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22 pages, 518 KiB  
Article
Staying or Leaving a Shrinking City: Migration Intentions of Creative Youth in Erzurum, Eastern Türkiye
by Defne Dursun and Doğan Dursun
Sustainability 2025, 17(15), 7109; https://doi.org/10.3390/su17157109 - 6 Aug 2025
Abstract
This study explores the migration intentions of university students—representing the potential creative class—in Erzurum, a medium-sized city in eastern Turkey experiencing shrinkage. Within the theoretical framework of shrinking cities, it investigates how economic, social, physical, and personal factors influence students’ post-graduation stay or [...] Read more.
This study explores the migration intentions of university students—representing the potential creative class—in Erzurum, a medium-sized city in eastern Turkey experiencing shrinkage. Within the theoretical framework of shrinking cities, it investigates how economic, social, physical, and personal factors influence students’ post-graduation stay or leave decisions. Survey data from 742 Architecture and Fine Arts students at Atatürk University were analyzed using factor analysis, logistic regression, and correlation to identify key migration drivers. Findings reveal that, in addition to economic concerns such as limited job opportunities and low income, personal development opportunities and social engagement also play a decisive role. In particular, the perception of limited chances for skill enhancement and the belief that Erzurum is not a good place to meet people emerged as the strongest predictors of migration intentions. These results suggest that members of the creative class are influenced not only by economic incentives but also by broader urban experiences related to self-growth and social connectivity. This study highlights spatial inequalities in access to cultural, educational, and social infrastructure, raising important questions about spatial justice in shrinking urban contexts. This paper contributes to the literature on shrinking cities by highlighting creative youth in mid-sized Global South cities. It suggests smart shrinkage strategies focused on creative sector development, improved quality of life, and inclusive planning to retain young talent and support sustainable urban revitalization. Full article
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15 pages, 1685 KiB  
Article
Wildfires and Palm Species Response in a Terra Firme Amazonian Social Forest
by Tinayra T. A. Costa, Vynicius B. Oliveira, Maria Fabíola Barros, Fernando W. C. Andrade, Marcelo Tabarelli and Ima C. G. Vieira
Forests 2025, 16(8), 1271; https://doi.org/10.3390/f16081271 - 3 Aug 2025
Viewed by 186
Abstract
Tropical forests continue to experience high levels of habitat loss and degradation, with wildfires becoming a frequent component of human-modified landscapes. Here we investigate the response of palm species to the conversion of old-growth forests to successional mosaics, including forest patches burned during [...] Read more.
Tropical forests continue to experience high levels of habitat loss and degradation, with wildfires becoming a frequent component of human-modified landscapes. Here we investigate the response of palm species to the conversion of old-growth forests to successional mosaics, including forest patches burned during wildfires. Palms (≥50 cm height) were recorded once in 2023–2024, across four habitat classes: terra firme old-growth stands, regenerating forest stands associated with slash-and-burn agriculture, old-growth stands burned once and twice, and active cassava fields, in the Tapajós-Arapiuns Extractive Reserve, in the eastern Brazilian Amazon. The flammability of palm leaf litter and forest litter were also examined to assess the potential connections between palm proliferation and wildfires. A total of 10 palm species were recorded in this social forest (including slash-and-burn agriculture and resulting successional mosaics), with positive, negative, and neutral responses to land use. Species richness did not differ among forest habitats, but absolute palm abundance was greatest in disturbed habitats. Only Attalea spectabilis Mart. (curuá) exhibited increased relative abundance across disturbed habitats, including active cassava field. Attalea spectabilis accounted for almost 43% of all stems in the old-growth forest, 89% in regenerating forests, 90% in burned forests, and 79% in crop fields. Disturbed habitats supported a five-to-ten-fold increment in curuá leaves as a measure of habitat flammability. Although curuá litter exhibited lower flame temperature and height, its lower carbon and higher volatile content is expected to be more sensitive to fire ignition and promote the spread of wildfires. The conversion of old-growth forests into social forests promotes the establishment of palm-dominated forests, increasing the potential for a forest transition further fueled by wildfires, with effects on forest resilience and social reproduction still to be understood. Full article
(This article belongs to the Special Issue Ecosystem-Disturbance Interactions in Forests)
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32 pages, 17593 KiB  
Review
Responsive Therapeutic Environments: A Dual-Track Review of the Research Literature and Design Case Studies in Art Therapy for Children with Autism Spectrum Disorder
by Jing Liang, Jingxuan Jiang, Jinghao Hei and Jiaqi Zhang
Buildings 2025, 15(15), 2735; https://doi.org/10.3390/buildings15152735 - 3 Aug 2025
Viewed by 255
Abstract
Art therapy serves as a crucial intervention modality for children with autism spectrum disorder (ASD), demonstrating unique value in emotional expression, sensory integration, and social communication. However, current practice presents critical challenges, including the disconnect between design expertise and clinical needs, unclear mechanisms [...] Read more.
Art therapy serves as a crucial intervention modality for children with autism spectrum disorder (ASD), demonstrating unique value in emotional expression, sensory integration, and social communication. However, current practice presents critical challenges, including the disconnect between design expertise and clinical needs, unclear mechanisms of environmental factors’ impact on therapeutic outcomes, and insufficient evidence-based support for technology integration. Purpose: This study aimed to construct an evidence-based theoretical framework for art therapy environment design for children with autism, clarifying the relationship between environmental design elements and therapeutic effectiveness. Methodology: Based on the Web of Science database, this study employed a dual-track approach comprising bibliometric analysis and micro-qualitative content analysis to systematically examine the knowledge structure and developmental trends. Research hotspots were identified through keyword co-occurrence network analysis using CiteSpace, while 24 representative design cases were analyzed to gain insights into design concepts, emerging technologies, and implementation principles. Key Findings: Through keyword network visualization analysis, this study identified ten primary research clusters that were systematically categorized into four core design elements: sensory feedback design, behavioral guidance design, emotional resonance design, and therapeutic support design. A responsive therapeutic environment conceptual framework was proposed, encompassing four interconnected components based on the ABC model from positive psychology: emotional, sensory, environmental, and behavioral dimensions. Evidence-based design principles were established emphasizing child-centeredness, the promotion of multisensory expression, the achievement of dynamic feedback, and appropriate technology integration. Research Contribution: This research establishes theoretical connections between environmental design elements and art therapy effectiveness, providing a systematic design guidance framework for interdisciplinary teams, including environmental designers, clinical practitioners, technology developers, and healthcare administrators. The framework positions technology as a therapeutic mediator rather than a driver, ensuring technological integration supports rather than interferes with children’s natural creative impulses. This contributes to creating more effective environmental spaces for art therapy activities for children with autism while aligning with SDG3 goals for promoting mental health and reducing inequalities in therapeutic access. Full article
(This article belongs to the Special Issue Art and Design for Healing and Wellness in the Built Environment)
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56 pages, 1035 KiB  
Review
Trace Elements—Role in Joint Function and Impact on Joint Diseases
by Łukasz Bryliński, Katarzyna Brylińska, Filip Woliński, Jolanta Sado, Miłosz Smyk, Olga Komar, Robert Karpiński, Marcin Prządka and Jacek Baj
Int. J. Mol. Sci. 2025, 26(15), 7493; https://doi.org/10.3390/ijms26157493 - 2 Aug 2025
Viewed by 423
Abstract
Proper joint function has a significant impact on people’s quality of life. Joints are the point of connection between two or more bones and consist of at least three elements: joint surfaces, the joint capsule, and the joint cavity. Joint diseases are a [...] Read more.
Proper joint function has a significant impact on people’s quality of life. Joints are the point of connection between two or more bones and consist of at least three elements: joint surfaces, the joint capsule, and the joint cavity. Joint diseases are a serious social problem. Risk factors for the development of these diseases include overweight and obesity, gender, and intestinal microbiome disorders. Another factor that is considered to influence joint diseases is trace elements. Under normal conditions, elements such as iron (Fe), copper (Cu), cobalt (Co), iodine (I), manganese (Mn), zinc (Zn), silver (Ag), cadmium (Cd), mercury (Hg), lead (Pb), nickel (Ni) selenium (Se), boron (B), and silicon (Si) are part of enzymes involved in reactions that determine the proper functioning of cells, regulate redox metabolism, and determine the maturation of cells that build joint components. However, when the normal concentration of the above-mentioned elements is disturbed and toxic elements are present, dangerous joint diseases can develop. In this article, we focus on the role of trace elements in joint function. We describe the molecular mechanisms that explain their interaction with chondrocytes, osteocytes, osteoblasts, osteoclasts, and synoviocytes, as well as their proliferation, apoptosis, and extracellular matrix synthesis. We also focus on the role of these trace elements in the pathogenesis of joint diseases: rheumatoid arthritis (RA), osteoarthritis (OA), psoriatic arthritis (PsA), ankylosing spondylitis (AS), and systemic lupus erythematosus (SLE). We describe the roles of increased or decreased concentrations of individual elements in the pathogenesis and development of joint diseases and their impact on inflammation and disease progression, referring to molecular mechanisms. We also discuss their potential application in the treatment of joint diseases. Full article
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23 pages, 1205 KiB  
Article
Uncovering Emotional and Identity-Driven Dimensions of Entertainment Consumption in a Transitional Digital Culture
by Ștefan Bulboacă, Gabriel Brătucu, Eliza Ciobanu, Ioana Bianca Chițu, Cristinel Petrișor Constantin and Radu Constantin Lixăndroiu
Behav. Sci. 2025, 15(8), 1049; https://doi.org/10.3390/bs15081049 - 1 Aug 2025
Viewed by 258
Abstract
This study explores entertainment consumption patterns in Romania, a transitional digital culture characterized by high digital connectivity but underdeveloped physical infrastructure. Employing a dual qualitative coding methodology, this research combines inductive analysis of consumer focus groups with deductive analysis of expert interviews, enabling [...] Read more.
This study explores entertainment consumption patterns in Romania, a transitional digital culture characterized by high digital connectivity but underdeveloped physical infrastructure. Employing a dual qualitative coding methodology, this research combines inductive analysis of consumer focus groups with deductive analysis of expert interviews, enabling a multi-layered interpretation of both overt behaviors and latent emotional drivers. Seven key thematic dimensions, motivational depth, perceived barriers, emotional needs, clarity of preferences, future behavioral intentions, social connection, and identity construction, were analyzed and compared using a Likert-based scoring framework, supported by a radar chart and comparison matrix. Findings reveal both convergence and divergence between consumer and expert perspectives. While consumers emphasize immediate experiences and logistical constraints, experts uncover deeper emotional motivators such as validation, mentorship, and identity formation. This behavioral–emotional gap suggests that, although digital entertainment dominates due to accessibility, it often lacks the emotional richness associated with physical formats, which are preferred but less accessible. This study underscores the importance of triangulated qualitative inquiry in revealing not only stated preferences but also unconscious psychological needs. It offers actionable insights for designing emotionally intelligent and culturally responsive entertainment strategies in digitally saturated yet infrastructure-limited environments. Full article
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12 pages, 277 KiB  
Article
Exploring the Implementation of Gamification as a Treatment Modality for Adults with Depression in Malaysia
by Muhammad Akmal bin Zakaria, Koh Ong Hui, Hema Subramaniam, Maziah Binti Mat Rosly, Jesjeet Singh Gill, Lim Yee En, Yong Zhi Sheng, Julian Wong Joon Ip, Hemavathi Shanmugam, Chow Soon Ken and Benedict Francis
Medicina 2025, 61(8), 1404; https://doi.org/10.3390/medicina61081404 - 1 Aug 2025
Viewed by 162
Abstract
Background and Objectives: Depression is a leading cause of disability globally, with treatment challenges including limited access, stigma, and poor adherence. Gamification, which applies game elements such as points, levels, and storytelling into non-game contexts, offers a promising strategy to enhance engagement [...] Read more.
Background and Objectives: Depression is a leading cause of disability globally, with treatment challenges including limited access, stigma, and poor adherence. Gamification, which applies game elements such as points, levels, and storytelling into non-game contexts, offers a promising strategy to enhance engagement and augment traditional treatments. Our research is the first study designed to explore the implementation of gamification within the Malaysian context. The objective was to explore the feasibility of implementation of gamification as an adjunctive treatment for adults with depression. Materials and Methods: Focus group discussions were held with five mental health professionals and ten patients diagnosed with moderate depression. The qualitative component assessed perceptions of gamified interventions, while quantitative measures evaluated participants’ depressive and anxiety symptomatology. Results: Three key themes were identified: (1) understanding of gamification as a treatment option, (2) factors influencing its acceptance, and (3) characteristics of a practical and feasible intervention. Clinicians saw potential in gamification to boost motivation, support psychoeducation, and encourage self-paced learning, but they expressed concerns about possible addiction, stigma, and the complexity of gameplay for some patients. Patients spoke of gaming as a source of comfort, escapism, and social connection. Acceptance was shaped by engaging storylines, intuitive design, balanced difficulty, therapist guidance, and clear safety measures. Both groups agreed that gamification should be used in conjunction with standard treatments, be culturally sensitive, and be presented as a meaningful therapeutic approach rather than merely as entertainment. Conclusions: Gamification emerges as an acceptable and feasible supplementary approach for managing depression in Malaysia. Its success depends on culturally sensitive design, robust clinical oversight, and seamless integration with existing care pathways. Future studies should investigate long-term outcomes and establish guidelines for the safe and effective implementation of this approach. We recommend targeted investment into culturally adapted gamified tools, including training, policy development, and collaboration with key stakeholders to realistically implement gamification as a mental health intervention in Malaysia. Full article
(This article belongs to the Section Psychiatry)
20 pages, 4472 KiB  
Article
Exploring Scientific Collaboration Patterns from the Perspective of Disciplinary Difference: Evidence from Scientific Literature Data
by Jun Zhang, Shengbo Liu and Yifei Wang
Big Data Cogn. Comput. 2025, 9(8), 201; https://doi.org/10.3390/bdcc9080201 - 1 Aug 2025
Viewed by 179
Abstract
With the accelerating globalization and rapid development of science and technology, scientific collaboration has become a key driver of knowledge production, yet its patterns vary significantly across disciplines. This study aims to explore the disciplinary differences in scholars’ scientific collaboration patterns and their [...] Read more.
With the accelerating globalization and rapid development of science and technology, scientific collaboration has become a key driver of knowledge production, yet its patterns vary significantly across disciplines. This study aims to explore the disciplinary differences in scholars’ scientific collaboration patterns and their underlying mechanisms. Data were collected from the China National Knowledge Infrastructure (CNKI) database, covering papers from four disciplines: mathematics, mechanical engineering, philosophy, and sociology. Using social network analysis, we examined core network metrics (degree centrality, neighbor connectivity, clustering coefficient) in collaboration networks, analyzed collaboration patterns across scholars of different academic ages, and compared the academic age distribution of collaborators and network characteristics across career stages. Key findings include the following. (1) Mechanical engineering exhibits the highest and most stable clustering coefficient (mean 0.62) across all academic ages, reflecting tight team collaboration, with degree centrality increasing fastest with academic age (3.2 times higher for senior vs. beginner scholars), driven by its reliance on experimental resources and skill division. (2) Philosophy shows high degree centrality in early career stages (mean 0.38 for beginners) but a sharp decline in clustering coefficient in senior stages (from 0.42 to 0.17), indicating broad early collaboration but loose later ties due to individualized knowledge production. (3) Mathematics scholars prefer collaborating with high-centrality peers (higher neighbor connectivity, mean 0.51), while sociology shows more inclusive collaboration with dispersed partner centrality. Full article
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19 pages, 481 KiB  
Article
Trust the Machine or Trust Yourself: How AI Usage Reshapes Employee Self-Efficacy and Willingness to Take Risks
by Zhiyong Han, Guoqing Song, Yanlong Zhang and Bo Li
Behav. Sci. 2025, 15(8), 1046; https://doi.org/10.3390/bs15081046 - 1 Aug 2025
Viewed by 204
Abstract
As artificial intelligence (AI) technology becomes increasingly widespread in organizations, its impact on individual employees’ psychology and behavior has garnered growing attention. Existing research primarily focuses on AI’s effects on organizational performance and job design, with limited exploration of its mechanisms influencing individual [...] Read more.
As artificial intelligence (AI) technology becomes increasingly widespread in organizations, its impact on individual employees’ psychology and behavior has garnered growing attention. Existing research primarily focuses on AI’s effects on organizational performance and job design, with limited exploration of its mechanisms influencing individual employees, particularly in the critical area of risk-taking behavior, which is essential to organizational innovation. This research develops a moderated mediation model grounded in social cognitive theory (SCT) to explore how AI usage affects the willingness to take risks. A three-wave longitudinal study collected and statistically analyzed data from 442 participants. The findings reveal that (1) AI usage significantly enhances employees’ willingness to take risks; (2) self-efficacy serves as a partial mediator in the connection between AI usage and the willingness to take risks; and (3) learning goal orientation moderates both the relationship between AI usage and self-efficacy, as well as the mediating effect. This research enhances our understanding of AI’s impact on organizational behavior and provides valuable insights for human resource management in the AI era. Full article
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20 pages, 545 KiB  
Study Protocol
Can Dietary Supplements Be Linked to a Vegan Diet and Health Risk Modulation During Vegan Pregnancy, Infancy, and Early Childhood? The VedieS Study Protocol for an Explorative, Quantitative, Cross-Sectional Study
by Wolfgang Huber-Schneider, Karl-Heinz Wagner and Ingrid Kiefer
Int. J. Environ. Res. Public Health 2025, 22(8), 1210; https://doi.org/10.3390/ijerph22081210 - 31 Jul 2025
Viewed by 178
Abstract
As veganism becomes more popular, the number of vegan pregnant women and children is steadily increasing. During vegan pregnancy and early childhood, there is a high risk for nutrient deficiencies that may impair child development. External factors, such as healthcare advice, social networks, [...] Read more.
As veganism becomes more popular, the number of vegan pregnant women and children is steadily increasing. During vegan pregnancy and early childhood, there is a high risk for nutrient deficiencies that may impair child development. External factors, such as healthcare advice, social networks, and social environments, that affect the diet of vegan pregnant women, parents, and their children, as well as their approach towards dietary supplementation, have not yet been investigated. Various sources of information, combined with a lack of expertise, sparse food and nutritional health literacy, and qualitatively heterogeneous information provision by medical experts, unsettle vegan pregnant women and parents and affect their dietary choices and potentially the health of their children. The VedieS study aims to investigate potential connections between external influences and associated impacts on a vegan diet and the intake of dietary supplements (DS) of pregnant women and children. Two surveys are being conducted within the study: one targeting 1000 vegan pregnant women and parents, and another targeting 60 experts in each of five healthcare groups: gynecologists, pediatricians, general practitioners, pharmacists, and dietitians. This study is the first to examine how socio-economic, social, and further informational factors influence dietary practices during vegan pregnancy and childhood. It highlights the need for reliable, expert-led guidance, as current information sources are often inconsistent and may put these vulnerable groups at risk. Full article
(This article belongs to the Special Issue Holistic Approach to Pregnancy, Childbirth and Postpartum Period)
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9 pages, 159 KiB  
Article
The Mask and the Giant: Shakespearean Acting and Reputation Management
by Darren Tunstall
Humanities 2025, 14(8), 159; https://doi.org/10.3390/h14080159 - 31 Jul 2025
Viewed by 137
Abstract
I use Shakespeare to teach acting to students. A key to my work is impression management: what Shakespeare called reputation. I view the management of reputation as a route into Shakespearean character, which I present to students as a mask attuned to sacred [...] Read more.
I use Shakespeare to teach acting to students. A key to my work is impression management: what Shakespeare called reputation. I view the management of reputation as a route into Shakespearean character, which I present to students as a mask attuned to sacred values. The physical basis from which the actor can discover the mask is what Hamlet calls ‘smoothness’, which I explain with an acting exercise. We discover the force of sacred values by noticing the ubiquity of keywords in the text such as honor, virtue, reason, shame and faith. By holding characters to the fire of their sacred values, I shift the actor’s attention from an individualist idea of authentic representation towards a sense of character as a battleground of mind-shaping. The resulting performance work is scaled up to a more expansive and energized degree than the actor may be used to delivering in a social media-saturated environment in which what is often prioritized is a quasi-confessional self-revelation. The revelation of an inner life then emerges through a committed exploration of antithetical relations, a strategy basic both to mask work and to Shakespeare’s poetics. The actor finds their personal connection to the material by facing the contradiction between the objective standards of behavior demanded of the character and the character’s attempt to control their status, that is, how they are seen. The final value of the performance work is that the actor learns how to manage their reputation so that they come to appear like a giant who is seen from a distance. Full article
27 pages, 1164 KiB  
Review
Physical Literacy as a Pedagogical Model in Physical Education
by Víctor Manuel Valle-Muñoz, María Mendoza-Muñoz and Emilio Villa-González
Children 2025, 12(8), 1008; https://doi.org/10.3390/children12081008 - 31 Jul 2025
Viewed by 432
Abstract
Background/Objectives: Legislative changes in educational systems have influenced how student learning is understood and promoted. In physical education (PE), there has been a shift from behaviorist models to more holistic approaches. In this context, physical literacy (PL) is presented as an emerging [...] Read more.
Background/Objectives: Legislative changes in educational systems have influenced how student learning is understood and promoted. In physical education (PE), there has been a shift from behaviorist models to more holistic approaches. In this context, physical literacy (PL) is presented as an emerging pedagogical model in school PE, aimed at fostering students’ motor competence in a safe, efficient, and meaningful way. The aim of this study is to analyze the origins, foundations, methodological elements, and educational value of PL, highlighting its potential to promote holistic and inclusive learning as the basis for an emerging PL model. Methods: A narrative review was conducted through a literature search in the Web of Science, PubMed, Scopus, and SportDiscus databases up to June 2025, focusing on scientific literature related to PL and PE. The analysis included its historical background, philosophical and theoretical foundations, and the key methodological elements and interventions that support its use as a pedagogical model. Results/Discussion: The findings indicate that the PL model can be grounded in key principles, such as student autonomy, teacher training, connection with the environment, inclusion, and collaboration. Additionally, motivation, enjoyment, creativity, and continuous assessment are identified as essential components for effective implementation. Moreover, this model not only guides and supports teachers in the field of PL but also promotes comprehensive benefits for students at the physical, cognitive, affective, and social levels, while encouraging increased levels of physical activity (PA). Conclusions: PL is understood as a dynamic and lifelong process that should be cultivated from early childhood to encourage sustained and active participation in PA. As a pedagogical model, PL represents an effective tool to enhance student learning and well-being in PE classes. Full article
(This article belongs to the Section Global Pediatric Health)
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30 pages, 3898 KiB  
Article
Application of Information and Communication Technologies for Public Services Management in Smart Villages
by Ingrida Kazlauskienė and Vilma Atkočiūnienė
Businesses 2025, 5(3), 31; https://doi.org/10.3390/businesses5030031 - 31 Jul 2025
Viewed by 213
Abstract
Information and communication technologies (ICTs) are becoming increasingly important for sustainable rural development through the smart village concept. This study aims to model ICT’s potential for public services management in European rural areas. It identifies ICT applications across rural service domains, analyzes how [...] Read more.
Information and communication technologies (ICTs) are becoming increasingly important for sustainable rural development through the smart village concept. This study aims to model ICT’s potential for public services management in European rural areas. It identifies ICT applications across rural service domains, analyzes how these technologies address specific rural challenges, and evaluates their benefits, implementation barriers, and future prospects for sustainable rural development. A qualitative content analysis method was applied using purposive sampling to analyze 79 peer-reviewed articles from EBSCO and Elsevier databases (2000–2024). A deductive approach employed predefined categories to systematically classify ICT applications across rural public service domains, with data coded according to technology scope, problems addressed, and implementation challenges. The analysis identified 15 ICT application domains (agriculture, healthcare, education, governance, energy, transport, etc.) and 42 key technology categories (Internet of Things, artificial intelligence, blockchain, cloud computing, digital platforms, mobile applications, etc.). These technologies address four fundamental rural challenges: limited service accessibility, inefficient resource management, demographic pressures, and social exclusion. This study provides the first comprehensive systematic categorization of ICT applications in smart villages, establishing a theoretical framework connecting technology deployment with sustainable development dimensions. Findings demonstrate that successful ICT implementation requires integrated urban–rural cooperation, community-centered approaches, and balanced attention to economic, social, and environmental sustainability. The research identifies persistent challenges, including inadequate infrastructure, limited digital competencies, and high implementation costs, providing actionable insights for policymakers and practitioners developing ICT-enabled rural development strategies. Full article
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18 pages, 313 KiB  
Article
Outdoor Physical Activity in the Service of Sustainable Development and One Health: The Role of Physical Activity in Shaping Pro-Social and Pro-Environmental Attitudes
by Elżbieta Biernat and Monika Piątkowska
Sustainability 2025, 17(15), 6926; https://doi.org/10.3390/su17156926 - 30 Jul 2025
Viewed by 271
Abstract
Background: This study explores the potential of outdoor physical activity (OPA) to support physical, mental, and social health, while contributing to the One Health strategy. Methods: Based on Eurobarometer 97.3 data, 570 physically active individuals were compared by activity setting using descriptive statistics, [...] Read more.
Background: This study explores the potential of outdoor physical activity (OPA) to support physical, mental, and social health, while contributing to the One Health strategy. Methods: Based on Eurobarometer 97.3 data, 570 physically active individuals were compared by activity setting using descriptive statistics, chi-square tests with odds ratios, and the Mann–Whitney U test. Results: The analysis reveals that OPA is often driven by personal beliefs and a strong connection to nature, yet participants may overlook their environmental and social impact. Conclusions: The findings underscore the need for intersectoral cooperation and civic education to realise OPA’s role in promoting health, inclusion, and sustainability. Full article
(This article belongs to the Section Sustainable Education and Approaches)
45 pages, 770 KiB  
Review
Neural Correlates of Burnout Syndrome Based on Electroencephalography (EEG)—A Mechanistic Review and Discussion of Burnout Syndrome Cognitive Bias Theory
by James Chmiel and Agnieszka Malinowska
J. Clin. Med. 2025, 14(15), 5357; https://doi.org/10.3390/jcm14155357 - 29 Jul 2025
Viewed by 343
Abstract
Introduction: Burnout syndrome, long described as an “occupational phenomenon”, now affects 15–20% of the general workforce and more than 50% of clinicians, teachers, social-care staff and first responders. Its precise nosological standing remains disputed. We conducted a mechanistic review of electroencephalography (EEG) studies [...] Read more.
Introduction: Burnout syndrome, long described as an “occupational phenomenon”, now affects 15–20% of the general workforce and more than 50% of clinicians, teachers, social-care staff and first responders. Its precise nosological standing remains disputed. We conducted a mechanistic review of electroencephalography (EEG) studies to determine whether burnout is accompanied by reproducible brain-function alterations that justify disease-level classification. Methods: Following PRISMA-adapted guidelines, two independent reviewers searched PubMed/MEDLINE, Scopus, Google Scholar, Cochrane Library and reference lists (January 1980–May 2025) using combinations of “burnout,” “EEG”, “electroencephalography” and “event-related potential.” Only English-language clinical investigations were eligible. Eighteen studies (n = 2194 participants) met the inclusion criteria. Data were synthesised across three domains: resting-state spectra/connectivity, event-related potentials (ERPs) and longitudinal change. Results: Resting EEG consistently showed (i) a 0.4–0.6 Hz slowing of individual-alpha frequency, (ii) 20–35% global alpha-power reduction and (iii) fragmentation of high-alpha (11–13 Hz) fronto-parietal coherence, with stage- and sex-dependent modulation. ERP paradigms revealed a distinctive “alarm-heavy/evaluation-poor” profile; enlarged N2 and ERN components signalled hyper-reactive conflict and error detection, whereas P3b, Pe, reward-P3 and late CNV amplitudes were attenuated by 25–50%, indicating depleted evaluative and preparatory resources. Feedback processing showed intact or heightened FRN but blunted FRP, and affective tasks demonstrated threat-biassed P3a latency shifts alongside dampened VPP/EPN to positive cues. These alterations persisted in longitudinal cohorts yet normalised after recovery, supporting trait-plus-state dynamics. The electrophysiological fingerprint differed from major depression (no frontal-alpha asymmetry, opposite connectivity pattern). Conclusions: Across paradigms, burnout exhibits a coherent neurophysiological signature comparable in magnitude to established psychiatric disorders, refuting its current classification as a non-disease. Objective EEG markers can complement symptom scales for earlier diagnosis, treatment monitoring and public-health surveillance. Recognising burnout as a clinical disorder—and funding prevention and care accordingly—is medically justified and economically imperative. Full article
(This article belongs to the Special Issue Innovations in Neurorehabilitation)
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18 pages, 404 KiB  
Article
Long COVID-19: A Concept Analysis
by Sujata Srikanth, Jessica R. Boulos, Diana Ivankovic, Lucia Gonzales, Delphine Dean and Luigi Boccuto
Infect. Dis. Rep. 2025, 17(4), 90; https://doi.org/10.3390/idr17040090 - 29 Jul 2025
Viewed by 252
Abstract
Background/Objectives: In late 2019, the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) caused a pandemic called the ‘coronavirus disease 2019’ (COVID-19). After the acute SARS-CoV-2 infection, many individuals (up to 33%) complained of unexplained symptoms involving multiple organ systems and were diagnosed [...] Read more.
Background/Objectives: In late 2019, the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) caused a pandemic called the ‘coronavirus disease 2019’ (COVID-19). After the acute SARS-CoV-2 infection, many individuals (up to 33%) complained of unexplained symptoms involving multiple organ systems and were diagnosed as having Long COVID-19 (LC-19). Currently, LC-19 is inadequately defined, requiring the formation of consistent diagnostic parameters to provide a foundation for ongoing and future studies of epidemiology, risk factors, clinical characteristics, and therapy. LC-19 represents a significant burden on multiple levels. The reduced ability of workers to return to work or compromised work efficiency has led to consequences at national, economic, and societal levels by increasing dependence on community services. On a personal scale, the isolation and helplessness caused by the disease and its subsequent impact on the patient’s mental health and quality of life are incalculable. Methods: In this paper, we used Walker and Avants’ eight-step approach to perform a concept analysis of the term “Long COVID-19” and define its impact across these parameters. Results: Using this methodology, we provide an improved definition of LC-19 by connecting the clinical symptomology with previously under-addressed factors, such as mental, psychological, economic, and social effects. This definition of LC-19 features can help improve diagnostic procedures and help plan relevant healthcare services. Conclusions: LC-19 represents a complex and pressing public health challenge with diverse symptomology, an unpredictable timeline, and complex pathophysiology. This concept analysis serves as a tool for improving LC-19 definition, but it remains a dynamic disease with evolving diagnostic and therapeutic approaches, requiring deeper investigation and understanding of its long-term effects. Full article
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