Abstract The ongoing globalization of construction project investments, commerce, migration, and digital connectivity has significantly increased intercultural interactions during all stages of international construction projects, often resulting in complex international disputes. In such contexts, alternative dispute resolution (ADR) mechanisms—particularly mediation and negotiation—are increasingly favored due to their adaptability and efficiency. Effective mediation, however, necessitates an understanding of cultural psychology because mediators play a pivotal role in fostering legally sound and mutually acceptable outcomes. In multicultural settings, this process is further complicated by linguistic barriers, divergent communication styles, and deeply ingrained cultural values. This paper critically examines the theoretical nature of conflict, integrates negotiation principles, and introduces a structured procedural framework to address the unique challenges of cross-cultural mediation by suggesting a six-step process and the RESPECT framework (R = rapport, respect for the differences; E = empathy, emotional realization; S = silence, simplicity; P = patience, problem-solving; E = emotional management; C = communication; and T = tension control, tenacity, transformation) for mediators navigating cross-cultural disputes. Moreover, the RESPECT framework can be used not only by professional mediators but also by project managers and project stakeholder representatives who must address culturally influenced disagreements during the execution of international construction projects.
Time-domain simulation of power system dynamics requires solving large, sparse systems of nonlinear, stiff differential-algebraic equations. Traditional simulation tools have primarily emphasized solution accuracy; however, in the presence of digital controllers, such simulations remain computationally intensive as they must handle many discontinuities. In many practical applications, obtaining an approximate system response from the detailed model is sufficient, reducing the need for full-scale, high-fidelity simulations using small time steps. Simplified simulations provide a means to capture system dynamics quickly. However, the numerous discontinuities arising from the operation of digital controllers can become problematic for a simplified simulation, leading to significant inaccuracies and even divergence of the solver. This paper proposes a simplified simulation method suitable for power systems controlled by digital controllers, aiming to mitigate the accuracy loss of simplified simulation in the presence of multiple controllers.
The 11th Cardiovascular Outcome Trial (CVOT) Summit: Congress on Cardiovascular, Kidney, and Metabolic Outcomes was held virtually on November 20-21, 2025. The Summit provided a multidisciplinary forum to review and discuss recent outcome trials investigating emerging pharmacological therapies targeting diseases of the cardiovascular-kidney-metabolic (CKM) continuum. This report highlights the unique developments of 2025 discussed during the Summit, including the first head-to-head CVOT (SURPASS-CVOT), the growing evidence base for combination therapies across the disease spectrum, new insights into the inflammatory component of the CKM syndrome, and relevant policy developments. The first part of this report summarizes pioneering clinical trials addressing combination therapy with finerenone and empagliflozin (CONFIDENCE), the oral glucagon-like peptide-1 (GLP-1) receptor agonists orforglipron (ATTAIN-1), and the aldosterone synthase inhibitor (ASI) baxdrostat (BaxHTN). The second part presents recent guideline and policy developments discussed by experts in endocrinology, diabetology, cardiology, nephrology, hepatology, and general practice. In addition, advances in medical technology, particularly in continuous glucose and ketone monitoring, are highlighted, as well as emerging therapies for diseases of the CKM continuum. These include pharmacological agents for a broad spectrum of metabolic disorders such as metabolic liver disease and type 1 Diabetes (T1D) alongside emphasis on the importance of early detection and innovative treatment strategies. The 12th Cardiovascular Outcome Trial Summit will be held virtually on 19-20 November 2026 (http://www.cvot.org).
Instructional Science is a prominent international journal of learning sciences. This article provides a comprehensive bibliometric overview of the major trends within the journal from 1972 to 2023. The study focuses on assessing the journal’s impact, identifying the most productive and influential authors, institutions, and countries, as well as analysing the evolution of key topics over time. The primary source of bibliometric data for this analysis is the Scopus scientific database. Some information of the Web of Science Core Collection database is retrieved in specific instances to enhance the analysis. Additionally, the paper includes a graphical mapping of the bibliographic data using VOS viewer software, which provides more in-depth analysis through co-citation, bibliographic coupling, and co-occurrence of author keywords. The findings highlight the journal’s significant growth and impact over the years, and it is anticipated that it will continue to expand its international reach.
Ethics education constitutes a fundamental component of nursing development, shaping practitioners capable of sound moral judgment, responsible action, and ethically grounded clinical decision-making. Despite long-standing written ethical codes within the nursing profession, substantial gaps persist between theoretical instruction and real-world practice, leading to fragmented moral competence among nursing students and nurses. This discussion paper synthesizes evidence from the “Promoting a Morally Competent Nurse” project, insights derived from an international blended intensive program to examine the multifaceted challenges that hinder effective nursing ethics education, and expert contributions. Identified challenges include complexity of ethics theories; inconsistencies in the nursing curricula; the misalignment between formal and hidden curriculum; lack of resources and time dedicated to ethics education; inconsistencies in the training methods; and issues related to ethical leadership. The paper argues that cultivating moral competence requires more than the transmission of theoretical knowledge -it demands experiential learning, role modelling, and ethically supportive environments. A roadmap is proposed outlining complementary roles for academic nurses and nurse managers in strengthening ethics education across educational and clinical settings. Enhancing ethical leadership, harmonizing curricula, and investing in educator preparation are critical steps toward building an ethically resilient nursing workforce The paper concludes that ethical competence is not a static achievement but a lifelong developmental process that must be nurtured through intentional, coordinated, and context-sensitive strategies.
