The legitimacy crisis of public administration has a long history.From a historical perspective,an analysis of five Western pathways in the discipline of public administration shows that the roots of this crisis lie i...The legitimacy crisis of public administration has a long history.From a historical perspective,an analysis of five Western pathways in the discipline of public administration shows that the roots of this crisis lie in the lack of a public nature.From a theoretical perspective,the“publicness”of public administration should be defined along the dimensions of public administration powers,actors,targets,methods and values.In terms of practice,the uniqueness of China’s public power framework,the influence of traditional political culture on the public nature of Chinese public administration and the provisions governing this public nature at different stages of China’s development constitute the unique public nature of the construction of Chinese public administration.The discipline construction of Chinese public administration should be rebuilt so that its public nature forms the basis of its legitimacy,in accord with historical logic,theoretical logic and practical logic.We should construct a publicness discourse system of Chinese public administration that adheres to the value guidance of publicness and should frame research topics on the basis of publicness.This will ultimately form a research paradigm for the public nature of public administration that will consolidate the foundation of the legitimacy of the discipline construction of public administration.展开更多
BACKGROUND Monkeypox(Mpox),is a disease of global public health concern,as it does not affect only countries in western and central Africa.AIM To assess Burundi healthcare workers(HCWs)s’level of knowledge and confid...BACKGROUND Monkeypox(Mpox),is a disease of global public health concern,as it does not affect only countries in western and central Africa.AIM To assess Burundi healthcare workers(HCWs)s’level of knowledge and confidence in the diagnosis and management of Mpox.METHODS We conducted a cross-sectional study via an online survey designed mainly from the World Health Organization course distributed among Burundi HCWs from June-July 2023.The questionnaire comprises 8 socioprofessional-related questions,22 questions about Mpox disease knowledge,and 3 questions to assess confidence in Mpox diagnosis and management.The data were analyzed via SPSS software version 25.0.A P value<0.05 was considered to indicate statistical significance.RESULTS The study sample comprised 471 HCWs who were mainly medical doctors(63.9%)and nurses(30.1%).None of the 22 questions concerning Mpox knowledge had at least 50%correct responses.A very low number of HCWs(17.4%)knew that Mpox has a vaccine.The confidence level to diagnose(21.20%),treat(18.00%)or prevent(23.30%)Mpox was low among HCWs.The confidence level in the diagnosis of Mpox was associated with the HCWs’age(P value=0.009),sex(P value<0.001),work experience(P value=0.002),and residence(P value<0.001).The confidence level to treat Mpox was significantly associated with the HCWs’age(P value=0.050),sex(P value<0.001),education(P value=0.033)and occupation(P value=0.005).The confidence level to prevent Mpox was associated with the HCWs’education(P value<0.001),work experience(P value=0.002),residence(P value<0.001)and type of work institution(P value=0.003).CONCLUSION This study revealed that HCWs have the lowest level of knowledge regarding Mpox and a lack of confidence in the ability to diagnose,treat or prevent it.There is an urgent need to organize continuing medical education programs on Mpox epidemiology and preparedness for Burundi HCWs.We encourage future researchers to assess potential hesitancy toward Mpox vaccination and its associated factors.展开更多
BACKGROUND At present,China has become the country with the largest number of individuals with diabetes mellitus(DM)in the world,with a total of approximately 140 million patients,the majority of whom have type 2 DM(T...BACKGROUND At present,China has become the country with the largest number of individuals with diabetes mellitus(DM)in the world,with a total of approximately 140 million patients,the majority of whom have type 2 DM(T2DM).Based on conven-tional nursing methods,community home care has important clinical significance in controlling blood sugar and disease progression.AIM To explore the impact of community public health nursing on treatment effect,health cognition,and self-management in patients with T2DM.METHODS One hundred patients with T2DM were selected as the research subjects.The patients were divided into either a conventional nursing group or community nursing(CN)group using the random number table method.The conventional nursing group(50 cases)received routine care,while the CN group(50 cases)received community public health care in addition to routine care as that for the conventional nursing group.The rate of excellent and good blood glucose control,fasting blood glucose before and after care,2-h postprandial blood glucose,health cognition,and self-management ability,and patient satisfaction were compared between the two groups.RESULTS The CN group had a higher rate of excellent blood sugar control than the conventional nursing group(88%vs 70%,P<0.05).Before care,there was no significant difference in fasting blood glucose or 2-h postprandial blood glucose between the two groups of patients(P>0.05).After nursing,fasting blood glucose and 2-h postprandial blood glucose were reduced to varying degrees in both groups,and both blood glucose levels in the CN group were lower than those of the conventional nursing group(P<0.05).Compared with the scores before care,the cognitive level score for diabetes and self-management ability score improved after care in both groups.The cognitive level and self-management ability of patients in the CN group were higher than those of the conventional nursing group(P<0.05).The overall satisfaction of the CN group was better than that of the conventional nursing group(98%vs 86%,P<0.05).CONCLUSION Community public health care based on conventional care of T2DM can achieve better blood sugar control,and improve patients’health cognitive level and self-management ability.展开更多
In 1993,the World Bank released a global report on the efficacy of health promotion,introducing the disability-adjusted life years(DALY)as a novel indicator.The DALY,a composite metric incorporating temporal and quali...In 1993,the World Bank released a global report on the efficacy of health promotion,introducing the disability-adjusted life years(DALY)as a novel indicator.The DALY,a composite metric incorporating temporal and qualitative data,is grounded in preferences regarding disability status.This review delineates the algorithm used to calculate the value of the proposed DALY synthetic indicator and elucidates key methodological challenges associated with its application.In contrast to the quality-adjusted life years approach,derived from multi-attribute utility theory,the DALY stands as an independent synthetic indicator that adopts the assumptions of the Time Trade Off utility technique to define Disability Weights.Claiming to rely on no mathematical or economic theory,DALY users appear to have exempted themselves from verifying whether this indicator meets the classical properties required of all indicators,notably content validity,reliability,specificity,and sensitivity.The DALY concept emerged primarily to facilitate comparisons of the health impacts of various diseases globally within the framework of the Global Burden of Disease initiative,leading to numerous publications in international literature.Despite widespread adoption,the DALY synthetic indicator has prompted significant methodological concerns since its inception,manifesting in inconsistent and non-reproducible results.Given the substantial diffusion of the DALY indicator and its critical role in health impact assessments,a reassessment is warranted.This reconsideration is imperative for enhancing the robustness and reliability of public health decisionmaking processes.展开更多
Physical activity is consistently associated with reduced mortality,decreased risk for non-communicable diseases,and improved mental health in observational studies.Randomized controlled trials and observational Mende...Physical activity is consistently associated with reduced mortality,decreased risk for non-communicable diseases,and improved mental health in observational studies.Randomized controlled trials and observational Mendelian randomization studies support causal links between physical activity and health outcomes.However,the scarcity of evidence from randomized controlled trials,along with their inherent challenges like exposure contrasts,healthy volunteer biases,loss to follow-up,and limited real-world dose-response data,warrants a comprehensive approach.This review advocates synthesizing insights from diverse study designs to better understand the causal relationship between physical activity,mortality risk,and other health outcomes.Additionally,it summarizes recent research since the publication of current physical activity recommendations.Novel observational studies utilizing device-measured physical activity underscore the importance of every minute of activity and suggest that all intensity levels confer health benefits,with vigorous-intensity potentially requiring lower volumes for substantial benefits.Future guidelines,informed by device-measured physical activity studies,may offer refined age-specific recommendations,emphasize vigorous-intensity physical activity,and include daily step counts as a simple,easily assessable metric using commercial wearables.展开更多
Infectious diseases are the common enemies of mankind.In the course of historical development,they persistently threaten human health and safety.Even today,despite the developments in medical science,we cannot escape ...Infectious diseases are the common enemies of mankind.In the course of historical development,they persistently threaten human health and safety.Even today,despite the developments in medical science,we cannot escape the fear and suffering caused by infectious diseases.Whether in ancient or modern times,the source of infection,route of transmission,and a susceptible population are the three key conditions for the prevalence and spread of infectious diseases.All factors closely related to these three conditions can affect the prevalence of infectious diseases.China is one of the cradles of world civilization.The ancient people accumulated a great deal of experience and lessons in the long struggle against infectious diseases.In the face of the current threat posed by widespread infectious disease,it is imperative to review and summarize ancient Chinese ideas and health policies on epidemic prevention and control to inspire contemporary efforts in the prevention and control of infectious disease.The combination of prevention-oriented epidemic prevention ideology and traditional medicine provides valuable insights,especially for impoverished and medically underserved regions.展开更多
For the goals of security and privacy preservation,we propose a blind batch encryption-and public ledger-based data sharing protocol that allows the integrity of sensitive data to be audited by a public ledger and all...For the goals of security and privacy preservation,we propose a blind batch encryption-and public ledger-based data sharing protocol that allows the integrity of sensitive data to be audited by a public ledger and allows privacy information to be preserved.Data owners can tightly manage their data with efficient revocation and only grant one-time adaptive access for the fulfillment of the requester.We prove that our protocol is semanticallly secure,blind,and secure against oblivious requesters and malicious file keepers.We also provide security analysis in the context of four typical attacks.展开更多
BACKGROUND Public employees worldwide are increasingly concerned about work anxiety and depression.Cognitive-behavioral career coaching has emerged as a promising strategy for addressing these mental health disorders,...BACKGROUND Public employees worldwide are increasingly concerned about work anxiety and depression.Cognitive-behavioral career coaching has emerged as a promising strategy for addressing these mental health disorders,which can negatively impact on a person's overall well-being and performance.AIM To examine whether cognitive-behavioral career coaching reduces work anxiety and depression among Nigerian public employees.METHODS A total of 120 public employees(n=60)suffering from severe anxiety and depression were randomly assigned to the treatment or control groups in this study.Cognitive behavioral coaching was provided twice a week to those in the treatment group,whereas no treatment was given to those in the control group.As part of the study,the Hamilton Anxiety Rating Scales and Beck Depression Inventory were used to collect data.RESULTS Analysis of covariance of the data from participants indicates a significant effect of cognitive-behavioral career coaching on work anxiety and depression.CONCLUSION Insights into the underlying mechanisms by which cognitive behavior career coaching exerts its effects have been gained from this study.Also,the study has gathered valuable data that can inform future practice and guide the development of strategies for supporting mental health at work.展开更多
Carbon peak and carbon neutrality(dual-carbon)are important targets for the international response to climate change.The Silk Road Economic Belt is a strategic resource region and is important for future ecological en...Carbon peak and carbon neutrality(dual-carbon)are important targets for the international response to climate change.The Silk Road Economic Belt is a strategic resource region and is important for future ecological environment and tourism development.Based on the“dual-carbon”targets,the Single index quantification,Multiple index synthesis,and Poly-criteria integration evaluation model were used in this study to measure the coordinated development index of the ecological environment,public service,and tourism economy along the Silk Road Economic Belt and to analyze its spatial and temporal evolution.Further,it explores the dynamic evolution and development trend of the three systems using the Kernel Density and Grey Markov Prediction Model.The results show that the coordinated development index along this region needs to be improved during the study period.Furthermore,the coordinated development index of the Southwest region is relatively higher than that of the Northwest region.From the development trend of the three systems,all of them develop in a stable manner;however,the tourism economy system is easily affected by external disturbances.The coordinated development index of the three systems changes dynamically and tends to be in a good state of coordination.There is a certain spatial and temporal heterogeneity.The gravity center of the coordinated development index has been in the Southwest region.During the forecast period,the coordinated development index along this region will improve significantly,while insufficient and unbalanced development will continue.展开更多
Purpose:The metropolitan cities of Johannesburg,Ekurhuleni and Tshwane play an important role in the economy of the Gauteng province in South Africa.The region constitutes to 22.4 percent of the total population of So...Purpose:The metropolitan cities of Johannesburg,Ekurhuleni and Tshwane play an important role in the economy of the Gauteng province in South Africa.The region constitutes to 22.4 percent of the total population of South Africa and has a strong presence and contributes in areas of manufacturing sector,financial and business services,retail and wholesale trade,etc.The rapid urban population,increase in the informal settlements and socio-economic opportunities has resulted in considerable urban sprawl in and around the urban fringe areas of these metropolitan cities.The urban fringe areas of these metros often come under the influence of rapid urbanization process and pressures.Coupled with the economical and potential land dynamics and lack of priority of spatial development guidelines,these areas attract rapid and haphazard development from communities and developers.Research Design/Methodology:This research is based on a qualitative approach through a comprehensive literature review that included content analysis of key documents on housing sector such as IDPs(Integrated Development Plans),Municipal Annual Reports,Growth Development Strategies,and among other sectoral documents on housing sector.Some of the key priority issues considered in the housing sector included:eradication of housing backlogs,spatial restructuring of housing,provision of choice in terms of location,tenure and housing typology.Findings:The current paper discusses the approaches of metropolitan housing development processes in three metropolitan cities of South Africa from Gauteng region,namely:Johannesburg,Ekurhuleni and Tshwane.The paper discusses the existing housing sectoral scenario along with the fringe areas in three cities with focus on:formal and informal settlements,housing segregation and the backlogs,current institutional arrangements,role of public private participation,and scope for alternate mechanisms.The paper concludes in discussion on sustainable development options for housing development in urban fringe areas.展开更多
This paper evaluates literature across multiple disciplines and stakeholder types to identify commonalities and contradictions in definitions for community resilience.It aims to support cross-disciplinary discourse to...This paper evaluates literature across multiple disciplines and stakeholder types to identify commonalities and contradictions in definitions for community resilience.It aims to support cross-disciplinary discourse to build an interdisciplinary understanding of community resilience.This work identifies the differences between mono-,multi-,inter-,and cross-disciplinary approaches to inform community resilience strategies in academic and practice-based contexts.Four themes for community resilience were identified through a review of cross-disciplinary literature.These include(1)diverse yet convergent definitions of community resilience and the evolution from equilibrium to adaptation to transformation;(2)equitable and inclusive strategies for the development of community resilience initiatives;(3)when and at what scale strategies should be implemented;and(4)community resilience as a process or an outcome.This work is valuable to those seeking to familiarise themselves with the concept of community resilience,including educators who deliver courses on community resilience and policy-makers.It is novel in that it presents an interdisciplinary framework for navigating the community resilience discourse beyond individual professional boundaries.展开更多
New rainfall records were registered in the southeastern region of Brazil during February 2023.The amount of rain in the north coast region of the State of São Paulo was more than 650 mm in less than two days.Lan...New rainfall records were registered in the southeastern region of Brazil during February 2023.The amount of rain in the north coast region of the State of São Paulo was more than 650 mm in less than two days.Landslides and tragedies with a socioeconomically vulnerable population marked this climatic extreme.The country has a regulatory system that suggests the elaboration and implementation of municipal public policies aimed at territorial organization,environmental conservation,and the prevention of disasters induced by natural hazards.In addition,both federal and state funds earmarked for such hazard's prevention have been underutilized over the last decade.In addition to this current devastating climate episode,other events were registered in this decade,reinforcing that financial governance is a key challenge to face the climate crisis in Brazil.The predicted future extreme events in different regions of Brazil will require a different governance system to minimize social inequality,seek sustainable alternatives for urban environments and manage to adapt cities for the challenges posed by climate change.展开更多
Research on fires at the wildland-urban inter-face(WUI)has generated significant insights and advance-ments across various fields of study.Environmental,agri-culture,and social sciences have played prominent roles in ...Research on fires at the wildland-urban inter-face(WUI)has generated significant insights and advance-ments across various fields of study.Environmental,agri-culture,and social sciences have played prominent roles in understanding the impacts of fires in the environment,in protecting communities,and addressing management challenges.This study aimed to create a database using a text mining technique for global researchers interested in WUI-projects and highlighting the interest of countries in this field.Author’s-Keywords analysis emphasized the dominance of fire science-related terms,especially related to WUI,and identified keyword clusters related to the WUI fire-risk-assessment-system-“exposure”,“danger”,and“vulnerability”within wildfire research.Trends over the past decade showcase shifting research interests with a growing focus on WUI fires,while regional variations highlighted that the“exposure”keyword cluster received greater atten-tion in the southern Europe and South America.However,vulnerability keywords have relatively a lower representation across all regions.The analysis underscores the interdisci-plinary nature of WUI research and emphasizes the need for targeted approaches to address the unique challenges of the wildland-urban interface.Overall,this study provides valu-able insights for researchers and serves as a foundation for further collaboration in this field through the understanding of the trends over recent years and in different regions.展开更多
Forest habitats are critical for biodiversity,ecosystem services,human livelihoods,and well-being.Capacity to conduct theoretical and applied forest ecology research addressing direct(e.g.,deforestation)and indirect(e...Forest habitats are critical for biodiversity,ecosystem services,human livelihoods,and well-being.Capacity to conduct theoretical and applied forest ecology research addressing direct(e.g.,deforestation)and indirect(e.g.,climate change)anthropogenic pressures has benefited considerably from new field-and statistical-techniques.We used machine learning and bibliometric structural topic modelling to identify 20 latent topics comprising four principal fields from a corpus of 16,952 forest ecology/forestry articles published in eight ecology and five forestry journals between 2010 and 2022.Articles published per year increased from 820 in 2010 to 2,354 in 2021,shifting toward more applied topics.Publications from China and some countries in North America and Europe dominated,with relatively fewer articles from some countries in West and Central Africa and West Asia,despite globally important forest resources.Most study sites were in some countries in North America,Central Asia,and South America,and Australia.Articles utilizing R statistical software predominated,increasing from 29.5%in 2010 to 71.4%in 2022.The most frequently used packages included lme4,vegan,nlme,MuMIn,ggplot2,car,MASS,mgcv,multcomp and raster.R was more often used in forest ecology than applied forestry articles.R software offers advantages in script and workflow-sharing compared to other statistical packages.Our findings demonstrate that the disciplines of forest ecology/forestry are expanding both in number and scope,aided by more sophisticated statistical tools,to tackle the challenges of redressing forest habitat loss and the socio-economic impacts of deforestation.展开更多
This paper studies the evolutionary process of cooperative behavior in a public goods game model with heterogeneous investment strategies in square lattices.In the proposed model,players are divided into defectors,coo...This paper studies the evolutionary process of cooperative behavior in a public goods game model with heterogeneous investment strategies in square lattices.In the proposed model,players are divided into defectors,cooperators and discreet investors.Among these,defectors do not participate in investing,discreet investors make heterogeneous investments based on the investment behavior and cooperation value of their neighbors,and cooperators invest equally in each neighbor.In real life,heterogeneous investment is often accompanied by time or economic costs.The discreet investors in this paper pay a certain price to obtain their neighbors'investment behavior and cooperation value,which quantifies the time and economic costs of the heterogeneous investment process.The results of Monte Carlo simulation experiments in this study show that discreet investors can effectively resist the invasion of the defectors,form a stable cooperative group and expand the cooperative advantage in evolution.However,when discreet investors pay too high a price,they lose their strategic advantage.The results in this paper help us understand the role of heterogeneous investment in promoting and maintaining human social cooperation.展开更多
Individuals may gather information about environmental conditions when deciding where to breed in order to maximize their lifetime fitness.They can obtain social information by observing conspecifics and heterospecifi...Individuals may gather information about environmental conditions when deciding where to breed in order to maximize their lifetime fitness.They can obtain social information by observing conspecifics and heterospecifics with similar ecological needs.Many studies have shown that birds can rely on social information to select their nest sites.The location of active nests and the reproductive success of conspecifics and heterospecifics can provide accurate predictions about the quality of the breeding habitat.Some short-lived species can facultatively reproduce two and/or more times within a breeding season.However,few studies have focused on how multiplebrooding individuals select nest sites for their second breeding attempts.In this study,we use long-term data to test whether the Japanese Tit(Parus minor)can use social information from conspecifics and/or heterospecifics(the Eurasian Nuthatch Sitta europaea,the Daurian Redstart Phoenicurus auroreus and the Yellow-rumped Flycatcher Ficedula zanthopygia)to select a nest site for the second breeding attempt.Our results showed that the nest boxes occupied by tits on their second breeding attempt tended to be surrounded by more breeding conspecific nests,successful first nests of conspecifics,and fewer failed first nests of conspecifics than the nest boxes that remained unoccupied(the control group).However,the numbers of breeding heterospecific nests,successful heterospecific nests,and failed heterospecific nests did not differ between the nest boxes occupied by tits on their second breeding attempt and the unoccupied nest boxes.Furthermore,the tits with local successful breeding experience tended to choose areas with more successful first nests of conspecifics than those without successful breeding experience.Thus,we suggest that conspecifics'but not heterospecifics'social information within the same breeding season is the major factor influencing the nest site selection of Japanese Tits during second breeding attempts.展开更多
In the contemporary era of technological advancement,smartphones have become an indispensable part of individuals’daily lives,exerting a pervasive influence.This paper presents an innovative approach to passenger cou...In the contemporary era of technological advancement,smartphones have become an indispensable part of individuals’daily lives,exerting a pervasive influence.This paper presents an innovative approach to passenger countingonbuses throughthe analysis ofWi-Fi signals emanating frompassengers’mobile devices.The study seeks to scrutinize the reliability of digital Wi-Fi environments in predicting bus occupancy levels,thereby addressing a crucial aspect of public transportation.The proposed system comprises three crucial elements:Signal capture,data filtration,and the calculation and estimation of passenger numbers.The pivotal findings reveal that the system demonstrates commendable accuracy in estimating passenger counts undermoderate-crowding conditions,with an average deviation of 20%from the ground truth and an accuracy rate ranging from 90%to 100%.This underscores its efficacy in scenarios characterized by moderate levels of crowding.However,in densely crowded conditions,the system exhibits a tendency to overestimate passenger numbers,occasionally doubling the actual count.While acknowledging the need for further research to enhance accuracy in crowded conditions,this study presents a pioneering avenue to address a significant concern in public transportation.The implications of the findings are poised to contribute substantially to the enhancement of bus operations and service quality.展开更多
We construct a dual-layer coupled complex network of communities and residents to represent the interconnected risk transmission network between communities and the disease transmission network among residents. It cha...We construct a dual-layer coupled complex network of communities and residents to represent the interconnected risk transmission network between communities and the disease transmission network among residents. It characterizes the process of infectious disease transmission among residents between communities through the SE2IHR model considering two types of infectors. By depicting a more fine-grained social structure and combining further simulation experiments, the study validates the crucial role of various prevention and control measures implemented by communities as primary executors in controlling the epidemic. Research shows that the geographical boundaries of communities and the social interaction patterns of residents have a significant impact on the spread of the epidemic, where early detection, isolation and treatment strategies at community level are essential for controlling the spread of the epidemic. In addition, the study explores the collaborative governance model and institutional advantages of communities and residents in epidemic prevention and control.展开更多
Obstacle removal in crowd evacuation is critical to safety and the evacuation system efficiency. Recently, manyresearchers proposed game theoreticmodels to avoid and remove obstacles for crowd evacuation. Game theoret...Obstacle removal in crowd evacuation is critical to safety and the evacuation system efficiency. Recently, manyresearchers proposed game theoreticmodels to avoid and remove obstacles for crowd evacuation. Game theoreticalmodels aim to study and analyze the strategic behaviors of individuals within a crowd and their interactionsduring the evacuation. Game theoretical models have some limitations in the context of crowd evacuation. Thesemodels consider a group of individuals as homogeneous objects with the same goals, involve complex mathematicalformulation, and cannot model real-world scenarios such as panic, environmental information, crowds that movedynamically, etc. The proposed work presents a game theoretic model integrating an agent-based model to removethe obstacles from exits. The proposed model considered the parameters named: (1) obstacle size, length, andwidth, (2) removal time, (3) evacuation time, (4) crowd density, (5) obstacle identification, and (6) route selection.The proposed work conducts various experiments considering different conditions, such as obstacle types, obstacleremoval, and several obstacles. Evaluation results show the proposed model’s effectiveness compared with existingliterature in reducing the overall evacuation time, cell selection, and obstacle removal. The study is potentially usefulfor public safety situations such as emergency evacuations during disasters and calamities.展开更多
Objective:To assess the perspectives and barriers towards dengue preventive practices among the residents of Puducherry,India.Methods:A cross-sectional survey was conducted in 300 households in Puducherry,using a popu...Objective:To assess the perspectives and barriers towards dengue preventive practices among the residents of Puducherry,India.Methods:A cross-sectional survey was conducted in 300 households in Puducherry,using a population-proportionate(7:3)distribution from urban and rural areas by grid sampling.One adult interview per household was conducted and the participants were selected using a KISH grid.A semi-structured questionnaire based on the Health Belief Model(HBM)with additional questions on knowledge assessment was used.Knowledge was assessed based on the correctness of answers and the HBM scores were calculated on a 5-point Likert scale.Participants were categorized based on the median score under each domain.Logistic regression was used for adjusted analysis and models were built to predict the performances in each domain.Results:Four percent of the participants lacked basic knowledge regarding dengue transmission.While 208(69.3%)participants did not consider themselves at risk of contracting dengue within the next year,majority perceived dengue as a disease with low severity.Around 49.3%(148)were skeptical about the benefit of time and money spent on dengue prevention.Inadequate government efforts were stated as the major barrier(47.0%)and frequent reminders(142,47.3%)as the major cue to action.Age above 50 years(aOR 1.78,95%CI 1.04-3.06,P=0.037)and rural locality(aOR 2.68,95%CI 1.52-4.71,P=0.001)were found to be significantly associated with poor knowledge scores.Urban participants had a significantly higher chance to perceive low susceptibility as compared to the rural counterparts(aOR 1.74,95%CI 1.05-2.9,P=0.03).Participants with less than a high school education had low perceived benefits(aOR 2.46,95%CI 1.52-3.96,P<0.001)and low self-efficacy scores(aOR 2.66,95%CI 1.61-4.39,P<0.001).Conclusions:This study identifies key gaps in dengue prevention,including low perceived susceptibility,mild disease perception,limited knowledge of breeding sites,and overreliance on government efforts.Tailoring interventions to community needs,stratified to factors influencing the community perspectives can significantly improve dengue prevention efforts.展开更多
基金This paper is a phased achievement of the special research project“Strategic Key Points and Key Links of Service-oriented Government Construction”(No.17VZL015)under the National Social Science Fund of China project“Modernization of the National Governance System and Governance Capability.”。
文摘The legitimacy crisis of public administration has a long history.From a historical perspective,an analysis of five Western pathways in the discipline of public administration shows that the roots of this crisis lie in the lack of a public nature.From a theoretical perspective,the“publicness”of public administration should be defined along the dimensions of public administration powers,actors,targets,methods and values.In terms of practice,the uniqueness of China’s public power framework,the influence of traditional political culture on the public nature of Chinese public administration and the provisions governing this public nature at different stages of China’s development constitute the unique public nature of the construction of Chinese public administration.The discipline construction of Chinese public administration should be rebuilt so that its public nature forms the basis of its legitimacy,in accord with historical logic,theoretical logic and practical logic.We should construct a publicness discourse system of Chinese public administration that adheres to the value guidance of publicness and should frame research topics on the basis of publicness.This will ultimately form a research paradigm for the public nature of public administration that will consolidate the foundation of the legitimacy of the discipline construction of public administration.
文摘BACKGROUND Monkeypox(Mpox),is a disease of global public health concern,as it does not affect only countries in western and central Africa.AIM To assess Burundi healthcare workers(HCWs)s’level of knowledge and confidence in the diagnosis and management of Mpox.METHODS We conducted a cross-sectional study via an online survey designed mainly from the World Health Organization course distributed among Burundi HCWs from June-July 2023.The questionnaire comprises 8 socioprofessional-related questions,22 questions about Mpox disease knowledge,and 3 questions to assess confidence in Mpox diagnosis and management.The data were analyzed via SPSS software version 25.0.A P value<0.05 was considered to indicate statistical significance.RESULTS The study sample comprised 471 HCWs who were mainly medical doctors(63.9%)and nurses(30.1%).None of the 22 questions concerning Mpox knowledge had at least 50%correct responses.A very low number of HCWs(17.4%)knew that Mpox has a vaccine.The confidence level to diagnose(21.20%),treat(18.00%)or prevent(23.30%)Mpox was low among HCWs.The confidence level in the diagnosis of Mpox was associated with the HCWs’age(P value=0.009),sex(P value<0.001),work experience(P value=0.002),and residence(P value<0.001).The confidence level to treat Mpox was significantly associated with the HCWs’age(P value=0.050),sex(P value<0.001),education(P value=0.033)and occupation(P value=0.005).The confidence level to prevent Mpox was associated with the HCWs’education(P value<0.001),work experience(P value=0.002),residence(P value<0.001)and type of work institution(P value=0.003).CONCLUSION This study revealed that HCWs have the lowest level of knowledge regarding Mpox and a lack of confidence in the ability to diagnose,treat or prevent it.There is an urgent need to organize continuing medical education programs on Mpox epidemiology and preparedness for Burundi HCWs.We encourage future researchers to assess potential hesitancy toward Mpox vaccination and its associated factors.
文摘BACKGROUND At present,China has become the country with the largest number of individuals with diabetes mellitus(DM)in the world,with a total of approximately 140 million patients,the majority of whom have type 2 DM(T2DM).Based on conven-tional nursing methods,community home care has important clinical significance in controlling blood sugar and disease progression.AIM To explore the impact of community public health nursing on treatment effect,health cognition,and self-management in patients with T2DM.METHODS One hundred patients with T2DM were selected as the research subjects.The patients were divided into either a conventional nursing group or community nursing(CN)group using the random number table method.The conventional nursing group(50 cases)received routine care,while the CN group(50 cases)received community public health care in addition to routine care as that for the conventional nursing group.The rate of excellent and good blood glucose control,fasting blood glucose before and after care,2-h postprandial blood glucose,health cognition,and self-management ability,and patient satisfaction were compared between the two groups.RESULTS The CN group had a higher rate of excellent blood sugar control than the conventional nursing group(88%vs 70%,P<0.05).Before care,there was no significant difference in fasting blood glucose or 2-h postprandial blood glucose between the two groups of patients(P>0.05).After nursing,fasting blood glucose and 2-h postprandial blood glucose were reduced to varying degrees in both groups,and both blood glucose levels in the CN group were lower than those of the conventional nursing group(P<0.05).Compared with the scores before care,the cognitive level score for diabetes and self-management ability score improved after care in both groups.The cognitive level and self-management ability of patients in the CN group were higher than those of the conventional nursing group(P<0.05).The overall satisfaction of the CN group was better than that of the conventional nursing group(98%vs 86%,P<0.05).CONCLUSION Community public health care based on conventional care of T2DM can achieve better blood sugar control,and improve patients’health cognitive level and self-management ability.
文摘In 1993,the World Bank released a global report on the efficacy of health promotion,introducing the disability-adjusted life years(DALY)as a novel indicator.The DALY,a composite metric incorporating temporal and qualitative data,is grounded in preferences regarding disability status.This review delineates the algorithm used to calculate the value of the proposed DALY synthetic indicator and elucidates key methodological challenges associated with its application.In contrast to the quality-adjusted life years approach,derived from multi-attribute utility theory,the DALY stands as an independent synthetic indicator that adopts the assumptions of the Time Trade Off utility technique to define Disability Weights.Claiming to rely on no mathematical or economic theory,DALY users appear to have exempted themselves from verifying whether this indicator meets the classical properties required of all indicators,notably content validity,reliability,specificity,and sensitivity.The DALY concept emerged primarily to facilitate comparisons of the health impacts of various diseases globally within the framework of the Global Burden of Disease initiative,leading to numerous publications in international literature.Despite widespread adoption,the DALY synthetic indicator has prompted significant methodological concerns since its inception,manifesting in inconsistent and non-reproducible results.Given the substantial diffusion of the DALY indicator and its critical role in health impact assessments,a reassessment is warranted.This reconsideration is imperative for enhancing the robustness and reliability of public health decisionmaking processes.
文摘Physical activity is consistently associated with reduced mortality,decreased risk for non-communicable diseases,and improved mental health in observational studies.Randomized controlled trials and observational Mendelian randomization studies support causal links between physical activity and health outcomes.However,the scarcity of evidence from randomized controlled trials,along with their inherent challenges like exposure contrasts,healthy volunteer biases,loss to follow-up,and limited real-world dose-response data,warrants a comprehensive approach.This review advocates synthesizing insights from diverse study designs to better understand the causal relationship between physical activity,mortality risk,and other health outcomes.Additionally,it summarizes recent research since the publication of current physical activity recommendations.Novel observational studies utilizing device-measured physical activity underscore the importance of every minute of activity and suggest that all intensity levels confer health benefits,with vigorous-intensity potentially requiring lower volumes for substantial benefits.Future guidelines,informed by device-measured physical activity studies,may offer refined age-specific recommendations,emphasize vigorous-intensity physical activity,and include daily step counts as a simple,easily assessable metric using commercial wearables.
文摘Infectious diseases are the common enemies of mankind.In the course of historical development,they persistently threaten human health and safety.Even today,despite the developments in medical science,we cannot escape the fear and suffering caused by infectious diseases.Whether in ancient or modern times,the source of infection,route of transmission,and a susceptible population are the three key conditions for the prevalence and spread of infectious diseases.All factors closely related to these three conditions can affect the prevalence of infectious diseases.China is one of the cradles of world civilization.The ancient people accumulated a great deal of experience and lessons in the long struggle against infectious diseases.In the face of the current threat posed by widespread infectious disease,it is imperative to review and summarize ancient Chinese ideas and health policies on epidemic prevention and control to inspire contemporary efforts in the prevention and control of infectious disease.The combination of prevention-oriented epidemic prevention ideology and traditional medicine provides valuable insights,especially for impoverished and medically underserved regions.
基金partially supported by the National Natural Science Foundation of China under grant no.62372245the Foundation of Yunnan Key Laboratory of Blockchain Application Technology under Grant 202105AG070005+1 种基金in part by the Foundation of State Key Laboratory of Public Big Datain part by the Foundation of Key Laboratory of Computational Science and Application of Hainan Province under Grant JSKX202202。
文摘For the goals of security and privacy preservation,we propose a blind batch encryption-and public ledger-based data sharing protocol that allows the integrity of sensitive data to be audited by a public ledger and allows privacy information to be preserved.Data owners can tightly manage their data with efficient revocation and only grant one-time adaptive access for the fulfillment of the requester.We prove that our protocol is semanticallly secure,blind,and secure against oblivious requesters and malicious file keepers.We also provide security analysis in the context of four typical attacks.
文摘BACKGROUND Public employees worldwide are increasingly concerned about work anxiety and depression.Cognitive-behavioral career coaching has emerged as a promising strategy for addressing these mental health disorders,which can negatively impact on a person's overall well-being and performance.AIM To examine whether cognitive-behavioral career coaching reduces work anxiety and depression among Nigerian public employees.METHODS A total of 120 public employees(n=60)suffering from severe anxiety and depression were randomly assigned to the treatment or control groups in this study.Cognitive behavioral coaching was provided twice a week to those in the treatment group,whereas no treatment was given to those in the control group.As part of the study,the Hamilton Anxiety Rating Scales and Beck Depression Inventory were used to collect data.RESULTS Analysis of covariance of the data from participants indicates a significant effect of cognitive-behavioral career coaching on work anxiety and depression.CONCLUSION Insights into the underlying mechanisms by which cognitive behavior career coaching exerts its effects have been gained from this study.Also,the study has gathered valuable data that can inform future practice and guide the development of strategies for supporting mental health at work.
基金supported by the Hebei Province Cultural and Artistic Science Planning and Tourism Research Project[Grant No.HB22-ZD002].
文摘Carbon peak and carbon neutrality(dual-carbon)are important targets for the international response to climate change.The Silk Road Economic Belt is a strategic resource region and is important for future ecological environment and tourism development.Based on the“dual-carbon”targets,the Single index quantification,Multiple index synthesis,and Poly-criteria integration evaluation model were used in this study to measure the coordinated development index of the ecological environment,public service,and tourism economy along the Silk Road Economic Belt and to analyze its spatial and temporal evolution.Further,it explores the dynamic evolution and development trend of the three systems using the Kernel Density and Grey Markov Prediction Model.The results show that the coordinated development index along this region needs to be improved during the study period.Furthermore,the coordinated development index of the Southwest region is relatively higher than that of the Northwest region.From the development trend of the three systems,all of them develop in a stable manner;however,the tourism economy system is easily affected by external disturbances.The coordinated development index of the three systems changes dynamically and tends to be in a good state of coordination.There is a certain spatial and temporal heterogeneity.The gravity center of the coordinated development index has been in the Southwest region.During the forecast period,the coordinated development index along this region will improve significantly,while insufficient and unbalanced development will continue.
文摘Purpose:The metropolitan cities of Johannesburg,Ekurhuleni and Tshwane play an important role in the economy of the Gauteng province in South Africa.The region constitutes to 22.4 percent of the total population of South Africa and has a strong presence and contributes in areas of manufacturing sector,financial and business services,retail and wholesale trade,etc.The rapid urban population,increase in the informal settlements and socio-economic opportunities has resulted in considerable urban sprawl in and around the urban fringe areas of these metropolitan cities.The urban fringe areas of these metros often come under the influence of rapid urbanization process and pressures.Coupled with the economical and potential land dynamics and lack of priority of spatial development guidelines,these areas attract rapid and haphazard development from communities and developers.Research Design/Methodology:This research is based on a qualitative approach through a comprehensive literature review that included content analysis of key documents on housing sector such as IDPs(Integrated Development Plans),Municipal Annual Reports,Growth Development Strategies,and among other sectoral documents on housing sector.Some of the key priority issues considered in the housing sector included:eradication of housing backlogs,spatial restructuring of housing,provision of choice in terms of location,tenure and housing typology.Findings:The current paper discusses the approaches of metropolitan housing development processes in three metropolitan cities of South Africa from Gauteng region,namely:Johannesburg,Ekurhuleni and Tshwane.The paper discusses the existing housing sectoral scenario along with the fringe areas in three cities with focus on:formal and informal settlements,housing segregation and the backlogs,current institutional arrangements,role of public private participation,and scope for alternate mechanisms.The paper concludes in discussion on sustainable development options for housing development in urban fringe areas.
基金Royal Academy of Engineers(RAE)for funding this collaborative research via their‘Frontiers of Development’award programme.
文摘This paper evaluates literature across multiple disciplines and stakeholder types to identify commonalities and contradictions in definitions for community resilience.It aims to support cross-disciplinary discourse to build an interdisciplinary understanding of community resilience.This work identifies the differences between mono-,multi-,inter-,and cross-disciplinary approaches to inform community resilience strategies in academic and practice-based contexts.Four themes for community resilience were identified through a review of cross-disciplinary literature.These include(1)diverse yet convergent definitions of community resilience and the evolution from equilibrium to adaptation to transformation;(2)equitable and inclusive strategies for the development of community resilience initiatives;(3)when and at what scale strategies should be implemented;and(4)community resilience as a process or an outcome.This work is valuable to those seeking to familiarise themselves with the concept of community resilience,including educators who deliver courses on community resilience and policy-makers.It is novel in that it presents an interdisciplinary framework for navigating the community resilience discourse beyond individual professional boundaries.
文摘New rainfall records were registered in the southeastern region of Brazil during February 2023.The amount of rain in the north coast region of the State of São Paulo was more than 650 mm in less than two days.Landslides and tragedies with a socioeconomically vulnerable population marked this climatic extreme.The country has a regulatory system that suggests the elaboration and implementation of municipal public policies aimed at territorial organization,environmental conservation,and the prevention of disasters induced by natural hazards.In addition,both federal and state funds earmarked for such hazard's prevention have been underutilized over the last decade.In addition to this current devastating climate episode,other events were registered in this decade,reinforcing that financial governance is a key challenge to face the climate crisis in Brazil.The predicted future extreme events in different regions of Brazil will require a different governance system to minimize social inequality,seek sustainable alternatives for urban environments and manage to adapt cities for the challenges posed by climate change.
基金The funding of this research was provided by the Portuguese Foundation for Science and Technology(FCT)in the framework of the House Refuge Project(PCIF/AGT/0109/2018).
文摘Research on fires at the wildland-urban inter-face(WUI)has generated significant insights and advance-ments across various fields of study.Environmental,agri-culture,and social sciences have played prominent roles in understanding the impacts of fires in the environment,in protecting communities,and addressing management challenges.This study aimed to create a database using a text mining technique for global researchers interested in WUI-projects and highlighting the interest of countries in this field.Author’s-Keywords analysis emphasized the dominance of fire science-related terms,especially related to WUI,and identified keyword clusters related to the WUI fire-risk-assessment-system-“exposure”,“danger”,and“vulnerability”within wildfire research.Trends over the past decade showcase shifting research interests with a growing focus on WUI fires,while regional variations highlighted that the“exposure”keyword cluster received greater atten-tion in the southern Europe and South America.However,vulnerability keywords have relatively a lower representation across all regions.The analysis underscores the interdisci-plinary nature of WUI research and emphasizes the need for targeted approaches to address the unique challenges of the wildland-urban interface.Overall,this study provides valu-able insights for researchers and serves as a foundation for further collaboration in this field through the understanding of the trends over recent years and in different regions.
基金financially supported by the National Natural Science Foundation of China(31971541).
文摘Forest habitats are critical for biodiversity,ecosystem services,human livelihoods,and well-being.Capacity to conduct theoretical and applied forest ecology research addressing direct(e.g.,deforestation)and indirect(e.g.,climate change)anthropogenic pressures has benefited considerably from new field-and statistical-techniques.We used machine learning and bibliometric structural topic modelling to identify 20 latent topics comprising four principal fields from a corpus of 16,952 forest ecology/forestry articles published in eight ecology and five forestry journals between 2010 and 2022.Articles published per year increased from 820 in 2010 to 2,354 in 2021,shifting toward more applied topics.Publications from China and some countries in North America and Europe dominated,with relatively fewer articles from some countries in West and Central Africa and West Asia,despite globally important forest resources.Most study sites were in some countries in North America,Central Asia,and South America,and Australia.Articles utilizing R statistical software predominated,increasing from 29.5%in 2010 to 71.4%in 2022.The most frequently used packages included lme4,vegan,nlme,MuMIn,ggplot2,car,MASS,mgcv,multcomp and raster.R was more often used in forest ecology than applied forestry articles.R software offers advantages in script and workflow-sharing compared to other statistical packages.Our findings demonstrate that the disciplines of forest ecology/forestry are expanding both in number and scope,aided by more sophisticated statistical tools,to tackle the challenges of redressing forest habitat loss and the socio-economic impacts of deforestation.
基金Project supported by the Open Foundation of Key Laboratory of Software Engineering of Yunnan Province(Grant Nos.2020SE308 and 2020SE309).
文摘This paper studies the evolutionary process of cooperative behavior in a public goods game model with heterogeneous investment strategies in square lattices.In the proposed model,players are divided into defectors,cooperators and discreet investors.Among these,defectors do not participate in investing,discreet investors make heterogeneous investments based on the investment behavior and cooperation value of their neighbors,and cooperators invest equally in each neighbor.In real life,heterogeneous investment is often accompanied by time or economic costs.The discreet investors in this paper pay a certain price to obtain their neighbors'investment behavior and cooperation value,which quantifies the time and economic costs of the heterogeneous investment process.The results of Monte Carlo simulation experiments in this study show that discreet investors can effectively resist the invasion of the defectors,form a stable cooperative group and expand the cooperative advantage in evolution.However,when discreet investors pay too high a price,they lose their strategic advantage.The results in this paper help us understand the role of heterogeneous investment in promoting and maintaining human social cooperation.
基金financed by the National Natural Science Foundation of China(31971402 to H.Wang,32001094 to J.Yu,31870368 to K.Zhang)the High-level Startup Talents Introduced Scientific Research Fund Project of Baotou Teacher's College,China(No.BTTCRCQD2024-C34)。
文摘Individuals may gather information about environmental conditions when deciding where to breed in order to maximize their lifetime fitness.They can obtain social information by observing conspecifics and heterospecifics with similar ecological needs.Many studies have shown that birds can rely on social information to select their nest sites.The location of active nests and the reproductive success of conspecifics and heterospecifics can provide accurate predictions about the quality of the breeding habitat.Some short-lived species can facultatively reproduce two and/or more times within a breeding season.However,few studies have focused on how multiplebrooding individuals select nest sites for their second breeding attempts.In this study,we use long-term data to test whether the Japanese Tit(Parus minor)can use social information from conspecifics and/or heterospecifics(the Eurasian Nuthatch Sitta europaea,the Daurian Redstart Phoenicurus auroreus and the Yellow-rumped Flycatcher Ficedula zanthopygia)to select a nest site for the second breeding attempt.Our results showed that the nest boxes occupied by tits on their second breeding attempt tended to be surrounded by more breeding conspecific nests,successful first nests of conspecifics,and fewer failed first nests of conspecifics than the nest boxes that remained unoccupied(the control group).However,the numbers of breeding heterospecific nests,successful heterospecific nests,and failed heterospecific nests did not differ between the nest boxes occupied by tits on their second breeding attempt and the unoccupied nest boxes.Furthermore,the tits with local successful breeding experience tended to choose areas with more successful first nests of conspecifics than those without successful breeding experience.Thus,we suggest that conspecifics'but not heterospecifics'social information within the same breeding season is the major factor influencing the nest site selection of Japanese Tits during second breeding attempts.
基金from Prince Sattam bin Abdulaziz UniversityProject Number(PSAU/2023/R/1445).
文摘In the contemporary era of technological advancement,smartphones have become an indispensable part of individuals’daily lives,exerting a pervasive influence.This paper presents an innovative approach to passenger countingonbuses throughthe analysis ofWi-Fi signals emanating frompassengers’mobile devices.The study seeks to scrutinize the reliability of digital Wi-Fi environments in predicting bus occupancy levels,thereby addressing a crucial aspect of public transportation.The proposed system comprises three crucial elements:Signal capture,data filtration,and the calculation and estimation of passenger numbers.The pivotal findings reveal that the system demonstrates commendable accuracy in estimating passenger counts undermoderate-crowding conditions,with an average deviation of 20%from the ground truth and an accuracy rate ranging from 90%to 100%.This underscores its efficacy in scenarios characterized by moderate levels of crowding.However,in densely crowded conditions,the system exhibits a tendency to overestimate passenger numbers,occasionally doubling the actual count.While acknowledging the need for further research to enhance accuracy in crowded conditions,this study presents a pioneering avenue to address a significant concern in public transportation.The implications of the findings are poised to contribute substantially to the enhancement of bus operations and service quality.
基金Project supported by the Ministry of Education of China in the later stage of philosophy and social science research(Grant No.19JHG091)the National Natural Science Foundation of China(Grant No.72061003)+1 种基金the Major Program of National Social Science Fund of China(Grant No.20&ZD155)the Guizhou Provincial Science and Technology Projects(Grant No.[2020]4Y172)。
文摘We construct a dual-layer coupled complex network of communities and residents to represent the interconnected risk transmission network between communities and the disease transmission network among residents. It characterizes the process of infectious disease transmission among residents between communities through the SE2IHR model considering two types of infectors. By depicting a more fine-grained social structure and combining further simulation experiments, the study validates the crucial role of various prevention and control measures implemented by communities as primary executors in controlling the epidemic. Research shows that the geographical boundaries of communities and the social interaction patterns of residents have a significant impact on the spread of the epidemic, where early detection, isolation and treatment strategies at community level are essential for controlling the spread of the epidemic. In addition, the study explores the collaborative governance model and institutional advantages of communities and residents in epidemic prevention and control.
文摘Obstacle removal in crowd evacuation is critical to safety and the evacuation system efficiency. Recently, manyresearchers proposed game theoreticmodels to avoid and remove obstacles for crowd evacuation. Game theoreticalmodels aim to study and analyze the strategic behaviors of individuals within a crowd and their interactionsduring the evacuation. Game theoretical models have some limitations in the context of crowd evacuation. Thesemodels consider a group of individuals as homogeneous objects with the same goals, involve complex mathematicalformulation, and cannot model real-world scenarios such as panic, environmental information, crowds that movedynamically, etc. The proposed work presents a game theoretic model integrating an agent-based model to removethe obstacles from exits. The proposed model considered the parameters named: (1) obstacle size, length, andwidth, (2) removal time, (3) evacuation time, (4) crowd density, (5) obstacle identification, and (6) route selection.The proposed work conducts various experiments considering different conditions, such as obstacle types, obstacleremoval, and several obstacles. Evaluation results show the proposed model’s effectiveness compared with existingliterature in reducing the overall evacuation time, cell selection, and obstacle removal. The study is potentially usefulfor public safety situations such as emergency evacuations during disasters and calamities.
基金This work was supported intramurally by Student thesis funding for Masters in public Health Entomology(2022)from the Indian Council of Medical Research-Vector Control Research Centre,Puducherry.
文摘Objective:To assess the perspectives and barriers towards dengue preventive practices among the residents of Puducherry,India.Methods:A cross-sectional survey was conducted in 300 households in Puducherry,using a population-proportionate(7:3)distribution from urban and rural areas by grid sampling.One adult interview per household was conducted and the participants were selected using a KISH grid.A semi-structured questionnaire based on the Health Belief Model(HBM)with additional questions on knowledge assessment was used.Knowledge was assessed based on the correctness of answers and the HBM scores were calculated on a 5-point Likert scale.Participants were categorized based on the median score under each domain.Logistic regression was used for adjusted analysis and models were built to predict the performances in each domain.Results:Four percent of the participants lacked basic knowledge regarding dengue transmission.While 208(69.3%)participants did not consider themselves at risk of contracting dengue within the next year,majority perceived dengue as a disease with low severity.Around 49.3%(148)were skeptical about the benefit of time and money spent on dengue prevention.Inadequate government efforts were stated as the major barrier(47.0%)and frequent reminders(142,47.3%)as the major cue to action.Age above 50 years(aOR 1.78,95%CI 1.04-3.06,P=0.037)and rural locality(aOR 2.68,95%CI 1.52-4.71,P=0.001)were found to be significantly associated with poor knowledge scores.Urban participants had a significantly higher chance to perceive low susceptibility as compared to the rural counterparts(aOR 1.74,95%CI 1.05-2.9,P=0.03).Participants with less than a high school education had low perceived benefits(aOR 2.46,95%CI 1.52-3.96,P<0.001)and low self-efficacy scores(aOR 2.66,95%CI 1.61-4.39,P<0.001).Conclusions:This study identifies key gaps in dengue prevention,including low perceived susceptibility,mild disease perception,limited knowledge of breeding sites,and overreliance on government efforts.Tailoring interventions to community needs,stratified to factors influencing the community perspectives can significantly improve dengue prevention efforts.