Search Results (10,990)

Hungarian teachers’ reform priorities remain insufficiently mapped, despite their central role in shaping feasible, evidence-based educational change. In a cross-sectional study with 1254 kindergarten, primary, and secondary teachers across Hungary (May 2025), we elicited and analyzed open-ended written responses in which participants identified their top three required reforms. Responses were segmented and coded into 18 mutually exclusive categories via a validated codebook, and prevalence was calculated using respondent-normalized weights. We then examined demographic, well-being, and personality correlates of reform priorities using χ² tests, Mann–Whitney tests, and multivariable logistic models with Benjamini–Hochberg false discovery correction. Teachers most frequently prioritized competency development and pedagogical reform, followed by curriculum flexibility and system governance. Reform priorities were not random: female teachers were substantially more likely to prioritize inclusion and SEN support, while male teachers more often prioritized governance and depoliticization; older age predicted governance priorities. Lower educational system satisfaction robustly predicted prioritizing curriculum reform, autonomy, and governance restructuring, and anxiety and depression were positively related to curriculum concerns. Conscientiousness predicted prioritizing salary and material recognition. The results indicate that teachers’ reform demands function as systematic, psychologically grounded signals that can guide more targeted, teacher-centerd educational policy in Hungary. Full article

The digital preservation and dissemination of historical and cultural heritage is a pivotal area at the intersection of digital humanities and geographic information science. To address the challenges of multi-source heterogeneity, limited dimensionality, and inadequate public engagement, this study designed and implemented an interactive visualization platform using modern Web technologies. Taking the Leshan Confucian Temple (religious heritage) and the former site of Wuhan University (educational heritage) as case studies, the platform integrates four types of heterogeneous data (geospatial coordinates, architectural attributes, visitor behavioral records, and multimedia imagery) into a unified spatiotemporal information model. Core technical implementations are built upon a lightweight front-end stack including the Gaode Map JavaScript API for geographic visualization, ECharts for dynamic statistical charting, and the Tailwind CSS framework for a fully responsive front-end interface. Key interactive features encompass linked map markers with contextual information windows, user-driven chart filtering, and paginated loading of cultural relic cards. Evaluation results demonstrate that the platform achieves cross-device response delay ≤3 s, supports spatially grounded, dynamic, and presentation of cultural heritage information, and attains a System Usability Scale (SUS) score of 82.5. This work offers a lightweight, scalable technical solution for advancing digital recording and public communication of historical and cultural heritage, while contributing to the theoretical discourse on spatial narrative and multi-source data integration in digital humanities. Full article

Cyanotic congenital heart disease (CCHD) remains a major contributor to infant morbidity and mortality in the United States, yet the influence of maternal social determinants of health on risk is not fully understood. This study examined associations of maternal age, education, and race/ethnicity with the live birth prevalence of CCHD using recent national birth data from the Centers for Disease Control and Prevention (CDC) National Vital Statistics System (2022–2023). CCHD was identified from birth certificate records and analyzed as a binary outcome. Regression analyses were performed to evaluate relationships between maternal characteristics and CCHD occurrence. Overall, CCHD was a rare outcome with a modest decline in prevalence between the two years examined. Increasing maternal age was associated with higher odds of CCHD, while Latina ethnicity was associated with lower odds compared to the reference group. Other racial/ethnic categories and maternal education level were not significantly associated with CCHD risk in adjusted analyses. These findings suggest that certain maternal factors, particularly age and ethnicity, are associated with variation in the live birth prevalence of CCHD and underscore the need for further research into underlying environmental and structural contributors not captured in standard birth records. Full article

Opisthorchis viverrini infection remains a significant public health concern in Southeast Asia, particularly in rural communities of Northeast Thailand, where persistent environmental and behavioral factors sustain transmission. A quasi-experimental study aimed to identify environmental and behavioral risk factors for infection and to evaluate the effectiveness of a community-based intervention program. The intervention program study was conducted over 10 months and comprised three phases: baseline survey‚ health education intervention program implementation‚ and follow-up evaluation. The results were analyzed for the prevalence of parasitic infections, and multivariable logistic regression was performed to identify associated factors. The majority of study participants were female (67.94%)‚ aged 55 to 64 years (48.09%)‚ and farmers (89.31%). Parasitic infections‚ especially O. viverrini‚ substantially decreased during the follow-up period‚ and independent risk factors predicting infection included lower education‚ previous infection‚ raw fish consumption‚ and pesticide use‚ according to multivariable logistic regression analysis. This intervention considerably improved knowledge; mean knowledge score increased by 6.29 points (p < 0.001). Analysis of fecal sludge after treatment with the sand-drying system identified S. stercoralis larvae (20 eggs/L) and Taenia spp. eggs (12.4 eggs/g). These findings indicated that, despite treatment, integrated behavioral and environmental interventions can be effective in interrupting parasite transmission in rural endemic settings. Full article

Disinformation is a global challenge that affects areas such as politics, health, economics, and science and is spread rapidly by social media (SM), suggesting the necessity of advancing educational proposals to strengthen critical thinking (CT) and digital literacy (DL). This quantitative, non-experimental, descriptive study identified the self-perception that master’s students (n = 72; at three Spanish universities; October 2024–March 2025) have regarding their DL, along with their CT, in post-truth and fake news settings. A self-administered online questionnaire (53 items) was conducted, covering aspects such as the responsible use of information and platforms, algorithmic perceptions, actions taken to verify this information, and concepts of CT, post-truth, and fake news. The results show that Instagram (97%) and WhatsApp (96%) predominated, with a notable proportion of users (86%) reporting that algorithms influenced them ‘highly’ or ‘moderately’. Despite being aware of disinformation they find on social media (65%) as well as its close link to hate speech (90% who ‘strongly’ or ‘somewhat’ agreed), this knowledge does not fully translate into taking measures to counter it. In fact 61% of respondents report sharing news on at least some occasions, while only 25% are able to identify a professional fact-checking organization. In conclusion, these findings suggest the merit of assessing the prevalence of skills such as Critical Thinking (CT) and strategies like fact-checking among students in other postgraduate education systems. Such assessments could inform the potential promotion of media and digital literacy as cross-curricular skills in education. This approach would help bridge the gap between theoretical knowledge and the active verification needed to counter disinformation. Full article

Background/Objectives: The multiple benefits of physical activity and exercise (PAE) for non-communicable diseases (NCDs) and, thus, for public health underscore the importance of their multidisciplinary implementation in clinical practice. However, there is a lack of validated instruments that comprehensively assess physicians’ knowledge, attitudes, intentions, abilities, and behaviour (KAIAB) regarding PAE promotion in NCD management. Methods: This study aimed to develop and validate a new questionnaire to assess physicians’ KAIAB towards PAE and to evaluate their KAIAB levels. A two-stage design, including an e-Delphi method and a cross-sectional study, was conducted in Greece from January 2022 to May 2022. Results: In the first stage, after achieving consensus and stability within a purposive sample of 16 physician–experts (response rate 100%), the questionnaire was effectively developed and validated (Content Validity Ratio: 0.5–1) using a two-round e-Delphi method. In the second stage, a cross-sectional study was conducted in two physician populations from 12 medical specialities (response rate: 18.2%) and demonstrated that the new questionnaire had sufficient face validity and high reliability (Cronbach’s alpha: 0.805– 0.931). The three original Bloom levels’ cut-off points were also used to classify physicians’ KAIAB levels in the second stage. KAIAB levels were assessed using median and interquartile range (Mdn/IQR) and were found to be low (13/6), moderate (128/79), high (35/9), moderate (21/8), and moderate (33/8), respectively. Conclusions: The new questionnaire is reliable and valid. It is recommended that the questionnaire be applied in larger studies to further verify its validity and applicability. Additionally, it was found that although physicians reported high intentions and moderately positive attitudes toward PAE promotion, their knowledge in these domains and their exercise prescription practices remained limited. This underscores the need to enhance policies and initiatives in medical education and the healthcare system. Full article

Background/Objectives: Blood donation is a critical component of healthcare systems worldwide, yet donor recruitment remains challenging. This study evaluates the knowledge, attitudes, motivations, and practices (KAP) of blood donation among the general population in Saudi Arabia to identify key barriers and propose targeted interventions. Methods: A cross-sectional study was conducted using a structured, validated questionnaire distributed over five months (December 2022 to April 2023) via social media and in-person recruitment at the Central Blood Bank in Riyadh. A total of 1150 participants aged 18–60 years residing in Saudi Arabia were included in the final analysis. Statistical analysis was performed using SPSS version 22, with p < 0.05 considered significant. Results: Participants demonstrated moderate knowledge (mean score 5.43 ± 1.81 out of 9), with significantly higher scores among males, individuals aged 21–30 years, and those holding a bachelor’s degree. Attitudes toward donation were highly positive (mean score 15.46 ± 2.74 out of 20) and correlated with age, gender, marital status, and occupation. Despite this positive outlook, only 34.96% of participants had donated blood previously, although 95.25% expressed willingness to do so. Primary motivators included mobile donation units (89.22%) and paid leave (89.22%), whereas 51.22% of respondents considered current media campaigns ineffective. Common barriers to donation included health concerns (25.30%), time constraints (12.87%), and fear of needles (7.74%). Conclusions: This study reveals a critical disparity between positive public attitudes and actual donation practices in Saudi Arabia. To enhance donor participation, we recommend implementing convenient donation strategies such as mobile blood drives, workplace incentives, and more effective, culturally tailored educational campaigns. Addressing these factors could help Saudi Arabia improve its voluntary donation rates and ensure a sustainable, safe blood supply. Full article

Objective: The aim of this study was to explore how healthcare professionals in the Republic of Ecuador perceive violence against women, its underlying social determinants, and their role in prevention and response within the healthcare setting. Methodology: A qualitative descriptive study was conducted using purposive sampling. Ten healthcare professionals with experience in managing cases of violence against women participated. Data were collected through semi-structured interviews and analysed using Braun and Clarke’s reflective thematic analysis. The ATLAS.ti software was used throughout the analysis process. Results: The participants emphasised the normalisation of microaggressions, institutional shortcomings in prevention systems, and the need for gender-sensitive professional training. Three main themes emerged from the data analysis: (1) the characteristics and identification of violence against women, (2) the social dimensions of violence against women, and (3) combating violence against women in clinical and educational settings. Conclusions: The healthcare professionals highlighted the need to recognise normalised and less visible forms of violence reflected in everyday attitudes and behaviours. They emphasised the importance of early identification, multidisciplinary care and sex education as preventive strategies. The social context and deep-rooted power dynamics favour the perpetuation of violence against women. Healthcare professionals can play an important role in the prevention of violence against women by improving care for survivors, identifying areas for improvement within existing prevention systems, and promoting sex education. Full article

Background/Objectives: Aging is associated with physiological, biochemical, and psychosocial changes that can significantly affect nutritional status and overall health. In Sub-Saharan Africa (SSA), older adults face unique age-related challenges that may compromise healthy aging, yet evidence remains fragmented. This systematic review synthesized the existing literature on the nutritional status, age-related challenges, and strategies to promote healthy aging of older adults in SSA. Methods: A systematic literature search was conducted on PubMed, Scopus, ScienceDirect, and Cochrane Library to identify relevant studies published up to 10 December 2025. Results: Fifty-five studies met the inclusion criteria, with most of the studies coming from South Africa, Ghana, and Nigeria. Amongst community-dwelling populations, approximately 30–65% of the older adults were either malnourished or at risk of malnutrition, while hospital-based studies reported markedly higher burdens, with malnutrition prevalence exceeding 70% in some settings. Undernutrition, micronutrient deficiencies, and the coexistence of overweight and obesity were frequently observed, reflecting the region’s ongoing nutrition transition. Frailty emerged as the predominant age-related challenge, with prevalence ranging around 10–60%. Other common challenges included sarcopenia, reduced muscle strength, functional disability, cognitive impairment, and dysphagia, all of which were closely related to poor nutritional status, food insecurity, multimorbidity, and reduced quality of life. Few studies reported on healthy aging strategies, with the limited evidence suggesting that nutrition education, physical activity, and psychosocial interventions may enhance nutritional and functional outcomes. Conclusions: The need for context-specific, nutrition-sensitive interventions, and stronger health and social support systems is warranted to promote healthy aging in SSA older adults. Full article

In a context marked by the Anthropocene, the climate crisis, and the contemporary blockage of political and projective imagination, utopias and dystopias re-emerge as fundamental critical instruments for architecture. Far from constituting evasive or unrealizable exercises, these constructions operate as epistemological and projective devices capable of exploring possible futures, revealing latent tensions, and questioning the ideological frameworks that shape the built environment. This article examines speculative design as a contemporary updating of the utopian and dystopian tradition in architecture, understood not as a normative model but as a critical method for imagining radical transformations of dwelling in response to the current ecological, social, and geopolitical urgencies. Drawing on a series of projects developed within the university context, it analyses how architectural speculation, enhanced by artificial intelligence tools, enables the exploration of alternative scenarios of urbanization, adaptive habitats, and new relationships between architecture, territory, and nature. The cases analysed show that the combination of utopia, dystopia, and emerging technologies fosters an understanding of architecture as an open, dynamic, and relational system capable of responding to contexts of high uncertainty. The article argues that the return of utopian imagination, now mediated by speculative practices and digital tools, constitutes a relevant contribution to the contemporary debate on new forms of urbanization, flexible megastructures, and sustainable architectural futures. Full article

The critical role of green consumption in mitigating carbon emissions is widely acknowledged. As a prerequisite for green consumption, consumer green awareness (CGA) plays a pivotal role in advancing sustainable development. This study constructs a comprehensive indicator system for CGA from the three dimensions of “antecedent-behavior-outcome” and measures the CGA levels of 30 provinces in China from 2014 to 2022. Using the Theil index, kernel density estimation, Moran’s I, and Markov chain methods, we analyze its spatiotemporal evolution characteristics. Furthermore, spatial econometric models are applied to explore its driving factors. The results show that China’s CGA exhibits sustained growth during the study period, but regional disparities are widening, driven by inter-regional rather than intra-regional differences. Moreover, China’s CGA gradually demonstrates the long-tailed and multimodal distribution, accompanied by emerging spatial clustering effects. In terms of transition dynamics, CGA demonstrates a short-term “gradient lock”, which is substantially alleviated when spatial spillover effects are incorporated. Additionally, we find that economic development, the advancement of emerging industries, accelerated urbanization, emphasis on education, and policy guidance significantly promote CGA, while overconsumption inhibits CGA. Among these factors, economic development, informatization, e-commerce, education, and policy guidance show significant spillover effects. Full article

Pharmacological approaches to tinnitus have remained peripheral within research, despite persistent patient demand and advances in auditory neuroscience. There is increasing consideration of whether these developments now justify renewed focus on pharmacological research in tinnitus and hyperacusis. This paper presents a narrative synthesis of perspectives arising from an international scientific meeting, based on invited contributions from speakers who expanded on themes related to their presentations, integrating insights from systems neuroscience, cellular and molecular mechanisms, animal and human models of auditory hypersensitivity, and patient-reported experience. Rather than summarising individual presentations, the analysis focuses on converging mechanistic explanations, biological heterogeneity, emerging therapeutic targets, and advances in objective measurement. Particular attention is given to how evolving mechanistic frameworks can support patient education and clinical communication, even in the absence of disease-modifying treatments. Taken together, these discussions reflect renewed examination of pharmacological approaches to tinnitus and hyperacusis, with attention to both emerging mechanistic rationales and the substantial challenges that remain. Integrating mechanistic insights, phenotype-informed care, and responsible communication may help clarify research priorities and support informed clinical and patient-facing discussions. Full article

This study examines workplace bullying within the middle-management tier of a large Gauteng-based retail organisation in South Africa, with a focus on structural organisational pressures and perceptual differences among managers. While traditional research often emphasises individual personality traits or victim demographics, this study explores how organisational conditions—particularly the “middle management squeeze” and performance-driven Key Performance Indicators (KPIs)—are reflected in workplace behaviours. Grounded in a positivist paradigm, a quantitative cross-sectional survey was conducted among a probability-based sample of 253 retail managers. Data were collected using the Negative Acts Questionnaire (NAQ-22) and analysed using Exploratory Factor Analysis (EFA) and nonparametric inferential tests. The findings indicate that task-related negative acts, such as micromanagement (M = 2.00) and persistent monitoring (M = 1.87), are frequently experienced. EFA identified two dimensions—General Harassment and Managerial Control—accounting for 62% of the total variance. Inferential results show that perceptions of General Harassment differ significantly across educational groups (p = 0.0268), whereas perceptions of Managerial Control remain consistent (p = 0.3378). These findings indicate that social forms of incivility are interpreted differently across educational cohorts, while task-related managerial practices are widely normalised. The study highlights the importance of understanding workplace bullying as both a structural and perceptual phenomenon and underscores the need for organisational interventions that address systemic pressures rather than relying solely on individual-level approaches. Full article

Background: South African university students face escalating levels of psychological distress driven by academic overload, financial precarity, and social challenges. Health professions students are particularly vulnerable due to the demanding nature of clinical training and repeated exposure to human suffering. Aim: This study aims to propose an Integrated Student Well-being and Resilience Model tailored to the South African health professions education context. Methods: This conceptual paper draws on empirical evidence from South African studies on student mental health, global campus well-being frameworks, and socio-ecological theory. Bronfenbrenner’s Socio-Ecological Systems Theory and a tiered public health approach were synthesized to develop a multi-level model aimed at addressing the academic, financial, and social determinants of student mental health. Conceptual synthesis: The study unequivocally identified a syndemic of interconnected factors predisposing students to depression, which included the interplay of academic rigour and cognitive burnout, financial vulnerability as a determinant of mental health, the crisis of social connection and psychological safety, and institutional failure and the resilience fallacy. Conclusions: The Integrated Student Well-being and Resilience (ISWR) Model is a systemic architecture designed to coordinate institutional governance with the complex psychosocial needs of health professions students. The model provides a holistic, scalable framework for strengthening student well-being within health professions education. By shifting from reactive counselling to proactive, system-level interventions, the model offers a strategic blueprint for creating resilient, supportive learning environments capable of improving student mental health and fostering a healthier future healthcare workforce. Full article

Despite growing attention to social sustainability in tourism, employment relations remain predominantly studied at the firm level, overlooking the broader systemic contexts that shape how workforces function. This paper argues that Sustainable Human Resource Management (SHRM) in tourism cannot be fully understood without examining what workers expect from employment before they enter it, and how those expectations are formed. Drawing on Social Exchange Theory (SET) and revisiting the longstanding vocational–liberal debate in hospitality and tourism education, the paper reframes education as a formative mechanism shaping social exchange expectations prior to labour market entry. An integrative framework is developed, bringing together four literature streams—tourism labour markets and employment precarity, hospitality and tourism education, SET, and destination governance—to connect educational orientations, SHRM practices, and destination-level governance structures. Education conditions how workers read and respond to HR practices, while governance arrangements determine whether the relational foundations of employment are sustained or eroded across destination labour markets. Workforce sustainability thus emerges from coordinated social exchange relations embedded across tourism destination systems rather than from isolated HR initiatives. The framework’s main contribution lies in repositioning education as a relational mechanism central to SHRM theory, framing workforce sustainability as a system-level outcome, and offering practical directions for destination governance bodies, policymakers, and curriculum designers seeking to strengthen the institutional foundations of sustainable tourism employment. Full article