Search Results (870)

Gender-based violence (GBV) and traffic offenses pose significant public health challenges and contribute to widespread social issues globally. This study examines the sociodemographic and psychological profiles of individuals who commit traffic offenses and GBV, focusing on three alternative penal programs: TASEVAL (for traffic offenses), PRIA-MA, and reGENER@r (both for GBV). The study involved 54 participants distributed across these programs, using various psychometric tests to assess their profiles. Participants across the three programs (TASEVAL, PRIA-MA, and reGENER@R) were comparable in age (mean range 39.13–40.69 years) and nationality, with roughly half having prior contact with the justice system. Educational levels varied, with TASEVAL participants mainly completing secondary education (43.8%), PRIA-MA participants primary education (43.8%), and reGENER@R participants post-secondary education (59.1%). Employment status differed slightly, with TASEVAL and reGENER@R participants mainly employed (62.5% and 63.6%, respectively), while most PRIA-MA participants were unemployed (56.3%). Family characteristics varied across groups. In TASEVAL, having a partner and no children predominated (62.5% and 31.3%); in PRIA-MA, not having a partner and having two children predominated (62.5% and 37.5%); and, in reGENER@R, not having a partner and having one child predominated (59.1% and 31.8%). No significant differences were observed in sociodemographic variables. Regarding psychological characteristics, results across all groups indicate a marked presence of psychopathological symptoms and difficulties in emotional intelligence domains, with a significant correlation between psychological traits and coping strategies. These findings highlight the importance of tailoring alternative penal measures to the specific characteristics of each group to enhance effectiveness and reduce recidivism. Full article

Introduction: Tuberculosis (TB) remains a public health concern, and people at risk for TB are hesitant to seek care. The first South African National TB prevalence survey, conducted in 2017–2019, found that most participants with TB symptoms did not seek care for TB. In 2022, an estimated 23% of people with TB in South Africa were undiagnosed, contributing to the country’s burden of “missing” TB cases. This study explores health-seeking behaviour among people with TB (PwTB) in South Africa, focussing on barriers and facilitators to care-seeking and the quantification of TB-related stigma from a patient and community perspective. Methods: We conducted a mixed-method study in the City of Johannesburg (COJ) Metropolitan Municipality from February to March 2022. PwTB aged 18 and older initiating TB treatment for microbiologically confirmed pulmonary TB were recruited from three primary healthcare facilities in the COJ. After providing written informed consent, they participated in a one-time, in-depth, face-to-face interview. The interviews were digitally recorded and conducted by trained facilitators. We used thematic analysis with deductive approaches to develop themes. We used the Van Rie TB stigma assessment scale to quantify perceived stigma. Results: We interviewed 23 PwTB with an overall median age of 39 years and 14 (61%) males. Patient-level barriers to accessing TB care included visiting traditional healers and pharmacists before their TB diagnosis; wrong or missed diagnosis by private doctors; work commitments; scarcity of resources to attend the clinic or walk long distances; perceived and experienced stigma; and a lack of TB knowledge. Facility-level barriers included long clinic queues and uncertainty about where to receive TB care in the clinic. Facilitators for TB care-seeking included being in contact with someone who had TB, receiving encouragement from family, or having knowledge about TB transmission and early diagnosis. The overall median total stigma score among 21 PwTB was 53 (IQR: 46–63), with median community and patient stigma scores of 25 (IQR: 22–30) and 31 (IQR: 21–36), respectively. Conclusions: We found important considerations for the TB programme to improve the uptake of services. Since PwTB consult elsewhere before visiting a facility for TB care, TB programmes could establish private–public partnerships. TB programmes could also increase TB awareness in the community, especially among males, and mobile clinics could be considered to assist with TB case detection and treatment provision. Applying behavioural design techniques and co-designing interventions with patients and providers could improve TB health-seeking behaviours. Full article

In this study, I expand on the Black feminist tradition of rethinking Black women’s activism by examining how Black queer women’s fashion shows challenge traditional definitions and sites of activism. I present BlaQueer Style as an interpretive framework that largely draws on the wisdom and theories of Black feminism to undercover how these productions and the politics that shape them are not only sites of activism because they challenge the conventions of mainstream cultural institutions, but because they make space for the social and personal transformation of the communities they center. In this analysis of two public LGBTQ+ fashion shows, I argue that intention aside, the Black queer women founders and fashion workers and their practices and performances of centering marginalized communities, using the body to signal and subvert controlling images, and building coalition among these communities, highlight the liberatory potential of their fashion work. In a time when Black queer and trans people are experiencing misrepresentation and other forms of violence globally, BlaQueer Style is what I name the politics that presents a deep commitment to both the aesthetics and the liberation of these communities in Black queer women’s fashion work. Full article

As of mid-2025, California maintains a target (and legal agreement with truck OEMs) to achieve 100% zero-emission medium- and heavy-duty (M/HD) truck sales by 2036. While the US federal government has relaxed its targets, fuel economy standards continue to incentivize electrification. To meet these ambitions, the adequate rollout of charging infrastructure at scale is needed. This paper reviews existing studies on M/HD charging and investment needs in California and the U.S. This paper introduces a novel matrix that delineates charging needs by charging power, truck type (Class 2b-8), charger-to-vehicle ratios, and charger investment costs. Results indicate that California may require 151,000 to 156,000 depot and public chargers on the road by 2030, growing to 434,000 to 460,000 chargers on the road by 2035. Corresponding investment—including new installation and replacement—could reach USD 7.1 to USD 7.4 billion by 2030 and USD 16.4 to USD 17.8 billion by 2035. Meeting this scale of infrastructure deployment represents not only a technical challenge but also a sustainability imperative, demanding unprecedented coordination among policymakers, utilities, and fleet operators to overcome barriers like financing and permitting and to ensure infrastructure growth aligns with climate commitments and equitable access. Full article

Background: The public often places value on youth sport involvement in the United States due to its potential to foster positive outcomes for participants. Although sport parents are key socializers and provide access to appropriate participation opportunities for children, less is known about how their perceptions of their child’s motives influence their sport commitments. Purpose: Therefore, the purpose of the present study was to understand how parents’ perceptions of their child’s motives for sport participation were associated with time/travel sport commitments. Methods: Participants (N = 1250) were parents in the United States reporting on their child’s youth sport participation. Measures assessed their perceptions of their child’s motives for sport involvement, how many hours per week and months per year they engaged in sport, and how far they tended to drive to facilitate sport opportunities. Multiple regressions were utilized. Results: Analyses revealed that the number of months per year was positively predicted by motives for being physically healthy and spending time with friends. Similarly, being with friends was a positive predictor of the number of weekly hours spent in organized sport and having fun positively predicted the distance driven to participate. Motives for becoming more physically attractive negatively predicted time and travel commitments. Conclusions: Overall, the present study sheds light on how the ways parents perceive their children’s motivations for participating in youth sport influences parents’ commitment to facilitating sport participation opportunities for their children. Full article

Climate change is inducing new and increasing existing hazards that can cascade from one system or region to another affecting communities, ecosystems and various sectors of the economy. In 2022 Greece has incorporated the national climate law describing climate actions on mitigation and adaptation, introducing strategies and outlining key priorities and commitments of the country. Moreover, under article 20 of the national climate law, it is declared that it is mandatory for enterprises and public bodies to calculate their carbon footprint and publish a carbon footprint report in which mitigation actions and measures are also summarized. Reports collected within the first 2 years of the implementation of the law have been reviewed and data extracted are discussed in this work. A clear reduction of the total carbon footprint is evident in most sectors of Greek economy. Policy recommendations to enhance not only regulatory but also voluntary compliance and ensure progress towards the 2050 net-zero carbon emissions target are also outlined. Full article

Background/Objectives: As global aging accelerates, there is a pressing and empirically substantiated demand for integrated and sustainable strategies, as evidenced by the rising prevalence rates of chronic conditions, social isolation, and digital exclusion among older adults worldwide. These factors underscore the urgent need for multidimensional interventions that simultaneously target physical, psychological, and social well-being. The HOPE-FIT (Hybrid Outreach Program for Exercise and Follow-up Integrated Training) model and the SAGE (Senior Active Guided Exercise) program were designed to address this need through a hybrid framework. These programs foster inclusive aging by explicitly bridging digitally underserved groups and mobility-restricted populations into mainstream health promotion systems through tailored exercise, psychosocial support, and smart-home technologies, thereby functioning as a scalable meta-model across healthcare, community, and policy domains. Methods: HOPE-FIT was developed through a formative, multi-phase process grounded in the RE-AIM framework and a Hybrid Type II effectiveness–implementation design. The program combines professional health coaching, home-based and digital exercise routines, Acceptance and Commitment Performance Training (ACPT)-based psychological strategies, and smart-home monitoring technologies. Empirical data from pilot studies, large-scale surveys (N = 1000), and in-depth user evaluations were incorporated to strengthen validity and contextual adaptation. Culturally tailored content and participatory feedback from older adults further informed ecological validity and program refinement. Implementation Strategy/Framework: The theoretical foundation integrates implementation science with behavioral and digital health. The RE-AIM framework guided reach, fidelity, and maintenance planning, while the Hybrid E–I design enabled the concurrent evaluation of effectiveness outcomes and contextual implementation strategies. Institutional partnerships with community centers, public health organizations, and welfare agencies further facilitated the translation of the model into real-world aging contexts. Dissemination Plan: The multi-pronged dissemination strategy includes international symposia, interdisciplinary academic networks, policy briefs, localized community deployment, and secure, authenticated data sharing for reproducibility. This design facilitates evidence-informed policy, empowers practitioners, and advances digital health equity. Ultimately, HOPE-FIT constitutes a scalable and inclusive model that concretely addresses health disparities and promotes active, dignified aging across systems and disciplines. Full article

This article explores how gender biases in STEM education persist despite formal commitments to equality. Based on data from the Erasmus+ project STEMGenderIN, we analyze responses from lower-secondary school teachers (ISCED 2; ages 11–15), of STEM subjects, in Portugal, Italy, Belgium, and Romania using the TPGESE scale, which assesses three dimensions: perceived gender equality in education (PGEE), the awareness of the effects of gender segregation (AEGSE), and the naturalization of gender stereotypes (GSNGI). Findings show a consistent gap between teachers declared support for gender equality and their limited awareness of structural and cultural barriers faced by girls in STEM. While most teachers affirm equality in principle, many attribute girls’ underrepresentation to personal choice or aptitude, overlooking the influence of stereotypes, social expectations, and systemic inequalities. The results point to a paradox: formal recognition of gender equality coexists with low engagement in reflexive practice or institutional change. Differences between countries suggest varying degrees of critical awareness, with some contexts showing greater openness to questioning dominant narratives. This study highlights the urgent need for teacher training that goes beyond rhetoric, promoting deep pedagogical transformation and equipping educators to create more inclusive STEM learning environments. We argue that addressing the perception–practice gap is essential to closing the gender gap in STEM. To situate these findings, we also note how national cultural–political debates—such as Portugal’s public controversy around so-called “gender ideology” in Citizenship and Development—may shape teachers’ perceptions and self-reports, reinforcing the need for context-aware training. Full article

The challenges posed by aging populations and increasing rates of social isolation necessitate a rethinking of the manner in which housing and urban environments can support elderly well-being. This study explores the role of interdisciplinary educational research in addressing two key challenges faced by older adults living alone: thermal comfort and loneliness. The research, which was conducted in the Basque Country, Spain, involved six Final Degree Projects (FDPs) developed within a Research-Based Learning (RBL) framework by undergraduate students in architecture and engineering. These projects were embedded in two applied research initiatives, Etxelagun and Kalelagun, which monitored private dwellings and public spaces to evaluate environmental comfort and social inclusion. The student teams conducted fieldwork, interviews, environmental audits, and co-design processes with elderly participants and stakeholders from public administration, social services, and health sectors. The results demonstrate how the physical and social characteristics of the built environment influence autonomy, thermal comfort, and opportunities for interaction. The proposals developed address accessibility, climate-adaptive design, and age-friendly urban strategies. Survey results demonstrate that the RBL approach enhances students’ sensitivity and commitment to social challenges. The study concludes that interdisciplinary, context-sensitive educational research can produce actionable design solutions while cultivating future professionals equipped to respond to the complex needs of aging societies. Full article

This study presents a quantitative methodological approach for evaluating universal accessibility in cultural heritage sites, grounded in the DALCO criteria—Deambulation/Mobility, Apprehension, Location, and Communication. The methodology is designed to be broadly applicable across diverse geographic and cultural contexts, thus offering a generalizable framework for assessing accessibility. At the same time, the study applies this approach to the specific case of the Ávila region (Spain), a territory with a high concentration of Assets of Cultural Interest (ACIs), including sites recognized as UNESCO World Heritage. In this way, the research simultaneously pursues a methodological aim, by testing and refining the DALCO-based framework, and a diagnostic aim, by providing a comprehensive evaluation of accessibility conditions in Ávila. Using a structured questionnaire, each ACI was assessed to determine its accessibility level across four key dimensions. The results reveal significant physical, communicative, and cognitive barriers across the region, with notable disparities among territorial zones. The proposed methodology offers a replicable and scalable tool for researchers, cultural institutions, and public authorities committed to fostering inclusive heritage environments, and provides a technical foundation for implementing universal design principles aligned with the SDG 11. Full article

Ethnicity-based public health inequities continue worldwide, reflecting established failures in law, governance, and social justice. International legal instruments, including the International Covenant on Economic, Social and Cultural Rights (ICESCR), the Convention on the Elimination of All Forms of Racial Discrimination (CERD), and the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), obligate states to provide equitable access to healthcare and address structural components of inequality. This article critically evaluates the effectiveness of these frameworks in advancing health equity, adopting a black-letter legal approach integrated with the social determinants of health models to assess whether ratified commitments have translated into quantifiable changes for marginalized ethnic populations. Case studies from Canada, Australia, and the United States—high-capacity health systems with entrenched inequities—portray the gap between normative commitments and practical implementation. Findings demonstrate that while international law has shaped discourse, promoted civil society advocacy, and influenced select policy reforms, weak enforcement, reliance on voluntary compliance, and insufficient accountability mechanisms curb its capability to generate consistent outcome-based change. Recommendations include establishing a framework convention on global health equity, strengthening the WHO’s mandate on racial justice, improving ethnic-disaggregated data reporting, and ingraining affected communities in policymaking. Normative strength is apparent, but operational impact remains dependent on an enforceable framework and sustained political will. Full article

In this paper, we design, implement, and empirically evaluate a tamper-evident, blockchain-secured solar energy logging system for resource-constrained edge Internet of Things (IoT) devices. Using a Merkle tree batching approach in conjunction with threshold-triggered blockchain anchoring, the system combines high-frequency local logging with energy-efficient, cryptographically verifiable submissions to the Ethereum Sepolia testnet, a public Proof-of-Stake (PoS) blockchain. The logger captured and hashed cryptographic chains on a minute-by-minute basis during a continuous 135 h deployment on a Raspberry Pi equipped with an INA219 sensor. Thanks to effective retrial and daily rollover mechanisms, it committed 130 verified Merkle batches to the blockchain without any data loss or unverifiable records, even during internet outages. The system offers robust end-to-end auditability and tamper resistance with low operational and carbon overhead, which was tested with comparative benchmarking against other blockchain logging models and conventional local and cloud-based loggers. The findings illustrate the technical and sustainability feasibility of digital audit trails based on blockchain technology for distributed solar energy systems. These audit trails facilitate scalable environmental, social, and governance (ESG) reporting, automated renewable energy certification, and transparent carbon accounting. Full article

Public healthcare infrastructure is among the most energy-intensive of public facilities; therefore, it needs to become more environmentally and economically sustainable by increasing energy efficiency and improving service reliability. Achieving these goals requires modernizing hospital energy systems with renewable energy sources (RESs). This process often involves Energy Service Companies (ESCOs), which propose integrated RES technologies with tailored contractual schemes. However, comparing ESCO offers is challenging due to their heterogeneous technologies, contractual structures, and long-term performance commitments, which make simple cost-based assessments inadequate. This study develops a structured Multi-Criteria Decision-Making (MCDM) methodology to evaluate energy projects in public healthcare facilities. The framework, based on the Analytic Hierarchy Process (AHP), combines both quantitative (net present value, stochastic simulations of energy cost savings, and CO₂ emission reductions) with qualitative assessments (redundancy, flexibility, elasticity, and stakeholder image). It addresses the lack of standardized tools for ranking real-world ESCO proposals in public procurement. The approach, applied to a case study, involves three ESCO proposals for a large hospital in Southern Italy. The results show that integrating photovoltaic generation with trigeneration achieves the highest overall score. The proposed framework provides a transparent, replicable tool to support evidence-based energy investment decisions, extendable to other public-sector infrastructures. Full article

This paper addresses issues around the viral safety of plasma derivatives, which have led to a spate of public inquiries over the past thirty years. These inquiries have ensued following the infection of recipients of plasma derivatives and have focused on identifying which, if any, parties were responsible for these events. The most recent of these inquiries—the Infected Blood Inquiry in the United Kingdom—ran between 2018 and 2022, and has reached conclusions regarding the allocation of responsibility, some of which are discussed in this review. The published reports of the inquiries, supplemented by evidence sourced from the peer-reviewed literature, the policies of government agencies, and public reactions to these processes, form the basis of this review. In addition, the perspective of the author, who has a background in plasma fractionation science as well as being a recipient of plasma products during the period covered by these various inquiries, is offered as a way of augmenting the issues covered. The benefits arising from these, occasionally controversial, inquiries are described, including the heightened commitment to blood safety by policymakers, the embedment of precautionism as a safety principle, and the need for transparency and informed consent in patient management. Full article

This article analyses the role of the Spanish university system in promoting fair Trade (FT) and the sustainable development goals (SDGs), with a particular focus on the Universities for Fair Trade (UxFT) programme. A mixed methodology combining qualitative and quantitative approaches was used to review and analyse the websites of 90 Spanish universities (both public and private) to assess their commitment to FT and the SDGs. This was based on four variables: (1) reference to the SDGs; (2) a structured programme to promote the SDGs; (3) specific actions to promote or raise awareness of the SDGs; and (4) working on FT. The results show that, while most universities include the SDGs in their institutional strategies, only some have structured programmes. Regarding FT, several universities carry out activities linked to this movement, with some actively participating in the UxFT. Public universities demonstrate greater commitment. The SDGs that are most frequently addressed are 12 (Responsible consumption and production), 4 (Quality education) and 13 (Climate action), highlighting the close relationship between FT and sustainability. The study reveals a gap between discursive commitments to sustainability and the actual implementation of FT practices, suggesting that the integration of FT is not automatic even when SDG strategies are present. This has important implications: promoting FT within universities requires not only structured SDG strategies, but also explicit institutional policies, dedicated resources, and greater awareness of FT transformative potential. The findings underscore the need for stronger institutional commitment to move beyond isolated actions and toward a university model grounded in social justice and sustainability. Integrating the UxFT programme more broadly could help foster critical thinking, participatory governance, and more coherent practices aligned with the 2030 Agenda. Full article