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Disasters pose significant challenges globally, affecting millions of people annually. In Saudi Arabia, floods constitute a prevalent natural disaster, underscoring the necessity for effective disaster preparedness among Emergency Medical Services (EMS) workers. Despite their critical role in disaster response, research on disaster preparedness among EMS workers in Saudi Arabia is limited.
Study Objective/Methods:
The study aimed to explore the disaster preparedness among EMS workers in Saudi Arabia. This study applied an explanatory sequential mixed-methods design to explore disaster preparedness among EMS workers in Saudi Arabia, focusing on the qualitative phase. Semi-structured interviews were conducted with 15 EMS workers from National Guard Health Affairs (NGHA) and Ministry of Health (MOH) facilities in Riyadh, Dammam, and Jeddah. Thematic analysis was conducted following Braun and Clarke’s six-step process, ensuring data rigor through Schwandt, et al’s criteria for trustworthiness.
Findings:
The demographic characteristics of participants revealed a predominantly young, male workforce with varying levels of experience and educational backgrounds. Thematic analysis identified three key themes: (1) Newly/developed profession, highlighting the challenges faced by young EMS workers in acquiring disaster preparedness; (2) Access to opportunities and workplace resources (government versus military), indicating discrepancies in disaster preparedness support between government and military hospitals; and (3) Workplace policies and procedures, highlighting the need for clearer disaster policies, training opportunities, and role clarity among EMS workers.
Conclusion:
The study underscores the importance of addressing the unique challenges faced by EMS workers in Saudi Arabia to enhance disaster preparedness. Recommendations include targeted support for young EMS professionals, standardization of disaster training across health care facilities, and improved communication of disaster policies and procedures. These findings have implications for policy and practice in disaster management and EMS training in Saudi Arabia.
This chapter explores the knowledge creation aspect of contemporary tax reforms in Nigeria. It offers a historical perspective on this process which lets us see today’s reforms not only as the re-creation of long-retreated systems of state taxation-led ordering, but against the backdrop of what intervened in the meantime – a four-decade late-twentieth-century interregnum where revenue reliance on oil profits created a very different distributive system of government-as-knowledge. Today’s system of tax-and-knowledge is not just reform but an inversion of what came before.
This article provides a new reconstruction and evaluation of Kant’s argument in §IX of the second Critique’s Dialectic. Kant argues that our cognitive faculties are wisely adapted to our practical vocation since their failure to supply theoretical knowledge of God and the immortal soul is a condition of possibility for the highest good. This new reconstruction improves upon past efforts by greater fidelity to the form and content of Kant’s argument. I show that evaluating Kant’s argument requires settling various other issues in the interpretation of his moral philosophy, e.g. his account of moral psychology, motivation, education, and development.
An overview is offered of Wittgenstein's groundbreaking discussion of knowledge and certainty, especially in his final notebooks, published as On Certainty. The main interpretative readings of On Certainty are discussed, especially a non-propositional/non-epistemic interpretation and a variety of propositional and/or epistemic interpretations. Surveys are offered of the readings of On Certainty presented by such figures as Annalisa Coliva, John Greco, Danièle Moyal-Sharrock, Duncan Pritchard, Genia Schönbaumsfeld, P. F. Strawson, MichaelWilliams, and CrispinWright. This Element demonstrates how On Certainty has been especially groundbreaking for epistemology with regard to its treatment of the problem of radical scepticism.
While there are many different interpretations of critical pedagogy (Wink, 2011), at its heart is a genuine connection with learner lives and lifeworlds. In an era of increased standardisation, and calls for ‘back to basics’ education, critical pedagogy engages both learners and educators in working together as powerful creators of knowledge. In the process, the constructed nature of knowledge is made explicit (Lankshear, 1997). Learners whose ‘virtual schoolbags’ (Thomson, 2002), which are the rich knowledge and experience gained through social and cultural lifeworlds, are typically not invited into the classroom and therefore risk a life of disengagement from formal schooling. It is these learners who are most clearly poised to benefit from a critical pedagogic approach.
The context of humanitarian action has changed considerably over the past twenty years. These upheavals have given rise to a need to reflect on humanitarian action, as evidenced by the new focus on scientific research by humanitarian actors since the turn of the century. This new approach has led to the creation of numerous organizations dedicated to research within the sector itself, so that scientific knowledge on humanitarian action is no longer produced solely by university researchers. One such organization is the French Red Cross Foundation, founded in 2013. This organization bears witness to the diversity and depth of the issues affecting the humanitarian sector, and the challenges of responding to them. Its history and its past and present difficulties and successes also illustrate the complexity of implementing such a response.
This article aims to analyze and capitalize on several examples of scientific programmes built in direct relation to the humanitarian sector, in order to draw lessons from them (success factors, difficulties encountered, testimonials of applications of research results). In the article, we provide retrospective information on collaboration between the humanitarian and social action sectors and the academic sector, and look to the future by anticipating the shortcomings and needs that organizations – like researchers – will have to address in order to nurture the solidarity practices of tomorrow.
Vernacular discourse about science reveals theorizations of it as a power-laden, morally charged experimentation with the world guided by (often implicit) ethical orientations. Applying these vernacular theorizations to interpret professional class science on the continent, the author argues that this science has been shaped most profoundly by the politics of independence. While indigenous projects, European imperialism, and neoliberalism shape scientific institutions, African independence continues to inform the moral and political ends toward which science is thought to work. Understanding the alignment of professional class science with nation-building can help guide the recalibration of science toward the goal of substantive independence.
In this article, I summarize the main takeaways from The Limitations of the Open Mind and reply to concerns raised by Miriam Schleifer McCormick and Nathan Ballantyne. In reply to McCormick, I emphasize potential difficulties involved in helping people change their minds while representing yourself as taking an “objective stance” toward them. In reply to Ballantyne, I clarify my reasons for thinking that open-mindedness is a matter of being willing to change your mind and that amateurs can in some ways and in some situations be more immune to misleading arguments than experts can.
Paul's epistemology was famously mapped onto his eschatology by J. Louis Martyn, but it must be mapped also onto his ecclesiology. For Paul, knowing is bound always and indissolubly to living with others. To understand how Paul would have us know things, then, we must focus not on knowledge as such, but on epistemic practices in ecclesial communities. Whereas the Corinthians’ use of wisdom and knowledge made for fragmentation and dissolution in the body of Christ (1 Cor 1–4; 8–10), Paul would have practices with knowledge instantiate communion and care for one another, as is proper for Christ's body. Integral to theological knowing is a sense of what and whom theology is for, a sense being critically explored in recent evaluations of theological education.
Methods for analyzing and visualizing literary data receive substantially more attention in digital literary studies than the digital archives with which literary data are predominantly constructed. When discussed, digital archives are often perceived as entirely different from nondigital ones, and as passive – that is, as novel and enabling (or disabling) settings or backgrounds for research rather than active shapers of literary knowledge. This understanding produces abstract critiques of digital archives, and risks conflating events and trends in the histories of literary data with events and trends in literary history. By contrast, an emerging group of media-specific approaches adapt traditional philological and media archaeological methods to explore the complex and interdependent relationship between literary knowledges, technologies, and infrastructures.
There is a tendency to treat African journalism fields as insignificant to scholarship unless the scholarly focus is on “improving” or “modernizing” them. This chapter argues against this tendency by arguing that African journalism is engaged in knowledge production and all its attendant politics. It argues that by taking a conflict such as Darfur as a locus, scholars can excavate the multiple discursive struggles over questions such as the role of African journalism, the place of African news organizations in global narrative construction about Africa, and the politics of belonging in which African journalists debate what it means to be African. Relying on field theory, postcolonial theory, and the sociology of knowledge, this chapter argues for a de-Westernization of journalism studies while cogently locating the origins of field theory in Algeria; thus connecting it not just to the colonial project but specifically locating field theory with a larger discourse of postcoloniality.
This chapter sets out to identify key conceptual resources available for exploring power in the social construction of global environmental degradation for collective response. The chapter begins with the epistemic community model, which illuminates the role that transnational communities of scientists have in identifying issues like climate change and informing political action. This approach has been important for documenting the origins and establishment of the IPCC in 1988. However, empirical accounts informed by discursive and normative frameworks in other issue areas challenge the centrality of scientists in treaty formation. The studies reviewed identify the emergence of environmental issues as the source of new institutions; however, they also highlight how problem diagnosis has to converge with prevailing political and economic orders. Revisiting the IPCC’s emergence through the idiom of co-production at the end of the chapter, reveals how climate change had to be transformed into a global problem to fit with the existing remit of international organisation.
Emergency Medical Services (EMS) workers are critical to effective disaster response. Therefore, it is important to understand their knowledge, skills, and preparedness for disasters. This study investigated factors influencing EMS workers’ disaster knowledge, skills, and preparedness in the Saudi Arabian context. The study also sought to identify challenges to disaster preparedness among Saudi Arabian EMS workers.
Methods
A descriptive cross-sectional survey using The Disaster Preparedness Evaluation Tool was distributed to EMS workers in military and government hospitals across 3 Saudi Arabian cities. Responses were recorded on a 6-point Likert scale where higher scores indicated higher knowledge, skills, or preparedness. The results were analysed using descriptive and inferential statistical analysis.
Results
272EMS workers participated in this study. EMS workers reported a moderate level of knowledge (3.56), skills (3.44), and preparedness (3.73) for disasters. Despite this, EMS workers reported a high level of involvement in regular disaster drills (M = 4.24, SD = 1.274) and a strong interest in further disaster education opportunities (M = 5.43, SD = 1.121). Participants also reported a high skill level with the triage principles used in their workplace during a disaster (M = 4.06, SD = 1.218). The study findings revealed a significant positive correlation between disaster preparedness levels and age, years of experience, education level, and the facility worked in.
Conclusions
EMS workers have moderate disaster knowledge, skills, and preparedness levels. Knowledge, skill, and preparedness have a significant relationship on the EMS workers’ demographics. These findings demonstrate the need to invest in preparing Saudi Arabian EMS workers to effectively respond to bioterrorism disasters.
This study aimed to assess the knowledge, attitude, and practice (KAP) of WeChat users towards health-related public accounts.
Methods
The study included 567 participants who completed the questionnaire. Pearson correlation analysis was used to evaluate the correlation among the 3 dimensions. Multivariate analysis identified independent factors associated with KAP scores.
Results
The mean scores for knowledge, attitude, and practice were 6.12 ± 2.29 (61.2% of the total), 55.83 ± 7.33 (69.8% of the total), and 14.07 ± 3.72 (70.4% of the total), respectively. Significant positive correlations were observed between knowledge and practice (r = 0.392, P < 0.001) as well as between attitude and practice (r = 0.319, P < 0.001). Age [OR = 0.29 (0.09, 0.91), P = 0.034], marital status [OR = 2.11 (1.04, 4.29), P = 0.038], income [OR = 2.42 (1.23, 4.75), P = 0.010], and physical condition [OR = 0.45 (0.24, 0.85), P = 0.014] were independent factors associated with KAP scores.
Conclusions
WeChat users in China had relatively adequate knowledge and positive attitudes towards health-related public accounts. The findings highlight the potential of WeChat in enhancing health information dissemination in China.
The aim of this study is to assess General Practitioner (GP) trainees’ training experience, and confidence in assessing and managing children and adolescents with common mental health conditions in primary care in Ireland.
Methods:
An online anonymous questionnaire was distributed to third and fourth year GP registrars enrolled in the Irish College of General Practitioners training schemes. The online questionnaire evaluated participants’ training experiences and confidence levels in key areas of child and adolescent mental health in primary care.
Results:
Sixty participants completed the survey out of 406, yielding a response rate of 14.8%. The majority (88%) reported no formal training or experience working in Child and Adolescent Mental Healthcare Services (CAMHS) during their GP training scheme. Responses indicated that many participants rated their competency, skills, and knowledge in essential areas of Child and Adolescent Mental Health as needing improvement. Similarly, their awareness of referral pathways and specialty services was below expectations, with poor perceived access to services. A large proportion (91.7%) expressed a definite need for further training in child and adolescent mental health disorders.
Conclusion:
The results highlight the need for enhanced training and support for GP trainees in the field of Child and Adolescent Mental Health, ensuring their ability to effectively and confidently address these common issues in primary care.
Maternal malnutrition is pervasive throughout the world, notably in sub-Saharan Africa, including Ethiopia. This study examined the effect of community-based iron-folic acid supplementation (IFAS) nutrition education on IFAS knowledge and attitude among pregnant women in urban settings in South Ethiopia. A community-based quasi-experimental study was conducted among 198 randomly selected pregnant women attending antenatal care (ANC) (99 intervention and 99 control). We used a multistage sampling technique followed by systematic sampling to select the pregnant women. Pregnant women who participated in the intervention arm received six nutrition education sessions and counselling using a health belief model (HBM), while the control group received only routine ANC services. Baseline and endline data were collected during the ANC and compared. The data was analysed using statistical package for social sciences. Analyses of the effect of the intervention were done using difference-in-difference and generalised estimation equation to allow correlation of repeated observations over time. The results indicated a significant effect of intervention on maternal knowledge towards IFAS; with intervention, group levels increased by 35 percentage points (P < 0.001). The odds of being knowledgeable at the endpoint in the intervention group were 2.6 times higher than baseline (OR = 2.67, 95% CI 1.88–3.80). There was a significant (P = 0.001) change in proportion with a favourable attitude towards IFAS between the two time points. The community-based nutrition education intervention approach has significantly improved maternal knowledge and a favourable attitude towards IFAS among pregnant women. The HBM is effective in improving knowledge and attitude among pregnant women.
This scoping review aimed to systematically map and describe the existing evidence regarding the knowledge, attitudes and practices of health professionals with regard to plant-based diets during pregnancy and to highlight areas for further research.
Design:
Following a pre-registered protocol, online databases were searched using a comprehensive search string, in addition to selected grey literature sources, and reference lists of included studies. The studies were independently screened for eligibility by two authors, SM and JM. Data from all eligible studies were charted by the first author, and a narrative summary was performed.
Setting:
Maternal health care services.
Results:
Ten studies were included for review, from New Zealand (n 2), Australia (n 2), Germany, Netherlands, United Kingdom, France, Italy and Peru. Most of these studies were observational, employed various validated and non-validated survey instruments, interviews and one education intervention. Knowledge was the most frequently assessed outcome in the reviewed studies. Health professionals’ knowledge of plant-based nutrition in pregnancy was reported to be limited and frequently attributed to a lack of nutrition training. Participants’ personal dietary patterns and work specialisation appear to be closely associated with their knowledge, attitudes and practices regarding plant-based diets.
Conclusion:
This review identified a significant research gap regarding health professionals’ practices in relation to plant-based diets during pregnancy. Additionally, this review has demonstrated the need for further research, awareness and practice protocols to promote high-quality care and education or professional development to address the prevalent lack of knowledge among this group.
A world without hunger demands a post-growth rewiring of the global agrifood system predicated on emancipatory politics that enables reform of actors and institutions outside agriculture. This is necessary to shift out of the prevalent growth-hegemonic framing of agriculture and its contributions to economic growth, where the structural injustice of hunger is rendered invisible. Recent International Relations (IR) scholarship highlights the institutional arrangements underpinning global agrifood problems. This paper uses critical IR theory to understand the structural mechanisms and relations of power through which the growth-hegemonic theorisation of agriculture is produced and reproduced, sustaining hunger within an exceedingly financialised agro-industrial complex. The structural power of knowledge shaping the interlocking structures of finance, production, and security is evident in the extremely high multilevel concentration in modern agrifood systems. This structural power evident in local decentralised agroecological systems and in transnational agrarian movements reflects post-growth principles of sufficiency, shared prosperity, care, ecological and social justice.Together, they are the counter-hegemonic voices, cooperative social systems, and class interests championed by post-growth politics.
Maternal knowledge and attitudes towards nutrition are essential for achieving healthy dietary behaviours for a positive pregnancy outcome. Therefore, this study aimed to assess the level and determinants of knowledge and attitudes towards nutrition among pregnant women in the Minjar Shenkora district, Ethiopia. Institution-based cross-sectional study was conducted between June and August 2021 among 334 pregnant women who were selected using a systematic random sampling technique. Data were collected using a semi-structured questionnaire and analysed using SPSS version 21. Bivariate and multivariate logistic regression analyses were used to identify the determinants of nutritional knowledge and attitudes. P < 0.05, with a 95% CI was used to declare statistical significance. Overall, 69.2% and 44.0% of the pregnant women were not knowledgeable and had an unfavourable attitude toward nutrition, respectively. The educational status of pregnant women (P < 0.01) and access to nutritional information (P < 0.01) were significantly associated with nutritional knowledge, while the educational status of pregnant women (P < 0.01) was associated with nutritional attitude. Respondents’ knowledge of and attitudes toward nutrition were low. Pregnant women’s educational levels and access to nutritional information are strongly related to their nutritional knowledge. Likewise, the educational status of the pregnant women was significantly associated with their nutritional attitudes. Therefore, education and counselling on maternal nutrition are needed to improve healthy maternal nutrition tips in the study area.