Knowledge, attitudes and practices of diagnostic radiographers regarding non-accidental injuries in Zambia.

Attitudes toward people with epilepsy (PWE) have improved over recent decades, especially in high-income countries including Germany. However, this trend is less pronounced in low-income countries. This study aims to assess and compare attitudes toward PWE in two large ethnocultural minority groups in Berlin: Arabic and Vietnamese residents. Residents of Berlin aged 18years or older, born and raised in selected Arabic countries or Vietnam were invited to participate in a survey. We used a preliminary version of the standardized "Scales of Attitudes toward People with Epilepsy" (SAPE) questionnaire with scales on Social Distance, Stereotypes, Personal Concerns, and Emotional Reactions to PWE differentiated by Fear, Anger, and Pity/Compassion. In addition, the Caveness Questions (CQ) about personal experience with epilepsy and knowledge about epilepsy were assessed. Limiting comparability with previous literature and overall validity of findings was the use of a preliminary version of SAPE and the lack of formal validation of Vietnamese and Arabic translations of SAPE. A total of 297 participants were interviewed; 15 of those had never heard of epilepsy and were excluded from the analysis. Eventually, questionnaires of 133 Arabic and 149 Vietnamese interviewees (female sex, 43 vs. 68%; mean age, 34.8±9.7 vs. 34.0±12.4years; duration of stay in Germany, 6.0±5.1 vs. 7.9±9.4years) were considered. Multivariable Generalized Linear Model (GLM) analyses showed that Arabic compared to Vietnamese participants had higher objections to having one's own children play with PWE, but less likely deemed epilepsy as a mental disease; furthermore, they had lower objections to employment of PWE. In the SAPE scales, Arabic interviewees scored significantly lower for the 'Social Distance' and the 'Emotional Reactions: Fear' scale. A strong predictor for more positive attitudes across almost all SAPE subscales in both groups was higher education. Arabic and Vietnamese residents of Berlin differed in some specific facets of the attitude toward PWE. Attitudes were generally more positive than in surveys done in several Arabic countries and Vietnam. Higher levels of education predicted more positive attitudes in both groups calling for specific knowledge transfer to the general population on epilepsy and persons affected.

Will people embrace AI art? Deconstructing psychological barriers in human appraisal of AI-labeled artworks

Teachers' professional development on self-efficacy, attitudes, and digital competencies in the digital era.

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

Introduction: Physicians are at heightened risk for unhealthy lifestyles owing to occupational pressures, despite their expertise in health promotion. This dissonance between knowledge and personal practice represents a critical, under-addressed issue within the medical community. Aim: To evaluate the Knowledge, Attitude, and Practice (KAP) regarding healthy lifestyles among doctors and examine their association with cardiometabolic parameters. Materials and Methods: This cross-sectional study was conducted at the Department of Physiology, Jawaharlal Nehru Medical College (JNMC), Belagavi, India, from March 2025 to October 2025. Using convenience sampling, 83 practising doctors from various clinical specialities within Belagavi district were enrolled. A structured KAP questionnaire was developed through literature review and expert validation. Knowledge was scored across 10 items (correct/incorrect). Attitudes and practices were assessed using 10 items each on 5-point Likert and frequency scales, with total scores calculated per domain. A composite KAP index was derived by standardising and summing the three domain scores. Anthropometric {Body Mass Index (BMI), waist circumference), physiological-Blood Pressure (BP) and biochemical- Random Blood Glucose (RBG)} parameters were measured using standardised protocols. Relationships were assessed using Pearson’s correlation and multivariable linear regression, with adjustment for confounders including age, experience, and medication use. Results: The mean age of participants was 49.4±9.46 years, with 21.24±9.26 years of experience. Participants demonstrated moderate knowledge (mean 6.86±1.59/10) and positive attitudes (mean 40.76±3.64/50), but only moderate practice engagement (mean 33.61±6.45/50). The mean Body Mass Index (BMI) of participants was 24.48±2.37 kg/m², waist circumference 82.7±6.78 cm, Systolic Blood Pressure (SBP) 116.76±6.57 mmHg, Diastolic Blood Pressure (DBP) 76.27±4.7 mmHg, and Random Blood Glucose (RBG) 98.8±15.01 mg/dL. Practice scores showed significant inverse correlations with BMI (r=-0.232, p-value=0.035), DBP (r=-0.354, p-value=0.001), and RBG (r=-0.272, p-value=0.013). Adjusted regression models confirmed that the 28 doctors (33.7%) in the highest composite KAP tertile had significantly lower diastolic blood pressure (β=-3.14, 95% CI: -5.68, -0.59) and random blood sugar (β=-8.54, 95% CI: -16.62, -0.46) compared to those in the lowest tertile. Conclusion: A significant KAP gap persists among physicians regarding healthy lifestyles. Notably, self-reported practices, rather than knowledge or attitudes, were independently associated with better cardiometabolic health outcomes.

Nurses' attitudes toward artificial intelligence applications and their clinical decision-making competence: A cross-sectional study.

Is hazing a public health issue according to the public? Examining hazing beliefs and experiences in a sample of American adults.

Timely recognition of cardiac arrhythmias is essential in Intensive Care Units (ICUs). Electrocardiogram (ECG) interpretation is a core component of nursing practice, yet international studies show persistent gaps. In Greece, limited evidence exists regarding ICU nurses' interpretation, educational preparedness and role perception in ECG interpretation. The aim of this study was to evaluate ICU nurses' knowledge, attitudes and self-perceived preparedness regarding ECG interpretation and to investigate whether these outcomes were associated with demographic and professional characteristics. A descriptive, cross-sectional web-based survey was conducted among ICU nurses in Greece between October 2024 and February 2025. The instrument included demographic variables, 10 true/false knowledge items and 10 Likert-scale attitude items. Internal consistency was acceptable (α = 0.81-0.87). Data analysis included descriptive statistics, chi-squared tests and multivariable logistic regression (p < 0.05). A total of 100 ICU nurses participated in the study. The mean knowledge score was 6.1 ± 1.8/10, with high accuracy on basic items (88%) but low performance on complex patterns (24%). Prior ECG training was the only independent predictor of adequate knowledge (OR = 2.85, 95% CI: 1.12-7.26, p = 0.028). The mean attitude score was 38.4 ± 6.2/50; although 96% recognised ECG interpretation as essential, 49% reported limited knowledge. Positive attitudes were linked to prior training, ICU experience and frequency of ECG evaluation, whereas 25% expressed ambiguity about whether ECG interpretation falls within nursing responsibilities. ICU nurses demonstrated moderate theoretical ECG knowledge but variable preparedness and role clarity. Prior training, ICU type and clinical experience were key determinants. Standardised, simulation-based training and clearer responsibility delineation could strengthen cardiac monitoring safety. Targeted ECG education and explicit clarification of nurses' responsibilities in cardiac monitoring are essential to strengthen arrhythmia recognition and timely intervention in ICUs. Implementing structured training pathways and ongoing assessment of ECG interpretation skills may support safer cardiac monitoring practices and more autonomous, confident intensive care nursing.

Artificial intelligence (AI) is increasingly integrated into healthcare, particularly in adult intensive care units (ICUs), yet nurses' knowledge, attitudes and concerns regarding AI remain insufficiently examined. This study aimed to assess ICU nurses' AI-related knowledge, attitudes and job-related concerns, and to explore associations among these variables. To assess ICU nurses' knowledge of artificial intelligence, attitudes towards its use in healthcare and job-related concerns, and to examine the relationships among these variables. A descriptive cross-sectional study was conducted among adult ICU nurses recruited through convenience sampling from five hospitals in Irbid, Jordan, between February and April 2025. Of the 105 eligible nurses invited, 91 completed the questionnaire and were included in the analysis. AI knowledge ranged from limited to moderate (mean 4.18 ± 1.50). Attitudes towards AI were moderately positive (57.95 ± 11.45), while job security concerns were moderate (18.1 ± 4.5; 95% CI: 17.2-19.0). Greater factual knowledge of AI concepts was significantly associated with more positive attitudes (r = 0.366, p < 0.001) and lower job security concerns (r = -0.302, p = 0.004). Attitudes were inversely associated with job security concerns (r = -0.275, p = 0.008). ICU nurses showed positive attitudes towards AI despite limited technical knowledge. Associations with job-related concerns highlight the need for targeted education and further multisite research on AI readiness in critical care. Structured AI literacy programmes, ethical governance frameworks and nurse involvement in AI implementation planning are essential to promote safe and balanced AI integration in adult critical care settings.

Cultivating demand: A systematic literature review on agroecology's role in consumer behavior

Predicting primary students' mathematical competence: The role of cognitive, attitudinal, and methodological factors in different teaching approaches.

Most children and adolescents in the United States fall short of the Dietary Guidelines for Americans, with disparities by race and ethnicity, socioeconomic status, and geography. As K-12 students consume much of their daily nutrition from school meals, this scoping review sought to document reported impacts of Farm to School (F2S) programs on child-level food-related outcomes and discuss their potential to advance nutrition and health equity within school settings. A literature search was conducted in PubMed, Scopus, Google Scholar, and Google search engine to identify publications evaluating F2S programs on health and food-related outcomes. Eligible English-language articles published from 2018 to 2024 were included, relevant data was extracted from each publication, and key themes were synthesized using content analysis. Eight studies met the inclusion criteria. Most interventions were multicomponent and assessed student-level outcomes, including nutrition knowledge, food attitudes, and fruit and vegetable selection and consumption. Findings suggest F2S programs support healthier eating behaviors and positive food-related attitudes among students, particularly those with multiple F2S components. F2S programs are a Policy, Systems, and Environmental (PSE) strategy for promoting healthier school food environments. F2S programs can promote healthy dietary behaviors and perceptions among students while providing an avenue to support equity in school nutrition. Implementation barriers, including funding and local food availability, require further attention to improve equitable F2S adoption and sustainability.

Background: Given that nursing students will care for both individuals with AIDS and the general population, it is crucial to assess their knowledge and attitudes towards HIV. The aim of this study was to assess nursing students’ knowledge and attitudes towards AIDS, as well as to identify the factors that shape their perceptions and understanding of this disease. Methods: This descriptive, cross-sectional study included a sample of 304 nursing students from a university. Data were collected using the descriptive characteristics determination form, AIDS Knowledge Scale, and AIDS Attitude Scale to assess the participants’ sociodemographic characteristics. Multiple linear regression analysis was used to identify the variables that had a significant effect on the level of AIDS knowledge and attitude. Results: In this study, it was found that 74.3% of the nursing students were female, with a mean age of 20.55 ± 1.46 years. The main finding of the study indicated a low level of AIDS knowledge (11.48 ± 5.03) among the nursing students, coupled with a negative attitude towards AIDS (52.15 ± 7.85). In addition, the level of knowledge about AIDS and attitudes towards the illness were found to be explained to a significant extent by the class in which the students were enrolled, accounting for a variance of 25%. Conclusions: Consequently, our study revealed that the majority of nursing students had negative attitudes towards AIDS, along with a limited level of knowledge about the subject. Further analysis showed that knowledge levels significantly influenced attitudes. This study emphasizes the necessity of delivering precise and tailored information to nursing students, who are prospective health care professionals, to elevate their knowledge and cultivate positive attitudes towards AIDS consistently and comprehensively.

Knowledge, attitudes and practices of malaria control and prevention in a high-exposure occupational group: A cross-sectional survey of mining workers in Haut-Katanga Province in the Democratic Republic of Congo.

This quantitative research investigated the integration of mobile learning in teaching English as a foreign language (EFL) within Indonesian higher education. This research adopts a two-phase data collection approach, using a structured questionnaire distributed to 134 lecturers from 86 universities and follow-up interviews with 11 selected lecturers. In analyzing this research, Statistical Package for Social Sciences (SPSS) version 26.0 used to provide comprehensive insights into lecturers’ experiences, availability, effectiveness of mobile learning, and adequacy of facilities and content design. The results reveal a general positive attitude towards mobile learning integration (mean score 4.29 out of 5), with particular challenges identified, such as minimal classroom facilities and difficulties in content design. The implications show the importance of combining technology with teaching and support, while the conclusion points out readiness, benefits, and challenges in EFL instruction. At the same time, the conclusion highlights readiness, benefits, and challenges, serving as a guide for further exploration and development in EFL instruction. The importance of this research is intended in delivering and analyzing the development of technology used, readiness of lecturers and facilities challenging, and aligning technology with teaching practice. The study’s limitations encompass potential over-reliance on self-reported data and limited geographical and institutional scope, with recommendations for future mixed-method research, expansion, collaboration, and continuous training and investment in classroom infrastructure.

A key challenge facing today’s business leaders in the E-waste industry is managing the uncertainty associated with adopting advanced e-waste technologies within the urban mining process. This study examines how the alignment between task requirements, technological characteristics, and user capabilities influences technology adoption within Sri Lanka’s e-waste sector. Guided by an exploratory sequential mixed-methods design, the research first conducted 45 semi-structured interviews and two focus group discussions to identify the key dimensions of task–technology fit relevant to the e-waste urban-mining process. These insights informed the development of a quantitative survey administered to 279 employees across formal and informal e-waste businesses in Sri Lanka. Building on the Task–Technology Fit (TTF) framework, the study conceptualises a decomposed Task–Technology–User Fit (TTUF) model comprising five characteristics, such as interoperability, usefulness, scalability, flexibility, and innovativeness, and incorporates user competence as a moderator of the attitude–adoption relationship. Covariance-Based Structural Equation Modelling (CB-SEM) reveals that usefulness, scalability, and innovativeness are significantly associated with employee attitudes, while user competence strengthens the translation of positive attitudes into technology adoption. A multi-group analysis demonstrates that usefulness is consistently influential across both formal and informal sector businesses; however, innovativeness plays a stronger role in formal sector businesses, whereas competence exerts a comparatively greater moderating role in informal sector businesses. This study provides empirical evidence for the proposed TTUF model in the context of e-waste urban mining, advancing theoretical understanding of fit-based technology adoption mechanisms and offering actionable implications for technology developers, managers, and policymakers seeking to accelerate the uptake of sustainable technologies in developing economies.

: Non-pharmacological treatments are crucial for managing irritable bowel syndrome (IBS), yet patient engagement remains a challenge. Understanding patients' knowledge, attitudes, and practices regarding these treatments is essential for improving care. : A cross-sectional study was conducted across 5 hospitals, from October 2023 to February 2024. A self-designed knowledge, attitudes, and practices questionnaire along with the IBS quality of life and IBS severity scoring system was administered, and 496 valid responses were analyzed. Statistical analyses included correlation tests, multivariate linear regression, and mediation effect analysis. : The median scores for knowledge, attitude, and practice were 28, 25.5, and 21, respectively. Significant positive correlations were found between knowledge-attitude (r = 0.195), knowledge-practice (r = 0.364), and attitude-practice (r = 0.151). The multivariate linear regression analysis further indicated that knowledge (β = 0.399, P < 0.001) and attitude (β = 0.219, P = 0.022) positively correlated with the practical performance. SEM revealed that knowledge had a significant direct effect on both attitude (β = 0.186, P = 0.013) and practice (β = 0.356, P = 0.006). However, the direct effect of attitude on practice was not significant, and attitude did not mediate the relationship between knowledge and practice. : IBS patients exhibit a significant gap between their positive attitudes and their actual practices concerning non-pharmacological treatments. Knowledge is a direct driver of practice, but positive attitudes alone are insufficient to translate into behavior. Healthcare providers must move beyond simply fostering positive attitudes and focus on targeted educational interventions that provide actionable knowledge and skills to improve patient outcomes.

Diabetes mellitus is one of the most prevalent chronic metabolic disorders worldwide and is associated with significant morbidity and mortality due to its long-term microvascular and macro-vascular complications.Effective management of diabetes requires adequate patient knowledge, a positive attitude towards the disease, and appropriate self- care practices. However, lack of awareness regarding disease condition, lifestyle modification, medication adherence, and blood glucose monitoring remains a major challenge. Patient education and counselling have been identified as key strategies to improve disease understanding and promote behavioural change among diabetic patients. Aim: To assess the knowledge, attitude, and practice (KAP) regarding diabetes mellitus among patients and to evaluate the effectiveness of structured patient counselling in improving disease awareness, self-care behaviour, and treatment adherence. Objective: To assess the knowledge, attitude, and practice (KAP) of patients suffering from diabetes mellitus. To evaluate the role of patient counselling in improving knowledge about diabetes mellitus. To study the change in attitude of diabetic patients towards disease management after counselling. To assess the improvement in self-care practices following patient counselling. To compare pre-counselling and post-counselling KAP levels among diabetic patients.

This study investigated eco-literacy and English performance among senior high school students in Cebu Province and explored how environmental themes are experienced within regular English classes. Using a sequential explanatory mixed-methods design, 118 students were administered an eco-literacy assessment and an English diagnostic test, then interviewed 20 students to explore their classroom experiences and perceptions. Quantitative results showed that students demonstrated high eco-literacy and medium English performance. A moderate positive correlation emerged between the two variables, indicating that higher eco-literacy tended to accompany stronger English outcomes. Qualitative findings revealed that environmental themes were integrated only sporadically across subjects, with learning experiences largely dependent on teachers’ initiative. Students reported active engagement during hands-on or project-based tasks but noted challenges with technical vocabulary and inconsistent exposure to environmental texts. They expressed positive attitudes toward environmental topics and a preference for contextualized, interactive learning. The findings informed proposed guidelines for integrating environmental themes more purposefully into English instruction.