Search Results (629)

Equine-Assisted Services (EAS), which incorporate horses in a variety of ways in an effort to improve human wellbeing, have grown in popularity in recent years. Although much research has been conducted regarding the benefits that horses may provide for human health and wellbeing, little attention has been paid to practitioners’ experiences and perspectives of the field, despite the fact they are uniquely positioned to advance our understanding of this area. This study aimed to explore practitioners’ lived experiences of EAS, focusing on the benefits they observed, possible underlying mechanisms for any health benefits witnessed, and challenges faced in the area. Fifteen EAS practitioners from the UK/Ireland took part in qualitative semi-structured interviews, analysed using reflexive thematic analysis. Five themes were identified, three of which related to the horse’s influence on building connections, relationships, and enriching the process, whilst the remainder explored challenges within the field of EAS. These themes were explored through the practitioners’ lens, where possible linking them to our current understanding of human–animal interactions and related fields in the literature. Findings showed that horses, through EAS, were considered invaluable for building relationships, relational skills, and motivation to engage in whichever service was being provided. However, EAS was also viewed as complex. Concerns regarding competencies to practice, training, and lack of governance were expressed. These areas need further exploration and progress if EAS is to grow in efficacy and attain professional status. Full article

Background: Despite growing interest in the literature on Parkinson’s disease (PD) on cognitive functioning, financial incompetence—a crucial aspect of daily living—and its modulation susceptibility by PD treatment regimens remains relatively understudied. Objective: This systematic review and meta-analysis aimed to synthesize existing evidence on how PD treatments affect financial capacity, assessing both direct financial competence and cognitive or behavioral proxies of financial decision-making. Methods: A comprehensive literature search according to PRISMA protocol was conducted across major biomedical databases, supplemented by gray literature and manual reference list checks. Eligible studies assessed financial capacity directly or indirectly through cognitive proxies (e.g., executive function, decision-making) or financial risk behaviors (e.g., impulse control disorders). Two separate meta-analyses were performed. Heterogeneity (I²), publication bias (Egger’s test), and sensitivity analyses were conducted to assess robustness. Results: Twenty-three studies met inclusion criteria. One study directly measured financial capacity and was analyzed narratively, reporting diminished competence in patients on levodopa therapy. A meta-analysis of cognitive proxies (10 studies) showed a moderate effect size (Hedges’ g = 0.70, 95% CI [0.45, 0.92], p < 0.001), indicating that PD treatments negatively affect executive function and financial decision-making. A second meta-analysis of impulse control and financial risk behaviors (12 studies) revealed a larger effect size (Hedges’ g = 0.98, 95% CI [0.75, 1.22], p < 0.001), strongly linking dopamine agonists to increased financial risk-taking. Moderate heterogeneity (I² = 45.8–60.5%) and potential publication bias (Egger’s test p = 0.027) were noted. Conclusions: These findings suggest that PD treatments negatively impact financial decision-making both directly and indirectly through cognitive and behavioral pathways. Integrating financial decision-making assessments into PD care, particularly for patients on dopamine agonists, is recommended. Future research should prioritize longitudinal studies and standardized neuropsychological measures to guide clinical practice and optimize patient outcomes. Full article

Blended and virtual learning have become an integral part in international higher education, especially in the wake of the COVID-19 pandemic and the European Union’s Digital Education Action Plan. These modalities have enabled more inclusive, flexible, and sustainable forms of international collaboration, such as Collaborative Online International Learning (COIL) and Blended Intensive Programs (BIPs), reshaping the landscape of global academic mobility. This paper introduces the INVITE Learning Design Framework (LDF), developed to support higher education instructors in designing high-quality, internationalized blended and virtual learning experiences. The framework addresses the growing need for structured, theory-informed approaches to course design that foster student engagement, intercultural competence, and motivation in non-face-to-face settings. The INVITE LDF was developed through a rigorous scoping review of existing models and frameworks, complemented by needs-identification analysis and desk research. It integrates Self-Determination Theory, Active Learning principles, and the ADDIE instructional design model to provide a comprehensive, adaptable structure for course development. The framework was successfully implemented in a large-scale online training module for over 1000 educators across Europe. Results indicate that the INVITE LDF enhances educators’ ability to create engaging, inclusive, and pedagogically sound international learning environments. Its application supports institutional goals of internationalization by making global learning experiences more accessible and scalable. The findings suggest that the INVITE LDF can serve as a valuable tool for higher education institutions worldwide, offering a replicable model for fostering intercultural collaboration and innovation in digital education. This contributes to the broader transformation of international higher education, promoting equity, sustainability, and global citizenship through digital pedagogies. Full article

Background: Intermediate care units face growing complexity due to aging populations and chronic illnesses. Non-technical skills such as empathy and communication are crucial for quality care. We aimed to examine the relationship between communication skills, self-efficacy, and sense of coherence among intermediate care nurses. Methods: We conducted an observational, cross-sectional study with 60 intermediate care nurses from three units in a Catalan hospital, Spain. Participants engaged in high-fidelity simulation using geriatric end-of-life scenarios with an ultra-realistic manikin representing a geriatric patient at the end of life. NTSs were measured using validated tools: the Health Professionals Communication Skills Scale (HP-CSS), the General Self-Efficacy Scale, and the Sense of Coherence Questionnaire (OLQ-13). Sessions followed INACSL standards, including prebriefing, simulation, and debriefing phases. Results: Post-simulation outcomes revealed significant gains in interpersonal competencies, with men reporting higher assertiveness (p = 0.015) and greater satisfaction with both the simulation experience (p = 0.003) and the instructor (p = 0.008), underscoring gender-related perceptions in immersive training. Conclusions: Ultra-realistic clinical simulation is effective in enhancing NTS among intermediate care nurses, contributing to improved care quality and clearer professional profiles in geriatric nursing. Full article

Procedural physician-scientists have made significant contributions to medicine and science, with twelve proceduralists receiving a Nobel Prize. Unfortunately, several systemic challenges have jeopardized the existence, let alone the flourishing, of procedural physician-scientists: the widening gap in the National Institutes of Health salary cap, decreasing funding from nonfederal public and private agencies, and shifting priorities among U.S. hospitals, payers, and policymakers toward relative value unit productivity-based compensation and fee-for-service models. Additional pressures include prolonged training pathways and the need to maintain clinical continuity. Adopting a team science approach may offer a powerful strategy to mitigate these competing demands, support rigorous scientific inquiry, and address the growing complexity of biomedical research. Concerted efforts by the federal government, policymakers, corporations, institutions, and procedural departments will also be crucial to restoring the vitality of this diminishing workforce. Full article

This paper examines the operational consequences and energy demands associated with the growing cultural diversity of air travellers at airport security checkpoints. The analysis focuses on how an increasing proportion of passengers requiring enhanced security screening, due to cultural, religious, or linguistic factors, affects both system throughput and energy consumption. The methodology integrates synchronised measurement of passenger flow with real-time monitoring of electricity usage. Four operational scenarios, representing incremental shares (0–15%) of passengers subject to extended screening, were modelled. The findings indicate that a 15% increase in this passenger group leads to a statistically significant rise in average power consumption per device (3.5%), a total energy usage increase exceeding 4%, and an extension of average service time by 0.6%—the cumulative effect results in a substantial annual contribution to the airport’s carbon footprint. The results also reveal a higher frequency and intensity of power consumption peaks, emphasising the need for advanced infrastructure management. The study emphasises the significance of predictive analytics, dynamic resource allocation, and the implementation of energy-efficient technologies. Furthermore, systematic intercultural competency training is recommended for security staff. These insights provide a scientific basis for optimising airport security operations amid increasing passenger heterogeneity. Full article

Job advertisements play a key role in human resource management as they are the first contact between employers and potential employees. A well-written job advertisement communicates not only the requirements and expectations of the position but also the culture, values, and goals of the organisation. Transparent and attractive advertisements increase the number of applicants and help to select the right candidates, leading to more efficient recruitment and selection processes in the long run. From a human resource management perspective, effective job advertising can give organisations a competitive advantage. Continuous changes in the labour market and technological developments require new competencies. Digitalisation, automation, and data-driven decision-making have brought IT, analytical, and communication skills to the fore. There is a growing emphasis on soft skills such as problem solving, flexibility, and teamwork, which are essential in a fast-changing work environment. Job advertisements should reflect these expectations so that candidates are aware of the competencies and skills required for the position. The aim of the study is to carry out a cross-country comparative analysis for a few pre-selected jobs based on data extracted from the CEDEFOP database as it is assumed that there are differences between countries in the European Union in terms of the expectations of workers for the same jobs. Full article

The growing urgency of the climate crisis has heightened the importance of integrating sustainability into health education. Allied health professionals are well positioned to lead sustainable healthcare efforts, yet evidence suggests a persistent gap between student awareness and formal training. This study explored the perspectives, knowledge, and attitudes of Portuguese allied health students regarding sustainability. An online and anonymous cross-sectional survey was conducted among undergraduate and graduate students across multiple allied health disciplines. The questionnaire assessed general knowledge, perceptions of curricular integration, and attitudes toward sustainable clinical practice. A total of 247 (response rate of 8.23%) students participated, with the majority expressing high concern about climate change and strong support for environmentally responsible healthcare. However, the results revealed inconsistent awareness of healthcare’s environmental footprint and a limited exposure to structured sustainability education. Friedman tests indicated significant variability in students’ knowledge, perceived responsibility, and curricular experiences. Students identified priority themes for curricular inclusion—such as the environmental impact of the health system—and recognized their alignment with the UN Sustainable Development Goals (SDGs), particularly SDG 3 (Good Health) and SDG 13 (Climate Action). The findings highlight the need for the systematic, competency-based integration of sustainability into allied health curricula to support a climate-resilient and ecologically responsible future healthcare workforce. Full article

Arboviruses are a growing concern in many nations. Several reports of arboviral outbreaks have been recorded globally in the past decade alone. Repeated arboviral outbreaks in developing countries have consistently highlighted vulnerabilities in disease surveillance and response systems, exposing critical gaps in early detection, contact tracing, and resource allocation. The 2024 Dengue fever outbreak in Ghana, which recorded 205 confirmed cases out of 1410 suspected cases, underscored the urgent need to evaluate the country’s preparedness for arboviral outbreaks, given the detection of competent vectors in the country. A retrospective analysis of Ghana’s 2009–2013 pandemic influenza response plan revealed significant deficiencies in emergency preparedness, raising concerns about the country’s ability to manage emerging arboviral threats. This review assessed Ghana’s current arboviral outbreak response and preparedness by examining (a) the effectiveness of vector control measures, (b) the role of early warning systems in mitigating outbreaks, (c) laboratory support and diagnostic capabilities, and (d) community engagement strategies. It highlights the successes made in previous outbreaks and sheds light on several gaps in Ghana’s outbreak response efforts. This review also provides recommendations that can be implemented in many countries across Africa as they brace themselves for any arboviral outbreak. Full article

Arundo donax L. has been introduced in markets worldwide due to its economic value. However, it is listed in the world’s 100 worst alien invasive species because it easily escapes from cultivation, and forms dense monospecific stands in riparian areas, agricultural areas, and grassland areas along roadsides, including in protected areas. This species grows rapidly and produces large amounts of biomass due to its high photosynthetic ability. It spreads asexually through ramets, in addition to stem and rhizome fragments. Wildfires, flooding, and human activity promote its distribution and domination. It can adapt to various habitats and tolerate various adverse environmental conditions, such as cold temperatures, drought, flooding, and high salinity. A. donax exhibits defense mechanisms against biotic stressors, including herbivores and pathogens. It produces indole alkaloids, such as bufotenidine and gramine, as well as other alkaloids that are toxic to herbivorous mammals, insects, parasitic nematodes, and pathogenic fungi and oomycetes. A. donax accumulates high concentrations of phytoliths, which also protect against pathogen infection and herbivory. Only a few herbivores and pathogens have been reported to significantly damage A. donax growth and populations. Additionally, A. donax exhibits allelopathic activity against competing plant species, though the allelochemicals involved have yet to be identified. These characteristics may contribute to its infestation, survival, and population expansion in new habitats as an invasive plant species. Dense monospecific stands of A. donax alter ecosystem structures and functions. These stands impact abiotic processes in ecosystems by reducing water availability, and increasing the risk of erosion, flooding, and intense fires. The stands also negatively affect biotic processes by reducing plant diversity and richness, as well as the fitness of habitats for invertebrates and vertebrates. Eradicating A. donax from a habitat requires an ongoing, long-term integrated management approach based on an understanding of its invasive mechanisms. Human activity has also contributed to the spread of A. donax populations. There is an urgent need to address its invasive traits. This is the first review focusing on the invasive mechanisms of this plant in terms of adaptation to abiotic and biotic stressors, particularly physiological adaptation. Full article

Background: Dog agility is a rapidly growing sport involving a partnership between a dog and the handler, running through an obstacle course. Despite its increasing popularity and physical benefits, research on handler injuries remains limited. This study aimed to assess injury epidemiology of athletes practicing dog agility. Methods: This cross-sectional study was conducted using a comprehensive online survey consisting of 124 items, available in both English and Italian. The questionnaire was divided into four sections: Introduction collected demographic data and medical history; Materials and Methods focused on agility-related activities; Results explored injuries sustained in the past 12 months; Discussion examined training habits unrelated to agility. Results: Among 389 participants, the most represented age group ranged between 30 and 40 years old. Overall, 7% reported upper limb injuries, while 27% experienced at least one lower limb injury. Additionally, 20% of participants used medication, and 25% reported at least one chronic illness. On average, handlers trained twice per week and competed in two events per month. Lower limb injuries were predominantly muscular (49%) or ligamentous (14%) and most commonly occurred on grass pitches (56%). These injuries were more common in participants with a higher BMI, those using dynamic handling styles, and those competing at higher levels. Conclusions: This cross-sectional study highlighted the importance of identifying risk factors associated with dog agility handlers. Lower limb injuries were the most common, often associated with increased physical demands and handling styles involving intensive running and correlated with reduced physical fitness. Athletic conditioning, including structured warm-up and cool-down practices, might help decline injury risks. Full article

In higher education, the emotional intelligence (EI) of university professors, defined as the ability to perceive, understand, manage and utilize emotions effectively, is increasingly recognized as a pivotal factor in enhancing students’ academic achievement and psychological well-being. However, the scarcity of studies directly linking professors’ EI to students’ well-being highlights a critical research gap. This systematic review investigates how professors’ emotional competencies influence student outcomes—such as academic performance, engagement, motivation, and mental health—and identifies the factors that mediate or moderate these effects. Findings indicate that professors’ EI, particularly empathy, emotional regulation, and interpersonal skills, significantly enhances student engagement, motivation, and academic satisfaction, with indirect effects on psychological well-being. Cultural context, teaching modality (e.g., online vs. in-person), and professors’ age and experience moderate these effects and influence effect sizes. Qualitative synthesis further highlighted contextual gaps in the literature. The limited focus on well-being and outcomes and reliance on self-report measures underscore the need for longitudinal, culturally diverse studies and performance-based EI assessments. The value of this research lies in its potential to inform evidence-based educational practices and institutional policies. By elucidating the role of professors’ EI, the review lays the groundwork for developing faculty training programs aimed at strengthening emotional competencies and fostering inclusive, supportive learning environments that promote student growth and resilience. This is especially relevant given the growing prevalence of stress, anxiety, and disengagement among university students, exacerbated by post-pandemic challenges and academic pressures. Understanding the impact of EI can inform culturally responsive interventions, improve student retention, and enhance institutional effectiveness, thereby addressing a pressing need in contemporary higher education. In today’s rapidly evolving technological, social, and cultural landscape, universities have both the opportunity and the responsibility to act as catalysts for the creation of an educational culture that promotes social well-being. This requires adopting educational and organizational models that prioritize human care and the quality of interpersonal relationships. To be effective, these priorities must be integrated into all university operations, from governance to student support and talent development. Full article

This article investigates how digital competences contribute to the production of social capital and professional recognition through a systematic review of international literature. Drawing on 62 peer-reviewed articles indexed in Web of Science, Scopus, and ERIC, the review identifies the most frequently mobilized theoretical frameworks, the predominant types and sources of recognition, and the associated dimensions of social capital. The findings reveal a growing emphasis on communicative and network-based digital competences—particularly digital communication, information management, and virtual collaboration—as key assets in professional contexts. Recognition is shown to take predominantly non-material, extrinsic, and visibility-oriented forms, with social media platforms emerging as central sites for the performance and circulation of digital competences. The results indicate that social media proficiency has become a central determinant of social recognition, favoring individuals who possess not only digital fluency but also the ability to strategically develop and mobilize their networks. This dynamic reframes signal theory in light of today’s platformed ecosystems: recognition no longer depends increasingly on one’s capacity to render competences legible, visible, and endorsed within algorithmically mediated environments. Those who master the codes of visibility and reputation-building online are best positioned to convert recognition into social capital and professional opportunity. Full article

In water-scarce regions, natural ecosystems and agriculture increasingly compete for limited water resources, intensifying stress during periods of drought. To assess these competing demands, we applied a modified PT-JPL model that incorporates the thermal inertial approach as a substitute for relative humidity (RH) in estimating soil evaporation—a method that significantly outperforms the original PT-JPL formulation in Mediterranean semi-arid irrigated areas. This remote sensing framework enabled us to quantify spatial and temporal variations in water use across both natural and agricultural systems within the UNESCO World Heritage site of Doñana. Our analysis revealed an increasing evapotranspiration (ET) trend in intensified agricultural areas and rice fields surrounding the National Park (R = 0.3), contrasted by a strong negative ET trend in wetlands (R < −0.5). These opposing patterns suggest a growing diversion of water toward irrigation at the expense of natural ecosystems. The impact was especially marked during droughts, such as the 2011–2016 period, when precipitation declined by 16%. In wetlands, ET was significantly correlated with precipitation (R > 0.4), highlighting their vulnerability to reduced water inputs. These findings offer crucial insights to support sustainable water management strategies that balance agricultural productivity with the preservation of ecologically valuable systems under mounting climatic and anthropogenic pressures typical of semi-arid Mediterranean environments. Full article

The increasing complexity of aircraft systems and the growing global demand for certified maintenance personnel necessitate a fundamental shift in aviation training methodologies. This paper proposes a comprehensive digital-twin-based training ecosystem tailored for aviation maintenance education. The system integrates three core digital twin models: the learner digital twin, which continuously reflects individual trainee competence; the ideal competence twin, which encodes regulatory skill benchmarks; and the learning ecosystem twin, a stratified repository of instructional resources. These components are orchestrated through a real-time adaptive engine that performs multi-dimensional competence gap analysis and dynamically matches learners with appropriate training content based on gap severity, Bloom’s taxonomy level, and content fidelity. The system architecture uses a cloud–edge hybrid model to ensure scalable, secure, and latency-sensitive delivery of training assets, ranging from computer-based training modules to high-fidelity operational simulations. Simulation results confirm the system’s ability to personalize instruction, accelerate competence development, and support continuous regulatory readiness by enabling closed-loop, adaptive, and evidence-based training pathways in digitally enriched environments. Full article