Identifying risk factors and implications for beach drowning prevention amongst an Australian multicultural community

Multicultural communities in Australia are recognised as a priority area for drowning prevention, but no evidence-based study has addressed their knowledge of beach safety. This study used an online survey tool to identify and examine risk factors relating to swimming ability, beach visitation characteristics and behaviour, and beach safety knowledge of the Australian Southern Asian community to assist in the development of future beach safety interventions. Data was obtained through 249 online and in-person surveys of people aged > 18 years. Most respondents reported poor swimming ability (80%), often swam in in the absence of lifeguards (77%), did not understand the rip current hazard (58%), but reported that they entered the water (76%) when visiting beaches. Close to one-quarter (28%) had not heard, or didn’t know the purpose, of the red and yellow beach flags, which identify lifeguard supervised areas on Australian beaches. Length of time living in Australia is an important beach safety consideration for this community, with minimal differences in terms of gender and age. Those who have lived < 10 years in Australia visit beaches more frequently and are less likely to have participated in swimming lessons, be able to swim, heard of the flags or swim between them, understand rip currents, or have participated in a beach safety program. Very few (3%) respondents received beach safety information from within their own community. The importance of beach safety education and swimming lessons within the Southern Asian community should be prioritised for new and recent migrants to Australia.

German emergency department measures in 2018: a status quo based on the Utstein reporting standard

Background Compelling data on clinical emergency medicine is required for healthcare system management. The aim of this survey was to describe the nationwide status quo of emergency care in Germany at the healthcare system level using the Utstein reporting template as the guideline to measure the data collected. Methods This cross-sectional survey collected standardized data from German EDs in 2018. All 759 of the EDs listed in a previously collected ED Directory were contacted in November 2019 using the online-survey tool SoSci Survey. Exclusively descriptive statistical analyses were performed. Absolute as well as relative frequencies, medians, means, ranges, standard deviations (SD) and interquartile ranges (IQR) were reported depending on distribution. Main Results A total of 150 questionnaires of contacted EDs were evaluated (response rate: 19.8%). Hospitals had a median of 403 inpatient beds (n=147). The EDs recorded a median of 30,000 patient contacts (n=136). Eighty-three EDs (55%) had observation units with a median of six beds. The special patient groups were pediatric patients (< 5 years) and older patients (> 75 years) with a median of 1.7% and 25%, respectively. Outpatients accounted for 55%, while 45% were admitted (intensive care unit 5.0%, standard care unit 32.3%, observation unit 6.3%) and 1.2% transferred to another hospital. Conclusions The use of the Utstein reporting template enabled the collection of ED descriptive parameters in Germany. The data can provide a baseline for upcoming reforms on German emergency medicine, and for international comparisons on admission rates, initial triage categories, and patient populations.

Field epidemiology training programs contribute to COVID-19 preparedness and response globally

Background Field epidemiology training programs (FETPs) have trained field epidemiologists who strengthen global capacities for surveillance and response to public health threats. We describe how FETP residents and graduates have contributed to COVID-19 preparedness and response globally. Methods We conducted a cross-sectional survey of FETPs between March 13 and April 15, 2020 to understand how FETP residents or graduates were contributing to COVID-19 response activities. The survey tool was structured around the eight Pillars of the World Health Organization’s (WHO) Strategic Preparedness and Response Plan for COVID-19. We used descriptive statistics to summarize quantitative results and content analysis for qualitative data. Results Among 88 invited programs, 65 (74%) responded and indicated that FETP residents and graduates have engaged in the COVID-19 response across all six WHO regions. Response efforts focused on country-level coordination (98%), surveillance, rapid response teams, case investigations (97%), activities at points of entry (92%), and risk communication and community engagement (82%). Descriptions of FETP contributions to COVID-19 preparedness and response are categorized into seven main themes: conducting epidemiological activities, managing logistics and coordination, leading risk communication efforts, providing guidance, supporting surveillance activities, training and developing the workforce, and holding leadership positions. Conclusions Our findings demonstrate the value of FETPs in responding to public health threats like COVID-19. This program provides critical assistance to countries' COVID-19 response efforts but also enhances epidemiologic workforce capacity, public health emergency infrastructure and helps ensure global health security as prescribed in the WHO’s International Health Regulations.

Matrix of Affordable Housing Assessment: A Development Process

The United Arab Emirates (UAE) is a multiracial society with diverse housing and a potential real estate market. This study focused on users’ perceptions of the designs of available and affordable private housing stock in Dubai, Sharjah, and Ajman, which are the most populated states (emirates) of the UAE. A literature review and case studies of low- to medium-rise residential buildings were used to determine the parameters defining affordable housing design, and a model was developed of 7 design segments (independent variables) with 39 dependent variables. The model consists of a matrix of 39 design variables, in which each variable is set in a survey tool with a Likert scale to evaluate user satisfaction levels with the designs of their respective buildings. Questionnaires were distributed among the inhabitants of several buildings at different locations in the emirates. This study found that 16 anomalous design factors failed to satisfy users. It is likely that the results of this study will provide a blueprint for dialogue between regional building designers and end users to improve the designs of new buildings. The resulting design assessment matrix can be used for the analysis of residential buildings in other parts of the Gulf Cooperation Council region.

Design, building and validating a measuring scale for the supply chain management practices of industrial organizations by assessing their efficiency on SCM measures

The aim of this study is to design, build and validate a scale for the measurement of Saudi industrial Organizations' SC Management Practices (SCMP), and also to evaluate its efficiency at various SCM measurements. The analysis identified 20 constructs of (SCMPs) based on a comprehensive literature review; namely Strategic Partnership of Suppliers (SPS), Customer Relationship (CR), Information Sharing (IS), Information Quality (IQ), Postponement (PST), Agreed Vision and Goals (AVG), Sharing of Risks and Rewards (SRR), Lean Manufacturing (LM), Total Quality Management (TQM), Organizational Culture (OC), Information and Communication Technology (ICT), Benchmarking and Performance Measurement (BPM), Agile Manufacturing (AM), Outsourcing (OUT), Just In Time Manufacturing (JIT), Green SC Management (GSCM), Reverse Logistics (RL), Vendor Managed Inventory (VMI), Radio Frequency Identification (RFID), and SC Integration (SCI), and four SCM performance structures in particular namely; Flexibility Perspective (FLP), Efficiency Perspective (EFP), Customer’s Perspective (CSP), Product Innovation Perspective (PIP). A survey tool based on the existing literature was developed and relevant data were collected from 351 Industrial Saudi organizations on this tool. In the data analysis the validation of the instrument is mainly carried out with confirmatory factor analysis in terms of unidimensionality, durability, convergent validity, discriminant validity, nomological validity, and the associated validity criteria. A parsimonious instrument that makes an important contribution to the SCM literature is generated by the results of this research. The instrument will allow an enterprise to incorporate various SCMPs, to keep track of the implementation status, and then to evaluate SCM performance to the SCM dimensions.

Social Perception of Self-Enhanced Photographs

The use of appearance manipulating applications on our smartphones has increased in popularity. As the aim of this study is to determine the impact of self-directed appearance manipulation on perceptions of personality and examine the influence of respondent age and gender on the various personality domains. This cross-sectional cohort study included 20 subjects between the ages of 18 to 34 who had headshots taken and were provided an introduction on the use of the Facetune2 app. After 1 week of engaging in digital appearance manipulation, subjects submitted their self-determined most attractive edited photograph. Four surveys were constructed with 10 sets of photographs each. Each of these surveys were then sent to lay people via a web-based survey tool. Anonymous blinded respondents used a 7-point Likert scale to rate their perception of each patient's aggressiveness, likeability, sociability, trustworthiness, attractiveness, authenticity, and masculinity or femininity. A multivariate linear mixed effect model was applied to analyze the overall patient trait data as well as to assess the impact of rater age and gender. A total of 288 respondents (mean age range, 25–34 years [43%]; 202 [70%] female) completed a survey. Overall, digitally enhanced photographs were perceived as more attractive (0.22; 95% CI, 0.06–0.38). Analysis based on gender of the study subjects revealed increased attractiveness scores for men (0.19; 95% CI, 0.07–0.33). Females were also perceived as being more attractive (0.16; 95% CI, 0.03–0.40), but less authentic (−0.24; 95% CI, −0.36 to −0.12). Females rated enhanced photographs of men as less masculine (−0.23; 95% CI, −0.46 to −0.04). Raters aged 35 to 64 rated altered photos as less attractive (0.31; 95% CI, 0.09–0.52), authentic (0.20; 95% CI, 0.01–0.38), and gender enhancing (0.42; 95% CI, 0.24–0.61) compared with individuals aged 18 to 34. Patients and surgeons should be aware of the ways in which self-enhanced photographs may affect social perception.

Multi-Perspective Decision-making Cloud Computing Adoption Model for Small and Medium Enterprises (SMEs)

The research aims to test the model of integrated DOI theory and TOE framework to predict Cloud Computing (CC) decision-making intentions of SMEs, Izmir, Turkey. The survey data was collected from 140 Information Technology (IT) decision-makers via Google forms survey tool. Confirmatory factor analyses were made to examine the decision-making approach of SMEs. The study revealed that the variance of top management support and complexity explained 29.8% of the decision-making approach to CC adoption. The originality of the study is that the research on cloud computing in Turkey is scarce and not comprehensive either. In addition, they are not for Turkish SMEs. This research will bring together an introductory plan for cloud providers to understand the intentions of SMEs for adopting cloud computing. This research will also provide scholars with an in-depth analysis of the status contributing to the academic research in the field of ICT development in developing countries. This study will contribute to SMEs’ ICT infrastructure policies, and support governments in creating a legal framework to make laws for a secure environment for SMEs to reduce costs, and gain a competitive advantage over Large Enterprises (LEs). Doi: 10.28991/esj-2021-SP1-010 Full Text: PDF

The Role of Customer Value and Customer Trust as a Mediator of Flexibility Influence on Customer Retention

Purpose: The purpose of this study is to apply SEM analysis to WarpPLS analysis and translate Customer Value and Customer Trust as Mediation, especially for PT. Nusa Prima Logistics. Design / Method: This study was divided into 3: exploratory research, descriptive research, and explanatory research. The quantitative approach of this study uses a survey method by taking samples from the population. This is a latent variable that is measured using a survey tool in the form of a survey. The survey was conducted by distributing questionnaires to the respondents. This research was conducted at PT. Nusa Prima Logistics Terminal Teluk Lamong by taking primary data, in the form of assessments or perceptions from respondents, so a survey was conducted by submitting a questionnaire directly to PT. Nusa Prima Logistics Terminal Teluk Lamong as 194 respondents. Quantitative data analysis was performed using Structural Equation Modeling (SEM) to answer the research hypothesis. Finding: Flexibility is very influential in increasing Customer Retention so to develop Customer Retention, it is necessary to increase Flexibility, Customer Value and Customer Trust Originality: The novelty in this research lies not yet obtained about the role and position of Customer Value and Customer Trust as mediation that affect Customer Retention.

Attitudes and Perceptions of Health Protection Measures Against the Spread of COVID-19 in Italy and Poland

Background: During the first wave of the COVID-19 pandemic (April to May 2020), 6,169 Polish and 939 Italian residents were surveyed with an online questionnaire investigating socio-demographic information and personality traits (first section) as well as attitudes, position, and efficacy perceptions on the impact of lockdown (second section) and various health protection measures enforced (third section).Methods: The “health protection attitude score” (HPAS), an endpoint obtained by pooling up the answers to questions of the third section of the survey tool, was investigated by multiple linear regression models, reporting regression coefficients (RC) with 95% confidence intervals (95% CI).Results: Concerns for business and health due to COVID-19 were associated with a positive attitude toward risk reduction rules. By contrast, male sex, concerns about the reliability of information available online on COVID-19 and its prevention, along with the feeling of not being enough informed on the transmissibility/prevention of SARS-CoV-2 were associated with a negative attitude toward risk mitigation measures.Discussion: A recent literature review identified two social patterns with different features in relation to their attitude toward health protection rules against the spread of COVID-19. Factors positively associated with adherence to public health guidelines were perceived threat of COVID-19, trust in government, female sex, and increasing age. Factors associated with decreased compliance were instead underestimation of the COVID-19 risk, limited knowledge of the pandemic, belief in conspiracy theories, and political conservativism. Very few studies have tested interventions to change attitudes or behaviors.Conclusion: To improve attitude and compliance toward risk reduction norms, a key intervention is fostering education and knowledge on COVID-19 health risk and prevention among the general population. However, information on COVID-19 epidemiology might be user-generated and contaminated by social media, which contributed to creating an infodemic around the disease. To prevent the negative impact of social media and to increase adherence to health protection, stronger content control by providers of social platforms is recommended.

Assessing Parental Discharge Readiness by Using the Ticket to Home Survey Tool

OBJECTIVES Ticket to Home (TTH), a survey tool designed to assess parental comprehension of their child’s hospitalization and postdischarge care needs, allows providers to address knowledge gaps before discharge. Our goal was to evaluate the impact of TTH on parents’ retention of discharge teaching. METHODS In this pilot study, we enrolled a convenience sample of families admitted to pediatric hospital medicine and randomly assigned families on the basis of team assignment. The intervention group received TTH before discharge. The control group received usual care (without TTH survey tool). Both groups were sent a survey 24 to 72 hours postdischarge to assess parental understanding of discharge teaching. A senior-level provider also completed a survey; responses were compared with evaluate parent level of understanding. Descriptive statistics and logistic regression were used for analysis. RESULTS Although 495 parents consented to participate, only 100 completed the necessary surveys (41 intervention and 59 control). Both groups showed high parent-provider concordance regarding reason for admission (92.7% intervention versus 86.4% control; P = .33). The intervention group had significantly higher concordance for return precautions (90.2% vs 58.2%; P &lt; .001), which remained significant when controlling for covariates (odds ratio 6.24, 95% confidence interval 1.78–21.93). Most parents in the intervention group felt sharing TTH responses with their medical team was beneficial (95.0%). CONCLUSIONS Parents who received TTH before discharge were more likely to accurately recall return precautions and valued sharing TTH results with the team. Given that response bias may have affected pilot results, additional studies in which researchers use larger samples with more diverse patient populations is required.