Survey-based Study Research Articles

Prevalence and socioeconomic factors associated with non-utilization of dental care in Lebanon: A nationwide cross-sectional survey.

To assess the prevalence of non-utilization of dental care in Lebanon and associated socioeconomic factors and self-care behaviours. A nationwide, quantitative, survey-based study was conducted by trained interviewers with Lebanese residents aged ≥18 years between July and September 2019. Univariate analyses were performed using Pearson Chi Square test or the Fisher's exact test followed by a binary logistic regression using the SPSS Version 25. Of the 1070 participants, 247 (23.1%) did not utilise any type of healthcare and 144/247 (58.3%) did not utilise dental care. The prevalence of non-utilization of dental care was estimated at 13.5%. Only 4.7% of the respondents consulted their dentist in the past year, among which 53% cited pain/emergencies as the reason for their consultation. Socioeconomic factors associated with the non-utilization of dental care were lack of social medical insurance (OR, 0.49 [95% CI, 0.31 to 0.79]) and long waiting time/patient time restriction (OR, 2.05 [95% CI, 1.26 to 3.35]). On the other hand, facilitators for utilization of dental care included ethical standards/personal qualities of the dentist (OR, 0.53 [95% CI, 0.32 to 0.88]) and convenient cost with respect to the individual's economic status (OR, 0.28 [95% CI, 0.18 to 0.43]). This study suggests that dental care practices in Lebanon, including the non-utilization of dental care, are suboptimal. Measures such as reducing sugar and tobacco consumption, providing information on oral hygiene, and using fluoride products are inexpensive; however, implementing these measures may take substantial time and input by multiple stakeholders.

Usefulness of low-cost simulation models to learning surgical techniques for placenta accreta spectrum: An observational educational study.

To evaluate the utility of low-cost simulation models to teach surgical techniques for placenta accreta spectrum (PAS), included in a multimodal education workshop for PAS. This was an observational, survey-based study. Participants were surveyed before and after the use of low-fidelity mannequins to simulate two surgical techniques for PAS (one-step conservative surgery [OSCS] and modified subtotal hysterectomy [MSTH]), within a multimodal educational workshop. The workshops included pre-course preparation, didactics, simulated practice of the techniques using low-cost models, and viewing live surgery. Six OSCS/MSTH training workshops occurred across six countries and a total of 270 participants were surveyed. The responses of 127 certified obstetricians and gynecologists (OB-GYNs) were analyzed. Participants expressed favorable impressions of all components of the simulated session. Perceived anatomical simulator fidelity, scenario realism, educational component effectiveness, and self-assessed performance improvement received ratings of 4-5 (positive end of the Likert scale) from over 90% of respondents. When asked about simulation's role in technique comprehension, comfort level in technique performance, and likelihood of recommending this workshop to others, more than 75% of participants rated these aspects with a score of 4-5 (positively) on the five-point scale. Low-cost simulation, within a multimodal education strategy, is a well-accepted intervention for teaching surgical techniques for PAS.

Perceived social support and stress-coping strategies among cardiac patients

Abstract Social support is one of the most important factors influencing human health. It is particularly important for patients after myocardial infarction, as it helps them reduce feelings of anxiety, uncertainty and isolation. Objectives The aim of this study was to determine the influence of sociodemographic variables and social support on the choice of stress coping styles among patients hospitalized for myocardial infarction. Methods This survey-based study involved 120 patients after myocardial infarction, hospitalized in the Department of Cardiology with the Intensive Cardiac Care Unit of the Independent Public Clinical Hospital No. 2, Pomeranian Medical University in Szczecin. The research instruments used in this study were: the author’s questionnaire and The Inventory of Socially Supportive Behaviors (ISSB), The Perceived Stress Scale (PSS-10), and The Coping Inventory for Stressful Situations (CISS). Results Based on the collected data, it was observed that the vast majority of respondents experienced high levels of stress. Women had significantly higher levels of stress than men (0 = 0.039), and were more likely to choose an emotion-oriented coping style (p = 0.011). It was also observed that avoidance-oriented coping was significantly more often used by retirees and pensioners than by employees (0.008). The study showed that information support statistically significantly correlated with avoidance-oriented coping (AOC) (r = -0.235, p = 0.01), including social diversion (seeking social contact) (r = -0.222, p = 0.015). Emotional support statistically significantly correlated with task-oriented coping (r = -0.224, p = 0.014), and avoidance-oriented coping (r = -0.24, p = 0.008), including social diversion (r = -0.284, p = 0.002). Instrumental support statistically significantly correlated with social diversion (r = -0.259, p = 0.004). Furthermore, valuation support statistically significantly correlated with task-oriented coping (r = -0.341, p < 0.001) and emotion-oriented coping (r = 0.195, p = 0.033). Conclusion The vast majority of patients hospitalized for heart attack experience high levels of stress and receive instrumental and information support. Women have usually higher levels of stress than men, and are more likely to utilize emotion-oriented coping strategies. There is a statistically significant negative correlation between receiving information support and adopting stress-coping styles focused on avoidance and seeking social contacts.

Adiponectin and visfatin as potential biomarkers of cardiovascular disease in postmenopausal women

Abstract Background Adiponectin and visfatin are involved in many changes associated with obesity and metabolic disorders so may be related to metabolic syndrome and cardiovascular disease. During the perimenopausal period, the risk of obesity and cardiometabolic diseases increases. Therefore, the aim of this study was to assess the relationship between cardiometabolic parameters and circulating levels of visfatin and adiponectin in perimenopausal women with regard to their obesity status. Material and methods This survey-based study was conducted among 168 perimenopausal women. It involved the use of questionnaires, anthropometric measurements, blood pressure measurements, and venous blood collection. Results Our study found that visceral adiposity index (VAI) and lipid accumulation product (LAP) were negatively correlated with adiponectin levels. Preliminary multivariate linear regression analysis revealed a positive correlation between circulating visfatin and IL-6 levels. Adiponectin was negatively correlated with HbA1C, fasting blood glucose, insulin, and triglycerides. Furthermore, circulating adiponectin was positively correlated with HDL, and negatively with HOMA-IR. Conclusions In the women studied, some adipokines may have played a significant role in the development of obesity, metabolic syndrome, and cardiometabolic diseases.

Assesment of adherence to therapeutic recommendations among patients with hypertension

Abstract Hypertension is a multifactorial condition involving environmental and genetic factors along with risk behaviors. Data from the National Health Fund show that nearly 10 million adult Poles have hypertension. The main goal of drug therapy is to effectively lower blood pressure to normal or near-normal values, and the basic prerequisite for effective pharmacotherapy of chronic diseases is patient adherence to pharmacological recommendations. Objectives The aim of this study was to determine the level of adherence to treatment recommendations among patients with hypertension with regard to sociodemographic and medical variables. Methods This survey-based study included 200 patients with hypertension, hospitalized in the Department of Cardiology with the Intensive Cardiac Care Unit of an Independent Public Clinical Hospital. The author’s questionnaire and The Adherence to Refills and Medication Scale (ARMS) were used as research instruments. Results The study demonstrated the effect of age and place of residence on adherence to treatment recommendations (the older the age, the worse the adherence). The overall level of non-adherence to recommendations (ARMS total score), and the level of non-adherence to taking medications or refilling prescriptions were significantly higher in patients with than without diabetes, and in patients without heart failure than in those with this condition. Conclusion Adherence among patients diagnosed with hypertension was at a good level. Age, employment status, place of residence, and diagnosed diseases (diabetes, heart failure) significantly affected adherence to treatment among the subjects.Table1

Exploring the impact of social media content on travel envy and intention to visit destination: moderating role of narcissist admiration and rivalry

ABSTRACT Social networking sites significantly influence the behavioral intentions of travelers. Considering this as an avenue of future research, the current study explores how social media elements induce travel envy using multi-study approaches. Study 1 (N = 338) is an experimental study aimed at investigating the impact of post type (emotional vs. rational) and post content (luxury vs. non-luxury) on travel envy and intention to visit a destination (IVTD). Study 2 (N = 190) is a survey-based study that explores the moderating role of narcissism between travel envy and IVTD by considering both post content and type. Study 3 (N = 289) tests the composite model using survey-based and experimental-based research designs. The findings reveal the robust impact of post type and content in triggering travel envy and intentions amongst recipients of particular social media posts. The emotional-luxury post category has a relatively stronger influence on travel envy and travel intentions than the rational-non-luxury post type. Narcissism is found to play a moderating role in the relationship between travel envy and IVTD.

Fertility in the Digital Age: A Survey-Based Evaluation of Fertility App Users' Quality of Life.

This study sought to characterize fertility app use among women seen for infertility care and to investigate the association between fertility app use and quality of life. This survey-based study was conducted at an academic infertility clinic. Surveys were administered to patients who presented for a new infertility visit. One survey collected information regarding app use and the second survey was FertiQoL, an internationally validated instrument measuring quality of life in those with infertility. Descriptive statistics were used to characterize the patient population regarding app use and FertiQoL scores. Comparisons between those who did and didn't use an app were evaluated using t-tests and Cochran Armitage test for trend. 149 surveys were collected. Most (75.5%) participants reported using a fertility app. Most participants (85.1%) used a free app and nearly all (97.2%) found their app helpful. There was a significant difference (p = 0.0034) in satisfaction with one's quality of life between app users and non-app users with app users demonstrating higher satisfaction. There were no significant differences between app users and non-app users with their overall FertiQoL scores however there was a statistically significant difference (p = 0.031) in Relational sub-scores with app users displaying higher scores. While overall quality of life, measured by standardized measures, did not differ, self-perceived satisfaction with quality of life improved with more satisfaction reported in those using an app. This self-perceived satisfaction and increased quality of life surrounding relationships carries important implications, especially when one may face the stress of infertility and its treatment.

Recommendations for Expanding the Clinical Role of Audiologists in Hospitals in Mainland China: Insights From a Survey-Based Study

Purpose: This study aims to collect information on the current duties and educational backgrounds of clinical audiologists in mainland Chinese hospitals, aiming to making recommendations for the scope of practice for them. Method: A survey-based study focused on clinical audiologists in mainland China was conducted. This survey sought to collect comprehensive information regarding their educational backgrounds, work duties, and responsibilities. After reaching out to a potential pool of 495 participants within an online community of clinical audiologists, 162 responses were received from various hospitals across mainland China. Results: The survey findings indicate that most clinical audiologists in China are primarily engaged in hearing/auditory-related assessments. Although most respondents have received proper clinical audiology training, with 98.77% holding a bachelor's degree or higher, their role closely resembles that of audiology technicians, with many lacking the authority to explain test results to patients (60.49%) or to choose specific assessments (75.93%). Despite their substantial training in audiology, the scope of their clinical responsibilities is notably limited. Conclusions: Given the extensive audiological training that these professionals undergo and the growing demand for audiology and hearing care services in China, there is a compelling justification for expanding the duties of clinical audiologists in Chinese hospitals. Such an expansion could encompass audiological consultations and a more direct role in patient care, thereby improving the quality and accessibility of audiology services in China.

EMPLOYEE PERSPECTIVES ON AI UTILIZATION IN THE MANUFACTURING SECTOR WITH SPECIAL REFERENCE TO CHHATRAL GIDC IN GUJARAT STATE: A SURVEY-BASED STUDY

Artificial intelligence (AI) has revolutionised the industrial industry by bringing with it the promise of greater productivity, accuracy, and competitiveness. The purpose of this survey-based study is to investigate how employees feel about the use of AI in manufacturing enterprises in Gujarat State, India's Chhatral GIDC (Gujarat Industrial Development Corporation). The purpose of the study is to learn more about the attitudes, beliefs, and difficulties that employees have when integrating AI technologies. Structured questionnaires were used to gather data from a representative sample of employees in Chhatral GIDC's manufacturing sectors. The results shed important light on the variables affecting the adoption of AI, emphasising how organisational environment and local dynamics affect employee reactions.

Enhancing patient acceptance of ICD implantation through structured shared decision making: conversation is key.

Implantable cardioverter-defibrillators (ICDs) and cardiac resynchronization therapy defibrillators (CRT-D) are lifesaving treatments for patients at risk for sudden cardiac death. Effective physician-patient communication during the shared decision-making process is essential. Electrophysiologist-patient conversations were targeted to obtain objective data on the interaction, understand the conversation framework, and uncover opportunities for improved communication. Individuals previously identified as requiring an ICD/CRT-D but declined implantation were recruited for this four-stage interview and survey-based study. Quantitative analysis of surveys and AI analysis of conversation videos was conducted to evaluate patient participant expectations, analyze feedback about the conversations with study physicians, and gauge willingness for device implantation. The study included 27 patients (mean age 51years, 51.9% female) and 9 study physicians. Patients were significantly more willing to undergo ICD/CRT-D implantation after conversing with study physicians compared to their own physicians and pre-conversation surveys (mean scores: 5.0, 3.1, and 4.4 out of 7, respectively; p < 0.001). Patient participants had higher satisfaction with the study conversation, rating study physicians higher in effectiveness of explanations, responsiveness to questions, and overall quality of the conversation compared to their own physicians (all p < 0.001). In a cohort of patients who previously declined ICD/CRT-D implantation, patient satisfaction and willingness to undergo implantation of a guideline-directed device therapy increased significantly following a structured conversation with study physicians. Identified key elements could be integrated into user-friendly tools and educational materials to facilitate these conversations, improving patient engagement with the decision-making process and enhancing informed acceptance of indicated device therapies.

Mechanisms of the influence of proactive personality on nurses' sense of social responsibility: A structural equation modelling study.

To explore the mechanism of proactive personality influence on nurses' sense of social responsibility through a serial multiple mediation model of volunteering motivation and self-efficacy. Further analysis of a cross-sectional and survey-based study. In June 2023, a study was conducted with 722 Chinese nurses from four hospitals. Data were collected using the Proactive Personality Scale, the Self-Efficacy Scale, the Motivation to Volunteer Scale and the Nurses' Sense of Social Responsibility Scale. Structural equation modelling was used to analyse the relationship between nurses' sense of social responsibility and its correlative factors. Structural equation modelling showed a good model fit. Proactive personality, self-efficacy and motivation to volunteer can directly influence nurses' sense of social responsibility (β = .12, β = .04, β = .50, p < .05). According to the test of chained mediation effects, proactive personality was significant through a single mediation path of self-efficacy (Z = 2.33, p < .05) and motivation to volunteer (Z = 7.32, p < .05) and through successive mediation paths of both variables (Z = 3.33, p < .05). A proactive personality can motivate nurses' social responsibility. Therefore, prompting nurses to be more proactive can effectively enhance nurses' sense of social responsibility. This study was reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist for cross-sectional studies. This study explored the mechanisms influencing nurses' sense of social responsibility at the end of the epidemic. The results may inform the maintenance of high levels of long-term effects of nurses' social responsibility and shed light on building a standing workforce for public health emergencies.

Exploring the Effects of COVID-19 on the Racial Disparities and Inequities of Maternal Health: A Survey-Based Study

Utilizing a cross-sectional survey design, undergraduate researchers at the University of Pittsburgh launched an investigation into the impact of the COVID-19 pandemic on maternal health, with a particular focus on inequity in care. This study utilized a survey, titled COVID-19 Maternal Health Experiences (CMHE) Survey, to explore stress levels and personal accounts of perceived differences in maternal health care in the United States following March 2020. It was hypothesized that the pandemic, having upended and permanently reshaped health systems in the U.S., would reveal broader truths about privilege and inequity in the context of women’s health and motherhood. The responses gathered from 119 participants, predominantly from Pennsylvania, revealed heightened stress concerning health and childcare since the national outbreak of the pandemic. The homogeneity of participant demographics limits this survey results’ generalizability and the ability to perform a racial analysis, emphasizing the need for diverse samples in future research. Despite limitations, the findings of this study highlight the importance of continued research on issues in maternal health care, as well as the importance of providing mothers of all ethnic backgrounds with equitable care and an outlet to express concerns related to their physical, mental, and emotional health.

Trust in information sources during the COVID-19 pandemic and its association with vaccine trust among a sample of Hispanic adults

BackgroundPublic response to the COVID-19 pandemic has underscored the importance of trust, particularly among minority populations. Several factors might affect vaccine safety trust, including source trustworthiness. Using data from the Puerto Rico Community Engagement Alliance, we assessed the association between trust in information sources and the COVID-19 vaccine in a sample of Hispanic adults. MethodsA cross-sectional survey-based study was conducted from November 2021 to March 2022. Participants were telephone-interviewed to assess sociodemographic, clinical, and COVID-19-related variables. Vaccine trust was assessed by how confident respondents were regarding COVID-19 vaccine safety. Trust in COVID-19 information sources was assessed by asking respondents how much they trusted selected sources of information to provide accurate information about COVID-19, including the US and Puerto Rico governments, Centers for Disease Control and Prevention (CDC), health care professionals, and traditional media (television/radio/newspaper/internet). Logistic regression models estimated the odds ratio (OR, 95% CI) of COVID-19 vaccine trust based on trust in information sources. ResultsA total of 200 adults aged ≥21 years completed the telephone interview. While most of the study sample (97.5%) had been inoculated with at least 1 dose of the COVID-19 vaccine, 86% trusted in the COVID-19 vaccine’s safety. After adjusting for age and sex, participants who attested greater trust in their health care professionals (odds ratio [OR] = 1.99, 95% confidence interval [CI] = 0.71, 5.62), the US government (OR = 2.44, 95% CI = 0.69, 8.68), and the CDC (OR = 8.18, 95% CI = 2.97, 22.57) reported increased vaccine trust as compared to those not having great confidence in these entities. ConclusionThese findings support that trust in information provided by the CDC is positively associated with COVID-19 vaccine trust. Acknowledging predictors of trust regarding COVID-19 vaccination could help address factors that affect vaccine confidence. In turn, it strengthens COVID-19 prevention efforts, benefiting common welfare, reducing health disparities, and aiding underserved populations.

Vaccination Rates and Influencing Factors in Patients with Axial Spondyloarthritis and Immunosuppressive Treatment-A Survey-Based Cross-Sectional Study.

Patients with axial spondyloarthritis (axSpA) who receive immunosuppressive therapy are at risk of infection due to impaired immune function and immunosuppressive medication. Vaccination plays a crucial role in preventing infections in this population. However, vaccination rates and factors influencing vaccination uptake in axSpA patients still need to be adequately studied. This study was designed to determine the vaccination rates of vaccines covered by health insurance in this particular group in Turkey and attitudes towards vaccines and infections. This survey included 199 patients with axSpA who visited our outpatient clinic in June, July, and August 2023 and received biologic and targeted synthetic disease-modifying antirheumatic drugs. The mean age of the participants was 43.7 ± 0.7 years, and the majority were male (66.3%). The majority of the patients were vaccinated against COVID-19 (85.4%), followed by hepatitis B (41.2%), influenza (20.1%), and pneumococcal pneumonia (10.5%). While awareness of COVID-19 vaccination was widespread (100%), knowledge of other vaccines was lower (hepatitis B 80.9%, influenza 70.3%, pneumococcal 60.3%, respectively). Educational interventions targeting patients and healthcare professionals are needed to improve vaccination rates in this population. Our findings emphasize the need for strategies to increase vaccination rates in axSpA patients receiving immunosuppressive therapy. Removing barriers to vaccination and raising awareness of the importance of vaccination are critical to optimizing vaccination practices in this vulnerable population.

Green human resource management practices in the manufacturing industry: A sustainable approach

Purpose: This study investigates the adoption of environmentally friendly Human Resource Management (HRM) practices as a sustainable strategy in the manufacturing sector. It focuses on how employees' environmental consciousness, environmental regulations, and companies’ environmental performance impact the implementation of green HRM practices. Research Methodology: The study involved surveying employees and managers in manufacturing companies, with data gathered and analyzed quantitatively. Results: The findings indicate that Employees’ environmental awareness significantly influences the adoption of green HR practices, whereas the effect of environmental regulations is relatively positive. Furthermore, a company’s environmental performance was found to be positively correlated with its green HR practices. Limitations: This was a survey-based study. Further qualitative studies should be conducted to improve the quality of results. Contribution: Suggestions for future research include conducting further studies to comprehend the internal and external factors influencing the adoption of green HR practices and considering the role of organizational culture and individual motivation in promoting such practices. This will provide a more comprehensive understanding of green HR strategies, which can assist manufacturing companies in achieving enhanced environmental sustainability.

Dementia content and delivery in physiotherapy curricula: an international study of entry level physiotherapy programmes in Ireland the United Kingdom and New Zealand

ObjectivesPhysical impairments associated with dementia include reduced gait speed, and diminished postural control, which can lead to an increase in falls and hip fractures. Physiotherapy can play a key role in many aspects of dementia care, including falls risk prevention, gait re-education and end of life care. However, there is a lack of dementia education in entry level physiotherapy programmes. The aim of this study was to map the dementia content and delivery in the current undergraduate and entry level physiotherapy curricula in Ireland the United Kingdom and New Zealand. DesignThis cross-sectional survey-based study was distributed via the online survey tool Qualtrics XM. The survey was designed using the map of Kern’s curriculum design framework. SettingHigher educational institutes (HEIs) that offered an undergraduate (BSc) and/or MSc (entry level) physiotherapy programmes in Ireland United Kingdom and New Zealand were included. ParticipantsThe academic lead for dementia education in the HEI was invited to participate in the survey. ResultsOf the 69 eligible HEIs contacted, 49 responded, giving a response rate of 71%. Different sources informed curriculum design, including patient and public involvement, published guidelines and policies and expert clinicians. The time allocated to dementia teaching across the curricula varied, with under half of the programmes only allocating two hours. The lack of service user input was seen as a perceived weakness of many programmes as was the non-standardisation and generalisability of teaching. ConclusionWhilst dementia education is included in many HEI programmes, we need to consider more time, a curriculum that meets learner’s needs and include the patient voice. Further research is needed to develop bespoke dementia curricula specific to physiotherapy. Contribution of the Paper•The findings of this study have identified current strengths as well as weaknesses of entry level physiotherapy programmes in dementia care.•This study highlights what is most and least commonly taught at entry level physiotherapy programmes in dementia care.•More time needs to be allocated to dementia teaching, to reflect the clear work-related educational needs of physiotherapists in both the acute and community care sector.

Are healing abutments being reused in periodontics residency programs in the United States? A survey-based study.

Recent studies indicate that reusing healing abutments (HAs) may pose a risk of biomaterial cross contamination among patients. The intent is to investigate whether postgraduate periodontics residency programs in the United States are reusing dental implant HAs and determine if there is a standardization in the decontamination and sterilization protocol of used HAs. An electronic survey consisting of-seven multiple choice and/or short answer questions pertaining to the re-use of HAs among postdoctoral periodontics programs was sent to program directors of 57 accredited dental schools in the United States via an online survey system (Qualtrics). Three follow-up remainder emails were sent to programs that did not respond after over a 6-month period. Data were analyzed using descriptive statistics. Of the 57 postdoctoral periodontics program directors contacted, only 14 responded with three programs (3/14, 21%) reported reusing HAs. Approximately, 46% stated their residents place dental implants in two stages, while ∼54% stated they used a one-stage protocol indicating varied time exposure of HA to the oral cavity. Even in a two-stage protocol, the extended time HA remained in situ varied from 4 weeks to 6 months. Each program reusing HAs employed a distinct decontamination approach highlighting a notable lack of standardization in practices. The findings from our study suggest that a minority of residency programs in the United States are reusing HAs. However, the limited number of responses leaves uncertainty regarding whether our findings underestimate the prevalence of this practice and accurately reflect the reality. Among those re-using HAs, there seems to be a lack of standardization in their decontamination, potentially leading to cross-contamination of residual biomaterial among patients.

960 Quality of Life Outcomes of Metabolic and Bariatric Surgery Tourism: A Single-Centre Survey-Based Study

Abstract Global obesity affects one in three adults, prompting increased demand for metabolic and bariatric surgery (MBS). Despite its effectiveness, limited access to MBS has led to more people seeking it through medical tourism for lower costs and shorter wait times. However, ethical concerns arise due to limited follow-up care and potential complications. This study compares the quality of life (QOL) of native MBS patients (n = 69) to those engaged in MBS tourism (n = 36) from 11 different countries, utilizing the Bariatric Quality of Life Index (BQLI). Conducted in Lahore, Pakistan, with 105 participants who had MBS in the last 3 years, the survey-based study aims to assess the impact of MBS tourism on QOL and the efficacy of bariatric surgery for weight loss. The study revealed no significant difference in the quality of life between MBS tourism participants and native patients (p &amp;gt; 0.05). Both cohorts experienced considerable weight reduction post-MBS (p = 0.00001). A higher total weight loss percentage (TWL%) correlated positively with increased BQLI scores (p = 0.01). Younger patients experienced significantly improved quality of life after MBS compared to their older counterparts (r = -0.3, p = 0.005). The TWL% exhibited a progressive increase as the months advanced post-MBS (r =0.3, p = 0.004). The type of bariatric surgery (SG, RYGB, OAGB, SADI) didn't significantly affect post-MBS quality of life (p &amp;gt; 0.05).

The dark side of robot usage for hotel employees: An uncertainty management perspective

The increasing usage of service robots in hotels has generated discussions about their positive impacts. However, little research has been done on the adverse aspects of robot usage from the perspective of the employees, and few studies have investigated the antecedents of employee robot risk awareness. This study posits that employees are aware of potential threats posed by robots; they observe the organization's investment in robot development and witness customers' satisfaction with robot usage. People with greater robot risk awareness engage in more withdrawal behaviors at work (employee sample in Study 1) and report lower intentions to work in the hospitality industry (student sample in Study 2). Those two relationships are further contingent upon employees' learning goal orientation. The proposed relationships were validated by a survey-based study (612 frontline employees) and two experiments (205 student participants). Based on the research results, hotels are encouraged to emphasize augmentation but not automation.

Importance Assigned to Breastfeeding by Spanish Pregnant Women and Associated Factors: A Survey-Based Multivariate Linear Correlation Study.

Breastfeeding education, across all disciplines, is often inconsistent and lacking in expertise and confidence. However, recommendations from health professionals, the sociocultural environment, and previous knowledge and experiences significantly influence women's decision to breastfeed. This study aimed to identify factors that promote the assignment of greater importance to breastfeeding and associated practical benefits. This retrospective cross-sectional study included 276 participants who completed a self-administered questionnaire. Descriptive and bivariate analyses were performed, and multivariate linear models were applied to identify factors influencing the importance assigned to breastfeeding. Most participants were married or in a relationship, were native Spaniards, had secondary or higher education, and had an average age of 32.6 years. Seventy percent met the physical activity recommendations, and 91% felt comfortable with their body image during pregnancy. The importance assigned to breastfeeding was high across various aspects, except for postpartum weight loss and body image. Group prenatal care was only significantly associated with the importance assigned to the breastfeeding technique (how to breastfeed). The obesogenic environment and the importance assigned to nutritional aspects and physical activity also turned out to be predictors, although not for all models. In our region, the educational strategy of antenatal care groups could contain gaps regarding the mother's health, which should be addressed in the future to improve results regarding the initiation and continuation of breastfeeding.