The article proposes an operationally-oriented approach to improving the environmental safety of aircraft of previous generations using the example of the An-26B and An-26B-100. The methodology is based on optimizing operating modes without structural changes using ICAO and EASA recommendations. The results of a comparative analysis of ICAO and EU requirements with the actual environmental performance of the An-26B and An-26B-100 aircraft are presented. ICAO and EASA environmental procedures are proposed, which can actually be applied to the An-26B and An-26B-100 in practical operation through operational modes, flight procedures and technical operation. The proposed operating modes allow reducing fuel consumption; reducing greenhouse and toxic gas emissions; reducing noise pollution; increasing the environmental sustainability of air transportation without structural modernization of the aircraft. To optimize the acoustic impact of the Kirovograd aerodrome during the operation of the An-26B and An-26B-100 aircraft, a type-oriented optimization was proposed, where decisions were made separately for: An-26B takeoff; An-26B-100 takeoff; An-26B landing; An-26B landing. To support decision-making on optimizing the acoustic impact of the Kirovograd aerodrome during the operation of the An-26B and An-26B-100 aircraft, a hierarchical management model was proposed, combining: strategic level (environmental policy); tactical level (Noise Action Plans); operational level (SID/STAR profiles). Procedures for optimizing the operating modes of the An-26B and An-26B-100 aircraft by flight phases are presented, which are based on ICAO and EU regulations and are applicable to these types of aircraft. The results obtained indicate the possibility of optimising the operating modes of the An-26B and An-26B-100, as recommended by ICAO and EASA and applicable to these types of aircraft, confirming the feasibility of applying the proposed approach in practical operation. At the same time, the actual basic operating modes confirm that the An-26B aircraft is environmentally limitedly suitable for operation without additional measures; the An-26B aircraft, under optimized operation conditions, allows achieving or approaching the regulatory noise levels within residential areas adjacent to the Kirovograd airfield in accordance with Ukrainian legislation and ensuring compliance with the key indicators of the EU Environmental Noise Directive.

IntroductionTreatment interruption (TI), defined as >28 days late for antiretroviral therapy appointment, is one of the greatest challenges in controlling southern African HIV epidemics. Negative client–provider interactions remain a major reason for TI and a barrier to return to care, especially for men. Motivational interviewing (MI) facilitates client-driven counselling and improves client–provider interactions by facilitating equitable, interactive counselling that helps clients understand and develop solutions for their unique needs. Fidelity of MI counselling in resource-constrained health systems is challenging.MethodsWe developed a male-specific MI curriculum for Malawian male TI clients. Four psychosocial counsellors (PCs, a high-level Malawian counselling cadre) received a 2.5-day curriculum training and job aid to guide MI counselling approaches. PCs implemented the MI curriculum with men >15 years who were actively experiencing TI. Clients were found at home (through tracing) or at the facility (for those who returned to care on their own). MI counselling sessions were recorded, transcribed, translated into English and coded in Atlas.ti V.9. MI quality was assessed using a modified version of the validated MI Treatment Integrity tool. The tool has two measures: (1) counts of key MI behaviours throughout the session (questions, reflections, etc) and (2) overarching scores (using a 5-point scale) that characterise three MI dimensions for an entire counselling session (cultivating change talk, partnership and empathy).Results44 MI sessions were recorded and analysed between 1 April 2022 and 1 August 2022. 64% of counselling sessions focused on work and travel as the main reason for TI. 86% of sessions yielded client-driven, tailored solutions for overcoming TI. PCs implemented multiple MI behaviours very well: asking questions, giving information, simple reflections and client affirmation. Few PCs used complex reflection, emphasised autonomy or sought collaboration with clients. Among overarching MI dimensions, PCs scored high in partnership (promoting client-driven discussions) and cultivating change talk (encouraging client-driven language and behaviour change confidence) but scored suboptimal in empathy. Only five sessions had confrontational/negative PC attitudes. Conclusions: PCs implemented MI with fidelity and quality, resulting in tailored, actionable plans for male re-engagement in HIV treatment in Malawi.Trial registration numbersNCT05137210 and NCT04858243.

Background: The incidence of the emerging novel SARS COVID-19 pandemic has rapidly increased since March 2020, owing to increasing disease transmission. Government regulatory organizations can use these rules to help them, adopt the best possible precautions and protect their citizens from this lethal disease. We conducted a short survey among the people of to acquire a better understanding of their perspective and get an estimate of how the public will respond to the government's mitigation plans toward the COVID-19 pandemic. Methodology: An online cross-sectional surveying was undertaken among people aged <20 to 40+ and was recruited via social and electronic media. Following agreement, participants conducted an online survey that assessed socio-demographic characteristics, attitudes, and government mitigations for the COVID-19 plague. Results: In our study, the majority of respondents showed a positive attitude in terms of always wearing the mask (81%), washing their hands (61%), and keeping a social distance (73%). 50% of the participants strongly agreed with the government's mitigation plan toward COVID-19 in terms of controlled prices and availability of masks and sanitizers. 58% of the participants strongly agreed with increasing hospital capacity. A maximum of the participants were satisfied with the lockdown policy and its implementation. Lockdown policy, action plan implementation and monitoring, tax relief, and low or zero-interest loans are statistically significant (p-value <0.05) with gender. Conclusion: The findings of the current study reported a better attitude and appropriate government mitigation measures toward the COVID-19 pandemic among the general population. Overall, the participants strongly agreed with the government's plans to deal with the COVID-19 pandemic, which showed that they were optimistic about it.

This study tackles inefficient urban mobility in Indian cities by showing how bus trip rate (trip generation) modelling can strengthen public transit planning and mitigate congestion and pollution. Predictive models are developed across multiple Indian cities using multiple linear regression (MLR) and artificial neural networks (ANN), finding that ANN consistently achieves higher predictive accuracy – especially in high-density contexts – by capturing non-linear relationships in mobility patterns. Sensitivity analysis highlights trip purpose and age as dominant predictors: bus reliance varies by trip purpose, while ridership declines with age, particularly among older populations. Population density positively influences bus use, underscoring stronger dependence on public transport in dense areas. Gender also proves significant, reinforcing the need for safer, more accessible, gender-inclusive systems to enhance women’s mobility. These results motivate targeted interventions – route optimisation tailored to diverse travel needs, improved access for vulnerable users and gender-sensitive policies – alongside strengthening networks in dense corridors, integrating inclusive infrastructure and aligning with national sustainability agendas (e.g., Smart Cities Mission, National Action Plan on Climate Change). To address prior limitations, a generalised model is proposed that integrates common socio-demographic drivers in developing-economy contexts and is applicable across cities of varying sizes.

Climate change is one of the most significant challenges of the 21st century. It refers to long-term shifts in temperatures and weather patterns. While some of these shifts are natural, human activities have been the primary driver of climate change since the 1800s. Climate change in India is no longer a localized environmental issue but a defining economic variable. It has become an everyday reality having enormous consequences for food security and economic growth. Economic Survey (2025-26) revealed that the country has crossed a threshold and extreme weather has become near-daily occurrence impacting GDP by 4-6% annually. India is among the top 10 most climate-vulnerable nations globally. With substantial population dependent on agriculture for livelihood and increase in extreme weather days, erratic precipitation, erosion of productivity. India has a reason to be concerned about climate change, as a vast population depends on climate-sensitive sectors like agriculture, forestry and fishery for their livelihood. The adverse impact of climate change in the form of decline in rainfall and rise in temperature has resulted in increased severity of livelihood issues in the country. Climate driven migration is also emerging as a related trend. For instance, in coastal areas of Odisha and West Bengal, farmers are leaving agriculture due to increasing salinity and loss of arable land, contributing to growing populations of internal migrants who face new vulnerabilities. India stares at a disastrous scenario unless timely action plan and strategies are implemented to counter the effects of climate change.

Enhancing Canada's National Suicide Prevention Plan: Key Recommendations.

Subject. Creating favorable conditions for the development of investment activity, monetary policy of the Russian Federation. Objectives. Analysis of the impact of various factors on investment activity in the territory of the Komi Republic. Methods. Economic and mathematical research methods were used. Results. Correlation analysis of monetary, credit, and financial conditions for investment activities in the Komi Republic made it possible to identify a close relationship between investments in fixed capital and the weighted average interest rate on ruble loans provided by credit institutions to non-financial organizations for a term of more than one year, as well as the price expectations of enterprises. A significant factor affecting the volume of investments is also the business climate index. Conclusions. When developing an action plan for promoting competition and implementing the region's socio-economic development strategy, it is first necessary to take into account the monetary and credit conditions for investment activities.

Fracture liaison services (FLS) are an evidence-based method to improve the diagnosis and treatment of osteoporosis in post-fracture patients and the quality of secondary fracture prevention. The Capture the Fracture® initiative provides a systematic framework for the development, implementation, continued improvement, and recognition of FLS internationally. This short communication is aimed at describing the progress and successful elements of FLS implementation in Belgium. Descriptive report of a healthcare quality improvement initiative in accordance with SQUIRE 2.0 reporting standards. The first FLS Academy and Network (FAN) meeting in Belgium was held in 2023. Further regional working group activities resulted in rapid expansion from 5 to 20 recognized FLS centres in the country over 2.5years, almost exclusively situated in the provinces where field support activities were focused. A regional approach involving multiple stakeholders in partnership with industry can successfully facilitate implementation of national guidelines and close the care gap post-fracture in osteoporosis, even in the absence of governmental support. We report the successful implementation of fracture liaison services in Belgian hospitals in two provinces using a regional action plan involving a clinical-industry collaboration, despite the absence of government financial incentives. Insights from this healthcare quality improvement initiative could serve as a blueprint to further close the osteoporosis care gap.

Purpose This study aims to explore the link between aspirational talk and action in biodiversity reporting to identify potential decoupling practices. Design/methodology/approach Content analysis is applied to 84 sustainability reports from companies in sectors with significant biodiversity impacts. A structural equation model based on partial least squares (PLS) examines the relationship between aspirational talk and action, as well as the influence of increased national-level commitment to the Sustainable Development Goals (SDGs) on the consistency of information. Findings Companies generally provide limited biodiversity disclosures. However, when disclosed, aspirations connect with actions, suggesting no content decoupling. In SDG-committed environments, companies adopt counter-coupling strategies in response to stakeholder pressures. Research limitations/implications The analysis focuses on disclosed management practices and action plans rather than on the effectiveness of the organizational actions themselves. Furthermore, the study does not assess the quality of the disclosed information or the impact of the proposed initiatives on species conservation. Practical implications Findings can help policymakers develop regulatory frameworks promoting consistent reporting and biodiversity integration into corporate strategy. Preparers should connect aspirational talk with internal management practices and biodiversity performance data. Social implications This study has implications for enhancing the emancipatory nature of corporate biodiversity reporting. Originality/value This study makes a dual contribution by analyzing decoupling in biodiversity reporting and examining the influence of institutional pressures at the national level on decoupling practices.

ABSTRACT Objective Agricultural workers face significantly higher ultraviolet radiation (UVR) exposure than indoor workers, increasing their skin cancer risk. This systematic review evaluates peer-reviewed literature from 2013 to 2024 on sun safety behaviors and interventions among agricultural workers. Methods Following PRISMA guidelines, a search was conducted across PubMed, SCOPUS, Cochrane Library, Web of Science, Agricola, and EBSCO using MeSH terms and keywords including “farmworker,” “sun safety,” “skin cancer,” and “interventions.” Eligible studies were full-text manuscripts published in English between February 1, 2013, and May 15, 2024. A total of 166 manuscripts were identified, with 84 remaining after duplicate removal. Two independent reviewers screened the abstracts and full texts, resulting in 38 manuscripts. Eight additional manuscripts were added after reference review. Results Of the 46 included studies, 39 (84.8%) were primary and seven (15.2%) were secondary studies. While five of the primary studies were intervention-focused, 34 were primarily descriptive. Geographically, 71.7% of studies investigated populations outside the U.S. while 17.4% focused on U.S. farmers. Knowledge levels and attitudes about sun protection varied significantly. Sun protection behaviors also varied widely, with hats and long pants being more commonly used methods, although regional and cultural differences were evident. In terms of intervention-based studies, multicomponent strategies, like workplace-specific action plans, highlighted the effectiveness of tailoring interventions to workplace culture and environmental needs. Conclusions Research on sun safety interventions for agricultural workers remains limited. As a one-size-fits-all approach is ineffective, future research should prioritize designing and evaluating tailored, workplace-driven interventions in collaboration with employees.

Stigma remains a major barrier to accessing healthcare for people with neurological disorders. The World Health Organization's Intersectoral Global Action Plan on epilepsy and other neurological disorders urges all member countries to have at least one functioning awareness campaign for neurological disorders by 2031. Art has emerged as a valuable tool for social change with previous success in highly stigmatised disorders. This review aims to understand the effectiveness of art-based interventions in reducing stigma related to neurological disorders. A scoping review was conducted on three databases (PubMed, Web of Science, and Embase); from inception to October 2024. Data relevant to the study's aims were extracted and underwent narrative synthesis to develop key themes and patterns across the included studies. After removing duplicates, 9,992 articles were screened with 24 articles identified for inclusion. Studies were predominantly from high-income settings (63%) and addressed stigma in dementia (38%), epilepsy (42%), and stroke (21%). Included studies targeted young children through to older adults. The most common form of art was videos (38%) which were predominantly short and educational, followed by visual arts (42%) which included short films, adverts, and use of images, and dance and theatre (25%). Art was used to change attitudes and perceptions (71%), raise awareness and enhance knowledge (54%), and influence emotions and behaviour (46%). This review highlighted that art-based interventions effectively contributed to stigma reduction by addressing misinformation, challenging prejudices, and encouraging supportive actions but data from low resource settings were scarce. Interventions prioritising the direct interactions between a small number of the public and people with lived experience seemed particularly effective, however, the potential for theatre productions and digital media to target a larger audience should be considered.

The research analyzed the influence of human talent management on optimizing business productivity, describing the most frequent practices, their alignment with organizational strategy, and the mechanisms that explain their effect on performance. A mixed-methods approach was applied, including a questionnaire based on validated scales administered to 120 employees and semi-structured interviews with 12 key professionals. The quantitative analysis employed descriptive statistics, Pearson correlation, and multiple linear regression, while the qualitative analysis used thematic coding to identify emerging patterns. The results show that competency-based selection practices, continuous training, performance evaluation, and strengthening the work environment are frequently implemented and are positively related to individual and collective productivity. Furthermore, organizational commitment and training are identified as mediators that link talent practices with performance by influencing motivation, role clarity, and active employee participation. The qualitative findings complement these results by indicating that leadership and strategic coherence strengthen the effectiveness of these practices. It was concluded that human talent management contributes to improved productivity when integrated into strategic planning, adapted to operational needs, and strengthens employee engagement. Action plans are proposed to consolidate evidence-based selection, training, and evaluation systems, as well as internal policies that promote retention, professional development, and the continuous measurement of organizational performance.

Nighttime light (NTL), a crucial indicator of human activity intensity, has not been systematically analyzed for its interactive mechanisms with air pollution and climate change. This study first investigates the spatiotemporal evolution of China’s total nighttime light (TNTL) and average nighttime light (ANTL), alongside key indicators of meteorological parameters and air pollution, at the grid scale from 2000 to 2023. We then employ prefecture-level city data and a geographically and temporally weighted regression (GTWR) model to quantify the spatiotemporally heterogeneous associations of temperature (TMP), precipitation (PRE), fine particulate matter (PM2.5), ozone (O3), land use (LUL), topography, and socioeconomic factors with NTL. The results indicate that (1) China’s NTL exhibits a significant overall upward trend, with areas of increase or significant increase comprising 92.04% of the total study area. TNTL growth demonstrates regional heterogeneity, expanding by a factor of 4.91 in East China and 2.65 in Northeast China; (2) meteorological and air pollution indicators display spatiotemporal non-stationarity, with the synergistic effect between O3 and PRE being the strongest; (3) among NTL drivers, LUL contributes most significantly (0.44), followed by TMP (0.14) > PM2.5 (−0.33 × 10−1) > O3 (0.17 × 10−1) > PRE (−0.33 × 10−6); (4) TMP and PRE may primarily influence NTL by altering ecological conditions and nighttime activity patterns. TMP shows a strong positive correlation with NTL in the junction zone of South, East, and Central China, whereas PRE predominantly exerts a negative influence; (5) air pollution exhibits distinct spatiotemporal effects: high PM2.5 and O3 generally correspond to lower NTL, though positive correlations persist in some areas due to industrial structures, highlighting the need for integrated policies that balance air quality management with sustainable urban planning; (6) the 2013 “Air Pollution Prevention and Control Action Plan” significantly strengthened the negative correlation between PM2.5 and NTL in North China. However, O3 concentrations increased by 28.9% after 2017, underscoring the challenge of coordinating VOC and NOx controls for long-term atmospheric sustainability.

There is increasing evidence on the effectiveness of prevention bundles against non-ventilator hospital-acquired pneumonia (nvHAP), but detailed reports on their implementation are lacking. This study aims to describe and structure the implementation activities undertaken in a single-center multimodal intervention that achieved a 31% reduction in nvHAP incidence. Longitudinal descriptive qualitative study. Nine medical and surgical departments of a Swiss university hospital. Healthcare professionals and implementation teams in study departments. We collected longitudinal data on implementation activities using (1) implementation activity logs, (2) drop-in interviews and observations, (3) "action plan meetings," (4) focus groups, and (5) unstructured recall sessions among the project team. Data were deductively coded using the "Expert Recommendations for Implementing Change" taxonomy, specified using Proctor et al.'s "Recommendations for specifying and reporting implementation strategies" and mapped to the "Exploration, Preparation, Implementation, Sustainment" framework phases. A total of 174 activities were undertaken. Activities varied by implementation phase, most frequently involving "evaluative and iterative strategies," "develop stakeholder interrelationship strategies" and "training and education of stakeholders" during Exploration, Preparation, and Implementation, respectively. During Implementation, 54% of activities were initiated by department nurses, and 27% were initiated by the institutional implementation team. Activities included interdisciplinary kick-off events, education in various formats, posters, informational stickers for patients, provision of new equipment (e.g., toothbrushes), and electronic medical records order sets. This report offers valuable insights for future implementation efforts by providing a structured overview of the concrete implementation activities performed in a successful one-hospital multimodal nvHAP prevention project.

Despite advances in digital health technologies, the integration of clinical decision support systems (CDSSs) into routine primary care for asthma has been extremely limited. Asthma CDSSs employ diverse approaches, from prescribing support to risk prediction, but it remains unclear which are most likely to achieve sustained, real-world impact. Our objectives were to determine the mechanisms of action, clinical practice integration approaches, outputs and outcomes of asthma CDSSs in recent literature. Five electronic databases (Embase via Ovid, PubMed, CENTRAL, the Health Technology Assessment (HTA) Database, and the ISRCTN registry of clinical trials) were searched to identify papers published between 2012 and 2024 describing pilot studies, feasibility studies, or clinical trials, of primary care-based asthma CDSS. Two independent reviewers screened the retrieved literature and extracted the data on study designs, interventions, outcomes and mechanisms of action, and results. Across 18 included trials, interventions demonstrated substantial heterogeneity in mechanisms, integration methods, and targeted clinical behaviours. Although some studies showed improvements in adherence to prescribing best practices and the delivery of personalised action plans, most reported modest or declining system use over time and inconsistent effects on asthma control or severe attack outcomes. Continued progress will depend on integrating behavioural theory, improving workflow compatibility, and generating rigorous evidence to guide the development of CDSSs with genuine potential for sustainable impact.

Abstract. Kamaruddin N, Al-Edrus SSO, Haida Z. 2026. Market dynamics and structural challenges in competitiveness of bamboo in Malaysia’s wood-based industry. Asian J For 10 (1): r100113. https://doi.org/10.13057/asianjfor/r100113. This study examines the competitiveness of bamboo within Malaysia’s wood-based industry, with particular attention to market dynamics and structural constraints influencing its industrial adoption. Using Porter’s Five Forces as an analytical framework, the study draws on structured questionnaire and semi-structured interview data from nine industry stakeholders, including manufacturers and relevant government agencies. The findings indicate high awareness of alternative raw materials among respondents, alongside a more cautious level of readiness to adopt bamboo in production. While most stakeholders recognise bamboo’s potential to complement conventional timber, fewer indicate readiness to invest in high-value engineered bamboo products. This pattern suggests that industry preparedness is shaped more by market uncertainty, investment risk, and supply-chain reliability than by technical feasibility. Analysis through Porter’s Five Forces positions bamboo as a promising yet structurally constrained competitor within Malaysia’s wood-based sector. Weak supplier power, strong buyer influence, persistent competition from established timber products, and high barriers to entry collectively limit bamboo’s competitive position. Qualitative insights further highlight challenges related to fragmented supply chains, limited certification systems, and uneven access to financing, which reduce firms’ willingness to commit to large-scale adoption. Although exploratory in nature and based on a limited sample, the study provides insight into the competitive conditions shaping bamboo’s industrial uptake in Malaysia. The findings highlight the importance of addressing structural and institutional constraints, particularly certification development, financing mechanisms, and industry–research linkages, to strengthen bamboo’s competitiveness. These insights are relevant to ongoing policy discussions under Malaysia’s National Agrocommodity Policy (2021-2030) and Biomass Action Plan (2022-2030), especially in supporting diversification within the wood-based industry.

Acute exacerbations of chronic obstructive pulmonary disease (AECOPDs) are acute events characterized by rapid worsening of dyspnea, cough, and sputum production, often leading to gas exchange impairment, ventilatory failure, and hospitalization. While pharmacological therapy remains central for managing the acute phase, nonpharmacological interventions play a crucial role in stabilizing patients, reducing complications, and promoting functional recovery. Respiratory strategies-including conventional oxygen therapy, high-flow nasal cannula, noninvasive ventilation, and invasive mechanical ventilation-are tailored to disease severity and underlying pathophysiology, aiming to unload respiratory muscles, improve ventilation, and optimize gas exchange. Pulmonary rehabilitation (PR) is essential to counteract skeletal and respiratory muscle dysfunction, sarcopenia, and exercise intolerance, thereby enhancing quality of life (QoL) and physical performance. Nutritional management addresses malnutrition, negative energy balance, and micronutrient deficiencies, supporting muscle preservation, immune function, and overall recovery. Home-based care models, including hospital-at-home programs and telerehabilitation, reduce hospital stays, facilitate early discharge, and improve access to structured PR programs. Structured self-management strategies and individualized exacerbation action plans empower patients, enhance symptom control, and reduce hospital readmissions, although their effectiveness may vary according to patient health literacy. Integrating these interventions into a comprehensive, multidisciplinary care pathway addresses both acute physiological derangements and long-term functional decline. Emerging digital health solutions-including telemonitoring, wearable sensors, and artificial intelligence-based predictive models-offer opportunities for early detection, personalized interventions, and enhanced patient engagement. This review synthesizes current evidence on nonpharmacological management of AECOPD, highlighting practical strategies to optimize respiratory support, rehabilitation, nutritional interventions, and self-management, ultimately aiming to accelerate recovery, prevent relapse, and improve QoL in this high-risk patient population.

Animal bites are a significant public health challenge in India, accounting for 36% of global rabies deaths. The National Action Plan for Dog Mediated Rabies Elimination (NAPRE) outlines a multisectoral strategy to achieve elimination by 2030. Understanding bite demographics is crucial key to a One Health approach. This study aims to examines stray and pet bite profiles in Mumbai, focusing on bite characteristics and sociodemographic patterns. A cross-sectional study using record-based secondary data was conducted at a tertiary care hospital in Mumbai. Data were collected for all animal bite cases from May 2022 to April 2023. Sociodemographic and bite characteristics were analyzed using descriptive and chi-square tests to assess associations. Of 4,186 bite cases, 80% involved strays and 19.8% pet bites. Males comprised 78.6%, and 40.3% were aged 20–40 years. Category 3 bites accounted for 79.7%. Dog bites (86.2%) showed a significant association with bite type (p < 0.01). Unprovoked bites were significantly more common among strays (87.3%) than pets (74.7%) (p < 0.01). Pet bites were significantly more likely to be observable (65% vs. 22%, p < 0.01). Bite type was significantly associated with gender, animal type, provocation, and observability, but not with age or residence. Findings highlight a higher burden of severe, unprovoked, and unobservable bites from stray animals in urban areas. Strengthening surveillance systems, ensuring mass dog vaccination, and promoting responsible pet ownership and animal health awareness are crucial to rabies control. Improved observability and timely reporting can enhance post-exposure care and reduce risks of animal bite.

To respond to the local cardiovascular health literacy need through means of alternative forms of education utilizing serious games. A quality improvement project design utilizing pretest-posttest with in-depth literature review. A Cardiovascular (CV) BINGO game was developed, implemented, and analyzed for efficacy. Focus group participants (n = 10) were asked to recommend or advise against implementation of the serious game, then pilot study participants (n = 7) were asked to complete a five question Likert-scale survey along with one fill-in-the-blank action plan goal pre- and postgame implementation. Comparison between pretest and posttest surveys revealed an improved participant-perceived understanding and completion of personal action plans postimplementation. Overall, participants and instructors voiced satisfaction and lobbied for future use of this education tool. Literature supports the efficacy of serious games in knowledge and outcome improvement. The CV Bingo game applies alternative forms of education to establish deeper understanding of the material, spark health consumer interest, and open dialogue barriers. Application of serious games can be applied to any chronic disease process. The goal for the dissemination of this pilot study is to introduce new educational concepts and encourage fellow clinicians to utilize alternative forms of patient education.

Currently, in China, criminal cases have been continuously declining for nearly a decade, and the sense of security among the public has remained high. These are achievements in building a safe China. However, some criminal cases that have caused a sensation throughout the country have also occurred, causing a great impact on people's fear of crime. This study explores the fear of crime among residents of Inner Mongolia, China, by examining factors such as risk identification, environmental design, and social control. Using a questionnaire survey of 402 residents, the research reveals high levels of victimization experience, concerns over safety in schools and workplaces, and significant fear of robbery. The study highlights the impact of media coverage on crime fear and evaluates the effectiveness of crime prevention through environmental design and formal social control measures. Based on the findings, an action plan is proposed to enhance crime prevention strategies and reduce the fear of crime. Respondents are generally concerned about the insecurity in schools or workplaces, and the highest risk assessment is for robbery crimes that infringe on both personal and property rights. At the same time, it is widely agreed that too many details of criminal cases have been disclosed by the media. The evaluation of disorder can be divided into spatial disorder and social disorder, with graffiti, dilapidated roads, and fighting being highly valued. In Inner Mongolia, China, crime prevention through environmental design has been well applied. This is mainly reflected in the installation of sufficient street lights and electronic monitoring equipment, as well as the implementation of good entrance control in residential areas. The effective execution of formal social control is achieved by prompt and concentrated police patrols and the extensive creation of police rooms. Studies indicate notable differences in risk recognition, environmental structuring, and social regulation based on gender, age, and experiences of victimization, with rural males, aged 36 to 45, who have suffered victimization over four times, assigning higher evaluations. There is a strong interconnection among these three elements. Stemming from these results, an action plan has been formulated to curb crime through the amplified use of crime fear. A proposed action plan has been developed based on research findings to prevent crime by strengthening the application of fear of crime.