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Purpose: This study aims to conduct a Turkish validity and reliability study of the Spinal Cord Injury-Falls Concern Scale (SCI-FCS). Methods: The study involved 134 volunteer patients with spinal cord injury. Various validity analyses, including content validity analysis, Confirmatory Factor Analysis (CFA), Pearson product-moment correlation coefficient, and Cronbach's alpha value based on a single application for reliability, were employed. The Falls Efficacy Scale-International (FES-I) was used for criterion validity. Results: All the standardized regression coefficients for the single factor measurement model established with 16 items in the scale are above 0.84. The CFA model, also with a single factor and 16 items, yields the following fit indices: Root-Mean-Square Error of Approximation value of 0.15, Standardized Root Mean Residual Squares value of 0.06, Chi-square value of 2.20, and Comparative Fit Index and Non-Normed Fit Index values of 0.98. The scores they received from the SCI-FCS and the scores they received from the FES-I scale have a statistically significant positive correlation (p < 0.01). The test-retest reliability coefficient value is 0.81, and the Cronbach Alpha value is 0.97. Conclusion: The Turkish version of the SCI-FCS is a valid and reliable tool for determining fall concerns for patients with spinal cord injury. IMPLICATIONS FOR REHABILITATION: The Spinal Cord Injury- Falls Concern Scale (SCI-FCS) is a tool for assessing concerns about falling in people with spinal cord injuries. The Turkish version of the SCI-FCS is a valid and reliable tool. The Turkish version of SCI-FCS can be a useful tool in clinical and research settings for determining fall concerns for patients with spinal cord injury. [ABSTRACT FROM AUTHOR]

Background: Existential anxiety is the anxiety that goes beyond objective threats and is related to a person's existence. Due to the lack of appropriate instrument to measure all five domains of existential anxiety in the Iranian population, this study aimed to examine the psychometric properties of the Existential Concern Questionnaire (ECQ) in the Iranian general population. Methods: This online cross-sectional survey was conducted from October 9 to December 11, 2023 in Tehran, Iran. We used an Internet-based data collection method. A total of 549 participants completed the questionnaires. The research instruments included the Existential Concern Questionnaire, Existential Anxiety Questionnaire, Meaning in Life Questionnaire, Short version of the Beck Depression Inventory, Intolerance of Uncertainty Scale-12, and Death Attitude Profile Revised. Confirmatory factor analysis, convergent validity, and concurrent validity were used to measure the validity of ECQ. Cronbach's alpha and split-half methods were employed to assess the reliability of the ECQ. Results: Confirmatory factor analysis showed a good fit of the unidimensional model (CMIN/DF: 2.802, RMR: 0.066, GFI: 0.914, NFI: 0.911, CFI: 0.941, PNFI: 0.769, PCFI: 0.794, RMSEA: 0.057). Also, the correlation of ECQ with other variables was as expected except for the search for meaning in life (r: 0.010, P = 0.808), which indicates the validity of this questionnaire. The reliability of the questionnaire was also acceptable (Cronbach's Alpha: 0.935). Conclusions: The results supported the validity and reliability of the ECQ. The mentioned questionnaire can be used in Iranian general population. Considering the importance of existential anxiety in etiology of some disorders, it is suggested that the future studies focus on validation of the ECQ in different clinical samples and cultures. [ABSTRACT FROM AUTHOR]

Green stormwater infrastructure (GSI) is increasingly implemented worldwide to address stormwater issues while providing co-benefits such as habitat provision. However, research on public perceptions of GSI's ecosystem benefits is limited, and barriers such as perception and maintenance hinder biodiversity promotion in GSI. Through an online survey (n = 781), we explored how residents in four Northeast US urban areas—Prince George's County and Montgomery County, MD, New York City, and Philadelphia, PA—perceived the benefits and concerns regarding two types of bioswales (biodiverse and turf). Biodiverse swales feature various plants to promote biodiversity, whereas turf swales are primarily grass-covered. Our analyses included paired-samples t-tests, independent t-tests, one-way repeated measures ANOVA tests, and one-way ANOVA tests to compare perceptions across bioswale types, aspects of benefit/concern, and locations. Both bioswale types were recognized for enhancing green spaces and neighborhood aesthetics. Residents perceived greater environmental and social benefits from biodiverse swales than turf swales, particularly for habitat provision. While overall concerns for both bioswale types were low, potential issues like pest cultivation and the unappealing appearance of biodiverse swales remain significant barriers. Notably, implementing biodiverse swales alleviated initial concerns, especially about pests, suggesting familiarity can enhance acceptance. Location-specific differences in perception were observed, with New York City showing higher perceived benefits and concerns and Montgomery County exhibiting the lowest concerns. This variance is likely due to distinct urban environments, levels of environmental awareness, and demographic profiles. [ABSTRACT FROM AUTHOR]

This study aims to analyze lung cancer patients' perspectives on postoperative exercise in their daily lives, exploring their concerns and needs related to postoperative exercise to help healthcare professionals develop personalized exercise plans. Methods: An internet crawling technique collected online inquiries from Baidu webpages about postoperative physical activity in lung cancer patients, using "lung cancer", "surgery", and "exercise" as keywords. The data was encoded, categorized, and analyzed using a large-scale semantic analysis platform in natural language processing and information retrieval to examine term frequency, sentiment tendencies, and attributes in the inquiry texts. Results: Initially, 2727 queries were retrieved; after screening, deduplication, and cleansing, 201 unique queries were identified. Queries related to "modes of exercise" constituted the largest proportion. The most frequently occurring words in the word frequency analysis were "lung", " cancer", "should", "can", "long", "early", and "surgery", "exercise", "respiratory". Postoperative lung cancer patients demonstrate significant interest in whether they should engage in exercise, as well as in the appropriate types and duration of such activities, indicating a strong need for detailed guidance and knowledge related to exercise. The sentiment analysis showed a positive score of 87.5% and a negative score of 12.5%, indicating that postoperative lung cancer patients view exercise positively and have an enthusiastic attitude towards it. Among the positive sentiment attributes, "good" was the most frequently mentioned term, whereas "bad" and "surprising" were the most prevalent terms within the negative sentiment attributes. Conclusion: Postoperative physical activity receives limited attention from lung cancer patients, who emphasize their preferences for exercise modalities. Their inquiries often reflect psychological concerns, such as fear and helplessness caused by symptoms. Understanding patients' perspectives on postoperative physical activity within their real-life contexts can help integrate psychological support into exercise plans. This integration could guide healthcare professionals in developing more personalized postoperative exercise regimens for lung cancer patients. [ABSTRACT FROM AUTHOR]

Abstract Background Existential anxiety is the anxiety that goes beyond objective threats and is related to a person’s existence. Due to the lack of appropriate instrument to measure all five domains of existential anxiety in the Iranian population, this study aimed to examine the psychometric properties of the Existential Concern Questionnaire (ECQ) in the Iranian general population. Methods This online cross-sectional survey was conducted from October 9 to December 11, 2023 in Tehran, Iran. We used an Internet-based data collection method. A total of 549 participants completed the questionnaires. The research instruments included the Existential Concern Questionnaire, Existential Anxiety Questionnaire, Meaning in Life Questionnaire, Short version of the Beck Depression Inventory, Intolerance of Uncertainty Scale-12, and Death Attitude Profile Revised. Confirmatory factor analysis, convergent validity, and concurrent validity were used to measure the validity of ECQ. Cronbach’s alpha and split-half methods were employed to assess the reliability of the ECQ. Results Confirmatory factor analysis showed a good fit of the unidimensional model (CMIN/DF: 2.802, RMR: 0.066, GFI: 0.914, NFI: 0.911, CFI: 0.941, PNFI: 0.769, PCFI: 0.794, RMSEA: 0.057). Also, the correlation of ECQ with other variables was as expected except for the search for meaning in life (r: 0.010, P = 0.808), which indicates the validity of this questionnaire. The reliability of the questionnaire was also acceptable (Cronbach’s Alpha: 0.935). Conclusions The results supported the validity and reliability of the ECQ. The mentioned questionnaire can be used in Iranian general population. Considering the importance of existential anxiety in etiology of some disorders, it is suggested that the future studies focus on validation of the ECQ in different clinical samples and cultures.

Abstract Background Telehealth services are essential to expand healthcare coverage for all in the era of modern technology. Knowledge, willingness, and involvement with the service are also significantly important in the utilization of the service. This study investigated factors associated with knowledge, perceived benefits, perceived concerns, and predisposition to use telehealth services in Bangladesh. This web-based survey was conducted among 1266 adults in Bangladesh. Respondents were enrolled by following a convenience sampling technique. Results Demographic, telehealth service, and perceived health related information were significantly associated with respondents’ knowledge, perceived benefits, perceived concerns, and predispositions. The knowledge was significantly positively correlated with the perceived benefit (p

Since birth and throughout all stages of development, humans have been social beings, as effective communication and interaction with others has been crucial for them. The capability to understand ideas, emotions, and views, and to be aware of and sensitive to them in social interactions, helps develop friendly relationships, promotes self-awareness and self-acceptance, and improves group cohesion. Living in an interconnected world means that we will inevitably face difficulties, and consequently, will regularly need the assistance of others. Iranians have long had a reputation for being kind and helpful to their fellow citizens. It is essential to remember that providing verbal support and assistance to others can also protect them from potential dangers (Andreoni et al., 2016).When seeing other people’s problems and issues, individuals use various verbal and functional approaches in accordance with their own perception and understanding of the situation, as well as the mental and emotional state of others. This indicates their level of care and concern for others. Concern for someone is defined as the emotional and cognitive ability to understand emotions and react to the mental and emotional states of others. Interpersonal interactions and socioemotional aspects help differentiate between “apathy” (having no feelings), “sympathy” (observing feelings), “empathy” (understanding feelings), and “metapathy” (changing feelings).The current research aims to assess people’s level of concern for others by analyzing the language expressions they use in various situations. In other words, the concept of 'cultuling' (language + culture) of concern for others introduces a new perspective on concern, which is influenced by both the extent of people’s engagement with the problem and the closeness between individuals.

The aim of the study was to explore and describe how public health nurses at child health clinics experience and perceive the follow-up of children and families when there is concern about the child's care. The goal was to contribute to knowledge development to guide health-promoting nursing care for children and their families. Theoretical perspectives included health promotion, child-centered and family-centered care, in addition to nursing care. An exploratory qualitative design informed by a hermeneutic approach was used. Data were collected in 3 focus groups with 16 public health nurses and analyzed using latent content analysis. The findings detail public health nurses' internal negotiation processes in the follow-up of children and the family, and the ways these negotiation processes were influenced by various prerequisites, the approaches for follow-up, dilemmas that affected public health nurses' approaches, and prolonged dwellings on past responses to children and families of concern. The lack of routines and goals for follow-up, a dominant parental perspective, and ambiguity related to health promotion and disease prevention, all created challenges for the public health nurses. Based on these findings, a model of public health nurse's follow-up when there is concern about the child's care was developed for future research. [ABSTRACT FROM AUTHOR]

Background: Telehealth services are essential to expand healthcare coverage for all in the era of modern technology. Knowledge, willingness, and involvement with the service are also significantly important in the utilization of the service. This study investigated factors associated with knowledge, perceived benefits, perceived concerns, and predisposition to use telehealth services in Bangladesh. This web-based survey was conducted among 1266 adults in Bangladesh. Respondents were enrolled by following a convenience sampling technique. Results: Demographic, telehealth service, and perceived health related information were significantly associated with respondents' knowledge, perceived benefits, perceived concerns, and predispositions. The knowledge was significantly positively correlated with the perceived benefit (p <0.05) and predisposition of telehealth (p <0.05). Albeit, knowledge was significantly negatively correlated with perceived concerns of telehealth (p <0.05). Conclusion: The findings of the study may assist policymakers in implementing telehealth services by addressing the associated factors of knowledge, perceived benefits, perceived concerns, and predispositions. [ABSTRACT FROM AUTHOR]

Scientific evidence unequivocally shows that human activities cause climate change, but some people still deny it. Using New Zealand Attitudes and Values Study data from 2018 and 2019 (N = 34,733), we examined segmentation profiles regarding beliefs and concern about climate change ('Climate change is real', 'Climate change is caused by humans', 'I am deeply concerned about climate change'), the probabilities of transitioning to and from profiles over time, and the characteristics of individuals in each profile. Five profiles were identified with varying levels of climate change beliefs and concern. The largest profile (60.4% of respondents) had the highest levels of climate change beliefs and concern, while the smallest profile (3.7% of respondents) had the lowest. Over time, more people moved from profiles of lower into profiles of higher levels of climate change beliefs and concern. The profile with the highest levels was the most stable, with members having an 82.7% chance of staying in this profile over time. Compared to this group, members of the profile with the lowest levels of climate change beliefs and concern were more likely to be male, New Zealand European, parents, religious, and to endorse conservative and system-justifying ideologies. We discuss the implications of the findings. [ABSTRACT FROM AUTHOR]

Public satisfaction is an important indicator of the success of environmental policies and management practices. China's sponge city development (SCD) initiative was launched in 2014 and has received international attention for its technical advancements and environmental achievements. Public satisfaction, however, has not been fully investigated in cities transformed by SCD. This study uses public surveys and structural equation modeling to evaluate people's satisfaction with SCD in four pilot sponge cities, and how familiarity with SCD, perceived benefits, concerns about adverse effects, and trust in government influence satisfaction levels. The results show that people in the four cities were, on average, slightly satisfied with SCD. Familiarity, perceived benefits, and trust in government were significant determinants of public satisfaction. On the contrary, concerns about the adverse effects of SCD did not significantly influence people's satisfaction. Moreover, a mismatch was found between government-led evaluation outcomes and satisfaction measured here. This study highlights the importance of social and perceived values in shaping people's satisfaction with SCD and provides suggestions for management strategies for enhancing public satisfaction, ultimately supporting the long-term effectiveness of urban stormwater management programs. [ABSTRACT FROM AUTHOR]

One of the factors that affect inclusion is teachers' concerns about it. Teachers may believe that they will not be successful in inclusion due to the concerns they have experienced. Therefore, understanding teachers' concerns about inclusion plays a critical role in achieving the purpose of education. This research aimed to adapt The Concerns about Inclusive Education Scale Short Form (CIES-SF) into Turkish, which was converted into a shorter version by Lozano et al. (2022). The study participants consisted of 650 teachers. Exploratory factor analysis was conducted to establish construct validity of the scale, while confirmatory factor analysis was used to confirm its structure. The reliability coefficient for the entire scale, as measured by the Cronbach alpha, was calculated to be.87. The results of confirmatory factor analysis revealed favourable goodness of fit indices, withχ2 = 129.91, df = 50, χ2/df = 2.59, p <.001, RMSEA=.070, SRMR=.062, NNFI=.93, CFI=.94, GFI=.92, AGFI=.88. The Concerns About Inclusive Education Scale Short Form (CIES-SF) is a reliable tool that can be administered quickly to assess teachers' concerns about inclusion. This valuable tool can be utilised by researchers, particularly teacher trainers, to better understand teachers' concerns related to inclusive education practices. [ABSTRACT FROM AUTHOR]

Young people in Iranian society, like their global counterparts, are always heralds of change and transformation. A major part of their changes occur in their integration into society. This linking of them has been placed in the struggle of the dynamics of power and resistance. This research investigated this issue in the form of scientific research. By reviewing the existing studies and theories, a theoretical sensitivity was written and based on inclusion criteria, interviews were conducted from February 2021 to June 2022 with 20 young people from Astana (18-19 years old entering Yazd University). Using the systematic grounded theory method, the data were analyzed in the form of open, central, and selective coding. Various strategies such as long participation in the platform, rich description, approval of participants, and review of colleagues were used to validate the data. The main extracted categories include tolerant acceptance, family rejectionism, conservative exclusivity, hedonistic hedonism, materialism in dating, etc., and the core category of the research, multiple concerns in dating, was extracted from them. A paradigm model was drawn on the basis of these categories, and the research theory was also presented. The main result of the research is based on the fact that the field of friendship and bonding among Astana youth is a field full of complexity and pluralism, which is caused by two structural and agency forces, whose interaction creates plural heterogeneity for young people. [ABSTRACT FROM AUTHOR]

Abstract Background The COVID‐19 pandemic has created additional challenges for family health. Worry, fear, and anxiety associated with this disease can affect the perception of family health. The study's objective was to analyze the factors associated with health vulnerability of family members in the Peruvian population after pandemic. Methods Observational, cross‐sectional, and analytical study. Sampling was nonprobabilistic. The sample consisted of 519 residents who met the following inclusion criteria: Peruvian resident, of both genders, over 18 years of age, who lives with their family, and who agrees to participate in the study. For data collection, the “SALUFAM” and “PRE‐COVID‐19” scales were used, which measure the health vulnerability of family members and concern about the contagion of COVID‐19, respectively. Data collection was done between January and March, 2023. Results Living in the Coast region increases by 3.299 times (95% CI = 1.55–9.28; p = 0.003) the probability of lower family health vulnerability compared to residents from the Jungle region. In the same way, having a low concern about the contagion of COVID‐19 increases 2.77 times (95% CI = 1.02–7.53; p = 0.044) the probability of less vulnerability to family health, unlike participants who are highly concerned about the contagion of COVID‐19. Conclusions It should be necessary to design prevention and family health promotion strategies according to the geographical region; it is also essential to provide education on the risks and the importance of prevention measures for COVID‐19, regardless of their initial level of concern.

Beyond cultural ties and economic demands, considerations of the conditions of the natural environment may play a role in determining which U.S. state to reside within. Every year, millions of people suffer from the effects of natural hazards such as avalanches, blizzards, earthquakes, extreme cold, extreme heat, flooding, hurricanes, severe thunderstorms, tornadoes, tsunamis, volcanic eruptions, and wildfires. The recorded actual occurrence and frequency of these natural hazards, in addition to public perception of the danger of individual natural hazards, shapes an idea of relative concern for these natural hazards. In this study we combine actual hazard occurrence data recorded from 2009-2018, with concern values gathered from an online survey of 1,326 individuals to output "vulnerability" scores for each U.S. State. Ultimately, these values help to answer the question: which U.S. States have the highest vulnerability for natural hazards? The results show that Rhode Island, New Jersey, Delaware, Illinois, and Maryland in this order received the highest vulnerability scores. [ABSTRACT FROM AUTHOR]

This study aims to investigate Kazakhstani high school students' environmental knowledge, attitude toward the environment, environmental awareness, and environmental concern, and to present the effect of various extracurricular activities on high school students' knowledge, attitude, awareness, and concern. We surveyed 124 students at various grade levels. Results indicated that Kazakhstani students did not have a strong environmental knowledge base and their awareness of environmental issues is not strong at all, but they had a strong positive environmental attitude. There was no significant relationship between knowledge, attitude, and awareness based on grades in biology, chemistry, physics, math, and geography. Gender did not influence students' environmental knowledge, attitudes, and awareness but year in school did for environmental knowledge. Kazakhstani students were most concerned about air pollution, pollution of rivers and seas, and flooding, and they were the least concerned with overpopulation, radioactive waste, extinction of species, and climate change. Extracurricular activities did prove useful with increasing students' knowledge and awareness about environmental challenges but did not impact their environmental attitude. Our results imply that what is being taught about the environment in Kazakhstani schools is not substantial enough. Educators may modify the curriculum to better address environmental issues in the classroom and add more content and activities. [ABSTRACT FROM AUTHOR]

Background: The COVID‐19 pandemic has created additional challenges for family health. Worry, fear, and anxiety associated with this disease can affect the perception of family health. The study's objective was to analyze the factors associated with health vulnerability of family members in the Peruvian population after pandemic. Methods: Observational, cross‐sectional, and analytical study. Sampling was nonprobabilistic. The sample consisted of 519 residents who met the following inclusion criteria: Peruvian resident, of both genders, over 18 years of age, who lives with their family, and who agrees to participate in the study. For data collection, the "SALUFAM" and "PRE‐COVID‐19" scales were used, which measure the health vulnerability of family members and concern about the contagion of COVID‐19, respectively. Data collection was done between January and March, 2023. Results: Living in the Coast region increases by 3.299 times (95% CI = 1.55–9.28; p = 0.003) the probability of lower family health vulnerability compared to residents from the Jungle region. In the same way, having a low concern about the contagion of COVID‐19 increases 2.77 times (95% CI = 1.02–7.53; p = 0.044) the probability of less vulnerability to family health, unlike participants who are highly concerned about the contagion of COVID‐19. Conclusions: It should be necessary to design prevention and family health promotion strategies according to the geographical region; it is also essential to provide education on the risks and the importance of prevention measures for COVID‐19, regardless of their initial level of concern. [ABSTRACT FROM AUTHOR]

Data regarding the contribution of COVID-19 vaccine rollouts to real-world uptake of influenza vaccination remains unclear. This cross-sectional survey-based study among Israel Defense Forces (IDF) soldiers aimed to assess the impact of the COVID-19 pandemic and specifically, previous COVID-19 vaccines uptake, on the intention to vaccinate for influenza during 2021–2022 season. Participants engaged in an online survey addressing vaccination history and current vaccine-related preferences. The survey was delivered prior to the initiation of the IDF's annual influenza immunization campaign. A multinomial logistic regression model was applied to analyze factors correlated with unwillingness to receive influenza vaccine. Overall, 825 invitations to participate in the survey were distributed and the overall response rate was 78.5%. Among the 648 participants who replied (61.6% males, median age of 20 years), 51.9% were willing to receive the upcoming influenza vaccine. Factors associated with vaccine reluctance included being female, not receiving the previous season's influenza vaccine, not having a previous diagnosis of COVID-19, and having decreased uptake of COVID-19 vaccines. Among participants not intending to receive an influenza vaccine, 50.3% stated that they are healthy and have no need for the vaccine and 36.2% stated they received too many vaccines over the previous year. The results of this study may suggest that influenza vaccination rates in the post-COVID-19 vaccine era may be reduced due to a perceived "vaccine saturation" phenomenon, owing to the density of COVID-19 vaccine administration. Future interventions such as campaigns related to maximizing influenza vaccination coverage should address repeated doses of COVID-19 vaccine administration. [ABSTRACT FROM AUTHOR]

During the last decades in Puno, Peru, the problem of contamination has worsened due to the combined action of the disorderly growth of the urban population, poor management of solid waste, discharge of untreated sewage into the bay of Lake Titicaca and practices of inadequate sanitation and hygiene, severely affecting the environment and human health. The objective of the study was to characterize the pro-environmental attitudes and behaviors of the city's population of Puno in relation to sanitation, pollution and environmental management. The research is nonexperimental, quantitative, cross-sectional, descriptive, correlational and micro level of analysis. The universe of study was the population over 18 years of age in the urban area, which comprises 97,264 inhabitants; the sample, determined at simple random, was 382 people. A structured questionnaire was applied. Descriptive and inferential analysis and hypothesis testing were performed with SPSS statistical software. The results indicate that the environmental attitudes of the majority of the population are positive regarding factors and sources of pollution and effects on human health. On the contrary, environmental practices are inadequate in environmental management in the home and health and hygiene conditions in the home. It is concluded that the sustainable improvement of pro-environmental attitudes and behaviors demands a new public policy of environmental education, whose implementation incorporates the effective participation of civil society based on an incentive system. [ABSTRACT FROM AUTHOR]

Standing at height, and subsequent changes in emotional state (e.g., fear of falling), lead to robust alterations in balance in adults. However, little is known about how height-induced postural threat affects balance performance in children. Children may lack the cognitive capability necessary to inhibit the processing of threat and fear-related stimuli, and as a result, may show more marked (and perhaps detrimental) changes in postural control compared to adults. This work explored the emotional and balance responses to standing at height in children, and compared responses to young and older adults. Children (age: 9.7 ± 0.8 years, n = 38), young adults (age: 21.8 ± 4.0 years, n = 45) and older adults (age: 73.3 ± 5.0 years, n = 15) stood in bipedal stance in two conditions: at ground level and 80 cm above ground. Centre of pressure (COP) amplitude (RMS), frequency (MPF) and complexity (sample entropy) were calculated to infer postural performance and strategy. Emotional responses were quantified by assessing balance confidence, fear of falling and perceived instability. Young and older adults demonstrated a postural adaptation characterised by increased frequency and decreased amplitude of the COP, in conjunction with increased COP complexity (sample entropy). In contrast, children demonstrated opposite patterns of changes: they exhibited an increase in COP amplitude and decrease in both frequency and complexity when standing at height. Children and adults adopted different postural control strategies when standing at height. Whilst young and older adults exhibited a potentially protective "stiffening" response to a height-induced threat, children demonstrated a potentially maladaptive and ineffective postural adaptation strategy. These observations expand upon existing postural threat related research in adults, providing important new insight into understanding how children respond to standing in a hazardous situation. • Changes in balance when standing at height were explored in adults and children. • Children and adults adopt different postural strategies when standing at height. • Adults exhibited a "stiffening" response to a height-induced threat. • Children demonstrated an potentially maladaptive postural strategy at height. [ABSTRACT FROM AUTHOR]

This research seeks to explain the relationship between thought and action according to Allameh Tabatabaei. The aim is to clarify this important principle of practical wisdom from the viewpoint of this neo-Ṣadrian philosopher which, with descriptive and analytical method, analyzes his works, and in cases where there is no explicit discussion, reconstructs it based on the principles accepted by him. The conclusion is: from the faspective of Allameh Tabatabaei, knowledge is the origin of all human actions. Knowledge and action are existential matters, and as a result, the intensity of knowledge causes the intensity of action. There is a two-way interaction between thought and action. Putting a special emphasis on the concept of concern, Allameh has been able to connect the infallibility of the infallible and the realization of moral habits with the nature of knowledge.The innovations of this search are as follows: organizing Allameh's scattered words in this discussion, finding four readings of the interaction process between thought and action, presenting an innovative interpretation of the effect of action on thought, completing Allameh's view with an existential approach and also involving the truth of conventional concepts, showing the consequences of this view in Humanities. [ABSTRACT FROM AUTHOR]

ObjectivesThe application of artificial intelligence (AI) in healthcare is an important public health issue. However, few studies have investigated the perceptions and attitudes of healthcare professionals toward its applications in nursing. This study aimed to explore the knowledge, attitudes, and concerns of healthcare professionals, AI-related professionals, and others in China toward AI in nursing.MethodsWe conducted an online cross-sectional study on nursing students, nurses, other healthcare professionals, AI-related professionals, and others in China between March and April 2024. They were invited to complete a questionnaire containing 21 questions with four sections. The survey followed the principle of voluntary participation and was conducted anonymously. The participants could withdraw from the survey at any time during the study.ResultsThis study obtained 1,243 valid questionnaires. The participants came from 25 provinces and municipalities in seven regions of China. Regarding knowledge of AI in nursing, 57% of the participants knew only a little about AI, 4.7% did not know anything about AI, 64.7% knew only a little about AI in nursing, and 13.4% did not know anything about AI in nursing. For attitudes toward AI in nursing, participants were positive about AI in nursing, with more than 50% agreeing and strongly agreeing with each question on attitudes toward AI in nursing. Differences in the numbers of participants with various categories of professionals regarding knowledge and attitudes toward AI in nursing were statistically significant (p

Rabies is a zoonotic disease which is spread by animals to humans. Srinagar city in Kashmir, is home to more than 1 million inhabitants. According to data obtained from the Anti-Rabies Clinic (ARC) at SMHS Hospital, between April 2023 and March 2024, the ARC documented a total of 8,652 bite cases. These included 5,386 dog bite cases, 2,844 cat bite cases, 27 monkey bite cases, 95 cow bite cases, 14 bear bite cases, 12 wild boar bite cases, and 294 other bite cases involving leopards, jackals, eagles, and more. Addressing the rise animal bite cases requires a multi-faceted approach. By addressing the root causes and implementing preventative measures, it is possible to reduce the incidence of cat bites and ensure the safety and well-being of Srinagar's residents. Mutisectoral collaboration and coordination can drastically reduce the incidence of animal bite related rabies in Srinagar city. [ABSTRACT FROM AUTHOR]

Çalışmada uluslararası üniversite öğrencilerinin doğal afetlere ilişkin endişelerinin ve görüşlerinin incelenmesi amaçlanmıştır. Bu amaç doğrultusunda Bandırma Onyedi Eylül Üniversitesi’nde 2022-2023 bahar döneminde öğrenim görmekte olan 16 uluslararası öğrenci ile görüşme yapılmıştır. Çalışma, nitel araştırma tekniklerinden olan görüşme yöntemi ile gerçekleştirilmiştir. Veri toplama aracı olarak yarı yapılandırılmış görüşme formu kullanılmıştır. Görüşme formu oluşturulurken detaylı literatür taranarak, afet yönetimi, sağlık yönetimi, sosyal hizmet ve nitel araştırma yöntemleri konusunda uzman kişilerin görüşlerinden yararlanılmıştır. Elde edilen veriler MAXQDA programı ile analiz edilmiştir. Analiz sonucunda 1 ana tema ve 3 alt tema oluşturulmuştur. Çalışmanın sonucunda Türkiye’de yaşanmış ve yaşanabilecek doğal afetler ile ilgili hem endişelenen hem de endişelenmeyen katılımcıların olduğu tespit edilmiştir. Katılımcıların endişelenmeme sebeplerinin daha önce yaşamamaları ve dini inançları olduğu belirlenmiştir. Çalışmada, katılımcıların Türkiye’de yaşanan doğal afetlerden etkilendiği ve bunun Türkiye’de yaşamak ve Türkçe bilmek ile bağlantılı olduğu sonucuna ulaşılmıştır. Ayrıca, katılımcıların doğal afetlerden hem günlük yaşamlarında hem de duygusal olarak etkilendiği belirlenmiştir. Bu etkilenmelerin; eğitim, sosyal medya kullanmama, aile ile daha çok iletişim kurma, üzüntü, korku ve panik hissetme şeklinde gerçekleştiği tespit edilmiştir.

Objectives This study investigated changes in the health behaviors of the elderly due to coronavirus disease 2019 (COVID-19), concerns due to COVID-19, depression, and health-related quality of life (HRQOL), and aimed to identify factors that affect depression and HRQOL in the elderly. Methods This study was conducted using data from the 2021 Community Health Survey of the Korea Disease Control and Prevention Agency. From a total sample size of 229,242 individuals, 74,376 elderly people aged 65 or older were selected as subjects, and changes in health behaviors, concerns due to COVID-19, depression, and HRQOL were measured and analyzed. Results The level of depression associated with sleep and fatigue was high. The lowest HRQOL was related to physical pain and discomfort, while the most common concerns were related to economic difficulties. Factors influencing depression included worries about infection and economic harm, while factors impacting HRQOL encompassed concerns about infection, economic harm, and criticism from others. Conclusion If an infectious disease situation such as COVID-19 reoccurs in the future, it will be necessary to encourage participation in hybrid online and offline programs at senior welfare centers. This should also extend to community counseling institutions like mental health welfare centers. Additionally, establishing connections with stable senior job projects can help to mitigate the effects of social interaction restrictions, physical and psychological health issues, and economic difficulties experienced by the elderly.

Self-driving vehicles (SDVs) possess the potential to provide novel benefits while also presenting new risks. Consequently, SDVs are expected to not only influence the transportation network but also reshape urban landscapes, markets, economies, and public behavior. The public's willingness to utilize or ride in SDVs is a critical factor determining the extent to which their implications can be realized. Previous research has indicated that awareness of SDVs is a key factor influencing the public's decision-making and attitude toward this nascent technology. However, none of these studies have exclusively examined the relationship between the public's level of knowledge about SDVs and their attitudes. Thus, this study employs a questionnaire survey to investigate the relationship between the public's attitudes and their knowledge of SDVs. The study analyzes 2447 complete responses collected from participants in the United States. The findings suggest that individuals possessing prior knowledge of SDVs are more likely to use them. However, participants with intermediate knowledge were the most likely to use SDVs compared to those with no knowledge and those with extensive knowledge. Moreover, the analysis demonstrates that the relationship between the level of knowledge and acceptance of SDVs is non-linear and peaks at the intermediate knowledge level.

Green stormwater infrastructure (GSI) is increasingly implemented worldwide to address stormwater issues while providing co-benefits such as habitat provision. However, research on public perceptions of GSI’s ecosystem benefits is limited, and barriers such as perception and maintenance hinder biodiversity promotion in GSI. Through an online survey (n = 781), we explored how residents in four Northeast US urban areas—Prince George’s County and Montgomery County, MD, New York City, and Philadelphia, PA—perceived the benefits and concerns regarding two types of bioswales (biodiverse and turf). Biodiverse swales feature various plants to promote biodiversity, whereas turf swales are primarily grass-covered. Our analyses included paired-samples t-tests, independent t-tests, one-way repeated measures ANOVA tests, and one-way ANOVA tests to compare perceptions across bioswale types, aspects of benefit/concern, and locations. Both bioswale types were recognized for enhancing green spaces and neighborhood aesthetics. Residents perceived greater environmental and social benefits from biodiverse swales than turf swales, particularly for habitat provision. While overall concerns for both bioswale types were low, potential issues like pest cultivation and the unappealing appearance of biodiverse swales remain significant barriers. Notably, implementing biodiverse swales alleviated initial concerns, especially about pests, suggesting familiarity can enhance acceptance. Location-specific differences in perception were observed, with New York City showing higher perceived benefits and concerns and Montgomery County exhibiting the lowest concerns. This variance is likely due to distinct urban environments, levels of environmental awareness, and demographic profiles.

Introduction: Late modernity influences the construction and constitution of identity and the management of adolescents' future lives. Research has shown that identity capital predicts the resolution of a successful identity; however, in Latin America, no antecedents have conducted studies under this conceptual framework. Aim: To analyze the relationship pattern between identity capital components and future concerns. Methods: The participants were 703 adolescents between the ages of 15 and 19 years who, in the year 2021, were in the third and fourth years of high school in urban educational establishments in La Araucanía Chile, to whom questions from the Governance of Educational Trajectories in Europe (GOETE) adapted to the Chilean context and the general self-efficacy scale were applied. Confirmatory Factor Analyses (CFA) were performed to determine the suitability of the indicators to measure the constructs of interest and a structural equation analysis to determine the pattern of relationships between variables. Results: The final model obtained excellent indicators of the goodness of fit [Χ² (422) = 965.858, p < 0.001; CFI = 0.977; TLI = 0.975; RMSEA = 0.043; SRMR = 0.056], in which it is evident that parental support and interaction are related to self-efficacy and self-concept and these, in turn, is associated with adolescents' future concerns. Conclusion: The relationship pattern tested shows that associations between tangible elements at the family level are related to intangible aspects of a personal nature, which can be protective factors against future concerns, and provide empirical support for the psychometric usefulness of the GOETE indicators in the Chilean context. [ABSTRACT FROM AUTHOR]

The objectives of this research were to examine the contextual factors that impact individual's interpretation of their responsibility in the context of Deepfake videos. Using a test/retest methodology, a total of 1,023 respondents participated in a Deepfake survey instrument which measured perceptions of individual responsibility with respect to Deepfakes, individual concern with Deepfakes, and humorous perception of Deepfakes. The results of the study found that individual responsibility is negatively related to individual concern, indicating the externalization of responsibility for difficult to detect fake online videos designed to be convincing. Further, humorous perception and age impact the participants perception of individual responsibility. Younger participants were more likely to find Deepfakes humorous and this increased their perception of their own responsibility, potentially exposing them to greater harm from malicious Deepfakes. [ABSTRACT FROM AUTHOR]

AbstractObjectiveParticipantsMethodsResultsConclusionsUnderstand student concerns with returning to in-person instruction during the COVID-19 pandemic using an e-learning module.925 undergraduate and graduate students returning to in-person instruction in Fall 2021.Five modules educated students about COVID and the transition to in-person learning and collected quantitative and qualitative data related to concerns about COVID and in-person learning.65% of students expressed comfort in returning to in-person learning and almost all students answered the scenario questions correctly. Identifying as female and African-American as well as living off campus were connected to a decrease in comfort level associated with the return to in-person learning. Six major themes emerged from the qualitative data analysis.Students were well-informed about the COVID-19 pandemic protection measures. These findings suggest that universities can do more to address concerns students have about in-person settings during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

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ChatGPT has quickly popularized since its release in November 2022. Currently, large language models (LLMs) and ChatGPT have been applied in various domains of medical science, including in cardiology, nephrology, orthopedics, ophthalmology, gastroenterology, and radiology. Researchers are exploring the potential of LLMs and ChatGPT for clinicians and surgeons in every domain. This study discusses how ChatGPT can help orthopedic clinicians and surgeons perform various medical tasks. LLMs and ChatGPT can help the patient community by providing suggestions and diagnostic guidelines. In this study, the use of LLMs and ChatGPT to enhance and expand the field of orthopedics, including orthopedic education, surgery, and research, is explored. Present LLMs have several shortcomings, which are discussed herein. However, next-generation and future domain-specific LLMs are expected to be more potent and transform patients' quality of life. [ABSTRACT FROM AUTHOR]

Abstract Background Food insecurity continues to be a problem throughout the world. When estimating food insecurity, few studies analyze the contexts where the phenomenon takes place. By bearing in mind levels of marginalization in four states of Mexico, this paper answers two questions: (I) What problems are experienced with access to food, and how these difficulties affect the amount of food consumed in households? and (II) How do households experience the concern of running out of food? Methods Our qualitative study draws data from urban and semi-urban areas of four Mexican states: Mexico City, Tamaulipas, the State of Mexico, and Oaxaca. Each state presents different levels of well-being. The study’s participants are selected using the snowball method. Eligibility criteria are based on demographic characteristics such as education, age, and gender. A thematic analytical approach is conducted to analyze collected data from a total of 212 semi-structured interviews. Results The study’s findings indicate that concern of food scarcity is a generalized feeling among participants across different levels of marginalization. Individuals with stable jobs living in contexts of low levels of marginalization experience worriedness when their budgets tightened before the end of the payday, a bi-weekly payment format, named the quincena in México. This psychological state of mind changes through the payday cycle, a period when the direct relationship between food accessibility and consumption weakens. In response, individuals develop strategies to cope with the uncertainty of experiencing food insecurity, such as rationing food portions and/or hoarding food supplies. Even when food accessibility exists, interviewees identify insufficient income as the primary issue in contexts of low and very low levels of marginalization. Conclusions Conclusive remarks drawn from our analysis underline the importance of the context of marginalization in influencing households’ experiences with food insecurity. At the quincena’s end, food insecurity increases, even in contexts of very low marginalization. Our study calls for rethinking the scales employed to measure food insecurity, specifically the questions related to fear of food scarcity. Coping strategies are implemented by surveyed individuals to resolve issues and repercussions that emerge from experiencing food insecurity differ by context of marginalization.

Background Telehealth is comprised of telecommunications and electronic information systems to support and maintain long-distance healthcare services. Although it has not been thoroughly explored, the intention of using the service among the general public is critical to its success. We investigated the factors associated with the intention to utilize telehealth services among the general population of Bangladesh. Methods This cross-sectional study was conducted between May 22, 2021 and June 15, 2021 in Bangladesh, where the total number of participants was 1038. The Pearson chi-square test and Kruskal-Wallis H tests were used to examine the unadjusted relationship between the explanatory variables and the intention to use telehealth services. A multinomial logistic regression model was fitted to determine the adjusted association. Shapiro-Wilk tests were used to check the normality of continuous data. Data were processed and analyzed by software STATA-16. Results The probability of utilizing the service increased significantly with increasing knowledge, perceived benefit, and predisposition levels among respondents. However, when perceived concern increased, the likelihood of utilizing the service dropped significantly. Age, marital status, educational status, profession, residence, and perceived health status were significantly associated with the participants’ intention to utilize the telehealth service. Conclusions The influencing aspects of telehealth service utilization should be recognized by the respective authorities. Possible activities to enhance usability among people are also recommended.

Public satisfaction is an important indicator of the success of environmental policies and management practices. China’s sponge city development (SCD) initiative was launched in 2014 and has received international attention for its technical advancements and environmental achievements. Public satisfaction, however, has not been fully investigated in cities transformed by SCD. This study uses public surveys and structural equation modeling to evaluate people’s satisfaction with SCD in four pilot sponge cities, and how familiarity with SCD, perceived benefits, concerns about adverse effects, and trust in government influence satisfaction levels. The results show that people in the four cities were, on average, slightly satisfied with SCD. Familiarity, perceived benefits, and trust in government were significant determinants of public satisfaction. On the contrary, concerns about the adverse effects of SCD did not significantly influence people’s satisfaction. Moreover, a mismatch was found between government-led evaluation outcomes and satisfaction measured here. This study highlights the importance of social and perceived values in shaping people’s satisfaction with SCD and provides suggestions for management strategies for enhancing public satisfaction, ultimately supporting the long-term effectiveness of urban stormwater management programs.

Background Telehealth is comprised of telecommunications and electronic information systems to support and maintain long-distance healthcare services. Although it has not been thoroughly explored, the intention of using the service among the general public is critical to its success. We investigated the factors associated with the intention to utilize telehealth services among the general population of Bangladesh. Methods This cross-sectional study was conducted between May 22, 2021 and June 15, 2021 in Bangladesh, where the total number of participants was 1038. The Pearson chi-square test and Kruskal-Wallis H tests were used to examine the unadjusted relationship between the explanatory variables and the intention to use telehealth services. A multinomial logistic regression model was fitted to determine the adjusted association. Shapiro-Wilk tests were used to check the normality of continuous data. Data were processed and analyzed by software STATA-16. Results The probability of utilizing the service increased significantly with increasing knowledge, perceived benefit, and predisposition levels among respondents. However, when perceived concern increased, the likelihood of utilizing the service dropped significantly. Age, marital status, educational status, profession, residence, and perceived health status were significantly associated with the participants’ intention to utilize the telehealth service. Conclusions The influencing aspects of telehealth service utilization should be recognized by the respective authorities. Possible activities to enhance usability among people are also recommended.

Esports have grown substantially in the last decade and may be an effective way of engaging and exposing the youth, who is not actively participating in traditional sports, to the benefits of sports related performance environments. However, due to negative stereotypes about gamers and concerns about esports, parents might be hesitant to support their children's esports participation and may instead actively discourage it. The purpose of this perspective article was to discuss the determinants of parental support based on the theory of planned behaviour. Parents attitudes seem to be mostly negative and their perceived behavioral control is likely low due to a lack of knowledge about esports. The subjective norms are mixed and seem to be growing progressively more positive. Based on the theory of planned behaviour, parents seem unlikely to support their children's esport participation, however, more research is needed. Recommendations on how to increase the likelihood of parental support are discussed.

IntroductionLate modernity influences the construction and constitution of identity and the management of adolescents’ future lives. Research has shown that identity capital predicts the resolution of a successful identity; however, in Latin America, no antecedents have conducted studies under this conceptual framework.AimTo analyze the relationship pattern between identity capital components and future concerns.MethodsThe participants were 703 adolescents between the ages of 15 and 19 years who, in the year 2021, were in the third and fourth years of high school in urban educational establishments in La Araucanía Chile, to whom questions from the Governance of Educational Trajectories in Europe (GOETE) adapted to the Chilean context and the general self-efficacy scale were applied. Confirmatory Factor Analyses (CFA) were performed to determine the suitability of the indicators to measure the constructs of interest and a structural equation analysis to determine the pattern of relationships between variables.ResultsThe final model obtained excellent indicators of the goodness of fit [χ2 (422) = 965.858, p

The term tefeül, which literally means "do not worry about good things, fortune telling", has been used more in the sense of "book fortune telling" over time. Tefe'ul is based on randomly opening a book with the intention, and is made by interpreting the first letter, word or phrase that is encountered or on a certain page-row. Although some books, especially the Holy Quran, come to the fore in this regard, there is no limitation in terms of books to be used. Through tefe'ul, a person either seeks to obtain information on various issues from the unseen world, which he is very curious about, or looks for a sign as to whether the steps he has taken or will take are beneficial for him. Especially in its second aspect, intercession is similar to istikhara, which is seen as legitimate in Islam. To date, different studies have been conducted on tefe'ul. This article focuses on the applications of tefe'ul, which we see was widely used in the Ottoman world, in the Ottoman campaigns. It has been determined that different army members such as sultans, statesmen, scholars and soldiers resorted to intercession during wars at various times. Details such as why some of these incidents of extortion took place, how they were done and what the outcome were are reflected in the main sources. From the foundation of the Ottoman Empire to the 18th century. The main point emphasized by this study, which covers the period until the first quarter of the 19th century, is that the sacrifices made during wartime have more meaning than a mere folkloric practice. As explained in the article, the sacrifices made during the expedition have the potential to create some level of motivational impact for both those who do it and those who are aware of it. As a matter of fact, the fact that as a result of the evaluations made in some examples given, people's concerns about the uncertainly of the expedition decreased and they were satisfied. [ABSTRACT FROM AUTHOR]

Objective: To determine the association between sociodemographic factors, stress, depression and anxiety, emotional eating, and concern about COVID-19 contagion in first and second-line Peruvian nurses. Methodology: The study was cross-sectional and conducted with 500 Peruvian nurses of both sexes, over 18 years of age. Validated questionnaires were used to measure sociodemographic aspects, concern about COVID-19, generalized anxiety, depression, self-perceived stress, and emotional eating. Multiple linear regression analysis was performed to analyze the factors affecting concern about COVID-19 contagion. Results: The multiple linear regression analysis showed that stress, being between the ages of 18 and 29 years, being male, being from the coastal region or the jungle region, having a bachelor's degree, severe anxiety, and severe depression were associated with higher concern about COVID-19. On the other hand, having more than 5 to 10 years of experience and more than 10 years of experience, low emotional eating, and non-emotional eating were negatively associated with concern. This model explained 44.05% of the variability among the participating nurses. Conclusion: These findings provide resources for future research on the comprehensive well-being of nursing staff by exploring various sociodemographic aspects and mental conditions associated with greater concern about COVID-19. Meanwhile, years of experience and emotional eating behavior were associated with lower concern about COVID-19. Future studies could incorporate this information to preserve the mental and physical health of nurses in the face of potential occupational threats. [ABSTRACT FROM AUTHOR]

Background: Food insecurity continues to be a problem throughout the world. When estimating food insecurity, few studies analyze the contexts where the phenomenon takes place. By bearing in mind levels of marginalization in four states of Mexico, this paper answers two questions: (I) What problems are experienced with access to food, and how these difficulties affect the amount of food consumed in households? and (II) How do households experience the concern of running out of food? Methods: Our qualitative study draws data from urban and semi-urban areas of four Mexican states: Mexico City, Tamaulipas, the State of Mexico, and Oaxaca. Each state presents different levels of well-being. The study's participants are selected using the snowball method. Eligibility criteria are based on demographic characteristics such as education, age, and gender. A thematic analytical approach is conducted to analyze collected data from a total of 212 semi-structured interviews. Results: The study's findings indicate that concern of food scarcity is a generalized feeling among participants across different levels of marginalization. Individuals with stable jobs living in contexts of low levels of marginalization experience worriedness when their budgets tightened before the end of the payday, a bi-weekly payment format, named the quincena in México. This psychological state of mind changes through the payday cycle, a period when the direct relationship between food accessibility and consumption weakens. In response, individuals develop strategies to cope with the uncertainty of experiencing food insecurity, such as rationing food portions and/or hoarding food supplies. Even when food accessibility exists, interviewees identify insufficient income as the primary issue in contexts of low and very low levels of marginalization. Conclusions: Conclusive remarks drawn from our analysis underline the importance of the context of marginalization in influencing households' experiences with food insecurity. At the quincena's end, food insecurity increases, even in contexts of very low marginalization. Our study calls for rethinking the scales employed to measure food insecurity, specifically the questions related to fear of food scarcity. Coping strategies are implemented by surveyed individuals to resolve issues and repercussions that emerge from experiencing food insecurity differ by context of marginalization. [ABSTRACT FROM AUTHOR]

Some studies suggest that narcissism, either grandiose, vulnerable, or normal, is empirically associated with healthy or pathological concern towards others. These relationships remain poorly documented, and existing research only offers theoretical rationales as to the nature of the narcissism–concern association. The present study aims to assess the relationships between the various types of narcissism and concern while including the mediating role of explicit motives. French-speaking adults (n = 213) completed self-report questionnaires measuring these constructs. Results of mediation analyses suggest that specific motives mediate the positive associations observed between vulnerable or grandiose narcissism and pathological concern as well as the negative associations observed between grandiose or normal narcissism and healthy concern. Thus, it seems that pathological concern could be used as a maladaptive self-regulation mechanism by both forms of pathological narcissism. Fear motives mediate both relationships, suggesting avoidance as the main drive behind pathological concern in pathological narcissism. Also, the negative association between normal narcissism and healthy concern is coherent with the antagonistic interpersonal style of this form of narcissism. Results add to the practical knowledge of narcissism through a better understanding of the factors involved in self-regulation mechanisms. [ABSTRACT FROM AUTHOR]

Self-driving vehicles (SDVs) possess the potential to provide novel benefits while also presenting new risks. Consequently, SDVs are expected to not only influence the transportation network but also reshape urban landscapes, markets, economies, and public behavior. The public's willingness to utilize or ride in SDVs is a critical factor determining the extent to which their implications can be realized. Previous research has indicated that awareness of SDVs is a key factor influencing the public's decision-making and attitude toward this nascent technology. However, none of these studies have exclusively examined the relationship between the public's level of knowledge about SDVs and their attitudes. Thus, this study employs a questionnaire survey to investigate the relationship between the public's attitudes and their knowledge of SDVs. The study analyzes 2447 complete responses collected from participants in the United States. The findings suggest that individuals possessing prior knowledge of SDVs are more likely to use them. However, participants with intermediate knowledge were the most likely to use SDVs compared to those with no knowledge and those with extensive knowledge. Moreover, the analysis demonstrates that the relationship between the level of knowledge and acceptance of SDVs is non-linear and peaks at the intermediate knowledge level. [ABSTRACT FROM AUTHOR]

Abstract Aim Identify and describe areas of concern focusing on day‐to‐day variations during the first month after surgery for patients recovering from colorectal cancer surgery. Design A multi‐method design was applied using diaries and interviews. Method Data was collected using semi‐structured diaries kept 1 month after surgery by seven patients recovering from colorectal cancer surgery. Also, face‐to‐face interviews were conducted 1 month after surgery. Data from the diaries constituted a framework for the following directed content analysis of interviews. Findings Low levels of pain were experienced but caused reduced mobility and tiredness. Practical matters in daily living were restricted, while social life could be hampered by a frequent need to defecate. Appetite and consequently the ability to eat and drink was the most prominent concern, due to changes in taste and ability to tolerate food. Worries were mainly related to changes in bowel movements. No Patient or Public Contribution.

Abstract Introduction Polycystic ovary syndrome is one of the women’s most common endocrine disorders that can cause anxiety, psychological distress, and reduced quality of life. Therefore, the present study aimed to determine the effect of mindfulness-based stress reduction counseling on the worries of women with polycystic ovary syndrome. Materials and methods This quasi-experimental was implemented on 60 women with polycystic ovary syndrome, referring to health centers in Kerman, Iran, from April to September 2021. In the intervention group, MBSR was conducted in eight 90-minute sessions twice a week. A researcher-made questionnaire with 34 questions (with six domains including worries related to mental complications, interpersonal problems, non-pregnancy physical complications, pregnancy complications, sexual complications, and religious issues) on the worries of women with polycystic ovary syndrome was completed by the participants in two intervention and control groups as pre-and post-test and one month later. 22 SPSS statistical software was used for analysis. Results The mean score of worries in the intervention group (48.18 ± 5.18) compared to the control group (75.73 ± 8.08) was significantly reduced in total and all six domains immediately after the intervention (P

Abstract Aim Pregnancy prepares the mother for the transition to motherhood. Maternal concerns during pregnancy cause reduced time spent with the spouse and lack of social support; additional stresses such as marital conflicts could impact maternal competency. This study aimed to assess the predictive effect of marital conflicts with the mediating role of perceived stress and pregnancy concern on maternal competency. Methods This was a longitudinal study. It was done on 250 mothers referred to selected health centers in Alborz province. The sampling method was convenient. Marital conflicts, perceived stress, and pregnancy concerns questionnaires were completed in the third trimester of pregnancy, and the maternal competency questionnaire was completed 6 weeks after delivery. Data were analyzed by SPSS software and smart partial least squares. Results The results of structural equations showed that marital conflicts have a negative and significant effect on maternal competency (β = −0.14), marital conflicts have a positive and significant effect on perceived stress (β = 0.42), and marital conflicts have a positive and significant effect on pregnancy concern (β = 0.31). Also, perceived stress negatively and significantly affected maternal competency (β = −0.36). Discussion Results of the study showed the necessities for screening and identifying mothers with conflicts and assessing the perceived stress of mothers will improve the mental health of pregnant mothers and consequently increase maternal competency.