Search Results (7,334)

The continuous degradation of mangrove ecosystems, considered among the most vulnerable worldwide, reveals multiple threats driven by human activities and climate change. In the Peruvian context, particularly in the Tumbes Mangrove ecosystem, these pressures are intensified by the absence of integrated spatial and educational infrastructures capable of supporting conservation efforts while engaging local communities. In response, this research proposes a Sustainable Interpretation Center for Conservation and Environmental Education in Ecologically Sensitive Areas of the Tumbes Mangrove, Peru. The methodology includes climate data analysis, identification of local flora and fauna, and site topography characterization, supported by digital tools such as Google Earth, AutoCAD 2025, Revit 2025, and 3D Sun Path. The results are reflected in an architectural proposal that incorporates sustainable materials compatible with sensitive ecosystems, including eco-friendly structural solutions based on algarrobo timber, together with resilient strategies addressing climatic variability, such as lightweight structures, elevated platforms, and passive environmental solutions that minimize impact on the mangrove. Furthermore, the proposal integrates a photovoltaic energy system consisting of 12 solar panels with a unit capacity of 450 W, providing a total installed capacity of 5.4 kWp, complemented by a 48 V LiFePO₄ battery storage system designed to ensure energy autonomy during periods of low solar availability. In conclusion, the proposal adheres to principles of sustainability and energy efficiency and aligns with the Sustainable Development Goals (SDGs) 7, 8, 12, 14, and 15, reinforcing the use of clean energy, responsible tourism, sustainable resource management, and the conservation of marine and terrestrial ecosystems. Full article

This study investigates cross-cultural differences in public perception of mobility electrification by applying natural language processing (NLP) techniques to social media discourse in Germany and China. Using a large language model (LLM), this study conducted sentiment analysis and zero-shot text classification on over 10,000 posts to explore how citizens in each country engage with the topic of electric mobility. Results reveal that while infrastructure readiness is a dominant concern in both contexts, German discourse places greater emphasis on environmental impact, often reflecting skepticism toward sustainability claims. On the other hand, Chinese discussions highlight technological advancement and infrastructure expansion, with comparatively limited focus on environmental concerns. These findings show the importance of culturally tailored policy and communication strategies in supporting the public acceptance of electric mobility. By demonstrating how artificial intelligence-driven large-scale social media data analysis can be used to analyze public sentiment across linguistic and cultural contexts, this study contributes methodologically to the emerging field of computational social science and offers practical insights for mobility policy in diverse national settings. Full article

Metabolic dysfunction-associated steatotic liver disease (MASLD) represents a multifaceted systemic condition, with the mechanisms linking intrahepatic lesions to systemic complications remaining a significant enigma in the field. This review posits that extracellular vesicles (EVs) serve as pivotal mediators facilitating communication between the liver and the entire organism. Within the hepatic environment, lipotoxic hepatocyte-derived EVs modulate macrophage populations and stellate cells, thereby promoting inflammatory and fibrotic processes. Systemically, the liver engages in bidirectional communication with adipose tissue, the intestinal tract, the cardiovascular system, and the pancreas via EVs, thus orchestrating metabolic homeostasis. Furthermore, we critically evaluate non-invasive diagnostic strategies and emerging therapies, including both natural and engineered EVs, based on EV-based interventions. We highlight the substantial potential and current challenges associated with achieving precision medicine in MASLD through targeted modulation of this specific communication network. Full article

After nearly two decades of developments in Historic/Heritage Building Information Modeling (HBIM), the field has reached a stage of maturity that calls for a critical reassessment of its evolution, achievements, and remaining challenges. Digital representation has become a central component of contemporary heritage conservation, enabling advanced methods for analysis, management, and communication. This review examines the maturation of HBIM as a comprehensive framework that integrates extended reality (XR), artificial intelligence (AI), machine learning (ML), semantic segmentation and Digital Twin (DT). Six major research domains that have shaped recent progress are outlined: (1) the application of HBIM to restoration and conservation workflows; (2) the expansion of public engagement through XR, virtual museums, and serious games; (3) the stratigraphic documentation of building archaeology, historical phases, and material decay; (4) data-exchange mechanisms and interoperability with open formats and Common Data Environments (CDEs); (5) strategies for modeling geometric and semantic complexity using traditional, applied, and AI-driven approaches; and (6) the emergence of heritage DT as dynamic, semantically enriched systems integrating real-time and lifecycle data. A comparative assessment of international case studies and bibliometric trends (2015–2025) illustrates how HBIM is transforming proactive and data-informed conservation practice. The review concludes by identifying persistent gaps and outlining strategic directions for the next phase of research and implementation. Full article

Background: Teamwork and effective communication are widely recognized as essential pillars for the safety and quality of healthcare. However, in Portugal, no validated instrument had previously been available to assess healthcare professionals’ attitudes toward teamwork. This study aimed to translate, culturally adapt, and validate the TeamSTEPPS^® Teamwork Attitudes Questionnaire (T-TAQ) for the Portuguese context, resulting in the Portuguese version of the instrument. Methods: A methodological study with a quantitative approach was developed. The translation and cultural adaptation process followed internationally recognized guidelines. The sample consisted of 162 healthcare professionals (136 nurses and 26 physicians) from a hospital in Lisbon. Exploratory and confirmatory factor analysis techniques were used to assess construct validity. The internal consistency of the scale was analyzed using Cronbach’s alpha coefficient. Results: The Portuguese version comprises 30 items distributed across five dimensions: Effective Leadership Support, Team Functional Performance, Teamwork Coordination, Willingness to Engage in Teamwork, and Team Functioning Supervision. The scale demonstrated a total explained variance of 53.9% and an overall internal consistency coefficient (α) of 0.86, indicating good reliability. Confirmatory factor analysis supported the five-factor structure of the scale (χ²/df = 1.461; CFI = 0.900; GFI = 0.821; RMSEA = 0.054; MECVI = 4.731). Conclusions: The T-TAQ-PT proved to be a valid, reliable, and robust instrument for assessing healthcare professionals’ individual attitudes toward teamwork, contributing to the development of research and clinical practice in the Portuguese context. Full article

Climate change poses a threat to global rice production by increasing the frequency and intensity of extreme weather events. The widespread cultivation of genetically uniform modern varieties has narrowed the genetic base of rice, increasing its vulnerability to these increased pressures. Rice landraces are traditional rice varieties that have been cultivated by farming communities for centuries and are considered crucial resources of genetic diversity. These landraces are adapted to a wide range of agro-ecological environments and exhibit valuable traits that provide tolerance to various biotic stresses, including drought, salinity, nutrient-deficient soils, and the increasing severity of climate-related temperature extremes. In addition, many landraces possess diverse alleles associated with resistance to biotic stresses, including pests and diseases. In addition, rice landraces exhibit great grain quality characters including high levels of essential amino acids, antioxidants, flavonoids, vitamins, and micronutrients. Hence, their preservation is vital for maintaining agricultural biodiversity and enhancing nutritional security, especially in vulnerable and resource-limited regions. However, rice landraces are increasingly threatened by genetic erosion due to widespread adoption of modern high-yielding varieties, habitat loss, and changing farming practices. This review discusses the roles of rice landraces in developing resilient and climate-smart rice cultivars. Moreover, the Pantiange Heigu landrace, cultivated at one of the highest altitudes globally in Yunnan Province, China, has been used as a case study for integrated conservation by demonstrating the successful combination of in situ and ex situ strategies, community engagement, policy support, and value-added development to sustainably preserve genetic diversity under challenging environmental and socio-economic challenges. Finally, this study explores the importance of employing advanced genomic technologies with supportive policies and economic encouragements to enhance conservation and sustainable development of rice landraces as a strategic imperative for global food security. By preserving and enhancing the utilization of rice landraces, the agricultural community can strengthen the genetic base of rice, improve crop resilience, and contribute substantially to global food security and sustainable agricultural development in the face of environmental and socio-economic challenges. Full article

This article focuses on the choice of the religious life for women during the early modern period, following a Rule that ensured harmony within the cloister. We trace the emergence of codes of life for female communities across time, with particular attention to the Rule of St. Benedict and its adoption by Cistercian communities, where silence assumed a particular significance. Silence, sounds, and monastic daily life as governed by the Rule, by the Tridentine decrees and, in the case of Portuguese Cistercian communities, obedience to the Autonomous Congregation of Alcobaça and to its supervisory mechanism of Visitations, were elements that shaped both the discourse presented here and its interpretive framework. While the Council of Trent emphasized the importance of vocation and simultaneously imposed upon women the so-called “fourth vow” (enclosure), documentary evidence allows us to observe to what extent the conventual milieu, composed of women from diverse social origins, remained engaged with the wider world outside cloister; nunneries became both a mode of existence and a space of affirmation for women, one that fostered creativity (in music, writing, painting) and upheld authority and power, embodied in the figure of the abbess and in the acts, rituals, and ceremonies associated with her. Full article

Criminal justice system (CJS) involvement is common among individuals with opioid use disorder (OUD), yet limited research examines retention in medications for OUD (MOUD) within community settings. This study assessed whether CJS involvement predicted retention on buprenorphine/naloxone and explored related demographic and clinical factors. A retrospective cohort included adults (n = 367) enrolled in a low-barrier outpatient MOUD program in Texas (January 2022–April 2024). CJS involvement was identified from program records. Retention was measured as the number of continuous days with buprenorphine/naloxone prescriptions. Analyses used univariate tests, logistic regression, and nonparametric kernel regression. Nearly one-quarter (24.8%) were CJS-involved. Retention at 180 days was similar between CJS and non-CJS groups (38%). CJS participants initiated substance use earlier and reported higher heroin and injection drug use. Behavioral health sessions were associated with both CJS involvement (OR = 1.10, p ≤ 0.001) and longer retention (β = 10.81 days/session, p = 0.001). With comprehensive, low-barrier services, individuals involved with CJS achieved MOUD retention comparable to their peers. Early behavioral health engagement was a strong predictor of retention, suggesting a key intervention point to enhance outcomes and advance equity for justice-involved populations. Full article

Social sustainability has become a central concern in development-induced resettlement, yet little is known about how social integration and community relations are sustained over long time horizons. Drawing on a retrospective longitudinal ethnographic reconstruction spanning 21 years (2004–2025) of Three Gorges Dam resettlers relocated to rural Anhui, China, this paper examines the co-evolution of group boundaries, interaction strategies, and social networks between migrants and local residents. Using group boundary theory, we identify three sequential phases of interaction: initial boundary demarcation and social distancing, subsequent bridge-building through economic cooperation and relational ingratiation, and a later stage of pragmatic, transactional engagement. We show that the gradual erosion of migrant–local boundaries is driven by economic interdependence, cultural adaptation, individualization, and rural out-migration. Rather than resulting in deep social fusion, long-term integration stabilizes in a form of “thin integration,” characterized by low-density but sustainable social ties, institutionalized conflict resolution, and routine coexistence. This study conceptualizes social integration as a dynamic process of social sustainability, demonstrating how resettled communities maintain social order and functional cohesion amid structural change. The findings contribute to debates on sustainable rural development, forced migration, and the long-term governance of resettlement communities. Full article

The Wua-Lai silvercraft community in Chiang Mai is experiencing a widening disconnect with younger visitors, raising concerns about the erosion of intangible cultural heritage. This study evaluates “Silver Craft Journey,” a location-based augmented reality (LBAR) system designed to revitalize cultural engagement and enhance cultural-heritage experience through context-aware, gamified exploration. A quasi-experimental field study with 254 participants across three age groups examined the system’s impact on cultural-heritage experience, knowledge acquisition, and real-world engagement. Results demonstrate substantial knowledge gains, with a mean increase of 7.74 points (SD = 4.37) and a large effect size (Cohen’s d = 1.77), supporting the effectiveness of LBAR in supporting tangible and intangible heritage understanding. Behavioral log data reveal clear age-related engagement patterns: older participants (41–51) showed declining mission completion rates and reduced interaction times at later points of interest, which may reflect increased cognitive and physical demands during extended AR navigation under real-world conditions. These findings underscore the potential of location-based AR to enhance cultural-heritage experience in real-world settings while highlighting the importance of age-adaptive interaction and route-design strategies. The study contributes a replicable model for integrating digital tourism, embodied AR experience, and community-based heritage preservation. Full article

Parkinson’s disease (PD) is a progressive neurodegenerative disorder marked by the degeneration of dopaminergic neurons in the substantia nigra, resulting in cardinal motor symptoms such as tremor, rigidity, and bradykinesia. Neuroinflammation is increasingly recognized as a central driver of PD onset and progression in which oligodendrocytes, astrocytes, and microglia engage in complex bidirectional crosstalk that shapes the inflammatory milieu of the central nervous system. Pathological activation of glial cells triggers the release of pro-inflammatory cytokines, chemokines, and reactive oxygen species, thereby exacerbating neuronal injury and contributing to sustained disease progression. Modulating maladaptive glial activation states and their intercellular communication represents a promising therapeutic avenue aimed at mitigating neuroinflammation and slowing PD pathology. This review synthesizes current knowledge on neuroinflammation in PD, focusing on the distinct roles of microglia, astrocytes, and oligodendrocytes, their interaction networks, and emerging therapeutic strategies. Full article

Introduction: Nursing educators and clinical leaders face persistent challenges in engaging the next generation of nurses, often characterized by short attention spans, frequent phone use, and underdeveloped communication skills. This article describes the design and delivery of a full-day interactive teaching workshop for nursing faculty, senior clinical nurses, and nurse leaders, developed using a design-thinking approach supported by generative AI. Methods: The workshop comprised four thematic sessions: (1) Learning styles across generations, (2) Interactive teaching methods, (3) Application of interactive teaching strategies, and (4) Lesson planning and transfer. Generative AI was used during planning to create icebreakers, discussion prompts, clinical teaching scenarios, and application templates. Design decisions emphasized low-tech, low-prep strategies suitable for spontaneous clinical teaching, thereby reducing barriers to adoption. Activities included emoji-card introductions, quick generational polls, colored-paper reflections, portable whiteboard brainstorming, role plays, fishbowl discussions, gallery walks, and movement-based group exercises. Participants (N = 37) were predominantly female (95%) and represented multiple generations of X, Y, and Z. Mid- and end-of-workshop reflection prompts were embedded within Sessions 2 and 4, with participants recording their responses on colored papers, which were then compiled into a single Word document for thematic analysis. Results: Thematic analysis of 59 mid- and end-workshop reflections revealed six interconnected themes, grouped into three categories: (1) engagement and experiential learning, (2) practical applicability and generational awareness, and (3) facilitation, environment, and motivation. Participants emphasized the workshop’s lively pace and hands-on design. Experiencing strategies firsthand built confidence for application, while generational awareness encouraged reflection on adapting methods for younger learners. The facilitator’s passion, personable approach, and structured use of peer learning created a psychologically safe and motivating climate, leaving participants recharged and inspired to integrate interactive methods. Discussion: The workshop illustrates how AI-assisted, design-thinking-driven professional development can model effective strategies for next-generation learners. When paired with skilled facilitation, AI-supported planning enhances engagement, fosters reflective practice, and promotes immediate transfer of interactive strategies into diverse teaching settings. Full article

Globally, ecomuseums, as examples of integrated museums, have prioritised local community participation as well as the promotion of cultural heritage and territoriality in the field of ecotourism since the 1970s. However, in Ghana, ecomuseums are a less explored extended activity at ecotourism sites. Preliminary research at the Bomfobiri Wildlife Sanctuary in the Ashanti Region of Ghana revealed that there is less patronage of the ecotourism facility due to the absence of extended activities targeted at visitor engagement and experience. This convergent parallel mixed methods study rooted in phenomenology and descriptive survey design investigated the possibility of establishing an ecomuseum at the sanctuary. The study found that the establishment of an ecomuseum facility would promote Kumawu’s cultural heritage. Also, it would enhance visitor engagement, promote local community ownership, increase revenue generation, and lead to the conservation of nature. The study contends that the establishment of an ecomuseum would lead to greater patronage of Ghana’s Protected Areas while creating job avenues, especially for forest-fringe communities. The study proposes an investment into the establishment of locally specific extended activities in the various nature reserves, zoological parks, and gardens, as well as wildlife sanctuaries in the country, to enhance ecotourism development in Ghana. Full article

Flooding is an increasing climate risk in the UK, yet schools remain marginal in resilience planning. Flood events disrupt education, heighten pupil anxiety, increase staff workload and unsettle communities, but these experiences are rarely documented in ways that inform policy. This study examines how schools in the East and West Midlands regions of the UK have experienced and adapted to flooding. Eight qualitative case studies were undertaken in flood-affected schools using semi-structured interviews with key staff, site visits and documentary evidence. Interview transcripts were thematically analysed using NVivo to explore past flood events, levels of preparedness, and readiness for measures such as Property Flood Resilience, Sustainable Drainage Systems and Climate Action Plans. Findings show wide variation in awareness, emergency procedures and engagement with local authorities. Most schools had faced flooding or near misses but lacked formal guidance or flood-specific plans, leading to improvised responses led internally by staff. Despite limited funding, inconsistent communication and exclusion from wider planning, schools demonstrated adaptive potential and willingness to support community preparedness. The study offers evidence to guide headteachers, policymakers and local authorities in strengthening school-based flood resilience and supporting the development of a resilience innovation blueprint for flood-prone schools in the UK. Full article

(1) Background: Developing cultural competence and reflective communication skills remains a challenge in nursing education. Traditional teaching methods often provide limited opportunities for safe practice of culturally sensitive interactions in emotionally complex situations. Artificial intelligence (AI)–based patient simulations may offer a scalable approach to experiential and reflective learning. (2) Aim: This study explored the educational potential of AI-based patient simulations in supporting nursing students’ self-assessed cultural competence, reflective awareness, and communication confidence. (3) Methods: A convergent mixed-methods pre–post study was conducted among 24 s-cycle nursing students. Participants engaged in individual AI-based patient simulations with simulated patients representing diverse cultural contexts. Quantitative data were collected using an exploratory cultural competence self-assessment scale administered before and after the simulation. Qualitative data included post-simulation reflection forms and AI-student interaction transcripts, analysed using inductive thematic analysis. (4) Results: A statistically significant increase in overall self-assessed cultural competence was observed (Wilcoxon signed-rank test: Z = 4.05, p < 0.001, r = 0.59), with the greatest improvements in communication adaptability and perceived communication sufficiency. Qualitative findings indicated an emotional shift from uncertainty to engagement, heightened awareness of cultural complexity, reflective reassessment of assumptions, and high perceived educational value of AI simulations. (5) Conclusions: AI-based patient simulations represent a promising pedagogical tool for fostering reflective and communication-oriented learning in culturally complex nursing contexts. Their primary value lies in supporting experiential learning, emotional engagement, and the development of cultural humility, suggesting their potential role as a complementary educational strategy in advanced nursing education. Full article