Search Results (3,352)

A cross-disciplinary rapid scoping review was carried out, generally following the PRISMA-SCR protocol to examine historical racial and caste-based discrimination as structural determinants of health disparities in the 21st century. We selected 48 peer-reviewed full-text articles available from the University of Memphis Libraries database search, focusing on three selected case-study countries: the United States (US), Canada, and Nepal. The authors read each article, extracted highlights, and tabulated the thematic contents on structural health disparities attributed to racism or casteism. The results link historical racism/casteism to health disparities occurring in Black and African American, Native American, and other ethnic groups in the US; in Indigenous peoples and other visible minorities in Canada; and in the Dalits of Nepal, a population racialized by caste, grounded on at least four foundational theories explaining structural determinants of health disparities. The evidence from the literature indicates that genetic variations and biological differences (e.g., disease prevalence) occur within and between races/castes for various reasons (e.g., random gene mutations, geographic isolation, and endogamy). However, historical races/castes as socio-cultural constructs have no inherently exclusive basis of biological differences. Disregarding genetic discrimination based on pseudo-scientific theories, genetic testing is a valuable scientific means to achieve the better health of the populations. Epigenetic changes (e.g., weathering—the early aging of racialized women) due to the DNA methylation of genes among racialized populations are markers of intergenerational trauma due to racial/caste discrimination. Likewise, chronic stresses resulting from intergenerational racial/caste discrimination cause an “allostatic load”, characterized by an imbalance of neuronal and hormonal dysfunction, leading to occurrences of chronic diseases (e.g., hypertension, diabetes, and mental health) at disproportionate rates among racialized populations. Major areas identified for reparative policy changes and interventions for eliminating the health impacts of racism/casteism include areas of issues on health disparity research, organizational structures, programs and processes, racial justice in population health, cultural trauma, equitable healthcare system, and genetic discrimination. Full article

(1) Study Aim: Adults with intellectual and developmental disabilities (IDD) face a multitude of chronic health risks related to obesity, including diabetes and heart disease. Day adult service programs offer unique opportunities for improving and monitoring the health of this vulnerable group. To promote exercise and healthy eating habits among adults with IDD, the Eat and Exercise to Win Program (EE-2-Win) was offered weekly at two locations over 8–9 months. (2) Methods: Using daily logs, staff assessed outcomes of 26 program participants, including changes in knowledge, eating and exercise habits, and water consumption. Participants’ weights were measured, and their lunches were photographed at baseline and 3 months. (3) Results: While participants’ weights did not significantly differ at 3 months, assessing photographs indicated that participants’ lunches included more fruits and vegetables. Staff surveys indicated that participants had greater knowledge of MyPlate and were consuming more water at three months. Survey responses indicated that staff perceived the program to be valuable overall, and challenges in learning and assessment were reported given differences in the cognitive abilities of adults with IDD. Staff also suggested engaging home caregivers in the program, as they often make dietary decisions. (4) Conclusions: Overall, results confirmed that the EE-2-Win Program positively impacted healthy eating and exercise. Future work, however, with both staff and caregivers is needed to further optimize the program. Full article

Water resources management and the broad concept of Integrated Water Resources Management (IWRM) attract varied perspectives about their effectiveness and equity as they address diverse needs across sectors and contextual situations. Managers in the water sector generally support their current governance models, while anti-poverty advocates seek more equity in the distribution of resources. Another group of stakeholders claims a lack of inclusivity in decision-making, leading to inequitable outcomes due to hegemony and colonialization of the water management domain by sector experts, officials, and other actors. IWRM focuses on reforms in water governance to achieve greater participation and sharing of power by all sectors of society in decision-making. It can facilitate the involvement of all groups of stakeholders, including those who may in some cases need to engage in social action to address water issues. This paper reviews the claims about the validity of IWRM and analyzes them according to management scenarios where water is a connector among sector issues. The scenarios show that participation in utility and local government decisions is the main pathway for urban water, wastewater, and stormwater management, while the same pathway is more difficult to organize in dispersed situations for domestic supply and irrigation in rural areas, some cases of aquifer management, and management of sprawling flood risk zones. The body of knowledge about participation in water resources management is robust, but organizational and financial capacities among existing entities pose barriers. Water resources management and IWRM do involve hegemony, and the field of practice has been colonialized, but the existential issues and complexity of the decisions and systems involved challenge society to manage successfully while assuring equity and participation through governance reform. The debates over hegemony and colonialization in water management provide an opportunity to continue improving the norms of practice and water resources education. Full article

The seventeen UN SDGs address critical global challenges. Among them, Goal 10—reducing inequality—and Goal 16—promoting peace, justice, and strong institutions—serve as foundational pillars in democracies, enabling the achievement of all other goals. Children, youth, and persons with disabilities are among those who stand to benefit most from these goals. Insights from the naturalistic decision-making practices of intentional communities, often framed as Contenders or Deviants in social construction theory, could be instrumental in advancing these objectives. This study examines the decision-making practices of three intentional communities representing youth, disabled persons, and children, each fostering a different version of equitable, peaceful, and justice-oriented governance to build strong institutions. The communities studied include a self-producing Korean popular music (K-pop) group representing youth Contenders, a mental health-supporting annual English conference for individuals on the autistic spectrum, and a Canadian alternative education, self-directed public senior elementary and secondary school—both considered Deviant societies in social construction theory, one focusing on disabled persons and the other on children. The historical method assesses the effectiveness of these communities’ preferred practices in achieving Goals 10 and 16. The results offer actionable insights for enhancing equality, peace, and justice while strengthening institutions to realize the full range of UN SDGs in democratic societies. Full article

Living donor kidney transplantation (LDKT) currently represents the treatment of choice for patients with end-stage renal failure. LDKT is a serious event with profound psychological, interpersonal, familial, and social implications. Over the last few years, there has been an exponential growth in living donation programs involving genetically and emotionally related donors, as well as people who donate to an unrelated and unknown subject. The implementation of paired exchange programs, Samaritan donation, and preemptive transplantation raise further ethical issues, which are inextricably linked to the unique psychosocial context of both the donor and the recipient. The present narrative review aims to provide an update on the main ethical challenges related to LDKT. We conducted a comprehensive literature search in PubMed/Medline. The results of the most relevant studies were narratively synthesized from a psychosocial perspective around the four principles of biomedical ethics: autonomy, beneficence, non-maleficence, and justice. Finally, we discussed the potential future directions to provide an effective, patient-centered, and ethical psychosocial assessment and follow-up of living donors and recipients that underwent LDKT. Full article

The One Health approach often reaches classrooms through Environmental Education (EE), which aims to guide society’s response to current crises (environmental, health, economic, values). However, traditional EE teaching has focused on isolated ecological concepts and standardised solutions, ignoring the multidimensional nature of EE and failing to integrate the interdependence between environmental, animal, and human health. Moreover, teacher training often neglects didactic content knowledge, preventing students from acquiring the systemic vision needed to address eco-social problems and create sustainable solutions aligned with the Sustainable Development Goals (SDGs). This limits teachers’ ability to influence students’ concerns and behaviours. In this context, this study aims to reflect on the current state of the issue and propose strategies informed by Science Education research to improve EE teaching, enabling the integration of One Health dimensions through effective didactics to achieve Transformative Environmental Education (TEE). For this purpose, we begin by addressing the limitations identified in recent systematic reviews, shifting the paradigm towards a symbiosis of EE and Science Education through scientific practices. We then present practical examples showcasing successful EE initiatives that foster a deeper understanding of socio-environmental issues, encourage innovative solutions, and nurture engaged citizens from early education onwards. These proposals can support classroom practice and ongoing teacher self-development. Pedagogical strategies include tackling issues that require systemic and critical thinking by developing scientific and epistemic practices while raising awareness of Environmental Justice. Thus, this study advocates for a new vision of EE, integrating the One Health approach, which could be applied to develop new educational programs, including teacher training. This would lead to a new learning evaluation model and help identify key determinants that trigger pro-environmental behaviours. Full article

Balancing economy, social justice, and environmental protection while achieving decarbonisation and adapting to climate change poses a significant challenge for nations, regions, and cities. The Sustainable Development Goals and the Sustainable Energy and Climate Action Plans are widely used plans designed to oversee mitigation and adaptation actions. However, despite the common topics addressed by both, the absence of a common framework and the multiplicity of indicators proposed imply an extra effort in their implementation and evaluation, as well as the difficulty of evaluating peer benchmarking. Hence, this review focuses on identifying frequently proposed indicators, highlighting potential links among metrics and establishing a list of potential indicators. The bibliographic analysis conducted allowed the identification of more than 80 sources and 410 different metrics. The study reveals the diversity of approaches chosen to define a set of indicators and underscores the need for a harmonised framework to effectively compare and monitor European regions and cities. Moreover, thanks to this study, a list of potential indicators and the methodology for populating them was established, allowing better coherence among the initiatives and a starting point for small regional and local administrations that often struggle with the availability of data and resources. Full article

In this critical literature review, we examine how middle-level pedagogies, specifically critical pedagogies, impact students’ academic, physical, and socioemotional development. This literature review examines critical pedagogies research in middle-level education, focusing on methods that address systemic inequities and center diverse and historically marginalized student populations. Examining the literature from 2013 to 2023, key findings indicate that critical pedagogies, including culturally responsive teaching practices, diverse instructional approaches, and decolonial and antiracist strategies can impact student engagement and development. When used purposefully to foster equity, these approaches disrupt institutional power dynamics, promote social justice, and support diverse student needs. However, there is a lack of research on these pedagogies when in practice for a sustained amount of time, as well as a lack of inclusion of literature with student voices. Because of this, we call for future research to include the perspectives and voices of middle-level students to better understand and refine critical pedagogical practices. Full article

Rooftop solar adoption has increased considerably in recent years thanks to a combination of lower panel costs and generous incentive programs. This paper estimates the increase in residential rooftop solar adoption associated with three types of solar incentive programs and isolates the effect of these programs in both high and low-income census tracts. We utilize a dataset of census tract-level rooftop solar adoption compiled using a machine learning-based image classification tool that identifies solar photovoltaic panels from satellite images. This allows us to study areas of the country that have lower solar adoption rates and incomes than areas previously studied. We find evidence that programs designed specifically to encourage adoption in low-income areas are associated with a smaller gap between low- and high-income solar adoption. However, property-tax benefits and net metering, which are more prevalent across the U.S., are associated with an increase in the gap between low- and high-income solar adoption. Full article

This study delves into the complex decision-making processes of sexual violence survivors regarding public disclosure of their experiences. By constructing a cognitive map from interviews with ten media consultants, this research highlights that survivors often prefer seeking justice through social media rather than legal channels. This study was conducted in Israel, and it underscores the importance survivors place on the disclosure process itself, valuing voice and respect over the outcome. This research, part of a larger project that includes interviews with victims, focuses on the choice between social media and institutional channels, analyzing cognitive processes through the lens of media consultants. While the constructed cognitive map provides a clear framework for understanding the decisions made by survivors of sexual violence, it simplifies complex emotional and psychological factors. Future research may enhance this map by incorporating a deeper analysis of survivors’ internal conflicts and the interplay between emotional coping mechanisms and external pressures to disclose their experiences. From background conversations with survivors, it was understood that two main factors influence their decision: the process versus the outcome and whether to turn to social media or institutional channels. This nuanced approach provides valuable insights into the specific choices made by survivors when determining where to disclose their assaults. By designing this cognitive map, this study helps understand the needs and priorities of the survivors, such as the importance of voice, respect, and the nature of the disclosure process, and aims to aid future research and decision makers in better understanding and supporting the decision-making processes of sexual violence survivor. Full article

To achieve sustainable development of social systems, it is necessary to modernize the legal system, which is the foundation of any society, to increase the efficiency of resources and simultaneously optimize the performance of the environment and society. The immutable and timestamped features of blockchain offer a robust solution for tracking and authenticating digital copyright evidence, thereby enhancing the integrity and transparency of judicial systems. This ensures that the integration of blockchain into legal systems not only advances technological efficiency but also promotes environmental consciousness. Through comprehensive analyses that integrate questionnaires, interviews, case studies and legislative assessments, this research reveals that there are still problems in the application of blockchain evidence in China’s judicial practice, such as insufficient and stable credibility, inadequate database storage, deficient original rights mechanisms, and the imperfect application of rules of evidence. These problems can be solved by enhancing correspondence legal systems, such as establishing an officially trusted copyright certificate blockchain, creating a blockchain copyright certificate technology supervision system and formulating specific laws and regulations on the application and identification of blockchain evidence. As such, our study contributes to aligning blockchain with judicial records, supporting the sustainable development goals of social systems, fostering institutional justice and social progress. Full article

Given the pressing necessity to mitigate the consequences of climate change, it is of the utmost importance to establish a carbon-neutral society. Nevertheless, sustainability is significantly impeded by energy inequality. It is the term used to describe the unequal distribution, access, and utilization of energy resources among demographic groups, which has been further exacerbated by the pandemic and geopolitical tensions. This research aims to conceptualize and quantify energy inequality in Lithuania and compare it with EU data in order to bolster the ambitious objective of a climate-neutral Europe by 2050. This article elucidates the intricacy of energy inequality by utilizing a Lithuanian population survey and a literature review, which are supplemented by an EU macroeconomic analysis. The findings underline the necessity of locally tailored solutions and underscore the significant disparities in energy access between Lithuanian regions and demographic groups. Targeted policy measures are necessary to overcome economic, technological, and socio-political obstacles that impede progress toward a climate-neutral society. The necessity of a multidimensional approach and global cooperation is underscored by a comparative analysis of EU statistics, which reveals variable progress in addressing energy inequality. Theis research is a pertinent contribution to the discourse on sustainability and social justice, and it offers policy-makers, practitioners, and stakeholders guidance for a more inclusive and sustainable energy future. Full article

This study examines the moderating role of procedural fairness between land titling programs and agricultural investment. We constructed a theoretical model that introduces perceived security of land tenure and procedural fairness into the traditional “property rights-investment incentives” analytical framework. Moreover, we empirically analyze the impact of land titling and its procedural fairness on agricultural investment using data from the “Thousands of People, Hundreds of Villages” survey held in 2018 among 9596 households in China. The empirical analyses were conducted by using the ordinary least squares (OLS), probit, and instrumental variable methods. Our analysis showed that land titling in China significantly promotes agricultural investment by farm households and that procedural fairness has a significant positive moderating role in the investment incentive effect of land titling as well as significantly improving the institutional credibility of land titling and enhancing farmers’ perceived land tenure security. Full article

In this article, I rely on religious existential philosophy to make sense of the moral restoration expressed by combat veterans who engage in reconciliation with former enemies after suffering from moral injury. Moral injury is the persistent feeling of having betrayed one’s deepest moral values. Anthropological research and analyses of combat veterans’ testimony suggest that moral injury may be associated with reconciliation, which is considered here as a manifestation of an inner transformation akin to existential philosophies of striving for moral authenticity. Specifically, it is argued that Thomas Merton’s defense of living a morally authentic life, which constitutes a process of moving from spiritual woundedness to social engagement with the other, parallels the transition of combat veterans involved in postconflict reconciliation efforts. Given this correspondence, existential moral transformation is considered alongside the anthropology of peace for explaining moral injury as a precondition for reconciliation, notably after armed conflict. Full article

Water is crucial for enduring horticultural productivity, but high water-use requirements and declining water supplies with the changing climate challenge economic viability, environmental sustainability, and social justice. While the scholarly literature pertaining to water management in horticulture abounds, knowledge of practices and technologies that optimize water use is scarce. Here, we review the scientific literature relating to water requirements for horticulture crops, impacts on water resources, and opportunities for improving water- and transpiration-use efficiency. We find that water requirements of horticultural crops vary widely, depending on crop type, development stage, and agroecological region, but investigations hitherto have primarily been superficial. Expansion of the horticulture sector has depleted and polluted water resources via overextraction and agrochemical contamination, but the extent and significance of such issues are not well quantified. We contend that innovative management practices and irrigation technologies can improve tactical water management and mitigate environmental impacts. Nature-based solutions in horticulture—mulching, organic amendments, hydrogels, and the like—alleviate irrigation needs, but information relating to their effectiveness across production systems and agroecological regions is limited. Novel and recycled water sources (e.g., treated wastewater, desalination) would seem promising avenues for reducing dependence on natural water resources, but such sources have detrimental environmental and human health trade-offs if not well managed. Irrigation practices including partial root-zone drying and regulated deficit irrigation evoke remarkable improvements in water use efficiency, but require significant experience for efficient implementation. More advanced applications, including IoT and AI (e.g., sensors, big data, data analytics, digital twins), have demonstrable potential in supporting smart irrigation (focused on scheduling) and precision irrigation (improving spatial distribution). While adoption of technologies and practices that improve sustainability is increasing, their application within the horticultural industry as a whole remains in its infancy. Further research, development, and extension is called for to enable successful adaptation to climate change, sustainably intensify food security, and align with other Sustainable Development Goals. Full article