Nursing Home Five-Star Ratings and Consumer Satisfaction

ObjectiveConsumers can currently access the Centers for Medicare and Medicaid Services Five-Star Quality Rating System when they choose a nursing home (NH). However, the system does not incorporate NH consumers’ opinions. Without having access to satisfaction or quality-of-life measures, consumers could make uninformed decisions. This study aims to investigate the association between five-star ratings and family/resident satisfaction scores. DesignSecondary data analysis was used. Setting and ParticipantsA unique, NH-level dataset of Ohio NHs that contains star ratings, satisfaction scores, and NH characteristics was constructed (N = 701). Data were drawn from the 2018 star rating data, 2018 Ohio Nursing Home Family Satisfaction Survey, 2017 Ohio Nursing Home Resident Satisfaction Survey, 2017 Ohio Biennial Survey of Long-Term Care Facilities, and the Certification and Survey Provider Enhanced Reports. MethodsChi-square and logistic regression analyses were conducted controlling other NH characteristics. ResultsChi-square results showed consumer satisfaction and star ratings were correlated, but imperfectly related. Regression results found that NHs with higher family satisfaction score received significantly higher star ratings across all domains except the quality-measure star rating. For each 1% point increase in the family satisfaction score, the probability of being a 4 or 5 overall star NH increases by 1.1% point (P < .01), and being a 4 or 5 health inspection star NH increases by 1.2% points (P < .01). NHs with higher resident satisfaction score received significantly higher star ratings. For every 1% point increase in the resident satisfaction score, the probability of being a 4 or 5 star NH increases by 0.7% point (P < .05) across all star ratings. Conclusions and ImplicationsEarly studies found little relationship between five-star ratings and consumer satisfaction scores. This study found consumer satisfaction is associated, although imperfectly, with star ratings. This highlights the need to publicly report NH consumer perspectives to help them make informed care decisions.

Evaluation of a pathology resident wellness initiative: Initial establishment and subsequent expansion through a time of high stress, the COVID-19 pandemic.

Recent studies have shown that the pathology workforce is at risk of decreased workplace well-being, which may lead to decreased job satisfaction, increased attrition, burnout, depression, anxiety, and suicidality, but there has been relatively little research on well-being initiatives designed for pathologists, pathology trainees, and laboratory professionals. Some studies have suggested that well-being initiatives may decrease burnout and increase workplace satisfaction and engagement. Here we describe the creation of a Pathology Wellness Committee in a large residency program. Interventions included emotional, social, and physical well-being interventions as well as system-based improvements. Additional initiatives were introduced in response to the increased stress, isolation, and social distancing guidelines during the height of the COVID-19 pandemic. The program's impact was measured by an annual House Staff Council Resident Wellness Survey over 4 years. The annual surveys showed improvements in workplace and residency program satisfaction and emotional well-being following system-based improvements and well-being initiatives. Physical and social well-being showed slight but not statistically significant decreases over the 4-year period. Results from the annual Accreditation Council for Graduate Medical Education Survey were also evaluated. We found that dedicated well-being initiatives in conjunction with system-based interventions may help improve overall well-being in pathology residents.

Routine activities and consumer fraud victimization: findings from a social survey in Chiba Prefecture, Japan

AbstractRecently, Japan has been grappling with various forms of consumer fraud. Consumer fraud victimization causes not only monetary losses but also nonmonetary costs such as emotional stress and psychological trauma. Therefore, it is necessary to investigate the factors associated with the risk of consumer fraud victimization in order to identify vulnerable groups and implement suitable prevention measures. Consequently, this study aims to analyze the sociodemographic and routine activity factors associated with consumer fraud victimization risk in Japan. Drawing on data from a social survey of residents in Chiba Prefecture, Japan, this study employs a series of logistic regression models. This study demonstrates that while using social networking services is unrelated to respondents’ likelihood of experiencing consumer fraud victimization, the frequency of contacting individuals whom respondents have only met online was statistically linked to increased consumer fraud risk. Additionally, only 10.7 to 31.9% of respondents were aware of the available support services for victims of consumer fraud and related issues. This study proposes that social networking providers could aid in preventing consumer fraud by displaying warning messages when users send messages, alerting them to possible threats.

Effects of Citizenship Status on International Medical Graduate Specialty Choice and Practice Location.

The number of both US citizen and noncitizen international medical graduates (IMGs) practicing in the United States has grown substantially over the last two decades, but little is known about how these groups differ in clinical specialty and practice location. To evaluate the effects of citizenship status on IMG specialty choice (primary care vs nonprimary care) and practice location (rural and health professional shortage areas [HPSAs]). To analyze the retrospective, cross sectional data between 2010 and 2019, we estimated a series of multivariate logistic regressions with year fixed effects after assessing trends in new physician specialty choice and practice location. Survey of Residents Completing Training in New York, the largest publicly available annual survey of graduating residents and fellows in the US. 15,133 new physicians who accepted a job offer in our study period, including 8,177 US medical graduates (USMGs), 2,753 US citizen IMGs, 1,057 permanent resident IMGs, and 3,146 noncitizen non-permanent resident (NCNP) IMGs. IMG and Citizenship status. Whether a new physician chose to practice primary care; whether a new primary care physician chose to work in a rural area; whether a new primary care physician chose to work in a HPSA. Compared to 2010, there were 20% fewer NCNP IMGs entering primary care in 2019. Our logistic analysis found that US citizen IMGs were five times, permanent resident IMGs seven times, and NCNP IMGs nine times more likely to enter primary care compared to USMGs. Among new primary care physicians, NCNP IMGs were more likely to work in a rural area compared to USMGs while US citizen IMGs and permanent resident IMGs acted similarly to USMGs. NCNP IMGs were five times more likely to work in a HPSA while US citizen IMGs and permanent resident IMGs were less likely, compared to USMGs. There was a declining proportion of NCNP IMGs entering primary care; citizenship status affected IMGs' specialty and practice location choices with NCNP IMGs more likely to choose primary care and work in rural areas and HPSAs.

Analysis on the impact of internet use on residents' tourism consumption behavior and the mechanism of action.

Tourism consumption as a typical representative of service consumption, has strong comprehensiveness and driving force, continuously expanding new consumption upgrade space. In the context of the digital economy, the development of the mobile internet has opened up new opportunities for the tourism industry acting as an important factor influencing the consumer behaviour of the residents. Based on 9007 resident survey data from the China General Social Survey (CGSS) in 2017, this paper explores the relationship between Internet use, access to information and residents' travel consumption behavior by means of probit model and mediating effect model. First, according to the findings, Internet use has a positive impact on residents' travel consumption behavior, increasing residents' tourism expenditure. Second, the mechanism suggests that access to information plays a partially mediating role between Internet use and travel consumption behavior. Third, further analysis revealed that, for the retired population, the more frequently they use the Internet, the more likely they are to spend on travel. Compared to those with lower incomes, those with higher incomes will spend less on travel after retirement. With this in mind, in order to promote residents' tourism consumption, speed and fee reduction should be continuously promoted, urban and rural information infrastructure should be strengthened, and accessibility of tourism information for residents should be improved. At the same time, there is a need to innovate the way tourism products are promoted, improve the types of tourism products and launch diversified tourism products.

The Use of Social Media in Orthopedic and Trauma Surgery Education: A Cross-Sectional Survey of German-Speaking Residents and Medical Students.

Social media has become a significant part of daily life, with platforms like Facebook and WhatsApp dominating usage. The COVID-19 pandemic further increased social media activity, including within the orthopedic community due to restrictions on physical gatherings. Despite the benefits of instant access to educational resources and interaction with experts, the lack of regulated editorial oversight on social media raises concerns about misinformation and privacy. This study aimed to evaluate the role of social media in orthopedic and trauma surgery education, focusing on platform use, user behavior, and engagement with educational content. A web-based survey was distributed to 912 residents and 728 medical students from the German-speaking Association for Arthroscopy and Joint Surgery (AGA) between June and July 2022. The questionnaire included 21 items covering demographics, platform use, activity patterns, engagement with educational content, and concerns about privacy. Of the 339 respondents (129 medical students), 87% reported daily social media use, primarily via smartphones (93%). The most commonly used platforms were WhatsApp (84%), Instagram (68%), and YouTube (54%). About 26% of the content consumed was related to orthopedics or trauma surgery. While 70% engaged with specialist content by liking, commenting, or sharing, only 32% posted their own content. Additionally, 77% followed healthcare professionals or institutions, and 65% benefited from case presentations with images. Notably, 15% observed content that could violate patient privacy. Orthopedic residents and students are high-volume social media users but engage more passively with professional content. While most value educational material, concerns about privacy violations and inappropriate posts remain prevalent.

Integrated environmental and social assessment of alum-contaminated water in An Giang province

ABSTRACT This study investigates alum-contaminated water in An Giang province within the Mekong Delta, emphasizing methodological approaches to assess its distribution and impacts. The research conducted from March to May 2021 involved surveys of residents, public sector employees, and provincial managers, complemented by expert interviews and extensive fieldwork. Surface water samples were collected during both rainy and dry seasons across three districts, with parameters such as turbidity, pH, and temperature measured onsite, and aluminum (Al), iron (Fe), and copper (Cu) concentrations analyzed in the laboratory using atomic absorption spectrometry. The data were further processed using QGIS software to create comprehensive maps illustrating seasonal variations in water quality. The findings revealed significant spatial and temporal variations in water quality, with pH levels fluctuating markedly between the dry and rainy seasons. Household surveys indicated a lack of awareness regarding effective water treatment methods, with most respondents relying on local authorities for solutions. The study highlights the need for community education and participation in addressing alum contamination, offering insights into the environmental and public health implications of water quality in the region. This research contributes valuable knowledge to the ongoing efforts in environmental conservation and water quality management in the Mekong Delta.