Distal arthrogryposis type 5D (DA5D) is a rare autosomal recessive congenital contracture disorder caused by biallelic variants in ECEL1. We describe a consanguineous family with three affected brothers showing a highly concordant DA5D phenotype with variable clinical severity. The index patient was a 3-month-old male infant with bilateral genu recurvatum, adducted thumbs, bilateral hip flexion contractures, congenital ptosis, micrognathia, high-arched palate, cryptorchidism, and mild facial dys...

Pediatrics 

Artificial intelligence (AI)-powered personalization is reshaping how consumers in emerging digital economies encounter, evaluate, and commit to market offerings, yet prevailing scholarship continues to treat personalization as a uniformly trust-enhancing stimulus. This study challenges that assumption by advancing a capability-trust contingency model in which the effect of AI-powered personalization on purchase intention is neither direct nor uniform but routed through two analytically distinct...

Marketing 

Foreign language enjoyment (FLE), a key affective variable grounded in positive psychology, has received increasing attention in L2 acquisition in recent years. Based on a review of the conceptualization and classification of FLE, and drawing on theoretical models of willingness to communicate in the second language (L2 WTC), this paper explores the mechanisms underlying the relationship between FLE and L2 WTC. Findings indicate that FLE is positively associated with L2 WTC through pathways such...

Language Education 

Introduction: Community participation is a fundamental principle of health promotion and primary health care. Since the Declaration of Alma-Ata, involving populations in matters concerning their health has been viewed as a way to align interventions more closely with local needs and enhance their acceptability. Objective: To analyze the perceptions of community stakeholders regarding the implementation of the Community-Based Nutrition (CBN) project in the Kadutu urban health zone, ...

Health Policy 

Mencius, as a classic work of Confucianism, holds an important position in Chinese traditional culture. Toury’s theory of translational norms posits that translators are constrained by preliminary norms, initial norms, and operational norms during translation activities, providing a new perspective for translation studies. From this theoretical perspective, this paper compares and analyzes the English translations of Mencius by James Legge and D. C. Lau, exploring the differe...

Linguistics  Literature 

Heritage tourism is central to Sri Lanka’s cultural identity and tourism economy, yet university students, despite being frequent, engaged social media users who generally express favorable attitudes toward heritage destinations such as Sigiriya, Anuradhapura, and Kandy, continue to visit these sites infrequently. This study examines the mechanism through which social media exposure is associated with heritage tourism participation among undergraduate students at the University of Sabaraga...

Sociology 

The cross-cultural communication of celadon culture has long been constrained by the cognitive dilemma of “separation of Dao and vessel,” wherein overseas audiences tend to be captivated by the formal beauty of celadon objects yet struggle to apprehend the underlying East Asian philosophical foundations embodied in their “jade-like, mirror-like” aesthetics. This challenge is compounded by mistranslations of culturally loaded terms such as “jiangxin” (craftsman...

Culture 

Adult-onset Still’s disease (AOSD) is a rare systemic autoinflammatory disorder. The diagnosis relies on clinico-biological criteria after exclusion of infectious, autoimmune, and neoplastic causes. We report the exceptional case of a 37-year-old man initially managed for typical AOSD with a favorable response to corticosteroids and methotrexate. One year after diagnosis, the occurrence of an atypical inflammatory relapse, associated with deterioration of the general condition, led to the ...

Rheumatology 

This article assesses the political economy factors shaping Zimbabwe’s capacity to meet its obligations under the African Continental Free Trade Area (AfCFTA). It examines how structural conditions, formal and informal institutions, national incentives, actors, agency, governance, and decision-making processes shape Zimbabwe’s readiness for deeper continental integration. The analysis focuses on tariffs and non-tariff measures as political-economy instruments that reflect revenue dep...

Sociology 

Against the backdrop of ongoing national strategies for “common prosperity” and “Digital China,” clarifying the mechanisms through which the digital economy affects urban-rural income inequality is of both theoretical and practical significance. It helps assess the effectiveness of high-quality development and informs the optimization of income distribution policies. Drawing on theories of digital inclusion and technology bias, this study constructs an “access-use-b...

Business Management  Business Finance and Investment