Search Results (286)

(1) Background: While Hong Kong is renowned for being a multicultural city, its South and Southeast Asian population has experienced disadvantages in various aspects of life, particularly career development. This study adopts the Systems Theory Framework (STF) to investigate the school-to-work transition of Pakistani, Nepalese, Filipino, and Indian youths in the Hong Kong Chinese context. (2) Methods: A qualitative approach using individual and focus group interviews was employed to uncover and critically examine educational and career aspirations and contextual factors in the transition pathways of educational and career advancement experienced by these ethnic groups. (3) Results: Findings show that career aspirations among South and Southeast Asian youths undergoing the school-to-work transition are comparatively lower than those of their counterparts who remain in secondary education. This disparity is attributed to a range of contextual factors, particularly shortcomings in education policy and limited cultural competence within Hong Kong Chinese society, both of which contribute to the erosion of occupational outlook among these underrepresented groups. (4) Conclusions: This study demonstrates the critical impact of contextual factors on the ethnic inequality of school-to-work transition, which are more overwhelming than can be overcome by personal and family efforts. If these issues are not addressed, achieving racial equality and equal opportunity in school-to-work transition will remain a persistent challenge. Full article

As an advanced form of community development, Future Communities (Weilai Shequ) is a policy-led urban initiative launched in Zhejiang, China, that prioritizes human-centered development. However, it is currently confronted with an inherent contradiction: the expansion of technological rationality is encroaching upon humanistic values. Centering on the core “technology–human” relationship, this study is dedicated to exploring development measures for Future Community that synergistically integrate technological empowerment and humanistic care. Using natural language processing techniques (LDA topic modeling), we conducted an exploration and analysis of the thematic characteristics and evolution of 40 policy documents related to future communities issued by the central and local governments of China from 2014 to 2024. The study identifies six core topics: Quality Enhancement, Technical Foundation, Intelligent Operations and Maintenance, Green and Low-Carbon, All-Age Friendliness, and Community Services. Analysis revealed that each theme embodies a dual connotation of both technological and humanistic dimensions. Furthermore, the study revealed that the evolution of policy semantics follows a three-stage developmental pattern: technology dominance and nascent human-centered values; human-centered rise and technology empowerment; and human-centered deepening and technological embeddedness. Based on the above findings, and grounded in a phenomenological perspective, this study integrates Alexander’s human-centered architectural philosophy with Ihde’s theory of technological mediation to propose a future community construction pathway jointly driven by “technological mediation” and “human presence.” Theoretically, this research transcends the binary narrative of technology versus humanism. In practice, it provides policymakers with tools to avoid technological pitfalls. It establishes fundamental principles for planners and designers to implement humanistic values, ultimately aiming to realize, at the community level, the vision of technology serving humanity’s aspiration for a better life. Full article

The inspiration and main goal for creating smart cities is to improve the quality of urban life. However, this ambitious task is not always successful as urban stakeholders are not homogeneous. Their experiences and expectations can vary significantly, which ultimately affects their level of satisfaction with life in the city. This article assesses the quality of life in 19 cities with county rights located in the Silesian province of Poland. The assessment takes into account stakeholders’ age, gender, education, and household size. The study also assesses the geographical variation in the quality of life in individual cities in the region with a view to individualizing the management approach. The research methodology is based on a survey conducted in a representative sample of 1863 residents of Silesian cities. The results are analyzed using descriptive statistics and nonparametric tests. The conclusions indicate a lower quality of life for women, residents aged 31 to 40, and people with primary education and a bachelor’s degree. The quality of life is significantly worse in post-mining towns where economic transformation has not been successfully implemented. The quality of urban life is rated highest by men, older people, and residents with basic and secondary education. Communities living in cities with modern industry and a stable economic situation are very satisfied with their standard of living. The results of the study imply the need for an individualized approach to shaping living conditions in cities and the implementation of remedial measures for groups and cities at risk of a lower quality of life. This will help to balance the quality of urban life and prevent various forms of exclusion. Full article

Contemporary issues of particular concern include the current state of the teaching profession, the lack of professional and social respect for teachers, the need for salary increases, the need to reduce the burden on teachers, and performance evaluation. In addition, the low number of young people entering the teaching profession and the low proportion of graduates choosing this career path are of fundamental concern. The present research seeks to explore the perceptions of first-year student teachers towards the profession of teaching through a case study approach. A metaphor method involving sentence completion was used to explore students’ conceptions of the ‘teacher image’. The students’ metaphors were analyzed to determine the prevalence of teacher-centeredness or learner-centeredness, knowledge transfer or knowledge acquisition, and cognition or emotion. The students’ essays on the question “Why do I want to be a lower primary teacher?” were analyzed to identify career motivating factors, positive attributes that enhance career motivation, and future aspirations. The main findings of the research are that trainees are mainly inspired by their primary school teachers, they are aware of their strengths to become good teachers, and they envision a career in teaching. The motivation and commitment of our first-year students to their careers is an excellent starting point, which should be built on in both theoretical and practical courses during university education. They should be enriched with real-life experiences, encouraged and supported within their practice, in order to increase the number of young people who choose a teaching career after graduating from university. Full article

Lung cancer remains the deadliest malignancy, with limited effective and long-term therapeutic options. Immunotherapy has revolutionized the therapeutic landscape of lung cancer. However, not everyone with lung cancer responds to immunotherapy, while, inpatients who temporarily derive clinical benefit, resistance eventually develops. The host microbiome has emerged as a pivotal player in cancer growth and progression. It has been implicated in the intricate connections between immune cells and tumor cells, ultimately augmenting immunotherapy efficacy in solid tumors, while simultaneously mitigating the immune-related adverse events associated with this type of treatment. Notably, lung cancer patients who obtain benefit from immunotherapy have been found to be colonized with specific bacterial populations, and it is this observation that the scientific community is trying to exploit, aspiring to improve lung cancer immunotherapy response rates. Delving deeper into the molecular mechanisms underpinning the effects of the microbiome on immunotherapy is an area that we should pay attention to if we want to utilize microbiome modulation in everyday clinical practice. Fecal microbiota transplantation, probiotics, targeted antibiotic interventions, and dietary modifications are among the strategies that are under investigation in clinical trials, with the ultimate endpoint of lengthening the life expectancy of lung cancer patients. Full article

Religion has played a significant role in shaping social cohesion by providing stability and support that transcends the human capacity to resolve individual desires, aspirations, and concerns while contributing to national identity and unity. Religion has also become an inseparable element of human history, and the human desire to embody religious imagery has been with human history. Art has historically visualized the complex and subtle relationship between humans and religion directly and profoundly. In this way, religious works have provided a lens for examining how religious ideas permeate everyday life and influence cultural practices. This study explores how Buddhist philosophy and esthetics have influenced and coexisted in contemporary Korean artistic expression to emphasize the rich intersections between Buddhism and modern and contemporary Korean artworks. The concept of consilience, which refers to the integration of knowledge across diverse domains, aims to explain how Buddhist thought has transcended human conflict and promoted harmonious coexistence within Korean visual culture. The dynamic interplay between traditional Buddhist values and contemporary visual practices produces a rich cultural synthesis that highlights the importance of preserving Korea’s artistic heritage and expands and fosters the development of global visual culture today. Full article

Air pollution represents a critical environmental challenge in Jakarta, significantly affecting public health and overall quality of life. This study aims to examine public sentiment regarding air pollution in Jakarta through the application of the Bidirectional Encoder Representations from Transformers (BERT) methodology. The selection of this method is based on its proficiency in comprehending contextual nuances within textual data, thereby facilitating a more precise sentiment analysis. The data utilized in this research is sourced from social media platforms, particularly Twitter, which serves as a vibrant and informative repository of public opinion. The findings of the analysis indicate a predominance of negative sentiments concerning air pollution, influenced by various factors such as governmental policies and prevailing environmental conditions. This research aspires to enhance understanding of public perceptions related to air pollution and contribute to more informed decision-making in environmental policy formulation. Full article

Psychological and motivational factors are implicated in various medical conditions, yet the link between physical health and life aspirations, as defined in Self-Determination Theory (SDT), remains underexplored. To address this gap and advance theory, we conducted a preliminary investigation of associations between aspirations and self-reported symptoms across five functional medical conditions—gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), headaches, sleep disturbances, and sexual dysfunction. We surveyed 392 Canadian medical patients (Mage = 42.8 years, SD = 12.7, 50.5% women, 82.1% white, 75.3% with higher education) to assess whether the relative importance, likelihood, and attainment of intrinsic (e.g., personal growth, relationships, community, health) and extrinsic (e.g., wealth, fame, image) aspirations were associated with symptoms. Consistent with hypotheses, greater relative prioritization of intrinsic goals was linked to fewer symptoms—especially sleep disturbance—while extrinsic aspirations were associated with increased symptoms, particularly GERD. Sociodemographic factors, such as age, gender, education, religiosity, and subjective financial status, also showed associations with goal orientations and symptom burden, broadly aligning with SDT predictions. Findings highlight the potential relevance of people’s personal goals in patient-centered care for functional conditions and underscore the need for further research exploring mechanisms and moderators of these effects. Full article

This study examines intergenerational transmission of Russian within the U.S. Russophone diaspora in the wake of Russia’s 2022 full-scale invasion of Ukraine. It addresses: (1) parents’ motivations and practices surrounding intergenerational language transmission; and (2) challenges faced by Russian-speaking families in today’s shifting sociopolitical landscape. The study draws on semi-structured Zoom interviews with 16 Russian-speaking parents in the United States, each raising children aged 3–15 and representing four different immigration periods, from the early 1990s to 2022, following Russia’s invasion of Ukraine. Findings reveal that heritage language maintenance is shaped not only by linguistic choices, but also by political and ethical considerations. While all parents continue to view Russian as a source of identity, cultural capital, and familial cohesion, many also actively disassociate the language from its sociopolitical ties to the aggressor state. Shared aspirations for bilingualism are tempered by internal and external pressures, including children’s growing agency, family dynamics, challenges of immigrant life, and war-driven fractures within the diaspora. This study contributes to research on heritage language maintenance and family language policies by exploring how global geopolitical events are negotiated through intimate, everyday language practices in immigrant households. Full article

Background: Achalasia is a primary esophageal motility disorder characterized by impaired relaxation of the lower esophageal sphincter (LES) and absent peristalsis, which increases the risk of aspiration during anesthesia. Peroral endoscopic myotomy (POEM) is a minimally invasive therapeutic approach requiring tailored anesthetic management. This study aimed to evaluate perioperative anesthesia management during POEM, focusing on ventilation parameters, intraoperative hemodynamics, laboratory changes, and the incidence and severity of postoperative complications. Methods: A retrospective analysis was conducted on 51 patients who underwent POEM between June 2016 and April 2025. Demographic features, anesthesia techniques, intraoperative physiologic parameters, hematologic profiles, and postoperative complications were evaluated. Standard preoperative fasting protocols were implemented. Rapid sequence induction (RSI) with propofol and rocuronium was followed by endotracheal intubation. Desflurane was used for maintenance anesthesia, with ventilation settings adjusted to limit end-tidal carbon dioxide (ETCO₂) elevation. Results: The median age of patients was 48 years, with a slight female (52.9%) predominance. Most patients were American Society of Anesthesiologists (ASA) II (64.7%) or ASA III (35.3%) scores and had comorbid hypertension (31.4%) or diabetes (11.8%). The median anesthesia duration was 180 min, and the peak inspiratory pressure remained stable at 25 mmHg. Oxygen saturation (SpO₂) improved during the procedure, while ETCO₂ increased from baseline to 49 mmHg by the end. Blood pressure declined transiently but recovered intraoperatively. Hematologic analysis showed significant increases in white blood cell (WBC) and neutrophils and mild decreases in hemoglobin, hematocrit, and platelets. Early postoperative complications included subcutaneous emphysema (19.6%), minor bleeding (9.8%), and pneumoperitoneum (7.84%). Two patients required tube thoracostomy due to pneumothorax, but no patient developed a complication requiring surgical exploration. During a median follow-up of 546 days, no mortality was reported. Long-term complications were infrequent, with gastroesophageal reflux disease (GERD) (3.92%) and esophagitis (1.96%) being the most notable. Conclusions: POEM can be performed safely with appropriate anesthetic management. Despite significant physiologic changes during carbon dioxide (CO₂) insufflation, no life-threatening complications occurred, and the majority of adverse events were minor and self-limiting. Close intraoperative monitoring and interdisciplinary coordination contribute to favorable perioperative outcomes. Full article

Acquired tracheoesophageal fistulas (TEF) are a rare but severe complication in post-coma neurorehabilitation patients, particularly those requiring long-term tracheostomy and enteral nutrition. Early recognition and proper surgical management are critical to prevent life-threatening outcomes and functional deterioration. However, variability in clinical presentation and the lack of standardized multidisciplinary pathways often delay referral to thoracic surgeons. We present the case of a young patient with severe traumatic brain injury, prolonged tracheostomy, and percutaneous endoscopic gastrostomy (PEG), who developed a TEF due to tracheal ischemic injury. Clinical suspicion arose from indirect signs—such as recurrent aspiration and air in the PEG system—the diagnosis was confirmed by bronchoscopy and sagittal CT imaging. Surgical planning was carried out in close collaboration between rehabilitation physicians and thoracic surgeons, based on shared criteria involving ventilator weaning, nutritional status, and clinical stability. This case highlights the importance of a multidisciplinary, protocol-driven approach in managing TEF. Current literature supports timely but carefully selected surgical intervention, particularly in patients who are no longer ventilator-dependent, significantly reducing perioperative mortality (reported up to 60% in ventilated patients). Recent reviews advocate for standardized surgical techniques—such as single-stage repair with muscle flap interposition—and emphasize the value of early diagnosis using a combination of bronchoscopy, videofluoroscopy, and sagittal CT. We propose a structured clinical pathway integrating neurorehabilitation and thoracic surgery, aimed at optimizing timing and surgical outcomes in patients with acquired TEF. This model may serve as a foundation for future guidelines, improving both safety and efficiency in the multidisciplinary management of this complex complication. Full article

During the transition to adulthood, college students undergo profound personal growth and identity exploration. Spirituality, which is defined as the individual pursuit of meaning, purpose, and connection with others, oneself, and the sacred or transcendent, plays a significant role in shaping well-being, relationships, and academic engagement, independent of organized religion. This qualitative study explores the spiritual aspirations of college students, offering insights into their diverse experiences and values. Participants included 113 ethnically and religiously diverse students from a southern United States urban university who completed an anonymous, open-ended questionnaire focused on spirituality in interpersonal relationships, education, and broader life domains. A thematic analysis identified recurring themes, including “peaceful or less stressed,” “sharing spiritual experiences,” and “being focused.” The findings suggest that the majority of students view spirituality as central to their lives, highlighting its role in their search for meaning, personal development, and a sense of connectedness. These results underscore spirituality as a pervasive influence on student well-being and identity, with implications for their academic and relational experiences. Full article

As a painter of the Dutch Golden Age and a pivotal figure in the Northern Renaissance, Vermeer’s oeuvre inaugurated a maritime modernity in the wake of the Protestant Reformation through its odes and elegies to quotidian existence. This essay centers on Vermeer’s masterpiece, Woman Holding a Balance. It scrutinizes and probes the Baroque theater of the soul as depicted by Vermeer through the lens of a post-global, post-colonial Lebenswelt. Grounded in Deleuze’s The Fold, this essay endeavors to furnish a phenomenological and genealogical hermeneutic for Vermeer’s interior scenes. It does so by dissecting Vermeer’s theater of silence, his intrinsic use of light, the female figure behind the fabric, the politics of still life, and the theology and interplay of color. In so doing, this essay aspires to unearth the dialectical, oscillating utopian potential embedded within Vermeer’s imagery. Full article

Background: In low-resource health systems, official mHealth platforms often face usability and infrastructure barriers. In India, Community Health Workers (CHWs) and their supervisors have pragmatically turned to WhatsApp as an informal digital infrastructure. While widely adopted, its dual role as both a support system and a source of burden remains underexplored. Aim: To examine the patterns and purposes of WhatsApp use among CHWs and block-level supervisors; to identify perceived benefits, barriers, and risks; and to assess its influence on workflow, power relations, digital equity, and program outcomes in an Indian Aspirational District. Methods: We conducted a qualitative study between June and December 2023 in Muzaffarpur, Bihar, India. Data comprised 32 in-depth interviews and six focus group discussions with CHWs (Anganwadi Workers, ASHAs, ANMs) and block-level public health officers (total participants n = 81). We used reflexive thematic analysis following Braun and Clarke’s approach; reporting adhered to the COREQ guideline. Results: WhatsApp emerged as a de facto digital backbone for real-time communication, peer support, and program supervision, often perceived as more usable than official applications. Its informal adoption also created a triple burden: digital fatigue from information overload and blurred work–life boundaries; duplication of reporting across WhatsApp and official portals; and systemic inequities that disadvantaged older or less digitally literate CHWs, with risks of surveillance creep and data privacy breaches. Conclusion: WhatsApp simultaneously enables coordination and imposes workload and equity costs on India’s frontline workforce. Without formal policy and governance, this user-driven adaptation risks widening digital divides and accelerating burnout. We recommend clear protocols on purpose-limited use, investments in equitable digital capability and devices, and safeguards that protect worker well-being and data privacy. Full article

Urban-to-rural migration is reshaping vernacular villages through transformations in both architectural form and everyday life. This study focuses on three villages in Zhejiang Province, China, and their migrants from urban areas, investigating—through field surveys and interviews—how urban-to-rural migrants’ spatial and lifestyle interventions influence the preservation and transformation of traditional architecture and local cultural practices. Findings indicate that urban-to-rural migrants exhibit diverse spatial preferences and lifestyle patterns, leading to varied modes of building adaptation. Some prioritize modern styles and commercial functions, while others emphasize cultural continuity, community engagement, or individual expression. Most buildings undergo incremental modifications rather than complete reconstruction, reflecting a balance among regulatory constraints, financial considerations, and personal aspirations. Furthermore, some migrants retain traditional spatial hierarchies and layout logic in their architectural designs, thereby sustaining vernacular lifestyles such as intergenerational cohabitation and neighborhood interaction. These building practices also have demonstrative effects within the village, encouraging others to value local culture and spatial traditions. In contrast, other migrants, driven by modern aesthetics or commercial objectives, restructure or even disrupt traditional spatial models, resulting in the fragmentation and weakening of established value systems. These insights contribute to a deeper understanding of how urban-to-rural migration reshapes the spatial organization of traditional villages and can inform more flexible and context-sensitive rural planning practices. Full article