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12 pages, 243 KiB  
Article
The Paradox of Religiosity–Secularism in Formal Religious Education
by Meryem Karataş
Religions 2025, 16(1), 99; https://doi.org/10.3390/rel16010099 (registering DOI) - 20 Jan 2025
Abstract
Creating a conceptual unity is an important starting point for understanding a subject. It is more difficult to find a common definition if the concept in question is ‘religion, religiosity, secularism’, which can vary according to the field of the person making the [...] Read more.
Creating a conceptual unity is an important starting point for understanding a subject. It is more difficult to find a common definition if the concept in question is ‘religion, religiosity, secularism’, which can vary according to the field of the person making the definition, where he/she positions himself/herself in relation to religion, the characteristics of the religion he/she believes in (or does not believe in), and many other parameters. In order to draw the boundaries of this research correctly, it is necessary to clarify the development and changes in the concept of ‘religion’ and the related concepts of ‘religiosity and secularism’ in the historical process. Among the places where the effectiveness of these concepts at the theoretical level can be examined are the textbooks taught in Anatolian Imam Hatip High Schools. The nature or content of the fiqh textbooks taught in Imam Hatip High Schools, which can be exemplified as an educational institution of religious culture reinforcement in Turkey, is within the scope of this study. In connection with this subject, the aim of this study is to analyse the fiqh and fiqh reading textbooks taught in Anatolian Imam Hatip High Schools from the perspective of religiosity and secularism. Fiqh, from the perspective of Islamic theology, contains normative principles that govern personal and social practices. As textbooks, fiqh and fiqh readings were chosen because they are likely to provide data on the subject. This research employs a qualitative approach, utilising document analysis as its primary method to investigate these textbooks. The analysis is based on textbooks that were approved by the Ministry of National Education and taught during the 2023–2024 academic year. For the purposes of this study, only explicit verbal content was considered, while implicit messages were excluded. As a result of this study, it is understood that both books have a religiosity-centred perspective and that there are chapters in which changes are taken into consideration rather than secularism. Full article
29 pages, 1078 KiB  
Article
Acceptability of Children Road Safety Education in Pakistan: A Mixed-Method Approach to Exploring Parents’ and Teachers’ Perspectives
by Imran Nawaz, Ariane Cuenen, Geert Wets and Davy Janssens
Societies 2025, 15(1), 18; https://doi.org/10.3390/soc15010018 - 20 Jan 2025
Abstract
In Pakistan, implementing road safety education (RSE) initiatives is vital in tackling the concerning rates of road accidents. Since parents and teachers are crucial in moulding children’s road safety behaviours, this study investigated the perspectives of parents and teachers regarding the acceptability of [...] Read more.
In Pakistan, implementing road safety education (RSE) initiatives is vital in tackling the concerning rates of road accidents. Since parents and teachers are crucial in moulding children’s road safety behaviours, this study investigated the perspectives of parents and teachers regarding the acceptability of RSE programs in Pakistan. Using a mixed-methods approach, the research combines quantitative data from questionnaires (n = 63 teachers, n = 97 parents) with qualitative insights from interviews (five teachers, four parents). The study reveals significant gaps in RSE implementation across educational levels (i.e., primary, secondary, and high school), with not even half of the teachers reporting dedicated RSE programs in their curriculum, majorly in secondary and high schools. Both parents and teachers express dissatisfaction with current RSE effectiveness, highlighting a critical need for improvement. Key barriers to RSE implementation include cultural norms, inadequate infrastructure, and limited teacher training. However, the study also identifies a strong interest from parents and teachers in participating in effective RSE programs. Parents favour a mixed approach to RSE delivery, combining online and physical formats, and prefer short, frequent sessions for their children. The research underscores the need for a multidimensional RSE approach, addressing educational content, societal perceptions, and infrastructure improvements. These findings provide valuable insights for policymakers and educators to enhance RSE and improve children’s road safety knowledge in Pakistan. Full article
13 pages, 1366 KiB  
Article
A Strengths-Based Approach to Increasing Nutrition Knowledge in Student-Athletes: The ‘Eat 2 Win’ Pilot Program
by Andrea Fuller and Stephen P. Bird
Nutrients 2025, 17(2), 361; https://doi.org/10.3390/nu17020361 - 20 Jan 2025
Abstract
Background and Objectives: Proper nutrition and hydration are essential for the health, growth, and athletic performance of student-athletes. Adequate energy availability and sufficient intake of macro- and micronutrients support adolescent development, prevent nutrient deficiencies, and reduce the risk of disordered eating. These [...] Read more.
Background and Objectives: Proper nutrition and hydration are essential for the health, growth, and athletic performance of student-athletes. Adequate energy availability and sufficient intake of macro- and micronutrients support adolescent development, prevent nutrient deficiencies, and reduce the risk of disordered eating. These challenges are particularly relevant to student-athletes, who are vulnerable to nutrition misinformation and often exhibit limited nutrition knowledge. This study aimed to evaluate the feasibility and acceptability of the ‘Eat 2 Win’ nutrition education pilot program for high school student-athletes and assess changes in nutrition knowledge using the Nutrition for Sport Knowledge Questionnaire—Adolescents (NSKQ-a). Methods: Fifty-five high school student-athletes (14.1 ± 2.2 years; 53% male, 47% female) from the Bremer State High School Sports Academy participated in the ‘Eat 2 Win’ program. The curriculum was tailored to align with the nutritional needs of Australian high school student-athletes and included three interactive workshops on sports nutrition concepts, practical cooking classes, and online learning modules. Sessions were delivered onsite at the school over three consecutive weeks, once per week. Twenty-four participants (43.6%) completed all program components. Results: The program was feasible and well-accepted by participants. Nutrition knowledge, assessed in 16 participants using the NSKQ-a, revealing an overall knowledge increase of 9.7%, with sub-category improvements ranging from 3.1% to 34.4%. Conclusions: The ‘Eat 2 Win’ pilot program improved student-athletes’ nutrition knowledge, particularly in macronutrients and hydration. Participant feedback highlighted enjoyment and positive impacts. Targeted nutrition education programs like ‘Eat 2 Win’ can empower student-athletes to make informed dietary choices by addressing knowledge gaps, debunking nutrition myths, and fostering positive dietary behaviours. Future programs should emphasize energy intake, practical skills, and accessible, actionable information. Full article
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27 pages, 1663 KiB  
Article
Introduction of Hydrosphere Environmental Problems in Lower Secondary School Chemistry Lessons
by Taja Klemen and Iztok Devetak
Educ. Sci. 2025, 15(1), 111; https://doi.org/10.3390/educsci15010111 - 20 Jan 2025
Abstract
The 2030 Agenda for Sustainable Development focuses on ensuring a healthy environment for present and future generations by avoiding risks associated with consumption, exploitation of natural resources and pollution. Maintaining an environmentally aware society to address hydrosphere environmental problems requires environmental literacy, which [...] Read more.
The 2030 Agenda for Sustainable Development focuses on ensuring a healthy environment for present and future generations by avoiding risks associated with consumption, exploitation of natural resources and pollution. Maintaining an environmentally aware society to address hydrosphere environmental problems requires environmental literacy, which should be continuously improved through environmental education. The study aimed to evaluate the effectiveness of integrating hydrosphere environmental problems into chemistry lessons through an online workshop, comparing students’ achievements and their situational and individual interest before and after participating in the workshop. Altogether, 145 students from seven Slovenian lower secondary schools participated in the study. Three-tier achievement tests assessed students’ knowledge about hydrosphere environmental problems before and after the workshop, while 15-item and 10-item questionnaires measured individual and situational interest. Results showed that 42.1% of students achieved more than half of the points on the preliminary achievement test, while following the workshop, 61.5% of students achieved better results on the achievement post-test. Students struggled to understand the chemical structures of pollutants and their effects on the hydrosphere. No significant differences in results on the post-test and delayed achievement test were identified, but high individual and situational interest positively influenced students’ results on all achievement tests. Full article
(This article belongs to the Section STEM Education)
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13 pages, 1463 KiB  
Article
Development and Validation of the Pediatric Well-Being Picture Scale© Using a Mixed-Methods Research Design
by Judith Quaranta, Rosa Darling, Mei-Hsiu Chen, Julia DeMartino and Madison Kozlowski
Nurs. Rep. 2025, 15(1), 29; https://doi.org/10.3390/nursrep15010029 - 20 Jan 2025
Abstract
Background/Objectives: Decreased well-being may be a precursor to mental health challenges. Mental health visits for 5–11-year-old children increased by 24% from 2019 to 2020. COVID-19 led to record high levels of anxiety and depression in young children. This highlights the need for [...] Read more.
Background/Objectives: Decreased well-being may be a precursor to mental health challenges. Mental health visits for 5–11-year-old children increased by 24% from 2019 to 2020. COVID-19 led to record high levels of anxiety and depression in young children. This highlights the need for early identification and intervention of decreased well-being to prevent progression to potential mental health issues. The purpose of our research was to develop the Pediatric Well-Being Picture Scale© (PWBPS©), the first picture-based screening tool for ages 8–11 years, accessible to children regardless of their literacy, language skill, and developmental levels, allowing for quick screening for early referral and intervention. Methods: The mixed-methods research design included focus groups and one-on-one interviews for content and face validity, test/retest reliability, convergent validity, and exploratory factor analysis. Subjects were recruited from public elementary schools. Results: The numbers of participating subjects were as follows: N = 17 for focus groups; N = 12 for one-on-one interviews; N = 50 for test/retest reliability; and N = 237 for convergent validity. Thematic analysis resulted in a 10-item, 3-point picture-based Likert scale. The test/retest reliability demonstrated strong correlations, with an ICC of 0.823 (95% CI [0.690, 0.905]). The Cronbach’s alpha for all the administrations was 0.74, 0.74, 0.84, and 0.89. The convergent validity demonstrated correlation with the validated KIDSCREEN-10. The Spearman’s correlation was 0.64 (95% CI as [0.55, 0.71]). The cutoff for the PWBPS© was 18.5, which correlated to a score of 22 on the KIDSCREEN-10. All the items loaded on one component. Conclusions: These findings demonstrate that the PWBPS© is valid and reliable, allowing for quick and accurate assessments of children’s well-being and allowing for early intervention, which is key to reducing the negative effects of poor mental well-being. Full article
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9 pages, 1502 KiB  
Article
Experimental Biomechanics of Neonatal Brachial Plexus Avulsion Injuries Using a Piglet Model
by Anita Singh, Kalyani Ghuge, Yashvy Patni and Sriram Balasubramanian
Bioengineering 2025, 12(1), 91; https://doi.org/10.3390/bioengineering12010091 (registering DOI) - 20 Jan 2025
Viewed by 174
Abstract
Background: A brachial plexus avulsion occurs when the nerve root separates from the spinal cord during birthing trauma, such as shoulder dystocia or a difficult vaginal delivery. A complete paralysis of the affected levels occurs post-brachial plexus avulsion. Despite being reported in 10–20% [...] Read more.
Background: A brachial plexus avulsion occurs when the nerve root separates from the spinal cord during birthing trauma, such as shoulder dystocia or a difficult vaginal delivery. A complete paralysis of the affected levels occurs post-brachial plexus avulsion. Despite being reported in 10–20% of brachial plexus birthing injuries, it remains poorly diagnosed during the acute stages of injury, leading to poor intervention approaches. The poor diagnosis of brachial plexus avulsion injury can be attributed to the currently unavailable biomechanics of brachial plexus avulsion. While the biomechanical properties of neonatal brachial plexus are available, the forces required to avulse a neonatal brachial plexus remain unknown. Methods: This study aims to provide detailed biomechanics of the required forces and corresponding strains for neonatal brachial plexus avulsion. Biomechanical tensile testing was performed on an isolated, clinically relevant piglet spinal cord and brachial plexus complex, and the required avulsion forces and strains were measured. Results: The reported failure forces and corresponding strains were 3.9 ± 1.6 N at a 27.9 ± 6.5% strain, respectively. Conclusion: The obtained data are required to understand the avulsion injury biomechanics and provide the necessary experimental data for computational model development that serves as an ideal surrogate for understanding complicated birthing injuries in newborns. Full article
(This article belongs to the Special Issue Biomechanics Analysis in Tissue Engineering)
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10 pages, 202 KiB  
Article
Leisure Instruction Content Considered Important by Special Education Teachers for Students with Intellectual Disabilities
by Kazuaki Maebara and Yukiya Yamada
Disabilities 2025, 5(1), 9; https://doi.org/10.3390/disabilities5010009 (registering DOI) - 20 Jan 2025
Viewed by 182
Abstract
Leisure education has the potential to improve the quality of life and prepare students for social participation after graduation. This study elucidates the perspectives of special education teachers on leisure instruction. The study surveyed 129 teachers from 10 special needs schools for students [...] Read more.
Leisure education has the potential to improve the quality of life and prepare students for social participation after graduation. This study elucidates the perspectives of special education teachers on leisure instruction. The study surveyed 129 teachers from 10 special needs schools for students with intellectual disabilities in Prefecture A, a rural area of Japan. An online survey was conducted from 21 October to 17 November 2023. The survey items were based on 13 aspects of leisure instruction identified from a literature review related to leisure instruction in Japan and a qualitative analysis of interviews with high school teachers in special needs schools for students with intellectual disabilities. The results showed that “The ability to pass time during brief periods of free time”, “Various activity experiences that lead to leisure”, and “Knowing one’s strengths and weaknesses in activities” were significantly more important during school. Conversely, “understanding the psychological importance of leisure”, “connecting with organizations that support leisure activities”, and “finding places to engage in leisure activities” were significantly more important after graduation. The results of this study can be used to identify the gaps in perception between special education teachers and vocational rehabilitation practitioners responsible for post-social participation support. Full article
14 pages, 1685 KiB  
Article
The Neural Development of Chinese Lexical Tone Perception: A Mismatch Negativity Study Across Childhood, Adolescence, and Adulthood
by Han Wu, Yixiao Zhang, Yiru Liu, Shijun Zhang, Linjun Zhang, Hua Shu and Yang Zhang
Brain Sci. 2025, 15(1), 93; https://doi.org/10.3390/brainsci15010093 (registering DOI) - 19 Jan 2025
Viewed by 322
Abstract
Background/Objectives: In a tonal language like Chinese, phonologically contrasting tones signify word meanings at the syllable level. Although the development of lexical tone perception ability has been examined in many behavioral studies, its developmental trajectory from childhood to adulthood at the neural level [...] Read more.
Background/Objectives: In a tonal language like Chinese, phonologically contrasting tones signify word meanings at the syllable level. Although the development of lexical tone perception ability has been examined in many behavioral studies, its developmental trajectory from childhood to adulthood at the neural level remains unclear. This cross-sectional study aimed to examine the issue by measuring the mismatch negativity (MMN) response to a Chinese lexical tonal contrast in three groups. Methods: The MMN response to a flat-falling tonal contrast (Tone1 versus Tone4) were recorded from children (25 participants aged 6–8), adolescents (26 participants aged 12–14), and young adults (20 participants aged 18–24). Nonsense speech stimuli were also used by superimposing Tone1 and Tone4 on an English syllable. Results: All three groups demonstrated typical early MMN responses in both the meaningful and nonsense syllable conditions. However, the MMN amplitudes varied significantly across groups, with the child group showing smaller responses compared to the adolescent and adult groups, while the latter two groups had similar MMN amplitudes. Conclusions: Neural sensitivity to tonal contrasts is not fully mature in children and reaches a more adult-like level during adolescence, with no significant difference in sensitivity to meaningful versus nonsense syllables. These results provide new insights into the neural development of lexical tone perception in a tonal language, highlighting its maturation during adolescence in this process. Full article
(This article belongs to the Section Neurolinguistics)
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19 pages, 1613 KiB  
Article
The Power of Play: Investigating the Effects of Gamification on Motivation and Engagement in Physics Classroom
by Marija Gaurina, Anna Alajbeg and Ivana Weber
Educ. Sci. 2025, 15(1), 104; https://doi.org/10.3390/educsci15010104 - 18 Jan 2025
Viewed by 442
Abstract
The aim of this study was to investigate and analyze how first-grade high school students experience a positive classroom environment (excitement, competition, connectedness, satisfaction, and aspiration) by applying gamification as a teaching strategy in physics classes. An experimental study was conducted within the [...] Read more.
The aim of this study was to investigate and analyze how first-grade high school students experience a positive classroom environment (excitement, competition, connectedness, satisfaction, and aspiration) by applying gamification as a teaching strategy in physics classes. An experimental study was conducted within the teaching topic of conservation of momentum and energy, in which N = 69 students in three classes took part. In the experimental group, one class with n = 23 students engaged in physics lessons, using gamification as a teaching strategy. In contrast, the control group comprised two classes with n = 46 students. The My Class Inventory questionnaire was used for this study. The study’s results revealed statistically significant differences in the perception of the student learning experience between the control and experimental groups. The experimental group rated the student learning experience significantly better than the control group. Gamification as a strategy contributes positively to the student learning experience, fostering collaboration among students when tackling challenging problems. It is essential to highlight that even if we do not entirely depart from traditional teaching methods, simply changing our strategy can lead to significant improvements. In our case, gamification can create a more engaging student learning experience, making students more motivated and involved. Consequently, this shift could result in a better understanding and mastery of physics concepts. Full article
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16 pages, 1183 KiB  
Article
The Effect of an Improved Environment According to Watson’s Theory of Human Care on Sleep, Anxiety, and Depression in Patients Undergoing Open Heart Surgery: A Randomized Controlled Trial
by Hatice Azizoğlu, Zeynep Gürkan, Yasemin Bozkurt, Canan Demir and Hatice Akaltun
Healthcare 2025, 13(2), 183; https://doi.org/10.3390/healthcare13020183 - 18 Jan 2025
Viewed by 237
Abstract
Background/Objectives: According to Watson’s Human Care Theory, an improved environment influences patients’ care processes. The purpose of this study was to examine the effect of an improved environment, according to Watson’s Human Care Theory, on sleep quality, anxiety, and depression in patients undergoing [...] Read more.
Background/Objectives: According to Watson’s Human Care Theory, an improved environment influences patients’ care processes. The purpose of this study was to examine the effect of an improved environment, according to Watson’s Human Care Theory, on sleep quality, anxiety, and depression in patients undergoing open heart surgery. Methods: Upon admission to the ward from the postoperative intensive care unit, the experimental group underwent environmental remediation for three days. The environmental arrangements ensured that the patient’s room maintained an appropriate temperature range of 18–26 °C and humidity values of 30–50%. Monitoring took place at 21:00, 22:00, and 23:00 on Days 1, 2, and 3, at which times, the brightness of the patient rooms gradually decreased. On the morning of the fourth day, the patients were interviewed face to face, and research questionnaires were filled out (ClinicalTrials.gov identifier of the manuscript: NCT06744023). Results: After the implementation of an improved environment in accordance with Watson’s Human Care Theory, the sleep duration of the patients in the experimental group (5.91 h) was higher than that of the control group (4.1 h). At the same time, the mean sleep quality score was measured as 300 ± 15.33 in the experimental group and 116.33 ± 14.94 in the control group. In addition, anxiety and depression levels were lower in the experimental group (5.63 ± 0.59; 4.53 ± 0.42) compared with the control group (12.03 ± 0.85; 10.03 ± 0.82). Conclusions: We recommend implementing improved environmental arrangements in accordance with Watson’s Human Care Theory to improve sleep quality and reduce anxiety and depression levels in patients undergoing open heart surgery. Full article
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20 pages, 9877 KiB  
Article
Three-Dimensional Aeroelastic Investigation of a Novel Convex Bladed H-Darrieus Wind Turbine Based on a Two-Way Coupled Computational Fluid Dynamics and Finite Element Analysis Approach
by Tarek Elbeji, Wael Ben Amira, Khaled Souaissa, Moncef Ghiss, Hatem Bentaher and Nabil Ben Fredj
Viewed by 480
Abstract
H-Darrieus vertical-axis wind turbines (VAWTs) capture wind regardless of its direction and operate effectively even in challenging and turbulent wind conditions. As a result, the blades operate under erratic and intricate aerodynamic loads, which cause them to bend. The performance of the H-Darrieus [...] Read more.
H-Darrieus vertical-axis wind turbines (VAWTs) capture wind regardless of its direction and operate effectively even in challenging and turbulent wind conditions. As a result, the blades operate under erratic and intricate aerodynamic loads, which cause them to bend. The performance of the H-Darrieus rotor will therefore be impacted by the blade’s deflection. This study aims at investigating the dynamic aerostructure influence on a novel convex-bladed H-Darrieus geometry. The results are compared to a straight-bladed baseline rotor. To do so, a two-way fluid–structure interaction (FSI)-coupled approach is performed to accurately address this issue. This approach allows for the simultaneous resolution of the fluid flow around the rotor and the mechanical structure responses inside the blades. The turbulent flows are resolved using the k-ω-SST model together with the URANS equations through computational fluid dynamics (CFD), while the structural deflections of the blades are assessed using finite element analysis (FEA). The results show that the performance of both H-Darrieus turbines decreases with increasing deformation. In addition, the study found that the carbon fiber composite (M1) material has the least deformation in the convex and straight blades, with values of 9.1 mm and 20.331 mm, respectively. The glass-fiber-reinforced epoxy composite (M3) material shows the most significant deflection across both types, with displacements of 32.50 mm and 73.78 mm for the straight blade and 19.02 mm and 43.03 mm for the convex blade. This study also reveals that the straight blade has a peak displacement of 73.785 mm when using the M3 material at TSR = 3, while the convex blade has a minimum displacement of 20.331 mm when using the M1 material, highlighting the varying performance characteristics of the materials. The maximum stress observed occurs in the straight blade, registering at 324.1 MPa with TSR = 3, which aligns closely with the peak displacement values, particularly for the aluminum alloy material (M2). In contrast, the convex blade made from the first material (M1) exhibits the lowest stress levels among the tested configurations. Full article
(This article belongs to the Special Issue Computational Fluid Dynamics in Fluid Machinery)
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28 pages, 1522 KiB  
Article
Identification of Industrial Occupational Safety Risks and Selection of Optimum Intervention Strategies: Fuzzy MCDM Approach
by Gülay Demir, Mouhamed Bayane Bouraima, Ibrahim Badi, Željko Stević and Dillip Kumar Das
Mathematics 2025, 13(2), 301; https://doi.org/10.3390/math13020301 - 17 Jan 2025
Viewed by 395
Abstract
Over 1.1 million deaths occur annually from workplace injuries and diseases, with higher risks in developing countries. Occupational safety studies commonly use quantitative or qualitative methods, but these often fail to address uncertainty. This research targets the Libyan Steel Company (LISCO), aiming to [...] Read more.
Over 1.1 million deaths occur annually from workplace injuries and diseases, with higher risks in developing countries. Occupational safety studies commonly use quantitative or qualitative methods, but these often fail to address uncertainty. This research targets the Libyan Steel Company (LISCO), aiming to analyze safety risks and develop a structured approach to identify optimal risk mitigation strategies. To this end, the Fuzzy Weights by ENvelope and SLOpe (F-WENSLO) method was chosen to determine the weights of three main safety risks and a total of 18 sub-risks belonging to them, and the fuzzy Bonferroni mean aggregation operator is applied to synthesize expert opinions. The Fuzzy Alternative Ranking Technique based on Adaptive Standardized Intervals (F-ARTASI) method was used to identify and rank the most appropriate safety interventions. While the primary risks identified under the main criteria and sub-criteria are occupational diseases and noise-induced diseases, with weights of 0.4737 and 0.1313, respectively, the intervention strategy deemed most effective for enhancing occupational safety is behavioral safety programs, which hold a weight of 11.0341. The sensitivity test of the analysis results reveals that although the criteria weights and the parameters used in the analysis vary under various scenarios, the ranking of the alternatives remains consistent. Since the general ranking of the alternatives is the same in other methods, decision makers will reach similar results no matter which method they use. This shows that a flexible and reliable decision-making approach is adopted in the process of optimizing occupational safety risks. This research emphasizes the critical importance of prioritizing occupational diseases and natural hazards in the formulation of occupational safety strategies and thus aims to contribute to the protection of workers in industrial plants such as LISCO. Full article
(This article belongs to the Special Issue Soft Computing and Fuzzy Mathematics: New Advances and Applications)
12 pages, 757 KiB  
Article
Information Behaviour and Knowledge of Patients Before Radical Prostatectomy
by Christopher Hirtsiefer, Anna Vogelgesang, Fabian Falkenbach, Mona Kafka, Annemarie Uhlig, Tim Nestler, Cem Aksoy, Iva Simunovic, Johannes Huber, Isabel Heidegger, Markus Graefen, Marianne Leitsmann, Christian Thomas and Martin Baunacke
Viewed by 272
Abstract
Background/Objectives: Robot-assisted and open radical prostatectomy (RARP and ORP) are established procedures for localized prostate cancer, with comparable oncological and functional outcomes. Little is known about patients’ knowledge of both procedures. This study aimed to examine comparatively the informational behaviour and knowledge of [...] Read more.
Background/Objectives: Robot-assisted and open radical prostatectomy (RARP and ORP) are established procedures for localized prostate cancer, with comparable oncological and functional outcomes. Little is known about patients’ knowledge of both procedures. This study aimed to examine comparatively the informational behaviour and knowledge of patients undergoing ORP vs. RARP. Methods: This prospective, multicentre study included patients who underwent RARP or ORP prior to presurgery counselling. The questionnaires gathered information about patients’ information-seeking behaviours and their assessment of outcomes for RARP vs. ORP. We investigated risk factors for the misperception of procedure outcomes. Results: A total of 508 patients were included (307 RARP (60%); 201 ORP (40%)). The most common sources of information were outpatient urologists (84%), urologic departments (67%) and the internet (57%). Compared with ORP, RARP patients more often received the same amount of information about both procedures (60% vs. 40%, p < 0.001). Compared with ORP, RARP patients wrongfully considered their procedure to be superior in terms of oncological and functional outcomes. In the multivariable analysis, age > 66 years (OR 2.1, p = 0.02), no high school degree (OR 1.9, p = 0.04), unbalanced information search (OR 2.4, p = 0.02), RARP patient status (OR 8.9, p < 0.001), and treatment at a centre offering only one procedure (OR 3.5, p < 0.001) were independent predictors of misperception. Conclusions: RARP patients wrongfully considered their intervention to be oncologically and functionally more beneficial than ORP patients perceived it to be. This may be due to unbalanced sources of information. Urologists and surgical centres must address this misperception to enable patients to make informed decisions. Full article
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16 pages, 1162 KiB  
Article
Effects of Sugar-Sweetened Beverage Consumption on Body Mass Index (BMI) and Waist Circumference Among Adolescents in Erbil City, Iraq: A Cross-Sectional Study Using 24-h Dietary Recall
by Heran Ibrahim Hassan and Samir M. Othman
Viewed by 328
Abstract
(1) Background: Sugar-sweetened beverages (SSBs) are a major source of added sugars and have been linked to adverse health outcomes, including obesity and metabolic disorders. The global rise in adolescents who are overweight and obese presents critical public health challenges. Although there is [...] Read more.
(1) Background: Sugar-sweetened beverages (SSBs) are a major source of added sugars and have been linked to adverse health outcomes, including obesity and metabolic disorders. The global rise in adolescents who are overweight and obese presents critical public health challenges. Although there is a growing focus on SSB consumption globally, data on sugar and SSB intake in Iraq, particularly in the Kurdistan region, remain scarce. This study aims to assess SSB consumption and its association with body mass index (BMI) and waist circumference among adolescents in Erbil, Iraq, contributing to efforts to address obesity in this population. (2) Methods: This cross-sectional study included 379 intermediate school students aged 11 to 16 years from Erbil, Iraq. Data were collected using a validated questionnaire to gather information on sociodemographic characteristics, physical activity levels, sedentary behaviors, and sleep duration. Weight and height were measured, and age- and sex-adjusted BMI z-scores were calculated. Waist circumference was measured twice, with the average value recorded. Dietary data were obtained using two non-consecutive 24 h recalls (one on a school day and one on a weekend day), and the average daily SSB consumption was calculated. Multiple regression modeling was used to evaluate the associations between SSB consumption, BMI, and waist circumference, adjusting for potential confounders. Data analysis was conducted using SPSS version 26, with statistical significance set at 5%. (3) Results: The mean daily intake of SSBs was 686.71 ± 197.50 milliliters (mL), with males consuming significantly more (719.8 ± 185.9) than females (658.0 ± 185.3) (p = 0.001). The prevalence of overweight and obesity was 41.7%. Multiple regression analysis showed a significant positive association between BMI and SSB consumption, sedentary behavior, and total caloric intake (p < 0.001), while age was negatively associated with BMI. The consumption of SSBs was strongly associated with BMI, with each additional milliliter of SSB intake associated with a 0.002 unit increase in BMI (t-value = 8.047). Waist circumference was significantly positively associated with SSB consumption, total caloric intake, and sedentary behavior (p < 0.001), while age (p < 0.001) and moderate-to-vigorous physical activity (MVPA) (p = 0.005) were negatively associated with waist circumference. For each additional milliliter of SSB consumed, waist circumference increased by 0.028 units (t-value = 12.498). (4) Conclusions: High levels of SSB consumption were observed among adolescents in Erbil, particularly among males. Significant associations were found between SSB intake, overweight/obesity, and waist circumference. These findings highlight the urgent need for targeted public health interventions and further investigation into the factors driving SSB consumption in this population. Full article
(This article belongs to the Section Tea, Coffee, Water, and Other Non-Alcoholic Beverages)
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Article
Talk About Crime Among Young People in Northern Mexico: The Impact of Drug Trafficking in the Neighborhood
by Ariagor Manuel Almanza Avendaño, Martha Romero-Mendoza and Anel Hortensia Gómez San Luis
Societies 2025, 15(1), 16; https://doi.org/10.3390/soc15010016 - 17 Jan 2025
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Abstract
This study seeks to understand, through their talk about crime, the meaning that young people in northern Mexico give to the presence of drug trafficking in their communities, its interrelation with other crimes, and the psychosocial impact on their daily lives. A total [...] Read more.
This study seeks to understand, through their talk about crime, the meaning that young people in northern Mexico give to the presence of drug trafficking in their communities, its interrelation with other crimes, and the psychosocial impact on their daily lives. A total of 48 group interviews were carried out with young people in junior high, high school, and universities and analyzed for thematic content using MAXQDA 20 software. The main changes pointed out by the young people were the intensification of insecurity, the expansion of drug dealing in the community, mental health problems (especially addictions), the restriction of mobility on the streets, and changes in the relationship with security institutions. They also refer to changes such as the normalization of drug trafficking and the decline of the neighborhood’s image. Full article
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