Search Results (4,885)

Physical activity (PA) integration in special education has gained recognition as a neuroeducational intervention supporting emotional and social development in students with special educational needs and disabilities (SEND), yet teacher perceptions remain underexplored. This cross-sectional study examined how Israeli special education teachers perceive physical activity’s benefits and how teaching experience and educational setting influence these perceptions. A structured questionnaire was administered to 45 female special education teachers from northern Israel. The instrument assessed perceptions of physical activity’s emotional benefits, social outcomes, and implementation practices using Likert-type scales. Teachers strongly endorsed PA as a means to foster emotional resilience and coping, with most preferring group-based activities. Mixed activities were the most preferred approach, followed by movement games. Experienced teachers reported significantly stronger perceptions of emotional benefits compared to less experienced colleagues. Secondary teachers demonstrated higher extracurricular promotion and perceived greater social benefits than elementary teachers. Despite positive attitudes, implementation barriers, including infrastructure limitations and training gaps, were evident. These findings highlight physical activity’s potential as a neuroeducational tool for fostering regulation and inclusion while revealing the need for differentiated professional development, infrastructure investment, and policy integration. Full article

This study examines the transformation of literary translation practices in Georgia from the Soviet era to the post-Soviet and neoliberal periods, using postcolonial translation theory as the main analytical lens. Translation is treated not merely as a linguistic transfer but as a process shaped by ideological control, cultural representation, and global power hierarchies. In the Soviet era, censorship policies rooted in socialist realism imposed direct ideological interventions; children’s literature such as Maya the Bee and Bambi exemplified how religious or individualist themes were replaced with collectivist narratives. In the post-Soviet period, overt censorship has largely disappeared; however, structural factors—including the absence of a coherent national translation policy, economic precarity, and dependence on Western funding—have become decisive in shaping translation choices. The shift from Russian to English as the dominant source language has introduced new symbolic hierarchies, privileging Anglophone literature while marginalizing regional and non-Western voices. Drawing on the Georgian Book Market Research 2013–2015 alongside archival materials, paratextual analysis, and contemporary case studies, including the Georgian translation of André Aciman’s Call Me By Your Name, the study shows how translators negotiate between market expectations, cultural taboos, and ethical responsibility. It argues that translation in Georgia remains a contested site of cultural negotiation and epistemic justice. Full article

This study investigates the sustainable livelihoods of households in the coastal forest regions of Quang Tri Province, Vietnam, focusing on identifying the key factors that shape household resilience in the face of socio-economic and environmental challenges. Although the sustainable livelihoods approach is widely established in research, this study differentiates itself by applying a multivariate analysis to explore the relative impacts of various livelihood capitals—human, physical, financial, social, and environmental—specifically within the context of coastal forest ecosystems, a relatively under-researched area in Vietnam. The research identifies both factors affecting livelihood outcomes, emphasizing the role of community resources, seasonal fluctuations, and adaptation strategies. Additionally, the study highlights how environmental changes and natural resource constraints are more detrimental to livelihoods in these regions compared to other rural settings. Through these insights, this paper contributes to the growing body of literature by offering a nuanced understanding of how coastal forest communities can navigate the pressures of climate change, market volatility, and limited resources. The findings underscore the importance of enhancing adaptive capacity and crafting targeted policy interventions to support vulnerable households in the region. This study also highlights the limitations of existing research, emphasizing the need for future studies to integrate the complex interplay of environmental, social, and economic factors in coastal ecosystems. Full article

Vector-borne parasitic diseases (VBPDs), including malaria, schistosomiasis, leishmaniasis, Chagas disease, African trypanosomiasis, lymphatic filariasis, and onchocerciasis, impose a significant global health burden. This study analyzes the global disease burden of VBPDs from 1990 to 2021 using Global Burden of Disease (GBD) 2021 data and projects trends to 2036. Metrics include prevalence, deaths, disability-adjusted life years (DALYs), and age-standardized rates (ASRs) across regions, sexes, age groups, and Socio-demographic Index (SDI) levels. Key findings reveal persistent disparities: malaria dominated the burden (42% of cases, 96.5% of deaths), disproportionately affecting sub-Saharan Africa. Schistosomiasis ranked second in prevalence (36.5%). While African trypanosomiasis, Chagas disease, lymphatic filariasis, and onchocerciasis declined significantly, leishmaniasis showed rising prevalence (EAPC = 0.713). Low-SDI regions bore the highest burden, linked to environmental, socioeconomic, and healthcare access challenges. Males exhibited greater DALY burdens than females, attributed to occupational exposure. Age disparities were evident: children under five faced high malaria mortality and leishmaniasis DALY peaks, while older adults experienced complications from diseases like Chagas and schistosomiasis. ARIMA modeling forecasts divergent trends: lymphatic filariasis prevalence nears elimination by 2029, but leishmaniasis burden rises across all metrics. Despite overall progress, VBPDs remain critical public health threats, exacerbated by climate change, drug resistance, and uneven resource distribution. Targeted interventions are urgently needed, prioritizing vector control in endemic areas, enhanced surveillance for leishmaniasis, gender- and age-specific strategies, and optimized resource allocation in low-SDI regions. This analysis provides a foundation for evidence-based policy and precision public health efforts to achieve elimination targets and advance global health equity. Full article

Substance use during pregnancy is an increasingly important yet under-recognized threat to maternal and child health. This narrative review synthesizes the current evidence available on the epidemiology, pathophysiology, clinical management, and policy landscape of prenatal exposure to alcohol, tobacco, opioids, benzodiazepines, cocaine, cannabis, methamphetamines, and other synthetic drugs. All major psychoactive substances readily cross the placenta and can remain detectable in breast milk, leading to a shared cascade of obstetric complications (hypertensive disorders, placental abruption, pre-term labor), fetal consequences (growth restriction, structural malformations), and neonatal morbidities such as neonatal abstinence syndrome and sudden infant death. Mechanistically, trans-placental diffusion, oxidative stress, inflammatory signaling, and placental vascular dysfunction converge to disrupt critical neuro- and cardiovascular developmental windows. Early identification hinges on the combined use of validated screening questionnaires (4 P’s Plus, CRAFFT, T-ACE, AUDIT-C, TWEAK) and matrix-specific biomarkers (PEth, EtG, FAEE, CDT), while effective treatment requires integrated obstetric, addiction, and mental health services. Medication for opioid use disorders, particularly buprenorphine, alone or with naloxone, confers superior neonatal outcomes compared to methadone and underscores the value of harm-reducing non-punitive care models. Public-health strategies, such as Mexico’s “first 1 000 days” framework, wrap-around clinics, and home-visiting programs, demonstrate the potential of multisectoral interventions, but are hampered by structural inequities and punitive legislation that deter care-seeking. Research gaps persist in polysubstance exposure, culturally tailored therapies, and long-term neurodevelopmental trajectories. Multigenerational, omics-enabled cohorts, and digital longitudinal-care platforms represent promising avenues for closing these gaps and informing truly preventive perinatal health policies. Full article

Autonomous public transport (APT) is revolutionizing urban mobility by integrating advanced technologies, including electric autonomous buses and shared autonomous vehicles (SAVs). This paper examines the historical evolution of APT, from early automation efforts in the 1920s to the deployment of autonomous shuttles in contemporary cities. It highlights technological milestones, legislative developments, and shifts in public perception that have influenced the adoption of APT. The research identifies key benefits of APT, including enhanced road safety, reduced greenhouse gas emissions, and improved cost-efficiency in public transport operations. Additionally, the environmental potential of SAVs to reduce traffic congestion and emissions is explored, particularly when integrated with renewable energy sources and sustainable urban planning. However, the study also addresses significant challenges, such as handling emergencies without human intervention, rising cybersecurity threats, and employment displacement in the transportation sector. Social equity concerns are also discussed, especially regarding access and the risk of increasing urban inequality. This paper contributes to the broader discourse on sustainable mobility, transportation innovation, and the future of smart cities by providing a comprehensive analysis of both opportunities and obstacles. Effective policy frameworks and inclusive planning are essential for the successful implementation of APT systems worldwide. Full article

Despite the increased research on violence toward teachers and public policies aimed at protecting teachers from violence, knowledge of the factors contributing to teachers’ sense of safety at school remains limited. Drawing from socioecological theory, we examined the contributions of both teachers’, parents’, students’, and schools’ characteristics to teachers’ sense of feeling unsafe in school. Specifically, we examined teachers’ individual and work characteristics (sex, age, years of experience, and working in the regular classroom or not), their perceptions of school violence, and their relationships with students and their peers. At the school level, we examined the school size, poverty level, and school-level reports of parents’, students’, and teachers’ perception of the school climate and school violence. The sample consisted of 9625 teachers (73% female), 126,301 students, and 56,196 parents from 2116 schools with a low socioeconomic status in Chile. Descriptive statistics showed that most teachers do not feel afraid (72.9%) nor thought that their job was dangerous (74.6%). A hierarchical multivariate regression analysis and multilevel analyses showed that teachers with higher perceptions of feeling unsafe were females or reported being “other sex”, had fewer years of experience, worked mainly in the classroom, perceived a higher level of school violence, and had worse perceptions of peer relationships and teacher–student relationships. These teachers were mostly in schools with higher poverty levels, larger enrollment, and higher student-reported and parent-reported school violence compared to the rest of the sample of low-SES Chilean schools. We discuss the implications of these findings for preventive school interventions and programs regarding school violence and teacher turnover. Full article

Rapid population aging in developing countries has intensified demand for accessible nursing home services, yet spatial disparities in service distribution remain insufficiently examined in secondary cities. This study investigates spatial distribution and multi-dimensional accessibility of nursing homes in Kunming, China, using comprehensive spatial analytical methods to inform sustainable urban development. We analyzed 205 nursing homes with 47,600 beds, evaluating spatial distribution patterns, economic accessibility, and spatial accessibility across different transportation modes. Our analysis reveals a pronounced monocentric pattern with nursing resources concentrated within central urban districts, creating a “primary core-multiple satellite” structure and spatial mismatch between service supply and older adult population needs. A distinct institutional dichotomy exists between publicly and privately operated facilities, establishing a dual-track system with different accessibility implications for social equity. Economic accessibility analysis demonstrates significant barriers in central urban and tourism-oriented districts dominated by higher-priced private facilities, where minimum prices frequently exceed average monthly pension. Spatial accessibility remains inadequate across all transportation modes, with only 24.3% of communities achieving normal or higher accessibility via private car, 21.5% via public bus, and merely 13.9% via walking. These limitations primarily stem from insufficient service capacity (34 beds per 1000 older adults) relative to demographic needs rather than transportation constraints. We recommend three sustainable interventions: implementing demand-based planning mechanisms, establishing progressive pricing policies, and developing older adult-friendly transportation networks. This framework supports sustainable urbanization by promoting spatial equity and efficient resource allocation, providing valuable insights for secondary cities pursuing sustainable development goals. Full article

Black Canadians are one of the fastest-growing groups in Canada, with 59% of this population comprising immigrants. Ongoing systemic racism and discrimination have serious consequences for the mental health of Black Canadians. While research and policy efforts to address the mental health needs of this population are ongoing, a greater understanding of the healing practices relevant to this diverse population is needed. This scoping review synthesized and discussed key features of culturally inclusive, affirming, and contextually relevant approaches and practices for mental health care and healing with Black Canadians, as well as identified limitations and gaps in the current research. This study followed the PRISMA guidelines for scoping reviews and conducted a search in PsycINFO, MEDLINE, Embase, SocINDEX, CINAHL, Sociological Abstracts, and Global Health in October 2023. A total of 34 articles met the inclusion criteria. The review identified that most studies were conducted in one Canadian province (i.e., Ontario) and involved diverse perspectives, including service users and providers. The thematic review of articles revealed limited research regarding specific interventions, but identified many commonly reported features of culturally and contextually relevant approaches to mental health care and healing for Black Canadians that broaden the scope of mental health care beyond Euro-Western clinical models, including taking a holistic and empowerment-based approach, engaging in culturally affirming care, a social justice approach, community-centred and collaborative healing, and the necessity of practitioner education. Recommendations for practice, policy, education, and research are provided to support more inclusive and responsive mental health care systems for Black Canadians. Full article

Intelligence, academic achievement and an unfavorable discrepancy between them (i.e., underachievement) have been proposed to influence students’ subjective well-being. However, previous research on these effects remains scarce and inconsistent. The present study examined the associations between said variables in a sample of 695 fifteen-year-old students in Germany, differentiating between those with and without a migration background. Our findings unexpectedly revealed that students with a migration background reported higher life satisfaction than those without a migration background. Intelligence was unrelated to life satisfaction, regardless of migration background. Academic achievement, measured by the grade point average, was positively associated with life satisfaction among students without a migration background but showed no such relationship in students with a migration background. Segmented regression analyses further indicated that an unfavorable discrepancy between IQ and grade point average, reflecting underachievement, was associated with lower life satisfaction among students with a migration background but not among those without. These findings partially challenge previous research and theoretical assumptions. We discuss the theoretical and practical implications of our findings for educational policy and emphasize the importance of targeted interventions to address underachievement in students with a migration background. Our findings suggest that poor academic performance can have a particular impact on well-being in this group. Accordingly, interventions aimed at reducing the achievement gap of those students should not only target cognitive and academic skills but also promote emotional support, cultural inclusion and social integration in the school environment. Full article

Urban blight and litter are twin issues that significantly affect the quality of life in city neighborhoods. This paper investigates the relationship between blight and litter, commonly overlooked in urban studies literature. We measure the prevalence of blight and litter across block groups in our mapping with a focus on socioeconomic factors, including income levels, crime rates, and land use types (industrial, commercial, and residential) for our case study, Memphis, Tennessee. Using statistical and spatial analytics, as well as data from the Memphis Data Hub and the City of Memphis, we show the prevalence of blight and litter across block groups. GIS was used to map neighborhood-specific blighted structures and their spatial connection to litter accumulation. We also explore the distribution of blight and litter across different land uses. A Pearson correlation value of 0.639 suggests a strong positive relationship between blight and litter at the block group level. Spatial clustering is assessed by Global Moran’s Iand Local Moran’s I, identifying neighborhood-level hotspots. The block group is used as the unit of analysis to capture micro-spatial variation and to enable meaningful equity-based insights at the neighborhood level. Our mapping offers practical insights into urban revitalization strategies in deference to per capita income, crime rate, and land use. The findings contribute to urban policy discussions by promoting the joint consideration of blight and litter, helping guide future community-based interventions aimed at alleviating the negative impacts of blight and litter, particularly in disadvantaged neighborhoods. Full article

The steady escalation of surface-level ozone (O₃) concentrations has become a major atmospheric pollution issue in China, with considerable implications for public health. This research systematically examines the spatial and temporal patterns of O₃ levels within the Yangtze River Delta region, spanning 2015–2019. Additionally, it evaluates how both prolonged and brief periods of O₃ exposure influence mortality risks—including all-cause deaths as well as fatalities linked to cardiovascular and respiratory conditions. The results indicate that: (1) From 2015 to 2019, surface O₃ levels in the YRD showed a steady upward trend. The yearly average AVGDMA8 concentration climbed from 76.6 ± 17.5 μg/m³ to 89.7 ± 6.3 μg/m³, while the 4DMA8 values jumped from 171.4 ± 33.9 μg/m³ to 187.6 ± 17.6 μg/m³, with an average annual increase of 2.9 ± 3.5 μg/m³. (2) Between 2015 and 2019, long-term exposure to AVGDMA8 O₃ concentrations was linked to an estimated 35,806 (95% CI: 18,130–69,540) all-cause deaths, 22,058 (95% CI: 7580–42,270) cardiovascular deaths, and 6656 (95% CI: 0–14,000) respiratory deaths across cities in the YRD. In addition, short-term exposure to 4DMA8 O₃ led to 30,075 (95% CI: 16,550–43,600) all-cause premature deaths, 14,137 (95% CI: 5330–22,710) cardiovascular deaths, and 5448 (95% CI: 2840–8129) respiratory deaths. These results offer support for evaluating the impacts of O₃ pollution policy and refining health intervention approaches in the YRD. Full article

Digital interventions are widely promoted as levers of institutional change, yet their effects often prove fragile. We examine why some interventions persist while others fade. Using crisp-set Qualitative Comparative Analysis (csQCA) on 13 large-scale cases from India and abroad, we identify the configurations of conditions under which digital systems become self-sustaining. We conceptualise persistence as a shift in the Nash equilibrium: when incentives realign, the new behaviour maintains itself without continuing external push. The analysis shows that software openness is neither necessary nor sufficient for durable change. Instead, six non-technological conditions—regulatory enablement, a credible revenue model, substantial scale, a clearly targeted systemic barrier, presence of enabling prerequisites, and sufficient time—are each necessary and, in combination, sufficient for an equilibrium shift; no single condition is enough on its own. Successful cases (e.g., Aadhaar, UPI, Chalo, Swiggy) meet these conditions in combination, whereas others (e.g., ONDC, DIKSHA, ICDS-CAS) illustrate how missing elements limit institutional embedding. The paper contributes a theory-informed diagnostic that links game-theoretic stability to configurational evaluation and provides practical “if–then” decision rules for appraisal. We argue that policy and investment decisions should prioritise incentive-compatible ecosystems over software attributes, and judge success by whether interventions reconfigure the rules of the game rather than by short-term uptake. This perspective clarifies when digital systems can contribute to sustainable, inclusive institutional transformation. Full article

Background/Objectives: Accurate knowledge of the energy (calorie) value of foods is important for food labeling, food policy, and diet planning to support health. Virtually no data are available on the energy values of chickpeas and lentils,—two pulses that help control blood glucose and body weight. The objective of this study was to measure the metabolizable energy value of chickpeas and lentils when fed as part of a diet and compare those values to Atwater values. Methods: A randomized controlled crossover intervention was conducted to measure the energy value of chickpeas and lentils in humans (n = 18). Total 7-day fecal and urine collections were conducted after a 10-day adaptation to the controlled diet. Results: The metabolizable energy (ME) of the chickpeas is 515 ± 17 kJ/serving (123 ± 4 kcal/serving) (serving mass = 85.5 g), which is 10.4% lower (p = 0.002) and 8.0% lower (p = 0.02) than the ME calculated using Atwater General or Specific Factors, respectively. The metabolizable energy of the lentils is 498 ± 17 kJ/serving (119 ± 4 kcal/serving) (serving mass = 98.5 g), which is 16.0% lower (p < 0.0001) and 13.6% lower (p = 0.003) than the ME calculated using Atwater General or Specific Factors, respectively. Conclusions: Using Atwater Factors to calculate the metabolizable energy value of chickpeas and lentils overestimates their available calories. Full article

Background/Objectives: Idiopathic pulmonary fibrosis (IPF) is a chronic and progressive fibrosing interstitial disease that incurs significant healthcare costs due to diagnostic and treatment needs. This study aimed to estimate healthcare expenses related to IPF diagnosis, treatment, and follow-up, including factors affecting overall expenditure. Methods: This retrospective cohort study included 276 IPF patients from a tertiary hospital (2013–2022). Diagnostic and treatment costs were analyzed, including antifibrotic medications (pirfenidone and nintedanib), diagnostic tests (pulmonary function tests and performance evaluation tests), and interventions (fiberoptic bronchoscopy, imaging modalities). Costs in Turkish Lira were converted to United States dollars. Statistical analysis was performed using non-parametric tests to evaluate expenditure correlations with demographic, clinical, and treatment parameters, which included the Mann–Whitney and Spearman Rank Correlation tests when appropriate. Results: The median healthcare expenditure was USD 429.1 (9.13–21,024.57). Inpatient costs (USD 582.67; USD 250.22 to USD 1751, 25th and 75th percentile, respectively) were higher than outpatient costs (USD 192.36; USD 85.75 to USD 407.47, 25th and 75th percentile, respectively). Antifibrotic regimens did not differ significantly in cost or duration (Z = 0.657; p = 0.511) (mean pirfenidone duration: 1.1 ± 1.0 years; mean nintedanib duration: 0.6 ± 0.9 years). Diagnostic tests, particularly pulmonary function tests (PFT) (p: 0.001, Rho: 0.337), diffusing capacity of the lungs for carbon monoxide (DLCO) (p: 0.001, Rho: 0.516), and high-resolution computed tomography (HRCT) (p: 0.001, Rho: 0.327), were the primary drivers of costs. Longer treatment duration was positively correlated with expenditure (Rho: 0.264, p: 0.001 and Rho: 0.247, p: 0.006 for pirfenidone and nintedanib, respectively) while age showed a weak negative correlation (Rho = −0.184, p = 0.002). Gender and type of antifibrotic regimen did not show any significant effect on costs. Discussion: Diagnostic and follow-up testing were the main contributors to costs, driven by reimbursement requirements and the progressive nature of IPF. Antifibrotic medications, although expensive, provided clinical stability, potentially reducing hospitalization needs but increasing long-term care expenses. Variations in healthcare systems affect expenditures, with Turkey’s universal coverage lowering costs compared to Western countries. The study’s main limitations include being a single-center, retrospective study and its inability to include comorbidities and disease severity in the statistical analysis. Conclusions: IPF management is resource-intensive, with diagnostic tests and follow-up driving costs independent of demographics and treatment modality. Anticipating higher expenditures with prolonged survival and evolving treatment options is crucial for healthcare budget planning. Preparation of healthcare policies accordingly to these observations, which must include an overall increase in cost due to treatment duration and survival, remains a crucial aspect of budget control. Full article