Displaying publications 1 - 20 of 101 in total

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  1. Wang Q, Zainal Abidin NE, Aman MS, Wang N, Ma L, Liu P
    BMC Psychol, 2024 Feb 22;12(1):89.
    PMID: 38388547 DOI: 10.1186/s40359-024-01584-1
    BACKGROUND: This research examines the nuanced challenges confronting Chinese university students within the dynamic milieu of Chinese education. The study comprehensively investigates factors encompassing educational progress, social development, cognitive focus, and Psychological Well-being (PWB), specifically emphasizing the role of sports participation.

    METHODS: To scrutinize the moderation-mediation nexus between cultural context and social development, a distribution of 500 questionnaires was administered to Chinese university students, yielding 413 responses, corresponding to an 82.6% response rate. Methodologically, this study employed moderation and mediation analyses, incorporating statistical techniques such as a principal component matrix, factor analysis, and hierarchical regression.

    FINDINGS: Prominent findings underscore the significant impact of age on educational progress, shaping the trajectory of academic advancement. Cumulative Grade Point Average (CGPA) emerges as a promising metric, establishing a link between academic performance and educational progress. Active involvement in sports and physical activities (PSPA) positively affects academic performance and study habits. Participation in sports teams and clubs (ISTC) enriches social development by nurturing interpersonal relationships, teamwork, and leadership skills. Sports activities (ESA) correlate with enhanced cognitive focus and improved psychological well-being. Significantly, the findings unveil a nuanced association between Perceived Social Development Through Sports (PSDTS) and educational progress.

    CONCLUSIONS: Cultural Context (CC) moderates PSDTS, Sport-induced Cognitive Focus (SICF), and PWB, influencing educational progress. This study emphasizes the need for enhanced support systems-academic guidance, awareness, sports programs, and cultural competence training-to advance student well-being and academic achievement in China, fostering an empowering educational environment for societal progress.

    Matched MeSH terms: Social Change*
  2. Yong SW, Law SH, Ibrahim S, Mohamad WNW
    Environ Sci Pollut Res Int, 2023 Feb;30(8):20849-20861.
    PMID: 36260231 DOI: 10.1007/s11356-022-23615-3
    ICTs (information and communication technologies) have emerged as a potent new force. Digitalization, modernization, and automation of the manufacturing process are expected to facilitate ICT adoption, resulting in increased genuine environmental concerns. This research aims to examine the impact of ICTs on environmental quality and the relationship between ICTs, environmental quality, and economic growth. Dynamic panel threshold regression was employed, and the sample countries comprised 69 developing countries from 2010 to 2019. The threshold technique will identify the precise threshold value of ICTs and highlights the impacts of ICTs on the environmental quality nexus when above and below the threshold value in developing countries. Empirical evidence suggests that ICTs positively impact environmental quality (CO2) when above the ICTs threshold value. However, ICTs provide a positive but insignificant impact on environmental quality when below the ICTs threshold value of 4.699. Additionally, ICTs affect the economic growth and environmental quality nexus, with increasing economic growth resulting in a decrease in CO2 emissions in developing countries when ICTs are below the threshold value. Thus, the ICTs threshold value should be used to ensure that ICTs adoption promotes sustainable economic growth and resolves environmental degradation issues in developing nations.
    Matched MeSH terms: Social Change
  3. Sorokowski P, Kowal M, Sternberg RJ, Aavik T, Akello G, Alhabahba MM, et al.
    Sci Rep, 2023 Jan 14;13(1):773.
    PMID: 36641519 DOI: 10.1038/s41598-022-26663-4
    Recent cross-cultural and neuro-hormonal investigations have suggested that love is a near universal phenomenon that has a biological background. Therefore, the remaining important question is not whether love exists worldwide but which cultural, social, or environmental factors influence experiences and expressions of love. In the present study, we explored whether countries' modernization indexes are related to love experiences measured by three subscales (passion, intimacy, commitment) of the Triangular Love Scale. Analyzing data from 9474 individuals from 45 countries, we tested for relationships with country-level predictors, namely, modernization proxies (i.e., Human Development Index, World Modernization Index, Gender Inequality Index), collectivism, and average annual temperatures. We found that mean levels of love (especially intimacy) were higher in countries with higher modernization proxies, collectivism, and average annual temperatures. In conclusion, our results grant some support to the hypothesis that modernization processes might influence love experiences.
    Matched MeSH terms: Social Change
  4. Osterrieder A, Cuman G, Pan-Ngum W, Cheah PK, Cheah PK, Peerawaranun P, et al.
    BMJ Open, 2021 Jul 20;11(7):e046863.
    PMID: 34285007 DOI: 10.1136/bmjopen-2020-046863
    OBJECTIVES: To understand the impact of COVID-19 and public health measures on different social groups, we conducted a mixed-methods study in five countries ('SEBCOV-social, ethical and behavioural aspects of COVID-19'). Here, we report the results of the online survey.

    STUDY DESIGN AND STATISTICAL ANALYSIS: Overall, 5058 respondents from Thailand, Malaysia, the UK, Italy and Slovenia completed the self-administered survey between May and June 2020. Poststratification weighting was applied, and associations between categorical variables assessed. Frequency counts and percentages were used to summarise categorical data. Associations between categorical variables were assessed using Pearson's χ2 test. Data were analysed in Stata 15.0 RESULTS: Among the five countries, Thai respondents reported having been most, and Slovenian respondents least, affected economically. The following factors were associated with greater negative economic impacts: being 18-24 years or 65 years or older; lower education levels; larger households; having children under 18 in the household and and having flexible/no income. Regarding social impact, respondents expressed most concern about their social life, physical health, mental health and well-being.There were large differences between countries in terms of voluntary behavioural change, and in compliance and agreement with COVID-19 restrictions. Overall, self-reported compliance was higher among respondents who self-reported a high understanding of COVID-19. UK respondents felt able to cope the longest and Thai respondents the shortest with only going out for essential needs or work. Many respondents reported seeing news perceived to be fake, the proportion varying between countries, with education level and self-reported levels of understanding of COVID-19.

    CONCLUSIONS: Our data showed that COVID-19 and public health measures have uneven economic and social impacts on people from different countries and social groups. Understanding the factors associated with these impacts can help to inform future public health interventions and mitigate their negative consequences.

    TRIAL REGISTRATION NUMBER: TCTR20200401002.

    Matched MeSH terms: Social Change*
  5. Buonsenso D, Roland D, De Rose C, Vásquez-Hoyos P, Ramly B, Chakakala-Chaziya JN, et al.
    Pediatr Infect Dis J, 2021 Apr 01;40(4):e146-e150.
    PMID: 33464019 DOI: 10.1097/INF.0000000000003052
    Matched MeSH terms: Social Change
  6. Tajudin ZM, Wan Hassan WN, Yusof ZYM, Makhbul MZM
    Healthcare (Basel), 2021 Mar 01;9(3).
    PMID: 33804314 DOI: 10.3390/healthcare9030248
    Self-awareness of poorly arranged teeth can influence the quality of life. This study aimed to report the impacts of self-perceived malocclusion in young adults and the association between demographic characteristics and oral health related quality of life (OHRQoL). In this cross-sectional study, six-hundred-forty-three subjects from Selangor, Malaysia selected using a multistage sampling technique answered the Psychosocial Impact of Dental Aesthetics (PIDA) questionnaire and self-rated their dental appearance using the Aesthetic Component of the Index of Orthodontic Treatment Need. Data were analyzed using multifactorial ANOVA to identify the association between demographic characteristics and total PIDA score. Five-hundred-twenty-four subjects (81.5%) completed the questionnaires. Overall, 87.8% had impacts on their OHRQoL. Psychological impact was the most impacted domain (75.8%), followed by dental self-confidence (59.4%), social impact (48.9%) and aesthetic concern (22.1%). 16.8% reported significant impacts on all domains. Their mean PIDA score was 36.3 (SD 17.1). Prevalence, extent and severity of impacts were higher amongst those with self-perceived malocclusion. Gender, ethnicity, and self-perceived malocclusion status were associated with PIDA score (p < 0.05). Sub-urban and rural females had significantly higher PIDA scores than sub-urban and rural males. In conclusion, majority of Malaysian young adults especially those with self-perceived malocclusion were impacted by their dental aesthetics.
    Matched MeSH terms: Social Change
  7. Naeem F, Latif M, Mukhtar F, Kim YR, Li W, Butt MG, et al.
    Asia Pac Psychiatry, 2021 Mar;13(1):e12442.
    PMID: 33103344 DOI: 10.1111/appy.12442
    BACKGROUND: Cognitive behavior therapy (CBT) is an evidence based therapy and is now recommended by national organizations in many high income countries. CBT is underpinned by the European values and therefore for it to be effective in other cultures it needs to be adapted.

    AIMS: This paper describes an evidence based approach to culturally adapt CBT in Asian context, areas of focus for such adaptation and lessons learned.

    METHODS: An environmental scan of the literature, description of local CBT associations and perspectives from these organizations.

    RESULTS: Cultural adaptation of CBT focuses on three main areas; 1 awareness of culture and related issues, 2 assessment and 3 adjustment in therapy techniques.

    CONCLUSIONS: The last decade has seen an increase in culturally adapted CBT in Asia, however, more work needs to be done to improve access to CBT in Asia.

    Matched MeSH terms: Social Change
  8. Tay K, Beh CLJ, Babar MG, Kweh TJ, Priya E, Pau A
    BDJ Open, 2021 Jan 19;7(1):2.
    PMID: 33469006 DOI: 10.1038/s41405-021-00058-5
    OBJECTIVE: Tooth pain among adolescents is a common event that impacts substantially on quality of life. The purpose of this paper is to explore the role of race in the tooth pain experience and associated care-seeking.

    DESIGN: A cross-sectional questionnaire survey was conducted on 14-18 years from four different public schools in Kuala Lumpur. Socio-demographic, pain symptoms, and social impacts data were collected as well as medication use and visiting a dentist for tooth pain.

    RESULTS: Of 1473 questionnaires distributed, 1452 (98.6%) completed questionnaires were returned, with 269 (18.5%) reported having experienced tooth pain in the past 1 month. Those who identified as Indian (26.1%) were more likely to report tooth pain compared to Chinese (16.5%) and Malay (20.9%). In regression analysis, no factors were identified as independently associated with medication use, but Chinese and Indians compared to Malays, and those expressing difficulty sleeping were more likely to report visiting a dentist for treatment.

    CONCLUSION: Racial variations in the tooth pain experience and care-seeking have been identified. This may be related to socio-economic status, but further research is needed on the role of culture-related care-seeking and accessibility of dental services.

    Matched MeSH terms: Social Change
  9. Rodd HD, Graham A, Tajmehr N, Timms L, Hasmun N
    Int Dent J, 2020 Oct 08.
    PMID: 33031573 DOI: 10.1111/idj.12624
    BACKGROUND: Molar incisor hypomineralisation (MIH) is a common developmental dental condition that presents in childhood. Areas of poorly formed enamel affect one or more first permanent molars and can cause opacities on the anterior teeth. MIH presents a variety of challenges for the dental team as well as functional and social impacts for affected children.

    OBJECTIVES: Here, we provide an up-to-date review of the epidemiology, aetiology, diagnosis and clinical management of MIH.

    MATERIALS AND METHODS: A review of the contemporary basic science and clinical literature, relating to MIH, was undertaken using information obtained (up to 10 April 2020) from the electronic databases PubMed, Scopus, Web of Science and the Cochrane Library.

    RESULTS: There is a growing body of evidence relating to the aetiology, presentation and clinical management of MIH. Current knowledge appears to be focused on potential genetic aspects, as well as the development and validation of indices for the diagnosis and management of MIH. There has also been increasing recognition of the global and individual burden of this common condition.

    CONCLUSIONS: Dental health professionals should regularly appraise the basic science and clinical MIH literature to ensure that they provide the best possible short- and long-term care for their young patients.

    Matched MeSH terms: Social Change
  10. Al-Okaily M, Alqudah H, Matar A, Lutfi A, Taamneh A
    Data Brief, 2020 Aug 18.
    PMID: 32837976 DOI: 10.1016/j.dib.2020.106176
    The COVID-19 pandemic has produced an unprecedented change in the educational system worldwide. Besides the economic and social impacts, there is a dilemma of accepting the new educational system "e-learning" by students within educational institutions. In particular, universities students have to handle several kinds of environmental, electronic and mental struggles due to COVID-19. To catch the current circumstances of more than two hundred thousand Jordanian university student during COVID-19. 2,500 students have been randomly selected to respond on an online survey using universities' portals and websites between March and April 2020. At the end of the data gathering process, we have received 587 records. The dataset includes 1) Demographics of students; 2) students' perspectives concerning the factors influencing their intention to use e-learning system within the Jordanian universities context. Data were analyzed using Partial Least Squares - Structural Equation Modelling (PLS-SEM). Next, the result has confirmed the positive of direct effect variables (subjective norm, perceived ease of use, and perceived usefulness) on the students' intention to use e-learning system. Next, the result has also confirmed the mediating effect of perceived usefulness and perceived ease of use between subjective norm and the behavioral intention to use the e-learning system with partially supported.
    Matched MeSH terms: Social Change
  11. Hughes AC, Lechner AM, Chitov A, Horstmann A, Hinsley A, Tritto A, et al.
    Trends Ecol Evol, 2020 Jul;35(7):583-593.
    PMID: 32521242 DOI: 10.1016/j.tree.2020.02.005
    The Belt and Road Initiative (BRI) represents the largest infrastructure and development project in human history, and presents risks and opportunities for ecosystems, economies, and communities. Some risks (habitat fragmentation, roadkill) are obvious, however, many of the BRI's largest challenges for development and conservation are not obvious and require extensive consideration to identify. In this first BRI Horizon Scan, we identify 11 frontier issues that may have large environmental and social impacts but are not yet recognised. More generally, the BRI will increase China's participation in international environmental governance. Thus, new cooperative modes of governance are needed to balance geopolitical, societal, and environmental interests. Upgrading and standardising global environmental standards is essential to safeguard ecological systems and human societies.
    Matched MeSH terms: Social Change
  12. Dolgin E
    Nature, 2019 02;566(7742):143-145.
    PMID: 30723358 DOI: 10.1038/d41586-019-00448-8
    Matched MeSH terms: Social Change
  13. Radzliyana Radzuwan, Nadiah Diyana Tan Abdullah, Nasyitah Tp Harun
    MyJurnal
    Today sport and tourism are among the developed worlds’ most sought after leisure experiences and are becoming very important reflecting the hos t venue both socially and culturally. In this new era, many challenges were even more significant for Malaysia as she is not yet developed like other countries. Therefore, a careful selection of a potential place as a host venue for sports’ event is import an t. In line with that notion, this study aims to examine residents’ perception towards social and cultural impacts on hosting World Kite Festival in Pasir Gudang, Johor. A self administered questionnaire was developed. A total of 461 residents were succes sf ully surveyed and their perceptions towards social and cultural impacts were assessed by utilizing Scale of Perceived Social Impact (SPSI). All obtained data were further analyzed by using Statistical Package for Social Science (SPSS). In order to achiev e the research objectives, descriptive statistic was used for assessing the percentages, mean, rank and standard deviation. While independent t Test was used to investigate the gender differences among residents at World Kite Festival. The finding indicate s that there was a positive impact of hosting a sports’ event to the resident at Pasir Gudang although some negative impacts were witnessed. Thus, some improvement is needed.
    Matched MeSH terms: Social Change
  14. Selim Ahmed
    MyJurnal
    Introduction: Early childhood development (ECD) refers to cognitive, emotional and social development of young children. First three years of life are very crucial for ECD because during this time, brain grows fastest and is most responsive and receptive. Plenty of new connections (synapses) are formed in brain so that children acquire 85% of adult’s brain volume by this age. Proper nutrition and positive stimulation are essential during this time. Play positively stimulates the brain and helps to create more, healthy inter-neuronal connections. The objective of this review was to make a constellation of research works and explore to learn the concept of ECD and its relationship with play. Methods: An extensive literature search was done using the key words: ‘early childhood development and play’; ‘play and brain development in children’; ‘neuroplasticity and play’; ‘how do children learn’; ‘synaptic connections and early childhood development’; and ‘can play make children intelligent’. The databases explored for the resources included Medline (PubMed), PsycINFO, Teacher Reference Center, Child Encyclopedia, Health & Education Advice & Resource Team (HEART) database, Catholic Relief Services database, UNICEF & World Bank databases, and Cochrane review. Results: The result of the review work showed that play has a temporal and linear relationship with cognitive and social development among preschool children. Conclusion: In this era of screen addiction, parents spend free time in social media and the kids playing or watching video games. It is contextual to propagate the concept of ECD and raise the awareness so that parents are motivated to spend more time playing with their children. No investment in human capital can be worth more than this.
    Matched MeSH terms: Social Change
  15. Loh LC
    Respirology, 2018 12;23(12):1198-1199.
    PMID: 30084515 DOI: 10.1111/resp.13382
    Matched MeSH terms: Social Change*
  16. Paterson RRM, Lima N
    Ecol Evol, 2018 01;8(1):452-461.
    PMID: 29321885 DOI: 10.1002/ece3.3610
    Palm oil is used in various valued commodities and is a large global industry worth over US$ 50 billion annually. Oil palms (OP) are grown commercially in Indonesia and Malaysia and other countries within Latin America and Africa. The large-scale land-use change has high ecological, economic, and social impacts. Tropical countries in particular are affected negatively by climate change (CC) which also has a detrimental impact on OP agronomy, whereas the cultivation of OP increases CC. Amelioration of both is required. The reduced ability to grow OP will reduce CC, which may allow more cultivation tending to increase CC, in a decreasing cycle. OP could be increasingly grown in more suitable regions occurring under CC. Enhancing the soil fauna may compensate for the effect of CC on OP agriculture to some extent. The effect of OP cultivation on CC may be reduced by employing reduced emissions from deforestation and forest degradation plans, for example, by avoiding illegal fire land clearing. Other ameliorating methods are reported herein. More research is required involving good management practices that can offset the increases in CC by OP plantations. Overall, OP-growing countries should support the Paris convention on reducing CC as the most feasible scheme for reducing CC.
    Matched MeSH terms: Social Change
  17. Choudhry FR, Khan TM, Park MS, Golden KJ
    Front Public Health, 2018;6:187.
    PMID: 30065918 DOI: 10.3389/fpubh.2018.00187
    The Kalasha are a religious, ethnic, and linguistic minority community in Pakistan. They are indigenous people living in remote valleys of the Hindu Kush Mountains in northern Pakistan, neighboring Afghanistan. The Kalasha are pastoral, as well as agricultural people to some extent, although they are increasingly facing pressures from globalization and social change, which may be influencing youth and community development. Their traditional world view dichotomizes and emphasizes on the division of the pure (Onjeshta) and the impure (Pragata). There remains a scarcity of literature on mental health and resilience of indigenous communities in South Asia and Pakistan generally, and the polytheistic Kalasha community specifically. Thus, the current study was conducted with the aim to explore the cultural protective factors (resilience) of the Kalasha youth (adolescents and emerging adults) and to explore their perceived etiological understandings and preferred interventions for mental health support systems. The theoretical framework of Bronfenbrenner's (1, 2) ecological systems model was used. Interpretative Phenomenological Analysis (IPA) was conducted, considering the advantage of its idiographic approach and the "double hermeneutic" analytic process. This methodology was consistent with the aim to understand and make sense of mental health and resilience from the Kalasha indigenous perspective. A total of 12 in-depth interviews were conducted with adolescents and emerging adults (5 males, 7 females), along with ethnographic observations. The analysis revealed 3 superordinate themes of mental health perceptions and interventions, each with more specific emergent themes: (1) Psychological Resilience/Cultural Protective Factors Buffering Against Mental Health Problems (Intra-Communal Bonding & Sharing; Kalasha Festivals & Traditions; Purity Concept; Behavioral Practice of Happiness and Cognitive Patterns); (2) Perceived Causes of Mental Health Issues (Biological & Psychosocial; Supernatural & Spiritual; Environmental); and (3) Preferred Interventions [Shamanic Treatment; Ta'awiz (Amulets); Communal Sharing & Problem Solving; Medical Treatment; Herbal Methods]. The overall findings point to the need for developing culturally-sensitive and indigenous measures and therapeutic interventions. The findings highlighted the Kalasha cultural practices which may promote resilience. The findings also call for indigenous sources of knowledge to be considered when collaboratively designing public health programs.
    Matched MeSH terms: Social Change
  18. Shepon A, Henriksson PJG, Wu T
    Front Nutr, 2018;5:104.
    PMID: 30456214 DOI: 10.3389/fnut.2018.00104
    The industrialized world has entered a new era of widespread automation, and although this may create long-term gains in economic productivity and wealth accumulation, many professions are expected to disappear during the ensuing shift, leading to potentially significant disruptions in labor markets and associated socioeconomic difficulties. Food production, like many other industrial sectors, has also undergone a century of mechanization, having moved toward increasingly large-scale monoculture production-especially in developed economies-with higher yields but detrimental environmental impacts on a global scale. Certain characteristics of the food sector and its products cast doubts on whether future automation will influence it in the same ways as in other sectors. We conceptualize a model of future food production within the socioeconomic conditions created by widespread automation. We ideate that despite immediate shocks to the economy, in the long run higher productivity can free up human activity to be channeled toward more interactive, skill-intensive food production systems, where communal efforts can reduce industrial reliance, diversify farming, and reconnect people to the biosphere-a realization of human well-being that resembles the classical philosophical ideal of Eudaimonia. We explore food production concepts, such as communal gardens and polyculture, and the economic conditions and institutions needed to underwrite them [e.g., a universal basic income (UBI)]. However, arguments can be raised as to why social-ecological systems would benefit from more labor-intensive food production. In this paper we: (1) discuss the current state of the food system and the need to reform it in light of its environmental and social impacts; (2) present automation as a lever that could move society toward more sustainable food production; (3) highlight the beneficial attributes of a Eudaimonian model; and (4) discuss the potential challenges to its implementation. Our purpose is to highlight a possible outcome that future research will need to refine and expand based on evidence and successful case studies. The ultimate aim is to promote a food system that can provide food security while staying within the safe operating space of planetary boundaries, produce more nutritious diets, enhance social capital, and reconnect communities with the biosphere.
    Matched MeSH terms: Social Change
  19. Sholehah, A. R., Ramle, A., Mohd Tajuddin, A., Wan Rohani, W. T., Jamilah, M. S., Razifah, M.
    MyJurnal
    The prevalence and incidence rate of hypertension among Orang Asli had been increasing due to
    modernization and assimilation of outside practices such as intake of high cholesterol food, alcohol, and
    smoking. Orang Asli utilize their herbs or plants to treat some illness due to the factor of logistics and the
    knowledge on these nature resources since decades ago that is carried out from their ancestors. In this review
    paper, hypertension genes of Orang Asli in Peninsular Malaysia and the utilization of ethno-medicinal plants
    in reducing the clinical manifestation in hypertension were deliberated. There are quite a number of related
    hypertensive genes particularly in renin-angiotensin-aldosterone system (RAAS) playing a pivotal role in
    pathogenesis of hypertension. A genome-wide association studies showed potential candidate genes in
    hypertension among Orang Asli in Peninsular Malaysia. However there is yet molecular study on these genes
    among Orang Asli with their unique genetic profile. Noteworthy information on mechanism of ethnomedicine in treating hypertension are scarce, even the efficacy of modern medicine in treating hypertension
    on Orang Asli are rare. Therefore, study on efficacy of ethno-medicine plant by Orang Asli and the
    regulation effect on hypertension genes are needed to be further explored and elucidated.
    Matched MeSH terms: Social Change
  20. Islam KMM, Asadullah MN
    PLoS One, 2018;13(1):e0190807.
    PMID: 29351305 DOI: 10.1371/journal.pone.0190807
    Using government secondary school English language textbooks from Malaysia, Indonesia, Pakistan and Bangladesh, we conducted a quantitative content analysis in order to identify gender stereotypes in school education. In total, 21 categories of exclusion and quality of representation were used to study gender stereotypes. Our analysis confirms a pro-male bias in textbooks: the aggregate female share is 40.4% in textual and pictorial indicators combined. Female occupations are mostly traditional and less prestigious while the characters are predominantly introverted and passive in terms of personality traits. Women are also shown to be mostly involved in domestic and in-door activities while men have a higher presence in professional roles. Systematic underrepresentation of females is evident regardless of whether we look at the text or pictures. A cross-country analysis shows that the female share in picture content is only 35.2% in Malaysia and Bangladesh. Overall, the proportion of female to male characters (text and pictures combined) is balanced in Malaysia and Indonesia (44.4% and 44.1% respectively) while this share is only 24.4% and 37.3% in Pakistani and Bangladeshi textbooks respectively. The finding of underrepresentation of women in Pakistani textbooks, in terms of quality and quantity, is robust to the selection of province-, grade- and subject-specific textbooks, as well as the range and type of categories used.
    Matched MeSH terms: Social Change
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