Search Results (11)

This study investigates the integration of ChatGPT in Philippine higher education institutions (HEIs) through narrative inquiry, employing Clandinin and Connelly’s three-dimensional framework (temporality, sociality, place) to explore the lived experiences of 18 participants (10 students, 8 faculty). The research identifies three global themes: (1) the need for strong ethical guidelines amid widespread but tacit “silent acceptance” of AI use, (2) faculty efforts to adapt traditional pedagogy while addressing concerns about critical thinking erosion, and (3) strategies to optimize ChatGPT’s utility without exacerbating inequities. Participant narratives reveal divergent adoption patterns: urban stakeholders leverage ChatGPT for efficiency and learning augmentation, while rural counterparts face infrastructural barriers that deepen the urban–rural divide. Students report evolving ethical engagement, from initial dependency to reflective use, whereas faculty grapple with academic integrity and assessment redesign. The findings underscore how cultural resistance, institutional policy gaps, and technological disparities shape ChatGPT’s uneven adoption, reinforcing existing educational inequalities. This study contributes to the literature on AI in education by proposing context-sensitive strategies for equitable integration, including offline AI tools for rural areas, faculty training programs, and transparent policy frameworks. By centering stakeholder narratives, the research advocates for culturally grounded AI adoption that balances innovation with pedagogical integrity, offering a model for Global South contexts facing similar challenges. Full article

Conventional passive ankle foot orthoses (AFOs) have not seen substantial advances or functional improvements for decades, failing to meet the demands of many stakeholders, especially the pediatric population with neurological disorders. Our objective is to develop the first comfortable and unobtrusive powered AFO for children with cerebral palsy (CP), the DE-AFO. CP is the most diagnosed neuromotor disorder in the pediatric population. The standard of care for ankle control dysfunction associated with CP, however, is an unmechanized, bulky, and uncomfortable L-shaped conventional AFO. These passive orthoses constrain the ankle’s motion and often cause muscle disuse atrophy, skin damage, and adverse neural adaptations. While powered orthoses could enhance natural ankle motion, their reliance on bulky, noisy, and rigid actuators like DC motors limits their acceptability. Our innovation, the DE-AFO, emerged from insights gathered during customer discovery interviews with 185 stakeholders within the AFO ecosystem as part of the NSF I-Corps program. The DE-AFO is a biomimetic robot that employs artificial muscles made from an electro-active polymer called dielectric elastomers (DEs) to assist ankle movements in the sagittal planes. It incorporates a gait phase detection controller to synchronize the artificial muscles with natural gait cycles, mimicking the function of natural ankle muscles. This device is the first of its kind to utilize lightweight, compact, soft, and silent artificial muscles that contract longitudinally, addressing traditional actuated AFOs’ limitations by enhancing the orthosis’s natural feel, comfort, and acceptability. In this paper, we outline our design approach and describe the three main components of the DE-AFO: the artificial muscle technology, the finite state machine (the gait phase detection system), and its mechanical structure. To verify the feasibility of our design, we theoretically calculated if DE-AFO can provide the necessary ankle moment assistance for children with CP—aligning with moments observed in typically developing children. To this end, we calculated the ankle moment deficit in a child with CP when compared with the normative moment of seven typically developing children. Our results demonstrated that the DE-AFO can provide meaningful ankle moment assistance, providing up to 69% and 100% of the required assistive force during the pre-swing phase and swing period of gait, respectively. Full article

World Heritage tourism in China regulates conservation approaches employed across natural and built heritage sites. However, focusing on the revenue-generating potential of these sites sustains material authenticity and technical conservation methods. The outcome is a conflict between conservation and commercialization, where socio-cultural values are overshadowed by the process of museumization. Underpinned by critical heritage theory and a focus on intangible heritage, this research seeks to confront this conflict by examining the shifting conservation practice at the Humble Administrator’s Garden (HAG), a World Heritage Site and Classical Garden of Suzhou, China. A mixed-methodological approach explores the interplay between architecture and landscape within its heritage conservation process, utilizing archival research, semi-structured interviews with HAG Management, and visitor journals. The study shows how HAG’s heritage is shaped by visitors’ personal experiences and emotions alongside expert interpretations, resulting in the foregrounding of diverse narratives that contribute to a holistic sense of place. Within its politicized system, the safeguarding of intangible heritage requires constant negotiation among the municipality, the market, and emerging narrators. Attempts to reinterpret its former heritage buildings demonstrate a changing conservation discourse as the site transitions from an exclusive literati estate to a multivocal space of cultural encounter. The study illustrates how a focus on narrative representation unifies architecture and landscape, reimagining centuries of literati culture. This makes conceptual space for considering how conservation management can inform a more holistic narration of ‘place’ at similar World Heritage sites via the foregrounding of previously silent stakeholders. Full article

During the coronavirus (COVID-19) pandemic, we saw significant decreases in the incidence of bloodstream infections (BSIs), antibiotic-resistant infections, and the burden of resistant infections. The reasons for this are complex and multifactorial, but likely, at least in part, due to changes in healthcare delivery and healthcare seeking behavior. As healthcare systems return to pre-pandemic ways of working, now is a pivotal moment to ensure focus remains on what is often referred to as the ‘silent pandemic’: antimicrobial resistance (AMR). The ninth English Surveillance Programme for Antimicrobial Utilization and Resistance (ESPAUR) report provides an overview of the national data on antibiotic prescribing and resistance, antimicrobial stewardship implementation, and awareness activities. The active contribution from and collaboration with the ESPAUR oversight group and the engagement of stakeholder organizations, including the devolved administrations, are also reported. Findings from the ESPAUR report were presented at a webinar on 23 November 2022. Full article

The ‘second phase’ of the energy transition involves large-scale rollout of renewables, raising wider questions about arrangements for the management and ownership of such resources and how costs and benefits should be distributed. Ideas and practices such as ‘community energy’ and ‘prosumption’ capture the potential for more decentralised systems of ownership and control inherent in renewable energy technologies. However, until now, ownership and control of the key biophysical resources (e.g., wind, wave, solar, geothermal) underpinning the transition have received surprisingly little attention, given the potential for wealth creation and issues of justice that underpin their use. This paper explores this issue using the idea of ‘wind rights’, which highlights the numerous social actors who have rights or claims to use and benefit from wind resources. Key among these are landowners who are silently enclosing the ‘windy commons’ to extract ‘wind rents’ from monopoly property rights. This has profound (but undertheorised) distributive and structural ramifications for the energy transition. Despite this, and with some recent notable exceptions, much energy transition research in social science and humanities portrays landowners as taken-for-granted, apolitical, and sometimes marginal (ised) stakeholders. Combining a Marxist, class-based approach to landownership and wind rent with Ostromian institutional analysis, this paper reviews and expands the (predominantly legal) literature on wind rights. This deepens the understanding of the concept of ‘wind rights’, highlighting that in many instances wind resources are de facto privatised/enclosed via ‘proxy wind rights’ for landowners. We also indicate some alternative wind rights configurations, including nationally and commonly managed wind resources. This analysis leads to a consideration of the potential long-term benefits of alternative socially orientated property rights arrangements, including community wind rights or nationalisation of the wind resource. These social wind rights arrangements could play a key role in securing a more just and widely supported transition. Full article

Today’s sustainability challenges have major implications for human health and health care. At the same time, the way health care is organized and conducted has major sustainability implications. Sustainable health and sustainable health care approaches in research, which engage with health and sustainability as intertwined phenomena, feature increasingly prominently in various literatures, i.e., (i) literature based on the premise of ‘(un)healthy environments result in (un)healthy people’ (e.g., planetary health); (ii) literature on the implications of ecological change for the sustainability of healthcare systems; and (iii) literature on healthcare systems’ sustainability in view of a range of socio-economic factors. However, an integrative elaboration of the manifold relationships between health and sustainability challenges in these literatures is currently lacking. This review paper therefore maps how these three literatures represent intertwinements between health and sustainability challenges, as well as their suggestions to address these challenges. In addition, we explore which themes and questions are pertinent, meaning they have remained largely unaddressed. By performing a qualitative mapping review, we find that calls for structural attention to inequality, to in-and exclusion, and to stakeholder needs and perspectives cut across these three literatures. Furthermore, we identify three cross-cutting key questions that require future research attention. First, how do divergent ideas on what is and divergent ideas on how can that be known give rise to different health- and sustainability visions and pathways? Second, what do abstract problem statements and solutions presented in agenda-setting work look like in practice in specific and diverse empirical contexts across the globe? And third, how are diverse health and sustainability dynamics historically and spatially interconnected? Moreover, we observe that some voices have so far remained largely silent in scientific debates on health and sustainability intertwinements, namely non-expert voices such as patients and citizens, voices from a variety of social scientific and humanities disciplines, voices from relevant domains beyond (environmental) health, and voices from the global South (from non-experts, social scientific and humanities researchers and domains beyond health). We conclude that a focus on inclusive and equitable engagement with intertwined health- and sustainability challenges is imperative. This requires moving away from developing universal knowledge to address generic problems, to foregrounding plurality in terms of problem statements, knowledge, solutions, and the values embedded therein. Full article

The nominal group technique (NGT) was developed in the 1970s as a structured brainstorming and multi-stage consensus-building process to solicit feedback from a group of stakeholders on a given topic. The approach was intended as an evaluation method to provide semi-quantitative rank-ordered feedback from group participants. This lecture presents a variation of this technique created by the Harvard team, namely “scenario-based NGT”. The format proposed includes elements of tabletop exercises (scenario with a timeline and discussion phase) as well as elements of traditional NGTs (silent brainstorming and ranking). The technique we developed was based on a case-study approach (“scenario”) which we then tested in two countries (USA and Sweden) with existing P/CVE initiatives at different stages of development. We conducted scenario-based NGT sessions in both locations and then systematically analyzed the results using iterative qualitative coding based on a common framework. Results were analyzed to achieve consensus on the most common system-level challenges and system-level functions, necessary to overcome those challenges, in each location. Full article

In this study, we evaluated corporate environmental activities within the framework of stakeholders’ concerns and taking an emerging economy as the field of study. This paper integrates the stakeholder theory and corporate environmental behavior to develop a model and then tests this model in an emerging economy context. Data were collected through a questionnaire survey from managers operating in a variety of industries in Pakistan. A structural equation modeling technique has been used for data analysis. Results revealed that regulatory bodies are the most significant while media, customers, and activists are insignificant stakeholders. Top management commitment is identified as an important endogenous and exogenous variable. Full article

The city quarter of Savamala, as an integral part of Belgrade, has had a very turbulent development path during the last two centuries. This path included several ups and downs, and culminated in tension over the last decade. Savamala fell into silent oblivion in the 20th century, but succeeded in re-emerging into the focus of the public and interest groups, mainly due to the cultural milieu that developed in this area at the beginning of the 21st century. The cultural vibes of the city quarter attracted various urban actors, who created a new image of Savamala. Eventually, cultural functions started to fade; however, after several years and through vague political decisions, Savamala became the part of the largest construction site in Belgrade, the Belgrade Waterfront. This article highlights the development of Savamala in the 2010s—from a forgotten city quarter to a rising cultural quarter and finally to the ’future centre of the city’. This analysis shows the participation of different stakeholders at different stages of development (their influence, power levels, and the mechanisms they used), as well as the footprints that urban development left in the quarter. Full article

In open innovation initiatives for sustainability-oriented innovations, it is indispensable to have a wide array of engaging stakeholders. Yet, as not all relevant actors are able or willing to participate, important opinions can go unnoticed. Due to such stakeholder selection effects, aspects of high relevance may remain uncaptured. To address this issue, we first define the concept of silent stakeholders and relate it to sustainability-oriented innovations. We then discuss the new approach of employing analytical methods to examine existing sources outside the innovation process for silent stakeholder opinions. For this purpose, we conduct an action research study demonstrating how to examine broad discourse data with text analytics for an open innovation project aiming to create a sustainability-oriented innovation. To this end, we develop an approach for the efficient integration of external sources in open innovation processes. We find that text analytics of broad discourse data can particularly support the orientation and idea generation phase for sustainability-oriented innovation. Furthermore, we identify possibilities for the application of further data mining methods to complement open innovation approaches along the innovation process. Building on that, we propose an integrated framework. Hence, we add to the literature on stakeholder participation, analytical methods and innovation management, as well as sustainability-oriented innovation. Full article

Reformulation of food products to reduce salt content has been a central strategy for achieving population level salt reduction. In this paper, we reflect on current reformulation strategies and consider how consumer behavior determines the ultimate success of these strategies. We consider the merits of adopting a ‘health by stealth’, silent approach to reformulation compared to implementing a communications strategy which draws on labeling initiatives in tandem with reformulation efforts. We end this paper by calling for a multi-actor approach which utilizes co-design, participatory tools to facilitate the involvement of all stakeholders, including, and especially, consumers, in making decisions around how best to achieve population-level salt reduction. Full article