Target Population Research Articles

Humanitarian organization culture and humanitarian organization usage of digital cash-based assistance: the mediating role of financial service providers’ technology readiness

PurposeThe study examined the influence of humanitarian organizations’ culture and financial service providers’ technology readiness on the usage of digital cash-based assistance by humanitarian organizations, the influence of Humanitarian Organization Culture on Financial providers’ technology readiness and the mediating role of financial service providers’ technology readiness on the relationship between the culture in humanitarian organizations and their usage of digital cash-based assistance.Design/methodology/approachA quantitative cross-sectional survey design was used. The target population consisted of humanitarian organizations that were members of the Uganda Cash Consortium (UCC). The research hypotheses were tested using SMART PLS version 4.FindingsThe culture in humanitarian organizations and financial service providers’ technology readiness positively influences the usage of digital cash-based assistance by humanitarian organizations during humanitarian crises, and humanitarian organizations’ culture positively influences financial service providers’ technology readiness. Financial service providers’ technology readiness fully mediates the relationship between the culture of humanitarian organizations and the usage of digital cash-based assistance by humanitarian organizations during humanitarian crises.Research limitations/implicationsThe study mainly focuses on culture in humanitarian organizations and financial service providers’ technology readiness when examining the usage of digital cash-based assistance during humanitarian crises. Further, financial service providers’ technology readiness is examined using a humanitarian organization, financial service provider and beneficiary/persons of concern’s point of view rather than the government’s point of view.Originality/valueResearch examining determinants for digital cash-based assistance usage in humanitarian crises is scarce. Further, empirical research examining the influence of the humanitarian organizations’ culture and financial service providers’ technology readiness in promoting the usage of digital cash-based assistance in humanitarian crises, the impact of humanitarian organizations’ culture on financial service providers’ technology readiness and the mediating role of financial service providers’ technology readiness on the relationship between the culture of humanitarian organizations and usage of digital cash-based assistance in humanitarian crises are non-existent. The majority of research and grey literature focuses on how digital cash-based transfers can be used to enhance financial inclusion in refugee contexts.

Standardizing the evaluation and management of iron deficiency anemia secondary to heavy menstrual bleeding in the emergency department.

Comprehensive guidelines for the management of iron deficiency anemia (IDA) in adolescents with heavy menstrual bleeding (HMB) presenting to the emergency department (ED) are lacking, leading to variability in care. We aimed to standardize the evaluation and management of these patients through the development and implementation of an evidence-based algorithm using quality improvement methodology. Baseline data of the target population identified variability across four key measures of clinical management: therapy choice and administration, laboratory evaluation, hematology service consultation, and patient disposition. Literature review and consensus from pediatric hematology and gynecology providers informed a draft algorithm that was refined in an iterative multidisciplinary process. From December 2022 to July 2023, we aimed to achieve a 25% relative increase in patients to receive optimal management per the algorithm, while using sequential Plan-Do-Study-Act (PDSA) cycles. Process measures focusing on provider documentation and balancing measures, such as ED length of stay, were assessed concurrently. Forty-nine patients were evaluated during four PDSA cycles. Improvement of ≥40% above baseline regarding recommended therapy administration was achieved across four PDSA cycles. Adherence to recommended therapy choice improved from 57% (baseline) to 100%, minimal laboratory evaluation from 14% to 83%, hematology consultation from 36% to 100%, and appropriate disposition from 71% to 100%. ED length of stay remained stable. Implementation of a standardized algorithm for management of IDA secondary to HMB in adolescents in the ED increased adherence to evidence-based patient care.

Vaccine value profile for invasive non-typhoidal Salmonella disease

Invasive non-typhoidal Salmonella (iNTS) disease is an under-recognized high-burden disease causing major health and socioeconomic issues in sub-Saharan Africa (sSA), predominantly among immune-naïve infants and young children, including those with recognized comorbidities such as HIV infection. iNTS disease is primarily caused by Salmonella enterica serovar Typhimurium sequence type (ST) 313 and ‘African-restricted clades’ of Salmonella Enteritidis ST11 that have emerged across the African continent as a series of epidemics associated with acquisition of new antimicrobial resistance. Due to genotypes with a high prevalence of antimicrobial resistance and scarcity of therapeutic options, these NTS serovars are designated by the World Health Organization as a priority pathogen for research and development of interventions, including vaccines, to address and reduce NTS associated bacteremia and meningitis in sSA. Novel and traditional vaccine technologies are being applied to develop vaccines against iNTS disease, and the results of the first clinical trials in the infant target population should become available in the near future.The “Vaccine Value Profile” (VVP) addresses information related predominantly to invasive disease caused by Salmonella Enteritidis and Salmonella Typhimurium prevalent in sSA. Information is included on stand-alone iNTS disease candidate vaccines and candidate vaccines targeting iNTS disease combined with another invasive serotype, Salmonella Typhi, that is also common across sSA. Out of scope for the first version of this VVP is a wider discussion on either diarrheagenic NTS disease (dNTS) also associated with Salmonella Enteritidis and Salmonella Typhimurium or the development of a multivalent Salmonella vaccines targeting key serovars for use globally.This VVP for vaccines to prevent iNTS disease is intended to provide a high-level, holistic assessment of the information and data that are currently available to inform the potential public health, economic, and societal value of pipeline vaccines and vaccine-like products. Future versions of this VVP will be updated to reflect ongoing activities such as vaccine development strategies and a “Full Vaccine Value Assessment” that will inform the value proposition of an iNTS disease vaccine. This VVP was developed by a working group of subject matter experts from academia, non-profit organizations, public private partnerships, and multi-lateral organizations, and in collaboration with stakeholders from the World Health Organization African Region. All contributors have extensive expertise on various elements of the iNTS disease VVP and collectively aimed to identify current research and knowledge gaps. The VVP was developed using only existing and publicly available information.

Advances in the selection and timing of postoperative radioiodine treatment in patients with differentiated thyroid carcinoma.

Differentiated thyroid cancer (DTC) is the most common endocrine malignancy. Patients who receive systematic care typically have a better prognosis. RAI treatment plays a key role in eradicating any remaining thyroid lesions in DTC patients, hence decreasing the risk of distant metastases and cancer recurrence. As research continues to advance, RAI treatment is becoming more and more individualized. Because of the excellent prognosis for DTC patients, there is a relatively broad window for RAI treatment, making it easy to overlook when to receive RAI treatment. However, research on this issue can help patients with varying recurrence risk stratification make better decisions about when to begin RAI treatment following surgery, and physicians can schedule patients based on the severity of their disease. This will improve patient prognosis and lessen needless anxiety in addition to helping solve the problems of unjust healthcare resource distribution. In this review, we will mainly discuss the target population of RAI treatment as well as studies that examine the impact of RAI treatment timingon patient outcomes. In an effort to discourage DTC patients and physicians from selecting RAI therapy at random, we also review the possible negative effects of this treatment.

Long-term effects of the COVID-19 lockdown on weight status, eating habits, and lifestyle changes related to school-aged children in Bandar Abbas, Iran

BackgroundDespite the end of the COVID-19 lockdown and reopening of schools, the long-term effects of quarantine on the weight status, eating habits, and lifestyle of children and adolescents remain unknown. This study aimed to determine the long-term effects of the lockdown on the weight status, eating habits, and lifestyle changes of children and adolescents in Iran.MethodThis descriptive cross-sectional study was conducted from April to May 2022. The target population comprised one hundred students aged between 10 and 16 years old. Our study obtained students’ weight and height data from records maintained by school principals or physical education instructors before and after the quarantine period. The BMI z-score (zBMI) was calculated for each time point. The researchers also provided a questionnaire to collect the students’ demographic and lifestyle status changes during school closures.ResultsWe found that the zBMI increased significantly from − 0.02 ± 1.64 to 0.36 ± 1.12, and the number of individuals with overweight and obesity increased by 3% during quarantine (P ≤ 0.05). These changes were more pronounced in males and students aged 14–16 years old. We also found that eating habits, sleeping time, sleeping patterns, screen time (time spent on social media per day), and physical activity had significant negative changes during quarantine, and a significant increase in zBMI was observed among students who experienced negative eating behaviors, altered sleeping patterns, and decreased physical activity during school closures.ConclusionAs prolonged school closures due to the COVID-19 lockdown aggravated students’ health and lifestyle status, our findings can aid in proper planning to establish an appropriate framework for the diet, physical activity, and sleeping quality of students during extended school closures.

A framework of research priorities in COVID rehabilitation from the Rehabilitation Science Research Network for COVID: an international consultation involving qualitative and quantitative research

Purpose To identify research priorities related to COVID rehabilitation from the perspectives of persons with lived experiences, clinicians, researchers, community organization and policy representatives. Materials & Methods We conducted five international consultations to identify key issues and research priorities in COVID rehabilitation using (i) web-based questionnaires, (ii) synchronous discussions, and (iii) content analysis of COVID rehabilitation research conference presentations. We collated responses and notes and then analyzed data using content analytical techniques. Results The Framework of Research Priorities in COVID Rehabilitation includes five priorities that span health and disability across COVID-19 and Long COVID illness trajectories: (1) understanding experiences of episodic disability; (2) assessing episodic disability; (3) identifying and examining safe approaches to rehabilitation; (4) examining the role, implementation, and impact of models of rehabilitation care; and (5) examining access to safe, timely and appropriate rehabilitation and other health care provider services. The Framework identifies target populations, methodological considerations, and highlights the importance of integrated knowledge translation and exchange in advancing scientific evidence, clinical education, practice, and COVID rehabilitation policy. Conclusions This Framework provides a foundation to advance COVID, disability and rehabilitation research to advance the health and well-being of persons with COVID-19, Long COVID, and their caregivers. Implications for rehabilitation Persons with COVID-19 or Long COVID and their caregivers may experience multi-dimensional forms of disability spanning physical, cognitive, emotional health challenges, difficulties with daily function, and social inclusion, which individually and/or collectively may be unpredictable, episodic and/or chronic in nature. Rehabilitation has a role in preventing or mitigating disability and enhancing health outcomes for persons with COVID-19, Long COVID and their caregivers. The Framework of Research Priorities COVID Rehabilitation includes five overlapping research priorities spanning health and disability across COVID trajectories: (1) understanding experiences of episodic disability; (2) assessing episodic disability; (3) identifying and examining safe approaches to rehabilitation; (4) examining the role, implementation, and impact of models of rehabilitation care; and (5) examining access to safe, timely and appropriate rehabilitation and other health care provider services. The research priorities in the Framework represent a comprehensive approach to examine disability and rehabilitation across COVID illness trajectories and the broad continuums of rehabilitation care to provide a coordinated and collaborative approach to advancing evidence in COVID disability and rehabilitation. This Framework provides a foundation for international and interdisciplinary collaborations, to advance COVID disability and rehabilitation research to enhance health outcomes of persons with COVID-19, Long COVID, and their caregivers.

The association between alcohol consumption and herpes simplex virus type 2: A cross-sectional study from national health and nutrition examination survey 2009-2016.

The current prevalence of Herpes simplex virus type 2 (HSV-2) infection is notably high, with individuals afflicted by HSV-2 facing recurrent outbreaks, challenges in achieving remission, and an elevated risk of HIV infection. This study aims to investigate the relationship between alcohol consumption and HSV-2 infection. The data for this study were sourced from 7257 participants who took part in the National Health and Nutrition Examination Survey (NHANES) from 2009 to 2016. The target population consisted of adults with reliable HSV-2 plasma results, and alcohol consumption was assessed using self-report methods. We evaluated the odds ratio (OR) and 95% confidence interval (CI) for the association between alcohol consumption and HSV-2 infection. These estimations were derived from a logistic regression model that was adjusted for key confounding factors. Subgroup analysis specifically focused on alcohol consumption, and the interaction between HSV-2 infection, alcohol consumption, and other variables was assessed through stratified analysis. Among the 7,257 participants included, 89.8% (6,518/7,257) reported varying levels of alcohol consumption history. Compared to individuals who never drinkers, the adjusted odds ratios (ORs) for former drinkers, light drinkers, moderate drinkers, and heavy drinkers were 1.79 (95% CI: 1.34-2.4, p < 0.001), 1.38 (95% CI: 1.07-1.77, p = 0.012), 1.49 (95% CI: 1.15-1.94, p = 0.003), and 1.47 (95% CI: 1.14-1.9, p = 0.003), respectively. The results remained stable in subgroup analyses and sensitivity analyses. Current research indicates that individuals with a history of alcohol consumption exhibit a higher risk of HSV-2 infection compared to those who have never drinkers.

Power Relations in Optimisation of Therapies and Equity in Access to Antibiotics (PROTEA) Study: investigating the intersection of socio-economic and cultural drivers on antimicrobial resistance (AMR) and its influence on healthcare access and health-providing behaviours in India and South Africa

Across social structures within society, including healthcare, power relations manifest according to gender, socioeconomic status, race, ethnicity, and class influencing infection related healthcare access and health providing-behaviours. Therefore, accounting for sociocultural drivers, including gender, race, and class, and their influence on economic status can improve healthcare access and health-providing behaviours in infection prevention and control (IPC) as well as antibiotic use, which in turn helps mitigate the spread of antimicrobial resistance (AMR). This Wellcome funded research will investigate how and why the social determinants of health and economic status influence how people seek, experience, and provide healthcare for suspected or proven (bacterial) infections and how these factors influence antibiotic prescribing and use in South Africa (upper middle-income country) and India (lower middle-income country). The aim of this body of work is to, (1) define and estimate the sociocultural and economic drivers for AMR in different resource settings, (2) design, implement and evaluate context-sensitive IPC and antimicrobial stewardship (AMS) interventions, and (3) inform policy and strategy for AMR mitigation. The population will be healthcare workers (HCWs), patients, and their carers across acute medical and surgical pathways where IPC and antibiotic-related healthcare access and health-providing behaviours will be studied. Qualitative methods will include ethnographic research, semi-structured in-depth interviews, and focus groups with healthcare providers, patients and carers. Quantitative analysis of bedside observational data from hospitals and population level data on antibiotic use will study the various predictors of AMR using bivariable and multivariable regression analyses. The research will provide high-quality evidence on how social determinants intersect with health, social well-being, and vulnerability in IPC practices and antibiotic use. Using this knowledge we will: 1) design, implement, and measure effects of interventions accounting for these factors; 2) provide a toolkit for advocacy for actors in AMR, and healthcare to assist them to promote dialogue, including policy dialogue on this issue. This work directly benefits the target population and informs healthcare services and practice across the participating countries with potential for wider translation. The setting will be hospitals in South Africa (middle-income country) and India (lower middle-income country). The population will be healthcare workers (HCWs), patients, and their carers across acute medical and surgical pathways where IPC and antibiotic-related health-seeking and health-providing behaviours will be studied. These populations represent communities most affected by infections and AMR because existing interventions do not address a) differences in how surgical versus medical teams manage infections; b) the role of the wider social network of individuals on their decision-making, c) intersection of the social determinants of health including race, gender, socioeconomic deprivation with AMR.

Use of comics in the promotion of school children’s health: a scoping review

This scoping review provides an analysis of the available experiences on the use of comics to promote the health of school children. It was registered in the Open Science Framework (OSF) under DOI: doi.org/10.17605/OSF.IO/Z5VX6. Seventeen studies were used, including articles, theses and dissertations. The results present the main characteristics of the studies such as year; country; sample characteristics; study design; description of actions and population/sample. The target population of each selected study was children younger than 10 years. The sample number of the studies ranged between 47 and 881 children. Fifteen studies developed the interventions in schools. 44.4% of the selected studies were published between 2011 and 2020, and the continents with the highest number of publications were South America and North America, with 33.3% each. Regarding the type of study, 55.6% used the non-randomized experimental method and 35.3% had themes related to specific diseases. The experiences that were considered successful were conditioned to the organizational structure of the use of comic books and how they were offered to school children.

Critical Analysis of Status of Counter-Terrorism Strategies in Manda, Lamu County, Kenya: A Multifaceted Examination of HUMINT and SIGINT

This paper presents a critical analysis of counter-terrorism strategies in Kenya, with a specific focus on the multifaceted examination of Human Intelligence (HUMINT) and Signals Intelligence (SIGINT). The study employed a sequential explanatory mixed-methods research design integrates both qualitative and quantitative approaches to provide a thorough understanding of Kenya&amp;apos;s efforts to combat terrorism. The target population of this study encompassed participants involved in counter-terrorism activities in Kenya. This included officers in security agencies such as the National Intelligence Service and the Kenya Defense Forces which formed our target population. A total of 93 officers participated. The respondents were drawn through purposive sampling. By addressing multiple levels of involvement, the paper provides a holistic view of counter-terrorism strategies and their impact. Quantitative data was collected through surveys administered to a representative sample of security personnel in the NIS and KDF. Qualitative data on the other hand was collected through interviews. Semi-structured interviews were done with key informants, such as heads of the National Intelligence Service and Kenya Defense Forces helped capture the nuanced perspectives on HUMINT and SIGINT. STATA and Statistical Package for Social Scences (SPSS) Software were used to analyze quantitative data from the survey. The statistical significance between the average expectations and average perceptions in both security agencies was analyzed using two-sample t-tests. Additionally, the significance of the gaps between the agencies was assessed with Hotelling’s T-squared test at a 5% significance level. Pearson’s correlation coefficients were also used to determine the strength and direction of the relationship between the independent variable (s) and the dependent variable. The study generally found that the indicators of the HUMINT strategy were effective in countering terrorism except for source penetration. Further, the study determined that all indicators of SIGINT strategy were ineffective in countering terrorism except for interception of communication and timely warnings.

COMMUNITY EMPOWERMENT AND IT’S INFLUENCE ON IMPLEMENTATION OF WATER PROJECTS IN MACHAKOS COUNTY OF KENYA

Objective: This study focused on the extent to which Community empowerment influence Implementation of water projects in Machakos County of Kenya. Accessibility to safe water has been a great challenge not only in Machakos County but to the developing world. The purpose of this study was to establish Community empowerment influence on Implementation of water projects in Machakos County of Kenya. Theoretical Framework: The study was anchored on Pragmatic paradigm and used descriptive survey research design. The target population for this study was Machakos County water representatives both staff and Community. Research sample comprised of, Water Resources Users Association officials, Water Resource Management Authority employees, County Ministry of Water and Irrigation staff, Water Services Trust Fund staff and Tana Athi Water Services Agency Staff, giving a total target population of 572 individuals. Method: The sample size of the study was derived from the various strata’s by using Krejcie and Morgan Table for sample size determination which gave a sample size of 226 participants. The research instruments used included: questionnaires; Key informant Interviews, Focus Group discussions, observation, documents review and Interview guides. Data was analysed using descriptive statistics and inferential statistics. Quantitative data was analysed using frequencies, percentages, mean, standard deviation, composite mean and standard deviation. Qualitative data was analysed by content analysis. Research Implications: This Study is significant to policy makers, students, water agency managers and primary stakeholders in the research region. It was concluded that Community empowerment significantly influence implementation of water projects in Machakos County in Kenya.

Efficacy of Specialized Security Agencies in Curbing Cattle Rustling in Sotik and Borabu Sub-Counties in Kenya

Kenya has faced a wide scale threat of cattle rustling. The menace has been occurring mainly in counties populated by pastoralist groups including the Turkana, Samburu, Maasai, Pokot as well as Kipsigis and Kisii among others. People have been killed, their property lost; some mutilated, injured, and displaced. Security organizations such as the General Service Unit (GSU) and the Anti-Stock Theft Unit (ASTU) among others were mobilized to help curb the danger of cattle rustling yet it has continued to occur in Kenya including Sotik and Borabu Sub counties. The purpose of this study was thus to investigate how effective security agencies were in curbing cattle rustling in the counties of Bomet and Nyamira, Kenya. This study therefore investigated the effectiveness of specialized security agencies in curbing cattle rustling in the Sotik and Borabu Sub-Counties in Bomet and Nyamira Counties in Kenya. A sequential exploratory mixed methods design was used. The target population was all the residents of Sotik and Borabu Sub-Counties (18 years and above) who had information regarding the topic under discourse. They were 284,379 in number. A total of 156 respondents participated. The respondents were drawn through purposive sampling. A questionnaire was used to gather quantitative information while key informant interview guides were used to gather qualitative information from the respondents. The hypothesis was tested using Pearson’s Correlation Coefficient (r) at α =0.05 level of significance. The results obtained from the two sub-counties determined that the deployment of specialized security agencies had a statistically significant effect on curbing cattle rustling. This means that before the deployment of security agencies, the frequency of cattle rustling was relatively high as compared to the periods after their deployment. The reduction was therefore attributed to the constant pursuit and deployment of specialized units such as the ASTU, GSU and Administration Police in the region. The study recommends that the national government should expand the presence and activities of specialized security agencies in regions with a history of high cattle rustling rates, focusing on areas with the highest correlation between agency presence and rustling reduction. The government should also implement targeted training programs for specialized security personnel to equip them with the necessary skills and knowledge for addressing the unique challenges associated with cattle rustling.

Organizational impact of systemic implementation of digital breast tomosynthesis as a primary test for breast cancer screening in Italy.

We present a comprehensive investigation into the organizational, social, and ethical impact of implementing digital breast tomosynthesis (DBT) as a primary test for breast cancer screening in Italy. The analyses aimed to assess the feasibility of DBT specifically for all women aged 45-74, women aged 45-49 only, or those with dense breasts only. Questions were framed according to the European Network of Health Technology Assessment (EuNetHTA) Screening Core Model to produce evidence for the resources, equity, acceptability, and feasibility domains of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) decision framework. The study integrated evidence from the literature, the MAITA DBT trials, and Italian pilot programs. Structured interviews, surveys, and systematic reviews were conducted to gather data on organizational impact, acceptability among women, reading and acquisition times, and the technical requirements of DBT in screening. Implementing DBT could significantly affect the screening program, primarily due to increased reading times and the need for additional human resources (radiologists and radiographers). Participation rates in DBT screening were similar, if not better, to those observed with standard digital mammography, indicating good acceptability among women. The study also highlighted the necessity for specific training for radiographers. The interviewed key persons unanimously considered feasible tailored screening strategies based on breast density or age, but they require effective communication with the target population. An increase in radiologists' and radiographers' workload limits the feasibility of DBT screening. Tailored screening strategies may maximize the benefits of DBT while mitigating potential challenges.

A Nexus between Project Management Lifecycle and Performance of Slums Upgrading Projects in Nairobi City County, Kenya

The alarming rate of urban sprawl poses a social menace for city planners and governments worldwide and Nairobi city of Kenya is not an exception. Challenges of access to appropriate and affordable housing has forced majority of city residents to occupy shanties with deplorable living conditions thus, the need to improve the infrastructure in the slums. In Kenya, the government has initiated various projects in a bid to carry out a facelift of slums countrywide. Although, involvement of key stakeholders in each of the phases of project management lifecycle (PMLC) that is, project initiation, planning, implementation, Monitoring &amp;amp; evaluation and closure remains a critical factor to the realization of slum upgrading infrastructure development, the affected communities are not fully engaged thus thwarting effective implementation of the planned activities. In this regard, the aim of the study was to examine the influence of PMLC on performance of slums upgrading projects (PSUP). A descriptive survey research design and a correlational research design were utilized whereby data was analysed and interpreted using means, standard deviations, correlation of coefficient and correlation of determination. A sample of 266 was drawn from a target population of 794, of which 208 responded to a 5-point Likert Scale questionnaire. Qualitative data collected was presented in narrative form. Results obtained indicated a linearly positive and a very strong significant relationship between PMLC and PSUP. When all phases were combined PMLC explained 62.9% of the overall variation in PSUP. The findings indicate that a unit increase in initiation and planning stages result to an increase in PSUP by 7.77% and 1.97% respectively whereas for a unit decrease in project implementation and project M&amp;amp;E, PSUP decreases by 2.07% and 1.72% respectively. It was thus concluded that PMLC significantly influences Performance of Slum Upgrading Projects. The recommendation of the study was that activities pertaining to project planning, M&amp;amp;E and project closure phases be efficiently executed for optimum performance of the projects.

Perceptions on Influence of Membership in Young Farmers Clubs on Career Interest and Participation in Agricultural Activities Among Secondary School Students in Nakuru North Sub-County, Nakuru County, Kenya

Young Farmers’ Club (YFC) activities globally have played a vital role in the mastery and attainment of knowledge in agriculture subject since it is best learned by use of practical activities. Increased youth participation in agricultural production is necessary and vital in facilitating food and nutritional security. In Kenya, Young Farmers Club of Kenya (YFCK) was established to help boys and girls to develop ideas for better farming, provide social and recreational activities, help give the necessary dignity to agriculture as an occupation and develop good and competent agricultural leadership. The objectives of YFCK included promoting interest in farming, sound training in advanced methods of crop and animal husbandly, leadership skills, self-reliance, self-confidence and responsibility. The purpose of this study was to determine the perception on influence of membership in young farmers clubs on career interest and participation in agricultural activities among day secondary schools students in Nakuru North sub-county. A descriptive survey design was adopted with a target population of 2,660 agriculture students and 32 agriculture teachers. Proportionate random sampling was used to select a sample of 120 respondents from the 19 day public schools. Data was collected from the sampled heads of agriculture subject using a questionnaire. Content validity of the instrument was ascertained by two panels of experts from Department of Agricultural Education and Extension and the supervisors. Reliability of the instruments was ensured through a pilot-test using 40 agriculture students and four agriculture teachers from Nakuru East Sub-county. The reliability of the instrument was tested using Cronbach Alpha coefficient. A reliability coefficient was 0.76 and 0.73 for YFCK members and Agriculture teachers respectively, at a significance level of α= 0.05. The collected data was analyzed using descriptive with the aid of SPSS 20.0 for Windows. Data was analysed using various tables and graphs. The researcher recommends that Agriculture teachers in collaboration with school administration should enhance YFCK activities. This is for proper and effective practical activities in teaching of Agriculture subject according to the syllabus. The findings of the study will be of importance to secondary school teachers, students and other scholars of higher institutions of learning by emphasizing in formation of young farmers clubs in day secondary schools in Nakuru North Sub- County, Nakuru County Kenya.

Characteristics of Sexual Health Programs for Migrants, Refugees, and Asylum Seekers: A Scoping Review

Background: Social, cultural, and structural determinants of health for migrants, refugees, and asylum seekers can contribute towards poorer sexual health outcomes. People from migrant, refugee, and asylum seeker backgrounds usually use less mainstream sexual healthcare services and have lower levels of sexual health literacy compared with the destination countries’ general population. However, there is little collated knowledge about sexual health programs that have been implemented to improve sexual health among these groups. This study aimed to describe the characteristics of programs for improving sexual health among migrants, refugees, and asylum seekers. Methods: This study was a scoping review in which Scopus and PubMed were searched for peer-reviewed articles published in English since 2010 from countries similar to and including Australia such as New Zealand, the United States of America, Canada, the United Kingdom, and European Union countries). The final search of databases was performed on 26 June 2023, and resultant studies were inputted into Endnote and Covidence systematic review software to remove duplicates before screening. The study utilised a qualitative approach using inductive thematic analysis of the content of the studies to extract and categorise the characteristics of the program. Results: A total of 3044 articles were screened and 20 were included for data extraction. The included studies were conducted in six countries (the United States of America, Australia, France, Italy, Denmark, and Belgium). The key characteristics of sexual health programs identified included consumer consultation and engagement, cultural appropriateness, language support, peer education, self-directed learning, group learning, financial support, and outreach services. the programs had a combination of these characteristics to ensure that they can improve target population engagement with educational materials and decrease barriers to accessing sexual healthcare. Conclusion: Consideration of migrants, refugees, and asylum seekers’ culture, language, socioeconomic characteristics, and access to information and services in the design of the sexual health programs may improve sexual health outcomes among these groups. However, further research is needed to assess the importance and implementation feasibility of the identified characteristics for sexual health programs in specific context.

Effectiveness of Catch-Up Vaccination Interventions Versus Standard or Usual Care Procedures in Increasing Adherence to Recommended Vaccinations Among Different Age Groups: Systematic Review and Meta-Analysis of Randomized Controlled Trials and Before-After Studies.

To address the global challenge of vaccine hesitancy, the Strategic Advisory Group of Experts on Immunization strongly promotes vaccination reminder and recall interventions. Coupled with the new opportunities presented by scientific advancements, these measures are crucial for successfully immunizing target population groups. This systematic review and meta-analysis aims to assess the effectiveness of various interventions in increasing vaccination coverage compared with standard or usual care. The review will cover all vaccinations recommended for different age groups. In February 2022, 2 databases were consulted, retrieving 1850 studies. Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, 79 manuscripts were included after the assessment phase. These comprised 46 trials/randomized controlled trials (RCTs) and 33 before-after studies. A meta-analysis using a random-effects model was performed with STATA software (version 14.1.2). The selected outcome was the risk ratio (RR) of vaccination coverage improvement effectiveness. Additionally, meta-regression analyses were conducted for the included manuscripts. The analyses showed an overall efficacy of RR 1.22 (95% CI 1.19-1.26) for RCTs and RR 1.70 (95% CI 1.54-1.87) for before-after studies when considering all interventions cumulatively. Subgroup analyses identified multicomponent interventions (RR 1.58, 95% CI 1.36-1.85) and recall clinical interventions (RR 1.24, 95% CI 1.17-1.32) as the most effective in increasing vaccination coverage for RCTs. By contrast, educational interventions (RR 2.13, 95% CI 1.60-2.83) and multicomponent interventions (RR 1.61, 95% CI 1.43-1.82) achieved the highest increases for before-after studies. Meta-regression analyses indicated that the middle-aged adult population was associated with a higher increase in vaccination coverage (RCT: coefficient 0.54, 95% CI 0.12-0.95; before-after: coefficient 1.27, 95% CI 0.70-1.84). Community, family, and health care-based multidimensional interventions, as well as education-based catch-up strategies, effectively improve vaccination coverage. Therefore, their systematic implementation is highly relevant for targeting undervaccinated population groups. This approach aligns with national vaccination schedules and aims to eliminate or eradicate vaccine-preventable diseases.

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.

Effect of Logo Change on Brand Attitude: A Case Study of Mahindra at Nepal Electricity Authority

Rebranding, mainly through logo changes, has gained traction in the automobile industry as a response to evolving customer preferences. However, the impact of such corporate actions on brand attitude remains a complex and underexplored area. This study delves into corporate rebranding nuances, focusing on logo change and its effects on consumer brand attitude. Drawing from a theoretical framework, the study hypothesised that logo appropriateness, familiarity, and attractiveness positively influenced brand attitude. This study employed a descriptive and explanatory research design, focusing on Mahindra drivers of the Nepal Electricity Authority (NEA) as the target population. Data were collected through a primary survey using a structured questionnaire, resultingin 152 responses. The results, essential to brand managers and marketing professionals, revealed a positive influence of logo appropriateness and attractiveness on brand attitude. In contrast, logo familiarity did not significantly impact it. Overall, the findings underscore the importance of a well-designed logo that aligns with the brand's core values. Such a logo can significantly enhance consumer perceptions and foster positive relationships. Therefore, brand managers should prioritise logo design that resonates with their identity and values, particularly during rebranding efforts, to maintain a strong brand image among consumers.

Constructing prediction models and analyzing factors in suicidal ideation using machine learning, focusing on the older population.

Suicide among the older population is a significant public health concern in South Korea. As the older individuals have long considered suicide before committing suicide trials, it is important to analyze the suicidal ideation that precedes the suicide attempt for intervention. In this study, six machine learning algorithms were employed to construct a predictive model for suicidal thinking and identify key variables. A traditional logistic regression analysis was supplementarily conducted to test the robustness of the results of machine learning. All analyses were conducted using a hierarchical approach to compare the model fit of each model in both machine learning and logistic regression. Three models were established for analysis. In Model 1, socioeconomic, residential, and health behavioral factors were incorporated. Model 2 expanded upon Model 1 by integrating physical health status, and Model 3 further incorporated mental health conditions. The results indicated that the gradient boosting algorithm outperformed the other machine learning techniques. Furthermore, the household income quintile was the most important feature in Model 1, followed by subjective health status, oral health, and exercise ability in Model 2, and anxiety and depression in Model 3. These results correspond to those of the hierarchical logistic regression. Notably, economic and residential vulnerabilities are significant factors in the mental health of the older population with higher instances of suicidal thoughts. This hierarchical approach could reveal the potential target population for suicide interventions.