Clinical practice guidelines (CPGs) are essential for current medical professions since they prevent clinical practice from being based on personal opinions, bias, or individual experience. CPGs are technologies used to govern clinical practice because they guide decision making considering the best available evidence and patients’ values and preferences. In Colombia, studies associated with CPGs and medical professions are scarce; the few available have considered CPGs as a tool for standardization, improving health care efficiency, and quality, and have identified barriers against their implementation. Studies from the medical humanities, sociology, and medical philosophy perspectives are nonexistent. The objective of this study was to analyze the way in which 311 physicians perceive CPGs, the difficulties associated with implementation, the way in which CPGs set and condition individual and collective professional autonomy, and its effect on patient–physician relationships. Our findings revealed that CPGs may be understood as tools used to govern medical judgment and the medical professions with limited implementation in the Colombian health system, but which have become significant mechanisms placing medicine close to the highest scientific, professional, and ethical standards.

Safety culture (SC) can play a key role in workers’ health and well-being, as well as in organizational performance. The literature has demonstrated a positive relationship between SC and organizational indicators such as safety performance. However, there is still a need to understand the impact of contextual factors and to identify strategies that promote employee well-being and organizational effectiveness. This cross-sectional study aims to analyze the relationship between different components of SC—management commitment, safety management systems (SMS), and worker participation in safety—and to explore the moderating role of perceived barriers to the use of personal protective equipment (PPE) and the physical demands of the job in these relationships. The study involved 473 Portuguese workers from the construction and industrial sectors. Correlation and moderation analyses were performed. The results revealed positive correlations among the main SC components, highlighting their interconnection within the organizational context. A moderating effect—albeit of small magnitude—was also found for both perceived barriers and physical demands in the relationship between management commitment and the other dimensions of SC. The results are discussed in light of their implications for safety management and the promotion of healthier and more sustainable workplaces.

Anti-immigrant rhetoric has intensified under the Trump 2025 administration, reinforcing linguistic discrimination and fostering a climate of fear for Spanish speakers in public spaces. In this essay, I examine the linguistic and historical relevance of Spanish in the U.S., the consequences of linguistic profiling on minority language speakers, and the implications of the 2025 executive order designating English as the official language. I argue that such policies erode linguistic rights and deepen social inequalities. Additionally, I consider the role of schools and churches, which are critical spaces for language preservation and cultural expression and are being increasingly threatened by immigration enforcement. In advocating for sociolinguistic justice, this essay calls for policies that recognize and protect the linguistic rights of Spanish and other minority language speakers, framing multilingualism as a societal strength rather than a threat.

Workplace inequities disproportionately affect African American professionals, with 41% reporting discrimination in hiring, salary negotiations, and promotions due to their racial or ethnic identity. These challenges are further accentuated by gender disparities, as 48% of Black men and 36% of Black women acknowledge experiencing workplace discrimination. Comparatively, smaller proportions of Asian (25%), Hispanic (20%), and White (8%) employees report similar treatment, underscoring the systemic barriers that shape the professional trajectories of marginalized workers in the United States. Addressing these pervasive inequities necessitates a transformative framework rooted in allyship, particularly among White male leaders who occupy positions of significant power and influence. Allyship, a dynamic and relational process, requires intentional advocacy, empathy, and accountability to dismantle exclusionary practices and foster inclusion. This research employs human geography as a metaphor to explore the challenges faced by minority employees in navigating workplaces that often resemble hostile terrains characterized by bias, limited representation, and a lack of psychological safety. The climb to senior leadership for minorities parallels traversing rugged landscapes, requiring resilience and access to critical pathways such as mentorship, sponsorship, and equitable opportunities. As inclusive planners, White male allies can address these systemic barriers by leveraging their privilege to create equitable and supportive environments. Aligning allyship with principles of human geography highlights its potential to address workplace inequities and contributes to broader societal cohesion. This study underscores a pivotal lacuna in the discourse on organizational equity: the insufficient exploration of allyship as a transformative paradigm, particularly when championed by White male leaders who occupy positions of substantial authority and influence.

Agricultural prosumption is a transformative pathway, enabling individuals to reconnect to nature whilst producing food for their own consumption. Allotment gardens (AGs) and community-supported agriculture (CSA) are two main types of this practice, forming opposing sides on a continuous prosumption scale, ranging from prosumption-as-consumption (p-a-c), as in consumption focused CSA initiatives, to prosumption-as-production (p-a-p), as in the production-orientated AGs. Using a survey completed by Swiss CSA (n = 250) and AG members (n = 201), this study shows how prosumers perceive the benefits of their activity, how these experiences shape their likeliness to continue and how differently they rate the effects of prosumption on individuals, communities and society. In addition, it provides an outlook on associated societal developments, regarding these activities as forms of contributive economy. Although the two groups differed in their socio-demographics, their attitudes and experiences were similar. P-a-p organisations (AGs) enhance production-related individual benefits, while p-a-c organisations foster positive experiences around consumption activities. AG continuation is driven by the experienced health and food-related benefits, while CSAs rely on the communal and organisational involvement of their members. While AG members focus on individual benefits, CSA members strive to be part of a food system change, using their communal structures to create a social movement. This demonstrates the wide range and potential of food prosumption in fostering diverse forms of engagement, offering insights into its potential for sustaining participation and contributing to alternative economic models.

The preservation of built cultural heritage (PBCH) plays a vital role in fostering economic development by stimulating and revitalizing urban spaces. This study, conducted in the Portuguese cities of Lisbon and Porto, evaluated the impact of PBCH on urban economic growth, emphasizing the roles of cultural legacy and urban revitalization as serial mediators. Employing a cross-sectional, quantitative approach grounded in a hypothetico-deductive methodology, data were collected from 633 tourists aged 18 to 73 years (57.2% female) via a structured questionnaire. The findings demonstrated that PBCH, cultural legacy, and urban revitalization significantly contribute to regional economic development. Moreover, cultural legacy partially mediates the relationship between heritage preservation and urban revitalization, indicating a positive indirect effect. A serial mediation mechanism—where two mediators operate in a specific causal order, linking the independent variable (PBCH) to the dependent variable (economic development) through cultural legacy followed by urban revitalization—was identified. A comparative analysis of the indirect effects highlighted that cultural legacy has a stronger mediating influence than urban revitalization alone, although the combined serial effect proved to be the most substantial. This research underscores the critical role of PBCH as a driver of economic progress, facilitated through its intertwined relationships with cultural heritage and urban renewal, offering valuable insights for policymakers and stakeholders in urban development

The concept of inclusive growth highlights that enhancing human development requires ensuring not only sustainable economic growth but also that its benefits are widely shared. In turn, the problem of skills/educational mismatch looms large because of its (negative) consequences for individual and societal well-being. Against this background, this article studies some effects of skills/educational mismatch on inclusive economic growth. More concretely, it focuses on the relationships between vertical educational (mis)match and some macro characteristics, such as the level of unemployment and poverty indices. Theoretically, in searching for a more comprehensive understanding of skills/educational mismatch, the article draws on the heuristic potential of the capability approach. Empirically, this study relies on data from the 11th round of the European Social Survey, carried out in 2023/2024, and official statistical sources and has applied correlations for the analyses. This study’s findings show that the vertical educational match can be viewed as a sign of inclusive growth. They further reveal that the effects of skills/educational (mis)match at the societal level vary among different occupational groups. Finally, the obtained results demonstrate that vertical—either above or below—educational mismatch is related to capability deprivation at a societal level.

Environmental education is a vital strategy for conservation and protection, creating collaborative spaces for scientists, community members, and other stakeholders. Across various countries, educational curricula include courses aimed at teaching the younger generation about environmental protection. Interactive and practical educational programs, along with the involvement of parents and the community, enhance learning and create connections between school and daily life. Curriculum changes are influenced by several factors, including children’s understanding and application of these concepts. Various methods, such as questionnaire analysis, have been developed for this purpose. This study assessed the knowledge levels and behaviors regarding the environmental factor “water” among primary school students in Bacău, Romania. Conducted through a questionnaire method, the survey included 308 students from grades 2 to 4. The findings highlight the significance of environmental education in primary schools, preparing children to act responsibly towards the environment. It is recommended to implement interactive educational programs and foster partnerships with the community and local organizations to promote water conservation and reduce consumption, thereby cultivating a long-term sustainable culture.

This article considers the role of lawyers and immigration advisers in the deportation process for non-resident visa holders in New Zealand. In the process, this article adds to a small but growing literature on the role of immigration officials in the immigration policy space. We use Lipsky’s concept of the street-level bureaucrat and Lakhani’s notion of ‘para-state’ actors—those outside the formal apparatus of the state who nonetheless serve a central role in policy implementation—to advance our understanding of the deportation process. This qualitative study engaged in in-depth interviews with twenty-two (22) immigration lawyers and advisers to explore their experiences. We identify several themes about the importance of formal and informal networks for developing advocacy skills and tactics; how the features of the immigration system, lower levels of judicial scrutiny of decisions, and lower evidentiary requirements create spaces for lawyer advocacy and creativity; and how participants shared a commitment to social justice and camaraderie in their work that was essential to interactions with state officials and others. We contend that these efforts have the potential to reshape the state’s bordering practices yet are an often-overlooked area of study.

This paper draws out the distinction between relationship and relationality in the context of a time of ecological turmoil and the climate emergency. It does so from an aesthoecological standpoint—a concept initially developed by [hidden for peer review] to establish important criteria and characteristics within education. Eco-political issues are stressed as being vital to education across the lifespan, and this paper offers a philosophical backdrop for these crucial issues and some hope for the future. Ideas of transdisciplinarity are foregrounded in both theoretical and practical ways to emphasise that the problems of climate change, biodiversity loss, and other Earth crises are inherently complex and interconnected. Addressing these challenges requires a new way of understanding our relationships with both humans and more-than-humans, which is primarily an eco-political issue, and lifelong education has a significant role to play. The author proposes that aesthoecology has an important role in framing and addressing educational futures.