Implementation Plan Research Articles

An analytical framework based on social-ecological systems for identifying priority areas for ecological restoration in coastal regions

Owing to rapid urbanization, coastal regions worldwide are experiencing immense resource and environmental stress. Ecological restoration is vital for maintaining and sustainably developing coastal regions. This study proposed a method for delineating priority areas for ecological restoration based on the social-ecological systems (SES) theory. First, an analytical model was established based on three dimensions: ecosystem function, social system pressure, and SES evolution, for analyzing the social and natural systems of coastal regions. Second, based on the modes of land–sea interaction relevant to ecological restoration, auxiliary marine factors were incorporated to aid the delineation of priority areas for ecological restoration. A case study was conducted on the Dapeng New District of Shenzhen City to validate our method. The marine areas of the Dapeng New District have significantly poorer ecosystem function than its terrestrial areas because of the natural geography of this area and human activities. A total of 43.4% of marine areas require artificially assisted ecological restoration, and inland areas 1.5 km from the shoreline are significant for ecological conservation and restoration. Additionally, estuaries and artificial shorelines should be the focus of ecological restoration work in the study area. This case study proved the efficacy of our method. The findings will serve as a reference for the planning and implementation of ecological restoration plans in coastal regions.

3.I. Scientific session: Increasing EU preparedness and improving European Vaccination Beyond COVID-19: the EUVABECO approach

Abstract This workshop provides a platform for delegates to enhance their understanding of the interdisciplinary approach developed in the European Vaccination Beyond COVID-19 (EUVABECO) project, funded under the European Commission’s EU4Health programme. The project is to build and validate implementation plans for EU Member States (MS) to equip them with operational and technical tools to enhance vaccination practices both in routine vaccination and in case of future outbreaks. Validation will be based on innovative practices that emerged in the context of the COVID-19 pandemic. Ultimately, EUVABECO will provide MS with robust implementation plans for common tools to support said innovative vaccination practices, thus, enhancing preparedness and increasing resilience against future health threats in Europe and globally. Guided by two chairs, the workshop is structured around five brief interactive presentations to deliver the conceptualisation, methodologies, and early results and vision for vaccination beyond COVID-19. It is designed to highlight how project activities strengthen resilience and increase preparedness against communicable diseases across the EU and beyond its borders, whilst brokering dialogue on related public health priorities. The presentations will focus on: 1. Preparing for future public health crises by fostering a conducive environment. 2. Enhancing preparedness by developing robust implementation plans. 3. An interdisciplinary approach: Exploring the five dimensions (medical/clinical, social, industrial, modelling and forecasting, and digital) of the tools deployed by EUVABECO. 4. The vital role of stakeholders and of the National Immunization Technical Advisory Groups (NITAGs). 5. Future actions and a call for ongoing support and collaboration in a structured manner. The session will also give the opportunity to formally present EUVABECO’s multistakeholder approach and to formally launch the EU Vaccination Stakeholder Forum, where early access will be granted to EU MS for the various resources generate. This will allow the audience to give input about the needs of the broader public health community involved in vaccination across the EU, for the Stakeholder Forum to effectively promote and support: • The scaling up of existing implementation plans within MS; • The development of new implementation plans for additional tools; • Integration between public health and primary care; • Inform the targeted interaction with EU and MS bodies involved in related policies and decision-making. The presentations will be augmented by real-time polling to maximize participant engagement. This approach will maximize interaction whilst eliciting critical insights into stakeholders’ knowledge, attitudes, and practices concerning EUVABECO’s tools and strategies. This type of engagement will ensure effective knowledge transfer and a comprehensive understanding of the project’s objectives and implementation strategies. Key messages • Enhancing vaccination preparedness requires an evidence-based and harmonized set of tools to be deployed across EU MS. EUVABECO will deliver validated implementation plans to achieve this. • An interdisciplinary approach and multistakeholder engagement are critical for evidence-informed decision-making and harmonization to successfully deploy vaccination initiatives across the EU.

Enhancing preparedness by developing robust implementation

Abstract In EUVABECO, a goal is defined as a public health objective that motivates a vaccination practice. A vaccination practice encompasses specific methods or approaches used in vaccination efforts, while a tool refers to a tangible resource or software developed to support the implementation of these practices. EUVABECO is undertaking a series of structured activities from January 2024 until mid-2026. These include mapping innovative practices, deriving requirements for tools and validation plans, developing implementation plans, and facilitating their adoption by European MS. The project will also evaluate, validate, and verify these plans to ensure their efficacy and sustainability. EUVABECO’s methodology is informed by the Systems Development Lifecycle (SDLC) framework, utilizing the V-model to ensure a strong linkage between the development and testing phases, thereby guaranteeing a cohesive workflow. Each implementation plan developed will feature comprehensive policy recommendations and a workplan that covers the necessary organizational, technical, legal, and ethical aspects required for the tool’s deployment. Additionally, these plans will include tailored strategies to enhance the tool’s functionality during outbreaks, criteria for verifying implementation effectiveness, and financial considerations critical for supporting adoption. The implementation plans will undergo a rigorous validation process to assess their suitability, transferability, and sustainability across MS. The ultimate goal is to disseminate validated plans whilst ensuring a parallel multistakeholder engagement approach to ensure MS are actively involved in key project phases, thus, facilitating rapid uptake of said plans across EU MS and a transformation of the vaccination ecosystem across Europe.

The vital role of stakeholders and National Immunization Technical Advisory Groups (NITAGs)

Abstract To successfully implement comprehensive, multidisciplinary and interdisciplinary approaches, collaborative, cross-sectoral policy and strategies are essential. This is critical not only for addressing shared challenges but also for developing effective intervention strategies. One of the main hurdles in any collective action initiative is the ability to galvanize diverse stakeholders, each with their unique set of interests and capacity. EUVABECO is dedicated to conducting pilots, and developing implementation plans that are not only effective but also adaptable and sustainable across various healthcare settings in Europe. The healthcare environments across the pilot countries exhibit considerable variability, including differences in epidemiological trends, immunization information systems, vaccine nomenclature, and the dynamics of collaboration with National Immunization Technical Advisory Groups (NITAGs). Throughout implementation, the cooperation between these diverse stakeholders and NITAGs will be crucial, notably to share local vaccination policies for integration into the Clinical Decision Support (CDS) system. EUVABECO’s goal is to craft implementation plans that are flexible enough to be tailored to local needs, ensuring that interventions are both practical and effective in each unique context. This presentation will explore the vital role that stakeholders and NITAGs play in this process, highlighting the importance of their involvement for the success of EUVABECO’s initiatives.

EHealth Communication Intervention to Promote Human Papillomavirus Vaccination Among Middle-School Girls: Development and Usability Study.

As the age of initiating sexual intercourse has gradually decreased among South Korean adolescents, earlier vaccination of adolescents for human papillomavirus (HPV) is necessary before their exposure to HPV. Health communication includes "cues to action" that lead to preventive health behaviors, and recently, social networking services, which operate with fewer time and space constraints, have been used in various studies as a form of eHealth communication. This study aims to investigate the feasibility and usability of an eHealth communication intervention for HPV vaccination in middle-school girls aimed at the girls and their mothers. The eHealth communication intervention for HPV vaccination was developed using a 6-step intervention mapping process: needs assessments, setting program outcomes, selection of a theory-based method and practical strategies, development of the intervention, implementation plan, and testing the validity of the intervention. A review of 10 studies identified effective health communication messages, delivery methods, and theories for HPV vaccination among adolescents. Barriers including low knowledge, perceived threat, and the inconvenience of taking 2 doses of the vaccine were identified through focus groups, suggesting a need for youth-friendly and easy-to-understand information for adolescents delivered via mobile phones. The expected outcomes and the performance objectives are specifically tailored to reflect the vaccination intention. Behavior change techniques were applied using trusted sources and a health belief model. Health messages delivered through a KakaoTalk chatbot improved awareness and self-efficacy. Quality control was ensured with the use of a log system. The experts' chatbot usability average score was 80.13 (SD 8.15) and the average score of girls was 84.06 (SD 7.61). Future studies need to verify the effectiveness of health communication strategies in promoting HPV vaccination and the effectiveness of scientific intervention using a chatbot as a delivery method for the intervention.

1.X.1. Achieving universal health coverage: international lessons from Irish policy implementation

Abstract Health systems all over the world are struggling to meet population health needs and provide timely access to universal healthcare in the context of the COVID-19 pandemic. COVID-19 occurred in Ireland in the early years of implementation of a national plan for universal healthcare, called Sláintecare. While many health systems are experiencing a retrenchment on universalism in the context of COVID-19, in Ireland despite tediously slow Sláintecare implementation, the pandemic provided a boost to reform implementation and universalism. The reason for this workshop is to draw on a publicly funded Health Research Board Applied Partnership Award, entitled ‘Foundations’, harnessing lessons from the Irish COVID-19 health system response to inform Sláintecare’s implementation https://hrbopenresearch.org/articles/3-70/v1 The objectives of the workshop are to 1) provide academic research evidence from the Irish experience of universal health system reform during and since COVID-19; 2) to give participants space to reflect on the implications of the Irish universal health system reform on international health systems and policy; 3) to actively involve workshop participants in an engaged discussion on implementing universal health coverage in the context of COVID-19. The added value of the workshop is to share learnings from an academic research programme, which is coproducing evidence in partnership with the Irish health system, in a worldwide context, providing relevant and thought-provoking discussion and analysis for an international audience. Four separate inter-related presentations will draw on aspects of the Foundations’ research project. Presentation 1, Prof Sara Burke will outline recent academic literature on universalism and the politics of reform implementation in the context of COVID-19 and present a timeline of universal healthcare reform implementation since 2018 when Sláintecare was adopted by the Irish government (14 mins). Presentation 2, Dr Sarah Parker will detail a specific study which set out to advance understanding of how and to what extent COVID-19 has highlighted opportunities for change that enabled better access to universal, integrated care in Ireland, with a view to informing universal health system reform and implementation (10 mins). Presentation 3, Dr Katharine Schulmann and Carlos Bruen will present findings on the governance of reform implementation and implications for all health systems (10 mins). Presentation 4, Dr Philip Crowley, Health Service Executive (HSE) National Director of Strategy and Research and Chair of the Foundations’ research steering group will reflect how research findings can inform implementing reform and their implications for all health systems (6 mins). There will be four presentations totalling 40 mins, followed by questions and discussion chaired by an international expert/academic on universal health systems. Key messages • COVID-10 has highlighted how universal health coverage is more important than ever, however the pandemic has resulted in some retrenchment on universalism. • While data and research drove health system decision making during the pandemic, embedding research evidence into health system and policy reform remains challenging and can be politically opposed.

The 2021-2023 Italian influenza pandemic plan: a critical evaluation of its regional implementation

Abstract Background Influenza pandemic preparedness plans should be adopted, regularly updated in every country, and comply with international guidelines to ensure proper management of public health emergencies. In Italy, each region develops its pandemic plan based on a National Plan. This study, conducted within a project funded by the Italian Ministry of Health, aims to assess the level of compliance of these plans with the national guidelines. Methods The assessment was based on a checklist of 192 items reporting the actions prescribed by the national plan. The items were divided into macro-areas by pandemic phase: general, alert, inter-pandemic, pandemic, and transition. The compliance regarding the presence and contextualization of each item in the regional plans was evaluated. Each macro-area was further assessed for easy identification of actions, congruence with the National Plan, and contextualization in the regional healthcare system. Some analyses grouped the regions into North, Centre, and South/Islands. Results Some macro-areas, such as ‘Communication’ and ‘Prevention and Control measures,’ showed some weaknesses in all phases, especially in the northern regions, which reached levels of full compliance below 50%. Central regions were highly compliant in almost all macro-areas, especially in ‘Strategy/Governance’ (100%), ‘Supplying’ (75-100%), and ‘Surveillance’ (75-100%). Overall, contextualization was the weakest aspect in all phases, while easy identification and congruence were mainly better achieved. Only three regions fully met all the assessed parameters. Conclusions A strict surveillance and monitoring process of planned activities is necessary to strengthen the country’s preparedness. This study identified critical issues and key areas for improvement at the regional level. This might allow us to verify the correct implementation of national guidelines and define the best strategies for improving readiness for public health emergencies in the future. Key messages • Implementation of the Italian influenza pandemic plan was uneven across regions. • Identification of lacking areas of the regional implementation is essential to improving national preparedness.

A monitoring framework for reinforcing policies against antimicrobial resistance in Europe

Abstract In an attempt to overcome barriers to the effective implementation of policies against antimicrobial resistance (AMR) in the EU Member States, Norway and Iceland, One Health national action plans (NAPs) need to show improvements in both their formulation and their implementation. Research conducted by Tetra Tech, funded by the EU4Health Programme, has identified shortcomings to One Health national policies across all countries, such as limited political focus and awareness of the challenges brought by AMR; lack of operational plans for delivering on the NAPs; and lack of harmonised indicators and inadequate information systems for monitoring the implementation of plans. On this last issue, subsequent reseach by Tetra Tech has supported the design and development of monitoring indicators for reinforcing the expected improvements of NAPs and the implementation of policies aimed at EU Member States in the 2023 “Council Recommendation on stepping up EU actions to combat antimicrobial resistance in a One Health approach”. While drawing on existing data sources at EU and global level, the study has also worked with Member States representatives in identifying indicators for the monitoring framework and proposed new data collection activities at the national level. Key messages • EU countries face common barriers to the effective implementation of One health policies against AMR, and need to reinforce their national action plans. • Stepping up the fight against AMR in the EU requires a strong monitoring framework for following up on EU recommendations.

Driving innovation in primary healthcare though co-creation with stakeholders in Switzerland

Abstract Issue/problem Primary healthcare systems worldwide face challenges such as socio-demographic shifts, increasing chronic diseases, rising costs, and workforce shortages, demanding innovative solutions for the future of primary care. Description of the problem Addressing the complex challenges of creating a resilient primary healthcare model involves considering interdependent factors such as health policies, funding, workforce training, technology, and evolving diseases, alongside diverse stakeholder interests. To tackle this, the ‘Health2040: Co-creation of a Future Outpatient Primary Healthcare Model in Switzerland’ project was launched in 2023 to develop a forward-looking model by integrating insights from various stakeholders. Results The project involved 40 stakeholders, including patients, researchers, healthcare professionals, policy-makers, and insurers, in two full-day workshops aimed at co-creating a vision and actionable framework for Switzerland’s future primary care. The first workshop focused on developing and visualizing potential models, while the second targeted the transition to these new models and the creation of an implementation plan. These sessions were underpinned by a comprehensive literature review on emerging primary care models, providing a scientific foundation for the discussions. Lessons Successful co-creation requires significant preparatory efforts and innovative creativity techniques, such as Future Newspapers, brainstorming, games, and user personas. Engaging stakeholders throughout various stages of the project helped to enhance relevance. Feedback from a steering group on the workshop’s concept, methodologies, and evidence synthesis was instrumental. Healthcare practitioners also contributed their insights on patient personas, ensuring the models developed were pertinent to actual healthcare practices. Stakeholder engagement process was essential for fostering innovative ideas and ensuring stakeholder buy-in for the developed solutions. Key messages • Co-creation with stakeholders is a promising way to develop innovative solutions for health systems. • Integrating stakeholder input is crucial at all the project stages, from preparation to evaluation.

Design of Contextual-Collaborative Assure-Based Learning Program Development in Improving Reading Skills and Bilingual Communication Skills of Early Childhood Children

This article aims to describe the design for developing and evaluating the media for learning with a collaborative-contextual model in improving the reading skills and bilingual abilities of early childhood in the Sukorambi Islamic Kindergarten (TK), Jember Regency. This research uses a qualitative type with a descriptive exploratory approach—data collection techniques using in-depth interviews, participatory observation, and documentation studies. The data were then analyzed using the stages of domain analysis, taxonomic analysis, componential analysis, and cultural theme analysis with the validity of the data, the credibility of the triangulation method and sources, and confirmability. Based on the research findings, it was concluded that the six stages in the design of contextual-collaborative assured-based learning program development in improving reading skills and bilingual communication skills are as follows: Analysis of early-age learners and as digital natives; determining learning objectives; choosing methods, media, and materials (including the use of the student center method, compiling the Outline of the Contents of the Podcast Media, Podcast Media Scripts, and Bilingual Learning Implementation Plans), Utilization of media, and teaching materials (including reviewing materials, preparing materials, learning environments, and learners and ensuring learner learning experiences), Learner involvement, and Evaluatievaluationision.

Preparing for future public health crises by fostering a conducive environment

Abstract Vaccination is considered one of the most cost-effective public health interventions. Zoonotic diseases, which are transmitted from animals to humans, represent an escalating global health concern. Environmental degradation, wildlife trade, and intensified farming practices have disrupted natural ecosystems. This has not only heightened the risk of pathogens crossing species barriers but exacerbated the migrant crisis and deepened global inequalities, as vulnerable populations disproportionally bear the environmental and health burdens. Despite decades of awareness about these risks, the COVID-19 pandemic highlighted our lack of preparedness. At the same time, vaccination hesitancy has been revealed as an important factor in implementing universal vaccination coverage at the population level. Urgency drove innovation. Within months, new multidisciplinary and interdisciplinary approaches were implemented that enhanced our capacity to understand, treat, and protect against the virus. This led to deploying novel technologies, curbing the crisis, and even opening the door to emerging health technologies across a wide spectrum of innovation, from new medicinal products, including vaccines, to evidence synthesis tools, including for modelling and forecasting. Shifting from emergency measures to long-term management of COVID-19, there lies a critical opportunity to strengthen resilience and to increase preparedness against future health threats. The EUVABECO project seeks to harness this momentum by initiating pilot projects that test innovative vaccination tools in evidence-based selected reference practices. These pilots are planned to use suitable theoretical frameworks and consensus meetings to design and develop comprehensive implementation plans that will be shared with EU MS, thereby enhancing Europe’s preparedness and response capabilities against communicable diseases.

Evaluating Enterprise Resource Planning Adoption Using the EDAS Method: A Strategic Approach

Adoption of enterprise resource planning (ERP) systems is the process of putting ERP systems into use inside an organisation. It entails the fusion of diverse corporate operations into a centralised software platform, including finance, human resources, and supply chain management. By enabling real-time utilisation of integrated data and automated processes, ERP adoption attempts to improve decision-making, increase efficiency, and streamline operations. To achieve successful installation and user acceptance, rigorous planning, arrangement, and instruction are needed. For businesses looking to streamline operations and obtain a competitive edge in today's digital environment, ERP adoption is essential. The implementation of enterprise resource planning (ERP) is significant for research since it can help to better understand and manage organisational operations. Scientists can learn more about the elements that contribute to successful implementation, pinpoint best practises, and address issues that organisations have throughout the adoption process by researching ERP adoption. By optimising resource allocation, increasing operational efficiency, and implementing ERP, this research will assist organisations in making knowledgeable judgements. Additionally, research on ERP adoption aids in the creation of frameworks and theories in the discipline of information technology and offers advice to practitioners and decision-makers working on ERP projects. A technique for making decisions that takes into account an alternative's distance from the mean answer is called evaluation based on distance from the average solution (EDAS). It gauges the performance of the alternatives using the distance between them and the typical solution. When evaluating options, EDAS takes both positive and negative distances into account. To rank and choose the best alternative in multi-criteria decision-making issues, this method is frequently utilised. Decision-makers can use EDAS to make well-informed decisions by taking into account how far away various options are from the typical solution. The Shipping took the first place while Tracking took the Last place in the Enterprise resource planning adoption. In this paper Enterprise resource planning adoption, The Shipping took the first place while Tracking took the Last plac

Determining Factors to Develop Periodic Plan, Strategic Plan and Medium-Term Expenditure Framework in Local Governments in Nepal

This research article explores the factors influencing the development and implementation of periodic plan, strategic plans, and the Medium-Term Expenditure Framework (MTEF) in local governments of Nepal, particularly focus on Bharatpur Metropolitan City. The study adopts a qualitative research design, employing document analysis, focus group discussions, and interviews with key stakeholders, including government officials, local communities, NGOs and civil societies. The findings identify key determinants: public responsible governance; efficiency, financial integrity, and systematic implementation of programs; proper resource allocation; and risk identification and management. Major findings emphasize the importance of public responsible governance, which includes public voice, participation, and shared responsibility in decision-making processes. Additionally, the study highlights the necessity of efficiency, financial integrity, and systematic implementation of programs for effective service delivery. Proper resource allocation and risk management are also crucial, ensuring that development projects meet community needs and sustainable goals. These elements collectively contribute to the successful governance and development of local governments in Nepal. The research also highlights the need for further studies, particularly in other regions of Nepal, using diverse methodologies to strengthen the understanding of local-level planning and its implications. Int. J. Soc. Sc. Manage. Vol. 11, Issue-4: 88-94.

Analysis of the Sustainable Role of Higher Education in the Economy

Higher education injects impetus into the sustainable development of the economy by improving the structural and functional order of the education system. From the perspective of economics, the higher salary level of higher education graduates not only indicates the improvement of personal value, but also directly reflects the added value of education. The purpose of this paper is to explore the current state of higher education development in Asian countries and to provide an in-depth analysis of how it can promote economic growth through three main pathways. The value-added evaluation mechanism of higher education encompasses the entire educational process, and its core function is to diagnose, improve and monitor the quality of education to ensure that the ultimate goal of education is to achieve quality, equity and sustainable development. Therefore, the government should expand and deepen the scope and depth of the implementation of the higher education revitalization plan in an orderly manner, continuously improve the compatibility of the plan with the current situation of local development, and continuously improve the support system for the higher education revitalization plan to promote economic growth. This will help optimize the allocation of higher education resources, narrow the economic development gap, and achieve shared prosperity.

STATE POLICY AS A FORM OF TARGETED STATE ACTIVITY

The article examines state policy as an organized and purposeful activity of the state, which provides for the protection of public interests, ensures the adoption of balanced and justified state decisions, and contributes to the stable development of Ukrainian society. Issues of state policy formation in the system of planning and implementation of development plans of modern society are considered. It was determined that with the transition from bureaucratic forms to innovative methods of managing the state and society, state policy acquires certain signs of publicity, due to the involvement of both state and non-state public organizations in its implementation. It has been proven that the European integration of Ukraine is accompanied by changes in state policy, which is based on European values ​​and standards for the formation of a legal, social and democratic state. Therefore, it is better to use the term «public policy», as active purposeful actions of the state based on the cooperation of state institutions, civil society institutions, as well as non-state organizations and individual citizens. It is noted that the participatory theory of democracy should become a universal principle of organizing the public policy of the Ukrainian state. Because the basis of the effective functioning of participatory democracy is a developed civil society, as well as public trust in the activities of state and public institutions, that is, citizens' confidence in the correctness of the actions of public authorities to implement the goals announced by the state. It is substantiated that modern state (public) policy, firstly, is designed to ensure public expression of will, expression of interests and needs of the population and their practical implementation at the level of power institutions; secondly, it should be based on the principles of: openness, transparency and democracy; thirdly, in the process of development and implementation of political decisions, civil society institutions should be involved in this work. The specific characteristics of state policy as an active activity are singled out, which distinguish it from a whole array of other types of policies. In further studies, it is suggested to pay attention to the normative and legal regulation of state policy.

External beam radiotherapy followed by image-guided adaptive brachytherapy in locally advanced cervical cancer: a multicenter retrospective analysis.

To evaluate oncological outcomes and toxicities in patients with locally advanced cervical cancer (LACC) treated with concurrent chemoradiotherapy followed by image-guided adaptive brachytherapy at two Italian centres. A retrospective analysis was conducted on 122 patients with LACC treated between 2010 and 2022. Primary endpoints were local control (LC), pelvic control (PC), and nodal control (NC). Secondary endpoints included disease-free survival (DFS), metastasis-free survival (MFS), overall survival (OS), and late toxicity. Correlations between patient characteristics and oncological outcomes were conducted. Brachytherapy planning was CT and MRI-based in 88 (72.1%) and 34 patients (27.9%), respectively. The mean total dose (EQD2) delivered to high-risk clinical target volume was 82Gy. Overall treatment time was ≤ 50days and > 50days in 48 (39.3%) and 74 patients (60.7%), respectively. At a mean follow up of 101months, 3 and 5-year LC rates were 87% and 85%, respectively. Five-year PC and NC rates were 77% and 85.1%. Five-year DFS and OS were 61% and 65.4%, respectively, with significant correlations between these outcomes and FIGO stage and nodal status at diagnosis. Gastrointestinal, genitourinary and vaginal adverse effects were the most reported late toxicities and 8 (6.5%) grade 3-5 events were observed. 32 patients (26.2%) had vaginal stenosis and it was significantly related to 3D imaging used for brachytherapy planning. The study confirmed the efficacy and safety of chemoradiotherapy and IGABT for LACC. Full implementation of MRI treatment planning and interstitial techniques could further enhance personalized treatment and outcomes.

Martial Arts in Physical Education and Student Self-Regulation

This study explores the impact of martial arts education within the physical education curriculum, aiming to assess its effectiveness in enhancing students' cognitive, affective, and physical self-regulation, while also identifying areas for improvement. Quantitative data from student surveys indicated that martial arts education has a positive effect on self-regulation across all domains. However, qualitative responses revealed significant challenges, including accessibility issues, the need for a more practical and engaging curriculum, and insufficient support from schools and facilities. Based on these findings, a comprehensive program was developed to address these concerns. The program focuses on curriculum enhancement, increasing accessibility and engagement, improving facilities and resources, supporting instructor development, and establishing ongoing assessment mechanisms. The program’s implementation plan is structured across six phases, ensuring a strategic approach to achieving the intended outcomes. The study concludes that while martial arts education holds considerable potential for holistic student development, its full impact is currently limited by various barriers. By addressing these challenges through targeted interventions, educational institutions can maximize the benefits of martial arts education, fostering not only physical fitness and discipline but also cultural appreciation and emotional resilience among students. The proposed program serves as a roadmap for schools to enhance martial arts education and better align it with educational objectives, ensuring a more engaging and impactful learning experience.

Cancer survivorship and long-term outcomes: navigating the challenges beyond treatment

The increasing number of cancer survivors due to advancements in early detection and treatment has shifted the focus of oncology to the long-term health and well-being of these individuals. Cancer survivorship encompasses a wide range of challenges that extend beyond the completion of treatment, including physical, psychological, social, and economic issues. This review explores the long-term physical health consequences of cancer treatment, such as neuropathy, cardiotoxicity, and chronic conditions, and highlights the psychological burdens, including anxiety, depression, and cognitive impairment, commonly faced by survivors. The article also addresses the social and economic impacts, such as difficulties in returning to work and financial toxicity, which further complicate the survivorship experience. Additionally, the review emphasizes the importance of assessing and improving the quality of life (QoL) for survivors through personalized interventions and the implementation of survivorship care plans (SCPs). Emerging research on biomarkers, telemedicine, and policy advocacy is discussed as critical components for advancing survivorship care. The review concludes that a comprehensive approach, including ongoing research, personalized care, and supportive policies, is essential to meet the diverse needs of cancer survivors and improve their long-term outcomes and QoL.

Influence of School Development Plan Implementation on Students’ Academic Performance in Dodoma City Secondary Schools, Tanzania

Influence of School Development Plan Implementation on Students’ Academic Performance in Dodoma City Secondary Schools, Tanzania

Fostering meta-moral cognitive skills among pre-service teachers using creative problem-solving processes

Acknowledging strengths and weaknesses of an ethical judgment, called meta-moral cognitive skills, enables pre-service teachers to make better decisions. Engaging in critical thinking with creative problem-solving can critically evaluate ethical decision-making processes by analysing their different stages. Thus, this study investigated whether creative problem-solving can foster meta-moral cognitive skills. The researchers analysed solutions for a vignette based on real-life experience involving an ethical issue by 51 pre-service teachers using creative problem-solving processes: problem definition, information gathering, concept selection, conceptual combination and reorganization, idea generation, idea evaluation, solution monitoring, and implementation planning. A qualitative analysis of the responses showed that creative problem-solving supported pre-service teachers in identifying the rationale and criticisms of their ethical judgments and limitations in their proposed solutions. The implication is that it is crucial for prospective teachers to undergo training in creative problem-solving of various ethical dilemmas as part of their curriculum.