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Radical Pluralization:Mobilizing the Multiple Self in Democratic Engagements
No full textPluralism is one of the defining features of democracy. This is a position shared by liberal pluralists, who argue for a multiplicity of interests, ideas, and ideologies (Dahl 1971); feminist democrats who advocate for a diversity of embodied identities and lived experiences (Mansbridge 1999; Phillips 1995; Young 2000); and agonists, who situate an ethos of pluralization at the heart of a contentious public sphere (Connolly 1995). Although coming from different (liberal, phenomenological, and constructivist) ontologies, all of these theories of democratic pluralism run into the same dilemma. Upon observing the emerging pluralism in the colonially nascent United States, Alexis de Tocqueville (2003 [1835]) was among the first to note that although diverse interest and identity groups foster democratic pluralism, they at the same time require the submission of members to dominant group identities. Being identified along certain corporeal and cultural markers entails essentialism and confines the freedom to express the multiple self. Iris Marion Young (1989) later termed this phenomenon “the dilemma of difference.
Digitising social assistance payments to accelerate financial inclusion in East Java, Indonesia: which factors matter for user acceptance?
No full textIndonesia has disbursed social assistance payments electronically and via debit cards since 2017. This study aims to identify factors affecting user acceptance of debit cards among the social assistance program (PKH) recipients in Indonesia. This study modified the unified theory of acceptance and use of technology (UTAUT) model by incorporating variables such as trust, financial literacy, religious beliefs, and perceived security. Data were collected through a field survey using multistage stratified random sampling and analysed using PLS-SEM. The study found that the two salient variables in the UTAUT model – performance expectancy and effort expectancy – were the best predictors of attitudes toward using debit cards; however, their effect sizes were small. Perceived security and religious beliefs also significantly affected trust in using debit cards. The research findings enrich our understanding of technology acceptance in the financial sector, offering practical insights for authorities to support the digitisation of social assistance programs
Health risk behaviours, mental health and HbA1c:an overview of reviews of observational studies
No full textOBJECTIVES: To implement an overview of reviews that discuss the current state of syntheses (such as systematic reviews) of only observational studies on health risk behaviours (HRBs), including smoking, alcohol intake, poor sleep, poor quality diet, common mental health problems (depression and anxiety), and glycated haemoglobin (HbA1c), while excluding synthesis of clinical trials.DESIGN: Overview of reviews or umbrella review following Preferred Reporting Items for Overviews of Reviews (PRIOR) guidelines.DATA SOURCES: PubMed, Scopus, Web of Science, PsycINFO-PsychArticles and Epistemonikos, searched from January 2013 to 30 June 2025.ELIGIBILITY CRITERIA: We included systematic reviews and meta-analyses of observational studies that assessed the relationship between HRBs-including smoking, alcohol intake, poor sleep, poor quality diet, physical activity and common mental health problems such as depression and anxiety-and HbA1c. Reviews of clinical trials were excluded.DATA EXTRACTION AND SYNTHESIS: We synthesised systematic reviews and meta-analyses on the above topic from five databases following the PRIOR protocol. Two independent reviewers screened titles, abstracts and full texts using standardised methods. Data extracted included study design, exposures, outcomes and population characteristics. Risk of bias was assessed using the AMSTAR-2 tool. Overlap across reviews was evaluated using the corrected covered area metric.RESULTS: Eight systematic reviews were included in the final synthesis, encompassing a total sample size of around 307 019 individuals. The study highlights a significant paucity of systematic reviews of observational studies in this area, with no reviews on alcohol and exercise. The existing evidence on poor sleep, poor quality diet and smoking points towards these HRBs leading to worse HbA1c. A bidirectional relationship was found between depression and HbA1c.CONCLUSIONS: This umbrella review highlights the significant association between HbA1c and key health risk factors underscoring the importance of observational studies, highlighting their ability to capture real-world conditions and complex interactions. While in agreement with existing study designs, this review provides convergent evidence of the critical role of HRBs in managing HbA1c levels.</p
Nurse or Allied Health-Led Models of Transitional Dementia Care in Australia:A Scoping Review
No full textIt is important to understand the range of transitional care models that support people with dementia who have complex health needs. This is to avoid unnecessary hospitalisations, to maximise any benefits in care transfers and, may increase access to higher quality care and reduce the incidence of low value care. A scoping review of peer-reviewed literature was conducted to investigate and summarise nurse or allied health-led models of transitional dementia care in Australia. Nurse and allied health-led transitional care models for older people and people with dementia included models that emphasised community services, hospital avoidance, out-reach to residential care, emergency department streamlining, intensive dementia support, or a combination (n = 14). Health outcomes reported included decreased presentations, length of stay and costs in emergency departments; reduction in hospital admissions and in medication use and increase in non-pharmacological interventions. Future models of nurse or allied health-led care should emphasise the need for localised relational approaches by the transitional staff to support continuity of care as crucial aspects for behavioural and gerontological transitional care.</p
Designing transformative service initiatives (TSIs) in polarised contexts: a framework for effective practice
No full textCorrigendum to “Forecasting inclusive futures:Fintech, capability expansion, and livelihood pathways in urban Indian slums – A mixed-methods analysis” [Published in Technological Forecasting & Social Change, volume- 221, December (2025)] (S0040162525004007), (10.1016/j.techfore.2025.124369)
No full textThe authors regret an error in the published version of the article, the surname of one of the authors was incorrectly listed. The correct author's name should read as: Correct Name: Sarvjeet Kaur Chatrath. Incorrect Name: Sarvjeet Kaur. We request that this correction be reflected in the official record of the article. The authors would like to apologize for any inconvenience caused. Reason for Correction: The error occurred during the submission process and was not identified before publication. We apologize for any inconvenience caused.</p
Integrating Artificial Intelligence (AI) With Workforce Solutions for Sustainable Care:A Follow Up to Artificial Intelligence and Machine Learning (ML) Based Decision Support Systems in Mental Health
No full textThis integrative literature review examines the evolving role of artificial intelligence (AI) and machine learning (ML) based clinical decision support systems (CDSS) in mental health (MH) care, expanding on findings from a prior review (Higgins et al. 2023). Using and integrative review framework, a systematic search of six databases was conducted with a focus on primary research published between 2022 and 2024. Five studies met the inclusion criteria and were analysed for key themes, methodologies, and findings. The results reaffirm AI's potential to enhance MH care delivery by improving diagnostic accuracy, alleviating clinician workloads, and addressing missed care. New evidence highlights the importance of clinician trust, system transparency, and ethical concerns, including algorithmic bias and equity, particularly for vulnerable populations. Advancements in AI model complexity, such as multimodal learning systems, demonstrate improved predictive capacity but underscore the ongoing challenge of balancing interpretability with innovation. Workforce challenges, including clinician burnout and staffing shortages, persist as fundamental barriers that AI alone cannot resolve. The review not only confirms the findings from the first review but also adds new layers of complexity and understanding to the discourse on AI-based CDSS in MH care. While AI-driven CDSS holds significant promise for optimising MH care, sustainable improvements require the integration of AI solutions with systemic workforce enhancements. Future research should prioritise large-scale, longitudinal studies to ensure equitable, transparent, and effective implementation of AI in diverse clinical contexts. A balanced approach addressing both technological and workforce challenges remain critical for advancing mental health care delivery.</p
THE C–N–STAR, S–STAR AND C–MINUS PARTIAL ORDERS
Get PDFIn this paper, we derive several characterizations of the s-star partial order in terms of the core-nilpotent decomposition, and establish the conditions under which the s-star partial order implies the C-N-star partial order. By applying the core-EP decomposition, we introduce a new partial order, the c-minus partial order, which generalizes the core-minus partial order. Additionally, we provide several characterizations and properties of the c-minus partial order.</p
Midwives' perceptions of the support they provide to new graduates and the role of the health service in Australia:A survey of midwives
Get PDFPROBLEM: Evidence suggests new midwifery graduates are leaving the profession prematurely during the initial graduate years due to workplace stress.BACKGROUND: Graduate midwives are essential to provide a future midwifery workforce. Support for new graduates in the initial years of practice is essential in retaining them in the midwifery profession.AIM: The aim of this study was to explore midwives' perspectives of the support they provide new graduates within existing midwifery graduate programs, and their experiences and perceptions of the health service processes to support midwifery graduates.METHODS: A cross-sectional study was undertaken with a purposive sample of Australian midwives. Descriptive statistics were used to analyse frequencies and percentages of responses. Spearman's correlational analyses were used to determine associations between the variables. Responses to open-ended questions were analysed by content analysis.FINDINGS: In total, 167 midwives responded to the survey. Just over a third (34.1 %) of midwives felt they had sufficient resources to support a midwifery graduate. Half (50.9 %) of the midwives engaged in reflective practice with midwifery graduates. The majority (97 %) of midwives reported that they felt it was important for midwifery graduates to have a mentor.DISCUSSION: A lack of protected time to provide mentoring opportunities and support new graduates to gain further experience and education was identified. These findings support the need for a formal mentorship program to be introduced.CONCLUSION: This study offers insights into the perspective of midwives dealing with the realities of striving to support midwifery graduates in their initial years of practice.</p
Hybrid tectonics:The digital, the analogue and the ethics of encounter
Get PDFBoundaries are spaces of contestation and encounter. When considering contemporary architecture in the global South, particularly in Africa, these spaces of encounter are especially pronounced. There is a body of architectural work in Africa produced by architects who are crossing physical boundaries between the global North and the global South, and the boundaries between global and local ways of making; some of them have also begun to blur the boundaries between the digital and the analogue. Drawing on previous empirical research in Africa, and building on literature about deborderisation, hybridisation, and tectonics, the space of encounter is positioned as a necessary and productive one. Analysis of representative building case studies in three African countries shows how architects are combining global and local tectonics in an effort to engage with social, economic, and environmental limitations. This can be read as a conscientious objection to reckless technological production that is, at times, ignorant of both local conditions and the planetary resource limitations that the world is facing. This paper will argue that the shift towards the tectonic hybridisation of computational design and digital fabrication with the use of local materials, traditions, and skills can further contribute towards this engagement. It emphasises the importance of tectonic ethics as a prerequisite for more equitable forms of exchange and encounter when working across boundaries, and it demonstrates how hybrid tectonics is a potentially useful and transferable strategy to begin to address some of these limitations