Search Results (150)

Background: Intermediate care units face growing complexity due to aging populations and chronic illnesses. Non-technical skills such as empathy and communication are crucial for quality care. We aimed to examine the relationship between communication skills, self-efficacy, and sense of coherence among intermediate care nurses. Methods: We conducted an observational, cross-sectional study with 60 intermediate care nurses from three units in a Catalan hospital, Spain. Participants engaged in high-fidelity simulation using geriatric end-of-life scenarios with an ultra-realistic manikin representing a geriatric patient at the end of life. NTSs were measured using validated tools: the Health Professionals Communication Skills Scale (HP-CSS), the General Self-Efficacy Scale, and the Sense of Coherence Questionnaire (OLQ-13). Sessions followed INACSL standards, including prebriefing, simulation, and debriefing phases. Results: Post-simulation outcomes revealed significant gains in interpersonal competencies, with men reporting higher assertiveness (p = 0.015) and greater satisfaction with both the simulation experience (p = 0.003) and the instructor (p = 0.008), underscoring gender-related perceptions in immersive training. Conclusions: Ultra-realistic clinical simulation is effective in enhancing NTS among intermediate care nurses, contributing to improved care quality and clearer professional profiles in geriatric nursing. Full article

While real face features are known to influence social evaluations, the social perception of illusory faces remains largely unexplored despite neural similarities to real faces. This study aimed to fill this gap by manipulating the width-to-height ratio, chin shape, and eye–mouth distance of illusory faces and assessing their effects on perceived gender, cuteness, trustworthiness, dominance, attractiveness, and emotion. Key findings include the following: (1) high width-to-height ratios significantly boosted attractiveness for female participants but not for male participants; (2) round chins consistently enhanced perceptions of masculinity, cuteness, attractiveness, and trustworthiness; (3) eye–mouth distance was found to affect emotional perception. This research offers crucial experimental insights into the determinants of social evaluations for illusory faces. Full article

Tourist satisfaction models typically assume that service performance dimensions carry the same weight for all travelers. Drawing on Bourdieu, we reconceptualize age, gender, and region of origin as demographic capital, durable resources that mediate how visitors decode service cues. Using a SERVPERF-based survey of 407 international travelers departing Quito (Ecuador), we test measurement invariance across six sociodemographic strata with multi-group confirmatory factor analysis. The four-factor SERVPERF core (Access, Lodging, Extra-hotel Services, Attractions) holds, yet partial metric invariance emerges: specific loadings flex with demographic capital. Gen-Z travelers penalize transport reliability and safety; female visitors reward cleanliness and empathy; and Latin American guests are the most critical of basic organization. These patterns expose a boundary condition for universalistic satisfaction models and elevate demographic capital from a descriptive tag to a structuring construct. Managerially, we translate the findings into segment-sensitive levers, visible security for youth and regional markets, gender-responsive facility upgrades, and dual eco-luxury versus digital-detox bundles for long-haul segments. By demonstrating when and how SERVPERF fractures across sociodemographic lines, this study intervenes in three theoretical conversations: (1) capital-based readings of consumption, (2) the search for boundary conditions in service-quality measurement, and (3) the shift from segmentation to capital-sensitive interpretation in emerging markets. The results position Ecuador as a critical case and provide a template for destinations facing similar performance–perception mismatches in the Global South. Full article

Women disproportionately encounter negative affordances in urban environments—defined as features that severely restrict movement and impose harm. City venues are, thus, selectively permeable to women, though men face their own challenges, especially in intersectional contexts. The data in this study suggest that gender combines with ethnicity, socioeconomic status, and visible religious markers, making obstruction a shifting but nonetheless real phenomenon, much like a staircase genuinely impedes wheelchair access. Cultural context also matters: a Black woman may face one set of barriers in Paris, another in Seoul, with a Latin American woman encountering different ones in both. Building on these observations, the article argues that urban landscapes manifest gender-based political affordances—material configurations that reflect and reinforce social inequalities. As an affordance-based framework, the selective permeability model (1) draws on a well-supported theory of perception, where settings objectively present both favorable and hostile values relative to agents. The outlook (2) thereby challenges the stereotype that women’s spatial concerns are merely subjective. The position also (3) affirms that despite differences, people share bodily constraints and, hence, have largely overlapping values and experiences. The perspective accordingly avoids exaggerating divisions to the point of denying the mutual understanding that underlies empathetic norms. Full article

This study investigates the knowledge, perception and trust in Advanced Driver Assistance Systems (ADAS) among drivers in Eastern Sicily, a Mediterranean region characterized by infrastructural and socio-economic differences. A structured survey (N = 961) was conducted to assess user attitudes towards eight key ADAS technologies using two validated indices: the Knowledge Index (KI) and the Importance Index (II). To capture user consistency, a normalized product (z(KI) × z(II)) was calculated for each technology. This composite metric enabled the identification of three latent dimensions through exploratory factor analysis: Emergency-Triggered Systems, Adaptive and Reactive Systems and Driver Vigilance and Stability Systems. The results show a clear discrepancy between perceived importance (56.6%) and actual knowledge (35.1%). Multivariate analyses show that direct experience with ADAS-equipped vehicles significantly increases both awareness and confidence. Age is inversely correlated with knowledge, while gender has only a marginal influence. The results are consistent with established acceptance models such as TAM and UTAUT, which emphasize the role of perceived usefulness and trust. The study presents an innovative integration of psychometric metrics and behavioral theory that provides a robust and scalable framework for assessing user readiness in evolving mobility contexts, particularly in regions facing infrastructural heterogeneity and cultural changes in travel behavior. Full article

Background/Objectives: Family assistance by adolescents (e.g., cooking, cleaning, listening to family members) is a common phenomenon. However, the impact of such assistance on adolescent development remains a topic of debate. Increasingly, the importance of adolescents’ own perceptions and interpretations is being emphasized in understanding how family assistance influences their development. Adolescents in marriage immigrant families may face unique psychosocial challenges as they support their immigrant parents. This study explores the family assistance experiences of adolescents in marriage immigrant families. Methods: Data were collected through one-on-one in-depth interviews with 10 adolescents aged 13–18 years from currently married marriage immigrant families, all of whom were born in Korea. The interviews were conducted between October and November 2022. The data were analyzed using interpretative phenomenological analysis. Results: The family assistance experiences were categorized into three main themes, namely, “Old enough to help—naturally, and rightly so”, “Foreign mother whom I naturally come to help”, and “Unavoidable family assistance, even under pressure”, and 10 subordinate themes. The adolescents provided support naturally, grounded in familial obligation and empathy toward their immigrant mothers. When the native Korean father shared the responsibilities, the assistance was not perceived as burdensome. However, diminished paternal involvement, traditional gender role expectations, and unmet emotional or academic needs led to more negative perceptions and psychological stress. Conclusions: Support systems are needed to ensure that adolescents do not assume sole responsibility for both the native father’s and the immigrant mother’s roles within marriage immigrant families. Full article

Background and Objectives: Facial beauty has attracted the attention of human societies for centuries, but there is not yet a common universal consensus on the perception of beauty. The first stage of facial analysis is a frontal examination of the face. Therefore, determining the morphometric characteristics of the face and facial organs will help to perceive the nuances that influence the aesthetics specific to each person. The aim of our study is to develop regression equations that will design personalized morphometric features for reconstructive and aesthetic applications that will adapt to each individual’s personal face and facial organs and incorporate cultural elements. Materials and Methods: The study was conducted with 100 volunteers, 50 males (mean age = 21.48 ± 1.54 years) and 50 females (mean age = 21.26 ± 0.66 years). We took facial photographs of the participants in the Frankfurt Horizontal plane so that measurements of the face and facial organs could be made on digital media. We measured forty parameters (eight for face, twelve for eyes, eight for nose, and twelve for lips). We used Image J (ver. 1.51) software for the measurements. We used SPSS Ver. 28.0 for the statistical analysis of the data. Results: As a result of the comparative statistical analysis, statistically significant (p < 0.05) differences were found between men and women in the F5—lower face height, E5—palpebral fissure height, E6—distance between the margin of the upper eyelid and the eyebrow, E8—distance between the midpoint of the eye and the edge of the lower eyelid, N3—alar width, and N5—nasal root angle variables. Conclusions: On the basis of the correlation analyses, linear regression equations were developed to estimate the ideal natural facial morphometry of men and women by the means of variables that were highly correlated with each other. The equations developed will estimate the optimum morphometric features of a person for natural harmony and balance between the face and facial organs in accordance with the individual’s population and gender. We believe that our study will guide medical professionals who perform cosmetic/aesthetic interventions and also inspire software or artificial intelligence applications related to facial or facial organ design. Full article

Background: Yemen faces significant challenges related to drug smuggling and counterfeiting, exacerbated by socio-economic hardships and a fragile healthcare and regulatory system. These conditions create an environment conducive to illicit drug trafficking. This study aims to explore the perspectives of healthcare employees working in drug-related departments in the Capital Sana’a, Yemen, focusing on the factors contributing to drug smuggling and the broader challenges within Yemen’s pharmaceutical sector. Methods: A cross-sectional study was conducted among health employees in drug-related departments in the Capital Sana’a. Data were collected through a self-administered questionnaire and analyzed using SPSS version 22.0. Descriptive and inferential statistical analyses were performed to examine group differences, including t-tests and ANOVA. A significance level of p < 0.05 was considered statistically significant. Results: The t-test indicated significant disagreement among participants (50.3%) regarding the existence of a comprehensive pharmaceutical policy (p < 0.001). High levels of agreement were observed on commonly smuggled drugs (74.7%) and the underlying reasons for drug smuggling and counterfeiting (76%, p < 0.001). A significant gender difference emerged regarding perceptions of the Supreme Board of Drugs’ role, with males scoring lower (mean = 2.86, SD = 0.81) than females (mean = 3.43, SD = 0.42, p = 0.002). However, ANOVA results showed no significant differences within or between groups based on educational qualifications, professional roles, or years of service concerning pharmaceutical policy, the Supreme Board of Drugs, registration requirements, or drug smuggling and counterfeiting (p > 0.05). Conclusions: This study highlights critical challenges in Yemen’s pharmaceutical sector, including systemic weaknesses, policy gaps, and the prevalence of drug smuggling, while emphasizing the pivotal role of health employees in addressing these issues. Strengthening their capacity through targeted interventions—such as training, awareness campaigns, robust regulatory frameworks, equitable enforcement, and enhanced stakeholder engagement—is essential. Given the cross-border nature of drug smuggling, these findings underscore the urgent need for strengthened international cooperation, harmonized regulatory policies, and intelligence-sharing mechanisms to combat illicit pharmaceutical trade. Addressing these challenges at both national and international levels is vital for ensuring drug safety, protecting public health, and mitigating the global impact of counterfeit and smuggled medicines. Full article

Background/Objectives: The COVID-19 pandemic impacted healthcare access globally, with chronic conditions like congenital heart defects (CHD) posing unique challenges. While general trends have been studied, little is known about the impact on CHD patients in Europe. This study assessed the living conditions, healthcare utilization, and psychosocial well-being of CHD patients and their families in Germany, considering CHD severity, gender differences, and changes over time. Methods: Data were derived from two cross-sectional online surveys conducted by the National Register for Congenital Heart Defects (NRCHD) in April 2020 and April 2021. Surveys targeted CHD patients and relatives, assessing healthcare access, risk perception, COVID-19-related knowledge, and psychosocial effects. Statistical analyses compared responses by gender, CHD severity, and survey period. Results: A total of 6737 responses were analyzed. Healthcare utilization declined early in the pandemic due to infection fears but partially recovered in 2021. Perceived health risks increased from 27.9% in 2020 to 38.7% in 2021 (p < 0.001), along with higher psychosocial distress. COVID-19-related knowledge was greater in 2020, but trust in government information declined, while reliance on healthcare providers increased. Gender and CHD severity influenced healthcare engagement and perceptions. Conclusions: This study highlights the challenges CHD patients faced, underscoring the need for holistic, patient-centered care. Future interventions should focus on tailored communication and support strategies, particularly for vulnerable populations, to mitigate the impact of future health crises. Full article

Over the past few decades, numerous efforts have been made to increase the proportion of women in the construction industry, coupled with various calls for legislation and rules to prohibit gender discrimination. Despite these efforts, minimal progress has been noticed in the construction industry. While recruitment remains crucial, the current culture in construction reveals a knowledge gap in recruitment and retention in employment—a concept known as a ‘leaky pipeline’. Lack of awareness of career options and the challenges of working in a male-dominated, occasionally discriminatory workplace are some of the significant barriers to attracting and keeping women in the construction industry. Much of the research in South Africa shows that most construction companies employed few women but only in lower secretarial and administrative positions. Therefore, this study investigated the barriers facing women’s entry and retention in construction-related employment in South Africa using fuzzy synthetic evaluation (FSE) to understand and prioritise the barriers. Data were collected through the administration of online and paper-based questionnaires. The results of the analysis show that the barriers in the order of criticality include support and empowerment issues (SEs), educational/academic-related barriers (ABs), barriers from professional conditions and work attributes (BPs), social perception and gender stereotype barriers (SPs), professional perceptions and gender bias (PP), and individual confidence/interest/awareness/circumstance-related barriers (IBs), respectively. Based on the findings of the study, several recommendations, including on-the-job tutoring and flexible work arrangements, amongst others, were provided. Full article

This exploratory qualitative study investigates the challenges faced by young adults (aged 18–40) with severe mental illness (SMI), intellectual disabilities (IDs), and autism spectrum disorder (ASD) in navigating body perception, affectivity, intimacy, gender identity, and sexuality. Through semi-structured interviews with 13 participants recruited from a community habilitation center, thematic analysis revealed systemic barriers rooted in societal stigma, familial overprotection, and institutional neglect. Key findings highlight tensions between bodily autonomy and familial control, with prolonged caregiver dependency in intimate hygiene reflecting patterns of infantilization. We found that participants’ self-image was shaped by gendered expectations and familial critiques, reinforcing internalized stigma. Romantic relationships were often idealized through cultural narratives, yet lacked practical guidance on consent or boundaries, exacerbating vulnerabilities. Fragmented sexual education left individuals reliant on pornography or peers, perpetuating misconceptions and anxiety. Despite these barriers, participants demonstrated resilience and agency in advocating for inclusive interventions. This study underscores the urgent need for trauma-informed, rights-based approaches that prioritize autonomy, dignity, and intersectionality. Recommendations include structured skill-building programs for independence, disability-adapted comprehensive sexuality education, and systemic reforms fostering interdisciplinary collaboration. By centering lived experiences, this work challenges structural inequities and advocates for community care models that honor the diverse needs of individuals navigating the intersection of disability, identity, and sexuality. Full article

This study aimed to examine caregivers’ perceptions, practices, and challenges regarding rehabilitation services for people with disabilities, with a focus on identifying factors influencing their decisions to bring care recipients for formal rehabilitation. A cross-sectional study was conducted in rural Thai Nguyen Province, Vietnam. Data were collected from 214 primary caregivers using a structured questionnaire covering demographics, caregiving roles, and rehabilitation-related perceptions. A pilot study was conducted to refine the tool, and data were collected via face-to-face interviews by a trained team. Statistical analyses included descriptive statistics, chi-square tests, and stepwise logistic regression to identify key predictors of care-seeking behaviors. Results showed that 92% of caregivers perceived rehabilitation as necessary or very necessary. Female caregivers were more likely to provide care at home (95.3%), while male caregivers were more likely to utilize hospital-based services (73.5%) and to bring care recipients for rehabilitation overall (79.4% vs. 67.1%). Logistic regression revealed that female caregivers were significantly less likely than males to bring people with disabilities in for care (OR = 0.34, p = 0.02). Longer caregiving duration was associated with a reduced likelihood of seeking care (OR = 0.96 per year, p < 0.001), whereas caregivers of individuals with mobility needs (OR = 3.15, p < 0.001) and social integration needs (OR = 2.12, p = 0.05) were significantly more likely to seek care. These findings highlight gender-based differences and caregiving dynamics that influence access to rehabilitation. To enhance rehabilitation outcomes and support caregiver engagement, targeted policies are needed to address gender roles, caregiving fatigue, and the specific needs of care recipients. Full article

This systematic review examines the impact of prioritisation and eligibility criteria on social services’ intake processes. By analysing 22 studies from nine countries over three decades, this review identifies key patterns in how these criteria influence access to social assistance. Using thematic analysis, this study highlights that automation has improved efficiency by reducing administrative costs and wait times, but has also created access barriers for older adults, migrants, and individuals with limited digital skills. Additionally, gender and intersectionality play a crucial role, with men facing stricter eligibility requirements and migrant women experiencing higher approval rates. The findings also reveal that professionals’ subjective perceptions influence decisions, introducing biases that affect equitable resource distribution. While prioritisation systems streamline service delivery, they also lead to inconsistencies across different social service centres, potentially reinforcing social inequalities. This review emphasises the need to balance efficiency with fairness, ensuring that eligibility criteria do not become exclusionary mechanisms. Full article

Rural public transport networks face significant challenges, often characterised by suboptimal service quality. With advancements in technology, various applications have been explored to address these issues. Autonomous Demand-Responsive Transits (ADRTs) represent a promising solution that has been investigated over recent years. Their potential to enhance the overall quality of transport systems and promote sustainable transportation is well-recognised. In our research study, we evaluated the viability of ADRTs for rural networks. Our methodology focused on two primary areas: the suitability of ADRTs (considering vehicle type, service offerings, trip purposes, demographic groups, and land use) and the broader impacts of ADRTs (including passenger performance, social impacts, and environmental impacts). Perceptions of ADRT suitability peaked for university precincts and 24/7 operations. However, they were less favoured by mobility-disadvantaged groups (disabled, seniors, and school children). We also examined demographic heterogeneity and assessed the influence of demographic factors (age, gender, education, occupation, household income level, and disability status) on the implementation of ADRTs in rural settings. The findings delineate the varied perceptions across these socio-demographic strata, underscoring the necessity for demographic-specific trials. Consequently, we advocate for the implementation of ADRT services tailored to accommodate the diverse needs of these demographic cohorts. Full article

Objective: To examine associations among psychological distress, perceptions of life changes, and perceptions of family support among college students during the quarantine period of the pandemic. Background: A supportive family can buffer psychological distress during crises. During the early months of the COVID-19 pandemic, many college students abruptly returned to their family home, disrupting a developmental stage typically oriented toward independence and peer connection. While previous research has highlighted the stressors of this period, less is known about the role of perceived family support in shaping students’ mental health outcomes. Method: Data from a cross-sectional sample of 339 college students were collected. Statistical analysis included a hierarchical multiple regression and moderated moderation to investigate the relationship between the life changes college students experienced due to COVID-19 and distress and how family support moderated this relationship while treating gender as a secondary moderator. Results: Perceptions of worsening life conditions due to COVID-19 were associated with higher levels of distress and vice versa. Perceptions of emotional forms of family support moderated this relationship, but only among male participants. Conclusions: This study contributes to our understanding of the mental health implications of the pandemic on college students by identifying emotional family support as a gender-specific protective factor. Implications: Insights from this study may inform mental health interventions that consider family dynamics and gender-specific coping during large-scale crises. These findings may also guide strategies for supporting students facing the long-term psychological impacts of the COVID-19 pandemic. Full article