Investigating COVID-19 Vaccine Uptake Intention Using an Integrated Model of Protection Motivation Theory and an Extended Version of the Theory of Planned Behavior.

As global governments continue to inoculate populations in the aftermath of the SARS-CoV-19 epidemic, health protection and related problems such as vaccination reluctance have sparked conflicting emotions and discourses. Stakeholder concerns about vaccination promotion have arisen in this context. Consequently, this research investigates vaccination uptake behavior using an integrated framework that includes protective motivation theory and an extended version of the theory of planned behavior. Except for perceived severity, empirical study results based on the structural equation modeling technique demonstrated a positive relationship between PMT factors (i.e. perceived vulnerability, reaction efficacy, self-efficacy, and cost response) and intention to vaccinate. TPB factors (attitude, perceived behavior control, subjective norm, personal moral norm, and descriptive norm) were also found to have a positive connection with intention. The model's utility and suitability are indicated by the predictive and explanatory potency score (R2 = .415). Study implications for COVID-19 vaccine uptake promotion and ideas for future investigations are explored in light of our findings.

Unearthing mask waste separation behavior in COVID-19 pandemic period: An empirical evidence from Ghana using an integrated theory of planned behavior and norm activation model.

The outbreak of the COVID-19 pandemic has precipitated a surge in mask usage around the world. This situation could spur environmental consequences which when not well managed, may compound waste and waste management, and further drive the spread of viral infections. Therefore, this study explores the antecedents of mask waste separation behavior in Ghana using an integrated model composed of the theory of planned behavior and the norm activation model. With the use of the questionnaire survey approach, data was drawn from 570 respondents, and further analyzed using the structural equation modeling technique. Results revealed that the relationship between awareness of consequences and other constructs, except attitude, and the relationship between ascription of responsibility and other constructs, except attitude, are significant. Moreover, significant relationships between subjective norm and attitude, subjective norm and personal norm, and subjective norm and perceived behavior control were validated. However, no significant relationship exists between awareness of consequences and attitude, and between awareness of responsibility and attitude. On the basis of the study findings, insightful implications for policy and suggestions for future research are presented.

Predicting Health Insurance Policy Subscription Intention: An Empirical Study.

Though health insurance policies remain critical to eliminating healthcare access barriers, population-wide subscription in Ghana however remains unsatisfactory. Therefore, this study, while employing a questionnaire survey to elicit data (n= 312) analyzed via the structural equation modeling technique, investigates individual health insurance subscription underpinnings using the theory of planned behavior. The results of data analysis affirmed attitude, subjective norm and perceived behavior control as positively related to health insurance subscription. Similarly, results further revealed personal norm and descriptive norm as significantly related to intention, testifying to individuals' subscription as not anchored on a single factor, but rather on a confluence of behavior-driven elements. The current study, in addition to affirming the TPB's predictive potency, also enriches health insurance research, and underscores the much often-disregarded behavior constituents as imperative to health policy design and implementation. In view of the study results, implications for augmenting subscription, and suggestions for further research are subsequently delineated.

Experience of caesarean section women participating in skin-to-skin contact: Meta-integration qualitative study / 中国实用护理杂志

Objective:To systematically review qualitative research on maternal participation in skin-to-skin contact experience during cesarean delivery, the promotion of skin-to-skin contact in cesarean section.Methods:We searched databases including the PubMed, Embase, Web of Science, Cochrane Library, Ebsco, SinoMed, Wan Fang, CNKI, VIP. All of the qualitative research on the real experience of skin-to-skin contact from the participation of caesarean section women were collected. The search time limit was from the establishment of the databases to May 2022. The JBI Critical Appraisal Tool for qualitative studies from Australia was used to evaluate the methodology quality of the included research, and the meta-aggregation was used to conduct the synthesis.Results:Totally 11 qualified studies were included and integrated into 49 valuable findings. Similar results were summarized into 12 groups, and 4 integrated results were synthesized, including the needs of cesarean section mothers; positive experience after skin-to-skin contact in caesarean section; skin-to-skin contact practice strengthen the role of mothers and promotes breastfeeding; difficulties and challenges of skin-to-skin contact during cesarean section.Conclusions:Skin-to-skin contact positively affects mother and infant delivered by cesarean section. Medical staff need to pay attention to the feelings and needs of cesarean section women participating in skin-to-skin contact, optimize information, environment, and humanistic support, and improve skin-to-skin contact practices. Medical institutions should rationally allocate obstetric resources to alleviate the difficulties faced by skin-to-skin contact practices.

Correction: Measuring multi-spatiotemporal scale tourist destination popularity based on text granular computing.

[This corrects the article DOI: 10.1371/journal.pone.0228175.].

Measuring multi-spatiotemporal scale tourist destination popularity based on text granular computing.

User-generated content (UGC) is an important data source for tourism GIScience research. However, no effective approach exists for identifying hidden spatiotemporal patterns within multi-scale unstructured UGC. Therefore, we developed an algorithm to measure the tourist destination popularity (TDP) based on a multi-spatiotemporal text granular computing model, called TDPMTGC. To accurately granulate the spatial and temporal information of tourism text, tourism text data granules are used to represent landscape objects. These granules are unified objects that possess multiple attributes, such as spatial and temporal dimensions. The multi-spatiotemporal scales are characterized by the multi-hierarchical structure of granular computing, and transformations of granular layers and data granule size are achieved by scale selection in the spatial and temporal dimensions. Therefore, all scales between the spatial and temporal dimension are related, which allows for the comparability of the data granules of all spatial-spatial, temporal-temporal and spatial-temporal layers. This approach achieves a quantitative description and comparison of the popularity value of granules between adjacent scales and cross-scales. Therefore, the TDP with multi-spatiotemporal scales can be deduced and calculated in a systematic framework. We first introduce the conceptual framework of TDPMTGC to construct a quantitative measurement model of TDP at multi-spatiotemporal scales. Then, we present a dataset construction approach to support multi-spatiotemporal scale granular reorganization. Finally, TDPMTGC is derived to describe both the TDP at a single spatial or temporal scale and the patterns and processes of the TDP at multi-spatiotemporal scales. A case study from Jiuzhaigou shows that the TDP derived using TDPMTGC is consistent with the conclusions of existing studies. More importantly, TDPMTGC provides additional detailed characteristics, such as the contributions of different scenic spots in a tourist route or scenic area, the monthly anomalies and daily contributions of TDP in a specific year, the distinct weakening of tourist route scale in tourist cognition, and the daily variations of TDP during in-season and off-season times. This is the first time that a granular computing model has been introduced to tourism GIScience that provides a feasible scheme for reorganizing large-scale unstructured text and constructing public spatiotemporal UGC tourism datasets. TDPMTGC constitutes a new approach for exploring tourist behaviors and the driving mechanisms of tourism patterns and processes.

Exploration and practice of integrated digestive system course for medical students / 中华医学教育探索杂志

Integrated medical curriculums are becoming more and more popular in medical colleges at home and abroad. In this article, the methods and teaching of integrated digestive system course at Shanghai Jiao Tong University School of Medicine was thoroughly introduced from the theoretical course, PBL course, trainee course, assessment method and effect evaluation. The successful experience of practice of the integrated digestive system curriculum was summarized as follow: strong guarantee from systems, adequate reserves of teaching faculty and good mechanism of feedback. Also, the problems in the practice of the curriculum were presented, which include the shortage of corresponding textbook and of deep running-in between teachers.

Job burnout and psychological status of the medical staff in Shennongjia forest region / 中华全科医师杂志

The job burnout level and psychological status of 109 medical staff in Shennongjia forest region were investigated, and the Chinese maslach burnout inventory (CMBI) and symptom check list-90(SCL- 90) were adopted in the survey. The survey revealed that 69.7% (76/109) of the subjects had job burnout, including 53.2% (58/109) had slight burnout, 12. 8% (14/109) moderate burnout and 3. 7%(4/109) severe burnout. The single-factor detection rates of job burnout were 56.9% (62/109) for diminished personal accomplishment, 17.4% (19/109) for depersonalization, and 15.6% (17/109) for emotional exhaustion. Both the interpersonal sensitivity factor score and the positive symptom average score of SCL-90 were significant lower than those of Chinese norm ( P ＜ 0. 01 ), the total average score and the other factor scores of the subjects had no significant differences from those of Chinese norm ( P ＞ 0. 05 ). The results suggest that the majority of medical staff in the study region have experienced the job burnout, the main manifestation is the feeling of diminished personal accomplishment, on the other hand the psychological status of the subjects is similar with those in the general population.