Knowledge and attitudes toward pressure injury prevention among nursing professionals - A cross-sectional study at six German university hospitals.

Knowledge, attitudes, and practices toward premature rupture of membranes among pregnant women and their associated factors: A study at Beijing friendship hospital, Beijing, China.

Facilitators and barrier factors predicting the use of mobile payments by middle-aged and older adults: Social influence as the role of precursor.

Antimicrobial stewardship and infection prevention and control in Asian swine, poultry, and aquaculture sectors: A scoping review and situational analysis.

Effect of pandemic outbreak on psychological levels and the predictors of mental health in health professionals.

Relative quantitative data of cosmetics consumption: An online survey in Guangzhou, China.

Many types of comorbidities are associated with clinically diagnosed insomnia in United States military service members.

Rheumatic diseases often have a progressive course and place individuals at increased risk of mortality. Despite this, little research has investigated the relationship between death anxiety and fears about disease progression (FoP), and how these might relate to health-related quality of life (HRQoL) outcomes. This study investigated the relationship between death anxiety, FoP and HRQoL. A cross-sectional design with a longitudinal follow-up at 3 months. A total of 145 participants with at least one rheumatic condition were recruited through Prolific. They completed online questionnaires assessing FoP, death anxiety, HRQoL, pain and psychological distress. They also completed an additional measure of FoP 3 months later. A series of regression analyses were conducted to examine whether death anxiety predicted unique variance in FoP cross-sectionally, as well as three months later. We also investigated whether death anxiety and FoP were associated with HRQoL after controlling for pain, demographics and psychological distress. Death anxiety contributed unique variance to FoP, even when controlling for other variables of interest, and continued to predict FoP 3 months later. Surprisingly, neither death anxiety nor fear of progression were found to predict unique variance in psychological or physical HRQoL. These results indicate that death anxiety plays an important role in FoP. As such, death anxiety appears to be a particularly pertinent factor in the experience of FoP for people with rheumatic conditions that deserves further investigation. However, quality of life outcomes may be robust to the impact of death anxiety and FoP.

Early childhood is an important phase for optimizing 24-h cycle behaviours (sleep, sedentary behaviour and physical activity) to support physical, social-emotional and cognitive health. While research often focuses on centre-based childcare, about 25% of US children under 5 attend home-based family childcare. Family childcare settings may face inequities in educational, financial, and resource support needed for health-related practices. Furthermore, limited studies have addressed daytime sleep health in such settings. Thus, the purpose of this cross-sectional study was to (1) identify physical activity and sleep behaviours of family childcare providers, (2) determine the provider knowledge and perceptions and childcare practices relating to children's 24-h movement behaviours and (3) explore relations between these factors. Adult family childcare providers of western Massachusetts (N = 84, 85.7% female; age = 43.5 ± 10.8 years, 14.3% Hispanic) completed a semistructured online questionnaire. In addition to demographic and childcare practice information, quantitative sleep and movement behaviour variables included provider behaviours, provider knowledge and perceptions of child behaviours and childcare practices and policies. Open-text responses were analysed qualitatively. Most participants reported moderate physical activity levels and 'fairly good' sleep quality, although knowledge of child movement and sleep guidelines varied widely. Higher provider income, age and knowledge were significantly associated with more recommended practices for promoting nap sleep, screen time and physical activity in childcare settings. Gaps in knowledge and inconsistent practices suggest key opportunities for targeted interventions. Enhancing provider education and addressing environmental barriers may support the implementation of evidence-based strategies to promote healthy movement and sleep behaviours in these underresourced settings.

Dyadic associations between eating behaviors and body mass index in couples with a member living with overweight: A longitudinal study.

Association Between Vocal Symptoms, Communication, Work Environment, and Sense of Coherence in Hospital Health Professionals

Whippet is considered quite a healthy breed. Nonetheless, the perception of some veterinary neurologists is that the occurrence of neurological diseases, especially cervical disc disease (CDD), is frequent in this breed. This study aimed to get information about the prevalence of the most common disorders and conditions affecting the Italian Whippet population, particularly investigating the prevalence of CDD and the perception of the problem by owners and breeders. Owners and breeders included in the Italian Sighthound Club register were invited to answer anonymously an online questionnaire. Descriptive statistics were used for breeder/owner and dog characteristics, and statistical association with the development of CDD were explored. Over 280 Whippets, the overall prevalence of CDD was 7.2% and 29% in Whippets older than 9years. Whippets older than 9years were overrepresented in the CDD group (P<0.0001; O.R. 0.07; 95% CI: 0.02-0.22) compared with the CDD group. These findings confirm the hypothesis that CDD may be a challenging and more prevalent than expected disorder in this breed and health screening programs could be recommended to breeders and owners to assess cervical spine conformation, especially before sporting activity or breeding.

Introduction: Palliative care is a multidisciplinary approach designed to enhance the quality of life of patients with lifelimiting illnesses. Despite its growing importance, palliative care remains insufficiently represented within Indian postgraduate medical training, leading to gaps in knowledge, attitudes, and clinical practice. Aim: To assess the Knowledge, Attitude, and Practice (KAP) of postgraduate medical students regarding palliative care in selected medical Institutions across Maharashtra, Karnataka, and Goa. Materials and Methods: This multicentre, cross-sectional observational study was conducted between August 2021 and January 2022 in tertiary care medical colleges across Maharashtra, Karnataka, and Goa, India A structured, validated online questionnaire was distributed to 1st-, 2nd-, and 3rd-year postgraduate students using Google Forms and Survey Monkey. The survey captured demographic characteristics, levels of KAP, and previous exposure or training in palliative care. Data were analysed using EpiInfo version 7.2. Descriptive statistics summarised variables; Chi-square and Fisher’s exact tests assessed associations between categorical variables; Student’s t-test and one-way Analysis of Variance (ANOVA) were applied to continuous variables. Principal Component Analysis (PCA) and K-means clustering were used to identify learner profiles. A p-value &lt;0.05 was considered statistically significant. Results: Of 500 invited students, 345 (69.0%) responded, and analysis was performed on these respondents (n=345). Most participants were aged 24-35 years, 87 (25.22%), with balanced gender distribution males, 179 (51.87%), females, 166 (48.13%). Internal medicine, dental sciences, and orthopaedics were the most represented specialties. Knowledge levels were predominantly average in 182 students (52.75%), attitudes were largely neutral in 194 students (56.23%), and practice levels were moderate in 168 (48.7%) of respondents. Misconceptions persisted, particularly regarding opioid use and the World Health Organisation (WHO) analgesic ladder. Practical exposure was limited, with only 46.96% having participated in palliative rounds. PCA revealed three distinct learner clusters varying in readiness and confidence. Conclusion: Although foundational knowledge was adequate, gaps in attitude, misconceptions, and limited clinical exposure highlight the need for structured, competency-based palliativecare training within postgraduate curricula.

The rapid expansion of e-commerce in Indonesia has encouraged platforms to adopt AI-based personalization to enhance customer experience and loyalty. However, privacy concerns and service quality remain critical factors influencing customer retention. This study examines the effects of AI-based personalization, perceived privacy risk, and service quality on customer loyalty in Indonesian e-commerce platforms. Novelty: This study offers a novel contribution by empirically integrating AI-based personalization, perceived privacy risk, and service quality into a single explanatory model of customer loyalty within the Indonesian e-commerce context. A quantitative explanatory approach was employed using a cross-sectional survey of Indonesian e-commerce users (n = 260). Data were collected through an online questionnaire and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The findings show that AI-based personalization and service quality positively and significantly affect customer loyalty, while perceived privacy risk has a negative effect. Service quality demonstrates the strongest influence on customer loyalty. Customer loyalty in Indonesian e-commerce platforms depends on effective AI personalization supported by high service quality and careful management of privacy risks.

Eating disorders can result in inpatient admissions. The transition of care between this tier of service and outpatient support can be challenging, particularly without intensive outpatient options. The potential benefits of providing intensive outpatient options during this transition period are significant, however there is limited research in this area. This study aimed to understand the experiences and needs of persons with lived experience, carers and health professionals before and after this transition in care for adults in Australia. Using mixed quantitative and qualitative methodology, and experience based co-design principles and processes, we gathered individual experience (stage 1) and developed an understanding of the care transition (stage 2). In stage 1, persons with lived experience and carers were interviewed. Health professionals were surveyed using an online questionnaire. In stage 2, preferences for support were explored in workshops. Findings were analysed using descriptive statistics (quantitative data) and inductive content analysis (qualitative data). Stage 1: Five persons with lived experience and six carers were interviewed. Seventy-three health professionals completed the questionnaire. Stage 2: Two persons with lived experience, two carers and three health professionals participated in workshops. Given the small sample sizes, findings should be interpreted as exploratory. We identified three themes in stage 1: (1) Eating disorder care has the potential to be disempowering, traumatic and isolating but can also be motivating and hopeful, (2) Inpatient care does not always prepare patients for success prior to discharging, (3) Transitioning into outpatient care has the potential to be inequitable, expensive or non-existent. Preferred priority areas for improvement (stage 2) included individualised holistic and empathetic care, practical and timely post-discharge support, additional supportive networks, cultural change in healthcare, workforce training and development, and consistency in service offerings and equity of access. The return home from inpatient care can be difficult to navigate, marked by a lack of continuity of care and insufficient resources. This research highlights areas to target in co-designing a support system for adult patients with eating disorders after discharge from inpatient care.

Amid increasing concerns about occupational stress and emotional exhaustion among higher education faculty, this study investigates the psychosocial and workload-related factors contributing to burnout among lecturers in Ghanaian colleges of education. The study examined the predictive effects of mindfulness, work-life balance, teaching demands, classroom assessment practices, and sleep disturbance on burnout among lecturers in colleges of education in Ghana, with an emphasis on the mediating and moderating roles of supervision load and marking workload. Utilizing a quantitative correlational research design, data were collected from 320 academic staff using a structured online questionnaire and analyzed through multiple regression, moderation-mediation modeling, and latent class analysis. The findings revealed that burnout levels were significantly elevated among lecturers with high teaching and assessment demands, poor sleep quality, and insufficient work-life balance. Mindfulness particularly present-centered and non-judging awareness emerged as a robust protective factor, negatively predicting burnout symptoms such as emotional exhaustion and depersonalization (β = -0.21, p = 0.002). Conversely, increased teaching hours, student mentorship, and assessment loads significantly predicted higher burnout levels (β = 0.13-0.20, p < 0.01). Sleep disturbance played a mediating role in the pathways between both teaching demands and work-life balance with burnout (κ2 = 0.053-0.067), while supervision intensity and marking volume were found to moderate the effects of mindfulness and assessment practices respectively (f2 = 0.036-0.054). Overall, the model accounted for 61.2% of the variance in burnout (R2 = 0.612), demonstrating a large overall effect size (Cohen's f2 = 1.58). Latent class analysis further identified three burnout risk profiles, with approximately 16.2% of respondents falling into a high-risk class characterized by poor mindfulness, imbalanced work-life dynamics, excessive workload, and elevated sleep disturbance. These findings accentuate the urgent need for institutional reforms targeting workload management, emotional well-being, and systemic burnout prevention. Integrating mindfulness-based interventions, promoting flexible work arrangements, and addressing sleep-related challenges are critical strategies for sustaining academic staff vitality and productivity.

ABSTRACT 1 Following in the footsteps of academic proponents of collaboration between spoken and signed language interpreters (SpLIs and SLIs), the authors of this study have bridged their respective areas of expertise to bring these two communities of practice together. This study presents data from a two-phase empirical investigation into the attitudes – understood as beliefs and perceptions – of SpLIs and SLIs towards the principles set out in various codes of ethics. The research design comprised an online questionnaire and three focus groups. The analysis was conducted from diachronic and synchronic perspectives, taking into account language modalities of the participants, as well as their professional experience. The findings confirmed substantial similarities and differences between SpLIs and (deaf and hearing) SLIs in defining and applying professional ethics. As a result, the authors advocate for close collaboration between the two groups of interpreters, which would enhance exchange of knowledge and experience and thus prepare them for the developments of the ever-evolving profession.

The dwindling number of active cooperatives in Indonesia suggests the urgency of a revival effort, such as increasing involvement through better integration of youth in cooperative business operations. As one of the important groups, university students should be considered in sustaining and reviving the development of the cooperative system. This study investigates the factors affecting the engagement of students in cooperatives by identifying the effects of financial literacy, benefits perception, trust in the cooperative management system, and social norms, as well as the mediating effect of information exposure and the moderating effect of risk propensity. To achieve its objectives, this study used a quantitative explanatory research method through Partial Least Squares Structural Equation Modelling (SEM-PLS). Data were obtained from 404 undergraduate students using an online questionnaire. The results showed that the level of students' cooperation engagement was significantly affected by social norms and benefit perception. It means that social influence and the recognition of benefits should receive special attention in fostering participation in cooperative activities. Besides, financial literacy only has a direct impact on students' information exposure and does not significantly affect students' engagement. Moreover, trust and risk propensity have no significant effect, nor does the moderation of risk propensity.

Investigation of the causes of differences between current and recommended therapeutic and diagnostic tactics for colon diverticulitis (CD). An anonymous online survey was conducted from 01.2023 for 60 days. The participants received an information letter and a link to an online questionnaire. Demographic indicators, the level of self-esteem, sources of motivation in decision-making, diagnostic and therapeutic tactics were studied. The respondent's probability of choosing a specific treatment tactic was estimated in scores from 0 to 10. 377 respondents from the Russian Federation participated: 56 (14.9%) coloproctologists (CP), 299 (79.4%) general surgeons (GS), 22 who did not specify a specialty. The majority (46/56, 82.1%) of CP rate their knowledge of the problem as excellent and good, among GS the corresponding proportion is 199 (66.5%) (p=0.02). When making decisions, respondents were most often guided by professional experience (Me 8, Q1-Q3 6-10), methods adopted in the clinic (Me 8, Q1-Q3 5-10) and Russian guidelines (Me 9, Q1-Q3 7-10). A weak relationship was found between reliance on personal experience and the level of self-esteem (r=0.188, p<0.001), as well as the number of colorectal resections performed per year (r=0.242, p<0.001) and between reliance on national recommendations and the level of knowledge on the diagnosis and treatment of CD (r=0.223, p<0.001). Nineteen (5%) respondents for Hinchey IA and 91 (24%) respondents for Hinchey IB-II choose colon resection. In Hinchey III, non-operating specialists choose tactics that are inconsistent with the guidelines (lavage) (p<0.001). For Hinchey IV 35 (9.3%) respondents also offered non-radical treatment options. There is no consensus on issues not covered by guidelines. There is low adherence to the existing recommendations that leads to significant differences in the approaches practiced by respondents from different cohorts. Further research is needed to fill in the gaps found and update the guidelines accordingly.

Learner autonomy has gained significant attention in modern language education and is widely recognized as a key component in language teaching and learning (Chan, 2001; Little, 1999). The term ‘autonomy’ has been defined as the learners’ ability to take charge of their own learning (Holec, 1981, as cited in Borg &amp; Al-Busaidi, 2012). The present study investigates engineering students’ perceptions of learner autonomy, technology use in language learning, and the evolving role of the teacher in higher education. The study involved 95 third-year engineering students, and data were collected using a 30-item online questionnaire rated on a five-point Likert scale. A quantitative approach was employed, and the responses were analyzed using descriptive statistics and exploratory factor analysis to identify emerging dimensions and response patterns. The findings revealed that students exhibited a growing awareness of learner autonomy, with many demonstrating a sense of responsibility for their learning and active engagement in self-initiated language-learning practices. Moreover, the results revealed a continued reliance on teachers for guidance, feedback, and motivation despite the increasing availability of technology that supports independent learning. Based on these insights, this study suggests that teachers should integrate structured technological scaffolding to promote autonomous learning, while maintaining a balanced teacher-student relationship. Such an approach can help bridge the gap between technological independence and the need for instructional support. To extend these insights, future research should adopt mixed-method and longitudinal approaches to gain deeper insights into the evolving nature of learner autonomy, especially by incorporating quasi-experimental designs, instructional interventions, and reflective components that examine both learners’ perceptions and actual performance.