Search Results (337)

Practical training and recruitment strategies are critical for the sustainable implementation of psychosocial interventions. However, few studies have examined how to prepare community partners and doctoral students to support culturally adapted psycho-oncology interventions. This pre-pilot study aims first to evaluate two distinct training programs and recruitment procedures, and second to explore preliminary pre-post outcomes of the Caregiver-Patients Support to Cope with Advanced Cancer (CASA) intervention, using the Consolidated Framework for Implementation Research (CFIR). Three clinical psychology graduate students received CASA training, and two community partners completed Recruitment training. We present descriptive pre- and post-assessments, along with qualitative feedback, for both training and institutional (Puerto Rico Biobank) and community-based recruitment outcomes. A related-samples nonparametric analysis examined pre- and post-CASA intervention signals. Results indicated knowledge gains among doctoral students (pre-test M = 3.3; post-test M = 9.3) and community partners (pre-test M = 4.5; post-test M = 9.5). Preliminary outcomes revealed significant improvements in spiritual well-being (Z = −2.618, p = 0.009) and quality of life (Z = −2.957, p = 0.003) and a reduction in depressive (Z = −2.764, p = 0.006), anxiety (Z = −2.667, p = 0.008), and distress (Z = −2.195, p = 0.028) symptoms following CASA. Of 26 recruited dyads, institutional referrals enrolled 16 dyads (61.5%), while community partners referred 10 dyads with a 90.9% success rate. Findings support the feasibility of both training and CASA exploratory outcomes suggest meaningful psychosocial benefits for Latino dyads coping with advanced cancer. Combining institutional infrastructure with community engagement may enhance sustainability and equitable access to psycho-oncology care. Full article

This study examines how parental legal status operates as a fundamental social determinant of health and educational equity, focusing on long-term outcomes among U.S.-born and foreign-born children of immigrants. We hypothesized that intergenerational stress and institutional exclusion associated with undocumented status would lead to lower educational attainment and poorer health. Using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), a nationally representative cohort, participants were classified by inferred parental legal status: native-born, documented immigrant, and undocumented immigrant. Outcomes included high school graduation, college enrollment, depression scores, and chronic health conditions. Children of undocumented parents exhibited the most adverse outcomes—lower graduation (63.8%) and college enrollment rates (39.9%), higher depression, and greater chronic illness. In models controlling for socioeconomic factors, parental undocumented status independently predicted reduced odds of college enrollment (OR = 0.61, p < 0.001) and increased odds of reporting fair/poor health (OR = 2.10, p < 0.001). Findings highlight legal precarity as a potent driver of intergenerational disadvantage and underscore the need for policies addressing the barriers faced by children in undocumented families to promote health and educational equity. Full article

This paper proposes a low-cost measurement system that can be used to perform simultaneous blood pressure (BP) and breathing (BR) measurements. Regarding BP measurements, the main parameters that are accessed include systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure blood pressure (MAP), and heartbeat rate (HR). Concerning BR measurements, the main parameters that are accessed include the inspiration period and amplitude (IPA), the expiration period and amplitude (EPA), and the breathing rate (BR), as well as the statistical and standard deviation of all these parameters. The dual measurement capability of the proposed measurement system is very important since blood pressure and breathing parameters are not statistically independent and it is possible to obtain additional and valuable clinical information from the information provided by both biomedical variables when measured simultaneously. The analysis of the correlation between these variables is particularly important after performing intensive physical exercises, since it enables cardiac rehabilitation assessment, pre-surgical risk evaluation, detection of silent ischemia, and monitoring of chronic diseases recovery, among others. Regarding the performance evaluation of the proposed biomedical device, a prototype of the measurement system was developed, tested, and calibrated. Several experimental tests were carried out to evaluate the performance of the proposed measurement system and to obtain the correlation coefficients between different blood pressure and breathing parameters. The tests were based on a statistically significant number of measurements that were performed with a population that integrated twenty students in two groups with different habits of physical exercise practice but subjected to a set of common physical exercises, with graduated intensity levels. Full article

Under the background of “Emerging Engineering Education”, promoting reform in the practical teaching of Agricultural Hydraulic Engineering is a crucial task for cultivating water conservancy professionals with sustainability competencies in the new era. This study addresses current issues in the practical education of Agricultural Hydraulic Engineering, including fragmented practical content, disjointed tiered training, superficial teaching models, and simplified assessment methods. Guided by the Outcome-Based Education (OBE) concept and incorporating sustainability education principles, and integrating the distinctive features and course orientation of the university’s programme, this study implements a multidimensional practical teaching reform characterized by “three level–four integration–five dimension–three objective” framework in Agricultural Hydraulic Engineering. This reform has achieved significant outcomes: teaching quality has been notably enhanced, with students demonstrating substantially improved practical and innovative capabilities, earning over ten national and provincial competition awards in the past two years. Faculty teaching research capabilities have strengthened, resulting in multiple provincial-level teaching reform projects and top-tier course approvals. The proportion of courses achieving a satisfactory level of target attainment stands at 66.7% of the total practical courses. Graduate and employer satisfaction rates reached 96.2% and 100%, respectively. The results demonstrate the strong applicability and effectiveness of this multidimensional practical teaching model in fostering talent equipped for sustainable water conservancy development, providing an important reference for practical teaching reforms in agricultural universities during the new era. Full article

We examine complex inequities that emerge when race, gender, and first-generation college status are treated as interdependent, rather than independent statuses, for assessing student outcomes at Hispanic-Serving Institutions (HSIs). Drawing on student-level administrative data from two public HSIs in the U.S. Southwest, we analyze four-year graduation and placement in developmental English and mathematics. Using continuing-generation college white women as the reference group, we estimate marginal effects and then construct linear combinations for twenty intersectional social locations defined by race, gender, and first-generation college status. Our findings show that first-generation American Indian men, first-generation college Black men, and first-generation college Hispanic men experience some of the largest achievement gaps in both graduation and developmental placement, gaps that would remain obscured in conventional reporting by race, gender, or class alone. We argue that quantitative intersectionality, grounded in critical race and intersectionality scholarship, offers a value-added approach to state-based institutional analytics that can inform equity metrics, accountability systems, and resource allocation at HSIs and beyond. We conclude with recommendations for redesigning data infrastructures, reporting practices, and equity initiatives to better align HSI servingness with the lived realities of structurally marginalized students. Full article

This study examines the evolution and main trends in the number of students, teaching staff and graduates in Romania’s pre-university education system over the period 1990–2024 (and 1990–2023 for graduates), employing ARIMA models to generate forecasts up to the year 2027. The research is grounded in the premise of profound structural transformations within the Romanian educational system, driven by demographic decline, external migration, recurrent reforms, and shifts in resource allocation. The descriptive analysis highlights a pronounced downward trend for all three variables (students, teaching staff and graduates), reflecting the continuous reduction in the school-age population and the restructuring of the educational network. The statistical tests employed, such as Shapiro–Wilk, Augmented Dickey–Fuller, Durbin–Watson, Breusch–Godfrey and ARCH, validate the selected optimal ARIMA models: ARIMA(1,1,1) for teaching staff, ARIMA(4,1,3) for students, and ARIMA(3,1,5) for graduates. The forecasting results indicate that this declining trend is expected to persist through 2027: the number of teaching staff is estimated to decrease to approximately 178,700 individuals, the number of students is estimated to decrease to around 2.78 million, and the number of graduates is projected to fall until 2026, followed by a potential slight stabilization in 2027. The Spearman correlation analysis indicates strong associations among all variables, suggesting that their dynamics are predominantly shaped by demographic and migratory factors. Granger causality analysis shows that changes in birth rates lead to rapid adjustments in teaching staff within 2–3 years. No significant short-term causality is found for the number of students or graduates, though demographic effects appear after 5–6 years for students, indicating long-term impacts on the school population. This study underscores the importance of econometric methods in informing educational policy, particularly in the context of the marked contraction of the school-age population. It also highlights the need for strategic planning regarding human resources in education, per-student funding, the reorganization of the school network, and curriculum adaptation. Full article

This research investigates the socioeconomic factors that lead to ineffective plastic waste management in household areas and their consequences for water sustainability in four villages in Guyana: Mon Repos, Lusignan, De Endragt, and Good Hope. The study uses a household survey (N = 384), chi-square tests, and a binary logistic model. It finds that labour status, schooling, and earnings affect unsafe disposal practices like dumping, incineration, or leaving garbage. The risk of inappropriate disposal is 20%, higher than the 6.8% among university graduates. The unemployed are at highest risk, with 32.7% at high risk. Low-income individuals (≤GYD $85,000) have a 21.9% rate, which is 2.5 times higher than the 7.6% rate among higher-income individuals. Strikingly, 63.2% of the high-risk households reported seeing “some” or “vast” amounts of dumped garbage in the close vicinity. It suggests a greater possibility of water contamination. Lacking direct proof of water quality, the strong correlation between socioeconomic disadvantage, litter visibility, and proximity to drainage infrastructure is one of the environmental justice concerns. The findings show plastic littering to be a structural issue associated with inequality, rather than purely individual behaviour, beyond the lack of access to sound waste management services. From a sustainability perspective, there needs to be a priority on straightforward strategies that encompass waste infrastructure development alongside poverty reduction and sustainable management practices. If these intrinsic disparities are not addressed, efforts to protect community water resources and realise SDGs 6, 10, and 12 will likely be futile. Full article

Background/Objectives: Reconstructive urology is critically underrepresented in global surgery initiatives, despite its essential role in managing congenital and acquired urogenital conditions. In response, a multinational Global Surgery Collaborative was launched in 2022 by a faculty from the University of Toronto, aiming to enhance reconstructive urology capacity in the Philippines, among other low- to low-middle-income countries through longitudinal mentorship and skills transfer. This report presents early experience from 2022 to 2024. Methods: This collaboration delivered annual in-person surgical missions from 2022 to 2024 at two major Philippine healthcare institutions. Training focused on pediatric and adult reconstructive urologic procedures. Local mentees participated in structured preoperative planning, intraoperative teaching, and postoperative debriefing. We conducted a prospective service evaluation comprising a prospective registry of consecutive cases and paired pre/post trainee surveys. Data were collected on patient demographics and surgical metrics. Primary clinical endpoints included operative time, length of stay, and complications (Clavien–Dindo), with standardized follow-up windows. Mentee educational outcomes were assessed through pre- and post-training trainee-reported (Likert) measures, evaluating comfort and technical understanding. Statistical analysis used the Wilcoxon signed-rank test to assess changes. Results: Over three years, 33 surgical cases were performed with 45 surgical resident mentees (Post-graduate year (PGY)4–PGY6) engaged. The median patient age was 23 (inter-quartile range [IQR] 12.5–41.5) years, with 33.3% pediatric and 84.8% of cases classified as major. The complication rate was 15.1%, with only one major event (3%). Across 45 mentees, comfort increased from a median 4.0 (IQR 2.5–5.0) to 7.0 (5.5–8.0) and technique understanding from 5.0 (4.0–6.5) to 9.0 (8.0–10.0), with large Wilcoxon effects (r = 0.877 and r = 0.875; both p < 0.001). Year-by-year analyses showed the same pattern with large effects. Conclusions: In this early three-year experience (33 cases, 84.8% major), this multi-institutional collaboration longitudinal mentorship model was feasible and safe, and was associated with significant trainee-reported improvements in comfort and technical understanding. This demonstrates a replicable model for global surgery in reconstructive urology, successfully enhancing surgical skills and fostering sustainable capacity in low- and middle-income countries (LMIC) settings. Full article

Background: During the COVID-19 pandemic, high rates of infection with SARS-CoV-2 were reported in healthcare workers (HCWs), among whom asymptomatic individuals had high potential to spread the virus while assisting high-risk patients. This study conducted routine SARS-CoV-2 screening among the staff of a specialized cardiology hospital in Brazil during 2022 and 2023, while also evaluating variables associated with infection and the occurrence of symptoms. Methods: A prospective cohort study of 94 HCWs with biweekly RT-PCR screening was performed, employing RT-PCR from nasal swabs. Results: Participants aged 50.9 ± 10.2 years and were predominantly female (85.1%) and non-white (56.4%). The follow-up period was 576.4 ± 185.9 days, and most participants worked in the intensive care unit/emergency department (34%). Although the HCWs with the highest COVID-19 rates before inclusion were technicians/graduates (67.3%) and non-white individuals (57.7%), these groups presented lower infection rates at follow-up (p < 0.001, CI 95% 2.924–27.93; and p = 0.02, CI 95% 0.129–0.859, respectively). The number of asymptomatic cases increased during the study (p = 0.001), and simultaneous infection upsurges occurred in different hospital departments. Interpretation: These data highlight the association between educational level and the risk of SARS-CoV-2 infection in HCWs. The synchronicity of cases in different hospital departments offers insights about the nosocomial spread of SARS-CoV-2. The increase in the number of asymptomatic infections with repeated infections suggests that regular molecular screening may contribute to increasing the safety of both patients and HCWs in a pandemic context. Full article

Higher education (HE) funding mechanisms in the European Union (EU) are undergoing substantial reform, with universities facing increasing pressure to improve performance outcomes under constrained public budgets. This study analyses how the design of HE funding mechanisms—specifically, the logic of resource allocation and the principles of performance evaluation, together with the volume of public investment, macroeconomic conditions, and demographic factors—affect graduation rates in the EU. The study uses panel data from 27 EU Member States for the period 2013–2023 and applies multiple regression models with one- to four-year lags to assess the delayed effects of funding and economic factors. The results showed that a larger share of young people in the population and public expenditure per student are positively and statistically significantly associated with higher graduation rates (p < 0.01). Meanwhile, the overall level of funding (HE expenditure as a share of GDP) and performance-based funding (PBF) mechanisms are associated with lower graduation rates (p < 0.01). GDP per capita has a negative effect (p < 0.01), indicating that stronger labour market opportunities may reduce the motivation to complete studies. Youth unemployment and inflation proved to be statistically insignificant (p > 0.05). The most substantial effect was found after two years, confirming the delayed but weakening impact of funding and macroeconomic factors on study graduation rates. The study extends previous work by integrating an analysis of funding design and time dimensions at the EU level. The results emphasise that it is not so much the amount of funding that is important for higher education outcomes, but instead how it is funded—therefore, targeted, student-oriented investments and long-term policy consistency are necessary to achieve higher graduation rates. Full article

Employers are highlighting the importance of knowledge and professional skills, including personal, interpersonal, communication, and thinking, in their quest for graduates who are prepared for the workforce. Collaborative research is an essential toolbox that integrates knowledge, skills, and attitudes, which is important for future engineers; nonetheless, undergraduate students often struggle to engage effectively in this key competency. This study presents an undergraduate sustainability research experience (CUSRE) that is built into two courses, utilizing a collaborative-based learning (CBL) setting aimed at creating knowledge, improving skills and competencies, encouraging inclusivity, and advancing equitable education. The objective of the study is to narrow the achievement gap, improve graduation rates, and boost students’ enthusiasm and readiness for the Sustainable Development Goals (SDGs). It encompasses a strategy that integrates key approaches, including collaborative research, sustainability as a core value and practice, and educational equity supported by compensatory pedagogy that emphasizes teamwork. Introduced at the University of Ottawa (uOttawa) in Canada, the initiative engaged students to deepen their understanding of the SDGs through research cases and projects. This experience yielded significant knowledge gains and a considerable success rate among participants. Moreover, it has been successfully scaled and adapted for the Global Banking School (GBS) in the UK, thereby broadening its impact to a larger audience. Full article

Background/Objectives: The utility and value of graduated compression stockings (gCS) as an adjunct to pharmacological thromboprophylaxis, with and without low-molecular-weight heparins (LMWH) and other anticoagulants, in avoiding any thromboembolic (TE) event in the scenario of total joint replacement, fracture management, spine and pelvic surgery, and arthroscopic procedures, remains unclear. Because of the urgent need to decide whether gCS should stay in the portfolio of a national group of nine tertiary trauma centres, our research department was requested to answer the question of whether gCS provide any extra benefit in addition to modern TE prophylaxis in orthopaedic and trauma surgery through a prospectively registered rapid review (PROSPERO CRD42024621104). Methods: We searched PubMed, Ovid MEDLINE, Embase, CINAHL, and CENTRAL from 1 January 1980 to 1 March 2025, for randomised controlled trials (RCTs) and cohort studies comparing TE prophylaxis regimens, both with and without gCS, and modern pharmacological anticoagulants. The methodological quality of individual studies was rated by the Cochrane Collaborations’ Risk of Bias Version 2.0 (RoB-2) and the Risk of Bias in Non-Randomised Studies of Interventions (ROBINS-I) tools, supplemented by the Grading of Recommendations Assessment, Development and Evaluation (GRADE). The reported cumulative incidence of any TE event (i.e., deep vein thrombosis, pulmonary embolism), as defined by individual trialists, was chosen as the primary endpoint, and expressed as the relative risk (RR) between intervention and control groups. Results: Fifteen investigations (13 RCTs and 2 observational studies) enrolling 7721 patients (mean age, 59 [SD 13] years; 3538 males [46%]) with various musculoskeletal conditions and injuries were included. Methodological quality was deemed sufficient to derive meaningful conclusions. The random-effects pooled RR across all studies was 1.15 (95% confidence interval [CI]: 0.80–1.64) in favour of the no-gCS control, but with substantial heterogeneity (I²: 73%). Only three studies investigated the effectiveness of gCS versus no prophylaxis (N = 246, RR: 0.72, 95% CI: 0.43–1.22). Seven studies (N = 5117) compared various combinations of pharmacological prophylaxis, with or without gCS, for a summary RR of 1.44 (95% CI: 0.76–2.72). Conclusions: The results of this rapid review neither show a clear benefit nor support the general use of gCS to prevent TE in orthopaedic and trauma surgery, especially if pharmacological prophylactic measures are established and suitable. Full article

Material degradation in the form of corrosion is an important industrial problem that affects asset integrity, reliability, and sustainability in various industries. To equip engineering professionals with the knowledge required for appropriate material selection and corrosion-mitigation design, this subject forms an essential part of the engineering curriculum at both undergraduate and graduate levels across multiple disciplines. This paper presents the design, implementation, and evaluation of an active learning (AL)-based course framework to teach a corrosion science and engineering course at the mechanical engineering department, KFUPM. A combination of AL strategies, including project-based learning (PBL), case-based inquiries, peer instruction, and think–pair–share activities, etc., was systematically integrated into the course to promote collaborative learning, conceptual enrichment, and critical thinking. Positive student feedback (>90% for most of the survey questions) with a response rate of 89% indicated increased motivation, improved understanding of complex corrosion mechanisms, and increased confidence in applying knowledge to solve engineering problems. A Cronbach’s alpha coefficient of 0.75 was obtained, reflecting strong internal reliability of the instrument. These findings suggest that integrating AL pedagogies in the corrosion course contributed towards enhanced learning outcomes and student preparation to support sustainable industrial practices using informed materials selection and corrosion management. Full article

Animal abuse reporting represents a crucial ethical responsibility for veterinarians globally, with cultural, legal, and societal factors significantly impacting practices. This comparative narrative review investigates veterinary reporting practices across South Korea, Canada, and the United States. A narrative review was conducted using systematic searches across PubMed, Google Scholar, Web of Science, and Scopus databases, employing jurisdiction-specific terms. Additional searches encompassed state-specific legal databases, professional licensing board records, and disciplinary action reports. To investigate reporting systems, enforcement mechanisms, and outcomes, legal documents, policy analyses, and empirical studies from 2010 to 2025 were analyzed. Findings revealed stark contrasts between voluntary and mandatory systems. South Korea’s voluntary framework caused significant underreporting. Canada’s provincial mandatory frameworks exhibited significantly higher levels of compliance, as a result of the strength of their statutory enforcement mechanisms. The United States presented a mixed landscape, wherein approximately 24 states mandated reporting with license revocation penalties, whereas others maintained voluntary systems. Cultural factors, professional autonomy concerns, and enforcement mechanisms shaped reporting behaviors and animal welfare outcomes. South Korea requires legislative changes implementing graduated mandatory reporting systems with legal protections and cultural adaptation strategies. Benchmarking against Canadian and American models demonstrates that mandatory reporting with appropriate enforcement mechanisms shows potential to enhance animal welfare protection through increased reporting rates and systematic intervention pathways, though direct causal evidence linking reporting to measurable welfare outcomes remains limited. Full article

Job satisfaction plays a critical role in shaping professional outcomes, as it has been positively associated with enhanced performance and greater motivation. Conversely, insufficient job satisfaction may contribute to higher rates of staff turnover, professional burnout, and intentions to leave the profession. The objective was to investigate job satisfaction among pharmacists educated at Umeå University in Sweden over time and to explore factors affecting job satisfaction. A survey was distributed to pharmacy graduates who had completed web-based pharmacy programs at Umeå University between 2019 and 2023. Questions regarding job satisfaction and factors related to it were included. The response rate was 38%. The results were compared with results from a previous investigation (graduation years 2015–2018) to enable comparisons over time. Compared to findings from the previous survey, job satisfaction was lower in the present study (76.4% vs. 91.4%, p = 0.004). Both greater opportunities for continuing professional development (CPD) and the perception that the knowledge and skills gained during education are beneficial in the current job were associated with high job satisfaction (OR: 5.360; 95% CI: 1.896–15.156 and OR: 3.983; 95% CI: 1.255–12.642, respectively). Understanding factors contributing to job satisfaction can help employers improve retention and work environment. Full article