Current Attitudes Research Articles

Sistem Pembagian Warisan, Berdasarkan Hukum Adat Kletek Taruik, di Desa Alas, Kecamatan Kobalima Timur, Kabupaten Malaka

This study aims to determine the inheritance distribution system based on Kletek Taruik customary law, in Alas Village, East Kobalima District, Malaka Regency and the current community attitude towards the inheritance distribution system, based on Kletek Taruik customary law, in Alas Village, East Kobalima District, Malaka Regency. The research method used in this study is empirical legal research. The sources and types of data in this study are primary data obtained from the results of field studies with interviews. Secondary data were obtained from literature studies. The data obtained is then processed by checking and correcting the data. After the data is processed then analyzed qualitatively. Based on the results of research and discussion, it can be concluded that the community in Alas Village, East Kobalima District, Malaka Regency, adheres to the matrilineal principle in the distribution of inheritance property, where more inheritance for daughters or also called heirs are daughters, because girls are members of the tribe who will continue the descendants of the heirs, while the son even though he is the eldest but he only helps manage or process The inheritance, because the daughter is considered more responsible in taking care of the inheritance of her parents than the son who will submit to his wife's family. The community in Alas Village, East Kobalima District, Malaka Regency, is very accepting of the prevailing customary rules where girls have full rights to their outgoing customary inheritance, but it does not rule out the possibility for sons to also receive inheritance from both parents based on mutual agreement.

UK pregnancy in orthopaedics (UK-POP): a cross-sectional study of UK female trauma and orthopaedic surgeons and their experiences of pregnancy.

The number of females within the speciality of trauma and orthopaedics (T&O) is increasing. The aim of this study was to identify: 1) current attitudes and behaviours of UK female T&O surgeons towards pregnancy; 2) any barriers faced towards pregnancy with a career in T&O surgery; and 3) areas for improvement. This is a cross-sectional study using an anonymous 13-section web-based survey distributed to female-identifying T&O trainees, speciality and associate specialist surgeons (SASs) and locally employed doctors (LEDs), fellows, and consultants in the UK. Demographic data was collected as well as closed and open questions with adaptive answering relating to attitudes towards childbearing and experiences of fertility and complications associated with pregnancy. A descriptive data analysis was carried out. A total of 226 UK female T&O surgeons completed the survey. All regions of the UK were represented. Overall, 99/226 (44%) of respondents had at least one child, while 21/226 (9.3%) did not want children. Median age at first child was 33 years (interquartile range 32 to 36). Two-thirds (149/226; 66%) of respondents delayed childbearing due to a career in T&O and 140/226 (69%) of respondents had experienced bias from colleagues directed at female T&O surgeons having children during training. Nearly 24/121 (20%) of respondents required fertility assistance, 35/121 (28.9%) had experienced a miscarriage, and 53/121 (43.8%) had experienced obstetric complications. A large proportion of female T&O surgeons have and want children. T&O surgeons in the UK delay childbearing, have experienced bias and have high rates of infertility and obstetric complications. The information from this study will support female T&O surgeons with decision making and assist employers with workforce planning. Further steps are necessary in order to support female T&O surgeons having families.

Endosulfan residues and farmers’ replacement behaviors of endosulfan in the north-west inland cotton region

We assessed the situation of endosulfan residues in cotton fields after the endosulfan ban came into effect and the current knowledge, attitude, and practice (KAP) of cotton farmers on the phase-out of endosulfan and the application of alternative technologies. Topsoil samples (n = 91) of cotton fields were collected from the major cotton-producing areas in China, namely the north-west inland cotton region, and the endosulfan residues were analyzed. A KAP survey was carried out for cotton farmers, and 291 questionnaires were distributed. The influences of gender, age, education background, cotton planting years, publicity and training, income sources, and other factors on cotton farmers’ KAP were analyzed. The results showed that endosulfan sulfate was the main endosulfan residue in the soil, followed by β-endosulfan and α-endosulfan, the average residual contents were 0.569, 0.139, and 0.060 µg/kg, respectively. The results of the KAP study showed that cotton farmers scored low on knowledge about the phase-out of endosulfan and the application of alternative technologies but high on attitude and practice. The number of family members, years of cotton planting, age, and the cotton-planting area had different degrees of influence on KAP scores. The training could significantly improve the KAP scores of cotton farmers; training should be more targeted and designed reasonably for key groups, such as men and the population under 30, followed by training them to use pesticides safely. For large-scale cotton growers, training should focus on green prevention and control technologies.

More than just a tree: Ecolinguistics and responses to the felling of ‘Hadrian’s tree’

In the current climate ecolinguistic research has arguably never been more important, as its basic premises regard the survival of life on Earth and key philosophical questions hitherto under-acknowledged by mainstream science. In recent decades, environmental thinking has made great advances in shaping current opinions towards nature and the non-human world. The goal of this paper is to explore certain currents of mediated thinking in modern Britain regarding nature, in order to assess how far expressions of sorrow for the felling of a prominent tree might correspond to a genuine ecological sentiment. The study explores public responses to an apparent case of eco-vandalism, the felling of the Sycamore Gap tree in September 2023 in Northumberland, using data taken from social media and other online sources such as e-newspapers. From the point of view of Ecolinguistic theory and that of Positive Discourse Analysis it applies critical lenses such as Evaluation and Discourse Pragmatics to dig beneath the surface of texts produced on the topic, in order to explore diverse current attitudes to trees in the UK. The paper finds that, though there are instances in which people appear to express grief for the loss of the Sycamore Gap tree, it is possible to account for these in ways that lessen the likelihood that they are motivated by purely ecological sentiment. In practice human attitudes towards trees tend to be superficial and instrumental, and this tendency is also found here. The Sycamore Gap event brings many latent social attitudes into play, and this paper thus contributes to the developing field of Ecolinguistics by focusing on tree-centred narratives, distinguishing between inherent ideologies of pseudo- and authentic environmental sensitivity.

Development of a Pilot Literacy Scale to Assess Knowledge, Attitudes, and Behaviors towards Climate Change and Infectious Disease Dynamics in Suriname.

Prior research has shown that climate literacy is sparse among low- and middle-income countries. Additionally, no standardized questionnaire exists for researchers to measure climate literacy among general populations, particularly with regards to climate change effects on vector-borne diseases (VBDs). We developed a comprehensive literacy scale to assess current knowledge, attitudes, and behaviors towards climate change and VBD dynamics among women enrolled in the Caribbean Consortium for Research in Environmental and Occupational Health (CCREOH) cohort in Suriname. Items were generated by our research team and reviewed by a group of six external climate and health experts. After the expert review, a total of 31 climate change and 21 infectious disease items were retained. We estimated our sample size at a 10:1 ratio of participants to items for each scale. In total, 301 women were surveyed. We validated our scales through exploratory (n = 180) and confirmatory factor analyses (n = 121). An exploratory factor analysis for our general Climate Change Scale provided a four-construct solution of 11 items. Our chi-squared value (X2 = 74.32; p = 0.136) indicated that four factors were sufficient. A confirmatory factor analysis reinforced our findings, providing a good model fit (X2 = 39.03; p = 0.23; RMSEA = 0.015). Our Infectious Disease Scale gave a four-construct solution of nine items (X2 = 153.86; p = 0.094). A confirmatory factor analysis confirmed these results, with a chi-squared value of 19.16 (p = 0.575) and an RMSEA of 0.00. This research is vitally important for furthering climate and health education, especially with increases in VBDs spread by Aedes mosquitoes in the Caribbean, South America, and parts of the southern United States.

Prognostic gene expression profile testing to inform use of adjuvant therapy: A survey of melanoma experts.

To investigate current practices and attitudes regarding use of adjuvant immunotherapy and prognostic gene expression profile (GEP) testing among melanoma medical and surgical oncologists. An anonymous RedCap-based survey was emailed to ~300 melanoma experts. Respondents generally favored adjuvant immunotherapy over observation (73% for all Stage IIIA, 50% for Stage IIB/IIC) and cited a minimum 10-year recurrence risk of 11%-20% (48%) or 21%-30% (33%) to justify treatment, but acknowledged that risks of serious adverse events may outweigh potential benefits for some Stage IIB/IIC patients. While GEP test results did not strongly influence decision-making regarding follow-up or intervention, most were receptive to randomized trials using GEP testing to identify subsets of Stage IIB/IIC (74%) and Stage IB/IIA (54%) patients who may not or may, respectively, benefit from adjuvant therapy. Although most respondents do not routinely use GEP testing, many would participate in clinical trials to determine clinical utility.

Shifting notions of the rural: Protests over traffic infrastructure and far-right normalization

Current far-right attitudes to the climate crisis are highly ambivalent, oscillating between the glorification of nature and ideological fragments of “fossil fascism”. Invocations of “the rural” serve as semantic mediations, enabling populist radical right parties (PRRPs) to apply seemingly frictionless and multi-scalar narratives of far-right ecology to rural protests. Applying relational and scale-sensitive approaches can help to disentangle how far-right discursive and political effort ties into and transforms spatial imaginaries. This paper discusses the role of rurality for populist scalar re-articulations and the impact of the latter on local communities. Drawing on findings from a qualitative longitudinal study in small towns in Brandenburg, Germany, the paper shows how local PRRP chapters create a specific notion of ‘rural rationality’ that helps to normalize far-right politics and politicians at the local scale, contrasting a proclaimed albeit abstract cordon sanitaire.

Caregivers’ Perception and Attitude towards Child Mental Health in Beni Suef Governorate, Egypt

Background: The World Health Organization recognizes the lack of public information about children and adolescents’ mental health (CAMH) disorders as a barrier to seeking help. This study assessed the current knowledge and attitudes of caregivers about CAMH problems in Egypt. Methods: A total of 1937 caregivers attending primary health care centers in Beni Suef, Egypt, were surveyed using the Arabic version of the University of Chicago Behavior Health Questionnaire (UCBHQ). Results: We found a statistical significance of positive attitude towards CAMH in parents’/caregivers’ who were females, relatively young, or had a higher educational degree. Due to the influence of media and negative publicity, caregivers were wary of the adverse effects of psychoactive medications and MH treatment. We also identified participants who had previously attended MH workshops or had a family member with mental illness were skeptical about existing MH services. Cultural background and spirituality were not a barrier to seeking MH care in this study. Conclusion: Findings highlight the need to utilize social media, television ad campaigns, and print fora to raise awareness about stigma, etiology of MH problems, and evidence-based treatments targeting gender and age-specific population.

Acceptance, Awareness, Attitude, and Practices Toward Heart Transplantation: A Saudi Based Survey.

The awareness of brain death and heart donation (HD) among the Saudi population remains limited, coupled with negative attitudes toward heart donation, resulting in a significant gap between the demand for donor hearts and the available supply. This study aimed to comprehensively understand the current perceptions, attitudes, and practices of the Saudi population regarding HD, as well as identify the obstacles. The ultimate goal was to strengthen the local donor pool. A cross-sectional study was conducted from March to May 2023, employing a self-administered internet survey. The survey collected demographic information, assessed awareness, attitudes, and practices related to HD, and was completed by 1820 participants from various regions in Saudi Arabia. Data was analyzed using SPSS version 25 (SPSS Inc., Chicago, Illinois, USA). Chi-square test, Independent-samples t-test, one way analysis of variance test (ANOVA) and Spearman correlation coefficient was performed with the significance level set at p < 0.05. A significant portion of the population (out of 1820 participants) lacked organ donation cards and were uncertain about the registration process. Participants displayed a moderate level of knowledge about HD, with roughly half holding unfavorable attitudes toward HD. A considerable percentage of participants 62.0% were unwilling to register as heart donors, but a majority (79.9%) were willing to contribute by disseminating information about HD. The study identified significant associations between knowledge scores and several factors, including age (p = 0.002), career (p = 0.000), possession of an organ donation card (p = 0.000), and a history of transplantation or organ donation among relatives (p = 0.000). A significant relationship was observed between attitude scores and several factors, including career (p = 0.001), Saudi region (p = 0.025), possession of an organ donation card (p = 0.000), and a history of transplantation or organ donation among relatives (p = 0.000). The study highlights the urgent need for increased awareness to bolster the number of local heart donors. The involvement of healthcare professionals and social campaigns is essential to enhance public knowledge and potentially boost the willingness of individuals to become donors.

Vaccination practices of pediatric oncologists from eight states

BackgroundVaccinations are a vital part of routine childhood and adolescent preventive care. We sought to identify current oncology provider practices, barriers, and attitudes towards vaccinating childhood and adolescent cancer patients and survivors.MethodsWe conducted a one-time online survey distributed from March-October 2018 to pediatric oncologists at nine institutions across the United States (N = 111, 68.8% participation rate). The survey included 32 items about vaccination practices, barriers to post-treatment vaccination, availability of vaccinations in oncology clinic, familiarity with vaccine guidelines, and attitudes toward vaccination responsibilities. Descriptive statistics were calculated in STATA 14.2.ResultsParticipants were 54.0% female and 82.9% white, with 12.6% specializing in Bone Marrow Transplants. Influenza was the most commonly resumed vaccine after treatment (7030%). About 50%-60% were familiar with vaccine guidelines for immunocompromised patients. More than half (62.7%) recommended that patients restart most immunizations 6 months to 1 year after chemotherapy. Common barriers to providers recommending vaccinations included not having previous vaccine records for patients (56.8%) or lacking time to ascertain which vaccines are needed (32.4%). Of participants, 66.7% stated that vaccination should be managed by primary care providers, but with guidance from oncologists.ConclusionsMany pediatric oncologists report being unfamiliar with vaccine guidelines for immunocompromised patients and almost all report barriers in supporting patients regarding vaccines after cancer treatment. Our findings show that further research and interventions are needed to help bridge oncology care and primary care regarding immunizations after treatment.

Current Practice in Counseling about Sickle Cell Disease-Modifying Therapy and Sexual and Reproductive Health

Background: Sickle cell disease (SCD) is a genetic hematologic condition affecting individuals worldwide. Advances in therapy and management, including hydroxyurea, have reduced mortality. Clinicians who care for individuals with SCD face challenges in advising patients specifically about the impacts of hydroxyurea, a disease-modifying therapy (DMT), on sexual and reproductive health (SRH). There are currently no standard guidelines for clinicians on the risks and benefits of DMT regarding SRH. This study aims to characterize clinicians' current attitudes, practices, and barriers/facilitators to initiating and counseling around hydroxyurea use and SRH. Methods: In a cross-sectional qualitative study, we recruited clinicians caring for people with SCD from a national sample of American Society of Pediatric Hematology and Oncology members. Participants completed in-depth semi-structured interviews. Interviewers collected background information about the clinician and the nature of sickle cell care provided at their center. Topics included questions about clinicians' current practice in prescribing hydroxyurea and the counseling currently offered or the counseling they would like to provide regarding hydroxyurea and SRH. Interviews were transcribed verbatim and systematically coded using applied thematic analysis in NVivo. Results: 20 clinicians completed the interview (72% women, 78% White, 61% pediatrics-trained). Participants agreed that the benefits of decreased vaso-occlusive crises and mortality outweigh the risks of hydroxyurea to fertility. Participants also noted reduced morbidity, including decreased priapism frequency, which can lead to impotence and infertility, and reduced symptoms of dysmenorrhea. Participants concurred that counseling around hydroxyurea use varies by age, and no standard guidelines exist. When starting hydroxyurea in infants at nine months of age or at any time throughout childhood, clinicians noted that families are often hesitant at this stage to make decisions about their children that may affect their future. Families may not initiate discussions about their child's future fertility, but participants agreed that addressing the benefit and risks is essential. In contrast, clinicians reported that adolescents and young adults with SCD often direct the conversation themselves. The current practice for several participants is to continue hydroxyurea in most males or consider fertility assessment before recommending cessation of therapy, and only if they have had trouble conceiving. All participants agreed that the current practice is to take patients off hydroxyurea if they become pregnant, primarily based on teratogenicity risk and best practices from oncology. Some discussed restarting it later in pregnancy for disease control. Barriers to counseling were time constraints, limited data on whether fertility risks are related to the disease and/or the DMT, lack of standard guidelines on counseling, and sparse resource availability, including multi-disciplinary OB/GYN and genetic counseling support. Conclusion: Clinicians caring for people with SCD agree that hydroxyurea is a necessary DMT. However, clinicians also recognize the limited data and knowledge regarding the impacts of hydroxyurea on critical topics for individuals with SCD, including fertility and pregnancy. Healthcare providers who treat individuals with SCD should be aware of the unique SRH needs of this population. Further study is needed to identify patient attitudes regarding hydroxyurea and fertility risk and characterize current SRH counseling and practice in emerging disease-modifying therapies, gene therapy, and transplant.

Community-Based Practice Patterns and Perceptions of Challenges Integrating New Therapies for High-Risk Myelodysplastic Syndrome

BACKGROUND : With a limited number of approved therapies for myelodysplastic syndrome (MDS), first-line treatment options for patients with high-risk MDS remain an unmet need. As many patients can become refractory to treatment or relapse, it is imperative that they receive the most suitable and effective therapy upfront based on their risk stratification. Several treatment strategies, including immunotherapy, are being investigated and have shown encouraging results with the potential to transform care for this patient population. To create effective education on new therapies for MDS, a two-phase educational initiative was designed. METHODS : The first phase consisted of a deep-dive survey evaluating current practice patterns, barriers, attitudes, and challenges in management of newly-diagnosed high-risk MDS which was launched in February 2023 and closed in March 2023. The survey was disseminated via a partnership with IQVIA with criteria for inclusion set as: treating physicians confirmed by ICD-10 code matching and at least one prescription for any pharmaceutical product for MDS during the prior 3 months from survey launch. The second phase of the initiative was a live and endured CME-certified activity led by two experts in MDS. This was hosted on OMedLive.com and remains on-demand through June 2024. Microlearning clips were disseminated via LinkedIn. The expert panel addressed the identified challenges from the survey results and discussed practice-changing clinical data. Knowledge and competence questions were administered pre-, immediate post-activity, and during the program as interactive polling. Attitude, perceptions, and practice patterns associated with management of MDS were also assessed. RESULTS : The phase one survey was completed by 23 hematologists/oncologists currently treating patients with MDS. The insights from the survey showed a preference for use of the IPSS-R classification system (96%); however, only 52% ‘always’ utilize a risk stratification scoring system. The top three factors influencing treatment decisions for newly-diagnosed MDS were: molecular and genetic prognostic factors (78%), comorbidities (70%), and long-term evidence/real-world data (48%). Across the continuum of care, the most challenging treatment setting was identified as intermediate/high-risk relapsed/refractory MDS. The top three challenges were requirements to follow specific treatment algorithms, access to investigational agents in clinical trial, and managing patients relapsed or are refractory to approved therapies. Clinical perceptions of emerging therapies revealed that 17% of survey respondents would not consider an investigational therapy for a newly diagnosed high-risk patient. To date, 1,371 clinicians have participated in the educational initiative, 91% of whom were physicians and 89% identified their specialty as hematology/oncology. Low baseline knowledge and competence (&amp;lt;40%) was observed across assessment questions. Insights gathered throughout the activity indicated intermediate/low and intermediate/high as the MDS risk categories that are most difficult to manage. Mixed reports of classifications systems was observed with IPSS-R as the highest at 35%, IPSS reported by 28%, and IPSS-M used by 20%. Participants reported equivalent difficulty in treatment of lower vs higher-risk MDS and newly diagnosed vs relapsed/refractory MDS. Following the educational activity, intended practice changes were reported as applying the latest guidelines, improve referral of patients, and refine treatment/management approaches. CONCLUSIONS: This initiative provided insights into provider current practices and perceptions on management of newly diagnosed high-risk MDS. These adequately informed the educational initiative with some differences in perceptions seen post activity compared with the survey analysis from phase one. There are gaps remaining for clinicians to align on use of risk stratification scoring systems and improve algorithmic approaches based on treatment setting and risk status. Educational interventions are needed to address these practice gaps, employ strategies to effectively integrate new therapies, and stay abreast of the rapidly changing MDS landscape.

Knowledge, Attitudes, and Practices on Teledermatology among Dermatologists in the Philippines

Abstract Background: Teledermatology has been widely used during the coronavirus disease 2019 (COVID-19) pandemic to overcome barriers in access to care. The objective of this study was to assess the current knowledge, attitudes, and practices regarding teledermatology among dermatologists in the Philippines. Materials and Methods: This was a cross-sectional and analytical study conducted from January 2022 to April 2022, among Filipino dermatologists using a self-administered online questionnaire. Descriptive statistics was used to summarize the demographics of the participants. The two-sample t-test, Chi-square test, and multiple logistic regression model were used to analyze the data. Results: Out of 113 respondents, 108 (95.5%) had adequate knowledge and a positive attitude toward teledermatology. The majority (110/113, 97.35%) practiced teledermatology. The most commonly used platform was instant messaging applications (78/100, 70.91%), and the most common factor that influenced their practice was patient demands or needs (74/110, 67.27%). Those who did not practice teledermatology cited technological difficulties as the main reason. Conclusion: Teledermatology was widely used by Filipino dermatologists to provide remote care during the COVID-19 pandemic. However, to fully utilize its potential and limit potential issues associated with its use even after the pandemic, continuous training and education among dermatologists and a more enabling technological environment may be needed.

Assessment of Concussion Knowledge, Attitudes, and Behaviors Among Adolescent Female Club Soccer Athletes

Concussion education for athletes is essential for informed decision making to aid recovery. Education about concussion symptoms, treatment, and protocols can improve symptom recognition, reporting behaviors, protocol compliance, and overall health outcomes. This pilot study aimed to understand current concussion knowledge, attitudes, and beliefs among female club soccer players aged 12–18 years. Findings identified gaps in concussion education and knowledge among these athletes. Continued concussion education efforts are needed to increase concussion knowledge and players’ confidence, focusing on creative education practices.

Incorporation of patient and public involvement in statistical methodology research: a survey assessing current practices and attitudes of researchers

BackgroundPatient and public involvement (PPI) ensures that research is designed and conducted in a manner that is most beneficial to the individuals whom it will impact. It has an undisputed place in applied research and is required by many funding bodies. However, PPI in statistical methodology research is more challenging and work is needed to identify where and how patients and the public can meaningfully input in this area.MethodsA descriptive cross-sectional research study was conducted using an online questionnaire, which asked statistical methodologists about themselves and their experience conducting PPI, either to inform a grant application or during a funded statistical methodology project. The survey included both closed-text responses, which were reported using summary statistics, and open-ended questions for which common themes were identified.Results119 complete responses were recorded. Individuals who completed the survey displayed an even range of ages, career lengths and positions, with the majority working in academia. 40.3% of participants reported undertaking PPI to inform a grant application and the majority reported that the inclusion of PPI was received positively by the funder. Only 21.0% of participants reported undertaking PPI during a methodological project. 31.0% of individuals thought that PPI was “very” or “extremely” relevant to statistical methodology research, with 45.5% responding “somewhat” and 24.4% answering “not at all” or “not very”. Arguments for including PPI were that it can provide the motivation for research and shape the research question. Negative opinions included that it is too technical for the public to understand, so they cannot have a meaningful impact.ConclusionsThis survey found that the views of statistical methodologists on the inclusion of PPI in their research are varied, with some individuals having particularly strong opinions, both positive and negative. Whilst this is clearly a divisive topic, one commonly identified theme was that many researchers are willing to try and incorporate meaningful PPI into their research but would feel more confident if they had access to resources such as specialised training, guidelines, and case studies.

Current use of drains and management of seroma following mastectomy and axillary surgery: results of a United Kingdom national practice survey

PurposeUp to 40% of the 56,000 women diagnosed with breast cancer each year in the UK undergo mastectomy. Seroma formation following surgery is common, may delay wound healing, and be uncomfortable or delay the start of adjuvant treatment. Multiple strategies to reduce seroma formation include surgical drains, flap fixation and external compression exist but evidence to support best practice is lacking. We aimed to survey UK breast surgeons to determine current practice to inform the feasibility of undertaking a future trial.MethodsAn online survey was developed and circulated to UK breast surgeons via professional and trainee associations and social media to explore current attitudes to drain use and management of post-operative seroma. Simple descriptive statistics were used to summarise the results.ResultsThe majority of surgeons (82/97, 85%) reported using drains either routinely (38, 39%) or in certain circumstances (44, 45%). Other methods for reducing seroma such as flap fixation were less commonly used. Wide variation was reported in the assessment and management of post-operative seromas. Over half (47/91, 52%) of respondents felt there was some uncertainty about drain use after mastectomy and axillary surgery and two-thirds (59/91, 65%) felt that a trial evaluating the use of drains vs no drains after simple breast cancer surgery was needed.ConclusionsThere is a need for a large-scale UK-based RCT to determine if, when and in whom drains are necessary following mastectomy and axillary surgery. This work will inform the design and conduct of a future trial.

Irish consumers attitudes and behaviors to transitioning to more sustainable dietary

Abstract Background The evidence on the environmental, socio-cultural and economic impacts of current diets highlights the need for countries to develop food based dietary guidelines incorporating sustainability. This study assessed consumers current beliefs, attitudes, and behaviours to transitioning to more sustainable dietary practices. Methods An online quantitative survey was developed. An all-Island sample in Ireland, representative of national age and gender distribution was recruited by Qualtrics XM market research company. Ethical approval for the study was granted by the Social Research Ethics Committee of UCC and reaffirmed by Queens University Belfast. Data were analysed using STATA SE Version 17.0. Results Affordability, accessibility, nutrition, and health were the most important characteristics of sustainable diets reported by participants that influence food purchases. Almost half of respondents were not interested in eating less animal-based food (45%) and more plant-based foods (51%). However, 22% reported to have started reducing red and processed meat consumption ‘some of the time'. The most popular sustainable dietary behaviours that people were already engaged with are: eating more home-cooked meals (59%), reducing food waste through prevention (41%), and eating less discretionary foods (55%). Conclusions Facilitating dietary change is a critical component of the transition towards more sustainable diets. A multi-pronged strategy is needed to transition to food environments that empower people to choose healthier and more sustainable options. This includes downstream actions at the individual level, including awareness and education campaigns, but more importantly upstream where strong leadership through public policies taking a whole of population approach is imperative. Key messages • Much work has to be done to reconnect human and ecological health, building awareness and knowledge of sustainable diets, and to make the more sustainable choice the easier, and acceptable choice. • Affordability, accessibility and nutrition and health are important characteristics of sustainable diets influencing food purchases. These need to be considered in the development of key messages.

Principals’ Leadership and Technology Integration on Secondary Schools’ Management in Khomas Region, Namibia

There are numerous variables that impact innovation integration within the classroom such as educator willingness, availability of equipment, and proficient development of staff. Taking under consideration these components, this paper describes inquire about on innovation integration with a centre on principals’ demeanours. The part of the vital in classroom hone was found to be considerable. The reason of this investigate was to survey the current attitudes concerning innovation integration in schools from the school principal’s viewpoint. Considers cantered on school information-communication innovation (ICT) integration roles mostly concentrate on principals' points of view on their parts for an effective integration arrange. As ICT accessibility increments, they require for a common-sense integration arrange covering more parts and aspects of energetic ICT integration in school management increases too. Innovation authority drives the technology integration program of any instructive institution. School administrators take challenging errands in integrating technology within the classroom. Their parts are basic to ensure that students’ learning in today’s setting is globally relevant.

Knowledge attitude and practice on acute stroke in an urban community: a cross-sectional study

Background: Stroke remains to be one of the top leading causes of morbidity and mortality in the Philippines despite the increasing number of Acute Stroke Ready Hospitals. Identifying the community’s knowledge gaps, current attitude and practices towards the disease will help develop targeted programs for stroke prevention and better treatment. Objective: We aimed to assess the baseline knowledge and current attitude and practice towards stroke among residents in an urban community in Metro Manila. Methods: A cross-sectional face to face survey using an adapted study on Stroke Recognition Questionnaire (SRQ) tool was done among residents of an urban community for assessment of their knowledge, attitude, and practice towards stroke. Results: The results showed that the majority of the respondents had poor knowledge about stroke (n=223; 59.79%). Specifically, most of them were not familiar with the warning signs of stroke (n=303; 81.23%), risk factors (n=166; 44.50%) and available treatment (n= 150; 40.21%). Many of the respondents, however, manifested a good attitude towards stroke prevention such as regular intake of medications (n=309, 82.84%), doctor consultations (n=301, 80.70%), and lifestyle changes (n=198, 53.08%). Majority of the respondents (n=229; 61.39%) would advise seeking medical attention for stroke. A significant statistical correlation between stroke knowledge and the level of educational attainment (p-value &lt;0.001). Conclusion: Effective education interventions should be adopted and used for primary stroke prevention programs in the community

Cultivating Adulthood Prejudice Toward Black Americans and Low-Income Individuals Through Childhood Social Media Use: A Retrospective Approach

ABSTRACTPrevious research has linked lifetime media use with intergroup prejudice. Our studies extend previous findings by linking current intergroup prejudice (race, social class) with retrospectively reported media use in specific life stages (childhood, adolescence, adulthood). Across two surveys (n = 293; n = 369), we found childhood social media use, but not adolescence or adulthood social media use, significantly predicted participants’ current prejudicial attitudes toward Black individuals and low-income individuals, mediated through social dominance orientation. Additionally, overall lifetime social media use was associated with positive and negative racial attitudes through social dominance orientation. However, findings with lifetime TV use were mixed. Neither of indirect effects between overall lifetime TV use, social dominance orientation, and racial attitudes (or income egalitarianism) was statistically significant. Further, neither of these indirect effects with TV use in specific life stages was significant. Overall, the present findings call for attention on contemporary media in addition to traditional media in cultivation research.