Search Results (307)

Background/Objectives: Despite extensive research on the outcomes faced by parents in contexts of political violence, as well as the protective factors that enhance their well-being, the experiences of single parents by choice (SPCs) in such circumstances have largely been neglected. This study sought to address this gap by examining the experiences of SPCs during the current phase of the Israel–Hamas war that began on 7 October 2023. Method: This qualitative study used a context-informed approach. Semi-structured interviews were conducted with 11 Israeli SPCs (5 fathers and 6 mothers), including 2 displaced due to the destruction of their homes. All participants were secular Jews, predominantly middle- to upper-middle-class, aged 40–58, and had at least one child aged 15 months to 17 years. A thematic analysis method was utilized. Results: Two overarching themes emerged from the interviews, shaping participants’ wartime experiences: (1) the intensified challenges associated with parenting alone in the context of armed conflict and (2) the factors that mediated the impact of these challenges. Three key challenges identified by participants included: (1) persistent perceptions of danger and threat to life; (2) heightened financial insecurity; and (3) significant disruptions to daily routines. Three systemic-level protective factors were identified as instrumental in mitigating these challenges: (1) engagement in joint familial activities; (2) the presence of a supportive work environment; and (3) social and political engagement. These factors appeared to foster resilience and enhance participants’ psychological coping capacities amidst ongoing conflict. Conclusions: By highlighting the distinct stressors faced by SPCs in wartime and the factors mediating their impact on well-being, our findings extend the Stress Process Model to conflict settings, enhancing understanding of how single parenting is contextually shaped during major community crises. The findings may encourage clinicians and social workers to adopt a more nuanced approach when working with parents in conflict zones, enabling them to tailor interventions to the specific needs of different family structures. For SPCs, such interventions may include tele-counseling to provide psychosocial support and guidance for parents in supporting their children, without the need for childcare or travel, as well as advocacy for workplace policies that reduce financial and emotional vulnerabilities. Full article

In the context of economic globalization, robust corporate social responsibility (CSR) serves as a critical source of legitimacy and competitive advantage for multinational enterprises (MNEs). However, institutional and competitive disparities between host and home countries frequently lead overseas subsidiaries of MNEs to deviate from parent company standards by substituting symbolic for substantive CSR practices and thereby creating potential threats to MNEs’ group-wide reputation. Although external stakeholder monitoring is widely recognized, most studies adopt static, dyadic perspectives and thus rarely examine the dynamic interplay between external monitoring and MNEs’ CSR governance. To address this gap, this study constructs a tripartite evolutionary game model involving the parent company, overseas subsidiaries, and external stakeholders, systematically analyzes the evolutionary pathways and the stability of their strategic interactions and uses numerical simulations to identify the conditions for system equilibriums and the influence of key parameters. The findings demonstrate that moderate incentives and penalties from the parent company and active monitoring by external stakeholders significantly promote overseas subsidiaries’ adoption of substantive CSR. This equilibrium becomes more stable when the benefits of substantive CSR increase or its costs decrease for overseas subsidiaries. However, excessive incentive expenditures may weaken the parent company’s willingness to implement strict supervision. Furthermore, information synergies and collaborative governance between the parent company and external stakeholders reduce cross-border supervision and coordination costs, thereby increasing the likelihood of an equilibrium with strict supervision and substantive CSR. By moving beyond conventional static and binary analytical frameworks, this study proposes governance pathways, including optimizing incentive mechanisms, strengthening external stakeholder monitoring, and fostering information synergies, thereby offering new theoretical perspectives and managerial implications for understanding the evolution of CSR behavior in MNEs. Full article

Background: Access to water, sanitation, and hygiene (WASH) services is internationally recognized as a fundamental human right and an essential determinant of health. Yet, many healthcare facilities in sub-Saharan Africa face persistent WASH deficits, undermining safe and effective care delivery. Aim: To explore how water (in)accessibility influences patient healthcare experiences and patient–provider relationships in Yendi Hospital, a major referral facility in northern Ghana. Methods: Using a qualitative design, we gathered data from patients (n = 21), caregivers (n = 11), and nurses (n = 11) through in-depth interviews, participant observation, and a focus group to document their lived experiences and perceptions. We transcribed and inductively coded the data for thematic analysis. Results: Our key findings reveal that water inaccessibility is not solely an infrastructural issue but also a pervasive challenge with profound implications for care delivery. Patients and caregivers often leave the hospital to bathe at home, resulting in missed ward rounds, delayed reviews, and/or refusal of admission. Nurses described how water inaccessibility disrupted clinical routines and strained relationships with patients and caregivers. These dynamics eroded trust, rapport, and professional morale, while exacerbating inequities in healthcare access and outcomes. Conclusions: This study underscores that addressing water challenges in the hospital is imperative not only for infection control but also for fostering equity, patient rights, and institutional resilience. We argue that policy interventions to strengthen WASH systems are urgently required to advance progress toward Sustainable Development Goal 6. Full article

The integration of artificial intelligence (AI) into the Internet of Things (IoT) has revolutionized industries, enabling smarter decision-making through real-time data analysis. However, the inherent complexity and opacity of many AI models pose significant challenges to trust, accountability, and safety in critical applications such as healthcare, industrial automation, and cybersecurity. Explainable AI (XAI) addresses these challenges by making AI-driven decisions transparent and interpretable, empowering users to understand, validate, and act on algorithmic outputs. This paper examines the pivotal role of XAI in IoT development, synthesizing advancements, challenges, and opportunities across domains. Key issues include the computational demands of XAI methods on resource-constrained IoT devices, the diversity of data types requiring adaptable explanation frameworks, and vulnerabilities to adversarial attacks that exploit transparency. By looking at healthcare IoT, predictive maintenance, and smart homes, we can see how XAI bridges the gap between complex algorithms and human-centric usability—for instance, clarifying medical diagnoses or justifying equipment failure alerts. We discuss multiple XAI implementations with IOT, such as lightweight XAI for edge devices and hybrid models combining rule-based logic with deep learning. This paper advocates for XAI as a cornerstone of trustworthy IoT ecosystems, ensuring transparency without compromising efficiency. As IoT continues to shape industries and daily life, XAI will remain essential to fostering accountability, safety, and public confidence in automated systems. Full article

As digital technologies become increasingly integrated into daily life, individuals with intellectual disabilities face both opportunities and risks in virtual environments. Despite widespread internet access and frequent use of digital devices among the general population, many individuals with disabilities continue to experience significant barriers to digital participation. These include difficulties in using technological tools, limited access to devices at home, and challenges in navigating online environments safely and independently. This study investigates the cybersecurity knowledge, risk perception, and privacy practices of 28 university students with mild intellectual disabilities in Spain. Utilizing a validated, accessible self-assessment questionnaire, the research analyzes participants’ understanding of digital threats, self-protective behaviors, and gender-based differences in knowledge and decision-making. Results reveal a generally high awareness of online risks and appropriate use of privacy settings, though inconsistencies in password security and high social media usage persist. Female participants demonstrated slightly higher levels of theoretical knowledge. The findings underscore the urgent need for inclusive, accessible cybersecurity education tailored to cognitive diversity. Promoting digital autonomy and safety through targeted interventions can reduce the digital divide and foster full social participation. This research contributes to the broader discourse on digital inclusion and protection for individuals with disabilities in an increasingly connected world. Full article

Social–emotional competence in early childhood is critical in shaping later academic achievement, interpersonal functioning, and long-term psychosocial development. While prior research has emphasized the importance of parenting practices, limited attention has been paid to how family dynamics and broader ecological interactions jointly contribute to this competence. Grounded in Social–Ecological Systems Theory, the present study investigated the association between family intimacy and preschoolers’ social–emotional competence, with psychological resilience as a mediator and family–preschool interaction as a moderator. A total of 2768 preschoolers aged 3 to 6 years from four provinces in China were assessed through parent-report questionnaires. Regression-based moderated mediation analyses revealed that family intimacy was positively associated with preschoolers’ social–emotional competence, directly and indirectly through psychological resilience. Moreover, family–preschool interaction moderated the pathway between family intimacy and psychological resilience, such that this association was stronger when family–preschool interactions were more frequent. These findings highlight the joint contribution of family relationships, individual strengths, and external developmental contexts to young children’s social–emotional development. Implications include supporting emotionally connected family environments, promoting resilience in early childhood, and strengthening home–preschool partnerships to foster holistic developmental outcomes. Full article

Prehabilitation programs for abdominal pre-operative patients are increasingly recognized for improving surgical outcomes, reducing post-operative complications, and enhancing recovery. Internet of Things (IoT)-enabled human movement monitoring systems offer promising support in mixed-mode settings that combine clinical supervision with home-based independence. These systems enhance accessibility, reduce pressure on healthcare infrastructure, and address geographical isolation. However, current implementations often lack personalized movement analysis, adaptive intervention mechanisms, and real-time clinical integration, frequently requiring manual oversight and limiting functional outcomes. This review-based paper proposes a conceptual framework informed by the existing literature, integrating Digital Twin (DT) technology, and machine learning/Artificial Intelligence (ML/AI) to enhance IoT-based mixed-mode prehabilitation programs. The framework employs inertial sensors embedded in wearable devices and smartphones to continuously collect movement data during prehabilitation exercises for pre-operative patients. These data are processed at the edge or in the cloud. Advanced ML/AI algorithms classify activity types and intensities with high precision, overcoming limitations of traditional Fast Fourier Transform (FFT)-based recognition methods, such as frequency overlap and amplitude distortion. The Digital Twin continuously monitors IoT behavior and provides timely interventions to fine-tune personalized patient monitoring. It simulates patient-specific movement profiles and supports dynamic, automated adjustments based on real-time analysis. This facilitates adaptive interventions and fosters bidirectional communication between patients and clinicians, enabling dynamic and remote supervision. By combining IoT, Digital Twin, and ML/AI technologies, the proposed framework offers a novel, scalable approach to personalized pre-operative care, addressing current limitations and enhancing outcomes. Full article

This study explores the impact of public elderly care services on social participation among rural older adults and examines the underlying mechanisms, providing empirical evidence for improving the rural elderly care system and promoting sustainable development in rural aging societies in China. Using four waves of panel data from the China Longitudinal Aging Social Survey (CLASS) (2014–2020), this research focuses on home- and community-based elderly care services. Employing a two-way fixed-effects model and an instrumental variable approach, the study finds that the accessibility of public elderly care services significantly promotes social participation among rural older adults. This result remains robust after conducting various checks, such as replacing outcome variables, altering measurement methods, and adjusting sample sizes. Heterogeneity analysis reveals that the positive effects are more pronounced among older adults with higher education, those co-residing with adult children, and those in more economically developed regions. The accessibility of public elderly care services primarily facilitates social participation by alleviating labor supply constraints, improving mental health, and strengthening the willingness to engage. The findings suggest that improving the accessibility of public elderly care services can significantly enhance social participation and recommend expanding service coverage as a core strategy to promote active aging in rural areas, with a focus on fostering localized models like rural mutual aid and neighborhood care. Additionally, addressing information asymmetry by establishing “village-level public elderly care information service stations” and creating time banks for mutual aid care at the township level could help foster a virtuous cycle of intergenerational support. Full article

This study explores the artistic experiences of individuals with low vision in creating clay-based artworks at the Pandawa Social Home for Blind Sensory Disabilities in Kudus Regency, Indonesia. The research used a qualitative, descriptive-exploratory design, and fifteen participants with varying levels of visual impairment were involved. Data were obtained through in-depth interviews, observations, and analysis of their clay creations. The findings reveal that clay, with its tactile qualities, serves as an effective medium for creative expression, enabling participants to explore form through touch and pressure. This process supported the development of fine motor skills, creativity, and self-confidence while fostering emotional well-being and social interaction. Participants relied on memory, imagination, and sensory perception to produce artworks that held personal and aesthetic meaning, despite differing from conventional visual standards. The study underscores the therapeutic benefits of clay art and highlights the crucial role of supportive environments—families, educators, and art communities—in nurturing creativity and enhancing the quality of life for individuals with visual impairments. The limitations of this study include its small sample size, its single-institution approach, and its focus on clay. Future research should expand the participant pool, explore other accessible art media, and examine the long-term impact on psychosocial development. Full article

The global construction industry faces significant environmental and social sustainability challenges that hinder its alignment with the United Nations Sustainable Development Goals (SDGs). This study investigates the impact of country-level corruption and trade tariffs, and the moderating role of Intellectual Property Rights (IPR) protection, on construction firm SDG engagement. A quantitative analysis was conducted using an original dataset of 195 observations of construction firms across 31 countries collected from 2003 to 2022, with SDG engagement scores derived from public sources and country and institutional data from the World Bank and the Heritage Foundation. Ordinal logistic regression tested the direct and moderated effects of corruption, tariffs, and IPR on SDG engagement, controlling for other variables. The findings reveal that higher perceived home-country corruption and higher home-country tariffs are significantly and negatively associated with company SDG engagement scores. Stronger home-country IPR protection was found to weaken the negative impact of corruption and enhance the positive effects of lower tariffs on SDG engagement. Finally, the results highlight that institutional environments have a critical role in shaping firms’ sustainability actions, suggesting that effective governance, an open trade perspective, and intellectual property protection are key enablers of corporate SDG alignment. These findings contribute to the literature by providing evidence of how institutional quality can foster responsible business strategies in the construction industry and offer practical insights for policymakers seeking to reduce barriers to sustainable development. Full article

The ecological self is a core competence in social work education. This study aims to deepen the understanding of sustainability for social work students through rural fieldwork in China. Based on home visits with grassland families in Inner Mongolia, the research employed immersive engagement with nature and communities to foster ecological humility and responsibility among social work students. Findings show that students developed a multidimensional view of sustainability, integrating health practices shaped by the environment, women’s roles in maintaining family’ ecological resilience, and kinship metaphors derived from human–animal relations. The study concludes that the ecological self enables a deeper, relational interpretation of sustainability, moving beyond technocratic approaches toward embodied, context-sensitive, and intergenerationally conscious practice. It underscores the need to embed ecological consciousness in social work fieldwork training to strengthen both professional identity and transformative engagement with sustainable development. Full article

The “summer slide,” the well-documented tendency for students to lose academic skills during the extended summer break, remains a persistent challenge for educational equity and achievement. Although traditional summer school programs can mitigate these losses, an emerging body of research suggests that summer book distribution initiatives, which provide students with free, high-quality books to read at home, represent a cost-effective and scalable alternative. This study presents results from a quasi-experimental evaluation of Kids Read Now (KRN), an at-home reading program designed to sustain elementary students’ literacy engagement over the summer months. The program’s central feature is the delivery of nine free books directly to students, supported by school-based components that foster home–school connections and promote shared reading between parents and children. Across two districts, five schools, four grade levels (1–4), and 110 KRN and 156 comparison students, we used propensity score matching and doubly robust regression analyses, indicating that KRN participants outperformed their non-participating peers, with an average effect size of nearly d = 0.15. Further, two-stage least squares regression analyses revealed that students who benefited from all nine books achieved an effect size of d = 0.21. These impact estimates correspond to approximately two months of additional learning for the average participant and more than three months for full participants. Collectively, the results contribute to a growing evidence base indicating that book distribution programs are an effective and sustainable means of mitigating summer learning loss and promoting continued growth in reading achievement. Full article

Background: Older adults are highly vulnerable to infectious diseases due to immunosenescence, multimorbidity, and atypical presentations. Artificial intelligence (AI) offers promising opportunities to improve diagnosis, prognosis, treatment, and continuity of care in this population. This review summarizes current applications of AI in the management of infections in older adults across diagnostic, prognostic, therapeutic, and preventive domains. Methods: We conducted a narrative review of peer-reviewed studies retrieved from PubMed, Scopus, and Web of Science, focusing on AI-based tools for infection diagnosis, risk prediction, antimicrobial stewardship, prevention of healthcare-associated infections, and post-discharge care in individuals aged ≥65 years. Results: AI models, including machine learning, deep learning, and natural language processing techniques, have demonstrated high performance in detecting infections such as sepsis, pneumonia, and healthcare-associated infections (Area Under the Curve AUC up to 0.98). Prognostic algorithms integrating frailty and functional status enhance the prediction of mortality, complications, and readmission. AI-driven clinical decision support systems contribute to optimized antimicrobial therapy and timely interventions, while remote monitoring and telemedicine applications support safer hospital-to-home transitions and reduced 30-day readmissions. However, the implementation of these technologies is limited by the underrepresentation of frail older adults in training datasets, lack of real-world validation in geriatric settings, and the insufficient explainability of many models. Additional barriers include system interoperability issues and variable digital infrastructure, particularly in long-term care and community settings. Conclusions: AI has strong potential to support predictive and personalized infection management in older adults. Future research should focus on developing geriatric-specific, interpretable models, improving system integration, and fostering interdisciplinary collaboration to ensure safe and equitable implementation. Full article

Pacific youth in Aotearoa New Zealand are culturally diverse and deeply rooted in their families and communities. Despite facing socioeconomic inequities, systemic barriers, and limited decision-making opportunities, they maintain a positive perception of health and actively contribute to collective wellbeing. This paper explores the strengths of Pacific youth and how these can be harnessed to mobilise community wellbeing and transformative change. Using Pacific research methodologies—lalaga (weaving) and talanoa—we integrate findings from three key sources: the Talavou o le Moana Pacific Youth19 Report (quantitative data from 1130 Pacific youth), the Pacific Youth Home and Family Brief (open-text responses on family life), and insights from a panel of Pacific policy, research, and community experts presented in a webinar. These resources were reviewed and woven together by a team of three Pacific practitioners and one New Zealand European researcher, all with backgrounds in youth health, social work, and Pacific education. The lalaga reveals Pacific youth’s collective strength, cultural identity, and deep sense of responsibility. Their resilience and leadership, even amid adversity, highlight the urgent need for culturally grounded, youth-led, and community-responsive approaches. Empowering Pacific youth as agents of change is essential for fostering holistic wellbeing and transformative futures. Full article

Through two case studies from India and the United States, we explore how educational policies and standards focused on multilingualism are interpreted and enacted within early childhood education classrooms. Recent education policies in both contexts are aimed at fostering culturally responsive and linguistically inclusive pedagogy for greater academic success for students whose home language(s) differs from the language of instruction. However, the policy implementation varies significantly based on educators’ language ideologies and cultural beliefs. We examine a critical gap between policy intentions and classroom realities. Our findings suggest that while broad educational policies provide important frameworks, their effectiveness relies upon educators’ interpretation and beliefs, highlighting a need for clearer guidelines to better implement policy to enhance emergent multilingual learners’ language acquisition. Full article