Search Results (2,048)

This systematic review analyzed the role of microlearning in basic education, identifying the most widely used Digital Information and Communication Technologies, relevant learning theories, and the role of social technologies from a Science, Technology, Society, and Environment (STSE) perspective. Following PRISMA 2020, searches were conducted in Web of Science, Scopus, ERIC, and IEEE Xplore databases. Studies on microlearning were selected based on previously defined eligibility criteria. The review process in Rayyan involved deduplication, screening, and full-text analysis. Data were qualitatively analyzed using content analysis, and methodological quality was assessed with CASP and the Downs and Black. The findings highlight that microlearning, integrated with digital tools such as online platforms, mobile apps, and short videos, significantly enhances student motivation, performance, and interaction; content in short modules facilitates knowledge retention and connects concepts to real-life situations. Promising trends include mobile technologies and gamification, which foster active, meaningful learning. Grounded in theories like Self-Determination, Constructionism, and Constructivism, microlearning personalizes teaching and promotes engagement, critical thinking, and accessibility, contributing to inclusive and sustainable education. From a STSE perspective, social technologies enhance autonomy, social interaction, and ethical–environmental awareness. In Brazil, further research on digital platforms and gamified strategies is needed to drive innovative educational practices. Full article

Web applications have become a crucial part of modern society’s infrastructure, and vulnerabilities in them can lead to significant social and economic losses. Static analysis remains the predominant approach for vulnerability detection, due to its extensive coverage. However, its high false positive rate demands significant expert effort to confirm the actual presence of vulnerabilities. In contrast, dynamic analysis can generate accurate vulnerability reports. Nevertheless, existing fuzzers are often constrained in their methodologies, making it challenging to effectively explore deeper code regions where vulnerabilities are more likely to reside. To address these limitations, we propose CraftFuzz, a directed fuzzing approach that combines static and dynamic analysis. It aims to bypass extensive ineffective path exploration and generate precise requests for validating PHP web vulnerabilities. CraftFuzz adopts a multi-stage refinement-solving strategy, including static extraction of path constraints and routing rules for entry URL generation, solving path constraints through fuzzing and parameter mutation, and payload construction based on various reflection strategies to effectively handle data constraints. Ultimately, CraftFuzz ensures that fuzzing requests accurately reach the target sink and successfully trigger vulnerabilities. The experimental results demonstrated that CraftFuzz could solve each entry URL and path constraint within 6 s and 20 s, respectively, achieving a 97.1% success rate in entry URL generation and a 95% success rate in path constraint solving. For known vulnerability verification, CraftFuzz validated 88.88% of vulnerabilities, outperforming state-of-the-art fuzzers by 32.28%. Full article

Background: Disruptive clinician behavior (DCB) negatively affects patient safety by impairing healthcare team communication. In Japanese hospitals, hierarchical structures and traditional leadership styles contribute to its persistence. This study examines the prevalence and impact of DCB in two general hospitals and evaluates the role of response strategies in mitigating its effects. Methods: A quantitative web-based survey was conducted among 256 healthcare professionals from two general hospitals (751 and 661 beds). The survey included demographic data, a validated DCB scale, and a structured questionnaire assessing triggers, responses, and impacts. Statistical analyses included principal component analysis (PCA), structural equation modeling (SEM), and moderated mediation analysis. Results: Among participants, 79.3% reported experiencing or witnessing DCB. Psychological/social impact partially mediated the relationship between DCB and hospital management issues (β = 0.19, p = 0.001). Response strategies reduced the psychological/social impact of DCB (β = −0.20, p < 0.001) but did not mitigate its direct effect on hospital management. Conclusions: While prompt responses can alleviate the psychological burden on victims, they do not prevent broader institutional damage caused by DCB. Effective interventions should focus on both individual and organizational measures to reduce the occurrence of DCB. Full article

Background: Several original studies have reported an inconsistent association between low meat consumption (e.g., vegetarian diets) and the risk of depression. The aim of this study was to quantify the relationship between low meat consumption and depression, identifying possible sources of heterogeneity and the potential role of psychosocial variables. Methods: A systematic review and meta-analysis were performed and reported according to PRISMA guidelines through a comprehensive search in Medline, Web of Science, Scopus, and PsychInfo databases from inception to January 2024 (PROSPERO registration ID: CRD42023405426). The exposures analyzed were (1) a meat-free diet and (2) a flexitarian (low-meat) diet. The outcome was depression. The meta-analysis included twenty longitudinal observational studies. Forest plots were designed, and heterogeneity was analyzed through I² statistic and subgroup analyses. Publication bias was assessed through funnel plots and Egger’s test. Results: The pooled overall analysis showed a protective association (HR: 0.74, 95%CI: 0.59–0.89, I² = 53.9%) between meat-free consumption and depression, which was consistent in the group of highest-quality studies. The main sources of heterogeneity identified were study quality, study design, year and country of publication, gender inequality in the country, and adjustment for certain variables (including social variables). The association between flexitarian diet and depression (HR: 0.90, 95%CI: 0.81–0.99, I² = 58.9%) was not consistent between subgroups. Conclusions: The results of this meta-analysis show a consistent protective association between meat-free diets and depression and an inconclusive association regarding flexitarian diet. Primary studies analyzing psychosocial variables are needed to explain these results. Full article

Background/Objectives: Knowledge about the safety and effectiveness of early post-stroke mobilization and its correlation with various factors is necessary to select an appropriate rehabilitation program and reduce the time of convalescence. Understanding the above processes will help to effectively lower the economic burden. Thus, we conducted a review to assess the safety and effectiveness of early post-stroke rehabilitation and the impact of various factors on the course of therapy. Methods: The analysis included publications meeting the inclusion criteria published in the years 2015–2024 in Web of Science, Scopus, Embase, and PubMed. Finally, 12 studies were qualified for the review. The study group ranged from 37 to 2325 people. Results: The results of studies on early stroke mobilization indicate possible benefits, including reduced time of hospitalization and faster achievement of higher functional scores. It has been shown that the important factors correlating with the effectiveness of therapy include: rehabilitation intensity, age, functional status before the stroke, depression, social support, lesion location, lower extremity deep vein thrombosis, cognitive disorder, dysphagia, and lower limb spasticity. Conclusions: There is a strong need for research into post-stroke rehabilitation to speed up recovery times and reduce the economic burden on the country. Current research findings on the efficacy and safety of early rehabilitation are inconsistent. There is a strong need for international guidelines. Full article

The construction industry, a major global employer, increasingly relies on migrant construction workers (MCWs) to mitigate labor shortages and enhance cost efficiency. Despite their vital role, MCWs face numerous challenges, including exploitation during recruitment, safety risks, health issues, and difficulties with social integration. Current research into MCWs is dispersed across various disciplines—such as occupational safety, health, and social issues—and lacks a cohesive review of achievements and gaps. To address this, the present study employs bibliometric and qualitative content analysis to evaluate research progress, domains, hotspots, and trends from 2004 to 2024. The dataset, sourced from the Web of Science (WoS), includes 112 publications. The analysis reveals a steady growth in MCWs research, divided into two distinct phases, with significant contributions from 307 authors across 30 countries. The study also examines robust international collaboration and the prominent role of influential research institutions. The research identified ten key areas of focus and engaged in discussion. This comprehensive overview of MCWs research provides valuable insights for future studies and policy development, aiming to enhance conditions for MCWs and inform effective intervention strategies for this vulnerable workforce. Full article

Background and Objectives: Exercise-induced hypoalgesia (EIH) is a topic of interest in the scientific community. This umbrella review aimed to analyze EIH research and compare it with public dissemination on X. Materials and Methods: We selected relevant EIH reviews that included a healthy population or patients with pain and studied exercise interventions. A systematic literature search was carried out in PubMed, Web of Science, SciELO, PEDro, and Google Scholar, employing the Population, Intervention, Comparison, and Outcome strategy. Data were extracted and summarized, and methodological quality was assessed with the Quality Assessment Scale for Systematic Reviews, and risk of bias with the Risk of Bias in Systematic Reviews tool. The Physical Activity Guidelines Advisor Committee was employed for evidence synthesis. Simultaneously, advanced X website searches gathered EIH-related content for analysis. Information from posts on X was qualitatively analyzed and contrasted with evidence in the literature. Results: We included nine systematic reviews and 17 narrative reviews. Systematic reviews presented high methodological quality. However, half had low risk of bias, while the other half presented high risk of bias. The EIH in healthy participants was controversial for some exercise modalities, such as aerobic exercise, and the influence of psychological variables. Modalities, such as isotonic resistance exercise, showed favorable effects on hypoalgesia. However, in patients with musculoskeletal pain, different exercise modalities did not generate EIH. X analysis unveiled a considerable representation of science-related content, although with prevalent misinterpretations of scientific evidence. Conclusions: EIH has been extensively studied, yet the certainty of evidence remains limited. While some exercise modalities demonstrate hypoalgesic effects in asymptomatic individuals, these effects remain unverified in patients with musculoskeletal pain. Moreover, the analysis of social media content highlights frequent misinterpretations of scientific evidence, particularly conflating hypoalgesia with analgesia. This underscores the need for more precise, evidence-based communication on social media platforms. Full article

At present, China is facing a serious aging problem. Although community daycare centers have been built, they generally have problems such as inadequate facilities, single-service provision, and insufficient environmental design. These problems make it impossible to meet the multifaceted needs of the elderly in their old age, enhance their sense of wellbeing, and achieve sustainable development. Therefore, relevant policies indicate that the elderly service model of community day care centers should be actively constructed and upgraded. However, most of the existing research focuses on service models or single-design practice studies, and there are relatively few studies that address the integration of restorative environmental design and sustainability. Therefore, this paper systematically explores the current research status of restorative environmental design in daycare centers for the elderly through macro quantitative bibliometric analysis and micro qualitative content analysis based on Web of Science (WOS) data, then proposes design practice strategies, implementation paths, and evaluation methods to enhance wellbeing. Through keyword network visualization analysis, this paper identifies eight main clusters: physical literacy, public preschool services, social support, elderly day care centers, hospice use, designing leisure products, risk factors, and communicative skills. The high-frequency keywords “health”, “elderly”, “cultural diversity”, “children”, and “quality of life” are further categorized into “caregiving”, “Alzheimer’s disease”, “adult day care”, and “daycare centers”, with the latter split into three further categories: design strategy, implementation approach, and evaluation. In addition, this paper combines SDG3 goals such as reducing premature mortality from non-communicable diseases, achieving universal health coverage, etc., in order to explore the potential of resilience-based environmental design to promote the sustainable development of elderly daycare centers. This study not only complements the research related to restorative environmental design in daycare centers for the elderly but also provides specific guidelines and references for future environmental design, policy planning, and elderly service practices. Full article

Objectives: This study aimed to enhance the understanding of factors influencing changes in binge drinking (BD) behavior during the COVID-19 pandemic, with a particular focus on its impact on the health of individuals aged 12 to 25 years. Methods: A systematic review was conducted, encompassing studies published between January 2020 and September 2024. Articles were retrieved from PubMed, Web of Science, and Scopus, following PRISMA guidelines and the Joanna Briggs Institute (JBI) review protocols. Inclusion criteria targeted studies focusing on BD during the COVID-19 pandemic in adolescents or school-aged individuals without specific medical conditions. Exclusions included studies limited to a single gender, ethnicity, or profession, as well as doctoral theses and editorials. JBI tools were used to assess the quality of the selected studies. Results: From 33 studies (19 cross-sectional and 14 longitudinal), trends in BD during the pandemic varied: 2 studies reported an increase, while 21 indicated a decrease. Key factors linked to increased BD included pandemic stressors (e.g., isolation, social disconnection and non-compliance with restrictions), psychosocial issues (e.g., depression, anxiety, boredom, and low resilience), prior substance use, and sociodemographic variables (e.g., low education, economic extremes, living arrangements, and limited family support). Female gender and academic disengagement were also risk factors. Conversely, factors like stay-at-home orders, fear of contagion, family support, studying health sciences, and resilient coping strategies contributed to reduced BD. Other variables, such as pandemic stress and self-efficacy, had inconsistent effects. Conclusions: Factors contributing to increased BD included pandemic-related stress, mental health conditions, and unhealthy habits, while protective factors included stay-at-home orders, social support, and resilient coping. The study highlights the need for effective prevention and intervention strategies, emphasizing a holistic approach in healthcare, early detection, and tailored interventions, particularly for vulnerable groups such as adolescents. Full article

Sustainability in higher education has become a focal point of global discourse, reflecting the strategic role universities play in addressing environmental, social, and economic challenges. This study explores recent advancements in sustainable and green university practices through a comprehensive bibliometric and thematic analysis of Web of Science articles published between 2020 and 2024. While previous research often examines sustainability practices in isolation, a clear understanding of how digital technologies, institutional leadership, and stakeholder engagement interconnect to drive sustainability remains underdeveloped. This study addresses this gap by integrating bibliometric mapping with thematic analysis, providing a holistic view of the evolving landscape. Emerging themes include the role of digital technologies in enhancing operational efficiency and fostering inclusivity, as well as the increasing reliance on standardized metrics to measure progress. By bridging theoretical insights with actionable strategies, this research contributes to advancing sustainability in higher education, offering a roadmap for institutions to align their practices with global sustainability goals. Full article

Children with autism spectrum disorder (ASD) can have serious deficits in their social interactions, due to their limited social skills. There are many ways to use music as an intervention tool. One of them is by using musical instruments. Music emerges as a potential method of intervention, which can be used to address these deficits. The aims of this review are (a) to lay out internationally acclaimed and peer-reviewed studies, describing the elements of interventions with the use of musical instruments by children with autism, (b) to assess and analyze the effects of interventions with the use of musical instruments on the children’s social skills and (c) to provide recommendations to therapists, educators and researchers for future research and implementation. The process of article selection was carried out in strict adherence to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, ensuring methodological rigor and transparency in the systematic review process. A systematic search was conducted, using the following electronic databases: (a) PsycINFO, (b) Education Resources Information Center (ERIC), (c) Scopus and (d) Web of Science. Twelve studies were selected, with their results suggesting that the use of musical instruments, tangible or electronic ones, can have a positive effect on the social skills of children with autism. Inadequacies detected in the mentioned studies are also mentioned, as well as any important topics that should be gradually examined in future research. The present review is conducted within the framework of a doctoral thesis focusing on interventions that utilize music and technology as primary tools. Full article

Background/Objectives: Pediatric cerebral palsy (CP) is a neurological disorder that affects motor skills, posture, and muscle coordination, impacting children’s daily functioning and quality of life. Treatment approaches in occupational therapy aim to enhance motor function and functional independence through a variety of rehabilitative techniques. Recently, new technologies—such as virtual reality, robotics, and assistive devices—have emerged as promising tools in occupational therapy to complement traditional interventions and potentially enhance motor and sensory outcomes in children with CP. This systematic review aims to analyze the effectiveness of these innovative technological interventions in the rehabilitation of children with CP. Methods: A systematic review was conducted and different scales were used to assess the risk of bias and methodological quality. The degree of evidence and level of recommendation were established according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). The review adhered to PRISMA guidelines, with a comprehensive literature search performed across multiple databases, including Cochrane, Web of Science, and PubMed. This systematic review has been registered in the PROSPERO database with the registration number CRD42025630162. Results: The reviewed studies indicate that technologies such as functional electrical stimulation, robotic assistance, and adaptive devices have shown improvements in mobility, motor control, posture, strength, and autonomy in children with CP. Similarly, virtual environments support the correction of facial dysfunctions and enhance social interaction through video games and social networks. While these tools hold significant potential for rehabilitation, further adjustments are needed to achieve more consistent results. Conclusions: Emerging technologies appear to be effective tools in occupational therapy for pediatric CP, with positive impacts on motor skills and functional capabilities. Nevertheless, further studies with larger sample sizes and rigorous methodological designs are necessary to confirm these findings and establish more robust evidence on their long-term efficacy. Full article

Goal 8 of the Sustainable Development Goals aims to promote sustained, inclusive, and sustainable economic growth. However, most of the countries along the Belt and Road are low-income countries in the initial stages of industrialization, which are also facing serious air pollution and health problems while promoting economic growth. This is also a fact that both China and its partner countries along the Belt and Road need to take into account when it comes to economic cooperation between China and countries along the Belt and Road. This review selected 91 papers from academic databases such as CNKI, Web of Science and Sci-hub from 2013 to 2024 to analyze the impact of air pollution on health in countries along the Belt and Road and compared it with countries not along the Belt and Road. The paper makes the following findings: First, air pollution is very harmful to general health and has produced specific diseases related to lung function and children’s respiratory health in countries along the Belt and Road, similar to countries not along the Belt and Road. Second, mortality, mental health, and related health expenditures result from higher air pollution in Belt and Road countries more so than in non-Belt and Road countries. Therefore, when China conducts economic cooperation with countries along the Belt and Road, it should take the Sustainable Development Goals (SDGS) as the direction and fully consider local environmental pollution, social and economic issues, and health issues to ensure the long-term sustainable economic growth of the Belt and Road in the future. Full article

Background/Objectives: Loneliness among older adults is a prevalent issue, significantly impacting their quality of life and increasing the risk of physical and mental health complications. The application of artificial intelligence (AI) technologies in behavioral interventions offers a promising avenue to overcome challenges in designing and implementing interventions to reduce loneliness by enabling personalized and scalable solutions. This study systematically reviews the AI-enabled interventions in addressing loneliness among older adults, focusing on the effectiveness and underlying technologies used. Methods: A systematic search was conducted across eight electronic databases, including PubMed and Web of Science, for studies published up to 31 January 2024. Inclusion criteria were experimental studies involving AI applications to mitigate loneliness among adults aged 55 and older. Data on participant demographics, intervention characteristics, AI methodologies, and effectiveness outcomes were extracted and synthesized. Results: Nine studies were included, comprising six randomized controlled trials and three pre–post designs. The most frequently implemented AI technologies included speech recognition (n = 6) and emotion recognition and simulation (n = 5). Intervention types varied, with six studies employing social robots, two utilizing personal voice assistants, and one using a digital human facilitator. Six studies reported significant reductions in loneliness, particularly those utilizing social robots, which demonstrated emotional engagement and personalized interactions. Three studies reported non-significant effects, often due to shorter intervention durations or limited interaction frequencies. Conclusions: AI-driven interventions show promise in reducing loneliness among older adults. Future research should focus on long-term, culturally competent solutions that integrate quantitative and qualitative findings to optimize intervention design and scalability. Full article

Background: Despite scientific breakthroughs in vaccine development, some people remain reluctant to accept the anti-SARS-CoV-2 vaccine. This study evaluates attitudes and behaviours towards the vaccine and factors associated with refusal/hesitancy at the start of Italy’s vaccination campaign. Methods: EPICOVID19 is a two-phase observational web-based study where adult volunteers completed questionnaires in April–June 2020 and January–February 2021. Refusal/hesitancy towards the vaccine was assessed among those not yet vaccinated. We analysed factors associated with refusal/hesitancy by applying multivariate multinomial logistic regression models. Results: Among 36,820 survey participants (mean age of 51 years, 59.7% women, 63.6% highly educated), 2449 (6.7%) were against or hesitant, 4468 (12.1%) were inclined but unsure, and 29,903 (81.2%) were willing to be vaccinated. Factors positively associated with refusal/hesitancy included female sex, middle age, at-risk occupations, medium and low education, deprived status, being underweight, previous SARS-CoV-2 positivity, poor perceived health, no fear of contracting SARS-CoV-2, the fear of contaminated food and natural disasters, and low trust in science, media, government, or institutions. Low hesitancy was associated with student and retired status, overweight and obesity, moderate and high alcohol consumption, no concern about economic and working conditions, and sensitivity to climate change/environmental pollution and epidemics. Conclusions: This survey showed that, during the first month of Italy’s vaccination campaign, some individuals were reluctant to receive the anti-SARS-CoV-2 vaccine. This study highlights potential target groups for tailored communication and prevention campaigns. Full article