Search Results (1,675)

The purpose of this study was to examine the multivariate relationship between college students’ Big Five personality traits and their perceptions of generative artificial intelligence (AI). Guided by sustainable digital education and expectancy-value theory, this study investigated whether personality profiles were associated with students’ knowledge of AI, attainment value, intrinsic value, utility value, perceived cost, and intention to use AI. Using a cross-sectional survey design, data were collected from 375 students enrolled at a Southwestern doctoral-granting public university. Participants completed an adapted measure of generative AI perceptions and the Big Five Inventory, and canonical correlation analysis (CCA) was conducted to examine the multivariate relationship between the two variable sets. The results indicated that the full canonical model was statistically significant and that three interpretable canonical functions were retained. The first and strongest function showed that higher openness, agreeableness, and conscientiousness were associated primarily with greater AI knowledge and, to a lesser extent, with higher perceived cost. The second function indicated that higher neuroticism was associated with greater perceived cost and lower utility and attainment value. The third function showed that lower neuroticism, together with higher openness and conscientiousness, was associated with a stronger attainment value, greater intention to use AI, and lower perceived cost. Our findings suggest that students differ meaningfully in how they understand and value generative AI. These results have important implications for higher education because they highlight the potential value of differentiated, human-centered AI literacy efforts in supporting more equitable and responsible AI integration. Full article

Rising production costs have increased interest in lower-cost, non-inversion crop establishment systems in Ireland, yet uptake remains relatively limited. Growers’ perceptions of relative performance of innovations compared to current practice are key determinants of adoption. We surveyed 154 Irish arable growers (77 plough-based, 59 min-till, 18 direct drill) to assess perceived performance of min-till and direct drill across multiple parameters relative to ploughing to identify potential barriers to adoption. Respondents rated impacts on Likert scales; analyses summarized response distributions and between-system differences. For example: >30% of min-till growers believed min-till winter cereal yields exceed ploughing, compared with 0% of plough and <10% of direct drill growers. Growers generally favoured their own establishment system, consistent with adoption theory. Potential barriers to non-inversion adoption included perceived lower establishment reliability, crop performance concerns (especially spring crops), and anticipated increases in weed pressure, herbicide reliance, and herbicide resistance development risk. Several perceptions diverged from the Ireland-relevant literature, revealing both knowledge gaps (notably establishment stability and winter/spring crop performance of establishment systems) and misperceptions (including establishment system on soil structure). Targeted research to address knowledge gaps, combined with focused, grower-centred knowledge exchange, is required to support evidence-based evaluation and sustainable adoption of establishment systems in Ireland. Full article

Background: Sexual Assault Care Centres (SACCs) in Belgium provide integrated medical and psychological care, a forensic examination and the option to report to the police to victims of sexual assault (SA). Understanding victims’ acceptability of these services is essential for improving SACC’s effectiveness and informing policy. Methods: In-depth interviews were conducted with 19 victims and 14 support persons to explore victims’ experiences with SACCs. The victims represented diverse characteristics (gender, age, SACC site and police reporting status). Data were analysed using thematic framework analysis, guided by Sekhon’s “Theoretical Framework of Acceptability”. Results: Participants viewed SACCs as a highly acceptable integrated model of specialised care for victims of recent SA. They expressed strong appreciation for the care provided at the SACC and its set-up (affective attitude), and they identified key professional qualities of SACC professionals (ethicality). Participants demonstrated good understanding of the functioning of the SACCs (intervention coherence). The model was perceived as effective in providing medical care, mental health support, and facilitating police reporting, though gaps were noted in linking victims with other actors in the criminal justice system (perceived effectiveness). Organisational strengths included the holistic, long-term, proactive, affordable and accessible nature of the care offered (perceived effectiveness, burden and opportunity cost). Victims faced challenges in linking to, engaging with and remaining in care due to distress post-SA, with support persons playing a crucial role in helping them navigate these challenges (self-efficacy). Conclusions: The study highlights the acceptability of an integrated, multidisciplinary approach to specialised SA care. Key elements include embedded psychological support, the option for forensic examination without mandatory reporting, and the possibility of police reporting at the SACC. These findings may inform the development of specialised SA services in other settings. Full article

This study provides an in-depth examination of the association between sustainable agricultural practices and economic sustainability among small-scale farmers in the canton of Ambato, Ecuador, with attention to gender differences in the adoption of specific practices. The study used a cross-sectional quantitative design and structural equation modeling (SEM) based on data from 150 farmers. The results demonstrate that intention to adopt sustainable practices was positively associated with economic sustainability (β = 0.96), and perceived benefits also showed a positive relationship with economic sustainability (β = 0.29). Conversely, agricultural practices showed a negative direct structural coefficient with economic sustainability (β = −0.29), thereby suggesting that the short-term costs of implementation may reduce immediate economic returns in resource-constrained contexts. Descriptive results indicated differences in the adoption of specific practices by sex, especially in crop rotation, biological pest control, and efficient irrigation, although the evidence for gender differences in economic sustainability was mainly descriptive rather than inferential. The model showed acceptable fit (CFI = 0.934, TLI = 0.917, RMSEA = 0.065). Overall, these findings contribute empirical evidence from an Andean agricultural context and suggest that training, technical support, and transition-cost reduction policies are necessary to strengthen the economic viability of sustainable agriculture. Full article

This study examines the determinants and impacts of household biogas adoption among dairy-based mixed crop–livestock systems in West Java, Indonesia. Using primary survey data from 201 households, we estimate adoption drivers through logistic regression and assess post-adoption outcomes using propensity score matching combined with doubly robust estimation. The results show that adoption is primarily driven by structural feasibility and institutional exposure, particularly livestock ownership, participation in technical training, perceived time-saving benefits, and fuel-cost pressure, while general socioeconomic variables such as income and education are not statistically significant. Treatment-effect estimates indicate that adoption leads to significant reductions in LPG and firewood consumption, as well as decreased use of chemical fertilizers, reflecting partial substitution of external inputs with locally available resources. However, these benefits are unevenly distributed, with stronger effects observed among households with larger livestock holdings, while training plays a more critical role for smaller-scale farmers. The findings are interpreted through a sustainability–resilience framework, which is used as an analytical lens rather than a causal measurement model. The results highlight the importance of institutional support, service provision, and policy alignment in determining the durability and scalability of biogas adoption. The study contributes to the literature by integrating determinants of adoption with causal impact estimation and situating household-level outcomes within broader socio-technical systems. Full article

Generative artificial intelligence (AI) has demonstrated significant potential in education, yet empirical research on its application in “hardware-driven” interdisciplinary design courses remains scarce. This study employed a randomized crossover experimental design in an IoT Hardware and Design Innovation course at Hunan University. Twelve industrial design undergraduates with no prior IoT background alternated between AI-assisted (ChatGPT-4o) and traditional learning resource conditions across six short-cycle tasks. The crossover design enabled each participant to serve as both experimental and control subjects, yielding 72 observation-level data points. Grounded in Cognitive Load Theory, the study examined three dimensions: process efficacy, difficulty structure, and switching adaptation costs. Results indicated that AI significantly improved perceived task completion efficiency, self-reported goal attainment, and learning experience, yet self-assessed knowledge transfer did not differ significantly between conditions. AI reduced the total number of reported difficulties but altered the difficulty-type distribution: resource-retrieval difficulties decreased while information-verification difficulties increased—a phenomenon we term “difficulty restructuring”. Furthermore, switching from AI back to traditional resources incurred significantly higher adaptation costs than the reverse transition, revealing emerging dependency risks. These findings suggest that generative AI may function more as a “difficulty restructurer” than a “difficulty eliminator” in hardware-driven design education, providing exploratory empirical evidence for incorporating verification literacy into future course design and calling for calibrated scaffold fading that may help mitigate emerging dependency risks. Full article

Background: The Democratic Republic of the Congo accounts for approximately 12–13% of the global malaria burden. While international guidelines oppose the use of Artemisia annua infusions due to risks of sub-therapeutic dosing and resistance selection, the plant remains widely used in resource-limited regions. This study evaluates the clinical acceptability and perceptions of healthcare providers regarding the integration of Artemisia annua tea into formal malaria control in the Maniema province. Methods: A cross-sectional survey was conducted among 337 healthcare professionals in the Kalima health district using the KoboCollect digital platform. Multivariate logistic regression was employed to identify the primary socio-professional determinants of clinical acceptability. Results: The overall clinical acceptability of Artemisia annua integration was 81.0%, with 82.8% of providers perceiving the preparation as effective. Rural residency was the strongest predictor of adherence (AOR = 6.847; p = 0.003), reflecting a pragmatic response to frequent ACT stockouts and high treatment costs. Despite high acceptability, 49.0% of providers identified the lack of clinical evidence as a major barrier, and 91.4% demanded formal training on standardized dosage and biological mechanisms. Conclusions: A significant “policy–practice gap” exists between international guidelines and field realities in the DRC. Healthcare providers demonstrate high readiness for integration but emphasize the absolute necessity of galenic standardization to mitigate resistance risks. To address these concerns, a complementary genomic investigation is currently underway in the same study area, comparing PfKelch13 mutation prevalence among Artemisia tea users versus ACT-treated patients. This molecular surveillance will provide essential evidence to define safety parameters for future phytopharmaceutical integration. Full article

Micro-public space (MPS) regeneration is typically evaluated at the point of delivery, yet long-term performance depends on whether everyday stewardship can be sustained thereafter. This study reframes neighbourhood social capital as a governance–environment signal reflecting coordination capacity and examines whether residents’ willingness to participate in post-regeneration co-management is primarily appraisal-driven (perceived value, attitude, and perceived behavioural control) or coordination-driven via a residual direct channel consistent with routine governance. A cross-sectional survey of adults residing within walkable catchments of five regenerated MPS sites in Nan’an District, Chongqing, China ($N=477$), was conducted. An integrated Stimulus–Organism–Response × TPB model was estimated using WLSMV with ordered categorical indicators; indirect effects were assessed via bias-corrected bootstrap confidence intervals. Coordination capacity was strongly associated with perceived value, participation attitude, and perceived behavioural control. In the joint model, only perceived value retained a statistically reliable positive association with stewardship willingness, whereas the incremental contributions of attitude and perceived behavioural control were negligible once the stimulus was included. A residual direct association from coordination capacity to willingness persisted beyond the appraisal block, supporting a direct-dominant interpretation; bootstrap analyses yielded no robust evidence for mediation (BCa 95% CIs crossed zero). These findings suggest that sustaining regenerated micro-spaces requires low-friction governance designs that minimise coordination costs, reinforce soft accountability, and render institutional responsiveness visible to residents. Full article

Background and Objectives: Venous thromboembolic disease (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), is a major cause of morbidity and mortality worldwide and imposes a substantial financial burden on health systems due to both the direct and indirect costs of acute management and long-term complications. This systematic review aimed to assess patient satisfaction with anticoagulation therapy for VTE and to highlight potential differences according to the type of anticoagulant. The review focused on factors influencing the patient experience, such as perceived efficacy, ease of use, adverse effects, and health-related quality of life. Materials and Methods: A systematic review, without quantitative meta-analysis, was conducted in accordance with PRISMA 2020 guidelines. Articles were identified through searches in major databases (PubMed, Scopus, Cochrane Library and others) using keywords including “patient satisfaction”, “anticoagulation”, “venous thromboembolic disease”, and “quality of life”. In total, 21 studies published between 2009 and 2025 met the inclusion criteria. The studies assessed patient satisfaction with different types of anticoagulation, including vitamin K antagonists (VKAs), direct oral anticoagulants (DOACs), and low-molecular-weight heparin (LMWH) injections. Results: Across the included studies, patients generally reported higher levels of treatment satisfaction with DOACs compared with VKAs, mainly due to the absence of routine laboratory monitoring and fewer dietary restrictions. However, satisfaction varied according to age, sex, and clinical status. In specific patient populations, such as those with cancer-associated thrombosis, factors including fewer drug–drug interactions and perceptions of safety with LMWH appeared to influence treatment choice and satisfaction. Adverse effects, particularly bleeding, were identified as major drivers of dissatisfaction. Several studies suggested that higher treatment satisfaction was associated with better adherence, while quality of life appeared to improve in patients treated with DOACs in comparison with VKAs. Conclusions: Patient satisfaction is a critical component of successful VTE management. Overall, DOACs appear to be associated with higher treatment satisfaction than traditional therapies such as VKAs, although further high-quality research is needed to individualise anticoagulation strategies. Systematic incorporation of patient-reported satisfaction into clinical decision-making and into international guidelines may improve adherence, enhance quality of life, and ultimately increase the effectiveness of anticoagulation therapy. Full article

Background: Adults with disabilities living in low-resource communities experience persistent inequities in access to healthcare, mental health services, and community participation. However, qualitative data capturing lived experiences in the Deep South remain limited. This study aimed to identify priority needs among adults with mobility disabilities residing in economically distressed communities near Birmingham, Alabama, to inform future telehealth programming. Methods: Fifteen adults (mean age = 60 ± 10 years), predominantly African American and female, completed semi-structured phone interviews exploring basic needs, neighborhood accessibility, health priorities, and perceived supports. Interviews were audio-recorded, transcribed verbatim, and analyzed using Braun and Clarke’s six-phase thematic analysis. Results: Five themes emerged: (1) seeking stability amid severe mental health strain and inadequate supports; (2) constrained food environments shaped by cost, location, and safety; (3) feeling forgotten: systemic neglect and restricted participation in community life; (4) physical health deprioritized by competing needs and structural barriers; and (5) remote support as a viable but unrealized option. Participants described how safety concerns, transportation barriers, and rising food costs constrained daily functioning, while unmet mental health needs compounded isolation. Despite widespread cardiometabolic disease, immediate needs related to mental health, food, and housing consistently superseded physical health. Mental health support was identified as the most feasible area for remote delivery, though poor awareness of available resources limited engagement with any service model. Conclusions: Findings demonstrate that disability-related disparities in low-resource communities are driven largely by structural and environmental factors rather than individual choice. Telehealth and mobile-based services may provide a feasible access strategy for mental health and supportive care in under-resourced settings, particularly when integrated with broader community supports. Addressing foundational needs is essential for advancing health equity among people with disabilities in the Southeast. Full article

This study investigates how environmental consciousness motivations—grounded in Corporate Social Responsibility (CSR) theories (instrumental, political, integrative, and ethical)—influence environmental management performance (MP) and indirectly affect operational performance (OP). Specifically, the research examines these motivations under the intensifying pressure of the Carbon Border Adjustment Mechanism (CBAM) within manufacturing firms in Türkiye. From a cost–benefit perspective, the study addresses whether dominant instrumental (cost-oriented) consciousness acts as a barrier to innovation-led gains predicted by the Porter Hypothesis. Analyzing data from 400 managers using the PLS-SEM method, findings reveal that while ethical and political consciousness positively enhance MP and OP, instrumental consciousness—driven by short-term cost-compliance pressures—exerts a significant negative impact. Furthermore, the statistical insignificance of integrative consciousness highlights a strategic integration gap for manufacturing enterprises in Türkiye. These results demonstrate that perceiving environmental regulations merely as a “cost burden” creates a structural barrier that breaks the strategic productivity cycle. The study concludes that to achieve a positive multiplier effect on competitiveness, firms must transition from instrumental compliance to integrated strategic commitment, guiding managers to distinguish between short-term instrumental efforts and long-term strategic commitments. Full article

Artificial intelligence (AI) has gradually been applied to food production. Many companies now face a choice between adopting AI technology and adhering to the traditional methods of food production. Existing studies have reported inconsistent findings regarding consumer perceptions of AI-produced food, yet little research has examined how consumers form motive inferences on businesses that transition from traditional practices to adopting AI in new food development. Based on motivation inference theory, this paper investigates the impact of food production methods on consumer inferences and purchase intention. Through three experiments, we find that AI-produced food evokes more negative motive inference in trust building and lowers purchase intention than traditionally produced food. Furthermore, such effect is driven by a serial mediating effect through cost-cutting attribution and perceived ulterior motive. Additionally, it is attenuated when the food company has a high corporate reputation. This research advances research on AI application in food from a consumer motive inference perspective, providing suggestions on firms’ adoption of AI-based practices in food production. Full article

This study examines the determinants of household biogas adoption among dairy farmers in West Java, Indonesia. Despite ongoing government efforts to promote renewable energy, adoption remains limited and often not sustainable. Using cross-sectional survey data from biogas users and non-users, a binary logistic regression model was applied to assess the role of socioeconomic characteristics, resource availability, and institutional support. The results indicate that perceived time savings, fuel-cost pressure, and participation in training programs are significant positive drivers of adoption. In contrast, higher levels of formal education and livestock ownership are associated with a lower likelihood of adoption, suggesting that resource availability alone does not guarantee use. Overall, the findings highlight that adoption depends not only on economic factors but also on how well biogas systems align with household practices and capabilities. The study provides policy-relevant insights for improving the design and implementation of biogas programs in rural Indonesia. Full article

This study examines the economic consequences associated with the mandatory adoption of International Financial Reporting Standards (IFRS) in the Iraqi banking sector. Motivated by growing evidence that the outcomes of IFRS adoption depend on institutional and market conditions, the study focuses on a bank-based emerging economy characterized by relatively underdeveloped capital markets and evolving enforcement mechanisms. Using a balanced panel of 24 banks listed on the Iraq Stock Exchange over the period 2014–2018, the analysis exploits the mandatory IFRS adoption in 2016 within a before–after regulatory framework. Panel regression techniques are employed to examine the associations between IFRS adoption and stock market liquidity, firm value, information asymmetry, and the cost of debt, while controlling for bank-specific characteristics and macroeconomic conditions. The results indicate that IFRS adoption is positively significantly associated with stock market liquidity, and negatively significantly associated with information asymmetry, consistent with improvements in the informational environment of Iraqi banks following enhanced disclosure and comparability. The findings also reveal a positive and significant relationship between IFRS adoption and the cost of debt, suggesting higher perceived financial risk by creditors. In contrast, no statistically significant association is observed between IFRS adoption and bank market valuation, highlighting the limited sensitivity of equity prices to accounting reforms in thin and institutionally constrained markets. Overall, the study contributes to the literature on the economic consequences of IFRS adoption by providing evidence from an underexplored emerging market and a highly regulated banking sector. The findings underscore the role of institutional context in shaping the outcomes of accounting standard convergence and offer policy-relevant insights for regulators and standard-setters in bank-oriented financial systems. Full article

Background/Objectives: Radiologic technologists are frequently exposed to occupational stressors that heighten the risk of burnout, compromising well-being and job performance. Workplace exercise programs have been identified as promising strategies to enhance physical and mental health across occupational groups; however, robust experimental evidence among radiologic technologists remains limited. This study aimed to evaluate the effects of a structured workplace exercise program on perceived stress, burnout, and quality of life among radiologic technologists. Methods: A small-scale randomized controlled experimental study was conducted with 19 radiologic technologists from the Local Health Unit of Castelo Branco, Portugal. Participants were randomly assigned to an experimental group (n = 10, age mean = 43.8 ± 9.92 years old) or a control group (n = 9, age mean = 48.2 ± 7.86 years old). The intervention consisted of a six-week workplace exercise program conducted during work hours, comprising sessions three times per week, twice per day. Each session lasted approximately 15–20 min and included balance, stretching, and light resistance exercises. Outcomes were assessed pre- and post-intervention using the Perceived Stress Scale, the Copenhagen Burnout Inventory, and the WHOQOL-BREF. Results: The experimental group showed significant reductions in perceived stress (p = 0.013, d = −0.697 (−1.6–0.206) [moderate]) and in personal (p = 0.004, d = −0.834 (−1.748–0.08) [moderate]) and work-related burnout (p = 0.026, d = −0.756 (−1.664–0.151) [moderate]), as well as improvements in the physical (p = 0.046, d = 0.592 (−0.303–1.488) [small]) and environmental (p = 0.032, d = 0.991 (0.062–1.92) [moderate]) domains of quality of life. No significant changes occurred in the control group. Conclusions: These preliminary findings suggest that a brief, low-cost workplace exercise program may reduce stress and burnout and improve quality of life among radiologic technologists. These findings support the integration of structured physical activity into healthcare work settings as a feasible, preventive, and health-promoting strategy. Full article