Všechny publikace
Refining effect size measures and classification for differential item functioning: Toward unified guidelines across methods
Differential Item Functioning (DIF) analysis is used to identify potentially biased items in multi-item measurements. In addition to testing the statistical significance, it is essential to evaluate t…
Differential Item Functioning (DIF) analysis is used to identify potentially biased items in multi-item measurements. In addition to testing the statistical significance, it is essential to evaluate the practical significance of DIF through effect size measures. We review existing DIF effect size measures and cut-off values used to classify the effect size magnitudes for the Mantel-Haenszel test, SIBTEST, and logistic regression for binary items, and introduce a refinement of area-based effect size measures. A simulation study is conducted to investigate the properties of these effect size measures and existing classification guidelines, and to assess their comparative performance. The results indicate that some commonly used effect size measures exhibit undesirable properties, including inconsistent classifications, systematic underestimation of the magnitude of the underlying DIF, and strong dependence on design factors. To address these issues, we introduce usage restrictions for some effect size measures, revised cut-off values that unify results across different methods, and propose new cut-off values for area-based effect size measures. The methods are demonstrated using two real data examples. Implementation is provided in the R software.
Physical Activity and Life Satisfaction Data from the 4HAIE Study for Modelling Nonlinear Dynamics
This repository contains the dataset and accompanying code used in the manuscript: "Nonlinear Dynamics in Intensive Longitudinal Health Behavior Data: Methodological Rethinking using the 4HAIE Data." …
This repository contains the dataset and accompanying code used in the manuscript: "Nonlinear Dynamics in Intensive Longitudinal Health Behavior Data: Methodological Rethinking using the 4HAIE Data." The dataset originates from the 4HAIE (Healthy Aging in Industrial Environment - Program 4) study, a 12-month intensive longitudinal study designed to examine within-person dynamics of health behaviors and well-being in everyday life (see corresponding protocol paper Elavsky et al., 2021). Dataset Contents The repository includes: Merged analysis dataset linking daily physical activity with corresponding end-of-day life satisfaction assessments. Daily physical activity data collected continuously over approximately 12 months using Fitbit Charge 3 and Fitbit Charge 4 devices. Physical activity is represented by daily step counts. Ecological Momentary Assessment (EMA) data collected during four 14-day measurement bursts distributed across the 12-month study period. Participants completed an end-of-day survey assessing life satisfaction using two items adapted from the Satisfaction with Life Scale (SWLS). Illustrative analysis code demonstrating the generalized additive modeling (GAM) approach used to investigate nonlinear relationships between physical activity and life satisfaction over time. Study Design Participants were monitored continuously for physical activity throughout the study while completing repeated intensive EMA assessments during four separate two-week measurement bursts. This design enabled examination of both long-term behavioral patterns and short-term fluctuations in subjective well-being within individuals. Variables The repository includes variables related to: Participant identifier (de-identified) Date of observation Daily step count (Fitbit) End-of-day life satisfaction ratings (two EMA items) Additional temporal variables required for longitudinal modeling Variable definitions and coding information are provided in the accompanying documentation. Purpose The dataset is intended to illustrate statistical approaches for analyzing intensive longitudinal health behavior data, with particular emphasis on nonlinear modeling of within-person associations using generalized additive models (GAMs). Rather than serving solely as an empirical example, the dataset demonstrates a methodological framework for capturing complex temporal relationships that may not be adequately represented using traditional linear approaches. Associated Publication This dataset accompanies the manuscript: Nonlinear Dynamics in Intensive Longitudinal Health Behavior Data: Methodological Rethinking using the 4HAIE Data. If you use this dataset or the accompanying analysis code, please cite both this Zenodo repository and the associated publication. References: ELavsky, S., Brabec, M., Maly, M. (in review). Nonlinear Dynamics in Intensive Longitudinal Health Behavior Data: Methodological Rethinking using the 4HAIE Data. Elavsky S, Jandačková V, Knapová L, Vašendová V, Sebera M, Kaštovská B, Blaschová D, Kühnová J, Cimler R, Vilímek D, Bosek T, Koenig J, Jandačka D. Physical activity in an air-polluted environment: behavioral, psychological and neuroimaging protocol for a prospective cohort study (Healthy Aging in Industrial Environment study - Program 4). BMC Public Health. 2021 Jan 12;21(1):126. doi: 10.1186/s12889-021-10166-4. PMID: 33435943; PMCID: PMC7801866. Elavsky S, Brabec M, Maly M, Knapova L, Kastovska B, Sebera M, Ely M, Jandackova VK, Keller J, Pavel M. The temporal dynamics of the association between daily physical activity and life satisfaction. Ann Behav Med. 2025 Jan 4;59(1):kaaf079. doi: 10.1093/abm/kaaf079. PMID: 41224246; PMCID: PMC12757008.
Pilot Assessment of Transparency of LLM-based Systems to Support Emergency Rooms
One of the main challenges when developing medical decision support systems for the emergency room is adequately filtering the most relevant information. High workload, stress, and the necessity for u…
One of the main challenges when developing medical decision support systems for the emergency room is adequately filtering the most relevant information. High workload, stress, and the necessity for urgent decisions require precise answers to the questions posed. Although LLM-based systems can provide abundant information, physicians need concise and relevant data in this particular clinical setting. In this study, we perform a pilot assessment of the transparency of selected LLM-based systems. The comparative analysis includes ChatGPT o1 model, which was asked to produce responses with varying temperatures and a pilot graph-based RAG specializing in cardiovascular diseases. A survey was conducted among 33 clinicians regarding the amount of information contained in the provided prompts. Physicians favored the most readable, specific, and helpful answers in emergency department conditions. Reliable medical data and the form in which answers are delivered are crucial for physicians working in the emergency room. We conclude that physicians have preferences for LLM responses at a specific temperature. Further research should be expanded to enable tailoring responses not only to the clinical situation but also to the experience of the asking physician.
Positive body image is a pathway between nature contact and life satisfaction across 58 nations
Size-free one-class classification approach using probabilistic local cluster balance
Evolving fuzzy classification for human-centered explainable learning analytics in virtual environments
This study explores the use of explainable artificial intelligence in education, with a focus on its relevance for Learning Analytics. The research introduces a prototype-based dynamic incremental cla…
This study explores the use of explainable artificial intelligence in education, with a focus on its relevance for Learning Analytics. The research introduces a prototype-based dynamic incremental classification algorithm, Dynamic Incremental Semi-Supervised Fuzzy C-Means (DISSFCM), which leverages fuzzy logic to analyze student interaction data from virtual learning platforms, even when the data are only partially labeled. The proposed methodology generates human-centered explanations by extracting IF-THEN fuzzy rules from the evolving prototypes produced by DISSFCM over successive time intervals. These explanations, expressed in linguistic terms, remain accessible to non-expert stakeholders and are particularly suitable for educational contexts. The Open University Learning Analytics Dataset (OULAD) is utilized for experimentation and validation, providing a realistic scenario for semi-supervised data collection. Visual summaries of the evolving fuzzy rules support the identification of temporal patterns in streaming data. Results show that the model effectively adapts to concept drift while maintaining interpretability. Most notably, it proves robust in handling partially labeled data and variable time granularities, two challenges frequently encountered in real-world Learning Analytics sce- narios. The ability to both predict student outcomes and provide intelligible explanations under such constraints highlights the practical value of the approach. To evaluate the quality and relevance of the generated explanations, an expert-based evaluation was conducted. Domain experts evaluated the clarity, usefulness, and accuracy of the explanations in terms of their support for human understanding and decision-making. The results suggest that the explanations were perceived as generally informative and useful, supporting the method’s relevance for human-centered educational applications.
Incremental learning and granular computing from evolving data streams: An application to speech-based bipolar disorder diagnosis
We apply an evolving granular-computing modeling approach, called evolving Optimal Granular System (eOGS), to bipolar mood disorder (BD) diagnosis based on speech data streams. The eOGS online learnin…
We apply an evolving granular-computing modeling approach, called evolving Optimal Granular System (eOGS), to bipolar mood disorder (BD) diagnosis based on speech data streams. The eOGS online learning algorithm reveals information granules in the flow and design the structure and parameters of a granular rule-based model with a certain degree of interpretability based on acoustic attributes obtained from phone calls made over 7 months to the Psychiatry department of a hospital. A multi-objective programming problem that trades-off information specificity, model compactness, and numerical and granular error indices is presented. Spectral and prosodic attributes are ranked and selected based on a hybrid Pearson-Spearman correlation coefficient. Low attribute-class correlation, ranging from 0.03 to 0.07, is observed, as well as high class overlap, which is typical in the psychiatric field. eOGS models for BD recognition overcome alternative computational-intelligence models, namely, Dynamic Evolving Neural-Fuzzy Inference System (DENFIS) and Fuzzy-set-Based evolving Modeling (FBeM-Gauss), by a small margin in both best and average cases; followed by eXtended Takagi-Sugeno (xTS) and evolving Takagi Sugeno (eTS) types of models. The proposed eOGS model using only 8 of the original acoustic attributes, and about 15 ‘If-Then’ inference rules, has exhibited the best root mean square error, 0.1361, and 91.8% accuracy in sharp BD class estimates. Granules associated to linguistic labels and a granular input-output map offer human understandability with relation to the inherent process of generating class estimates. Linguistically readable eOGS rules may assist physicians in explaining symptoms and making a diagnosis.
On Solvability Degree of Systems of Partial Fuzzy Relational Equations
Systems of partial fuzzy relational equations employing undefined values in the antecedents and consequents have been approached recently. The primary focus was on the issues of sufficient solvability…
Systems of partial fuzzy relational equations employing undefined values in the antecedents and consequents have been approached recently. The primary focus was on the issues of sufficient solvability and solvability criteria. This study introduces another perspective, investigating the behavior of solvability degrees of these systems. We employ operations from the Lower estimation and Dragonfly partial algebras developed in the partial fuzzy set theory framework. Initially, we establish a degree of solvability in an appropriate space of approximations containing potential solutions for the systems. Subsequently, we introduce the concept of the alpha-lift for a given partial fuzzy set and provide its fundamental properties. This concept is employed to modify the antecedents and consequents of a given system of partial fuzzy relational equations, resulting in a modified system. The solvability degree of this modified system is then studied, and we demonstrate that, under sufficient conditions, it significantly enhances the solvability degree of the initial system. This positive impact is observed in the Godel algebra, the underlying algebraic structure of partial algebras. In conclusion, we provide illustrative examples that effectively demonstrate the theoretical results.
nuggets: Data Pattern Extraction Framework in R
nuggets is a framework for subgroup discovery, contrast and emerging patterns, association rules, and more. Developed as a package for the R statistical environment, nuggets provides a novel and …
nuggets is a framework for subgroup discovery, contrast and emerging patterns, association rules, and more. Developed as a package for the R statistical environment, nuggets provides a novel and extensible toolkit for performing rule-based analyses. Both crisp (Boolean) and fuzzy data are supported. The package generates conditions in the form of elementary conjunctions, evaluates them on a dataset, and checks the induced sub-data for interesting statistical properties. A user defined function may be evaluated on generated sub-dataset, which provides a novel generality. The aim of this paper is to present that free software to the soft computing community, as the tool could be useful to both researchers and analysts in the domain of pattern mining, as, besides searching for various existing pattern types, brand new ideas may be easily implemented and evaluated within that framework.
Upper Boundary Algebra for Modeling the Missing Values Is a Residuated Lattice
It is already more than 100 years since the first proposal on three-valued logic appeared and it became a seminal work initiating lots of followers among scholars and researchers. Since then, we have …
It is already more than 100 years since the first proposal on three-valued logic appeared and it became a seminal work initiating lots of followers among scholars and researchers. Since then, we have observed distinct logical and algebraic approaches to modeling undefined values, i.e., the situation when the truth value of a given proposition is neither true nor false, but it is not defined. These various algebraic models of three-valued functionality are built to model various types of undefinedness, e.g., conceptional undefinedness, inconsistencies, indeterminable values, meaningless values, or half-true. It is not surprising that recently, these three-valued logics have been extended to partial fuzzy logics, i.e. specific many-valued logics that are extended by the dummy value * that models the undefined truth value. The algebraic structures for such logics are called partial algebras. Recently, two partial algebras, namely the Dragonfly algebra and the Lower Estimation, were both developed to capture the missing or unknown values. Their main idea consists in determining the lower boundary of the truth value of a proposition that we may guarantee after processing the operations independently on what values would replace the dummies *. Such an approach naturally leads to the consequence that the dummy * behaves as a “nearly zero” or “almost false” value. Though the application potential of such algebras in processing the missing values turned out to be very useful at some problems, it turned to be promising to consider a nearly dual approach. Such an approach should model the upper boundary idea and lead to a “nearly one” or “almost true” value. This study provides the first definition of such an algebra and investigates which of the standard properties of residuated lattices remain preserved. Unlike in the lower boundary case, we surprisingly show that in principle all of them are preserved, i.e., that the Upper Boundary algebra, though extended, remains to be the residuated lattice.
Žádné publikace nenalezeny.
Žádné publikace nenalezeny.
Social robots in Czech residential care services: Comparing the perspectives of social work students and workers in homes for the older people
The aim of our research was to explore and compare the perspectives of students of social work and workers of homes for older people on the use of social robots in homes for older people. In our resea…
The aim of our research was to explore and compare the perspectives of students of social work and workers of homes for older people on the use of social robots in homes for older people. In our research, we used the standardized UNRAQ questionnaire (Tobis et al. 2021). We distributed a modified questionnaire to (1) students of social work (N = 140) who had taken a gerontology course. We also distributed the questionnaire among (2) workers of homes for older people (N = 133) who had not received any training in gerontotechnology to date. Subsequently, we organised a focus group with (14) students and interviews with (23) workers of homes for older people, including managers, social workers, direct-care workers, and health care workers. The quantitative data collected were evaluated using statistical procedures, and the qualitative data were subjected to thematic analysis. Students who were educated in gerontechnology accepted the use-potential of social robots in social work practice to a higher degree compared to workers who were not educated in this area. The research results showed that education in gerontechnology can play a key role in the adoption of social robots and their subsequent use in practice.
Well-being, digitisation, and social work: participatory strategies for inclusive digitisation in social services. The Catalan case
In this article, we analyse the digitalisation process in social services in Catalonia from the perspective of social workers' demands, establishing a set of strategies for better incorporation of dig…
In this article, we analyse the digitalisation process in social services in Catalonia from the perspective of social workers' demands, establishing a set of strategies for better incorporation of digital technologies in public administrations. Co-design and co-creation methodologies allow us to evaluate our organisations more effectively, giving social workers a voice so that they can highlight the positive and negative effects of their organisations' digitalisation model, actively participating in the redesign of the digital social services model from the outset. Through a participatory process involving 109 social workers from social services in Catalonia, using methodologies such as the customer journey and impact maps, this article presents some strategies for strengthening inclusive digitalisation focused on the well-being of social service workers and users.
From competence to care: digital leadership in eHealth
This article examines the role of digital skills in the health sector, where healthcare social workers perform their professional work, using the Delphi method in two rounds: 2020 (pre-Covid-19 contex…
This article examines the role of digital skills in the health sector, where healthcare social workers perform their professional work, using the Delphi method in two rounds: 2020 (pre-Covid-19 context) and 2021 (Covid-19 context). Experts point out three major transformations in organisations resulting from digitalisation: (i) the growing importance of digital skills; (ii) the relevance of developing a leadership adapted to a digitalisated context, and (iii) the key role of health managers and their organisations. Based on the results obtained, a conceptual approach based on the Shaw et al. (2017) model is proposed to face the challenges of e-Health, explicitly centred on fostering both organisational and individual wellbeing. This leadership model aims to improve the wellbeing of workers in the healthcare sector, including healthcare social workers.
DXAnalyzer
DXAlyzer is a desktop tool for extracting, reviewing, validating, and exporting DXA measurement data from Hologic DXA PDF reports and OCR text exports. The application runs locally, stores data in a l…
DXAlyzer is a desktop tool for extracting, reviewing, validating, and exporting DXA measurement data from Hologic DXA PDF reports and OCR text exports. The application runs locally, stores data in a local SQLite database, and prepares cohort-level CSV tables and SVG figures for research and publication workflows. Features Import DXA reports from .pdf, .txt, .text, and .ocr files. Extract patient identifiers, scan dates, BMD, BMC, T-score, Z-score, fat mass, lean mass, and total mass values. Review and edit extracted records before saving them. Validate measurements with QC status and notes. Compare repeated measurements for the same patient. Export full measurement data to CSV. Generate publication summary tables and subject-level change tables. Export cohort figures as SVG. Manage parser templates for different report formats. Requirements For running from source: Python 3.11 or newer Windows, macOS, or Linux with Tkinter support Python dependencies are listed in requirements.txt. Run From Source python -m pip install -r requirements.txt python main.py Application data is stored locally in: ~/DXAlyzer/dxa.db ~/DXAlyzer/templates/ Windows Executable The Windows executable is built with PyInstaller and published through GitHub Actions. To download it: Open the repository on GitHub. Go to Releases. Download DXAlyzer.exe from the latest release. If there is no release yet, open Actions, run the Windows Release workflow manually, and download the windows-DXAlyzer artifact. Build On Windows From a Windows command prompt in the project folder: build.bat Expected output: dist\DXAlyzer.exe More release and code-signing details are documented in WINDOWS_RELEASE.md. Basic Workflow Import PDF reports or OCR text exports. Review extracted records before saving. Check measurement quality in the QC tab. Run cohort analysis. Export CSV tables and SVG figures. Acknowledgements This software was developed as part of the project Research of Excellence on Digital Technologies and Wellbeing, CZ.02.01.01/00/22_008/0004583, co-funded by the European Union. License This project is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0).
Reference and Solution Architecture for GenAI- and GIS-Enhanced Physical Activity Interventions: Towards Implementing the AI4Motion Platform
Abstract Digital Behaviour Change Interventions (DBCIs) aim at improving individual health by engaging various means of Information and Communication Technology (ICT), including mobile apps and weara…
Abstract Digital Behaviour Change Interventions (DBCIs) aim at improving individual health by engaging various means of Information and Communication Technology (ICT), including mobile apps and wearables. Participant intervention fatigue may happen when DBCIs become too frequent, repetitive, demanding, or lack perceived relevance, and this may result in participants’ reduced motivation and adherence over time. Advancing technology-supported engagement mechanisms is therefore of utmost importance. To address this problem, we present a reference and solution architecture based on open-source technologies and open Application Programming Interfaces (Open APIs). First, we integrated a Large Language Model (LLM) component into the DBCI design. Second, to support context-awareness, we enhanced this integration by adding a Geographic Information Systems (GIS) element. Our pilot implemented AI4Motion platform targets both personalization and contextualization aspects of DBCIs. Our work contributes to the emerging discussion on LLM/GIS-related system design patterns for digital platforms supporting Ecological Momentary Assessment (EMA), Experience Sampling Method (ESM), and Just-in-Time Adaptive Interventions (JITAIs).
Leveraging Generative Artificial Intelligence to Enhance Carbon Performance in Supply Chains Through Green Product Innovation and End-of-Life Product Management: AI-Driven Carbon Performance
ABSTRACT This study illustrates how organizations reconcile their information processing capabilities with uncertainty within the supply chain (SC) through generative artificial intelligence (GAI) to…
ABSTRACT This study illustrates how organizations reconcile their information processing capabilities with uncertainty within the supply chain (SC) through generative artificial intelligence (GAI) to achieve carbon performance (CP). A quantitative research methodology is applied, and 155 responses from manufacturing firms are analyzed through structural equation modeling (SEM) for hypothesis testing. The findings suggest that GAI for process automation and cognitive engagement has a positive influence on business intelligence (BI), whereas end-of-life (EOL) product management mediates the relationship between green product innovation (GPI) and CP. This study contributes to the SC context, focusing on GAI and BI in mitigating uncertainties within SCs to foster GPI and improve CP. This study highlights actionable frameworks for leveraging digital technologies in sustainable SCs by addressing technological challenges and integrating green innovation practices
Analysis of Participant-Level Characteristics Predicting Adherence to Long-Term EMA and Fitbit Monitoring
This directory contains R scripts, data files, and analysis reports relatedto the analysis of adherence. FILE OVERVIEW DATA FILES* data.xlsx Main subject-level dataset. * data-fitbit.xlsx …
This directory contains R scripts, data files, and analysis reports relatedto the analysis of adherence. FILE OVERVIEW DATA FILES* data.xlsx Main subject-level dataset. * data-fitbit.xlsx Dataset with detailed Fitbit-derived measures. DATA LOADING AND PREPROCESSING* data.R R script for loading and preprocessing the main dataset. * data-fitbit.R R script for loading and preprocessing the detailed Fitbit dataset. DESCRIPTIVE AND BASELINE ANALYSES* summary.Rmd R Markdown document providing a basic description of the datasets. * baseline.Rmd R Markdown document with baseline characteristics and missing-value analysis, including evaluation and imputation of missing values in SWL (new variable SWLlm.predicted). * baseline-by-burst.Rmd R Markdown document with baseline characteristics stratified by burst number. MODELING AND VARIABLE IMPORTANCE* importance.Rmd R Markdown analysis template for evaluating variable importance using stepwise regression and random forest models. PROJECT CONFIGURATION AND BUILD SYSTEM* Makefile.R Project definition for the rmake package; generates the GNU Makefile. * Makefile File dependencies and compilation commands used by GNU Make to generate all project results. * Rproject.Rproj RStudio project file. ------------------------------------------------------------------------------REQUIREMENTS------------------------------------------------------------------------------ 1) INSTALL REQUIRED R PACKAGES Run the following commands in R: install.packages(c( "tidyverse", "knitr", "rmake", "caret", "randomForest", "fastDummies", "broom", "devtools" )) devtools::install_github("beerda/hammer") devtools::install_github("beerda/mbrtools") 2) GENERATE PROJECT ANALYSES Run the analysis pipeline using rmake: make() This command generates all results defined in the project Makefile.------------------------------------------------------------------------------
Criminalisation of truancy as a manifestation of advanced marginality that mothers should be blamed for: Media framing in the Czech Republic
In this study, we present an analysis, driven by the Critical Discourse Studies, Frame Analysis, and Narrative Analysis, of how truancy is represented in the Czech media. Based on our findings, we ass…
In this study, we present an analysis, driven by the Critical Discourse Studies, Frame Analysis, and Narrative Analysis, of how truancy is represented in the Czech media. Based on our findings, we assert that Czech media employ three frames (gender bias; moralisation and individualisation; and repression/retribution) for representing truancy, effectively depicting it as a criminal problem created by irresponsible mothers (and children they neglected) who must be punished to address the issue. Employing the cultural and feminist criminology framework, as a combination that is scarcely used in studies, we argue that media (re)produce criminalisation of mothers by amplifying deeply rooted and routinised gendered cultural stereotypes. In this sense, we show that cultural criminology is useful not only for analysing adrenaline/“exciting” transgression, subcultures, or edgework, but, especially when combined with feminist criminology, also for analysing possibilities of criminalisation rooted in mainstream culture. Furthermore, our analysis shows that Czech media representation of truancy is damaging both for society and for addressing the issue, reducing it to a mere neoliberal individual choice of irresponsible mothers, even though truancy is a much more complex phenomenon with communal and structural levels and can be seen rather as a product of advanced marginality.
The temporal dynamics of the association between daily physical activity and life satisfaction
Abstract Purpose Life satisfaction (LS) is increasingly recognized as a crucial indicator and predictor of health and well-being across the lifespan. The impact of LS may be enhanced through physical…
Abstract Purpose Life satisfaction (LS) is increasingly recognized as a crucial indicator and predictor of health and well-being across the lifespan. The impact of LS may be enhanced through physical activity (PA), although studies exploring the dynamic and bidirectional nature of the relationship are scarce. One principal goal of this project is to examine the dynamic, personalized interactions between LS and PA and exercise identity (the degree to which exercise is a fundamental aspect of one’s self-concept) in geographic areas with different air pollution loads. Method We used data from a 12-month prospective cohort study (N =1314, mean age =38.09 [12.55]; range 18-65) with four 2-week intensive measurement bursts to evaluate the bidirectional relationship between LS (assessed at the end of the day) and PA (assessed by Fitbit Charge 3 or 4 throughout the day). The sample included both active (runners; n =747, 57%) and inactive (n =567, 43%) individuals living in Moravia-Silesia and South Bohemia, geographic areas with different levels of air pollution. A dynamic Bayesian model based on an extension of the vector autoregressive model was used to estimate both lagged and contemporaneous associations between LS and PA. Results There were meaningful autoregressive effects of first order for both LS (β = 0.394) and PA (β = 0.316), and a within-person contemporaneous association between LS and PA (β = 0.087) that was also associated with temporal factors and trends (weekly and monthly seasonal variation, day in study), gender, age, and exercise identity. Conclusion This study highlights the importance of periodicity on 2 temporal scales for both PA and LS, with age and gender also playing crucial roles. The findings underscore the importance of tailored, context-aware interventions to sustain engagement and enhance well-being through PA.
Predicting recovery after stressors using step count data derived from activity monitors
Abstract This study examines the stressor-response process in physical activity among 226 participants across four countries. We analyzed their step count collected via activity monitors before and a…
Abstract This study examines the stressor-response process in physical activity among 226 participants across four countries. We analyzed their step count collected via activity monitors before and after a significant stressor: the COVID-19 lockdown. Results showed that a ‘local dynamic complexity’ metric significantly predicts the rate of recovery to pre-COVID levels of physical activity. These findings provide new opportunities for just-in-time interventions to support physical activity recovery after disruptive stressors. Data availability The data used in the analysis are available at https://osf.io/gsmhk/. Code availability The R scripts used for the analysis are available at https://osf.io/gsmhk/.
Validation of factor structures of the Drinking Motives Questionnaire among the Czech young and adult general population
Alcohol use is one of the leading public health concerns in the Czech Republic. Drinking motives play a vital role in both initiation and subsequent alcohol use. A revised version of the self-report D…
Alcohol use is one of the leading public health concerns in the Czech Republic. Drinking motives play a vital role in both initiation and subsequent alcohol use. A revised version of the self-report Drinking Motives Questionnaire (DMQ-R) has been proposed to assess these motives. The present study aims to validate the DMQ-R in the Czech general population. METHODS: A total sample of 1,784 Czech participants completed a national survey. For the analysis, only a sub-sample of the past 12 months alcohol users was used: N = 1,123; 52.8% male; mean (SD) age = 40.2 (13.3). Drinking motives were assessed by the adopted Czech version of the DMQ-R. Both confirmatory (CFA) and exploratory factor analysis (EFA) were conducted to examine the factorial structure of the instrument. The age of the participant was additionally considered in the analysis (15-24 years as opposed to 25-64 years). RESULTS: The CFA supported the four-factor model in the 25-64 age group. The analysis supported the construct validity of the Social, Conformity, and Coping factors. The Enhancement factor retained only two items and was found to refer more to a domain of 'Pleasant Feeling'. For the 15-24 age group, the hypothesised four-factor structure was not corroborated. CONCLUSIONS: The Czech version of the DMQ-R was found to be a reliable measurement tool of the Social, Conformity, and Coping motives. Future research should investigate the dimensionality of the instrument items presumed to correspond to the Enhancement motives. This should be conducted particularly among adolescents and young adults aged 15-24 years, where administering the DMQ-R with a large enough sample is also needed.
No cardiac phase bias for threat-related distance perception under naturalistic conditions in immersive virtual reality
Previous studies have found that threatening stimuli are more readily perceived and more intensely experienced when presented during cardiac systole compared with diastole. Also, threatening stimuli a…
Previous studies have found that threatening stimuli are more readily perceived and more intensely experienced when presented during cardiac systole compared with diastole. Also, threatening stimuli are judged as physically closer than neutral ones. In a pre-registered study, we tested these effects and their interaction using a naturalistic (interactive and three-dimensional) experimental design in immersive virtual reality: we briefly displayed threatening and non-threatening animals (four each) at varying distances (1.5–5.5 m) to a group of young, healthy participants (n = 41) while recording their electrocardiograms (ECGs). Participants then pointed to the location where they had seen the animal (approx. 29 000 trials in total). Our pre-registered analyses indicated that perceived distances to both threatening and non-threatening animals did not differ significantly between cardiac phases—with Bayesian analysis supporting the null hypothesis. There was also no evidence for an association between subjective fear and perceived proximity to threatening animals. These results contrast with previous findings that used verbal or declarative distance measures in less naturalistic experimental conditions. Furthermore, our findings suggest that the cardiac phase-related variation in threat processing may not generalize across different paradigms and may be less relevant in naturalistic scenarios than under more abstract experimental conditions.
Midlife heart rate variability and cognitive decline: A large longitudinal cohort study
TRENDS IN ADOLESCENT CIGARETTE SMOKING IN CZECHIA: FINDINGS FROM THE HBSC STUDY 2014–2022
Objectives: Regular monitoring of health-related behaviours among vulnerable populations is of public health importance. This study examines trends in cigarette smoking among Czech adolescents followi…
Objectives: Regular monitoring of health-related behaviours among vulnerable populations is of public health importance. This study examines trends in cigarette smoking among Czech adolescents following the marked changes reported in the mid-2010s. Methods: Data from three recent rounds of the Health Behaviour in School-aged Children (HBSC) study conducted in Czechia in 2014, 2018, and 2022 were analysed. Temporal trends were assessed for two indicators of adolescent cigarette use: (i) lifetime cigarette use and (ii) cigarette use in the last 30 days. Binary logistic regression was used to test for temporal changes between survey periods. In 2022, the same two indicators were also calculated for electronic cigarette use. Results: A continuing decline in adolescent cigarette use was observed for both indicators, extending the trends reported in the mid-2010s into the 2020s. However, the findings also highlight the increasing prevalence of electronic cigarette use among Czech adolescents. Conclusions: Although conventional cigarette use among adolescents continues to decline, the growing popularity of electronic cigarettes undermines efforts to reduce overall nicotine exposure and, in the long term, could counteract the intended trends in nicotine-related harms.
PLANETARY-HEALTH LITERACY AND MENTAL WELLBEING IN CZECH ADOLESCENTS: INSIGHTS FROM THE HBSC SURVEY 2022
Objectives: Planetary-health literacy (PHL), the knowledge, motivation and social support required to safeguard both human and environmental health, may help adolescents cope with climate-related dist…
Objectives: Planetary-health literacy (PHL), the knowledge, motivation and social support required to safeguard both human and environmental health, may help adolescents cope with climate-related distress and adopt sustainable behaviours. Evidence on the linkage between PHL and mental health from Central and Eastern Europe is lacking. The aim of the study was to describe PHL in Czech adolescents by sex, grade and family affluence, examine its association with mental-health indicators, and explore links with selected environment-relevant behaviours. Methods: Cross-sectional data were drawn from the nationally representative Health Behaviour in School-aged Children (HBSC) 2022 survey (n = 4,195, 50.8% boys, ages 13 and 15 years). PHL was measured with an 11-item HBSC optional package yielding three sub-scales (knowledge, action, perceived pro-environmental social norms). Outcomes were wellbeing (WHO-5), life satisfaction (Cantril’s ladder), and psychological complaints (HBSC symptom checklist). Fruit and vegetable intake plus cigarette and e-cigarette use served as behavioural correlates. Results: Girls scored higher than boys on all PHL domains (Cohen d = 0.10–0.19). Thirteen-year-olds reported more action and stronger social norms than fifteen-year-olds (p < 0.001); socioeconomic gradients were small. In fully adjusted models, social norms were positively associated with wellbeing (β = 1.42, 95% CI: 1.12–1.72) and life satisfaction (β = 0.10, 0.08–0.13), and inversely with psychological complaints (β = −0.27, −0.33 to −0.21). Knowledge showed weak adverse relations with wellbeing and complaints, whereas action was associated with wellbeing only. Higher PHL related to daily fruit and vegetable consumption and inversely to intensive e-cigarette use; effect sizes were modest. Conclusions: Perceived pro-environmental social norms appear most tightly related to adolescent mental health, while overall PHL is slightly associated with sustainable dietary patterns and lower use of e-cigarettes. School curricula that combine climate education with collaborative, action-oriented projects may therefore deliver co-benefits for planetary and psychological health in Central and Eastern Europe.
The Mirror of Erised: a retrospective population-wide study of Czech all-cause mortality data by COVID-19 vaccination status
Background: In this study, we investigated the association between COVID-19 vaccination status and all-cause mortality (ACM) rate in the population of the Czech Republic between January 2020 and …
Background: In this study, we investigated the association between COVID-19 vaccination status and all-cause mortality (ACM) rate in the population of the Czech Republic between January 2020 and December 2022. Methods: In this retrospective study based on official population-wide individual (record-level) data, we analyzed monthly ACM rates stratified by COVID-19 vaccination status, sex, and age. The ACM was compared to expected mortality based on pre-COVID data. The recipients of the Janssen vaccine were excluded from the study. The final dataset comprised N = 5,636,949 individuals from the Czech Republic, encompassing all residents born between 1925 and 1980 who were alive on January 1, 2020. Results: Multiple peculiar patterns in ACM were revealed. The ACM of vaccinated individuals across several age cohorts was greatly diminished compared to the ACM of the unvaccinated, even in periods when virtually no COVID-19-related deaths were observed, suggesting a strong selection/indication bias. A similar drop in the ACM of newly vaccinated individuals was observed again during the booster campaign. With time from vaccination, the differences in ACM between groups with different vaccination statuses dwindled. Indication bias was observed at the beginning of the vaccination campaign when the frailest individuals were preferentially vaccinated. Conclusions: The population-wide data strongly suggest the presence of selection/indication bias, warranting careful interpretation of vaccination effectiveness estimates derived from observational studies. Keywords: All-cause mortality; COVID-19; Healthy user bias; Healthy vaccinee effect; Individual-level data; Vaccination status; Vaccine effectiveness.
Associations between adolescents oral health and health literacy, gender and family affluence: perspective of the Health Behaviour in School-aged Children study data from Slovakia and Poland
Objectives: The aim of this study was to examine the association between oral health and health literacy, gender, age, family affluence and country of origin amongst adolescents from Slovakia and Pola…
Objectives: The aim of this study was to examine the association between oral health and health literacy, gender, age, family affluence and country of origin amongst adolescents from Slovakia and Poland, using data from the Health Behaviour in School-aged Children study. Methods: We analysed data from the cross-sectional Health Behaviour in School-aged Children study conducted in 2022 on a representative sample of 6,289 Slovak and Polish 13- and 15-year old adolescents (mean age 14.48; SD = 1.01; 50.5% boys). Data was collected through self-administered online questionnaires completed by respondents in schools during classes. Binomial logistic regression models were used to assess associations between oral health and health literacy, gender, age, family affluence and country of origin amongst adolescents from Slovakia and Poland. Results: The results indicate that boys (odds ratio/95% confidence interval OR/95% CI 0.431/0.381–0.489) are substantially less likely to engage in regular toothbrushing compared to girls, highlighting a persistent gender disparity in oral hygiene behaviour. Additionally, lower socioeconomic status, as measured by family affluence, is associated with a decreased likelihood of frequent toothbrushing (OR/95% CI 0.486/0.399–0.592 for low family affluence; OR/95% CI 0.761/0.647–0.895 for medium family affluence). Similarly, health literacy emerges as a key determinant, with adolescents exhibiting lower health literacy levels demonstrating significantly reduced engagement in regular toothbrushing (OR/95% CI 0.475/0.384–0.587 for low health literacy; OR/95% CI 0.666/0.550–0.808 for medium health literacy). Conclusion: This study highlights the significant impact of gender, family affluence and health literacy on toothbrushing frequency amongst adolescents in Poland and Slovakia. The findings underscore the need for targeted oral health promotion strategies that consider gender differences, socioeconomic inequalities and the importance of health literacy in improving oral hygiene practises amongst adolescents.
Upper Boundary Algebra for Modeling the Missing Values Is a Residuated Lattice
It is already more than 100 years since the first proposal on three-valued logic appeared and it became a seminal work initiating lots of followers among scholars and researchers. Since then, we have …
It is already more than 100 years since the first proposal on three-valued logic appeared and it became a seminal work initiating lots of followers among scholars and researchers. Since then, we have observed distinct logical and algebraic approaches to modeling undefined values, i.e., the situation when the truth value of a given proposition is neither true nor false, but it is not defined. These various algebraic models of three-valued functionality are built to model various types of undefinedness, e.g., conceptional undefinedness, inconsistencies, indeterminable values, meaningless values, or half-true. It is not surprising that recently, these three-valued logics have been extended to partial fuzzy logics, i.e. specific many-valued logics that are extended by the dummy value * that models the undefined truth value. The algebraic structures for such logics are called partial algebras. Recently, two partial algebras, namely the Dragonfly algebra and the Lower Estimation, were both developed to capture the missing or unknown values. Their main idea consists in determining the lower boundary of the truth value of a proposition that we may guarantee after processing the operations independently on what values would replace the dummies *. Such an approach naturally leads to the consequence that the dummy * behaves as a “nearly zero” or “almost false” value. Though the application potential of such algebras in processing the missing values turned out to be very useful at some problems, it turned to be promising to consider a nearly dual approach. Such an approach should model the upper boundary idea and lead to a “nearly one” or “almost true” value. This study provides the first definition of such an algebra and investigates which of the standard properties of residuated lattices remain preserved. Unlike in the lower boundary case, we surprisingly show that in principle all of them are preserved, i.e., that the Upper Boundary algebra, though extended, remains to be the residuated lattice.
The source code of paper "Predicting Subgoals in Ricochet Robots with a Graph Neural Network"
The code used to generate the results in the paper "Predicting Subgoals in Ricochet Robots with a Graph Neural Network" is publicly available and can be accessed at [https://zenodo.org/records/2042415…
The code used to generate the results in the paper "Predicting Subgoals in Ricochet Robots with a Graph Neural Network" is publicly available and can be accessed at [https://zenodo.org/records/20424155]. This includes all scripts and relevant documentation necessary to reproduce the experiments described in the manuscript. Any additional data or materials can be made available upon reasonable request to the corresponding author.
The code for weighted quantile regression in fuzzy-probabilistic inference systems
The computational notebook for results in the papers: "On Data–Driven Fuzzy Partition in the Fuzzy–Probabilistic Inference System Framework", and "Fuzzy–Probabilistic Inference Syste…
The computational notebook for results in the papers: "On Data–Driven Fuzzy Partition in the Fuzzy–Probabilistic Inference System Framework", and "Fuzzy–Probabilistic Inference Systems Based on Piecewise Linear Weighted Quantiles". It computes and demonstrates weighted quantile regression in the framework of fuzzy-probabilistic inference systems. In addition to conventional uniform partition it constructs data driven partition that is able to capture local behaviour of data.
How to Verify Validity of Non-trivial Logical Syllogisms
In this publication we will focus on the presentation of several methods by which we are able to verify the validity of generalized Peterson syllogisms. We will focus on a special group of so-called n…
In this publication we will focus on the presentation of several methods by which we are able to verify the validity of generalized Peterson syllogisms. We will focus on a special group of so-called non-trivial syllogisms when a generalized intermediate quantifier is considered in both premises, e.g. Most, Several, Many, etc.
Enhancing Psychometric Analysis with Interactive SIA Modules
ShinyItemAnalysis (SIA) is an R package and shiny application for an interactive presentation of psychometric methods and analysis of multi-item measurements in psychology, education, and social scien…
ShinyItemAnalysis (SIA) is an R package and shiny application for an interactive presentation of psychometric methods and analysis of multi-item measurements in psychology, education, and social sciences in general. In this article, we present a new feature introduced in the recent version of the package, called "SIA modules," which allows researchers and practitioners to offer new analytical methods for broader use via add-on extensions. SIA modules are designed to integrate with and build upon the SIA interactive application, enabling them to leverage the existing infrastructure for tasks, such as data uploading and processing. They can access and further use a range of outputs from various analyses, including models and datasets. Because SIA modules come in R packages (or extend existing ones), they can be bundled with their datasets, utilize object-oriented systems, or even compiled code. We illustrate the concepts using sample modules from the newly introduced SIAmodules package and other packages. After providing a general overview of building Shiny applications, we describe how to develop the SIA add-on modules with the support of the new SIAtools package. Finally, we discuss the possibilities of future development and emphasize the importance of freely available, interactive psychometric software for disseminating methodological innovations.
On Data–Driven Fuzzy Partition in the Fuzzy–Probabilistic Inference System Framework
This paper focuses on fuzzy--probabilistic IF--THEN rule-based systems, where antecedents encode fuzzy information and consequents represent probability distributions of the output variable. By combin…
This paper focuses on fuzzy--probabilistic IF--THEN rule-based systems, where antecedents encode fuzzy information and consequents represent probability distributions of the output variable. By combining both types of uncertainty within a unified framework, this approach is effective for time series analysis and forecasting.Given a fuzzy covering of the input universe and an output random variable defined on a probability space, the rules state that if the input belongs to a given fuzzy set, then the output is described by a corresponding quantile function. In practice, uniform or generalized fuzzy partitions are typically constructed by shifting equidistant fuzzy sets along the domain axis. The consequent quantile functions are estimated from data as weighted quantiles, where the weights are given by the membership degrees of input values. These weighted quantiles are obtained by minimizing an asymmetric absolute loss functional. The inference mechanism then evaluates the output quantile at a given input as a normalized weighted average of the rule-wise quantile functions.Although fuzzy--probabilistic inference systems have demonstrated effectiveness in various applications, the construction of an appropriate fuzzy partition remains challenging. Uniform partitions are simple but fail to capture complex structures hidden in the data. This motivates the question of whether a data-driven fuzzy partition can better reflect local behaviour under a well-defined criterion. In this paper, we introduce three algorithmic methods for designing non-uniform, data-dependent fuzzy partitions, while a detailed theoretical analysis is left for future work.
How to Evaluate Fuzzy Linguistic Summaries and Fuzzy Association Rules? A Pilot User Study in Monitoring Bipolar and Depressive Disorders
Bipolar affective disorder and depression are among the most prevalent mental health conditions, with recent advances highlighting the role of sensors and computational methods in monitoring them. How…
Bipolar affective disorder and depression are among the most prevalent mental health conditions, with recent advances highlighting the role of sensors and computational methods in monitoring them. However, current Artificial Intelligence (AI)-based systems, while accurate, often lack transparency, limiting their trustworthiness and clinical adoption. Further-more, the state-of-the-art is still missing clear guidelines on how to design advanced human-centric validation approaches for interpretations or explanations of intelligent systems with the aim of paving the way towards trustworthy AI systems ready to be adopted by clinicians. This paper presents a novel evaluation approach integrating supervised learning with fuzzy information granules derived from fuzzy association rules and linguistic summaries to enhance interpretability. Itsmain innovation lies in the human-centric evaluation methodology. Our use case study in the mental health monitoring setting demonstrates the framework’s ability to reveal meaningful relationships between sensor data and mental states. Thus, this work contributes to the development of trustworthy AI systems in compliance with emerging regulatory standards. Our findings confirm that fuzzy logic-based interpretations constructed about the patients’ acoustic features would be beneficial for both clinicians and patients. 75% of respondents agreed that interpretations addressed important aspects of the clinical problem, and 91.7% of respondents agreed that additional interpretations would help psychiatrists in daily patient care. However, evaluations were more critical concerning the clarity and evidential support. Further work should focus on improving the conciseness and clarity of the automatically constructed fuzzy information granules.
A General Framework for Context-Aware Fuzzification of Four Ordered Categories: A Case Study on BMI Categories
This paper presents a general methodological framework for constructing contextaware fuzzy partitions that extend conventional crisp categorizations. The approach isbased on Novák’s theor…
This paper presents a general methodological framework for constructing contextaware fuzzy partitions that extend conventional crisp categorizations. The approach isbased on Novák’s theory of fuzzy contexts and is implemented using the R package lfl. It enables smooth and interpretable transitions between adjacent classes while preserving the original categorical structure. To illustrate the procedure, we apply it to derive fitness-specific fuzzy partitions of Body Mass Index, where the conventional four categories (underweight, normal weight, overweight, obese) are adapted according to individual levels of cardiorespiratory fitness.
Discovering Fuzzy and Statistical Patterns in Data: The nuggets R Package
The nuggets package provides a flexible and extensible frame-work for discovering interpretable data patterns based on frequent logical conditions. Its designunifies classical association-rule mining …
The nuggets package provides a flexible and extensible frame-work for discovering interpretable data patterns based on frequent logical conditions. Its designunifies classical association-rule mining with linguistic and fuzzy representations, while enablingoptional statistical evaluation for selected pattern types such as conditional contrasts and corre-lations. Pattern generation is driven by support, ensuring efficient mining of relevant conditions,whereas additional quantitative analyses or tests can be seamlessly attached when desired.A major strength of nuggets lies in its extensibility. The framework allows users to definecustom fuzzification schemes and to evaluate an arbitrary R function on every frequent con-dition, thereby enabling the creation of new, user-defined pattern types. This design encour-ages experimentation with alternative logical semantics, statistical measures, and application-specific evaluation criteria, making nuggets not only a tool for applied pattern discovery butalso a research platform for developing new methods.
Fuzzy–Probabilistic Inference Systems Based on Piecewise Linear Weighted Quantiles
In this work, we consider a particular construction of IF--THEN rules and the associated inference mechanism, which coincide with the so-called quantile fuzzy transform (or L1-fuzzy transform). Given …
In this work, we consider a particular construction of IF--THEN rules and the associated inference mechanism, which coincide with the so-called quantile fuzzy transform (or L1-fuzzy transform). Given a suitable fuzzy partition of the underlying universe and a random variable defined on a probability space, the system is formulated through rules stating that if the input belongs to the $k$-th fuzzy set, then the output is modeled by a corresponding quantile function.The consequent is represented by weighted quantile functions that provide statistical estimates of the output distribution conditioned on the input's membership in the respective fuzzy set. A crucial step in the inference process is the estimation of these quantile functions from data. Traditionally, weighted quantiles are computed via linear programming. We have recently introduced an alternative and computationally efficient method for evaluating weighted quantiles based on the analysis of the right derivative of the associated convex objective function.Although classical weighted quantiles are computationally efficient, they may be inadequate for accurately capturing the local positions of output quantiles over fuzzy inputs. To overcome this limitation, we have extended the weighted quantile approach into a piecewise linear functional form. In this contribution, we propose a slight modification of this construction to enhance its applicability to forecasting tasks. We describe the modified approach, demonstrate its improved inference performance compared to scalar weighted quantiles, and highlight its relevance for forecasting applications.
Žádné publikace nenalezeny.
Žádné publikace nenalezeny.
Pilot Assessment of Transparency of LLM-based Systems to Support Emergency Rooms
One of the main challenges when developing medical decision support systems for the emergency room is adequately filtering the most relevant information. High workload, stress, and the necessity for u…
One of the main challenges when developing medical decision support systems for the emergency room is adequately filtering the most relevant information. High workload, stress, and the necessity for urgent decisions require precise answers to the questions posed. Although LLM-based systems can provide abundant information, physicians need concise and relevant data in this particular clinical setting. In this study, we perform a pilot assessment of the transparency of selected LLM-based systems. The comparative analysis includes ChatGPT o1 model, which was asked to produce responses with varying temperatures and a pilot graph-based RAG specializing in cardiovascular diseases. A survey was conducted among 33 clinicians regarding the amount of information contained in the provided prompts. Physicians favored the most readable, specific, and helpful answers in emergency department conditions. Reliable medical data and the form in which answers are delivered are crucial for physicians working in the emergency room. We conclude that physicians have preferences for LLM responses at a specific temperature. Further research should be expanded to enable tailoring responses not only to the clinical situation but also to the experience of the asking physician.
Evolving fuzzy classification for human-centered explainable learning analytics in virtual environments
This study explores the use of explainable artificial intelligence in education, with a focus on its relevance for Learning Analytics. The research introduces a prototype-based dynamic incremental cla…
This study explores the use of explainable artificial intelligence in education, with a focus on its relevance for Learning Analytics. The research introduces a prototype-based dynamic incremental classification algorithm, Dynamic Incremental Semi-Supervised Fuzzy C-Means (DISSFCM), which leverages fuzzy logic to analyze student interaction data from virtual learning platforms, even when the data are only partially labeled. The proposed methodology generates human-centered explanations by extracting IF-THEN fuzzy rules from the evolving prototypes produced by DISSFCM over successive time intervals. These explanations, expressed in linguistic terms, remain accessible to non-expert stakeholders and are particularly suitable for educational contexts. The Open University Learning Analytics Dataset (OULAD) is utilized for experimentation and validation, providing a realistic scenario for semi-supervised data collection. Visual summaries of the evolving fuzzy rules support the identification of temporal patterns in streaming data. Results show that the model effectively adapts to concept drift while maintaining interpretability. Most notably, it proves robust in handling partially labeled data and variable time granularities, two challenges frequently encountered in real-world Learning Analytics sce- narios. The ability to both predict student outcomes and provide intelligible explanations under such constraints highlights the practical value of the approach. To evaluate the quality and relevance of the generated explanations, an expert-based evaluation was conducted. Domain experts evaluated the clarity, usefulness, and accuracy of the explanations in terms of their support for human understanding and decision-making. The results suggest that the explanations were perceived as generally informative and useful, supporting the method’s relevance for human-centered educational applications.
Incremental learning and granular computing from evolving data streams: An application to speech-based bipolar disorder diagnosis
We apply an evolving granular-computing modeling approach, called evolving Optimal Granular System (eOGS), to bipolar mood disorder (BD) diagnosis based on speech data streams. The eOGS online learnin…
We apply an evolving granular-computing modeling approach, called evolving Optimal Granular System (eOGS), to bipolar mood disorder (BD) diagnosis based on speech data streams. The eOGS online learning algorithm reveals information granules in the flow and design the structure and parameters of a granular rule-based model with a certain degree of interpretability based on acoustic attributes obtained from phone calls made over 7 months to the Psychiatry department of a hospital. A multi-objective programming problem that trades-off information specificity, model compactness, and numerical and granular error indices is presented. Spectral and prosodic attributes are ranked and selected based on a hybrid Pearson-Spearman correlation coefficient. Low attribute-class correlation, ranging from 0.03 to 0.07, is observed, as well as high class overlap, which is typical in the psychiatric field. eOGS models for BD recognition overcome alternative computational-intelligence models, namely, Dynamic Evolving Neural-Fuzzy Inference System (DENFIS) and Fuzzy-set-Based evolving Modeling (FBeM-Gauss), by a small margin in both best and average cases; followed by eXtended Takagi-Sugeno (xTS) and evolving Takagi Sugeno (eTS) types of models. The proposed eOGS model using only 8 of the original acoustic attributes, and about 15 ‘If-Then’ inference rules, has exhibited the best root mean square error, 0.1361, and 91.8% accuracy in sharp BD class estimates. Granules associated to linguistic labels and a granular input-output map offer human understandability with relation to the inherent process of generating class estimates. Linguistically readable eOGS rules may assist physicians in explaining symptoms and making a diagnosis.
On Solvability Degree of Systems of Partial Fuzzy Relational Equations
Systems of partial fuzzy relational equations employing undefined values in the antecedents and consequents have been approached recently. The primary focus was on the issues of sufficient solvability…
Systems of partial fuzzy relational equations employing undefined values in the antecedents and consequents have been approached recently. The primary focus was on the issues of sufficient solvability and solvability criteria. This study introduces another perspective, investigating the behavior of solvability degrees of these systems. We employ operations from the Lower estimation and Dragonfly partial algebras developed in the partial fuzzy set theory framework. Initially, we establish a degree of solvability in an appropriate space of approximations containing potential solutions for the systems. Subsequently, we introduce the concept of the alpha-lift for a given partial fuzzy set and provide its fundamental properties. This concept is employed to modify the antecedents and consequents of a given system of partial fuzzy relational equations, resulting in a modified system. The solvability degree of this modified system is then studied, and we demonstrate that, under sufficient conditions, it significantly enhances the solvability degree of the initial system. This positive impact is observed in the Godel algebra, the underlying algebraic structure of partial algebras. In conclusion, we provide illustrative examples that effectively demonstrate the theoretical results.
nuggets: Data Pattern Extraction Framework in R
nuggets is a framework for subgroup discovery, contrast and emerging patterns, association rules, and more. Developed as a package for the R statistical environment, nuggets provides a novel and …
nuggets is a framework for subgroup discovery, contrast and emerging patterns, association rules, and more. Developed as a package for the R statistical environment, nuggets provides a novel and extensible toolkit for performing rule-based analyses. Both crisp (Boolean) and fuzzy data are supported. The package generates conditions in the form of elementary conjunctions, evaluates them on a dataset, and checks the induced sub-data for interesting statistical properties. A user defined function may be evaluated on generated sub-dataset, which provides a novel generality. The aim of this paper is to present that free software to the soft computing community, as the tool could be useful to both researchers and analysts in the domain of pattern mining, as, besides searching for various existing pattern types, brand new ideas may be easily implemented and evaluated within that framework.
Upper Boundary Algebra for Modeling the Missing Values Is a Residuated Lattice
It is already more than 100 years since the first proposal on three-valued logic appeared and it became a seminal work initiating lots of followers among scholars and researchers. Since then, we have …
It is already more than 100 years since the first proposal on three-valued logic appeared and it became a seminal work initiating lots of followers among scholars and researchers. Since then, we have observed distinct logical and algebraic approaches to modeling undefined values, i.e., the situation when the truth value of a given proposition is neither true nor false, but it is not defined. These various algebraic models of three-valued functionality are built to model various types of undefinedness, e.g., conceptional undefinedness, inconsistencies, indeterminable values, meaningless values, or half-true. It is not surprising that recently, these three-valued logics have been extended to partial fuzzy logics, i.e. specific many-valued logics that are extended by the dummy value * that models the undefined truth value. The algebraic structures for such logics are called partial algebras. Recently, two partial algebras, namely the Dragonfly algebra and the Lower Estimation, were both developed to capture the missing or unknown values. Their main idea consists in determining the lower boundary of the truth value of a proposition that we may guarantee after processing the operations independently on what values would replace the dummies *. Such an approach naturally leads to the consequence that the dummy * behaves as a “nearly zero” or “almost false” value. Though the application potential of such algebras in processing the missing values turned out to be very useful at some problems, it turned to be promising to consider a nearly dual approach. Such an approach should model the upper boundary idea and lead to a “nearly one” or “almost true” value. This study provides the first definition of such an algebra and investigates which of the standard properties of residuated lattices remain preserved. Unlike in the lower boundary case, we surprisingly show that in principle all of them are preserved, i.e., that the Upper Boundary algebra, though extended, remains to be the residuated lattice.
The source code of paper "Predicting Subgoals in Ricochet Robots with a Graph Neural Network"
The code used to generate the results in the paper "Predicting Subgoals in Ricochet Robots with a Graph Neural Network" is publicly available and can be accessed at [https://zenodo.org/records/2042415…
The code used to generate the results in the paper "Predicting Subgoals in Ricochet Robots with a Graph Neural Network" is publicly available and can be accessed at [https://zenodo.org/records/20424155]. This includes all scripts and relevant documentation necessary to reproduce the experiments described in the manuscript. Any additional data or materials can be made available upon reasonable request to the corresponding author.
The code for weighted quantile regression in fuzzy-probabilistic inference systems
The computational notebook for results in the papers: "On Data–Driven Fuzzy Partition in the Fuzzy–Probabilistic Inference System Framework", and "Fuzzy–Probabilistic Inference Syste…
The computational notebook for results in the papers: "On Data–Driven Fuzzy Partition in the Fuzzy–Probabilistic Inference System Framework", and "Fuzzy–Probabilistic Inference Systems Based on Piecewise Linear Weighted Quantiles". It computes and demonstrates weighted quantile regression in the framework of fuzzy-probabilistic inference systems. In addition to conventional uniform partition it constructs data driven partition that is able to capture local behaviour of data.
How to Verify Validity of Non-trivial Logical Syllogisms
In this publication we will focus on the presentation of several methods by which we are able to verify the validity of generalized Peterson syllogisms. We will focus on a special group of so-called n…
In this publication we will focus on the presentation of several methods by which we are able to verify the validity of generalized Peterson syllogisms. We will focus on a special group of so-called non-trivial syllogisms when a generalized intermediate quantifier is considered in both premises, e.g. Most, Several, Many, etc.
The new role of social work: the social worker-client relationship in the digitalised society as hotline-level bureaucracy
This article explores the evolving role of social workers in the context of increasing digitalisation, focussing on the Czech Republic. Using ecological systems theory and the shift from street-l…
This article explores the evolving role of social workers in the context of increasing digitalisation, focussing on the Czech Republic. Using ecological systems theory and the shift from street-level to screen-level bureaucracy as a framework, we analyse how digital tools are reshaping the relationship between clients and social workers, as well as professional boundaries. Using qualitative data from focus groups and interviews with social workers who support families at risk, we introduce the concept of ‘hotline-level bureaucracy’ to describe a recently emerged practice. In this model, social workers increasingly act as intermediaries between clients and digitalised institutions, often taking on responsibilities due to clients lacking access to technology and digital skills. This shift challenges the empowerment paradigm in social work, burdening practitioners with emotional and cognitive overload, and complicating ethical boundaries. We contend that this transformation necessitates a redefinition of roles, stronger institutional support, and broader structural responses to digital inequality.
The Journey From Nonimmersive to Immersive Multiuser Applications in Mental Health Care: Systematic Review
Over the past 25 years, the development of multi-user applications has seen significant advancements and challenges. The technological development in this field has emerged from simple chatrooms, thro…
Over the past 25 years, the development of multi-user applications has seen significant advancements and challenges. The technological development in this field has emerged from simple chatrooms, through videoconferencing tools to the crea-tion of complex, interactive, and often multisensory virtual worlds. These multi-user technologies have gradually found their way into mental health care, where they are used in both dyadic counselling and group interventions. However, some limitations in hardware capabilities, user experience designs, and scalability may have hindered the effectiveness of these applications. Objective: The present systematic review aimed at summarizing the progress made and the potential future directions in this field while evaluating various factors and perspectives relevant to remote multi-user interventions. Methods: The systematic review was performed based on Web of Science (WoS) and PubMed database search covering articles in the English language published from Jan-uary 1999 to March 2024 related to multi-user mental health interventions. Several inclusion and exclusion criteria were determined before and during the records screening process performed in several steps. Results: We have identified 49 records exploring the multi-user applications in mental health care, ranging from text-based interventions to interventions set in fully immer-sive environments. The number of publications exploring this topic is growing since 2015, with a large increase during COVID-19 pandemic. The majority of digital inter-ventions were delivered in a form of video-conferencing, with only a few implementing immersive environments. The studies utilized professional or peer supported group interventions or a combination of both approaches. The research studies targeted di-verse groups and topics, from nursing mothers to psychiatric disorders or various mi-nority groups. Most group sessions happened weekly, or in case of the peer-support groups, often with flexible schedule. Conclusions: We have identified many benefits to multi-user digital interventions for mental healthcare. These approaches provide distributed, always available and afford-able peer support that can be used to deliver necessary help to people living outside of areas where in-person interventions are easily available. While immersive virtual envi-ronments have become a common tool in many areas of psychiatric care, such as expo-sure therapy, our results suggest that this technology in multi-user settings is still in its early stages. Most identified studies investigated mainstream technologies, such as vid-eo conferencing or text-based support, substituting immersive experience for conven-ience and ease of use. While many studies discuss useful features of virtual environ-ments in group interventions, such as anonymity or stronger engagement with the group, we discuss persisting issues with these technologies, which currently prevent their full adoption.
Validation of factor structures of the Drinking Motives Questionnaire among the Czech young and adult general population
Alcohol use is one of the leading public health concerns in the Czech Republic. Drinking motives play a vital role in both initiation and subsequent alcohol use. A revised version of the self-report D…
Alcohol use is one of the leading public health concerns in the Czech Republic. Drinking motives play a vital role in both initiation and subsequent alcohol use. A revised version of the self-report Drinking Motives Questionnaire (DMQ-R) has been proposed to assess these motives. The present study aims to validate the DMQ-R in the Czech general population. METHODS: A total sample of 1,784 Czech participants completed a national survey. For the analysis, only a sub-sample of the past 12 months alcohol users was used: N = 1,123; 52.8% male; mean (SD) age = 40.2 (13.3). Drinking motives were assessed by the adopted Czech version of the DMQ-R. Both confirmatory (CFA) and exploratory factor analysis (EFA) were conducted to examine the factorial structure of the instrument. The age of the participant was additionally considered in the analysis (15-24 years as opposed to 25-64 years). RESULTS: The CFA supported the four-factor model in the 25-64 age group. The analysis supported the construct validity of the Social, Conformity, and Coping factors. The Enhancement factor retained only two items and was found to refer more to a domain of 'Pleasant Feeling'. For the 15-24 age group, the hypothesised four-factor structure was not corroborated. CONCLUSIONS: The Czech version of the DMQ-R was found to be a reliable measurement tool of the Social, Conformity, and Coping motives. Future research should investigate the dimensionality of the instrument items presumed to correspond to the Enhancement motives. This should be conducted particularly among adolescents and young adults aged 15-24 years, where administering the DMQ-R with a large enough sample is also needed.
No cardiac phase bias for threat-related distance perception under naturalistic conditions in immersive virtual reality
Previous studies have found that threatening stimuli are more readily perceived and more intensely experienced when presented during cardiac systole compared with diastole. Also, threatening stimuli a…
Previous studies have found that threatening stimuli are more readily perceived and more intensely experienced when presented during cardiac systole compared with diastole. Also, threatening stimuli are judged as physically closer than neutral ones. In a pre-registered study, we tested these effects and their interaction using a naturalistic (interactive and three-dimensional) experimental design in immersive virtual reality: we briefly displayed threatening and non-threatening animals (four each) at varying distances (1.5–5.5 m) to a group of young, healthy participants (n = 41) while recording their electrocardiograms (ECGs). Participants then pointed to the location where they had seen the animal (approx. 29 000 trials in total). Our pre-registered analyses indicated that perceived distances to both threatening and non-threatening animals did not differ significantly between cardiac phases—with Bayesian analysis supporting the null hypothesis. There was also no evidence for an association between subjective fear and perceived proximity to threatening animals. These results contrast with previous findings that used verbal or declarative distance measures in less naturalistic experimental conditions. Furthermore, our findings suggest that the cardiac phase-related variation in threat processing may not generalize across different paradigms and may be less relevant in naturalistic scenarios than under more abstract experimental conditions.
TRENDS IN ADOLESCENT CIGARETTE SMOKING IN CZECHIA: FINDINGS FROM THE HBSC STUDY 2014–2022
Objectives: Regular monitoring of health-related behaviours among vulnerable populations is of public health importance. This study examines trends in cigarette smoking among Czech adolescents followi…
Objectives: Regular monitoring of health-related behaviours among vulnerable populations is of public health importance. This study examines trends in cigarette smoking among Czech adolescents following the marked changes reported in the mid-2010s. Methods: Data from three recent rounds of the Health Behaviour in School-aged Children (HBSC) study conducted in Czechia in 2014, 2018, and 2022 were analysed. Temporal trends were assessed for two indicators of adolescent cigarette use: (i) lifetime cigarette use and (ii) cigarette use in the last 30 days. Binary logistic regression was used to test for temporal changes between survey periods. In 2022, the same two indicators were also calculated for electronic cigarette use. Results: A continuing decline in adolescent cigarette use was observed for both indicators, extending the trends reported in the mid-2010s into the 2020s. However, the findings also highlight the increasing prevalence of electronic cigarette use among Czech adolescents. Conclusions: Although conventional cigarette use among adolescents continues to decline, the growing popularity of electronic cigarettes undermines efforts to reduce overall nicotine exposure and, in the long term, could counteract the intended trends in nicotine-related harms.
PLANETARY-HEALTH LITERACY AND MENTAL WELLBEING IN CZECH ADOLESCENTS: INSIGHTS FROM THE HBSC SURVEY 2022
Objectives: Planetary-health literacy (PHL), the knowledge, motivation and social support required to safeguard both human and environmental health, may help adolescents cope with climate-related dist…
Objectives: Planetary-health literacy (PHL), the knowledge, motivation and social support required to safeguard both human and environmental health, may help adolescents cope with climate-related distress and adopt sustainable behaviours. Evidence on the linkage between PHL and mental health from Central and Eastern Europe is lacking. The aim of the study was to describe PHL in Czech adolescents by sex, grade and family affluence, examine its association with mental-health indicators, and explore links with selected environment-relevant behaviours. Methods: Cross-sectional data were drawn from the nationally representative Health Behaviour in School-aged Children (HBSC) 2022 survey (n = 4,195, 50.8% boys, ages 13 and 15 years). PHL was measured with an 11-item HBSC optional package yielding three sub-scales (knowledge, action, perceived pro-environmental social norms). Outcomes were wellbeing (WHO-5), life satisfaction (Cantril’s ladder), and psychological complaints (HBSC symptom checklist). Fruit and vegetable intake plus cigarette and e-cigarette use served as behavioural correlates. Results: Girls scored higher than boys on all PHL domains (Cohen d = 0.10–0.19). Thirteen-year-olds reported more action and stronger social norms than fifteen-year-olds (p < 0.001); socioeconomic gradients were small. In fully adjusted models, social norms were positively associated with wellbeing (β = 1.42, 95% CI: 1.12–1.72) and life satisfaction (β = 0.10, 0.08–0.13), and inversely with psychological complaints (β = −0.27, −0.33 to −0.21). Knowledge showed weak adverse relations with wellbeing and complaints, whereas action was associated with wellbeing only. Higher PHL related to daily fruit and vegetable consumption and inversely to intensive e-cigarette use; effect sizes were modest. Conclusions: Perceived pro-environmental social norms appear most tightly related to adolescent mental health, while overall PHL is slightly associated with sustainable dietary patterns and lower use of e-cigarettes. School curricula that combine climate education with collaborative, action-oriented projects may therefore deliver co-benefits for planetary and psychological health in Central and Eastern Europe.
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CHANGES IN SOCIAL MEDIA USE PATTERNS AMONG CZECH ADOLESCENTS: HBSC STUDY 2018–2022
Objectives: Previous studies have identified four distinct patterns of adolescent social media use (SMU): (1) Non-active users abstain from social media or engage in online interactions only once a we…
Objectives: Previous studies have identified four distinct patterns of adolescent social media use (SMU): (1) Non-active users abstain from social media or engage in online interactions only once a week or less; (2) Active users connect with others online daily without any functional impairments related to their SMU; (3) Intense users frequently engage with others online but do not meet criteria for problematic use; (4) Problematic users report six or more addiction-like symptoms. The following study aimed to assess the prevalence of these SMU patterns among Czech adolescents; examine changes between 2018 (pre-COVID-19) and 2022; and explore age and gender differences to identify at-risk subgroups. Methods: Data were drawn from the Health Behaviour in School-aged Children (HBSC) study among 11-, 13-, and 15-year-olds. The study analysed Czech data from the 2017/18 and 2021/22 waves (n = 26,450). Results: Findings revealed marked changes in SMU patterns between 2018 and 2022 among Czech adolescents. Girls and older adolescents reported higher rates of problematic SMU, which increased steadily with age. The share of non-active users declined, most notably among 11-year-olds. Conclusions: The marked increase in both intense and problematic SMU among Czech adolescents highlights a growing public health concern. Given the established associations between problematic SMU and poorer mental health outcomes, these findings call for the integration of digital behaviour monitoring and education into school-based mental health and prevention programs. Particular attention should be given to early adolescence and to gender-specific vulnerabilities.
Overweight, Obesity, and Body Weight Perception among Czech Adolescents: A Two-Decade Analysis (HBSC Study 2002-2022)
Objectives: Excess body weight and weight misperception in adolescents are associated with various physical and mental health risks. This study analysed trends in overweight, obesity, body image, and …
Objectives: Excess body weight and weight misperception in adolescents are associated with various physical and mental health risks. This study analysed trends in overweight, obesity, body image, and body weight perception among Czech adolescents between 2002 and 2022, considering gender, age and socioeconomic status (SES). Methods: Data were retrieved from the questionnaire of the Health Behaviour in School-aged Children (HBSC) study conducted in 2002, 2006, 2010, 2014, 2018 and 2022 (n=52,363; 49.9% girls). The Difference test between two proportions was used to assess time trends in weight status (WS), body image, and body weight perception across gender and SES groups. Logistic regression analysis was performed to examine the likelihood of being overweight/obese, and underestimating or overestimating WS. Results: Between 2002 and 2022, overweight and obesity increased significantly, while non-overweight rates declined across both genders and SES groups, with a greater rise among boys and adolescents from low SES backgrounds. In 2022, more adolescents, regardless the gender and SES, perceived their body as “too thin” compared to 2002. Over the 20-year period, underestimation of WS increased while overestimation decreased among both girls and boys and across all SES groups. Accurate perception of WS rose among girls but worsened among boys. Girls were less likely than boys to be overweight/obese or to underestimate their WS but had higher odds of overestimating it. Conclusions: The significant rise in overweight and obesity, especially in boys and adolescents from low SES backgrounds, during the last 20 years points out to socio-economic disparities and should be taken into account when creating new policies. An improvement in correct perception of WS among girls and a decline in overestimating WS across both genders and SES groups, could help reduce the risks of developing mental health problems or eating disorders, whereas underestimating WS may lead to weight-related issues.
Trends in Active School Transport Among Czech Adolescents Between 2006–2022: Findings from the HBSC Study
Objectives: Active school transport (AST), such as walking or cycling to and from school, represents an important source of daily physical activity for adolescents. In recent decades, however, many hi…
Objectives: Active school transport (AST), such as walking or cycling to and from school, represents an important source of daily physical activity for adolescents. In recent decades, however, many high-income countries have reported a steady decline in AST. The main objective of this study was to describe long-term trends in active travel to and from school among Czech adolescents aged 11, 13, and 15 years, using nationally representative data collected in five waves of the Health Behaviour in School-aged Children (HBSC) study between 2006 and 2022. A secondary aim was to explore selected individual and socioeconomic factors associated with AST participation. Methods: The analysis is based on a total sample of 50,713 adolescents (boys: n=25,628; girls: n=25,085) aged 10.5–16.5 years, with valid self-reported data on travel modes to and from school. AST was defined as walking or cycling as the primary mode of transport. The prevalence of AST was analyzed over time by gender and age category. Binary logistic regression was used to assess the associations between AST and survey year, gender, age group, socioeconomic status (Family Affluence Scale), and commuting time to school. Results: Between 2006 and 2022, the prevalence of AST to school declined from 71.6% to 54.9% among boys and from 71.8% to 54.8% among girls. A similar trend was observed for AST from school, although participation remained consistently higher than in the morning. The strongest negative predictors of AST were longer commuting time and higher socioeconomic status. Girls had slightly lower odds of AST than boys, and older adolescents were more likely to engage in AST.
The Mirror of Erised: a retrospective population-wide study of Czech all-cause mortality data by COVID-19 vaccination status
Background: In this study, we investigated the association between COVID-19 vaccination status and all-cause mortality (ACM) rate in the population of the Czech Republic between January 2020 and …
Background: In this study, we investigated the association between COVID-19 vaccination status and all-cause mortality (ACM) rate in the population of the Czech Republic between January 2020 and December 2022. Methods: In this retrospective study based on official population-wide individual (record-level) data, we analyzed monthly ACM rates stratified by COVID-19 vaccination status, sex, and age. The ACM was compared to expected mortality based on pre-COVID data. The recipients of the Janssen vaccine were excluded from the study. The final dataset comprised N = 5,636,949 individuals from the Czech Republic, encompassing all residents born between 1925 and 1980 who were alive on January 1, 2020. Results: Multiple peculiar patterns in ACM were revealed. The ACM of vaccinated individuals across several age cohorts was greatly diminished compared to the ACM of the unvaccinated, even in periods when virtually no COVID-19-related deaths were observed, suggesting a strong selection/indication bias. A similar drop in the ACM of newly vaccinated individuals was observed again during the booster campaign. With time from vaccination, the differences in ACM between groups with different vaccination statuses dwindled. Indication bias was observed at the beginning of the vaccination campaign when the frailest individuals were preferentially vaccinated. Conclusions: The population-wide data strongly suggest the presence of selection/indication bias, warranting careful interpretation of vaccination effectiveness estimates derived from observational studies. Keywords: All-cause mortality; COVID-19; Healthy user bias; Healthy vaccinee effect; Individual-level data; Vaccination status; Vaccine effectiveness.
Associations between adolescents oral health and health literacy, gender and family affluence: perspective of the Health Behaviour in School-aged Children study data from Slovakia and Poland
Objectives: The aim of this study was to examine the association between oral health and health literacy, gender, age, family affluence and country of origin amongst adolescents from Slovakia and Pola…
Objectives: The aim of this study was to examine the association between oral health and health literacy, gender, age, family affluence and country of origin amongst adolescents from Slovakia and Poland, using data from the Health Behaviour in School-aged Children study. Methods: We analysed data from the cross-sectional Health Behaviour in School-aged Children study conducted in 2022 on a representative sample of 6,289 Slovak and Polish 13- and 15-year old adolescents (mean age 14.48; SD = 1.01; 50.5% boys). Data was collected through self-administered online questionnaires completed by respondents in schools during classes. Binomial logistic regression models were used to assess associations between oral health and health literacy, gender, age, family affluence and country of origin amongst adolescents from Slovakia and Poland. Results: The results indicate that boys (odds ratio/95% confidence interval OR/95% CI 0.431/0.381–0.489) are substantially less likely to engage in regular toothbrushing compared to girls, highlighting a persistent gender disparity in oral hygiene behaviour. Additionally, lower socioeconomic status, as measured by family affluence, is associated with a decreased likelihood of frequent toothbrushing (OR/95% CI 0.486/0.399–0.592 for low family affluence; OR/95% CI 0.761/0.647–0.895 for medium family affluence). Similarly, health literacy emerges as a key determinant, with adolescents exhibiting lower health literacy levels demonstrating significantly reduced engagement in regular toothbrushing (OR/95% CI 0.475/0.384–0.587 for low health literacy; OR/95% CI 0.666/0.550–0.808 for medium health literacy). Conclusion: This study highlights the significant impact of gender, family affluence and health literacy on toothbrushing frequency amongst adolescents in Poland and Slovakia. The findings underscore the need for targeted oral health promotion strategies that consider gender differences, socioeconomic inequalities and the importance of health literacy in improving oral hygiene practises amongst adolescents.
