Search Results (209)

Background/Objectives: The Mediterranean (Med)-style and Dietary Approaches to Stop Hypertension (DASH) eating patterns are evidence-based nutrition interventions given their protective effects from cardiometabolic diseases. Little is known about adherence to each eating pattern among the Hispanic/Latine population. The objective of this cross-sectional analysis is to assess the alignment of reported dietary intakes of Hispanic/Latine adults to Med-style and DASH eating patterns and associations with clinical outcomes for diabetes mellitus and cardiovascular diseases. Methods: A sample of 5406 Hispanic/Latine adults from the National Health and Nutrition Examination Survey (2007–2018) was utilized. Alignment to the Med-style and DASH eating patterns was calculated by scoring indices tailored for overconsumption in the United States. Multiple linear regression determined associations between each respective eating pattern and clinical outcomes. Results: Hispanic/Latine adults in the United States have a mean DASH score of 11.2 and a Med-style score of 8.4 (out of 100), indicating poor alignment. Adjusted regression analysis showed increased alignment of both eating patterns was associated with a decrease in average blood pressure (DASH ꞵ = −0.095, p = <0.0001; Med-style: ꞵ = −0.128, p = 0.0002). Greater adherence to a Med-style eating pattern score was also associated with improved average hemoglobin A1c (ꞵ −0.007, p = 0.017). Neither diet pattern score was associated with total cholesterol. Conclusions: Evidence of low alignment to the Med-style and DASH eating patterns among Hispanic/Latine populations exacerbates the need for future work to understand cultural tailoring of evidence-based eating patterns to increase adherence and support improved cardiometabolic outcomes. Full article

This mixed-methods study investigates the strategic management of digital transformation in Bulgarian schools by analysing principals’ self-reported leadership practices and styles. Using data from a nationally representative sample (N = 349) gathered through the SELFIE tool, complemented by 30 in-depth interviews, the research examines how school leaders understand and enact their roles as digital leaders within a context of fragmented policies and uneven digital capacity. Quantitative results reveal a central paradox: although 89.7% of principals claim to actively support teachers’ digital innovation, only about half report having a formalised digital strategy. This imbalance between strong operational support and weak institutionalisation reflects the dominant approach to school digitalisation in Bulgaria. Qualitative cluster analysis identifies three leadership profiles: (1) a strategic–collaborative profile, characterised by long-term planning, partnerships, and data-driven decisions; (2) a supportive–collaborative profile focused on teacher communities and context-specific professional development but lacking strategic vision; and (3) a balanced–pragmatic profile oriented toward measurable improvements and adaptive responses. Triangulation with national assessment data shows that leadership styles align with institutional contexts: high-performing schools tend to apply strategic–collaborative leadership, while lower-performing schools adopt pragmatic, adaptive approaches. The study argues that digital transformation requires context-sensitive frameworks recognising multiple developmental trajectories, highlighting the need for differentiated policies that support strategic institutionalisation of existing digital innovations while addressing structural inequalities. Full article

The integration of Artificial Intelligence (AI) in higher education offers a potential solution to the scalability of personalized learning, yet empirical frameworks connecting diagnostic data with teacher-mediated interventions remain limited in developing contexts. This study adopts a sequential multi-phase research design to address this gap. Phase 1 comprised a diagnostic quantitative analysis of the National Survey on Access and Permanence in Education (ENAPE 2021), involving a representative sample of 3422 Mexican undergraduate students. Using Exploratory Factor Analysis (KMO = 0.96) and Pearson correlations, the study established a structural baseline. Phase 2 implemented a quasi-experimental exploratory pilot (N = 23) across two academic clusters (Civil Engineering and Nutrition) using “ActivAI”, a custom GPT configured with Retrieval-Augmented Generation (RAG). Results from Phase 1 revealed a strong, statistically significant correlation ($r=0.72$, $p<0.01$) between the perceived impact of education on daily life and the perception of equity, identifying “relevance” as a key driver of accessibility. Phase 2 results demonstrated high student satisfaction with AI-driven personalization (M = 4.49, SD = 0.64), although disciplinary variations in engagement were observed (SD = 0.85 in Nutrition versus 0.45 in Engineering). The study concludes by proposing the Dynamic Integration Model, which leverages AI not as a replacement for instruction but as a scalability toolkit for teacher-led orchestration, ensuring that personalization addresses dynamic student needs rather than static learning styles. Full article

This article addresses the need to rethink models for managing religious diversity in Europe, which, among other causes, has transformed into a multi-religious society, breaking with Christian hegemony as a result of the migration processes of the last century. The author proposes governance as an essential tool for managing religious diversity, understood as a style of government that promotes interaction and cooperation between the State and non-state actors, including religious denominations, in decision-making processes to regulate this phenomenon and enable individuals and the groups they belong to, to exercise their fundamental right to religious freedom. This approach seeks the social inclusion and effective participation of religious minorities to combat their marginalization and radicalization. To this end, we propose moving away from laicism positions that seek to exclude religion from the public sphere or from those that defend the political use of religion as an element of national identity, proposing instead a model of positive secularism like the Spanish one. Analysing the Spanish model, the article argues how the political participation of religious minorities through a model of religious governance in the management of religious diversity is crucial for building inclusive and safe societies where social cohesion and the full observance of religious freedom and other fundamental rights are achieved. Full article

Background/Objectives: Micronutrient deficiencies during infancy remain a major public health concern, particularly in developing countries. Although exclusive breastfeeding is the optimal source of nutrition for infants up to six months of age, limited studies have simultaneously evaluated multiple micronutrient statuses in this population. This study aimed to assess the levels of vitamin D, iron, and other micronutrients—including vitamins A, E, B12, folic acid, zinc, and copper—in exclusively breastfed infants. Methods: This cross-sectional study was conducted between 2022 and 2024 at a university well-child clinic in İzmir, Turkey. A total of 132 healthy, exclusively breastfed six-month-old infants were included. Blood samples were analyzed for hemogram, serum iron, ferritin, 25(OH)D, vitamins A, E, B12, folic acid, zinc, and copper. Sociodemographic data and supplementation practices were recorded. Deficiency cut-offs were defined according to WHO and national guidelines. Results: Among the infants, 40.2% had iron deficiency or anemia, and 14.4% had vitamin D deficiency. Vitamin B12, A, E, zinc, and copper deficiencies were identified in 29.5%, 2.4%, 4%, 7.4%, and 6.6% of infants, respectively. Regular vitamin D and iron supplementation were significantly associated with lower deficiency rates (p < 0.05). Maternal education level, dressing style, and smoking status were significantly related to infant vitamin D status. Conclusions: Despite national supplementation programs, iron and vitamin D deficiencies remain common in exclusively breastfed infants. Routine and regular supplementation should be emphasized, and subclinical deficiencies—particularly vitamin B12—should be considered. Broader studies evaluating maternal nutritional factors and socioeconomic determinants are warranted to guide preventive strategies. Full article

Artificial intelligence (AI) chatbots are now embedded across therapeutic contexts, from the United Kingdom’s National Health Service (NHS) Talking Therapies to widely used platforms like ChatGPT. Whether welcomed or not, these systems are increasingly used for both patient care and everyday support, sometimes even replacing human contact. Their capacity to convey empathy strongly influences how people experience and benefit from them. However, current systems often create an “AI empathy gap”, where interactions feel impersonal and superficial compared to those with human practitioners. This paper, presented as a critical narrative review, cautiously challenges the prevailing narrative that empathy is a uniquely human skill that AI cannot replicate. We argue this belief can stem from an unfair comparison: evaluating generic AIs against an idealised human practitioner. We reframe capabilities seen as exclusively human, such as building bonds through long-term memory and personalisation, not as insurmountable barriers but as concrete design targets. We also discuss the critical architectural and privacy trade-offs between cloud and on-device (edge) solutions. Accordingly, we propose a conceptual framework to meet these targets. It integrates three key technologies: Retrieval-Augmented Generation (RAG) for long-term memory; feedback-driven adaptation for real-time emotional tuning; and lightweight adapter modules for personalised conversational styles. This framework provides a path toward systems that users perceive as genuinely empathic, rather than ones that merely mimic supportive language. While AI cannot experience emotional empathy, it can model cognitive empathy and simulate affective and compassionate responses in coordinated ways at the behavioural level. However, because these systems lack conscious, autonomous ‘helping’ intentions, these design advancements must be considered alongside careful ethical and regulatory safeguards. Full article

Objectives: This study investigated the prevalence and severity of musculoskeletal injuries within South Africa’s most popular karate style, Shotokan, a previously unexamined area. As an exploratory study, it aimed to generate hypotheses by determining the prevalence, severity, and nature of these injuries to address this significant gap in the national combat sports literature. Methods: A descriptive, cross-sectional design was employed, utilizing a confidential online questionnaire distributed through various Shotokan organizations. The study gathered 155 responses (26.85% response rate). Results: The findings revealed a high injury prevalence, with 47.3% of participants reporting at least four injuries. These injuries occurred equally in training and competition (56.5%) and developed both acutely and over time (53.4%). Experienced practitioners at the Shodan level were particularly affected. The knee was the most frequently injured body part (11.6%), and muscle strains were the most common injury type (19.3%). Notably, 26.2% of karatekas continued training despite being injured. A significant weak positive correlation was found between years of training experience and injury levels (rs = 0.275, p = 0.007). However, no significant associations were found between injury prevalence and age, BMI, or training frequency. General practitioners were the most consulted healthcare professionals (22.0%). Conclusions: This study establishes a high prevalence of musculoskeletal injuries among South African Shotokan karatekas, particularly associated with experienced practitioners. These findings are hypothesis-generating, and the cross-sectional design precludes causal inferences. The data provides a crucial foundation for future longitudinal research to investigate causality and for developing evidence-based injury prevention protocols, particularly for the knee. Full article

The continuing growth of the world’s population, combined with climate change, poses a growing challenge to ensuring food security in the 21st century. Animal protein, e.g., from beef, is a particularly rich source of protein, but there is by no means enough arable land on earth to transfer the animal meat-rich nutritional style of the early industrialized countries to the global South. A hitherto largely neglected option for the production of proteins is the cultivation of microalgae and cyanobacteria, which already have a long history of use as a human or animal food for their nutritional and environmental merits. In particular, Limnospira platensis (Spirulina and formerly Arthrospira platensis)—a filamentous cyanobacterium—is considered the “food of the future” since it is a viable source of vegan protein. In this manuscript, we review the scientific literature as well as national and intergovernmental agency statements regarding the quality and quantity of AP-based proteins. The content of AP protein is discussed in relation to other species and different cultivation conditions, as well as to traditional crops and animal husbandry. The amino acid profile and quality assessment of AP as a dietary protein are discussed. In addition, the environmental aspects of AP production are considered, and the role of AP in efforts to bridge the ‘protein gap’ to improve nutrition and food security is discussed. Full article

Modern pollen deposition studies are essential to forestry and palaeoecological research, as they provide the key to understanding the relationship between the abundance of palynomorphs in natural (moss, litter, top core sediment) or artificial traps and the surrounding vegetation cover. In 1996, the EPMP (European Pollen Monitoring Programme) laid the foundations for pollen monitoring research in Europe, involving several countries and dozens of researchers in placing “Tauber-style” artificial traps across a wide range of ecosystems, and legitimising the collection of mosses for comparative studies. Here, we propose a straightforward, fast, and effective procedure—developed within the ALIVE “TrAcking Long-term declIne of forest biodiVErsity in Italy to support conservation actions” Project—for the collection of moss polsters and vegetation data, aimed at monitoring modern pollen deposition at the national scale. This protocol addresses a gap in existing literature, as no shared fieldwork guidelines are currently available. We demonstrate how the spatial pattern of modern pollen deposition can be investigated using two of the ALIVE Project’s target taxa (Fagus and evergreen Quercus) to explore the potential of microbotanical data in reflecting the current distribution of forest tree taxa at a national scale. The data collected within the ALIVE Project provide a synoptic picture of pollen deposition across Italy’s highly diversified landscapes and allow for preliminary considerations on the relationships between pollen deposition and modern vegetation cover of forest taxa. Full article

In recent years, character design in Chinese animated films has evolved toward more psychologically complex and multidimensional portrayals of ‘round’ characters. This transformation has significantly enriched the aesthetic architecture of animated characterization. Through comparative analyses of Sun Wukong in Havoc in Heaven (Laiming Wan, 1961, 1964) and Monkey King: Hero is Back (Xiaopeng Tian, 2015), as well as Nezha Conquers the Dragon King (Shuchen Wang, Jingda Xu, and Ding Xian Yan, 1979) and Nezha Series (Jiaozi, 2019, 2025), this article explores how contemporary animated protagonists embody psychological multiplicity, nonlinear trajectories of growth, and inner contradictions, thereby transforming the typified character constructions prevalent in early Chinese animation. By integrating E. M. Forster’s theory of character, the Daoist aesthetic of ziran (自然), and the aesthetic principle of imperfection, the study establishes a culturally grounded theoretical framework that offers new interpretive pathways for understanding the evolution of national style in Chinese animation. Full article

Deepfake-style AI tutors are emerging in online education, offering personalized and multilingual instruction while introducing risks to integrity, privacy, and trust. This study aims to understand their pedagogical potential and governance needs for responsible integration. A PRISMA-guided, systematic review of 42 peer-reviewed studies (2015–early 2025) was conducted from 362 screened records, complemented by semi-structured questionnaires with 12 assistant professors (mean experience = 7 years). Thematic analysis using deductive codes achieved strong inter-coder reliability (κ = 0.81). Four major themes were identified: personalization and engagement, detection challenges and integrity risks, governance and policy gaps, and ethical and societal implications. The results indicate that while deepfake AI tutors enhance engagement, adaptability, and scalability, they also pose risks of impersonation, assessment fraud, and algorithmic bias. Current detection approaches based on pixel-level artifacts, frequency features, and physiological signals remain imperfect. To mitigate these challenges, a four-pillar governance framework is proposed, encompassing Transparency and Disclosure, Data Governance and Privacy, Integrity and Detection, and Ethical Oversight and Accountability, supported by a policy checklist, responsibility matrix, and risk-tier model. Deepfake AI tutors hold promise for expanding access to education, but fairness-aware detection, robust safeguards, and AI literacy initiatives are essential to sustain trust and ensure equitable adoption. These findings not only strengthen the ethical and governance foundations for generative AI in higher education but also contribute to the broader agenda of sustainable digital education. By promoting transparency, fairness, and equitable access, the proposed framework advances the long-term sustainability of learning ecosystems and aligns with the United Nations Sustainable Development Goal 4 (Quality Education) through responsible innovation and institutional resilience. Full article

Modern parenting styles cover a wide spectrum, from strict tiger parenting to supportive lighthouse parenting. Among these, helicopter parenting remains particularly controversial: while some consider it a protective approach, others believe that excessive control can hinder the development of a child’s autonomy and independence. Our research is significant because it approaches the topic from a rarely examined pedagogical perspective, thereby contributing to the psychology-dominated literature. We conducted our analysis using the EBSCO Discovery Service search engine and followed the steps of the PRISMA protocol. The aim of the study is to explore the relationship between helicopter parenting and academic achievement, as well as to review the factors—such as career-related decisions and adaptation—that may play a mediating role in this relationship. It reviews 33 studies published between 2012 and 2024, most of which use quantitative methods. Most of these studies were conducted in the United States and focus primarily on the college-age demographic. Our findings show that recognising and addressing helicopter parenting behaviours is essential to supporting student success. Furthermore, educational institutions should more actively make use of the potential resources and opportunities offered by such parenting behaviours. Overall, our findings confirm that helicopter parenting remains an under-researched topic at both the national and European levels, particularly in the context of education and public education systems, where further research is clearly needed. Full article

One of the most important changes after the COVID-19 pandemic was the adoption of remote or hybrid work, which has become increasingly common in many sectors and industries. In this context, based on data from a questionnaire survey, this study aims to explore the perceptions and expectations of students from two Eastern European countries—Romania and Bulgaria—regarding working from home as an effect of the COVID-19 pandemic. To achieve this aim, this study is based on The Job Demands–Resources Theory and the Task–Technology Fit model, which provide an important theoretical framework in interpreting the results. The research employed a non-probability sampling method, with the final sample including 260 respondents from various bachelor’s, master’s, and doctoral programs from two universities, 115 from Romania and 145 from Bulgaria. Data analysis was performed using descriptives statistics, nonparametric correlation analysis, nonparametric tests, as well as multinomial logistic regression and a two-step cluster analysis. The empirical results showed that there are significant differences between the two countries in terms of several aspects related to working from home. We found that the national context influences how people perceive the advantages and disadvantages of working from home and what skills are most important in the post-pandemic labor market. However, respondents have similar expectations regarding future working arrangements, with the majority wanting a hybrid work style. Consequently, the COVID-19 pandemic has had a powerful effect on how people currently work, an effect that will also continue in the future. Full article

Background: Large language models (LLMs) such as Google Gemini have demonstrated strong capabilities in natural language generation, but their ability to create medical assessment items aligned with National Board of Medical Examiners (NBME) standards remains underexplored. Objective: This study evaluated the quality of Gemini-generated NBME-style pharmacology questions using a structured rubric to assess accuracy, clarity, and alignment with examination standards. Methods: Ten pharmacology questions were generated using a standardized prompt and assessed independently by two pharmacology experts. Each item was evaluated using a 16-criterion NBME rubric with binary scoring. Inter-rater reliability was calculated (Cohen’s Kappa = 0.81) following a calibration session. Results: On average, questions met 14.3 of 16 criteria. Strengths included logical structure, appropriate distractors, and clinically relevant framing. Limitations included occasional pseudo-vignettes, cueing issues, and one instance of factual inaccuracy (albuterol mechanism of action). The evaluation highlighted Gemini’s ability to produce high-quality NBME-style questions, while underscoring concerns regarding sample size, reproducibility, and factual reliability. Conclusions: Gemini shows promise as a tool for generating pharmacology assessment items, but its probabilistic outputs, factual inaccuracies, and limited scope necessitate caution. Larger-scale studies, inclusion of multiple medical disciplines, incorporation of student performance data, and use of broader expert panels are recommended to establish reliability and educational applicability. Full article

This article reports the findings of an ethnographic and historical study into an ultras group called Melbourne Croatia Fans (MCF), a group of mostly Croatian–Australian young men in their twenties who support Melbourne Knights (formerly known as Melbourne Croatia) in the second-tier Victorian Premier League competition. The aim is to explore identity formation and negotiation, and how identity formation informs relations with outsider groups. The interviews with the football club president, football club secretary, two MCF leaders, and the participant observation date back to the 2010–12 period. The supporters perceive that the club has fallen on hard times for reasons not of their own making. They participated in the former National Soccer League (NSL) (1977–2004) from 1984 to 2004, which was the first-ever national competition in Australia to involve club rather than state teams. However, the club was effectively banned from the new A-League (2005–present), which began based on a private-equity ownership model and a one-team-one-city concept. Despite this, the club can play in the annual knockout competition, the Australia Cup (formerly the FFA Cup), that features both A-League and lower-league teams. We observe here a group of young Croatian–Australian men, part of the Diaspora of Croatians that left the country, mostly in the communist era and afterwards, who aim to construct workable hybrid identities for themselves in an Anglo-majority nation on the other side of the world. They fight on two fronts—against an Anglo, corporate-style administration that effectively bans their club for reasons of ethnicity from the new national league, and against the Serbian youth who often live in the who live in adjacent or nearby suburbs and follow Serbian-origin clubs. Full article