Factors Affecting Parents’ Inclination Towards Private or Public Primary School

Education for children is one of the most concerning issues in the society especially among the parents. Recently, the numbers of private school in Malaysia are increasing rapidly. Despite the abundant of public school, demand for private school are still increasing. Therefore, this study aims to determine the most significant factors that affecting parents’ decision in selecting private primary school for their children. Multistage sampling technique was used to determine the sample of 342 respondents. The factors included in this study were parent’s income, parents’ education level, teaching quality, school facilities and quality of education. Logistic regression analysis was used to determine the most significant factor since the dependent variable in this study was a binary categorical variable. It was found that parents with a diploma holder (p-value=0.004), parents with a degree holder (p- alue=0.002), parents’ income (pvalue=0.001), and school facilities (p-value=0.000) were significant factors that influence parents’ decision. In addition, results also found that the most significant factor that affecting parents’ decision towards private primary school was parents with degree holder. It is hoped that this study will guide parents in selecting the best primary school for their children. Moreover, this study also benefits to the government in preparing strategy to develop defensive environment in public schools and to improve parents’ satisfaction towards public primary school

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries