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Background: The incidence of Legionnaires’ disease (LD) is increasing steadily in Europe. Its early diagnosis by general practitioners (GPs) is crucial for better patient outcomes. Study objectives: This study assessed Belgian GPs’ knowledge about LD and the accessibility of diagnostic tests in their practices. Methods: A specifically designed questionnaire was distributed to actively practicing GPs, including primary care trainees, between 31 January 2022 and 13 March 2022. This survey targeted approximately 4200 GPs with an estimated population catchment of 30% of the actively working Belgian GPs. Results: The response rate was estimated at 3%. Over 70% of the GPs correctly identified the LD occurrence peak, major risk factors, and clinical manifestations. While 62% of participants preferred the Legionella pneumophila urinary antigen test (UAT) as a primary diagnostic method, 75% were unsure about its availability within their laboratories and 82% had not prescribed it in the last year. Finally, 76% expressed a desire for additional information on this topic. Conclusions: Belgian GPs should evaluate the possibility of conducting UAT testing in their laboratories to enhance LD case management and improve their preparedness. Furthermore, initiatives should be implemented to improve communication between specialists and GPs and develop educational programs directed at Belgian GPs.

Background: Interest in the oligometastatic prostate cancer (OMPC) is increasing, and various clinical studies have reported the benefits of metastasis-directed radiation therapy (MDRT) in OMPC. However, the recognition regarding the adopted definitions, methodologies of assessment, and therapeutic approaches is diverse among radiation oncologists. This study aims to evaluate the level of agreement for issues in OMPC among radiation oncologists. Methods: We generated 15 key questions (KQs) for OMPC relevant to definition, diagnosis, local therapies, and endpoints. Additionally, three clinical scenarios representing synchronous metastatic prostate cancer (mPC) (case 1), metachronous mPC with visceral metastasis (case 2), and metachronous mPC with castration-resistance and history of polymetastasis (case 3) were developed. The 15 KQs were adapted according to each scenario and transformed into 23 questions with 6–9 per scenario. The survey was distributed to 80 radiation oncologists throughout the Republic of Korea. Answer options with 0.0–29.9%, 30–49.9%, 50–69.9%, 70–79.9%, 80–89.9%, and 90–100% agreements were considered as no, minimal, weak, moderate, strong, and near perfect agreement, respectively. Results: Forty-five candidates voluntarily participated in this study. Among 23 questions, near perfect (n = 4), strong (n = 3), or moderate (n = 2) agreements were shown in nine. For the case recognized as OMPC with agreements of 93% (case 1), near perfect agreements on the application of definitive radiation therapy (RT) for whole metastatic lesions were achieved. While ≥70% agreements regarding optimal dose-fractionation for metastasis-directed RT (MDRT) has not been achieved, stereotactic body RT (SBRT) is favored by clinicians with higher clinical volume. Conclusion: For the case recognized as OMPC, near perfect agreement for the application of definitive RT for whole metastatic lesions was reached. SBRT was more favored as a MDRT by clinicians with a higher clinical volume.

The survey entitled “Field Survey of Alabama Department of Transportation (ALDOT) Transportation Maintenance Technicians (TMTs) Perception of Worker Safety” investigates the safety perceptions and concerns of maintenance workers within ALDOT through a multifaceted analysis approach. The findings reveal critical insights that can significantly enhance ALDOT’s safety practices, training programs, and overall safety culture. Disparities in safety perceptions across different ALDOT’s areas were found, emphasizing the need for ALDOT to tailor its strategies to meet the unique needs of each area, ensuring that safety measures are both relevant and effective. The study emphasizes the importance of implementing targeted interventions focused on high-risk activities and prevalent safety concerns, allowing ALDOT to prioritize resources effectively. Additionally, the research highlights the necessity for continuous improvement by regularly evaluating safety initiatives based on feedback and best practices. This ongoing evaluation ensures that safety measures remain relevant and effective in addressing the evolving needs of TMTs. By integrating these insights into its safety management practices, ALDOT can cultivate a more proactive and resilient work environment that not only addresses immediate safety concerns but also establishes a sustainable culture of safety prioritizing employee well-being. The study provides a roadmap for future improvements in workplace safety and initiates discussions on the implications and recommendations for enhancing ALDOT’s and other transportation agencies’ safety management practices.

Though we spend a significant amount of time in indoor and built environments as general occupants of residential or commercial spaces, we do not necessarily know how the heating, cooling, and ventilation services work in our occupied spaces. As the mechanical systems of buildings become more complex for energy saving and better indoor air quality, it is beneficial for occupants to learn more their built environment so that they can cooperate effectively for the building’s performance. In this context, the purpose of this research is to develop and evaluate how virtual reality (VR) technology can support occupants in understanding their built environment. An educational building on campus was selected for the development as it provides familiar spaces for potential participants in this research. This research was carried out in two stages. In Stage One, we, as researchers in mechanical engineering, explored the workflow for VR development and developed VR tours for four spaces: a classroom, an auditorium, a conference room, and a mechanical room. In Stage Two, we conducted a survey study to examine the VR experience from the perspective of users. In this survey study, we recruited 34 participants from engineering students/graduates, industry participants, and a sustainability group. The participants generally indicated a positive experience with the VR tours, although the quiz scores on the VR content were weak. From our reflection, we consider that positive and effective VR experiences for the education of the built environment require collaboration from three domains: (1) mechanical systems of buildings, (2) VR technology, and (3) pedagogy.

This research endeavours to systematically investigate the multifaceted domain of AI literacy, given the pervasive impact of artificial intelligence on diverse facets of contemporary human existence. The inquiry is motivated by a fundamental question posed to educators: how best to cultivate AI literacies and competencies and how these proficiencies are structured and influenced. Employing a rigorous two-part methodology, the initial phase scrutinises 28 studies from the SCOPUS database, unveiling five distinct discourses germane to AI literacy. Subsequently, the second phase involves the administration of questionnaires to 73 students, whose responses undergo thematic analysis to discern patterns within the four domains delineated by Ng et al. The ensuing discourse underscores a pivotal revelation: despite formal adherence to established discourses, the conceptualisation of AI literacy necessitates a departure from conventional perspectives. Ethical principles, elucidated by students, emerge not merely as individual components but as integral facets of a broader societal literacy profile, thereby advocating a paradigm shift towards social reflection. This novel insight prompts a critical re-evaluation of AI literacy’s prevailing assumptions and conceptual frameworks, urging a transition towards models grounded in ecological or network dynamic interactionist principles.

(1) Introduction: Chronic insomnia (CI) reduces quality of life and may trigger depression and cardiovascular diseases. The European Sleep Research Society recommends cognitive behavioural therapy (CBT-I) as the first-line treatment. Because a recent study in Switzerland demonstrated that this recommendation was inconsistently followed by primary care physicians, we hypothesised that pharmacists also deviate from these guidelines. The aim of this study is to describe current treatment practices for CI recommended by pharmacists in Switzerland, compare them to guidelines and examine their attitudes towards CBT-I. (2) Methods: A structured survey was sent to all the members of the Swiss Pharmacists Association, containing three clinical vignettes describing typical CI pharmacy clients. Treatments had to be prioritised. The prevalence of CI, and the pharmacists’ knowledge and interest in CBT-I were assessed. (3) Results: Of 1523 pharmacies, 123 pharmacists (8%) completed the survey. Despite large variations, valerian (96%), relaxation therapy (94%) and other phytotherapies (85%) were most recommended. Although most pharmacists did not know about CBT-I (72%) and only 10% had recommended it, most were very interested (64%) in education. Missing financial compensation hampers the recommendation of CBT-I. (4) Conclusions: Contrary to existing European guidelines, community pharmacists in Switzerland mostly recommended valerian, relaxation therapy and other phytotherapies for treating CI. This might be connected to the client’s expectation of pharmacy services, e.g., medication dispensing. While pharmacists recommend sleep hygiene regularly, most did not know of CBT-I as an overarching concept but were willing to learn. Future studies should test the effects of dedicated training about CI and changes in the financial compensation for counselling for CI in pharmacies.

The subject of digitization is currently very widely described. Implementing digitization is a complex task and there are many variants of its implementation. The authors of this article asked themselves what current trends affect the digitization of processes and what factors resulting from the characteristics of production enterprises affect the development of operational processes. The CAWI method was used in the study. In the analysis of the results, the following methods were used: Partial Least Squares Path Modeling (PLS), Mood’s Median Test, or visualization using a box plot. The analysis of the results allowed us to conclude that the development of operational processes of production enterprises is related to digitization trends, but this relationship is not direct. It is necessary to link digitalization trends with software development trends. The conducted research also indicated that there are company characteristics that determine the degree of use (absorption) and the perception of significance for digitalization trends. These characteristics are the type of a company and the age of a company.

Background: The acquisition of healthy lifestyle habits by adolescents is largely influenced by close interpersonal relationships including their parents and teachers., Methods: A cross-sectional survey regarding tobacco use was conducted among 304 parents and 41 teachers of secondary school adolescents (12-17 years of age) enrolled in the first, second, and third grades of compulsory secondary education at the largest high school in Sueca, Valencia, Spain., Results: The prevalence of smoking was 36.2% among parents (occasional smokers 75.4%) and 19.5% among teachers (occasional smokers 62.5%). Most parents (89.8%) did not believe that their child smoked and 95.7% viewed it negatively if they did. Also, 75.2% of parents agreed that tobacco consumption encourages adolescents to use cannabis or other drugs. Friends who smoke and additives added to cigarettes were considered very influential factors for starting smoking. Most teachers (90.2%) reported having given a recommendation to their students to quit smoking. Cannabis and cigarette smoking were rated as harmful to health. Most respondents believed that cigarette smoking may favor the consumption of cannabis., Conclusions: The use of e-cigarettes was also considered a risk factor for starting smoking. It would be advantageous incorporating parents and teachers as role models in multidisciplinary interventions addressing smoking behavior in secondary school students.

Background: Stress urinary incontinence (SUI) is a common condition that can significantly impact a patient's quality of life. Although multiple diagnostic and treatment options exist, significant variability in SUI management exists between countries. Since women's SUI prevalence in Jordan is high, and Jordan is a lower-middle-income country, this study aimed to investigate how obstetricians and gynecologists (OBGYNs) across Jordan manage and treat women with SUI., Method: A Google Forms survey was prepared and sent out to Jordanian OBGYNs via WhatsApp. The results were collected and arranged in Microsoft Excel and then transferred to SPSS for statistical analysis., Results: Out of the 804 Jordanian registered OBGYNs, 497 could be reached, 240 conduct gynecological surgeries, and 94 completed the survey, providing a response rate of 39.2%. Most of the respondents were females between 41 and 55 years old. More than 70% of the OBGYNs worked in the private sector, and 88.3% operated in the capital of Jordan. Most of the respondents favored lifestyle and behavior therapy (43.6%) or pelvic floor physiotherapy (40.4%) as the first-line management for SUI. The transobturator mid-urethral sling (MUS) was the most common initial surgical treatment option. The physicians preferred two-staged procedures for the repair of pelvic organ prolapse alongside concomitant SUI. In the case of recurrent SUI following surgery, 77% of the respondents chose to refer to a urologist or urogynecologist., Conclusions: The Jordanian OBGYNs preferred using lifestyle/behavioral therapy and pelvic floor muscle physiotherapy as the first-line treatment to manage SUI. Secondly, the MUS would be the most frequently preferred surgical choice. To effectively manage SUI, adequate training in urogynecology and referral resources are essential in lower-middle-income countries.

Equine headshaking syndrome (EHS) is characterised as non-physical and involuntary movement of the horse’s head and neck. Although EHS is clinically simple to diagnose, its aetiopathogenesis often remains unclear. The aim of this study was to gain an overview of signalment and therapy possibilities used in France and Switzerland. To do this, an online survey was developed and distributed via newsletters. A total of 933 complete, answered surveys from France (n = 804) and Switzerland (n = 129) were evaluated. The median age in France was 12.4 years (CH = 14.3). Mostly geldings were affected (58.5%FRA, 57.4%CH). There was an association with Warmbloods in Switzerland (55.8%CH), but in France, in addition to Warmbloods (34.4%FRA), Thoroughbreds (27.2%FRA) were also affected. Moreover, horses affected by EHS often show stereotypical behaviour (15.7%FRA, 14.7%CH). A total of 38.4%FRA and 67.4%CH of horse owners utilised therapy measures, with nose covers being most commonly used (19.9%FRA, 30.2%CH). Horse owners resorted to alternative treatments that had not previously been studied in context with EHS (15%FRA, 20.9%CH). Conservative treatments, such as medication, were used by 5.4%CH and 1.9%FRA. This study provides an overview of the status of horses affected by EHS in France and Switzerland and thus offers a fundamental step to understanding the consequences of welfare issues associated with EHS.

Older adults (aged 65 or older) are at higher risk of involvement in motor vehicle crashes. Many studies have been conducted on older road users’ safety, but how older people’s driving behavior and demographic characteristics, and warnings of side effects of prescription medication, are associated with their crash risk has not been fully investigated. Aimed to address this knowledge gap, a mail survey of older drivers in Illinois, U.S. was conducted. Information on respondents’ driving behaviors, demographic characteristics, physical conditions, medication use, crash experience, etc. was gathered. Response distributions, odds ratios, and logistic regression models were employed to analyze the survey data. The results showed that most respondents kept a high level of mobility despite driving difficulty and medication use. Older drivers’ crash risk is mainly affected by external factors (driving exposure, alcohol consumption, and medication use) rather than their demographic characteristics and driving difficulty. Warnings from physicians on the side effects of prescription drugs had no significant effects on older drivers’ crash risk. Given the importance of mobility to older adults, the focus needs to be placed on providing a safe roadway system and safe driving advice for older drivers, particularly those who are on medication.

New technologies reaching out for meeting the needs of an aging population in developed countries have given rise to the development and gradual implementation of the concept of an autonomous vehicle (AV) and have even made it a necessity and an important business paradigm. However, in parallel, there is a discussion about consumer preferences and the willingness to pay for new car technologies and intelligent vehicle options. The main aim of the study was to analyze the impact of selected factors on the perception of the future of autonomous cars by respondents from the area of Southeastern Poland in terms of a comparison with traditional cars, with particular emphasis on the advantages and disadvantages of this concept. The research presented in this study was conducted in 2019 among a group of 579 respondents. Data analysis made it possible to identify potential advantages and disadvantages of the concept of introducing autonomous cars. A positive result of the survey is that 68% of respondents stated that AV will be gradually introduced to our market, which confirms the high acceptance of this technology by Poles. The obtained research results may be valuable information for governmental and local authorities, but also for car manufacturers and their future users. It is an important issue in the area of shaping the strategy of actions concerning further directions of development on the automotive market.

Contemporary trends are focused on the development of the so-called smart, connected and multimedia cars as well as actions in the field of driving autonomy, and these trends may lead to changes in the structure of the industry through the emergence and growth of the importance of new entities. The article presents the concept of autonomous vehicles (AVs) and the way it is perceived by users of traditional cars. Surveys were carried out in various age groups on the possibilities of developing AVs in Poland. The group of respondents were inhabitants of a rural area, small towns and cities with over 300,000 inhabitants. Based on our own research, it can be concluded that, due to many different factors, including costs, legal regulations and conviction, among others, AVs will not appear so soon in common use on Polish roads. The results of the research showed that the majority of respondents consider hybrid vehicles (HVs) and then electric vehicles (EVs) to be the dominant type of vehicles in the near future in Poland, at the same time pointing at the long process of adopting AV technology.

As reflected in the sustainable development goals (SDGs), sustainable development is a multi-dimensional concept integrating political, ethical, economic, and other factors. Reports from the United Nations (UN) Decade of Education for Sustainable Development (UNDESD) suggest that universities are more engaged with sustainable development in higher education. Despite promising signals about student awareness of sustainable development, survey studies suggest student engagement and knowledge is limited. Previous studies have tended to focus on undergraduates and examine basic attitudes to triple bottom line issues. This study examined knowledge and attitudes of postgraduate U.K. students enrolled in one-year taught sustainability degrees on the multi-dimensional issues of sustainable development. This study piloted a 39-question 7-point Likert scale survey with a cohort of U.K.-taught postgraduate (MSc, MPhil) students (n = 121, Cronbach’s Alpha 0.796, n = 39 questions). The study found this cohort able to recognize and respond to the multiple challenges of strong and weak sustainable development issues rather than exhibiting knowledge gaps previously reported. Results and qualitative comments from the survey suggest, however, that students resist the idea of strong interventions in social, political, and economic life.

Additive manufacturing of digital spare parts offers promising new possibilities for companies to drastically shorten lead times and to omit storage costs. However, the concept of digital spare parts has not yet gained much footing in the manufacturing industry. This study aims to identify grounds for its selective rejection. Conducted from a corporate perspective, outlining a holistic supply chain network structure to visualize different digital spare part distribution scenarios, this survey study evaluates technical and economic additive manufacturing capabilities. Results are analyzed and discussed further by applying the Mann-Whitney test to examine the influence of the company size and the presence of 3D-printed end-use components within supply networks on gathered data. Machines’ limited build chamber volumes and the necessity of post-processing are considered as the main technical challenges of current additive manufacturing processes. Furthermore, it can be concluded that company sizes have a significant effect on perceived technological limitations. Overall, the results lead to the conclusion that the readiness level of the digital spare parts concept demands for further development.

(1) Introduction: Chronic insomnia (CI) reduces quality of life and may trigger depression and cardiovascular diseases. The European Sleep Research Society recommends cognitive behavioural therapy (CBT-I) as the first-line treatment. Because a recent study in Switzerland demonstrated that this recommendation was inconsistently followed by primary care physicians, we hypothesised that pharmacists also deviate from these guidelines. The aim of this study is to describe current treatment practices for CI recommended by pharmacists in Switzerland, compare them to guidelines and examine their attitudes towards CBT-I. (2) Methods: A structured survey was sent to all the members of the Swiss Pharmacists Association, containing three clinical vignettes describing typical CI pharmacy clients. Treatments had to be prioritised. The prevalence of CI, and the pharmacists' knowledge and interest in CBT-I were assessed. (3) Results: Of 1523 pharmacies, 123 pharmacists (8%) completed the survey. Despite large variations, valerian (96%), relaxation therapy (94%) and other phytotherapies (85%) were most recommended. Although most pharmacists did not know about CBT-I (72%) and only 10% had recommended it, most were very interested (64%) in education. Missing financial compensation hampers the recommendation of CBT-I. (4) Conclusions: Contrary to existing European guidelines, community pharmacists in Switzerland mostly recommended valerian, relaxation therapy and other phytotherapies for treating CI. This might be connected to the client's expectation of pharmacy services, e.g., medication dispensing. While pharmacists recommend sleep hygiene regularly, most did not know of CBT-I as an overarching concept but were willing to learn. Future studies should test the effects of dedicated training about CI and changes in the financial compensation for counselling for CI in pharmacies.