E-Learning Readiness Assessment Using Machine Learning Methods

Assessing e-learning readiness is crucial for educational institutions to identify areas in their e-learning systems needing improvement and to develop strategies to enhance students' readiness. This paper presents an effective approach for assessing e-learning readiness by combining the ADKAR model and machine learning-based feature importance identification methods. The motivation behind using machine learning approaches lies in their ability to capture nonlinearity in data and flexibility as data-driven models. This study surveyed faculty members and students in the Economics faculty at Tlemcen University, Algeria, to gather data based on the ADKAR model's five dimensions: awareness, desire, knowledge, ability, and reinforcement. Correlation analysis revealed a significant relationship between all dimensions. Specifically, the pairwise correlation coefficients between readiness and awareness, desire, knowledge, ability, and reinforcement are 0.5233, 0.5983, 0.6374, 0.6645, and 0.3693, respectively. Two machine learning algorithms, random forest (RF) and decision tree (DT), were used to identify the most important ADKAR factors influencing e-learning readiness. In the results, ability and knowledge were consistently identified as the most significant factors, with scores of ability (0.565, 0.514) and knowledge (0.170, 0.251) using RF and DT algorithms, respectively. Additionally, SHapley Additive exPlanations (SHAP) values were used to explore further the impact of each variable on the final prediction, highlighting ability as the most influential factor. These findings suggest that universities should focus on enhancing students' abilities and providing them with the necessary knowledge to increase their readiness for e-learning. This study provides valuable insights into the factors influencing university students' e-learning readiness.

Skills Training of Infectious Diseases in the Community：a Survey Research of Questions

Background As the most basic unit of infectious disease prevention and control，community health service institutions are the frontline and important gateway for the prevention and control of infectious disease. Primary care physicians are responsible for epidemic surveillance，vaccination，health promotion and assistance to centers for disease control in investigating and disposing outbreaks and public health emergencies in their districts，and play an active role in disease prevention and control by groups，susceptible population protection，infectious source control and health education，as well as the effective prevention and control of infectious diseases. Objective To understand the ability of primary care physicians to diagnose and treat infectious diseases in the community，analyse their existing problems and shortcomings，design and conduct a series of intensive training related to infectious diseases for improving the capacity of infectious disease prevention and control at the primary level；To evaluate the effectiveness of online continuing medical education，so as to provide a reference for better continuing medical education on infectious diseases in the community. Methods All participants of the National Community Infectious Diseases Continuing Education Conference held by the Department of Family Medicine of the University of Hong Kong-Shenzhen Hospital in November 2021 were selected as research subjects from November 2021 to March 2022. The questionnaires were distributed to all registered attendees before and after the conference through the QR code of the questionnaire star，and the content of pre-conference questionnaire included demographic characteristics of the participants，participation in infectious disease training in the community since started working，diagnosis and treatment of infectious diseases in the community，subjective attitudes towards the prevention and control of infectious diseases in the community（willingness to manage infectious diseases in the community，satisfaction with their own infectious disease management skills），expertise in infectious disease prevention and control and knowledge related to conference content，attitude towards hepatitis B. The content of the post-conference questionnaire mainly included knowledge about the content of conference，attitude towards hepatitis B and satisfaction survey of this online conference. A total of 301 primary care physicians completed the questionnaire before and after the conference，and a total of 194 completed the questionnaire before and after the conference. Results Among all participants，166 （55.1%） had attended infectious disease training in the community，of whom 49（29.5%） were satisfied with their infectious disease diagnosis and treatment ability；135（44.8%） had not attended the training，of whom 22（16.3%） were satisfied with their infectious disease diagnosis and treatment ability. 143（86.1 %） of 166 participants who had attended infectious disease training in the community indicated their willingness to manage community infectious diseases，99（73.3%） of 135 participants who had not attended infectious disease training in the community indicated their willingness to manage community infectious diseases. 66（27.3%） of participants who were satisfied with their infectious disease diagnosis and treatment ability indicated their willingness to manage community infectious diseases. The top three infectious disease tests conducted by the institutions were hepatitis B，AIDS，and hepatitis C；the top three infectious diseases treated in the past six months were hepatitis B，influenza，hand，foot and mouth disease. Different self-evaluation and willingness to train may affect the willingness to manage community infectious diseases（P<0.05）. Among the participants who completed the questionnaire both before and after the conference，the highest correct answer rate for compulsory management of statutory infectious diseases before the conference was 89.7%，the owest accuracy rate for the type of disinfection of the COVID-19 infection was only 17.0%，the correct rates of other questions ranged from 34.0% to 40.7%. The correct rates of the questions after the conference were higher than those before the conference，and the correct rates ranged from 48.9% to 52.6%. The score of attitude towards hepatitis B after the conference was higher than that before the conference （P<0.05）. In terms of feedback after conference，254（98.1%） expressed satisfaction in the total of 259 questionnaires. In terms of suggestions for online conference，179（69.1%） and 174（67.2%） participants believed that online fluency and online interaction need to be improved. Conclusion The primary care physicians receive relatively less infectious diseases training in the community，inadequate infectious diseases training in the community can improve the confidence of self-competence，attitude of active management of infectious diseases and diagnosis and treatment ability in the primary care physicians. The future direction of continuing medical education should focus on the training of emerging infectious diseases and novel medical concepts，relevant experts should be invited to comment on the necessity and effectiveness of training in the community. © 2023 Chinese General Practice. All rights reserved.

Workplace violence and associations with health outcomes in public health administration agencies in Taiwan: a survey during the COVID-19 pandemic

Objectives: To investigate the prevalence of workplace violence in public health administration agencies and its effects on health outcomes. Methods: A survey was conducted in March 2022. Staff who had been working for at least one year in the Ministry of Health and Welfare or its subordinate agencies, the Department of Health, or in public health centers were recruited. Data were collected anonymously with a structured, online questionnaire. A total of 492 valid questionnaires were collected. Results: A total of 48.17% participants reported having experienced workplace violence (physical, psychological, verbal, or sexual). The most common type of violence was verbal (43.50%), followed by psychological (31.71%). Supervisors were the primary perpetrators of verbal and psychological violence, followed by clients and colleagues. Staff reported long working hours and high levels of psychological and physical stress. Furthermore, 22.97% of workers reported poor self-rated health, 60.57% had personal burnout levels higher than 50, and 63.41% reported poor mental health. Regression analyses showed that low workplace justice was most strongly associated with internal verbal and psychological violence, whereas routine work requiring interaction with the public was most strongly associated with external verbal violence. Staff who had experienced workplace violence in the past year had significantly higher risks of poor self-rated health, mental health, and personal burnout, and poor health was more strongly associated with workplace violence that originated inside the organization than with workplace violence that originated from outside the organization. Conclusions: This survey was conducted on-line anonymously, so the representativeness of our findings might be limited. However, heavy workloads and workplace violence in public health administration agencies during the COVID-19 pandemic are important issues deserving urgent attention. (Taiwan J Public Health. 2023;42(1) :42-61)

Anxiety and depression among epilepsy patients in low-risk areas for COVID-19 in the northern part of Guizhou Province, China, during the COVID-19 pandemic

BackgroundThis study was aimed to investigate whether patients with epilepsy (PWE) have higher depression and anxiety levels than the normal population in low-risk areas for coronavirus disease 2019 (COVID-19) in the northern part of Guizhou Province, China, during the COVID-19 epidemic, to evaluate their knowledge on COVID-19, and to analyze related factors for the psychological distress of PWE at this special time.MethodsThe survey was conducted online from February 28, 2020 to March 7, 2020 via a questionnaire. PWE from the outpatient clinic of epilepsy of the Affiliated Hospital of Zunyi Medical University, and healthy people matched for age and sex, participated in this study. Mental health was assessed via a generalized anxiety self-rating scale (GAD-7) and the self-rating depression scale (PHQ-9). The knowledge of COVID-19 in both groups was investigated.ResultsThere were no significant differences in the general demographics between the PWE and healthy control groups. The scores of PHQ-9 (P < 0.01) and GAD-7 (P < 0.001) were higher in the PWE group than in the healthy group. There was a significant difference in the proportions of respondents with different severities of depression and anxiety, between the two groups, which revealed significantly higher degree of depression and anxiety in PWE than in healthy people (P = 0, P = 0). Overwhelming awareness and stressful concerns for the pandemic and female patients with epilepsy were key factors that affect the level of anxiety and depression in PWE. Further, the PWE had less accurate knowledge of COVID-19 than healthy people (P < 0.001). There was no statistically significant difference between the two groups in the knowledge of virus transmission route, incubation period, susceptible population, transmission speed, clinical characteristics, and isolation measures on COVID-19 (P > 0.05). PWE knew less about some of the prevention and control measures of COVID-19 than healthy people.ConclusionsDuring the COVID-19 epidemic, excessive attention to the epidemic and the female sex are factors associated with anxiety and depression in PWE, even in low-risk areas.

Breeding Hope during the Crisis: A Study on Unemployed Laborers' Willingness to Receive Educational Compensation under the Chinese "Zero-COVID” Policy

Under the Chinese "Zero-COVID” policy, many laborers were forced out of work. Participating in educational compensation can effectively help unemployed laborers achieve re-employment. This paper selected Jining, Shandong Province, as the research area, analyzed the data using a questionnaire survey and key interviews, and observed factors that affect and change willingness to receive educational compensation (WTEC) and the willingness to accept the training duration (WTTD) of unemployed laborers. The study found that 77.78% of unemployed laborers are willing to receive educational compensation, and the WTTD is 12.05 days. Among them, eight factors affect WTEC, such as the years of education, the duration of unemployment, whether there are dependents in the family, and the family's size. Nine factors such as gender, age, education, unemployed duration, dependents, and other supportable incomes affect WTTD. Based on this, by taking measures from the government and laborers, WTEC and WTTD can be improved, and then the rate of re-employment can be enhanced, and finally, the employment problem can be ameliorated.

THE IMPACT OF DIGITAL MARKETING ON THE DEVELOPMENT OF TOURISM IN REPUBLIC OF ALBANIA

The tremendous growth of tourism in Albania in recent decades, made important the understanding of the role that digital marketing and mobile technology is playing in this field. Tourism in Albania is one of the most important economic sectors of the country, and is growing year after year. It is emphasized that digitalization is a new form of communication between producers and consumers of tourism services, becoming a source of competitive advantages for tourism organizations. The main goal of the study is to give us a clear overview of the use of the Internet, information technologies and digital marketing in Albania. For the realization of this study, we used a methodology that combines primary data with secondary ones. The research was conducted through questionnaires that were sent to Albanian travel agencies via email. The questionnaire contains 17 questions, and was sent to 150 travel agencies, of which 102 agencies responded. Regarding the study, digital marketing plays an important role in improving the image of Albanian tourism throughout the world. It has created facilities in the way of doing marketing and reducing the costs of businesses. Through digital marketing, travel agencies have managed to promote our country online, personalize services and, above all, be closer to customers. The research found that the most effective digital marketing tools used by the agencies are Instagram and Facebook.

Dil ve Konuşma Terapisi Alanında Tele-Terapi Hizmeti Alan Bireylerin Memnuniyetlerinin Íncelenmesi

Amaç: COVID-19 sebebi ile ilan edilen pandemi süreciyle birlikte ülkemizde dil ve konuşma terapisi alanında tele-terapi hizmetinin kullanımında artış gözlenmiştir. Bu araştırma kapsamında vakaların bu süreç içerisinde aldıkları tele-terapi hizmetlerindeki memnuniyet düzeylerinin incelenmesi amaçlanmıştır. Çalışmada, dil ve konuşma terapisi alanında tele-terapi hizmeti alan bireylerin, terapiye yönelik memnuniyet düzeylerinin aldıkları tele-terapi seansı sayısına ve bozukluk türlerine göre incelenmesi hedeflenmiştir. Yöntem: Bu çalışma 0-64 yaş aralıǧında, 42 katılımcıdan (24E, 18K) alınan veriler doǧrultusunda oluşturulmuştur. Araştırmacılar tarafından hazırlanan "Dil ve Konuşma Bozukluklarında Tele-Terapi Danışan Memnuniyet Anketi" katılımcılara çevrimiçi platformlar aracılıǧı ile ulaştırılmıştır. Hazırlanan anket, 26 soru ve altı alt boyuttan oluşmaktadır. Bu alt boyutlar;"Terapistin Yetkinliǧi", "Íletişim Yeterliliǧi", "Erişilebilirlik ve Ödemeler", "Tele-terapiye Yönelik Donanım", "Genel Tele-terapi Memnuniyeti" ve "Anket Toplam Puan" olarak düzenlenip, analizleri gerçekleştirilmiştir. Elde edilen veriler, normal daǧılıma uygun olmadıǧı (Shapiro Wilk test;p <. 05) için verilerin istatistiksel analizi Mann Whitney U ve Kruskal Wallis testleri kullanılarak gerçekleştirilmiştir. Sonuçlar %95 güven aralıǧında, anlamlılık ise p < .05 düzeyinde deǧerlendirilmiştir. Bulgular: Analizler sonucunda bozukluk türü, alınan tele-terapi seansı sayısı deǧişkenlerine göre "Íletişim yeterliliǧi" alt boyutu dışında diǧer alt boyutlar ve toplam skorda anlamlı farklılık bulunmamıştır. "Íletişim yeterliliǧi" alt boyutunda akıcılık bozuklukları-konuşma sesi bozuklukları (Mann Whitney U test;p = ,044 < ,05) ile akıcılık bozuklukları-ses bozuklukları (Mann Whitney U test;p = ,019 < ,05) olan katılımcılar arasında istatistiksel anlamlılık ortaya çıkmıştır. Sonuç: Çalışmamıza katılan bireylerin bozukluk türü, terapistin yetkinliǧi ve alınan tele-terapi seansı sayısı deǧişkenlerine göre tele-terapi memnuniyetleri arasında anlamlı bir farklılık bulunmamaktadır. Yalnızca akıcılık bozuklukları -konuşma sesi bozuklukları ile ses bozuklukları olan katılımcıların "Íletişim yeterliliǧi" alt boyutunda anlamlı derecede daha yüksek puanlar verdikleri sonucuna ulaşılmıştır. Elde edilen sonucun iki grup arasındaki katılımcı sayılarından kaynaklandıǧı düşünülmektedir. Bu çalışma kapsamında ülkemizde tele-terapinin memnuniyetine yönelik bilgilerin ilk verilerine ulaşılmıştır. Bu çalışmanın katılımcı sayısının arttırılarak tekrar edilebileceǧi düşünülmektedir.Alternate :Purpose: Due to the COVID-19 outbreak, the usage of tele-therapy services has been increased in Turkey. There also seems to be an increase in the use of tele-therapy in speech and language pathology services. Therefore, the satisfaction levels of the clients in tele-therapy appears to be an important subject to examine. The aim of this study was to investigate the satisfaction levels in individuals who receive tele-therapy services for speech and language therapy. The data has been examined based on tele-therapy sessions the participants received and, the type of disorder they had. Method: This study is based on data from 42 participants (24 men, 18 women). The "Tele-therapy Client Satisfaction Questionnaire in Speech and Language Disorders" was prepared by the researchers and delivered to the participants through online platforms. The questionnaire consists of 26 questions and six sub-dimensions. These sub-dimensions "Therapist's Competence", "Communication Adequacy", "Accessibility and Payments", "Equipment for Tele-therapy", "Generalized Tele-therapy Satisfaction", and " Questionnaire Total Point" were analyzed. Since the data did not show normal distribution (Shapiro Wilk test;p < .05), the statistical analysis was carried out u ing non-parametric Mann Whitney U and Kruskal Wallis tests. The results were evaluated at a 95% confidence interval, and significance was evaluated at p < .05 level. Results: The results revealed no significant difference between the sub-dimensions and total score, except for the "Communication competence" sub-dimension, based on the variables of the type of disorder and the number of tele-therapy sessions received. In the "Communication Adequacy" sub-dimension, a statistical significance was found among the participants with fluency disorders-speech sound disorders (Mann Whitney U test;p = .044 < .05) and fluency disorders-voice disorders (Mann Whitney U test;p = .019 < .05). Conclusion: According to the variables in our study;type of disorder, the competence of the therapist, and the number of tele-therapy sessions received, there is no significant difference between the satisfaction of the tele-therapy in speech and language services. It was concluded that the participants with fluency disorders, speech sound disorders, and voice disorders gave significantly higher scores on "Communication Adequacy". It is thought that the result obtained is due to the number of participants between the two groups. Within the scope of this study, the first data on the satisfaction of tele-therapy in Turkey was reached. It is thought that this study can be repeated by increasing the number of participants. Future studies may also examine the satisfaction levels of participants with speech and language disorders separately.

Optimising students' participation during emergency remote teaching in the Covid-19 pandemic

This study examined issues related to students' participation and online absenteeism among students at Zimbabwe's universities during COVID-19 induced online teaching and learning. More specifically, the study examined some of the ethical issues related to students' participation and assessment during online learning in selected universities in Zimbabwe. The study also examined some of the strategies that can be adopted to optimize students' participation during online learning to make online learning a more honest and interactive endeavour. To fully understand the challenges related to participation and online absenteeism, the study extrapolated the perspectives of students and academic staff who had adopted online learning since the outbreak of the COVID-19 pandemic. The research was a mixed-methods study, employing a descriptive-analytical approach which utilised three main methods of data collection. Firstly, semi-structured questionnaires distributed electronically among participants in the selected universities were used to collect research data. Secondly, follow-up online focus-group discussions (FGDs) were conducted to elicit participants' views on some of the ethical challenges posed by online learning and possible strategies for dealing with the challenges. Finally, follow-up telephone interviews were also conducted with lecturers with the same objective as the FGDs. The study's population consisted of 110 students and 77 academic staff randomly selected from six universities in Zimbabwe. Two of the selected universities were privately owned and four were public universities. The study showed some of the technological and pedagogical issues regarding students' participation and strategies for optimising students' participation during online learning. The study also shared some of the ethical challenges that arose from the adoption of online teaching and assessment systems and the policy, resource and training interventions needed to make online learning more interactive, while at the same time safeguarding academic integrity. The findings of this study, therefore, have implications for universities, learners and academic staff if online learning programmes are to be successful. Firstly, universities for instance, need to ensure that students and academic staff have the prerequisite technological resources to ensure that optimal active learning takes place. Secondly, to address the shortage of resources, universities should ensure that their libraries migrate from physical to digital libraries. Universities should also ensure that both academic staff and students receive the necessary training to access these digital libraries and the services they offer.

Faktory ovplyvňujúce duševné zdravie sestier v období pandémie covidu-19

Súhrn Úvod: Zdravotnícki pracovníci, predovšetkým sestry, môžu byť v exponovanom období počas pandémie covidu-19 vystavení zvýšenej psychickej záťaži. Cieľ: Zistiť, aký je dopad zvýšených nárokov na poskytovanie zdravotnej starostlivosti spojený s koronakrízou, na úroveň psychickej záťaže a kvality života sestier na rôznych pracoviskách. Metodika: Prierezová, prieskumná štúdia merania duševného zdravia u 504 sestier. Bol použitý štandardizovaný dotazník SF-36 a Meisterov dotazník miery neuropsychickej záťaže. Výsledky: Škála preťaženia a monotónnosti významne (p < 0,05) a negatívne (r < 0) koreluje s kvalitou života v každej z domén. Celková záťaž významne (p < 0,05) a negatívne (r < 0) koreluje s kvalitou života v každej z domén. Vek respondentov významne (p < 0,05) a pozitívne (r > 0) koreluje s kvalitou života v doménach vitalita, mentálne zdravie a duševné zdravie a negatívne (r < 0) koreluje s kvalitou života v oblastiach fyzické fungovanie, telesná bolesť, celkové vnímanie zdravia a celkové fyzické zdravie. Záťaž signifikantne lepšie zvládali muži. Signifikantne vyššia bola v skupine respondentov pracujúcich na jednotkách intenzívnej starostlivosti a v primárnej zdravotnej starostlivosti. Záver: Zvýšené nároky na poskytovanie zdravotnej starostlivosti spojené s koronakrízou negatívne pôsobili na úroveň psychickej záťaže a kvalitu života sestier. Horšie výsledky boli zaznamenané u sestier pracujúcich na jednotkách intenzívnej starostlivosti a v primárnej zdravotnej starostlivosti.Alternate :Introduction: Health care workers, especially nurses, may be exposed to increased psychological stress during the COVID-19 pandemic. Objective: To determine how the increased demands on health care delivery associated with the coronavirus crisis affect the level of psychological stress and quality of life of nurses in different workplaces. Methods: A cross-sectional exploratory study of mental health in 504 nurses. The standardized SF-36 questionnaire and Meister's questionnaire for neuropsychological strain were used. Results: The overload and monotony scales are significantly (p < 0.05) and negatively (r < 0) correlated with quality of life in each of the domains. The total load is significantly (p < 0.05) and negatively (r < 0) correlated with quality of life in each of the domains. The age of respondents is significantly (p < 0.05) and positively (r < 0) correlated with quality of life in the domains of Vitality, Mental Health, and Mental Component Summary, and negatively (r > 0) correlated with quality of life in the domains of Physical Functioning, Bodily Pain, General Health, and Physical Component Summary. Men handled the stress significantly better. Stress levels were significantly higher in the group of respondents working in intensive care units and in primary care. Conclusions: The increased demands on health care delivery associated with the coronavirus crisis had a negative impact on the level of psychological load and the quality of life of nurses. Worse results were found in nurses working in intensive care units and in primary care.

BERTOLOTTI SYNDROME: AN UNDER RECOGNIZED CAUSE OF INFLAMMATORY BACK PAIN?

BackgroundBertolotti syndrome describes a lumbosacral transitional vertebra (LSTV) which causes symptoms, usually low back pain. LATV is a congenital anomaly where the L5 vertebra has an unusual morphology. Bertolotti syndrome is an under-recognised condition by clinicians.ObjectivesTo clarify the presentation of Bertolotti syndrome, whether there are features of inflammatory back pain (IBP) and the effect on quality of life.MethodsIn this pilot study, 62 patients with LSTV were identified on imaging (plain x-ray). Imaging was performed for a variety of indications, predominently for back pain. In total, 34 patients agreed to take part, with 18 returning questionnaires. Questionnaires were selected for face vailidity and included: Calin IBP Questionnaire, EQ-5D Questionnaire, Visual analogue pain scale (VAS-P). In view of Covid restrictions all contact was by phone and questionnaires were completed online or returned via post.Plain X-rays visualising the lumbar spine were assessed for radiological features of LSTV.ResultsSeventeen (94%) of the participants (n=18) recorded a VAS-P score >3, indicating a clinically significant level of pain. The mean VAS-P score was 6 (range of 2-9). 89% of respondents scored at least 3/5 in the Calin questionnaire. Of the 5 features of inflammatory back pain in the Calin questionnaire, 4 out of the 5 were reported by most respondents. The exception was ‘improvement on exercise', which was only reported by 18% of respondents. Quality of life was impaired-EQ-5D (mean: 0.503, range -0.074 to 0.796).The commonest radiological abnormality was enlarged transverse process (100%) followed by pseudoarticulation with the sacrum (83%) and scoliosis (33%). Presence of sclerosis and/or osteoarthritis at the pseudoarticulation was associated with worse pain scores. Female respondents reported worse pain.ConclusionThese results suggest Bertolotti syndrome is associated with pain in the majority of patients and affects quality of life,. The character and site of the pain suggests that Bertollotti syndrome should be considered in the differential diagnosis of spondyloarthritis.REFERENCES:NIL.Acknowledgements:NIL.Disclosure of InterestsSimon Stebbings Consultant of: Abbvie.Janssen, Ciara White: None declared, Terence Doyle: None declared.

The impact of E-service quality, Facebook usage and Artificial Intelligence on E-learning systems: The mediating role of student satisfaction

The adoption of e-learning systems has been increasing and reports indicate that Asia has the highest percentage of the growth towards e-learning systems. Following this backdrop, the main purpose of the present study was to evaluate the role of the E-service quality, Facebook usage, artificial intelligence, and student satisfaction on the usage of the E-learning systems. Sample data was collected from students enrolled in any institute offering e-learning in Malaysia. A total of 500 questionnaires were disseminated to the participants identified via online polling and a total of 412 usable questionnaires were evaluated for SEM. The findings of the study show that the usage of Facebook, Artificial intelligence, the satisfaction of students, and E-service quality affected the use of the E-learning systems. Students' satisfaction was also found to positively mediate with AI, FBU, ESQ, and ELS. E-learning adoption is increasing in Malaysia and the recent outbreak of COVID-19 has also invigorated the need for the development of effective e-learning programs so that the education of students doesn't get interruptions. The present study has important theoretical and practical implications in this regard;the findings can be applied to the development of e-learning systems of the country

THE EMERGENCE OF FIBROMYALGIA FOLLOWING ACUTE COVID-19 INFECTION

BackgroundThe exact pathogenesis of fibromyalgia (FM) syndrome is unclear. However, different infections including hepatitis C virus, Human immunodeficiency virus and Lyme disease have already been implicated with the development of FM after their acute phase[1]. Imbalance between pro-inflammatory and anti-inflammatory cytokines has been suggested as a possible mechanism that facilitates the neuropathic pain[2].ObjectivesTo investigate the incidence of FM syndrome among convalesced individuals following hospitalization for Acute Coronavirus Disease-2019 (COVID-19) and to identify possible risk factors.MethodsWe performed a cross-sectional study on patients who were discharged after COVID-19 hospitalization from the Sheba Medical Center, Israel, between July 2020 to November 2020. A phone interview was performed consisting of the following questionnaires: the Fibromyalgia Survey Diagnostic Criteria Questionnaire, Sense of Coherence Questionnaire to evaluate resilience, and the Subjective Traumatic Outlook Questionnaire to assess the associated psychological aspects of the trauma. The incidence of post-COVID FM was calculated and regression models were performed to identify predictors.ResultsThe study population consisted of 198 eligible patients who completed the phone interview. The median age was 64 (52-72) and 37% were women. The median follow-up was 5.2 months (IQR 4.4-5.8). The incidence of FM was 15% (30 patients) and 87% (172 patients) had at least one FM-related symptom. Female gender was significantly associated with post-COVID FM (OR 3.65, p=0.002). In addition, high median Subjective Traumatic Outlook scores and low median Sense of Coherence scores were both significantly associated with post-COVID FM (OR 1.19, p<0.001 and OR 0.92, p<0.001, respectively).ConclusionFM is highly prevalent among COVID-19 convalescent patients. Our finding suggests that a significant subjective traumatic experience and a low resilience are highly associated with post-COVID FM.References[1]Buskila D, Atzeni F, Sarzi-Puttini P. Etiology of fibromyalgia: the possible role of infection and vaccination. Autoimmun Rev. 2008;8: 41-43. https://doi.org/10.1016/j.autrev.2008.07.023[2]Amital M, Ben-Shabat N, Amital H, Buskila D, Cohen AD, Amital D. COVID-19 associated hospitalization in 571 patients with fibromyalgia—A population-based study. PLoS ONE. 2021:16: e0261772. https://doi.org/10.1371/journal.pone.0261772Acknowledgements:NIL.Disclosure of InterestsNone Declared.

Perspectivas e possibilidades do ensino híbrido na educação superior no contexto pós-pandemia Covid-19 no Brasil

As tecnologias digitais assumiram um papel importante durante a pandemia da Covid-19, possibilitando acesso as informações de forma segura. O presente estudo consistiu em analisar as estratégias para adoção de tecnologias digitais da educação no retorno às aulas em cursos presenciais de graduação. A metodologia constituiu como aplicada e exploratória, e sua abordagem é qualitativa. Foi elaborado e aplicado um questionário semiestruturado, compondo onze perguntas. Foram selecionados para responder os questionários, professores de cursos presenciais de graduação de universidades públicas e privadas, que passaram pelo regime remoto emergencial no período entre 2020 e 2021. Por meio da pesquisa, observou-se que a maioria dos docentes (97,8%) pretendem fazer adoção de uso de tecnologias digitais da educação em retornar para suas aulas presenciais, isso aponta um hibridismo no processo de ensino, uma vez que possibilita estas tecnologias tanto na hora a distância como presencial.Alternate :Digital technologies have played a crucial role during the COVID-19 pandemic, enabling secure access to information. The present study aimed to analyze the strategies for adopting digital education technologies for the return to in-person undergraduate courses. The methodology was both applied and exploratory, with a qualitative approach. A semistructured questionnaire composed of eleven questions was developed and applied. Professors from in-person undergraduate courses at public and private universities who underwent emergency remote teaching between 2020 and 2021 were selected to respond to the questionnaire. Through the research, it was observed that the majority of teachers (97.8%) intend to adopt the use of digital education technologies when returning to their in-person classes, indicating a hybrid approach to teaching that enables the use of these technologies both during remote and in-person instruction.

Marketing Strategy: The Way to Create Store Loyalty in Indonesia Modern Retail

Supermarket in Indonesia and other countries is important for people to come and shop for primary and secondary necessities. With high economy growth supermarket business should have a good opportunity to survive the Covid 19 pandemic. Many people still shop in a brickand-mortar store for supermarket in Indonesia, thus it is possible that this type of business will still be growing in the future. As one of the leading local modern supermarkets in Surabaya, Hokky Supermarket defines itself as supermarket that provides premium ingredients and unique products. The sample used in this study includes Hokky Supermarket costumers domiciled in Surabaya, who are man and woman aged between 18-60, have visited and make a purchase at Hokky Supermarket Surabaya for at least 2 times in the last 3 months, have visited and made a purchase at other supermarkets in Surabaya for at least 2 times in the last 3 months, and have asked for help or interacted with Hokky Supermarket Surabaya employees. There are 139 respondents. Based on the data analysis, it can be concluded that all the five hypotheses in this research are supported.

Verification and validation of a framework for collaborative BIM implementation, measurement and management (CIMM)

PurposeThe purpose of this research is to develop through a two-stage verification and validation process a novel implementation framework for collaborative BIM, utilising experts from academia and industry as well as a real-world case study project.Design/methodology/approachThe aim of this research was to build upon previous research findings by the authors in order to develop an implementation framework that stems from ousting the inefficiencies of current collaborative BIM practices. This is achieved by a more objectified and quantified approach towards seeking heightened transparency and objectivism of what is required through the implementation of BIM. The mixed research methods technique of both qualitative and quantitative data collection was utilised, with the structure consisting of a two-stage approach utilising the Delphi model for verification and validation. This was developed to test the novelty and beneficial structure hypothesis involving 15 core BIM experts from academia, construction and design with c. 22 years average experience. Validation was undertaken on a complex, high value real world building structures project in central London, inclusive of 8 core project BIM experts. The research utilised a developed solution that mirrored and provided a more holistic representation guiding the practitioners as a project team step by step through the determination of underpinning elements, which support the goal of enhanced information requirements as well as executing the prioritisation measurement tools as part of the framework. Data ascertained at the workshop case study prioritised areas of importance that are core in supporting the delivering of these enhanced information requirements at a project delivery level, which were in order of prioritisation determined by the project team (1) constraints (39.17%), (2) stakeholder requirements (35.78%), (3) coordination (existing asset) (15.86%), (4) exchange requirements (5.38%) and (5) level of information need (3.81%). Furthermore, risk mitigations for the top three priorities were focussed on early stakeholder engagement, appropriation of survey data collection, focus on quality of outputs and applying toolsets and processes with meaning and emphasis on the defined high-level requirements.FindingsFindings show that the framework and the developed solution translate the process methodology of the framework schema into a useable and beneficial tool that provides both qualitative and quantitative inputs and outputs. Furthermore, a collective agreement on the objectives, risk mitigations and assignment of tasks in order to achieve outcomes is presented, with evidence on numerical weightings and goal achievement.Research limitations/implicationsDue to the impacts of COVID-19 on physical engagements both the verification (electronic survey questionnaire) and validation (case study project) were undertaken remotely, using available technologies and web interfaces.Practical implicationsThe case study workshop was limited to one building structures project in central London of a value of c. £70 m design and build cost that the project team (participants) were actively engaged with.Social implicationsThe social impacts of this research has resulted in the review of existing systems, methods and approaches from a wider perspective of theoretical and applied environments, which led to the development of a novel approach and framework guided by an interactive and useable solution.Originality/valueAs shown within the core findings, experts across academia and industry (design and construction) confirmed that the framework methodology and application were 100% novel, and added a benefit to the existing collaborative BIM approach. Value added is that through objectifying, weighting/prioritizing and creating a discussion supported by qualitative and quantitative reasoning the focus on what collaborative BIM is to achieve is increased, and thus the likelihood of successful implementation.

LA AUTOEFICACIA Y EL INVOLUCRAMIENTO PARENTALES ESCOLARES DURANTE EL CONFINAMIENTO POR LA COVID-19

El objetivo general de esta investigación fue conocer la relación entre el involucramiento parental escolar en casa (IPE-C) y la autoeficacia parental escolar (AP-E) durante el confinamiento por la COVID-19. Participaron 349 madres de alumnas(os) de escuelas primarias, públicas y privadas, que respondieron las escalas construidas para este estudio. Los resultados mostraron una relación positiva moderada entre IPE-C y AP-E y la mayoría de las participantes obtuvo puntajes altos en ambos aspectos;asimismo, madres con mayor escolaridad (licenciatura/posgrado) puntuaron más alto tanto en el involucramiento como en la autoeficacia parentales;aquellas con expectativas altas de rendimiento escolar de sus hijas(os), presentaron mayor AP-E comparadas con el grupo con expectativas bajas a regulares, y madres con hijas(os) de 9 a 12 años presentaron menor IPE-C comparadas con el grupo de 6 a 8 años.Alternate :The general objective of this research was to discover the relationship between parents' involvement in home schooling and their self-efficacy during the COVID-19 lockdown. The participants-349 mothers of students in public and private elementary schools- responded to scales constructed for the study. The results show a moderate positive relation between involvement in home schooling and self-efficacy and most of the respondents obtained high scores in both aspects. In addition, mothers with higher educational levels (undergraduate/graduate studies) scored higher in both involvement and self-efficacy. Those with higher expectations for their child's/children's academic achievement had higher self-efficacy compared with the groups of mothers with low to average expectations. Mothers of children aged nine to twelve had lower involvement in home schooling compared with the mothers of children aged six to eight.

Reaching Rural Students with Resources and Enrichment-Focused Learning in the Summer Months

Each student selected books during the last week of school and during the last days of the summer program, so that they had access to books when school was not in session. Since book ownership is an important motivator for reading, the students kept their books and were treated to one additional book on the last day of the program, when they took a field trip to a bookstore. Study Design Reallocating school resources required a research focus with data collection and analysis for continued approval of summer program funding. The mixed-methods design of the study included quantitative data (e.g., registration, attendance, STAR reading scores, Likert scale questions on student and parent questionnaires) and qualitative data (e.g., student focus groups, open-ended questions on student and parent questionnaires). Parents' written consent and students' assent were provided for STAR reading, focus group, and questionnaire data collection each summer.

The Effect of Employee Engagement on Employee Performance in Ghana's MSMEs Sector During Covid-19

Micro, small and medium enterprises (MSMEs) across the globe have been the major victims of the COVID-19 pandemic, which has plunged the business world into a serious crisis. However, Employee Engagement (EE) has been labeled as an essential nutrient that organizations need in order to survive in these turbulent times. This study was to examine the effect of EE on Employee Performance during the COVID-19 pandemic and how this relationship is moderated by job demands. The study used a sample size of 395 respondents who were chosen from a variety of MSMEs via a convenience sampling method. The study used a survey questionnaire approach as the main method for collecting primary data. The result of the correlation analysis showed that there was a significant relationship between EE and employee performance. It was revealed that job resources moderated the relationship between EE and employee performance. Finally, the result showed that job resources had a significant effect on EE. Thus, it can be concluded that, in the face of COVID-19, EE is a significant predictor of the performance of employees in the MSMEs sector. [ FROM AUTHOR] Copyright of Journal of Social Science (2720-9938) is the property of Ridwan Institute and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Professional burnout, quality of life issues and psychological burden in anesthesiologists and intensive care specialists in contemporary conditions after covid-19 pandemic: Results of an internet-based survey

INTRODUCTION: Anesthesiologists and intensive care specialists are considered to be an extremely vulnerable group of medical specialists, more susceptible to professional stress in the context of the COVID-19 pandemic. OBJECTIVE: We aimed to study the severity of professional burnout syndrome (PB), quality of life (QoL) issues and psychological burben in anesthesiologists and intensive care specialists working in a multi-field hospital, as well as to determine the risk factors for PB in these specialists. MATERIALS AND METHODS: Physicians completed the online survey questionnaire including MBI, WHOQOL-BREF and HADS for assessment of PB, QoL and anxiety and depression, respectively, as well as the checklists with general questions related to COVID-19. Pairwise or multiple comparisons as well as correlation and regression analyses were performed within the statistical analysis. RESULTS: The online survey involved 101 physicians (mean age 38.3 ± 9.8 years, 54.5% — females). During the pandemic, 68.3% of specialists worked in the red zone. It was demonstrated that the PB syndrome or its signs were observed 2 years after the start of the pandemic in 75% of specialists — in 27% it was formed, and in 48% its signs were revealed. Decreased levels of the main QoL domains, physical, psychological and social well-being, were observed in 1/3 of physicians. About one third of specialists had borderline or increased levels of anxiety/depression. Working in the red zone during pandemic and elevated levels of depression increase the probability of PB, and a high level of social well-being decreases it. CONCLUSIONS: For the prevention of the PB development of screening examinations are recommended on the regular basis to reveal those specialists who are at high risk of PB. The results obtained may be used to develop evidence-based practical recommendations for the prevention of PB syndrome and psychosocial disorders in anesthesiologists and intensive care specialists. © 2023, Practical Medicine Publishing House LLC. All rights reserved.

LONG-TERM EFFICACY AND SAFETY OF UPADACITINIB IN PATIENTS WITH PSORIATIC ARTHRITIS: 3-YEAR RESULTS FROM THE PHASE 3 SELECT-PsA 1 STUDY

BackgroundUpadacitinib (UPA) improved symptoms in patients (pts) with psoriatic arthritis (PsA) with prior inadequate response or intolerance to ≥1 non-biologic disease-modifying antirheumatic drug (nbDMARD-IR) through week (wk) 104 or 2 years of treatment in SELECT-PsA 1 [1].ObjectivesTo evaluate efficacy and safety of UPA vs adalimumab (ADA) through wk 152 or 3 years from the ongoing long-term open-label extension of SELECT-PsA 1.MethodsPts were randomized to receive UPA 15 mg (UPA15) or UPA 30 mg (UPA30) once daily, ADA 40 mg (ADA) every other wk, or placebo (PBO). At wk 24, PBO pts switched to UPA15 or UPA30. Following approval of UPA15, the protocol was amended so pts on UPA30 switched to UPA15 (earliest at wk 104). Efficacy was assessed through wk 152, and safety through June 13, 2022.ResultsOf 1704 pts randomized, 911 completed 152 wks of treatment. The proportions of pts achieving.≥20%/50%/70% improvement in American College of Rheumatology criteria (ACR20/50/70), minimal disease activity (MDA), and ≥75%/90%/100% improvement in Psoriasis Area and Severity Index at wk 152 were generally consistent with those at wk 1041. UPA had greater ACR20/50/70 and MDA responses vs ADA, and a greater mean change from baseline (BL) in Health Assessment Questionnaire-Disability Index, pt's assessment of pain, and Bath Ankylosing Spondylitis Disease Activity Index vs ADA. Change from BL in modified total Sharp/van der Heijde score were similar between UPA30 and ADA, and numerically higher with UPA15 (Table 1). The overall UPA safety profile remained unchanged (Figure 1) [1,2]. UPA had numerically higher rates of serious infection (SI), herpes zoster (HZ), anemia, lymphopenia, creatine phosphokinase (CPK) elevation, and non-melanoma skin cancer (NMSC) vs ADA. Increases for SI, HZ, anemia, and CPK elevation with UPA were dose dependent. Rates of major adverse cardiovascular events, venous thromboembolism, and malignancy excluding NMSC were low and generally similar across groups. The most common cause of death was COVID-19.ConclusionEfficacy of UPA in nbDMARD-IR pts with PsA was maintained through 3 years of treatment. No new safety signals were identified.References[1]McInnes IB, et al. Rheumatol Ther 2022;1–18 [Epub ahead of print].[2]McInnes IB, et al. RMD Open 2021;7(3):e001838.Table 1.Efficacy endpoints at wk 152UPA15 (n=429)UPA30a (n=423)ADA (n=429)Proportion of pts (%)NRIAONRIAONRIAOACR20/50/7064.6/52.0/35.9*89.8/71.6/ 48.263.1/54.1*/ 35.787.9/74.4/ 47.861.1/46.6/ 28.786.2/65.2/ 39.8Minimal disease activity37.555.143.5*60.335.950.2PASI75/90/100b50.5/42.5/32.269.2/58.5/ 43.458.1/46.7/3 7.678.6/63.5/ 50.954.0/40.8/ 30.379.6/59.9/ 44.6Resolution of enthesitis by Leeds Enthesitis Indexc50.475.248.973.846.077.0Resolution of dactylitis by Leeds Dactylitis Indexd65.495.266.197.965.497.1Change from BLeMMRMAOMMRMAOMMRMAOHealth Assessment Questionnaire- Disability Index-0.51-0.55-0.53*-0.58-0.45-0.49Pt's assessment of pain (numeric rating scale)-3.3*-3.5-3.3*-3.6-2.8-3.0Bath Ankylosing Spondylitis Disease Activity Indexf-3.09-3.27-3.16-3.54-2.81-2.71Modified total Sharp/van der Heijde score0.210.190.050.040.090.09aFollowing a protocol amendment, all pts on UPA30 switched to UPA15 (earliest switch at wk 104);data are presented by originally randomized group. bPts with psoriasis affecting ≥3% of body surface area at BL. cPts with LEI >0 at BL;resolution LEI=0. dPts with LDI >0 at BL;resolution LDI=0. eData shown as MMRM (least squares mean) and AO (mean). fPts with psoriatic spondylitis at BL. n value ranges: UPA15 (99–429), UPA30 (95–423), ADA (89–429). Nominal *p<0.05 UPA vs ADA.ACR20/50/70, ≥20%/50%/70% improvement in American College of Rheumatology criteria;ADA, adalimumab;AO, as observed;BL, baseline;MMRM, mixed effect model repeated measurement;NRI, non-responder imputation;PASI75/90/100, ≥75%/90%/100% improvement in Psoriasis Area and Severity Index;pt, patient;UPA15/30, upadacitinib 15/30 mg once daily;wk, weekAcknowledgementsAbbVie funded this study and participated in the study design, research, analysis, data collection, interpretation of data, and the review and approval of the publication. All authors had access to relevant data and participated in the drafting, review, and approval of this publication. No honoraria or payments were made for authorship. Medical writing support was provided by Carl Davies, MSc, of 2 the Nth (Cheshire, UK), and was funded by AbbVie.Disclosure of InterestsIain McInnes Grant/research support from: AbbVie, AstraZeneca, Bristol Myers Squibb, Celgene, Eli Lilly, Evelo, Causeway Therapeutics, Gilead, Janssen, Novartis, Pfizer, Sanofi Regeneron, and UCB Pharma, Koji Kato Employee of: AbbVie and may hold stock or options, Marina Magrey Consultant of: BMS, Eli Lilly, Janssen, Novartis, Pfizer, and UCB Pharma, Grant/research support from: AbbVie, Amgen, BMS, and UCB Pharma, Joseph F. Merola Consultant of: AbbVie, Arena, Avotres, Biogen, Bristol Myers Squibb, Celgene, Dermavant, Eli Lilly, EMD Sorono, Janssen, Leo Pharma, Merck, Novartis, Pfizer, Regeneron, Sanofi, Sun Pharma, and UCB Pharma, Mitsumasa Kishimoto Consultant of: AbbVie, Amgen, Asahi-Kasei Pharma, Astellas, Ayumi Pharma, BMS, Celgene, Chugai, Daiichi-Sankyo, Eisai, Eli Lilly, Gilead, Janssen, Kyowa Kirin, Novartis, Ono Pharma, Pfizer, Tanabe-Mitsubishi, and UCB Pharma, Derek Haaland Speakers bureau: AbbVie, Amgen, AstraZeneca, Bristol Myers Squibb, GlaxoSmithKline, Janssen, Novartis, Pfizer, Roche, Sanofi Genzyme, Takeda, Grant/research support from: AbbVie, Adiga Life Sciences, Amgen, Bristol Myers Squibb, Can-Fite Biopharma, Celgene, Eli Lilly, Gilead, GlaxoSmithKline, Janssen, Novartis, Pfizer, Regeneron, Sanofi-Genzyme, UCB;and has received honoraria or other fees from AbbVie, Amgen, AstraZeneca, Bristol Myers Squibb, Eli Lilly, GlaxoSmithKline, Janssen, Merck, Novartis, Pfizer, Roche, Sanofi Genzyme, Takeda, and UCB Pharma, Yihan Li Employee of: AbbVie and may hold stock or options, Yanxi Liu Employee of: AbbVie and may hold stock or options, Jianzhong Liu Employee of: AbbVie and may hold stock or options, Ralph Lippe Employee of: AbbVie and may hold stock or options, Peter Wung Employee of: AbbVie and may hold stock or options.