The objective of this study was to compare the effectiveness of a professional-oriented education approach to traditional teaching methods among high school secondary students in Kazakhstan in aligning students to their suitable career education track. The study utilised a mechanics physics course to assess both approaches and involved two groups of students over 26 months - a control group (n=58) and an experimental group (n=57). Quantitative data was collected through a Mechanics Physics Test administered before and after the teaching and learning class. In Kazakhstan, students will be aligned directly with either secondary vocational education, the initial vocational education track, or the general education track, which relies on the final performance of their secondary school. The findings indicated that both teaching methods improved the student's performance, but the experimental group exhibited a significantly higher level of improvement than the control group. This study shows that a professional-oriented education approach can clearly align students with their interests and strengths and help them pursue their desired careers confidently. This approach enables students to make informed decisions about their future studies and career paths, reducing costs and saving time for schools and governments—implications and, to a further extent, the study is also discussed.

Developing sustainability competences is an important endeavor for education, as competence development can be complex and requires appropriate approaches. In the case of preparing future educators, this becomes even more important, because of their multiplier role. The current study presents how a project, based on living-lab methodology, helped preservice preschool teachers, attending a course on sustainability issues, develop sustainability-specific professional action competence. Students collaborated with an organization and a school and were trained to deliver to 6-year-old pupils, activities concerning the protection of sea turtles. The process included reflection, based on a given template. After the intervention, the preservice preschool teachers reflected upon their role and professional performance and discussed how they, benefited from this project. They further analyzed through a group interview, how the Living Lab methodology raised their professional confidence and self-efficacy, and helped them develop content knowledge, pedagogical content knowledge, and a sense of purpose and motivation for teaching about sustainability. Outcomes indicate that participants felt confident and efficacious to teach about sustainability, and developed their content knowledge, pedagogy content knowledge, motivation, and volition due to a strong sense of purpose and responsibility. The overall process facilitated the development of critical thinking, systemic thinking, reflection, and collaboration..

This article analyzes the design of MasterMind, an escape room that served as a means of professional development in the use and implementation of online educational tools in academic teaching. Escape rooms have inspired educators all over the world to adapt the popular entertainment activity for education. The time-constrained and problem-based games require active and collaborative participants, which makes an escape room an interesting setting for educators. As there are differences in the settings and goals of educational and recreational escape rooms, there is a need for description of the design process, taking into account game design and educational aspects. MasterMind was developed by a multidisciplinary team of educators, educational researchers and game researchers. The design analysis of MasterMind focuses on three related challenges that have informed the design process: 1) the participants' transition from the real world to the game world; 2) the alignment of game design aspects and educational aspects in the game world; and 3) the transfer from experiences and knowledge obtained within the game world back into the real world. The description and analysis is guided by frameworks on persuasive games and the alignment of game goals and learning goals. The analysis gives insights in how to balance game and educational aspects in the design, in order for players to reach both persuasive and learning goals. We recommend an integrated approach of the different design challenges. Therefore, we propose a design model combining and aligning the used frameworks, leading to an integrated approach in tackling design challenges in persuasive, serious games.

This article presents the research results on developing professional capital in Lithuanian schools during the national project "Time for leaders". The longitudinal national initiative aimed to develop professional capital as the synergy of human, social and decisional components (Hargreaves and Fullan, 2019) of schools through the various cooperation-based learning experiences of educational professionals. The article provides an overview of project interventions (activities that stimulated cooperative learning of educational professionals) in the light of cooperative learning principles. The assessment of change over two project years in education professionals' perceptions of professional capital is presented using Cohen's d effect size measure. The measurement sample consisted of teachers (n1=5105; n2=4683) and school leaders (n1=439; n2=405) from 189 schools in 30 Lithuanian municipalities. The findings show a statistically significant medium positive change in professional capital. The most considerable change was estimated in the social and decisional capital dimensions and the relatively smallest - in the field of human capital.

"Redesigning Education: A Transformative Approach" outlines comprehensive strategies for re-forming educational systems from primary to secondary levels to promote holistic student de-velopment. Traditional educational models fail to address diverse learning needs and cultivate critical thinking, creativity, and emotional intelligence. This study introduces innovative approaches such as personalized education through AI, wellness schools, professional skill development programs, and social and emotional learning (SEL) integration. The methodology includes an extensive literature review of contemporary educational books, peer-reviewed articles, and case studies from highly developed European countries, ensuring that the proposed strategies are grounded in credible and current research. Key reforms include continuous professional development for teachers, enhanced teacher training and support, comprehensive counseling services, and robust support systems for students. Strengthening school-family collaboration and promoting multiculturalism through inclusive policies and cultural events are emphasized. Additionally, upgrading school infrastructure to create safe and welcoming learning environments is essential for student prosperity. The proposed educational reforms aim to create an inclusive, innovative, and supportive learning environment, ensuring students thrive academically, emotionally, and socially. By integrating these comprehensive reforms, the study seeks to develop effective educational systems that foster student well-being and excellence, equipping future generations for success in a rapidly evolving world.

Teacher self-efficacy (TSE) significantly influences teacher well-being and pedagogical quality, thereby impacting student learning outcomes. Despite the recognized effectiveness of Lesson Study (LS) in shaping teachers' practices and beliefs, there is a research gap in TSE, particularly in higher education. To address this, we conducted a longitudinal study at a northeastern Chinese university, tracking TSE evolution in three English as a Foreign Language (EFL) teachers, encompassing both novices and experienced educators, during a six-month LS program. We collected both quantitative and qualitative data, encompassing interviews, surveys, and observations. Underpinned by Bandura and Wyatt's self-efficacy theory, the impact of LS on teachers' TSE development was explored and interpreted. Our findings shed light on the many ways in which LS effects individual teachers' TSE. Notably, both novice and experienced teachers improved significantly in TSE, especially in the domains of instructional techniques and student engagement. However, in the context of classroom management, there was considerably less growth. Furthermore, our research identifies a number of challenges that can have a negative impact on teachers' TSE, such as adapting to students' changing needs, dealing with limited resources, managing time constraints, navigating the school examination system, and overcoming initial resistance to the LS approach.

The present research is embedded in the professional development and research line and in the needs of secondary education and first-year university teachers. We focussed on evidencing the importance of teachers’ professional training to include some specific adaptation and skills in intercultural dialogue and understanding -often called Intercultural Competence- because of its direct impact on the sustainable development of human beings, groups, and ecosystems. We investigated the role played by each of the main competencies linked to the following intercultural dimensions: Professional Identity, Ethics and Axiology, Methodology, and Inclusive Education. We used an integrated methodology and a cross-study of data, performed after the obtention of a three-cornered evaluation of results collected in focus groups, interviews, and questionnaires. We were able to show the impact of intercultural dialogue and understanding in the education for a sustainable development pattern. This is fundamental to set up a new ecology of forms, knowledge, attitudes, and educational meanings, further used to update teachers and students’ training in sustainable ecology and cultural diversity. Progress made in these complementary competencies -Professional Identity, Ethics and Axiology, Methodology- were appraised by teachers participating in the present study; the latter showing an increased interest and demand for the intercultural competence, after increasing their proficiency in the other complementary competencies.

Lifelong learning has been integral to advancement of the nutrition and dietetics profession and its practitioners. Both the Commission on Dietetic Registration (CDR) and the Academy of Nutrition and Dietetics (Academy) advocate for continuous skill development and professional growth. Responding to evolving environmental trends and diverse practice perspectives, CDR joined the Joint Accreditation for Interprofessional Continuing Education organization in 2020 and CDR is transforming its own continuing professional education (CPE) requirements and prior approval program. This paper, a historical perspective and current state review, chronicles past and recent developments in nutrition and dietetics CPE, including opportunities for reflective learning and interprofessional continuing education (IPCE). Also explored are the establishment and expansion of the Joint Accreditation organization and its standards, as well as applicable case examples. Additionally, the paper outlines CDR’s and the Academy's strategies to advance inclusion, diversity, equity, and access (IDEA) within the profession and identifies how CPE advancements may facilitate accessible and equitable CPE for an increasingly diverse membership of practitioners. Nutrition and dietetics professionals stand to benefit from a more comprehensive understanding of CPE changes and the opportunities they may bring to the future of the profession.

Teaching is considered a multifarious task. Teachers, in the pursuit of educational success, are burdened with numerous teaching workloads and dilemmas causing them stress. This study endeavored to determine the influence of stress on professional satisfaction of multigrade teachers. It employed correlation research design involving thirty (30) purposively selected multigrade teachers in the Schools Division of General Santos City (GSC), Southern Philippines. Employing the survey method, tailored questionnaires were utilized to gather the needed data. The statistical tools employed in the analysis were weighted mean and Pearson Product Moment Correlation Coefficient. Moderate level of stress and high level of professional satisfaction are gained among the multigrade teachers surveyed. It was further found out that there is no significant relationship between stress and professional satisfaction, providing evidence that stress may not necessarily influence satisfaction. This result offers unique implications in theory, practice, and research which are discussed in the study.

Three autonomous communities have been the ones that, in the 2022-2023 season, anticipated the document approved by the Public Health Commission, recommending influenza vaccination for all children aged 6 to 59 months. The main objective of this work is to evaluate the attitude of healthcare professionals towards the first universal vaccination campaign in our region, as well as the acceptability of the vaccines used and the attitude towards the piloting of school vaccination. Cross-sectional, survey-based, descriptive study. All healthcare professionals involved in the campaign were invited to participate. The 91.9% of surveyed professionals thought that flu vaccination from 6 to 59 months was important or very important. 89.8% had previous experience regarding the intramuscular vaccine. The professionals valued the intranasal vaccine significantly more positively; however, there were no differences when asking for each of the vaccines without comparison. The inhaled vaccine was preferred by 97.5% for the following campaign. Piloted school vaccination showed 75% acceptance. The inhaled vaccine was preferred by most professionals and the piloted school vaccination was highly accepted, and independently associated to the importance of vaccination as considered by physicians, being a medical doctor, and participation in the pilot program.

In the age of social media your personal branding is critical to find a job. Information is highly available and handy for everyone looking for a job as well as for people trying to recruit employees at all levels. Currently, there is a first e-impression that encompasses employee education, qualifications, and relationships. This e-impression is given by your social media, specifically those websites that were built to facilitate interactions between employee and employer during the job-hunting process. There are different websites that enable you to establish a social network. For example, meet, Xing, Bark, Opportunity, Lunchmeet, and LinkedIn among others. This article is written by a group of young undergraduate and graduate researchers, who have noticed the importance of social networks to apply for graduate school and industry jobs. This manuscript offers ten simple rules that include resources to facilitate the journey on LinkedIn-like social networks, hoping that you have a successful career description in the most popular professional social networking site.

The article explores the task of making higher education more profession-oriented. In this context, we consider the technology of structuring and matching professional activities and content of professional education curricula with the help of ontology. This technology employs intelligent analysis of labor market and educational content matching with the aim to organize educational programs and verify professional competences based on their ontological properties. The article also considers development of a professional training cognitive map that can help design the student’s personalized educational trajectory factoring in the given parameters.

IntroductionParamedicine is a domain of practice and health profession that specialises in the provision of health and social care across a range of settings including, but not limited to, emergency and primary care. Paramedics work in a variety of clinical settings such as paramedics services, hospitals, and clinics, in the community as well as non-clinical roles, such as education, leadership, policy work, public health and research. A previous competency framework for paramedics in Canada had become increasingly poorly aligned with contemporary practice. We sought to develop a competency framework that represents contemporary paramedic practice in Canada. MethodsThis project was guided by a conceptual framework informed by systems thinking and used a six-step model for developing competency frameworks. We engaged paramedics from across Canada in working groups to explore various contexts of paramedic practice. We gathered data using multiple methods and coded this data into activity statements. We grouped these statements and developed or expanded corresponding professional activities through five drafts of the framework from 2022 to 2024. A technical committee reviewed and edited the draft framework throughout the process, culminating in a public review period from January to March 2024, and a subsequent final version of the National Competency Framework for Paramedics (NCFP). ResultsThe National Competency Framework for Paramedics reflects contemporary paramedic practice in Canada. It describes the professional activities of paramedics organised under five domains - Person-Centred Care; Collaborative Care; Safe Care; Self-Care; and Professional Care. Paramedics perform these activities across multiple contexts of practice by enacting a variety of roles depending on the event. Discussion and conclusion By exploring the variety of practice contexts and the expectations of paramedics across Canada, the NCFP provides a holistic, contemporary description of paramedic practice in Canada, providing a foundation for professional practice in a variety of settings. The five domains provide a comprehensive representation of paramedic practice helping to ensure care is ultimately and sufficiently aligned with the needs of the community and settings in which paramedics can practice. The NCFP can be used to inform education programs to better prepare paramedics for complex, interprofessional health and social care practice now and as practice continues to evolve.

Experiential learning can facilitate the development of transferrable skills necessary for success in attaining tenure and promotion in academia. In this article, we discuss the benefits of designing and implementing an individualized professional development experience or practicum. By doing this, we describe the experiential learning component of the Accomplishing Career Transitions (ACT) Program of the American Society for Cell Biology. The ACT program aims to assist postdoctoral trainees and junior faculty from backgrounds underrepresented in STEM as they strive to transition into tenure-track positions and ultimately attain tenure at research-intensive or teaching-intensive academic institutions.

Childhood obesity is one of the most prevalent public health challenges in the United States and although rates are declining overall, rates among children living in underserved neighborhoods are increasing. This five-year intervention project seeks to empower teachers (n=92) to invest in their own health and then to integrate nutrition concepts into core subjects’ lessons in elementary schools. The professional development sessions reflect the concepts in the Whole Child, Whole School, Whole Community model. Results indicate that teachers who attended professional development sessions were more likely to implement nutrition lessons in the classroom (r = 0.54, p<0.01) and students demonstrated a significant increase in nutrition knowledge (p < .001, df = 2, F = 9.66). Investing in school-based programs that ensure teacher well-being and professional development can yield positive benefits for both teachers and students.

The aim of this study is to understand how Jordanian journalists view social media networks as being related to the news industry and the extent of their dependence on these networks in producing news. It also explores the opinions of journalists on the pros and cons of these networks through the lens of relationship between these networks and professional journalism. The study uses the qualitative approach by conducting interviews with a number of professional Jordanian journalists. The most prominent results that the study revealed are that journalists view social networks as an important and beneficial development. There is optimism among journalists about the relationship between professional journalism and social media. Also, social networks have brought several benefits to the professional journalism. The results also show that there is a firm belief among journalists that social networks cannot be considered a substitute for traditional media.

Competency frameworks are developed for a variety of purposes, including describing professional practice and informing education and assessment frameworks. Despite the volume of competency frameworks developed in the healthcare professions, guidance remains unclear and is inconsistently adhered to (perhaps in part due to a lack of organising frameworks), there is variability in methodological choices, inconsistently reported outputs, and a lack of evaluation of frameworks. As such, we proposed the need for improved guidance. In this paper we outline a six-step model for developing competency framework that is designed to address some of these shortcomings. The six-steps comprise [1] identifying purpose, intended uses, scope, and stakeholders; [2] theoretically informed ways of identifying the contexts of complex, ‘real-world’ professional practice, which includes [3] aligned methods and means by which practice can be explored; [4] the identification and specification of competencies required for professional practice, [5] how to report the process and outputs of identifying such competencies, and [6] built-in strategies to continuously evaluate, update and maintain competency framework development processes and outputs. The model synthesizes and organizes existing guidance and literature, and furthers this existing guidance by highlighting the need for a theoretically-informed approach to describing and exploring practice that is appropriate, as well as offering guidance for developers on reporting the development process and outputs, and planning for the ongoing maintenance of frameworks.

Medical surveillance and risk mitigation protocols to reduce viral transmission have underpinned the return of elite football during the COVID-19 pandemic. This article describes the evidence-informed approach and surveillance findings from the English Football League across a 9-week period at the end of the 2019-20 season. Protocols were devised by the lead EFL Medical Advisor with specialist occupational medicine input. Isolation requirements for cases and contacts were in-line with UK Government regulations, with external contact tracing conducted by local public health authorities. Quantitative PCR testing was conducted twice weekly and within 72 hours of fixtures. 43 individuals, including 18 players returned positive tests. No positive results were returned after week 5 (round 10). Our findings support those from other leagues that with appropriate compliance, elite football can continue safely during this pandemic. We recommend that protocols and compliance should be revised as necessary according to community prevalence and changes in viral transmission dynamics.

Five years after the introduction of the Prescribing Safety Assessment (PSA) in the UK, the role pharmacists play to help prepare medical students for this challenge is uncertain. Our study explored pharmacists’ perceptions about their role in undergraduate medical training for the Prescribing Safety Assessment (PSA). Study participants were emailed a qualitative questionnaire aimed at ascertaining their current involvement in undergraduate medical education, particularly the preparation for PSA. Responses received were thematically-analysed. A total of 27 UK hospital pharmacists and 3 pharmacists from local education and training boards completed the questionnaire. Pharmacists were positive about their involvement in medical student training, recognising the added value they could provide in prescribing practice. However, respondents expressed concerns in relation to resource availability and the need for formal educational practice mentoring. This research highlights the potential value of pharmacists’ input into medical education and the need for a discussion on strategies to expand this role to maximise the benefit from pharmacist skill mix in teaching safe prescribing.

This study examines the effect of a corporate citizenship-oriented high performance work system (CC-oriented HPWS) and the interactive influence of CC-oriented HPWS and person-organization fit (PO fit) on creativity at the individual level. Our analysis of field data collected from 303 employees in two branch companies with a two-phase collection method provides empirical support for our theoretical model. The results indicate that high performance work system (HPWS) reflecting corporate citizenship (CC) correlates positively with individual creativity. In addition, the moderating effect of PO fit is significant in the relationship between CC-oriented HPWS and creativity at the individual level. On this basis, this paper discusses the theoretical and practical implications of these findings for future research.

Object-Oriented Programming (OOP) has long been a dominant paradigm in software development, but it's not without its challenges. One major issue is the problem of tight coupling between objects, which can hinder flexibility and make it difficult to modify or extend code. Additionally, the complexity of managing inheritance hierarchies can lead to rigid and fragile designs, making it hard to maintain and evolve the software over time. This paper introduces a software development pattern that seeks to offer a renewed approach to writing code in Object-Oriented (OO) environments. Addressing some of the limitations of the traditional approach, the Puzzle Pattern focuses on extreme modularity, favoring writing code exclusively in interfaces. Concrete classes are subsequently assembled through the implementation of those interfaces, reducing coupling and introducing a new level of flexibility and adaptability in software construction. The highlighted pattern offers significant benefits in software development, promoting extreme modularity through interface-based coding, enhancing adaptability via multiple inheritance, and upholding the SOLID principles, though it may pose challenges such as complexity and a learning curve for teams.

Pairs of potential and flow variables have long been established for interfacing object-oriented component models of physical systems. Recently, however, the use of triplets has been discovered for the purpose of robust modeling. New and powerful Modelica libraries have been developed such as the DLR ThermoFluid Stream library or the introduction of the Dialectic Mechanics library. Their use of triplets is entangled with a special modeling approach that uses Linear Implicit Equilibrium Dynamics. In this paper, we study the basic motivation of this approach, its benefits and drawbacks before we finally demonstrate how it beneficially impacts the generation of corresponding simulation code.

The masonry building Heritage is appreciated for its aesthetic and historical value all around the world. The widespread presence of curved elements, such as arch, vault and dome express the relevant constructive abilities in the different historical epochs. These curved elements are characterized by architectural beauty, structural strength (especially against the gravity loads), thermal comfort and fire resistance. On the other hand, curved structures required scaffolding in order to be erected. The design, the construction and the dismantling of the scaffolds is typically time-consuming and expensive. In addition, the on-site working risk is related to time-interferences (e.g. in manpower working, at the same time, over and under scaffold). This technology dates back to the Era of the Roman Empire and it is currently still used, despite its limitations and disadvantages. In the present paper, an innovative technique (recently patented), aiming for the construction of a curved structural member without scaffolds, is proposed and illustrated. It consists in a Hinged Lifting Arch (HLA), using FRP (Fiber Reinforced Polymer) bonded strips. In details, a series of blocks are cut following an arch geometry and then aligned on the ground-floor in order to bond a composite on their top surface. Moreover, the impregnation of the polymeric adhesive is not allowed at the extremities of each block. The fiber sheet is applied continuously along the entire extrados. In this sense, hinges are introduced, in fact, the FRP-connected blocks are able to easily rotate, in the opposite direction, around the contact ends (i.e. hinge). Finally, the middle block is lifted-up and the arch takes the desiderated shape. In the first experimental demonstration, the natural calcareous stone was used, even if the proposed technique is totally material-independent. Moreover, an analytical model is proposed and discussed for designing the proper aspect ratio of the blocks in order to ensure the full mutual contact when the HLA is totally lifted up. The advantages of the proposed technique are related to the absence of scaffolds and improved seismic strength against horizontal loads thanks to the presence of the FRP, which limits the occurrence of hinges at the extrados.

Discussions and practices on sustainability are actively underway around the world. In this social context, this study conceptualized ESG management values ​​focused on sports organizations, especially professional sports clubs in Korea. Utilizing Q Methodology, suitable for research on individual's subjectivity, we explored ESG management values accepted by consumers of Korean professional sports. As a result, the ESG management values were confirmed as follows: ‘Type I: Trust-Management Emphasis,’ ‘Type II: Local-Community Emphasis,’ and ‘Type III: Safety-Respect Culture Emphasis.’ While each of the three types accepted governance, social responsibility, safety, and respect culture as their main values, they tended to deny environment-related values. Accordingly, this study provided two discussions: ‘Professional sports consumers’ low awareness of the environment’ and ‘Reinterpretation of environmental values ​​among the ESG management values ​​of professional sports clubs’. In conclusion, the three types are significant in that (1) they well reflect the social and cultural context of Korean professional sports and consumers' perceptions, and (2) they provide a new perspective on the ESG management value of professional sports teams.

This study aims to examine how the activation of nursing roles and professional identification as a nurse can influence moral judgments in terms of deontological and utilitarian inclinations. In Study 1, a priming technique was used to assess the impact of activating the nursing concept on moral reasoning. Participants were randomly assigned to either a nursing prime or neutral prime condition. By using a scrambled-sentences task, participants were prompted to think about nursing-related or neutral thoughts. Following the priming task, participants were asked to respond to 20 moral dilemmas. The process dissociation approach was employed to measure the degree of deontological and utilitarian tendencies in their moral reasoning. In Study 2, participants completed the nursing profession identification scale and the moral orientation scale before engaging in moral judgments similar to those in Study 1. The findings revealed that priming the concept of nursing roles resulted in an increase in deontological clinical inclinations, while having no significant effect on utilitarian inclinations. Additionally, a positive correlation was observed between identification with the nursing profession and deontological clinical inclinations, whereas a negative correlation was found with utilitarian inclinations. Deliberation orientation acted as a complete mediator in the relationship between nursing professional identification and deontological tendencies, and as a partial mediator for utilitarian tendencies.

This article analyzes the perspectives of professional training of the public administration staff, from the viewpoint of the sustainability criteria, starting from the experiences of the online courses run in the last two years. In order to understand the nature, type and magnitude of the changes caused by the Covid-19 pandemic in the field of professional training for public administration, we performed a survey among public institution employees, by applying a questionnaire. The instrument included qualitative elements, to allow the framing of statistical results. The article is grounded on the hypothesis that the professional training activities in the last two years were organized preponderantly online and it aims to analyze the sustainability of the new teaching systems/methods. The limitations of the study are given by the fact that each administrative system has structure particularities and its own legal framework regarding the professional training of public administration staff, what makes that the model proposed cannot be applied in all countries. The study provides a model of online professional training for public administration staff, sustainable, based on the experience accumulated in the last two years.

This study was conducted to investigate the correlations between social-emotional competence (SEC) and academic achievement (AA) among nursing students and to compare students’ level of each core skill of SEC (critical thinking disposition, self-directed learning, creativity, emotional intelligence, problem-solving, and collaboration) and academic achievement (clinical performance and subjective academic achievement). A cross-sectional design was adapted. Data were collected from 195 nursing students in the junior and senior years who had participated in clinical practicum from four universities in South Korea. General characteristics, levels of critical thinking disposition, self-directed learning, creativity, emotional intelligence, problem-solving, collaboration, and academic achievement were collected via self-reported questionnaire. Canonical correlation analysis was performed to evaluate the relationship between SEC and AA. The canonical correlation coefficient between SEC and AA was .762. Critical thinking disposition (Rs = .89), problem-solving (Rs = .86), cooperation (Rs = .80) made the most important contributions to SEC. Clinical performance (Rs=.95) and subjective AA (Rs=.57) were correlated with AA. SEC should be addressed to improve the AA of nursing students. All core skills of SEC should be regularly promoted. It is particularly urgent for nursing students to improve their creativity.

It is not new in medical history to propose a global concern to be classified as a disease. Defining a concern into disease allows to assign ethical responsibilities to develop powerful and effective interventions. It also allow to appropriate distribute the resources uniformly economically and morally. In 2003, World Health Organization report stated that 30-50 % of patients do not take their medications as prescribed associated with morbidity, mortality and health cost. It was considered a global concern, however, irrespective of decades of researches conducted on medication adherence, we are still unable to state that medication adherence issues are being resolved. In this review, we have described few apprehensions in current understandings of medication adherence that have limited its research. We have also proposed medication adherence as disorder and provided its’ definition and classification

We discuss the electrodeposition of two-dimensional (2D) Pt-nanostructures on HOPG achieved under constant applied potential versus a Pt counter electrode (Eappl = ca. - 2.2 V vs RHE). The deposition conditions are discussed in terms of the electrochemical behavior of the electrodeposition precursor (H2PtCl6). We performed cyclic voltammetry (CV) of the electrochemical Pt deposit on HOPG and on Pt substrates to study the relevant phenomena that affect the morphology of Pt deposition. Under conditions where the Pt deposition occurs and H2 evolution is occurring at the diffusion-limited rate (- 0.3 V vs RHE), Pt forms larger structures on the surface of HOPG, and the electrodeposition of Pt is not limited by diffusion. This indicates the need for large overpotentials to direct the 2D growth of Pt. Investigation of the possible effect of Cl- showed that Cl- deposits on the surface of Pt at low overpotentials, but strips from the surface at potentials more positive than the electrodeposition potential. The CV of Pt on HOPG is a strong function of the nature of the surface. We propose that during immersion of HOPG in the electrodeposition solution (3 mM H2PtCl6, 0.5 M NaCl, pH 2.3) Pt islands are formed spontaneously, and these islands drive the growth of the 2D nanostructures.

Background: The workplace burnout syndrome is often associated with particular aspects of certain job positions, especially those which entail working with people with special needs. The burnout syndrome in healthcare jobs is a serious problem which has grown into an epidemic among healthcare workers and associates. Objectives: The aim of this research is to assess the presence of stress and burnout syndrome at work with healthcare workers, expert workers, professional associates and associates in social service institutions in Belgrade. Material and Methods: This research has been conducted in the form of a cross-sectional study of a representative sample in social institutions in Belgrade. It has been conducted from March to the end of June of 2023. The sample of the study had 491 participants. The questionnaires used were a structured instrument with social-demographic and social-economic characteristics, workplace characteristics, life style characteristics, and the following questionnaires: DASS-21, Copenhagen, Brief Resilience Scale, and Brief Resilient Coping Scale. Results: The end results indicate the following to be significant risk factors for the occurrence of workplace burnout syndrome: overtime (OR=2.62; CI=1.50-4.56), BRS average score (OR=0.28; CI=0.17-0.44), DASS21 D heightened depression (OR=2.09; CI=1.1-4.04), DASS21 A heightened anxiety (OR=2.38; CI=1.34-4.21), DASS21 S heightened stress (OR=2.08; CI=1.11-3.89). The only protective risk factor which stood out was the self-assessment of health levels (OR=0.60; CI=0.42-0.85). Conclusion: Overtime is a significant predictor of workplace burnout. Apart from it, other significant predictors of workplace burnout were heightened depression, anxiety, and stress levels.

Sleep apnea is common in professional truck drivers. As undiagnosed and/or untreated sleep apnea is a risk factor for sleepiness-related traffic accidents, it should be recognized. We develop a new, simple tool to screen sleep apnea in this population. Altogether, 2066 professional truck drivers received a structured questionnaire. 175 drivers had a clinical examination and were invited to sleep laboratory studies, including cardiorespiratory polygraphy. We studied associations of different risk factors with the presence of sleep apnea. We established a new simple screening tool for sleep apnea that was compared to other existing screening tools. 1095 drivers filled in the questionnaire. 172 drivers had successful cardiorespiratory polygraphy. Full data was available for 160 male drivers, who were included in the analyses. The following five risk factors for sleep apnea formed the BAMSA-score (0 to 5): BMI>30 kgm-2, Age>50 years, Male gender, Snoring at least on one night per week and presence of Apneas at least sometimes. BAMSA showed a sensitivity of 85.7% and a specificity of 78.8% in detecting AHI≥15, when using a cut point of 4 and the ROC area was 0.823. BAMSA is a sensitive and easy-to-use tool in predicting sleep apnea in male professional drivers.

Sustainable teacher development is the key to the success in the program of Master of Translation and Interpretation (MTI) but there was limited research on their current situation and needs in China. In this study 514 teachers from 32 provinces, municipalities and autonomous regions across China were investigated by means of quantitative questionnaires and online interviews concerning their current situation of career development and this research presented a comprehensive description of their age, academic qualifications and professional title. Also this study expounded the current situation and difficulties in academic research, teaching, translation practice and staff training. The findings were as follows. 1：In spite of reasonable age structure, approximately 50% of them had less than three years’ teaching experience in MTI. 2: There was a rise in the number of MTI teachers with doctoral degree but they found it hard to offer students professional guidance. 3: A large proportion of MTI teachers were in a slow stream of promotion in the title of professional post. 4: The proportion of the academic achievements related to translation in all the research projects and papers was small. 5: A majority of them worked as part-time translators. 6: About half of the teachers were not very satisfied with the effectiveness in their staff training program. Therefore it is suggested that more opportunities be provided for the MTI teachers to conduct translation practice in the professional sector and more researches be needed to thoroughly understand their requirement in terms of career development with a view to bridging the gap between content in the teacher training and their actual needs.

Purpose: To identify the impact of dealing with COVID-19 patients in clinical areas on nurses' professional self-concept and self-confidence. Background: Professional self-concept is considered a critical factor in the recruitment/retention process in nursing, nursing shortage, career satisfaction, and academic achievements. Professional self-confidence is also a crucial determinant in staff satisfaction, reducing turnover, and increasing work engagement. Design: Descriptive, comparative study. Methods: The study was conducted between February to May 2021 by utilizing a convenience sampling technique. A total of 170 nurses from two facilities were recruited from two COVID-19 and non-COVID-19 designated facilities. The level of professional self-concept and self-confidence was assessed by utilizing the Nurses' Self-Concept Instrument and Self-Confidence Scale. Results: The professional self-concept level among the exposed group to COVID-19 patients was lower than the comparison group, while the professional self-confidence level among the exposed group to COVID-19 patients was similar to the comparison group. On the other hand, the satisfied staff and those who received professional training in dealing with COVID-19 patients reported a higher level of professional self-concept. Conclusions: Dealing with COVID-19 patients has an impact on professional self-concept; the exposure group was lower than those who did not deal with COVID-19 patients, while the professional self-confidence level among the exposed group was similar to the comparison group. Getting professional training in dealing with COVID-19 patients and being satisfied at work were significant factors in improving the professional self-concept. Policymakers should create strategies that target the improvement of professional training in dealing with COVID-19 patients.

This study compared two object-oriented land use change detection methods—detection after classification (DAC) and classification after detection (CAD) —based on a digital elevation model, slope data, and multi-temporal Landsat images (TM image for 2000 and ETM image for 2010). We noted that the overall accuracy of the DAC (86.42%) was much higher than that of the CAD (71.71%). However, a slight difference between the accuracies of the two methods exists for deciduous broadleaf forest, evergreen coniferous forest, mixed wood, upland, paddy, reserved land, and settlement. Owing to substantial spectrum differences, these land use types can be extracted using spectral indexes. The accuracy of DAC was much higher than that of CAD for industrial land, traffic land, green shrub, reservoir, lake, river, and channel, all of which share similar spectrums. The discrepancy was mainly because DAC can completely utilize various forms of information apart from spectrum information during a two-stage classification. In addition, the change-area boundary was not limited at first, but was adjustable in the process of classification. DAC can overcome smoothing effects to a great extent using multi-scale segmentations and multi-characters in detection. Although DAC yielded better results, it was more time-consuming (28 days) because it uses a two-stage classification approach. Conversely, CAD consumed less time (15 days). Thus, a hybrid of the two methods is recommended for application in land use change detection.

In this work we offer a broad overview of the combination of digital communication, education and society and show the link between learning with digital and awakening to the future. We trace the effects of digital communication acquired during postgraduate training at the Universidade Aberta of Portugal by professionals from African Portuguese-speaking countries. From a methodological point of view, the study identifies former postgraduate students at the Universidade Aberta (Public University of Higher Education) over the last five years who were given a comprehensive questionnaire aimed at finding out how the training they underwent contributed to gauging their current levels of application of digital communication in their current profession. We found that digital communication in learning and its diversification acts as a lever for personal and professional development following the acquisition of academic knowledge.

The practice of the veterinary profession is regulated by public law and corporate regulations. The most fundamental corporate regulations of veterinary associations, to which membership is a condition of practising the profession, are the codes of veterinary ethics. The codes of ethics contain five basic rules for practising veterinary responsibilities to animals, clients, the public, the veterinary team, and the veterinarians themselves. Veterinarians are often faced with dilemmas about whose interests to protect; this is due to the tasks the profession carries out while protecting the animals of their owners and the public. Ethical principles are a guideline for veterinarians in difficult situations. Depending on the hierarchy of values imposed by codes of ethics, different decisions can be made. In this article, we present the importance that the Polish code of veterinary ethics gives to animal welfare as an obligation of veterinarians towards animals and compare how animal welfare is positioned in the European, American, British and New Zealand codes of veterinary ethics. In contrast to other codes, the Polish code of veterinary ethics does not sufficiently recognise animal welfare as a value to be protected in the practice of the profession.

Background. Private security refers to the security protection services that private security organizations provide to control crimes, protect lives and other assets, and to maintain order at their employers’ facilities. The objective of the study was to analyze the burnout syndrome and the quality of life among security employees of the professional private security sector in Central Serbia. Methods. A multicenter cross-sectional questionay-based study was performed in seven different cities in central Serbia. The study included the representative sample of security staff employed. The study was performed in the period from March 3, 2019 to April 30, 2019. Results. A total of 353 respondents (330 male and 23 female) participated in the study. The Response rate was 80%. Men were significantly older than women: 44.09±11.44 vs. 36.91±7.92 (F=8.752; p=0.003). Approximately one third (32.6%) had symptoms of total burnout and a much higher number of responders had moderate or high level of burnout in individual subscales; in emotional exhaustion (high 66.3%, moderate 19.8%), in depersonalisation (high 82.4%, moderate 16.2%) and slightly more than one third 34.5% had low personal achievement, about one third 32.9% had moderate personal achievement. Our study has shown that female sex and older age were associated with higher risk of total burnout and for the development of emotional exhaustion. Male sex, university education and managerial position were associated with higher personal achievement and lower risk of of total burnout because this subscale is inversely correlated with the burnout. Male sex, marritual union, two and more childreen and direct contact with clients were significantly associated with lower quality of life of employees. Conclusion. Nearly one third (32.6%) of security employees had symptoms of total burnout. Female sex and older age were associated with higher risk of total burnout and for the development of emotional exhaustion. Male sex and higher level of education were associated with greater personal achievement. Managerial position and higher education were protective factors in relation to the development of burnout. Male sex, marritual union, two and more childreen, direct contact with clients were significantly associated with lower quality of life of employees. security staff, professional private sector, quality of life

Digital transformation can become a complex process when workers have insufficient skills, which makes training in the digital field essential. Herein, we intended to relate digital literacy perceived by workers with their training needs for the Portuguese public sector context. Additionally, based in the Human capital theory, we also investigate which professional/demographic characteristics increase training propensity in digital fields. Through an online questionnaire, a dataset with information on 573 workers was obtained. Data analysis was made by using a probabilistic regression model and additional statistical techniques. The results revealed that workers with higher levels of education and higher professional skills have higher probability of participating in training in the digital field. On average, workers reveal low levels of digital knowledge and low participation in training in the digital fields, but the majority present a willingness to participate in future training sessions, especially in the fields of Dataset management, Cybersecurity and Communication systems. This study provides information on training in the digital field of workers in the public sector, which is essential for public organizations to better prepare for digital transformation. Additionally, it contributes to a very recent literature on digital learning, and it can be extended to other contexts.

Abstract Purpose – The purpose of this study is to investigate the impact of spiritual leadership on knowledge hiding behavior of employees in agriculture research institutes of Khyber Pakhtunkhwa, Pakistan. The study also aims to analyze theoretically and then investigate empirical evidence concerning the mediation pathway (namely, professional commitment) to clarify the significant association amid spiritual leadership and subordinate's knowledge hiding behavior. Design/methodology- The cross-sectional data using five point lickert scale was used in this survey based study to investigate the given hypotheses. In order to account for the prim effect and any potential for common method bias, data was gathered at two different time points with a gap of four weeks. Smart PLS4 was used to assess a sample of 298 complete and valid responses for hypotheses testing. Findings – The results show that spiritual leadership impacts negatively the employees’ knowledge hiding behavior. Moreover, this relationship is mediated by professional commitment. Originality/value – First, in contrast to the majority of past studies that concentrated on antecedents of knowledge sharing, the present study examined the impact of spiritual leadership on employee’s knowledge hiding behaviors, which are two opposing concepts. Secondly, the study examined empirically, the mediation effect of professional commitment. These three variables have not been studied together previously.

The unique physical demands of soccer necessitate optimal nutrition strategies for enhancing players' performance, recovery, and overall health. However, the effects of nutrition interventions on professional soccer players remain underexplored. This review aims to synthesize the current literature on the impact of nutrition interventions on professional soccer players' performance to inform future research and practical applications. The review will follow the PRISMA guidelines and the Cochrane Handbook of Systematic Reviews. We will employ a four-part search strategy to identify relevant studies, including electronic bibliographic databases, trial registers, the web of clinical trials, and bibliography screening. Inclusion criteria will encompass randomized clinical trials involving professional or semiprofessional soccer players utilizing a nutrition or diet intervention. Quality assessment will be conducted using the Risk of Bias 2 (RoB 2) tool. A narrative synthesis will be provided, detailing the intervention types and their effects on performance. This review will offer a comprehensive understanding of the potential benefits of nutrition interventions for soccer professionals, helping coaches, nutritionists, and players to tailor their approaches for optimal performance and recovery.

The National Occupational Competency Profile (NOCP) – the competency framework for paramedics in Canada – is presently undergoing revision. Since the NOCP was published in 2011, paramedic practice, healthcare and society have changed dramatically. To inform the revision, we sought to identify emerging concepts in the literature that would inform the development of competencies for paramedics. We conducted a restricted literature review and content analysis of all published and grey literature pertaining to or informing Canadian paramedicine from 2011 to 2022. Three authors performed a title and abstract, and full-text review to identify and label concepts informed by existing findings. A total of 302 articles were categorized into eleven emerging concepts related to competencies: Inclusion, Diversity, Equity, and Accessibility (IDEA) in paramedicine; Social responsiveness, justice, equity and access; Anti-racism; Healthy Professionals; Evidence Informed Practice and Systems; Complex Adaptive Systems; Learning Environment; Virtual Care; Clinical Reasoning; Adaptive Expertise; and Planetary Health. This review identified emerging concepts to inform the development of the 2023 National Occupational Standard for Paramedics (NOSP). These concepts will inform data analysis, development group discussions, and competency identification.

The impact of organizational accreditation and professional certification and the evidence-based measurable impact of those for both academic programs and affiliates is one of specific interest to universities and individuals in the healthcare management field [1]. The authors’ analysis examined the impact of hiring graduates from higher education programs that held external accreditation from the Commission on Accreditation of Healthcare Management Education (CAHME). Graduates’ affiliation with the American College of Healthcare Executives (ACHE) professional healthcare leadership organization was also assessed as an independent variable. Study outcomes focused on these graduates’ respective healthcare organization’s performance measures (cost, quality, and access) to assess the researchers’ inquiry into the perceived value of a CAHME-accredited graduate degree in healthcare administration and a professional ACHE affiliation [2]. The results from this study found no effect of CAHME accreditation or ACHE affiliation on healthcare organization performance outcomes. The study findings support the need for future research surrounding healthcare administration professional graduate degree program characteristics and leader development affiliations, as perceived by various industry stakeholders.

In the United States, several land use and land cover (LULC) data sets are available based on Landsat. These data sets often fail to accurately represent the features on the ground despite having several advantages over other data. Detailed mapping of complex heterogeneous landscapes for informed decision-making is possible using high spatial resolution orthoimagery from the National Agricultural Imagery Program (NAIP). However, large-area mapping at this resolution remains challenging due to radiometric differences between scenes, low spectral depth of imagery, landscape heterogeneity, and computational limitations. Machine learning (ML) techniques have shown promise in improving LULC maps. The primary purposes of this study are to examine and evaluate bagging (Random Forest; RF), Boosting (Gradient Boosting Machines [GBM] and Extreme Gradient Boosting [XGB]), and stacking ensemble models on sentinel 2A fusion data on NAIP imagery. We also compared the accuracy based on random cross-validation (80% / 20% split) without accounting for spatial autocorrelation and target-oriented validation (10 clusters) accounting for spatial structures of the training data set. To make the LULC map of a portion of Tom Green and Irion counties in central Texas, we used a time series of sentinel data and NAIP orthoimagery. We created several spectral indices, structural variables, and geometry-based variables, reducing the dimensionality of features generated on Sentinel and NAIP data. The random and target-oriented validation results show that autocorrelation in the training data offers over-optimistic results. In our case, the overestimation ranged from 2 % to 3.5 %. The XGB-boosted stacking ensemble on-base learners (RF, XGB, and GBM) improved model performance over individual base-learner. The main contribution of this research is that meta-learners are just as sensitive to overfitting as base models, as these algorithms are not designed to account for spatial information. Finally, we show that the fusion of Sentinel 2A data with NAIP data improves land use land cover classification using Geographic Object-Based Image Analysis (GEOBIA).

Sustainable agriculture has become increasingly important in Tunisia due to the drought that has been affecting the country's climate in recent years. This has become a major threat to the economy, making it necessary to explore alternative methods of agriculture that are more sustainable. Moreover, smart hydroponic cultivation based on renewable energies has become increasingly widespread, promoting the quality and efficiency of agricultural production despite weather parameters variations and global warming. This work aims to create a sustainable agriculture system in Tunisia through the design and implementation of a smart photovoltaic (PV) hydroponic greenhouse. The greenhouse will utilize advanced technology to optimize plant growth and reduce water usage, while also incorporating solar panels to generate renewable energy. The end goal is to create a self-sufficient and eco-friendly agricultural system that can provide fresh produce to local communities year-round. In this work, we are interested to the automation of the hydroponic greenhouse (HG)’s thermal conditioning system based on an asynchronous motor pump and powered by a PV generator. In the first stage, we analyzed the mathematical modeling of a stand-alone PV-HG system that consists of a PV generator, a three-phase inverter, an asynchronous motor pump, and a hydroponic system. After that, we developed a Field Oriented Control based on proportional integral (PI) regulators to adjust the rotation speed of the asynchronous motor pump, which aimed to provide the cooling and heating needs of the plant. The simulation results demonstrated the effectiveness of the proposed system . Additionally, we designed and implemented a smart system based on the internet of things (IoT) to enable remote control of internal and external parameters of the HG. This intelligent solution utilizes sensors, microcontrollers, and other devices and ensures the monitoring and the maintaining of the ideal growing conditions for our plants, guaranteeing that they receive the proper amount of temperature, humidity, and lighting. This type of system can be an invaluable tool for maximizing yields and achieving optimal results. With the right approach and attention to detail, we can create a sustainable and efficient growing environment that will help our plants flourish year-round.

As smoke toxicity is unregulated outside of the mass transport industry, there is no set methodology for assessing smoke toxicity of construction products, like OSB, on a large-scale. This research aims to assess the novel design of a modified ISO 9705 room corner test designed for smoke toxicity quantification. Three tests conditions will be assessed to determine if restriction of ventilation is enough to force a fire to transition to under-ventilated flaming, or if the fuel loading is much more important in affecting the fire severity and fire condition. The research found that fuel loading and test geometry has more significant impact on the fire condition than restricting the ventilation. While imposing restrictions on the test rooms ventilation did increase the equivalence ratio, it was not sufficient enough to force the transition into under-ventilated flaming. The addition of a door to the test room did not force the fire to transition to under-ventilated flaming. When doubling the fuel loading, there was sufficient fuel for the fire to transition to under-ventilated flaming. This research has provided the experimental methodologies to assess smoke toxicity at a range of ventilation conditions on a large-scale.

Nowadays, the selection of web services with uncertain quality of service (QoS) is gaining a lot of attention in the service-oriented computing paradigm (soc). In fact, searching for a service composition that fulfills a complex user’s request is known to be NP-Complete. The search time is mainly dependent on the number of the requested tasks, the size the available services, and the size of the QoS realizations (i.e., sample size). To handle this problem, we propose a two-stage approach that reduces the search space using heuristics for ranking the tasks’ services and a bat algorithm metaheuristic for selecting the final near optimal compositions. The fitness used by the metaheuristic aims to fulfill all the global constraints of the user. The experimental study shows that the ranking heuristics, termed “fuzzy pareto dominance” and "Zero-order stochastic dominance", are highly effective than the other heuristics and most of the existing state-of-the-art methods.

Kubernetes (K8s) defines standardized APIs for container-based cluster orchestration so it becomes possible for application managers to deploy their applications in a unified manner across different cloud providers. A practical problem is however feature incompatibility between different K8s vendors, who offer commercial K8s products based on the open-source K8s distribution. A large number of documented features in this open-source distribution are optional features that are turned off by default, but can be activated by setting specific combinations of parameters and plug-in components in configuration manifests for the K8s control plane and worker node agents. However, none of these configuration manifests are standardized, giving K8s vendors the freedom to hide the manifests behind a single, more restricted, and proprietary customization interface. Therefore some optional K8s features cannot be activated consistently across K8s vendors and applications that require these features cannot be run on those vendors. In this paper we present a unified, vendor-agnostic feature management approach that bypasses the proprietary customization interface of K8s vendors in order to consistently activate optional K8s features across a federation of clusters hosted by different Kubernetes vendors. We describe vendor-agnostic reconfiguration tactics that are already applied in industry and cover a wide range of optional K8s features. Based on these tactics, we design and implement an autonomic controller for declarative feature compatibility management across a cluster federation. We found that the features configured through our vendor-agnostic approach have no impact on application performance when compared with a cluster where the features are configured using the configuration manifests of the open-source K8s distribution. Moreover, the maximum time to complete reconfiguration of a single feature is within 100 seconds, which is 6 times faster than using proprietary customization interfaces of mainstream K8s vendors such as Google Kubernetes Engine. However, there is a non-negligible disruption to running applications when performing the reconfiguration; this disruption impact does not appear using the proprietary customization methods of the K8s vendors. Therefore, our approach is best applied in the following three use cases: (i) when starting up new K8s clusters, (ii) when optional K8s features of existing clusters must be activated as quickly as possibly and temporary disruption to running applications can be tolerated or (iii) when proprietary customization interfaces do not allow to activate the desired optional feature.

The notion of oriented set is the basic elementary concept of the theory of changeable sets. The main motivation for the introduction of changeable sets was the sixth Hilbert problem, that is, the problem of mathematically rigorous formulation of the fundamentals of theoretical physics. In the present paper the necessary and sufficient condition of the existence of one-point time on an oriented set is established. From the intuitive point of view, one-point time is the time associated with the evolution of a system consisting of only one object (for example, from one material point). Namely, it is proven that the one-point time exists on the oriented set if and only if this oriented set is a quasi-chain. Also, using the obtained result, the problem of describing all possible images of linearly ordered sets is solved. This problem naturally arises in the theory of ordered sets.

Teacher burnout has been shown to be one of the most common negative consequences of the COVID-19 pandemic. This study aimed to identify distinct psychological resources and burnout risk profiles of teachers and examine their association with Kolb’s educator roles and their professional experience. Methods: The survey data were collected from 330 preschool and primary school (84 males, Mage = 38.3, SD = 9.14) teachers using a convenience sampling method. Results: The two-step cluster analysis revealed two distinct profiles. The first profile, “high psychological resources, no burnout risk,” was characterized by absent symptoms of burnout and increased levels of well-being, self-control, and positive emotionality. The second profile, “moderate psychological resources, mild burnout,” was associated with medium levels of well-being, self-control, and positive emotionality accompanied by mild burnout. Our findings highlighted that cluster one had a significantly higher score for the facilitator role and cluster two for the expert and coach roles. Additionally, teachers with less professional experience were more likely to belong to cluster one, considering their adequate skills in digital literacy. Conclusions: These findings provide new insights into the explanation of teacher burnout and the design of intervention programs.

Currently, in the scientific literature there is a great interest on the study of strategies to implement patient-centered care. One of the main tools for this is the therapeutic relationship. Some studies suggest that the perception of the environment in which the physical therapy treatment takes place can influence the perception of its quality. A qualitative study using focus groups was performed. Two researchers conducted the focus groups, using a topic guide with predetermined questions. The focus group discussions were audio-recorded, transcribed verbatim and analyzed thematically using a modified grounded theory approach. The setting was three hospitals and six public health centers located in Spain. The inclusion criteria were patients who had received a minimum of 15 physical therapy sessions and with no communication impairments. Thirty-one participants in four focus groups. Participants described a series of specific experiences relating to the environment, which they felt were influential in the establishment of therapeutic patient-centered relationships, including eight physical factors and five organizational factors. The results of this study highlight environmental factors that affect the quality of the therapeutic patient-centered relationship in physical therapy and emphasize the need for physical therapists and administrators to rethink the situation and propose strategies for improvement.

The multiphase motors due to their reliability find new areas of application in the industry and transportation. Developing of any system with multiphase motors at first requires elaborate model of the system, define control mode and controllers. The model of control system for the six-phase drive is based on its conventional d-q mathematical model and indirect field-oriented control. Simulink model of six-phase drive with indirect field-oriented control and simulated with two types PID and PID fuzzy controllers. The simulation results, reflecting step response and provided speed reference law as well as load application at constant speed, are presented and analyzed. Fuzzy controller with 49 rules is considered and applied. Six-phase electric drive with field-oriented control at well-tuned PID controller has good step response specifications: settling time 0.13 s at starting without load, step response has no overshoot, small about 1 % short time decrease of speed at load of 5 Nm application. The system employing PID fuzzy controller shows slightly better results in response to torque application: the decrease in speed 1 % is eliminated in shorter time. Simulation results indicate the robustness of both systems with six-phase drive to disturbance and provide high quality transient specifications at determined reference speed.

The paper presents a simplified laminar model with which the deformation of soil layers (base, subbase and subgrade courses) under flexible pavements due to repeated traffic load can be determined. In the first step, the cyclic strain amplitude is calculated using a nonlinear material model that is based on particle size distribution parameters (d50 and CU) and dependent on the mean normal stress, relative density and actual strain level. In the second step, the HCA (High Cycle Accumulation) model is used to calculate the residual settlement of each sublayer as a function of the number of cycles. It is shown that the developed model is suitable for describing different types of subgrades and pavement cross-sections. It is also demonstrated with finite element calculations that the developed model describes both the elastic and plastic strains sufficiently accurately. The developed model can predict the settlement and rutting of pavement structures with sufficient accuracy based on easily available particle size distribution parameters without the need of complex laboratory and finite element tests.

Discrete distribution estimation is a fundamental statistical tool, which is widely used to perform data analysis tasks in various applications involving sensitive personal information. Due to privacy concerns, individuals may not always provide their raw information, which leads to unpredictable biases in the final results of estimated distribution. Local Differential Privacy (LDP) is an advanced technique for privacy protection of discrete distribution estimation. Currently, typical LDP mechanisms provide same protection for all items in the domain, which imposes unnecessary perturbation on less sensitive items and thus degrades the utility of final results. Although, several recent works try to alleviate this problem, the utility can be further improved. In this paper, we propose a novel notion called Item-Oriented Personalized LDP (IPLDP), which independently perturbs different items with different privacy budgets to achieve personalized privacy protection. Furthermore, to satisfy IPLDP, we propose the Item-Oriented Personalized Randomized Response (IPRR) based on the observation that the sensitivity of data shows an inverse relationship with the population size of respective individuals. Theoretical analysis and experimental results demonstrate that our method can provide fine-grained privacy protection and improve data utility simultaneously.

This paper considers the principles of building a circuit model of film resistor cutting. The conductive resistive medium is defined with the component equations and the topology of the circuit model. A method of estimating the electric parameters of a resistor operating in the system with a measuring voltage source is shown. An equation system for the node voltages is defined, and the resistive layer parameters are analyzed as the circuit model structure changes during the cutting process.

Neural networks models are mostly represented by oriented graphs where only the components, constitutive elements of the graph, are transcribed into mathematical xpression. Indeed, accurate knowledge of the full expression of the model is required in certain situations such as selecting among several reference models, the one that best fits the available data or comparing the explanatory and predictive performance of an established model with respect to some reference models. In this paper, we establish a formalism of the mathematical expression for multilayer perceptron neural network in a general framework, MLP-p-n-q, with p, n and q natural integers and show its restriction to cases where one has a hidden layer and multivariate outputs (MLP-p-1-q), and then a single output (MLP-p-1-1). Then, we give some specific cases of the most commonly used models. An application case is presented in the context of solving a nonlinear regression problem.

Problem solving is one of the most important components of the human cognition that affects for ages the progress of the human society. Mathematical modelling is a special type of problem solving concerning problems related to science or everyday life situations. The present study is a review of the author’s earlier works on problem solving and mathematical modelling from the scope of Education. Its real goal is that it presents in a systematic way and in a few pages only the results of many years research on the subject. This helps the reader to get a comprehensive idea about a very important topic belonging to the core of Mathematics Education, which is very useful to those wanting to study deeper the subject and get directions for further research in the area.

The following series of Articles about a contextual system-theory, with focus on biological systems, shall give a guideline of how to explore complex systems. It is written not only for scientists, and therefore I will try to describe part of the way of understanding as an intuitive approach. This approach will also help scientists to get a deeper understanding of complexity. Some definitions and rules may seem at first simple and obvious. If practiced in a multidimensional complex system, one will see the difficulties. Even without mathematization or computer modeling the multidimensional sub space, which we try to describe phenomenologically for approaching the understanding of this Subsystem, will need a lot of training. Easily we get lost in the multidimensional world. Some of the chapters here and in the following publications of this series are written for specialists, but it will always come back to the essence of a phenomenological description. Concepts like Symbolic programming, Object oriented modeling, simulation and optimizing as well as experimental and mathematical approaches are the described tools to unpuzzle a complex scenario.

Understanding the dynamics of teamwork and communication among healthcare professionals is crucial in the face of evolving healthcare challenges. This study assessed relational coordination among healthcare professionals in the South Tyrolean healthcare system in Italy, focusing on communication and teamwork dynamics in a cross-sectional survey. Using the validated Relational Coordination Survey (RCS) instrument and 525 completed online responses, the questionnaire aimed to understand the implications of different levels of relational coordination ratings by general practitioners, hospital physicians, nurses, and administrative personnel (response rate 26%). The demographics of the participants revealed a predominance of female professionals (64%), with an average age of 50 and 18 years of service. The resulting RCS scores varied significantly across professional groups, with nurses reporting the highest within-group scores, indicating moderate coordination, and administrators reporting the lowest scores, reflecting areas of weak coordination. Between-group relational coordination was generally perceived as weak across professional groups, with the least weakness observed between general practitioners and nurses. German or Italian language and health district affiliation emerged as significant factors influencing relational coordination ratings, highlighting the need for differentiated understanding and strategies in multilingual and diverse regional settings. Assessments of interdisciplinary feedback and referral practices highlight the variation in teamwork and communication weaknesses and underscore the need for targeted interventions to improve relational coordination. This study provides insights into the complexity of relational dynamics in health care settings. It suggests that improving relational coordination through tailored strategies could significantly improve team effectiveness, quality of patient care, and overall system efficiency.

As a result of the COVID 19 outbreak that has affected the whole world, teacher leadership has gained more significance. Teacher leadership is a multidimensional concept. While some teachers exercise leadership only at the classroom level, others exercise leadership at macro level. This level of leadership enactment is directly related to how teachers construct their professional identity in relation to leadership. This study aims to explore the leadership-related professional identities of teachers who came to the fore especially during the COVID 19 pandemic period by using the latent profile analysis method. The data were collected a sample of 710 teachers. Teachers completed Teacher Leadership Behavior Scale that measures teacher leadership behaviors at four levels: classroom, parental, micro-level, macro-level. Participants also completed Rosenberg Self-Esteem Scale, Teacher Self-Efficacy Scale, Openness to Authority Scale, and Job Satisfaction Scale. As a result of latent profile analysis, three distinct profiles of teacher leadership identity emerged: those who exercise leadership at a minimum level, an intermediate level and a maximum level across all four levels of teacher leadership. These profiles were labeled as "extended professionality," "intermediate professionality," and "restricted professionality," drawing upon Hoyle's (1974) conceptualization of teacher professional identity. These findings suggest that teachers construct their identity differently about teacher leadership. It is essential for school leaders to first explore those different levels of professional identity and tailor their professional development activities accordingly.

Digital health research is an emerging discipline that requires easy-to-understand theoretical frameworks and implementation models for digital health providers in health and social care settings. The COVID-19 pandemic has heightened demand for digital health discipline-specific instruction on ‘how to’ manage evidence-based digital health transformation. Access to the use of these models guarantees that digital health providers can investigate phenomena using safe and suitable approaches and methods to conduct research and identify answers to challenges and problems that arise in health and social care settings. The COMPASS theory is designed to aid transformation of health and social care environments. A navigational rose of primary quadrants is divided by four main compass points, with person-centred care being central to the philosophy. Two axes produce Cartesian planes that intersect to form a box plot, which can be used to discover human and physical resource weightings to augment digital health research design and implementation. A third continuum highlights stakeholders' capabilities, critical for any multidisciplinary study. The COMPASS mnemonic guides end-users through the process of design, development, implementation, evaluation, and communication of digital health transformations. The theory's foundations are presented and explained in context of the 'new normal' of health and social care delivery.

Currently the integration of Kazakhstan into the world community requires the training of highly qualified specialists fluently speaking and having a good command of foreign language. The study is devoted to the problem of development of foreign language professional skills of students of non-linguistic specialty. The aim of the research is to identify the efficiency of integrated approach use for shaping foreign language communicative skills of non-linguistic specialty students. The methodological basis of the research was communicative approach to foreign language teaching. In the framework of the research scientific and theoretical literary sources on the problem of the development of foreign language professional skills of non-linguistic specialty students were studied and summarized; the analysis of the empirical material obtained in the questioning and testing of students. To determine the level of formation of foreign language professional competence of international relations specialty students we have developed the following components: linguistic, cognitive, pragmatic. In the course of the experimental study, the authors revealed that the use of problem-based methods such as discussion, project and case technologies, debates in the framework of integrated approach to professional foreign language teaching promote students’ motivation increase and contribute to the improvement of their foreign language professional skills. The results of the study can be used in application of CLIL technology for the formation of foreign language professional competence of non-linguistic specialty students at the university.

Design process can be divided into stages of analysis and synthesis. This paper presents the application of the object-oriented technique to the analysis as well as theoretical considerations concerning to design of gear size ranges. This analysis consists in decomposition of the designed artefact (a gear) according to the rule “from general to details view”. The basics of the object-oriented analysis were formulated. Furthermore, design phases and the objects related to theses phases were discussed. The following models have been considered: hierarchical model, entity-relationship model, data-flow model and object model. Analysis is additionally connected with interactions between particular design phases.

This study investigates the influence of expectations and trust on farmers' decisions regarding contractual choices in land transfer. The dataset used for analysis consists of 1101 households in Guizhou Province. The research focuses on two aspects: the selection between written and oral contracts, and the decision to continue the contractual relationship. The findings reveal that farmers' choices are significantly affected by their expectations and levels of trust.Specifically, when farmers' expectations regarding the land transfer process are not met, they tend to prefer written contracts over oral ones. This preference can be attributed to the greater clarity and risk reduction offered by written contracts. On the other hand, higher levels of trust increase the likelihood of farmers continuing the land transfer contract, as trust fosters a sense of confidence and security in the ongoing relationship.Interestingly, trust also plays a moderating role. Farmers who have aligned expectations and high levels of trust are more inclined to opt for oral contracts. This preference for oral contracts can be attributed to their flexibility and emphasis on interpersonal relationships, allowing for better adaptation to the changing dynamics of land transfer.These findings contribute to a deeper understanding of the factors influencing farmers' decision-making processes regarding contractual choices in land transfer. They provide valuable insights for policymakers involved in land transfer, enabling them to optimize policies and facilitate farmers' decision-making processes.

There has been limited research on improving Internet-delivered Cognitive Behavioural Therapy (ICBT) in routine online therapy clinics that serve people from diverse ethnocultural groups (PDEGs). This article describes a patient-oriented adaptation approach used to address this gap in research. A working group consisting of people with lived experience, community stakeholders, ICBT clinicians, managers, and researchers, was formed. The working group examined archival feedback on ICBT from past clients who self-identified as being from diverse ethnocultural back-grounds (N=278) and results of interviews with current patients (N=16), community stakeholders (N=6), and clinicians (N=3). The archival data and interviews revealed the majority of the pa-tients reported being satisfied with and benefitting from ICBT. Suggestions for improvement were not related to the cognitive-behavioural model and techniques, but rather to making treatment materials more inclusive. Consequently, the ICBT adaptation focused on adding content related to cultural influences on mental health, addressing stigma, diversifying case stories, examples and imagery, adding audiovisual introductions, and replacing English idioms with more descriptive language. Moreover, further training was offered to clinicians and efforts were made to improve community outreach. This study demonstrates a process for using patient-oriented research to improve ICBT within routine care serving patients of diverse backgrounds.

Optimization using Genetic Algorithms (GA) is a well-known strategy in several scientific disciplines. The crossover is an essential operator of the Genetic Algorithm. It has been an active area of research to develop sustainable forms for this operand. In this work, a new crossover operand is proposed. This operand depends on giving an elicited description for the chromosome with a new structure for alleles of the parents. It is suggested that each allele has two attitudes, one attitude differs contrastingly with the other, and both of them complement the allele. Thus, in case of one attitude is good, the other should be bad. This is suitable for many systems which contain admired parameters and unadmired parameters. The proposed crossover would improve the desired attitudes and damp the undesired attitudes. The proposed crossover can be achieved in two stages: the first stage is a mating method for both attitudes in one parent to improving one attitude at the expense of the other. The second stage comes after the first improvement stage for mating between different parents. Hence, two concurrent steps for improvement would be applied. Simulation experiments for the system shows improvement in the fitness function. The proposed crossover could be helpful in different fields, especially to optimize routing algorithms and network protocols, an application that has been tested as a case study in this work.

The use of active methodologies in the university is a priority to achieve higher quality learning. One of these methodologies with the greatest potential for training in competencies is Project-Oriented Learning (PLA), using it in an innovative way. Associating the use of this methodology with the objectives of sustainable development, which have become even more important since the Pandemic by COVID-19, can be a good idea to achieve a more sustained and situated learning. The aim of this study is to find out to what extent research on teaching innovation with Project-Oriented Learning is associated with the Sustainable Development Goals. A systematic review was carried out as indicated by PRISMA through the following databases: WOS and Scopus. WOS found 15 articles on AoP and 6 on Project-Oriented Learning and sustainability. In Scopus 2 were found in 2019. The main results show that in the University, especially in the branches of engineering, AoP is widely used, however, it is rarely related to SDGs. Among the conclusions, we highlight the need for research on project-oriented learning and sustainable development goals.

Droplet epitaxy allows the efficient fabrication of a plethora of 3D, III-V-based nanostructures on different crystalline orientations. Quantum dots grown on (311)A-oriented surface are obtained with record surface density, with or without a wetting layer. These are appealing features for quantum-dot lasing, thanks to the large density of quantum emitters and a truly 3D lateral confinement. However, the intimate photophysics of this class of nanostructures has not yet been investigated. Here we address the main optical and electronic properties of s-shell excitons in individual quantum dots grown on (311)A substrates with photoluminescence spectroscopy experiments. We show the presence of neutral exciton and biexciton as well as positive and negative charged excitons. We investigate the origins of spectral broadening, identifying them in spectral diffusion at low temperature and phonon-interaction at higher temperature, the presence of fine interactions between electron and hole spin, and a relevant heavy-hole/light-hole mixing. We interpret the level filling with a simple Poissonian model reproducing the power excitation dependence of the s-shell excitons. These results are relevant for the further improvement of this class of quantum emitters and their exploitation as single photon sources for low density samples as well as for efficient lasers for high density samples.

The aim of the study is to assess enjoyment and intensity of physical exercise while practicing physical activity (PA) in immersive virtual reality (IVR) using innovative training devices (omni-directional Omni treadmill and Icaros Pro flight simulator). The study also contains the results of subjective research on the usefulness of such a form of PA in the opinion of users. In total, 61 adults (10 women and 50 men) took part in the study. To assess the enjoyment level (EL) Interest/Enjoyment subscale of Intrinsic Motivation Inventory (IMI) was used. Exercise intensity was assessed during 10-minute sessions of active video games (AVGs) in IVR based on heart rate (HR). The average enjoyment level during physical exercise in IVR on the tested training devices was relatively high (Omni 5.74 points, Icaros 5.60 points). In the opinion of the majority of participants, AVGs on IVR training devices constitute a sufficiently useful form of movement to meet the needs of PA practiced in free time, and they can even replace some of the classic forms of movement. Intensity of PA during games on training devices was at the level recommended for health benefits for 92% (Omni) and 84% (Icaros Pro) of its duration. Based on the conducted research, it can be assumed that AVGs in IVR using a multi-directional treadmill and a flight simulator can be an effective tool for increasing participation in health-oriented PA.

Using insights from cybernetics and an information-based understanding of biological systems, a precise, scientifically inspired, definition of free-will is offered and the essential requirements for an agent to possess it in principle are set out. These are: a) there must be a self to self-determine; b) there must be a non-zero probability of more than one option being enacted; c) there must be an internal means of choosing among options (which is not merely random, since randomness is not a choice). For (a) to be fulfilled, the agent of self-determination must be organisationally closed (a `Kantian whole'). For (c) to be fulfilled: d) options must be generated from an internal model of the self which can calculate future states contingent on possible responses; e) choosing among these options requires their evaluation using an internally generated goal defined on an objective function representing the overall `master function' of the agent and f) for `deep free-will', at least two nested levels of choice and goal (d-e) must be enacted by the agent. The agent must also be able to enact its choice in physical reality. The only systems known to meet all these criteria are living organisms, not just humans, but a wide range of organisms. The main impediment to free-will in present-day artificial robots, is their lack of being a Kantian whole. Consciousness does not seem to be a requirement and the minimum complexity for a free-will system may be quite low and include relatively simple life-forms that are at least able to learn.

This research aims to enhance scholarly understanding Analysis of potential Value Creation research on managing transit oriented that may arise from Mass Rapid Transit resources through an extensive literature review, analyzing 235 papers from the Scopus database spanning 2011-2024, with a specific focus on value creation managing transit-oriented area. Data collection was conducted on January 1, 2024, using Harzing's Publish or Perish tool. The selected studies are associated with keywords such as 'managing transit orientation (154 papers), Value creation MRT (45 papers), Innovation MRT (36 papers)/ In the filtering process, 235 papers were assessed, excluding those unrelated to the research focus on the cash flow statement. The inclusion of 31 carefully selected articles reflects a targeted approach, ensuring alignment with the research focus on value creation in managing transit orientation a relevant dataset for analysis. This article was created by accessing several scientific articles regarding the application of identification in managing transit orientation using Vos viewer. Value creation research in managing transit oriented is needed to explore the following areas: Long-term sustainability of identified core competencies, Competitive Imitation, Organizational Adaptability, Industry Specific Applications, Performance Measurement, Dynamic Capability Development, Cross-Cultural Perspective. Potential areas for further research include Incorporate additional contingent factors into the model, such as environmental dynamism and competitiveness, to test the validity of the Resource-Based View (RBV) model. Extend the analysis to small and medium-sized businesses to examine how organizational structure and competitive strategy impact performance in this context.

Design process can be divided into stages of analysis and synthesis. This paper presents the application of the object-oriented technique to the synthesis as well as theoretical considerations concerning to design of gear size ranges. The synthesis consists in composition (aggregation) of single details into units – according to the rule: “from details up to general view”. The basics of the object-oriented synthesis were formulated. Furthermore, the consecutive stages of synthesis were formulated. The interactions between these stages were discussed. Some aspects were described in details e.g.: creation of interfaces for performance of the embodiment phase the designed artefact via CAD system drawing with specification (dimensions are still parametrically set). The final step of the procedure is creation of so called substantial (concrete) form of artifacts i.e. final assignment of dimensions which stored in the special data base. The final stage of the design process is issuing of technical documentation (technical drawings) created automatically via CAD system. The considerations are terminated by the list of advantages connected with the object-oriented approach to design (in comparison to the traditional way).

The adaptation stress experienced by overseas dispatched employees has serious implications for their physical and mental health and work performance. This study aimed to investigate the impact of resource-oriented music listening on work stress among overseas dispatched employees. The study recruited 10 participants of different ages and occupations who had worked abroad for at least 3 years. Five sessions of personalized resource-oriented music listening, and interviews were conducted. The Global Assessment of Recent Stress Scale (GARS) and Job Stress Scale (JSS) were used to measure stress before and after the intervention. Results showed that participants' work stress and perceived stress were significantly reduced after the music therapy intervention. The study also found that 'awareness' and 'self-acceptance' were factors that reduced regulatory stress among overseas dispatched employees. This study highlights the potential of resource-oriented music listening as a useful tool to address workplace stress and promote the well-being of expatriate employees.

Equipping autonomous agents for dynamic interaction and navigation is a significant challenge in intelligent transportation systems. This study aims to address this by implementing a brain-inspired model for decision-making in autonomous vehicles. We employ active inference, a Bayesian approach that models decision-making processes similar to the human brain, focusing on the agent's preferences and the principle of free energy. This approach is combined with imitation learning to enhance the vehicle's ability to adapt to new observations and make human-like decisions. The research involved developing a multi-modal self-awareness architecture for autonomous driving systems and testing this model in driving scenarios, including abnormal observations. The results demonstrated the model's effectiveness in enabling the vehicle to make safe decisions, particularly in unobserved or dynamic environments. The study concludes that the integration of active inference with imitation learning significantly improves the performance of autonomous vehicles, offering a promising direction for future developments in intelligent transportation systems.

Dialogue State Tracking is an essential component in multi-domain dialogue systems, aiming to accurately determine the current dialogue state based on the dialogue history. Existing research has addressed the issue of multiple mappings in dialogues by employing slot self-attention as a data-driven approach. However, learning the relationships between slots from a single sample has limitations and introduces noise. In this paper, we propose an External Slot Relation Memory-based Dialogue State Tracking model (ER-DST). By utilizing an external memory storage, we learn the relationships between slots as a dictionary of multi-domain slot relations. Additionally, we employ a small filter to discard slot information irrelevant to the current dialogue state. Experimental results on the MultiWOZ2.0 and MultiWOZ2.1 benchmarks demonstrate significant improvements while reducing the time complexity to O(n).

Modern cryptographic protocols such as zero-knowledge proofs and secure multi-party computation have increased the demand for a novel category of symmetric primitives. These primitives are not optimized for traditional platforms such as servers, microcontrollers, and desktop computers but rather for their ability to be implemented in arithmetic circuits. To enable efficient arithmetic operations, they define operations over larger finite fields and use low-degree invertible functions to construct their non-linear layers. Grendel is an arithmetization-oriented permutation that leverages the Legendre Symbol to enhance the growth of algebraic degrees in its non-linear layer. In this paper, we present a preimage attack on the sponge hash function instantiated with the full rounds of the Grendel permutation using algebraic methods. We introduce a technique that allows us to eliminate two full rounds of substitution permutation networks (SPN) in the sponge hash function with minimal or no additional cost. This method can be combined with univariate root-finding techniques and Gröbner basis attacks to break the number of rounds claimed by the designers. By utilizing this strategy, our attack achieves an improvement of two additional rounds compared to the previous state-of-the-art attack. While not breaking its security margin, it allows us to further understand the design and analysis of such cryptographic primitives.

Nutrient recovery technologies have been constantly developed and optimised to address challenges in water and wastewater management, sanitation, and agri-food systems, while promoting sustainable management of resources, and circular phosphorus economy. However, these technologies have been rarely explored beyond laboratory-scale in developing countries where it is mostly needed, such as the Philippines. In this study, a nutrient recovery batch reactor system was installed at a local farm to process raw septage from an onsite sanitation system, septic tank, to recover a high-value fertiliser for local crop production. The batch reactor was used for two processes; acid hydrolysis for pre-treatment of septage and chemical precipitation to recover phosphorus fertiliser (RPF). The recovered fertiliser was then applied to produce eggplants and tomatoes, which are the common crops grown in the farm. Results show that an average of 290 g of recovered RPF was produced for every 100 L of raw septage processed. With hydrolysis, 77% of the phosphate concentration were released as phosphates from the solid component of the raw septage. About 98.5% of phosphates were recovered from the hydrolysed septage. The RPF when applied to the farm’s eggplants and tomatoes have yields comparable to that of the commercial fertilisers. This study was able to demonstrate the potential of a resource-oriented sanitation system that promotes nutrient recycling toward sustainable agriculture that further leads to meeting the United Nation’s Sustainable Development Goals, particularly Zero Hunger (goal 2), Clean Water and Sanitation (goal 6), Sustainable Cities and Communities (goal 11), and Responsible Consumption and Production (goal 12).

Nowadays brushless DC motors (BLDCMs) are becoming indispensable components as the electrification revolution in the mobility industry is happening. Electric kick scooters, so-called e-scooters, are among these micro-mobility vehicles which are powered by these motors. Due to the uncertain and nonlinear features, the controller performance developed for these motors degrades. For these reasons, a chattering-reduced cascaded Sliding Mode Control (SMC) scheme to effectively track reference motor speed in the outer loop by eliminating torque ripples in the inner loop current control was designed. Field-oriented Control (FOC) methodology was used to implement the SMC in the BLDCM. An exponential reaching law algorithm was proposed for sliding surfaces of the inner and outer loop controllers. The suitability and performance of electric scooter-hub motors were analyzed in terms of traction control. A cascaded speed and torque controller produced significantly favorable results representing minimized torque and current ripples, and operation over a wide speed range.

Unlike other SDGs, the SDG4 about quality education is not a goal in itself, but rather a tool to achieve different goals. Universities in this respect play a crucial role in the short-term implementation of SDGs for education, including new approaches and contents. Current academic debates explore the best practices via deductive-theoretical or inductive-experiential methods, yet not always considering the geographical, and therefore cultural and infrastructural factors affecting the success and the failure of such practices. In this paper, we systematize the implementation of SDGs in Italian universities from 2016 to 2019. Eighteen experiences have been collected after a national call by the Italian Network of Sustainable Universities (RUS) aimed at mapping the current landscape of SDG related actions. Results have been analyzed according to two criteria: 1- the educational "container" where the SDGs implementation takes place (from random workshops to dedicated courses); 2- the different organizational scales (from the foundation of a new department to the campaigns by local green teams). With this paper, we do not propose a total refunding or "deus-ex-machina" solutions, disregarding the local factors and the local resources in Italian universities. On the contrary, we draw a map to propose the reuse of an existing structure with adjustments, retrofitting and renewal actions towards holistic and coordinated sustainability efforts. Results show that, within the Italian context, SDGs implementation is still primarily understood as a strategic element for branding and promoting the green image of the Athenaeum. Secondarily, it is seen whether as a separate discipline to be inserted into existing curricula and original teachings or as a conceptual tool for remedying specific societal challenges through random workshops or fieldworks. Conclusions highlight the value of this first Country-wide systematization of the Italian Higher Education Institutions toward SDGs implementation. This exercise avoids individual experiences remaining isolated and self-concluded, and, most importantly, provides comparability and transferability criteria to help similar cases. Further works envisage the recognition of same elements in the broader European traditions, as well as the enhancement of stimuli for a personal and societal transformation generated by the partnership of all those people and institutions engaged in the exciting yet urgent defy of today's societal challenges.

This study explores the interplay between web-based professional development, teachers' self-efficacy, resilience, and work values in the context of the Davao Region. The investigation reveals significant findings in three key areas: web-based professional development, teachers' resilience, and teachers' work values. The survey indicates that web-based professional development significantly impacts teachers' self-efficacy, with interaction self-efficacy registering the highest mean score. Moreover, teachers' resilience is manifested across emotional, motivational, and social dimensions, with emotional resilience scoring the highest mean. Teachers' work values, encompassing physical facilities, social environment, job security, new challenges, professional growth, personal growth, and interpersonal relationships, all demonstrate high descriptive equivalents. The study establishes a significant positive correlation between web-based professional development and teachers' self-efficacy, as well as a significant relationship between teachers' resilience and their work values. Furthermore, both web-based professional development and teachers' resilience exert a significant influence on teachers' work values.The conclusions drawn from the study highlight the prominence of web-based professional development, teachers' resilience, and work values in the educational landscape of the Davao Region. The findings underscore the interconnectedness of these factors and their crucial role in shaping the teaching profession. In light of these results, recommendations are made to inform policy decisions and enhance professional development programs for teachers in the region. The study encourages a holistic understanding of the relationships between web-based professional development, self-efficacy, resilience, and work values, aiming to contribute to the continuous improvement of education quality in the Davao Region. Additionally, future research is suggested to delve deeper into specific aspects of teachers' general self-efficacy, social resilience, and interpersonal relationships for a more comprehensive understanding.

The need for industrial and commercial machinery to maintain high torque while accurately following a variable angular speed is increasing. To meet this demand, induction motors (IMs) are commonly used with variable speed drives (VSDs) that employ a field-oriented control (FOC) scheme. Over the last thirty years, IMs have been replacing independent connection direct current motors due to their cost-effectiveness, reduced maintenance needs, and increased efficiency. However, IMs and VSDs exhibit nonlinear behavior, uncertainties, and disturbances. This paper proposes a robust combined adaptive passivity-based control (CAPBC) for this class of nonlinear systems that applies to angular rotor speed and stator current regulation inside an FOC scheme for IMs´ VSDs. It uses general Lyapunov-based design energy functions and adaptive laws with σ-modification to assure robustness after combining control and monitoring variables. Lyapunov’s second method and Barbalat Lemma prove that the control and identification error tends to be zero over time. Moreover, comparative experimental results with standard Proportional Integer controller (PIC) and direct APBC, show the proposed CAPBC effectiveness and robustness under normal and changing conditions

The purpose of this study is to investigate the impact of the voltage drop of a three-phase voltage source inverter in driving brushless motors. This study also proposes an enhanced Field Oriented Control scheme that accounts for the inverter voltage drop enabling efficient drive at very low motor-speeds. Experimental results are provided to verify the theoretical study and the proposed control scheme.

Responding to changing value creation processes in the sheet metal working sec-tor, where the complexity and interchangeability of products challenge traditional dif-ferentiation strategies, this empirical analysis explores integrating service-oriented and data-driven business models as new paths to ensure competitiveness, especially for small and medium-sized enterprises (SMEs). This study aims to capture the current state and challenges associated with the implementation of these business models in this sector. The research was conducted through semi-structured interviews with SMEs in the industry. The findings indicate that service-oriented and data-driven business models are not yet widely adopted and that manufacturing companies re-quire support in their implementation. Fields of action were identified for the industry. These are "Creating awareness and understanding", "Recognizing added value", "In-creasing company maturity" and "Understanding the change process". Cooperation between science and industry is essential in tackling these fields of action to ensure the successful integration of such business models in manufacturing companies. This pa-per identifies challenges in the fields of action that companies must address through a structured approach promoting awareness, recognizing value, improving organiza-tional maturity, and understanding the change process to successfully implement ser-vice-oriented and data-driven business models.

This study introduces a fruit harvesting mechanism powered by a single motor, designed for integration with unmanned aerial vehicles (UAVs). The mechanism performs reciprocating motion by converting linear motion into rotational motion. Consequently, the end-effector can execute multi-dimensional kinematic trajectories, including biaxial and rotational movements, synchronized with the motor's position. These axial and rotational motions facilitate the gripper's ability to reach, retrieve, and detach fruit from branches during the harvesting process. Notably, a critical consideration in designing this fruit harvesting mechanism is to generate the necessary torque at the end-effector while minimizing reaction forces and torque that could destabilize the UAV during flight. With these considerations in mind, this preliminary study aimed to harvest a Fuji apple and conducted dynamic analysis. We constructed a prototype of the single motor-driven fruit harvesting mechanism using a suitable servo motor. To assess its mechanical performance and evaluate its impact on the hexacopter, we developed both a specific test platform featuring a six-spherical-prismatic-spherical parallel structure and a virtual environmental flight simulator. Overall, the results demonstrate the successful harvesting of a Fuji apple weighing approximately 300 g by the single motor-driven fruit harvesting mechanism, with no adverse effects observed on the hexacopter's operation.

Land and property development process include a series of multifaceted activities ranging from purchasing to converting it for development purposes and everything in between. The process itself encompasses multiple stakeholders, drivers, and contributions from diversified public and private actors and transaction cost arises out of their complex interaction. Transaction costs incurred during any kind of human interactions (i.e. transactions). Every actor involved in the process wishes to maximize his achievement under various constraints and hence institutional arrangement (i.e. set of humanly devised rules to administer the constraints) is necessary for efficient management of the development process. Therefore, to devise an optimum outcome out of economic and social transactions in the property development process, cooperative and competitive relationships between individuals should be understood from a broader socio-political and governance structure. In this research, it is critically argued that land and property development process should implicate a multifaceted set of formal and informal rules or institutional arrangement to govern the intrinsic interaction, action and thereby reducing the related transaction cost. The argument is further reproachfully evaluated and implicated in the urban development process through the myopic lens of Transit-oriented development (TOD) pathway. A vigilant combination of descriptive and explanatory research approach is adopted to analyze the connection between theory and practice.

In the intricate landscape of software development, the distinction between average and exceptional outcomes often hinges on the approach taken by the engineers involved. This paper explores the core aspects that characterize responsible and professional software engineering, emphasizing the importance of stakeholder engagement, innovative problem-solving, and adherence to standards and best practices. Through detailed real-life examples, we illustrate how professional engineers ensure the creation of robust, efficient, and adaptable software solutions. Additionally, the paper delves into advanced strategies for enhancing database security, including the implementation of Sealed Secrets in Kubernetes environments, continuous improvement, and future enhancements. The goal is to provide a comprehensive understanding of professional software engineering practices and their impact on delivering superior value to projects and organizations.

This study assesses the development of professional skills in university students using serious games (SG), from a sustainability perspective. The Sustainable Development Goals (SDGs) were set by the United Nations’ 2030 Agenda for Sustainable Development. Universities are strategic agents in the transformation process towards sustainability. This way, they should be committed to promoting such sustainable values in the students through curricular sustainability, implementing active methodologies and SG for that purpose. Transversal skills are essential for the development of future graduates. The objective of this study was to assess which professional skills should be developed through the SG called The Island, to improve the degree of student satisfaction with the incorporation of a sustainable curriculum. The data were obtained using a questionnaire, and then analysed using linear regression models, with their inference estimated through the goodness of fit and ANOVA. The first results indicated that the implementation of the SG promoted a strengthening of the students' sustainable curriculum through the development of those skills. It was concluded that the key to success in education for sustainable development is improving the development of strategic thinking, collaborative thinking, and self-awareness, in addition to encouraging systemic, critical, and problem-solving thinking.

Depression and anxiety are the most common mental health disorders worldwide. Internet-Delivered Cogni-tive Behaviour Therapy (ICBT) can reduce barriers to care for broad cross sections of the population. How-ever, People of Diverse Ethnocultural Backgrounds (PDEGs) other than White/Caucasian underutilize mental health services and are underrepresented in clinical trials of psychological interventions. To address this research gap, we adapted an evidence-based ICBT program for PDEGs. The current pilot study explores the effectiveness, satisfaction, and engagement in the adapted ICBT by PDEGs (N=41) when benchmarked against a sample of PDEGs (N=134) drawn from a previous non-adapted version of the ICBT program. Inntent-to-treat analyses showed that the adapted ICBT program is effective in reducing anxiety and de-pression symptoms among PDEGs. Large within-group pre-to-post-treatment Cohen’s effect sizes of d = 1.23, 95% CI [0.68, 1.77] and d = 1.24, 95% CI [0.69, 1.79] were found for depression and anxiety, respectively. Further, 81.8% of the PDEGs who received the adapted ICBT program reported high overall satisfaction, 90.9 % reported increased confidence in managing symptoms, and 70.7% of participants completed the ma-jority of the psychoeducational lessons in the ICBT program. No statistically significant differences in clinical outcomes, engagement, and satisfaction were found between the pilot study and benchmark sample. Future directions for ICBT research with PDEGs are described.

A potassium bromide KBr material, which has been widely used as the key element in the Fourier spectrometers and as the output window of the IR-lasers, has been studied with good advantage via applying the carbon nanotubes in order to modify the potassium bromide surface. The laser oriented deposition method has been used to place the carbon nanotubes at the matrix material surface in the vertical position at the different electric field varied from 100 to 600 V×cm-1. The main idea of the improvement of the spectral properties of the potassium bromide structure is connected with the fact that the refractive index of the carbon nanotubes is substantially less than the refractive index of the studied material, and the small diameter of the carbon nanotubes allows one to embed these nano-objects in the voids of the lattice of the model matrix systems. Moreover, the mechanical characteristics and wetting features of the potassium bromide structures have been investigated under the condition mentioned above. Analytical and quantum-chemical simulations have supported the experimental results.

Women of color (WoC) in the health professions encounter challenges in advancement to higher positions, disparities in wages, discrimination, lack of expectation to achieve leadership positions, and absence of extensive support networks. Articles in the literature have addressed race and/or gender in the context of professional development. However, applying an intersectionality lens or framework to better understand the contextual issues of professional development for WoC remains to be addressed. Thus, this scoping review aimed to (i) identify health professions literature that addresses disparities affecting WoC, and (ii) describe strategies and approaches to support WoC in the health professions. Methods: Literature searches were conducted in multiple databases. Three independent reviewers reviewed and screened articles for inclusion. Results: 31 articles were included - medicine(17), nursing(1), pharmacy(7), other(4), and multiple health professions(2). Key findings included underrepresentation of women and minority groups, inequities in professional advancement and leadership positions for WoC, and greater dissatisfaction and attrition among minority and women professionals. Conclusion: WoC face unique and distinct challenges and barriers in their professional careers resulting from the intersectionality of not only race and gender, but also lived experiences and opportunities. Strategies to improve diversity and representation should include an intersectionality framework or lens and be critically evaluated.

As the demand for liquefied petroleum gas (LPG) continues to increase worldwide, more LPG facilities are being constructed. However, the design and manufacture of pressure vessels used to store dangerous liquids or pressurised fluids, such as LPG, has been a major cause of hazards, including explosions and leakage. In this study, we aim to address this issue by designing and analysing a vertical pressure vessel with a capacity of 10 m3 of pressurised LPG in accordance with the American Society of Mechanical Engineers (ASME) code. Safety is the primary concern in designing pressure vessels due to the potential risks posed by accidents. Therefore, the main objective of this project is to design a pressure vessel that is safe from failure. The vessel is cylindrical with two elliptical heads, two nozzles, a manway and four leg supports, and we used Autodesk Inventor Professional 2023 for geometric modelling and Inventor Nastran for FEA analysis. To investigate the displacements, deflections and Von-Mises stresses in the pressure vessel, we used the finite element method, and Autodesk Inventor Nastran was employed for the analysis. Our results showed that changes to the structure of the pressure vessel were needed to reduce stress in the structure. Specifically, the displacement showed an inverse relationship with the tank section shell thickness. Moreover, we observed that the factor of safety increased linearly with shell thickness. We carefully considered permissible pressures and determined the required wall thickness to ensure acceptable maximum stresses. Our results indicate that the design is safe from failure, and the highest stresses are experienced by the manway followed by the shell, while the heads, nozzles and legs support experienced the lowest stresses. We also performed a theoretical calculation for the entire model and checked the results to ensure they were within the acceptable limits. In summary, our study highlights the importance of designing pressure vessels in accordance with ASME codes to ensure safety and prevent hazards caused by improper design and manufacturing. By using the finite element method, we identified potential stress points in the pressure vessel and were able to make modifications to improve its safety.

The confinement experienced due to the COVID-19 pandemic has prompted a rethink of the teaching-learning process to which teachers have responded without planning and instead using their resources. This study aims to analyze the relationships between work-family interactions, technostress, and perceived organizational support in teachers during the confinement period in Spain that began in March 2020. An online survey was administered to 640 pre-school, primary, and secondary school teachers. Positive reciprocal work-family interactions and their relationship with organizational support were found, with differences according to gender, with women showing a more negative perception of the impact on the family. There were no marked levels of technostress in the overall sample, although higher levels of perceived ineffectiveness and skepticism were found in teachers aged 46 years or older. Teachers in private and subsidized schools showed a higher level of perceived support than those in public schools. There is a need to continue this work to verify the values of these dimensions in other contexts and to apply institutional measures and public policies to improve these indicators in this group.

Perceived peer support is a critical factor in the academic adjustment of higher vocational college students. While previous studies have explored this relationship, few studies have delved into the underlying mechanisms. This study surveyed 9782 students from 35 higher vocational colleges in 13 provinces and cities in China to explore the relationship and mechanisms between perceived peer support and academic adjustment. Drawing on Conservation of Resources theory and Social Support Resource theory, the findings revealed that perceived peer support not only directly predicted the academic adjustment of higher vocational college students, but also indirectly through the independent mediating effect of academic hope and professional identity, as well as the chain-mediating effect of academic hope to professional identity. Additionally, students from vocational high schools showed a more significant increase in academic hope due to perceived peer support compared to those from general high schools, highlighting the moderating effect of educational background. The study provided a new theoretical perspective for understanding the complex mechanisms of academic adjustment in students and offers valuable guidance for educational practice, emphasizing the importance of fostering perceived peer support, academic hope, and professional identity in higher vocational education.

Active front-end (AFE) rectifiers have been becoming widely employed in power systems to achieve unity power factor and harmonic mitigations. The typical modeling approaches applied for AFE rectifiers in the literature mostly relied on two baselines named the detailed model and the time average model. The former approach deals with the switching element model (SEM) leads to significant harmonics in currents with distorted waveforms. The latter approach uses the average-value model (AVM) to overcome the currents’ harmonics as well as provide fast responses. However, even the AVM baseline has contained problems during the starting stage (lack of control signals) and over the dead-time periods which causes serious issues in the implementation process. This paper presents an improved dynamic AVM for AFE rectifiers by precisely considering the issues mentioned above along with the practical starting procedure and desirable initialization. The studied AFE rectifier is developed using the voltage-oriented control (VOC) technique based on the different modeling methodologies including SEM, Conventional AVM, and the proposed AVM. The performance of all models is analyzed and compared using simulation results with MATLAB/Simulink R2023a Function blocks for all the algorithm parts and SimScape elements for the electrical circuit model. The simulation results illustrate that the performance of the proposed AVM approach can closely resemble the behavior of the SEM baseline with low harmonic distortion.

Deepfakes are manipulated or altered images, or video, that are created using deep learning models with high levels of photorealism. The two popular methods of producing a deepfake are based on either convolutional neural networks (CNN), or autoencoders. Deepfakes created using CNN comparatively show higher qualities of realism, yet oftentimes leave artifacts and distortions in the generated media that can be detected using machine learning and deep learning algorithms. In recent years, there has been an influx of periocular image and video data because of the increase usage of face masks. By wearing masks, much of what is used for facial recognition is hidden, leaving only the periocular region visible to an observer. This loss of vital information leads to easier misidentification of media, allowing deepfakes to less likely be identified as fake. In this work, feature extraction methods, such as Scale-Invariant Feature Transform (SIFT), Histogram of Oriented Gradients (HOG), and CNN, are used to train an ensemble deep learning model to detect deepfakes in videos on a frame-by-frame level based on the periocular region. Our proposed model is able to distinguish original and manipulated images with accuracies around 98.9 percent, which is an improvement to previous works by combining SIFT and HOG for deepfake detection in convolutional neural networks.

This research focuses on the customer orientation of insurance brokers, whose activity is regulated by the Law of 26/2006 of July 17 on the mediation of private insurances and reinsurances. The goal is to ascertain whether the intermediation inherent in the insurance broker’s activity, which implies a customer-oriented service, entails a positive behaviour that transcends the immediate environment, reaching society. This study presents a comparative analysis between the insurance brokerage society, characterised by providing a personalised customer service, and banks’ advisory services on insurance. To this end, we study the evolution of the total volume of business and new production, compared for a portfolio of insurance products. The results presented in this research suggest that the customer values the advisory service provided by the broker. However, for a particular business segment in standardised insurance products and products related to banking assets, customers are more likely to resort to the bank’s services. In addition, the results indicate that the commission percentages applied by the entities operating in the banking insurance channel exceed those perceived by the insurance broker. With all this, intermediation in the development of the insurer’s activity can entail an ethical and social behaviour that involves customer-orientation and, possibly, social service, which does not always benefit the insurer.

The need for the most accurate and flexible system of revenue collection from internal sources has become a matter of extreme urgency and importance in e-governance. This need underscores the eagerness on the part of the Government to look for a new principle and policy of revenue collection or to become aggressive and innovative in the mode of collecting revenue from existing sources using the present system. The Boards of some Governments in Africa, even up to the moment are facing a lot of setbacks in performing their tasks due to the manual system of revenue collection from the public. This can be improved through an effective collection of revenue using the most accurate and flexible system. Tax is usually collected in the form of specific sales tax, general sales tax, corporate income tax, individual income tax, property tax and inheritance tax. Problems such as high cost of collection, fraud, underpayment, leakage in revenue, poor access to information, poor tracking of defaulters is at the increase. As a result of this, there is need to computerize the revenue collection system. Computerized systems have proven to introduce massive efficiencies and quick collection of revenue from the public. This research work demonstrates how to design and implement an automated system of revenue collection and how to maintain a secured database for collected tax information. This research delves into the study of how machine learning algorithms and Software-defined Networks improve the security of such automated systems.

In the era of digital information consumption, YouTube has emerged as a prominent platform for disseminating knowledge across various domains. One such area that has gathered significant attention is teeth whitening, with a plethora of videos offering insights into professional proce-dures, home remedies, and personal experiences. This study delves into the vast landscape of teeth whitening content on YouTube, meticulously categorizing videos into professional and amateur domains. The aim is to critically analyze the information presented, considering its accuracy, re-liability, and potential impact on public perceptions and oral health choices. A total of 100 videos in Greek (n1= 73) and in English (n2= 27) were studied. The analysis was based on views, likes, publication year, duration, presence of background music, and the presence of a description. The completion date of the search was October 7, 2023. Professional videos predominantly present whitening as a painless, conservative, and economical procedure, emphasizing safety measures. Bleaching mechanisms involving hydrogen peroxide and carbamide are explored, with various application techniques discussed, including whitening strips, splints, and in-office procedures. Contradictory findings on the efficacy of home versus in-office treatments are highlighted. In-ternal and external discoloration factors are delineated, with contraindications specified. Amateur videos, garnering greater public appeal, present personal experiences, product promotions, and homemade remedies, reflecting a concerning trend of misinformation. The analysis incorporates viewer engagement metrics, emphasizing the impact of non-professional content. As social media platforms play an increasingly influential role in shaping healthcare narratives, understanding the nuances of dental discourse on YouTube becomes crucial for both practitioners and the public. This exploration encompasses a spectrum of topics, ranging from the chemical intricacies of bleaching agents to the societal dynamics influencing viewer preferences. By unraveling the complexities of online dental information, this study seeks to contribute valuable insights to the evolving land-scape of oral health education in the digital age. Future research should adopt a multi-platform approach and explore the dynamic interaction between content creators and viewers for a more holistic comprehension of online dental information.

The basis of modern teeth whitening systems is the use of a whitening gel, usually containing hydrogen peroxide or carbamide peroxide. The purpose of our study was to evaluate the effect of chemical and modified office teeth whitening systems on the mineral metabolism of oral fluid and to determine a safer method. The study covered 81 patients aged 22 to 35 years of both sexes with teeth color A2 and darker on the Vita Classic scale. Determination of the concentration of calcium and phosphates in the oral fluid was carried out on a spectrophotometer using ready-made Human kits. Chemical tooth whitening was performed using a gel based on 40% hydrogen peroxide. After the procedure, remineralization therapy with enamel-sealing liquid was performed for 14 days. The obtained results indicate that the most pronounced changes in the content of calcium (+74.4%, p <0.001) and рhosphates (phosphorus) (-23.07%, p <0.001) were observed when using a chemical bleaching system. After the teeth whitening procedure using a modified technique, less pronounced changes in the concentrations of calcium (+29.07, p <0.001) and phosphorus (-14%, p <0.001) were observed. The use of remineralizing agents led to a faster recovery of the initial levels of calcium and phosphates in the oral fluid. Both bleaching systems caused similar changes in the chemical composition of the oral fluid.

Patient safety is a top priority for all healthcare systems globally. Promoting the adoption of policies for reporting and learning from errors is an important strategy for improving care safety. Therefore, the aim of our study was to detect how much patient safety culture influences the reporting of adverse events and the use of the incident reporting tool. The study protocol was developed according to PRISMA guidelines. Articles were searched electronically in PubMed/MEDLINE, the COCHRANE library, and Google Scholar by two independent reviewers, and those that met the eligibility criteria were included. Synthesis of qualitative data from included studies was performed by graphical descriptive statistical analysis. The results of the systematic review showed that health care organizations' increasing focus on staff development of a safety culture has led to a significant increase in incident reporting rates over the years. Moreover, in situations where safety culture is placed at the top of the nations, there is a higher frequency of incident reporting. An efficient incident reporting system should be an essential foundation for healthcare organizations, as it allows them to collect experiences and data and provide feedback to healthcare providers and staff involved in care.

(1) Background: Factors reported in literature associated with inappropriate prescribing of antimicrobials, such as physicians with less experience, uncertain diagnosis, and patient caregiver influences on physicians' decisions. Monitoring antimicrobial resistance is critical for identifying emerging resistance patterns, developing, and assessing the effectiveness of mitigation strategies. Improvement in prescribing `antimicrobials would minimize the risk of resistance and, consequently, improve patients' clinical and health outcomes. The purpose of the study is to delineate factors associated with antimicrobial resistance, describe the factors influencing prescriber’s choice during prescribing of antimicrobial, and examine factors related to consequences of inappropriate prescribing of antimicrobial. (2) Methods: Cross-sectional study conducted among healthcare providers (190) in six tertiary hospitals in the Eastern province of Saudi Arabia. The research panel has developed validated and piloted survey specific with closed-ended questions. A value of P <0.05 was considered for statistical significance. All data analysis was performed using Statistical Package for Social Sciences (IBM SPSS version 23.0). (3) Results: 72.7% of the respondents have agreed that poor skills and knowledge are key factors that contribute to the inappropriate prescribing of antimicrobials. All the respondents acknowledged effectiveness and previous experience with the antimicrobial, and reading scientific materials (such as books, articles, and the internet) were key factors influencing physicians’ choice during antimicrobial prescribing. (4) Conclusion: The current study has identified comprehensive education and training needs for healthcare providers about antimicrobial resistance. Using antimicrobials unnecessarily, insufficient duration of antimicrobial use, and using broad spectrum antimicrobials, were reported to be common practices. Further, poor skills and knowledge were a key factor that contributed to the inappropriate use and overuse of antimicrobials and using antimicrobials without physician prescription (self-medication) were the key factors which contribute to AMR from participants’ perspectives. Furthermore, internal policy and guidelines are needed to ensure that the antimicrobials are prescribed in accordance with standard protocols and clinical guidelines.