Favorable Perceptions Research Articles

Does self-paced learning in mobile flood protection unit construction in virtual reality have advantages over traditional measures?

IntroductionThe study explores the application of virtual reality (VR) in university education, specifically within the context of civil engineering. It aims to investigate the potential of an immersive virtual lab employing self-paced learning for teaching complex tasks. The focus is on the construction of a Mobile Flood Protection Unit (MFPU), traditionally taught through written instructions or video tutorials.MethodsAn experiment was conducted involving 48 students who were divided into two groups. One group learned to build an MFPU using a VR tutorial, while the other group used a traditional instructional video. The effectiveness of these teaching tools was assessed based on factual and procedural knowledge transfer. Additionally, students' personal perceptions regarding the use of VR software were evaluated.ResultsThe findings indicated a positive effect on factual knowledge transfer when using VR. Moreover, students expressed favorable perceptions towards utilizing VR as a learning tool.DiscussionThe study suggests that VR can enhance factual knowledge acquisition and is well-received by students in educational settings. However, it also highlights the need for further research to better understand its impact on procedural knowledge gain. Future studies could explore long-term effects and different applications within various fields of education.

Digital technologies as enablers of universal design for learning: higher education students' perceptions in the context of SDG4

Digital technologies are essential for transforming educational environments, particularly in higher education. These tools have revolutionized information access and enable flexible approaches within Universal Design for Learning (UDL). This educational model integrates findings from educational practice, research, learning theories, technological advances, and neuroscience to provide concrete proposals for implementing diverse teaching practice that accommodates different learning needs. Building on universal design concepts, UDL is structured around three neurological learning systems (affective, recognition, and strategic) and advocates three corresponding principles: multiple means of engagement, representation, and action/expression. Aligning with current parameters of quality education for all, UDL incorporates diversity as a fundamental premise in instructional planning to ensure equitable learning opportunities for all students. This framework enables teachers to create flexible curriculum designs that enrich learning, reduce barriers, and provide accessible educational opportunities. This research examined how digital technologies can enable UDL implementation by analyzing higher education students' perceptions. Using a quantitative methodology with a descriptive scope, data was collected through a specially designed Likert-scale questionnaire. The instrument demonstrated high reliability (Cronbachʹs α = 0.97). The sample included students from the Mexican public university system (n = 235) studying pedagogy and education. Results showed favorable perceptions of technology use in UDL across all three principles: representation (what to learn), action and expression (how to learn), and engagement (why to learn). They suggest that digital technologies can expand learning capacity and enhance skill development among university students in the UDL context. However, it should be noted that they need to be carefully integrated into educational frameworks designed and tested for their effectiveness; without such integration, their application may be ineffective or even counterproductive to learning processes. The findings demonstrate the potential of this design as a practical and theoretical model to, in line with current trends, contribute to the achievement of SDG4, promoting quality in education and learning opportunities for all. This will be helpful for institutions seeking to implement technology-enhanced UDL strategies while having broader implications for the body of research for improving higher education.

Analyzing the influence of physical posture on audience perception in mass media presentations

Non-verbal communication, especially physical posture, affects audience perception. From a cellular and molecular biomechanics angle, different postures may trigger unique intracellular responses. Upright or leaning forward postures might activate neural pathways that enhance neurotransmitter release related to positive perception. In contrast, a slouched posture could disrupt normal cellular signaling, potentially leading to a less favorable audience perception. This study explores the impact of four postures on audience views in a media setting, aiming to offer data on how posture shapes key perceptions and provide valuable insights for Mass-media Presentations (MMP), despite limited prior research on this aspect. A within-subject experimental design was employed, with 34 participants observing media presentations under four posture conditions. Posture was the independent variable, while credibility, trustworthiness, engagement, and authority were the dependent variables. Data were collected using surveys, posture monitoring devices, and eye-tracking data. Statistical analyses, including Analysis of Variance (ANOVA) and paired t-tests, were conducted to determine significant differences between posture conditions. Upright and leaning forward postures were associated with the highest audience ratings for credibility, trustworthiness, engagement, and authority. Slouched posture consistently led to the lowest ratings across all measures. The ANOVA results revealed significant differences in perceptions of engagement (F = 10.21, p = 0.0008) and credibility (F = 8.67, p = 0.0013). Paired t-tests and post-hoc analyses confirmed that upright posture significantly outperformed slouched posture across all metrics, with large effect sizes (Cohen’s d > 1.0). Posture significantly influences audience perceptions in mass media presentations. Upright and leaning forward postures enhance credibility, trustworthiness, engagement, and authority, while slouched posture diminishes these perceptions. These findings provide practical insights for media professionals, suggesting that careful attention to posture can improve the effectiveness of media presentations. Future research could investigate how gestures and facial expressions interact with these cellular and molecular mechanisms to shape audience engagement.

The Impact of Perceived Leadership Effectiveness and Emotional Intelligence on Employee Satisfaction in the Workplace

In recent years, the role of leadership in increasing employee satisfaction (ES) has received significant attention, with emotional intelligence (EI) emerging as a key factor in promoting effective leadership (EL) in organizations. Although research has demonstrated the positive impact of EI on workplace outcomes, the interplay between perceived LE, EI, and ES remains underexplored. This research is part of this theme and aims to investigate the influence of the perceived levels of LE and EI of SE leaders in the work environment. This study highlights the importance of integrating emotionally intelligent leaders into organizational structures to improve SE, which subsequently contributes to organizational success. A quantitative methodology was used, with data collected through the application of three questionnaires: one to assess the perception of LE, another to measure EI, and a third to assess SE. The results indicated a positive correlation between all constructs. Employees with more favorable perceptions of their leaders’ EI levels and leadership effectiveness reported greater workplace satisfaction. We also found that LE and EI significantly predicted ES. These findings emphasize the need to foster leadership that is not only competent, but also emotionally intelligent to increase workplace satisfaction and productivity.

A pilot study to assess the knowledge, attitude and utilization of Kishori Balika Yojana among adolescent girls (14-18yrs) at rural mahasamund, Chhattisgarh

Adolescent girls face risks including injuries, reproductive and sexual health issues, mental and emotional problems, and abuse. In response, the Government of India launched the Adolescent Girls’ Scheme in 2000 under the Integrated Child Development Scheme, aiming to enhance nutrition, health, and empowerment among adolescent girls.A community-based cross-sectional descriptive study was carried out in rural Mahasamund to evaluate the knowledge, attitudes, utilization of the Kishori Balika Yojana (KBY), and nutritional status of adolescent girls. A convenient sampling technique selected a sample of 35 adolescent girls. Data collection involved a structured knowledge questionnaire (20 items), a Likert scale (18 items), a checklist (7 items), and a nutritional assessment checklist.Among the 35 adolescent girls, 5 (14.2%) were school dropouts, and 16 (45.7%) were undernourished. Most participants (27 or 77.2%) had moderately adequate knowledge, while 7 (20%) had inadequate knowledge. Perception towards KBY services was neutral for 33 (94.2%) and unfavorable for 2 (5.8%). All 35 girls visited the Anganwadi center; 32 (91.4%) utilized supplementary nutrition services, 33 (94.2%) received iron and folic acid tablets, 22 (62.8%) participated in health checkups, and 17 (48.6%) attended health education sessions. Only 2 (5.7%) were aware of life skills education, and none participated in vocational training services. The study found moderately adequate knowledge, neutral perceptions, and good utilization of supplementary nutrition and iron-folic acid supplementation among the girls. However, participation in health checkups, nutrition and health education, life skills education, and vocational training was limited. Educational interventions and modules on KBY services could enhance knowledge, foster favorable perceptions, and improve utilization of KBY services.

Students perceptions & motivation for ‘Basic Pranic Healing workshop’ and its impact on the well-being of medical students

Pranic Healing (PH) is an ancient energy healing method focusing on the body's energy fields. The study explores its potential positive impact on the well-being of medical students. Existing research supports the transformative effects of PH on molecular structures and overall well-being. Spiritual well-being has been linked to mental health, and the study aims to evaluate the connection between Basic Pranic Healing workshops and students' mental health in a stressful medical school environment.This retrospective observational pilot study recruited 50 medical students through purposive sampling. Participants from Dr. Baba Saheb Ambedkar Medical College, Delhi, India, completed pre and post-workshop questionnaires, assessing knowledge, attitude, interest, motivation, and impact on well-being. Data were analyzed using SPSS, employing descriptive statistics and relevant tests.45 interested students participated, with a mean age of 20.78±2.09, 68.8% female. Significant improvements were observed in pre and post-workshop scores for knowledge (p = 0.00), interest (p = 0.00), and confidence (p = 0.00). Beliefs shifted positively with a final favorable perception . Participants reported a positive impact on various life domains with 56% practicing learned techniques weekly. Efficacy in healing (73.4%) and self-healing (84.4%) was notable The Basic Pranic Healing workshop effectively enhanced participants' knowledge, interest, confidence, beliefs, and overall perceptions. Positive impacts on various life domains and high success rates in healing demonstrate the practical relevance of Pranic Healing in promoting well-being. Findings support the integration of holistic healing practices in healthcare training and personal development programs.

PERCEPTIONS AND THEIR CORRELATION WITH ENROLLMENT IN THE INDONESIAN NATIONAL HEALTH INSURANCE SCHEME

Background: Health insurance serves as a key mechanism in facilitating wider and more equitable availability of healthcare services, ensuring that every individual can access the services they need. Aims: This research aims to examine the correlation between community perceptions and enrollment in the National Health Insurance (JKN) in the Musi Rawas Utara District, Indonesia. Methods: This research applied a cross-sectional study by collecting data from 384 respondents. Logistic regression analysis was used to assess the correlation between perceptions and JKN enrollment. Results: The results showed that 68.49% of respondents were not enrolled in the JKN. Factors associated with JKN enrollment include perceptions regarding JKN, income, and the history of illness. People with favorable perceptions have a 1.90 times higher chance to join the JKN membership. People with income ≥ provincial minimum wage (UMR) have an opportunity of 0.50 times higher than people with income < UMR to join the JKN membership. The history of illness is likely to enhance JKN enrollment by 7.86 times. Conclusion: In the Musi Rawas Utara District, the rate of enrollment in the JKN program remains low. Strategic policy reforms, accompanied by targeted advocacy and health education promotion, have the potential to significantly increase JKN enrollment and contribute to the realization and sustainability of universal health coverage (UHC) goals. Keywords: Perception, Enrollment, National Health Insurance

Awareness, perception and behavioral determinants associated with cancer prevention among adults: Results from a cross-sectional study in urban field practice area of a tertiary care hospital, Kolkata

Background: Cancer is emerging as a major public health problem. Two-thirds of cancer patients are in the advanced stage at the time of diagnosis. Public awareness plays a big role in cancer prevention. Aims and Objectives: To assess awareness, perception, and behavioral determinants of cancer prevention of urban adults. Materials and Methods: An observational, cross-sectional study was conducted in the urban slum of Kolkata. Four hundred fifteen respondents were interviewed using a pre-tested questionnaire after having consent. Results: Though majority (72.3%) of respondents had satisfactory awareness but had limited awareness on screening tests (58.6%) and vaccination (1.6%). Half of them had a favorable perception on cancer prevention but the perceived barrier was more. The behavior score was poor among the majority of participants. The main source of information was T.V. (88.2%) and friends and relatives (80.2%). Only one-fourth of participants mentioned of health workers and health camps as sources of information indicating inadequate activities on cancer awareness programs. Age (OR 7.08, 95% CI=1.07–46.74), sex (OR 0.38, 95% CI=0.19–0.76) education (OR 4.81, 95% CI=2.50–9.27) were significant predictors of satisfactory awareness. Higher levels of education, younger age, and female gender were factors that shaped perception. Only education level (OR 0.29, 95% CI=0.15–0.59) had a significant association with cancer preventive behavior. Conclusions: Though awareness on primary preventive measures was satisfactory but behavior was unsatisfactory among study participants. They had more perceived barriers while taking preventive measures. The finding indicates a need to promote health education and motivate people to recognize and modify cancer-related behavioral risk factors.

Interactive documentary as a living and embodying experience to represent reality: A practice-based case study

This article introduces an innovative approach to comprehending the portrayal of reality within interactive documentaries. Drawing upon my filmmaking expertise, I created the interactive documentary Eden Again to examine how this multimedia genre portrays our understanding of a location, cultures, and social bonds by representing the controversial stories of drying the Marshlands of Iraq. This study also aims to enhance audience involvement, influencing contemporary media culture. These insights stem from a practice-based case study and contribute to the ongoing discussion about the representation of reality. The results indicate that users/viewers generally held favourable perceptions and attitudes toward the positive impacts of interactive documentaries, anticipating a positive reflection on this location.

Differences in the Transition to Adulthood of University Students before and after the Pandemic

Introduction. The difference in the opinions of two groups of university students on the transition to adulthood and on certain educational aspects over a period of 8 years was analysed, one before and the other after the Sars-Cov 2 pandemic. Method. The questionnaire was applied based on the perception that university students have on the transition to adulthood (Guerra Santana, 2022), adapted from Arnett's Transition to Adulthood Scale (2001). It was answered by 780 students from a Spanish university, 453 of whom were educated before the pandemic and 327 of whom are currently studying. A quantitative methodology with a descriptive and comparative design was used. Results. The results indicate that, of the three factors that make up the empirical structure of the questionnaire, there are significant differences (99.95% CI) in the ability to create a family and attend to its needs, and in personal responsibility and maturity according to the student's group of belonging (pre-pandemic/post-pandemic) and age. On the other hand, no differences were found in the variables gender and field of knowledge. Discussion and Conclusion. In conclusion, the post-pandemic group of students have a more favourable perception of the transition to adulthood than those who studied before the pandemic.

Industry Image Perceptions and Organizational Attractiveness: Results of an International Survey

ABSTRACTExtending the research on corporate brand image and recruitment, this study investigates the influence of industry image on organizational attractiveness in a cross–national context. Drawing from signaling theory and the application of the instrumental‐symbolic image framework, we apply an experimental vignette design in the renewable energy industry (REI) and the oil and gas exploration and production industry (OGI) with potential job applicants in France, Germany, and the United Kingdom. We conceptualize national context as collective signaling environments. Results from 550 respondents indicate that the REI and OGI differ in most of the instrumental and symbolic image dimensions. The instrumental image dimension of pay and the three symbolic image dimensions of sincerity, innovativeness, and prestige predict organizational attractiveness. Moreover, sincerity, innovativeness, and prestige carry a mediating effect in the link between industry affiliation and organizational attractiveness. Findings also demonstrate that image perceptions of the REI and OGI vary across countries such that the already more favorable image perceptions regarding the REI are for the most part even more pronounced in France. Implications for theory and tailored recommendations for practice are provided.

Efficacy of lifestyle interventions in preventing cardiovascular disease in Nigeria: A review

Cardiovascular diseases (CVD) represent a critical public health issue worldwide, with Nigeria experiencing a marked increase in prevalence due to rapid urbanization, lifestyle changes, and socioeconomic factors. Lack of sufficient exercise and increased consumption of fatty foods, salty, and processed foods are causal factors of the risk factors associated with hypertension, hypercholesterolemia and obesity. Consequently, this review assesses the effectiveness of lifestyle intervention in dietary modifications, exercising, smoking cessation, and stress reduction on these factors among the Nigerian populace. Clinical studies support that communicating specific dietary measures together with the DASH modified for Nigerian foods and moderate aerobic exercise duration decreases blood pressure and cholesterol levels by dropping 12-15mm Hg and LDL cholesterol by 20mg/dL-Anticipated empirical analysis results show the significance of smoking cessation and stress management on CVD intervention. For instance, nicotine replacement therapy accompanied by behavioural counselling produced a 30% abstinence rate among the participants, and MBSR stress reduction programmes reduced the participants' blood pressure by 10 %. It also reflects the fact that cultural orientation to preventive measures needs to be culturally appropriate for the Nigerian setting, given that socioeconomic factors perpetuate risks. The findings of statistical studies in this review are presented regarding the changes in CVD indicators, which are valuable for forming subsequent public health policies. Because the burden of CVD is increasing in Nigeria and most low and middle-income countries, the use of lifestyle approaches to address risk factors is a good strategy. However, success is determined by countering systemic barriers such as poorly preventing or treating diseases and having a favourable perception of traditional diets. Within these developments, this article seeks to advance the implementation of these efficacious interventions into the Nigerian context, but with ideas for improving its accessibility, cost and receptiveness to accept these innovative practises in the country's health care system.

Understanding Pediatric Patient's Perspective on Neurostimulation (Cefaly®™) for Migraine Treatment: A Focus Group Discussion

Purpose: Migraines are highly prevalent among children and adolescents, leading to significant disability. External trigeminal nerve stimulation (Cefaly®) is an emerging alternative treatment for migraine. These non-invasive wearable devices deliver electrical impulses through the skin to reduce pain transmission. Cefaly® has been government-approved for use in adults but has not been formally studied in pediatric-aged populations. We conducted a focus group with pediatric patients (aged 16-17) and a patient partner (aged 18) diagnosed with chronic migraine to investigate adolescent perspectives on the Cefaly® device. Involving adolescents ahead of a clinical trial is critical for understanding whether the Cefaly® device can be integrated into patients' lives and have a meaningful impact in real-world contexts for pain management. Methods: Participants partook in a 65-minute virtual semi-structured focus group discussion where they were asked open-ended questions regarding their experiences living with chronic migraine and their impressions of the Cefaly® device and barriers to use. Results: Participants were keen to try Cefaly® but felt it was best suited for home use due to the device's appearance combined with the length of time required per session. Participants described Cefaly® as most helpful as an adjunct for their existing therapies. The device's portability was regarded as advantageous. Participants especially expressed a favourable perception towards the non-invasive nature of Cefaly® and minimal side effects compared to medications and injection-based treatment options. Conclusion: Adolescents reported a desire to try Cefaly® for treating their chronic migraines. Clinical studies are needed to validate the efficacy of Cefaly® for pediatric populations.

Evaluating the use of 3D skin models as simulation-based educational tools among nursing students: A quasi-experimental study

BackgroundTeaching dermatology is challenging because of its' highly visible and tactile nature. While images improve visual memory and are valuable teaching aids, even high-quality photographs have limitations in what they can convey. AimOur aim is to validate the use of silicone-based 3D skin models as simulation-based educational tools by assessing their impact on recognition of various skin conditions among nursing students. Design and settingsA quasi-experimental, two-groups study was conducted in a Higher Education Institute in Ireland. ParticipantsParticipants were third-year undergraduate nursing students enrolled in a bachelor's programme in General Nursing or Children's and General Nursing, registered for a general module. We included 153 participants, 79 were in the control group and 74 were in the interventional group. MethodsNursing students rotated individually among stations to observe both 3D skin models and photographs of the models. At each station, students completed an answer sheet including questions on identifying skin categories and conditions, along with a validated scale to assess satisfaction, confidence, and realism in using these models. Each station illustrated five skin conditions using either models or photographs. Both groups visited both stations; only the sequence of visits varied between them. ResultsThe 3D skin models significantly improved nursing students' identification of the papulosquamous skin category (47.8 % interventional group and 24.4 % control group, p = 0.003). Additionally, students exposed to the models had higher scores for categorisation (mean ranks; 85.05 interventional group and 69.46 control group, p = 0.023). Qualitative data revealed students' favourable perceptions of the 3D models as effective learning tools, particularly their realism and sensory aspects. ConclusionsSuggestions for model improvements, including skin tone and positioning on the body, are likely to enhance effectiveness. Integrating 3D skin models into nursing education curricula is highly recommended to enhance nursing students' dermatology skills and clinical skin assessment.

Comparing spiritual wellbeing and illness perceptions between cancer patients from culturally and linguistically diverse and those from mainstream backgrounds in Australia.

Cancer presents a significant health challenge, particularly within culturally and linguistically diverse (CALD) populations. Religious, spiritual, and personal beliefs regarding illness may mitigate its psychological and physical impacts, varying with CALD status. This study aims to assess illness perceptions in Australian cancer patients from both CALD and Anglo-Australian backgrounds and to explore the associations between spiritual wellbeing and illness perceptions within these groups. Cross-sectional study, involving 119 cancer patients from CALD backgrounds (Arabic, Chinese, and Greek) and 50 Anglo-Australians. Spiritual wellbeing and cancer perception were assessed using the World Health Organization Quality of Life-Spirituality, Religiousness, and Personal Beliefs questionnaire and the revised Illness Perception Questionnaire, respectively. Linear regression models analyzed associations. CALD patients perceived their cancer as less enduring (β - 4.74, 95%CI - 6.16, - 3.31) and symptoms as less predictable (- 4.96, 95%CI - 6.12, - 3.86) compared to Anglo-Australians. They had lower confidence in medical interventions (- 2.96, 95%CI - 3.36, - 1.22) and poorer illness understanding (- 4.66, 95%CI - 5.83, - 3.49). In Greek-speaking patients, an increase in spiritual wellbeing was associated with less favourable perceptions of treatment controllability (β - 2.25, 95%CI - 4.39, - 0.09). Conversely, for Chinese-speaking patients, an increase in spiritual wellbeing was associated with improved illness perception across all domains except for consequences and emotional representation. However, no significant association was observed for Arabic patients. Differences in illness perceptions exist among CALD and Anglo-Australians. Spiritual wellbeing appears linked to more favourable perceptions; however, differential effects emerged among groups, emphasizing the need for culturally tailored interventions to improve outcomes.

Ecoproducts in the Dynamic Era of Digital Communication: A Neuromarketing Study of Users’ Emotional Reactions on Social Media

In the present era, where social media have become a primary tool for interaction between brands and consumers, the importance of emotional reactions triggered by observing public comments is increasingly emphasised. This study analyses how these reactions shape the decision-making process when purchasing eco-friendly products. The aim of this study is to bridge the gap in the analysis of emotional reactions from social media users who are exposed to various unofficial information published on social media while gathering information about eco-products, which can significantly influence their purchasing decisions. The objective is to examine, compare, and evaluate how positive and negative sentiment in user comments affects the perception and value of eco-products amongst other social media users. The findings indicate that posts with positive comments foster increased engagement and a favourable perception of products, while negative comments lead to doubt and frustration. In the neuromarketing experiment, we found that 81.8% of respondents considered the visual design of the eco-product and the ecological brand message attractive, with 63.6% reporting that negative social media comments had a significant impact on their perception of the brand. These results support the hypothesis that emotional reactions to comments are a strong factor in consumer decision-making, suggesting that positive reviews may serve as social proof, while negative comments can cause cognitive dissonance. Through this study, we aim to contribute to a deeper understanding of the dynamics between emotional reactions and the perception of eco-products in the digital communication era, which has significant implications for the marketing strategies of ecological brands.

Assessment of Awareness and Acceptance of the Human Papillomavirus Vaccine among Women in Saudi Arabia: A Community-Based Survey

Background: Globally, cervical cancer represents a major public health concern. The Human Papillomavirus (HPV) vaccine serves as a primary preventive strategy against cervical cancer. This study aimed to assess the HPV vaccine awareness and acceptability (HPVVAA) among women in Saudi Arabia. Methods: This study employed a mixed-methods approach, combining both qualitative and quantitative data to assess HPVVAA among women in Saudi Arabia. A national survey was conducted with a diverse sample of 640 Saudi women, aged 18 to 65, representing both urban and rural areas. Data collection involved structured questionnaires, including both closed-ended and open-ended questions, distributed online and via paper-based self-administration. Descriptive statistics summarized demographic characteristics, while inferential statistics and logistic regression were used to identify associations between variables. Thematic content analysis of the open-ended responses was conducted to explore recurring themes related to awareness, acceptability, and potential barriers. Statistical significance was set at p < 0.05. Ethics approval and written informed consent were obtained prior to participants’ involvement in the study. Results: A total of 640 women participated in the study. The majority of participants were over 50 years old (31.2%), married (45.3%), and held a university or higher educational level (43.8%). Approximately 39.1% of participants had received the HPV vaccine, while 56.3% expressed willingness to accept it. Awareness of HPV and its link to cervical cancer was reported at 78.8% and 62.5%, respectively. The primary source of information (34.4%) was healthcare professionals. Positive attitudes toward vaccinations and favorable perceptions of the HPV vaccine’s safety and efficacy were prevalent among the respondents. Age (p < 0.01; odds ratio [OR]: 1.134; 95% confidence interval [95% CI]: 1.045–1.231) and marital status (p = 0.027; OR: 1.078; 95% CI: 1.007–1.153) were significant predictors of vaccine acceptance. Age was identified as a significant factor that influences awareness (p < 0.001; OR: 1.25; 95% CI: 1.10–1.42). Participants who were one year older were 1.25 times more likely to be aware of the HPV vaccine, with a 95% CI of 1.10 to 1.42 (p < 0.001). Participants with better healthcare access were more likely to be aware of the HPV vaccine (p < 0.001; OR: 1.30; 95% CI: 1.15–1.47). Conclusions: The study found a significant HPVVAA among women in Saudi Arabia. However, there is room for improvement in vaccine uptake, particularly in addressing barriers such as accessibility, affordability, and fear of side effects. Targeted communication strategies and public health initiatives are recommended to enhance HPVVAA and uptake, ultimately contributing to the global goal of cervical cancer prevention and control.

Effects of Aligning Residency Note Templates with CMS Evaluation and Management Documentation Requirements.

Background The Centers for Medicare & Medicaid Services (CMS) introduced changes in outpatient and inpatient evaluation and management (E/M) current procedural terminology (CPT) codes in 2021 and 2023, which were intended to streamline providers' clinical documentation. Objectives To study the effects of aligning inpatient and outpatient note templates with updated CMS guidelines on character length and documentation time per note at an internal medicine residency program in the southeastern United States. Methods In April 2023, the Atrium Health Wake Forest Baptist Internal Medicine Residency Program's inpatient and outpatient note templates were updated according to the most recent CMS guidelines. A pre-post analysis of resident documentation time and length was conducted comparing notes written with the residency note templates from May 1, 2022 to August 31, 2022 (6439 notes) to notes written with the residency note templates from May 1, 2023 to August 31, 2023 (8828 notes). Interns were surveyed regarding their perceptions of the updated note templates. Results After the note template updates, when adjusted for differing percentages of note types in the pre- and post-periods and accounting for multiple notes written by each resident, notes written with the residency note templates decreased by a mean character length of -882 characters (95% CI: -953, -811, p<.0001), while time spent writing notes did not significantly decrease. 17/17 respondents had favorable perceptions of the note templates. Conclusions The internal medicine residency inpatient and outpatient note templates were updated to align with the most recent CMS E/M documentation requirement changes. These note template changes were associated with a meaningful decrease in documentation length but no overall significant reduction in mean documentation time when adjusted for differing percentages of note types in the pre- and post-periods and multiple notes written by the same author. The interns perceived the note template changes positively.

The impact of logo change on brand loyalty with the mediating role of brand attitude

PurposeThis research examines the impact of logo changes within rebranding strategies, with a focus on the recent logo transformation of Burger King. Redesigns of logos often reflect shifts in brand strategies and consumer preferences. This study aims to evaluate the effects of logo changes on brand loyalty with the mediating role of brand attitude.Design/methodology/approachThis study investigates the influence of Burger King’s logo change on consumer behavior, specifically regarding brand loyalty. The research involves an analysis of the appropriateness and familiarity of the old and new Burger King logos, based on data collected from 468 Egyptian consumers. Statistical analysis is conducted using Partial Least Squares Structural Equation Modeling (PLS-SEM) to assess the impact of logo changes on consumer loyalty.FindingsThe findings indicate that a change in logo can positively affect brand loyalty, particularly when the new logo is perceived as both appropriate and familiar to consumers. Additionally, the study highlights the mediating role of brand attitude, suggesting that favorable brand perceptions enhance the relationship between logo changes and consumer loyalty.Practical implicationsThe practical implications of this study highlight key strategies for brand managers involved in rebranding efforts and the associated risks of such processes. Ensuring logo appropriateness and maintaining elements of familiarity are crucial to fostering consumer acceptance and loyalty.Originality/valueThis study highlights the important role of logo change “logo appropriateness and familiarity,” offering a new perspective on how aligning logos with brand identity and retaining familiar elements can enhance consumer acceptance and loyalty with the presence of brand attitude as a mediator in this relationship.

Still Matters! Kurdish EFL Learners' Perceptions towards Non-Native English Teachers’ Pronunciation Skills

Pronunciation is the fundamental aspect of a spoken message (Pennington &amp; Rogerson-Revell, 2018). Although there are at least four non-native speakers of English for every native speaker (Braine, 2010), and this rate is still increasing, the issue of non-native speakers (NNS) English teachers has not been resolved. This paper reports on a study carried out in Iraqi Kurdistan which explored the perceptions of undergraduate university students towards their non-native English teachers. The students were asked to complete an online questionnaire. After the data analysis process, although the results show that the students have shown positive perceptions towards their NNS English teachers; third-year students had less favorable perceptions than second-year students. The reasons for the students’ different perceptions are discussed. On the whole, most of the participants believed that NNESTs, including Kurdish EFL teachers, can teach pronunciation courses, but they need to be trained before teaching this skill. The findings suggest pedagogical implications for ESL/EFL teachers and learners during teaching and learning pronunciation skills.