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This paper engages, Sara Ahmed's theorising on 'the uses of use' to frame an analysis of the hidden, embedded effects of standardised testing policy that have become normative practice/s in Queensland, Australia. It (re)examines data from an ethno-case study into the datafication of assessment and learning over one school year, in primary and secondary schooling contexts, to understand the uses of the National Assessment Program – Literacy and Numeracy (NAPLAN) in a new, critical light. We explore schools' contemporary uses of NAPLAN – intended or otherwise – to demonstrate how the policy effects of NAPLAN have become insidiously submerged within the daily practices in schools. Drawing on interviews with 27 teachers and seven school leaders, classroom and staff meeting observations, and artefact data, we reveal the invisible yet profoundly altering presence of NAPLAN and its consequences. Specifically, we analyse the ways in which NAPLAN practices, structures and technologies are both hidden and yet manifestly altering as a) practices that disappear into their uses, becoming unidentifiable and routine; and b) practices that follow well-used pathways that further embed particular uses. We counter rhetoric of NAPLAN normativity and complacency, instead demonstrating that its current uses, while not originally intended, are insidious and profound. [ABSTRACT FROM AUTHOR]

Background: Proper use of emergency contraception can reduce unintended pregnancy and the risk of abortion. Despite this fact, there is a high rate of unwanted pregnancies among adolescents in Ethiopia. Therefore, determining the level of knowledge and use of Emergency contraceptives (EC) among female youth is important. Objective: To assess Knowledge and use of EC methods and their associated factors among female college students in Gondar City, Northwest Ethiopia, 2023. Methods: Institution-based cross-sectional study was employed among 814 female college students in Gondar City from April 15 to 28, 2023. A multi-stage sampling technique was applied to select the study participants. A self-administered questionnaire was used to collect the data. Epi-data version 4.6 and STATA Version 16, respectively, were used for data entry and analysis. A logistic regression model was fitted to identify factors associated with the outcome variables. Statistical significance was defined at a p-value < 0.05 and a corresponding 95% confidence interval. Result: In this study, 46.2% [95% CI (42.78, 49.63%)] of the participants had adequate knowledge about EC and 26.1% [95% CI (22.82–29.74%)] of sexually active participants used EC. Muslim religion [AOR = 1.82: 95% CI (1.07, 3.09)], being single [AOR = 0.34: 95% CI (0.19, 0.63)], no discussion about reproductive health issues with their husband/partner [AOR = 0.43: 95% CI (0.27, 0.69)], year of study; second year [AOR = 1.63: 95% CI (1.03, 2.58)], third year [AOR = 1.80: 95% CI (1.11, 2.94)], and fourth-year students [AOR = 2.91: 95% CI (1.43, 5.96)] were significantly associated with knowledge about EC. While no discussion about reproductive health with their husband/partner [AOR = 0.09: 95% CI (0.04, 0.20)], monthly allowance [AOR = 3.03: 95% CI (1.54, 5.95)], perceive use emergency contraceptives as not a sin [AOR = 2.59: 95% CI (1.20, 5.60], knowledge about EC [AOR = 2.32: 95% CI (1.253, 4.29)] were associated with the use of EC. Conclusions: Participants' knowledge and of use EC in the study area was low. Religion, years of study, marital status, monthly allowance, perception and knowledge, and having discussion were associated with the use of EC. School-based health education, and behavioral change communication interventions should be established and/or strengthened to address students in need of EC services. [ABSTRACT FROM AUTHOR]

Background: Young people (YP) are disproportionately affected by the HIV pandemic in sub-Saharan Africa (SSA), but testing rates remain low despite global targets of testing 95% of people with HIV infection by 2030. HIV self-testing (HIVST) has been recently introduced to reach high-risk population groups such as these. Thus, synthesis of emerging evidence on the acceptability and use of HIVST among YP in SSA is needed so that comprehensive information can be generated to inform policy and practice. Methods: We employed a mixed methods systematic review of quantitative and qualitative literature reporting on HIVST among YP involving any design and published in English by 31st of October 2023. The review synthesized quantitative evidence on acceptability and use of HIVST, and qualitative evidence on perspectives of YP about HIVST. We searched databases of published articles (e.g. MEDLINE, CINAHL) and Gray literature sources (e.g. Google, Google Scholar). The concepts for the search included self-testing, HIV/AIDS, and countries in SSA. Two authors independently screened, retrieved full-text, and assessed quality of the studies. Results: A total of 4150 studies were retrieved and 32 studies were finally included in the review. Acceptability of HIVST computed from a single item asking YP on their preference or willingness or demand for HIVST was moderate (34–67%) to high (≥ 67%) among YP in SSA. Nine of the fourteen studies that reported on acceptability found high acceptability of HIVST. Use of HIVST ranged from 0.8 to 100% while in most studies the use rate was below 50%. Key barriers to HIVST use were coping with a positive test in the absence of counselling and support, physical discomfort, and cost of kits. Perceived enablers included perceptions of HIVST as promoting personal empowerment and autonomy; privacy and confidentiality; and convenience in location, time, and skill. Conclusions: HIVST was highly accepted but not well utilized among YP in SSA. YP showed diversified needs with mixed preferences for location, and modalities of service provision. Overall, the review identified heterogeneous evidence in terms of methods, population, outcome measures, and results. The review was registered in the International Prospective Registry of Systematic Reviews (PROSPERO: ID = CRD42021278919). [ABSTRACT FROM AUTHOR]

Thirty years ago, the Global Solar UV Index (UVI) has been introduced as a health promotion instrument to improve sun protection. We assessed systematically global levels of awareness and use of the UVI as a prerequisite for the preventive effectiveness of this public health tool. We conducted a comprehensive literature search across 10 databases, including PubMed, Scopus and Web of Science Core Collection, as well as clinical trial registries and gray literature databases. The risk of bias of studies was evaluated using the Joanna Briggs Institute checklist for prevalence studies. In addition to narrative and descriptive analysis, we performed meta‐analyses with geographical subgroup analyses to statistically summarize the results. In total, we identified 40 publications from 39 different studies across multiple global regions. However, the number of studies in the analyses varies depending on the outcome. The results, especially the awareness of the UVI, were largely dependent on the specific geographical location of the studies. While the prevalence of awareness of the UVI is high among Australian populations, there is considerable variability in levels of awareness across other global regions. At the same time, the use of the UVI is at a low level across all regions, demonstrating the need for enhanced dissemination of knowledge about the perils associated with ultraviolet radiation and the advantages of using the UVI. [ABSTRACT FROM AUTHOR]

The article discusses the challenges faced by esketamine nasal spray in China regarding its use and management. Esketamine nasal spray was approved in China in April 2023, but strict regulations are expected due to its potential for addiction and abuse. The drug's administration and monitoring will be closely supervised by medical professionals to prevent misuse. Additionally, concerns about adverse drug events and the high cost of treatment may limit the accessibility of esketamine nasal spray, especially in rural areas with limited medical resources. The article highlights the need for pragmatic prevention and management strategies to address these challenges and improve patient access to treatment. [Extracted from the article]

Western culture has assigned an essential role to productive activity in defining our lives. In Locke's and Hegel's thought, we see the model that became dominant in modern political philosophy: that of conceiving the subject as a result of, and only possible within, the triad of work–property–subject. Nowadays, this has reached the level of shaping the meaning of living, and our entire existences seem to be subjected to a concept of lives-as-work. Combining anthropology and philosophy, this article seeks to rethink subjectivation beyond the process of work and appropriation, delving into worldviews different from those of the West. Specifically, we will focus on the Yanomami form of life, a non-stratified indigenous people living in the Brazilian Amazon. We will analyze how the Yanomami prevent the process of subjectification by the objectification of one's own work through a sort of anti-work and anti-property apparatus. This is achieved through specific techniques of underproduction, which constitute another approach to work, as well as through a completely different way of conceiving subjectivity. Furthermore, the Yanomami's view of all entities as subjects endowed with intentionality appears as de-ontologizing the subject position and deactivating the dyads of subject/object and own/common. The result is a worldview where, with everyone being subjects—humans and non-humans, living and dead, entities and things of nature—no one can be dominus of anyone. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this research was to investigate fans' responses toward a sponsor that has had a long-standing sponsorship deal with a club and decided also to sponsor the club's rival. Design/methodology/approach: A long-term sponsorship deal between a retsina wine company and a popular football club and a newly established deal between the company and the main rival club were selected as the research setting. Data were collected from a total sample of 302 participants, fans of the two teams, using an online survey and PLS-SEM was employed to test the relationships of the proposed structural model. Findings: The results provided evidence for the importance of the inclusion of perceptions of fit for both teams to the model as it impacted the responses in the joint sponsorship. Team identification emerged significant for improving fans perceptions of fit between the sponsor and their favorite club but also led fans of the long-term sponsored club to feel betrayed from the sponsor. The sense of betrayal impacted the level of fit, the rejection of sponsorship but did not emerge significant for driving negative responses toward the sponsor's brand. The same held for the rejection of the joint sponsorship. Originality/value: This is the very first study that incorporated the effects of the perceptions of fit of two rival clubs to test the effect of sponsorship for a sponsor brand of a deal that includes a longtime sponsored football club and its rival as a newly sponsored one. It is also one of the first attempts that explores relationships between perceptions of fit, sense of betrayal and rejection of a joint sport sponsorship in a rivalry context, highlighting the importance of preventing fans' betrayal. [ABSTRACT FROM AUTHOR]

Objectives: The study investigated the types of local substances used, the reasons for the use, and ways of reducing such behavior to the barest minimum in the Ilorin South Local Government Area of Kwara State, Nigeria. Methods: A phenomenological and exploratory research design was adopted for the study. The participants were purposively selected. The study adopted Semi-structured interviews to collect the data, and the method of data analysis was qualitative. Results: The study showed that ogogoro (local gin), skushies (a mixture of herbs and ogogoro), gerigemu (a mixture of thorn apple and ogogoro), monkey tail (a mixture of weed and ogogoro), dried pawpaw leaves, asa (a mixture of tobacco and other substances), amongst others were the common locally used substances in the study area. These local substances were used for not being expensive to produce, availability, parents' utilization, peer influence, coping strategies, not seen as illegal, and as sources of energy. Conclusion: There are different types of local substances used in the Ilorin South Local Government Area for various reasons. This paper proffers, amongst others, that there is a need for regulating bodies in charge of drug control to extend their surveillance beyond orthodox to reduce local substance use. [ABSTRACT FROM AUTHOR]

Background: A quasi-experimental comparative trial will be designed in Burkina Faso. The study will compare the use and preferences for two groups types of insecticide-treated nets textile: polyester-based and polyethylene-based, according to their use and preferences in selected health districts. These health districts will be selected in three eco-climate zones (Sahelian, dry savannah and wet savannah) in the country. These findings will inform decisions on future net procurements for national malaria control programme in 2025. Methods: Quantitative surveys and qualitative data collection will be carried out to gather information on the type of net textile most commonly used and preferred by the community. They will be performed between the end of the dry season and the early rainy season. The quantitative surveys involved household interviews with households and individuals' questionnaires, while the qualitative data collection involved in-depth individual interviews and focus group discussions to explore and clarify some key evaluation criteria. A total of 9450 insecticide-treated nets were surveyed for quantitative survey purposes. For the qualitative study, 48 in-depth individual interviews and 12 focus group discussions were carried out. A mixed model approach combining the results from quantitative surveys and qualitative studies will be used for decision-making on the type of insecticide-treated net preference. Conclusion: This methodological approach will be used by the National Malaria Control Programme to conduct this study on determinants of net use in Burkina Faso in order to provide robust evidence across diverse settings. This mixed-methods approach for data collection and analysis could be used in other countries to provide evidence that would help to increase the uptake of insecticide-treated nets, the main vector control tool in Africa. [ABSTRACT FROM AUTHOR]

The current study was designed within a survey-based quantitative research methodology in order to investigate Bulgarian teachers' familiarity with, use of, and attitudes toward artificial intelligence (AI) at the nascent stage of its integration into the Bulgarian education system. The survey was completed by 2252 teachers, of whom 16.30% were men and 83.70% were women. The majority of the teachers (72%) reported some level of familiarity with AI technology. Higher levels of familiarity were significantly associated with younger teachers (aged 20 to 29), mathematics, sciences, and technology subject areas, as well as the male gender. More than 50% of the teachers reported using AI technology in their instruction. Familiarity with AI technology was the only significant predictor of AI use, overriding the effect of other variables. The teachers used AI technology to prepare teaching, assessment, and homework materials; design individual and team tasks; and grade students' work. The teachers who regularly used AI technology were more favorable towards AI in contrast to those who seldom or never employed AI. The majority of the respondents recognized the need for teacher training in AI technology and expressed willingness to participate in teacher training initiatives. Therefore, the current situation requires teacher education programs to harness teachers' needs by equipping them with relevant AI literacy and skills that they could apply to the critical adoption of suitable AI tools. Educational institutions and stakeholders should provide guidelines and consultancy regarding technical, methodological, and ethical issues concerning the instructional use of AI technology. [ABSTRACT FROM AUTHOR]

Objective: Describe and evaluate methodological improvements in AMAGuides to the Evaluation of Permanent Impairment (Guides) Sixth Edition 2024, including an updated sequential method and enhanced diagnosis-based impairment tables, compared to the Guides Sixth 2008. Methods: Three physician experts and 3 premedical students, respectively, completed 2 rounds of impairment ratings using the AMA Guides Sixth 2008 versus 2024 methods. Impairment values and completion times using eachmethodwere compared for both groups. Results: Time to complete an impairment rating by experts averaged 3.5 minutes using Guides 2024 compared with 13.9 minutes using Guides 2008, with 100% accuracy and reliability for both. Students' time averaged 5.3 and 15.9 minutes, respectively, with increased accuracy and reliability with Guides 2024. Conclusions: The Guides Sixth 2024 allowed more efficient impairment ratings while retaining accuracy, consistency, reliability, and reproducibility. [ABSTRACT FROM AUTHOR]

Most EU member states fail to provide essential sexual and reproductive health services to undocumented migrants, a vulnerable population facing limited access, utilization, and worse health-related outcomes. This study systematically reviewed the literature on access to and use of these services, as well as related health, economic, and migratory outcomes for undocumented migrants in the EU-EFTA region. The systematic review is reported based on the PRISMA 2020 checklist and includes 37 studies published between 2017 and 2024. Included studies were based upon original quantitative, qualitative, or mixed-methods data; conducted in one or more European countries; and published in one or more of the following languages: English, Spanish, French, Portuguese, or Romanian. A quality assessment was conducted using the CASP checklist for qualitative studies and the NHLBI Study Quality Assessment Tools for quantitative studies. The findings revealed numerous access barriers, including refusal of care, lack of knowledge about national healthcare schemes, bureaucratic hurdles, and affordability issues. Even when care was available, stigma, fear of deportation, socio-economic precarity, and abuse further hindered utilization. These barriers contributed to generally worse reproductive health outcomes for undocumented migrants in Europe, though the findings may not generalize to all EU-EFTA countries. [ABSTRACT FROM AUTHOR]

Abstract Background Proper use of emergency contraception can reduce unintended pregnancy and the risk of abortion. Despite this fact, there is a high rate of unwanted pregnancies among adolescents in Ethiopia. Therefore, determining the level of knowledge and use of Emergency contraceptives (EC) among female youth is important. Objective To assess Knowledge and use of EC methods and their associated factors among female college students in Gondar City, Northwest Ethiopia, 2023. Methods Institution-based cross-sectional study was employed among 814 female college students in Gondar City from April 15 to 28, 2023. A multi-stage sampling technique was applied to select the study participants. A self-administered questionnaire was used to collect the data. Epi-data version 4.6 and STATA Version 16, respectively, were used for data entry and analysis. A logistic regression model was fitted to identify factors associated with the outcome variables. Statistical significance was defined at a p-value

The legal norms regulating the collection, storage and processing of human genetic information are aimed at ensuring the proper conduct of genetic research procedures and protecting the participants’ rights. It is particularly important to highlight that national legislation, taking into account international practice, should provide specific methods for collecting biological material, information storage periods and features of its processing. Purpose: to identify the legal characteristics of the collection, storage and processing of genetic information, including legal issues and criteria for modernizing the legislation governing genetic information research. Methods: empirical methods of comparison, description and interpretation, formal-legal, interpreting legal norms. Results: the article considers legal aspects and characteristics of regulating the process and conditions of collection, storage and processing of genetic information; it reveals some problems encountered in genetic research, regarding the storage time of materials and confidentiality in the processing of third-party information. The authors outline ways of improvement to address them.

Abstract Background A quasi-experimental comparative trial will be designed in Burkina Faso. The study will compare the use and preferences for two groups types of insecticide-treated nets textile: polyester-based and polyethylene-based, according to their use and preferences in selected health districts. These health districts will be selected in three eco-climate zones (Sahelian, dry savannah and wet savannah) in the country. These findings will inform decisions on future net procurements for national malaria control programme in 2025. Methods Quantitative surveys and qualitative data collection will be carried out to gather information on the type of net textile most commonly used and preferred by the community. They will be performed between the end of the dry season and the early rainy season. The quantitative surveys involved household interviews with households and individuals’ questionnaires, while the qualitative data collection involved in-depth individual interviews and focus group discussions to explore and clarify some key evaluation criteria. A total of 9450 insecticide-treated nets were surveyed for quantitative survey purposes. For the qualitative study, 48 in-depth individual interviews and 12 focus group discussions were carried out. A mixed model approach combining the results from quantitative surveys and qualitative studies will be used for decision-making on the type of insecticide-treated net preference. Conclusion This methodological approach will be used by the National Malaria Control Programme to conduct this study on determinants of net use in Burkina Faso in order to provide robust evidence across diverse settings. This mixed-methods approach for data collection and analysis could be used in other countries to provide evidence that would help to increase the uptake of insecticide-treated nets, the main vector control tool in Africa.

Abstract The current study was designed within a survey-based quantitative research methodology in order to investigate Bulgarian teachers’ familiarity with, use of, and attitudes toward artificial intelligence (AI) at the nascent stage of its integration into the Bulgarian education system. The survey was completed by 2252 teachers, of whom 16.30% were men and 83.70% were women. The majority of the teachers (72%) reported some level of familiarity with AI technology. Higher levels of familiarity were significantly associated with younger teachers (aged 20 to 29), mathematics, sciences, and technology subject areas, as well as the male gender. More than 50% of the teachers reported using AI technology in their instruction. Familiarity with AI technology was the only significant predictor of AI use, overriding the effect of other variables. The teachers used AI technology to prepare teaching, assessment, and homework materials; design individual and team tasks; and grade students' work. The teachers who regularly used AI technology were more favorable towards AI in contrast to those who seldom or never employed AI. The majority of the respondents recognized the need for teacher training in AI technology and expressed willingness to participate in teacher training initiatives. Therefore, the current situation requires teacher education programs to harness teachers’ needs by equipping them with relevant AI literacy and skills that they could apply to the critical adoption of suitable AI tools. Educational institutions and stakeholders should provide guidelines and consultancy regarding technical, methodological, and ethical issues concerning the instructional use of AI technology.

Abstract Introduction Refugee HIV positive mothers experience significant obstacles in accessing, utilizing and adhering to antiretroviral therapy (ART). Identifying ART non-adherence can help in the development of interventions aimed at improving adherence and subsequently effectiveness of ART among the refugee mothers. We describe the use and the factors associated with non-adherence to ART among Refugee HIV positive pregnant mothers aged 18–49 years in Kyangwali Refugee Camp, Uganda. Methods We conducted a cross-sectional study among HIV positive pregnant mothers aged 18–49 years in Kyangwali refugee camp between May and June 2023. Using a structured questionnaire, we collected data on use, and factors associated with non-adherence to ART. We used modified Poisson regression analysis to determine factors associated with non-adherence to ART. Results Of the 380 participants enrolled, 192 (50.5%) were married, mean age 32.1 years. Overall, 98.7; 95% Confidence Interval (CI) [97.5–99.8%] were using ART and 27.4; 95% CI [22.9–31.9%] were non-adherent. Non-adherence was associated with: Initiating Prevention of Mother to Child Transmission (PMTCT) care in the third trimester of pregnancy (adjusted Prevalence ration(aPR): 2.06; 95% CI: 1.27–3.35), no need to get permission to seek PMTCT services aPR 1.61; 95% CI [1.07–2.42] and poor attitude of PMTCT providers aPR 1.90; 95% CI [1.20–3.01]. Conclusion and recommendations Non-adherence to ART was generally high; therefore limiting the effectiveness of the PMTCT program in this setting. Refugee context specific education interventional programs aimed at early initiation into HIV care, strong social and psychological support from families, communities and health care providers are vital to improve adherence in this setting.

Cocoa cultivation is one of the sectors that most contributes to Ecuador’s GDP. The aim of this study is to determine the Land-Use Conflict (UC) for cocoa in 71 cities on the coast of Ecuador. Photointerpretation has been applied to locate the crop and geospatial modeling has been used to analyze Land Use Capacity (LUC) criteria, agroecological requirements and LUC at 1:5,000. Of the total study surface area, 4.65% is occupied by cocoa crops and of this value 66.03% is in adequate use (AU) and 33.97% in LUC, and the category of UC over lightly used is the most frequent with 17.25% of the total surface in LUC. In the coastal region, the province of Guayas has the lowest LUC in contrast to Los Rios; the predominant LUC for the crop is Class III 34.32%. The findings show that the LUC of cocoa has a low concordance with the national Agroecological Zoning (AZ), since this model considers the crop in natural conditions, the main limiting factor is the vegetative wet period and does not take into account whether the crop is present in the territory. The use of national AZ information to establish crops could limit their production, since it has been demonstrated that there are cultivated areas that are not in conflict and that are exploited by farmers. This study is replicable to other crops and scalable to any area.

Introduction: Refugee HIV positive mothers experience significant obstacles in accessing, utilizing and adhering to antiretroviral therapy (ART). Identifying ART non-adherence can help in the development of interventions aimed at improving adherence and subsequently effectiveness of ART among the refugee mothers. We describe the use and the factors associated with non-adherence to ART among Refugee HIV positive pregnant mothers aged 18–49 years in Kyangwali Refugee Camp, Uganda. Methods: We conducted a cross-sectional study among HIV positive pregnant mothers aged 18–49 years in Kyangwali refugee camp between May and June 2023. Using a structured questionnaire, we collected data on use, and factors associated with non-adherence to ART. We used modified Poisson regression analysis to determine factors associated with non-adherence to ART. Results: Of the 380 participants enrolled, 192 (50.5%) were married, mean age 32.1 years. Overall, 98.7; 95% Confidence Interval (CI) [97.5–99.8%] were using ART and 27.4; 95% CI [22.9–31.9%] were non-adherent. Non-adherence was associated with: Initiating Prevention of Mother to Child Transmission (PMTCT) care in the third trimester of pregnancy (adjusted Prevalence ration(aPR): 2.06; 95% CI: 1.27–3.35), no need to get permission to seek PMTCT services aPR 1.61; 95% CI [1.07–2.42] and poor attitude of PMTCT providers aPR 1.90; 95% CI [1.20–3.01]. Conclusion and recommendations: Non-adherence to ART was generally high; therefore limiting the effectiveness of the PMTCT program in this setting. Refugee context specific education interventional programs aimed at early initiation into HIV care, strong social and psychological support from families, communities and health care providers are vital to improve adherence in this setting. [ABSTRACT FROM AUTHOR]

There is a lack of research regarding dietary supplement (DS) use among Gay, Bisexual, Transgender, Two-Spirit, Queer (GBT2Q) men and non-binary individuals, despite the higher prevalence of body image issues and societal pressure within this community. This study aimed to investigate patterns and predictors of DS use in this population, including types of DS used, sources of information, and reasons for DS use. A validated and anonymous online questionnaire was completed by 204 participants (52.5% men, 43.1% gay, mean age 29.34 + 6.77 years) across Canada, who were consuming DS at the time of the study. Analyses included descriptive statistics to characterize the sample based on gender, sexuality, age, ethnicity, and other demographic attributes, using Pearson's chi-square tests and multi-way cross-tabulation analyses. Additionally, regression analyses, including binary and logistic regressions, were employed to identify predictors of DS use. Data analysis concluded that vitamins/minerals (92.2%), proteins (84.3%) and carbohydrates (75.5%) were the most consumed types of supplements. Identifying as certain genders and sexualities was significantly associated with supplement preferences, such that men reported higher use of amino acids (p = 0.033) and non-vitamins/mineral antioxidants compared to individuals identifying as other genders (p = 0.006). Moreover, bisexual participants consumed amino acids (p = 0.043) and carbohydrates (p = 0.026) more frequently when compared to non-bisexual participants. The most listed reason for DS use was to improve immunity (60.3%), with health care professionals being listed as the source of information by most participants (51.0%). Findings from this study can serve as a foundation for further research in this area and can guide the formulation and implementation of adequate policies targeting this underserved population. [ABSTRACT FROM AUTHOR]

Cocoa cultivation is one of the sectors that most contributes to Ecuador's GDP. The aim of this study is to determine the Land-Use Conflict (UC) for cocoa in 71 cities on the coast of Ecuador. Photointerpretation has been applied to locate the crop and geospatial modeling has been used to analyze Land Use Capacity (LUC) criteria, agroecological requirements and LUC at 1:5,000. Of the total study surface area, 4.65% is occupied by cocoa crops and of this value 66.03% is in adequate use (AU) and 33.97% in LUC, and the category of UC over lightly used is the most frequent with 17.25% of the total surface in LUC. In the coastal region, the province of Guayas has the lowest LUC in contrast to Los Rios; the predominant LUC for the crop is Class III 34.32%. The findings show that the LUC of cocoa has a low concordance with the national Agroecological Zoning (AZ), since this model considers the crop in natural conditions, the main limiting factor is the vegetative wet period and does not take into account whether the crop is present in the territory. The use of national AZ information to establish crops could limit their production, since it has been demonstrated that there are cultivated areas that are not in conflict and that are exploited by farmers. This study is replicable to other crops and scalable to any area. [ABSTRACT FROM AUTHOR]

Changeable Message Signs (CMS) have been used over the years on many highways in the U.S. to communicate real-time travel information to drivers. Likewise, smart devices such as smartphones and other internet-able devices, which have become popular in recent years, can also provide drivers with real-time travel information. Since the CMSs have been employed as early as the 1950s, it is essential to understand if drivers still perceive them as a useful source of travel information. Therefore, this study assessed whether the proliferation of smart devices supplants the use of CMS. To achieve this, data were collected by an online survey conducted in Michigan. Descriptive statistics and a multinomial logistic regression model were performed. Results show that drivers are 2.17 times more likely to rely on the CMS when looking for incident management information than smart devices. Also, older drivers (60 years and above) are 2.39 times more likely to use the CMS than smart devices compared to young/middle-aged drivers. Drivers who prefer to use CMS are 1.83 times more likely to state that the time displayed by CMS is reliable and accurate than drivers who use smart devices as their source of information. Further, drivers who prefer using CMS are 1.53 times more likely to notice a CMS on their trips than those who prefer using smart devices. These findings possess practical implications for transportation agencies, providing valuable guidance when strategizing the implementation of CMS. [ABSTRACT FROM AUTHOR]

Suicidal ideation is a serious social health problem influenced by personal, social, and negative life events. Suicide ideation expressed in social media can provide insights into suicidal attempts. Detecting and tracking people at risk of suicide is a critical task. A massive amount of Arabic content has become available on online social media. Early diagnosis of mental illness, including suicidal thoughts, is challenging, particularly within the Arabic culture, due to stigma and a lack of awareness. Few recent studies have investigated the automatic detection of Arabic suicidal thoughts either because of the lack of a dataset or difficulties in dealing with the Arabic language. Therefore, our study investigates the performance of using several deep classifiers with Arabic pre-trained language models to detect suicide ideation using deep learning on the largest available dataset. We selected Universal-Sentence-Encoder-multilingual (USE) and MARBERT models for conducting the experiment work. The experiment results show that the USE and deep dense model achieved 82.6% F1score. For MARBERT, the CNN+LSTM outperforms other presented deep models, which achieved an 80.8% F1score. [ABSTRACT FROM AUTHOR]

Despite the continuous upsurge in the use of social networks by consumers and marketers, the empirical research investigating their economic value in different cultures still lags. This study develops an extended Theory of Reasoned Action (TRA) model that includes trust in the social network community, perceived enjoyment, and Hofstede's cultural factors (masculinity/femininity, power distance, individualism/collectivism, and long-term objectives). Using survey methodology across three countries (Kuwait, Tunisia, and Italy), data is analyzed using a structural equation model. The results of this study empirically extended the TRA model by including the significant impact of perceived enjoyment and attitude on the use of Facebook across different cultures. Trust in the social network community and its impact on the use of Facebook was only significant in Arab culture and not European culture. Hofstede's factors moderate the relationship between subjective norms and usage of Facebook, and their impact is varies across different cultures. The study highlights the differential impact of cultures on social network use and the importance of understanding the type of culture the business is targeting. Commercial organizations should guide their marketing efforts to manage their marketing differently across cultures to enhance their consumer engagement. [ABSTRACT FROM AUTHOR]

The Sierra Norte de Puebla is a region diverse in flora and fauna; however, rural communities suffer from a high degree of marginalization, a situation that makes natural resources susceptible to overexploitation. We aimed to analyze the relationship between the use of medium and large terrestrial wild mammals, depending on the socioeconomic level of the population, in two municipalities in the Sierra Norte de Puebla. 158 interviews were carried out with heads of families; their socioeconomic level (SEL) was calculated and their use of medium and large wild mammals assessed. To identify the relationship between socioeconomic level and use of mammals, a logistic regression analysis was performed. The families interviewed have a low socioeconomic level and 48.7% of them use medium or large wild mammals. Although SEL did not significantly influence the use of wild mammals, occupation was significantly associated with the use of these mammals. [ABSTRACT FROM AUTHOR]

This study delves into the impact of mobile phones on human connections, shedding light on the complex relationship dynamics influenced by contemporary needs and highlighting the pivotal role these devices play in today's society. An extensive review of research from across the globe, including Europe, America, Asia, Australia, the Arab world, and Iraq, was undertaken. This comprehensive analysis revealed a wide range of gratifications users gain from mobile phone usage, which was thoughtfully categorized into two main groups: utilitarian gratifications, with 15 distinct types, and expressive gratifications, covering 17 unique types. The investigation also explored the psychological motivations behind mobile phone use, considering both expressive and utilitarian perspectives. The findings offer an in-depth understanding of the various pleasures Iraqi users derive from their mobile phones, as well as the psychological factors driving this engagement, thereby providing a thorough scientific explanation of mobile phone gratification. This research not only uncovers the extensive array of user gratifications but also deepens the understanding of the psychological motivations behind mobile phone usage in Iraq. [ABSTRACT FROM AUTHOR]

Recent advancements in Enterprise Information Systems (EISs) have transitioned from primarily supporting operational and tactical processes to enabling strategic decision-making through integrated analytics. This systematic review critically examines global literature from 2010 to 2023, focusing on the factors influencing the adoption of analytical components in EISs and assessing their impact on strategic decision-making in organizations. Following the PRISMA 2020 guidelines, we meticulously selected and reviewed articles from the Scopus database, employing a robust taxonomy based on the technology–organization–environment (TOE) framework to categorize findings. Our methodology involved a thorough screening of 234 studies, leading to a final analysis of 45 peer-reviewed articles that met our stringent criteria. These studies collectively underscore a significant gap in organizational capabilities, notably in the business ecosystems surrounding EISs, which hampers the effective adoption and utilization of advanced analytics. The results highlight a distinct need for improved understanding and implementation strategies for integrated analytics within EISs to enhance strategic decision-making processes. This review identifies critical factors for integrating analytics into Enterprise Information Systems (EISs), emphasizing technological, organizational, and environmental dimensions. It highlights a significant gap in models guiding ERP systems with Business Intelligence (BI) capabilities and underscores the need for robust research to enhance strategic decision-making through analytics. [ABSTRACT FROM AUTHOR]

Information and communication technology enables extension services to farmers in developing countries. Although they have been deployed and adopted by farmers, the causal mechanisms (i.e., processes through which a result is brought about) underlying their adoption and use have not been adequately studied. This study uses the Critical Realism philosophical perspective to understand and integrate the various factors into a consistent and coherent model for adopting information and communication technology‐based extension services by agricultural extension officers in Mali. The study gathered data from 26 extension officers and farmers in Koulikoro and Segou, Mali. We analyzed the data using thematic analysis with the help of the qualitative data analysis software NVivo. The results revealed that the successful adoption of information and communication technology based extension services is the leading factor that can cause extension officers' satisfaction with agricultural extension services. This satisfaction drives societal change, that is, farmers improving their knowledge of extension services and extension officers efficiently disseminating them. In turn, this change may result in higher yield and, thus, better productivity. These findings guide policymakers, managers, and network providers for higher productivity in developing countries. [ABSTRACT FROM AUTHOR]

Objective Unsafe opioid-related practices can lead to abuse, diversion, and accidental overdoses. In this study, we aimed to describe the patterns and beliefs regarding the storage, disposal, and use of opioids among Chinese patients with cancer in their home settings, which remain unclear. Methods A multicenter cross-sectional survey was conducted in Hubei Province from October 2022 to June 2023. We collected information on the storage, disposal, and use of opioids among cancer pain inpatients in the oncology department. Logistic regression was used to estimate the factors associated with unsafe disposal and use of opioids. Results The survey included 221 patients with a median age of 62 years. Only 3.2% stored their opioids under lock and key, and 49.8% were unaware of proper disposal methods. Nearly one-fifth (19.5%) reported having received information on the safe storage (14.0%) and/or disposal (10.0%) of opioids. A total of 44.3% reported unsafe use by sharing (1.8%), losing (4.1%), or taking opioids at a higher dose than prescribed (42.5%). Patients who did not receive information on the safe disposal of opioids (OR = 4.57, P  = .0423), had a history of alcohol use (OR = 1.91, P  = .0399), and used opioids other than morphine (OR = 2.31, P  = .0461) had higher odds of unsafe disposal practices. Individuals with an associate degree/bachelor's degree or above were less likely to dispose of (OR = 0.36, P  = .0261) and use (OR = 0.31, P  = .0127) opioids unsafely. Conclusion A significant proportion of Chinese patients with cancer exhibit unsafe practices in the storage, disposal, and use of opioids. The study highlights an urgent need for implementing routine education programs and drug "take-back" initiatives to improve opioid-related practices. [ABSTRACT FROM AUTHOR]

In 2023, this study monitored nine types of antibiotics in the influent and effluent of wastewater treatment plants (WWTPs) in the urban and suburban areas of Tangshan. The total antibiotics concentration detected in influent WWTPs was highest in winter, followed by spring, summer, and autumn. The antibiotics concentration in influent and effluent urban WWTPs was higher than that in the suburban WWTPs in spring, summer, and winter, while the trend was reversed in autumn. Roxithromycin and oxytetracycline had a risk quotient (RQ) value of ≥0.1 in the effluent of WWTPs in winter, indicating that they are medium-risk antibiotics that pose a risk to the aquatic ecosystem after discharge. In the study area, the per capita pollution load of antibiotics was highest in spring, summer, and autumn for sulfamethoxazole, while it was highest in winter for ofloxacin. In the urban area, the use of roxithromycin, sulfamethoxazole, sulfamethoxazole, and ofloxacin was highest in spring, summer, autumn, and winter, respectively, while in suburban areas, the use of sulfamethoxazole, norfloxacin, sulfamethoxazole, and ofloxacin was highest during the same period. The use of antibiotics in the urban area was one order of magnitude higher than that in suburban areas, indicating a possible overuse of antibiotics in urban environments. [ABSTRACT FROM AUTHOR]

This paper aims to determine the impact of knowledge creation and sharing on use by librarians in federal universities in Nigeria. The study adopted the survey method of the correlation type, where 518 librarians were surveyed through a close-ended questionnaire, descriptive statistics, Pearson Product Moment Correlation coefficient and multiple regression were used to test the hypotheses. Findings indicate that significant relationships exist between knowledge creation and knowledge sharing (r=0.52), knowledge sharing and knowledge use (r=0.63) and knowledge creation and knowledge use (r=0.52), respectively. Knowledge created and shared by the librarians is used for better work performance. The paper adds value to the existing body of knowledge by proposing the need to understand the importance of knowledge creation and sharing as facilitators of knowledge use by librarians. This will, in turn, enhance service delivery to library patrons, thereby improving library patronage. This paper is limited to knowledge creation and sharing and its impact on knowledge use. Types of knowledge created and channels through which knowledge is shared are outside the focus of this article. [ABSTRACT FROM AUTHOR]

Cocoa tree plantations aim to harvest grains found in the cob to produce cocoa and chocolate. There has been a growing interest in valorizing the secondary components of the cocoa fruit, such as the peel, placenta, and mucilage/pulp, as valuable sources of nutrients for healthy food preparation. In other words, by-products derived from these raw materials are an exploitable source of nutrients in the preparation of healthy food. In the present study, two varieties of cocoa, National Cocoa Fino de Aroma (NCFA) and Colección Castro Naranjal 51 (CCN-51), were evaluated and harvested during both dry and rainy seasons. This evaluation was based on the profiling of the cob, peel, grain, placenta, and mucilage in different stages of ripeness (underripe, ripe, and overripe). Also, from the ripe raw material, a fermented beverage prototype was developed, such as kombucha, with different concentrations of mucilage (40, 60, 80, and 100 g/L). Physicochemical analyses, such as acidity, °Brix, pH, moisture, ash, protein, fat, fiber, vitamins, sugars, and polyphenols of the raw mucilage material and acidity, °Brix, and pH values of the fermented kombucha, were carried out. The best performances were obtained with the CCN-51 variety in the rainy season. Among the fermented drink panelists, the CN40 treatment (Nacional Mucilage + 40 g/L of sugar) received the highest acceptability and was considered the best. Given its efficiency, nutritional content, and potential applications, this product presents a promising strategy to address Sustainable Development Goals related to zero hunger, health and well-being, and climate action. [ABSTRACT FROM AUTHOR]

The study aimed to determine the present state of the use of plant genetic resources in Yemen during the period 2007–2023 and to identify potential improvements, relying on historical descriptive information as well as on primary and secondary information sources, with a focus on the case of the National Genetic Resources Center. For genebank-conserved accessions, the study identified limited achievements, the most important being the characterization and evaluation of 1,100 accessions of different crops. Significant progress was also made with the initiation of hybridization research programmes for various crops. However, the study identified several gaps and obstacles hindering the use of plant genetic resources and concluded with recommended measures to address them with the ultimate goal of effectively and efficiently using plant genetic assets to improve food and agriculture security in the country. In this regard, projects such as the ‘Rainfed Agriculture and Livestock’ funded by the World Bank, are taking steps to promote on-farm conservation of landraces of cereals and food legumes, including the establishment of Seed Producers Associations in five governorates.

Traditionally, architectural projects are analyzed based on an understanding of the triad site, activity, and technique. This research highlights how the analysis of architectural projects extends beyond previous studies. Instead, spaces are shaped through users and events that unfold over time. A performative cartography of users is employed for this purpose, revealing the unplanned actions and versions of the projected spaces. The investigation begins with built work as a generic support, anticipating certain forms of use and utilization of its elements, allowing for the observation, examination, and analysis of usage production. Projected knowledge is connected to the interpretation of the ordinary and every day, capturing and making visible (re-presenting) users' daily situations and scenarios. This representation consists of multiple spatial scenes where the time factor engages with units of spaces and users.

Abstract Background Malaria poses a substantial public health threat in Myanmar, indicating the need for rigorous efforts to achieve elimination of the disease nationwide by 2030. The use of insecticide-treated nets (ITNs) forms part of a pivotal strategy for preventing transmission. This study explored the ownership and use of ITNs in Myanmar and identified factors associated with non-use of ITNs. Methods Household datasets from the 2015–2016 Myanmar Demographic and Health Survey were utilised, which encompassed all household members except children under the age of five. Descriptive statistics and inferential tests, including simple and multiple logistics regression models and Pearson correlations, were employed for analysis. All analyses, taking the two-stage stratified cluster sampling design into account, used weighting factors and the “svyset” command in STATA. The ownership and use of bed nets were also visualised in QGIS maps. Results Among the 46,507 participants, 22.3% (95% CI 20.0%, 24.5%) had access to ITNs, with only 15.3% (95% CI 13.7, 17.1%) sleeping under an ITN the night before the survey. Factors associated with the non-use of ITNs included age category (15–34 years—aOR: 1.17, 95% CI 1.01, 1.30; 50+ years—aOR: 1.19, 95% CI 1.06, 1.33), location (delta or lowland—aOR: 5.39, 95% CI 3.94, 7.38; hills—aOR: 1.80, 95% CI 1.20, 2.71; plains—aOR: 3.89, 95% CI 2.51, 6.03), urban residency (aOR: 1.63, 95% CI 1.22, 2.17), and wealth quintile (third—aOR: 1.38, 95% CI 1.08, 1.75; fourth—aOR: 1.65, 95% CI 1.23, 2.23; fifth—aOR: 1.47, 95% CI 1.02, 2.13). A coherent distribution of the ownership and use of ITNs was seen across all states/regions, and a strong correlation existed between the ownership and use of ITNs (r: 0.9795, 95% CI 0.9377, 0.9933, alpha

Abstract Background Universal coverage with insecticide-treated nets (ITNs) is important for malaria control and elimination. The emergence and intensification of insecticide resistance threatens progress made through the deployment of these interventions and has required the development of newer, more expensive ITN types. Understanding malaria prevention behaviour, including barriers and facilitators to net access and use, can support effective decision-making for the promotion and distribution of ITNs. Methods In-depth interviews and focus group discussions were conducted in 3 to 4 villages per district, in 13 districts across Burkina Faso, Mozambique, Nigeria and Rwanda from 2019 to 2022. Interviews were conducted in the local language, translated and transcribed in English, French or Portuguese. Transcripts were coded and analysed using Nvivo and ATLAS.ti. Results ITNs were obtained from mass distribution campaigns, antenatal care and immunization visits, and purchased on the private market in some locations. While there were divergent perspectives in whether the number of distributed nets were adequate, participants consistently expressed concerns of bias, discrimination, and a lack of transparency with the distribution process. ITNs were frequently used alongside other malaria prevention methods. The primary motivation for use was malaria prevention. While some participants reported using nets nightly throughout the year, other participants reported seasonal use, both due to the perceived higher density of mosquitoes and discomfort of sleeping under a net in the increased heat. Other barriers to consistent net use included activities that take place away from the home, sleeping patterns and arrangements, and sensitivity to the insecticides on the nets. Conclusions ITNs remain an important malaria control intervention. To ensure adequate and increased net access, distribution campaigns should consider family structures, available sleeping spaces, and other bed sharing preferences when identifying the number of nets needed for distribution. In addition, campaigns should allow for multiple options for net distribution points and timing to accommodate households remote to health services. Continuous distribution channels and complimentary distribution through the private sector could help fill gaps in coverage. Solutions are needed for outdoor malaria transmission, including alternative designs for ITNs, and improving access to complementary personal protective measures.

Abstract Background The increased availability and use of malaria rapid diagnostic test (RDT) by primary healthcare (PHC) workers has made universal diagnostic testing before malaria treatment more feasible. However, to meaningfully resolve the problem of over-treatment with artemisinin-based combination therapy and the heightened risk of selection pressure and drug resistance, there should be appropriate response (non-prescription of anti-malarial drugs) following a negative RDT result by PHC workers. This study explored the determinants of the use of RDT and anti-malarial drug prescription practices by PHC workers in Ebonyi state, Nigeria. Methods Between March 2 and 10, 2020, three focus group discussions were conducted in English with 23 purposively-selected consenting PHC workers involved in the diagnosis and treatment of malaria. Data was analysed thematically as informed by the method by Braun and Clarke. Results The determinants of the use of RDT for malaria diagnosis were systemic (RDT availability and patient load), provider related (confidence in RDT and the desire to make correct diagnosis, PHC worker’s knowledge and training, and fear to prick a patient), client related (fear of needle prick and refusal to receive RDT, and self-diagnosis of malaria, based on symptoms, and insistence on not receiving RDT), and RDT-related (the ease of conducting and interpreting RDT). The determinants of anti-malarial drug prescription practices were systemic (drug availability and cost) and drug related (effectiveness and side-effects of the drugs). The determinants of the prescription of anti-malarial drugs following negative RDT were provider related (the desire to make more money and limited confidence in RDT) and clients’ demand while unnecessary co-prescription of antibiotics with anti-malarial drugs following positive RDT was determined by the desire to make more money. Conclusions This evidence highlights many systemic, provider, client, and RDT/drug related determinants of PHC workers’ use of RDT and anti-malarial drug prescription practices that should provide tailored guidance for relevant health policy actions in Ebonyi state, Nigeria, and similar settings.

The article is devoted to the material obtained during excavations in 1981-1982 a small, destroyed Late Bronze Age settlement of Makri Khaya in the North-Eastern Azov region. The starting point for the work was an interesting set of astragalus Ovis aries with a stone bat(?). However, in the process of studying the material, it was decided to give as complete an idea as possible about the complex of finds at the settlement, focusing on the collection of bone artifacts at the end of the article. A striking detail of the monument was the discovery of a ritual complex of small ruminant astragalus with a stone bat(?). Work of a different nature carried out near the studied settlement is also covered: excavations of a burial mound-free burial ground and a Paleolithic site.

Abstract Background Teenage pregnancy is still one of the reproductive health concerns facing adolescents in Tanzania. The problem has been associated with physiological, psychological, and social changes and increases the risk of unsafe abortion and adverse maternal, fetal, and neonatal outcomes among adolescents. Low utilization of contraceptive methods among adolescents is one of the key causes. The strategy of involving male adolescents in sexual and reproductive health programs can increase the rate of contraceptive use among adolescents, thereby preventing teenage pregnancy. Objective To examine factors associated with the uptake of contraceptives among male secondary school adolescent students. Methods This was a cross-sectional study conducted in rural secondary schools in Kisarawe District, Coast Region, Tanzania. Multi-stage sampling methods were used to recruit participants. Descriptive and multiple regression analyses were conducted to assess the prevalence and factors associated with contraceptive use. 95% confidence interval and p-value

This paper aims to enhance our understanding of project management (PM) in collaborative Research & Development & Innovation (R&D&I) projects by analysing the fit between the use and usefulness of 35 PM practices. Research results include quantitative data analysis of 465 responses to an online survey questionnaire, complemented by a qualitative data analysis of 12 semi-structured interviews. The study identifies the top-10 ‘most used’ and ‘most useful’ PM practices in collaborative R&D&I, covering the complete PM lifecycle while emphasising the importance of the project ‘Initiation' phase. Furthermore, it identifies a set of ‘must have’ PM practices that exhibit a perfect fit, suggesting that consistent implementation impacts successful project outcomes. The remaining 26 PM practices surveyed present a ‘use misfit’, meaning they are deemed useful but are not frequently used. The paper delves into the causes behind this and explores potential strategies to address it, with leadership emerging as a significant strategy to overcome practice misfits.

Purpose Anabolic androgenic steroids (AAS) are used for their aesthetic and performance-enhancing effects and are associated with physical and psychological side effects. Behavioural changes/side effects as mood swings, aggressiveness, depression, potency problems, anxiety, and emotional coldness have been reported by next of kin to people using AAS. Methods This phenomenological study is based on the reflective lifeworld research approach. Interviews were conducted with twelve next of kin about their experiences of living close to persons using AAS. Results Next of kin to persons using AAS are particularly vulnerable because they experience little opportunity to influence their situation. Their given and safe context is lost, and their lives are circumscribed by feelings of insecurity, fear, powerlessness, and grief. Feelings of loneliness develop when their problems are not noticed by others and support is lacking from family and society. Conclusions Our research adds important knowledge on how the use of AAS affects next of kin. Understanding is required to approach the lifeworld of next of kin with flexibility and empathy in their difficulties and vulnerability. Healthcare professionals and other concerned professions need to be aware of next of kin existential needs to be able to meet and support them in their life situation.

Background: Malaria poses a substantial public health threat in Myanmar, indicating the need for rigorous efforts to achieve elimination of the disease nationwide by 2030. The use of insecticide-treated nets (ITNs) forms part of a pivotal strategy for preventing transmission. This study explored the ownership and use of ITNs in Myanmar and identified factors associated with non-use of ITNs. Methods: Household datasets from the 2015–2016 Myanmar Demographic and Health Survey were utilised, which encompassed all household members except children under the age of five. Descriptive statistics and inferential tests, including simple and multiple logistics regression models and Pearson correlations, were employed for analysis. All analyses, taking the two-stage stratified cluster sampling design into account, used weighting factors and the "svyset" command in STATA. The ownership and use of bed nets were also visualised in QGIS maps. Results: Among the 46,507 participants, 22.3% (95% CI 20.0%, 24.5%) had access to ITNs, with only 15.3% (95% CI 13.7, 17.1%) sleeping under an ITN the night before the survey. Factors associated with the non-use of ITNs included age category (15–34 years—aOR: 1.17, 95% CI 1.01, 1.30; 50+ years—aOR: 1.19, 95% CI 1.06, 1.33), location (delta or lowland—aOR: 5.39, 95% CI 3.94, 7.38; hills—aOR: 1.80, 95% CI 1.20, 2.71; plains—aOR: 3.89, 95% CI 2.51, 6.03), urban residency (aOR: 1.63, 95% CI 1.22, 2.17), and wealth quintile (third—aOR: 1.38, 95% CI 1.08, 1.75; fourth—aOR: 1.65, 95% CI 1.23, 2.23; fifth—aOR: 1.47, 95% CI 1.02, 2.13). A coherent distribution of the ownership and use of ITNs was seen across all states/regions, and a strong correlation existed between the ownership and use of ITNs (r: 0.9795, 95% CI 0.9377, 0.9933, alpha < 0.001). Conclusions: This study identified relatively low percentages of ITN ownership and use, indicating the need to increase the distribution of ITNs to achieve the target of at least one ITN per every two people. Strengthening the use of ITNs requires targeted health promotion interventions, especially among relatively affluent individuals residing in delta or lowland areas, hills, and plains. [ABSTRACT FROM AUTHOR]

Background: Universal coverage with insecticide-treated nets (ITNs) is important for malaria control and elimination. The emergence and intensification of insecticide resistance threatens progress made through the deployment of these interventions and has required the development of newer, more expensive ITN types. Understanding malaria prevention behaviour, including barriers and facilitators to net access and use, can support effective decision-making for the promotion and distribution of ITNs. Methods: In-depth interviews and focus group discussions were conducted in 3 to 4 villages per district, in 13 districts across Burkina Faso, Mozambique, Nigeria and Rwanda from 2019 to 2022. Interviews were conducted in the local language, translated and transcribed in English, French or Portuguese. Transcripts were coded and analysed using Nvivo and ATLAS.ti. Results: ITNs were obtained from mass distribution campaigns, antenatal care and immunization visits, and purchased on the private market in some locations. While there were divergent perspectives in whether the number of distributed nets were adequate, participants consistently expressed concerns of bias, discrimination, and a lack of transparency with the distribution process. ITNs were frequently used alongside other malaria prevention methods. The primary motivation for use was malaria prevention. While some participants reported using nets nightly throughout the year, other participants reported seasonal use, both due to the perceived higher density of mosquitoes and discomfort of sleeping under a net in the increased heat. Other barriers to consistent net use included activities that take place away from the home, sleeping patterns and arrangements, and sensitivity to the insecticides on the nets. Conclusions: ITNs remain an important malaria control intervention. To ensure adequate and increased net access, distribution campaigns should consider family structures, available sleeping spaces, and other bed sharing preferences when identifying the number of nets needed for distribution. In addition, campaigns should allow for multiple options for net distribution points and timing to accommodate households remote to health services. Continuous distribution channels and complimentary distribution through the private sector could help fill gaps in coverage. Solutions are needed for outdoor malaria transmission, including alternative designs for ITNs, and improving access to complementary personal protective measures. [ABSTRACT FROM AUTHOR]

Background Sepsis in the first week or two of life is a major cause of newborn deaths. People from diverse cultural backgrounds use different substances for umbilical cord care. Evidence-based umbilical cord care practices have a large potential to lower infant morbidity and mortality linked to infection. This study investigated the knowledge and use of chlorhexidine gel for umbilical cord care. Methods A cross-sectional descriptive survey was employed among 191 postpartum women at the Poly General Hospital Asata, Enugu, selected through simple random sampling. A researcher-developed questionnaire was used for data collection. Results More than one-half (n=101; 52.1%) had poor knowledge of chlorhexidine gel use in umbilical cord care. There was no significant association between educational status and knowledge of chlorhexidine gel use in umbilical cord care among the participants (p=0.072). Only 89 (46.6%) had ever used chlorhexidine gel for umbilical cord care, while 49 (25.7%) used chlorhexidine gel for their last child. Parity was not significantly associated with the use of chlorhexidine gel (p=0.736). Both educational status (p=0.019) and knowledge of chlorhexidine use for umbilical cord care (p<0.001) were found to be significantly associated with its use. Conclusions There was poor knowledge of chlorhexidine gel use for umbilical cord care among the participants. Use of chlorhexidine gel in this population is still suboptimal. Healthcare providers should continue to provide information on chlorhexidine gel use in umbilical cord care in order to optimise its knowledge and use. Other factors associated with the use of chlorhexidine gel for umbilical cord care should be explored. [ABSTRACT FROM AUTHOR]

Background: The increased availability and use of malaria rapid diagnostic test (RDT) by primary healthcare (PHC) workers has made universal diagnostic testing before malaria treatment more feasible. However, to meaningfully resolve the problem of over-treatment with artemisinin-based combination therapy and the heightened risk of selection pressure and drug resistance, there should be appropriate response (non-prescription of anti-malarial drugs) following a negative RDT result by PHC workers. This study explored the determinants of the use of RDT and anti-malarial drug prescription practices by PHC workers in Ebonyi state, Nigeria. Methods: Between March 2 and 10, 2020, three focus group discussions were conducted in English with 23 purposively-selected consenting PHC workers involved in the diagnosis and treatment of malaria. Data was analysed thematically as informed by the method by Braun and Clarke. Results: The determinants of the use of RDT for malaria diagnosis were systemic (RDT availability and patient load), provider related (confidence in RDT and the desire to make correct diagnosis, PHC worker's knowledge and training, and fear to prick a patient), client related (fear of needle prick and refusal to receive RDT, and self-diagnosis of malaria, based on symptoms, and insistence on not receiving RDT), and RDT-related (the ease of conducting and interpreting RDT). The determinants of anti-malarial drug prescription practices were systemic (drug availability and cost) and drug related (effectiveness and side-effects of the drugs). The determinants of the prescription of anti-malarial drugs following negative RDT were provider related (the desire to make more money and limited confidence in RDT) and clients' demand while unnecessary co-prescription of antibiotics with anti-malarial drugs following positive RDT was determined by the desire to make more money. Conclusions: This evidence highlights many systemic, provider, client, and RDT/drug related determinants of PHC workers' use of RDT and anti-malarial drug prescription practices that should provide tailored guidance for relevant health policy actions in Ebonyi state, Nigeria, and similar settings. [ABSTRACT FROM AUTHOR]

The ability of an ecosystem to provide services differs from its actual consumption and use by human society. Overuse of ecosystems can degrade ecosystems. In order to evaluate the supply capacity and use status of the ecosystem in Miyun County, so as to better apply the ecosystem services to different policies and management, the supply and use of 10 types of ecosystem services in Miyun County were calculated by using value indicators, namely potential gross ecosystem product (GEP) and actual gross ecosystem product. The results show that: (1) In 2020, potential gross ecosystem product of Miyun County is 254.32 billion yuan, and actual gross ecosystem product is 53.28 billion yuan, accounting for 21% of the potential gross ecosystem product. (2) Among all kinds of ecosystem services, the contribution of water conservation services in potential gross ecosystem product is the highest, and the contribution of climate regulation services in actual gross ecosystem product is the highest. (3) The contribution of wetland was the highest in potential gross ecosystem product, while the contribution of forest was the highest in actual gross ecosystem product. (4) Natural ecosystem area and vegetation coverage are the main factors affecting potential gross ecosystem product, while actual gross ecosystem product is mainly affected by GDP and population. (5) By studying the potential supply and actual use of ecosystem services, we evaluated and distinguished between the services that ecosystem could produce and the services that were actually used by humans, and compared the supply capacity and actual use to assess the sustainability of ecosystem services, in order to formulate different policies and management measures for gross ecosystem product surplus and deficit regions. Potential gross ecosystem product could provide data support for the assessment of ecological protection benefits. Actual gross ecosystem product could be included in the system of national accounts, and as a standard for ecological compensation and ecological trading. Confusing potential supply and actual use in policy application would affect the effect of policy implementation, and distinguishing them could ensure policy implementation. The relative size of the relationship between the two could reflect the present and future levels of human well-being in a region. Both together provided management basis and policy-making support for guiding regional ecological protection and sustainable development. [ABSTRACT FROM AUTHOR]

AbstractChatGPT and other AI chat information retrieval and processing service systems can deal with many problems, which are crucial for users, yet current research lacks depth in user experience. And those studies predominantly focus on positive aspects of user intention, which have a large limitation. Against this backdrop, this study, framed by Behavioral Reasoning Theory, utilizes factor analysis and linear regression to create a comprehensive user intention evaluation scale and model. The eight-factor evaluation scale, shaped by user values, includes supporting reasons like usefulness, convenience, growth, and interactivity, and inhibiting factors such as inaccuracy, semantic rigidity, security risk, and cognitive limitation. Attitude serves as an intermediary, positively affected by supporting factors and negatively influenced by inhibiting ones. Core factors impacting user intention are convenience, cognitive limitation, and security risk. This research not only bridges existing gaps but also lays a theoretical foundation for related industries. [ABSTRACT FROM AUTHOR]

The consumption of e-cigarettes has rapidly increased in the last years, both worldwide and in Poland, especially among adolescents and youth. Many e-cigarette users also smoke conventional cigarettes ("dual use"). Some researchers argue that e-cigarette vaping, where tobacco burning seems to be eliminated, significantly reduces the number and content of toxic substances when compared to combustible tobacco products. They also underline that consumption of less harmful tobacco and nicotine products can substantially reduce the health consequences of tobacco smoking when the cigarette smoking would be substituted by the e-cigarette use. However, the number of studies that prove negative health consequences of e-cigarette use is steadily increasing. Many carcinogenic, cardiovascular and pulmonary toxic compounds were found in e-cigarettes and, dependently on the patterns of e-cigarette use, their content may increase to the level observed for cigarette smoking. Studies prove that dual use of e-cigarettes and manufactured cigarettes is more risky than cigarette smoking. Therefore, there is an urgent need to regulate e-cigarettes as strictly as tobacco products. [ABSTRACT FROM AUTHOR]