Search Results (422)

Background: The progression of Alzheimer’s Disease (AD) deeply affects not only the diagnosed person but also their close relatives, who are often called to take on the role of informal caregivers. This transition is frequently unplanned and emotionally complex, yet poorly understood in its deeper processual dimensions. This study aims to explore and theorize the transition experienced by a family member becoming the primary informal caregiver for a person with advanced AD. Methods: A qualitative study based on the Constructivist Grounded Theory according to Charmaz’s approach (2006) was conducted. In-depth interviews were carried out with 10 participants who had become informal caregivers for a loved one with advanced AD. Data were analyzed using initial coding, focused coding, the constant comparative method, and theoretical coding. Results: Ten caregivers (mean age 39 years, range 35–54; nine females) of patients with advanced AD participated in the study. The analysis revealed a complex, emotionally intense caregiving experience marked by sacrifice, feelings of powerlessness, identity loss, and the necessity of sharing caregiving responsibilities. A core category emerged: A Silent and Certain Willingness to Care, representing the caregivers’ deep, often unconscious commitment to prioritize the care of their loved ones above their own needs. Four interconnected phases characterized the caregiving process: (1) The Changing Daily Life—involving significant sacrifices in personal and social life; (2) Feeling Powerless—confronting the inevitable decline without means to alter the course; (3) Losing Oneself—experiencing physical and psychological exhaustion and a sense of identity loss; and (4) Sharing with Others—seeking external support to sustain caregiving. These findings highlight the evolving nature of becoming a caregiver and the enduring dedication that sustains this role despite the challenges. Conclusions: The progression of AD deeply transforms the lives of caregivers, who become co-sufferers and active participants in the disease’s management. The results underscore the urgency of designing integrative care strategies—including psychological, social, and potentially technological support—that can enhance both patient outcomes and caregiver resilience. Grounded in real-world experiences, this study contributes to the broader neurodegeneration discourse by emphasizing caregiving as a critical factor in long-term disease management and therapeutic success. Full article

Rapid and comprehensive assessment of building damage caused by earthquakes is essential for effective emergency response and rescue efforts in the immediate aftermath. Advanced technologies, including real-time simulations, remote sensing, and multi-sensor systems, can effectively enhance situational awareness and structural damage evaluations. However, most existing methods rely on isolated time snapshots, and few studies have systematically explored the continuous, time-scaled integration and update of building damage estimates from multiple data sources. This study proposes a stepwise framework that continuously updates time-scaled, single-damage estimation outputs using the best available multi-sensor data for estimating earthquake-induced building damage. We demonstrated the framework using the 2024 Noto Peninsula Earthquake as a case study and incorporated official damage reports from the Ishikawa Prefectural Government, real-time earthquake building damage estimation (REBDE) data, and satellite-based damage estimation data (ALOS-2-building damage estimation (BDE)). By integrating the REBDE and ALOS-2-BDE datasets, we created a composite damage estimation product (integrated-BDE). These datasets were statistically validated against official damage records. Our framework showed significant improvements in accuracy, as demonstrated by the mean absolute percentage error, when the datasets were integrated and updated over time: 177.2% for REBDE, 58.1% for ALOS-2-BDE, and 25.0% for integrated-BDE. Finally, for stepwise damage estimation, we proposed a methodological framework that incorporates social media content to further confirm the accuracy of damage assessments. Potential supplementary datasets, including data from Internet of Things-enabled home appliances, real-time traffic data, very-high-resolution optical imagery, and structural health monitoring systems, can also be integrated to improve accuracy. The proposed framework is expected to improve the timeliness and accuracy of building damage assessments, foster shared understanding of disaster impacts across stakeholders, and support more effective emergency response planning, resource allocation, and decision-making in the early stages of disaster management in the future, particularly when comprehensive official damage reports are unavailable. Full article

This research was designed to explore science-fiction and fantasy (SFF) posters, specifically those related to films and television shows, from the perspective of their owners, examining their potential as sources of social and cultural significance and meaning. The research explored these in terms of the content of the poster, placement, media texts they reference, morals, behavior, identity, sense of self, well-being and self-expression. Data collection took place between 2020 and 2022 via an online survey (N = 273) and follow-up semi-structured interviews (N = 28) with adult science-fiction and fantasy film and television show poster owners. The significance and meaning of SFF posters were framed by two conceptual models: ‘The Three Significances’—esthetics, functionality, and significance (both spatial and personal)—and ‘The Big Three’—content, design, and color. Among these, content held the greatest significance for owners. Posters served as tools for self-expression, reflecting their owners’ identities, affinities, and convictions, while also reinforcing their connection to the media they reference. Posters helped to reinforce a sense of self and fan identity and evoke emotional responses, and the space in which they were displayed helped shape their meaning and significance. The paper sets out some suggestions for future research in this important topic. Full article

This article discusses the importance of cultural identity for ethnic youth, considering the challenges they face as migrants or from migrant backgrounds. It then develops the idea of using safe cultural spaces as a culturally responsive model of care for these youth. The data used are drawn from a qualitative study with 35 African heritage youth living in Aotearoa–New Zealand as participants. The study was guided by participatory action research (PAR) methodology principles. Data was collected using research workshops (adaption of focus groups) and qualitative survey questionnaires. PAR’s transformative lens, narrative inquiry, and inductive thematic analysis were used to identify and analyse the reported themes. Findings show that ethnic youth value their cultural identities primarily because, in the context of migration, where they constantly navigate multiple levels of social exclusion and marginality, it confers a sense of personhood, uniqueness, and belonging. However, trying to live their multiple cultures authentically presents many challenges. Accordingly, intentional initiatives that are culturally responsive and holistic are critical to support them in navigating this process healthily. Creating safe cultural spaces is proposed as a model of care. The article reports and discusses youth perspectives on what these spaces and the model of care would entail. Full article

Presenteeism, characterized by going to work sick, has become increasingly prevalent in nursing, a profession with high social and interpersonal demands. It is associated with a deterioration of the health of nurses, a reduction in the excellence of care, and a decrease in safety for users. Burnout is related to stress and mental overload and is characterized by exhaustion and fatigue. Objective: To map the evidence on the relationship between presenteeism and burnout in nurses. Methods: A literature review was carried out using the EBSCOHost Research search engine in various databases. Eight studies were selected and analyzed. Results: The studies identify a consistent relationship between burnout and presenteeism in nurses. Emotional exhaustion, resulting from burnout, can lead nurses to go to work despite being ill, due to a sense of responsibility, ethical duty, or organizational pressures. Most studies are cross-sectional, which limits the ability to establish causal relationships and identify specific interventions to reduce burnout-related presenteeism in nursing. Conclusions: It is essential to invest in health management policies for nurses to reduce burnout and minimize the consequences of presenteeism. Full article

The COVID-19 pandemic and its associated lockdowns had widespread psycho-social implications globally. However, the unique experiences of young adults in under-researched rural communities, such as Lonely Park in South Africa’s North West Province, remain poorly documented. This study explores the psycho-social well-being of young adults aged 18–24 in the Lonely Park community during the national COVID-19 lockdown from 23 March 2020 to 30 April 2020, with a particular focus on their emotional, psychological, and social experiences. Using a qualitative, phenomenological design rooted in Bronfenbrenner’s Ecological Systems Theory (EST), data were collected from 14 purposively sampled participants through two focus group discussions. Thematic analysis was conducted following Braun and Clarke’s six-phase framework. Ethical clearance was obtained from the Health Research Ethics Committee, and participants provided informed consent. Two main themes emerged, (1) psychological and (2) social well-being. Six sub-themes were identified: (1) negative emotions linked to lockdown, (2) fear of COVID-19 and its consequences, (3) rumination and anxiety, (4) disruption of social and educational routines, (5) coping strategies, and (6) structural limitations of healthcare and support systems. Participants experienced intense fear, boredom, isolation, and a sense of helplessness. Yet, coping mechanisms such as communication, spirituality, exercise, and adherence to public health regulations provided resilience. Some reported depression and financial strain due to job loss and school disruptions. The findings highlight the complex interplay of psychological, emotional, and social stressors in rural young adults during the pandemic. Policymakers and mental health practitioners must prioritise targeted psycho-social interventions for youth in under-resourced rural settings. A call is made for culturally responsive mental health programmes that incorporate local voices, especially in rural African contexts. Full article

Background: Social determinants of health—including both adversity and socioeconomic position—are known to shape physical health, health-related behaviors, and overall well-being. However, the psychological mechanisms that link these determinants to diverse outcomes remain insufficiently explored across international contexts. Objective: The objective of this study is to test whether sense of mastery and control over one’s life mediates the associations between key stressors (childhood abuse, financial insecurity) and socioeconomic resources (education, employment, and marital status) with a wide range of outcomes spanning health, behaviors, and well-being. Methods: Using cross-sectional data from Wave 1 of the Global Flourishing Study (GFS), we analyzed responses from more than 200,000 adults in 23 countries. Predictors included exposure to childhood abuse, perceived financial insecurity, and indicators of socioeconomic position (education, employment, and marital status). Outcomes included self-rated physical and mental health, depression, anxiety, smoking, drinking, physical activity, life satisfaction, and happiness. Structural equation modeling (SEM) was used to evaluate both direct and indirect (mediated) effects through sense of mastery and control over life. Results: Stressors were associated with poorer health, higher engagement in risk behaviors, and lower well-being. In contrast, higher levels of education, employment, and being married were linked to more favorable outcomes. In all tested models, sense of mastery and control over life significantly mediated the effects of both stressors and socioeconomic resources on health, behaviors, and well-being outcomes. Conclusions: Sense of mastery and control over life may represent key psychological pathways linking both adversity and social advantage to diverse health-related outcomes. Interventions that enhance individuals’ perceived control may offer cross-cutting benefits to improve health, promote well-being, and reduce behavioral risk factors globally. Full article

Background/Objectives: The prevalence of orthorexia nervosa (ON) is increasing over time. Additionally, specific social categories seem to be more affected. In the literature, the prevalence of university students suffering from ON is unclear, ranging from 7% to 83%. Nonetheless, ON shares pathological traits with both eating and obsessive–compulsive disorders, making its etiology and therapeutic perspectives complex. This study aimed to investigate the prevalence of ON and explore its psychological characteristics in a sample of university students. Methods: A total of 205 students from the University of Parma were consecutively recruited using a convenience sampling procedure. Participants completed the Orthorexia Nervosa Questionnaire-15 (ORTO-15) to assess ON, the Eating Disorder Inventory-3 (EDI-3) to investigate eating behavior, the Symptom Checklist-90-Revised (SCL-90-R) to detect psychological symptoms, and the P Stress Questionnaire (PSQ) to describe stress-related lifestyle. Based on the scores obtained on the ORTO-15, a group of orthorexic students (ORTO-15 score ≤ 35) was compared with a group of non-orthorexic students (ORTO-15 score > 35). Results: The prevalence of university students with ON was nearly 42% (specifically, 41.95%). Furthermore, orthorexic students reported significantly higher levels of emotional dysregulation, perfectionism, and asceticism on the EDI-3 as well as affective problems and overcontrol in general. Furthermore, although there were no differences between the groups regarding psychological symptoms, an increase in sense of responsibility, vigor, and hyperactivity, as well as decreased free time on the PSQ, characterized the orthorexic student group. Conclusions: The results support that orthorexia nervosa emerged as a concerning phenomenon among university students, with increasing evidence pointing to its psychological correlates. Nonetheless, the fact that ON shares psychological characteristics with eating disorders highlights the clinical importance of implementing multidimensional assessments and multidisciplinary therapeutic approaches for individuals presenting with orthorexic-type eating behavior disorders. Full article

This study proposes a practical integration of an existing deep learning model (YOLOv9-E) and social participation GIS using multi-source remote sensing data to identify asbestos-containing materials located on the side of a building affected by light occlusions. These objects are often undetectable by traditional vertical or oblique photogrammetry, yet their precise localization is essential for effective removal planning. By leveraging the mobility and responsiveness of citizen investigators, we conducted fine-grained surveys in community spaces that were often inaccessible using conventional methods. The YOLOv9-E model demonstrated robustness on mobile-captured images, enriched with geolocation and orientation metadata, which improved the association between detections and specific buildings. By comparing results from Google Street View and field-based social imagery, we highlight the complementary strengths of both sources. Rather than introducing new algorithms, this study focuses on an applied integration framework to improve detection coverage, spatial precision, and participatory monitoring for environmental risk management. The dataset comprised 20,889 images, with 98% being used for training and validation and 2% being used for independent testing. The YOLOv9-E model achieved an mAP50 of 0.81 and an F1-score of 0.85 on the test set. Full article

For educational leadership that promotes equity, there is evidence of successful leadership practices developed by educational leaders striving for social justice, such as the one planned by Leithwood. Furthermore, training programs for educational leaders seeking to replicate these practices have been dominated by training that encourages educational leaders to focus on learning outcomes without developing a critical–reflective dialogue with the school context, the diversity of educational institutions, and, consequently, with students and their families. In this sense, the objective of the research is to examine the interaction between community members such as directors, teachers and parents in eight educational institutions in the Peruvian jungle and propose a formative theoretical model based on critical and reflective dialogue, based on a review of various theories that have contributed to the formation of a dialogue grounded in indignation and questioning of the context. The methodology follows a mixed approach, with a sample of 136 teachers and 16 key informants, using a validated questionnaire and an in-depth interview as instruments. Data analysis showed low interaction between educational leaders and the community, a disconnect with the curricula, and a low sense of responsibility and commitment, reflected only in administrative compliance. Based on these results and the bibliographic review of general and specific theories, a theoretical model based on critical and reflective dialogue was designed to develop awareness and sensitivity toward education with social justice, for the development of successful educational leadership practices. Full article

As cities globally prioritize sustainable transportation, understanding gender-differentiated responses to the urban built environment is critical for equitable mobility planning. This study combined the Social Ecological Model (SEM) with the theoretical perspective of Gendered Spatial Experience to explore the differentiated impacts of the Perceived Street Built Environment (PSBE) on the cycling behavior of men and women. Questionnaire data from 285 e-bike and traditional bicycle riders (236 e-bike riders and 49 traditional cyclists, 138 males and 147 females) from Gulou District, Nanjing, between May and October 2023, were used to investigate gender differences in cycling behavior and PSBE using the Mann–Whitney U-test and crossover analysis. Linear regression and logistic regression analyses examined the PSBE impact on gender differences in cycling probability and route choice. The cycling frequency of women was significantly higher than that of men, and their cycling behavior was obviously driven by family responsibilities. Greater gender differences were observed in the PSBE among e-bike riders. Women rated facility accessibility, road accessibility, sense of safety, and spatial comfort significantly lower than men. Clear traffic signals and zebra crossings positively influenced women’s cycling probability. Women were more sensitive to the width of bicycle lanes and street noise, while men’s detours were mainly driven by the convenience of bus connections. We recommend constructing a gender-inclusive cycling environment through intersection optimization, family-friendly routes, lane widening, and noise reduction. This study advances urban science by identifying gendered barriers in cycling infrastructure, providing actionable strategies for equitable transport planning and urban design. Full article

Social justice has become the panacea for all types of concerns and issues—providing a sense that all concerns are worthwhile, comprehensive, and matter for today’s world. Thus, developing alternative concepts, ideas, and imaginaries can potentially provide solid grounds for scholars to advance beyond conventional understandings about social justice. Therefore, this manuscript aims to experiment with ethics of care as a conceptual device to disrupt Trumpism, as well as propose alternative worlds where sport, youth/athlete development, and social justice can connect otherwise. Specifically, efforts will be deployed to advance notions concerning sport–social justice in ways beyond our contemporary understandings. The work of feminist theorist and scholar Maria Puig de la Bellacasa (and many other human, non-human and more-than-human entities) is used to situate care as a relational doing. Moving forward, alternative worlds with alternative caring responsibilities matter if youth sport is to continuously thrive for justice. The conventional game of sport–social justice inquiry may have consequences and implications for caring that may be deemed unsustainable and continued sources of oppression. Therefore, caring becomes much more than a fact, a concern, or a concept. It becomes an ontological compromise, an ideal, and an ontological project for scholarly work, which implies a willingness to navigate towards the unknown and unprecedented—potentially our main caring responsibility as scholars. Full article

Bridges are fundamental components of transportation infrastructure, facilitating the efficient movement of people and goods. However, the conservation of heritage bridges introduces additional challenges, encompassing environmental, social, cultural, and economic dimensions of sustainability. This study investigates risk mitigation strategies for a heritage-listed, 120-year-old reinforced concrete bridge in Australia—one of the nation’s earliest examples of reinforced concrete construction, which remains operational today. The structure faces multiple risks, including passage of overweight vehicles, environmental degradation, progressive crack development due to traffic loading, and potential foundation scouring from an adjacent stream. Due to the heritage status and associated legal constraints, only non-invasive testing methods were employed. Ambient vibration testing was conducted to identify the bridge’s dynamic characteristics under normal traffic conditions, complemented by non-contact displacement monitoring using laser distance sensors. A digital twin structural model was subsequently developed and validated against field data. This model enabled the execution of various “what-if” simulations, including passage of overweight vehicles and loss of foundation due to scouring, providing quantitative assessments of potential risk scenarios. Drawing on insights gained from the case study, the article proposes a six-phase Incident Response Framework tailored for heritage bridge management. This comprehensive framework incorporates remote sensing technologies for incident detection, digital twin-based structural assessment, damage containment and mitigation protocols, recovery planning, and documentation to prevent recurrence—thus supporting the long-term preservation and functionality of heritage bridge assets. Full article

The fire at the Notre Dame Cathedral accentuated the sense that this architectural building is a symbol of unity and identity for the population. This symbol extends beyond its French and Christian origins, reflecting the universal nature of cultural heritage, which has the extraordinary ability to unite people across nations, transcending ideologies, religions, and political divisions. The reopening of the Notre Dame Cathedral marks a profound milestone in the preservation of cultural heritage, embodying resilience, restoration, and the enduring significance of shared human history. This research examines the impacts of the restoration of the cathedral at national and global scales through the implementation of questionnaires to visitors to the cathedral’s inauguration. The restoration process, which gained extensive media coverage, not only revived the cathedral’s architectural grandeur but also sparked international discussions about heritage conservation. Through an analysis of the questionnaire results for different factors, this study highlights the complexities of managing a monumental heritage of this magnitude in a globalized world. It reflects the ethical, financial, and social challenges involved in major restoration projects, using Notre Dame as a paradigmatic example. The paper concludes that the reopening of the cathedral is not only a triumph of physical restoration but also a testament to humanity’s resilience in the face of adversity. It serves as a powerful reminder of the importance of safeguarding cultural heritage for future generations while fostering a sense of collective responsibility. Full article

Urbanization is reshaping landscapes and posing unprecedented sustainability challenges, necessitating more integrative approaches to urban observation. This review synthesizes recent advancements in traditional remote sensing and emerging social sensing technologies, emphasizing their convergence within urban science. A systematic thematic analysis of 667 peer-reviewed articles highlights the methodological progress, practical applications, and theoretical innovations arising from this integration. Traditional remote sensing effectively captures urban physical features but lacks insights into human behaviors. Conversely, social sensing, leveraging digital traces from social media and mobile data, introduces essential human-centered dimensions into urban monitoring. The fusion of these complementary paradigms through advanced data analytics and multimodal integration has produced transformative methodologies, enhancing urban resilience frameworks, functional zone delineation, and real-time disaster responses. Despite significant progress, the integration faces persistent challenges, including data heterogeneity, representational bias, ethical concerns, and scalability limitations. Differing from previous reviews that survey the landscape, the current work argues that current integration efforts remain ad hoc and technologically driven, lacking a unifying theory for real-time urban governance. To address this critical gap, I develop and operationalize a new systems-based framework for hybrid urban observatories. This framework is built on a socio-ecological foundation and explicitly integrates technical components with an essential governance layer, advancing both methodological rigor and actionable guidance for the field. Such a framework will enable a more holistic, responsive, and equitable approach to urban governance and sustainability. Full article