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	<title>knowledge gaps &#8211; Science</title>
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	<title>knowledge gaps &#8211; Science</title>
	<link>https://scienmag.com</link>
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		<title>Medical Students&#8217; Relatives Show Gaps in Lung Cancer Knowledge, Chinese Survey Finds</title>
		<link>https://scienmag.com/medical-students-relatives-show-gaps-in-lung-cancer-knowledge-chinese-survey-finds/</link>
		
		<dc:creator><![CDATA[Nathaniel Bowman]]></dc:creator>
		<pubDate>Sun, 25 Oct 2026 02:42:42 +0000</pubDate>
				<category><![CDATA[Science Education]]></category>
		<category><![CDATA[analysis]]></category>
		<category><![CDATA[awareness]]></category>
		<category><![CDATA[BMC Medical Education]]></category>
		<category><![CDATA[cancer screening]]></category>
		<category><![CDATA[China]]></category>
		<category><![CDATA[Chinese lung cancer awareness survey]]></category>
		<category><![CDATA[cross-sectional survey]]></category>
		<category><![CDATA[factors influencing health literacy]]></category>
		<category><![CDATA[gaps in lung cancer treatment knowledge]]></category>
		<category><![CDATA[health education among relatives of medical students]]></category>
		<category><![CDATA[health literacy]]></category>
		<category><![CDATA[impact of gender on health knowledge]]></category>
		<category><![CDATA[knowledge gaps]]></category>
		<category><![CDATA[lung cancer]]></category>
		<category><![CDATA[lung cancer knowledge assessment in China]]></category>
		<category><![CDATA[lung cancer prevention awareness]]></category>
		<category><![CDATA[lung cancer prevention misconceptions]]></category>
		<category><![CDATA[medical students]]></category>
		<category><![CDATA[medical students' family health knowledge]]></category>
		<category><![CDATA[predictors of lung cancer awareness]]></category>
		<category><![CDATA[role of medical students in family health education]]></category>
		<category><![CDATA[science education]]></category>
		<category><![CDATA[scientific communication in health education]]></category>
		<category><![CDATA[social media]]></category>
		<guid isPermaLink="false">https://scienmag.com/?p=338931</guid>

					<description><![CDATA[A cross-sectional survey of 713 relatives of medical students in China found that 30.4% had inadequate awareness of core lung cancer prevention and treatment knowledge, with female sex, higher education, and cancer screening experience linked to adequate awareness.]]></description>
										<content:encoded><![CDATA[<p>Nearly one in three relatives of medical students in China lacks adequate knowledge of the core facts about lung cancer prevention and treatment, according to a cross-sectional survey published in BMC Medical Education. Of 713 completed questionnaires, returned at a response rate of 75.5 percent, 217 respondents, or 30.4 percent, were classified as having inadequate awareness of core knowledge on lung cancer prevention and treatment, while 496 respondents, or 69.6 percent, reached the threshold for adequate knowledge.</p>
<p>The study set out to evaluate how well the family members of medical students understood this core knowledge and to identify the factors that shaped their awareness. Medical students are considered well positioned to relay scientifically valid information about lung cancer prevention to their households, so the authors reasoned that mapping knowledge levels among their relatives could reveal where such information transfer falls short. Participants completed an electronic survey covering eleven items on basic demographic details, twenty-four items testing knowledge of lung cancer prevention and treatment, and questions about their interest in receiving popular science education on the disease.</p>
<p>To determine which characteristics predicted inadequate knowledge, the researchers used multivariate logistic regression. The analysis identified three factors significantly associated with adequate knowledge: being female, having a higher education level, and having experienced cancer screening. By implication, the groups most at risk of knowledge gaps were male respondents, those with lower educational attainment, and those who had never undergone cancer screening. The authors conclude that targeted interventions should focus on these three groups.</p>
<p>The survey also probed how respondents preferred to receive lung cancer science education. Social media emerged as the primary channel through which participants wanted to acquire this information. Among specific dissemination formats, the most favored were written articles, expert lectures, and patient-doctor communication sessions. These preferences suggest that future outreach aimed at closing knowledge gaps could be tailored to the platforms and formats that this population already finds accessible.</p>
<p>The findings carry important limitations that the authors themselves note. The study used a cross-sectional design, which captures awareness at a single point in time and cannot establish causal relationships between the identified factors and knowledge levels. In addition, because the sample was drawn exclusively from the relatives of medical students, potential selection bias limits how far the results can be generalized to the wider population. Families with a medical student member may already differ systematically in health literacy and access to information compared with households without such a connection.</p>
<p>Within those constraints, the study offers a concrete starting point for intervention design. It identifies which demographic groups among an already advantaged population still fall short on core lung cancer knowledge, and it documents the communication channels those groups prefer. The authors argue that efforts to improve awareness of lung cancer prevention and treatment should be directed at males, less-educated individuals, and people without screening experience, and that social media, articles, expert lectures, and patient-doctor communication sessions represent the most promising vehicles for delivering that education.</p>
<p><strong>Subject of Research:</strong> Awareness of core lung cancer prevention and treatment knowledge among relatives of medical students in China</p>
<p><strong>Article Title:</strong> Analysis of the awareness of core knowledge on lung cancer prevention and treatment among relatives of medical students</p>
<p><strong>Article References:</strong> Yu, N., Zhang, L., Ma, G., Dang, S., &amp; Han, D. (2026). Analysis of the awareness of core knowledge on lung cancer prevention and treatment among relatives of medical students. <em>BMC Medical Education</em>. <a href="https://doi.org/10.1186/s12909-025-07190-y" rel="noopener noreferrer">https://doi.org/10.1186/s12909-025-07190-y</a></p>
<p><strong>Image Credits:</strong> AI Generated</p>
<p><strong>DOI:</strong> <a href="https://doi.org/10.1186/s12909-025-07190-y" rel="noopener noreferrer">10.1186/s12909-025-07190-y</a></p>
<p><strong>Keywords:</strong> lung cancer, health literacy, medical students, cross-sectional survey, cancer screening, science education, social media, China, BMC Medical Education, knowledge gaps, Analysis, awareness</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">338931</post-id>	</item>
		<item>
		<title>Syrian medical residents value palliative care but lack the knowledge to deliver it</title>
		<link>https://scienmag.com/syrian-medical-residents-value-palliative-care-but-lack-the-knowledge-to-deliver-it/</link>
		
		<dc:creator><![CDATA[Courtney Benton]]></dc:creator>
		<pubDate>Sat, 24 Oct 2026 18:43:59 +0000</pubDate>
				<category><![CDATA[Science Education]]></category>
		<category><![CDATA[assessment of palliative care competency]]></category>
		<category><![CDATA[barriers to palliative care implementation]]></category>
		<category><![CDATA[BMC Medical Education]]></category>
		<category><![CDATA[conflict-affected health systems]]></category>
		<category><![CDATA[cross-sectional study]]></category>
		<category><![CDATA[cross-sectional study on medical education]]></category>
		<category><![CDATA[curriculum reform]]></category>
		<category><![CDATA[Damascus University]]></category>
		<category><![CDATA[emergency medical training in conflict-affected countries]]></category>
		<category><![CDATA[gender differences in medical residency]]></category>
		<category><![CDATA[healthcare challenges in Syria]]></category>
		<category><![CDATA[impact of medical training on palliative care delivery]]></category>
		<category><![CDATA[knowledge gaps]]></category>
		<category><![CDATA[Medical Education]]></category>
		<category><![CDATA[medical education in conflict zones]]></category>
		<category><![CDATA[medical residents]]></category>
		<category><![CDATA[pain management]]></category>
		<category><![CDATA[palliative care]]></category>
		<category><![CDATA[palliative care knowledge gap in Syrian medical residents]]></category>
		<category><![CDATA[palliative care training in Damascus University]]></category>
		<category><![CDATA[residency training]]></category>
		<category><![CDATA[resident attitudes towards palliative care]]></category>
		<category><![CDATA[specialty-specific palliative care knowledge]]></category>
		<category><![CDATA[Syria]]></category>
		<guid isPermaLink="false">https://scienmag.com/?p=338095</guid>

					<description><![CDATA[A cross-sectional study of 224 residents at Damascus University hospitals found near-universal appreciation of palliative care but widespread low scores on a validated knowledge test, with seniority, specialty, and prior training predicting performance while subjective attitudes did not.]]></description>
										<content:encoded><![CDATA[<p>Medical residents at Damascus University hospitals overwhelmingly agree that palliative care matters, yet most cannot answer basic questions about how it is actually delivered, according to a cross-sectional study published in BMC Medical Education. Among 224 residents surveyed in April 2026, 98.2 percent considered palliative care an important subject and 90.6 percent expressed interest in learning more about it. Despite this enthusiasm, 62 percent of respondents fell into the low and very low performance categories on a validated knowledge test, exposing a wide gap between attitude and technical competency in a health system still operating under the pressures of a conflict-affected country.</p>
<p>The study assessed residents across five specialties: surgery, internal medicine, anesthesia, oncology, and psychology. Participants had a mean age of 27.32 years, and women made up 52.7 percent of the sample. Most respondents were in their second year of residency and came from internal medicine. The researchers used the Palliative Care Knowledge Test to measure objective knowledge, alongside questions covering demographic characteristics, previous training, and attitudes toward the field. Only 23.2 percent of participants reported any prior training in palliative care, and among those who had received it, the majority, 63.4 percent, obtained it during residency rather than during undergraduate medical education.</p>
<p>Knowledge varied sharply across the domains of the scale. Residents performed best on the philosophy of palliative care, with a correct response rate of 93.6 percent, suggesting that most understand the field&#8217;s patient-centered aim of improving quality of life for people with incurable illnesses by addressing physical symptoms, psychological distress, social challenges, and spiritual concerns. Performance dropped steeply on clinical content: pain management questions were answered correctly 44.5 percent of the time, gastrointestinal issues 42.9 percent, psychiatric aspects 50.1 percent, and dyspnea, or breathing difficulty, only 36 percent. These are precisely the domains that determine whether a dying patient&#8217;s symptoms are recognized and relieved, and the authors note that the concentration of respondents in the lower performance categories highlights significant gaps in technical palliative care competency.</p>
<p>The statistical analysis revealed a telling pattern about what does and does not drive knowledge. Academic seniority, medical specialty, and previous training were significant factors associated with knowledge levels. In contrast, subjective factors, including the perceived importance of the field, interest in further learning, self-reported preparedness, and having prior clinical experience with terminally ill patients, did not correlate with objective knowledge. In other words, caring about palliative care and feeling ready for it did not translate into knowing it. This dissociation matters for training design, because it implies that motivation alone, however widespread among residents, will not close the competency gap without structured instruction.</p>
<p>The authors frame the issue as a cornerstone problem with consequences beyond individual test scores. Deficiencies in palliative care knowledge can affect patients&#8217; quality of life, the satisfaction of patients&#8217; families, and doctors&#8217; own self-estimation. Palliative care demand has been increasing, and numerous studies have shown that healthcare professionals often possess insufficient knowledge in this field, a finding this study extends to a residency workforce trained inside Damascus University hospitals. The researchers conclude that formal, diligent steps toward establishing a palliative care curriculum in both undergraduate programs and residency training are important, positioning medical education reform as the practical route from the residents&#8217; near-universal interest to the clinical competence that interest currently lacks.</p>
<p><strong>Subject of Research:</strong> Palliative care knowledge and attitudes among medical residents in Syria</p>
<p><strong>Article Title:</strong> Palliative care attitude and knowledge among Syrian residents: a cross-sectional study from a conflict-affected country</p>
<p><strong>Article References:</strong> Almawaz, M. Y., Tawashi, K., Burkhoush, R., Zayton, N. M., Kheirbek, A., Alsweleh, H., &amp; Manachi, M. (2026). Palliative care attitude and knowledge among Syrian residents: a cross-sectional study from a conflict-affected country. <em>BMC Medical Education</em>. <a href="https://doi.org/10.1186/s12909-026-10665-1" rel="noopener noreferrer">https://doi.org/10.1186/s12909-026-10665-1</a></p>
<p><strong>Image Credits:</strong> AI Generated</p>
<p><strong>DOI:</strong> <a href="https://doi.org/10.1186/s12909-026-10665-1" rel="noopener noreferrer">10.1186/s12909-026-10665-1</a></p>
<p><strong>Keywords:</strong> palliative care, medical residents, Syria, Damascus University, cross-sectional study, knowledge gaps, pain management, medical education, residency training, curriculum reform, BMC Medical Education, conflict-affected health systems</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">338095</post-id>	</item>
		<item>
		<title>Africa&#8217;s fastest-growing cities remain the least studied for climate hazards</title>
		<link>https://scienmag.com/africas-fastest-growing-cities-remain-the-least-studied-for-climate-hazards/</link>
		
		<dc:creator><![CDATA[Sloane Callahan]]></dc:creator>
		<pubDate>Fri, 23 Oct 2026 23:14:30 +0000</pubDate>
				<category><![CDATA[Climate]]></category>
		<category><![CDATA[Earth Science]]></category>
		<category><![CDATA[adaptation planning]]></category>
		<category><![CDATA[African cities]]></category>
		<category><![CDATA[African urban climate hazard research]]></category>
		<category><![CDATA[climate change impact on African urban populations]]></category>
		<category><![CDATA[climate hazard assessment in African cities]]></category>
		<category><![CDATA[climate hazard mapping in African cities]]></category>
		<category><![CDATA[climate hazards]]></category>
		<category><![CDATA[climate vulnerability in African cities]]></category>
		<category><![CDATA[Earth observation]]></category>
		<category><![CDATA[fastest-growing cities in Africa]]></category>
		<category><![CDATA[gaps in African climate hazard literature]]></category>
		<category><![CDATA[geographic coverage of African climate studies]]></category>
		<category><![CDATA[global scientific focus on African urban climate]]></category>
		<category><![CDATA[informal settlements]]></category>
		<category><![CDATA[knowledge gaps]]></category>
		<category><![CDATA[land surface temperature]]></category>
		<category><![CDATA[peer-reviewed climate research Africa]]></category>
		<category><![CDATA[sea level rise]]></category>
		<category><![CDATA[underrepresented climate studies in Africa]]></category>
		<category><![CDATA[urban climate adaptation in Africa]]></category>
		<category><![CDATA[urban flooding]]></category>
		<category><![CDATA[urban heat]]></category>
		<category><![CDATA[urbanisation]]></category>
		<category><![CDATA[water stress]]></category>
		<guid isPermaLink="false">https://scienmag.com/?p=335987</guid>

					<description><![CDATA[A review of 272 studies finds that research on climate hazards in African cities is expanding rapidly but remains skewed toward large capitals, flooding and heat, while small cities, Central Africa and future-looking assessments are largely missing.]]></description>
										<content:encoded><![CDATA[<p>African cities are growing faster than almost anywhere else on Earth, and the climate hazards bearing down on them are intensifying. Yet according to a new review published in the journal Natural Hazards and Earth System Sciences, the scientific literature meant to guide their adaptation is expanding quickly but lopsidedly, leaving many of the continent&#8217;s most vulnerable urban populations effectively unstudied. The assessment, led by Koen De Ridder of the Flemish Institute for Technological Research in Belgium together with colleagues in Belgium and Canada, screened 1,832 scientific records published between 2015 and 2025 and distilled them into a final corpus of 272 peer-reviewed articles on climate hazards in African urban settings.</p>
<p>The review, released on 23 October 2026, combined quantitative mapping of the literature with a hazard-by-hazard expert assessment in a semi-systematic design. The team deliberately avoided prescribing hazard-related search terms such as heat, flooding or drought, instead requiring only that variants of the word climate appear alongside urban terms in the title, with geographic coverage spanning Africa and all 54 of its United Nations member countries. That design choice means the corpus captures studies that explicitly connect urban hazards to a climate context, rather than the complete literature on urban hazards, and the authors frame their findings accordingly. Screening was conducted by a single author, with uncertain records conservatively retained to minimise the risk of discarding relevant work, and English-language records across all document types except books were considered.</p>
<p>What emerged is a picture of a knowledge base that is growing fast but unevenly. Annual publication output rose from only a handful of articles in 2015 to more than 40 in 2024, yet the geography of that output is strikingly concentrated. Authors with African affiliations account for 48.1 percent of the sample, but the countries contributing most publications are the United Kingdom and the United States. Among African nations, South Africa, Nigeria, Ethiopia and Ghana lead the record, while Central Africa remains what the authors call a blind spot. Capital cities dominate: of the 112 cities identified, 28 are national capitals, but because capitals tend to appear in many studies, they represent nearly 45 percent of all city references when weighted by frequency.</p>
<p>The size imbalance is perhaps the most consequential finding. Small cities with fewer than 100,000 inhabitants are strongly underrepresented in the literature, while large cities are overrepresented, even though much of Africa&#8217;s urban growth is occurring in fast-growing secondary cities. The authors warn that where local evidence is lacking, smaller cities may have to rely on hazard information derived from substantially different urban settings, which may not reflect their actual conditions or adaptation needs. Comparisons across Köppen-Geiger climate zones show that the literature mirrors the distribution of African urban populations reasonably well overall, with the tropical savanna zone dominating both the research record and the population baseline. But cities in highland and Mediterranean climates receive disproportionately high attention, while urban populations in monsoon, tropical forest and hot desert climates are somewhat underrepresented despite their demographic weight. Geographically, coverage clusters near the Gulf of Guinea, along an axis from East to Southern Africa, and in Mediterranean North Africa, with many frequently studied cities located on the coast.</p>
<p>Thematically, flooding and land surface temperature dominate the field, together accounting for nearly half of all publications. Extreme heat and slow-onset events are also well represented, and taken together the two heat-related categories account for well over a hundred articles, confirming heat as one of the most prominently studied urban climate risks. By contrast, sea-level rise, windstorms and urban water stress receive only sparse coverage despite their known relevance to urban vulnerability. The authors caution that this distribution reflects research attention rather than the relative importance of hazards across African cities. Substantive consideration of more than one hazard appears in just 30 papers, or 11 percent of the corpus, and explicit analysis of interactions between hazards, such as the compound flooding studied in Maputo where rainfall coincides with high tides, is considerably rarer still.</p>
<p>Methodologically, Earth Observation has become a central pillar of the field, particularly Landsat imagery used to diagnose land surface temperature and reconstruct historical urban growth. In regions where meteorological stations are sparse, satellite data offer spatially consistent measurements over large areas and multi-decadal periods, and programmes such as the European Space Agency&#8217;s Sentinel missions and the Copernicus Climate Change Initiative have greatly expanded data availability. Yet the review finds that the relative share of remote-sensing studies has remained stable at around 40 percent in recent years, and applications remain concentrated on surface temperature diagnostics and land-cover change. The authors conclude that despite major advances in sensors and processing capacity, the broader potential of satellite observation remains underexploited.</p>
<p>High-resolution urban climate modelling is similarly scarce. Global and regional climate models typically operate at resolutions too coarse to capture city-level processes, and many studies interpolate climate data from coarse model output fields, ignoring the local influence of the urban fabric on its own microclimate. The few detailed studies underscore what is being missed: simulations in Lagos reveal substantial spatial differences in heat stress tied to urban morphology, measurements in Kampala and modelling in Johannesburg show strongly varying outdoor heat exposure between neighbourhoods, and work in Niamey coupling the UrbClim model with projected urban expansion found that future heat stress increases both in intensity and spatial extent as the city grows. Keyword co-occurrence analysis also shows that impact-related terms such as mortality, malaria and vector-borne disease sit at the periphery of the research network, suggesting that systematic integration of health, poverty and other vulnerability dimensions remains limited, while artificial intelligence and machine learning techniques are only beginning to enter the field.</p>
<p>The literature is also overwhelmingly retrospective. Urbanisation or urban growth is mentioned in nearly half of the articles, but almost all of these examine past growth; only 10 of the 272 studies look forward to future urban expansion. Roughly 10 percent consider future climate projections, and very few combine future climate scenarios with projected urban growth, demographic change or adaptation pathways. That gap matters because Africa&#8217;s urban population is expected to roughly double between 2025 and 2050, from around 700 million to almost 1.5 billion people, and more than half of the continent&#8217;s urban residents, some 230 million, already live in informal settlements where homes may overheat, collapse in storms or be swept away in floods. Hazard assessments that account for future climate while disregarding future urban growth may therefore provide an incomplete basis for long-term adaptation decisions.</p>
<p>The hazard-specific reviews reinforce how much urban flood and heat outcomes depend on local conditions rather than climate alone. Studies across the continent show that worsening urban flooding stems from the interaction of changing rainfall, land-use change and drainage performance: expansion into floodplains increases exposure and impervious cover while removing natural surfaces that slowed runoff, and encroachment into drainage rights-of-way concentrates overland flow. Sparse sub-hourly rain gauges, outdated drainage inventories and rare event-based datasets hamper both detection of changing extremes and routine updating of engineering design assumptions. On the coast, sea-level rise acts less as gradual inundation than as a rising baseline that amplifies rainfall, tidal and drainage-related flooding, a risk sharpened in low-lying deltas such as the Nile Delta and by land subsidence linked to urban development. Water stress, meanwhile, emerges from coupled supply and demand pressures, with households turning to private boreholes and vendors in ways that can accelerate groundwater drawdown and impose higher costs on poorer areas. Slow-onset changes accumulate through further pathways, from expanding suitability for malaria and dengue vectors to pressures on food security, soil erosion and landslides, while windstorm research remains confined mainly to individual events and observed impacts, with few cross-city comparisons or projections.</p>
<p>The review&#8217;s conclusions point to clear research priorities: broader geographic and climatic representation, greater attention to small and secondary cities and to understudied hazards such as windstorms and water stress, stronger integration of social dimensions like informality, which is mentioned in less than 10 percent of the selected articles, and a decisive shift toward studies that jointly consider future climate and future urban development. Improved high-resolution observations and urban-scale modelling remain essential, with Earth Observation offering a particularly valuable and scalable information source in data-scarce regions. Without such a rebalancing, the authors suggest, the evidence base for adaptation and resilience planning in African cities will continue to be shaped disproportionately by a handful of large, well-studied capitals, while the places growing fastest remain the least understood.</p>
<p><strong>Subject of Research:</strong> A semi-systematic review of scientific literature on climate hazards in African cities identifying geographic, thematic and methodological knowledge gaps</p>
<p><strong>Article Title:</strong> Review article: Climate hazards in African cities – knowledge gaps and research needs</p>
<p><strong>Article References:</strong> De Ridder, K., Alobaidi, M. H., Bonakdari, H., Crols, T., Lanssens, B., Leon-Tavares, J., Naseri, A., Seidou, O., Shaheen, M., Souverijns, N., Uljee, I., &amp; Veldeman, N. (2026). Review article: Climate hazards in African cities – knowledge gaps and research needs. <em>Natural Hazards and Earth System Sciences, 26</em>(10), 5219-5239. <a href="https://doi.org/10.5194/nhess-26-5219-2026" rel="noopener noreferrer">https://doi.org/10.5194/nhess-26-5219-2026</a></p>
<p><strong>Image Credits:</strong> AI Generated</p>
<p><strong>DOI:</strong> <a href="https://doi.org/10.5194/nhess-26-5219-2026" rel="noopener noreferrer">10.5194/nhess-26-5219-2026</a></p>
<p><strong>Keywords:</strong> African cities, climate hazards, urban flooding, urban heat, land surface temperature, Earth Observation, sea-level rise, water stress, urbanisation, informal settlements, adaptation planning, knowledge gaps</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">335987</post-id>	</item>
		<item>
		<title>Antibiotic resistance awareness runs deep in MENA but knowledge gaps and self-medication persist across seven countries</title>
		<link>https://scienmag.com/antibiotic-resistance-awareness-runs-deep-in-mena-but-knowledge-gaps-and-self-medication-persist-across-seven-countries/</link>
		
		<dc:creator><![CDATA[Ophelia Keating]]></dc:creator>
		<pubDate>Thu, 15 Oct 2026 12:52:36 +0000</pubDate>
				<category><![CDATA[Medicine]]></category>
		<category><![CDATA[Science News]]></category>
		<category><![CDATA[antibiotic resistance awareness in MENA]]></category>
		<category><![CDATA[antibiotic resistance education needs]]></category>
		<category><![CDATA[antibiotics]]></category>
		<category><![CDATA[Antimicrobial Resistance]]></category>
		<category><![CDATA[antimicrobial resistance global health threat]]></category>
		<category><![CDATA[assessing]]></category>
		<category><![CDATA[awareness]]></category>
		<category><![CDATA[cross-country health awareness study]]></category>
		<category><![CDATA[Egypt]]></category>
		<category><![CDATA[health policy implications in MENA]]></category>
		<category><![CDATA[impact of antibiotic resistance on healthcare]]></category>
		<category><![CDATA[Jordan]]></category>
		<category><![CDATA[knowledge gaps]]></category>
		<category><![CDATA[knowledge gaps in antibiotic use]]></category>
		<category><![CDATA[MENA]]></category>
		<category><![CDATA[Public health]]></category>
		<category><![CDATA[public understanding of antibiotics]]></category>
		<category><![CDATA[regional survey on antibiotic knowledge]]></category>
		<category><![CDATA[rising drug-resistant superbugs]]></category>
		<category><![CDATA[self-medication]]></category>
		<category><![CDATA[self-medication and antibiotic misuse]]></category>
		<category><![CDATA[survey]]></category>
		<category><![CDATA[WHO]]></category>
		<category><![CDATA[WHO global awareness campaigns]]></category>
		<guid isPermaLink="false">https://scienmag.com/?p=273963</guid>

					<description><![CDATA[A survey of 12,729 people across Egypt, Palestine, Algeria, Sudan, Syria, Libya and Jordan finds high recognition of the term antibiotic resistance yet widespread misconceptions about what antibiotics can treat, with nearly a third of recent users obtaining the drugs without a prescription.]]></description>
										<content:encoded><![CDATA[<p>Most people across the Middle East and North Africa have heard of antibiotic resistance, but far fewer understand what antibiotics actually do, when they work, and how misuse fuels the rise of drug-resistant superbugs. That is the central finding of a large new survey spanning seven countries in the region, published in the journal Pharmacia, which suggests that familiarity with the term has not translated into the practical knowledge needed to slow one of the world&#8217;s most pressing health threats.</p>
<p>Antimicrobial resistance, or AMR, occurs when bacteria evolve to withstand the drugs designed to kill them. Antibiotics work by disrupting critical bacterial cell functions, inducing cell death, but improper use by one patient can select for resistant strains that then extend harm to others. The World Health Organization has described AMR as an alarming global crisis from both epidemiological and economic perspectives, associated with longer hospital stays, higher mortality and rising healthcare costs. Some projections estimate that around 10 million people could die annually from AMR by 2050 if current trends continue.</p>
<p>To map how well the public understands these risks, researchers conducted a multicenter cross-sectional study across Egypt, Palestine, Algeria, Sudan, Syria, Libya and Jordan, adapting the WHO&#8217;s multi-country public awareness questionnaire into validated Arabic versions for each population. A total of 12,729 respondents completed the online survey, recruited through social media platforms using convenience sampling. The sample was predominantly female at 74.6%, largely urban at 76.4%, highly educated with 63% holding bachelor&#8217;s degrees, and young, with 47.5% aged between 19 and 24 years.</p>
<p>The headline numbers reveal a striking disconnect. While 82.3% of participants recognized the term antibiotic resistance, only 42.6% achieved a good knowledge score on standardized questions about antibiotic handling and resistance. Less than half correctly identified that antibiotics are ineffective against flu-like viral illnesses, and misconceptions persisted about conditions such as diarrhea, sore throat, gonorrhea and influenza, where correct answers fell well below the 50% mark. In other words, people know the phrase but not the biology behind it.</p>
<p>Behavioral data add to the concern. Around 28% of participants reported taking antibiotics within the last month, and among recent users, nearly one-third, or 29.3%, obtained the medication without a prescription from a doctor or nurse. Pharmacies and medical stores were the primary source of antibiotics for 86.5% of respondents, while 4.7% had saved antibiotics from a previous occasion and 5.3% obtained them from friends or family. Encouragingly, 79.7% knew to stop taking antibiotics only after completing the prescribed course, and 80.7% correctly identified that sharing antibiotics with others is incorrect, even for the same illness.</p>
<p>Demographic patterns in knowledge were clear and statistically significant. Females, urban residents, individuals aged 19 to 24, and those with higher education or medical backgrounds scored significantly higher, with p values below 0.001 across these associations. Participants from medical faculties achieved good knowledge at 60.3%, compared with just 14.5% among humanities and literary faculties. Geographic variation was also pronounced: Egypt recorded the highest average knowledge score at 68.3, with 55.2% of respondents showing good knowledge, while Libya had the lowest at 50.9, with only 31.3% achieving good scores. At the provincial level, Egypt&#8217;s Delta and Alexandria regions topped the rankings at 69.1, while Jordan&#8217;s Southern District fell to 47.1.</p>
<p>The authors note that Egypt&#8217;s strong performance may partly reflect its National Action Plan for AMR, which promotes judicious antibiotic use and public awareness. Countries facing conflict, such as Libya, Syria and Palestine, showed relatively low knowledge levels, possibly linked to disruption of education systems and healthcare facilities. Yet the pattern is not straightforward: Gaza showed relatively high knowledge despite conflict, while Jordan, at peace, scored relatively low. This complexity suggests that factors beyond security and finances, including healthcare infrastructure, local beliefs and educational programs, interact in ways that demand further research.</p>
<p>Attitudes toward responsibility and prevention were mixed. A majority, 60.4%, acknowledged their own responsibility to use antibiotics appropriately, and 42.4% believed they could personally influence the spread of resistance. However, 43.7% incorrectly believed that taking antibiotics correctly completely eliminates personal risk, and only 24% recognized that anyone, regardless of antibiotic use, could be affected by resistant infections. Trust in medical experts to solve the problem before it becomes critical was far from universal, with 55.2% disagreeing or remaining uncertain. On prevention measures, support was strong: 83.6% strongly agreed on regular handwashing, 81.2% on up-to-date childhood vaccinations, and 79.6% on government support for developing new antibiotics.</p>
<p>Comparisons with earlier data offer both reassurance and warning. Antibiotic use within the last month fell to 28%, considerably lower than the 54% reported for Egypt and 49% for Sudan in the original WHO survey conducted nine years earlier. Self-medication at 29% was lower than previously reported regional rates but still higher than the WHO estimate of 19% and dramatically above the 4% reported among Italian university students. Public awareness campaigns reached only 7.6% of the population, while media sources informed 16%, well below the WHO estimate of 41%, suggesting that current communication strategies remain ineffective despite the rise of social media.</p>
<p>The authors acknowledge important limitations. The online, convenience-sampled design skewed the cohort toward young, female, urban, highly educated and medically trained respondents, with adults over 64 comprising just 0.4% of participants. Selection and self-reporting biases, along with social desirability effects, may limit generalizability to the broader populations of the surveyed countries. The authors also highlight a contextual factor not directly measured: the underuse of antimicrobial susceptibility testing, or antibiograms, before prescribing, which drives empirical therapy and selective pressure for resistance. Despite these caveats, the study provides comprehensive baseline data across seven populous MENA nations and underscores an urgent need for targeted, culturally adapted public health campaigns and stricter regulatory enforcement to close the gap between knowing the words and understanding the threat.</p>
<p><strong>Subject of Research:</strong> A cross-sectional survey of 12,729 people in seven Middle Eastern and North African countries found high recognition of the term antibiotic resistance but only 42.6% had good antibiotic knowledge, with 29.3% of recent users obtaining antibiotics without a prescription.</p>
<p><strong>Article Title:</strong> Assessing awareness and attitudes among Middle Eastern and North African populations regarding antimicrobial drug resistance: a regional cross-sectional study</p>
<p><strong>Article References:</strong> Abdel-Qader, D. H., Taha, T. A.-E. A., Abd-eltawab, A. K., Abdelsattar, N. K., Nourelden, A. Z., Elshanbary, A. A., Elsayed, S. M., Darwish, M. Y., Basheti, I., &amp; Matar, S. G. (2026). Assessing awareness and attitudes among Middle Eastern and North African populations regarding antimicrobial drug resistance: a regional cross-sectional study. <em>Pharmacia, 73</em>, Article e188437. <a href="https://doi.org/10.3897/pharmacia.73.e188437" rel="noopener noreferrer">https://doi.org/10.3897/pharmacia.73.e188437</a></p>
<p><strong>Image Credits:</strong> AI Generated</p>
<p><strong>DOI:</strong> <a href="https://doi.org/10.3897/pharmacia.73.e188437" rel="noopener noreferrer">10.3897/pharmacia.73.e188437</a></p>
<p><strong>Keywords:</strong> antimicrobial resistance, antibiotics, MENA, public health, self-medication, survey, knowledge gaps, Egypt, Jordan, WHO, Assessing, awareness</p>
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		<title>Sepsis Knowledge Gaps Shape How ICU Nurses Make Critical Decisions</title>
		<link>https://scienmag.com/sepsis-knowledge-gaps-shape-how-icu-nurses-make-critical-decisions/</link>
		
		<dc:creator><![CDATA[Ophelia Keating]]></dc:creator>
		<pubDate>Tue, 06 Oct 2026 13:19:21 +0000</pubDate>
				<category><![CDATA[Medicine]]></category>
		<category><![CDATA[BMC Nursing]]></category>
		<category><![CDATA[clinical decision-making]]></category>
		<category><![CDATA[critical care]]></category>
		<category><![CDATA[Critical care nursing knowledge]]></category>
		<category><![CDATA[Cross-sectional studies in nursing]]></category>
		<category><![CDATA[cross-sectional study]]></category>
		<category><![CDATA[Decision-making styles in critical care]]></category>
		<category><![CDATA[early recognition]]></category>
		<category><![CDATA[early sepsis detection]]></category>
		<category><![CDATA[ICU nurse training and experience]]></category>
		<category><![CDATA[Impact of nurse exposure to septic patients]]></category>
		<category><![CDATA[intensive care nursing]]></category>
		<category><![CDATA[knowledge gaps]]></category>
		<category><![CDATA[Nursing education]]></category>
		<category><![CDATA[Nursing education in sepsis care]]></category>
		<category><![CDATA[Nursing professional autonomy in critical care]]></category>
		<category><![CDATA[professional autonomy]]></category>
		<category><![CDATA[sepsis]]></category>
		<category><![CDATA[Sepsis knowledge gaps]]></category>
		<category><![CDATA[Sepsis Knowledge Questionnaire]]></category>
		<category><![CDATA[Sepsis management guidelines]]></category>
		<category><![CDATA[sepsis management in ICU]]></category>
		<category><![CDATA[Sepsis recognition and decision-making]]></category>
		<category><![CDATA[STROBE]]></category>
		<guid isPermaLink="false">https://scienmag.com/?p=241422</guid>

					<description><![CDATA[A cross-sectional study of 125 Turkish intensive care nurses finds that prior sepsis training and direct clinical exposure to septic patients independently predict higher sepsis knowledge, which correlates with intuitive decision-making and work-related independence.]]></description>
										<content:encoded><![CDATA[<p>Sepsis remains one of the most feared and fastest-moving conditions in modern medicine, and in the intensive care unit it is the nurses who stand at the front line of recognition. A new cross-sectional study from Türkiye, published in BMC Nursing, offers a detailed portrait of how much intensive care nurses actually know about sepsis, and how that knowledge connects to the way they make clinical decisions and exercise professional autonomy. The findings are both encouraging and sobering: trained nurses know more, exposure to septic patients matters enormously, and yet significant gaps persist in exactly the areas where minutes can mean the difference between recovery and organ failure.</p>
<p>The research team, led by Betülay Kılıç of the University of Health Sciences&#8217; Gülhane Faculty of Nursing in Ankara, together with colleagues from Gazi University and Başkent University, set out to answer a question that has been surprisingly underexplored. While nurses&#8217; knowledge is widely acknowledged as fundamental to early sepsis recognition and timely management, its relationship with nursing decision-making styles and professional autonomy had not been systematically quantified. The team surveyed 125 of 143 eligible intensive care nurses working at a university hospital, achieving a response rate of 87.4 percent through a total population sampling approach, and reported the work in accordance with the STROBE guidelines for observational studies.</p>
<p>The participants were a relatively young cohort, with a mean age of 30.06 years and a standard deviation of 5.6, suggesting a workforce with substantial career years ahead but potentially limited accumulated clinical experience. Each nurse completed three validated instruments: the Sepsis Knowledge Questionnaire, which probes understanding of sepsis definitions, recognition criteria, and management principles; the Nursing Decision-Making Instrument, which distinguishes between intuitive and analytical decision-making tendencies; and the Attitude Toward Professional Autonomy Scale, which measures how independently nurses view their own clinical role. The data were analyzed using descriptive statistics, non-parametric group comparisons, Spearman&#8217;s rank correlation, and multiple linear regression.</p>
<p>The headline number from the study is a mean sepsis knowledge score of 20.24 out of a possible 30, with a standard deviation of 4.21. On its face, that suggests a workforce with a reasonable working grasp of sepsis, but the aggregate figure conceals what the researchers describe as notable knowledge gaps across several recognition and management items. In sepsis care, such gaps are not academic. The condition progresses from infection to systemic inflammation, tissue hypoperfusion, and multi-organ dysfunction along a timeline measured in hours, and international survival campaigns have repeatedly emphasized that every hour of delayed recognition and treatment increases mortality. A nurse who misidentifies early warning signs, or who misunderstands fluid resuscitation targets or the significance of falling mean arterial pressure, may inadvertently contribute to that delay.</p>
<p>One of the most intriguing findings concerns the relationship between knowledge and decision-making style. Sepsis knowledge showed a weak but statistically significant positive correlation with the total score on the Nursing Decision-Making Instrument, with a Spearman&#8217;s rank correlation coefficient of 0.239 and a p-value of 0.007. The direction of that instrument matters: higher scores indicate a greater tendency toward intuitive rather than analytical decision-making. In other words, nurses with stronger sepsis knowledge in this sample leaned more heavily on intuition, a pattern the authors&#8217; data link to expertise, since intuitive judgment in clinical settings is generally understood to be built on a foundation of accumulated knowledge and pattern recognition rather than on guesswork.</p>
<p>The study also found a weak positive correlation between sepsis knowledge and work-related independence, one of the dimensions of professional autonomy, with a coefficient of 0.220 and a p-value of 0.013. Critically, both of these associations survived the researchers&#8217; correction for false discovery rate, with adjusted p-values of 0.034 for each. This statistical rigor matters in a field where small correlation coefficients can easily evaporate under multiple-comparison corrections. The persistence of these relationships suggests, cautiously, that knowledge, confident judgment, and a sense of professional independence travel together in the intensive care setting, forming a cluster of attributes that may reinforce one another in daily practice.</p>
<p>The multivariable regression analysis sharpened the picture of what actually drives sepsis knowledge. After adjusting for other factors, previous sepsis training was independently associated with higher knowledge scores, adding 1.799 points on the 30-point scale with a p-value of 0.025. Even more striking was the effect of clinical exposure: nurses who had never cared for patients with sepsis scored 3.473 points lower than those who cared for septic patients frequently, a difference with a p-value of 0.037. The magnitude of that exposure effect, nearly double that of formal training, underscores a point that educators and hospital administrators would do well to internalize. Classroom instruction builds knowledge, but the bedside encounter with a deteriorating septic patient appears to cement it.</p>
<p>These results arrive at a moment when sepsis continues to burden health systems worldwide. The World Health Organization has identified sepsis as a global health priority, and the condition&#8217;s dependence on rapid, coordinated frontline response makes nursing staff pivotal to any improvement strategy. In the intensive care unit, nurses continuously monitor vital signs, interpret trends in systolic blood pressure and mean arterial pressure, administer antibiotics and fluids, and escalate concerns to physicians. When their knowledge base is solid, they function as an early warning system; when it is not, the safety net develops holes precisely where patients are most vulnerable.</p>
<p>The authors are careful about the limits of their work, and those limits deserve emphasis. The study was conducted at a single university hospital, which means the findings may not generalize to community hospitals, rural facilities, or different national health systems. The cross-sectional design captures a single moment in time, so it can demonstrate association but not causation: the data cannot tell us whether sepsis training causes higher knowledge, whether more knowledgeable nurses seek out training, or whether unmeasured factors such as motivation drive both. The modest correlation coefficients, while statistically robust, also indicate that knowledge explains only a small share of the variation in decision-making style and autonomy. The researchers explicitly recommend interpreting the findings in light of these design constraints.</p>
<p>Even with those caveats, the practical implications are clear and actionable. The independent associations between structured sepsis education and higher knowledge, and between clinical exposure and higher knowledge, point toward a two-pronged strategy: evidence-based sepsis training programs paired with practice-oriented learning opportunities that guarantee nurses genuine exposure to septic patients, whether through rotations, simulation, or deliberate case-based education. For a condition in which the first hours decide outcomes, investing in the knowledge, judgment, and autonomy of the nurses who watch over critically ill patients around the clock may be among the most cost-effective interventions available. The study, published open access with a permanent DOI, invites hospital leaders and nursing educators alike to look hard at their own units and ask whether their frontline staff are being given both the training and the bedside experience that sepsis care demands.</p>
<p><strong>Subject of Research:</strong> Sepsis knowledge, clinical decision-making, and professional autonomy among intensive care nurses</p>
<p><strong>Article Title:</strong> Factors associated with sepsis knowledge and its relationship with clinical decision-making and professional autonomy among intensive care nurses: a cross-sectional study</p>
<p><strong>Article References:</strong> Kılıç, B., Tosun, M. H., Yardımcı Gürel, T., &amp; Candan Yamak, Z. (2026). Factors associated with sepsis knowledge and its relationship with clinical decision-making and professional autonomy among intensive care nurses: a cross-sectional study. <em>BMC Nursing</em>. <a href="https://doi.org/10.1186/s12912-026-05384-3" rel="noopener noreferrer">https://doi.org/10.1186/s12912-026-05384-3</a></p>
<p><strong>Image Credits:</strong> AI Generated</p>
<p><strong>DOI:</strong> <a href="https://doi.org/10.1186/s12912-026-05384-3" rel="noopener noreferrer">10.1186/s12912-026-05384-3</a></p>
<p><strong>Keywords:</strong> sepsis, intensive care nursing, clinical decision-making, professional autonomy, nursing education, cross-sectional study, critical care, knowledge gaps, Sepsis Knowledge Questionnaire, early recognition, BMC Nursing, STROBE</p>
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