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Surviving in a warmer marine world : a study on the impact of thermal effluent on Posidonia oceanica meadows and associated fish assemblages in the Maltese Islands
Ocean warming poses significant threats to coastal ecosystems. This study investigates the impact of thermal effluents from power plants, as proxies for climate-driven temperatures increase, on Posidonia oceanica meadows and associated fish communities. Using a gradient-based approach, we analyzed environmental variables, seagrass indicators, fish assemblages, and functional group (FG) dynamics across a thermal gradient extending from the effluent outfall itself. Results indicate that temperature is the dominant factor influencing P. oceanica, with reduced leaf length, shoot density, and rhizome weight characterizing samples closest to the effluent. Despite compensatory mechanisms, the overall photosynthetic biomass and resilience declined under thermal stress. Fish assemblages exhibited reduced species richness and biodiversity close to the thermal effluent, with opportunistic and thermophilic species dominating. An FG analysis revealed disrupted seasonal patterns, shifts in trophic dynamics, and functional compensation among species, highlighting potential ecological imbalances. Notably, transient predators thrived near the effluent, while more sedentary and temperate species were displaced. These findings underscore the cascading effects of rising temperatures on coastal habitats such as P. oceanica meadows and their associated communities, emphasizing the urgency for conservation measures. By identifying critical thresholds and adaptive responses, this study contributes valuable insights into the consequences of localized impacts of thermal stress on coastal biodiversity and ecosystem services.peer-reviewe
The significance of effective distribution logistics in ensuring equal access to medicinal products in Poland
PURPOSE: The distribution of pharmaceuticals plays a crucial yet often underappreciated role
in the healthcare system, forming an integral part of the supply chain that directly impacts
patient health, lives, and public safety. An efficiently functioning pharmaceutical distribution
system is essential not only for eliminating delays in access to medications but also for
ensuring continuity of treatment and minimizing epidemiological risks. This article focuses
on the current logistical challenges and solutions that can support drug distribution.DESIGN/METHODOLOGY/APPROACH: The main objective of the research is to highlight the role
of distribution logistics in ensuring equal access to medicinal products in Poland, with
particular emphasis on contemporary challenges and logistical solutions affecting drug
distribution in smaller urban centres and rural areas. The theoretical and cognitive goal is a
comprehensive review of the relevant literature, legal acts, and scientific studies related to
the subject matter. The article utilizes literature analysis, case studies, and empirical data
from industry reports (such as those from the Central Statistical Office, IQVIA, PMR,
Pharmaceutical Race of Nations, and Pharmaceutical Market – New Opening as well as
personal observations. The research confirmed that effective logistics, based on modern
distribution channels, is a key factor influencing equality in access to medicinal products.
This has significant implications for public health, health security stability, and the economic
development of local areas.FINDINGS: The analysis presented in the article highlights the logistical challenges that limit
equal access to medications in Poland and disrupt the efficient functioning of supply chains.
It also outlines potential development perspectives for pharmaceutical distribution in the
context of improving the availability of medicinal products.PRACTICAL IMPLICATIONS: The outcome of conceptual work includes proposals for changing the
functioning of contemporary distribution models, which can be utilized by policymakers,
legislative authorities, and representatives of institutions responsible for shaping pharmaceutical policy and the healthcare system in Poland to improve regulations
concerning pharmaceutical distribution.ORIGINALITY/VALUE: The authors present the possibilities of utilizing modern pharmaceutical
distribution channels based on advanced technologies such as IoT (Internet of Things),
artificial intelligence, and ERP systems, which represent the future of the pharmaceutical
sector. Their development can contribute not only to the optimization of drug delivery but
also to improving the health security of society as a whole. Poland should strive for the
integration of such solutions, which can aid in crisis management, responding to
emergencies, and safeguarding public health.peer-reviewe
The utilisation of sources of evidence in the Maltese public service : examining demographic factors and influence on vigilant decision-making
This empirical study examined the extent to which Maltese public service employees utilise different sources of evidence when making important decisions. Using a census-based sample, 185 employees (scales 2–7) completed an online self-administered questionnaire. Results showed frequent use of organisational data, practitioner expertise, and stakeholder input, but limited use of scientific literature findings. Utilisation varied with education level and significantly predicted vigilant decision-making. The study recommends that the Institute for the Public Service makes scientific research more accessible and relevant to public servants and to promote systematic evidence use to support thoughtful, vigilant decisions.peer-reviewe
Exploring the impact of possibility thinking training on educators’ creative self-perceptions : a mixed methods action research study in Maltese schools
Creativity in education aims to foster mindsets and practices that envision and enact “what could be”. Possibility
Thinking(PT) offers an outlet for teachers to hone in on their own self-perceptions while also cultivating environments that nurture creativity and possibility thinking in their students. Despite a sound body of conceptual
literature (Craft, 2001, 2013; Glaveanu, 2017) and scant empirical studies (Burnard et al., 2006; Gregoriou,
2023) related to possibility thinking, there is a paucity of empirical studies employing mixed-methods to explore
possibility thinking within authentic contexts. This article presents findings from a twelve-month mixed-method
project conducted in four Maltese primary schools with a total of 304 educators. Qualitative and quantitative
data were integrated to offer a comprehensive perspective. Adopting a pragmatism-informed approach and
guided by the Five As of creativity (Glaveanu, 2012) – Actor, Action, Artefact, Audience, Affordances, this study
integrates qualitative and quantitative methods to offer a holistic understanding of how PT training can be
embedded in education to enhance creative self-perception and agency among educators. Quantitative data were
collected through validated self-report scales measuring the creative self, creative mindsets, and PT dispositions.
Qualitative data, gathered via reflective journals, observations, and thematic analysis, captured the contextual
and emotional dimensions of practice. While no statistically significant group or time effects were found across
quantitative measures in a two-way between-subjects ANOVA, PT and its subdimensionsshowed strong intercorrelations (r = .85 to .93, p < .01) and moderate associations with growth mindset (r = .26 to .34, p < .05)
and creative self (r = .30 to .53, p < .01) at both pre- and post-test. Thematic analysis revealed four key themes:
emotional engagement, practical relevance, structural constraints, and the importance of institutional support.
These findings suggest that PT training, especially when embedded within reflective and supportive environments, can foster gradual yet meaningful shifts in teachers’ creative self-perceptions and pedagogical agency.
Implications are discussed for professional development and creativity research in education.peer-reviewe
Evaluating the role of simple assistive devices in promoting motivation and self-care in chronic disease management
Objective:
This study evaluates the development and distribution of simple assistive devices designed to support individuals in managing their health conditions at home. The focus is on older adults from lower socio-economic groups in Stoke-on-Trent and Newcastle-under-Lyme, UK.Methods:
Assistive kits were distributed to participants between December 2021 and April 2022, addressing weight management, diabetic foot care, mental wellbeing, and daily living independence. Each kit contained affordable and accessible assistive devices, including portion plates, exercise bands, and remote-operated plugs, alongside educational materials to promote self-care. Feedback was collected between March and June 2022 to assess user satisfaction and engagement. A qualitative analysis, informed by self-determination theory, explored how these kits supported autonomy, competence, and relatedness in self-management.Results:
Over 90 % of recipients reported using the kits more than once weekly and an increased confidence in managing their health conditions independently. Qualitative analysis indicated that the kits facilitated motivation towards self-management by enhancing users' autonomy, competence, and social connectedness. However, barriers such as cost, availability, and lack of support were identified as limiting factors for broader adoption.Conclusions:
This study highlights the potential of affordable, simple assistive devices to empower individuals in managing their health and wellbeing. The initiative demonstrates a promising approach to addressing health management challenges in lower socio-economic groups. Further research is needed to expand access and refine interventions to maximise impact and improve quality of life.peer-reviewe
Divergent pathways to sustainability : club convergence analysis of EU progress on the sustainable development goals
The integration of economic growth, social cohesion, and environmental sustainability within European Union (EU) development frameworks has been strategically aligned with the United Nations Sustainable Development Goals (SDGs). These objectives have been positioned to reinforce the EU’s welfare state model while fostering harmonization across member states. In this study, the performance trajectories of 27 EU countries from 2000 to 2023 have been assessed to determine whether convergence in SDG outcomes has occurred, and whether progress towards sustainable development has followed a common pathway. The SDG Index and data for 16 individual SDGs were analyzed using the club convergence methodology and the log t-regression test, allowing for the identification of heterogeneous dynamic patterns and latent convergence clubs. The results indicate that a singular equilibrium in SDG performance has not yet been achieved, with evidence of structural divergence across several key goals. While convergence has been observed for Goals 1, 9, 12, and 13, significant divergence persists for Goals 2, 5, 6, and 8. These findings underscore the limitations of a uniform policy approach and suggest that differentiated, context-sensitive strategies may be required to close performance gaps. The presence of club convergence further implies that member states are evolving towards distinct equilibria, shaped by domestic policy frameworks, institutional capacities, and socioeconomic contexts. This study addresses a significant gap in the literature by providing a systematic and longitudinal analysis of SDG performance heterogeneity within the EU and contributes to ongoing debates on the effectiveness of supranational sustainability governance. It is argued that recognizing and responding to these differentiated trajectories is critical for the design of targeted policy interventions capable of advancing inclusive and balanced sustainable development across the union.peer-reviewe
Responsible activities of the company/brand and their impact on its positive image in the opinion of Generation Z consumers
PURPOSE: The aim of the study is to present the relationship between the way generation Z
consumers perceive socially responsible company/brand activities in the area of consumer
rights protection and initiatives undertaken in the social environment and the creation of a
positive brand image in the eyes of young consumers.DESIGN/METHODOLOGY/APPROACH: The study was conducted on a sample of 500 consumers in
the period August-September 2023 throughout Poland (16 voivodeships). The sample
selection was random. The study covered consumers of Generation Z (aged 18 to 28), both
sexes and from towns with different numbers of inhabitants, following clothing brands on
social media. The method used in the study was a diagnostic survey.FINDINGS: The research results show that Generation Z consumers are more likely to notice
socially responsible brand actions in relation to consumer rights than initiatives
implemented by the brand in the social environment. They also show that the perception of a
brand's socially responsible actions determines its positive image. On the other hand, the
perception of these actions as socially irresponsible does not translate into a lack of a
positive brand image. Moreover, consumers who do not have an opinion on the brand's
actions that demonstrate their social responsibility declare an equally high perception of a
positive brand image.PRACTICAL IMPLICATIONS: The research results show that a significant percentage of
Generation Z consumers do not have sufficient knowledge about socially responsible
initiatives undertaken by their favorite brands in the social environment. Therefore, socially
responsible brands that engage in local social problems, support the local community, or
encourage customers to practice responsible practices in their activities should use more
opportunities to communicate to consumers the actions taken in this area in order to create a
more expressive image of a responsible brand.ORIGINALITY/VALUE: The article has primarily cognitive value, emphasizing the importance of
the perception of socially responsible actions taken by brands in creating a positive brand
image. Until now, many studies have contributed to understanding the impact of brand
actions perceived as socially responsible on building a brand image. However, few of these
studies concern Generation Z consumers. The article therefore enriches the current theory of socially responsible brand practices and their role in building a positive brand image in the
minds of young consumers.peer-reviewe
Durability and compatibility requirements of repair mortars for structural retrofitting of 20th-century built heritage
The structural retrofitting of 20th-century built heritage presents unique challenges due to the materials and construction techniques used during this period. Reinforced concrete and masonry became dominant, requiring specific approaches for repair and restoration. One of the key concerns is the selection of appropriate repair mortars to ensure both durability and compatibility with the original structure. Inappropriate choices can lead to early degradation, mechanical instability, and loss of historical authenticity. Proposed research focuses on the durability and compatibility requirements of repair mortars for the structural retrofitting of 20th-century built heritage, ensuring material selection, performance assessment, and long-term durability.peer-reviewe
The role of the gut microbiome in obesity and diabetes
The gut microbiome plays a crucial role in recirculating and recycling hormones, which is often dysfunctional
due to chronic inflammation. Endocrine disorders, such as obesity and diabetes, are prevalent and can be
linked to the gut microbiome. Maintenance and reestablishing the gut microbiome can lead to better
conditions for those affected by these disorders. By studying the cause and effect of these disorders, it is
possible to determine if there is a correlation between the gut microbiome and certain endocrine disorders,
potentially leading to complementary treatment, less reliance on drugs, prevention, and reduced
susceptibility.One complementary treatment that could benefit from the gut microbiome is the use of probiotics and their
strains of microbiota. Patients who understand their gut microbiome better and understand the causes of
inflammation or diseased microbiota could take their health into their own hands. Education on these effects
can help patients achieve more control over their lives negatively impacted by the disorders in question.peer-reviewe
The MCFD at 35 years : looking to the future, supported by the past
BACKGROUND: The Malta College of Family Doctors (MCFD)
was founded in April 1990 with Dr. Denis Soler
as President. In tandem, the newsletter ‘It-Tabib
tal-Familja’ was set up, which along the years
became the Journal of the Malta College of Family
Doctors (JMCFD). In April 2025, a new MCFD
Council was elected, with a significant milestone
being achieved: the election of the first female
president in MCFD history.OBJECTIVE: To trace the contribution of women in MCFD
Councils over the past 35 years.METHOD: Historical review divided in a section on past
female MCFD Council members and a section
on equity and equality.RESULTS: It is clear that the election of a female president
was not a fluke. It was the result of talented
people who over time proved that talent and
capability do not depend on gender. Apart
from that, it also depends on having a culture
that fosters recognition of talent above all. It
depends on mutual support and on measures
that promote participation with flexibility. It is important to recognise that women in
leadership roles in medicine and academia are
disproportionately low compared to the ratio
of women to men in medicine and healthcare
professions. Thus, it is important to pay tribute
to all the women who paved the way for this
milestone to be reached.CONCLUSION: Whilst auguring the MCFD and the JMCFD a
happy 35th anniversary, the Council will keep
looking forward to propelling the MCFD forward
in excellence.peer-reviewe