Search Results (332)

This paper explores how non-formal music learning functions as a powerful agent in forging musical selves. Through a qualitative re-analysis guided by reflexive thematic analysis, this study re-examines data from three previously conducted case studies through the lens of non-formal learning as “site of becoming.” These cases represent diverse music-making practices in Hong Kong: an amateur sacred choir, a traditional Chinese Chaozhou xianshi ensemble, and diasporic Filipino music-makers. Through this analysis, I generate five distinct facets of their musical selfhood: the performer, spiritual, heritage, social, and transcendence self, reviewing how participants form and negotiate these facets. Ultimately, this study illustrates the interplay between these sites and the formation of lived, embodied musical selves, offering insights into the educative potential of non-formal learning. Full article

Background: Breastfeeding enhances infant and maternal health, but global breastfeeding rates remain suboptimal. Virtual reality (VR) emerges as a promising tool for breastfeeding education. The objective of this review was to assess the effectiveness of VR-based interventions on breastfeeding outcomes in pregnant and postpartum women. Methods: PubMed, Embase, Web of Science, Scopus, and CENTRAL were searched until 10 January 2026, for randomized controlled trials (RCTs) and quasi-experimental studies comparing VR-based interventions (immersive simulations, 360° videos, or head-mounted displays) with standard care or non-VR comparators in pregnant or postpartum women. Primary outcomes included breastfeeding self-efficacy, motivation, and breastfeeding technique (LATCH score). Secondary outcomes included exclusive breastfeeding rates, milk production, and maternal anxiety. Risk of bias was assessed using the RoB 2.0 and ROBINS-I tools for RCTs and non-RCTs, respectively. A random-effects meta-analysis was conducted, with results reported as mean differences (MD) or risk ratios (RR), along with 95% confidence intervals (CIs). Certainty of the evidence was assessed using the GRADE approach. Results: Five studies (4 RCTs and 1 quasi-experimental; n = 344) were included. VR improved prenatal breastfeeding self-efficacy (2 studies, MD: 13.93; 95% CI: 10.96–16.90), motivation (1 study, MD: 2.88; 95% CI: 1.66–4.10), and LATCH score (1 study, MD: 1.72; 95% CI: 1.37–2.07), and reduced time to breastfeeding initiation (1 study, MD: −22.4 min; 95% CI: −29 to −15.9), the certainty of evidence was low to very low for these outcomes. No significant effects were observed for postnatal self-efficacy, exclusive breastfeeding, or maternal anxiety. Formal assessment of publication bias could not be done. The small sample sizes for most outcomes, heterogeneity, the open-label nature of the trials, and the subjective nature of the outcomes should be considered when interpreting these results. Conclusions: VR-based interventions may improve process outcomes, such as prenatal breastfeeding self-efficacy, motivation, breastfeeding technique, and early breastfeeding initiation; the certainty of evidence is low to very low. Evidence for clinically important outcomes, including exclusive breastfeeding and maternal anxiety, remains inconsistent. Larger, well-designed RCTs are warranted before these interventions can be considered in routine practice. Full article

The concept of technological singularity is discussed here in the context of architecture (of buildings, not software). This is the point at which non-human intelligence is conjectured to surpass ordinary human cognitive limits. Empirically constrained AI may already offer a useful corrective to mainstream architectural culture in one crucial aspect—its capacity to evaluate design that adapts to human emotional health. Postwar building architecture as an institutional power system rewards abstraction and stylistic conformity through media prestige while not always accounting for embodied human experience. By narrowing judgment criteria, architectural studio pedagogy trains tacitly for imitation, not seeking evidence that conflicts with dominant formal ideologies. Yet findings from environmental psychology, health-related design research, neuroscience, and recent AI-based studies show that built form measurably affects empathic response and user well-being. This paper examines what effects dominant architectural culture could impose on the public by producing informationally impoverished, stressful environments. We argue that built environment design may suffer from an epistemic closure because (i) architectural education does not foster curiosity in how design affects users—the core mechanism for intelligence development—and (ii) architectural media may legitimate non-adaptive form languages by habituating populations to ignore distress signals from geometries associated with elevated stress markers. However, empirically constrained AI can now be directed to apply that relevant knowledge base to improve the built environment. The most suggestive evidence in the paper is that LLM emotional scores, LLM geometric scores, human eye-tracking, and large public surveys converge on the same designs. In this sense, the AI singularity can be framed as a domain-specific, testable hypothesis in architecture. This paper does not report new generated results derived from Empirically Constrained Scaffolding (ECS), which appear in prior applications, but reproduces the original prompts as an illustration of the method. Full article

This study assesses improved maize variety (IMV) adoption, as well as yield effects among smallholder farmers in Benue State, Nigeria, having implications for sustainable crop management and resource-use efficiency. Benue state is commonly known as the “Food Basket of the Nation,” but the average maize yield remains less than 2 t/ha, compared to 7–10 t/ha when achieved under improved technologies, and it shows a key sustainability challenge for food security and land-use efficiency. With primary cross-sectional survey data from 205 smallholder farmers with 107 adopters and 98 non-adopters, selected across Local Government Area (LGAs) in Benue State, this study adopts Propensity Score Matching (PSM) for controlling selection bias and estimating the Average Treatment Effect on the Treated (ATET). Nearest Neighbour Matching acts as a primary estimator through robustness checks while using Radius and Kernel Matching. However, the logit model shows that IMV is greatly determined by gender, use of fertilizer, formal education, cooperative membership, access to irrigation, and extension contact, highlighting the crucial parts of human capital, complementary inputs, and institutional support in promoting sustainable adoption of technology. Following the control for observable differences across matching, a 0.399 log-unit yield gain was achieved by adopters, which is equivalent to approximately 49% higher output per hectare compared to non-adopters, an effect that is robust throughout alternative matching algorithms, and it surpasses the 38.7% national-level yield increase, indicating a regional sustainability premium in Benue State. The gains in productivity can promote land-use efficiency, decrease pressure for agricultural intensification on vulnerable lands, and enhance the case for integrated crop management. But adoption remains limited by access to quality seeds, complementary inputs, credit, and sustained gender barriers. Improving input supply chains, extension services, and institutional support is therefore crucial for developing productivity, resource-use efficiency, and food security across smallholder farming systems. Full article

Background: Antimicrobial resistance, driven by inappropriate use and overuse of antibiotics, is a major public health threat. Diarrhea and respiratory illness are the leading causes of pediatric healthcare visits in low- and middle-income countries like Bangladesh. Despite clear WHO guidelines recommending limited use of antibiotics for these conditions, potentially inappropriate or non-prescription antibiotic use remains a concern. Methods: We interviewed caregivers of 3025 under-5 children via cellphones to assess common illnesses, associated care-seeking practices, and antibiotic use for diarrhea and respiratory illnesses experienced by their children in the prior 14 days. Caregivers were identified through hospital outpatient screening and were contacted over the phone for the interview at least two months after that hospital visit. Results: Among the participants, 116 (3.8%) reported diarrheal disease and 570 (18.8%) experienced respiratory illness during the preceding 2-week recall period. Among the children with diarrhea, 52.6% received antibiotics, and 73.8% obtained them over the counter from pharmacies. Among those with respiratory illness, 26.3% received antibiotics, and 58% procured them from local drugstores without a prescription from a registered physician. For diarrhea, azithromycin and metronidazole were the commonly used antibiotics, while for respiratory illness, cefixime and azithromycin were frequently used. Notably, 68% of the diarrheal children either sought care from local drugstores, were self-medicated, or did not receive any formal treatment. Conventional practice, long wait times at healthcare facilities, distance, and poverty were the main reasons for not seeking care from a registered healthcare provider. Conclusions: Understanding community-level antibiotic use and care-seeking behavior is essential to strengthening antibiotic stewardship and child health programs. Our findings suggest the need for context-sensitive community education, improved access to appropriate care, and enforcement of regulations restricting the over-the-counter sale of antibiotics to curb irrational and excessive antibiotic use. Full article

This paper offers a theoretical-interpretive contribution to the sociology of lifelong learning (LLL), exploring a sociological reframing of lifelong learning through the concept of social love as an analytical framework for reading the institutional practices of universities in the domain of LLL. Drawing on classical and contemporary sociological traditions (including recognition theory, French pragmatic sociology, and relational sociology), the paper develops the argument that lifelong learning, when understood as a relational and generative practice, can be interpreted through the four dimensions of social love: overabundance, care, recognition, and universalism. The paper proposes what can be interpreted as a theoretical and educational transposition of the World Love Index (WLI) framework: a shift in scale, from the nation-state to the university, and in domain, from general social policy to educational practice, that preserves the core logic of the WLI while adapting it to the context of higher education. This transposition responds to a gap explicitly identified within the WLI research program and contributes to the debate on the civic and relational dimensions of higher education. Empirically, the paper draws on a national survey conducted within the Italian University Network for Lifelong Learning (RUIAP), which mapped lifelong learning services across 27 universities between 2022 and 2023. The survey data are used not as a basis for hypothesis testing but as exploratory empirical material through which to illustrate and develop the proposed framework, following a logic of theory elaboration. The findings reveal a heterogeneous and evolving system, characterized by uneven levels of institutionalization across the four dimensions: recognition practices are most widely present, though concentrated on formal pathways; care emerges in dedicated services for vulnerable and non-traditional populations; universalism remains largely unrealized in terms of territorial outreach; and overabundance (institutional investment exceeding regulatory compliance) is present in limited but analytically significant cases. The study concludes that understanding LLL as a practice of social love offers new insights into the civic mission of universities and their contribution to fostering social cohesion and democratic participation. It further proposes the need for observatories of institutional social love in higher education (such as RUIAP) and identifies directions for future research and policy oriented toward the generation of relational goods and the common good within university systems. Full article

Although prior research indicates that expert reviewers identify AI-generated academic texts with low accuracy, the quantitative analysis presented in this paper has revealed marked, measurable differences between human-authored and AI-generated works. We investigate this duality in the context of Hungarian as an under-represented training language: on one hand, we perform a quantitative text analysis of the lexical, syntactic, and stylistic features of Hungarian-language academic essays by human authors (doctoral candidates) and those generated by Google Gemini, OpenAI GPT, and Anthropic Claude models. On the other hand, using a blind experimental design, we analyze how human reviewers (N = 391) with varying levels of expertise perceive and assess the quality of the texts. The quantitative analysis showed that AI-generated essays are characterized by lower lexical diversity and an absence of epistemic markers. The human evaluation yielded complex results: reviewers active in academic practice (members of the academically active and academically passive clusters) acknowledged the formal and logical precision of the AI-generated texts, yet they noted a lack of originality and critical depth. Reviewers less engaged with academic practice (members of the non-academic and inactive clusters), in contrast, were primarily persuaded by the more natural style and originality of the human-authored texts. The findings suggest that with moderate-level prompting and the provision of source literature, an AI-generated essay can be created in a few hours that reviewers deem superior to human work in certain aspects, such as formal and logical precision. Furthermore, our findings suggest that with targeted, more sophisticated prompt engineering, the quality gap between AI-generated and human-authored texts could narrow further. These findings have significant implications for assessment methods in higher education and for the regulation of academic publishing. Full article

Background and Objectives: Child dental neglect is a clinically significant form of maltreatment that frequently reflects broader challenges related to caregiving within the family environment. Although oral manifestations have been described in prior research, the socio-behavioral profile of responsible caregivers remains insufficiently characterized, particularly in Central and Eastern European contexts. This study aimed to identify caregiver-level socio-behavioral characteristics associated with child dental neglect and to examine their relationships with clinical outcomes. Materials and Methods: A retrospective cross-sectional analytical study was conducted on 333 children (aged 4–17 years) diagnosed with dental neglect, presenting at a municipal hospital and a private dental practice in Oradea, Romania (2020–2024). Caregiver-level variables included age, educational attainment, socioeconomic status, health condition, substance use, and family structure. Associations were analyzed using Fisher’s Exact Test, Pearson Chi-Square, and Mann–Whitney U test, with Bonferroni correction applied where appropriate. Results: Most caregivers were young adults (93.1%), with low educational attainment (40.2% had no formal schooling) and high rates of alcohol use (47.1%). Low family income was present in 89.2% of cases and was significantly associated with non-adherence to the dental treatment plan (p  =  0.039). Caregivers without formal education were associated with neglect in rural areas (43.4% vs. 26.2%; p  <  0.001). Children of drug-using caregivers were significantly older at presentation (median: 12 vs. 8 years; p  =  0.014), and caregiver drug use was more prevalent in urban settings (18.0% vs. 1.8%; p  <  0.001). Over half of the children (52.9%) came from disrupted family environments. Conclusions: Dental neglect was consistently associated with young, poorly educated, and financially disadvantaged caregivers exhibiting high rates of substance use and unstable family structures. These factors may interact in complex ways, highlighting the multifactorial nature of dental neglect. Dental professionals are well positioned for early identification and have a professional and ethical responsibility to integrate child safeguarding into routine clinical practice. Full article

Background: Birth defects remain a major global public health concern, particularly in low-resource settings where awareness and preventive practices are limited. Maternal knowledge, attitudes, and practices (KAP) are critical in the prevention and management of birth defects. This study explored contextual factors influencing maternal KAP using a mixed-methods approach in three rural districts of the Eastern Cape, South Africa. Methods: A convergent mixed-methods cross-sectional study was conducted among 72 mothers selected through purposive sampling. Quantitative data were collected using a structured questionnaire administered in English only, covering socio-demographic characteristics, obstetric history, knowledge, and preventive practices. Qualitative data were obtained through interviews exploring beliefs, perceptions, and cultural explanations of birth defects. Quantitative data were analysed using descriptive statistics and linear regression analysis to identify factors associated with birth defects, while qualitative data were thematically analysed to provide contextual understanding. Results: Most participants resided in the Amathole district (63.89%), followed by Alfred Nzo (18.06%) and Joe Gqabi (18.06%). Most women were aged between 20 and 35 years (52.78%), while 15.28% were younger than 20 years and 6.94% were older than 45 years. Over half of the respondents were single (55.56%), 34.72% were married, and the remainder were either separated (4.17%) or divorced (5.56%). Numerous participants had primary education (56; 77.78%), followed by secondary (11; 15.28%) and tertiary education (5; 6.94%). The majority were unemployed (56; 77.78%), while smaller proportions were employed (10; 13.89%) or engaged in other income-generating activities (6; 8.33%), indicating limited participation in formal employment among respondents. Nearly all participants (95.83%) had experienced pregnancy, with 70.83% reporting pregnancy-related complications. Only 2.78% reported having a child with a birth defect, while 90.28% reported a family history of birth defects. Knowledge of genetic causes was relatively high (69.23%), but awareness of modifiable risk factors was limited. Although 93.06% recognized alcohol use during pregnancy as harmful, fewer participants identified smoking or medication use (18.06%) and advanced maternal age (26.39%) as risk factors. Only 13.89% acknowledged the preventive role of antenatal care. Qualitative findings revealed strong cultural influence on perceptions of birth defects, with causes attributed to medical factors (38.89%), supernatural beliefs such as witchcraft or curses (18.06%), immoral behaviour (12.50%), and dietary taboos (11.11%). Traditional health-seeking behaviour was common, with 91.67% consulting traditional healers during pregnancy. Linear regression analysis identified significant predictors of birth defects, including family history (β = 1.36, p = 0.008), alcohol use during pregnancy (β = 1.13, p = 0.050), and inadequate antenatal care attendance (β = 0.99, p = 0.040). Advanced maternal age showed a weaker and non-significant association (β = 0.79, p = 0.080). Conclusions: The study highlights substantial gaps in maternal knowledge and the strong influence of cultural beliefs on birth defect prevention. Strengthening culturally sensitive health education, improving antenatal care services, and engaging traditional healers in community-based interventions are essential to improve maternal health outcomes in rural South Africa. Full article

Brucellosis remains an important zoonotic disease in southern Saudi Arabia; however, community-level knowledge, risk-related practices, and information pathways in Najran City are insufficiently characterized. This study assessed brucellosis-related knowledge, attitudes, practices, and information pathways among adults in Najran City to inform locally relevant One Health interventions. In this cross-sectional survey, adults were recruited using stratified time–location (venue-based) sampling across community and exposure-relevant sites in Najran City. A total of 608 adults completed a structured interviewer-administered questionnaire. Composite scores were calculated for knowledge (0–21), attitude (0–22), practice (0–64), and information-source breadth (0–6). Descriptive statistics, group comparisons, correlation analyses, and multivariable linear regressions were performed. The findings suggest that participants more commonly relied on interpersonal social networks, especially family and friends, for information related to brucellosis (53.9%), whereas formal sources were less commonly reported, including health professionals (7.9%), media (4.6%), internet sources (3.3%), educational institutions (2.0%), and agricultural or veterinary organizations (1.3%). Mean knowledge scores were moderate (10.7/21), attitudes were generally favorable (19.5/22), and practice scores were moderate (36.6/64). Exposure-related behaviors remained common, particularly the consumption of unpasteurized milk or dairy products (56.6%). The breadth of information sources showed a moderate positive correlation with knowledge (rho = 0.561), whereas attitude showed only small positive correlations with knowledge and practice. Finally, knowledge was weakly and inversely correlated with practice. Among adults recruited in this venue-based sample, favorable attitudes did not consistently correspond to safer practices. These findings support practical One Health interventions, including coordinated veterinary–public health messaging on animal abortion events, safe-dairy guidance at points of sale and community venues, workplace-based training for livestock-contact groups, and referral pathways linking suspected animal cases with veterinary services and human care-seeking. Because recruitment was venue-based and non-probability, the results should be interpreted as descriptive and hypothesis-generating rather than population-representative; however, they still identify practical communication and service-delivery priorities for future intervention studies in Najran. Full article

Preparing learners for participation in global communication requires alignment with broader curricular frameworks, yet meaningful learning also depends on engagement with students’ sociocultural and ecological contexts. Balancing these dimensions constitutes a central challenge for secondary EFL curriculum design. Drawing on Experiential Learning theory and Local Critical Pedagogy, this study explores how a place-based and experiential approach can contribute to reframing the secondary EFL curriculum through the integration of outdoor and community-based learning practices. The study pursued three objectives: (a) to explore the pedagogical potential of an interdisciplinary and non-formal approach to EFL instruction; (b) to design and implement a locally grounded curricular module aligned with national requirements; and (c) to analyse the contribution of experiential and outdoor practices to the enrichment of the formal English curriculum. Adopting a qualitative, exploratory and interpretative design, the study involved 20 tenth-grade students and consisted of the curricular reconfiguration of a 10th-grade module developed in collaboration with a local environmental education project (Bioescola). Following Orion’s outdoor learning model, the intervention unfolded in three stages: preparatory classroom work, an interdisciplinary outdoor learning experience, and a structured reflective session. Data were collected through questionnaires, semi-structured interviews, and field notes. Findings suggest increased student engagement in oral interaction and greater communicative confidence, alongside stronger engagement with local ecological contexts. The study concludes that the integration of place-based and ecologically oriented practices into EFL teaching can meaningfully enrich the formal curriculum. While limited in scope and sample size, the research highlights the transformative potential of locally embedded experiential language education in upper secondary schooling. Full article

The persistently high prevalence of gender-based violence and harassment (GBVH) in higher education institutions is a well established phenomenon, as is the inadequacy of institutional responses and the silencing of those who aim or attempt to report it. Drawing on Ahmed’s concept of ‘non-performativity’, ‘institutional speech acts that do not bring into effect what they name’, this paper argues that the non-performativity of anti-bullying and harassment policy is an exercise of power, consistent with Agócs concept of institutionalised resistance. Reporting misconduct is intentionally transformational, but seen as a threat to powerful organisational actors, who exercise institutional power to enact procedures in such a way that victim-survivors are unvoiced and tricked into ‘reluctant acquiescence’ with adverse consequences on their personal and occupational health. We employ documentary analysis to critique policies and procedures for GBVH in Irish universities, and specifically how institutional power is exercised through policy documents. The analysis is based on ten pseudonymised universities, rendering a sample size of 23 documents, pertaining to GBVH for staff. We find that the tone and language employed in policies, and the way in which the informal and formal approaches in anti-bullying and harassment policies frame the problem, serve the interests of the institution. Confidentiality clauses, the framing of the problem as an individualistic, incident-based problem, to be resolved case-by-case, and quasi-legal processes facilitate non-performativity, preserving institutional power and the status quo. From a public health perspective such inertia undermines efforts to prevent harm and promote workplace wellbeing. Meaningful reform will require that HEIs employ alternative tools capable of unsettling these entrenched institutional arrangements and to adopt alternative, proactive tools that prioritise accountability, transparency, prevention and health gain. We suggest new tools in the form of victim-centred, trauma-informed, remediation- and restorative-based approaches. Full article

This article investigates the impact of grassroots cryptocurrency adoption—operationally defined as the intensity of on-chain retail transactions and peer-to-peer (P2P) exchange volumes—on household financial resilience. Utilising aggregate cross-sectional data from 112 countries, we employ a fractional probit regression to account for the bounded nature of our resilience index. The study highlights marked heterogeneity depending on the level of economic development. The results reveal a positive and significant effect in developing countries, whereas a negative association emerges in developed economies. Analysis of the underlying mechanisms indicates a significant moderating role for institutional quality. While cryptocurrency adoption shows a direct positive correlation with financial resilience in emerging markets, its contribution weakens in environments with robust formal institutions. These findings suggest that digital assets primarily function as a substitute for formal financial systems in contexts characterised by institutional voids and limited financial inclusion. Furthermore, the study identifies non-linear relationships between banking penetration and resilience, underscoring the importance of financial system maturity. Overall, the results suggest that cryptocurrency adoption can serve as a functional tool for strengthening worldwide resilience, provided it is supported by targeted regulatory oversight and digital financial education. Full article

The research aimed to create a hybrid model for assessing the carbon footprint of pilots’ education at a flight school, taking into account the level of implementation of green infrastructure by the educational institution, while excluding indirect emissions from the model. The study implemented an approach that combines fuzzy set theory with expert evaluation methods, utilizing membership functions and convolution mechanisms to incorporate subjective expert assessments into formalized numerical measures. The research was focused on two research questions: Does the proposed hybrid model allow for a practical assessment of a pilot’s carbon footprint during his training? Does the hybrid model provide the ability to automatically determine the level of carbon footprint of an aviation educational institution and generate substantiated recommendations for the strategic management of sustainable development of the educational process? The resulting model enables a quantitative assessment of individual CO₂ emissions during pilot training and provides collective insights into the overall carbon footprint, accounting for the green infrastructure’s level of implementation. The hybrid model was tested and validated using real data from the Technical University of Košice (Slovakia) within the “PILOT” study program (2022–2025). The experimental calculations are based on the Viper SD4, a homogeneous aircraft type. The model is designed to account for multiple aircraft types through weighted aggregation, a feature that can be used in future institutional implementations. These recommendations are practical for managers and specialists at aviation educational institutions, environmental analysts, curriculum developers, and policymakers focused on sustainable development. At the current stage, the model primarily captures direct training-related and institution-level operational emissions, while indirect emissions were included only to a limited extent because of insufficiently available and non-systematically recorded data. Therefore, the proposed framework should be interpreted as an operational decision-support model rather than a full greenhouse gas inventory covering all indirect emission sources. Full article

This study examines the determinants of household biogas adoption among dairy farmers in West Java, Indonesia. Despite ongoing government efforts to promote renewable energy, adoption remains limited and often not sustainable. Using cross-sectional survey data from biogas users and non-users, a binary logistic regression model was applied to assess the role of socioeconomic characteristics, resource availability, and institutional support. The results indicate that perceived time savings, fuel-cost pressure, and participation in training programs are significant positive drivers of adoption. In contrast, higher levels of formal education and livestock ownership are associated with a lower likelihood of adoption, suggesting that resource availability alone does not guarantee use. Overall, the findings highlight that adoption depends not only on economic factors but also on how well biogas systems align with household practices and capabilities. The study provides policy-relevant insights for improving the design and implementation of biogas programs in rural Indonesia. Full article