Knowledge, attitudes and behaviours regarding antibiotics use among Cypriot university students: a multi-disciplinary survey.

BACKGROUND: The present study aims to investigate the knowledge and attitudes towards antibiotics among students studying medicine, dentistry, and pharmacy at the Near East University in Northern Cyprus. The influence of personality characteristics on antibiotic use were also evaluated, in order to identify predictors of antibiotic misuse. METHODS: Students were enrolled in the study during the 2020-2021 academic year. Study participants were asked to complete an online questionnaire that measured their knowledge, attitudes and practice (KAP) towards antibiotic use and antibiotic resistance. The KAP of students from the three faculties were compared using Kruskall-Wallis H statistics, Mann-Whitney U statistics, and Spearman's rho. The influence of personality traits on the propensity to use antibiotics without a prescription, as well as their attitudes and knowledge of antibiotic use and misuse, were also investigated. RESULTS: In total, 314 students completed the survey, 52% of which were female. The mean age of the students was 20.5 years. The results showed that among the different disciplines, medical students were significantly more knowledgeable about pharmacological agents, compared to dentistry and pharmacy students, while pharmacy students were more knowledgeable about the effectiveness of antibiotics against different pathogenic microorganisms. All student groups were aware of how antibiotic resistance develops and their role as healthcare personnel in implementing measures against resistance. Appropriate antibiotic use among the student community correlated with study year, highlighting the importance of knowledge and education in the prevention of antibiotic resistance. Personality traits were found to be a contributing factor in students' tendency to use antibiotics without a prescription. CONCLUSION: This study demonstrates the importance of conveying knowledge about antimicrobials in the education programmes of future dentists, pharmacists and physicians.

Antibiotic Use in Communities.

Since their discovery and clinical introduction in the 1930s-1940s, penicillin and sulphonamides have had a profound impact on public health [...].

Erratum: Editorial note to: "Cultural values, national personality characteristics, and intelligence as correlates of corruption: A nation level analysis" [Heliyon 8(5) (August 2022) e09506].

[This corrects the article DOI: 10.1016/j.heliyon.2022.e09506.].

What are Romantic Relationships Good for? An Explorative Analysis of the Perceived Benefits of Being in a Relationship.

Forming long-term intimate relationships is a human universal, with most people across different times and cultures doing so. Such relationships should be associated with important benefits otherwise individuals would not engage in them, with the current research aiming to identify what people consider as beneficial in a long-term intimate relationship. More specifically, Study 1 employed qualitative research methods in a sample of 221 Greek-speaking participants, and identified 82 perceived benefits. Study 2 employed quantitative research methods in a sample of 545 Greek-speaking participants, and classified these benefits into 10 broad factors and two broader domains. Experiencing positive emotions, including love and passion, as well as having someone to provide support and do things together, were considered among the most important benefits. Although there were a few significant differences, the evaluations of the perceived benefits of intimate relationships were generally consistent across participants of different sex, age, and relationship status.

Trust in relationships: a preliminary investigation of the influence of parental divorce, breakup experiences, adult attachment style, and close relationship beliefs on dyadic trust.

Introduction: Trust is essential for establishing stable and fulfilling romantic relationships between partners. Development of trust, however, can be assumed to depend on many factors related to an individual's earlier experiences and relationship-related beliefs. This study aimed to investigate how adult attachment style (anxious, avoidant), experiences about parents' divorce and breakdown of one's own romantic relationship, and relationship beliefs are related to the level of dyadic trust in romantic relationships. Methods: The present study included 131 Turkish undergraduate university students (55.7% women) from different faculties. The research instrument had questions about parents' and respondents' own relationship status, Dyadic Trust Scale (DTS), Experiences in Close Relationships Inventory-Revised (ECR-R), and Inventory of Close Relationship Beliefs (ICRB), in addition to background questions. The data were analyzed using descriptive statistics, t-tests, Pearson correlations, regression analyses and mediation analyses. Results: Respondents whose parents had divorced or who had experienced a relationship breakdown had lower dyadic trust scores than those without these experiences. The trust scores correlated negatively with anxious and avoidant attachment styles and positively with relationship belief scales, although the correlations to "external factors" were not statistically significant. In regression analysis, anxious and avoidant attachment styles explained 42% and relationship beliefs 25% of the variance in trust. The only significant predictor among beliefs was "individuality." Mediation analysis showed that the effects of anxious attachment style on trust were fully mediated by the relationship belief in "individuality." The avoidant attachment style had a direct relationship to trust. Discussion: The results show that anxious attachment style influences trust via relationship beliefs, while avoidant attachment style has a strong direct effect on trust as well as weaker effects via beliefs. The results are discussed in the context of Turkish culture and horizontal collectivism.

Antibiotics Knowledge, Attitudes and Behaviours among the Population Living in Cyprus.

This study investigated the knowledge, attitudes and behaviours towards antibiotics among the general public living in the Republic of Cyprus (RoC) and the Turkish Republic of Northern Cyprus (TRNC) by using an online questionnaire. Differences were examined using independent samples t-tests, chi-square tests, Mann-Whitney U tests and Spearman's rho. In total, 519 individuals completed the survey (RoC = 267, TRNC = 252), with an average age of 32.7, and 52.2% were female. Most citizens correctly identified paracetamol (TRNC = 93.7%, RoC = 53.9%) and ibuprofen (TRNC = 70.2%, RoC = 47.6%) as non-antibiotic medications. A substantial proportion thought antibiotics could treat viral infections, such as a cold (TRNC = 16.3%, RoC = 40.8%) or the flu (TRNC = 21.4%, RoC = 50.4%). Most participants understood that bacteria can become resistant to antibiotics (TRNC = 71.4%, RoC = 64.4%), that unnecessary use can lead to drug ineffectiveness (TRNC = 86.1%, RoC = 72.3%) and that they should always complete the course of antibiotics (TRNC = 85.7%, RoC = 64.0%). Positive attitudes towards antibiotics correlated negatively with knowledge in both samples, indicating that the more people know, the less positive their attitudes towards their use. The RoC appears to have tighter controls of over-the-counter (OTC) sales of antibiotics than TRNC. This study reveals that different communities can have varying levels of knowledge, attitudes and perceptions about antibiotic use. Tighter enforcement of the OTC regulations, educational efforts and media campaigns are needed for enhancing prudent antibiotic use on the island.

Hypnotizability and Disordered Personality Styles in Cluster A Personality Disorders.

AIM: Interpersonal sensitivity and mistrust are the main characteristics of cluster A personality disorders (CAPD) which might be due to the high accessibility to negative suggestions from environments. Yet the exact associations between hypnotic suggestibility and their personality disorder functioning styles remain unclear. METHODS: We invited 36 patients with CAPD and 115 healthy volunteers to undergo the Stanford Hypnotic Susceptibility Scale: Form C (SHSS:C) and Parker Personality Measure (PERM). RESULTS: Compared to controls; patients scored higher on PERM paranoid; schizoid; schizotypal; borderline; avoidant; and dependent styles; on the SHSS:C total and "challenge suggestions", and the passing rates of "hand lowering", "arm rigidity", "dream", and "arm immobilization". In patients, "dream" negatively predicted the schizoid; "hallucinated voice" negatively the schizotypal; "mosquito hallucination" positively the histrionic and dependent; and "arm immobilization" negatively the avoidant style. CONCLUSIONS: Our results suggested that the insusceptibility to perceptual suggestions from others and the high control over body contribute to the paranoid attitude and interpersonal avoidance in CAPD. These findings help to understand the cause of interpersonal problems in these patients and suggest the trial of hypnotherapy for them.

Antibiotics Knowledge, Attitudes and Behaviours among the Population Living in Greece and Turkey.

Antimicrobial resistance is one of the largest threats to public health worldwide. As the inappropriate use of antibiotics is one of the leading causes of antibiotic resistance, it is important to have an understanding of the public's knowledge, attitudes and behaviours towards antibiotics and antimicrobial resistance. The present study investigated the knowledge, attitudes and behaviours towards antibiotics among the public living in Greece and Turkey using an online cross-sectional survey, with social media advertising (e.g., Facebook) and snowball sampling. In total, 709 individuals completed the survey (Greece n = 309, Turkey n = 400), with an average age of 34.2 (SD = 13.1) and 40.5 (SD = 14.7), respectively. In Greece, 49.4% of the participants were female, and in Turkey, this figure was 62.4%. The Greek respondents reported that obtaining antibiotics without a prescription was easier (52.6% reported "easy or very easy") than the Turkish (35.6% reported "easy or very easy") respondents did. This study reveals that Greek citizens were more educated and knowledgeable about antibiotics (58.5% of Greeks and 44.2% of Turks identified antibiotics correctly), their effects (20.9% of Greeks and 26.3% of Turks agreed with wrong statements about antibiotics) and the risks of antibiotic resistance, compared to those from Turkey. On the other hand, the Greek respondents were more prone to use leftover antibiotics or to give them to someone else later (p < 0.001). The findings of this study indicate that Greece and Turkey, both countries with high rates of antibiotic usage, exhibit distinct variations in their knowledge, attitudes, and perceptions concerning antibiotic use and antibiotic resistance. Effective countermeasures such as public campaigns should be targeted according to the population and those areas of knowledge, attitudes and behaviours in which the main shortcomings lie.

Mating Performance and Singlehood Across 14 Nations.

Adult individuals frequently face difficulties in attracting and keeping mates, which is an important driver of singlehood. In the current research, we investigated the mating performance (i.e., how well people do in attracting and retaining intimate partners) and singlehood status in 14 different countries, namely Austria, Brazil, China, Greece, Hungary, Italy, Japan, Peru, Poland, Russia, Spain, Turkey, the UK, and Ukraine (N = 7,181). We found that poor mating performance was in high occurrence, with about one in four participants scoring low in this dimension, and more than 57% facing difficulties in starting and/or keeping a relationship. Men and women did not differ in their mating performance scores, but there was a small yet significant effect of age, with older participants indicating higher mating performance. Moreover, nearly 13% of the participants indicated that they were involuntarily single, which accounted for about one-third of the singles in the sample. In addition, more than 15% of the participants indicated that they were voluntarily single, and 10% were between-relationships single. We also found that poor mating performance was associated with an increased likelihood of voluntary, involuntary, and between-relationships singlehood. All types of singlehood were in higher occurrence in younger participants. Although there was some cross-cultural variation, the results were generally consistent across samples.

Cultural values, national personality characteristics, and intelligence as correlates of corruption: A nation level analysis.

Research on national corruption has primarily focused on economics and politics, whereas cultural factors and especially national personality characteristics have attracted less attention. In the present study, the influence of Hofstede's cultural dimensions, Schwartz's values, Eysenckian personality factors (EPQ), and national intelligent quotient (IQ) on Corruption Perception Index (CPI) scores were studied by using aggregated data from 64 countries and ecological design, i.e., correlations, partial correlations, multiple regression analyses, and mediation and moderation analyses. The sub-datasets included 35 countries for the EPQ, 46 countries for the Hofstede cultural values, 30 countries for the Schwartz value dimensions, and all 64 countries for the IQ. Both partial correlations and regression analyses in which GDP per capita was controlled emphasized the importance of national income in corruption so that high income was negatively related to CPI scores. Regression analysis results showed that the EPQ Lie scores, Hofstede's power distance, and masculinity, as well as Schwartz's hierarchy, mastery, and harmony, were positively, and individualism and intelligence negatively related to corruption. The mediation analyses showed that the effects of cultural values on corruption were mostly mediated by income (GDP per capita). Hence, the national culture influences the national income level, which, in turn, is related to corruption. The effect of individualism on corruption was moderated by income so that individualism was negatively related to corruption in countries with lower income. The results suggest that cultural factors should be considered in corruption studies and anti-corruption policies. Without taking into account the national cultural values, anti-corruption policies might not be perceived well by the public, compromising the effects of the interventions.

Born to Be a Risky Driver? The Relationship Between Cloninger's Temperament and Character Traits and Risky Driving.

Temperament refers to basic, largely inherited, relatively stable personality traits which have been present since early childhood. Considering the very fundamental role of temperament in human development and behaviour, it is reasonable to assume that temperament is also related to risky driving and drivers' view of themselves as drivers. The aim of the present study was to investigate the relationships between Cloninger's temperament dimensions, risky driving and drivers' view of their perceptual motor and safety skills. The sample consisted of 335 Turkish drivers (aged 19-57; 53.7% men) who completed an Internet-based survey including Temperament and Character Inventory (TCI), Driver Behaviour Questionnaire (DBQ) and Driver Skill Inventory (DSI). Correlation analyses showed that TCI scale Cooperativeness correlated negatively with all DBQ scales indicating risky driving and positively with safety skills. In regression analyses after controlling age, gender and lifetime mileage, cooperativeness still was significantly related to all DBQ scales and safety skills. Persistence correlated negatively with ordinary violations, lapses and errors and positively with perceptual motor skills. In regression analyses, persistence was related to errors and lapses. Reward dependence was positively related to lapses and harm avoidance negatively to perceptual motor skills. The results of the present study indicate that largely innate temperament character traits may influence an individual's predisposition to risky driving. Future studies about temperament and risky driving with larger samples allowing sub-group analyses are needed.

Acculturation, trust to health care system, and attitudes to COVID-19 vaccination: A comparative study between Polish immigrants in Norway, Polish in Poland, and Norwegians in Norway.

Fast deployment of safe and efficient COVID-19 vaccines has changed the course of the pandemic in many countries reducing COVID-19 death rates and allowing countries to abandon strict measures such as social distancing and restrictions to public events. The vaccination strategy, however, is based on the expected high vaccination rate in the population. Several studies have indicated vaccination hesitancy to be higher in ethnic minority communities, which can lead to unnecessary suffering and loss of lives, worsening pre-existing health inequalities and marginalization of ethnic minority groups. The aim of the present study was to investigate the relationships between acculturation to Norwegian culture, trust in health authorities, and attitude to COVID-19 vaccine among Polish immigrants in Norway. An internet-based survey including questions about attitude to COVID-19 vaccination and trust in the health care system was filled by 150 Polish immigrants in Norway, 256 Polish living in Poland, and 264 Norwegians living in Norway. In addition, the Polish immigrants also answered questions about acculturation to Norway. The results showed that the Polish immigrants in Norway had less positive attitudes to COVID-19 vaccination than the Norwegians, while they did not differ from Polish living in Poland. The Polish immigrants also indicated lower trust in the Norwegian health care system than the Norwegians. In regression analysis, the trust in the values of the health care system was the most important predictor of COVID-19 vaccination attitudes in all three samples. A path model showed that trust in the values of the health care system mediated the effects of acculturation to Norway on COVID-19 vaccination attitudes among Polish immigrants. These results underline the importance of taking ethnic minorities and immigrants into account in the health care system to reduce COVID-19 vaccination hesitancy.

Self-Assessed Driving Skills and Risky Driver Behaviour Among Young Drivers: A Cross-Sectional Study.

The first few years of driving is a critical period when driving skills develop and the driving style is established. While the actual driving skills improve during the first few years of driving, a novice driver's view of himself/herself as a safe and/or skilful driver also develops rapidly. The aim of this study was to investigate self-evaluated driver safety and perceptual-motor skills among different age groups of young drivers, along with the relationships between self-evaluated skills and driving behaviour. The sample consisted of a stratified random sample of 18-25-year-old drivers from the Finnish driving licence register. The questionnaires, which included the Driver Skill Inventory (DSI), Driver Behaviour Questionnaire (DBQ) and background information, were completed and returned by a total of 1,058 participants. While female drivers assessed their safety skills to be higher than their perceptual-motor skills, the opposite was true for males. In both sexes, perceptual-motor skills increased, and safety skills decreased with experience. Perceptual-motor skills correlated negatively with safety skills, lapses and errors, but positively with aggressive and ordinary violations. Safety skills correlated negatively with all DBQ variables. Safety orientation seems to be most clearly reflected in deliberate aberrant driving behaviours. Sex differences were observed in the development of behaviours and skills, perceptual-motor skills only increased with age among males, while safety skills decreased through experience among both men and women. Results showed that driving experience was strongly related to both driving style (violations, errors) and the drivers' view of their skills (safety orientation), highlighting the importance of the first few years of driving.

Self-Perception and the Relation to Actual Driving Abilities for Individuals With Visual Field Loss.

Background: In Sweden, individuals with visual field loss (VFL) have their driving license withdrawn. The literature clearly indicates that individuals with VFL are unsafe drivers on a group level. However, many drivers with VFL can be safe on an individual level. The literature also suggests that self-perception, beliefs, and insights of one's own capabilities are related to driving performance. This study had three aims: (1) To investigate self-perceived driving capability ratings for individuals with VFL; (2) to compare these ratings between groups with different medical conditions associated with VFL (stroke, glaucoma, and diabetes); and (3) to relate the self-perception ratings to actual driving performance in an advanced driving simulator. Methods: Participants comprised 723 individuals whose driver's license had been withdrawn because of VFL and 92 normally sighted elderly individuals. All participants completed a background survey, rated difficulties with different traffic situations, rated their strengths and weaknesses as drivers, and rated aspects that were important for causing traffic accidents. Of the VFL group participants, 264 also completed a simulator-based driving test that they knew could lead to renewal of their driving license. VFL participants and normally sighted was at the same age when they completed the simulator driving test. Results: Overall, individuals with VFL rated their capabilities as high on all instruments and scales used, even higher than the elderly normally sighted control group. The only VFL etiology group that rated lower than other groups was the diabetes group. Safety orientation and internal control orientation values were best at discriminating between VFL participants in terms of self-perception of driving performance. Participants categorized as "high" in terms of safety skills and internal control were more modest in their ratings. Finally, participants who passed the simulated driving test did not differ from those who failed, in any of the self-perception measures. Conclusion: Self-perception ratings among individuals with VFL were higher than those of normally sighted elderly individuals. Self-assessed skills did not predict driving performance. Groups with different VFL etiologies rated similarly. Self-ratings of driving abilities cannot be used to assess actual driving performance. Actual driving tests (on road or in the simulator) are necessary to discriminate between safe and unsafe drivers with VFL.

Socio-cultural Correlates of the COVID-19 Outcomes.

While basically all countries have been hit by the COVID-19 pandemic, the impact has varied in large degrees among countries. In the present study, national differences in six COVID-19 indicators (COVID-19 deaths per capita, excess mortality, change in GDP per capita, vaccination rate, stringency index, and overall impact of the pandemic) were studied in relation to socio-economic and Hofstede's cultural dimensions by using the latest data available. The results differed to some degree from the studies conducted in the earlier stage of the pandemic. COVID-19 deaths per capita were predicted by Uncertainty Avoidance (UA) and Indulgence (IVR); excess mortality by UA; the impact of pandemics by Power Distance (PDI), Long-term Orientation (LTOWS) and IVR; change in GDP per capita by PDI; vaccination rate by Individualism and UA; and Stringency Index by LTOWS. In addition to further clarifying the role of cultural dimensions in the pandemic, three conclusions can be drawn. First, the pandemic reached different countries at different times, which is reflected in the results. The conclusion about the role of socio-economic and cultural factors can be drawn only after the pandemic. Second, cultural dimensions were related to COVID-19 measures only when socio-economic indicators were not considered but lost their significance when socio-economic variables were entered into the models. Cultural dimensions influence the outcome variables via socio-economic factors. Third, earlier studies have focused mainly on COVID-19 deaths. The impact of the COVID-19 pandemic is a complex phenomenon and cannot be reduced to the death rate.

Effectiveness of implementing a Graduated Driver Licensing (GDL) law among young Serbian drivers.

INTRODUCTION: Young novice drivers have higher rates of engagement in road crashes worldwide, often owing to unfavorable attitudes toward road safety or lack of knowledge, experience, and risk consciousness. However, the implementation of graduated driver licensing (GDL) systems has proven effective in reducing the high incidence of young drivers involved in crashes. METHOD: The purpose of this study was to compare the change in driving outcomes (e.g., attitudes toward traffic safety, behavior patterns while driving, risk assessment in traffic, assessment of personal driving skills, and involvement in traffic crashes) of young drivers prior to and following the implementation of a GDL law. Respondents (n = 642) completed a battery of questions, including a driver attitudes questionnaire (Behaviour of Young Novice Drivers Scale), a self-assessed driving ability questionnaire, and a risk perception questionnaire. Of the total sample size, 324 drivers passed the old system of training driver's license candidates, and 318 drivers passed the new GDL system. RESULTS: The results showed that drivers licensed with GDL reported safer attitudes toward traffic rule violations and speed, and higher levels of safety orientation with regard to their driving abilities. They also reported much higher levels of risk perception and lower exposure to risky situations (risky driving exposure). There were no differences between GDL drivers and non-GDL drivers in terms of self-reported crashes or transient or fixed violations. In addition, GDL was not related to the number of traffic crashes, the number of fatalities, or serious and slight injuries in crashes involving young drivers in crashes obtained from official records. CONCLUSIONS: The results suggest that GDL contributed to the improvement of drivers' attitudes and understanding of risk but did not contribute to significant changes in the behavior of young drivers and traffic crashes. In addition, the GDL program in Serbia only ranks fair on the Insurance Institute for Highway Safety (IIHS) scale. Strengthening the GDL program in Serbia with additional components in line with GDL programs rated as good by the IIHS scale could improve the safety of young and novice drivers in traffic.

I Want Our Relationship to Last: Strategies That People Employ in Order to Improve Their Intimate Relationships.

Intimate relationships are not always easy to keep. Accordingly, the current research has attempted to identify the strategies that people employ in order to improve their relationships with their partners. In particular, by using open-ended questionnaires in a sample of 219 Greek-speaking participants, we have identified 81 acts that people were likely to perform toward this end. Subsequently, using quantitative research methods in a sample of 511 Greek-speaking participants, we classified these acts into 14 broader relationship enhancement strategies. Trying to understand partners' needs, discussing problems with partners and showing more interest in a partner, were among the most likely to be used strategies. Moreover, we asked a sample of 367 Greek-speaking participants to rate how effective these strategies would be on them, and we found that, trying to understand partners' needs, discussing problems with partners, and showing one's love to a partner, were rated as the most effective strategies. Men and women, and people of different ages, were generally in agreement over what strategies they were willing to use, and how effective these strategies would be on improving their relationship with their partners.

Community Use of Antibiotics in Turkey: The Role of Knowledge, Beliefs, Attitudes, and Health Anxiety.

Turkey has been among the leading countries in antibiotic consumption. As a result of the 4-year National Action Plan for Rational Drug Use, antibiotic prescriptions had declined from 34.9% in 2011 to 24.6% in 2018. However, self-medication with antibiotics without prescription is common, which is not reflected in official statistics. The present study aims at investigating antibiotic use in the community and the factors related to it. A web-based survey was conducted among 945 Turkish-speaking respondents (61.3% female). The questionnaire included questions about antibiotic use for different illnesses, ways to obtain and handle leftover antibiotics, knowledge, beliefs of the antibiotic effectiveness, attitudes, health anxiety, and background factors. According to the results, 34.2% of the sample had self-medicated themselves with antibiotics without a valid prescription. The most common way to self-medicate was to use leftover antibiotics. While 80.4% knew that antibiotics are used to treat bacterial infections, 51.4% thought that antibiotics are effective for viral diseases. The most important predictor of antibiotic use frequency was the belief in their efficiency for various illnesses and symptoms, followed by negative attitudes to antibiotics, health anxiety, knowledge level, positive attitudes, and health status. The results underline the importance of targeting misbeliefs about antibiotics in future campaigns.

Attitudes Toward Four Levels of Self-Driving Technology Among Elderly Drivers.

Automatization and autonomous vehicles can drastically improve elderly drivers' safety and mobility, with lower costs to the driver and the environment. While autonomous vehicle technology is developing rapidly, much less attention and resources have been devoted to understanding the acceptance, attitudes, and preferences of vehicle automatization among driver groups, such as the elderly. In this study, 236 elderly drivers (≥65 years) evaluated four vehicles representing SAE levels 2-5 in terms of safety, trustworthiness, enjoyment, reliability, comfort, ease of use, and attractiveness, as well as reporting preferences for vehicles employing each of the four levels of automation. The results of a repeated-measures ANOVA showed that the elderly drivers rated the SAE level 2 vehicle highest and the fully automated vehicle (SAE 5) lowest across all attributes. The preference for the vehicle declined as a function of increasing automatization. The seven attributes formed an internally coherent "attitude to automatization" scale, a strong correlate of vehicle preference. Age or annual mileage were not related to attitudes or preferences for automated vehicles. The current study shows that elderly drivers' attitudes toward automatization should be studied further, and these results should be taken into account when developing automated vehicles. The full potential of automatization may not be realized if elderly drivers are ignored.