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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]

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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]

Copyright of Cuadernos del Centro de Estudios de Diseño y Comunicación is the property of Cuadernos del Centro de Estudios de Diseno y Comunicacion and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The text presents three possible dimensions of using Foucauldian thought in relation to the Latin American perspective of the writer to situate the present: political rationality, materialist ethics, and critical ontology. This perspective is part of a research program in which the author has already published several advances. It then focuses on the pragmatic concept of truth as a knotting factor of these three dimensions, and concludes with a possible diagnosis about why it is so challenging - yet indispensable - to currently make use of Foucauldian thought in the indicated sense. [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]

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]

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]

Copyright of Trans/Form/Ação is the property of Trans/Form/Acao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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]

Value denotes the desired and appropriate, as opposed to the existing, real. To understand the nature of value, the realization that the understanding of reality and truth does not have a clear answer to the question "what is value?" became paramount. Truth answers the question of what reality is, and value answers the question of what is desirable or how something should be. The discovery of the impossibility of representing meaning from a description of what exists (or does not exist) belongs to the English thinker Hume, which became commonly known as Hume's law. The difference between truth and value has acquired the status of a "fact-value" problem. In the philosophy of the 20th century, there were always attempts to overcome the chasm that separates the world of empirical reality and the world of values. Some modern philosophers are not inclined to consider this gulf as absolute. By the end of the 19th century value was considered in the context of metaphysics, theology or epistemology, that is, the nature of value was not special, so philosophers did not need a special term to denote value. The 20th century inherited two fundamental groups of concepts regarding the interpretation of the nature of value - objectivist and subjectivist. The line of objectivist understanding of value was initiated by Plato: he understood the idea of good as fundamentally indistinguishable from other ideas, and therefore indistinguishable from truth; the exclusivity of this idea was that, according to Plato, it crowned the hierarchy of all other ideas. In medieval Thomistic theology, the ideas that God released into the world as a result of the act of creation of the whole world and through the appearance of Christ - in particular, through God's Testament - were considered valuable. In modern philosophy, in contrast to ancient and medieval philosophy, a predominantly subjectivist understanding of value has been established. According to this position, value belongs to mental objects, the source of which are our desires, interests, feelings, as well as our attitudes. This line of understanding of the nature of value is recognized by many prominent philosophers of the New Age and the beginning of the 20th century: Leibniz, Spinoza, Hobbes, utilitarian philosophers, Perry, Meinong, Stevenson, logical positivists (Iyer, Russell). These philosophers have offered several different versions of the subjectivist interpretation of value: value is a hidden command or order, the source of value is a feeling; the source of value is desire and satisfaction, interests. [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]

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]

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.

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]

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.

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]

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]

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]

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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]

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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]

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Background: Antenatal care (ANC) is crucial to reducing maternal and neonatal deaths, but few studies examined adolescent girls’ and young women’s ANC utilisation and knowledge in Ghana. Aim: To assess adolescents’ and young mothers’ knowledge of ANC, utilisation and factors influencing its use in Ghana. Setting: Tano North Municipality, Ahafo Region. Methods: This community-based, cross-sectional study involved 440 adolescent and young mothers (between 10 and 24 years). A structured questionnaire was employed to collect data face-to-face. Descriptive and statistical analyses were performed, and p 0.05 was considered statistically significant. Results: Of the 440 respondents, most were aged 20–24 years (61.2%), married (30.0%), Christians (78.2%), completed junior high school (JHS) (47.8%) and traders (38.9%). Postnatal mothers were 71.6% (315), and all had utilised ANC services. Antenatal care knowledge was good among 75% (330) respondents, with no significant variation by age. Religion influenced knowledge, with Muslims having lower knowledge. Antenatal care utilisation was high ( 50%) among those aged 15–19 years, married, Christians, JHS graduates and traders. Age, marital status and employment type significantly influenced ANC utilisation. Individuals in the age group 15–19 years and married women demonstrated higher odds of utilising ANC services. Casual workers and unemployed respondents were found to have lower odds of utilising ANC services compared to traders. Conclusion: Age, marital status, and employment type influenced ANC utilisation in the Ahafo Region. Adolescent mothers under 15 years had lower rates, requiring targeted interventions to improve pregnancy outcomes. Contribution: This study highlights the knowledge and factors influencing ANC use in Ahafo Region and adds to the existing research evidence on ANC.

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

Abstract Background The COVID-19 pandemic has fueled the widespread adoption of telemedicine in healthcare, particularly in Sarawak, Malaysia. This study investigates the use and acceptance of Sarawak’s inaugural multidisciplinary geriatric telemedicine service, TELEG. Methods This cross-sectional study took place at the Sarawak Heart Centre’s geriatric department from July 1, 2021, to April 30, 2022. Convenient sampling included all TELEG-enrolled patients during this period, to achieve minimum sample size of 148. TELEG’s utilization was assessed in terms of medication therapy and treatment plan optimization, as well as enhanced healthcare accessibility. Participants’ acceptance of TELEG was measured using the Service User Technology Acceptability Questionnaire (SUTAQ) administered through Google Forms. Descriptive statistics percentages illustrated the proportion of participants who found TELEG moderately to highly acceptable. Associations between baseline characteristics and overall acceptance were explored through bivariate analyses, including Pearson’s correlation test, independent t-test, and ANOVA. The influence of six SUTAQ dimensions on overall acceptance, multivariable linear regression using enter method was employed. Statistical significance was determined by p-values less than 0.5. Results Among 180 geriatric patients enrolled in TELEG during the study period, 149 agreed to participate. TELEG led to medication therapy optimization for 88.6% of participants, primarily involving dose adjustment (44.7%), de-prescribing (31.8%), and prescribing (15.9%). Additionally, 53.8% received treatment plan optimization, predominantly in the form of self-care education (56.3%), referrals for further treatment (33.8%), additional laboratory investigations (29.6%), and increased monitoring (26.8%). Among those educated in self-care (n = 40), dietary intake (27.5%), lower limb exercise (25.0%), and COVID-19 vaccination (12.5%) were the most common topics. All participants expressed moderate to high acceptance of TELEG (mean = 4.9, SD = 0.65, on a scale of 1 to 6). Notably, care personnel concern (B = 0.256; p

Abstract Introduction The implementation of Information and Communication Technology (ICT) in daily healthcare practice has become standardized. In relation to education within the nursing degree, ICTs make it possible to carry out practical immersion training from the” classroom or from any other place with an Internet connection, as evidenced by circumstances that have occurred in recent years, such as the pandemic caused by COVID-19. Objective Design and assess a didactic simulation program for the training of the nursing process that promotes learning in the nursing care Methodology The methodological approach is quantitative and it is a descriptive cross-sectional study. The sampling method used was non-probabilistic by convenience. Results When observing the comparison of the averages of student satisfaction with respect to the didactic simulator, it is worth mentioning that all the items are above 2.80 on a score in which “0” is the minimum value and “5” the maximum value. The results of the use of the computer tool by the students, we highlight as significant data that all the items present an average equal to or lower than 3.04 out of 7, where “1” corresponds to a lot of use and “7” to little use. Conclusion The implication of ICT in the teaching–learning process among Nursing Degree students, it is considered optimal. when analyzing the answers obtained in the items that refer to a higher ease in the execution of development of Care plans, a fundamental work in Nursing performance.

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.

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]