Search Results (104)

Outcome-Based Engineering Education (OBEE), a performance-driven approach at the forefront of curriculum design, offers a reliable and scalable framework for reforming engineering education. This research examines the industrial and logistics engineering major at the National School of Applied Sciences of Marrakesh as a case study to develop and implement a new hybrid model that merges the OBEE approach and Lean Management principles and methods through five layers. This paper presents the second and third layers of the Lean-OBEE architecture: the Target layer and Assessment layer, respectively. The target layer employs Hoshin Kanri’s X-Matrix in the OBEE process as a Lean strategic planning tool for visual and efficient management of the educational outcomes. Teachers and academic staff used the X-Matrix to monitor the unfolding of strategic educational objectives and progress throughout the course and curriculum. The assessment layer integrates a set of Lean principles, including PDCA (Plan-Do-Check-Act) cycles, Poka-Yoke, Flow, Muri, Standard Work, Takt Time, and Collective Intelligence, to design and assess the course session. The findings of this study provide preliminary evidence that the proposed Lean-OBEE model supports the development of sustainable engineering education by continuously improving the relevance and efficiency of the curriculum and teaching practices to meet the dynamic needs of industry and all stakeholders. This study serves as a practical reference for achieving the stated outcomes. Full article

This critical review interrogates how contemporary diversity, equity, and inclusion (DEI) reforms in STEM education engage the deeper project of epistemic decolonisation. Framed by critical race theory, feminist science studies, and decolonial scholarship, it asks whether inclusion agendas move beyond representational expansion to disrupt Eurocentric hierarchies of legitimacy; which pedagogical and curricular innovations enact pluriversal STEM; and what institutional conditions constrain transformation. A multi-stage search of Scopus, Web of Science, ERIC, Google Scholar, and grey literature (2010–2025) yielded 152 records; PRISMA-informed screening produced 80 sources for interpretive thematic synthesis. Findings show that DEI initiatives have increased access and participation, yet typically preserve assumptions of scientific neutrality and universalism, leaving epistemic injustice largely intact. In contrast, decolonial innovations, such as two-eyed seeing, culturally sustaining and place-based pedagogies, history, philosophy, and sociology of science integration, and project-based learning grounded in indigenous knowledge systems, reposition learners and communities as co-producers of knowledge and reframe science as situated and relational. However, these practices remain peripheral due to assessment regimes, accreditation pressures, funding and tenure incentives, disciplinary gatekeeping, and limited educator preparation. The review argues that meaningful reform requires structural reconfiguration of curricula, evaluation, and institutional reward systems to recognise multiple epistemologies, cultivate ethical relationality, and enable sustained community partnership. Full article

This study explores how demystifying Earth Observation (EO) through co-creation pathways and local language can enhance flood resilience and environmental governance in African informal cities. Using case studies from Maiduguri and Hadejia, Nigeria, the research employed a transdisciplinary mixed-methods design combining rapid evidence assessment, surveys, participatory workshops (n = 50 stakeholders) integrating simplified Sentinel-1/2 demonstrations, indigenous knowledge mapping, and pre-/post-engagement surveys on EO familiarity. Non-expert participants were trained to interpret satellite data using local language, linking distant teleconnections with local flood experiences. The findings revealed significant gains in EO literacy and improvements in interpretive confidence, gender-inclusive participation, and policy engagement. Localizing the curriculum enabled participants to translate technical EO concepts into locally meaningful narratives, fostering cognitive empowerment and practical application in flood preparedness and advocacy. The study demonstrates that data democratization is not only a matter of open access but also of open understanding. It advances a conceptual model linking Demystification, Literacy, Empowerment, Co-Production and Resilience, positioning EO as a social technology that bridges scientific and indigenous knowledge systems. The findings contribute to debates on decolonizing environmental science and propose a potential participatory framework for integrating EO into community-based adaptation, legal accountability, and policy reform across Africa’s rapidly urbanizing landscapes. Full article

In rapidly urbanising developing economies, construction activity frequently relies on informal and semi-skilled labour. This coincides with limited opportunities for systematic skill development, leading to persistent labour deskilling. While existing research has predominantly addressed these challenges through policy reform, industrialisation, or efficiency-driven technological models, less emphasis has been placed on the role of architectural design in shaping labour–technology relations on-site. This article adopts a constructivist perspective on technology to investigate how architectural design can serve as a socio-technical framework for non-formal labour upskilling within construction practice. Drawing upon qualitative case studies of two architectural projects in Sri Lanka—a suburban residential retrofit and a low-income rural housing prototype—this study analyses how design strategies such as systemisation, construction sequencing, material hybridity, and craft-based component detailing embed tacit learning within production processes. The findings demonstrate that craft, understood as a mode of tacit knowledge and on-the-job learning rather than as a stylistic or nostalgic response, can facilitate skill acquisition across diverse economic and technical contexts. By repositioning architectural design as an active mediator between technology and labour, this article contributes to debates within construction studies, social sciences, and architectural theory and proposes design-led construction strategies as a context-sensitive alternative to purely policy- or efficiency-driven approaches to labour development. Full article

This article adopts a focused comparative perspective on two medical schools to illuminate shared strengths and systemic challenges across educational and regulatory contexts. Undergraduate medical education at the University of New Mexico Health Sciences Center (USA) and the Universidad Miguel Hernández (Spain) is analyzed, highlighting common strengths, including solid biomedical foundations, early clinical exposure, and the growing adoption of competency-based approaches. Despite these assets, both institutions face convergent challenges, including rigid curricula, faculty constraints, and difficulties sustaining student engagement in active learning, exacerbated by rapid digital transformation. The analysis supports recommendations to increase curricular flexibility and personalized instruction, strengthen student-centered and interprofessional learning, optimize educational technology, and reform assessment toward continuous feedback and the demonstration of clinical competence. Full article

Digital technologies such as big data are reshaping resource allocation, raising interest in whether and how heterogeneous science and technology innovation (STI) policies can help unlock urban carbon lock-in. Using panel data for 286 prefecture-level cities in China from 2009 to 2023, this paper examines the relationship between heterogeneous STI policy intensity—classified as supply-side, demand-side, complementary-factor, and institutional-reform policies—and urban carbon unlocking efficiency. We develop a mechanism-based framework and empirically assess (i) the moderating roles of digital infrastructure, science and technology finance, and government green attention, and (ii) spatial spillover effects using spatial econometric models. The results show that all four policy types show a significant positive association with local carbon unlocking efficiency, with institutional-reform policies exhibiting the strongest association. When the four types are included jointly, only supply-side and demand-side policies retain statistically significant direct associations. Heterogeneity analyses indicate that demand-side, complementary-factor, and institutional-reform policies are more strongly associated with efficiency gains in low-pollution cities, whereas supply-side and demand-side policies have a stronger association in high energy-consuming cities. Mechanism analysis reveals that regional digital infrastructure exerts a selective moderating effect on the relationship between heterogeneous sci-tech innovation policies and urban carbon emission reduction efficiency. It positively reinforces the effectiveness of supply-side, demand-side, and institutional reform-oriented policies, while its interaction with complementary policies is statistically insignificant. Technology finance and government green policies function as a “resource catalyst” and an “institutional guarantee” respectively, significantly enhancing the correlation between heterogeneous sci-tech innovation policies and urban carbon emission reduction efficiency. Finally, carbon unlocking efficiency displays significant spatial dependence: the intensity of supply-side and institutional-reform policies is positively associated with carbon unlocking efficiency in neighboring cities, while complementary-factor policies exhibit a negative spatial association. Overall, the findings provide empirical evidence to inform the design and coordination of heterogeneous STI policy portfolios aimed at improving urban carbon unlocking efficiency. Full article

Child marriage remains a major threat to adolescent girls’ health, development, and rights worldwide. Despite decades of progress, recent policy backsliding and sociopolitical instability have created new risks, with examples from Iraq, Afghanistan, and The Gambia illustrating how legal and political shifts are reshaping vulnerabilities for girls. This paper presents an integrated framework linking developmental science with legal and policy advocacy, emphasizing how evolving capacities and psychosocial maturity should inform marriage laws and protection mechanisms. It reframes advocacy and rights-based action as essential components of adolescent health systems, drawing on recent policy analyses and country examples to identify actionable, multisectoral strategies. The paper highlights an urgent need for collective, evidence-informed advocacy to protect adolescent girls and advance gender equality, an issue of growing importance amid renewed global attention to legal reforms on child marriage. Full article

Background/Objectives: Family members are the principal providers of home-based care for migrant older adults. Linguistic, cultural, and structural barriers within health systems exacerbate the caregiver burden across emotional, physical and financial domains. Although home healthcare services may alleviate this burden, variability in access, cultural safety, and care coordination can also intensify it. This scoping review maps the evidence on the burden experienced by family caregivers who deliver home-based healthcare to migrant older adults and examines how these arrangements affect caregivers’ health and well-being. It synthesizes the literature on facilitators and barriers—including access, cultural-linguistic fit, coordination with formal services, and legal/immigration constraints—and distills implications for policy and practice to strengthen equitable, culturally responsive home care. Method: The Joanna Briggs Institute (JBI) scoping review framework was used to conduct the review. A comprehensive search was performed across six databases (CINAHL, Scopus, Web of Science, PsycINFO, MEDLINE and Sociological Abstracts) for articles published between 2000 and 2025. Studies were selected based on predefined inclusion criteria focusing on the family caregiver burden in providing home healthcare for migrant older adults. Data extraction and thematic analysis were conducted to identify key themes. Results: The review identified 20 studies across various geographical regions, highlighting four key themes: (1) Multidimensional Caregiver Burden, (2) The Influence of Gender, Family Hierarchy, and Migratory Trajectories on Caregiving, (3) Limited Access to Formal and Culturally Appropriate Support, and (4) Health Outcomes, Coping, and the Need for Community-Based Solutions. Conclusions: System-level reforms are required to advance equity in home healthcare for aging migrants. Priorities include establishing accountable cultural-safety training for providers; expanding multilingual access across intake, assessment, and follow-up; and formally recognizing and resourcing family caregivers (e.g., navigation support, respite, training, and financial relief). Investment in community-driven programs, frameworks and targeted outreach—co-designed with migrant communities—can mitigate isolation and improve uptake. While home healthcare is pivotal, structural inequities and cultural barriers continue to constrain equitable access. Addressing these gaps demands coordinated policy action, enhanced provider preparation, and culturally responsive care models. Future research should evaluate innovative frameworks that integrate community partnerships and culturally responsive practices to reduce the caregiver burden and improve outcomes for migrant families. Full article

Regional water systems face growing pressure from climate variability, water scarcity, and increasingly complex wastewater pollution. These challenges require governance models that integrate institutional coordination with effective technological solutions. This review is based on a structured analysis of peer-reviewed literature indexed in Scopus, Web of Science, and ScienceDirect, covering publications from approximately 2014 to 2025. The findings show that clearly defined institutional roles, basin-level coordination, stable financing mechanisms, and active stakeholder participation significantly improve governance outcomes. Technological advances such as membrane filtration, advanced oxidation processes, nature-based treatment systems, and digital monitoring platforms enhance treatment efficiency, resilience, and opportunities for resource recovery. Regions differ widely in their ability to adopt these solutions, mainly due to variations in governance coherence, investment capacity, and climate-adaptation readiness. The review highlights the need for policy frameworks that align institutional reforms with technological modernization, including the adoption of basin-based planning, digital decision-support systems, and circular water-economy principles. These measures provide actionable guidance for policymakers and regional authorities seeking to strengthen long-term water security and wastewater management performance. Full article

This scoping review examines public health communication across nine Eastern European and Central Asian states—Armenia, Azerbaijan, Belarus, Kazakhstan, Kyrgyzstan, Russia, Tajikistan, Turkmenistan, and Uzbekistan—highlighting how these systems have transitioned from Soviet-era legacies to contemporary practices. Eligibility criteria included the English- and Russian-language literature published from 1998 onwards, focusing on nine post-Soviet states. Sources of evidence comprised searches in Google Scholar, ScienceDirect, SSRN, Heliyon, MEDLINE/PubMed, and official government websites. Data were charted by three independent reviewers using a standardized form, with discrepancies resolved by senior reviewers. The review identifies persistent gaps in communication during health crises, with a particular focus on the COVID-19 pandemic, where centralized and hierarchical information flows often undermine transparency and responsiveness, as well as further increased health inequalities between rural and urban health outcomes. Despite ongoing reforms, the communication dimension of healthcare systems remains underdeveloped. Findings reveal that centralized and top-down communication remains a dominant feature across the region, hindering timely dissemination of information and limiting the capacity to counter misinformation, as both misinformation and disinformation sometimes emerge from the government. Ultimately, this review contributes a critical analysis of these systematic communication failures and underscores the need to strengthen public health communication and reduce health inequalities. To do it, governments must prioritize transparency, disclose decision-making processes, and rely on evidence-based messaging to build trust. Effective crisis response requires not only government leadership but also the active engagement of the medical and patient communities, supported by civil society and independent media. This review points out the need for more inclusive, transparent, and trust-oriented communication strategies to enhance public health preparedness and resilience in nine Eastern European and Central Asian contexts. Full article

Despite seven decades of international commitment—from the 1948 Universal Declaration of Human Rights through SDG 3.8—universal health coverage remains stubbornly out of reach. Two billion people, predominantly informal sector workers, lack access to sustainable health insurance. This entry explains the underlying cause: sustainable health insurance requires specific behavioral and institutional conditions for collective action—conditions that existing health insurance models systematically fail to satisfy, thereby structurally excluding informal populations. The Trinity Law framework formalizes these conditions as three multiplicatively interacting requirements—Trust (T), Consensus (C), and Dual Benefit (DB)—expressed as S = T × C × DB. Empirical analysis of community-based health insurance schemes across 24 countries identifies a robust trust threshold (τ* ≈ 0.68) operating as a behavioral phase transition: below this level, cooperation collapses; above it, participation becomes self-sustaining. Cross-country evidence from 274 organizations across 155 countries confirms consensus thresholds (C* ≈ 0.59), while analysis of 158,763 observations validates dual benefit mechanisms. The multiplicative structure explains why partial reforms fail: weakness in any single component drives overall sustainability toward zero. Applied to health insurance, this framework distinguishes conventional systems—Bismarckian employment-based, Beveridgean tax-financed, and commercial health insurance from sustainable systems like participatory community-based microinsurance that satisfy all three Trinity Law conditions through participatory design, transparent governance, and aligned incentives. The persistent UHC gap reflects not implementation failures but fundamental design incompatibilities that the Trinity Law makes explicit. This entry has three objectives: first, it states the Trinity Law conditions; second, it summarizes the empirical evidence for each component; third, it applies the framework to classify major health insurance models. Supporting datasets and code are available in the referenced Zenodo repositories. The term ‘law’ follows the tradition of social science regularities like the ‘law of demand’: a robust empirical pattern with strong predictive validity, not a claim to physical certainty. Full article

This paper examines the 14-year journey of the Mongolian National University of Medical Sciences (MNUMS) in achieving and sustaining international accreditation for its undergraduate medical program. Beginning in 2010, MNUMS undertook a series of institutional reforms that culminated in full accreditation in 2016 and re-accreditation in 2024 by an international agency recognized by the European Network for Quality Assurance in Higher Education (ENQA). Drawing on institutional self-assessment reports, evaluator feedback, and stakeholder consultations, this case study explores how the accreditation process functioned as a catalyst for educational reform and quality enhancement. The findings reveal major transformations in curriculum design, assessment systems, and institutional governance. MNUMS adopted the European Credit Transfer and Accumulation System (ECTS), introduced outcome-based education and Entrustable Professional Activities (EPAs), expanded its Clinical Skills Center, and implemented a compulsory undergraduate research project. Additionally, the creation of an integrated Bachelor–Master pathway and strengthened international partnerships further advanced the university’s alignment with global medical education standards. This case illustrates how international accreditation can drive systemic improvement in medical education within developing-country contexts. The MNUMS experience highlights the value of sustained institutional commitment, responsiveness to external evaluation, and the strategic use of accreditation as a framework for continuous innovation and global integration. Full article

This paper examines the transformation of higher education and science (HES) in Kazakhstan based on a systematic review of the literature. Drawing on an analysis of 62 peer-reviewed articles, it explores how initiatives such as Digital Kazakhstan, the Bolashak scholarship, and higher-education reforms have influenced the effectiveness of institutions and scientific developments. Government efforts have been made toward achieving a major transformation in HES to create a different environment and system. Our analysis identifies key trends, structural barriers and drivers, and incentive factors in the development of the sector, including problems related to financing, bureaucratic fragmentation, and international cooperation. The results reveal that reforms have been focused on the modernization of pedagogy, trilingual policies, the integration of digital technologies, and internationalization. This paper highlights the key role of government initiatives targeted toward policy changes to ensure transparency, innovativeness, and inclusivity in HES. This work will provide a valuable resource for policy makers, academic leaders, and international stakeholders interested in emerging economies. Full article

Criminal laws and their deserts-based punishments, particularly in Anglo-American systems, remain grounded in folk psychology assumptions about free will, willpower, and agency. Yet advances in neuropsychiatry, neuromicrobiology, behavioral genetics, multi-omics, and exposome sciences, are revealing how here-and-now decisions are profoundly shaped by antecedent factors. This transdisciplinary evidence increasingly undermines the folk psychology model: some argue it leaves “not a single crack of daylight to shoehorn in free will”, while others suggest the evidence at least reveals far greater constraints on agency than currently acknowledged. Historically, courts and corrections have marginalized brain and behavior sciences, often invoking prescientific notions of monsters and wickedness to explain harmful behavior—encouraging anti-science sentiment and protecting normative assumptions. Earlier disciplinary silos, such as isolated neuroscience or single-gene claims, did little to challenge the system. But today’s integrated sciences—from microbiology and toxicology to nutrition and traumatology, powered by omics and machine learning—pose a threat to the folk psychology fulcrum. Resistance to change is well known in criminal justice, but the accelerating pace of biopsychosocial science makes it unlikely that traditional assumptions will endure. In response to modern science, emergent concepts of reform have been presented. Here, we review the public health quarantine model, an emergent concept that aligns criminal justice with public health principles. The model recognizes human behavior as emergent from complex biological, social, and environmental determinants. It turns away from retribution, while seeking accountability in a way that supports healing and prevention. Full article

The extensive application of antibiotics in poultry production has resulted in the emergence of resistant bacteria, which pose a great threat to the health of birds and humans. In this review, the literature is searched using databases such as PubMed, Scopus, Web of Science, and Google Scholar. Studies concerning antimicrobial resistance in poultry, the One Health approach, and alternative strategies to antibiotics are included, while studies not in English, opinion-based papers, and studies not related to poultry or AMR are excluded. This review explores the increasing challenges of antibiotic resistance in poultry, emphasizing the One Health framework related to animal, human, and environmental health. The risks of zoonotic transmission from poultry, the mode of development of resistance, and alternative antibiotics (comprising probiotics, prebiotics, enzymes, and essential oils) are the key topics discussed. This review further touches on critical barriers in fighting antibiotic resistance, which include economic constraints, a lack of awareness, and coordination challenges. This study highlights regulatory and consumer-driven changes in antibiotic use. The poultry industry can reduce the use of antibiotics by adopting the One Health approach and implementing evidence-based alternatives that support productivity. However, sustainable solutions require further research, policy reforms, and collaboration across sectors. Full article