Use Of Questionnaire Research Articles

DUDA: a digital didactic learning unit based on educational escape rooms and multisensory learning activities for primary school children during COVID-19 lockdown

AbstractThe COVID-19 pandemic has accelerated digitization, access to IT resources, and digital inclusion in the Italian school system. This paper presents D-UDA (i.e., “unità didattica di apprendimento digitale”, in Italian), a digital didactic unit for learning mathematics concepts. The presented approach combines teaching methodologies and game-based activities (e.g., the escape room) with a multisensory approach to designing and developing digital and multimodal technologies. D-UDA is divided into two parts: the first part consists of logic puzzles that adhere to the guidelines set by INVALSI (the Italian Istituto Nazionale per la Valutazione del Sistema educativo di Istruzione e di formazione) for mathematics learning, while the second part involves a series of multisensory games designed to promote the development of transversal competencies, such as cooperation and engagement. Moreover, D-UDA encourages children to create their own adventure using the same tools employed by the designers to develop the experience. The children who participated in testing D-UDA in June 2020 were asked to complete usability questionnaires after the experience. Preliminary results indicate the effectiveness of the educational intervention presented, which integrates recent pedagogical theories and teaching methodologies with a multisensory perspective and a technological design.

Smartphone-based drug testing in the hands of patients with substance-use disorder-a usability study.

A clinical study was performed to test the usability of a smartphone eye-scanning app at a needle exchange facility to detect drug use to support therapy. The study recruited 24 subjects who visited the facility one to three times, making a total of 40 visits. During each visit the subjects underwent testing for non-convergence (NC), nystagmus (NY), and pupillary light reflex (PLR) using a smartphone-based eHealth system. The collected eye data were transformed into key features that represent eye characteristics. During each visit, a time-line follow-back interview on recent drug use and a usability questionnaire were completed. Technical usability of the smartphone eye-scanning app was good for PLR and NC, where key features were generated in 82%-91% of the cases. For NY, only 60% succeeded due to cognitive problems to follow instructions. In most cases, subjects were under the influence of drugs when participating in the tests, with an average of 2.4 different drugs ingested within the last 24 h. The key features from PLR could distinguish use of opioids from central stimulants. The usability questionnaire results indicate that 23 of the 24 subjects could perform the eye-scanning by themselves after a short training, even when under severe influence of drugs. The caregiver assessed that 20 out of the 24 challenging subjects could potentially perform these tests in an indoors, home-like environment. Smartphone-based eye-scanning is functional in a patient population with heavy drug use, also when under the influence of drugs. The use of central stimulants can be distinguished from the use of opioids.

The Analysis and Improvement of User Interface Design on Climate Information Service Mobile Application Using the Lean UX Method

Info BMKG is an iOS and Android app providing weather, temperature, air quality, and earthquake data across Indonesia. Issues related to the usability of the BMKG Info application were identified through observations and feedback found on the Google Play Store, which has a rating of 4.4. The responses identified included an unattractive appearance, limited features, increasing complexity, and a need for more innovation, necessitating usability evaluation and UI design improvements to enhance user experience. The analysis and redesign follow the Lean UX approach and Heuristic Evaluation method. Usability testing, specifically the Post-Study System Usability Questionnaire, is used to assess user satisfaction. The study finds that implementing Lean UX significantly improves the system's quality and user experience. UI design enhancements, based on usability testing, improve navigation, information clarity, and ease of use. Recommendations result in better outcomes, with Heuristic Evaluation yielding scores of H1 = 1 (System status visibility), H2 = 1 (Match between the system and the real world), H4 = 1 (Consistency and standards), H5 = 1 (Error prevention), H7 = 1 (Flexibility and efficiency of use), H8 = 1 (Aesthetic and minimalist design), and H9 = 1 (Help users recognize, diagnose, and recover from errors). The Post-Study System Usability Questionnaire method shows an improvement from high to a better category.

Demographic differences between patients selecting video or telephone for contraceptive counseling via telehealth

ObjectiveTo explore differences in demographic characteristics and telehealth usability between patients who chose video versus telephone for telehealth contraceptive counseling. Study designThis was a secondary analysis of a prospective cohort comparing the interpersonal quality of contraceptive counseling between in-person and telehealth visits at a single Title X-funded clinic. Before the clinical visit, a non-clinician counselor provided structured contraceptive counseling based on patients’ preferred modality. After counseling, respondents completed an electronic survey which included the Telehealth Usability Questionnaire (TUQ). Post-visit, the counselor evaluated perceived patient engagement. We calculated Area Deprivation Index (ADI) percentiles to characterize neighborhood environment. We compared characteristics between patients choosing video and telephone using Poisson regression and performed analyses stratified by ADI to test for effect modification. ResultsBetween March 2021 and June 2022, we enrolled 149 patients in the telehealth group: 146 (98%) were included in the analysis. Seventy percent of respondents chose telephone. Higher ADI, Black race, and lower educational level (<4 years college) were associated with choosing telephone in the unadjusted analysis. However, after stratifying by ADI, only lower educational level remained associated with choice of telephone among respondents from more deprived neighborhoods (aRR 1.46, 95% CI 1.01–2.11). We observed no differences in TUQ scores between respondents choosing telephone and video. ConclusionWhen given the option, more patients selected telephone than video for telehealth contraceptive counseling. No demographic characteristics were associated with choice of telephone among patients with a higher ADI. Offering telephone-based telehealth may improve access for people seeking contraceptive services. ImplicationsWe found that telephone-based telehealth is preferable for some patients, which may reflect differences in access to or comfort with video technology. We observed that higher ADI, Black race, and lower education level were associated with choice of telephone, although not after stratifying by ADI. Utilization of telephone-based telehealth may improve access for some patients and lead to more equitable-based health care.

Evaluation criteria for lifestyle applications – The role of MAUQ factors in satisfaction

Abstract The most common health-related apps are lifestyle apps, i.e., fitness, nutrition, diet, and meditation apps, which account for half of all m-health apps on the market. Mobile app-based interventions have been shown to be effective in improving diet-related health outcomes. The aim of this study is to map the usage patterns of lifestyle apps (fitness, diet, and relaxation apps) and identify the role of each factor in the usability of MAUQ (m-Health App Usability Questionnaire) factor - ease of use, interface satisfaction, and usefulness - in overall satisfaction. Data were collected through an online survey in Hungary with 348 users of various lifestyle applications, i.e., fitness (30.2%), nutrition (31.3%), and mindfulness (38.5%) apps. Respondents showed a preference for free apps over paid ones and predominantly used iOS operating systems. The partial least squares structural equation modelling (PLS-SEM) method was used to identify the role of usability dimensions in overall satisfaction. The satisfaction of lifestyle app users is positively influenced by ‘Ease of Use’ and ‘Interface and Satisfaction’. However, effectiveness (positive physical and mental health outcomes) negatively influences satisfaction. Research can be particularly useful for app developers, as usability and design (features) play a particularly important role in satisfaction, so these are primary considerations in development.

A Digital Clock Drawing Test on Tablet for the Diagnosis of Neurocognitive Disorders in Older Adults.

The diagnosis of neurocognitive diseases is an important health issue for patients, families and healthcare professionals. The need to develop rapid, high-performance screening tools would improve access to care. The Clock Drawing Test (CDT) is widely used and validated with the older adults, and its digital version is becoming increasingly widespread. We propose to confirm its validity in a population of old patients hospitalized in a geriatric unit, and secondly to verify its performance in comparison with the reference diagnosis made by a specialized team in a memory consultation. CDTs were collected from older hospitalized patients, both in paper form and digitally on a touchscreen tablet. The results show good agreement between the paper and digital versions (kappa coefficient = 0.81). Sensitivity and specificity of the digital CDT were 0.84 and 0.59 respectively for the diagnosis of major cognitive disorders. The corresponding values were 0.72 and 0.59 for the diagnosis of mild neurocognitive disorders. User questionnaires indicate that older participants find the digital tablet easy to use. However, they prefer to use paper, even if they are open to learning how to use the tablet.

Evaluating the Usability of a Telehealth System for People with COPD: A Cross Sectional Study.

Pulmonary Disease (COPD) exacerbations. However, the effect of telehealth for COPD remains uncertain, which may be due to a lack of attention to usability during the development of telehealth solutions. The aim was to evaluate the usability of a telehealth system for COPD using the Danish Telehealth Usability Questionnaire. A total of 96 people with COPD, who were already using a telehealth system consisting of weekly measurements of physiological parameters and symptom-related questionnaires, were included. The D-TUQ was used to assess the usability of the telehealth system. The overall experience with the usability of the telehealth system was mainly positive, but there was room for improvement.

Development and validation of a virtual learning management system usability questionnaire: A case study.

The post-pandemic era has seen a surge in the popularity of Virtual Learning Management Systems (VLMS). However, there is a noticeable lack of tools to measure the usability of these systems. As technology evolves, user needs change, necessitating updated tools for system evaluation. This study aims to develop and validate a VLMS usability questionnaire, specifically designed to assess the usability of a university learning management system. The VLMS usability tool was systematically developed based on relevant domains identified in existing literature and expert opinions. It was then tested for face validity, content validity, and reliability. In a case study, the tool was distributed among 200 students from a Medical Sciences university who had used the Navid VLMS system. Semi-structured interviews with experts were analyzed using directed content analysis, resulting in 21 items categorized into four domains: effectiveness, reliability, learnability, and security. The content validity index and ratio were 0.939 and 0.976, respectively. The Intra Class Correlation (ICC) estimates for each section of the questionnaire ranged from 0.8-0.9, indicating high reliability. Cronbach's alpha was 0.97, suggesting excellent internal consistency. The case study results showed that the Navid platform achieved an average usability score of 70.36, with a standard deviation of 10.6, indicating moderate to high usability. The VLMS usability tool is a valid and reliable instrument for assessing the usability of the Navid learning management system. It can be used to improve the usability of the Navid system and serve as a benchmark for assessing the usability of other similar VLMSs.

2225 Geriatric patients in virtual wards; technology adoption style, ease of use, and adherence to remote monitoring technology

Abstract Introduction NHS England is committed to the expansion of virtual wards, necessitating patient engagement with home care technology. Literature suggests there is a technology adoption lag among older populations. We investigated if this lag was evident in geriatric virtual ward patients. Methods Data from three NHS trusts using a virtual care platform (March 2021–August 2023) were aggregated to assess differences in perceived ease of use, technology adoption style, and measures of adherence. All patients received the Telehealth Usability Questionnaire Ease of Use (EOU) subsection (higher scores indicate higher EOU). Patients completed surveys via tablet, wore monitoring devices, and took blood pressure readings. We dichotomised age (&amp;lt;75 vs. 75+) and used Fisher’s exact and Wilcoxon-Mann–Whitney tests. Results Of 857 patients, 36.9% were geriatric (mean age 81.5 years). The younger group (mean age 59.1 years) had 541 patients. Gender was evenly split between age groups (p = 0.62). Median EOU scores were 5.5 (geriatric) and 6.2 (younger) (p &amp;lt; 0.001). Geriatric patients were more likely to avoid or delay technology adoption (82% vs. 56% in younger patients, p &amp;lt; 0.001). Geriatric patients had higher adherence to the wearable device (median 95.3%) compared to younger patients (93.3%, p &amp;lt; 0.001). Blood pressure (median 81.6%) and survey adherence (median 83.3%) did not significantly differ between groups (p = 0.076, p = 0.0501). Conclusions Despite perceptions and literature suggesting older patients are less comfortable with technology, our findings demonstrate high engagement in virtual ward technology. While differences exist in technology adoption and EOU scores, geriatric patients exhibit equal or higher adherence to remote monitoring tasks. These results challenge stereotypes and underscore the importance of incorporating technology in geriatric care.

Development and Validation of a Malay Version Questionnaire to Evaluate Remote Health Monitoring of COVID-19 via Telehealth Applications: Navigating Telehealth Evolution.

Introduction The rapid adoption of telehealth services due to the COVID-19 pandemic has highlighted the necessity for effective tools to evaluate patient experiences. This study developed and validated the Telehealth Usability, Acceptability, and Satisfaction Questionnaire (TUASQ) for virtual COVID-19 Assessment Centres (CACs) in Malaysia, aiming to comprehensively measure usability, acceptability, and satisfaction. Methodology The TUASQ was developed in two phases. Initially, the questionnaire development phase included item generation guided by the Technology Acceptance Model (TAM) and the Health Belief Model (HBM), with feedback from a panel of six experts. Items were refined through Content Validity Index (CVI) - Item-Level Content Validity Index (I-CVI) ≥ 0.82, Scale-Level Content Validity Index (S-CVI) ≥ 0.82, and Content Validity Ratio (CVR ≥ 0.78); and Face Validity Index (FVI) by 10 respondents - Item-Level Face Validity Index (I-FVI) ≥ 0.82and Scale-Level Face Validity Index (S-FVI ≥ 0.82). The psychometric validation phase involved a cross-sectional study of 705 respondents, recruited through convenience sampling from March to July 2024, to perform Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA), followed by reliability testing using Cronbach's alpha, Composite Reliability (CR), and Average Variance Extracted (AVE). Results Content validation showed that most items' I-CVI exceeded 0.82, indicating significant expert consensus on relevance and clarity. The CVR also surpassed the 0.78 threshold, affirming their essential role. Face validation indices generally exceeded 0.80, confirming the questionnaire's clarity and comprehensiveness from the users' perspective. EFA with 250 participants indicated a high Kaiser-Meyer-Olkin Measure of Sampling Adequacy (KMO) of 0.933 and significant Bartlett's test (χ² (136) = 3752.698, p < 0.001), supporting the factorability of the data and extracting three distinct factors. CFA with 455 participants initially showed a poor fit, prompting model adjustments that subsequently improved the fit indices (Root Mean Square Error of Approximation (RMSEA) = 0.076, Standardized Root Mean Square Residual (SRMR) = 0.045, Goodness of Fit Index (GFI) = 0.94, Tucker-Lewis Index (TLI) = 0.96, Comparative Fit Index (CFI) = 0.97). Reliability testing revealed a high internal consistency with Cronbach's alpha of 0.975. CR for each factor exceeded the 0.70 threshold, and the AVE for each factor was above 0.50, indicating good convergent validity. Conclusion The validated TUASQ is a reliable and effective instrument for assessing the experiences of Malaysian patients using virtual CAC. Demonstrating robust psychometric properties through comprehensive validation processes, the TUASQ accurately measures usability, acceptability, and satisfaction, identifying strengths and areas for improvement in telehealth services. This contributes to enhanced care quality and patient satisfaction in the evolving healthcare landscape.

Vendors And Multiple Virtual Stores On Cooperative ECommerce

The Vendors and Multiple Virtual Stores on Cooperative E-Commerce is integrated with the Cooperative Loan Servicing System, Stakeholders Management System, and Events Venue and Hostel Management System. The lack of provisions to offer other services on the side of the customers or buyers can result in less income, resulting in poor scalability of business growth for the grocery store. The researcher gathered data through a series of interviews and by providing questionnaires to the employees and members. Results showed a positive response from employees and members, with strongly Agreed-upon results regarding the system's System Usefulness, Information Quality, and Interface Quality. Using the Vendors and Multiple Virtual Stores on Cooperative ECommerce brought extra income to the Cooperative, which resulted in higher profit. At the same time, it provides convenience to customers by offering other services besides the existing old service, which can result in more customers and lead to higher profits and incomes. Background: A cooperative is an organization run by its members who share the benefits and profits, with productivity enhanced by integrating systems like E-commerce Multi-Store, Hostel Management, Stakeholders Management, and Loan Servicing, along with a Forecasting Model for sales trends. The Internet's evolution has transformed shopping styles, making online shopping increasingly popular and allowing consumers to shop without visiting physical stores. The Vendors and Multiple Virtual Stores on Cooperative E-Commerce aims to address operational issues, expand service reach, and generate additional income for the cooperative and its members by integrating the system into operations. Materials and Methods: The study presents an operational framework encompassing input, process, output, and outcome and emphasizes the use of the Software Development Life Cycle (SDLC) with a focus on prototyping for user feedback and refinement. Data from cooperative members and employees were gathered through interviews and questionnaires, leading to developing, testing, and validating modules for a Cooperative E-Commerce system. Results: The study involved 50 respondents, including 20 cooperative employees and 30 members. The evaluation of system usability through the Post-Study System Usability Questionnaire (PSSUQ) revealed that respondents strongly agreed on the system's usefulness (mean score: 1.29), information quality (mean score: 1.34), and interface quality (mean score: 1.28). High scores indicate that the system is easy to use, provides clear and helpful information, and has a user-friendly interface, contributing to efficient decision-making and competitive advantage for the organization. Conclusion: The integration of Vendors and Multiple Virtual Stores on the Cooperative E-Commerce platform significantly enhances cooperatives' operational efficiency, market reach, and overall business strategy, with respondents rating the system highly for usefulness, information quality, and interface quality

Perceptions of telehealth use by PAs post-COVID-19.

Use of telemedicine and remote patient monitoring can provide significant cost savings through improved disease control and reduced exacerbations. This study investigated physician associates'/assistants' (PAs') perceptions of telemedicine to inform future use and expansion of these programs. The Telehealth Usability Questionnaire was completed by 30 PAs recruited via social media. Data were coded and analyzed through an electronic spreadsheet program. PAs generally felt that telemedicine was a helpful tool to increase access to care (M = 4.129) but did not replace in-person visits. Variation in responses related specifically to the platform indicated PAs' varying experiences about ease of use. Findings demonstrated that PAs from a variety of practice settings found telemedicine to be a helpful tool to reduce barriers and improve access to care. However, PAs did not feel that telemedicine replaces in-person visits.

Self-regulated learning while solving mathematical problems among mathematically gifted and talented students’

ABSTRACT Self-regulated learning (SRL) represents a necessary fundamental 21st century skill for children and adolescents and is essential for the development of gifted students. This study explored mathematically gifted (MG) junior high school students’ SRL capabilities while solving mathematical problems compared to typical achievers (TAs). A sample of 71 ninth-grade students from three junior high schools were divided into two study groups (MG and TA). Participants completed Motivated Strategies for Learning Questionnaires (MSLQ) and a Metacognitive Strategy Usage Questionnaire (MSUQ). In addition, students underwent Think-Aloud Interviews while solving mathematical problems (quadratic function) at two levels of difficulty. The results only revealed significant differences between MG and TA students on the organization subscale of the MSLQ. No differences were found between the study groups in the metacognitive strategies used in the questionnaire. MG students outperformed TA students on the Mathematical Problem-Solving Task and generally used more SRL strategies during the qualitative Think-Aloud Interviews. Moreover, the differences in the between-group effect sizes were higher on the high-difficulty level of the problem-solving task than on the low-difficulty level of the task. The findings constitute a significant milestone in the study of SRL capabilities of MG in junior high school.

LiverColor: An Artificial Intelligence Platform for Liver Graft Assessment.

Hepatic steatosis, characterized by excess fat in the liver, is the main reason for discarding livers intended for transplantation due to its association with increased postoperative complications. The current gold standard for evaluating hepatic steatosis is liver biopsy, which, despite its accuracy, is invasive, costly, slow, and not always feasible during liver procurement. Consequently, surgeons often rely on subjective visual assessments based on the liver's colour and texture, which are prone to errors and heavily depend on the surgeon's experience. The aim of this study was to develop and validate a simple, rapid, and accurate method for detecting steatosis in donor livers to improve the decision-making process during liver procurement. We developed LiverColor, a co-designed software platform that integrates image analysis and machine learning to classify a liver graft into valid or non-valid according to its steatosis level. We utilized an in-house dataset of 192 cases to develop and validate the classification models. Colour and texture features were extracted from liver photographs, and graft classification was performed using supervised machine learning techniques (random forests and support vector machine). The performance of the algorithm was compared against biopsy results and surgeons' classifications. Usability was also assessed in simulated and real clinical settings using the Mobile Health App Usability Questionnaire. The predictive models demonstrated an area under the receiver operating characteristic curve of 0.82, with an accuracy of 85%, significantly surpassing the accuracy of visual inspections by surgeons. Experienced surgeons rated the platform positively, appreciating not only the hepatic steatosis assessment but also the dashboarding functionalities for summarising and displaying procurement-related data. The results indicate that image analysis coupled with machine learning can effectively and safely identify valid livers during procurement. LiverColor has the potential to enhance the accuracy and efficiency of liver assessments, reducing the reliance on subjective visual inspections and improving transplantation outcomes.

DEVELOPMENT OF TEACHING MATERIALS E-BOOK THEME 8 SUBTEMA 1 IN CLASS VI SOCIAL STUDY

This research was carried out to produce a product in the form of e-book format (electronic book) teaching materials that discuss ASEAN topics in social studies learning theme eight subthemes 1, uploaded on the Issuu platform. This research uses research and development (R&amp;D) methods with the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model. Data was collected through two types of questionnaires: 1) a Validation questionnaire filled out by expert validators (teaching materials, material, language) to assess the suitability of the teaching materials. and 2) a User questionnaire filled out by class teachers and students. The teaching materials developed in this research have gone through a validation process by experts and users with the following results: Material experts gave a score of 80% with "decent" criteria, Linguist experts gave a score of 95% with "very decent" criteria, Media experts gave a score of 90.66% with "very decent" criteria and Users (class teachers) gave a score of 94.78 % with "very feasible" criteria. This teaching material has also been tested on students with the following results: an individual test was carried out on three female students with a result of 90.27%, a scale trial was carried out on eight female students with a result of 91.59%, and a large scale test: carried out on 20 students with a result of 83.09%. Based on the results of expert validation and positive user responses, it can be concluded that the ASEAN e-book developed using the ADDIE model is successful and suitable for social studies learning for class VI elementary school.

A Geospatial Drug Abuse Risk Assessment and Monitoring Dashboard Tailored for School Students: Development Study With Requirement Analysis and Acceptance Evaluation.

The enormous consequences of drugs include suicides, traffic accidents, and violence, affecting the individual, family, society, and country. Therefore, it is necessary to constantly identify and monitor the drug abuse rate among school-going youth. A geospatial dashboard is vital for the monitoring of drug abuse and related crime incidence in a decision support system. This paper mainly focuses on developing MyAsriGeo, a geospatial drug abuse risk assessment and monitoring dashboard tailored for school students. It introduces innovative functionality, seamlessly orchestrating the assessment of drug abuse usage patterns and risks using multivariate student data. A geospatial drug abuse dashboard for monitoring and analysis was designed and developed in this study based on agile methodology and prototyping. Using focus group and interviews, we first examined and gathered the requirements, feedback, and user approval of the MyAsriGeo dashboard. Experts and stakeholders such as the National Anti-Drugs Agency, police, the Federal Department of Town and Country Planning, school instructors, students, and researchers were among those who responded. A total of 20 specialists were involved in the requirement analysis and acceptance evaluation of the pilot and final version of the dashboard. The evaluation sought to identify various user acceptance aspects, such as ease of use and usefulness, for both the pilot and final versions, and 2 additional factors based on the Post-Study System Usability Questionnaire and Task-Technology Fit models were enlisted to assess the interface quality and dashboard sufficiency for the final version. The MyAsriGeo geospatial dashboard was designed to meet the needs of all user types, as identified through a requirement gathering process. It includes several key functions, such as a geospatial map that shows the locations of high-risk areas for drug abuse, data on drug abuse among students, tools for assessing the risk of drug abuse in different areas, demographic information, and a self-problem test. It also includes the Alcohol, Smoking, and Substance Involvement Screening Test and its risk assessment to help users understand and interpret the results of student risk. The initial prototype and final version of the dashboard were evaluated by 20 experts, which revealed a significant improvement in the ease of use (P=.047) and usefulness (P=.02) factors and showed a high acceptance mean scores for ease of use (4.2), usefulness (4.46), interface quality (4.29), and sufficiency (4.13). The MyAsriGeo geospatial dashboard is useful for monitoring and analyzing drug abuse among school-going youth in Malaysia. It was developed based on the needs of various stakeholders and includes a range of functions. The dashboard was evaluated by a group of experts. Overall, the MyAsriGeo geospatial dashboard is a valuable resource for helping stakeholders understand and respond to the issue of drug abuse among youth.

Design and evaluation of a serious video game to treat preschool children with speech sound disorders

Speech sound disorder (SSD) is one of the most common communication disorders in children, which must be diagnosed and treated in childhood to prevent its negative psychological, occupational, and social consequences in adulthood. The use of serious games is one technology that could help treat SSD. This study aims to design and evaluate the usability of a digital game for 3–6-year-old children. This developmental study was carried out in three main stages: determining information requirements, designing and developing a digital game, and evaluating the usability of the designed game. In the first stage, the consonants, syllables, words, and sentences that should be used in the game were determined through focus group sessions and a questionnaire completed by 30 speech-language pathologists (SLPs) in two Delphi rounds. In the designing and developing stage, the game design document was first written, and then sketches and wireframes were drawn based on this document. Then, the game was developed in the second phase using Java programming language. In the third stage, the usability of the designed game was evaluated by six experts and 22 SLPs using Nielsen's usability heuristics and the Post-Study System Usability Questionnaire (PSSUQ), respectively. Also, the usability of the game was evaluated by ten children. To determine the information requirements, SLPs confirmed 23 consonants, 138 syllables, 564 words, and 69 sentences to teach children the game. According to Nielsen's usability heuristics, the designed game had 23 unique usability problems with a mean severity of 2.29. "User control and freedom," with five usability problems, was the most frequently identified problem, and "error prevention," with a mean severity of 3.83, was the most severe problem. The results of the SLPs’ evaluation also showed that the "interface quality" of the designed game obtained the highest score, with a mean score of 6.25 out of 7. Also, 100% of children stated that the game was designed beautifully, and 90% of children also liked the game. A serious game designed for children with SSDs achieved satisfactory results in usability evaluation. Therefore, this smartphone-based game can be easily used among these children to provide fun therapy sessions under the supervision of parents.

Wrinkle Reduction Using Tetrapeptide-68 Contained in an O/W Formulation: A Randomized Double-Blind Placebo-Controlled Study.

Peptides, composed of 2-50 amino acids, have gained attention in anti-aging treatments due to their high safety, low irritation, and cost-effective production. This study aimed to evaluate the anti-wrinkle efficacy of Tetrapeptide-68, derived from the skin structural protein Loricrin, on periorbital wrinkles in women aged 30-65 years. A 12-week, double-blind, randomized controlled trial was conducted with 25 participants who applied the Tetrapeptide-68 (100 ppm) O/W formulation around the eyes. Skin physiological parameters were assessed at baseline, 4, 8, and 12 weeks. Participants also completed efficacy and usability questionnaires. Significant improvements in wrinkle reduction were observed with Tetrapeptide-68 cream treatment, as measured by various skin roughness parameters and 3D imaging analysis. Participants reported positive changes in skin texture and moisture levels, with no adverse reactions noted. Tetrapeptide-68 cream demonstrates promising anti-wrinkle effects, highlighting its potential as an effective ingredient in anti-aging skincare formulations. Further studies are recommended to explore its long-term benefits and underlying mechanisms.

STOP-Bang questionnaire in patients hospitalized with acute symptomatic pulmonary embolism.

The STOP-Bang questionnaire is a validated screening tool for obstructive sleep apnea (OSA). We conducted this study to validate it among patients hospitalized with acute symptomatic pulmonary embolism (PE). This prospective cohort study enrolled consecutive stable patients with acute PE who underwent an overnight sleep study within 7 days after diagnosis. Our outcomes were: i) the STOP-Bang questionnaire's utility for risk stratification, ii) the discrimination of the STOP-Bang questionnaire categories, iii) the false negative rate of STOP-Bang questionnaire prediction, and iv) the clinical utility of the STOP-Bang questionnaire to exclude OSA. We also calculated the test performance characteristics to predict OSA. During the study period, 268 patients completed a sleep study. OSA was found in 47% of patients. OSA incidence in low-, moderate-, and high-risk STOP-Bang groups was 22.4%, 48.2%, and 61.5%, respectively (P <0.001). The area under the receiver operating characteristics curve of the STOP-Bang questionnaire for risk of OSA was 0.65. The false negative rate of a low-risk STOP-Bang questionnaire result to rule out OSA was 22.4% and the clinical utility was 21.6%. The sensitivity was 89.8% (97.2% for men and 80.4% for women). The STOP-Bang questionnaire showed poor discrimination for the risk of OSA in hospitalized patients with acute symptomatic PE. It had a high false negative rate and a low clinical utility. The STOP-Bang questionnaire had a good sensitivity in men, and might be used to rule out OSA in this population.

User perceptions of ICT-based library services in the universities of Bangladesh

PurposeThe main purpose of this study is to explore the existing information and communication technologies (ICTs) scenario in public and private university libraries in Bangladesh. The aim of the study was to determine the use and extent of ICT implementation for collection development practices of the said institutions.Design/methodology/approachThe study is based on a structured questionnaire for university library users. Students' opinions have been encapsulated, and the data findings were analyzed and presented in light of the responses.FindingsFor students who responded to the questionnaire, their ICT-based knowledge usage experience is not up to the mark. In general, it was found that students had limited knowledge about ICT-based resources and services. Besides this, the study also showed how to improve the entire condition and services of these libraries by adopting modern technology. This investigation reveals the situation they encountered in applying information technology and puts forward necessary recommendations that may help improve their services in the information storing and dissemination process.Originality/valueThis study focuses on the user perceptions of ICT-based library services in university libraries in Bangladesh. It will prompt further research on user perceptions of ICT-based library services in academic libraries globally.