Search Results (52)

Background: Antimicrobial resistance (AMR) poses a critical global health challenge, particularly in resource-limited settings. A hub-and-spoke model, decentralising expertise and distributing resources to peripheral facilities, has been proposed as a strategy to enhance the antimicrobial stewardship (AMS) capacity in low- and middle-income countries. Aim: This study sought to understand healthcare professionals’ experiences of a hub-and-spoke AMS model in the Volta Region of Ghana and its influence on clinical practice, leadership, and collaborative endeavours to address AMR. Methods: A qualitative descriptive design was adopted. In-depth interviews were conducted with 11 healthcare professionals who participated in the AMS program. Thematic analysis was used to identify key themes related to the knowledge and skills that were gained, clinical and leadership practice changes, capacity building, and challenges. Results: Participants reported an increased awareness of AMR, particularly regarding the scale and clinical implications of antimicrobial misuse. The clinical practice improvements included more judicious prescribing and enhanced adherence to infection prevention and control measures. Many respondents highlighted stronger leadership skills and a commitment to capacity building through AMS committees, multidisciplinary collaboration, and cross-organisational knowledge exchange. Despite resource constraints and logistical hurdles, participants expressed optimism, citing data-driven approaches such as point prevalence surveys to track progress and inform policy. Engagement with hospital management and public outreach were viewed as essential to sustaining AMS efforts and curbing over-the-counter antibiotic misuse. Conclusions: The hub-and-spoke model caused observable improvements in AMS knowledge, clinical practice, and leadership capacity among healthcare professionals in Ghana. While challenges remain, particularly in securing sustainable resources and shifting community behaviours, these findings underscore the potential of network-based programs to catalyse systemic changes in tackling AMR. Future research should explore long-term outcomes and strategies for embedding AMS practices more deeply within healthcare systems and communities. Full article

Introduction: Lung cancer (LC) is the leading cause of cancer mortality and is responsible for 1.8 million deaths annually. The early identification of risk factors, particularly smoking, is essential in improving outcomes. Public health campaigns play a crucial role in raising awareness, but misinformation and resource limitations hinder their effectiveness. This study evaluates the impact of a public awareness campaign on Saudi citizens’ understanding of lung cancer (LC) risks and screening. Methods: An interventional study was conducted in Riyadh, Saudi Arabia, using pre- and post-campaign self-administered surveys. A total of 1,426 participants aged 18 or older were surveyed either before or after the campaign. A matching approach was used to control for confounding variables. Each participant may receive a maximum total score of 14 for their knowledge of lung cancer and a maximum total score of 10 for their awareness of lung cancer screening. Results: A total of 713 participants were surveyed pre-campaign, and 859 post-campaign). After matching, 308 participants remained for the analysis, with no significant demographic differences between those who were surveyed before and after the campaign. Post-campaign, awareness was significantly improved, which is reflected in an increase in accurate responses to key statements. The median knowledge scores increased from 11.0 to 23.0, indicating a substantial increase in understanding. Conclusions: The campaign effectively enhanced the awareness of LC risk factors and screening. However, new misconceptions regarding universal screening emerged, emphasizing the need for clear messaging. Future initiatives should address socioeconomic and gender disparities, promote collaborative decision-making, and implement long-term educational strategies. These findings align with previous research and highlight areas for improvement in public health outreach. Full article

Since 2005, the ‘Soil of the Year’ campaign has aimed to highlight the ecological functions and societal relevance of soils in Germany. This article analyses the campaign’s concept, evolution and outreach strategies. It evaluates its role as a tool for environmental education, public engagement and policy communication. Over two decades, the initiative has established itself as a key platform connecting science, policy and society. The annual designation of a specific soil type enables focused communication, enhances public understanding and encourages sustainable soil management. The article concludes by identifying success factors for the long-term effectiveness of the campaign and outlines future opportunities for interdisciplinary collaboration and digital innovation. In addition, the findings provide actionable recommendations for similar soil awareness campaigns in other countries. Full article

Background/Objectives: Public health activities and the roll-out of new vaccines such as the HPV vaccine in Mali have been disrupted by both the COVID-19 pandemic and by political unrest from March 2020 until recently. The HPV vaccine was introduced into the childhood vaccine program in 2024. Given the persistent threat of ongoing infectious disease epidemics, there is a pressing need to understand the factors influencing vaccine uptake in Mali and other low- and middle-income countries. Methods: To address this need, the GAIA Vaccine Foundation (GAIA VF), a nongovernmental organization (NGO), conducted a study of vaccine confidence in Bamako, the country’s capital and primary population center, between September 2021 and March 2022 at 12 community based primary care clinics and 1 rural primary care clinic. The study was coupled with a vaccine outreach and education campaign at each site. Results: Study staff collected information on vaccine confidence in surveys from 3445 community participants. Healthcare providers were also recruited from the 13 sites for vaccine-related training, and 140 of these participants completed pre- and post-surveys on their vaccine knowledge and confidence. Survey results indicate that community members trust their primary care providers more than they trust the government. However, primary care providers trust government sources of information more than other sources for guidance on vaccines. Conclusions: As new vaccines are introduced, engaging key healthcare leaders to inform healthcare providers and developing primary care provider-led community outreach will be critically important to gaining community confidence prior to and during vaccination campaigns in the future. Full article

We present the Virtual Beamline (VBL) application, an interactive web-based platform for visualizing high-intensity laser–matter interactions using particle-in-cell (PIC) simulations, with future potential for experimental data visualization. These interactions include ion acceleration, electron acceleration, $\gamma$-flash generation, electron–positron pair production, and attosecond and spiral pulse generation. Developed at the ELI Beamlines facility, VBL integrates a custom-built WebGL engine with WebXR-based Virtual Reality (VR) support, allowing users to explore complex plasma dynamics in non-VR mode on a computer screen or in fully immersive VR mode using a head-mounted display. The application runs directly in a standard web browser, ensuring broad accessibility. VBL enhances the visualization of PIC simulations by efficiently processing and rendering four main data types: point particles, 1D lines, 2D textures, and 3D volumes. By utilizing interactive 3D visualization, it overcomes the limitations of traditional 2D representations, offering enhanced spatial understanding and real-time manipulation of visualization parameters such as time steps, data layers, and colormaps. Users can interactively explore the visualized data by moving their body or using a controller for navigation, zooming, and rotation. These interactive capabilities improve data exploration and interpretation, making VBL a valuable tool for both scientific analysis and educational outreach. The visualizations are hosted online and freely accessible on our server, providing researchers, the general public, and broader audiences with an interactive tool to explore complex plasma physics simulations. By offering an intuitive and dynamic approach to large-scale datasets, VBL enhances both scientific research and knowledge dissemination in high-intensity laser–matter physics. Full article

Background: Injecting drug use is a global public health challenge with multifaceted consequences, not only for people who inject drugs (PWIDs) but also for society at large. Their vulnerability necessitates a deeper exploration of their health information needs, aiming to leverage evidence-based research to shape effective interventions for their well-being. Method: This study employed a qualitative method to gain insights into disease conditions and health information needs of PWIDs. Through purposive and snowball sampling, 71 in-depth interviews were conducted and thematically analyzed. Results: This study included 43 males and 28 females, predominantly aged 26–35 (59.2%), who had low socioeconomic status. The most reported disease conditions varied and included malaria, infections, and diabetes. Findings revealed a complex understanding of their disease conditions and management practices. Participants emphasized a critical need for access to reliable and comprehensive health information, while also highlighting the significant barriers they face in obtaining this information. Additionally, their preference for receiving health information in video formats, written articles, and through outreach programs underscored their desire for knowledge to make informed decisions. As co-creators and stakeholders in their health, participants expressed a clear demand for sustainable and free healthcare, mosquito nets, and regular outreach programs. Conclusions: While drug use presents a significant public health issue, effective interventions for PWIDs require a multifaceted approach that begins with understanding their perspectives and actively involving them as co-creators of their health solutions. Abandoning this population contradicts the Sustainable Development Goals’ mandate to ensure no one is left behind. Thus, all stakeholders must prioritize inclusive and participatory approaches to address the complex health information needs of PWIDs. Full article

Vaccine hesitancy is a significant global issue and is recognized by the World Health Organization (WHO) as one of the most pressing threats to public health. Defined as the delay in acceptance or refusal of vaccines despite their availability, vaccine hesitancy undermines decades of progress in preventing vaccine-preventable diseases. The issue is complex, influenced by misinformation, distrust in healthcare systems, cultural beliefs, and access barriers. These challenges require innovative and empathetic solutions to increase vaccine acceptance. Addressing this growing epidemic requires a multifaceted approach, which involves broader strategies and policymaking and in addition, effective communication tools for clinicians. Motivational Interviewing (MI), a patient-centered communication technique, offers an effective strategy to address pediatric vaccine hesitancy by fostering trust, understanding, and informed decision-making. This review aims to explore the problem of pediatric vaccine hesitancy in the United States, examine its underlying factors, and highlight evidence-based strategies, including Motivational Interviewing, to address this growing concern in clinical and public health settings. It offers practical guidance for healthcare providers and pediatricians to tackle this growing problem effectively and emphasizes the need for a combined effort of communication, community outreach, education, and systemic policy to overcome vaccine hesitancy. Full article

Background/Objectives: Rural communities in the United States experience increased disparity of care for both general healthcare services and access to routine vaccines. Previous research has indicated a 40% lower vaccination rate in rural communities, as compared to urban counterparts. Having a better understanding regarding factors influencing lower vaccination rates in rural areas could help public health officials prepare for future vaccination efforts. This research sought to gather and evaluate the opinions of people who live and work in rural areas regarding barriers to COVID-19 vaccine uptake. Methods: A semi-structured qualitative key informant interview design was utilized by researchers to gather opinions from university Extension staff in Washington State. Interview transcripts were analyzed using the Theory of Planned Behavior (ToPB) framework to evaluate COVID-19 vaccination-related intentions and motivational factors that the Extension staff observed among rural populations in their communities. Results: Twenty-one participants representing 34 out of the 40 Extension offices responded and were interviewed during fall 2023. Using the ToPB constructs, nine barriers were identified. Attitude-related barriers included the following: inherent social distancing in rural location negating vaccine necessity; lack of early vaccine availability in rural locales; concerns regarding ineffectiveness of the vaccine; and inadequate dissemination of vaccine information to non-English language speakers and those with limited access to technology. Subjective norm barriers included the following: perception of exclusion of rural populations’ unique needs during design and implementation of vaccine mandates; exertion of social pressures on rural individuals’ vaccine uptake decision; and highly visible breakdown in standard trust in core community institutions and leadership. Barriers related to loss of perceived behavioral control included vaccine mandates impacting self-perceived loss of autonomy and limitations in vaccine technology information impacting perception of vaccine safety. Conclusions: By identifying barriers to vaccination in rural communities during the COVID-19 pandemic, future outreach efforts can be designed to improve intention and lead to stronger vaccination uptake. Full article

The Megafauna3D project integrates advanced 3D scanning technologies and paleontological research to bring the extinct megafauna of Uruguay to formal and informal educational settings. Through the use of digitized fossil models, interactive education materials, and a web platform, the project engages the public and educational institutions in understanding the country’s paleontological heritage. This manuscript presents Megafauna3D’s multidisciplinary approach, its outreach initiatives, and the educational resources developed, such as 3D models and printed replicas, a book integrated with augmented reality, fanzines, and a teaching box. With a focus on open science, inclusivity, and accessibility, the project fosters public engagement with paleontological content and promotes fossil heritage conservation. Full article

Asbestos, also known by its commercial name “amianthus”, has been widely used in various industries due to its unique properties. However, the extensive use of asbestos has had serious consequences for human health, most notably asbestosis, an irreversible chronic lung disease. Asbestosis increases the risk of lung cancer and malignant mesothelioma, both of which are fatal. Applied sciences such as microscopy (optical and scanning electron microscopy) and geochemistry have been fundamental in characterizing the mineral fibers of asbestos to understand its role in human health. We previously used these techniques to characterize these fibers; in this study, we explored the issues associated with asbestos and asbestosis, as well as the challenges facing science communication strategies in effectively informing society and workers about these risks. The lack of scientific culture, in general, has led to a lack of public awareness of the risks of asbestos. As such, effective communication and outreach plans and strategies, including the visualization of the fibers to demonstrate why problems arise if inhaled, must be implemented to address these challenges. Educational campaigns, guidelines, and plans that are informative and actionable, teaching workers, communities, and the public about the risks of asbestos are crucial. A general knowledge of mineralogy and geochemistry is needed, and providing and disseminating proper scientific communication may help to close the knowledge gap. We use examples and experience from Spain and Italy to illustrate this matter, as we have been working on the characterization of ultramafic complexes in these countries for more than ten years. Additionally, because these countries have strict laws for asbestos-containing materials, they are currently involved in retiring and demolishing buildings and infrastructure that contain asbestos. Full article

Given the increasing frequency and severity of floods caused by climate change, there is a pressing requirement for creative ways to improve public comprehension and control of hydrological phenomena. Contemporary technology provides unparalleled possibilities to transform this domain. This project investigates the possibilities for merging gaming engines and digital twins to enhance flood education, data visualization, and interactive monitoring. This study proposes the utilization of immersive digital twins to enhance the comprehension of hydrological and hydraulic systems. The suggested method utilizes game engines to generate dynamic and interactive models that connect raw data to practical insights, enabling a more profound understanding of flood dynamics. This study underscores the wide-ranging usefulness of digital twins in various watersheds by focusing on the development of advanced monitoring systems, the benefits of improved data visualization, and educational outreach. The incorporation of real-time data via IoT technology considerably improves the significance and precision of these virtual models. This novel approach seeks to refashion flood management approaches by cultivating well-informed stakeholders and advocating for effective environmental education, ultimately leading to more resilient and prepared communities. An immersive digital twin of the real world can assist decision-makers technically, psychologically, and mentally by making complex phenomena easier to understand and visualize, thanks to real-time data and simulations that keep the information up-to-date, consequently leading to a more precise and intuitive decision-making process. Full article

This pilot study provides insights into the Moroccan public’s understanding and willingness to engage in insect pollinator preservation, highlighting widespread awareness alongside significant knowledge gaps. The success of biodiversity conservation efforts, especially those aimed at insect pollinators, is greatly enhanced by an informed and committed populace. Understanding public perceptions of insect pollinators is important as it shapes the effectiveness of conservation strategies and their implementation. Although our pilot study does not include every demographic of Moroccan society, it does include an important portion of the populace: educated urban youth. This is a key portion of the population that will be crucial in developing future conservation strategies, especially given the tendency towards increasing urbanization putting cities at the forefront of sustainable development. Our study aimed to assess opinions on insect pollinators, their services, and their declining population numbers in Morocco. We conducted a survey distributed mainly through the media over four months, receiving responses from 301 individuals. The results indicate that the public is aware of decreasing insect pollinator populations and their main threats, and shows a willingness to participate in conservation strategies. However, gaps persist in understanding the roles and ecology of pollinators. While honey bees and bumble bees are well-recognized for their role in pollinating agricultural and wild plants, there is less awareness about other common pollinators such as solitary bees and flies. Additionally, the essential contributions of non-bee pollinators remain widely overlooked. To address these findings, we recommend implementing specialized educational initiatives to increase public understanding of the vital functions of non-bee pollinators in supporting ecosystem services. In order to adopt a more encompassing strategy for the conservation of insect pollinators, upcoming outreach efforts within the national biodiversity strategy should emphasize the contributions made by lesser-known non-bee insect pollinators and strive to engage sectors of the population currently less involved in pollinator conservation. However, while this pilot study provides valuable insights, the sample size limits the generalizability of these conclusions. Future research with larger and more diverse samples would be beneficial to validate and expand upon these findings in order to provide a more comprehensive understanding of all areas of public perception and engagement in pollinator conservation in Morocco. Expanding sampling to include older, less educated, and less urban demographics would strengthen these initial insights and broaden their application, especially beyond urban attitudes. Full article

Over the past several decades, there has been a growing prevalence of entomology-themed outreach events, which seek to educate the public about insects and other arthropods, fostering a greater appreciation and understanding of these often misunderstood organisms. In 2016, a comparative analysis was initiated to identify science institutions across the United States engaged in providing annual entomology-themed outreach events to the public. Utilizing literature reviews and online searches, several science institutions were identified and subsequently contacted to partake in a survey regarding their events. The survey received a response rate of 93%. Results from the survey offered valuable insights into these entomology-themed outreach events, including records of attendance, event structures, funding sources, popular exhibits, and the impacts on attendees, hosting institutions, and local communities. While the majority of these events have remained in place since the survey, many have experienced significant disruptions due to the COVID-19 pandemic, prompting some to adapt to innovative online formats and virtual experiences. Despite these challenges, the commitment to entomological outreach continues today, highlighting the resilience and adaptability of the entomology community. Full article

Background: The public’s attitude towards Mpox vaccination is a critical factor in the success of immunisation programmes. Understanding the factors contributing to vaccine acceptance or hesitancy is critical for developing effective health communication strategies. This systematic review and meta-analysis aims to bring together evidence from observational studies on attitudes towards Mpox vaccination, including willingness and rejection. Methods: From this review’s inception until June 2023, a comprehensive search was conducted across four major electronic databases: PubMed, Web of Science, Scopus, and EBSCO. The inclusion criteria included studies investigating public attitudes towards Mpox vaccination, as defined by acceptance and willingness to be vaccinated versus rejection and unwillingness. Results: Thirty studies met the inclusion criteria among the screened literature. An analysis of 27 studies involving 81,792 participants revealed that 45,926 (56.14%) were willing to receive the Mpox vaccination. In contrast, ten studies involving 7448 participants revealed that 2156 people (28.94%) were unwilling to receive the Mpox vaccination. Females were less willing to receive the vaccine than males, with an odds ratio (OR) of 0.61 (95% CI, 0.43–0.86). Furthermore, homosexuals were found to be more willing than heterosexuals, with an OR of 1.44 (95% CI, 1.14–1.80). Conclusion: Vaccination is emerging as a critical strategy for preventing Mpox infection and fostering herd immunity against potential outbreaks. Improving public awareness and acceptance of vaccination is critical to avoiding a situation similar to the COVID-19 pandemic. Targeted educational and outreach programmes could explain the benefits of vaccination, bridging the information gap and encouraging a proactive public health approach to emerging infectious diseases. Full article

The Georgia Community Engagement Alliance (CEAL) Against COVID-19 Disparities Project conducts community-engaged research and outreach to address misinformation and mistrust, to promote inclusion of diverse racial and ethnic populations in clinical trials and increase testing and vaccination uptake. Guided by its Community Coalition Board, The GEORGIA CEAL Survey was administered among Black and Latinx Georgia 18 years and older to learn about community knowledge, perceptions, understandings, and behaviors regarding COVID-19 testing and vaccines. Survey dissemination occurred using survey links generated through Qualtrics and disseminated among board members and other statewide networks. Characteristics of focus counties were (a) highest proportion of 18 years and older Black and Latinx residents; (b) lowest COVID-19 testing rates; and (c) highest SVI values. The final sample included 2082 surveyed respondents. The majority of participants were men (57.1%) and Latinx (62.8%). Approximately half of the sample was aged 18–30 (49.2%); the mean age of the sample was 33.2 years (SD = 9.0), ranging from 18 to 82 years of age. Trusted sources of COVID-19 information that significantly predicted the likelihood of vaccination included their doctor/health care provider (p-value: 0.0054), a clinic (p-value: 0.006), and university hospitals (p-value: 0.0024). Latinx/non-Latinx, Blacks vs. Latinx, Whites were significantly less likely to get tested and/or vaccinated. Non-Latinx, Blacks had higher mean knowledge scores than Latinx, Whites (12.1 vs. 10.9, p < 0.001) and Latinx, Blacks (12.1 vs. 9.6, respectively, p < 0.001). The mean knowledge score was significantly lower in men compared to women (10.3 vs. 11.0, p = 0.001), in those who had been previously tested for COVID-19 compared to those who had never been tested (10.5 vs. 11.5, respectively, p = 0.005), and in those who did not receive any dose of vaccination compared to those who were fully vaccinated (10.0 vs. 11.0, respectively, p < 0.001). These data provide a benchmark for future comparisons of the trajectory of public attitudes and practices related to the COVID-19 pandemic. They also point to the importance of tailoring communication strategies to specific cultural, racial, and ethnic groups to ensure that community-specific barriers to and determinants of health-seeking behaviors are appropriately addressed. Full article