Search Results (262)

This comparative study, the first to date, examines how representative samples of citizens across 40 OECD countries (N = 41,232) balance religion and child welfare when deciding whether to move a five-year-old thriving in foster care to match parental religion. Using a vignette experiment and six hypotheses, the analysis links religiosity, perceived religious rights, authoritarian values, institutional context, and confidence in child protection to placement preferences. A large majority (88%) would not move the child, prioritising stability and well-being. The results show a trust “paradox” in which higher confidence in child protection correlates with support for moving the child. Justifications show broad appeal to the best interest principle across opposing choices. Deference to professional assessment varies markedly across countries, indicating divergent authority of social work expertise. Findings underscore the need to operationalise the best interests standard and to account for institutional context, while policymakers should recognise stable placements as the public default. Full article

The current study explores the social experiences of adolescent and transition-age youths with intellectual disabilities (IDs) and the support mechanisms available to these groups in Saudi Arabia. This study adopts a qualitative methodology with a semi-structured interview constituting the data collection method involving 13 parents with children aged between 11 and 19 years, a critical adolescent period and transition to early adulthood. The results suggest that family, caregivers, community, friendships, and healthcare providers play important roles that impact the quality of life for these groups. The main challenges identified include health-related issues, employment challenges, educational barriers, insufficient services, inadequate community participation, and limited social relationships, with special emphasis on obstacles linked to transition during the 18 to 19-year period when youths must navigate transfers from pediatric to adult services and changes associated with legal rights. This study highlights several reasons it is important to increase awareness and education, while also continuing to improve support systems aimed at dealing with both transition challenges and adolescent needs. The results further illustrate that although support from family provides the foundation for care, systemic changes are needed to promote social inclusion and reduce stigma during critical development periods. The current study contributes to the limited research related to IDs in the context of the Middle East, with special reference to Saudi Arabia. Finally, the discussion highlights several insights that are culturally specific for the development of policy and provision of services associated with the transition from adolescence to early adulthood. Full article

First Nations children remain dramatically over-represented in Australia’s Out-of-Home Care (OOHC) system, particularly in New South Wales (NSW), which continues to report the highest numbers nationally. This narrative review, grounded in a relational First Nations Standpoint Theory and decolonising research paradigms, to critically examine the systemic, structural, and historical factors contributing to these disproportionalities. Drawing on interdisciplinary evidence across law, criminology, education, health, governance studies, and public policy, the analysis centres Indigenous-authored scholarship and contemporary empirical literature, including grey literature, inquiries, and community-led reports. Findings reveal that the OOHC system reproduces the colonial logics that historically drove the Stolen Generations. Macro-level structural drivers—including systemic racism, Indigenous data injustice, entrenched poverty and deprivation, intergenerational trauma, and Westernised governance frameworks—continue to shape child protection policies and practices. Micro-level drivers such as parental supports, mental health distress, substance misuse, family violence, and the criminalisation of children in care (“crossover children”) must be understood as direct consequences of structural inequality rather than as isolated individual risk factors. Current placement and permanency orders in NSW further compound cultural disconnection, with ongoing failures to implement the Aboriginal and Torres Strait Islander Child Placement Principle (ATSICPP). Contemporary cultural rights and Indigenous Cultural and Intellectual Property (ICIP) frameworks highlight the urgency of restoring Indigenous authority in decision-making processes. The literature consistently demonstrates that cultural continuity, kinship networks, and ACCO-led models are sort to produce stronger long-term outcomes for children. The review concludes that genuine transformation requires a systemic shift toward Indigenous-led governance, community-controlled service delivery, data sovereignty, and legislative reform that embeds cultural rights and self-determination. Without acknowledging the structural drivers and redistributing genuine power and authority, the state risks perpetuating a cycle of removal that mirrors earlier assimilationist policies. Strengthening First Peoples governance and cultural authority is therefore essential to creating pathways for First Nations children to live safely, remain connected to family and kin, and thrive in culture. Full article

Background: Informed consent and assent are fundamental ethical and legal requirements in paediatric healthcare, yet their application in paediatric dentistry is complex and underexplored in clinical practice. Objective: This study aimed to analyse the implementation of informed consent and assent processes in paediatric dental care within a Spanish population, identifying key characteristics and factors that influence communication, understanding, and decision-making. Methods: An observational, descriptive, cross-sectional study was conducted in Spanish Paediatric Dentistry Clinics (January–June 2023). Participants included 520 child-caregiver pairs and 52 dental students. Data were collected via a semi-structured observational protocol and interviews, assessing information provided, decision-making conditions, and influencing factors. Statistical analysis was performed using SPSS v23.0, employing Chi-square, Cochran’s Q, and Kendall’s W tests. Results: The information most frequently provided was the nature of the dental problem (92%), treatment details (88%), and benefits (85%). Information on risks (64%), alternatives (37%), and the right to withdraw consent (41%) was less consistently communicated. After multivariable adjustment, child schooling remained independently associated with the disclosure of risks and alternatives (p < 0.01), whereas caregiver education showed no independent effect. Kendall’s concordance coefficient showed moderate agreement (W = 0.62, 95% CI: 0.54–0.69, p < 0.01) among operators, caregivers, and patients, which decreased in adolescents aged 16–18 years (W = 0.41, 95% CI: 0.28–0.55, p = 0.07). Conclusions: The processes of informed consent and assent in paediatric dentistry are more strongly linked to the child’s cognitive maturity and schooling than to parental education. While communication of treatment benefits is adequate, critical aspects like risks and alternatives are often overlooked. The findings underscore the need for standardized protocols and enhanced bioethical training to ensure consistent, ethical, and participatory practices that respect the progressive autonomy of minors. Full article

Background: Hemoglobin Rothschild (Hb Rothschild), NM_000518.5(HBB):c.112T>C, is an ultra-rare low-oxygen-affinity hemoglobin variant that persistently causes reduced peripheral oxygen saturation on pulse oximetry despite normal arterial oxygenation. Fewer than ten cases have been reported worldwide, and only one involved a child—an asymptomatic carrier identified incidentally. Methods: The patient underwent clinical examination, growth assessment, blood tests, hemoglobin electrophoresis, chest CT, abdominal ultrasound, echocardiography, and pulmonary perfusion scintigraphy. Whole genome sequencing (WGS) of the proband and parents was performed, followed by bioinformatic analysis and ACMG-based variant interpretation. A PRISMA-guided PubMed literature review was conducted. Results: We report on the first pediatric case exhibiting a symptomatic clinical course. A 4-year-old boy was referred for chronically low peripheral oxygen saturation (SpO₂), 78–86%, on pulse oximetry and recurrent lower respiratory tract infections. Early developmental history revealed episodes of apnea in infancy, perioral cyanosis, poor exercise tolerance, and low weight gain. Repeated cardiopulmonary assessments, chest computed tomography (CT), echocardiography, and pulmonary perfusion scintigraphy yielded unremarkable findings. Arterial blood gas analysis consistently showed normal arterial partial pressure of oxygen (PaO₂), excluding true hypoxemia. Hemoglobin electrophoresis revealed an abnormal HbD fraction; WGS identified a heterozygous variant NM_000518.5(HBB):c.112T>C inherited from the patient’s asymptomatic father. This variant increases the partial pressure of oxygen at which hemoglobin is 50% saturated (p50), thereby decreasing hemoglobin’s oxygen affinity and shifting the oxyhemoglobin dissociation curve to the right. These alterations explain the discordance between low peripheral oxygen saturation (SpO₂) and preserved oxygen delivery to tissues. Conclusions: This case expands the clinical spectrum of Hb Rothschild and demonstrates that symptomatic presentation may occur in early childhood. Awareness of low-affinity hemoglobin variants is essential to avoid misdiagnosis and unnecessary cardiopulmonary interventions. Early genetic testing facilitates accurate diagnosis and appropriate counseling. Full article

Across the globe, adolescents often grow up surrounded by cultural silence, taboo, or discomfort regarding conversations about sexuality, relationships, and power. The absence of timely, comprehensive, and honest conversations about sexuality, power dynamics, and sexual pleasure during adolescence can significantly impact young people’s mental health and well-being. This commentary paper examines the detrimental effects of the “unspoken curriculum” surrounding sexuality, characterized by silence, misinformation, and avoidance, on the psychological development of young individuals. It examines how the lack of open dialogue contributes to anxiety, shame, distorted perceptions of sexuality, and vulnerability to exploitation. Furthermore, this article underscores the critical need for parents, educators, and society at large to engage in transparent conversations that encompass not only the biological aspects of sexuality but also the essential elements of power, consent, sexual pleasure, healthy relationships, and emotional literacy. By drawing on global research, this paper reveals both common challenges and unique regional barriers, advocating for culturally responsive yet universally rights-based solutions. By fostering open communication and providing accurate, age-appropriate information, we can empower young people to navigate their sexual development with confidence, respect, and a positive sense of self, thereby safeguarding their mental health and fostering healthier societal attitudes towards sexuality. Full article

Core germplasm, a strategically selected subset of the original germplasm, aims to maximize the representation of genetic diversity within the entire collection. Establishing a germplasm resource bank is essential for the effective management and sustainable utilization of genetic resources. This study developed a core germplasm repository for Hypsizygus marmoreus, a commercially important mushroom species, to capture the genetic diversity of the original collection with a minimal sample size. Genetic diversity and cluster analyses were conducted on 57 representative strains of H. marmoreus, including both cultivated and wild accessions from different regions, using 15 pairs of simple sequence repeat (SSR) markers. DNA molecular identity cards were generated for all germplasms, and cultivation trials with agronomic trait assessments were performed on 24 core accessions. A total of 115 distinct alleles were identified, with genetic similarity coefficients ranging from 0.70 to 1.00. Clustering at a similarity threshold of 0.76 classified the strains into five groups. The core germplasm panel, comprising 24 accessions (42.11% of the total collection), retained full allelic diversity and preserved the genetic and phenotypic variability of the original population, confirming its suitability for parental selection in breeding programs. unique molecular identity codes were developed for each H. marmoreus germplasm by integrating SSR marker profiles with data on geographical origin, fruiting body color, and cultivation traits. These were converted into DNA molecular ID codes, providing a reliable system for rapid identification and traceability of germplasm resources. The findings offer a valuable reference for breeding improvement and the protection of edible fungal varieties with independent intellectual property rights. Full article

This paper will discuss the depiction of trans women in the films Lovely Man and Midnight Swan, comparing the two main characters, Ipuy and Nagisa. Discrimination against transgender individuals persists in contemporary society, particularly in patriarchal Asian countries such as Indonesia and Japan. The films Lovely Man and Midnight Swan are of Indonesian and Japanese origin, respectively. A close analysis of both films reveals that they feature protagonists who embody the exact symbolic representations as entertainers, parents, sexual objects, and pariahs. According to Peirce’s semiotics, these four symbolic representations are determined. A thorough examination of the cinematic expressive movements in both films reveals four metaphorical expressions: the trans woman as an entertainer, the trans woman as a parent, the trans woman as a sexual object, and the trans woman as a pariah. These four metaphorical expressions are validated through extralinguistic references, reflecting socio-cultural realities in Indonesian and Japanese societies. They become arguments through the interpretation of both films. The similarities between the two films can be understood as a social critique of the issues facing trans women in Indonesia and Japan, who require greater attention to their human rights to survive in society. Full article

Several people in contemporary postindustrial societies experience difficulties retaining intimate partners. This paper investigates the proximate reasons (the immediate causes of reduced capacity) and the ultimate reasons (the evolutionary causes behind those proximate mechanisms) that lead to such difficulties. I argue that the mechanisms or adaptations involved in partner retention evolved in ancestral preindustrial contexts and may not be effective in contemporary postindustrial settings. Relevant mismatches include the protection of human rights, dependence on intimate partners, freedom in mate choice, and access to parenting resources. I further argue that these mismatches have affected adaptations involved in partner retention, including the expression of undesirable traits, such as aggression and jealousy, insufficient mating effort, poor initial mate choice, and an impaired ability to meet the demands of parenting. As a consequence, many individuals today experience reduced mate-retention capacity, with implications that I explore. Full article

From a critical feminist perspective, it is hypothesised that the gender digital divide may be related to new forms of virtual gender-based violence that particularly affect girls and young women. If this is the case, these forms of violence would fall within the dimension of exploitation or quality of use of technologies that characterises the digital divide. To test this hypothesis, a documentary analysis of the phenomenon was carried out by reviewing different cases reported in various media outlets, which show that the well-being of girls and adolescents is at risk when technology is involved. Four categories emerge that reflect situations in which technology becomes a tool for promoting self-harm and suicide among minors through exposure to harmful content, grooming, sexting and/or sextortion; the digital sexual exploitation of underage girls through deepfakes or intimate images generated with artificial intelligence; the consumption of violent and hateful content in mass chats; and the incitement of gender-based violence through video games. The results show the reproduction and perpetuation of gender-based violence in the digital world. To guarantee safe, inclusive and equitable digital environments, various measures are essential, including European policies or plans aimed at guaranteeing digital security and rights, and those related to critical digital literacy with a gender perspective in formal education (school and university) and informal education (parents, carers and guardians). Finally, we urge that the focus be placed on personal digital resilience, since thinking of a completely secure digital world is a naive and unattainable utopia. Full article

In recent years, the sexual and reproductive health of adolescents and young adults (ages 10–24) in Africa has improved through national and international initiatives. However, major challenges remain in enabling young people to exercise their sexual and reproductive health rights (SRHRs), especially in Côte d’Ivoire. This study aimed to explore the perspectives of stakeholders on the freedom of choice of adolescents and young adults with regard to SRHRs in Haut-Sassandra, Côte d’Ivoire. We conducted this qualitative descriptive study between September and October 2023. Participants were selected using a purposive sampling method. Overall, 137 stakeholders participated in the study: 57 teachers and administrators, 17 community leaders, and 63 parents. Data were collected through interviews and focus groups, using an interview guide. Through a deductive thematic approach, we identified three forms of freedom of choice: conditional, absent, and absolute. The average age of the study participants was 46.1 years. The findings reveal that several factors influence the freedom of choice among adolescents and young adults regarding their SRHRs. These include age, gender, parental involvement, prior education, autonomy, and perceived maturity. Limited freedom was commonly associated with younger age (10–18 years), perceived immaturity, and a lack of autonomy. In contrast, greater freedom was linked to older age (18–24 years) and higher levels of perceived maturity. Stakeholders’ perspectives were shaped by cultural and religious norms, a protective attitude toward youth, and a sense of disengagement from adolescent concerns. This study underscores the importance of interventions aimed at increasing stakeholders’ knowledge and awareness of adolescents’ sexual and reproductive rights. Full article

Background/Objectives: Family-centred care is key in neonatal practice, yet parents’ and staff’s research experiences are understudied. This study aims to explore their perspectives to improve inclusiveness, communication, and effectiveness in future neonatal research design and implementation. Methods: This embedded qualitative study, conducted within the Right vEntricular function applicability in a Prediction mOdel to identify pReterm infanTs with early BronchoPulmonary Dysplasia (REPORT-BPD) feasibility study, employed a qualitative descriptive design. The sample included 10 healthcare professionals, evenly split between medical and nursing backgrounds, and 10 parents, equally distributed between mothers and fathers of preterm infants enrolled in the REPORT-BPD study. Data were collected through audio-recorded semi-structured interviews, then transcribed into Word, and imported into NVivo 14 for thematic analysis by three researchers. Results: The following four main themes were developed from 11 sub-themes that were initially extracted: (1) Trust and Assurance in the Study, reflecting the overall trust between parents and staff, emphasising its perceived study’s safety and minimal impact on the infant. (2) Emotional and Psychological Considerations, highlighting the emotional landscape of parents, including their anxieties, stressors, and support systems that help ease their concerns. (3) Communication and Engagement, underscoring the importance of effective communication and engagement between researchers and study participants. (4) Value from Participation and Constructive Feedback, capturing the dual focus on the value participants gain from their involvement in the study, and their constructive suggestions. Conclusions: This study highlights trust, communication, and emotional impact in neonatal research, emphasising ethical, family-centred design to improve engagement and recruitment in future studies. Full article

The Southern Great Xing’an Range (SGXR), an important W–Sn polymetallic metallogenic belt in northern China, hosts multiphase magmatism and has witnessed recent discoveries of multiple tungsten–tin polymetallic deposits. The W–Sn mineralization in this area is intimately associated with Early Cretaceous highly fractionated granites. The Chamuhan deposit, a small-sized W–Mo polymetallic deposit in SGXR, is genetically linked to a concealed fine-grained porphyritic alkali feldspar granite intrusion. In this study, we present the LA-ICP-MS zircon U-Pb ages, whole-rock geochemical, and electron probe microanalysis (EPMA) mineral chemistry to constrain the petrogenesis and metallogenic implications of this granite. Zircon U–Pb dating yields a crystallization age of 141.3 ± 1.2 Ma, consistent with molybdenite Re–Os ages. The granite is characterized by elevated SiO₂ (76.9–79.1 wt%) and total alkalis (7.3–8.5 wt%), and exhibits peraluminous high-K calc-alkaline affinity (A/CNK = 1.37–1.57). Geochemical signatures reveal enrichment in large ion lithophile elements (LILEs, e.g., Rb, Th, U) coupled with depletion in high-field strength elements (HFSEs, e.g., Ba, Sr, P, Eu, Ti, Nb, Ta), and are accompanied by right-sloping REE patterns with LREE enrichment and HREE depletion. EPMA data indicate that the mica in the intrusion is primarily zinnwaldite and Li-rich phengite, whereas the plagioclase occurs as albite. The feldspar thermobarometry yields crystallization temperatures of 689–778 °C and 313 MPa–454 MPa, while the melt H₂O content and oxygen fugacity are 8.61–11.1 wt% and −22.58–−14.48, respectively. These geochemical signatures indicate that the granites are highly fractionated I-type granites with extensive fractional crystallization of various minerals like plagioclase, K-feldspar, and apatite, etc. From the Late Jurassic to the Early Cretaceous, the subduction and rollback of the Paleo-Pacific Ocean plate resulted in extensional tectonic environments in eastern China. Asthenospheric upwelling and lower crustal melting generated parental magmas, wherein progressive fractional crystallization during ascent concentrated ore-forming elements and volatiles within residual melts. This process played a key role in the formation of the Chamuhan deposit, exemplifying the metallogenic potential of highly evolved granitic systems in the SGXR. Full article

The result of accelerated development and technological progress is manifested through numerous changes in the labor market, primarily concerning the competencies of future employees. Many of those competencies have symmetrical character. The determinants that may influence the development of specific competencies are variable and dynamic, yet they share the characteristic of transcending temporal and spatial boundaries. In this paper we propose the use of a combination of Principal Component Analysis (PCA) and Fuzzy Analytic Hierarchy Process (FAHP) to rank 21st-century competencies that are developed independently of the formal educational process. Ability to organize and plan, appreciation of diversity and multiculturalism, and ability to solve problems appeared to be the highest-ranked competencies. The development of key competencies is symmetrical to the skills for the labor market. Also, the development of key competencies is symmetrical to the right selection of the quality of media content. The paper proves that the development of key competencies is symmetrical to the level of education of both parents. One of the key findings is that participants with higher levels of media literacy express more readiness for the contemporary labor market. Moreover, the family, particularly parents, exerts a highly significant positive influence on the development of 21st-century competencies. Parents with higher levels of education, in particular, provide a stimulating environment for learning, foster critical thinking, and encourage the exploration of diverse domains of knowledge. Full article

This study explores how headquarters (HQ) digital transformation affects foreign subsidiaries’ performance in emerging market multinational enterprises (EMNEs). Based on the Technology–Organization–Environment (TOE) framework, parenting advantage theory, and loose coupling theory, we propose a multi-level contingency model. Using unbalanced panel data from 5543 foreign subsidiaries of Chinese A-share listed firms (2011–2021), we find that HQ digital transformation significantly improves subsidiary performance. However, this effect is shaped by key organizational and environmental factors. At the organizational level, excessive HQ control weakens the positive impact, while business group affiliation strengthens it. At the environmental level, strong intellectual property rights (IPR) protection enhances the benefits of digital transformation, whereas advanced host-country digital infrastructure substitutes internal support, reducing the effect. Robustness checks with alternative measures and instrumental variable estimation confirm our results. Theoretically, this study opens the “black box” of intra-MNE digital value transmission and identifies boundary conditions under which digital parenting is effective. Practically, it offers insights for EMNEs on optimizing digital strategies amid governance complexity and institutional diversity. Full article