Search Results (66,822)

Objectives: This study aimed to assess salt and sugar-related knowledge, attitudes and behaviours (KAB) of adults in the Central Division of Fiji. Methods: A randomised stratified sample of 700 adults were selected. Questions on salt and sugar-related KABs were developed. The survey took place from March to June 2022. For analyses, population and sample weights were applied, and differences between predefined subgroups (sex, age, ethnicity and area) were compared using weighted chi-square tests. Results: 534 adults participated (response rate 76%). Over 80% of participants (82% (95% CI 78.5 to 84.9%)) identified that consuming too much salt or salty sauce can lead to hypertension. More than 90% recognised that consuming too much sugar can lead to diabetes (92.3% (89.7 to 94.3%)). Approximately 80% of participants thought it was somewhat or very important to lower salt and sugar intake in their diet (79.8% (76.1 to 83.0) and 84.2% (80.8 to 87.1%), respectively). However, almost 40% reported adding salt or salty sauces when cooking (37.3% (32.7 to 42.2%)) and 65% (60.6 to 68.5%) adding sugar to drinks daily. Conclusions: Despite having positive knowledge and attitudes, many people reported behaviours likely to contribute to excess salt and sugar intake, highlighting the need for interventions that support behaviour change and the creation of healthier food environments. Full article

Despite the growing societal interest in the health benefits of dietary nutritional supplements, their safety and efficacy remain unclear. We aimed to investigate the correlation between hepatic fibrosis and the consumption of dietary nutritional supplements. This study utilized data from the Korea National Health and Nutrition Examination Survey spanning the period from 2014 to 2022. Significant fibrosis was defined as a fibrosis index based on four factors (FIB-4) ≥1.45 and an aspartate aminotransferase-to-platelet ratio index (APRI) ≥0.30. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were calculated. In a study involving 30,639 participants (supplement consumers [n = 17,772] and non-consumers [n = 12,867]), dietary nutritional supplement consumption was associated with alanine aminotransferase (ALT) elevation and increased hepatic fibrosis biomarkers (APRI and FIB-4). Dietary nutritional supplement consumption was independently linked to ALT elevation (AOR, 1.11; 95% CI, 1.04–1.18), FIB-4 (AOR, 1.07; 95% CI, 1.00–1.15), and APRI (AOR, 1.14; 95% CI, 1.07–1.21). This association was particularly significant in women and subgroups of people who were not diabetic or hypertriglyceridemic. In our comprehensive analysis, the consumption of dietary nutritional supplements was possibly associated with hepatic fibrosis, particularly in specific subgroups. Given the limitations of this study, these findings are not considered definitive conclusions; however, they serve as valuable preliminary data for future research. Full article

The Baota District of Yan’an City, located in the Loess Plateau, is an important patriotic education base in China. The region’s fragile geological environment and frequent geological disasters pose significant threats to the production and livelihood of residents. Establishing a landslide traces inventory can provide crucial assistance for studying regional land disaster distribution patterns and implementing disaster prevention and mitigation measures. However, the Baota District has not yet established a comprehensive and detailed landslide traces inventory, resulting in a lack of clear understanding and comprehensive knowledge regarding the threats and impacts of landslide disasters in the area. Therefore, this study employed high-resolution satellite images, applying a human–computer interactive visual interpretation method in conjunction with field survey verifications, to develop the most detailed and comprehensive landslide traces inventory for the Baota District to date. The results indicate that within the 3556 km² area of the Baota District, there are 73,324 landslide traces, with an average landslide density of 20.62 km^-2 and a total landslide area of 769.12 km², accounting for 21.63% of the total land area. These landslides are relatively evenly distributed throughout the district, with a higher concentration in the east compared to the west. Most of the landslides are small in size. This study can support disaster prevention and mitigation efforts in the Baota District and serve as a reference for establishing landslide inventories in other regions of the Loess Plateau. Full article

The 2008 melamine crisis led to widespread consumer distrust of Chinese domestic infant milk formula (IMF), which was substituted through a surge of imported products. Recent studies, however, suggest a revival in consumer confidence in Chinese domestic products and regulatory supervision. This coincides with a rise in consumer ethnocentrism and increased concern about foreign IMF, which arose during the COVID-19 pandemic. This study aims to investigate the multifaceted factors that influence consumers’ intention to purchase domestic IMF, using a structural equation model based on a survey of 563 online consumers. Our findings challenge conventional thinking that food safety governance, consumer ethnocentrism, and COVID-19 have no significant direct impact on IMF purchase decisions. Instead, consumer purchase intentions are driven more indirectly by mediating factors of perceived product quality and perceived behavioural control. The findings have significant implications for Chinese policymakers and industry stakeholders seeking to rebuild trust and strengthen the market position of domestic IMF in the post-melamine and post-pandemic era. By understanding the nuanced dynamics and consumer preferences in this market, international stakeholders can also develop more effective strategies to navigate and compete in the ever-evolving landscape of the Chinese IMF industry. Full article

Background: Research into the pivotal role of potassium in chronic diseases and their comorbidities remains scarce. Our aim is to elucidate the relationship between potassium and chronic diseases, including comorbid conditions, and to provide evidence-based recommendations for potassium intake in patients. Methods: This study is anchored in a representative, population-based survey conducted in Zhejiang Province, China, in 2017, encompassing participants aged 18 to 69 years. Data collection included questionnaire responses, physical measurements, and biological samples, obtained through a multistage cluster random sampling method. A subset of 1496 participants provided complete 24 h urine samples. Results: The median age of the participants was 48.0 years (interquartile range [IQR] 24.0), with 51.1% being female, and hypertension was identified in more than one third (35.6%) of the participants. The prevalence of diabetes was approximately 9.0%, dyslipidemia was found in 34.2%, and microalbuminuria in 8.8%. The 24 h urinary excretion levels were 3613.3 mg/24 h (IQR 2161.7) for sodium and 1366.0 mg/24 h (IQR 824.9) for potassium, respectively. Potassium excretion exhibited an inverse relationship with blood pressure. Furthermore, a positive correlation was observed between potassium excretion and high-density lipoprotein cholesterol (HDL-C) levels, with an elevation of 0.03 mmol/L (95% confidence interval [CI] 0.00 to 0.05). In binary logistic regression analysis, individuals in the fourth quartile of potassium excretion (Q4) exhibited an odds ratio (OR) of 0.56 (95% CI 0.36–0.87) for hypertension compared to those in the first quartile (Q1). Urinary potassium excretion was inversely associated with low HDL-C levels, with Q4 individuals having 0.62 times the odds of having low HDL-C levels (OR, 0.62; 95% CI 0.39–1.00) compared to Q1. Conclusions: Potassium excretion demonstrated a direct negative correlation with certain comorbidities. This study underscores the pivotal role of potassium in the management of chronic diseases and associated comorbidities, thereby highlighting the significance of potassium in both public health initiatives and clinical practice. Full article

After an earthquake, legislation tends to permit the rapid demolition of damaged buildings, including the built heritage, for safety reasons, as was the case for many small historic centers after the 2016 earthquake in central Italy. A balance should, of course, be struck between safety and preservation. There must be a willingness to engage in continuous interaction with the various bodies involved in post-earthquake management, particularly in the preventive phase of the complex activities regarding the issues of the seismic vulnerability of historic built. The widespread historical built heritage in Italy requires fast and reliable assessment procedures that allow a large-scale evaluation of the vulnerability of historical buildings before a seismic event. To this end, a proposal is presented here for the inverse use of the protocol for the seismic vulnerability survey of historic centers by means of a system called CARTIS form, coordinated since 2015 by the Italian consortium of Seismic and Structural Engineering Laboratories (ReLUIS). This rapid assessment is compared with an equally fast method for constructing fragility curves, based only on the information available in the ReLUIS–CARTIS database, defining the relationship between the probability of reaching a level of loss of structural safety or a vulnerability index as a function of the seismic acceleration PGA and the ground orography. The methodology outlined could be considered to be progress in cultural heritage diagnostics on a large scale, considering cultural heritage to be the diffuse historical residential masonry buildings that form the historic centers. Full article

The profession of airline pilots is characterized by high levels of stress and a significant risk of burnout. The health emergency period has exacerbated these challenges to health and well-being, with long COVID adding further strain to aviation professionals even in the post-pandemic scenario. In this context, it is essential to promote positive organizational behaviors to reconcile individual well-being with work performance. This study aimed to explore the mechanisms linking burnout to work performance behaviors (i.e., proficiency, adaptivity, and proactivity) among pilots, hypothesizing the mediating role of continuous learning behaviors. Based on the Conservation of Resources theory, we posited that burnout depletes pilots’ resources, thereby hindering continuous learning and reducing performance behaviors. Moreover, this study examined the work-related stress factors that could affect burnout and the consequences of performance behaviors on actual performance measured by a flight simulator. Data were collected from 123 pilots through an online survey and analyzed using path analysis. The results revealed that continuous learning mediated the relationship between burnout and work performance behaviors. Furthermore, work-related stress factors were significantly related to burnout, and work performance behaviors were linked to flight simulator performance. Our findings underscored the critical role of continuous learning in explaining the adverse effects of burnout on performance. These insights could inform targeted interventions to promote continuous learning and stress management among aviation professionals, ensuring sustained performance and well-being in the long term. Full article

This study explored the relationships among psychological, relational, and sexual factors and their impact on sexual satisfaction among Italian women during the COVID-19 lockdown. Data were collected via an online survey with 3803 participants. The survey assessed mental health, relationship quality, frequency of sexual intercourse, frequency of masturbation, body awareness, and sexual satisfaction. Correlation analyses revealed positive relationships among all the variables and negative relationships with low mental health. A network analysis showed that sexual satisfaction was the most central variable, strongly linked to relationship quality, frequency of sexual intercourse, and body awareness. An exploratory mediation model examined the indirect effects of mental health and frequency of masturbation on sexual satisfaction through the other variables as mediators. The results indicated that mental health negatively influenced sexual satisfaction both directly and indirectly through relationship quality and body awareness, while frequency of masturbation had a positive indirect effect through body awareness. These findings highlight the complex interplay among mental health, body awareness, relational factors, and sexual satisfaction, emphasizing the importance of holistic approaches in enhancing sexual well-being. Future research should focus on longitudinal studies to establish causality and explore interventions that promote positive body awareness and relationship quality. Full article

The healthcare sector constantly investigates ways to improve patient outcomes and provide more patient-centered care. Delivering quality medical care involves ensuring that patients have a positive experience. Most healthcare organizations use patient survey feedback to measure patients’ experiences. However, the power of social media can be harnessed using artificial intelligence and machine learning techniques to provide researchers with valuable insights into understanding patient experience and care. Our primary research objective is to develop a social media analytics model to evaluate the maternal patient experience during the COVID-19 pandemic. We used the “COVID-19 Tweets” Dataset, which has over 28 million tweets, and extracted tweets from the US with words relevant to maternal patients. The maternal patient cohort was selected because the United States has the highest percentage of maternal mortality and morbidity rate among the developed countries in the world. We evaluated patient experience using natural language processing (NLP) techniques such as word clouds, word clustering, frequency analysis, and network analysis of words that relate to “pains” and “gains” regarding the maternal patient experience, which are expressed through social media. The pandemic showcased the worries of mothers and providers on the risks of COVID-19. However, many people also shared how they survived the pandemic. Both providers and maternal patients had concerns regarding the pregnancy risks due to COVID-19. This model will help process improvement experts without domain expertise to understand the various domain challenges efficiently. Such insights can help decision-makers improve the patient care system. Full article

In this study, different approaches for detecting of beach litter (BL) items in coastal environments are applied: the direct in situ survey, an indirect image analysis based on the manual visual screening approach, and two different automatic segmentation and classification tools. One is a Mask-RCNN based-algorithm, already used in a previous work, but specifically improved in this study for multi-class analysis. Test cases were carried out at the Torre Guaceto Marine Protected Area (Apulia Region, southern Italy), using a novel dataset from images acquired in different coastal environments by tailored photogrammetric Unmanned Aerial Vehicle (UAV) surveys. The analysis of the overall methodologies used in this study highlights the potential exhibited by the two machine learning (ML) techniques (Mask-RCCN-based and SVM algorithms), but they still show some limitations concerning direct methodologies. The results of the analysis show that the Mask-RCNN-based algorithm requires further improvements and a consistent increase in the number of training elements, while the SVM algorithm shows limitations related to pixel-based classification. Furthermore, the outcomes of this research highlight the high suitability of ML tools for assessing BL pollution and contributing to coastal conservation efforts. Full article

The increase in traffic caused by new development affects the change in traffic conditions on the surrounding roads, and shopping centres are significant traffic generators. The development of local travel generation rates and their characteristics for individual land uses from the aspect of traffic demand is a reliable way to plan traffic in order to come up with preventive solutions to traffic problems, that is, prevention of possible negative consequences on traffic conditions in the street network occurring due to the construction of shopping centres. One of the main aims of this paper is to develop a model for objective assessment of the generated traffic demand for significant changes in land use, such as the construction of shopping centres in medium-sized towns. All these would be steps in the right direction for the promotion of reliable traffic planning and adoption of TIA for every new development before a decision regarding the change in land purpose has been made. This kind of process still has not been established systematically in either Bosnia and Herzegovina and the Republic of Serbia, or in surrounding countries. This paper focuses on the formulation of a model for determining the volume of traffic generated by shopping centres in medium-sized towns in two countries of the Southeast Europe region. The survey was conducted in eight different locations (cities) where there are shopping centres with common facilities. The analysis showed that the number of visitors and vehicles attracted by the shopping centre zone can be determined by a model based on a linear regression analysis. The analysis included exploring several different factors of trip generation in shopping centres, including the relationship between trip generation and combinations of several independent variables. The verification of the model was conducted in real conditions of the traffic flow generated by a shopping centre which was not the analysis subject when forming the forecasting model. In this way, the validity of the proposed model is credibly assessed. The developed model can be applied in the procedures of planning the construction of shopping centres in medium-sized cities in the Republic of Serbia and Bosnia and Herzegovina, and wider, in the region of Southeast Europe, in order to estimate the volume of generated traffic demand, that is, its impact on the conditions of traffic on the surrounding traffic network. Full article

Introduction: Professional certification programs play a crucial role in helping pharmacists develop specialized skills and establish their expertise in the field. This study explores how pharmacists in Saudi Arabia engage with these programs by examining their levels of awareness, attitudes, and participation. It also identifies the key barriers and motivators that influence their decision to pursue certification. Methods: An online survey was conducted among pharmacists in Saudi Arabia to assess participants’ knowledge of certification programs, their perceived benefits, the actual participation rates, and their preferences regarding certification areas and assessment methods. Results: Out of 394 participating pharmacists, around 47% had never participated in a professional certification program, and about 27% of our sample were unaware of such programs in Saudi Arabia. Financial constraints and a lack of awareness were noted as the primary barriers to participation. Almost 55% showed an interest in Clinical Pharmacy Specialties certification, while 54% were inclined toward Pharmacy Management and Leadership certifications. A preference for practical assessments in certification programs was suggested by 55% of participants. Conclusions: This study highlights a significant need for increased awareness and accessibility to professional certification programs among pharmacists in Saudi Arabia. Addressing participation barriers is vital to foster professional development and meet the healthcare sector’s evolving demands in Saudi Arabia. Full article

This study investigates the impact of social media use on faculty job performance, exploring the mediating roles of internal communication and teamwork. Drawing on the Uses and Gratifications theory, we examine how faculty members utilize social media for three distinct purposes: social interaction (social use), enjoyment (hedonic use), and information seeking (cognitive use). We analyze how these three dimensions of social media use influence teachers’ performance, encompassing both routine and innovative aspects. This analysis is based on data collected via an online survey completed by 456 faculty members at public state colleges in northern India in 2024. Structural Equation Modeling (SEM) was used to test the hypotheses. The findings reveal that social, hedonic, and cognitive use of social media positively affects faculty innovative and routine job performance, with teamwork and internal communication acting as partial mediators in this relationship. This research offers valuable insights for faculty development professionals, educational administrators, and policymakers. Full article

Chempreneurs are revolutionary entrepreneurs who have been trained at a chemistry faculty. They are expected to find innovative solutions for current challenges to the chemical industry, such as sustainability. Innovative chemical entrepreneurship is the art of commercialising innovations from chemistry for a broad audience outside the classroom. Innovative ideas that are implemented with societal relevance offer the potential for individuals/graduates to generate income and promote the economy, thus offering students the opportunity to lay the foundation for a career with innovations developed in class. The probability of a German chemistry student founding a company is 54% lower than for the average German student. Previous studies show the potential effects of social capital, the subjective norm, motives and barriers for chemistry students in Germany. In this study, we tested these hypotheses by implementing entrepreneurship education. Two surveys, one before class and one with a one-week delay, were conducted with first- and third-semester chemistry bachelor students at the Fresenius University of Applied Sciences in Idstein, Germany. We conducted the surveys to understand how students view chemistry career opportunities through entrepreneurship and how to change this mindset. Finally, we propose a pedagogy to introduce/expand entrepreneurship in chemistry and discuss approaches for future research. Full article

This study aims to investigate how urban residents interact with Urban Green Spaces (UGSs) in Nagpur, India, specifically focusing on the patterns of visitation and engagement. Data were collected via a face-to-face questionnaire survey using the Survey 123 app. The analysis included interaction (types of UGSs, visitation frequency, and UGS availability); engagement (activities); demographics (age, gender, and work status); and nature connection (self-reported) aspects. Using data from 2002 participants, the study employs statistical analyses using R software (4.3.2) to explore the correlations between these variables. The results revealed key factors influencing UGS usage, highlighting the interplay between environmental and social aspects. Neighborhood UGSs, proximity, and accessibility were found to be pivotal in promoting frequent visitation, while physical activity emerged as the most common activity among daily visitors. Older adults visited UGSs less frequently, suggesting potential barriers, while employed individuals visited more often. A strong association between nature connection and UGS interaction was highlighted, emphasizing the psychological and emotional aspects of UGS usage. For example, individuals who felt more connected to nature reported using UGSs for physical activities, mental relaxation, and socializing. These findings underscore the need for integrating UGSs within broader urban social-ecological systems, which means recognizing these spaces as vital components contributing to overall health and resilience and catering to the population’s diverse needs, ensuring that these spaces are accessible and enjoyable for all community members, including those from different cultural, age, and socioeconomic backgrounds. Additionally, fostering nature connectedness through education and exposure to natural environments is recommended to enhance UGS usage, supporting broader urban planning strategies to create sustainable and healthy urban environments. Full article