Search Results (697)

Purpose: This study investigates the multifaceted dynamics of institutional sustainability (IS) within the higher education sectors of Saudi Arabia and Egypt. It examines the direct influence of cultural, technological, and economic factors, alongside change management techniques (CMT), on the sustainability of universities in these two nations. Methodology: Employing a comparative, mixed-methods approach, the research collected data from 427 university staff members across Saudi Arabia and Egypt. Structural Equation Modeling (PLS-SEM) was utilized for data analysis, complemented by Multiple Group Analysis (MGA) to explore variations across different demographics, including gender, geographical location, and institution type (public vs. private). Findings: The study reveals that Change Management Techniques (CMT), cultural norms, technological infrastructure, and economic factors all significantly and directly influence institutional sustainability. Effective CMT is crucial for successful technological integration and mitigating staff resistance. Cultural norms, particularly in high power distance and collectivist societies, profoundly impact the adoption of innovations. A robust technological infrastructure is foundational for operational efficiency and educational outcomes, while strategic economic planning and diversified funding streams are vital for long-term stability and growth. Originality: This research offers actionable insights for policymakers and academic leaders by providing a nuanced understanding of how to build resilient, sustainable, and technologically advanced educational institutions in the Middle East. It emphasizes the necessity of context-specific strategies that acknowledge the unique regional socio-cultural and economic realities of Saudi Arabia and Egypt, bridging the gap between global sustainability paradigms and local implementation challenges. Full article

This article investigates food poverty in South Tyrol, a generally affluent region, to understand how socio-economic changes—particularly the COVID-19 pandemic—have reshaped patterns of vulnerability within local food systems and challenged social sustainability. Using a qualitative approach, the study draws on interviews with institutional and third-sector actors, adults involved in local food networks, and focus groups to capture diverse perspectives on access to food. The findings reveal a coexistence of overall economic prosperity with hidden forms of food insecurity and unequal access to healthy and sustainable food. Although official statistics report relatively low levels of childhood overweight and obesity, certain groups—including elderly individuals, migrant families, and low-income households—face increasing challenges due to rising living costs and constrained access to nutritious food. The pandemic functioned as a temporary stressor that exposed pre-existing fragilities while also encouraging adaptive responses within local welfare systems. In particular, alternative food networks such as solidarity purchasing groups and emerging food cooperatives play a complementary role by promoting food autonomy, social support, and dignity-based assistance. These initiatives highlight forms of need not always captured by traditional welfare mechanisms. The study concludes that addressing food poverty in high-income contexts requires integrated, place-based strategies that combine social inclusion, nutritional education, intersectoral governance, and community-driven food practices. Full article

Background: Hepatitis B virus (HBV) infection poses a persistent global public health challenge, with substantial associated morbidity, mortality, and healthcare utilization. Although Saudi Arabia has maintained a national HBV vaccination program for decades, population-level data on hepatitis B infection knowledge, attitudes, and practices (KAP) remain scarce and regionally limited. This study aimed to comprehensively assess KAP toward hepatitis B infection prevention among the general adult population across all regions of Saudi Arabia and to identify independent sociodemographic predictors of each domain to inform targeted healthcare interventions. Methods: This nationwide cross-sectional study used a convenience sampling approach and a validated, self-administered questionnaire disseminated via online social media platforms across all regions of Saudi Arabia between August 2024 and February 2025. KAP was assessed using an instrument adapted from Haq et al. (Cronbach’s α = 0.70). Good knowledge was defined as a score ≥11/20 (≥55%), positive attitude as ≥5/7 (≥71.4%), and good practice as ≥6/8 (≥75%). Multivariable linear regression was used to identify independent predictors, adjusting for sociodemographic covariates. Results: A total of 1278 participants were included (mean age 30.3 ± 12.4 years; 60.9% female). Overall, 54.2% demonstrated good knowledge, 68.5% demonstrated positive attitudes, and only 16.2% exhibited good preventive practices. Screening (14.6%) and vaccination uptake (26.5%) were markedly low. Educational program participation was the strongest modifiable predictor across all three domains: knowledge (β = +1.89, 95% CI: 1.20–2.58, p < 0.001), attitude (β = +0.47, 95% CI: 0.25–0.69, p < 0.001), and practice (β = +1.43, 95% CI: 1.09–1.77, p < 0.001). Healthcare sector employment was independently associated with higher KAP scores across all domains. Income demonstrated a positive dose–response relationship with knowledge and practice outcomes. Polygyny was associated with lower scores across all three domains. Conclusions: Despite moderate knowledge and generally favorable attitudes, preventive practices remain critically deficient, revealing a persistent knowledge–practice gap. Integrated, behavior-oriented interventions targeting modifiable determinants, particularly health education, income disparities, and stigma, are urgently needed to support progress toward national and global HBV elimination targets. Full article

The European Union’s Farm-to-Fork (F2F) Strategy sets an ambitious agenda for a socio-ecological transition, positioning agriculture as a critical sector for achieving sustainable food systems. However, its implementation faces significant systemic barriers that hinder its transformative potential. This paper applies a diagnostic framework, derived from the H2020-funded PHOENIX project, that identifies six key challenges to democratic innovations in environmental governance: prolonged timeframes for tangible results, the complexity of environmental issues, the need for transcalar cooperation, the imperative to foster behavioural change, limited deliberative dialogue, and the need to build mutual trust. Through a review of public policies and scholarly literature, this analysis evaluates how these challenges manifest within the F2F Strategy, impacting farmers and the broader agri-food system. The findings demonstrate that barriers to F2F implementation are not solely technical or economic but are deeply linked to governance fragmentation, uneven knowledge flows, and deficits in trust relations. Crucially, the study reveals that Agricultural Knowledge and Innovation Systems (AKIS) and associated Education and Training (ET) consistently emerge as pivotal enabling mechanisms to mitigate these constraints. The research generates actionable recommendations to reinforce F2F by redefining the roles of innovation, education, and multi-level collaboration in building resilient and sustainable EU agri-food systems. Full article

Background/Objectives: Despite ongoing innovation, few interventions—including Clinical Decision Support Systems (CDSS)—are successfully integrated into routine care. Understanding the process through which innovations are implemented is therefore essential for advancing practice and research. In perinatal settings, evidence on how CDSS implementation unfolds and which strategies support adoption, scale-up, and sustainment remains limited. This study aimed to understand the implementation process, key determinants and implementation strategies of a shared antenatal psychosocial CDSS (i.e., the Born in Belgium Professionals [BIB-Pro]) implemented in a real-world, cross-sectoral perinatal care setting. Methods: A qualitative exploratory case study was conducted between January and March 2025. Data included semi-structured interviews with all seven implementation agents, document analysis of the implementation plan. Directed content analysis was applied using the Exploration, Preparation, Implementation, Sustainment (EPIS) framework to categorise contextual determinants and the ERIC taxonomy to classify implementation strategies. Data were synthesised across the four EPIS phases. Results: The implementation process unfolded across all EPIS phases, showing a shift in responsibility from the policy level to the implementation team and healthcare organisations. Implementation was shaped by key determinants across multiple levels: (1) the bridging functions by the BIB-Pro implementation agents connecting policy, innovation, and organisational practice; (2) the system-level leadership and funding by the National Institute for Health and Disability Insurance that enabled initiation and sustainability; and (3) the multilevel stakeholder involvement and inter-organisational collaboration across care settings. In addition, the personal attributes of implementation agents—accessibility, active listening, adaptability, and persistent follow-up—were also identified as relevant factors in the implementation process. Across the implementation process, a broad range of implementation strategies was identified. The most prominent ERIC strategies were developing stakeholder interrelationships, evaluative and iterative strategies, engaging stakeholders, training and educating stakeholders, and providing interactive assistance. Barriers encountered during the implementation process included fragmented care networks, inconsistent regional referral structures, legal uncertainties, and variable digital readiness. In response to these challenges, implementation strategies were applied to support collaboration, clarify procedures and provide targeted support. Conclusions: This study provides insight into how a CDSS was introduced, scaled, and sustained across complex multiple Belgian perinatal care settings. Strong bridging functions, stakeholder interrelationships, iterative evaluation, and system-level support were key factors throughout the implementation process. Across all phases, stakeholder interrelationship strategies and evaluative and iterative strategies were the most prominent and consistently applied, supporting stakeholder engagement and sustained use of the platform. These findings offer actionable guidance for implementing digital tools in multi-organisational and multi-level contexts within perinatal care and other healthcare settings. Full article

Assessing the level of circularity in the Hotel, Restaurant and Catering (HoReCa) sector is a significant challenge due to the lack of standardized quantification methods and the absence of structured environmental and material accounting systems, features that are typical of a sector largely composed of micro-enterprises. The technical standard UNI/TS 11820:2024 has developed a set of 71 indicators for the circular economy, structured across six domains (material resources and components; energy and water; waste and emissions; logistics; products and services; and human resources, assets, policies, and sustainability), allowing the assessment of circularity levels in a replicable and comparable manner. The present research measures circularity in a table-service restaurant micro-enterprise, which has voluntarily adopted circular economy practices since its foundation. The purpose is to test the applicability of UNI/TS 11820:2024 in the HoReCa context, improve knowledge about this technical standard, and highlight its strengths and weaknesses from the managerial, methodological and public authorities’ perspective. The overall organization’s circularity score achieved is 31.88%, with performance ranging from 14.40% for “material resources and components” to 56.25% for “human resources, assets and policies”. Although UNI/TS 11820:2024 aims at bridging theoretical and practical gaps towards a harmonized set of measurement tools, sector-specific indicators for the foodservice context remain underrepresented, and public authorities and universities should promote both basic and advanced education in the field of circular economy measurement to support wider adoption. Full article

With the 2030 deadline for the United Nations Sustainable Development Goals (SDGs) approaching, there is a growing global urgency to identify innovative, scalable, and inclusive AI-based or AI-enabled solutions capable of accelerating progress across sectors. Yet the benefits of AI remain unevenly distributed, particularly in low-resource settings where limited infrastructure, cost barriers, and unequal access to skills constrain adoption. This paper explores how Tiny Machine Learning (TinyML)—a low-power, low-cost edge AI paradigm—offers a concrete technological pathway aligned with the principles of Frugal AI, providing accessible, energy-efficient, and context-adapted tools for sustainable development. We evaluate how participatory citizen science, when combined with TinyML, enables communities to co-create AI applications that address locally defined challenges in environmental monitoring, agriculture, and public health. Drawing on early outcomes from workshops, collaborative projects, and innovation competitions, the paper examines how TinyML-enabled participatory approaches cultivate technical skills, stimulate grassroots entrepreneurship, and generate prototypes suited to low-resource environments. Using a qualitative multiple-case study of 50 participatory TinyML initiatives across 22 countries, we analyse how frugal edge-AI practices support skills formation, prototype development, and early entrepreneurial engagement. The analysis identifies the pedagogical, technical, and institutional frameworks that support successful participatory AI initiatives, emphasizing open educational resources, cross-sector partnerships, and community-driven problem formulation. We introduce the Frugal Edge AI Lean Canvas to help innovators identify novelty, ethical implications, and measurable impact. TinyML-based participatory innovation offers a promising route for accelerating SDG progress by expanding who can create, deploy, and benefit from AI. Full article

Background: The transition from dental education to professional practice represents a critical stage in career development, influenced by individual expectations, labor market conditions, and institutional support mechanisms. This study aimed to explore final-year dental students’ perceptions of professional transition and the role of public authorities in facilitating early-career integration. Methods: A cross-sectional study was conducted among 216 final-year dental students from a single Romanian university using a structured, self-administered questionnaire. Descriptive and inferential statistical analyses were performed using Jamovi software, with significance set at p < 0.05. Results: Most students reported feeling insufficiently prepared for professional practice and identified lack of clinical experience as the main barrier to employment. A strong preference for private sector employment was observed, while interest in the public sector was limited. Students expressed a clear need for structured support, including mentorship, practical training, and career guidance. A significant association was identified between intention to work abroad and the types of support expected from authorities (χ²(2) = 14.7, p < 0.001, moderate effect size). Conclusions: The findings highlight important challenges in the transition to professional practice and emphasize the need for coordinated interventions involving educational institutions and public authorities. Strengthening structured support mechanisms may facilitate professional integration and contribute to improved workforce retention. Full article

This study aims to identify key health and safety challenges and examine root causes while developing a conceptual framework to improve safety. Results of the study will be useful for policy makers, regulatory authorities, construction managers, safety professionals and researchers to improve regulations, safety practices, training programs and policy development. The emerging construction industry in Sri Lanka is facing significant safety challenges for workers, including poor practices, inappropriate conduct, and negative attitudes. The construction industry was selected for this study due to its labor-intensive nature and its consistently high exposure to occupational hazards compared to other industrial sectors. The underlying root causes of these health and safety challenges remain unclear, primarily due to a lack of comprehensive government regulations, which are currently limited to the outdated Factories Ordinance of 1942. Sri Lanka was chosen as the focus of this study because of its rapidly expanding construction sector and outdated regulatory framework; it is also a representative of underdeveloped countries. Several studies have identified contributing factors such as outdated legislation, a shortage of qualified officers, poor attitudes, lack of funding, negligence, and limited awareness. To address this research gap, the safety aspects of the Sri Lankan construction industry have been examined, revealing emerging challenges such as poor safety practices, the presence of foreign workers, and the inadequate use of personal protective equipment (PPE) by staff. A deeper examination of these challenges indicates that sufficient safety budgets reflect leadership attitudes toward preventing injuries, and that targeted safety training for different roles can help mitigate these issues. Accordingly, a conceptual safety framework has been developed. A qualitative, semi-structured interview comprising both open- and closed-ended questions was conducted to gain insights from 26 experts (including engineers, architects, human resource personnel, safety officers, and managers) regarding workplace safety challenges. The interview data was thematically categorized based on the identified safety challenges using NVivo analysis, to determine their root causes and develop strategies to improve workplace safety. To evaluate the emotional tone of participants’ response, sentiment analysis was conducted. Results highlighted participants’ optimism when discussing proactive or successful safety measures, neutrality in objective assessments, and concern or dissatisfaction when addressing safety challenges and organizational shortcomings. Experts recommended that safety education should be introduced in universities and vocational institutes. Firms can incorporate safety training through toolbox talks and induction sessions, and they can allocate a safety budget in their contracts. The study suggests developing a certificate-level safety training module for the construction industry and provides fresh insights into the underlying causes of safety issues in the Sri Lankan construction sector. Furthermore, the study has implications for delivering a health and safety framework for project risk management in developing countries that face budget constraints and limited training and development opportunities for enhancing construction skill sets. Full article

Private higher education now accounts for approximately 33% of global enrolment, yet comparative empirical research on quality assurance (QA) systems in this sector, particularly across contrasting governance regimes, remains limited. This study examines the operational logic and effectiveness of QA mechanisms in Chinese and UK private higher education through a comparative analysis grounded in primary case study data (China) and systematic secondary literature review (UK). Drawing on a single institutional case study of a Chinese private university with a 40-year history, the study analyses the ‘Four Promotions’ developmental QA philosophy and compares it systematically with the UK’s market-driven accountability model. The findings reveal three principal patterns: (1) the Chinese model prioritises developmental assessment, employing government-led evaluation to drive institutional construction, reform, management, and quality strengthening; (2) the UK model prioritises accountability and consumer protection, but faces documented challenges in regulatory coherence and quality coverage across a highly heterogeneous private sector; and (3) both models exhibit convergence trends towards greater balance between developmental and accountability orientations. To interpret these patterns, this study constructs a Culturally Adaptive Quality Assurance Framework (CAQAF), which advances existing frameworks by operationalising cultural context as a set of analytically distinct, comparable dimensions. The CAQAF offers both a theoretical contribution to cross-cultural QA research and practical guidance for nations seeking to develop quality assurance systems that are globally connected yet locally grounded. Full article

Despite being fundamental to modern infrastructure, the cement and concrete industry is a major contributor to global carbon emissions, necessitating urgent decarbonisation strategies to mitigate climate change and achieve net-zero targets by 2050. This review explores technological pathways and innovations essential for lowering carbon emissions, including low-carbon materials, energy-efficient processes, carbon capture, utilization and storage (CCUS), and advanced production technologies. It also highlights the importance of supportive policy frameworks, financial incentives, and international collaboration in accelerating the transition to a low-carbon industry. While challenges such as high initial costs, resistance to change, and knowledge gaps persist, these can be addressed through innovation, education, and robust financial mechanisms. Furthermore, circular economy principles, sustainable procurement practices, and continued research and development are emphasized as critical enablers of the industry’s transformation. The paper concludes with recommendations for future actions, highlighting the role of cross-sector cooperation, research funding, and knowledge sharing in achieving a sustainable and decarbonised cement and concrete sector that can “go green” for eco-constructions. Full article

While Artificial Intelligence (AI) approaches date back more than 60 years, there is no doubt that in the last 4 years, we have entered the era of AI. The advanced capabilities of Generative AI (GenAI) and Large Language Models (LLMs) have noticeably reshaped multiple sectors, becoming a driving force in participatory environments. Recent developments in Machine/Deep Learning (ML/DL) and Natural Language Processing (NLP) have enabled the introduction of tools and applications integrated into various professional fields. Areas ranging from education and media to art, tourism, and food science incorporate AI technologies to optimize established workflows, facilitate change, enhance creativity, and foster interaction. The current Special Issue includes nineteen multidisciplinary research works exploring AI in participatory environments, primarily focusing on technologies, ethics, and literacy aspects. Employing diverse methodologies, the research identifies various uses of AI along with the critical ethical and legal risks and challenges they entail. Concerns about inaccuracy, algorithmic bias, data infringements, and the potential erosion of transparency and interpretability need to be addressed in every phase of the design and implementation of AI technologies. Co-creative human-in-the-loop processes and human judgment need to be further strengthened and supported through digital/AI literacy initiatives. In this regard, effective regulatory frameworks, inclusive institutional strategies, and targeted training programs can ensure responsible and trustworthy AI use with a balance between technological evolution and human oversight. Full article

To address climate change, reducing food loss along the production and supply chain is a global priority. Addressing this challenge requires a shift in agrifood systems toward greater sustainability, in which new technologies and novel foods appear as promising strategies. Among emerging novel foods, 3D-printed foods are an interesting new food technology for food loss reduction, resource optimization, and by-product valorization. However, to reach market success, it needs consumer acceptance, a topic far unexplored, particularly in the Italian context. To fill the literature gap, this article investigates Italian consumers’ intention toward 3D-printed savory snacks using an extended Theory of Planned Behavior, based upon the relevant literature. Survey data were collected, and partial least squares structural equation modeling was performed to test research hypotheses. Results show that attitude and subjective norms are the strongest predictors of purchase intention. In addition, perceived usefulness is shown to be a powerful construct, positively impacting attitude and subjective norms, while self-identity as a green consumer reinforces perceptions of the benefits of 3D-printed foods. Sensory appeal impacts consumer attitude. These insights have practical policy and micro-level applications, suggesting tailored strategies, educational campaigns, and supportive policies and marketing campaigns for fostering acceptance of 3D printing in the agrifood sector. Full article

Sustainability and the Sustainable Development Goals (SDGs) are garnering significant attention due to growing global challenges, including poverty, inequality, environmental degradation, and climate change, with the latter addressed specifically through SDG 13. This study examined the level of self-reported awareness of six science-related SDGs—SDG 3 (Good Health and Well-Being), SDG 6 (Clean Water and Sanitation), SDG 7 (Affordable and Clean Energy), SDG 13 (Climate Action), SDG 14 (Life Below Water), and SDG 15 (Life on Land)—among science teachers in the Arab sector in Israel as a function of background variables: gender, seniority, degree type, academic institution, school type, area of specialization, and the integration of these SDGs into the science curriculum. The study employed a mixed-methods approach: in the quantitative component, 204 science teachers responded to a Likert-scale questionnaire; the qualitative component consisted of semi-structured interviews with 30 middle school science teachers from the Arab sector. The findings indicated a moderate level of self-assessed awareness regarding SDGs. Significant differences in awareness were found according to teaching subject: environmental studies teachers demonstrated the highest awareness, followed by general science, biology, and physics teachers, with chemistry teachers ranking lowest. No significant differences were found for the remaining variables (p > 0.05). Qualitative findings indicated that while teachers perceived SDG-related content as implicitly present in the curriculum, explicit and systematic integration of the SDG framework is largely absent. Overall, the findings suggest that teachers are not adequately exposed to the SDGs. Therefore, it is recommended to incorporate these topics into teacher-training courses and professional development programs and to further integrate them into curricula. This study contributes to the growing body of research on SDG integration in science education, particularly within underexplored minority educational contexts. Full article

Raising cybersecurity awareness (CSA) of employees is crucial for all modern organisations. To meet the organisational need for CSA, activities aimed at increasing CSA have been the focus of both industry and research in the past. There are, subsequently, a plethora of CSA activities for organisations to choose from. Nevertheless, research consistently reports that organisations struggle to raise CSA to an appropriate level, and a core issue lies in their ability to select CSA activities and effectively adopt them. This paper used semi-structured interviews with practitioners working on CSA adoption in public-sector organisations to identify what practitioners perceive as success factors. The interviews were analysed through a socio-technical lens and resulted in a taxonomy that groups success factors for CSA adoption in the three socio-technical dimensions: organisational, user-centric, and technical. The taxonomy outlines ten success factors and demonstrates how the participants see success of CSA activities as not only dependent on technical factors but also, and perhaps even more important, user-adaptability and organisational readiness. The results were validated in a workshop with CSA experts across Europe, who highlighted the practical usefulness of the taxonomy as both a map of potential challenges and a teaching tool for educating new CSA practitioners. Full article