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Search Results (596)

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Keywords = institutional flexibility

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18 pages, 238 KB  
Article
Integrated Health, Social, and Legal Approaches to Supporting Migrant Women Victims of Human Trafficking and Sexual Violence
by María del Mar Jiménez-Lasserrotte, Karim El Marbouhe El Faqyr, Maria Kinza El Amrani Escot, María José Rodas Vanegas, José Granero-Molina and José Manuel Hernández-Padilla
Healthcare 2025, 13(22), 2878; https://doi.org/10.3390/healthcare13222878 - 12 Nov 2025
Abstract
Background/Objectives: Human trafficking is a serious violation of human rights, with migrant women being among the most affected groups. This study aimed to explore the experiences of health, legal, and social professionals involved in the care of migrant women victims of trafficking and [...] Read more.
Background/Objectives: Human trafficking is a serious violation of human rights, with migrant women being among the most affected groups. This study aimed to explore the experiences of health, legal, and social professionals involved in the care of migrant women victims of trafficking and sexual violence in southern Spain. Methods: A qualitative design was applied, using semi-structured interviews with 47 professionals from hospitals, NGOs, and legal institutions. Results: The analysis identified common challenges such as language barriers, limited resources, and the absence of standardized protocols. Health professionals highlighted the need for continuous training and culturally sensitive care; legal professionals emphasized flexibility in procedures and the importance of confidential interviews for early detection; and social workers stressed the value of coordinated action across sectors. Conclusions: The findings underline the need for an integrated approach that combines health, social, and legal responses in order to improve protection and support for migrant women victims of trafficking. Full article
(This article belongs to the Special Issue Healthcare for Immigrants and Refugees)
34 pages, 939 KB  
Article
Rising from the Margins: The Formation of the Institutional Features of Religious Organizations—A Case Study of the Development of Chan Buddhism and Pure Land Buddhism in the Early Tang Dynasty
by Qixin Yang and Yanfei Sun
Religions 2025, 16(11), 1437; https://doi.org/10.3390/rel16111437 - 11 Nov 2025
Abstract
How are the institutional features of religious organizations formed? In seeking to explain religious change and development, an increasing number of sociologists of religion emphasize the importance of organizational features. However, few scholars have examined how these institutional features take shape during the [...] Read more.
How are the institutional features of religious organizations formed? In seeking to explain religious change and development, an increasing number of sociologists of religion emphasize the importance of organizational features. However, few scholars have examined how these institutional features take shape during the early stages of religious organizations. Given that emerging religions often originate in marginalized contexts with scarce resources and limited support, this paper draws on the theory of interstitial space to analyze how such relatively unstructured and flexible environments—which provide greater freedom and adaptability for agents—affect religious development. The study finds that interstitial space fosters religious innovation and helps shape the institutional features of emerging religions. Furthermore, this paper proposes four explanatory mechanisms to illustrate how the interstitial space in multiple marginalized areas shapes the features of religious organizations. These mechanisms can shed light on the development of various religious sects, including Chan Buddhism and Pure Land Buddhism in the early Tang dynasty. Full article
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17 pages, 248 KB  
Entry
Wage-Setting Institutions and Wage
by Georgios Giotis
Encyclopedia 2025, 5(4), 191; https://doi.org/10.3390/encyclopedia5040191 - 7 Nov 2025
Viewed by 231
Definition
This entry examines how wage-setting institutions (WSIs) shape wages across advanced economies. It focuses on four core mechanisms—minimum wages, collective bargaining, wage coordination, and wage centralization—drawing on theoretical insights, empirical evidence, and cross-country comparisons. The analysis shows that minimum wages safeguard low-paid workers [...] Read more.
This entry examines how wage-setting institutions (WSIs) shape wages across advanced economies. It focuses on four core mechanisms—minimum wages, collective bargaining, wage coordination, and wage centralization—drawing on theoretical insights, empirical evidence, and cross-country comparisons. The analysis shows that minimum wages safeguard low-paid workers but have heterogeneous employment effects depending on their level and enforcement. Collective bargaining raises average wages and compresses wage inequality, though it can reduce flexibility and create insider–outsider dynamics. Wage coordination stabilizes wage growth, prevents inflationary spirals, and fosters equity, while wage centralization promotes solidarity wages and macroeconomic discipline but may limit adaptability. Using The Organization for Economic Co-operation and Development (OECD) and Institutional Characteristics of Trade Unions, Wage Setting, State Intervention and Social Pacts (ICTWSS) data, the study highlights institutional diversity, ranging from coordinated Nordic models to fragmented liberal systems, and identifies trends toward “organized decentralization”. Policy implications suggest that WSIs should be viewed not as rigidities but as adaptable frameworks that can balance efficiency, equity, and stability when carefully designed. The conclusion emphasizes that the future of wage-setting lies in leveraging institutional complementarities to respond to globalization, technological change, and shifting labor market conditions. Full article
(This article belongs to the Section Social Sciences)
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36 pages, 17074 KB  
Article
Heterogeneous PLC-Based Distributed Controller with Embedded Logic-Monitoring Blackbox for Real-Time Failover
by Chi Kook Ryu, Min Cheol Lee, In Ho Hong, Jun Hyuk Park, Jae Deuk Lee and Su Yeon Choi
Electronics 2025, 14(22), 4359; https://doi.org/10.3390/electronics14224359 - 7 Nov 2025
Viewed by 330
Abstract
This study presents a heterogeneous PLC-based distributed controller integrating an embedded logic-monitoring blackbox for real-time failover and fault detection in industrial control environments. Industrial automation and water treatment systems heavily rely on programmable logic controllers (PLCs) for process and equipment control. However, frequent [...] Read more.
This study presents a heterogeneous PLC-based distributed controller integrating an embedded logic-monitoring blackbox for real-time failover and fault detection in industrial control environments. Industrial automation and water treatment systems heavily rely on programmable logic controllers (PLCs) for process and equipment control. However, frequent failures, transient errors, and unknown malfunctions threaten system reliability and operational continuity. To address these issues, this study proposes a heterogeneous redundancy architecture consisting of a primary PLC and a standby distributed controller equipped with a logic-monitoring blackbox. The blackbox continuously monitors the I/O logic status of the primary PLC, records abnormal behaviors such as I/O faults, and enables the standby controller’s I/O to selectively execute failover operations. Unlike conventional homogeneous redundancy, which depends on identical hardware, the proposed approach adopts a Linux-based platform, offering advantages in flexibility, cost efficiency, and elimination of vendor lock-in. Furthermore, the standby controller integrates both a ladder editor and an HMI editor, allowing for direct on-site modification and editing of faulty I/O without external tools. Experimental validation was conducted using a laboratory testbed, while durability and electromagnetic compatibility (EMC) assessments were performed by an accredited institute to verify industrial applicability. Quantitatively, the mean time between failures (MTBF) increased by 17.2%, the average switchover latency was reduced to 41 ms, and the detection probability (g) reached 0.986 under multi-vendor configurations. All tests were performed under controlled industrial conditions using IEC 61508-compliant PLC testbeds. The results confirm that the proposed heterogeneous redundancy method significantly enhances fault detection capability, ensures rapid failover, and improves overall operational reliability in industrial automation systems. Full article
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25 pages, 2026 KB  
Article
The Digital Transformation of Higher Education in the Context of an AI-Driven Future
by Aizhan Nazyrova, Marek Miłosz, Gulmira Bekmanova, Assel Omarbekova, Gaukhar Aimicheva and Yenglik Kadyr
Sustainability 2025, 17(22), 9927; https://doi.org/10.3390/su17229927 - 7 Nov 2025
Viewed by 418
Abstract
In this article, digital transformation is examined as a key driver of structural and pedagogical change in higher education. This process is shown to expand access to learning, increase flexibility, support personalized educational trajectories, and enhance data-driven decision-making. At the same time, the [...] Read more.
In this article, digital transformation is examined as a key driver of structural and pedagogical change in higher education. This process is shown to expand access to learning, increase flexibility, support personalized educational trajectories, and enhance data-driven decision-making. At the same time, the effectiveness of digital transformation depends on institutional readiness, the quality of technological infrastructure, and the professional competencies of teaching staff. This research of this study is to assess the influence of digital transformation on the quality of higher education. This research employs a mixed-methods approach. Quantitative data from surveys of 4971 students and 483 instructors were analyzed using descriptive statistics, analysis of variance ANOVA, and multivariable regression, while qualitative focus group findings were examined through thematic analysis. The results indicate generally positive attitudes toward digitalization. The respondents emphasized flexibility and improved conditions for independent learning as key advantages of digital environments. However, this study also identifies several challenges, including infrastructural inequality, limited digital skills, and insufficient pedagogical adaptation. The article concludes that successful digital transformation requires a comprehensive strategic vision and sustained institutional support. For universities, strengthening digital competencies, modernizing infrastructure, and implementing management models focused on continuous improvement are essential conditions for ensuring sustainable development and enhancing the quality of education. Full article
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21 pages, 301 KB  
Article
Transforming the Indian Private Sector for Universal Health Coverage
by Nachiket Mor
Healthcare 2025, 13(21), 2802; https://doi.org/10.3390/healthcare13212802 - 4 Nov 2025
Viewed by 293
Abstract
Background/Objectives: India’s private healthcare sector remains fragmented, with weak primary care, uneven secondary services, and tertiary care accessible to few. Fee-for-service payments and indemnity-style insurance distort prices and fragment accountability. This paper develops a conceptual, theory-driven framework for integrating financing and delivery so [...] Read more.
Background/Objectives: India’s private healthcare sector remains fragmented, with weak primary care, uneven secondary services, and tertiary care accessible to few. Fee-for-service payments and indemnity-style insurance distort prices and fragment accountability. This paper develops a conceptual, theory-driven framework for integrating financing and delivery so that prices reflect social opportunity costs and competition rewards value rather than volume. Methods: A comparative synthesis of international integration models covering Israel, the United States, Spain, Brazil, and the United Kingdom was undertaken. Each exemplar was analysed for ownership form, market maturity, and regulatory capacity, and interpreted using four strategic management theories: Contingency theory, the Resource-based view, Dynamic capabilities, and Institutional theory. These perspectives were combined to construct a contingency-based typology tailored to India’s mixed health system. Results: Two state-contingent integration pathways emerged. Hospital-first vertical integration suits hospital-dense, high-growth states such as Tamil Nadu and Delhi, where capital and regulatory depth permit managed-care scaling. Primary-care-first reverse integration is preferable in resource-constrained contexts such as Bihar and Chhattisgarh, leveraging community trust and lower capital intensity. Conclusions: Achieving universal health coverage in India requires regulatory conditions, such as ownership flexibility, solvency oversight, risk adjustment, and transparent outcomes reporting, to enable accountable payer–provider organisations to form. The framework extends contingency theory to mixed health systems and offers a transferable blueprint for emerging markets seeking sustainable, integrated managed care. Full article
(This article belongs to the Section Healthcare Organizations, Systems, and Providers)
23 pages, 2823 KB  
Article
Using the EMFIT Sensor in Geophysical Monitoring
by Victorin-Emilian Toader, Constantin Ionescu, Iren-Adelina Moldovan and Alexandru Marmureanu
Sensors 2025, 25(21), 6746; https://doi.org/10.3390/s25216746 - 4 Nov 2025
Viewed by 393
Abstract
EMFIT, also referred to as EMFi, is a ferroelectret film related to polyvinylidene fluoride (PVDF) sensors. It is an electroactive polymer (EAP) based on a polyolefin structure and consists of three layers of polyester film. Its application in geophysical monitoring has not been [...] Read more.
EMFIT, also referred to as EMFi, is a ferroelectret film related to polyvinylidene fluoride (PVDF) sensors. It is an electroactive polymer (EAP) based on a polyolefin structure and consists of three layers of polyester film. Its application in geophysical monitoring has not been reported in the literature. At present, EMFIT is mainly employed in ballistocardiography and medical sleep monitoring, as developed by the manufacturer Emfit Ltd. (Vaajakoski, Finland). Within the multidisciplinary monitoring network of the National Institute for Earth Physics (NIEP), EMFIT is used as a pressure sensor in combination with infrasound transducers and microphones deployed in seismic areas. The primary aim of this study is to evaluate its suitability for detecting seismic noise that precedes earthquakes, generated by rock fracturing associated with crustal deformation. Although similar studies have been reported, they have not involved the use of EMFIT sensors. The novelty of this approach lies in the large surface area and mechanical flexibility of the material. Beyond seismic forecasting, the research also examines whether this type of sensor can contribute to seismic monitoring as a complement to conventional instruments such as accelerometers, seismometers, and microbarometers. Data analysis relies primarily on spectral time-series methods and incorporates measurements from other acoustic sensors (microphones and microbarometers) as well as a weather station. The working hypothesis is the potential correlation between the recorded data and the presence of enhanced noise prior to the detection of seismic waves by standard seismic sensors. The target area for this investigation is Vrancea, specifically the Vrâncioaia seismic station, where multidisciplinary monitoring includes infrasound, radon, thoron, soil temperature, and atmospheric electrical discharges. Preliminary tests suggest that the EMFIT sensor may function as a highly sensitive device, effectively serving as an “ear” for detecting ground noise. Full article
(This article belongs to the Special Issue Sensing Technologies for Geophysical Monitoring)
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30 pages, 430 KB  
Article
Re-Modelling Built Environment Education to Mitigate Work–Study Conflict Challenges
by Marini Samaratunga and Imriyas Kamardeen
Buildings 2025, 15(21), 3978; https://doi.org/10.3390/buildings15213978 - 4 Nov 2025
Viewed by 333
Abstract
This study investigates how Built Environment (BE) education in Australian universities can better support student well-being and academic success. Using a mixed-methods design, survey data from 253 students across multiple institutions were analysed by integrating quantitative measures of stress, performance, and mental health [...] Read more.
This study investigates how Built Environment (BE) education in Australian universities can better support student well-being and academic success. Using a mixed-methods design, survey data from 253 students across multiple institutions were analysed by integrating quantitative measures of stress, performance, and mental health with qualitative accounts of student-driven solutions. The diversity of the sample enhances the representativeness of the findings across the BE student cohort. Results confirm significant work–study pressures but, more importantly, identify novel pathways for reform, including curriculum flexibility, stronger industry–academic integration, and accessible support services. To address these gaps, the study introduces the INSPIRE Framework—a holistic, student-centred model that embeds flexibility, resilience, and institutional empathy into BE pedagogy. By filling a critical gap in the literature on student well-being in professional disciplines, the framework offers practical guidance for universities seeking to design more inclusive and sustainable learning environments. Full article
(This article belongs to the Collection Sustainable Buildings in the Built Environment)
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21 pages, 4240 KB  
Article
Spatiotemporal Dynamics, Risk Mechanisms, and Adaptive Governance of Flood Disasters in the Mekong River Countries
by Xingru Chen, Zhixiong Ding, Xiang Li, Baiyinbaoligao and Hui Liu
Sustainability 2025, 17(21), 9664; https://doi.org/10.3390/su17219664 - 30 Oct 2025
Viewed by 347
Abstract
Floods are among the most frequent and damaging natural hazards in the Mekong River Basin, where the interplay of monsoon-driven climate variability, complex topography, and rapid socio-economic change creates high exposure and vulnerability. This study presents a comprehensive assessment of flood disaster patterns, [...] Read more.
Floods are among the most frequent and damaging natural hazards in the Mekong River Basin, where the interplay of monsoon-driven climate variability, complex topography, and rapid socio-economic change creates high exposure and vulnerability. This study presents a comprehensive assessment of flood disaster patterns, loss distribution, and regional disparities across five countries in the Lower Mekong Basin—Cambodia, Laos, Myanmar, Thailand, and Vietnam. Using multivariate spatiotemporal analysis based on EM-DAT, MRC, and national government datasets, the study quantifies flood frequency, casualties, and affected population to reveal cross-country differences in disaster impact and timing. Results show that while Vietnam and Thailand experience high flood frequency and storm-induced events, Laos and Cambodia face riverine flooding under constrained economic and infrastructural conditions. The findings highlight a basin-wide increase in flood frequency over recent decades, driven by climate change, land use transitions, and uneven development. The analysis identifies critical gaps in adaptive governance, particularly the need for dynamic policy frameworks that can adjust to spatial disparities in flood typologies (e.g., Vietnam’s storm floods vs. Cambodia’s riverine floods) and improve transboundary coordination of reservoir operations. Despite the region’s extensive reservoir capacity, most infrastructure prioritizes hydropower over flood mitigation. The study evaluates the role of regional cooperation frameworks such as the Lancang–Mekong Cooperation (LMC), demonstrating how strengthened institutional flexibility and knowledge-sharing mechanisms could enhance progress toward Sustainable Development Goals (SDGs) related to water governance (SDG 6), resilient infrastructure (SDG 9), and disaster risk reduction (SDG 11). By constructing the first integrated national-level flood disaster database for the basin and conducting comparative analysis across countries, this research provides empirical evidence to support differentiated yet coordinated flood risk governance strategies at both national and transboundary levels. Full article
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20 pages, 2703 KB  
Article
The Impact of Land Tenure Strength on Urban Green Space Morphology: A Global Multi-City Analysis Based on Landscape Metrics
by Huidi Zhou, Yunchao Li, Xinyi Su, Mingwei Xie, Kaili Zhang and Xiangrong Wang
Land 2025, 14(11), 2140; https://doi.org/10.3390/land14112140 - 27 Oct 2025
Viewed by 406
Abstract
Urban green spaces (UGS) are pivotal to urban sustainability, yet their morphology—patch size, shape, and configuration—remains insufficiently linked to institutional drivers. We investigate how land tenure strength shapes UGS morphology across 36 cities in nine countries. Using OpenStreetMap data, we delineate UGS and [...] Read more.
Urban green spaces (UGS) are pivotal to urban sustainability, yet their morphology—patch size, shape, and configuration—remains insufficiently linked to institutional drivers. We investigate how land tenure strength shapes UGS morphology across 36 cities in nine countries. Using OpenStreetMap data, we delineate UGS and compute landscape metrics (AREA, PARA, SHAPE, FRAC, PAFRAC) via FRAGSTATS; we develop a composite index of land tenure strength capturing ownership, use-right duration, expropriation compensation, and government land governance capacity. Spearman’s rank correlations indicate a scale-dependent coupling: stronger tenure is significantly associated with micro-scale patterns—smaller patch areas and more complex, irregular boundaries—consistent with fragmented ownership and higher transaction costs, whereas macro-scale indicators (e.g., overall green coverage/connectivity) show weaker sensitivity. These findings clarify an institutional pathway through which property rights intensity influences the physical fabric of urban nature. Policy implications are twofold: in high-intensity contexts, flexible instruments (e.g., transferable development rights, negotiated acquisition, ecological compensation) can maintain network connectivity via embedded, fine-grain interventions; in low-intensity contexts, one-off land assembly can efficiently deliver larger, regular green cores. The results provide evidence-based guidance for aligning green infrastructure design with diverse governance regimes and advancing context-sensitive sustainability planning. Full article
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20 pages, 1164 KB  
Article
Social Innovation Ecosystems in Times of Crisis: Rethinking Innovation Policy Through the COVID-19 Pandemic
by Saray Bucio-Mendoza and José Alberto Solis-Navarrete
Sustainability 2025, 17(21), 9502; https://doi.org/10.3390/su17219502 - 25 Oct 2025
Viewed by 823
Abstract
The COVID-19 pandemic exposed structural weaknesses in health systems, economies, and governance frameworks, while simultaneously stimulating diverse forms of social innovation. This article examines the emergence and operation of Social Innovation Ecosystems (SIEs) during the crisis, drawing on a qualitative review of experiences [...] Read more.
The COVID-19 pandemic exposed structural weaknesses in health systems, economies, and governance frameworks, while simultaneously stimulating diverse forms of social innovation. This article examines the emergence and operation of Social Innovation Ecosystems (SIEs) during the crisis, drawing on a qualitative review of experiences from 34 countries. The objective is to analyze how these ecosystems were configured, the mechanisms that enabled their continuity, and the implications for the design of innovation policies. The findings highlight three main dimensions through which SIEs were mobilized: governance arrangements, digital platforms, and community resilience. These ecosystems brought together civil society, academia, government, and, in a more limited role, private-sector organizations, providing adaptive responses to urgent needs while also revealing challenges to their institutional consolidation. Conceptually, the article advances understanding of SIEs as experimental arrangements with potential to contribute to socio-technical transitions when embedded in inclusive policy frameworks. From a policy perspective, the study underlines the importance of flexible funding instruments, adaptive governance mechanisms, and collaborative infrastructures that integrate social innovation as a central component of regional and sustainable development. Full article
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24 pages, 599 KB  
Article
The Impact of an Immersive Block Model on International Postgraduate Student Success and Satisfaction: An Australian Case Study
by Elizabeth Goode, Thomas Roche, Erica Wilson and Jacky Zhang
Educ. Sci. 2025, 15(11), 1425; https://doi.org/10.3390/educsci15111425 - 23 Oct 2025
Viewed by 336
Abstract
International postgraduate students enrich higher education institutions and host societies, contributing economically, socially, and culturally. However, much less is known about how to improve their academic outcomes compared with their undergraduate counterparts. This study explores the impact of a non-traditional form of learning, [...] Read more.
International postgraduate students enrich higher education institutions and host societies, contributing economically, socially, and culturally. However, much less is known about how to improve their academic outcomes compared with their undergraduate counterparts. This study explores the impact of a non-traditional form of learning, a six-week immersive block model underpinned by guided, active learning pedagogy, on the academic success, satisfaction, and experiences of international postgraduate students at an Australian university. A convergent mix-methods design was used. Chi square tests and generalised estimating equations were used to compare the students’ success rates (N = 14,340) and unit satisfaction (N = 4903) in traditional semester and immersive block learning over five years. Qualitative insights were gathered via student focus groups (N = 9). Significant positive changes in success were observed after controlling for gender, age, discipline, and home region, with particularly strong positive effects for male and information technology students. Despite some challenges with depth of learning and placement organisation, focus group participants valued the clear timelines and flexible delivery, reporting that this supported effective time management and study-work–life-balance. Immersive block learning appears to be an effective strategy for transforming the experiences and outcomes of international postgraduate students in higher education. Full article
(This article belongs to the Section Higher Education)
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19 pages, 570 KB  
Article
Adaptive Governance and Policy Evolution of the Yangtze River Fishing Ban: A Quantitative Analysis (2002–2024)
by Liwen Jiang and Tao Ma
Water 2025, 17(21), 3032; https://doi.org/10.3390/w17213032 - 22 Oct 2025
Viewed by 491
Abstract
The Yangtze River fishing ban policy is a central measure in China’s watershed governance, and the adaptability of its policy tools and collaborative mechanisms directly influences the sustainability and effectiveness of basin management. This study systematically examines the evolution of policy themes, the [...] Read more.
The Yangtze River fishing ban policy is a central measure in China’s watershed governance, and the adaptability of its policy tools and collaborative mechanisms directly influences the sustainability and effectiveness of basin management. This study systematically examines the evolution of policy themes, the characteristics of policy tool combinations, and their alignment with intergovernmental collaborative governance needs, drawing on 120 central government policy texts issued between 2002 and 2024. Using frequency analysis and policy tool coding, the findings reveal that (1) policy themes have shifted from fishery resource control to comprehensive ecological protection and, more recently, to integrated watershed management, thereby driving progressively higher demands for intergovernmental collaboration. (2) The policy tool structure has long been dominated by environmental tools, supplemented by supply-side tools, while demand-side tools remain underdeveloped. Imbalances persist, such as excessive emphasis on resource inputs over capacity building in supply-side tools, rigid constraints with limited flexibility in environmental tools, and a reliance on publicity while underutilizing market incentives in demand-side tools. (3) Tool combinations have adapted to changing collaboration needs, evolving from rigid constraints and fiscal subsidies to institutional frameworks and cross-regional cooperation, ultimately forming a governance model characterized by systemic guarantees and diversified collaboration. Based on these findings, this study recommends strengthening long-term governance mechanisms, improving cross-regional collaborative structures, authorizing local governments to design context-specific implementation details, enhancing fishermen’s livelihood security and social development, expanding public participation and oversight, and exploring market mechanisms for realizing ecological product value. These measures aim to advance collaborative governance in the Yangtze River Basin and foster a balanced integration of ecological protection and social development. Full article
(This article belongs to the Special Issue Transboundary River Management)
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32 pages, 410 KB  
Article
Embedding AI Ethics in Technical Training: A Multi-Stakeholder Pilot Module Emphasizing Co-Design and Interdisciplinary Collaboration at Rome Technopole
by Giuseppe Esposito, Massimo Sanchez, Federica Fratini, Egidio Iorio, Lucia Bertuccini, Serena Cecchetti, Valentina Tirelli and Daniele Giansanti
Educ. Sci. 2025, 15(10), 1416; https://doi.org/10.3390/educsci15101416 - 21 Oct 2025
Viewed by 414
Abstract
Higher technical education plays a strategic role in equipping the workforce to navigate rapid technological advancements and evolving labor market demands. Within the Rome Technopole framework, Spoke 4 targets ITS Academies, promoting the development of flexible, modular programs that integrate advanced technical skills [...] Read more.
Higher technical education plays a strategic role in equipping the workforce to navigate rapid technological advancements and evolving labor market demands. Within the Rome Technopole framework, Spoke 4 targets ITS Academies, promoting the development of flexible, modular programs that integrate advanced technical skills with ethical, legal, and societal perspectives. This study reports on a pilot training initiative on Artificial Intelligence (AI) co-designed by the Istituto Superiore di Sanità (ISS), aimed at exploring the ethical, practical, and educational relevance of AI in higher technical education. The module was developed and tested through a multi-stakeholder collaboration involving educators, institutional actors, and learners. A four-phase approach was adopted: (1) initial stakeholder consultation to identify needs and content directions, (2) collaborative design of the training module, (3) online delivery and engagement using a CAWI-based focus group, and (4) mixed-method evaluation, combining quantitative assessments and open-ended qualitative feedback. This design facilitated asynchronous participation and encouraged critical reflection on the real-world implications of AI. Through the four-phase approach, the pilot module was developed, delivered, and assessed with 37 participants. Quantitative analysis revealed high ratings for clarity, relevance, and perceived utility in terms of employability. Qualitative feedback highlighted the interdisciplinary design, the integration of ethical reasoning, and the module’s broad applicability across sectors—particularly Healthcare and Industry. Participants suggested including more real-world case studies and collaborative learning activities to enhance engagement. The findings support the feasibility and added value of embedding ethically informed, interdisciplinary AI education in professional technical training pathways. Developed within the Rome Technopole ecosystem, the pilot module offers a promising approach to fostering critical digital literacy and preparing learners for responsible engagement with emerging technologies. Full article
(This article belongs to the Special Issue AI Literacy: An Essential 21st Century Competence)
19 pages, 959 KB  
Article
Tracing How the Emergence of Chronic Pain Affects Military Identity: A Narrative Inquiry of Pain Trajectories Among Canadian Veterans
by Umair Majid, Tom Hoppe, Phoebe Priest, Leane Lacroix, Nicholas Held, David Pedlar and Kerry Kuluski
Healthcare 2025, 13(20), 2655; https://doi.org/10.3390/healthcare13202655 - 21 Oct 2025
Viewed by 314
Abstract
Background/Objectives: Military identity serves as a foundational lens through which service members navigate the events of everyday military and civilian life. However, the very process that cultivates a sense of unity and purpose can be a double-edged sword in civilian life. Although the [...] Read more.
Background/Objectives: Military identity serves as a foundational lens through which service members navigate the events of everyday military and civilian life. However, the very process that cultivates a sense of unity and purpose can be a double-edged sword in civilian life. Although the prevalence and transition needs are known, few studies have explored how chronic pain specifically disrupts military identity in depth. This qualitative study explores three distinct trajectories through which Veterans with chronic pain experience identity change. Methods: This study used narrative inquiry involving two sets of in-depth interviews with 20 Veterans. Reflexive thematic analysis was employed to describe and differentiate three distinct trajectories of chronic pain. Results: Veterans with chronic pain experience identity change through three overlapping pain trajectories: (1) traumatic injury -> immediate discharge; (2) misdiagnosed/non-traumatic injury -> delayed discharge; and (3) cumulative wear and tear -> gradual discharge. Regardless of trajectory, chronic pain consistently disrupted military identity and forced Veterans to confront tensions between institutional expectations of stoicism and combat readiness and the physical realities of chronic pain during military service. Those interviewed described experiencing fragmented institutional support, uneven access to care, and the systemic invalidation of pain that did not conform to military ideals. Conclusions: These findings underscore the need for Veteran-centred approaches, including responsive services, comprehensive pain science education throughout military careers, early detection of conditions that can lead to chronic pain, and flexible care pathways tailored to the nuances of each pain trajectory and grounded in military culture and lifestyle. Full article
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