Background Despite increasing interest in patient-reported outcomes in implant dentistry, there is a lack of consensus on tool selection and outcome prioritization to assess patient-reported outcomes in implant dentistry. This study validates an instrument designed to support clinicians in evaluating patient experience and knowledge for personalized implant therapy. Methodology Patients with dental implants that had been functioning for at least one year were included in this cross-sectional study. A five-point Likert questionnaire (Implant Treatment Experience and Knowledge Scale; ITEKS) was administered to measure patients’ perceived knowledge of peri-implant health/disease and their satisfaction with the treatment. The reliability of the questionnaire was analyzed using Cronbach's alpha. Exploratory factor analysis was used to examine the underlying structure of the questionnaire. Correlations between the OHIP-14, a widely used instrument for assessing oral health–related quality of life, and the administered scales were analyzed to examine convergent validity. The potential influence of patient-related factors (age, gender, education, source of information, and peri-implant diagnosis) was investigated. Results A 28-item tool was used to assess dental implant treatment related awareness, satisfaction, post-treatment attitudes, and the etiology, treatment, and risk factors of peri-implantitis. The mean functional time of dental implants was 6.69 years. Psychometric properties were evaluated using exploratory factor analysis and Cronbach's alpha. Cronbach's alpha values for these tools were.864 and.779, respectively. Peri-implantitis was significantly associated with decreased patient satisfaction ( p < .001). No statistically significant gender differences were observed for OHIP, Implant Treatment Experience Metric (ITEM), or Implant Patients Knowledge-Awareness Scale (IPKAS) scores ( p > .05). Participants with advanced education exhibited significantly higher ITEM scores than those with basic education ( p = .028). Furthermore, OHIP scores were significantly higher in the peri-implantitis group compared to both the peri-implant health and peri-implant mucositis groups ( p < .001). Conversely, ITEM scores were significantly lower in the peri-implantitis group compared to the health and mucositis groups ( p < .001). Conclusions The instrument demonstrated methodological suitability for assessing patient-related outcomes in individuals undergoing implant treatment, as confirmed by reliability and validity tests. These results indicate that the ITEKS is a reliable and valid instrument for assessing patient experience in implant dentistry.

BackgroundSafe infant sleep position practice is crucial for infants from birth to 12 months of age. One of the most important interventions in infancy is choosing the right sleeping position for the baby. The unsafe position of the child while sleeping is associated with sudden infant death Syndrome. However, little is known about the safe infant sleep position practice in Ethiopia. Therefore, this study aimed to assess safe infant sleep position practices among mothers attending child health care services in the Wolaita Zone public hospitals, South Ethiopia, 2024.MethodsThe study included 569 mothers with infants attending child health care services in public hospitals in the Wolaita Zone. Participants were selected using a systematic sampling method, and data was collected through structured questionnaires administered via interviews. The collected data was checked for completeness, coded, and entered into EpiData version 4.6. Analysis was conducted using the social science statistical package. Descriptive statistics were used to summarize the data, and results were presented through narratives, tables, and figures. Binary logistic regression analysis was employed to identify explanatory variables associated with safe infant sleep position practices. A p-value of ≤0.05 was considered statistically significant.ResultsA total of 569 study participants were included in this study with a response rate of 99.1%. The safe infant sleeping position practice (back to sleep) in this study was 42.7% [95% CI (38.6%, 46.8)]. Maternal occupation, parity, source information about sleep position, and good knowledge of safe sleep position practice were significantly associated by (AOR = 3.49; 95% CI (1.81, 6.76)), (AOR = 0.39; 95% CI (0.21, 0.74)), (AOR = 4.64; 95% CI (1.77, 12.18)), and (AOR = 2.04; 95% CI (1.22, 3.40)) respectively.ConclusionThe study found that over half of participants did not practice safe infant sleeping positions. Factors such as maternal occupation, parity, information sources, and knowledge significantly influenced safe sleep practices. Targeted health education—particularly through antenatal and postnatal care services, as well as community-based awareness campaigns—is recommended to improve maternal knowledge and reduce sleep-related infant deaths.

The advancement of digital technology has led to the extensive adoption of social media by teenagers. Social media has become a means of communication, entertainment, and an easily accessible source of information, but its use also has various impacts on adolescent mental health. This study aims to examine the influence of social media on adolescent mental health through a literature review approach. The method used was a literature review, reviewing various scientific journals, books, and academic articles relevant to the topic of social media and adolescent mental health. The data obtained was analyzed descriptively and qualitatively to identify patterns of findings and trends in previous research. The findings of the research show that social media usage has both beneficial and detrimental effects on the mental health of adolescents. On the positive side, social media also can be means of self-expression, expanding social networks, and obtaining emotional support. However, excessive and uncontrolled social media use possesses the ability to create adverse effects, such as increased anxiety, stress, depression, low self-confidence, and impaired self-image due to social comparison. Furthermore, exposure to negative content, cyberbullying, and pressure to gain social approval also contribute to the decline in adolescent psychological well-being. The duration of use, the type of platform, and adolescents' ability to manage emotions and time also influence the level of perceived impact. Therefore, the active role of parents, educators, and the social environment is needed to provide guidance and digital literacy education so that teenagers can utilize social media sensibly. Through effective management, it is anticipated that social media can be used constructively while prioritizing adolescent mental health.

Ignorance is not bliss: the impact of sources of information on HPV vaccination knowledge, attitudes, and intentions among unvaccinated young adults in Israel.

ABSTRACT Generative artificial intelligence (AI) tools, such as ChatGPT, have become a convenient source of information. This study proposes and tests a model predicting intentions to use ChatGPT for health information and examines whether significant predictors differ by condition severity. The model included the original predictors of the unified theory of acceptance and use of technology (UTAUT). Guided by channel complementarity theory, which highlights source characteristics in a multisource information-seeking environment, dissatisfaction with human healthcare services and perceived credibility of ChatGPT were added to the model. Performance expectancy, social influence, and perceived credibility predicted attitudes toward using ChatGPT, which in turn predicted usage intentions, while effort expectancy was not significant. Condition severity moderated the effect of dissatisfaction with healthcare services, predicting greater intentions to use ChatGPT for mild conditions but not severe ones. This study extends UTAUT to health information seeking and discusses theoretical and practical implications for generative AI use in healthcare.

HPV awareness and vaccine decision-making: healthcare professionals vs social media in a cross-sectional study from Italy.

Introduction: Vaccine-preventable diseases remain one of the main causes of infant mortality, despite advances in immunization. Globally and in the Region of the Americas, vaccination coverage has decreased, falling below the recommended 95%. In Paraguay, low vaccination rates reflect barriers that compromise public health. Objective: To determine the coverage, vaccination opportunity, and the main reasons for non-vaccination in children under 5 years of age in Fernando de la Mora, Paraguay, in 2023. Methodology: Descriptive cross-sectional study carried out in 318 children selected by two-stage probability sampling. Vaccination coverage for BCG, pentavalent, and MMR were analyzed. Data were collected using questionnaires designed in Epi.Info 7.2, recording sociodemographic variables, vaccination status, coverage, opportunity, source of information on vaccines, reasons for non-vaccination, knowledge, attitudes, practices, and sources of information, analyzed with descriptive statistics such as frequency and percentages. Results: 53% of children had complete vaccination schedules. Vaccination coverage was high for BCG (98.43%) and low for MMR-2 (37.02%). Vaccination opportunity was complete for BCG, but decreased for MMR-1 (42.01%). The main reasons for not vaccinating were lack of knowledge about the schedule (38.9%), erroneous beliefs (21.48%) and lack of time on the part of parents (21.48%). 77% of that responsible received information about vaccination, with television, radio and print media being the most frequent sources (42.5%). Conclusion: Although the initial BCG and pentavalent coverage are high, there is still a marked decline in the continuity of the schedules and the opportunity to vaccinate. Lack of knowledge and erroneous beliefs are the main barriers identified, which highlights the need to strengthen educational and awareness-raising strategies to improve coverage.

Objectives: The study aimed to determine the impact of social media platforms on voters in the 2024 Jordanian parliamentary elections and their inclination toward using these platforms during the elections. It also sought to examine the cognitive, emotional, and behavioral effects of reliance on social media in this electoral process. Method: A quantitative approach was used to determine the relationship between variables and to answer the study’s questions. A purposive sampling method was employed to collect data from respondents through a questionnaire. Additionally, the SPSS program was used to analyze the study data. Results: The study found that 44.1% of participants rely, to varying degrees, on social media platforms as a source of information about the 2024 Jordanian parliamentary elections. A positive relationship was also found between respondents' reliance on social media for election-related information and their inclination to follow these platforms during the elections. Moreover, the study revealed that cognitive and emotional influences positively impact the behavioral effects on respondents who use social media as an information source for the elections. Conclusion: The study concluded that social media platforms play a significant role in influencing parliamentary elections and political participation. Therefore, the findings provide valuable data for future research on political participation.

YouTube as a source of (mis)information for morning sickness self-help – A content analysis and literature review of recommendations for nausea and vomiting in pregnancy

Evaluation of AI chatbots for patient education and information on chronic obstructive pulmonary disease.

Adenoid hypertrophy (AH) is a common condition in children, often leading to nasal obstruction, mouth breathing, and sleep disturbances. With the increasing use of YouTube as a source of medical information, concerns have arisen regarding the accuracy and reliability of video content on this platform. This study aimed to evaluate the quality, reliability, and usefulness of English-language YouTube videos related to AH. A total of 300 videos were screened using specific keywords, and 93 met the inclusion criteria. Videos were assessed for their general characteristics and classified as either useful or misleading based on scientific accuracy. The Global Quality Scale (GQS), modified DISCERN (mDISCERN), and JAMA benchmarks were used to evaluate video quality and reliability. Among the included videos, 78.5% were deemed useful, while 21.5% were misleading. Videos uploaded by academic institutions and physicians demonstrated significantly higher mDISCERN, GQS, and JAMA scores (p < 0.001). In contrast, the majority of misleading videos were uploaded by independent users. A strong correlation was found between viewer engagement metrics (likes, comments) and daily view counts (p < 0.001), though higher popularity did not consistently align with higher quality or reliability. Although YouTube offers a substantial number of informative videos on AH, the presence of misleading content remains a concern, particularly from non-professional sources. Healthcare professionals and institutions are encouraged to produce high-quality, reliable video content to enhance public health literacy and counter misinformation.

Children's experiences of coping with proton radiotherapy: A mixed-method study at a Swedish nationwide clinic.

Rapid integration of speaker accent during morphosyntactic processing.

Financial information sources and their impact on the financial self-confidence gap between male and female young adult consumers

The role of information source in climate beliefs, behavioral commitments, and policy preferences

Mind the Gap! What do people with epilepsy want to know?

Coastal communities represent the majority of the world’s poor population. In Indonesia, the percentage of poor people in coastal areas reaches 11.02%. Most of them earn their living as fishermen, fish farmers, and various other small-scale businesses. To reduce poverty and improve their welfare, contributions from various institutions, including financial institutions, are needed. This research aims to explore the role of microfinance institutions in providing easy access to finance for coastal communities to help improve their welfare. To achieve this goal, researchers conducted action research in the northern coastal area of the island of Java, precisely in Mertasinga Village, Cirebon Regency. Data was obtained through observation and interviews. The research results show that microfinance institutions in the area are very popular with the community to support their economic activities. Substantially, the presence of microfinance institutions plays a significant role in the rural economy, namely to fulfil the community's need for financial institutions naturally. However, the role of microfinance institutions is still passive. Henceforward, the role of microfinance institutions needs to be increased by empowering them as sources of information on village economic activities for local governments and as formal financial institutions that are the lifeblood of the village economy, pointedly fishing communities.

Background: Sickle Cell Disease (SCD) is a common inherited blood disorder, especially in sub-Saharan Africa, where over 300,000 infants are born with SCD each year, with 75% of these cases occurring in Africa. This study aimed to evaluate the knowledge, attitudes, and practices regarding premarital genetic counselling and testing for SCD among African international students in Gujarat State, India. Methods: A cross-sectional descriptive design was adopted, involving a sample of 99 students who were selected through convenience sampling. Data were collected through questionnaires. Analysis was performed using IBM SPSS version 20. Results: Most respondents (92.9%) were aware of SCD, with 66.7% citing media (TV, radio, internet) as their source of information. About 69.6% recognized genetic mutation or inheritance as a cause. A significant majority (72.7%) agreed that SCD can be diagnosed through blood tests, and 78.8% believed that couples with AS genotypes should avoid marriage. However, 61.6% had not undergone genotype testing, and the same proportion lacked education or counselling about SCD. Conclusions: Although awareness of SCD is high, many participants do not know their genotype and have not received sufficient information or counselling regarding the disease.

Flood events in Gorontalo City repeatedly generate acute health risks and disrupt access to routine healthcare, making household-level preparedness particularly the availability and appropriate use of emergency medicines an essential component of disaster risk reduction. This study assessed community understanding of household emergency medicines for flood preparedness in Lekobalo Urban Village, Gorontalo City, Indonesia, using a cross-sectional design. A total of 95 residents were recruited by purposive sampling and completed a 24-item questionnaire covering four domains: knowledge of emergency medicines, medication procurement behaviour, medication use, and information sources; the instrument demonstrated excellent internal consistency (Cronbach’s alpha = 0.958). Overall, community understanding was predominantly moderate (55.8%), followed by low (27.4%) and high (16.8%) categories, indicating that preparedness knowledge and practical medication readiness remain suboptimal in a substantial proportion of households. Descriptive comparisons suggested variability across sociodemographic characteristics, implying that targeted health education and community-based pharmaceutical counselling may be required to strengthen household readiness before, during, and after flood events. These findings support the integration of structured risk communication on essential emergency medicines into local disaster preparedness programmes, aligned with primary healthcare and community pharmacy engagement.

Despite their proximity to healthcare and being the source of health information, healthcare workers experience high rates of preventable chronic diseases. Work is the most common source of health insurance and other resources, yet only a few studies examined healthcare workers' preventive care use and the availability of employer-sponsored benefits by healthcare job categories: service workers (e.g., environmental services), support workers (e.g., nursing assistants), or clinicians (e.g., nurses). This cross-sectional study analyzed data from 773 healthcare workers recruited through the American Population Panel in August 2023. While 94% of participants reported having employer-sponsored health insurance, service and support workers received fewer fringe benefits, such as paid time off and flexible spending accounts. They also had lower rates of blood pressure (48.6% vs. 53.2% vs. 68.5%, p < .001), cholesterol (21.6% vs. 26.9% vs. 40.8%, p < .01), diabetes (23% vs. 29.4% vs. 40.9%, p < .01), and mental health (10.8% vs. 21.4% vs. 29.6%, p < .05) screenings compared to clinicians. No significant differences were observed in vaccination rates. Reducing future burdens and trust in healthcare providers were primary intrinsic and extrinsic motivators in receiving preventive care. Disparities in preventive care utilization and fringe benefits exist among service and support workers despite high rates of employer-sponsored insurance. Occupational health practitioners are well-positioned to advocate for accessible workplace health initiatives, such as on-site screenings. By addressing disparities, occupational health practitioners can promote workforce sustainability and improve the health of service and support healthcare workers.