This study investigates the impact of the metaverse on English language teaching, focusing on the perspectives of students from the University of Boyacá. The use of the metaverse was compared with the Moodle platform in a virtual educational environment. A mixed-method approach combining quantitative and qualitative methods was employed. The sample consisted of 30 university students enrolled in English courses, randomly assigned to two groups: one using the metaverse and the other using Moodle. Students’ grades on different activities and assessments throughout the course were collected, and semi-structured interviews were conducted to explore students’ perceptions of the educational platforms. Results revealed that while students recognize the potential of the metaverse to enhance interactivity and learning experience, they also identified technical and accessibility challenges. Although no significant differences in grades were found between the groups, less variability in grades was observed in the metaverse group. The mixed design allowed for a more comprehensive understanding of the impact of the metaverse on English language teaching, while providing a variety of student perspectives on their experience with educational technology. This research contributes to understanding the role of the metaverse in English language teaching and highlights key areas for future research and developments in the field of virtual education.

Lifelong learning (LLL) is progressively recognized as a crucial component of personal and professional development, particularly for adult students. As a heavily populated developing country, China requires profound national education reform to support its economic development and maintain its competitive advantage on the global economic stage. The governmental policy endorses the execution of diverse forms of lifelong learning programs to bolster the national education reform. However, implementing such programs can be challenging for all the stakeholders of the programs, especially for adult students. The weaker foundational knowledge and insufficient online learning abilities of adult students particularly highlight the academic challenges they face. This study explores the academic challenges faced by adult learners in a Chinese vocational college’s LLL program. Focusing on ex-soldiers, unemployed individuals, migrant workers, and new professional farmers (aged 22–44), data were collected from 16 adult students via purposive sampling. Semi-structured interviews and document analysis revealed recurring thematic academic challenges. Additionally, the study found that adult student attributes (highest education level, age) significantly influenced the unique academic challenges they encountered. This research provides practical solutions to improve LLL programs and promote successful lifelong learning experiences for adult students. 

Good health and well-being are embedded in the 3rd Goal amongst the UN Sustainable Development Goals. The primary objective of this research was to identify the most critical economic, social, and administrative barriers to implementing the Expanded Program on Immunization (EPI) in the Punjab Province of Pakistan. A sequential exploratory design and case study technique were used, employing both qualitative and quantitative methods. In the first stage, in-depth interviews with 50 key officials were conducted to identify the most critical barriers to the EPI program. A quantitative analysis was then performed based on the results obtained from qualitative analysis, and rank orders of barriers were received from the same health department experts. The results indicate that twenty-eight barriers can cause implementation problems for this program. Still, the ten barriers that gained the maximum hits are the most important barriers, which include Shortage of vaccinators, mismanagement of vaccines’ cold chain, biometric android application, ice-lined refrigerators, communication gap, inadequate legislation of EPI program, capacity building issues with EPI staff, Misconceptions about EPI program, lack of awareness of the parents and community, refusal cases and inadequate cooperation of lady health workers (LHWs). Coordinated efforts of the government and the public are highly recommended to address these barriers.

In Costa Rica, there is no explicit recommendation from the competent authorities for the use of a specific phantom, so experts must explore what suppliers offer, among which the Normi Mam Digital phantom from PTW stands out. This article presents the results of the dosimetry and image quality control applied to the Normi Mam Digital phantom to validate it as equipment that complies with the recommendations of the Human Health Series No. 17. The results obtained were satisfactory, proving that the equipment complies with the tolerances recommended by international health bodies.

Introduction: In contemporary healthcare education, the integration of technology has emerged as an essential factor in enhancing the efficiency and efficacy of training methodologies. Particularly within the domain of cardiopulmonary resuscitation (CPR) training, the adoption of technology-driven approaches holds considerable potential for enriching the skills and proficiencies of healthcare practitioners. Through the utilization of innovative technologies, such as simulation software and leveraging smartphones as primary tools, CPR training programs can be customized to provide immersive, interactive, and authentic learning experiences. This study aims to validate a comprehensive CPR training module tailored explicitly for healthcare professionals, to integrate it into smartphones as a medium for delivering CPR training. Methods: Two validity tests, namely content validity and face validity were conducted to evaluate the validity of the Smart-CPR training module. A self-constructed measurement scale was utilized to assess four parameters: consistency, representativeness, clarity, and relevancy. Content validity employed the content validity ratio, with scores ranging between 1 and −1, indicating the level of consensus among experts regarding the significance of each item. Face validity was assessed using two indices: the item face validity index and the scale face validity index. Ratings of 3 or 4 were given a score of 1, while ratings of 1 or 2 received a score of 0. Result: The content validity shows that CVI values for ‘consistency’ and ‘representativeness’ were 0.99 for the module and questionnaire, and 0.96 and 0.97, respectively. ‘Clarity’ scored 0.99 for the module and 0.96 for the questionnaire, while ‘relevance’ achieved 0.99 for both. All 44 items exceeded the 0.83 threshold for face validity. The Lawshe’s content validity ratio (CVR) and content validity index (CVI) value were used to evaluate the content validity of both the CRSTP module and questionnaire, with CVR values result ranging from 0.80 to 0.99 across dimensions. These findings demonstrate robust content validity. Additionally, high CVI scores, mostly exceeding 0.95, suggest favorable outcomes and indicate no need for revisions. In face validity method, all 44 items surpassed the minimum threshold of 0.83, signifying a favourable outcome. Thus, all items were deemed acceptable. Conclusion: The Smart-CPR training module and questionnaires were meticulously developed to meet both face and content validity standards. All 44 items demonstrated appropriate levels of validity, ensuring they effectively enhance and maintain CPR competency among healthcare providers and potentially benefit the broader community. The positive results of the Smart-CPR training module confirm the high validity of the CPR competency assessment. Content validity, evaluated by experts, received a perfect score, demonstrating agreement on the relevance of each module component. Similarly, face validity, assessed by healthcare professionals, also received a flawless score, indicating consensus on the module’s clarity and relevance. These findings validate the module’s effectiveness in teaching CPR techniques to a diverse audience and ensuring compliance with established standards. With such strong validity, digitizing the module becomes more straightforward, facilitating easier sharing and use across digital platforms. Ultimately, the module’s high validity facilitates its integration into digital platforms, thereby enhancing CPR education and improving outcomes during real emergencies.

In the face of growing urban problems such as overcrowding and pollution, we urgently need innovative ideas to build smarter and greener cities. Current urban development strategies often fail to address these challenges, revealing a significant research gap in integrating advanced technologies. This study addresses these gaps by integrating green technologies and artificial intelligence (AI), studying its impact on achieving smart and sustainable habitats and identifying barriers to effective use of these technologies, considering local variations in infrastructural, cultural, and economic contexts. By analyzing how AI and green technologies can be combined, this study aims to provide a vision that can be used to improve urban development planning. The results emphasize the significance of environmental responsibility and technological innovation in the development of sustainable urban environments and provide practical recommendations for improving the overall quality of life in cities through planning and urban planning.