Search Results (23,811)

Self-regulated learning (SRL) is a fundamental competence for academic transition and success in higher education, especially in health sciences, where autonomy and learning management are essential. This systematic review analyzed the relationship between SRL, academic performance, and student well-being among undergraduate health sciences students. Following the PRISMA protocol, 39 articles published between 2015 and 2025 on Web of Science, Scopus, and PubMed databases were selected. The consolidated sample consisted of 24,835 participants. The methodological quality of the selected studies was assessed using the Newcastle–Ottawa scale (NOS). A predominantly positive association was found between high levels of SRL and academic performance (GPA) (with correlation coefficients ranging from r = 0.11 to r = 0.55 in the primary studies). Furthermore, evidence from standardized self-report questionnaires in the reviewed literature indicates that several studies report female students showed higher levels of organization and planning, but these findings were not consistently observed across all studies. SRL acts as a key protective factor against stress, anxiety, and academic burnout. However, a “stagnation paradox” was identified: SRL skills do not always evolve linearly, often showing regression or stagnation in advanced clinical years due to the high cognitive load and insufficient support structure in those environments. Regarding sociodemographic variables, female students reported higher levels of planning and responsibility. SRL does not develop spontaneously with academic progress. Therefore, higher-education institutions must implement systematic and intentional pedagogical strategies from the early years of training to foster student well-being and the development of resilient professionals. Full article

Digital stress, the psychological strain from constant connectivity, is a growing challenge, but the research field remains conceptually fragmented. This study aims to (1) map the evolution of digital stress research via bibliometric and scientometric analyses; (2) quantify measurement consistency through a meta-analysis of the Digital Stress Scale (DSS); and (3) synthesize thematic trends to clarify the construct’s boundaries. A multi-method review was conducted, integrating bibliometric analysis of 215 documents (Scopus/WoS), Google Ngram analysis, a random-effects meta-analysis of 10 DSS studies (n = 8572), and a thematic analysis of keyword co-occurrence. Bibliometrics and Ngram analysis show the field is maturing, with publications rising sharply post-2020, distinguishing it from ‘technostress.’ The construct evolved from biomedical/engineering uses to a psychosocial concept linked to ‘social media’ and ‘mental health.’ The meta-analysis found a moderate pooled mean stress level (2.45 on a 1–5 scale, 95% CI: 2.12–2.78), falling within the ‘average’ range of U.S. norms. High heterogeneity (I² = 99.7%) confirmed that cultural and contextual factors significantly moderate stress levels. Thematic analysis identified four key dimensions: conceptual ambiguity, contextual moderators, the digital transformation paradox, and digital well-being. Digital stress is a distinct, multidimensional construct encompassing social-evaluative pressures beyond original technostress models. This review consolidates its theoretical boundaries and confirms the DSS’s psychometric consistency, highlighting digital stress as a critical, context-dependent factor in human adaptation to technology. Full article

Equitable access to sports facilities is essential for promoting residents’ well-being, yet existing studies mostly rely on large spatial analytical units, limiting the ability to identify intra-unit disparities in accessibility and equity. This study develops a building-scale framework for assessing sports facility accessibility from a spatial equity perspective, incorporating building volume-weighted population distribution and quantification of multi-type facility service capacity for precise demand and supply estimation. Taking the Yuexiu District, Guangzhou, as the study area, the study assesses the accessibility of residential buildings using the Gaussian Two-Step Floating Catchment Area (G2SFCA) method and evaluates spatial equity using the Lorenz curve and local Moran’s I. Results indicate a moderate level of equity in overall facility provision (Gini coefficient = 0.288), alongside substantial inter-type disparities, with Gini coefficients ranging from 0.330 to 0.800. Accessibility clusters exhibit pronounced scale variability, ranging from a few buildings to hundreds of buildings, with small clusters embedded within larger clusters of opposite accessibility. These fine-grained patterns are largely obscured in conventional aggregated-unit analyses, underscoring the necessity of building-scale assessment. Results provide a basis for precise allocation of both facility quantity and facility types, supporting efficient decision-making for urban planning and management. Full article

Sustainable human resource management (HRM) has attracted growing attention as a new paradigm for enhancing organizational resilience. However, prior studies mainly examined the effects of individual practices, offering a limited explanation of how organizational resilience emerges as an integrated mechanism. To address this theoretical gap, we conceptualize sustainable HRM as an integral talent management process in which multiple practices operate interdependently and investigate the configurational mechanisms through which organizational resilience is generated in Japanese firms and discuss these from the perspective of socioformation. Based on six analytical dimensions derived from a tertiary literature review, we conducted a crisp-set qualitative comparative analysis (csQCA) using securities report data from 36 listed Japanese companies. The results revealed that organizational resilience is not achieved through a single best practice, but rather points to a new form of integrated human resource management aimed at sustainable value creation. From a socioformation perspective, employees are viewed not merely as productive inputs but as agents capable of continuous development through sustained investment in human potential. From this perspective, sustainable social development cannot be reduced to well-being or inclusion indicators alone but also encompasses ethical, collaborative, territorial, and interdisciplinary dimensions of transformation. The findings clarify the theoretical role of integral talent management in sustainable value creation and provide practical implications for human-centred management. Full article

Background: Immediate prepectoral implant-based breast reconstruction (IBR) following skin-reducing mastectomy (SRM) preserves the pectoralis major muscle, improving recovery and aesthetics. A dual-layer technique combining porcine-derived acellular dermal matrix (ADM) with an inferior autologous dermal sling may enhance implant support, vascularization, and lower-pole stability, particularly in patients with macromastia or ptosis. Methods: This retrospective single-center study included 20 patients (24 breasts) who underwent SRM with immediate prepectoral IBR using the dual-layer technique between January 2023 and May 2025. Demographic, oncologic, and perioperative data were collected prospectively. Complications were classified by severity, and patient-reported outcomes were evaluated using the BREAST-Q scale preoperatively and at 1, 3, 6, and 12 months postoperatively. Statistical analysis included paired t-tests, Shapiro–Wilk tests, and effect size estimation (Cohen’s dz). Results: Mean age was 42 ± 6.3 years and BMI 26.1 ± 3.2 kg/m². Mean mastectomy specimen weight was 432.5 ± 120.8 g, and implant volume 375 ± 60 cc. No reconstruction failures or infections occurred. Early complications were reported in 20.8% of breasts, including superficial nipple–areola complex epidermolysis (8.3%), seroma (4.2%), and hematoma (4.2%), all managed conservatively. At 12 months, BREAST-Q scores improved significantly: satisfaction with breasts increased from 63 ± 8 to 89 ± 11 (p < 0.001); psychosocial well-being from 60 ± 10 to 81 ± 11 (p < 0.001); and physical well-being from 62 ± 7 to 82 ± 10 (p < 0.001). Conclusions: Dual-layer prepectoral reconstruction using porcine ADM and autologous dermal sling is safe, provides durable implant stability, and significantly improves patient satisfaction and quality of life following SRM. Full article

Sports participation is a widely recognized facilitator of physical health, mental well-being, and social inclusion, but persistent and substantial disparities have been observed across socioeconomic groups. Focusing on Japan, this study examined the socioeconomic determinants of sports participation, particularly the roles of gender, age, employment, and caregiving responsibilities. It used nationally representative repeated cross-sectional data to analyze participation rates and annual participation days across multiple sports at the population-segment level, defined by combinations of demographic and social attributes. Results revealed prominent sport-specific gender differences, heterogeneous age effects across sports, significant age–gender interaction effects, and distinctive behavioral changes during the COVID-19 pandemic. During the pandemic, participation in competitive and group sports declined with age, but walking increased among middle-aged and older adults. In addition, constraints in employment and caregiving had limited overall effects but significantly reduced engagement in walking. These findings suggest the crucial influence of the interaction among social roles, life-stage transitions, and historical context, rather than biological sex differences alone, on sports participation patterns, highlighting the urgency of designing sports policies as inclusive social interventions that consider diverse motivations and limitations across population groups. Full article

Eutrophication is a pervasive issue in Mediterranean reservoirs, where external nutrient inputs and internal sediment releases interact to impair water quality and ecological stability. This study assessed the trophic condition of the artificial lake Cuga in Sardinia (Italy), mainly used for irrigation and providing potable water, by integrating watershed nutrient load estimates, inter-lake transfers, and internal phosphorus release. Field campaigns between July 2022 and May 2023 provided bi-monthly measurements of physical, chemical, and biological parameters, complemented by GIS-based land cover analysis and export coefficient modeling to quantify spatial nutrient sources. Additional phosphorus inputs from water transfers with a nearby reservoir were calculated, while internal sediment release was estimated using a calibrated mass balance model. Results revealed high nutrient concentrations, with mean total phosphorus of 128 mg P m⁻³, chlorophyll a averaging 9.9 mg m⁻³, and Secchi depth below 1 m, classifying the reservoir as eutrophic to hypertrophic under OECD and Carlson indices. Spatial loads were dominated by agricultural areas, while inter-lake transfers and internal sediment release contributed substantially to the overall phosphorus budget. The predictive Vollenweider model closely matched the observed conditions, confirming the robustness of the combined approach. Maintaining good ecological status in Mediterranean reservoirs is essential for safeguarding human well-being, as eutrophication degrades drinking-water quality, increases treatment costs, and can promote toxin-producing algal blooms with direct implications for public health. These findings highlight the need for integrated management strategies addressing both external and internal nutrient sources to mitigate eutrophication in Mediterranean reservoirs, which affects the ecosystem functioning and the related human needs and well-being. Full article

Against the background of high-quality development and urban renewal in China, old residential communities have become key areas for improving spatial quality and quality of life. We used the entrance pavilion of Baoshengli North Community as a case study to explore how spatial design and layout can meet residents’ psychological and social needs. Adopting a mixed-methods approach, combining field observation, behavioral mapping, a questionnaire (Total = 105), in-depth interviews, and statistical analysis, a post-occupancy evaluation (POE) was conducted on spatial effectiveness and social functions. The results show that user-oriented spatial design, safety, esthetic quality, and inclusive functions significantly enhance residents’ spatial perception, willingness to use the space, and social interaction. Differentiated spatial preferences and potential conflicts among diverse resident groups were also identified. Targeted design interventions can effectively strengthen the connection between spatial use and subjective perception, and participatory and equitable strategies help promote social harmony and justice. This study enriches the post-occupancy evaluation system for the renewal of old communities from psychological and social dimensions, and provides practical references for user-centered, inclusive, and sustainable public space design in urban renewal practices. One limitation of this study is that data were collected over a single period, which restricts the analysis of seasonal impacts on spatial usage. Full article

This study presents the results of a Proof of Concept developed within the framework of the Amygdala Project, aimed at exploring the relationship between electronic music and emotional well-being among young people with and without a diagnosis of adjustment disorders (anxiety, depression, and distress). The fieldwork was conducted during the live concert of DJ Steve Aoki (Cosquín Rock 2024, Valladolid), combining psychophysiological measurements using Sociograph technology, self-reported questionnaires, and performative and contextual analyses. The results reveal significant differences between the two groups: participants with a diagnosis exhibited a more constant and profound emotional connection, interpreting the experience as a form of “emotional escape” and an opportunity for affective regulation; whereas those without a diagnosis experienced more fluctuating levels of attention and perceived the event primarily as entertainment. The triangulation of biometric, observational, and narrative data suggests that electronic music in collective contexts may operate as a tool for emotional containment and transformation, fostering group cohesion and reducing psychological distress. These findings open new avenues for interdisciplinary research into the biosocial effects of contemporary music and its potential in the design of cultural and educational strategies to promote psychological well-being among young people. Full article

Universities play a strategic role in advancing the Sustainable Development Goals (SDGs) through community engagement, particularly within medical education. This study examines medical students’ involvement in volunteering activities and evaluates how such engagement contributes to SDG 3 (Good Health and Well-being) and SDG 4 (Quality Education). A cross-sectional survey was conducted among 499 students from the Victor Babeș University of Medicine and Pharmacy in Timișoara, using a structured questionnaire assessing perceived community impact, soft skills development, motivation for volunteering, sustainability orientation, and institutional support. Results indicate a high level of availability and prior participation in volunteering, reflecting strong internalization of public health and social responsibility values. While no significant differences were observed between volunteers and non-volunteers regarding perceived community impact (SDG 3), volunteer experience was significantly associated with higher levels of soft skills development and motivation (SDG 4). Strong positive correlations were identified between perceived community impact and motivational, educational, and sustainability related dimensions. The intensity of involvement was modestly associated with sustainability orientation and institutional support. Despite high motivation, students reported limited structured institutional frameworks for sustained engagement. The findings suggest that medical volunteering functions as a dual mechanism, strengthening professional competencies while reinforcing community health orientation. Institutionalizing structured outreach programs, particularly in underserved areas, could enhance long-term impact and align medical education more effectively with the 2030 Sustainable Development Agenda. Full article

This study examines how abusive leadership influences non-green behavior among employees in five-star hotels in Egypt, drawing on Conservation of Resources (COR) theory and the Job Demands–Resources (JD–R) model. Using survey data collected from 400 full-time hotel employees, the study investigates the mediating roles of emotional exhaustion and presenteeism, as well as the moderating role of perceived co-worker support. Partial Least Squares Structural Equation Modeling (PLS-SEM) was employed to test the proposed relationships. The results indicate that abusive leadership increases emotional exhaustion and presenteeism, both of which contribute to higher levels of non-green behavior. Emotional exhaustion mediates the relationship between abusive leadership and non-green behavior, while presenteeism partially mediates the link between abusive leadership and emotional exhaustion. Additionally, perceived co-worker support buffers the negative effect of presenteeism on emotional exhaustion. By integrating COR and JD–R perspectives, this study advances understanding of the psychological mechanisms through which abusive leadership undermines environmentally responsible behavior. The findings offer practical insights for hospitality managers seeking to promote employee well-being and sustainability in high-pressure service environments. Full article

The relationship between economic development and residents’ perceived urban well-being remains an important question in urban research. This study examines whether the relationship between GDP and city-level satisfaction exhibits non-linear patterns or plateau effects. Using the 2024 nationwide Urban Physical Examination (UPE) resident survey in China, this study assesses how city economic level relates to perceived urban well-being, proxied by city-level overall satisfaction. The survey was conducted in April–June 2024 in the main urban districts of 47 cities, using 499,500 valid questionnaires. We aggregate satisfaction to the city level, match it with GDP and key city characteristics, and estimate the GDP–satisfaction association using restricted cubic splines (RCS) to test for potential non-linearity. Across unadjusted and covariate-adjusted models (accounting for population scale and density, industrial structure, fiscal capacity, and regional effects), results show a robust positive association between economic level and satisfaction, while nested-model tests provide no evidence that spline terms improve fit over a linear specification within the observed GDP range. Substantial dispersion around the fitted curve indicates that GDP is an enabling capacity rather than a sufficient condition, pointing to cross-city differences in how effectively resources are converted into lived urban quality. We propose using GDP-adjusted satisfaction benchmarking within the UPE cycle to identify underperforming cities and prioritize targeted governance and renewal actions. Full article

Understanding how family functioning shapes social cohesion in South African communities offers insight into relational dynamics that sustain neighborhood well-being. This convergent parallel mixed-methods study examined associations between family functioning and neighborhood social cohesion in Cape Town. Quantitative data (N = 662) were collected using the Family Functioning Questionnaire and the Neighborhood Social Cohesion Questionnaire. Correlations showed positive associations between family cohesion and trust (r = 0.20), expressiveness and tolerance/respect (r = 0.20), and democratic family style and neighborhood attachment (r = 0.21). Family disengagement showed a small negative association with tolerance/respect (r = −0.11) and a small positive association with practical help (r = 0.17), an unexpected pattern interpreted cautiously. Qualitative interviews (n = 20) provided contextual depth, describing how open communication, shared caregiving, and supportive family networks enhance trust, belonging, reciprocity, and responsibility. Thematic analysis produced five themes spanning cohesion, expressiveness, conflict/disengagement, democratic family functioning, and authoritarian parenting as adaptation. Triangulation indicated that cohesive, expressive, and democratic family processes align with stronger neighborhood connectedness, while conflict and strictness were often described as forms of regulation rather than uniformly harmful. Findings support strengthening family-based interventions, parenting programs, and community policies that reinforce both family well-being and social connectedness. Full article

With the continuous development of the construction industry, work pressure faced by construction workers has been increasing, leading to a growing prominence of job burnout that adversely affects workers’ physical and mental health as well as work efficiency. Constantly exposed to high-pressure environments, construction workers are prone to symptoms such as emotional exhaustion, depersonalization, and diminished personal accomplishment, which in turn impair their work performance and quality of life. However, existing literature has largely overlooked the potential role of leisure activities such as music in alleviating job burnout. Although music is widely recognized as an effective tool for emotional regulation, its application and impact among construction workers remain underexplored. Based on a sample of 1086 construction workers (71.09% male, 48.99% aged 36–45), this study examines four dimensions of music engagement, including Time Commitment (TC), Economic Spending (ES), Emotional Investment (EI), and Personal Participation (PP), and investigates how these dimensions, through the mediating role of leisure crafting (LC), negatively influence job burnout (JB) among this population. This study employed covariance-based structural equation modeling (CB-SEM) with a sample of 1086 construction workers (71.09% male, 48.99% aged 36–45) to examine how four dimensions of music engagement, namely Time Commitment (TC), Economic Spending (ES), Emotional Investment (EI), and Personal Participation (PP), influence job burnout through leisure crafting. The results show that: (1) time commitment, economic spending, emotional investment and personal participation all have a negative influence on job burnout; and (2) leisure crafting mediates the effect of music engagement by construction workers on job burnout. This study emphasizes the necessity of incorporating mental health interventions into high-pressure work environments, providing guidance for companies to develop more flexible and effective employee care and welfare policies. This research therefore holds significant theoretical and practical value, as it promotes sustainable development in the construction industry, improves workers’ well-being and enhances the design of related work environments. Full article

Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease characterized by painful nodules, abscesses, and sinus tracts in apocrine gland-rich areas, leading to significant impairment in patients’ quality of life (QoL). Persistent symptoms affect physical functioning, psychological well-being, social interactions, and intimate relationships. Therefore, validated disease-specific instruments are essential for accurate QoL assessment in different populations. Objective: The aim of this study was to validate the Serbian version of the Hidradenitis Suppurativa Quality of Life Questionnaire (HSQoL-24). Methods: The validation process followed established methodological guidelines for psychometric evaluation. The Serbian HSQoL-24 version demonstrated satisfactory psychometric properties. Internal consistency was excellent, with a Cronbach α of 0.907. Test–retest reliability was confirmed using an intraclass correlation coefficient (ICC) of 0.986 for the total score, demonstrating satisfactory reproducibility over time. A strong positive correlation was observed between the HSQoL-24 and Dermatology Life Quality Index (DLQI) total scores (Spearman’s ρ = 0.806, p < 0.001), confirming good convergent validity, particularly in domains related to symptoms and feelings, occupational or educational functioning, and interpersonal relationships. Moreover, total HSQoL-24 scores increased significantly with disease severity, indicating the questionnaire’s ability to discriminate between patients with different Hurley stages and confirming its discriminant validity. Conclusions: The Serbian version of the HSQoL-24 questionnaire exhibits appropriate internal consistency, test–retest reliability, and convergent and discriminant validity. These results support its use as a reliable and valid disease-specific instrument for assessing QoL in Serbian-speaking patients with HS in both clinical practice and research settings. Full article