Holistic Context Research Articles

Rethinking the Future of Indonesian Coffee: Legal, Social, and Political Perspectives

The idea of the Geographical Indication (IG) for coffee is not only to achieve high-quality of products but also to enhance the standard of benefits for coffee farmers. This article demonstrates discrepancies between hope and reality; quality and economic impact prevailing in the case of coffee products in Jambi Province of Indonesia. It is argued that such discrepancies potentially degrade coffee’s future in Indonesia due to farmers’ ignorance. Besides, the government policy concerning the IG has ended up with gaps between farmers’ orientation and the government’s political interest and policy in utilizing the coffee GI rights. Data were collected to analyze and address the problem from legal, social, and political perspectives. Our findings emphasize the government’s role as the grantor of rights to manage GI rights in a holistic context beyond legal positivism in order to enhance the benefits of coffee farmers in Indonesia

Sex Selection – Cultural and Ethical Issues

This lecture on “Sex Selection – Cultural and Ethical Issues” delves into the complex and controversial topic of sex selection, exploring its technological, cultural, and ethical implications. While there is an argument of parent autonomy and their rights to choose and have the option to control and design their family structure, the topic of designing one’s own family is still considered highly contentious as well as controversial. At first glance, such a practice seems quite justifiable as the technology enables parents to avoid having disabled children and serious genetic disorders and maintain balance in the family structure. Yet, on the slippery slope and fine line drawn between what is justifiable and acceptable and what is a definite strong NO, people have become increasingly misguided and ill steered into a rather dark and mischievous side of the practice of sex selection. The lecture begins by discussing the cultural aspects of sex selection, examining how different societies view gender preferences and how these preferences impact reproductive choices. It explores historical perspectives and cultural norms that influence the desire for a specific sex, highlighting variations across regions and communities. The existing patriarchal traditions in most of the Asian countries, masculine hegemony, female seclusion, social and cultural norms with regards to gender roles all contribute to a male biased sex selection. As the Chinese say, “With one son you have a descendant, with ten daughters you have nothing”, and Amartya Sen has rightly stated the concept of ‘missing girls’, the social norms of preference for a son has led to a situation of ‘floating men’ or ‘bare branches’ or ‘surplus males’. These skewed sex ratios are a threat to the society in ways that may not be realised at the moment. Women-trafficking, expansion of prostitution, young surplus males failing to find partners will be prone to pursue satisfaction through vice and violence, which may intensify socially disruptive behaviour, low self-esteem, rape, anti-social behaviour, threatening regional and international security. While at the national level, all south Asian countries have taken a paternalistic approach by making strict regulations regarding the abortion and female feticide (sex selective abortion SSA), what remains to be addressed is the society’s mind-set towards ending discrimination at the womb. Couples in such societies are under constant coercive forces in their family and outside, for sex selection, and may perhaps be stigmatized by their society for not having a male child. So, is it even up-to the parents at all to decide their family structure? The evidence shows that banning SSA is not enough to control SSA; banning SSA resembles treating a disease but not the cause of the disease. Women’s devaluation in many Asian societies is embedded in religious beliefs and traditional cultural practices, and uprooting this culture may not be easy and immediate. A good stewardship approach is what is the need of the hour, wherein, the countries develop and implement policies, legislations, and programs within a holistic context, addressing women’s education deficit, rights, socioeconomic disadvantage, health, and nutrition, living conditions, so that they are not perceived as ‘Paraya Dhan’, meaning someone else’s property, but seen as independent, empowered members of the society.

Abstract A045: Adhering to a culturally responsive framework: Integrating kinship into a multilevel community-based intervention for American Indian adults with comorbid type 2 diabetes and cancer

Abstract The prolific disparities of type 2 diabetes (T2D) and cancer in tribal communities is well documented. American Indian (AI) adults living with T2D are at greater risk of not only developing cancer, but also dying from it, with cooccurrence becoming increasingly prevalent. On rural tribal reservations, common environmental diabetogenic factors (e.g., obesity, lack of physical activity, poor diet, and stress) are considered as sources of elevated risk for both T2D and cancer. Critically important in improving both diabetes and cancer-related health behaviors and outcomes, particularly for AI people, is psychosocial support from family and community ties (e.g., kinship). Despite supporting evidence, few interventions include kinship as a key factor to promote best outcomes for T2D management among AI adults with a dual diagnosis of cancer. To address this growing issue, there is an urgent need for culturally and contextually adapted interventions aiming to address the cooccurrence of T2D and cancer that are, ideally, led by tribal communities. In this session, healthcare professional Early-Stage Investigators (ESIs), some of whom also identify as AI, will present community-based participatory research (CBPR) principles used to develop a multilevel Tribally tailored intervention, with kinship as a moderating factor, for AI adults living with both T2D and cancer. The ESIs represent a unique pool of providers invested in the community within which they work by co-creating an intervention which utilizes pre-existing strong community and familial norms. The ESIs further look to break away from the common trend in research to overgeneralize interventions and findings to all AI Tribal communities by tailoring the intervention to each specific Tribal Community engaged in the research intervention. To foster innovative research methods by emphasizing important historic and socio-cultural influences relevant to understanding the holistic context of health disparities in tribal communities, the guiding framework is the NIMHD Minority Health and Health Disparities Research Framework adapted for AI and Alaska Native Nations. In this research, individuals are viewed within the context of the broader social system where they function daily, while families and community are key stakeholders and leaders in the successful management of T2D and cancer. The approach focuses on diabetes-related barriers by providing family and social units with skills for successful T2D and cancer management, healthy communication, and shared commitment. In addition to these domains of influence, involving community systems is critical for a sustainable intervention that effectively addresses health disparities for T2D and cancer. Citation Format: Sheila L. Hammer, Timian M. Godfrey. Adhering to a culturally responsive framework: Integrating kinship into a multilevel community-based intervention for American Indian adults with comorbid type 2 diabetes and cancer [abstract]. In: Proceedings of the 16th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2023 Sep 29-Oct 2;Orlando, FL. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(12 Suppl):Abstract nr A045.

A design review on hypersonic aerodynamics configurations and applicability to hypersonic transports

As the world of commercial aviation recovers from the global recession after the pandemic, demands for faster and more reliable air transportation are on the rise. Research in Hypersonic Transports, led by both government and private sectors, aims to revolutionize the industry with its high time efficiency and customizability for various needs. This paper reviews the design principle and challenges of HST from a technical standpoint, while overviewing high-speed gas dynamics, analyzing the waverider configurations, and addressing the technical intricacies of designing a hypersonic vehicle. It shows that the waverider configuration is a suitable HST candidate for its large fuel storage and high inlet compatibility for an airframe-propulsion integrated design. This paper aims to provide holistic context for the advantages and challenges associated with HST, while providing insights into the compatibility of a waverider configuration that can be optimized for civilian transport applications.

Waiting for the right time and tide: The fine‐scale migratory behavior of river herring in two coastal New England streams

AbstractObjectiveAlewife Alosa pseudoharengus and Blueback Herring A. aestivalis, collectively referred to as river herring, are anadromous clupeids inhabiting the North American Atlantic coast. Although the seasonal patterns of their spawning migration are well studied and predictable, the fine‐scale movements are still poorly resolved.MethodsThis study used high‐resolution acoustic imaging to study the fine‐scale behavior of river herring during their spring spawning migration in two coastal rivers in Massachusetts, United States.ResultObservations suggest that seasonal patterns of migration appear to be influenced by temperature, while fine‐scale patterns in migration were associated with the time of day, tidal state, and their interaction. River herring were consistently observed during both day and night, with elevated peaks of activity in the early morning and late afternoon. Daytime movement consisted of the intermittent passage of large, dense schools, while nighttime movement consisted of the frequent passage of individuals or small groups. The highest numbers of herring observations were associated with flood and high tides. Additionally, the interactions between time of day and tidal state resulted in synergistic positive effects during crepuscular incoming tides, which were favorable to movement, and synergistic negative effects during midday low tides, which inhibited fish movement.ConclusionThe changing relationship between the time of day and tidal state within the season manifested in changing periodicity in fish movement to correlate with favorable movement conditions. Since movements may be related to both time of day and tide, previous run size estimates from visual counts made only during the day may be too low. Sampling methodologies that collect information during all 24 h would likely produce the most accurate run size estimates. This study highlights the need to view river herring migration in a holistic context predicated by multiple environmental and biological factors that vary at several temporal scales (i.e., seasonally, daily, and hourly).

A Novel Domain Knowledge-Informed Machine Learning Approach for Modeling Solid Waste Management Systems.

Sustainability challenges, such as solid waste management, are usually scientifically complex and data scarce, which makes them not amenable to science-based analytical forms or data-intensive learning paradigms. Deep integration between data science and sustainability science in highly complementary manners offers new opportunities for tackling these conundrums. This study develops a novel hybrid neural network (HNN) model that imposes the holistic decision-making context of solid waste management systems (SWMS) on a traditional neural network (NN) architecture. Equipped with adaptable hybridization designs of hand-crafted model structure, constrained or predetermined parameters, and a customized loss function, the HNN model is capable of learning various technical, economic, and social aspects of SWMS from a small and heterogeneous data set. In comparison, the versatile HNN model not only outperforms traditional NN models in convergence rates, which leads to a 22% lower mean testing error of 0.20, but also offers superior interpretability. The HNN model is capable of generating insights into the enabling factors, policy interventions, and driving forces of SWMS, laying a solid foundation for data-driven decision making.

Centralized supply chain network optimization with UAV-based last mile deliveries

This paper proposes a centralized supply chain network optimization model that maximizes the total profit obtained by a company that produces and/or outsources production, stores, ships and sells products to customers using a fleet made up of trucks and, in the last mile, also of drones. The model includes realistic features of unmanned aerial vehicles (UAVs) in the form of drones with fundamental limitations such as low battery capacities and short delivery ranges. The constrained nonlinear optimization problem is formulated as a variational inequality. Existence and uniqueness results for the solution of the variational inequality are provided along with the results of detailed numerical simulations that emphasize the advantages of the use of a hybrid fleet from enhanced profits to reduction in air pollution. Our quantitative results reveal great promise and insights for the logistics industry in the use of emerging UAV technologies for last mile parcel deliveries as a practical solution within a holistic supply chain network context.

Identification and prioritization of the factors influencing blockchain adoption in the banking sector: integrating fuzzy AHP with TOE framework

PurposeThe objective of this research is to identify and prioritize the critical factors that influence the adoption of blockchain technology within the banking sector.Design/methodology/approachA well-known theoretical framework, the “Technology Organization Environment (TOE),” was chosen to analyze what criteria and sub-criteria affect blockchain adoption in the banking sector after a thorough assessment of the prior literature. Following that, 3 evaluation criteria and 14 sub-criteria were selected and verified using expert opinion. A survey design was created, and data for the study has been collected from various information technology (IT) managers/officers in the banking sector. A fuzzy analytic hierarchy process (Fuzzy-AHP) was then used to meet the purpose of the research.FindingsThe study identified that the organizational dimension is the most significant criteria for blockchain adoption in the banking sector, followed by the environmental dimension. In contrast, the technological dimension is the least influential criterion. Clientele pressure, IT resources, financial resources, pressure from competitors and relative advantage are the most influential sub-criteria for blockchain adoption.Research limitations/implicationsThis study provides valuable insights to bank managers, blockchain and IT developers, third-party service providers and policymakers. For instance, adopting the same blockchain platform is easier for both large and small banks for banking operations by using third-party service provider. At the same time, banks should have the banks' own core team to implement the blockchain-based systems or to have control over the third-party service providers during the adoption stage.Originality/valueTo the best of the authors' knowledge, no empirical studies have used a holistic organizational context to understand the factors influencing the adoption of blockchain technology from traditional to blockchain-based banking systems.

Struggling to manage: A constructivist grounded theory of hoarding behaviours

AbstractHoarding behaviours can cause numerous problems including health risks, family conflict, and removal of children and pets from the home. Hoarding research typically adopts a cognitive‐behavioural framework and uses quantitative methods; we aimed to further understand the development of hoarding behaviour from a qualitative perspective. Constructivist grounded theory methods were employed across two phases of data collection via semi‐structured interviews with participants identifying as exhibiting hoarding behaviours. Provisional categories were developed in phase one; further data analysis in phase two helped to establish our grounded theory. The theoretical core is a struggle to manage possessions and life, including life transitions such as moving to a new home and starting or finishing university. ‘Struggling to manage’ incorporates emotional struggles with possessions and the impacts of personal trauma and overwhelming life events. A further category, ‘Trying to overcome hoarding’ incorporates participants' efforts to manage and overcome their hoarding. Findings highlight the importance of viewing hoarding in a holistic context.

VISUMINIO VOKALO TECHNIKOS TAIKYMO TEATRE GALIMYBĖS: LAISVOSIOS VOKALINĖS IMPROVIZACIJOS KONTEKSTAS

Acting is inseparable from the art of improvisation; it is an all-encompassing and holistic context that requires not only acting skills, but also relevant personality traits, a virtuoso mastery of techniques of expression, psychosocial resilience, and most importantly, unique and authentic expression. It is useful for an actor to be able to choose the necessary vocal techniques and apply them in performances of various kinds, to various roles, including musical roles and improvisation. It is important to be able to integrate the most progressive vocal techniques in the work, and to understand the perspective of using methods and experimenting without losing one’s individuality, which includes all styles. The article presents the Complete Vocal Technique (CVT), which covers all styles from Classical singing to hard rock, provides the opportunity to experiment with timbres and vocal effects, and allows for the application of voice techniques in speech, based on physiology and anatomy. The study and its results are presented in order to integrate this method into theatrical activities.

Penerapan Teori Keperawatan Comfort Katharine Kolcaba dalam Pemberian Asuhan Keperawatan Perioperatif

The use of Kolcaba's theory of comfort is easy to apply in the perioperative field and is useful for addressing a variety of patient comfort needs. Fulfillment of holistic comfort through indicators of relief (freedom), ease (calmness), transcendence (happiness). This literature review was carried out by collecting articles and textbooks from databases such as Proquest, Scient Direct, Google Search, Google Scholar. The search was carried out using the keywords "Comfort", "Katherin Kolcaba", "Nurse" and "Perioperative". The selected article focuses on Katharine Kolcaba's practice theory of Comfort in Perioperative Care. The results of the study show that the theory of comfort is very helpful in providing nursing care for perioperative patients, through feeling comfortable facilitating the emergence of synergistic, multidimensional, organismal responses that can influence the healing process. So that the theory of comfort is highly recommended in providing nursing interventions for perioperative patients. Nursing interventions in the four holistic contexts lead to various ways to help patients find relief, serenity or transcendence. Using comfort theory can assist nurses in assessing and identifying patient needs and in providing nursing interventions.

Dignity of individuals with dementia, palliative care, and futile treatment

Abstract Case studies are used to reflect on the treatment of patients with dementia hospitalized at the Geriatric Department of the Faculty hospital in Prešov, emphasizing human dignity in clinical practice. The discussion is focused on the palliative care of patients with severe dementia. The biomedical method, which respects human dignity is defined by means of inductive, deductive, and normative bioethical methods. They make it possible to provide guidelines for palliative care and individualized prognosis strategy. An analysis of health status of individuals with severe dementia enables us to offer a clinical definition of purposeful treatment based on normative justice and decision-making that reflects the patient’s best interest, thus respecting their dignity. An evaluation of a patient’s care is based on a biomedical method that considers the dementia stage. Applying a bioethical model in a holistic context preconditions the human rights of patients with dementia.

Improving residents’ wellbeing in senior citizen homes with more individualized food services

Currently, food services in Swiss senior citizen homes heavily depend on the presence and working hours of human resources. For most residents, there is currently no possibility to eat according to their individual needs or preferences. However, trends like flexible catering, the reduction of the importance of lunch as main meal of the day or the “snackification” will influence service delivery in senior citizen homes in the future. At the same time, staff shortage and decreasing financial means force institutions to find new service designs. The goal was to find out how the wellbeing of residents in senior citizen homes can be improved by providing more individualized food services. Based on literature, a mixed-method research approach was chosen, combining expert interviews and a survey amongst management and staff representatives of Swiss senior citizen homes. It becomes clear that a more flexible food service provision needs to be thought in a holistic context encompassing the whole organisation, including not only hospitality staff but also management and care professionals.

The Holistic Model of Labour Retention: The Impact of Workplace Wellbeing Factors on Employee Retention

This paper explores the holistic context of workforce retention. The global labour shortages in developed countries have made employers realise that in a world of scarce resources, employee wellbeing and retention are key factors in competitiveness. The aim of the research is to create a model to identify the key determinants of employee well-being and workforce retention. A quantitative research methodology was applied, using a questionnaire with 58 validated statements, completed online by the research participants (n = 406). The PLS-SEM method was used for data analysis and inner and outer modelling. The measurement model was tested for internal consistency reliability and convergent and discriminant validity. Cronbach’s α and CR values were above the 0.7 threshold for all constructions, indicating high internal consistency of measurements. In our model, there are a total of 36 significant relationships between latent variables. Based on the research results, the effect of organizational commitment on the intention to quit was determined. If the organizational commitment within an organization changes, the intention to resign changes. Thus, critical variables affecting workforce retention (benefits, promotion, communication, nature of work, coworkers, and normative commitment) have been identified, the changing of which will affect organizational commitment. The results support that if employees perceive these factors negatively, their commitment will drastically decrease.

Research trends in the field of the gut-brain interaction: Functional dyspepsia in the spotlight - An integrated bibliometric and science mapping approach.

This study aims to perform a bibliometric analysis of functional dyspepsia (FD), which includes visualizing bibliographic information, in order to identify prevailing study themes, topics of interest, contributing journals, countries, institutions, and authors as well as co-citation patterns. The Web of Science™ Core Collection Database was used to retrieve all peer-reviewed scientific publications related to FD research. The validated search terms were entered into the "title" and "author keywords" fields, and the results were sorted by publication year from 2006 to 2022. There were no restrictions on language. On 12 February 2023, a manual export of the complete metadata for each original publication and review article was performed. CiteSpace was used to reveal co-authorship, publication, and co-citation patterns to find prominent authors, organizations, countries, and journals in FD research as well as to identify author keywords with strong citation bursts, which could indicate an emerging research area. VOSviewer was used to build the co-occurrence indicator (co-word) to identify the main author keywords on which previous studies focused and to induce clustered scientific landscape for two consecutive periods to identify intriguing areas for future research. A search of the database retrieved 2,957 documents. There was a wave-like pattern in the number of publications until 2017, after which there was a spike in publication volume. The USA, China, and Japan provided the majority of contributions. In terms of institution, Mayo Clin, Univ Newcastle, and Katholieke Univ Leuven were found to be the prolific institutions. Additionally, the results indicate that eastern Asian researchers contributed significantly to the global knowledge of literature that led other countries; however, Canada, the USA, Australia, England, and Germany were found to have the highest degree of betweenness centrality. Nicholas J. Talley, Jan Tack, Gerald Holtmann, Michael Camilleri, Ken Haruma, and Paul Moayyedi occupied the top positions based on productivity and centrality indicators. Six thematic clusters emerged (Helicobacter pylori infection; pathophysiological mechanisms of FD; extraintestinal co-morbidities and overlap syndromes associated with FD; herbal medicine in FD; diabetic gastroparesis; and dietary factors in FD). "Acupuncture," "duodenal eosinophilia," "gut microbiota," and others were among the author keywords with rising prevalence. In FD research, eastern Asian countries have established themselves as major contributors with the highest publishing productivity; however, research has primarily been driven by North America, Europe, and Australia, where cooperation is generally more active and highly influential scientific results are produced. Our analysis suggests that increased investments, training of human resources, improved infrastructures, and expanded collaborations are essential to improving the quality of FD research in Asia. The emerging author keyword analysis suggests that eosinophil-mast cell axis, gut microbiota, mental disorders, and acupuncture are the key areas that attract researchers' attention as future research boulevards. There is a highly skewed distribution of research output across Asia, with most focus on complementary and alternative medicine (CAM) coming from Chinese, Japanese, and South Korean centers. However, CAM remains an underexplored area of research in the context of FD, and it deserves greater research efforts in order to obtain quality scientific evidence. Furthermore, we propose that the research framework of CAM should not be limited to dysmotility; rather, it could be interpreted within a more holistic context that includes the brain-gut-microbiota axis, as well as novel concepts such as duodenitis, increased mucosal permeability, and infiltration and activation of eosinophils and mast cells, among others. Overall, we provided bibliometrics-based overviews of relevant literature to researchers from different backgrounds and healthcare professionals to provide an in-depth overview of major trends in FD research.

„Idée sur les romans” Donatiena Alphonse’a Françoisa de Sade’a. Rozważania na temat utworu

The article shows the wider literary context of the epoch and defines the creative inspirations of the author in past and historic events. An Essay on Novels, servings as the introduction to the collection of short stories The Crimes of Love (1800), is discussed in a broader, holistic context of a publication containing 11 titles. Sade’s definition of the novel is presented and analyzed, from an outline developed by him of the history of literature from ancient Egypt to the present and his prediction of the future, and the most important motives and attributes of fictional works through-out history were enumerated in accordance with his guidelines. The rules of writing that Sade formulated in relation to the works of Samuel Richardson and Henry Fielding are another subject discussed here. De Sade’assessment of the work by contemporary writers and his literary forecasts were juxtaposed with the romantic features of the coming era: the desire for freneticism and horror caused by the French Revolution. The text is presented in a broader historical context of the 1800s (M. Milewska, Vinegar and Tears) and a comparative one with references to the works and literary thought of Polish writers (M. Janion, Romantyzm, rewolucja, marksizm. Colloquia gdańskie). The article also draws attention to footnotes penned by de Sade and his reflections on the contemporary book market. The aim here is to gain a deeper understanding of the writings of the Marquis and show his deep knowledge of literature.

Industry insights and post pandemic practices for entrepreneurship and innovation in leisure

ABSTRACT This article explores how leisure organisations developed entrepreneurial practices to enable innovation for the post-covid-19 pandemic era. Whilst entrepreneurship and innovation have been the subject of academic scrutiny in mainstream sport, there is a relative paucity of studies within the broader holistic context of leisure. Semi-structured interviews, conducted in the United Kingdom (UK), provide insights from nine high profile, globally recognised industry practitioners from across the leisure industry including the sport, entertainment, health and fitness, leisure, hospitality, arts and culture, events and tourism sectors. Four key themes emerged from the data including extending capabilities through (i) research and development (R&D) and (ii) digitalisation, and changing culture through (iii) diversification, and (iv) sustainability. These practices were shown to enable leisure organisations to create new customer value within an increasingly competitive environment. The paper concludes with an overview of theoretical and managerial implications and provides approaches for developing more entrepreneurial practices in leisure.

Psychoactive drugs and metabolic disorders

Objective: The objective of this article is to promote a literature revision and an overview of evidence of the metabolic impacts of the use of psychotropic drugs on metabolic alterations. Methods: A descriptive review, including articles in English and Portuguese, was conducted in the Google Scholar and PubMed databases, using the following keywords: body weight, dyslipidemia, metabolic syndrome and antipsychotics, mood stabilizers and antidepressants on PubMed, and dyslipidemia, body weight , metabolic syndrome associated with antipsychotics, mood stabilizers and antidepressants on Google Scholar. Results: 46 articles were analyzed and 46 articles were included. The review revealed a large amount of evidence concerning body weight changes under psychotropic drugs use and the impact of antipsychotics on the main metabolic variables. However, controversies and scanty evidence regarding mood stabilizers in glycemic and dyslipidemic alterations, and especially about antidepressants in metabolic alterations, were noticed. Conclusions: It is concluded that the impact of psychotropic drugs on metabolic changes has great clinical relevance and is characterized as a challenge for modern psychopharmacology. These alterations, seen as possible side effects of such drugs, directly affect the patient's quality and life expectancy, therefore, deserving attention for success in psychiatric treatment and in the holistic health context.

Social Work Students Respond to Greening Social Work Curriculum: “It is Important to See a Change in the Narrative”

ABSTRACT The aim of this article was to present students’ responses to learning about community development and groupwork within the context of the natural world and human communities under threat, sometimes referred to as “greening the curriculum”. Students’ perceptions of such greening initiatives are currently underrepresented in the literature. The community development and group work unit under study was part of an Australian qualifying Masters of Social Work program. Students’ perceptions of greening the curriculum were examined using a case study methodology, with quantitative and qualitative data collected. Their responses provided insight into efficacy of the Unit. Results indicated that students’ awareness of the connections between social work, the natural environment, and ecological justice increased, and their confidence to carry this connection forward into their social work practice was strengthened. These results illustrate how students with no prior, or little, interest in “green social work” can achieve deep, meaningful, and even transformative progress towards ecological social work practice. IMPLICATIONS Embedding ecological justice content into community development and group work curriculum can provide a holistic context for learning. The inclusion of ecological justice in social work curricula can be transformative for students and future social work practice. The student “voice” adds to the growing impetus of ecological justice in social work curriculum.

Evidence-based medicine needs patient and public involvement to remain relevant: A proposal for a new curriculum

IntroductionPublic partnerships, a route to sharing expertise, networks and resources anchored in the United Nations Sustainable Development Goals, has been championed by multiple stakeholders. ObjectiveTo propose a new evidence-based medicine (EBM) curriculum for harnessing patient and public expertise to ensure that EBM teaching and learning can become more relevant and impactful. MethodsA curriculum development group comprising of EBM teachers, patient and public involvement representatives, clinicians, clinical epidemiologists, public health experts and educationalists, with experience of delivering and evaluating face-to-face and online EBM courses across many countries and continents, prepared a new EBM course. ResultsA student-centred, problem-based and clinically integrated course for teaching and learning EBM was developed. In the spirit of shared decision-making, practitioners can learn to support patients, articulate their perspectives, recognise the need for their contribution and ensure community involvement when generating and applying evidence. With end users in mind, the application of research findings, delivery of care and EBM effectiveness in the workplace would carry increased priority. ConclusionsEmbracing patients as EBM collaborators can help deliver cognitive diversity and inspire different ways of thinking and working. Adopting the proposed approach in EBM education lays the foundations for a joint practitioner–patient partnership to ask, acquire, appraise and apply EBM in a more holistic context which will strengthen the EBM proposition.