Survey Of Residents Research Articles

Diagnosing communities’ childcare friendliness: case studies of two South Korean cities

ABSTRACT As the low birth rate in Korea is a pressing issue, enhancing children’s quality of life and creating a favorable childcare environment have become crucial national priorities. This study defines the concepts of childcare friendliness and a childcare-friendly community and develops a mixed-method framework to diagnose communities’ childcare friendliness. Specifically, it integrates neighborhood-level quantitative measures of the supply levels and physical accessibility of childcare-related infrastructure, along with a qualitative survey of residents’ needs and participatory workshops on their ideal childcare-friendly communities. The diagnostic framework of the study was applied to two distinctive urban-rural consolidated cities, Namyangju, including new cities, and Gongju, dominant in rural areas. The results show intercity and intracity spatial disparities in the current status and desired future of childcare-friendly communities in both cities. The concept, methodological framework, and results of this study can help local governments and communities identify unique issues with neighborhood childcare and formulate locally tailored policies and urban/regional plans towards a society conducive to child rearing and development.

Training experience is an important factor affecting willingness for bystander CPR and awareness of AED: a survey of residents from a province in Central China in 2023.

Bystander cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AEDs) may improve survival in patients with out-of-hospital cardiac arrest (OHCA). The purpose of this study was to investigate the effect of CPR training experience and sociodemographic characteristics on bystander CPR willingness and AED awareness. In this study, a questionnaire survey was conducted among 3,569 residents in central China. Descriptive statistics, multiple linear regression and multivariate logistic regression modeling were used to investigate the effect of training experience and sociodemographic characteristics on knowledge of cardiac arrest first aid, awareness of AEDs, and willingness for bystander CPR. Of the 3,569 participants, nearly 52% were female, 69.6% were < 23 years old, 23.5% had CPR training and 22.1% had witnessed OHCA. Characteristics of increasing bystander CPR willingness included CPR training experience, male, witnessed OHCA but not acting, knowing whether family members have cardiac disease, older age (>40 years) and lower level of education. Farmers were the subgroup with the least awareness of AED and knowledge of first aid. In China, CPR training experience was an important factor in improving bystanders' CPR willingness, AED awareness and knowledge of cardiac arrest first aid. Additionally, having witnessed OHCA also had a positive effect on bystander CPR willingness.

Development of a residents’ needs assessment-based novel pathology residency boot camp designed on the graduated release of responsibility model

Boot camps in medical education have emerged as effective tools for addressing knowledge gaps and facilitating the integration of incoming residents into clinical training. We developed a pathology boot camp designed on a needs assessment survey, the graduated release of responsibility model, and active involvement of senior residents as educators. A comprehensive survey was administered to current first-year residents to assess educational needs to identify significant knowledge gaps and difficult areas. Based on these findings, a four-week, three-phase curriculum was developed, comprising introductory didactics, hands-on training, and mentorship under senior residents. Pre- and post-tests, as well as resident surveys, were used to evaluate the efficacy of the boot camp curriculum. Senior residents unanimously expressed the need for a boot camp, expressing challenges in histology, workflow, autopsy, and laboratory operations. Pre- and post-boot camp assessment tests showed a 15% knowledge improvement. Most pathology programs across the country have implemented structured pathology boot camps. The strengths of our boot camp included the emphasis on the previous year's residents' feedback, and the challenges that they encountered, serving as a comparison group; a graduated release of responsibility model; and the involvement of senior residents as designated mentors for the duration of the boot camp. The pathology boot camp presented here serves as a promising model for addressing foundational knowledge deficits among incoming residents. By tailoring the curriculum to meet specific educational needs and leveraging senior residents as educators, institutions can better prepare residents for the challenges of clinical training.

Revealing Conditions of Detailed Water Usage, Daily Life Water Quality, and Awareness Related to Waste Water at Urban Kampung in Indonesia

This research aimed to investigate the actual water use of residents and the quality of well water used daily at the urban kampung located in Bandung, Indonesia. The status of wastewater treatment and residents' awareness of the water environment were also investigated in the target area. The methodology used included a survey of residents, water quality testing, and an assessment of wastewater practices. The results showed that approximately one-half of the respondents used water from the water utility, with the other half using well water as their main domestic water source. Identifying water sources by end-use revealed that residents mainly used bottled water for drinking and cooking. Since Escherichia coli was detected in many wells, it is not recommended that residents drink well water without disinfection. In addition, most of the wastewater in the area was discharged into a nearby river without treatment.

University Population and Wildfire Risk: An Analysis of Perception-Based Variables and Geospatial Differences

This research presents a novel perspective on university students, staff, and faculty and their perception of risk concerning wildfires in the fire-prone US State of Idaho. Past studies have conducted resident surveys in high-risk communities to investigate what factors make homeowners more likely to engage in mitigation activities, increasing communities’ resiliency. Research on a population without property ownership and using the wildland-urban interface (WUI) as activity and recreation spaces is limited. The main hypothesis is that a university population will have different perception and awareness levels in perception-based variables when comparing students to staff/faculty in a traditional survey and geospatial analysis. This study investigates Boise State University’s population’s risk perception using an online survey and interactive spatial assessment to examine differences between associated and geographically allocated risk spaces. Findings from perception mapping, binomial regression, and geostatistical analysis contrast current literature with traditional residents’ surveys. The explorative geostatistical analysis reveals distinct allocation patterns of perceived risk not captured in survey questions. Overall, findings promote a better understanding of where risk and awareness are apparent and suggest that wildfire communication efforts should reach out to all users of the WUI.

Using wiki surveys to rapidly test messages promoting COVID-19 vaccination boosters and child vaccination among Philadelphia residents

Formative research is an important component of health communication campaign development. Rapid message testing approaches are useful for testing new messaging quickly and efficiently during public health emergencies, such as COVID-19, when guidance and recommendations are rapidly changing. Wiki surveys simultaneously collect quantitative message testing data and qualitative feedback on potential social media campaign messages. Philly CEAL used wiki surveys to test messages about COVID-19 vaccinations for dissemination on social media. A cross-sectional survey of Philadelphia residents (N = 199) was conducted between January and March 2023. Wiki surveys were used to assess the perceived effectiveness of messages promoting the updated COVID-19 booster and child vaccination. In each wiki survey, participants were presented with two messages and asked to select the one that they perceived as most effective. Participants could alternatively select “can’t decide” or submit their own message. A score estimating the probability of selection was calculated for each message. Participant-generated messages were routinely reviewed and incorporated into the message pool. Participants cast a total of 32,281 votes on messages seeded by the research team (n = 20) and participants (n = 43). The highest scoring messages were those that were generated by participants and spoke to getting your child vaccinated to protect them against serious illness and getting the booster to protect your health and that of your community. These messages were incorporated into social media posts disseminated by Philly CEAL’s social media accounts. Wiki surveys are a feasible and efficient method of rapid message testing for social media campaigns.

The varying effects of benefit types on community members' views of whether they gain from wildlife

AbstractCommunity‐based conservation (CBC) is a popular governance approach that asks rural populations to sustainably manage local wildlife resources. CBC programs often rely on the distribution of wildlife benefits to communities to foster tolerance of wildlife, with the idea that those benefits can offset costs arising from human‐wildlife conflict. A survey of residents in four Namibian CBC areas found that different benefit types varied significantly in their relationship with whether respondents felt that wildlife improved their lives. Some higher monetary value benefits evidenced a negative and/or non‐significant relationship with respondents' perceptions, whereas meat‐based benefits were associated with a greater likelihood of residents feeling that they benefited from wildlife. These findings suggest that the impact of different benefit types in CBC programs may depend on a host of cultural/social, psychological, and community‐specific factors. From a practical standpoint, the form of direct monetary benefits may matter, and cultural considerations likely play an important role in determining which and when specific benefits are more effective.

An Analysis of the Health Effects of Physical Activity due to Active Travel Policies in Rennes, France.

Rennes, a midsize city in France, features many opportunities for active travel. City officials seek to increase walking and cycling by 2030 to improve public health. Physical inactivity, a leading risk factor for premature mortality around the globe, has been shown to be associated with many chronic diseases including heart disease, type 2 diabetes, and cancer. Using the 2018 household travel survey of Rennes residents, we apply the Health-Oriented Transportation statistical model to assess health impacts associated with population-level rates of walking and cycling. We consider two proposed mobility and climate objectives which outline sustainable transportation goals by 2030. These include a shift in transportation mode share to increase walking and cycling trips, as well as a broad reduction in vehicle miles traveled (VMT) across the metropolitan area. Our regression analysis demonstrated that factors of household car access and inner-city residency were predictors of prevalence (observed one-day proportion engaging in walking or cycling), participation (weekly proportion), and intensity (mean individual physical activity achieved through walking/cycling) of active travel. Age and education were additionally associated with prevalence. The 2030 mobility objective (mode share: 9% cycle, 35% walk) was associated with a reduction of 1,051 DALYs (disability-adjusted life-years), translating to $73 million USD ($23-$177) in averted costs. The climate objective (10% reduction in VMT) was associated with a reduction of 369 DALYs when replaced entirely by walking and 714 DALYs with cycling, translating to $26 million ($8-$62) and $50 million ($15-$121) saved, respectively. Rennes residents experience high participation in active travel, particularly those in the inner city. If residents achieve the city's active travel goals for 2030, there is potential for a large reduction in health burden and subsequent costs. Reaching these goals may require significant investment in transportation programming and infrastructure to improve active travel opportunities.

Exploring tourism competitiveness in developing economies: residents’ perspective

Understanding the factors that contribute to tourism competitiveness in developing economies is essential for policymakers, industry stakeholders, and researchers, as these countries still struggle to fully capitalize on their tourism potential. The residents’ perspective, often overlooked in Tourism Destination Competitiveness (TDC) models, is crucial because they are the primary stakeholders who directly experience the consequences of tourism activities in their daily lives. Their positive attitudes can contribute to a welcoming and friendly environment, enhancing the competitiveness of the destination in the global tourism market. Up to now, there have been a few studies that relate residents’ attitudes to tourism destination competitiveness. However, none have focused on developing a tailor-made model for measuring residents’ perspectives on TDC. To develop such a specific model and contribute to the existing theory in this area, our research applied a multi-step approach, including a literature review of existing models, pilot testing for indicator selection, and model validation through CFA. The data were collected through a survey of residents in Serbia, chosen as an example of a developing country. The final model of the study consists of five factors: Natural and Cultural Resources, Quality of Tourist Offer and Infrastructure, Situational Framework of Tourism Development and Management, Destination Perception and Experience, and Pollution, containing 32 indicators. Practical applicability of the model and theoretical contributions are discussed in the paper, as well as the TDC evaluation for Serbia.

Factors associated with nursing students' mental health-related stigma: A multisite cross-sectional study

BackgroundMental health-related stigma remains a complex and pervasive issue globally. It not only inhibits individuals from seeking help but also influences the quality of healthcare they receive. Despite extensive research on mental health-related stigma, there is still limited understanding of factors influencing mental health-related stigma among nursing students. ObjectivesThis study aimed to assess the level of mental health-related stigma among Chinese nursing students and investigate possible associated factors. MethodsData were collected from the 2023 Psychology and Behavior Investigation of Chinese Residents (PBICR) survey. A total of 967 nursing students were included in the study. Multivariate stepwise linear regression analysis was conducted to examine the influencing factors of mental health stigma. ResultsThe mean mental health-related stigma score among nursing students was 15.31 ± 5.23 (range = 0–27). Perceived stress (β = 0.14, P = 0.001), self-efficacy (β = 0.22, P < 0.001), academic stage (β = 0.17, P < 0.001), depression (β = 0.15, P < 0.001), and adverse life events (β = 0.06, P = 0.044) were significantly associated with mental health-related stigma among nursing students (R2 = 0.147, adjusted R2 = 0.143, F = 33.214, P < 0.001). ConclusionsNursing students in China exhibit a moderate level of mental health-related stigma, suggesting room for improvement. Perceived stress, self-efficacy, academic stage, depression, and adverse life events emerged as significant influencing factors for mental health-related stigma. These findings provide valuable insights for developing interventions to reduce mental health-related stigma among nursing students, ultimately enhancing their well-being and preparing them for becoming competent healthcare professionals in the future.

Association between the use of electronic cigarettes and myocardial infarction in U.S. adults

BackgroundCompared with conventional cigarettes, electronic cigarettes are less harmful in some studies. However, recent research may indicate the opposite. This study aimed to determine whether e-cigarette use is related to myocardial health in adults in the U.S.MethodsThis study used data from the 2020 Behavioral Risk Factor Surveillance System (BRFSS), a cross-sectional survey of adult US residents aged 18 years or older. We examined whether e-cigarette use was related to myocardial infarction byapplying a logistic regression model to calculate odds ratios (ORs) and 95% confidence intervals (CIs).ResultsThe final analytical sample included 198,530 adults in the U.S. Logistic regression indicated that U.S. adults who reported being former and some days of e-cigarette use had 23% and 52% greater odds of ever having an MI, respectively, than did those who reported never using e-cigarettes (OR = 1.23, 95% CI 1.08–1.40, p = 0.001; OR = 1.52, 95% CI 1.10–2.09, p = 0.010).ConclusionsThe results suggest that former and someday users of e-cigarettes probably have increased odds of myocardial infarction in adults in the U.S. Further research is needed, including long-term follow-up studies on e-cigarettes, since it is still unknown whether they should be discouraged.

Discussion: The Implications of Virtual Learning on Plastic Surgery Education: A National Survey of Plastic Surgery Residents and Fellows.

Discussion: The Implications of Virtual Learning on Plastic Surgery Education: A National Survey of Plastic Surgery Residents and Fellows.

The Impact of the COVID-19 Pandemic on the Cost of the Urology Application Process

ObjectiveTo review the self-reported costs of urology residency applications from 2019 to 2023 and examine the impact of Society of Academic Urologists (SAU) policy changes made during the COVID-19 pandemic on these costs. MethodsData from the Texas Seeking Transparency in Applications to Residency (STAR) survey was used to evaluate costs incurred by fourth-year urology residency applicants from U.S. medical schools. Outcomes included median total cost (mTC), interview costs, application fees, and other associated costs, alongside the number of interviews offered and match outcomes. Cost comparisons among surgical specialties were made. Simple linear regression was used to identify cost drivers and cost-outcome correlations. ResultsBetween 2019 and 2023, 522 urology residency applicants responded to the survey. The adoption of virtual interviews and discontinuation of in-person away rotations in the 2020-21 cycle led to a 79% reduction in mTC and a 92% reduction in interview costs. Key cost drivers were the number of away rotations and number of applications submitted. Each incremental away rotation is associated increased cost of $1,490. In the 2020-21 cycle, urology applicants spent on average $2,000 more than their general surgery counterparts. Urology shared the position of most expensive surgical specialty with thoracic surgery and ophthalmology in the 2021-22 match cycle. ConclusionPandemic-related policy changes significantly reduced the costs of urology residency applications, helping to reduce socio-economic barriers. The critical role of away rotations in securing match success, along with their associated costs, highlights equity concerns for students from institutions without home urology programs.

Incorporating public perception of Renewable Energy Landscapes in local spatial planning tools: A case study in Mediterranean countries

The European energy transition requirements have been posing many questions on the deployment of renewable energy sources. The development of renewable energy infrastructures entails landscape transformations affecting the perceived landscape quality and local acceptance. Sustainable energy spatial planning considers environmental, cultural, ecological needs but often neglect community perception of landscape transformations including both the physical landscape structures and the meanings associated to them. To address this issue, the paper aims to explore public perception and incorporate it in the planning tools. The research draws on a survey of residents of Arcos de la Frontera, Spain, conducted with the visual Q methodology, and on structured interviews with local experts. A selection of 36 different photovoltaic applications in urban and rural areas was evaluated by 21 citizens. The analysis identified four distinct viewpoints on photovoltaic applications in urban and rural landscapes. Local experts provided feedback on the current local spatial planning tools and on their consideration of landscape transformations. Considering both citizens and experts, we provided landscape integration strategies linked to siting and landscape design of solar power plants to be included in urban planning tools.

Positive association between patient experience of primary care with chronic disease and self‐rated health in a Japanese rural area: A cross‐sectional questionnaire survey using the Japanese primary care assessment tool short form

AbstractBackgroundLow birthrates and an aging society during population decline have brought about labor shortages and increased medical care needs. Medical resources should be distributed appropriately, particularly in rural areas. High‐quality primary care can make the medical system more effective and contribute to rural residents' health. However, there are no reports on the impact of primary care on health in the rural areas of Japan. This study examined the effect of primary care quality on self‐rated health in a rural Japanese area.MethodsWe conducted a cross‐sectional study using a questionnaire survey of residents of a rural area in northern Shiga Prefecture in 2021. Self‐rated health (SRH) was used as the health outcome (1–5 points), and the Japanese Primary Care Assessment Tool Short Form (JPCAT‐SF) was used to measure the patients' experience of primary care (0–100 points). We conducted a multivariate analysis using logistic regression analysis and examined the association between good SRH (4 points or more) and high JPCAT‐SF scores (above average score), adjusted for sociodemographic confounding factors.ResultsA total of 1108 men and 1412 women responded to the survey. The mean patient age was 69.8 years. The mean JPCAT‐SF score was 51.8 points. Among the 1172 patients with chronic diseases, good SRH was associated with high JPCAT‐SF scores (odds ratio [OR] 1.32, 95% confidence interval [CI] 1.009–1.73).ConclusionsGood SRH among rural residents with chronic disease was associated with high primary care quality.

Collective Efficacy and Mixed-Tenure Redevelopment: Insights from Toronto’s Regent Park Neighborhood

It is asserted that mixed-tenure public housing redevelopments can improve informal social control in targeted neighborhoods. We investigate this question using a validated measure of collective efficacy from a survey of residents in Toronto’s Regent Park neighborhood. We find that social housing residents report higher perceived levels of collective efficacy than do residents of the market buildings and that households with children report higher perceptions of collective efficacy than do households without children. Our findings provide some support for existing best practices, particularly the provision of amenities for families and the preservation of social ties among social tenants.

Cosmetic Gynecology: Is There Enough Exposure in the Obstetrics and Gynecology Residency?

Introduction While cosmetic gynecology has gained popularity, the training experience for obstetrics and gynecology residents in this area is limited and not standardized. The primary objective was to investigate the exposure of obstetrics and gynecology residents to cosmetic gynecologic procedures including hymenoplasty, labia majora reduction, vaginoplasty, G-spot amplification, labiaplasty, clitoral hood reduction, and vaginal laser therapy. The secondary objective was to assess their comfort in performing the procedures after graduation. Methods This is a non-validated cross-sectional survey of obstetrics and gynecology residents and their exposure to cosmetic gynecology procedures. Using the Fellowship and Residency Electronic Interactive Database Access System, the Accreditation Council for Graduate Medical Education-accredited Obstetrics and Gynecology residency programs in the United States were identified, and the residency program coordinators were asked to distribute the survey. Data regarding demographics, program-specific characteristics, and exposure to certain cosmetic gynecology procedures were obtained and reviewed. Participants' reported comfort with the independent practice of certain cosmetic gynecology procedures after graduation was also obtained. Descriptive statistics were completed. Results A total of 96 responses were received. Approximately 50% of participants were exposed to cosmetic gynecology during training. Moreover, 70.9% of residents disagreed that they would feel confident in defining the included procedures. Furthermore, 87.5% disagreed that they would feel comfortable performing the procedures independently. A minority of participants were also unsure of the indication for cosmetic gynecology procedures, with 15.4%, 7.1%, 5.7%, and 4% unaware of the surgical indication for hymenoplasty, vaginoplasty, labiaplasty, and labia majora reduction, respectively. No participant knew the indication of surgery for vaginal laser therapy or clitoral hood reduction. Conclusions In the setting of current cosmetic gynecology training, nearly 90% of residents were not comfortable with these surgeries after graduation. Exposure to cosmetic gynecology for obstetrics and gynecology residents was limited. Without adequate exposure, residents may face difficulty performing procedures and managing complications after graduation. Therefore, standardizing resident training for cosmetic gynecology should be considered.

Perspectives Regarding Virtual Interviewing for Dermatology Residency in the United States: A Survey of Applicants, Residents, Faculty, and Program Directors in the 2022-2023 Application Cycle

Background: Despite the widespread adoption of virtual interviewing for dermatology residency in the United States (US), there are limited data on the perspectives of those affected. Objectives: Characterize the viewpoints regarding virtual interviewing of applicants, residents, and faculty who participated in the 2022-2023 US dermatology residency application cycle. Methods: Two anonymized surveys were created: one for applicants and the other for programs (residents, program directors, and other faculty). The program survey was distributed through the US Dermatology Program Director listserv in January 2023. The applicant survey was distributed through email in April 2023. Results: There were 336 respondents: 135 applicants, 63 program directors, 77 other faculty, and 61 residents. Overall, the largest proportion favored virtual-only interviewing (39%), followed by some combination of in-person and virtual interviews (28%) and in-person–only interviewing (20%). There was no significant difference between preferences of applicants and program directors (P=0.13). The respondents’ most supported changes for future application cycles were limiting the number of programs to which an applicant can apply (34%), limiting the number of interviews an applicant can accept (30%), and providing funding for applicants with demonstrated need (13%). Limitations: Our study may be limited by the response rates, estimated to be 21% for applicants and 45% for program directors. Conclusion: Given the range of preferences, we would not advocate for requiring virtual-only interviewing at this time for our specialty. Instead, reforms should prioritize the respondents’ most supported changes for future application cycles.

Evaluation of Energy-Production Preferences Using ANP Methodology Based on a Comprehensive Residential Survey

Public opinion significantly influences discussions on the selection of technologies for future energy systems. Our goal was to support the development of energy scenarios by evaluating decision-making criteria and energy-production alternatives at a national level. The importance of the criteria and the determination of energy-production preferences were based on a social survey conducted in European countries. However, public opinions on specific technologies are frequently based on limited knowledge and can vary depending on the context. In our study, we analyzed the comparative data sets from an international survey on energy sources using three approaches: direct ranking, a comparison using various criteria, and classifying the knowledge of technologies. The evaluated results not only provide an excellent opportunity for the development of energy scenarios but also enable policymakers to develop more effective communication strategies to inform the public about technological choices and raise awareness of the need for modifications to the energy system.

An Examination of the Original Knowledge and Inheritance of Putu Xian Opera Among Putian Citizens

The purpose of this study is to investigate how the age and educational level of Putian citizens affect their attitudes towards the original perception and transmission of Putu Xian opera. Putu Xian Opera, with its distinct art form and rich cultural legacy, holds a significant place in the history of Chinese opera as one of the first batch of national intangible cultural heritages in China. The original preservation and transmission of Putu Xian Opera are vital to Putian inhabitants, as Putian is the cradle of this traditional art form. According to the findings of an extensive survey of Putian residents, the age group of 46 55 has the largest proportion of citizens, followed by that of 36 45. Regarding the awareness and transmission of Putu Xian opera, citizens between the ages of 26 and 35 and 18 and 25 have the most positive opinions, whilst those under the age of 18 and those 56 and older have the lowest awareness. The survey population is somewhat more male than female, with a more balanced ratio of male to female. The data does not indicate any discernible variations in opinions regarding the understanding and legacy of Putu Xian Opera. The respondents greatest degree of education was a bachelor s degree (23.2%), which was followed by secondary or high school (23%), specialty or college (22.2%), and high school (22%). The group places greater value on preserving the unique qualities of Putu Xian opera and fostering a positive outlook on its dissemination the more educated they are. Research indicates that individuals with higher levels of education have a stronger feeling of responsibility and initiative towards the preservation of cultural heritage. They are also better able to strike a balance between tradition and modernity, which helps to effectively preserve and advance Putu Xian Opera. In addition, this study highlights the critical role that people educational attainment plays in the preservation of intangible cultural assets and offers insightful experience and theoretical references for the preservation and transmission of traditional culture in other countries.