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The purpose of this study is to examine different types of primary healthcare utilization and its influencing factors among the elderly in Indonesia.

Data were obtained from the 5th Indonesian Family Life Survey, a longitudinal database of demography and health information using multistage stratified sampling of households. Older adults aged at least 60 years were sampled; proxy respondents and incomplete data were excluded from the study.

Most of the elderly preferred to visit nurse/midwives practitioner (NP), followed by the community health centers (CHC). Those who lived outside of the Java region were more likely to visit NP; moreover, those without formal education and lived in the rural area were more likely to use CHC. Education level, region and chronic conditions were significant predicting factors for almost all types of primary healthcare use.

Indonesia is moving towards an aged society in the coming decades. However, there are significant barriers to access almost all types of primary health care by the elderly in Indonesia. This shows the possibility of health care inequality for the elderly population. This study provides evidence of the various types of primary healthcare use by the elderly and its influencing factors. It hopes policymakers can use the data to develop an effective strategy to enhance the quality of primary healthcare services provides to the elderly population.

Indonesian nurses fulfill vital functions in the health system and are often the only human resource for health not only in remote and poor rural areas but also in urban areas. Nurses, as a part of primary care providers, require an adequately trained to contribute to the better primary care system.

The study aimed to develop a reliable and valid instrument that could be used to assess the age-friendly Public Health Center Satisfaction (APHCS) among older people.

A cross-sectional study was performed to assess the psychometric properties of the scale. The study was conducted in Manado City, Indonesia, from August to November of 2019 using stratified random sampling. A review of the literature and content analysis identified subscales and items to be included in the instrument. The 268 participants aged = 60 years were completed for psychometric evaluation with a response rate of 83.8%. Data were analyzed with descriptive statistics, Exploratory Factor Analysis (EFA), Cronbach's Alpha, t-test, one-way ANOVA, and Person/Spearmen correlations.

The final scale consists of a three-factor structure with 16 items, which were accounted for 68.99% of the total variation in response. The Cronbach's alpha of the total APHCS was 0.88, which indicated the high reliability and acceptance of the instrument. Also, the concurrent validity was demonstrated by the significant differences in mean and associations among the APHCS scale, the age-friendly Public Health Center (PHCC) utilization, and individual variables, with r ranging from −0.13 to 0.30 (p < 0.05).

Older people are more likely to use PHCCs than others, and they have higher expectations about health services. This study has highlighted the need for action on the quality of healthcare by providers and national authorities. High-quality primary healthcare that sees clients as partners, considering the needs and capacities of elderly clients should be provided as standard. The APHCS scale can enhance our understanding of elderly satisfaction toward the age-friendly PHCC program. Also, the instrument can be used for monitoring and measuring institutions, which is a basis for policymakers to improve and develop the age-friendly PHCC program.

The APHCS scale is a valid and reliable instrument for getting information about the satisfaction of the elderly toward the age-friendly PHCC program.

Podcasting is a new mobile technology application for language learning. Drawing upon the stimulus–organism–response model and the interest driven creator (IDC) theory from e-learning, this study aims to develop and test an integrative conceptual framework. This study investigates contextual and environmental stimuli effects (content richness [CR], self-directed learning [SDL] and situational interest [SI]) from a podcast English learning context on learners’ experience states (cognitive absorption [CA], pleasure [PL] and arousal [AR]) and their subsequent responses (continuance learning intention [CLI]).

Using 416 valid responses from five universities located in North Taiwan, data analysis is performed using a structural equation model.

The results show that most of the interest factor stimuli (CR, SDL and SI) have significant impacts on learners’ experiences (CA, PL and AR), which in turn affect their CLI.

The findings provide useful insights for English show podcasters and operators to invest in establishing learners’ interest factor and stimulating experiences to improve their CLI.

This paper contributes to a better understanding of students who use contextual factors of podcast English learning and how these factors influence their CLI via a framework of stimulus–organism–response and the IDC theory.

For most practical control system problems, the state variables of a system are not often available or measureable due to technical or economical constraints. In these cases, an observer-based controller design problem, which is involved with using the available information on inputs and outputs to reconstruct the unmeasured states, is desirable, and it has been wide investigated in many practical applications. However, the investigation on a discrete-time singular Markovian jumping system is few so far. This paper aims to consider an observer-based control problem for a discrete-time singular Markovian jumping system and provides a set of easy-used conditions to the proposed control law.

According to the connotation of the separation principle extended from linear systems, a mode-dependent observer and a state-feedback controller is designed and carried out independently via two sets of derived necessary and sufficient conditions in terms of linear matrix inequalities (LMIs).

A set of necessary and sufficient conditions for an admissibility analysis problem related to a discrete-time singular Markovian jumping system is derived to be a doctrinal foundation for the proposed design problems. A mode-dependent observer and a controller for such systems could be designed via two sets of strictly LMI-based synthesis conditions.

The proposed method can be applied to discrete-time singular Markovian jumping systems with transition probability p_ij > 0 rather than the ones with p_ii = 0.

The formulated problem and proposed methods have extensive applications in various fields such as power systems, electrical circuits, robot systems, chemical systems, networked control systems and interconnected large-scale systems. Take robotic networked control systems for example. It is recognized that the variance phenomena derived from network transmission, such as packets dropout, loss and disorder, are suitable for modeling as a system with Markovian jumping modes, while the dynamics of the robot systems can be described by singular systems. In addition, the packets dropout or loss might result in unreliable transmission signals which motivates an observer-based control problem.

Both of the resultant conditions of analysis and synthesis problems for a discrete-time singular Markovian jumping system are necessary and sufficient, and are formed in strict LMIs, which can be used and implemented easily via MATLAB toolbox.

Foreign nurses encounter various challenges that impact their mental health, but there is a lack of comprehensive evidence on these difficulties and the strategies to address them. This study aims to synthesize the available evidence to identify these challenges and the strategies to support foreign nurses.

A scoping review framework was used with an exploration of seven databases (CINAHL, Embase, MEDLINE, PsycINFO, Web of Science, PubMed and ProQuest Central) to search for primary studies. Quantitative, qualitative and mixed-methods research were considered for inclusion, with manual searches of reference lists for potential additions. Studies published between 2013 and September 2023, and written in English were considered for inclusion.

About 22 of 1,077 identified studies were finally included in this review. Three distinct themes were identified as contributors to the nurses’ mental health challenges, and one theme emerged to highlight strategies to overcome the challenges. These contributors included the influences of diverse cultures, dynamics within the work environment, language barriers, separation from family and friends, heavy workloads and pressures, disparities in health-care systems and experiences of discrimination. Strategies identified to overcome the challenges were at individual, organizational and policy levels to support foreign nurses in navigating and mitigating stressors.

This study highlights the importance of targeted interventions to assist foreign nurses in overcoming challenges that may affect their mental health and well-being. Moreover, strategic interventions are crucial to support them in addressing the barriers they faced.