The challenges facing public schools are multifaceted and include: teachers dissatisfaction, non-commitment of educators, chronic absenteeism by educators, low morale, poor work ethics by educators, late coming of bot...The challenges facing public schools are multifaceted and include: teachers dissatisfaction, non-commitment of educators, chronic absenteeism by educators, low morale, poor work ethics by educators, late coming of both educators and learners, overcrowding in classes, lack of technical resources and many more. A cursory investigation of public secondary school buildings in Ado-Odo/Ota L.G.A shows its deplorable conditions of structural, aesthetical and decorative disrepair. Therefore the paper focused on examining users “perception of the present deplorable physical condition and neglect of public secondary school. The study engaged the use of quantitative method of analysis, employing the use of questionnaire administered randomly and distributed face-to-face to targeted despondences”. The result of findings revealed performance/productivity of building users depends largely on working and learning condition of building. The outcomes of the research would help policy makers, facilities maintenance experts and professionals alike to device a policy for regular maintenance of public building in other to enhance performance and increase productivity amongst users.展开更多
OBJECTIVE To gather information regarding the usage of fresh medicinal plants and users′perceptions via face-to-face interviews.To date,there is no published report of firsthand account of their usage in Singapore.Su...OBJECTIVE To gather information regarding the usage of fresh medicinal plants and users′perceptions via face-to-face interviews.To date,there is no published report of firsthand account of their usage in Singapore.Such important information may be permanently lost if not properly collated in time.METHODS Information on demographic data,plant-use methods and perception of usage was collated.Participants were recruited via the local newspapers,by word of mouth etc.The survey protocol was approved by the NUS Institutional Review Board.Fresh plant samples/photographs were obtained from the users and voucher specimens were kept.RESULTS Two hundredusers who have used a total of 103 species of fresh medicinal plants anytime in the last 5years participated in the survey.The five most commonly used plants were Clinacanthusnutans(34 users),Strobilanthescrispus(31 users),Pereskiableo(25 users),Aloe vera(18 users),and Zingiberofficinale(16 users).The top 3 most commonly cited medical conditions were diseases of respiratory system(50 users),neoplasm(29 users)anddiseases of circulatory system(20 users).A total of 173 users(86.5%)did not consult any healthcare professional for advice about plant usage,and only one user consulted the pharmacist.Some of the common reasons given for using fresh medicinal plants were recommendation by others(150,75.0%),efficacy(137,68.5%),and safety(117,58.5%).Most users(170,85.0%)were satisfied or highly satisfied with the outcome of plants used.CONCLUSION Two hundred users of fresh medicinal plants have been successfully interviewed and the information documented systematically in a database.The results suggest that fresh medicinal plants have a role to play in healthcare in modern society.The information collated will serve as a useful resource for identifying promising plants for future drug discovery efforts.展开更多
This article examines the complex relationship between disease perception,negative emotions,and their impact on postoperative recovery in patients with perianal diseases.These conditions not only cause physical discom...This article examines the complex relationship between disease perception,negative emotions,and their impact on postoperative recovery in patients with perianal diseases.These conditions not only cause physical discomfort,but also carry a significant emotional burden,often exacerbated by social stigma.Psycho-logical factors,including stress,anxiety,and depression,activate neuroendocrine pathways,such as the hypothalamic–pituitary–adrenal axis,disrupting the gut microbiota and leading to dysbiosis.This disruption can delay wound healing,prolong hospital stay,and intensify pain.Drawing on the findings of Hou et al,our article highlights the critical role of illness perception and negative emotions in shaping recovery outcomes.It advocates for a holistic approach that integrates psychological support and gut microbiota modulation,to enhance healing and improve overall patient outcomes.展开更多
Hong Kong is a hyper-dense city with 7x10(6) people living in an area of 1100km(2). One way to improve the livability of compacted and congested cities like Hong Kong is through the provision of urban parks, an aspect...Hong Kong is a hyper-dense city with 7x10(6) people living in an area of 1100km(2). One way to improve the livability of compacted and congested cities like Hong Kong is through the provision of urban parks, an aspect that has largely been under-researched. This study focuses on how users perceive and utilize various facilities in the Kowloon Park. The findings revealed that the Kowloon Park is one of the most preferred parks in Hong Kong for both local residents and tourists. Users were quite satisfied with the park's facilities. Notably, the most important component of an urban park is its greenery. This is followed by water elements, seating places, and facilities for various recreational activities. The improvements users would like to see in urban parks include good design and management, meeting users' needs, overcoming barriers to use, and providing a high quality and varied experience for different groups in the community. The findings of this study provide a good basis to address park management issues from the users' perspective. In particular, parks should provide easy access, encourage optimum usage and enable complimentary improvements to the environment.展开更多
Objectives Diabetes remains a major global health challenge in China.Artificial intelligence(AI)has demonstrated considerable potential in improving diabetes management.This study aimed to assess healthcare providers...Objectives Diabetes remains a major global health challenge in China.Artificial intelligence(AI)has demonstrated considerable potential in improving diabetes management.This study aimed to assess healthcare providers’perceptions regarding AI in diabetes care across China.Methods A cross-sectional survey was conducted using snowball sampling from November 12 to November 24,2024.We selected 514 physicians and nurses by a snowball sampling method from healthcare providers across 30 cities or provinces in China.The self-developed questionnaire comprised five sections with 19 questions assessing medical workers’demographic characteristics,AI-related experience and interest,awareness,attitudes,and concerns regarding AI in diabetes care.Statistical analysis was performed using t-test,analysis of variance(ANOVA),and linear regression.Results Among them,20.0%and 48.1%of respondents had participated in AI-related research and training,while 85.4%expressed moderate to high interest in AI training for diabetes care.Most respondents reported partial awareness of AI in diabetes care,and only 12.6%exhibited a comprehensive or substantial understanding.Attitudes toward AI in diabetes care were generally positive,with a mean score of 24.50±3.38.Nurses demonstrated significantly higher scores than physicians(P<0.05).Greater awareness,prior AI training experience,and higher interest in AI training in diabetes care were strongly associated with more positive attitudes(P<0.05).Key concerns regarding AI included trust issues from AI-clinician inconsistencies(77.2%),increased workload and clinical workflow disruptions(63.4%),and incomplete legal and regulatory frameworks(60.3%).Only 34.2%of respondents expressed concerns about job displacement,indicating general confidence in their professional roles.Conclusions While Chinese healthcare providers show moderate awareness of AI in diabetes care,their attitudes are generally positive,and they are considerably interested in future training.Tailored,role-specific AI training is essential for equitable and effective integration into clinical practice.Additionally,transparent,reliable,ethical AI models must be prioritized to alleviate practitioners’concerns.展开更多
Tephritid fruit flies are considered one of the world’s most notorious pests of horticultural crops, including mango (Mangefera indica L.) in Sierra Leone, causing extensive direct and indirect damage. A survey was c...Tephritid fruit flies are considered one of the world’s most notorious pests of horticultural crops, including mango (Mangefera indica L.) in Sierra Leone, causing extensive direct and indirect damage. A survey was conducted among 60 mango farmers in 7 districts in Sierra Leone between June and August, 2022, to assess their perceptions regarding fruit fly pest status and the current management options adopted for the control of this pest. Semi-structured questions designed in an open and closed-ended fashion were used for the study. The majority (83%) of the farmers were already aware of the fruit fly problem in the country with 62% perceiving it to be very severe. The majority (60%) of farmers, however, demonstrated poor knowledge of identifying fruit fly species, especially Bactrocera dorsalis, Ceratitis capitata, and Ceratitis cosyra. Farmers were more conversant about the direct damage symptoms to host fruits and the economic impact of fruit flies. A total of 32% of growers took no action to control fruit flies on their farms. Sixty-nine percent (69%) of the farmers adopted cultural control measures, like practicing prompt harvesting, collection and disposal of infested fruits, and weeding to maintain better sanitary conditions on their farms. Recommended fruit fly management strategies such as the use of botanicals and resistant varieties were either unknown or inaccessible to growers. A total of 52% applied chemicals that were not recommended for the control of fruit flies without considering their environmental and health risks. It is important to train fruit growers to improve their capabilities for fruit fly management through extension agents that are appropriate for helping them acquire basic knowledge of fruit fly pests and their management.展开更多
Background: The healthcare system in Jordan is evolving and has to continuously respond to the changing risk profile of the population. The purpose of this study was to examine perception of users and providers of the...Background: The healthcare system in Jordan is evolving and has to continuously respond to the changing risk profile of the population. The purpose of this study was to examine perception of users and providers of the quality of home health care services. Methods: A descriptive design was used to collect data from a convenience sample of 82 users of home health care services. Results: Users had low to fair satisfaction (30.5% - 69.5%) about the quality of care provided, had moderate satisfaction (72.0% to 81.7%) about the information received, and had low to fair satisfaction about education related to goal of treatment and medication (46.4% - 53.3%). Users had high level of agreement (>70%) that health agencies provided interpersonal care. Conclusion: The ability of the frail people to choose from a variety of cost-effective long-term care services is limited.展开更多
A recommender system is a tool designed to suggest relevant items to users based on their preferences and behaviors.Collaborative filtering,a popular technique within recommender systems,predicts user interests by ana...A recommender system is a tool designed to suggest relevant items to users based on their preferences and behaviors.Collaborative filtering,a popular technique within recommender systems,predicts user interests by analyzing patterns in interactions and similarities between users,leveraging past behavior data to make personalized recommendations.Despite its popularity,collaborative filtering faces notable challenges,and one of them is the issue of grey-sheep users who have unusual tastes in the system.Surprisingly,existing research has not extensively explored outlier detection techniques to address the grey-sheep problem.To fill this research gap,this study conducts a comprehensive comparison of 12 outlier detectionmethods(such as LOF,ABOD,HBOS,etc.)and introduces innovative user representations aimed at improving the identification of outliers within recommender systems.More specifically,we proposed and examined three types of user representations:1)the distribution statistics of user-user similarities,where similarities were calculated based on users’rating vectors;2)the distribution statistics of user-user similarities,but with similarities derived from users represented by latent factors;and 3)latent-factor vector representations.Our experiments on the Movie Lens and Yahoo!Movie datasets demonstrate that user representations based on latent-factor vectors consistently facilitate the identification of more grey-sheep users when applying outlier detection methods.展开更多
Objectives:This study aimed to explore the perceptions and recommendations of multiparas and health-related professionals regarding appropriate birth intervals(Bis)and key determinants.Methods:In-depth semi-structured...Objectives:This study aimed to explore the perceptions and recommendations of multiparas and health-related professionals regarding appropriate birth intervals(Bis)and key determinants.Methods:In-depth semi-structured interviews were conducted between April 1 and June 30,2022.Nine multiparas and thirteen health-related professionals were purposefully sampled until data saturation was reached.A thematic analysis approach was applied to the interview transcripts,utilizing dual independent coding and consensus validation in NVivo 12.0.Results:The data generated two overarching categories:1)balanced decision-making on the appropriate birth intervals and 2)internal and external determinants integrated with health and societal considerations.Four key themes emerged following the two categories:1)consistency and discrepancy between the actual and recommended birth intervals of multiparas;2)health-and developmentoriented professional recommendations;3)internal determinants related to individual-level factors;and 4)external determinants related to child-related factors,family support,and social security.Weighing women's reproductive health and career development,multiparas and health-related professionals perceived a length between 18 and 36 months as the appropriate Bl.Conclusion:Multiparas and health-related professionals shaped their balanced recommendations on a relatively appropriate birth interval ranging from 18 to 36 months,which was influenced by women's individual-level factors,child-related factors,family support,and social security.Targeted social and healthcare services should be offered to women and their families during the Bls.展开更多
BACKGROUND Sex education was introduced early in foreign countries.For example,there is a more systematic sex education system abroad,which can better achieve the popularization of sex education.China's sex educat...BACKGROUND Sex education was introduced early in foreign countries.For example,there is a more systematic sex education system abroad,which can better achieve the popularization of sex education.China's sex education started relatively late,yet there are many problems in the development of sex education in China;for example,college students lack knowledge of sexuality.AIM To explore the perception of sex education among medical college students.METHODS Students majoring in medicine in a medical school were selected as the survey subjects.Anonymous online questionnaires were used to conduct the survey,and the results were analyzed using GraphPad Prism,SPSS,Microsoft Excel,and other software.The questionnaire was administered to understand the source of sexual knowledge,sexual responsibility,mastery of sexual knowledge,and distress caused by sexual problems.RESULTS Most students majoring in medicine had no formal sex education,lacked sexual knowledge,or had a biased understanding of sexual responsibility.This study analyzed future research trends in sex education based on relevant achievements in the Chinese context and abroad to further realize the practical significance and value of sex education popularization in China and provide recommendations for parents and schools at different levels.CONCLUSION Sex education should be conducted among college students,and medical colleges and universities should strengthen scientific sex education.展开更多
Objectives Nurses’clinical research activities have contributed to optimizing the care process and improving patient outcomes,and generative artificial intelligence(GAI)may help clinical nurses strengthen their resea...Objectives Nurses’clinical research activities have contributed to optimizing the care process and improving patient outcomes,and generative artificial intelligence(GAI)may help clinical nurses strengthen their research skills.To support research,this study aimed to explore the Chinese nurses’perceptions and experiences of GAI training.Methods This study used a descriptive qualitative design.The China Nurses Network conducted a three-day training session on“GAI for Nursing Research”theme,we selected 23 nurses by a convenience sampling method among participating in the training.The researchers conducted three focus group interviews at the end of each day.All focus groups were interviewed face-to-face to facilitate interaction,data collection,and observation.The data were analyzed using conventional content analysis and coded manually.Results The results showed that nurses’use of GAI to support scientific research was dynamic and characterized by evolving perceptions and practices.Four themes and 11 sub-themes emerged from the analysis:1)utilization efficacy:cope with research ability,affected by many factors;2)booster research:growth and challenges go hand in hand;3)role reversal:from GAI-dominated to nurse-dominated;4)beautiful dream:more features on research,more assistants on clinical care.Conclusions The effectiveness of GAI in supporting clinical nurses in conducting research is mainly limited by differences in personal research literacy,lack of ethical regulation,and information accuracy.In the future,it is necessary to improve nurses’relevant skills through specialized training and promote the standardization of technical regulations to ensure the appropriate application of GAI in nursing research.展开更多
Objective:This article employs a scoping review methodology,integrates knowledge and information about current pediatric nurses'practices and perceptions regarding family-centered care in pediatric settings.Method...Objective:This article employs a scoping review methodology,integrates knowledge and information about current pediatric nurses'practices and perceptions regarding family-centered care in pediatric settings.Methods:Published articles were retrieved from databases including EBSCO host,PubMed,Springer,Science Direct,Ovid,and CINAHL between 2013 and 2023.Results:The finding shows a better understanding of pediatric nurses'perceptions of family-centered care in association with their clinical settings.However,the evidence indicates that integrating family-centered care components into health care services is difficult and confusing to nurses and is often not implemented in a clinical setting.As evidenced by this review,studies have consistently reported similar results;family-centered care was a good perception and understood by pediatric nurses as a concept but inconsistently used in a daily practice setting.Conclusions:This scoping review is the first phase in promoting a strategic plan to provide educational interventions for pediatric nurses to implement family-centered care in their daily practice settings.It's necessary to recognize pediatric nurses'perceptions and practices concerning family-centered care to provide optimal healthcare services in pediatric settings.展开更多
This study explores the environmental sensitivity of first-year teacher education stu dents,focusing on the relationship between their Earth Science performance,demographic factors,and their cognitive and emotional re...This study explores the environmental sensitivity of first-year teacher education stu dents,focusing on the relationship between their Earth Science performance,demographic factors,and their cognitive and emotional responses to environmental challenges.Using a descriptive correlational design within a mixed-methods framework,the research incorporates tools such as the Environmental Sensitivity Test(EST),focus group discussions(FGDs),and eco-mapping to comprehensively collect and analyze data.The findings reveal that while students exhibit a general awareness of environmental issues,this awareness does not consistently translate into sustainable practices,particularly in areas such as water conservation and waste management.A weak and statistically insignificant correlation was identified between Earth Science performance and environmental sensitivity,indicating that academic achievement in the subject does not necessarily lead to environmentally responsible behaviors.The results underscore the importance of teacher education programs integrating principles of behavioral psychology,experiential learning,and focused environmental education.Specifically,secondary science teachers should be equipped with practical strategies,such as implementing project-based learning,organizing community-centered environmental initiatives,and fostering interdisciplinary approaches to sustainability.These interventions address the gap in preparing future educators to effectively advocate for and implement sustainable practices.Strengthening teacher preparation programs with these components ensures that science educators are better equipped to cultivate a new generation of environmentally responsible citizens.展开更多
Urban forest parks deliver a wide spectrum of ecosystem services that support biodiversity,climate regulation,and public well-being;however,their perceived value among local visitors remains underexplored in Southeast...Urban forest parks deliver a wide spectrum of ecosystem services that support biodiversity,climate regulation,and public well-being;however,their perceived value among local visitors remains underexplored in Southeast Asia.This study investigates visitor perceptions and economic valuation of ecosystem services at Mount Pulai Forest Eco Park in Johor,Malaysia.Grounded in the Total Economic Value(TEV)framework and ecosystem service theory,the research employed a structured on-site survey of 392 visitors and applied the Contingent Valuation Method(CVM)to assess awareness,appreciation,and willingness-to-pay(WTP)for forest conservation.Findings revealed that visitors highly valued regulating services,such as air purification and flood mitigation(mean≈4.3/5),and supporting services,like biodiversity(mean≈4.2/5),while provisioning services were rated lower(mean≈2.8/5).Despite limited familiarity with ecological terminology,only 33%understood the term“ecosystem services”.In contrast,a substantial majority(79.1%)expressed WTP for conservation efforts,proposing an average annual contribution of MYR 51.32.Additionally,65%of respondents supported an entry fee model,suggesting a mean payment of MYR 3.07 per visit.These results underscore the economic and non-economic value that urban residents assign to forest benefits,offering new insights into conservation finance and public engagement.The study’s innovation lies in its integration of ecosystem perception with economic valuation in an urban forest setting,providing a replicable framework for sustainable park management across Southeast Asia.展开更多
Objective:This study aims to assess nursing faculty’s perceptions and challenges in teaching Generation Z students,providing insights into the barriers and opportunities in bridging the generational learning gap.Mate...Objective:This study aims to assess nursing faculty’s perceptions and challenges in teaching Generation Z students,providing insights into the barriers and opportunities in bridging the generational learning gap.Material and Methods:A descriptive cross-sectional study was conducted among 335 nursing faculty members in the Delhi NCR region.Participants were recruited using a snowball sampling technique,and data were collected via a self-administered structured questionnaire.The questionnaire measured faculty perceptions and challenges using a Likert scale,with reliability assessed using Cronbach’s alpha.Data were analyzed through Descriptive and inferential statistics.Results:Findings revealed that while faculty recognize the need for technology integration and student-centered learning,they face challenges such as academic integrity concerns,psychological stress,and adapting to Gen Z’s expectations for personalized learning.The correlation between faculty perceptions and challenges was negligible(r=0.020,P=0.717),indicating that faculty perceptions remain stable despite these difficulties.Conclusion:Nursing faculty need to adapt pedagogical approaches to meet the evolving needs of Gen Z students.Bridging the gap between traditional teaching methods and the evolving needs of Generation Z requires faculty training,institutional support,and curriculum innovations.展开更多
Identifying influential users in social networks is of great significance in areas such as public opinion monitoring and commercial promotion.Existing identification methods based on Graph Neural Networks(GNNs)often l...Identifying influential users in social networks is of great significance in areas such as public opinion monitoring and commercial promotion.Existing identification methods based on Graph Neural Networks(GNNs)often lead to yield inaccurate features of influential users due to neighborhood aggregation,and require a large substantial amount of labeled data for training,making them difficult and challenging to apply in practice.To address this issue,we propose a semi-supervised contrastive learning method for identifying influential users.First,the proposed method constructs positive and negative samples for contrastive learning based on multiple node centrality metrics related to influence;then,contrastive learning is employed to guide the encoder to generate various influence-related features for users;finally,with only a small amount of labeled data,an attention-based user classifier is trained to accurately identify influential users.Experiments conducted on three public social network datasets demonstrate that the proposed method,using only 20%of the labeled data as the training set,achieves F1 values that are 5.9%,5.8%,and 8.7%higher than those unsupervised EVC method,and it matches the performance of GNN-based methods such as DeepInf,InfGCN and OlapGN,which require 80%of labeled data as the training set.展开更多
This study explored the mediating role of moral courage in the relationship between emotional intelligence and perceptions of patient safety competence among nursing students in clinical practice.The study sample comp...This study explored the mediating role of moral courage in the relationship between emotional intelligence and perceptions of patient safety competence among nursing students in clinical practice.The study sample comprised 220 nursing students from a teaching hospital(female=93.6%;mean age=20.64 years,SD=1.78 years).Nursing students completed standardized measures of Emotional Intelligence Scale,the Moral Courage Scale,and the Health Professional Education in Patient Safety Survey.Following hierarchical regression analysis and bootstrap analysis,the results showed that emotional intelligence and moral courage significantly predicted high levels of the perceptions of patient safety competence among nursing students in clinical practice.Moreover,moral courage partially mediated the relationship emotional intelligence and perceptions of patient safety competence.The results indicate measures focused on improving emotional intelligence and moral courage levels among nursing students in clinical practice will be effective at increasing their perceptions of patient safety competence.展开更多
With increasing awareness of environmental protection and rising carbon emission costs,participation in electricity and carbon markets for energy-intensive industrial users will become an effective way to reduce opera...With increasing awareness of environmental protection and rising carbon emission costs,participation in electricity and carbon markets for energy-intensive industrial users will become an effective way to reduce operating costs and carbon emissions.In this regard,a novel Stackelberg game framework is developed in this study for coordinated participation in coupled electricity‒carbon markets.Specifically,generalized carbon emission models and electricity consumption models for different energy-intensive industrial users are established,and a Stackelberg game-based interactive operation strategy is proposed for load aggregators(LAs)and energy-intensive industrial users in joint electricity‒carbon markets,where the LA works as a leader who chooses proper interactive prices to maximize the comprehensive benefit,whereas energy-intensive industrial users serve as followers who minimize the total energy costs in response to the interactive prices set by the LA.Then,the existence and uniqueness of the Stackelberg equilibrium(SE)are analyzed,and a decentralized solution algorithm is suggested to reach the SE.Finally,the simulation results demonstrate that the proposed interactive operation strategy can not only increase the profit of the LA but also reduce the cost of energy-intensive industrial users,which achieves a win-win result.展开更多
The advancement of generative AI has reshaped EFL education,particularly in EFL writing.This qualitative case study investigates the perceptions of Chinese college students and EFL teachers towards the integration of ...The advancement of generative AI has reshaped EFL education,particularly in EFL writing.This qualitative case study investigates the perceptions of Chinese college students and EFL teachers towards the integration of Gen AI in EFL writing.The research involved semi-structured interviews with 13 students and 10 EFL teachers.Thematic analysis,guided by the Technology Acceptance Model(TAM),was employed to analyze the qualitative data.The findings reveal the perceptions of students and teachers regarding the role of generative AI in EFL writing.Regarding usefulness,students appreciate Gen AI for reducing writing difficulty and enhancing efficiency,though some note that it may produce logical flaws and misinformation.Teachers share similar perceptions,but stress effectiveness depends on students’language level.Some teachers also advocate traditional writing initially to build foundational skills.On the ease of use,most students find it easy interacting with Gen AI but mention dialogical understanding challenges.Both students and teachers stress clear prompts are crucial,indicating“AI interaction literacy”should be part of teaching.Moreover,teachers worry that Gen AI’s ease of use may lead to over-reliance.These results reveal contradicting goals of using Gen AI:students value efficiency,while teachers focus on ability cultivation.These insights guide more effective integration of Gen AI in EFL writing education.展开更多
文摘The challenges facing public schools are multifaceted and include: teachers dissatisfaction, non-commitment of educators, chronic absenteeism by educators, low morale, poor work ethics by educators, late coming of both educators and learners, overcrowding in classes, lack of technical resources and many more. A cursory investigation of public secondary school buildings in Ado-Odo/Ota L.G.A shows its deplorable conditions of structural, aesthetical and decorative disrepair. Therefore the paper focused on examining users “perception of the present deplorable physical condition and neglect of public secondary school. The study engaged the use of quantitative method of analysis, employing the use of questionnaire administered randomly and distributed face-to-face to targeted despondences”. The result of findings revealed performance/productivity of building users depends largely on working and learning condition of building. The outcomes of the research would help policy makers, facilities maintenance experts and professionals alike to device a policy for regular maintenance of public building in other to enhance performance and increase productivity amongst users.
基金The project supported by the National University of Singapore(NUS)Academic Research Fund(R-148-000-137-112to KHL)NUS Provost Industrial PhD Programme Research Scholarship(to SYY)Singapore International Graduate Award(to SZ)
文摘OBJECTIVE To gather information regarding the usage of fresh medicinal plants and users′perceptions via face-to-face interviews.To date,there is no published report of firsthand account of their usage in Singapore.Such important information may be permanently lost if not properly collated in time.METHODS Information on demographic data,plant-use methods and perception of usage was collated.Participants were recruited via the local newspapers,by word of mouth etc.The survey protocol was approved by the NUS Institutional Review Board.Fresh plant samples/photographs were obtained from the users and voucher specimens were kept.RESULTS Two hundredusers who have used a total of 103 species of fresh medicinal plants anytime in the last 5years participated in the survey.The five most commonly used plants were Clinacanthusnutans(34 users),Strobilanthescrispus(31 users),Pereskiableo(25 users),Aloe vera(18 users),and Zingiberofficinale(16 users).The top 3 most commonly cited medical conditions were diseases of respiratory system(50 users),neoplasm(29 users)anddiseases of circulatory system(20 users).A total of 173 users(86.5%)did not consult any healthcare professional for advice about plant usage,and only one user consulted the pharmacist.Some of the common reasons given for using fresh medicinal plants were recommendation by others(150,75.0%),efficacy(137,68.5%),and safety(117,58.5%).Most users(170,85.0%)were satisfied or highly satisfied with the outcome of plants used.CONCLUSION Two hundred users of fresh medicinal plants have been successfully interviewed and the information documented systematically in a database.The results suggest that fresh medicinal plants have a role to play in healthcare in modern society.The information collated will serve as a useful resource for identifying promising plants for future drug discovery efforts.
文摘This article examines the complex relationship between disease perception,negative emotions,and their impact on postoperative recovery in patients with perianal diseases.These conditions not only cause physical discomfort,but also carry a significant emotional burden,often exacerbated by social stigma.Psycho-logical factors,including stress,anxiety,and depression,activate neuroendocrine pathways,such as the hypothalamic–pituitary–adrenal axis,disrupting the gut microbiota and leading to dysbiosis.This disruption can delay wound healing,prolong hospital stay,and intensify pain.Drawing on the findings of Hou et al,our article highlights the critical role of illness perception and negative emotions in shaping recovery outcomes.It advocates for a holistic approach that integrates psychological support and gut microbiota modulation,to enhance healing and improve overall patient outcomes.
基金Under the auspices of the Germany-Hong Kong Joint Research Scheme (No.GER/99-00/01) and the Faculty Re-search Grant of the Hong Kong Baptist University (No.FRG/00-01/I-38)
文摘Hong Kong is a hyper-dense city with 7x10(6) people living in an area of 1100km(2). One way to improve the livability of compacted and congested cities like Hong Kong is through the provision of urban parks, an aspect that has largely been under-researched. This study focuses on how users perceive and utilize various facilities in the Kowloon Park. The findings revealed that the Kowloon Park is one of the most preferred parks in Hong Kong for both local residents and tourists. Users were quite satisfied with the park's facilities. Notably, the most important component of an urban park is its greenery. This is followed by water elements, seating places, and facilities for various recreational activities. The improvements users would like to see in urban parks include good design and management, meeting users' needs, overcoming barriers to use, and providing a high quality and varied experience for different groups in the community. The findings of this study provide a good basis to address park management issues from the users' perspective. In particular, parks should provide easy access, encourage optimum usage and enable complimentary improvements to the environment.
基金supported by the Jiangsu Provincial Department of Science and Technology Social Development Project(No.BE2020787)。
文摘Objectives Diabetes remains a major global health challenge in China.Artificial intelligence(AI)has demonstrated considerable potential in improving diabetes management.This study aimed to assess healthcare providers’perceptions regarding AI in diabetes care across China.Methods A cross-sectional survey was conducted using snowball sampling from November 12 to November 24,2024.We selected 514 physicians and nurses by a snowball sampling method from healthcare providers across 30 cities or provinces in China.The self-developed questionnaire comprised five sections with 19 questions assessing medical workers’demographic characteristics,AI-related experience and interest,awareness,attitudes,and concerns regarding AI in diabetes care.Statistical analysis was performed using t-test,analysis of variance(ANOVA),and linear regression.Results Among them,20.0%and 48.1%of respondents had participated in AI-related research and training,while 85.4%expressed moderate to high interest in AI training for diabetes care.Most respondents reported partial awareness of AI in diabetes care,and only 12.6%exhibited a comprehensive or substantial understanding.Attitudes toward AI in diabetes care were generally positive,with a mean score of 24.50±3.38.Nurses demonstrated significantly higher scores than physicians(P<0.05).Greater awareness,prior AI training experience,and higher interest in AI training in diabetes care were strongly associated with more positive attitudes(P<0.05).Key concerns regarding AI included trust issues from AI-clinician inconsistencies(77.2%),increased workload and clinical workflow disruptions(63.4%),and incomplete legal and regulatory frameworks(60.3%).Only 34.2%of respondents expressed concerns about job displacement,indicating general confidence in their professional roles.Conclusions While Chinese healthcare providers show moderate awareness of AI in diabetes care,their attitudes are generally positive,and they are considerably interested in future training.Tailored,role-specific AI training is essential for equitable and effective integration into clinical practice.Additionally,transparent,reliable,ethical AI models must be prioritized to alleviate practitioners’concerns.
文摘Tephritid fruit flies are considered one of the world’s most notorious pests of horticultural crops, including mango (Mangefera indica L.) in Sierra Leone, causing extensive direct and indirect damage. A survey was conducted among 60 mango farmers in 7 districts in Sierra Leone between June and August, 2022, to assess their perceptions regarding fruit fly pest status and the current management options adopted for the control of this pest. Semi-structured questions designed in an open and closed-ended fashion were used for the study. The majority (83%) of the farmers were already aware of the fruit fly problem in the country with 62% perceiving it to be very severe. The majority (60%) of farmers, however, demonstrated poor knowledge of identifying fruit fly species, especially Bactrocera dorsalis, Ceratitis capitata, and Ceratitis cosyra. Farmers were more conversant about the direct damage symptoms to host fruits and the economic impact of fruit flies. A total of 32% of growers took no action to control fruit flies on their farms. Sixty-nine percent (69%) of the farmers adopted cultural control measures, like practicing prompt harvesting, collection and disposal of infested fruits, and weeding to maintain better sanitary conditions on their farms. Recommended fruit fly management strategies such as the use of botanicals and resistant varieties were either unknown or inaccessible to growers. A total of 52% applied chemicals that were not recommended for the control of fruit flies without considering their environmental and health risks. It is important to train fruit growers to improve their capabilities for fruit fly management through extension agents that are appropriate for helping them acquire basic knowledge of fruit fly pests and their management.
文摘Background: The healthcare system in Jordan is evolving and has to continuously respond to the changing risk profile of the population. The purpose of this study was to examine perception of users and providers of the quality of home health care services. Methods: A descriptive design was used to collect data from a convenience sample of 82 users of home health care services. Results: Users had low to fair satisfaction (30.5% - 69.5%) about the quality of care provided, had moderate satisfaction (72.0% to 81.7%) about the information received, and had low to fair satisfaction about education related to goal of treatment and medication (46.4% - 53.3%). Users had high level of agreement (>70%) that health agencies provided interpersonal care. Conclusion: The ability of the frail people to choose from a variety of cost-effective long-term care services is limited.
文摘A recommender system is a tool designed to suggest relevant items to users based on their preferences and behaviors.Collaborative filtering,a popular technique within recommender systems,predicts user interests by analyzing patterns in interactions and similarities between users,leveraging past behavior data to make personalized recommendations.Despite its popularity,collaborative filtering faces notable challenges,and one of them is the issue of grey-sheep users who have unusual tastes in the system.Surprisingly,existing research has not extensively explored outlier detection techniques to address the grey-sheep problem.To fill this research gap,this study conducts a comprehensive comparison of 12 outlier detectionmethods(such as LOF,ABOD,HBOS,etc.)and introduces innovative user representations aimed at improving the identification of outliers within recommender systems.More specifically,we proposed and examined three types of user representations:1)the distribution statistics of user-user similarities,where similarities were calculated based on users’rating vectors;2)the distribution statistics of user-user similarities,but with similarities derived from users represented by latent factors;and 3)latent-factor vector representations.Our experiments on the Movie Lens and Yahoo!Movie datasets demonstrate that user representations based on latent-factor vectors consistently facilitate the identification of more grey-sheep users when applying outlier detection methods.
基金supported by the Key Discipline Program of the Fifth Round of the Three-Year Public Health Action Plan(2020-2022 Year)of Shanghai,China(GWV-10.1-XK08).
文摘Objectives:This study aimed to explore the perceptions and recommendations of multiparas and health-related professionals regarding appropriate birth intervals(Bis)and key determinants.Methods:In-depth semi-structured interviews were conducted between April 1 and June 30,2022.Nine multiparas and thirteen health-related professionals were purposefully sampled until data saturation was reached.A thematic analysis approach was applied to the interview transcripts,utilizing dual independent coding and consensus validation in NVivo 12.0.Results:The data generated two overarching categories:1)balanced decision-making on the appropriate birth intervals and 2)internal and external determinants integrated with health and societal considerations.Four key themes emerged following the two categories:1)consistency and discrepancy between the actual and recommended birth intervals of multiparas;2)health-and developmentoriented professional recommendations;3)internal determinants related to individual-level factors;and 4)external determinants related to child-related factors,family support,and social security.Weighing women's reproductive health and career development,multiparas and health-related professionals perceived a length between 18 and 36 months as the appropriate Bl.Conclusion:Multiparas and health-related professionals shaped their balanced recommendations on a relatively appropriate birth interval ranging from 18 to 36 months,which was influenced by women's individual-level factors,child-related factors,family support,and social security.Targeted social and healthcare services should be offered to women and their families during the Bls.
基金Supported by Scientific Research Project of College Students in Liaoning Province,No.S202410164004.
文摘BACKGROUND Sex education was introduced early in foreign countries.For example,there is a more systematic sex education system abroad,which can better achieve the popularization of sex education.China's sex education started relatively late,yet there are many problems in the development of sex education in China;for example,college students lack knowledge of sexuality.AIM To explore the perception of sex education among medical college students.METHODS Students majoring in medicine in a medical school were selected as the survey subjects.Anonymous online questionnaires were used to conduct the survey,and the results were analyzed using GraphPad Prism,SPSS,Microsoft Excel,and other software.The questionnaire was administered to understand the source of sexual knowledge,sexual responsibility,mastery of sexual knowledge,and distress caused by sexual problems.RESULTS Most students majoring in medicine had no formal sex education,lacked sexual knowledge,or had a biased understanding of sexual responsibility.This study analyzed future research trends in sex education based on relevant achievements in the Chinese context and abroad to further realize the practical significance and value of sex education popularization in China and provide recommendations for parents and schools at different levels.CONCLUSION Sex education should be conducted among college students,and medical colleges and universities should strengthen scientific sex education.
基金supported by a grant from the National Natural Science Foundation of China(No.72174130)。
文摘Objectives Nurses’clinical research activities have contributed to optimizing the care process and improving patient outcomes,and generative artificial intelligence(GAI)may help clinical nurses strengthen their research skills.To support research,this study aimed to explore the Chinese nurses’perceptions and experiences of GAI training.Methods This study used a descriptive qualitative design.The China Nurses Network conducted a three-day training session on“GAI for Nursing Research”theme,we selected 23 nurses by a convenience sampling method among participating in the training.The researchers conducted three focus group interviews at the end of each day.All focus groups were interviewed face-to-face to facilitate interaction,data collection,and observation.The data were analyzed using conventional content analysis and coded manually.Results The results showed that nurses’use of GAI to support scientific research was dynamic and characterized by evolving perceptions and practices.Four themes and 11 sub-themes emerged from the analysis:1)utilization efficacy:cope with research ability,affected by many factors;2)booster research:growth and challenges go hand in hand;3)role reversal:from GAI-dominated to nurse-dominated;4)beautiful dream:more features on research,more assistants on clinical care.Conclusions The effectiveness of GAI in supporting clinical nurses in conducting research is mainly limited by differences in personal research literacy,lack of ethical regulation,and information accuracy.In the future,it is necessary to improve nurses’relevant skills through specialized training and promote the standardization of technical regulations to ensure the appropriate application of GAI in nursing research.
文摘Objective:This article employs a scoping review methodology,integrates knowledge and information about current pediatric nurses'practices and perceptions regarding family-centered care in pediatric settings.Methods:Published articles were retrieved from databases including EBSCO host,PubMed,Springer,Science Direct,Ovid,and CINAHL between 2013 and 2023.Results:The finding shows a better understanding of pediatric nurses'perceptions of family-centered care in association with their clinical settings.However,the evidence indicates that integrating family-centered care components into health care services is difficult and confusing to nurses and is often not implemented in a clinical setting.As evidenced by this review,studies have consistently reported similar results;family-centered care was a good perception and understood by pediatric nurses as a concept but inconsistently used in a daily practice setting.Conclusions:This scoping review is the first phase in promoting a strategic plan to provide educational interventions for pediatric nurses to implement family-centered care in their daily practice settings.It's necessary to recognize pediatric nurses'perceptions and practices concerning family-centered care to provide optimal healthcare services in pediatric settings.
文摘This study explores the environmental sensitivity of first-year teacher education stu dents,focusing on the relationship between their Earth Science performance,demographic factors,and their cognitive and emotional responses to environmental challenges.Using a descriptive correlational design within a mixed-methods framework,the research incorporates tools such as the Environmental Sensitivity Test(EST),focus group discussions(FGDs),and eco-mapping to comprehensively collect and analyze data.The findings reveal that while students exhibit a general awareness of environmental issues,this awareness does not consistently translate into sustainable practices,particularly in areas such as water conservation and waste management.A weak and statistically insignificant correlation was identified between Earth Science performance and environmental sensitivity,indicating that academic achievement in the subject does not necessarily lead to environmentally responsible behaviors.The results underscore the importance of teacher education programs integrating principles of behavioral psychology,experiential learning,and focused environmental education.Specifically,secondary science teachers should be equipped with practical strategies,such as implementing project-based learning,organizing community-centered environmental initiatives,and fostering interdisciplinary approaches to sustainability.These interventions address the gap in preparing future educators to effectively advocate for and implement sustainable practices.Strengthening teacher preparation programs with these components ensures that science educators are better equipped to cultivate a new generation of environmentally responsible citizens.
基金funded by Universiti Kebangsaan Malaysia through research grant(SK-2024-006).
文摘Urban forest parks deliver a wide spectrum of ecosystem services that support biodiversity,climate regulation,and public well-being;however,their perceived value among local visitors remains underexplored in Southeast Asia.This study investigates visitor perceptions and economic valuation of ecosystem services at Mount Pulai Forest Eco Park in Johor,Malaysia.Grounded in the Total Economic Value(TEV)framework and ecosystem service theory,the research employed a structured on-site survey of 392 visitors and applied the Contingent Valuation Method(CVM)to assess awareness,appreciation,and willingness-to-pay(WTP)for forest conservation.Findings revealed that visitors highly valued regulating services,such as air purification and flood mitigation(mean≈4.3/5),and supporting services,like biodiversity(mean≈4.2/5),while provisioning services were rated lower(mean≈2.8/5).Despite limited familiarity with ecological terminology,only 33%understood the term“ecosystem services”.In contrast,a substantial majority(79.1%)expressed WTP for conservation efforts,proposing an average annual contribution of MYR 51.32.Additionally,65%of respondents supported an entry fee model,suggesting a mean payment of MYR 3.07 per visit.These results underscore the economic and non-economic value that urban residents assign to forest benefits,offering new insights into conservation finance and public engagement.The study’s innovation lies in its integration of ecosystem perception with economic valuation in an urban forest setting,providing a replicable framework for sustainable park management across Southeast Asia.
文摘Objective:This study aims to assess nursing faculty’s perceptions and challenges in teaching Generation Z students,providing insights into the barriers and opportunities in bridging the generational learning gap.Material and Methods:A descriptive cross-sectional study was conducted among 335 nursing faculty members in the Delhi NCR region.Participants were recruited using a snowball sampling technique,and data were collected via a self-administered structured questionnaire.The questionnaire measured faculty perceptions and challenges using a Likert scale,with reliability assessed using Cronbach’s alpha.Data were analyzed through Descriptive and inferential statistics.Results:Findings revealed that while faculty recognize the need for technology integration and student-centered learning,they face challenges such as academic integrity concerns,psychological stress,and adapting to Gen Z’s expectations for personalized learning.The correlation between faculty perceptions and challenges was negligible(r=0.020,P=0.717),indicating that faculty perceptions remain stable despite these difficulties.Conclusion:Nursing faculty need to adapt pedagogical approaches to meet the evolving needs of Gen Z students.Bridging the gap between traditional teaching methods and the evolving needs of Generation Z requires faculty training,institutional support,and curriculum innovations.
基金supported by the National Key Project of the National Natural Science Foundation of China under Grant No.U23A20305.
文摘Identifying influential users in social networks is of great significance in areas such as public opinion monitoring and commercial promotion.Existing identification methods based on Graph Neural Networks(GNNs)often lead to yield inaccurate features of influential users due to neighborhood aggregation,and require a large substantial amount of labeled data for training,making them difficult and challenging to apply in practice.To address this issue,we propose a semi-supervised contrastive learning method for identifying influential users.First,the proposed method constructs positive and negative samples for contrastive learning based on multiple node centrality metrics related to influence;then,contrastive learning is employed to guide the encoder to generate various influence-related features for users;finally,with only a small amount of labeled data,an attention-based user classifier is trained to accurately identify influential users.Experiments conducted on three public social network datasets demonstrate that the proposed method,using only 20%of the labeled data as the training set,achieves F1 values that are 5.9%,5.8%,and 8.7%higher than those unsupervised EVC method,and it matches the performance of GNN-based methods such as DeepInf,InfGCN and OlapGN,which require 80%of labeled data as the training set.
基金funded by the Demonstration Project for Consolidating the Scientific and Educational Support for Medical Talents(Scientific Research Team for Improving the Service Quality of“the Elderly and the Young”).
文摘This study explored the mediating role of moral courage in the relationship between emotional intelligence and perceptions of patient safety competence among nursing students in clinical practice.The study sample comprised 220 nursing students from a teaching hospital(female=93.6%;mean age=20.64 years,SD=1.78 years).Nursing students completed standardized measures of Emotional Intelligence Scale,the Moral Courage Scale,and the Health Professional Education in Patient Safety Survey.Following hierarchical regression analysis and bootstrap analysis,the results showed that emotional intelligence and moral courage significantly predicted high levels of the perceptions of patient safety competence among nursing students in clinical practice.Moreover,moral courage partially mediated the relationship emotional intelligence and perceptions of patient safety competence.The results indicate measures focused on improving emotional intelligence and moral courage levels among nursing students in clinical practice will be effective at increasing their perceptions of patient safety competence.
基金grateful for the financial support from the National Key R&D Program of China(2023YFB2407300).
文摘With increasing awareness of environmental protection and rising carbon emission costs,participation in electricity and carbon markets for energy-intensive industrial users will become an effective way to reduce operating costs and carbon emissions.In this regard,a novel Stackelberg game framework is developed in this study for coordinated participation in coupled electricity‒carbon markets.Specifically,generalized carbon emission models and electricity consumption models for different energy-intensive industrial users are established,and a Stackelberg game-based interactive operation strategy is proposed for load aggregators(LAs)and energy-intensive industrial users in joint electricity‒carbon markets,where the LA works as a leader who chooses proper interactive prices to maximize the comprehensive benefit,whereas energy-intensive industrial users serve as followers who minimize the total energy costs in response to the interactive prices set by the LA.Then,the existence and uniqueness of the Stackelberg equilibrium(SE)are analyzed,and a decentralized solution algorithm is suggested to reach the SE.Finally,the simulation results demonstrate that the proposed interactive operation strategy can not only increase the profit of the LA but also reduce the cost of energy-intensive industrial users,which achieves a win-win result.
文摘The advancement of generative AI has reshaped EFL education,particularly in EFL writing.This qualitative case study investigates the perceptions of Chinese college students and EFL teachers towards the integration of Gen AI in EFL writing.The research involved semi-structured interviews with 13 students and 10 EFL teachers.Thematic analysis,guided by the Technology Acceptance Model(TAM),was employed to analyze the qualitative data.The findings reveal the perceptions of students and teachers regarding the role of generative AI in EFL writing.Regarding usefulness,students appreciate Gen AI for reducing writing difficulty and enhancing efficiency,though some note that it may produce logical flaws and misinformation.Teachers share similar perceptions,but stress effectiveness depends on students’language level.Some teachers also advocate traditional writing initially to build foundational skills.On the ease of use,most students find it easy interacting with Gen AI but mention dialogical understanding challenges.Both students and teachers stress clear prompts are crucial,indicating“AI interaction literacy”should be part of teaching.Moreover,teachers worry that Gen AI’s ease of use may lead to over-reliance.These results reveal contradicting goals of using Gen AI:students value efficiency,while teachers focus on ability cultivation.These insights guide more effective integration of Gen AI in EFL writing education.
