Personal Level Research Articles

"There is a lot of shame that comes with this": A qualitative study of patient experiences of isolation, embarrassment, and stigma associated with overactive bladder.

Beyond causing physical discomfort, overactive bladder (OAB) is distressing to patients across a variety of psychosocial domains. In this qualitative component of a larger mixed methods study, we explore patients' lived experience with OAB to understand how this condition impacts individuals on a personal and social level, as well as their experiences interacting with the health care system. A total of 20 patients and 12 physicians completed a questionnaire and semi-structured interview. The interview guide, developed in an iterative fashion by the authors, included questions about treatment decision making as well as experiences living with or treating OAB; this manuscript focuses on the questions probing lived experiences and interactions between patients and physicians. The interviews were recorded, transcribed and inductively coded and analyzed according to the principles of interpretive description to develop themes. Analysis of patient and physician interviews yielded five key themes: isolation due to OAB diagnosis, social stigma associated with noticeable OAB symptoms, embarrassment from interactions with the health care system, feeling invalidated and dismissed by physicians, and OAB patients as a "vulnerable" population with "desperation" for cure. OAB causes patients marked distress beyond their physical symptoms; it causes feelings of isolation from friends and family and makes them feel embarrassed to discuss their condition with loved ones and physicians alike. Efforts to destigmatize OAB, validate patient experiences, and improve access to OAB care may help diminish the psychosocial burden of OAB.

AI-driven personalization framework for SMES: Revolutionizing customer engagement and retention

In today's competitive business landscape, Small and Medium Enterprises (SMEs) face unique challenges in building and maintaining strong customer relationships. An AI-driven personalization framework offers a transformative solution by enabling SMEs to deliver highly targeted and individualized customer experiences, improving both engagement and retention rates. This review outlines how artificial intelligence (AI) can empower SMEs by integrating data-driven insights with customer interaction processes to revolutionize business practices. AI-driven personalization leverages machine learning algorithms, natural language processing (NLP), and predictive analytics to analyze customer behaviors, preferences, and feedback. By aggregating data from various sources—such as online interactions, purchase histories, and social media activity—AI can generate personalized recommendations, offers, and communication strategies that resonate with individual customers. The framework facilitates dynamic customer segmentation, allowing SMEs to tailor marketing efforts and enhance service delivery. The personalization process also extends beyond marketing by optimizing customer support through AI-powered chatbots and recommendation systems, which provide real-time solutions and advice. This level of personalization fosters stronger emotional connections, increasing customer satisfaction and brand loyalty. Additionally, AI-driven insights enable SMEs to anticipate customer needs, predict churn rates, and proactively address potential issues, thereby boosting retention rates. For SMEs, the implementation of an AI-driven personalization framework is not only cost-effective but scalable, making it accessible even to businesses with limited resources. As SMEs increasingly adopt digital tools, the integration of AI-based personalization becomes essential for staying competitive in a rapidly evolving market. This review highlights the potential of AI in transforming customer engagement strategies for SMEs by offering a tailored, efficient, and sustainable approach to enhancing customer experiences.

Teachers perspectives on positive and inclusive sex education in Dutch secondary schools

Abstract Sex education in schools can play an important role in improving young people’s sexual health. Dutch youth are often dissatisfied with the sex education they receive at school; they want more attention to discussing pleasure, consent and diversity. While there have been various calls for positive and inclusive sex education over the past decade, still very few schools provide it. This study examined teachers’ perspectives on positive and inclusive sex education and documents the barriers teachers are confronted with in providing this type of sex education. Based on an online questionnaire survey of 508 sex education teachers, we examined the extent to which teachers possess the knowledge, attitudes and skills that facilitate the delivery of positive and inclusive sex education. We also held focus groups with 25 teachers from 10 schools and explored what they consider to be key barriers and best practices in teaching positive and inclusive sex education. Teachers overall have the knowledge, attitudes and skills that are needed to provide positive and inclusive sex education, but there is room for improvement, for example regarding knowledge on intersex individuals and the clitoris. Teachers experienced barriers at three levels: the personal level (e.g. personal discomfort), the classroom level (e.g., safety in the classroom) and the structural level (e.g. sex education not being part of the national curriculum; lack of time). Structural barriers seem to be at the basis of the barriers at the personal and classroom level. It is advised that positive and inclusive sex education gets a permanent place in the national curriculum. By developing concrete core objectives in the area of relationships, sexuality and diversity, for all grades, and by providing more extensive teacher training, teachers and schools will be facilitated to organize sex education in a more sustainable way. Key messages • Sex education teachers in the Netherlands desire better training to provide positive and inclusive sex education in the classroom. • Integrating sex education in the national curriculum would help teachers to address sexuality in a more sustainable way in the classroom.

Rising Mental Health Issues from Remote Work Challenges in South Korea Amid COVID-19

Abstract The COVID-19 pandemic significantly increased remote work, raising concerns about its impact on mental health. This study assessed the relationship between the challenges of remote work during the pandemic and mental health outcomes such as anxiety, depression, and sleep disorders. An online survey was conducted among South Korean adults, with data from 507 participants analyzed using the Generalized Anxiety Disorder 7-Item Scale (GAD-7), the Patient Health Questionnaire-9 (PHQ-9), and the Insomnia Severity Index (ISI). Results indicated that participants in the ‘difficult’ remote work category experienced higher rates of anxiety (26.6%), sleep disorders (37.3%), and depressive symptoms (38.4%) compared to the ‘non-difficult’ category (14.1% anxiety, 24.8% sleep disorder, and 24.8% depressive symptoms), with all differences statistically significant (p ≤ 0.005). Logistic regression models adjusted for demographics and socio-economic factors revealed increased odds of mental health issues in the ‘difficult’ group (ORs ranging from 2.241 to 3.210). Sub-group analysis highlighted significant disparities, particularly among blue-collar workers and men. The findings underscore the need for organizational strategies to mitigate the mental health challenges of remote work. Interventions should include improving technological infrastructure, enhancing workspace ergonomics, and fostering robust communication channels to replace in-person interactions. Additionally, policies should address the differential impacts observed between genders and industries, tailoring support to diverse needs. On a personal level, promoting regular indoor exercise could help workers manage stress and enhance their well-being in remote work settings. This study calls for a comprehensive approach to managing the complex impacts of remote work on mental health. Key messages • This study calls for a comprehensive approach to managing the complex impacts of remote work on mental health. • The findings underscore the need for organizational strategies to mitigate the mental health challenges of remote work.

What is driving food insecurity risks in UK households with children?

Abstract Background Food insecurity is a global public health issue, disproportionately affecting households with children in the UK. Despite increased research attention, there remains a gap in understanding why prevalence of food insecurity is higher in this demographic. This study aims to address this gap. Methods Utilising data from the 2021/22 and 2022/23 Family Resources Survey, an UK annual cross-sectional survey, we investigate the association between sociodemographic and economic factors, and the risk of food insecurity among households with children. Logistic regression analysis was used, with food security treated as a binary outcome variable. Control variables included receiving means-tested benefits, disabilities in a household, region within the UK, and the ethnicity, highest education level and marital status of the household reference person. A total of 41127 households were included, with 10137 being households with children. Results Our preliminary findings reveal stark inequalities, with 12.0% of households with children experiencing food insecurity, compared to 6.4% of households without children (p-value for comparison <0.0001). After adjusting for control variables, the odds of food insecurity among households with children was 1.40 (95% CI: 1.27, 1.54) compared to households without children. Adding equivalised household income after housing costs attenuated the relationship but households with children remained at significantly higher odds of food insecurity (OR: 1.32 (1.20, 1.45)). Conclusions This preliminary analysis demonstrates that, after adjusting for control variables and equivalised household income after housing costs, having children in a household is still associated with a higher risk of food insecurity. This underscores the need to understand the mechanisms underlying this relationship further. Such insights are essential for informing targeted policies and interventions aimed at mitigating food insecurity among households with children. Key messages • Having children independently increases the risk of food insecurity in households in the UK. • Moving forward, our aim is to understand the mechanisms underlying the relationship between households with children and food insecurity.

Collaborative efforts of the Joint Action PreventNCD and the WHO Europe to protect children from harmful marketing

Abstract Control and counter the effects of advertisements and online marketing is one of the policy actions that will be explored within the JA Prevent NCD that has the overall aim to “reduce the burden of cancer and other NCDs and common risk factors, both at a personal and societal level, and support member states by taking a holistic approach for the prevention of cancer and other NCDs, through coordinated action”. The work that will be building on the JA Best-ReMaP sustainability framework recommendations to improve the effective implementation of policies to reduce harmful marketing of unhealthy food, would at the same time comprehensively address also tobacco and alcohol maketing. Thirteen different countries are involved in the work package on regulation and taxation that has the overall objective to “improve compliance, coherence, wider implementation and enforcement of fiscal and regulative measures targeting major NCD-risks factors.” This includes a broad range of tasks from mapping existing policies and frameworks, accumulating knowledge on health taxes and fiscal policies, promoting the use of joint nutrient profile models, assessing the impact of labelling on products to create healthier behaviors, supporting the implementation of policies to reduce the impact of harmful marketing, strengthening regulations towards hazardous substances and developing monitoring indicators for policies for prevention of NCD. An overview of the concrete collaborative actions to support the implementation of the marketing regulation will be given: (1) on JA work with the MSs and especially presidency countries, to allow for the discussions on the development of the EU regulation for reduction of the harmful marketing; (2) on the EU stakeholders positions regarding marketing regulation; (3) on the collaborative actions in scaling up the KidAd app. (5) the development of an algorithm to detect alcohol, tobacco and nicotine-containing products will be jointly developed and piloted.

Talking of poverty: From the analytical to the political

Poverty talk has far-reaching effects at personal and society level. Overwhelmingly negative narratives undermine mental health of people in poverty and forces them in a position to cope with, resist and contradict the fallacious stereotypes that are spread about them. Narratives are not shaped in a vacuum, nor are they value neutral. Power is at the heart of poverty discourse, with words carefully curated to create and reinforce societal hierarchies and inequalities. Building on the contributions in this special issue, this conclusion therefore argues that studies of poverty discourse cannot confine themselves to the analytical but must also engage with the political.

Locating the stigmatisation of children born of wartime rape on a continuum of violence

ABSTRACT Children born of wartime sexual violence remain a marginalised group whose lives and needs have largely been overlooked. Over the past two decades, scholarship has emerged addressing some of the multiple issues they face. This research shows that stigmatisation is central in the children’s lives, but rarely provides a deeper definition of stigma that interrogates its structural and political dimension. Bridging feminist peace scholarship and new streams of stigma research, this article sets out to conceptualise stigmatisation as a complex form of violence that concurrently reflects and reproduces gendered power dynamics across the peace–war spectrum. Drawing on narratives by children born of war in the Central African Republic, Uganda, and Bosnia-Herzegovina, this article examines how stigmatisation materialises as different forms of ‘everyday violence’ that intersects at a personal, social, and structural level. By untangling their stories, the study shows how stigmatisation profoundly impacts the children’s experiences of peace and sustains the ‘conditions of war’ in the everyday space while perpetuating structural cycles of gender-based violence that persists in transitional and post-conflict environments. The article highlights the importance of placing the children’s perspectives at the centre when analysing stigmatisation and offers new insight on how stigma operates as violence.

Competency of Family Medicine Residents in Performing Skin Cancer Examination.

Early recognition of skin cancer reduces associated morbidity and improves survival. Most patients with suspicious skin lesions present to family medicine physicians. We aimed to evaluate the self-reported competency of family medicine residents in performing skin cancer examination (SCE) and assess the impact of different factors on their competency. All family medicine residents completed a previously validated questionnaire aimed at evaluating their skin cancer examination competency in this cross-sectional study. In total, 250 residents participated in this study. More than half of the residents never had a rotation in dermatology or received training under the supervision of a dermatologist. Approximately 70%, 72%, and 77% of residents had not observed SCE, received SCE training, and performed SCE, respectively. Although most residents were aware of the risk factors for skin cancer and the ABCD acronym for melanoma, only one out of ten residents screened their patients for these factors, enquired about changes in skin lesions, and personally practiced SCE. Only 16% of family medicine residents consider themselves competent in performing SCE. Training under the guidance of a dermatologist, SCE training, evaluating patients for cancer risk factors and any changes in moles, and SCE practice on personal level were associated with SCE competency. Multivariate analysis showed a significant association between the frequency of observing SCE and competency in performing SCE. Only 16% of family medicine residents considered themselves competent in performing SCE. The frequency of observation of SCE during residency was a significant predictor of self-reported competency in performing SCE.

Social Stigma and Vulnerabilities of Women Living With HIV/AIDS in Kyrgyzstan: Service Providers’ Perspectives

In Kyrgyzstan, registered HIV cases doubled from 2013 to 2019, with women constituting 39% of cases in 2021. Women living with HIV (WLHIV) encounter heightened intimate partner violence, stigma, and discrimination. This study explores the experiences and vulnerabilities of WLHIV in Kyrgyzstan from the perspective of professionals engaged in HIV care and advocacy. Data from in-depth, semi-structured interviews with 10 professionals engaged in HIV prevention were analyzed using grounded theory methods. The analysis revealed two primary categories related to the experiences of WLHIV as observed by professionals in the field: (a) Challenges faced by WLHIV at the personal, interpersonal, community, and institutional levels, and (b) The way forward—providers’ ideas about addressing stigma and vulnerability. Urgent action is needed to address the needs of WLHIV, emphasizing confidentiality and support, recognizing discrimination as violence, and fostering financial independence.

간호대학 교수의 이직의도 극복 경험

Objectives This study is to understand the experience of nursing professors overcoming turnover intention and to clarify the meaning and structure of the experience. Specifically, it is to derive a general structure by grasping from their perspective how nursing professors overcome the turnover situation. Methods This study is a qualitative study applying Giorgi(2009)'s phenomenological research method. The study participants are professors of nursing department who have worked as full-time professors for more than 5 years, and a total of 5 people understood the purpose of this study and voluntarily agreed to participate. Data collection was collected through individual in-depth interviews and observations from March 1, 2024 to May 18, 2024. The number of interviews for each participant was 2-4, and interviews were conducted at a place the participant wanted, and the time required for one interview was about 1 hour. Purposeful sampling was performed to select participants. The collected data went through a cyclical repetitive process of data collection and analysis based on the phenomenological research method developed by Giorgi(2009). Results The general structure of the experience of nursing professors overcoming the intention to turnover derived from the results of this study was ‘extreme situation that is difficult to endure’, ‘confirm reality’, ‘promoting stability’, ‘growth’, and ‘construction of place’, and a total of 5 upper themes, 8 lower themes, and 40 semantic units were derived. Conclusions Their experience was a series of processes in which they began to consider turnover through physical and psychological difficulties, confusion, and conflict while starting a nursing professor, but they identified their reality and promoted stability to build a position as their growth took place. Problems related to turnover of nursing professors are not limited to individual professors' problems, but it is necessary to carefully recognize experiences and difficulties at various levels. However, since coping with turnover is carried out on a personal level, it is desirable to seek systematic and concrete solutions at the formal level. This study walks the overall understanding of nursing professors who have overcome turnover by looking at the nursing professor's experience of overcoming turnover intention and provides evidence to understand the experience of nursing professors who have overcome turnover intention from a phenomenological point of view based on this result. It aims to contribute to improving the quality of nursing education for nursing students by allowing nursing professors to focus on nursing education without changing jobs.

Personal, Institutional, and Societal Barriers to Educators’ Engagement with Datafication on Campus

Datafied digital systems have permeated higher education over the past decade. Registration, grading, financial operations, alumni communications, and often teaching take place through digital platforms that extract and collate data, about students as well as faculty and staff. At the level of these data system processes, academics may not have the knowledge or practices to fully grasp the shift in their workplace that datafication represents. However, our research suggests that educators do understand the paradigm shift that datafication represents and have strong beliefs about how institutions should proceed to protect students and academia itself. Our team conducted an in-depth Comparative Case Study (CCS) investigation of how university educators make sense of the datafied infrastructures in and on which they work. This presentation overviews the knowledge, practices, experiences, and perspectives of educators in various institutional status positions from six different countries, in relation to datafied digital tools. We will focus particularly on the barriers that participants articulated to their own engagement with data, at personal, institutional, and societal levels. We will frame ways barriers are reinforced by institutional approaches to datafication, overview participants’ concerns, and explore how datafication has altered faculty’s power position as knowers within the academy.

Code-Switching as a tactical approach to enhance learner engagement with intricate concepts in oral english presentations

The South African English language curriculum states that by the time students reach Grade 7, they should have mastered certain English language skills that enable them to communicate effectively at both personal and educational levels. Therefore, a study was conducted to investigate the potential benefits of code-switching in improving students' oral participation in English classes. The study took place in a primary school in the Malamulele East circuit and involved all fifty Grade 7 students. The students' oral presentations were part of their formative assessment. Researchers used a rigorous methodology, including convenience sampling, to select participants, with the first ten girls and the first ten boys considered for the study. Data was collected during presentations, where each student had an opportunity to present. The qualitative method was used, with audio recordings and observations as data collection tools. Content analysis was employed to analyse the data collected from the Grade 7 students. Based on the students' performance in their oral presentations, code-switching seemed to help them to effectively communicate complex concepts in their primary language when there were no equivalent English words. The findings of this study showed that code-switching enhances students' oral communication skills and makes learning more enjoyable. students achieve their communication goals through code-switching, offering the audience a hopeful outlook on the potential benefits of this approach.

Shifting from top-down to bottom-up nationalism: an analysis of YouTube speeches from the 2016/17 candlelight revolution in South Korea

ABSTRACT While the ‘top-down’ variant of nationalism is engendered by elites and emphasizes loyalty to the state and ethnic solidarity, little is known about the ‘bottom-up’ variant, which focuses on people’s interest in the state’s and political leaders’ care for the masses. South Korea’s ‘Candlelight Revolution’ of 2016/17 ignited a national protest against the abuse of power by then-President Park Geun-Hye, the unfair distribution of wealth, and changes to Korean culture. This article explores grassroots’ expressions of bottom-up nationalism by analysing YouTube speeches from the Candlelight rallies. Protesters criticized the corruption and abuse of power by Korean leaders, which were seen to perpetuate the structure of injustice for decades. Some aspects of the Korean cultural contexts were politicized by national leaders, such as conservative leaders labelling their critics ‘commies’. By contesting the structure and culture of Korean society, protesters transformed themselves into social actors at the personal level and then called for long-term rather than temporary remedies at the societal level. By espousing ‘calculated nationalism’, protesters illustrated their interest in what they can get from the Korean nation-state, rather than what they can do to the state.

Surgical Face Mask as an Air Sampling Device for Assessing Personal Exposure to Airborne Antimicrobial Resistance Gene-Bearing Bacteria.

In this study, we assessed the feasibility of using a surgical face mask as a sampling device to collect airborne antimicrobial resistance genes (ARGs). The method entails collection of ARG-bearing microbes on face masks, followed by their DNA extraction and quantification by qPCR analysis. Analysis of masks worn by volunteers showed an apparent mask wearing time-dependent accumulation of 16S rRNA gene and select ARGs trapped on masks, highlighting the applicability of the method in monitoring personal ARG exposure through inhalation. The sampling method was then validated for reproducibility and compared with a filter-based sampling method before application in different environmental settings to further assess personal exposure to ARGs. In comparison with the filter-based method, our new sampling method does not require a sampling pump and is more user-friendly. More importantly, it records ARG exposure down to the personalized level; thus, it may be used in routine monitoring of occupational exposure and surveillance of ARG concentrations in indoor environments.

What Went Wrong? A Critique on Pakistan’s War on Terror

This paper explores the collective loss experienced by a family and a community of ‘Mir Ali’ in Fatima Bhutto’s The Shadow of the Crescent Moon (2013). By using Butler, 2003 and Moglen, 2005 theories of loss (personal and social), personal and collective mourning, and melancholia, the study reveals how people of Pakistan’s backward tribal area, Mir Ali, have suffered the trauma, loss, mourning and melancholy on personal and collective level during the ‘War on Terror’ by being alienated from their country. A detailed study of characters (Aman, Sammara, Mina, Hayat, and Sikandar) emphasizes how undermining it is to persons and families when they are tossed into rings of fire that expand and cause not only individual loss but irreparable communal or collective loss.

Comparative analysis of particle exposure in commuters: Evaluating different modes of transportation in Tehran

Daily commuting significantly contributes to the overall exposure to particulate matter (PM) in urban areas, underscoring the need to understand the factors influencing PM exposure. This study assessed personal exposure levels and inhalation doses of PM2.5, and PM10 across various transportation modes in Tehran, Iran. The study included buses, open-window taxis, subways, walking, and cycling for over 125 trips. Data were collected during the morning and evening peak hours using low-cost sensors, with an average trip distance of 7.50 km. On average, buses exhibited the highest mean PM2.5 concentration (25.0 μgm3), followed by subways (17.0 μgm3), taxis (14.4 μgm3), cycling (13.5 μgm3), and walking (8.80 μgm3). Pearson correlation analysis showed a strong relationship between traffic volume and PM concentrations in taxi and bus modes (r = 0.78 and 0.56, respectively). Subway commuters experienced the lowest PM2.5 inhalation dose (2.50 μg), whereas bus commuters experienced the highest (6.20 μg). Pedestrians had the highest average inhalation dose of PM2.5 with 20.7 μg due to longer trip durations. The daily average PM2.5 levels in all transportation modes exceeded the WHO thresholds by 1.60 times. These findings offer crucial insights into personal exposure concentrations among commuters and serve as a basis for effective air quality management plans and broader global investigations of air pollution.

North Carolina head start teachers’ needs, resources, experiences, and priority for science education and professional development

ABSTRACT Early science learning is a part of preschool curriculum that can have positive outcomes for children’s scientific knowledge and interest. Head Start teachers are well positioned to implement quality science lessons. Through an in-depth needs assessment survey, the current study examined North Carolina preschool Head Start teachers’ responses on needs, resources, experiences with professional development, and personal priority levels for science education. Our analysis revealed that Head Start teachers mostly utilized informal teaching methods and used curricular and organizational resources, but utilizing mealtimes for teaching science had mixed responses. Teachers reported their access to resources and connections to community partnerships. Teachers preferred asynchronous or online PD formats and were motivated by compensation and continuing education credits while accessing PD. Most teachers rated science to be a very or extremely important personal priority. Differences in teacher education, experience, and position levels also influenced the findings of the study. The implication section delineates steps that can be taken toward strengthening science education within Head Start settings along with support that can be provided to teachers.

ФОРМАТ ТОК-ШОУ ЛАРРИ КИНГА НА РОССИЙСКОМ ТЕЛЕВИДЕНИИ: ПРЕЕМСТВЕННОСТЬ И ТРАНСФОРМАЦИЯ

The article deals with the talk show format transformation of American TV host Larry King on Russian television. The object of the study was the program collection «Larry King Live», «Television Encounter» by U. Ott, «Rush Hour» by V. Listyev and «Pozner» by V. Pozner. The following parameters for comparing the programs were chosen: the style of the presenter, the choice of the subject of communication and its strategy and tactics, the time of broadcasting, duration, periodicity of the programs, and the degree of audience participation in them. The level of programs personalization, studio design and the use of additional locations, camerawork, entertainment techniques, etc. were also taken into account. According to the authors, over the period since the late 1980s dialog talk shows have been significantly modified under the influence of the specifics of the Russian media system, the changing demands of the target audience, and the country’s ethnic and cultural peculiarities. The authors see the transformation of the dialogical talk show genre in the Russian mediaspace as follows: the expansion of the thematic palette and its linkage to the current socio-political agenda, the complication of the compositional structure of the programs and the discussion drama, the expansion of the range of strategies and tactics of communication between the host and the guest, the techniques of entertainment and emotionality, the strengthening of psychologism and the enrichment of camerawork techniques. The role of the talk show host is also changing – he is becoming an increasingly important participant in the discussion, actively intervening in the course of the conversation and expressing his personal opinion. At the same time, there is a tendency to reduce the role of the audience in the program.

Food for Thought: Young People and Youth Workers’ Perceptions of Food Insecurity and the Youth Work Response

While there is significant research on the impact of food insecurity, there is less so through the lens of young people and the youth work response. Therefore, this research presents findings from a small-scale United Kingdom-based study asking what are young people’s and youth workers perceptions of food insecurity and the youth work response. Focus group research methodology was adopted. The research recognised that food insecurity is part of a wider issue of poverty and inequality, and we explored how this is perceived by young people and youth workers at the Personal, Cultural, and Structural levels whilst also situating issues of food insecurity in the global context. Themes of togetherness, relationship, otherness, disempowerment, and learning were identified as key components in the youth work response to food insecurity. A number of recommendations are made, including the importance of highlighting the power of youth work in responding to young people experiencing food insecurity. The youth work approach has application to all professions working to challenge issues of food insecurity and social injustice.