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31 pages, 3755 KB  
Article
Perception Evaluation and Optimization Strategies of Pedestrian Space in Beijing Fayuan Temple Historic and Cultural District
by Qin Li, Yanwei Li, Qiuyu Li, Shaomin Peng, Yijun Liu and Wenlong Li
Buildings 2025, 15(19), 3574; https://doi.org/10.3390/buildings15193574 - 3 Oct 2025
Abstract
With the rapid development of urbanization and tourism in China, increasing attention has been paid to the protection and utilization of historical and cultural heritage, while tourists’ demands for travel experiences have gradually shifted towards in-depth cultural perception. This paper selects Beijing Fayuan [...] Read more.
With the rapid development of urbanization and tourism in China, increasing attention has been paid to the protection and utilization of historical and cultural heritage, while tourists’ demands for travel experiences have gradually shifted towards in-depth cultural perception. This paper selects Beijing Fayuan Temple Historic and Cultural District as the research case, and adopts methods such as the LDA (Latent Dirichlet Allocation) topic model, collection and analysis of online text data, and field research to explore the current situation of pedestrian space in Fayuan Temple District and its optimization strategies from the perspective of tourists’ perception. The study found that the dimensions of tourists’ perception of the pedestrian space in Fayuan Temple District mainly include six aspects: historical buildings and relics, tour modes and transportation, natural landscapes and environment, historical figures and culture, residents’ life and activities, and tourists’ experiences and visits. By integrating online text data, questionnaire surveys, and on-site behavioral observations, the study constructed a “physical environment-cultural experience-behavioral network” three-dimensional IPA (Importance–Possession Analysis) evaluation model, and analyzed and evaluated the high-frequency perception elements in tourists’ spontaneous evaluations. Based on the current situation evaluation of the pedestrian space in Fayuan Temple District, this paper puts forward optimization strategies for the perception of pedestrian space from the aspects of block space, transportation usage, landscape ecology, digital technology, and cultural symbol translation. It aims to promote the high-quality development of historical blocks by improving and optimizing the pedestrian space, and achieve the dual goals of cultural inheritance and utilization of tourism resources. Full article
(This article belongs to the Section Architectural Design, Urban Science, and Real Estate)
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13 pages, 248 KB  
Article
The Determination of Halal Food Perceptions Among University Students Receiving Islamic Theology Education: The Case of Istanbul, Berlin, and Kuala Lumpur
by Tolga Çetinkaya
Religions 2025, 16(10), 1265; https://doi.org/10.3390/rel16101265 - 2 Oct 2025
Abstract
This study investigates the perceptions of halal food among theology students from three culturally diverse cities: Istanbul, Berlin, and Kuala Lumpur. As individuals receiving formal religious education, theology students are expected to exhibit strong awareness of Islamic dietary principles. Utilizing a quantitative research [...] Read more.
This study investigates the perceptions of halal food among theology students from three culturally diverse cities: Istanbul, Berlin, and Kuala Lumpur. As individuals receiving formal religious education, theology students are expected to exhibit strong awareness of Islamic dietary principles. Utilizing a quantitative research design, data were collected from 210 participants via online surveys using validated Likert-type scales measuring halal awareness, halal literacy, religious commitment, social influence, perceived behavioral control, price value, hedonic motivation, and consumption habits. One-way ANOVA and post hoc Tukey tests revealed significant differences between cities in nearly all variables. Students in Kuala Lumpur consistently demonstrated higher scores, indicating a stronger alignment with institutionalized halal systems and collectivist cultural norms. Berlin participants reported lower awareness and influence levels, likely reflecting a more secular and individualistic environment. Istanbul students fell between the two, showing strong religious motivation but less structural support. The findings highlight how halal food perceptions are shaped not only by individual religiosity but also by cultural, political, and economic contexts. This study contributes to the literature by offering a cross-cultural perspective on halal consumption and underscores the importance of integrating structural and cultural factors into religious food behavior research. Full article
(This article belongs to the Special Issue Islamic Practical Theology)
21 pages, 417 KB  
Article
From Browsing to Buying: Determinants of Impulse Buying Behavior in Mobile Commerce
by Manuel Escobar-Farfán, Iván Veas-González, Elizabeth García-Salirrosas, Karen Veas-Salinas, Valentina Veas-Santibañez and Josune Zavala-González
J. Theor. Appl. Electron. Commer. Res. 2025, 20(4), 266; https://doi.org/10.3390/jtaer20040266 - 2 Oct 2025
Abstract
Mobile commerce has transformed the retail landscape, yet the determinants of impulse buying behavior in this environment remain understudied, particularly in emerging markets. This research investigates the factors influencing impulse buying in mobile commerce in Chile using the Stimulus–Organism–Response framework. A quantitative cross-sectional [...] Read more.
Mobile commerce has transformed the retail landscape, yet the determinants of impulse buying behavior in this environment remain understudied, particularly in emerging markets. This research investigates the factors influencing impulse buying in mobile commerce in Chile using the Stimulus–Organism–Response framework. A quantitative cross-sectional study collected data from 451 mobile shoppers via an online survey. Structural equation modeling with PLS-SEM revealed that eight of the thirteen hypothesized relationships were significant. Mobile application factors (visual appeal and portability) positively influenced hedonic and utilitarian values. Among personal factors, economic well-being, family influence, and credit card use directly impacted impulse buying, while time availability did not. Hedonic value strongly influenced impulse buying behavior, but utilitarian value showed no significant effect. Contrary to expectations, the COVID-19 pandemic negatively impacted impulse buying. These findings extend theoretical understanding of mobile impulse buying determinants and provide practical insights for mobile commerce developers and marketers to enhance their platforms and strategies. Full article
(This article belongs to the Topic Digital Marketing Dynamics: From Browsing to Buying)
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19 pages, 368 KB  
Article
Perceptions of Diversity in School Leadership Promotions: An Initial Exploratory Study in the Republic of Ireland
by Robert Hannan, Niamh Lafferty and Patricia Mannix McNamara
Societies 2025, 15(10), 277; https://doi.org/10.3390/soc15100277 - 1 Oct 2025
Abstract
This initial exploratory study examined the perceptions of teachers and school leaders in the Republic of Ireland regarding diversity in promotions to school principalship, framed by Equity Theory, Organisational Justice Theory, and Legitimacy Theory. A mixed-methods approach was utilised within this study. Data [...] Read more.
This initial exploratory study examined the perceptions of teachers and school leaders in the Republic of Ireland regarding diversity in promotions to school principalship, framed by Equity Theory, Organisational Justice Theory, and Legitimacy Theory. A mixed-methods approach was utilised within this study. Data was collected from 123 participants via an online survey comprising Likert-type statements and open-ended questions. This data was analysed using descriptive statistics and quantitative analysis for the Likert-type statements and thematic analysis was used to examine the qualitative responses, allowing for the identification of recurring patterns and themes to complement the quantitative findings. Findings indicated disparities between perceived and desired prioritisation of diversity, alongside varied perceptions of its impact on school performance and leadership. Disability, social class, and religious diversity were perceived as the least prioritised in promotion practices, while gender and cultural diversity received greater support and were more frequently linked to positive leadership outcomes. Participants reported mixed perceptions across diversity dimensions, with gender, age, and cultural diversity associated with the most positive impacts. Concerns about tokenism and the perceived undermining of merit-based promotion were widespread, reflecting the importance of fairness, transparency, and alignment with stakeholder expectations. The study underscored the need for promotion processes that are both equitable and credible, and for organisational cultures that enable diverse leaders to thrive. These findings provided a foundation for further research and policy development to foster inclusive and representative school leadership in Ireland. Full article
22 pages, 12774 KB  
Article
Multi-Agent Coverage Path Planning Using Graph-Adapted K-Means in Road Network Digital Twin
by Haeseong Lee and Myungho Lee
Electronics 2025, 14(19), 3921; https://doi.org/10.3390/electronics14193921 - 1 Oct 2025
Abstract
In this paper, we research multi-robot coverage path planning (MCPP), which generates paths for agents to visit all target areas or points. This problem is common in various fields, such as agriculture, rescue, 3D scanning, and data collection. Algorithms to solve MCPP are [...] Read more.
In this paper, we research multi-robot coverage path planning (MCPP), which generates paths for agents to visit all target areas or points. This problem is common in various fields, such as agriculture, rescue, 3D scanning, and data collection. Algorithms to solve MCPP are generally categorized into online and offline methods. Online methods work in an unknown area, while offline methods generate a path for the known. Recently, offline MCPP has been researched through various approaches, such as graph clustering, DARP, genetic algorithms, and deep learning models. However, many previous algorithms can only be applied on grid-like environments. Therefore, this study introduces an offline MCPP algorithm that applies graph-adapted K-means and spanning tree coverage for robust operation in non-grid-structure maps such as road networks. To achieve this, we modify a cost function based on the travel distance by adjusting the referenced clustering algorithm. Moreover, we apply bipartite graph matching to reflect the initial positions of agents. We also introduce a cluster-level graph to alleviate local minima during clustering updates. We compare the proposed algorithm with existing methods in a grid environment to validate its stability, and evaluation on a road network digital twin validates its robustness across most environments. Full article
38 pages, 21368 KB  
Article
Machine Learning-Based Dynamic Modeling of Ball Joint Friction for Real-Time Applications
by Kai Pfitzer, Lucas Rath, Sebastian Kolmeder, Burkhard Corves and Günther Prokop
Lubricants 2025, 13(10), 436; https://doi.org/10.3390/lubricants13100436 - 1 Oct 2025
Abstract
Ball joints are components of the vehicle axle, and their friction characteristics must be considered when evaluating vibration behavior and ride comfort in driving simulator-based simulations. To model the three-dimensional friction behavior of ball joints, real-time capability and intuitive parameterization using data from [...] Read more.
Ball joints are components of the vehicle axle, and their friction characteristics must be considered when evaluating vibration behavior and ride comfort in driving simulator-based simulations. To model the three-dimensional friction behavior of ball joints, real-time capability and intuitive parameterization using data from standardized component test benches are essential. These requirements favor phenomenological modeling approaches. This paper applies a spherical, three-dimensional friction model based on the LuGre model, compares it with alternative approaches, and introduces a universal parameter estimation framework using machine learning. Furthermore, the kinematic operating ranges of ball joints are derived from vehicle measurements, and component-level measurements are conducted accordingly. The collected measurement data are used to estimate model parameters through gradient-based optimization for all considered models. The results of the model fitting are presented, and the model characteristics are discussed in the context of their suitability for online simulation in a driving simulator environment. We demonstrate that the proposed parameter estimation framework is capable of learning all the applied models. Moreover, the three-dimensional LuGre-based approach proves to be well suited for capturing the dynamic friction behavior of ball joints in real-time applications. Full article
(This article belongs to the Special Issue New Horizons in Machine Learning Applications for Tribology)
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41 pages, 724 KB  
Article
The Impact of Integrity-Related Factors on Consumer Shopping Intention. An Interactive Marketing Approach Based on Digital Integrity Model
by Nicoleta-Valentina Florea, Gabriel Croitoru and Aurelia-Aurora Diaconeasa
J. Theor. Appl. Electron. Commer. Res. 2025, 20(4), 262; https://doi.org/10.3390/jtaer20040262 - 1 Oct 2025
Abstract
The purpose of this study is to examine the impact of integrity-related considerations, such as ethics, privacy, protection, security, and trust, on online consumer shopping intention within the interactive marketing environment. To achieve this, the research uses partial least squares structural equation modelling [...] Read more.
The purpose of this study is to examine the impact of integrity-related considerations, such as ethics, privacy, protection, security, and trust, on online consumer shopping intention within the interactive marketing environment. To achieve this, the research uses partial least squares structural equation modelling (PLS-SEM), analysing data from a sample of 260 respondents collected through an online survey. The findings reveal that protection is the most influential factor driving consumer buying intentions, followed by trust, ethics and security. Privacy, while significant, has a more moderate influence on consumer behaviour compared to other factors. The study makes a key theoretical contribution by advancing the understanding of how these constructs interact to shape consumer behaviour in the digital marketplace, particularly highlighting the importance of data protection and ethical practices. Practically, the research offers actionable recommendations for e-commerce businesses, based on building a digital integrity model, suggesting the focus on enhancing data security and ethical transparency to build consumer trust. Furthermore, the findings highlight the need for policymakers to strengthen data privacy regulations and harmonise international security standards in e-commerce. Future research should consider longitudinal studies and explore these dynamics in different regulatory environments. Full article
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22 pages, 1669 KB  
Article
Adaptive Multi-Objective Optimization for UAV-Assisted Wireless Powered IoT Networks
by Xu Zhu, Junyu He and Ming Zhao
Information 2025, 16(10), 849; https://doi.org/10.3390/info16100849 - 1 Oct 2025
Abstract
This paper studies joint data collection and wireless power transfer in a UAV-assisted IoT network. A rotary-wing UAV follows a fly–hover–communicate cycle. At each hover, it simultaneously receives uplink data in full-duplex mode while delivering radio-frequency energy to nearby devices. Using a realistic [...] Read more.
This paper studies joint data collection and wireless power transfer in a UAV-assisted IoT network. A rotary-wing UAV follows a fly–hover–communicate cycle. At each hover, it simultaneously receives uplink data in full-duplex mode while delivering radio-frequency energy to nearby devices. Using a realistic propulsion-power model and a nonlinear energy-harvesting model, we formulate trajectory and hover control as a multi-objective optimization problem that maximizes the aggregate data rate and total harvested energy while minimizing the UAV’s energy consumption over the mission. To enable flexible trade-offs among these objectives under time-varying conditions, we propose a dynamic, state-adaptive weighting mechanism that generates environment-conditioned weights online, which is integrated into an enhanced deep deterministic policy gradient (DDPG) framework. The resulting dynamic-weight MODDPG (DW-MODDPG) policy adaptively adjusts the UAV’s trajectory and hover strategy in response to real-time variations in data demand and energy status. Simulation results demonstrate that DW-MODDPG achieves superior overall performance and a more favorable balance among the three objectives. Compared with the fixed-weight baseline, our algorithm increases total harvested energy by up to 13.8% and the sum data rate by up to 5.4% while maintaining comparable or even lower UAV energy consumption. Full article
(This article belongs to the Section Internet of Things (IoT))
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25 pages, 957 KB  
Article
The Role of Traditional Fire Management Practices in Mitigating Wildfire Risk: A Case Study of Greece
by Dimitrios Kalfas, Stavros Kalogiannidis, Konstantinos Spinthiropoulos, Fotios Chatzitheodoridis and Maria Georgitsi
Fire 2025, 8(10), 389; https://doi.org/10.3390/fire8100389 - 1 Oct 2025
Abstract
The purpose of this study was to examine the role of traditional fire management practices in the general mitigation of wildfire risk in Greece. Major emphasis was placed on assessing people’s opinions about the perceived effectiveness of traditional fire management strategies that were [...] Read more.
The purpose of this study was to examine the role of traditional fire management practices in the general mitigation of wildfire risk in Greece. Major emphasis was placed on assessing people’s opinions about the perceived effectiveness of traditional fire management strategies that were historically and culturally employed by local communities—such as weather condition monitoring, prescribed burning, proper land use planning, and mosaic burning—in the general mitigation of wildfire risks. An online questionnaire was used to collect data from 397 environmental experts in Greece. The study shows that traditional fire control methods reduce wildfire risk. First, weather monitoring was found to be crucial to wildfire forecasting and prevention. The results showed that early warning, successful firefighting, and fire prevention depend on meteorological data. Additionally, prescribed burning was revealed to have reduced wildfire risk. Respondents accepted that they could reduce unprescribed fires, protect natural ecosystems, remove wildfire-prone areas, and regulate flame intensity. This suggests that scheduled burning in Greece may reduce wildfire damage. The study underlines the importance of including conventional fire management in the wildfire mitigation strategy of Greece. The aforementioned activities may help the environment and civilization progress by safeguarding ecosystems and reducing wildfire damage. These techniques, combined with community engagement and improved early warning systems, may help manage climate change-induced wildfires. Overall, the study contributes to wildfire management in Greece and other Mediterranean countries. The study emphasizes the need to incorporate traditional fire practices into Greece’s wildfire risk reduction strategies. Taking into account the success rates of these practices in other areas, as well as Greece’s old tradition of conducting fire, this paper stresses that further studies and policy developments be made in order to reinstate these practices in today’s wildfire management. Full article
(This article belongs to the Section Fire Social Science)
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21 pages, 851 KB  
Article
The Impact of Psychological and Risk Factors on Tourists’ Loyalty Toward Nature-Based Destinations
by Abdullah Al Mahruqi, Ibtisam Al Abri, T. Ramayah and Lokman Zaibet
Tour. Hosp. 2025, 6(4), 197; https://doi.org/10.3390/tourhosp6040197 - 1 Oct 2025
Abstract
Tourist loyalty is vital for destination success, fostering repeat visits and positive word-of-mouth. This study explores the psychological and safety-related factors driving tourist loyalty to natural attractions in Oman, a rising destination known for its stability and safety. Using Social Cognitive Theory as [...] Read more.
Tourist loyalty is vital for destination success, fostering repeat visits and positive word-of-mouth. This study explores the psychological and safety-related factors driving tourist loyalty to natural attractions in Oman, a rising destination known for its stability and safety. Using Social Cognitive Theory as a foundation, the research incorporates perceived risk and novelty seeking as key moderating variables. Data were collected via an online survey of 165 international tourists and analyzed through Partial Least Squares Structural Equation Modeling (PLS-SEM). Findings show that attachment, satisfaction, and novelty seeking significantly affect both attitudinal and behavioral loyalty. While perceived value strongly influences behavioral loyalty, its impact on attitudinal loyalty appears more complex, suggesting possible unobserved mediators. Additionally, risk perception and novelty seeking moderate the link between destination familiarity and loyalty, underscoring the role of tourists’ internal evaluations of safety and desire for new experiences. This study advances the limited literature on tourist loyalty in developing countries by integrating psychological and risk-related dimensions. It offers actionable insights for tourism planners and marketers in Oman: emphasizing the country’s safety reputation, improving satisfaction levels, and crafting experiences that blend familiarity with novelty can enhance tourist loyalty and ensure sustained competitiveness in the global tourism market. Full article
(This article belongs to the Special Issue Customer Behavior in Tourism and Hospitality)
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26 pages, 842 KB  
Article
Exploring Customer Perceptions of Business Model Innovation in Family Economic Groups: Evidence from Ecuador
by Ana Belén Tulcanaza-Prieto, Alexandra Cortez-Ordoñez, Jairo Rivera and Chang Won Lee
Sustainability 2025, 17(19), 8793; https://doi.org/10.3390/su17198793 - 30 Sep 2025
Abstract
This study investigates the determinants of customers’ perception of business model innovation (BMI) and its impact on customer satisfaction (CS), customer loyalty (CL), and firm sustainability (FS) within Ecuadorian family economic groups (EFEGs). It also examines the moderating role of perceived BMI in [...] Read more.
This study investigates the determinants of customers’ perception of business model innovation (BMI) and its impact on customer satisfaction (CS), customer loyalty (CL), and firm sustainability (FS) within Ecuadorian family economic groups (EFEGs). It also examines the moderating role of perceived BMI in the relationships between CS, CL, and FS. Data were collected through an online survey yielding 342 valid responses, using a structured instrument that included socio-demographic variables, perceived EFEG characteristics, and nine validated constructs. Reliability and validity were corroborated through exploratory and confirmatory factor analyses, while structural equation modeling (SEM) and multiple regression analyses were employed to test the proposed relationships. The results reveal that socially responsible consumption (SRC), technological/digital customer skills (TCS), value creation innovativeness (VCrI), value proposition innovativeness (VPI), and value capture innovativeness (VCI) significantly influence customers’ perception of BMI. In turn, BMI positively influences CS, CL, and FS, and moderates the relationships between CS and FS, and CL and FS, though it does not significantly moderate the CS–CL relationship. These findings are consistent with previous research on European family firms, emphasizing the relevance of innovation capabilities, entrepreneurial orientation, and socioemotional wealth in enhancing adaptability and performance in family-owned businesses. This study contributes novel empirical evidence on BMI in the context of an emerging economy dominated by family firms. It underscores BMI as a dynamic capability crucial for fostering customer engagement, improving competitiveness, and ensuring long-term sustainability. Managerial implications suggest that EFEG managers should prioritize digital integration, service innovation, and transparency to strengthen customer trust and loyalty. Future research should broaden the scope to include other Latin American contexts, integrate internal organizational perspectives, and explore intergenerational dynamics and digital transformation processes to deepen understanding of BMI in family business ecosystems. Full article
15 pages, 251 KB  
Article
Quality of Life Outcomes Following Stroke for People with Aphasia: Perceptions of Patients, Caregivers, and Speech-Language Pathologists
by Paul M. Evitts, Jana Alber, Lina Arvebro and Jenny Åhlin
Appl. Sci. 2025, 15(19), 10568; https://doi.org/10.3390/app151910568 - 30 Sep 2025
Abstract
Introduction: Due to the inherent difficulty in obtaining information using language-based questionnaires, research on the quality of life (QOL) for persons with aphasia (PWAs) is lacking. The purpose of this study was to investigate which factors have an impact on a PWA and [...] Read more.
Introduction: Due to the inherent difficulty in obtaining information using language-based questionnaires, research on the quality of life (QOL) for persons with aphasia (PWAs) is lacking. The purpose of this study was to investigate which factors have an impact on a PWA and to investigate the reliability of using proxy responses from either spouse/caregivers or speech-language pathologists (SLPs). Methods: A QOL scale was developed with 11 factors identified in the literature as having an impact on the QOL of PWAs. Data were collected through interviews with 31 PWAs and 26 spouse/caregivers recruited from a community aphasia therapy center. Thirty-six SLPs responded to an online survey. Results: Vocation was identified by PWAs as having the most impact on their QOL and family as having the least impact. Cronbach’s alpha and intraclass correlation coefficients (ICCs) showed decreased internal consistency and reliability across ratings and respondents. Conclusions: Overall results suggest that proxy responses may not accurately reflect the factors that impact the QOL of a PWA but that spouse/caregiver responses may be more representative than those of SLPs. Full article
20 pages, 261 KB  
Article
Drug–Drug Interaction Management Among Pharmacists in Jordan: A National Comparative Survey
by Derar H. Abdel-Qader, Khalid Awad Al-Kubaisi, Esra’ Taybeh, Nadia Al Mazrouei, Rana Ibrahim and Abdullah Albassam
Pharmacy 2025, 13(5), 137; https://doi.org/10.3390/pharmacy13050137 - 28 Sep 2025
Abstract
Introduction: Drug–drug interactions (DDI) are a major, preventable cause of patient harm, a challenge amplified in Jordan by rising polypharmacy and documented high rates of medication errors. To date, no study in Jordan has systematically compared hospital and community pharmacists. This study [...] Read more.
Introduction: Drug–drug interactions (DDI) are a major, preventable cause of patient harm, a challenge amplified in Jordan by rising polypharmacy and documented high rates of medication errors. To date, no study in Jordan has systematically compared hospital and community pharmacists. This study aimed to conduct the first national, comparative assessment of DDI management among these two cadres. Materials and Methods: A national, cross-sectional study was conducted with 380 licensed pharmacists (175 hospitals, 205 community) recruited via proportionate stratified random sampling. A validated online questionnaire assessed demographics, objective DDI knowledge, professional attitudes, practices, and barriers. Multivariable logistic regression was used to identify independent predictors of high knowledge and optimal practice. All collected data were coded, cleaned, and analyzed using the Statistical Package for the Social Sciences (SPSS V28.0). Results: Hospital pharmacists achieved significantly higher mean objective knowledge scores than community pharmacists (10.3 vs. 8.1 out of 15, p < 0.001), a gap particularly wide for interactions involving high-risk OTC medications. The primary barrier for community pharmacists was a lack of access to patient data (85.4%), contrasting with high workload and physician resistance in hospitals. Optimal practice was independently predicted by higher knowledge (AOR = 1.25), a hospital practice setting (AOR = 3.65), and was inhibited by perceived physician resistance (AOR = 0.45). Conclusions: Jordanian hospital and community pharmacists operate in distinct worlds of knowledge and practice. A tailored, dual-pronged national strategy is essential. For hospitals, interventions should target interprofessional dynamics. For community pharmacies, health policy reform to provide access to integrated patient data is the most urgent priority. These findings highlight a globally relevant challenge of practice-setting disparities, offering a model for other nations to develop tailored, context-specific interventions to improve medication safety. Full article
13 pages, 519 KB  
Article
Food and Water Insecurity in Panamanian Households: A Cross-Sectional Analysis
by Jael Alfonso, Hugo Melgar Quinonez, Olga P. García, Alex Brito and Israel Ríos-Castillo
Dietetics 2025, 4(4), 42; https://doi.org/10.3390/dietetics4040042 - 28 Sep 2025
Abstract
Food and water security are essential components for Panama’s advancement toward the Sustainable Development Goals. This study aimed to quantify the prevalence of household food insecurity and water insecurity, and to explore the association between them using standardized measurement tools. A cross-sectional survey [...] Read more.
Food and water security are essential components for Panama’s advancement toward the Sustainable Development Goals. This study aimed to quantify the prevalence of household food insecurity and water insecurity, and to explore the association between them using standardized measurement tools. A cross-sectional survey was conducted between January and June 2024 using an online questionnaire administered via Google Forms. The survey collected sociodemographic data and applied the Food Insecurity Experience Scale (FIES) and the Household Water Insecurity Experiences (HWISE) scale to assess water and food insecurity, respectively. A total of 222 adult household heads were included (66.2% female), with a median age of 31.4 years. The prevalence of moderate and severe food insecurity was 29.7% (95% CI: 24.8–34.6%) and 6.1% severe food insecurity (95% CI: 3.7–8.4%), while water insecurity affected 27% of households (10.4% high; 16.7% moderate). Multiple linear regression showed that moderate to severe food insecurity was significantly associated with water insecurity (β = 0.19; 95% CI: 0.08–0.31) and lower income levels. Specifically, food insecurity was associated with households reporting no income (β = 0.25; 95% CI: 0.05–0.44) and those with monthly income between 501 and 1000 USD (β = 0.11; 95% CI: 0.01–0.22), compared to households with income above 1000 USD. The results suggest that food insecurity is significantly associated with water insecurity, supporting the need for integrated approaches in public policy to address basic resource access in vulnerable populations. Full article
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13 pages, 787 KB  
Article
Primary Care Clinician Preferences and Perspectives on Multi-Cancer Detection Testing Across an Integrated Healthcare System
by Jessica D. Austin, Ilyse A. Nelson, Jon C. Tilburt, Eric R. Ellinghysen, Claire Yee, Jaxon Quillen, Brian M. Dougan, John R. Presutti, Ryan T. Hurt, Niloy Jewel Samadder, Karthik Ghosh and Steven W. Ressler
J. Pers. Med. 2025, 15(10), 452; https://doi.org/10.3390/jpm15100452 - 28 Sep 2025
Abstract
Background/Objectives: Multi-cancer detection (MCD) tests have emerged as a promising tool to redefine the landscape of early cancer detection. Implementation of this novel technology will likely fall to primary care clinicians (PCC). The purpose of this study is to characterize and explore differences [...] Read more.
Background/Objectives: Multi-cancer detection (MCD) tests have emerged as a promising tool to redefine the landscape of early cancer detection. Implementation of this novel technology will likely fall to primary care clinicians (PCC). The purpose of this study is to characterize and explore differences in PCCs perceptions and preferences towards MCD testing. Methods: Between March and May of 2023, this cross-sectional survey was administered to 281 PCCs, including physicians and advanced care providers practicing within an integrated healthcare system spanning five states. The survey collected data on self-reported characteristics, perceptions of MCD testing, and preferences for learning about MCD testing. Analysis was limited to those with no prior experience with MCD testing (N = 181, response rate 22.8%). Descriptive statistics summarized key variables and chi-square tests assessed differences in perceptions and preferences by key characteristics. Results: Most PCCs were interested in MCD testing (66.3%), but limited knowledge/awareness of MCD testing and confidence to manage patients with a positive test were observed, along with concerns around cost (76.7%) and misuse/poor implementation. The primary preferences for learning about MCD testing were online courses or classroom instruction (64.5%). Significant differences in perceptions and preferences for learning were observed by location, degree, and years in practice. Conclusions: PCCs in our study held positive views towards MCD testing, but gaps and variation in knowledge and confidence towards MCD testing and concerns around the cost and misuse/poor implementation were observed. While efforts to train and educate all PCCs on MCD testing is a critical first step, more research is needed to understand how best to support implementation tailored to individual and system-level needs and characteristics. Full article
(This article belongs to the Section Disease Biomarkers)
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