Search Results (4,692)

Modern police work requires a high degree of versatility, shifting between sedentary tasks and intense physical demands. While bicycle patrols are recognized as a tool for enhancing community policing, few empirical studies have examined the specific nature and frequency of the tasks performed by bicycle patrol officers. This study aims to compare the professional tasks of bicycle and car patrol officers in the city of Saguenay, Québec, over a three-year period. A retrospective analysis of 539 computer-aided dispatch (PCAD) entries was conducted for eight male officers (six on bicycles, two in police cars) during the summer months of 2021 to 2023. We analyzed task frequency, duration, priority, and risk level using descriptive statistics. Results showed that while both patrol types performed similar core tasks, such as citizen assistance, enforcement of municipal regulations, and responses to suspicious individuals, bicycle patrols were associated with significantly longer total PCAD-recorded intervention times (49 ± 47 min vs. 33 ± 29 min). Moreover, the distribution of call types suggests a slightly higher proportion of interventions occurring in public spaces or involving direct citizen contact, although this does not constitute a measure of increased proximity. No significant differences were observed in terms of priority or risk. Because the PCAD system does not systematically record on-scene time, the longer durations observed for bicycle patrols cannot be interpreted as qualitative advantages. Instead, the study reveals operational similarities alongside noteworthy differences between patrol types. As one of the first Canadian CAD-based analyses of bicycle patrol tasks, this research underscores the need for future studies capable of isolating on-scene time and examining the qualitative dimensions of police–citizen interactions. Full article

Musculoskeletal disorders (MSDs) remain one of the most persistent occupational health challenges in the U.S. construction industry, where physically demanding tasks such as heavy lifting, kneeling, and working in awkward postures contribute to elevated injury rates. This study aims to identify significant job-related determinants of MSDs in construction-sector occupations. By integrating publicly available datasets from the Survey of Occupational Injuries and Illnesses (SOII) and the Occupational Information Network (O*NET) datasets, a stepwise multiple regression analysis was conducted on 344 occupation-condition observations representing 86 construction occupations, yielding a final model that explained 49% of the variance. Ten significant predictors of MSD events were identified and classified as either risk amplifiers or mitigators. Amplifiers included factors such as exposure to noise, disease, hazardous conditions, and time pressure, all of which heightened MSD risk, while mitigators—such as reduced cramped-space exposure and regulated work environments—were associated with lower risk. MSDs resulting from sprains, strains, or tears accounted for 62.8% of all cases, frequently leading to days away from work (36.3%) or job restrictions (26.5%). The findings underscore that ergonomic risk in construction extends beyond physical strain to include scheduling, equipment design, and work organization. These results provide actionable insights for employers and safety professionals to redesign tools, optimize task rotation, and implement realistic work pacing strategies, ultimately reducing MSD incidence and improving productivity in this high-risk sector. Full article

The performance of New Zealand’s construction companies depends on the adaptability and skills of their workforce. The soft skills of the company’s building professionals are thought to contribute to the delivery of successful construction projects. This pilot study captures the perceptions of the importance of critical soft skills in semi-structured interviews with thirteen Quantity Surveyors (QSs) and fourteen Project Managers (PMs) working in New Zealand. For both cohorts the most important skill is communication, followed by workplace ethics. An exploratory Mann–Whitney U comparison suggests a difference in their ranking of emotional intelligence in interactions with other stakeholders, with PM deeming it more important than QS. Within-cohort Spearman rank correlation shows different patterns of association among soft-skill clusters for QS and PM, offering contextual insight rather than confirmatory inference. After communication and ethics, QS prioritise dispute resolution while PM value project reasoning. A combination of individual traits and practical experience influences the successful transition from a QS role to the broader PM role. The findings are limited by the small sample size but may be useful in professional development courses and recruitment efforts, contributing to a more adaptable and flexible construction workforce. Full article

Background and Objectives: The growing number of patients seeking medical care in the internal medicine departments over the past decades has been accompanied by an increase in the bed occupancy rate. This is associated with a heavier work burden among the professional staff members, which may lead to a lower quality of care. Therefore, this study aimed to evaluate the association between the bed occupancy rate and staff compliance with hand hygiene regulations. Materials and Methods: This ecological study included 9 internal medicine departments (~300 beds) in a single medical center between 01/2017 and 12/2019. Routine hand hygiene performance was evaluated randomly, and the association between the bed occupancy rate and the staff’s compliance with the hospital regulations was studied. Univariate and multivariable analyses were performed by the generalized estimating equation model. Results: The study included 12,736 episodes that warranted hand hygiene practices (“opportunities”). The overall hand hygiene performance rate was 78.3% (physicians 76.2%, nurses 80.7%, and healthcare assistants 76.9%). There was an approximately 2% decline in staff compliance for each 10% increase in bed occupancy rate (adjusted IRR 0.98, 95%CI 0.97–0.99, p < 0.001). Stratification by staff members showed a significant decline in routine hand hygiene practices among physicians (adjusted IRR 0.97, 95%CI 0.95–0.99, p < 0.001) and healthcare assistants (adjusted IRR 0.97, 95%CI 0.96–0.99, p < 0.001) but not among nurses (adjusted IRR 0.99, 95%CI 0.98–1.01, p = 0.392). Conclusions: An increase in bed occupancy rate is associated with a decrease in the hospital staff’s compliance with hand hygiene and therefore may lead to a lower quality of care. Full article

Exposure to chemical irritants in laboratory and medical environments poses significant health risks to workers, particularly in relation to asthma-like symptoms. Routine cleaning practices, which often involve the use of strong chemical agents to maintain hygienic settings, have been shown to contribute to respiratory issues. Laboratories, where chemicals such as hydrochloric acid and ammonia are frequently used, represent an underexplored context in the study of occupational asthma. While much of the research on chemical exposure has focused on industrial and high-risk occupations or large cohort populations, less attention has been given to the risks in laboratory and medical environments, particularly for professional cleaning staff. Given the growing reliance on cleaning agents to maintain sterile and safe workspaces in scientific research and healthcare facilities, this gap is concerning. This study developed an exploratory simulation tool, using a simulated cohort based on key demographic and exposure patterns from foundational research, to assess the impact of chemical exposure from cleaning products in laboratory environments. Four supervised machine learning models were applied to evaluate the relationship between chemical exposures and asthma-like symptoms: (1) Decision Trees, (2) Random Forest, (3) Gradient Boosting, and (4) XGBoost. High exposures to hydrochloric acid and ammonia were found to be significantly associated with asthma-like symptoms, and workplace type also played a critical role in determining asthma risk. This research provides a data-driven framework for assessing and predicting asthma-like symptoms in professional cleaning workers exposed to cleaning agents and highlights the potential for integrating predictive modeling into occupational health and safety monitoring. Future work should explore dose–response relationships and the temporal dynamics of chemical exposure to further refine these models and improve understanding of long-term health risks. Full article

Background: Maternal health behaviors during pregnancy are crucial for maternal and fetal outcomes. While global research has explored that demographic, clinical, and psychosocial determinants significantly influence these behaviors, evidence from low- and middle-income countries (LMICs), including Albania, remains limited. This study aims to evaluate psychosocial perceptions and health behaviors related to lifestyle among pregnant women in a local Albanian community in order to identify which are higher risk subgroups that need targeted and tailored antenatal care interventions. Methods: This multicenter cross-sectional study included 200 pregnant women attending antenatal clinics from May to August 2024 in Vlora city, Albania. Participants were selected using consecutive sampling based on inclusion criteria. Data were collected through a validated questionnaire composed of five sections: demographic/obstetric data; maternal health behaviors; dietary diversity; physical activity, perceived stress; and social support. Clinical and anthropometric measurements were assessed by trained health professionals during antenatal visits. SPSS version 23.0 and binary logistic regression with p-value ≤ 0.05 statistically significant were used for data analysis. Results: Mean age was 28.3 ± 6.4 years, 71% employed and 83.5% urban residents. Key unhealthy behaviors included tobacco use (25.5%), alcohol consumption (10.5%), exposure to toxins (15%), and low dietary diversity (32%). We found significant correlations between low dietary diversity and rural residence (Adj OR = 2.48), hypertension (Adj OR = 6.88), and overweight/obesity (Adj OR = 2.33). Tobacco use was associated with unemployment and alcohol use with unemployment and hypertension variables. Low/moderate social support and high perceived stress were significantly related with multiple unhealthy behaviors, such as low dietary diversity, inadequate physical activity and antenatal care. Conclusions: Unhealthy nutritional behaviors, tobacco and alcohol use and low physical activity are more prevalent risk factors among pregnant women in Vlora city. Priority should be given to vulnerable groups, including rural residents, pregnant women with low social support, high perceived stress and those with hypertension and obesity. Interventions that integrate psychosocial support and health education into antenatal care services are urgently needed to enhance pregnancy outcomes in Albanian communities. Full article

Background/Objectives: Healthcare workers (HCW) in primary care settings play a significant role in recommending vaccines to patients. We aimed to describe COVID-19 vaccination knowledge, attitudes, perception, and practices (KAPP) of HCWs in Tunisia and identify associated factors. Methods: We conducted a national cross-sectional survey (29 January to 3 February 2024) among HCWs in primary public healthcare centers using purposive sampling. Factors associated with good knowledge, positive attitude, and good practice, measured through Likert scales using face-to-face questionnaires, were identified using binary logistic regression. Results: We included 906 HCWs (mean age = 41.87 ± 8.89 years). In total, 37.75% (342/906) of HCWs had good knowledge and perception, 4.30% (39/906) had a positive attitude, and 24.9% (226/906) had good practices related to COVID-19 vaccination. Working in urban compared to rural areas was associated with good knowledge (aOR = 1.57, 95%CI = 1.12–2.21) and positive attitude (aOR = 4.94, 95%CI = 1.19–20.44) to COVID-19 vaccination. Physicians had better KAPP scores than other medical professionals. HCWs working in departments with high-risk patients were more likely to have good knowledge (aOR = 1.28, 95%CI = 1.00–1.72). Positive attitude was also associated with being male (aOR = 2.97, 95%CI = 1.75–5.07) and having at least one non-communicable disease (aOR = 1.92, 95%CI = 1.14–3.23). Being male (aOR = 1.97, 95%CI = 1.35–2.88) and having more years of professional experience (aOR = 1.81, 95%CI = 1.29–2.52) were associated with good practice. Conclusions: Just over a third of HCWs in primary healthcare clinics had good knowledge of COVID-19 vaccination, while positive attitudes and good practices were low. Targeted interventions, particularly for HCWs with less professional experience working in rural settings, are needed to increase good practices and improve COVID-19 vaccination coverage in Tunisia. Full article

Background/Objectives: To identify the barriers and facilitators to accessing healthcare following intimate partner violence (IPV)-related brain injury (BI). Methods: Sixteen adult women participated in interviews about their experience of accessing healthcare following IPV-related BI. Interviews were transcribed verbatim and analyzed using the interpretative descriptive (ID) approach to identify themes and subthemes in the data. Results: Two themes, each with six subthemes related to healthcare seeking for IPV-related BI were identified: Theme 1—Deciding to seek and ability to access healthcare, comprising (a) severity of injury; (b) impact of injury; (c) ability to access medical services; (d) self-blame, fear, shame, and guilt; (e) contextual influences on healthcare seeking; and (f) previous negative interactions; and Theme 2—Complexity in identifying IPV-related BI, comprising (a) trauma can affect recall of events; (b) inability to distinguish IPV-related trauma or aging outcomes from BI sequelae; (c) the importance of trust in disclosure; (d) healthcare professionals need to ask the right questions and respond in the right way; (e) the complex nature of disclosure creates challenges for diagnosis; and (f) fear of being dismissed or judged. Conclusions: Many context-related factors influence whether women can seek treatment for IPV-related BIs. These factors need to be understood by first responders and medical professionals to improve the likelihood and speed of treatment seeking. Furthermore, challenges and fears associated with disclosure of IPV prevent women from seeking proper treatment. IPV training could be helpful in ensuring women feel safe with disclosure. Full article

Background/Objectives: Athletes face both daily and sport-related stressors while being expected to perform at an optimal level. Effective recovery, particularly adequate sleep, plays a key role in psychophysiological restoration and performance, whereas sleep deprivation may impair functioning and increase perceived stress. This study examined the associations between coping strategies, sleep quality, athletic experience, competitive level, and perceived stress during the pre-competition period among female volleyball players. Methods: Ninety-one athletes (aged 18–35, M = 23.03, SD = 4.37) from three Polish professional leagues—Tauron (n = 31), First League (n = 30), and Second League (n = 30)—completed an online battery including the Stress Coping Strategies in Sport Questionnaire (SR3S), the Perceived Stress Scale (PSS-4), the Pittsburgh Sleep Quality Index (PSQI), and a demographic survey. Results: Based on PSQI scores, approximately 60% of the athletes were classified as poor sleepers. No significant differences in sleep quality or perceived stress were found across leagues. However, athletes competing in higher leagues reported more frequent use of mental coping strategies. Athletic experience, sleep quality, and the coping strategy of seeking social support were significantly associated with perceived stress. Players with less experience, poorer sleep, and a greater tendency to seek social support reported higher stress levels. The positive association between support-seeking and stress likely reflects reactive coping among more stressed athletes rather than a maladaptive effect of social support. Conclusions: These findings underscore the importance of promoting adaptive coping and sleep hygiene in competitive sport, particularly among less experienced female athletes during the pre-competition period. Full article

Background/Objectives: Benzodiazepines (BZDs) are used routinely in cases requiring sedation for anxiety, insomnia, and procedures that require pain management, and daily use of these agents may extend over several months; therefore, monitoring patients is essential to reduce the risk of developing dependence. However, the high patient volume in pain and palliative-care settings often limits physicians’ ability to both conduct consultations and perform comprehensive evaluations. In this context, the pharmacist plays a key role in supporting patient care by contributing professional activities that enhance patient well-being, such as conducting systematic reviews of electronic medical records. This pharmacist-led EMR assessment enables the identification of benzodiazepine dependence patterns and supports a more robust epidemiological evaluation within the institution. Methods: A descriptive observational study (January 2022–May 2025) using electronic medical records and prescription data was conducted. Consecutive adults with an active BZD prescription and a documented BDEPQ-MX (Benzodiazepine Dependence Questionnaire, Mexican version) were included. Outcomes were BDEPQ-MX categories (No dependence; Pleasurable effects; Perceived need; Dependence) and a binary endpoint was stablished as “any dependence” (either scored in Perceived need or Dependence category) vs. No dependence (either scored as No dependence or Pleasurable effects categories). Group comparisons used χ², Student’s t, and one-way ANOVA. A logistic regression modeled any dependence; a general linear model (GLM) examined the BDEPQ-MX total score. Results: Of 181 complete cases, BDEPQ-MX categories were No dependence 33.2% (60/181), Pleasurable effects 7.2% (13/181), Perceived need 17.1% (31/181), and Dependence 42.5% (77/181); hence, 59.7% met “any dependence.” Women comprised 67.4% overall. Compared with No dependence, the any-dependence group had higher comorbidity (83.3% vs. 65.8%, p = 0.006) and markedly greater duration of BZD use (months) (22.6 ± 11.5 vs. 5.9 ± 4.9, p < 0.001), with no difference in daily dose (p = 0.6). Benzodiazepine medications shifted toward alprazolam in dependence (38.9% vs. 20.5%, p = 0.009) and away from clonazepam (43.5% vs. 58.9%, p = 0.042). In the adjusted model, the male sex was associated with lower odds of any dependence (aOR 0.29, 95% CI 0.11–0.76; p = 0.013), while the duration of BZD use (per month) increased the odds (aOR 1.32, 1.20–1.45; p < 0.001). In the GLM, the duration showed the largest effect on BDEPQ-MX total (F = 203.26; p < 0.001; partial η² = 0.545). Conclusions: In this outpatient pain and palliative-care population, benzodiazepine-related dependence phenomena were common: 59.7% of patients met the criteria for dependence based on the pharmacist-led EMR review. The involvement of the pharmacist was essential, as this systematic evaluation would have been difficult to perform within routine medical consultations. The pharmacist’s contribution enabled a detailed epidemiological characterization, revealing that the exposure duration—more than daily dose—was the principal, modifiable correlate of dependence, and that alprazolam was disproportionately represented in the higher-dependence categories. These findings underscore the value of pharmacist-supported surveillance to identify and measure BZD dependance. Full article

Grounded in stress-reactivity accounts and the Prosocial Classroom model, this study examines how preschool teachers’ responses to children’s negative emotions are associated with teacher job stress and age in Greek early childhood education settings. These frameworks suggest that elevated job stress may erode teachers’ regulatory resources and responsiveness, increasing non-supportive reactions and reducing supportive emotion coaching during emotionally charged classroom interactions. A sample of 101 full-time preschool educators (M age = 42.3 years; 97% female) completed two instruments: the Coping with Children’s Negative Emotions Scale (CCNES) and the Child Care Workers’ Job Stress Inventory (CCW-JSI). Age-controlled partial correlations indicated that higher job stress was associated with more frequent use of non-supportive reactions, including punitive and minimizing responses, and less frequent use of supportive strategies, such as emotion-focused, problem-focused, and expressive encouragement responses. Older teachers tended to report higher supportive response scores, particularly for problem-focused reactions and expressive encouragement. These findings highlight the importance of teacher well-being for the emotional climate of preschool classrooms and suggest that job stress may undermine educators’ capacity to consistently engage in supportive emotion socialization. The study contributes to the education literature by linking teacher stress and emotion socialization practices in a policy context where early childhood education is expanding but remains under-resourced. Implications for teacher education, professional development, and system-level initiatives to support educators’ social-emotional competence are discussed. Full article

Initial teacher education plays a decisive role in preparing future educators to establish meaningful and reciprocal relationships with families that support children’s learning across contexts. Moving beyond traditional, school-centred notions of family involvement, this study adopts a family engagement (FE) perspective to examine preservice early childhood teachers’ perceptions of their preparation, the difficulties they anticipate, and their self-efficacy in working with families. A total of 181 Portuguese preservice early childhood teachers completed a questionnaire comprising three scales: Training Evaluation, Anticipated Difficulties, and Self-efficacy. The Training Evaluation Scale revealed two dimensions (theoretical and practical), which were used in a Latent Profile Analysis that identified three groups (Positive, Neutral, and Low-rating). Participants within each profile showed consistent evaluations across both dimensions. Significant differences emerged between profiles in perceived difficulties, with self-efficacy lowest in the low-rating group. Overall, the findings highlight that variations in perceived training quality are closely associated with preservice teachers’ confidence and their expectations regarding the challenges of engaging families. These results underscore the importance of more systematic, integrated and practice-oriented approaches within initial teacher education to support a shift towards family engagement practices that recognise families as active partners in children’s learning from the outset of teachers’ professional careers. Full article

Academic engagement is a multidimensional construct encompassing students’ cognitive, emotional, and behavioral investment in learning. This study examines the levels and predictors of academic engagement among 390 students enrolled in the Master’s in Secondary Education Teacher Training at the National University of Distance Education (UNED, Spain). Using the Utrecht Work Engagement Scale-Student (UWES-S) and a quantitative, cross-sectional, and correlational design, the research explores associations between engagement and sociodemographic and motivational variables. Results indicate moderately high engagement levels, with dedication emerging as the most salient dimension, followed by absorption and vigor. Engagement correlated positively with age and was slightly higher among women, while vocational motivation stood out as the strongest differentiating factor. Prior teaching experience showed no significant influence. The findings highlight the importance of fostering purpose, professional meaning, and identity in initial teacher education—particularly in distance learning contexts—and suggest practical implications for designing supportive pedagogical environments that sustain students’ motivation and academic commitment. Full article

Objectives/Background: In this study, we aimed to examine the associations of participation in leisure dance activity with perceived health status, happiness level, and perceptions of leisure, and the relevance of demographic characteristics to these associations. Moreover, we sought to explore ways of revitalizing leisure dance activity. Methods: We used data from the 2022 Korea National Leisure Activity Survey organized by the Korean Ministry of Culture, Sports, and Tourism. The 2022 Korea National Leisure Activity Survey was conducted from September to November 2022. The survey was conducted among 10,046 Koreans aged ≥15 who lived in 17 cities and provinces across the country. The participants were informed about the survey schedule in advance, and interviews were conducted at the participants’ homes using tablet PCs. Random telephone verification was performed on the recovered questionnaires to ensure the accuracy of responses. Questionnaires that passed the first verification were subjected to secondary verification by a computerized program, and questionnaires that did not pass the verification were supplemented and re-examined. The collected data were entered electronically through an encoding process, and only the data that passed the final test were compiled in the multi-stage verification process. The data were analyzed using frequency analysis, chi-squared tests, and multivariate logistic regression analysis. Results: Of the 1004 participants, 655 (6.5%) participated in leisure dance activity. Women, individuals in their twenties and thirties, college graduates or those with lower-level educational qualifications, and unmarried individuals were more likely to participate in leisure dance activities. In addition, leisure dance activities were found to be likely to increase happiness levels and leisure life satisfaction, and leisure expenses were likely to be low. Conclusions: Schools should provide high-quality dance education and enhance the professionalism of physical education teachers in the management of dance classes. This is because dance-related experiences in childhood can increase the likelihood of engaging in dancing in adulthood. Efforts are also needed to increase men’s awareness of and participation in leisure dance activities and to lower barriers to entry. The convergence of dance, games, and technology can make this possible. Full article

Headache is a common symptom during SARS-CoV-2 infection and may persist beyond three months. Both tension-type and migraine-like headaches have been described during SARS-CoV-2 infection and after immunization. The main objective was to characterize headache phenotype during SARS-CoV-2 infection and its relationship with headache recurrence following reinfection and COVID-19 vaccination in a cohort of healthcare professionals. Secondary aims included profiling primary headaches and identifying predictors of post-COVID-19 headache persistence. We included 109 participants (86.2% women, mean age 45.3 ± 2.5 years). During infection, 49.5% met ICHD-3 criteria for tension-type headache and 12.8% for migraine. Headache recurred in 62.5% after reinfection and 59.2% after vaccination. A primary-headache history was present in 77.9% of sampled patients (25.9% migraine, 47.1% tension-type). The COVID-19 headache phenotype typically mirrored patients’ previous headache type during reinfection and post-vaccination. Persistent headache beyond three months from SARS-CoV-2 infection occurred in 22.9% and was associated with fibromyalgia and obesity. These findings suggest that COVID-19-related headache often mirrors the patient’s pre-existing primary headache and tends to recur with the same phenotype following reinfection or vaccination. Full article