Research Knowledge Research Articles

Planning guidance to limit hot food takeaways: Understanding the possible economic impacts

Local and national policymakers are seeking innovative solutions to create healthier food environments around the world. Between 2009 and 2017, 35 local authorities across England (UK) adopted planning guidance designed to limit the proliferation of hot food takeaways near schools. Whilst these policies are intended to improve population health, they are also likely to have economic impacts. Often a decision to introduce such policies comes down to consideration of whether the short-term economic imperatives of allowing new takeaway outlets to open outweighs the potential long-term public health implications and associated economic consequences. These potential negative and positive economic impacts have not previously been clearly described and are summarised here. The aim of this paper is to provide an overview of the potential economic impacts of takeaway management zones. In particular, we present a Causal Loop Diagram (CLD) that outlines the possible economic impacts of takeaway management zones based on researcher knowledge of the interventions and the industry. Potential negative impacts fall across sectors and may include a loss of employment opportunities and reductions in local and national tax receipts, and may impact the economic vitality of local communities. In the longer term, there is the potential for positive impacts such as reductions in healthcare resource utilisation, social care expenditure and sickness-related absence from work. Part of a robust case would a better economic understanding, that would enable local authorities to improve understanding of the trade-offs associated with the policy, such as short-versus long-term, and business-related versus society-related health benefits and costs.

Research Methodology Courses in Advanced Studies in Education: Trends from the Portuguese Case

The identification and characterisation of all course syllabus on research methodologies in education in advanced studies in education allows to present the current Portuguese teaching and learning scenario in this field for the first time. The approach for the development of this empirical work was a national survey of all master's and doctoral programmes in education and in teaching, coding and translating the information. The data collected was validated with the respective higher education institution, the master or doctoral coordinator and the teacher responsible for the research methods teaching. A qualitative based methodology through descriptive statistical analysis enables a presentation of trends in the design and organisation of the course syllabus. The results show a research knowledge that is fragmented and not clear. The descriptions of course syllabus undervalue the epistemological and methodological issues inherent in the construction of scientific knowledge in education. Privilege is given to the operationality of the methodology with a view to developing a scientific project.

Institutional Mechanisms for Enhancing Production of Doctoral Research Outputs at Makerere University

In the contemporary knowledge society, research production is being re-purposed in terms of not just its academic value, but also its wider societal value. As such, doctoral research ought to be produced in the context of application. Therefore, universities have a responsibility to enhance the uptake and use of doctoral research outputs. This necessitates institutional mechanisms for enhancing the production of doctoral research outputs for uptake and use beyond academia. We examined the institutional mechanisms for enhancing production of doctoral research outputs at Makerere University using the research knowledge infrastructure (RKI) framework as the analytical lens. This was in light of the dismal uptake and use of research produced at Makerere University by students and staff. We used qualitative single case study research design. We collected data through interviewing and review of documents. We interviewed 10 doctoral program coordinators, three managers of research and graduate training and 13 PhD students we selected purposively. We reviewed seven institutional documents pertaining graduate training at Makerere University: two plans, three policies, one framework and one guideline. We used thematic data analysis to make sense of the data. The findings revealed that due to policy-practice gaps and funding constraints, mechanisms to enhance doctoral research production to facilitate uptake and use of doctoral research outputs beyond the academia were not adequately integrated into doctoral research training. This was shown by the lack of mechanisms to enhance doctoral research commissioning and execution, and gaps in priority setting. Opportunities for productive interactions between doctoral researchers and potential users were missed. As such, doctoral research outputs largely remained within the scholarly community. We recommend that the university should establish interface structures and co-creation spaces to leverage doctoral research commissioning, execution and priority setting to facilitate the uptake and use of doctoral research outputs beyond the scientific community.

Knowledge Mapping of Vocational Education Employability SkillsResearch (2004-2024): AVisualized Analysis based on Citespace

This study provides a comprehensive knowledge of vocational education employability skills research conducted from 2004 to 2024. 1545 documents were downloadedfrom the Web of Science database for the study.Utilizing Citespace, a powerful bibliometric and visual analytical tool, the study was designed to reveal key trends, influential authors, seminal publications and emerging themes in the field. Data was carefully collected from the leading academic database, Web of Science, thus ensuring a robust analytical framework. Through co-citation and keyword analysis,to explore the trends in the research topic in recent years, to identify the main areas of research activity, to explore the evolutionary stages of the profession as well as the main dynamics of the current stage, and to better prepare for the development of relevant strategies in the future. This study informs researchers by providing basic background knowledge about employability skills for visual and quantitative research. Thus, this approach allows for the observation of research gaps and deeper academic discussions on employability skills in higher vocational education. The study demonstrates the hotspots and trends in research on employability skills in higher vocational education, which are discussed and summarized in the hope that it can give more inspiration to the researchers behind.

학술지『교육과학연구』(1999~2023) 연구동향 분석: 키워드 네트워크 분석을 활용하여

This study aims to elucidate the research trends and knowledge structure of‘Journal of Education Science [JES]’through keyword network analysis and to derive directions and implications for Jeju education research. To achieve this, a total of 561 papers published in 1999 to 2023 were collected. The main research findings are as follows: First, the proportion of papers related to Jeju has been decreasing, with the majority of papers focusing on subject education and field education in relation to educational studies. Second, a detailed analysis of the field on educational studies showed that subject education accounted for 369 papers(65.8%), with science education, mathematics education, korean language education, and english education following in order of prevalence. Third, in the centrality analysis, the terms “learning,” “mathematics,” and “high school” ranked high in degree centrality, while “learning,” “science,” and “environment” ranked high in betweenness centrality. Based on these findings, the following implications were drawn. First, to further promote [JES], it is necessary to recruit editorial board members from across the country and provide support for various academic activities. Additionally, conditions must be established to diversify research topics and promote interdisciplinary and cross-disciplinary convergence. Finally, there is a need for studies that address the unique status of the Special Autonomous Province and prepare for future education of the Fourth Industrial Revolution. Support measures should also be put to encourage research related to the keyword “teacher.”

A “flexible” compulsory dental basic research course for undergraduate students: a three-year retrospective study

IntroductionSince 2015, the Guanghua School of Stomatology has established an elective dental basic research course (EDBRC). To make all students benefit from the dental basic research course without causing excessive academic burden, the “flexible” compulsory dental basic research course (CDBRC) was settled in 2020. This study intends to introduce the “flexible” compulsory teaching module and assessment system of CDBRC, and analyze its effectiveness over 3 years.Materials and methodsThe grade point average (GPA), course pressure, level of basic research knowledge and skills, and students’ research achievements were collected and analyzed between EDBRC and CDBRC. The unpaired t test was used to analyze the difference.ResultsThe “flexible” CDBRC has been successfully constructed with compulsory teaching module and hierarchical assessment system. The CDBRC has not caused significant course pressure to students compared with the EDBRC. Besides, the “flexible” CDBRC can improve the students’ GPA, basic research knowledge, and research achievements.ConclusionsThe “flexible” CDBRC can improve students’ academic performance and basic research abilities without causing significant course pressure, which can be conducted in dental schools with similar backgrounds.Trial registrationNot applicable.

Research trends and hotspots of acupuncture therapy for obesity from 2004 to 2023: A bibliometric analysis

BackgroundAcupuncture has been increasingly used in obese people, yet no bibliometric analysis of acupuncture studies for obesity exists. This bibliometric study analyzed research trends, cooperation, and knowledge dissemination on acupuncture for obesity over the past 20 years to inform future directions. ObjectivesTo investigate the characteristics, hotspots, and frontiers of global scientific output in acupuncture research for obesity over the past two decades. MethodsWe retrieved publications on acupuncture for obesity published from 2004 to 2023 from the Web of Science Core Collection. Using Citespace, VOSviewer, and Bibliometrix, we analyzed and visualized the publications, countries, institutions, authors, journals, and keywords from various angles. ResultsA total of 357 articles were retrieved. The results showed that the number of annual publications on acupuncture for obesity has increased over time. China had the most publications (217 articles, 60.87%), with Chengdu University of Traditional Chinese Medicine (24 articles, 6.72%) as the most prolific institution. Ergene Neyhan, Huang Wei, and Zhou Zhongyu were the most productive authors (9 articles), and the article published by Cho SH in 2009 was the most cited article (60 citations). The most published journal was Evidence-based Complementary and Alternative Medicine, while the Journal of American Journal of Chinese Medicine was the most frequently cited. Recently, “electroacupuncture” “insulin resistance” and “systematic review” appeared frequently. The research hotspots and trends of acupuncture for obesity mainly focus on interventions, hotspot diseases, and mechanism exploration. According to keyword analysis, randomized controlled trials of catgut embedding and mechanistic studies of gut flora are the trends for future research. ConclusionAlthough China is the leading producer, multinational co-operation still needs to be strengthened. Currently, the main interventions for obesity were acupuncture and electroacupuncture, and the hot diseases were obesity combined with polycystic ovary syndrome and metabolic syndrome. In addition, randomised controlled trials of catgut embedding and mechanistic studies of gut flora may be potential directions for future research in the field of acupuncture for obesity.

From waste to wealth: sustainable approaches and novel strategies in the utilisation of food and dairy by‐products – a critical review

SummaryThe correct application of by‐products produced in the food and dairy industries is essential for attaining sustainability goals and minimising waste. By‐products, which used to be viewed as throwaway materials, have lately been recognised as valuable sources. By‐products can have significant nutritional, physiological and economic value. This paper addresses the novel techniques and technologies that have been employed to successfully transform these by‐products into products with value‐added hybrid products; there are also some instances of success mentioned, as well as the trends that will likely have an impact on the sector in the coming years. Through case studies and scientific insights, the reader may discover how businesses and society as a whole can benefit from using by‐products. Overall, the goal of this endeavour is to demonstrate the transformative potential of using food and dairy by‐products and to serve as an avenue of encouragement and knowledge for researchers, business executives and policymakers interested in increasing the value of by‐products in the food and dairy sectors. Despite the fact that there are a few articles on the utilisation of food and dairy by‐products, none of them have employed bibliometric analysis to reach insights. The present study is an exemplary instance of looking into the evolution of publication patterns over time, suggesting the need for additional research in this area.

Integrating traditional knowledge of non-Western humanities and social sciences: a research agenda through the Chinese lens

ABSTRACT The global knowledge asymmetries, dominated by academic centers in Western societies, have marginalized traditional non-Western knowledge. In line with the call for intellectual pluriversality, non-Western scholars in the humanities and social sciences (HSS) have witnessed a revitalization of traditional knowledge in research. Nonetheless, how they integrate their traditional knowledge into research lacks theoretical grounding and empirical substantiation. This study specifically examines the research agenda of contemporary Chinese HSS academics who are attempting to integrate traditional Chinese and modern Western knowledge. Through interviews, it seeks to understand their reasons, goals, principles, and strategies related to such knowledge integration. It first underscores the rationales stemming from global knowledge disparities and Chinese individuals’ limited exposure to their traditional knowledge. It then reveals guiding principles for understanding traditional Chinese knowledge. Last, it provides strategies for knowledge integration, including comparative analysis and the transformation of traditional Chinese knowledge into modern theories and methodologies. Such a research agenda transcends critical reflection on the hegemonic and inequitable global knowledge system, promoting tangible actions to facilitate HSS research in China and beyond.

Living With Spasticity During the COVID‐19 Pandemic: A Qualitative Study of Patient, Carer and Physician Experiences

ABSTRACTBackgroundApproximately 4.4 million people in England (8% of the total population) are living with a long‐term neurological condition. Within this group of vulnerable individuals, there will be individuals living with severe spasticity that requires regular outpatient treatment with botulinum toxin injection. The closure of outpatient spasticity services during the pandemic impacted individuals who required spasticity treatment and their carers, as well as the specialist clinicians responsible for service delivery.ObjectivesWe aimed to gain insight into the experiences of individuals living with spasticity, their carers and a clinical spasticity service lead during the pandemic, and to reflect on potential learning for the future.MethodsA qualitative study was designed using semi‐structured interviews conducted by telephone. Participants comprised patients living with a long‐term neurological condition who attended outpatient spasticity clinics before the start of the pandemic in England, primary carers who accompanied patients attending these clinics and a clinical spasticity service lead. Data were audio recorded, transcribed, anonymised and coded. Data analysis utilised the One Sheet of Paper thematic approach to identify themes, which were discussed and analysed by the interdisciplinary research team and two patient and carer participants.ResultsOut of the 11 participants recruited, aged 36–77 years, seven comprised people living with spasticity related to a long‐term neurological condition, three were carers and one was a clinical spasticity service lead. Six participants were male and five were female. Among the participants, four were stroke survivors, two were living with spinal cord injury and one was living with multiple sclerosis. Analysis revealed six major themes: experience of living with spasticity during the pandemic; impact of the pandemic on patient, carer and clinician health; access to and experience of outpatient clinic appointments; coping strategies during the pandemic; system improvements; and learning from the pandemic period.ConclusionThese findings contribute research knowledge to a very limited research knowledge base and suggest that there is scope for improving system and service delivery through the allocation of research funding to senior clinicians working in this specialist area.

Current knowledge and scientific trends in myokines and exercise research in the context of obesity.

The relationship between exercise and obesity has attracted increasing attention from researchers worldwide in recent years. The aim of the present study was to analyze the current knowledge and scientific trends of research into myokines and exercise in the context of obesity and provide ideas for future research strategies to prevent obesity. The study conducted a comprehensive bibliometric analysis of 300 scientific publications related to myokines, exercise, and obesity from 2004 to 2024. Applying the VOSviewer tool, the analysis revealed a significant increase over time in the number of publications on these topics, with a total of 1,142 related keywords identified. Key themes identified in the analysis included molecular processes, new organokines, skeletal muscle research, model organism studies, and human studies based on sex and age differences. The study highlighted the growing interest in the molecular mechanisms of obesity and role of myokines. Results showed a substantial increase in publications from 2014 to 2024, with a focus on new organokines (myokines, adipokines) and animal models. The analysis underscored the importance of myokines in modulating metabolic processes and their potential therapeutic implications in managing non-communicable diseases such as obesity. Furthermore, the study revealed the close relationship between exercise, myokine production, and regulation of metabolism, stress response, and inflammation. In conclusion, over the last years, increasing research interest has been focused on the molecular mechanisms of obesity and benefits of exercise, and probably will be focused on a set of myokines released during muscle contraction. A newly identified myokines has emerged as a promising marker for the prevention and control of obesity.

Abstract B119: Evaluation of a navigator training program to increase clinical trials and genomic research participation among adult African Americans and Hispanics residing in the Southern United States

Abstract Introduction: Patient Navigators (PNs) have have proven to be effective along the cancer care continuum. However, emerging data suggest that the scope of patient navigation should be expanded to include other contexts such as the recruitment of racial/ethnic minorities for cancer clinical trials. Because the processes of recruitment and retention are often linked, the same barriers hindering minority recruitment often hinder minority retention. The potential benefits of studying generalizability and statistical power for subgroup analyses may be lost with disproportionately high attrition among the enrolled minorities. The dual focus of the training curriculum on both recruitment and retention distinguishes it from the few previous efforts focused on the traditional PN model for minority recruitment in clinical trials and genomic research studies. Methods: A two-phased navigator training program was implemented. Components of the training program was adapted in collaboration, with the Joint Cancer Advisory Council and Bioethics Co-Leaders, from the existing UAB IMPACT Patient Navigation Training Curriculum. A systematic literature review will be conducted to identify the most salient genomic educational and resource needs and concerns of AAs and Hispanic populations regarding participation in genomic-focused research and clinical trials. These findings informed the adaptation of the training curriculum based on principles of adult education. Results: We conducted a joint training for the Clinical Trials and Genomic Navigators at each Partnership institution (MSM, TU, UAB) for the proposed project. The Co-Leaders from the Partnership Outreach Cores, the Bioethics Shared Resource, and the Joint Cancer Advisory Council planned and assigned responsibilities and dates for completion of the training activities. The initial training was the GW Navigator On-line Training Program. A supplemental training was held at one of the partnering sites, a safety-net hospital (Grady Cancer Center for Excellence). The in-person training featured an overview presentation on Genetic Risk Assessment in Oncology by a licensed genetic counselor, followed by a case study approach to enrollment and the implementation of a research study with training materials such as tablets provided by the training conductors. An evaluation was completed by the team for training conductors. The third training was held at Tuskegee University and ttopics included the importance of consent training. For this presentation, we will present the qualitative and quantitative findings. Conclusions: The training outcomes were standardized and included input from the Bioethics Co-Leaders and JCAR members. We measured changes over time (pre vs. posttest) in: 1) knowledge and skills of clinical trials and genomic research; 2) ability to identify barriers and solutions to participation in research, 3) ability to implement the two toolkits, and 4) level of ease in identifying open protocol research studies and clinical trials. Citation Format: Osato Eke, Makeeta Rayton, Teresa Hall, Lleana Barrios-Zermeno, Jennier Culbertson, Angela Morris, Vivian Carter, Yu-Mei Schoenberger, Victoria Churchill, Desiree Rivers, Stephen Sodeke, Mohamed Mubasher, Roland Matthews, Brian Rivers. Evaluation of a navigator training program to increase clinical trials and genomic research participation among adult African Americans and Hispanics residing in the Southern United States [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B119.

Supporting Indigenous Graduate Student Health Research Capacity: Mentorship through a Provincial Health Research Network Environment in British Columbia,

The British Columbia Network Environment for Indigenous Health Research (BC NEIHR), funded by the Canadian Institute of Health Research, is an Indigenous-led network that supports the research development and knowledge sharing of Indigenous communities, collectives and organizations and Indigenous graduate students in BC. To understand how we impacted the health research journey of Indigenous graduate students, we conducted a critical analysis of our annual evaluation reports and offer a reflective narrative of our operations. In this article, we share our Indigenous mentorship model and describe how we supported and enhanced Indigenous-led research among Indigenous graduate students in BC by: addressing common challenges related to financial costs of pursuing health research; prioritizing cultural and land-based learning opportunities; providing exceptional academic and professional development opportunities; and promoting Indigenous cultural safety, equity, and self-determination by creating systems-level change through partnerships. We conclude that as we work toward systems change, the BC NEIHR offers a promising approach towards enhancing Indigenous health research capacity through mentorship.

A Proposed Framework for Rigor and Transparency in Dysphagia Research: Prologue.

Scientific transparency and rigor are essential for the successful translation of knowledge in clinical research. However, the field of oropharyngeal dysphagia research lacks guidelines for methodological design and reporting, hindering accurate interpretation and replication. This article introduces the Framework for RigOr aNd Transparency In REseaRch on Swallowing (FRONTIERS), a new critical appraisal tool intended to support optimal study design and results reporting. The purpose of introducing FRONTIERS at this early phase is to invite pilot use of the tool and open commentary. FRONTIERS was developed by collaborating researchers and trainees from six international dysphagia research labs. Eight domains were identified, related to study design, swallowing assessment methods, and oropharyngeal dysphagia intervention reporting. Small groups generated questions capturing rigor and transparency for each domain, based on examples from the literature. An iterative consensus process informed the refinement and organization of primary and subquestions, culminating in the current initial version of FRONTIERS. FRONTIERS is a novel tool, intended for use by oropharyngeal dysphagia researchers and research consumers across disciplines. A web application enables provisional use of the tool, and an accompanying survey solicits feedback regarding the framework. FRONTIERS seeks to foster rigor and transparency in the design and reporting of oropharyngeal dysphagia research. We encourage provisional use and invite user feedback. A future expert consensus review is planned to incorporate feedback. By promoting scientific rigor and transparency, we hope that FRONTIERS will support evidence-based practice and contribute to improved health outcomes for individuals with oropharyngeal dysphagia.

Perceptions of special education pre-service teachers regarding the implementation of a neuroscience motifs-based teacher training program

While the interest in the connection between neuroscience and education continues to increase, there is a gap between the declarative statements regarding its importance and the small number of programs that put it into practice. The perceptions of the participants in these programs might offer valuable insights regarding the applied values of this connection. This study seeks to contribute to the accumulated research knowledge by using a qualitative analysis approach regarding the perceptions of pre-service teachers (PSTs) in a special education track program. The PSTs participated in a unique training program called the “Neuroscience Motifs-based Teacher Training Program” (NMTTP) that was presented as part of a reading course. Findings reveal mostly positive perceptions of the PSTs regarding the importance, relevance and contribution of neuroeducation to education, from a professional & personal perspective. In addition, the findings expand the current literature in two aspects: (1) the potential benefits that neuroscience can grant to education in general, and to special education in particular; (2) the contribution of knowledge on neural basis for PSTs to a sense of perspective, patience and empathy toward challenging students, by understanding some of the ongoing processes in their students’ brains.

Parsimonious immune-response endotypes and global outcome in patients with traumatic brain injury

The inflammatory response in patients with traumatic brain injury (TBI) offers opportunities for stratification and intervention. Previous unselected approaches to immunomodulation in patients with TBI have not improved patient outcomes. Serum and plasma samples from two prospective, multi-centre observational studies of patients with TBI were used to discover (Collaborative European NeuroTrauma Effectiveness Research [CENTER-TBI], Europe) and validate (Transforming Research and Clinical Knowledge in Traumatic Brain Injury [TRACK-TBI] Pilot, USA) individual variations in the immune response using a multiplex panel of 30 inflammatory mediators. Mediators that were associated with unfavourable outcomes (Glasgow outcome score-extended [GOS-E]≤4) were used for hierarchical clustering to identify patients with similar signatures. Two clusters were identified in both the discovery and validation cohorts, termed early-inflammatory and pauci-inflammatory. The early-inflammatory phenotype had higher concentrations of interleukin-6 (IL-6), IL-15, and monocyte chemoattractant protein 1 (MCP1). Patients with the early-inflammatory phenotype were older and more likely to have an unfavourable GOS-E at 6 months. There were no differences in the baseline injury severity scores between patients in each phenotype. A combined IL-15 and MCP1 signature identified patients with the early-inflammatory phenotype in both cohorts. Inflammatory processes mediated outcomes in older patients with moderate-severe TBI. Our findings offer a precision medicine approach for future clinical trials of immunomodulation in patients with TBI, by using inflammatory signatures to stratify patients. CENTER-TBI study was supported by the European Union 7th Framework Programme. TRACK-TBI is supported by the National Institute of Neurological Disorders and Stroke.

The Use of Extensive Reading in Promoting Communication in JHS Class: A Case of St. Joseph Practice JHS 1 Students

Extensive reading is a careful cognitive effort that allows individuals to decode the words on paper to extract meaning. The study was carried out to investigate the impact of Extensive Reading in Promoting Communication in JHS classes using St. Joseph Practice JHS in Tano South District of the Bono Ahafo of Ghana for the study. To achieve this aim, the following objectives were laid out to ascertain the teacher's awareness of the benefits of extensive reading and determine the techniques/strategies teachers employ to promote extensive reading for communication in St. Joseph Practice JHS 1. The research design used in this report is descriptive design, utilizing a questionnaire method to obtain information from the respondents for this project. Primary data were collected from the primary source, which questionnaire was used as an instrument of data collection, while secondary data were sources from textbooks, journals, newspapers and the internet. The data were presented in qualitative. Extensive reading is a useful strategy for students to improve their communication. The study provides other researchers with some reliable instruments, action procedures, and experimental findings for use in future research. To the researcher's knowledge, there are no studies about the effect of extensive reading on communication in St. Joseph Practice JHS in Tano South District of the Bono Ahafo. Based on the findings of the study, it was recommended that there is the need to enact a policy that encourages the construction of ultra-modern libraries in the District, especially Bechem, where St. Joseph Practice JHS is located to improve communication of the students, provision of relevant information resources and, qualified librarians to run such libraries and parents should encourage their children and wards to read at home and watch children educational television programmes.

Green supply chain management and sustainable performance: exploring the role of circular economy capability and green ambidexterity innovation

PurposeThe present research aims to analyze the influence of Green Supply Chain Management (GSCM) on the Sustainable Performance (SP) of Spanish wineries, examining the intermediary roles of Circular Economy Capability (CEC) and Green Ambidexterity Innovation (GAI) within this primary relationship. In particular, the study seeks to answer the following Research Questions (RQs): (RQ1), does GSCM exert a positive impact on wineries’ SP? (RQ2), does CEC play a mediating role in the interconnection between GSCM and wineries’ SP? And (RQ3), does GAI function as a mediator in the interplay between GSCM and wineries’ SP?Design/methodology/approachThe research utilizes Partial Least Squares Structural Equation Modeling (PLS-SEM) to evaluate the hypothesized theoretical model using primary data collected from 196 Spanish wineries from September 2022 to January 2023.FindingsThe results reveal a positive relationship between GSCM and SP in Spanish wineries, as well as the existence of positive partial mediations of CEC and GAI in this main linkage, which allows an affirmative answer to the three RQs formulated.Originality/valueDistinguished by its innovative exploration, this research marks a pioneering effort in the uncharted field of scrutinizing CEC and GAI as mediating factors in the GSCM-SP nexus, thereby enriching the existing body of knowledge and opening new avenues for future academic research on sustainability in the wine industry.

Institutional care and education: circulation of knowledge about epilepsy in Sweden 1915-40.

This article focuses on the circulation of knowledge about epilepsy in Sweden between 1915 and 1940. During the period medical research on epilepsy increased, which simultaneously brought a new degree of specialisation and distinction between branches of medicine. The aim of this article is to study the impact of new medical knowledge about epilepsy on the treatment and education of children with epilepsy in Sweden. In order to concretise the aim, the study focuses on the asylum Margarethahemmet. The key source material consists of Margarethahemmet's annual reports and yearbooks. The minutes of the meetings of the Swedish General Association for the Care of the Feebleminded and Epileptic for the period 1915-1938 have been used as supplementary material. In order to trace the impact of medical discoveries on Margarethahemmet's operations, contemporary scientific articles, mostly from Germany, have also been used. The article demonstrates how new research and new knowledge was sought internationally and nationally, to provide doctors and special teachers at the asylum with a proper knowledge about education, care and treatment for children with epilepsy. The increased understanding of the disease directly impacted the ability of a stigmatized group - people with epileptic disorder - to actively participate in society on the same terms as others.

Clinical recognition of the role of the cervical spine in signs and symptoms of altered sensorimotor control

Together with visual and vestibular input the cervical spine is vital for sensorimotor control of head and eye movement control, general body postural stability adjustments and co-ordination.Altered cervical input in persons with neck disorders can lead to signs and symptoms of impaired sensorimotor control across and within several domains. Clinical assessment for differential diagnosis and to direct management of cervical related altered sensorimotor control is clearly required in many patients. This applies not only to patients with neck disorders but also in patients with, for example vestibular disorders or concussion, presenting with signs and symptoms of altered sensorimotor control where the cervical spine may have a role to play.This paper explores the research and current knowledge in relation to clinical measures of cervical related sensorimotor control. The feasibility, responsiveness, comparison to gold standards and potential of clinical measures of cervical related sensorimotor control to assist in differential diagnosis are considered where relevant. Future research directions should examine the full complement of psychometric properties of tests and consideration of any relationships of these measures to pain, dizziness, trauma and functional implications. Development of other measures as well as use in assessing response post management are also important directions.These clinical measures, along with a skilled interview and cervical musculoskeletal examination will enable clinicians to recognise and manage impaired cervical sensorimotor control in patients with neck disorders as well as determine the role of the cervical spine in many patients presenting with signs and symptoms of altered sensorimotor control.