Suchergebnisse

The purpose of this paper is to find the relationship between public expenditure in the educational sector and the economic growth in Indonesia since the government decided to spend 20% of the state budget on education. We used time series data from 1988 to 2018 and the Cobb–Douglas production function as an economic theory for measurement. In the methodology, we employed Autoregressive Distributed Lag bound tests to find the relationship between variables. The results show that public expenditure on education has an insignificant relationship in the long- and short-term estimation. However, they both have different directions, which is a positive relationship in long-term and a negative relationship in short-term estimation. Meanwhile, gross fixed capital formation shows a positive relationship, and the labour variable has a negative relationship in the short and long terms. In conclusion, the Indonesian government should manage the education system regarding the relationship between education expenditure and economic growth.

Globally, breast cancer management is associated with a heavy economic burden, but its impact in Saudi Arabia has not been fully quantified. The aim of this study was to estimate the economic burden of breast cancer management at various disease stages, in Saudi Arabia, from a payer perspective. We conducted a retrospective, multicenter cost of illness study in two governmental healthcare centers from January to December 2018, using the data of 300 patients at different breast cancer stages. A micro-costing, bottom-up method was used, and descriptive and inferential statistics were analyzed. The total estimated cost for treating breast cancer during the study period was $13.345 million USD, with the average cost per patient ranging from $14,249 USD in stage I to $81,489 USD in stage IV (p < 0.001). Medication cost was the main driver of total healthcare spending, followed by hospitalization and diagnostic tests. The cost of targeted therapy drugs represented 67% of the total medication costs, mostly driven by trastuzumab-based regimens. The economic burden of breast cancer management in Saudi Arabia is substantial and increases significantly with disease advancement. Early detection screening programs, evaluating the value of highly expensive interventions, and considering biosimilars, may contribute toward cost savings.

BACKGROUND: Familial Hypercholesterolemia (FH) is an inherited and complex multifactorial disease that can lead to early onset of coronary artery disease (CAD). Diagnosis, treatment, and management of FH require a well-trained physician with high awareness of the disease and different risk factors to avoid complications. MATERIALS AND METHODS: This cross-sectional study evaluated family physicians' awareness and knowledge of FH using self-administered questionnaires in governmental hospitals in Riyadh, Saudi Arabia, during 2018. RESULTS: A total of 225 family physicians completed the questionnaire, with a response rate of 58.4%. The mean age of respondents was 31.3 years and more than 59.1% were men. Although 72.4% of physicians rated their familiarity with FH as average and above, 48.4% of all participants had poor FH knowledge, while only 51.6% had acceptable FH knowledge. About 65.8% of physicians reported that they routinely take a detailed family history, perform a physical examination, and screen close relatives. Awareness of various clinical algorithms for diagnosis of patients with FH was very low at 52.0%. The mean FH knowledge and familiarity scores were significantly higher (P < 0.001) among participants who were older, had higher training levels, or longer years in practice. CONCLUSIONS: The current study revealed significant deficits in FH familiarity, awareness, knowledge, and practice among Saudi physicians. FH educational programs directed at all physicians involved in FH patients' management are necessary to improve physicians' knowledge of all aspects of FH management, including the importance of a mechanism for identifying people at risk for a genetic condition by a process of systematic family tracing.

BACKGROUND AND OBJECTIVES: Basic life support (BLS) is the care provided by first responders in case of cardiac or respiratory arrest in order to save someone's life. This study aimed to assess the knowledge and attitude of BLS skills among female school teachers in Al-Madinah. MATERIALS AND METHODS: This cross-sectional study was conducted among 302 female teachers in 24 governmental school Al-Madinah city in 2019 by using a self-administrated questionnaire. T-test and ANOVA test were used to compare mean knowledge scale across variables. RESULTS: The majority aged 41–50 years (46%). Only 30.5% had completed cardiopulmonary resuscitation (CPR) training and 73.9% had trained more than 2 years ago. Most of them (94.7%) wanted more training in CPR. The main reason to attend CPR training was to avoid unnecessary death (48.7%). The mean knowledge scale was (5.63 ± 1.49). There was a significant difference in the knowledge score between those who had observed CPR and those who had not observed CPR (P = 0.045). CONCLUSION: The knowledge and skills of BLS were low among female school teachers. Teachers' attitude toward CPR training was positive.

Along with cognitive perceptions, customers' psychological traits are key determinants of Internet banking continuance to use. Incorporating psychological traits into technology acceptance models strengthens their explanatory power and boosts our understanding of online behavior. Users' technology readiness, uncertainty avoidance, and satisfaction are key determinants of Internet banking continuous use. Bank managers should take users' personal preferences into consideration by offering flexible online systems with diversified designs and choices.

Investigations of attitudes towards food waste and preferences of policies that affect sustainability has increased rapidly over the past few decades. Most research on food waste, however, has been undertaken mainly in the developed countries with very few in the developing countries. It is very important therefore to investigate food waste and attitudes towards sustainability in developing countries, especially since a huge amount of carbon emissions and other pollutants occur in the developing countries. Saudi Arabia is a rich developing country that sets its 2030 visions to tackle issues related to sustainability. Many strong policies and programs are set in place to fulfil these visions. Such attitudes towards food waste diverges between cultures as a result of differences in background, income, family structure, age, etc. The contribution of this study is that it intends to investigate attitudes and preferences on policies and programs that aim at achieving sustainability and reducing food waste for young university females in Saudi Arabia. The methodology that is adopted in this study is to design a questionnaire, arranged in 5 sections and 23 questions, to collect data from 199 students at Princess Norah Bint Abdulrahman University. The aim of the questionnaire was to evaluate attitudes and preferences of female students towards food waste in Saudi Arabia, and in particular in the city of Riyadh. A number of policies were selected for the investigation, including three categories of policies: hospitality policies, education and raising awareness, and legislation policies. The participants expressed their opinions towards policies and programs that aim at improving sustainability and reducing food waste. Each policy was assessed in terms of its level of importance and its effectiveness in achieving sustainability. Two indices were calculated to compare and assess the perception of the suggested policies: the Perceived Effectiveness Index (PEI) and the Endorsement Index (EI). The results show that while some policies are perceived as both effective and supported for implementation, some policies are perceived as most effective; however, participants were not very supportive of their implementation. Hospitality policies, such as encouraging food waste recycling and providing the option to take away leftover food, were ranked highest in terms of effectiveness to achieve the target. These findings seem to echo the Saudi society's attitudes of sustainable behaviour and positive attitudes towards food waste recycling. It should also be noted here that while the Saudi society is still a growing and developing society, it does care significantly about food waste and sustainability. The results are encouraging, and further investigations are urgently needed to better understand determinants of food waste at a household level in developing countries.

2019 was Earth's second warmest year since 1850. In 2019 the global mean temperature was cooler than in 2016, but warmer than any other year explicitly measured. Consequently, 2016 is still the warmest year in historical observation history. Year-to-year rankings are likely to reflect natural fluctuations in the short term, but the overall pattern remains consistent with a long-term global warming trend. This would be predicted from global warming caused by greenhouse gases, temperature increase across the globe is broadly spread, impacting almost all areas of land and oceans. "Climate change" and "global warming" are often used interchangeably but are of distinct significance. Global warming is the long-term heating of the Earth's climate system observed since the pre-industrial period as a result of human activities, mainly the combustion of fossil fuel, which raises the heat-trapping greenhouse gas levels in the Earth's air. The term is often used interchangeably with the term climate change, as the latter applies to warming caused both humanly and naturally, and the impact it has on our planet. This is most generally calculated as the average increase in global surface temperature on Earth. Carbon dioxide emission is one of the main reasons for global warming. Since the Industrial Revolution, human sources of carbon dioxide emissions have been growing. Human activities such as the burning of oil, coal and gas, as well as deforestation are the primary cause of the increased carbon dioxide concentrations in the atmosphere. In our research, let's examine the relationship between the amount of carbon dioxide emissions and the GDP/capita in developed and developing countries.

2019 was Earth's second warmest year since 1850. In 2019 the global mean temperature was cooler than in 2016, but warmer than any other year explicitly measured. Consequently, 2016 is still the warmest year in historical observation history. Year-to-year rankings are likely to reflect natural fluctuations in the short term, but the overall pattern remains consistent with a long-term global warming trend. This would be predicted from global warming, caused by greenhouse gases, temperature increase across the globe is broadly spread, impacting almost all areas of land and oceans. "Climate change" and "global warming" are often used interchangeably, but are of distinct significance. Global warming is the long-term heating of the Earth's climate system, observed since the pre-industrial period as a result of human activities, mainly the combustion of fossil fuel, which raises the heat-trapping greenhouse gas levels in the Earth's air. The term is often used interchangeably with the term climate change, as the latter applies to warming, caused both humanly and naturally, and the impact it has on our planet. This is most generally calculated as the average increase in global surface temperature on Earth. In our research, we examine the relationship between the regulation of carbon emissions and the GDP / capita relationship between developed and developing countries. We assumed applying carbon abatement policies will reduce economic growth and GDP in developed countries, but it will rise economic growth and GDP in developing countries.