Search Results (805)

This study examines the moral agency of French secondary school headteachers through the lens of the theory of conventions. Using qualitative data from interviews with fifteen headteachers involved in professional development, this study explores how these leaders justify their practices within a centralized, bureaucratic, and hierarchical education system. It identifies a variety of conventions—civic, domestic, industrial, project, market, inspired, and fame—that headteachers draw on to navigate institutional constraints, manage professional relationships, and foster pedagogical and organizational change. Particular attention is given to how civic and domestic conventions shape leadership discourse and practices, especially regarding trust building, decision making, and reform implementation. We also compare the French context with international examples from the International Successful School Principalship Project (ISSPP), focusing on Nordic countries, where leadership emphasizes democratic participation, professional trust, and shared responsibility. This study underscores the uniqueness of the French leadership model, which resists managerial and market logics while remaining rooted in republican and egalitarian ideals. It concludes by advocating for a more context-aware, ethically grounded, and dialogical approach to school leadership. Full article

Water governance in Europe faces mounting challenges from climate change, demographic pressures, and aging infrastructure—especially in Southern regions increasingly affected by drought and institutional fragmentation. In contrast, Nordic countries such as Denmark and Sweden exhibit coherent, integrated governance systems with strong regulatory oversight. This study introduces the Water Governance Maturity Index (WGMI), a document-based assessment tool designed to evaluate national water governance across five dimensions: institutional capacity, operational effectiveness, environmental ambition, equity, and climate adaptation. Applying the WGMI to eight EU countries—four Nordic and four Southern—reveals a persistent North–South divide in governance maturity. Nordic countries consistently score in the “advanced” or “model” range, while Southern countries face systemic gaps in implementation, climate integration, and territorial inclusion. Based on these findings, the study offers actionable policy recommendations, including the establishment of independent regulators, strengthening of river basin coordination, mainstreaming of climate-water strategies, and expansion of affordability and participation mechanisms. By translating complex governance principles into measurable indicators, the WGMI provides a practical tool for benchmarking reform progress and supporting the EU’s broader agenda for just resilience and climate adaptation. Unlike broader frameworks like SDG 6.5.1, the WGMI’s document-based, dimension-specific approach provides granular, actionable insights for governance reform, enhancing its utility for EU and global policymakers. Full article

Public administrators are empirical experimenters by nature. This paper argues that policy experiments are functions of administrative institutional settings. These administrative traditions influence bureaucrat-led policy experiments. This argument is explored through the case of nature-based solutions in the European Union; a field that is reporting increasing policy experimentation across diverse geographies and across four of the archetypal administrative traditions. Our review of this nascent literature revealed 19 sources across multiple different disciplinary sources. These revealed that the Nordic tradition is effective due to its culture of discretionary risk taking in experimentation; the Rechtsstaat tradition supports longevity in policy experiments; and the Westminster tradition facilitates broad and inclusive experimental spaces. This offers significant new contributions to the tradition and policy experimentalist literature. By drawing out the relevance of heterogeneous institutional administrative settings on experiments, it adds to the growing discourse evidencing the policy impact of administrative tradition literature and showing why nature-based solutions in the EU have significant empirical value to these policy and administration literatures. Full article

Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory disease predominantly of the small airways and parenchyma. COPD lungs exhibit an influx of circulating innate immune cells, which, when isolated, display impaired functions, including imbalanced protease secretion. In addition to immune cells, the extracellular matrix (ECM) plays a crucial role in COPD pathology. Remodeling of the ECM can generate ECM fragments, which can be released into circulation and subsequently induce pro-inflammatory responses. COPD is a heterogeneous disease, and serological biomarkers can be used to sub-categorize COPD patients for targeted treatments and optimal recruitment in clinical trials. This study evaluated fragments of calprotectin, collagen type VI, and versican, generated by neutrophil elastase and matrix metalloproteinases (MMP-) 2 and 12, respectively, as potential biomarkers of COPD disease, severity, and endotypes. Lower plasma levels of a neoepitope marker of calprotectin, indicative of activated neutrophils (nordicCPa9-HNETM), were detected in COPD donors compared to controls. CPa9-HNE was associated with milder disease, higher degree of air-trapping, and higher serum levels of MMP-2. Deposition of CPa9-HNE levels in lung tissue revealed no differences between groups. Taken together, CPa9-HNE was found to be a potential marker of mild COPD, but further studies are warranted to validate our findings. Full article

A rather novel approach for delivery of inertia-like grid services through energy storage devices is described and validated by physical experiments and on-site measurements. In this approach, denoted “amplified inertia response”, an actual inertial response from a grid-connected synchronous machine is amplified. This inertia emulation approach is contrasted by what is called synthetic inertia, which uses a frequency-locked loop in order to extract the grid frequency. The synthetic inertia faces the usual input signal filtering challenges if the signal-to-noise ratio is low. The amplified inertia controller avoids the input filtering since it only amplifies the natural inertial response from a synchronous machine. However, rotor angle oscillations lead to filtering requirements of the amplified version as well, but on the output signal of the controller. Experimental comparisons are conducted both on the measurement output from the physical experiments in a microgrid and on analysis based on input from on-site measurements from a 55 MVA hydropower generator connected to the Nordic grid. In the specific cases compared, we observe that the amplified inertia version is the better method for smaller power systems, with large frequency fluctuations. On the other hand, the synthetic inertia method is the better in larger power systems as compared to the amplification of the inertial response from a real production unit. Full article

In the intersecting field of energy consumption and human well-being, many macro-level studies link national energy use with well-being. These studies often rely on aggregate data, however, limiting insights into intra-national inequities and diverse well-being outcomes. To bridge this gap, this study used a single Nordic survey that allowed for the calculation of consumption-based energy footprints alongside well-being measures, focusing on Icelandic participants. A factor analysis of well-being responses identifies four factors: Eudaimonic, Financial, Housing/Local, and Health-related well-being. We found that well-being in Iceland largely remains decoupled from energy footprints across income and consumption groups, except for financial well-being. However, these groups differ significantly in consumption lifestyles and associated footprints, with only a small fraction of consumers maintaining energy use within global sufficiency thresholds. Most exceed these levels, suggesting that Iceland could reduce energy consumption without significantly harming well-being. Future research should explore strategies to lower consumption without triggering negative social reactions or declines in well-being. Full article

Objectives: This randomized controlled trial investigated the effects of an 8-week, volume-equated eccentric training program comprising Nordic hamstring and reverse Nordic exercises performed either once or twice per week on measures of physical fitness in pubertal male soccer players. Methods: A total of 34 participants were randomly assigned into a 1-day (n = 16; age = 14.58 ± 0.28 years) or 2-day (n = 18; age = 14.84 ± 0.22 years) per week training group. Physical fitness was assessed using 5 m and 10 m sprints, the 505 change in direction (CiD) speed test, Y-shaped agility test, countermovement jump (CMJ), and standing long jump (SLJ). Results: Significant group-by-time interactions were observed for the 505 CiD test, agility, and CMJ performance (effect sizes [ES] = 0.80 to 1.13). However, no significant interactions were found for the 5 and 10 m sprints or for SLJ (p > 0.05). Compared to the 1-day group, the 2-day training group showed greater improvements in CiD speed (∆7.36%; p < 0.001; ES = 0.92), agility (∆7.91%; p < 0.001; ES = 1.68), and CMJ (∆7.44%; p < 0.01; ES = 0.35), while no differences were observed in 5 and 10 m linear sprints or SLJ performance. According to individual response analysis, improvements across the physical fitness parameters beyond the smallest worthwhile change (SWC_0.2) were observed in 22–83% of players in the 1-day group and 77–100% in the 2-day group. Conclusions: In summary, the findings suggest that when training volume is matched, distributing the eccentric training regimen over two days per week may lead to greater improvements in CiD speed, agility, and CMJ performance compared to a single-day approach. Full article

With the increasing load and renewable energy capacity in interconnected power grids, the system voltage stability faces significant challenges. Tie-line transmission power is a critical factor influencing the voltage stability margin. To address this, this paper proposes a fully data-driven global sensitivity calculation method for the tie-line power-voltage stability margin, aiming to quantify the impact of tie-line power on the voltage stability margin. The method first constructs an online estimation model of the voltage stability margin based on system measurement data under ambient excitation. To adapt to changes in system operating conditions, an online updating strategy for the parameters of the margin estimation model is further proposed, drawing on incremental learning principles. Subsequently, considering the source–load uncertainty of the system, a global sensitivity calculation method based on analysis of variance (ANOVA) is proposed, utilizing online acquired voltage stability margin and tie-line power data, to accurately quantify the impact of tie-lines on the voltage stability margin. The accuracy of the proposed method is verified through the Nordic test system and the China Electric Power Research Institute (CEPRI) standard test case; the results show that the error of the proposed method is less than 0.3%, and the computation time is within 1 s. Full article

The purpose of this conceptual and explorative study is to investigate whether health-promoting self-leadership could be used as a coping strategy enabling employees to deal with negative emotions in an organizational change process, providing a conceptual framework. A total of 18 faculty members from a Nordic university college were interviewed about their experiences, perceptions, and emotional reactions. The study reveals that new IT-systems; heavier workloads; and a lack of involvement, trust, and information, in particular, were stated to be the main reasons for negative emotions, detachment from the university-status aim, and the disruption of employee work–life balance. A few faculty members practiced fragments of what, in theory, is defined as health-promoting self-leadership to successfully manage the organizational change processes. Some were unconscious of their self-leadership practices, while others had no tools to enable them to cope with changes, leading to negative emotions. I discuss the findings regarding health-promoting self-leadership practice based on self-leadership, change management, and emotion theory. Based on both the findings in this study and relevant theories regarding self-leadership and coping strategies, I propose a health-promoting self-leadership-based coping model that could provide both individual and organizational health and performance benefits. Full article

Background/Objectives: The Nordic Orofacial Test-Screening (NOT-S) is a versatile tool used for the assessment of orofacial function. The aim of this study was to introduce the Polish version of the NOT-S along with the results of its cultural adaptation. Methods: The original NOT-S was validated into the Polish language in accordance with the current questionnaire translation standards, including the cultural adaptation, which consisted of an examination of Polish society. The pilot study, as a cultural adaptation, was carried out among fifty people between the ages of 3 and 34 (Mean—15.8, SD—8.9). Results: During the translation, three word discrepancies were noted, and also many linguistic equivalences, such as semantic, empirical, conceptual, and other differences, were reported. The average total NOT-S score during cultural adaptation was 1.62 (SD 1.16; Range 0–5). Abnormalities in section III, i.e., habits (78%), were found most frequently in the subjects. A thorough data analysis showed statistically significant results in section IV of the interview, i.e., chewing and swallowing (p = 0.00073), and also significant results in section 3 of the examination, i.e., facial expression (p = 0.00006). Conclusions: The Polish version of the NOT-S is linguistically comprehensible and culturally equivalent, and can be used for the examination of children, adolescents, and adults. The findings of this study indicate that orofacial function screening is advisable in the healthy population. Full article

(1) Background: Work-related musculoskeletal disorders (WMSDs) are a major occupational health concern in the construction industry owing to the physically demanding tasks and poor ergonomic conditions present. Limited data exist on the prevalence of WMSDs and their ergonomic determinants among construction workers in India. This study investigated the prevalence of work-related musculoskeletal disorders (WMSDs) and the associated ergonomic risk factors among construction workers in India. (2) Methods: This cross-sectional study was conducted among 250 construction workers in India. Data on musculoskeletal disorders were collected using the Nordic Musculoskeletal Questionnaire (NMQ), and ergonomic risk was assessed using the Rapid Entire Body Assessment (REBA) tool. Logistic regression was used to identify factors associated with WMSDs, and Spearman’s correlation was used to assess the relationship between the REBA scores and the number of affected body regions. (3) Results: The prevalence of WMSDs was 60.4%. The most affected regions were the lower back (48%), knees (45%), shoulders (40%), and the neck (30%). The REBA scores indicated that 60% of the workers were at high or very high ergonomic risk and 30% at medium risk. Workers in the high/very high-risk category had significantly higher odds of developing WMSDs (OR = 4.5, 95% CI: 1.8–11.2, p = 0.001). Age above 40 years was also significantly associated with WMSDs (OR = 3.5, 95% CI: 1.2–10.2, p = 0.02). (4) Conclusions: This study demonstrated a high prevalence of WMSDs among Indian construction workers and established a clear association with poor ergonomic conditions. Targeted ergonomic interventions, including posture improvement, tool redesign, and safety training, are essential for reducing the risk of WMSDs in this population. Full article

Background: The high demands of professional soccer predispose players to musculoskeletal injuries. The primary challenge for identifying potential risk factors lies in determining the appropriate assessment methods and indicators to consider. Kinetic variables have been identified as potential indicators of injury risk. Objectives: To conduct a systematic review of the literature analyzing the relationship between kinetic variables and the risk of indirect musculoskeletal injuries of the lower limb in professional soccer players. Methods: A search was conducted on Web of Science, PubMed, and Scopus following the PRISMA guidelines. The search included articles that link kinetic variables assessed through dynamometry to indirect lower limb injuries. Sample characteristics, assessments, injury follow-ups, and statistical results were extracted for qualitative synthesis. Results: A total of 1096 studies were initially identified, of which 380 duplicates were removed. After screening 716 articles by title and abstract, 631 were excluded. Subsequently, 85 full-text articles were examined, resulting in 11 studies being included. Of the included articles, 10 used isokinetic dynamometry and the Nordic hamstring curl test to assess lower limb strength. Conclusions: The results of this review indicate that kinetic variables, particularly isokinetic strength measures at different angular velocities, are consistently associated with indirect musculoskeletal injury risk in professional soccer players. The most relevant indicators include eccentric hamstring force and concentric quadriceps torque, which help identify strength deficits and muscular disequilibrium. Monitoring these variables through validated assessments enables the development of targeted prevention strategies. Additionally, injury risk assessment should integrate kinetic data with contextual indicators such as well-being, fatigue, and training load. Full article

Life expectancy around the world has increased significantly in recent decades, but chronic diseases and an aging population have also grown considerably. Accordingly, the world’s research attention has increasingly focused on the study of possible dietary patterns that can promote healthy aging and the well-being of individuals. Method: This review exposes three different dietary patterns that share various foods which, individually, could promote healthy aging. Following an intensive literature search, the choice of dietary patterns included the Mediterranean diet, the plant-based diet, and the Nordic diet. Results: The foods selected in this review, with the aim of promoting healthy aging and individual well-being, are those shared by the three diet patterns (Mediterranean diet, plant-based diet, and Nordic diet). In particular, the possible positive effects of these foods were investigated through the study of various pathways involved in the aging process, as well as oxidative stress, which underlies aging itself. Conclusions: Although the results are very encouraging, as they show a beneficial effect of the aliments examined, to date, many hallmarks of aging, as well as its characteristic pathways, are not concretely investigated, especially considering the foods examined. For example, deregulated nutrient sensing, stem cell exhaustion, and cellular senescence are additional important hallmarks that are not currently examined. Full article

Introduction: Musculoskeletal disorders (MSDs) are a significant occupational health concern worldwide, particularly among healthcare professionals such as laboratory technicians. MSDs lead to chronic pain, decreased productivity, and reduced quality of life. This study aimed to investigate the prevalence of MSDs and associated ergonomics risk factors among Saudi clinical laboratory technicians. Methodology: This cross-sectional study was conducted on 167 clinical laboratory technicians in Taif city, Saudi Arabia. Data were collected through an online self-administered questionnaire, distributed via Google Forms. The questionnaire collected demographics information, assessed the prevalence of musculoskeletal pain using the Nordic Musculoskeletal Questionnaire (NMQ), and evaluated ergonomics risk factors using the Dutch Musculoskeletal Questionnaire (DMQ). Results: In total, 77.3% of the sample exhibited musculoskeletal issues in the last 12 months, with lower back (52.1%), neck (48.5%), and shoulders (40.7%) being the most frequent muscular complaints among laboratory technicians. Experience and nationality showed significant associations with MSDs (p ≤ 0.05). Lower back and neck complaints were commonly recorded with multiple laboratory tasks, including sustained sitting and standing and repetitive movement, whereas lower back and shoulder pain were notably prevalent with pipetting work. Conclusions: Work-related musculoskeletal disorders were highly apparent in laboratory practice. Periodic ergonomic training is mandated among laboratory personnel to limit occupational disability. Full article

The private healthcare sector in Romania, led by prominent players such as Medlife, Regina Maria, Medicover and Sanador, has become a cornerstone of the country’s healthcare system. However, achieving sustainability in this sector remains a challenge. This study evaluates sustainability practices in Romania’s private medical sector using the Triple Bottom Line (TBL) framework, comparing them to those of the EU, USA and Japan. Using statistical methods and benchmarking, we identify correlations between healthcare expenditures, financing schemes and sustainability metrics. A bibliographic review highlights global trends in sustainable healthcare management, including environmental, social and economic strategies and provides insights into the cost-effectiveness of green initiatives. Special focus is given to the role of technology in driving sustainability through innovations in telemedicine, digital health records and operational optimization. Using statistical methods (Pearson and Spearman correlation coefficients), we have performed an analysis of health expenditure data for EU countries, the USA and Japan. The dataset was extracted from the Organisation for Economic Co-operation and Development (OECD) data portal and included various health expenditure indicators, financing schemes and administrative data for all EU countries, the USA and Japan for the period 2018–2023. We have performed a structured analysis that explores correlations between these indicators, with a focus on financial schemes, expenditures and management sustainability. The analysis shows strong correlations between healthcare expenditures, financing schemes and administrative costs. Countries with efficient governance, balanced financing and proactive population health strategies (e.g., Japan and Nordic countries) demonstrate better management sustainability. However, countries like the USA and Eastern EU nations face challenges due to high administrative costs and inefficient financing models, respectively. Addressing these issues is critical to sustaining healthcare systems in the long term. The findings reveal that while Romanian providers excel in patient satisfaction and technological innovation, they lag behind their European counterparts in environmental sustainability and equitable access. Recommendations are proposed to address these gaps, drawing on successful strategies implemented in other European healthcare systems. This study fills a gap in the literature by providing a structured analysis of sustainability practices in Romania’s private healthcare sector, contextualized within a global comparative framework. Full article