Economic Aspects Research Articles

Enhancing the efficiency of e-commerce through digital technologies: Economic and legal aspects

The research is aimed at analyzing the economic and legal aspects of the functioning of digital technologies in the field of electronic commerce, as well as studying the impact of these technologies on the efficiency of processes and their interaction with various aspects of legislation regulating the field of electronic commerce. In the course of the research, literary sources and legal acts were analyzed with the aim of generalizing approaches to understanding electronic commerce and establishing the main principles of its regulation. The analysis of statistical data made it possible to identify trends in the development of the e-commerce market and the influence of negative external factors. In turn, the application of methods of generalization and systematization made it possible to determine the key aspects of the implementation of digital technologies to increase the efficiency of electronic commerce and identify regulatory gaps in this area. The results of the research confirm that e-commerce in Ukraine plays an important role in the digital economy, ensuring efficiency and profitability for businesses. An analysis of the e-commerce market showed the growth of the use of the Internet for shopping, even in difficult socio-political conditions. Therefore, despite the challenges facing the country, e-commerce remains a sustainable and powerful tool for business development and consumer activity. However, it is necessary to improve the legal framework in order to meet the requirements of modernity and to ensure the protection of consumers’ and market participants’ rights from technical and other risks related to electronic commerce.

EXPLORING THE ECONOMIC AND SOCIAL IMPLICATIONS OF CELIBACY SYNDROME: SOCIETAL TRENDS AND THEIR IMPACT IN JAPAN

This study investigates the complex impact of celibacy syndrome on social and economic aspects in Japan, where there has been a noticeable reduction in interest and engagement in romantic relationships and sexual activities, particularly among the younger generation. To meet the objective of this study, descriptive research design has been used. The data has been collected from secondary sources like national reports on fertility survey of Japan, news articles, and statista database, published research articles and research papers. In conclusion, the impact of celibacy syndrome in Japan extends across individuals, society, business, and the economy, showcasing a nuanced interplay of both positive and challenging consequences. While financial autonomy, personal transformation, and a focus on learning emerge as positive individual outcomes, there are concerns regarding social withdrawal, loneliness, and potential mental health challenges. Societal impacts include shifts in cultural norms and challenges to social cohesion. In the business realm, a highly dedicated workforce may be a positive outcome, but demographic challenges and changes in consumer behavior pose economic risks. This study can be further extended by collecting first hand data and experience from the individuals to support with empirical evidences.

Triple Pillar for Sustainability of Accounting Evaluation of Carbon Emissions and Climate Change

This study is among the first to address the relationship between accounting and adaptation to climate change. Aramco is a well-known company in the Middle East that produces oil, and it was used as a case study. This study examines the theoretical underpinnings of accounting assessment of carbon emissions arising from climate change and their influence on sustainability. The questionnaire was distributed to approximately 150 Saudi Arabian managers. The researcher used an analytical descriptive technique and the Statistical Packages Program for Social Sciences (SPSS) to assess the sample, fill out, tabulate, analyze the data, and test the hypotheses. The findings demonstrate that accounting for carbon emissions affects sustainable development in its three pillars-economic, social, and environmental. Further, the sub-hypothesis’s results indicate that accounting for carbon emissions statistically impacts sustainable development’s economic and environmental aspects. Accounting for carbon emissions has no discernible impact on sustainable development through the social component. The researcher advocated that the social aspect of sustainable development should be given attention. Large corporations are made aware of their significance in achieving environmental sustainability and that failing to adopt labor and human rights standards will result in companies being held accountable.

Sustainability of column‐supported slabs for buildings: A multi‐criteria assessment

AbstractThe global construction industry is experiencing significant growth, driving the demand for building floor area. However, this expansion comes with substantial environmental consequences, including high‐energy consumption and greenhouse gas (GHG) emissions, together with economic and social impacts. To address these challenges, this research aims at providing designers and decisions‐makers with an approach that will aid the quantification of those impacts relevant for the sustainability performance of flooring systems. A holistic sustainability assessment was performed considering economic, environmental, and social aspects using the Integrated Value Model for Sustainability Evaluations. This study focused on various flooring typologies, including reinforced concrete (RC) and fiber‐RC (FRC) slabs with solid and waffle (for RC solution) configurations. The most representative criteria and indicators of sustainability for concrete column‐supported slabs were identified, measured, and weighted—aggregated in a decision‐making tree—in order to obtain a representative a sustainability index (SI) for each alternative. The results of the analysis evidence that the RC solid slab has a higher overall SI than the other alternatives, the FRC alternatives performing with similar SI of that quantified for the RC solid slab solution and the RC waffle slab being that with the lower sustainability performance among those flooring systems considered in this study. The results of a sensitivity analysis showed that those alternatives using FRC have potential for improving the overall sustainability performance.

Feasibility Analysis of a Novel High-Production Saltworks Powered by Renewable Energy: An Indonesian Case Study

This research introduces an innovative solution combining wind-aided intensified evaporation (WAIV) technology with tunnel systems integrating renewable energy sources in salt production. The objective is to facilitate year-round salt production, regardless of unfavorable weather conditions. The study encompassed five Indonesian regions: Sampang, Indramayu, Pati, Bima, and Kupang. It employs a comprehensive analysis covering technical, economic, and environmental aspects. The results demonstrate that the proposed concepts can significantly enhance salt production. Feasibility indicators are positive across all regions, affirming the viability of implementing this concept successfully. Extensive sensitivity analyses were conducted, adjusting critical variables such as salt pricing to assess project feasibility.

Leveraging Contemporary Project Management Techniques and Technology for Sustainable Telecommunications Advancement in Yemen

The digital techniques and technology have transformed formal project management field dramatically by enhancing communication, resource management and efficiency. This study aims to evaluate the efficacy of contemporary project management methodologies in promoting and facilitating sustainable development within the telecommunications sector in Yemen. Situated within the broader discourse on achieving the United Nations Sustainable Development Goals, the research employs a mixed methods approach to gather both quantitative and qualitative data. Quantitative data was collected through a survey of 150 professionals across major telecommunications firms in Yemen. The survey examined familiarity and application of techniques and technology such as waterfall, agile, six sigma, and lean. Qualitative insights were derived from 22 in-depth interviews with project managers and stakeholders. The findings of the study indicate that there is a narrow scope for integrating sustainability in Yemen’s telecommunications sector projects. Despite the research indicating a considerable level of awareness and utilization of contemporary methodologies, the integration of sustainability objectives varies considerably between projects. While numerous projects adopt environmental sustainability strategies, such as enhancing energy efficiency to reduce environmental impact and minimize carbon emissions, they lack comprehensive sustainability strategies that encompass economic, social, and environmental aspects in an integrated manner. The qualitative interviews yielded insights into the significant challenges to sustainable implementation, including insufficient training, organizational obstacles, and the effects of the ongoing conflict. In light of these findings, the paper addresses these challenges and provides recommendations and effective strategies to overcome them.

A multi-criteria decision-making model for sustainable selection of coastal protection structures

Although nature-based and hybrid (i.e., a combination of hard and nature-based) solutions provide well-documented benefits to both the environment and people living nearby, they cannot be implemented in all coastal zones. Thus, the selection process of coastal protection structures (CPSs) requires an in-depth and comprehensible assessment with an effective and robust decision-support framework. Existing frameworks in the literature, however, do not focus on the selection of nature-based solutions and environmental and social factors were not considered thoroughly in these frameworks. In this respect, this research aims to develop a decision-support model that guides decision-makers in selecting the most appropriate and sustainable CPSs. The framework was designed in a way that includes a variety of environmental and social factors along with economic and technical aspects. Then, fuzzy AHP and TOPSIS analyses were conducted to determine the relative importance of the selection factors and to select the most appropriate CPS. Factors such as sediment dynamics, geotechnical issues, construction cost, transportation and navigation effects, and technological know-how were among the top-rated factors. TOPSIS analysis results revealed that mangrove forests and artificial reefs were the top two most sustainable CPSs. The proposed framework can minimize the social and environmental impacts of CPSs and expedite the green transition in the coastal environment.

Diagnosis of open defecation in Yamoussoukro District (Central Côte d’Ivoire)

The pathological landscape of Yamoussoukro district is dominated by environmental diseases (malaria, typhoid fever, respiratory infections). These diseases are linked to lack of sanitation and hygiene and open defecation. The objective of this study is to draw up an inventory of fixtures of sanitation in Yamoussoukro district and determine the reasons for the practice of open defecation and thus propose effective strategies to combat this practice. Methodology used consists of direct observation in the field and a household survey. The sampling technique adopted is that of Shawartz, with a sample size of 373 households. Initially, an inventory of the sanitation situation in the study localities was drawn up, revealing a sanitation problem with 62,34 % of households lacking latrines in Kpangbassou, 82,22% in Aboukro, and 82,14% in Duokro. Analysis of the reasons prompting communities to opt for open defecation (OD) highlights determining factors such as the absence of a law prohibiting it, cultural reasons, perceptions of populations, the low level of income and education of household heads. Although socio-economic factors play a predominant role in the adoption of this practice, it is essential to pay particular attention to the economic aspects. Following these results, solutions were proposed to OD. Suggested strategies include the CLTS / EcoSan approach, enhanced CLTS / EcoSan monitoring and community awareness raising.

The right of perpetual usufruct and the principles of a market economy

The right of perpetual usufruct is deeply rooted in the Polish legal system. Perpetual usufruct has a long history, and it is unlikely to be abolished in the near future. Therefore, the extent to which the right of perpetual usufruct is consistent with the principles of a free-market economy should be determined. In the present study, this issue has been examined comprehensively by describing the economic aspects of this right. The fees associated with perpetual usufruct can attract individuals who have an interest in establishing this right. However, these fees can also discourage potential usufructuaries. Despite the above, perpetual usufruct fees constitute a steady source of income for territorial self-governments which grant the right to perpetual usufruct of municipal land. In addition to a comprehensive overview of perpetual usufruct fees, this study also involved a survey to determine the extent to which territorial self-governments exercise the legal rights associated with the collection of perpetual usufruct fees.

Improving the Behavior of Reinforced Concrete Frame Using an Innovative Metallic Shear Damper

ABSTRACTDespite the advantages of reinforced concrete (RC) frame, they are susceptible to damages under seismic loading. This is due to the fact that the main elements of the RC frame carry the gravity load in addition to the lateral loading. So imposed seismic energy is dissipated through the two ends of the beam, making the repair of the element complicated due to the gravity load. Although adding concentrically braced frames (CBFs) improves the lateral strength and stiffness, the ductility of the system is reduced. This shortcoming is due to the susceptibility of the diagonal elements to buckling. To do so, in this paper, an innovative metallic damper was investigated numerically and parametrically. The damper compound of the shear plate is surrounded by two HSS sections at two ends. The damper pertains to simplicity of construction and implementation. Also, the required equation to design and prediction of the system is presented. To investigate the behavior of the system, dynamic (to consider its suitable performance against seismic expiation) and static analyses (to determine the structural parameters) were carried out. Results revealed that the HSS section used as flanges for the shear plate not only improves the behavior of the plate but also contributes to resisting the applied load. Also, the reduction of the length to the height ratio of the damper enhances the stiffness and strength and stiffness. Subsequently, the variable Ф was defined as the ratio of the strength of the flanges to the web plate that affects the response of the damper. Although raising the Ф reduced the stiffness and ultimate strength, it is suggested to design dampers with Ф > 2 to achieve suitable overstrength in accordance with economical aspects. Also, time‐history analysis indicated that the proposed damper prevents the buckling of the CBF elements and improves the energy‐dissipating capacity of the system.

Sharia Cooperatives in Indonesia as an Effort to Create a Sustainable Economy

This article provides background regarding the development of sharia cooperatives in Indonesia as part of efforts to create a more inclusive and sustainable economy. Sharia cooperatives exist as an alternative that is in accordance with Islamic economic principles, emphasizing economic, moral and ethical aspects of doing business. Even though they are still faced with various challenges, the growth of sharia cooperatives shows a significant impact in empowering communities, especially in areas that were previously less accessible to conventional financial institutions. This article aims to provide a deeper understanding of sharia cooperatives in Indonesia, including history, recent developments, basic principles, roles and challenges faced. The research method used is literature study, by collecting data from various references such as books, articles and journals. The article also reviews regulations that support sharia cooperatives, basic concepts, governance, and the history of their development. By exploring various information related to sharia cooperatives, it is hoped that this article can provide a comprehensive picture of the current condition of sharia cooperatives as well as their potential and challenges in the future.

Challenges and Strategies for Safeguarding Intangible Cultural Heritage in Modern China

Intangible cultural heritage encompasses a nation’s traditional culture and wisdom, offering a profound reflection of the lives and thoughts of its predecessors. This heritage manifests in diverse forms, including artistic performances, music, handicrafts, and festivals. Despite its cultural significance, the protection and inheritance of intangible cultural heritage face numerous challenges in modern society. These challenges are exacerbated by rapid urbanization, globalization, and the decline of traditional practices. Previous studies have predominantly explored these issues from cultural and historical perspectives, often overlooking the critical economic factors that influence heritage preservation. This article seeks to fill this gap by examining the difficulties and problems faced by intangible cultural heritage through a comprehensive lens that includes cultural, economic, and social aspects. By analyzing these multifaceted challenges, we aim to uncover the underlying economic dynamics that hinder effective heritage preservation. Moreover, this research will propose innovative solutions to address economic challenges and enhance the protection and inheritance of intangible cultural heritage. Ultimately, this article aims to provide new perspectives and positive impacts on safeguarding intangible cultural heritage, highlighting the importance of an economic approach to its preservation and transmission to future generations.

Achieving universal energy access in remote locations using HOMER energy model: a techno-economic and environmental analysis of hybrid microgrid systems for rural electrification in northeast Nigeria

The developing world continues to face substantial obstacles to achieving affordable and dependable electricity access. This issue is especially pertinent for Nigeria, where diesel generators are widely relied upon in urban and rural regions because of an underdeveloped and unreliable national grid. The lack of grid reliability is worsened in Northeastern Nigeria, an area plagued by conflict, extreme poverty, and grid infrastructure deterioration. This study investigates the feasibility of implementing community-scale microgrids in rural areas without grid connection access. It focuses on assessing the technical, economic, and environmental aspects of utilizing these microgrids to deliver inexpensive and dependable electricity to underserved populations to increase energy access. A case study was conducted in Kabuiri, a village with an estimated population of 2,300 residents and an estimated load demand of 610 kWh per day. A hybrid microgrid system was designed and optimized to meet the community’s load demand using HOMER software, sized to produce 610 kWh/day of electricity with a renewable penetration of 99%. The optimal solar PV/battery/generator system had a levelized cost of electricity (LCOE) of $ 0.093 per kWh, a net present cost (NPC) of $266,709, and an annual operating cost of $9,110. The system contributed 1,624 kg CO2 eq/year of global warming potential and 56.81 kg O3 eq/year of smog formation during operation. Sensitivity analysis showed that the system could effectively react to or adapt to substantial increases in diesel prices, requiring only marginal increases in photovoltaic capacity and reduced generator usage to maintain the most cost-efficient operation. Additionally, the system model can be adapted based on the population of the remote community without substantially impacting the LCOE, however, the NPC increases with increase in population size. This research will aid in increasing energy access in remote locations by providing insights to stakeholders and energy access project developers.

STRATEGIES FOR USING SOCIAL PLATFORMS TO ATTRACT INVESTMENTS IN THE RECOVERY OF DEOCCUPIED TERRITORIES

The article addresses the complex issue of restoring Ukraine's de-occupied territories, which have suffered significant damage due to military actions. It emphasizes that the scale of destruction goes beyond ordinary material losses, encompassing both social and economic spheres, which significantly complicates the processes of restoration and reintegration of these territories. The recovery of regions left without proper infrastructure, damaged roads, bridges, and residential buildings requires a strategic approach that goes beyond physical rebuilding and includes long-term economic planning, social stabilization, and the integration of innovative solutions. The focus is on the role of economic revival as a key element of sustainable regional development. Given the limited state resources, attracting investments becomes a necessary tool for initiating economic processes, such as the restoration of production capacities, the creation of new enterprises, and the introduction of foreign technologies. The article also highlights the importance of the social aspect of recovery, including the reintegration of people who have lost their homes, jobs, or loved ones, which seriously affects their psychological well-being. The restoration of social infrastructure, education, and healthcare facilities is considered critical for ensuring basic living conditions and stability in the region. The work emphasizes the importance of implementing innovative solutions in the reconstruction process. Specifically, it explores the potential for developing "green" technologies and renewable energy, which could contribute to environmental sustainability and the region's energy independence. The authors propose the active use of digital technologies to increase the efficiency and transparency of recovery management processes, as well as to attract investments. Special attention is given to the use of social platforms as a tool for attracting investments and creating a positive image of the de-occupied territories on the international stage. The article analyzes the experience of other countries, such as the Balkan states, Colombia, and Iraq, which have used social media to promote their regions, attract investors, and enhance transparency. Based on this experience, the authors suggest creating special social media campaigns that may include webinars, online conferences, promotional videos, and infographics aimed at attracting investors' attention. The conclusions emphasize the need for a comprehensive approach to recovery, which includes economic, social, and technological aspects, as well as an effective communication strategy involving social platforms. Such an approach will ensure sustainable economic growth, social stability, and the integration of innovative technologies, which, in the long term, will contribute to the successful restoration of Ukraine’s de-occupied territories.

Why did Southern Christians maintain their pro-slavery stance before and during the Civil War

The paper explores the reasons behind Southern Christians’ staunch pro-slavery stance before and during the American Civil War, focusing on the religious perspective rather than the more commonly studied economic aspects. The paper examines how Southern Baptists, in particular, justified slavery as a part of their religious beliefs and identity, viewing it as a divinely sanctioned institution integral to their way of life. The paper highlights the role of the Southern Baptist Church (SBC) and its significant influence on the pro-slavery ideology, emphasizing the theological arguments made by Southern pastors and theologians. These religious leaders believed that slavery was morally and religiously justified and that the North’s attempts to abolish it were an infringement on their religious freedom. The study utilizes both primary and secondary sources, including speeches and letters from Southern Baptist leaders, to illustrate how deeply entrenched these beliefs were in Southern Christian thought, ultimately arguing that this religious justification was a central factor in the South’s resistance to abolition.

Distinguishing factors in regional variations of TAVI in Japan: the unique role of administrative facility standards compared to other procedures in a high-cost medical care subsidy system

Abstract Background Transcatheter aortic valve implantation (TAVI) is less invasive than surgical aortic valve replacement and is becoming increasingly popular worldwide, particularly among patients with aortic valve stenosis (AS) due to aging. However, regional differences are expected to exist not only between countries but also within a single country. Reports from Western countries indicate the presence of regional differences in TAVI and the reasons for these differences, which include differences in medical infrastructure, economic resources, health insurance systems and policies, geographic factors, and availability of specialized medical personnel. TAVI is expensive, but in Japan, the economic aspect is relatively unimportant due to the high-cost medical assistance system. Furthermore, there is little socioeconomic disparity between regions. In such a society, we have reported that the number of specialists and resources for PCI can explain regional differences in ablation and endovascular treatment (EVT). However, unlike those other cardiovascular procedures, there are specific requirements for facilities to perform TAVI, such as the number of transesophageal echocardiographies, as well as cardiologists and cardiovascular surgeons, and the equipment itself, such as hybrid operating rooms. We examined how these facility requirements, which are thought to be controlled by the government, are related to regional differences in TAVI implementation. Methods and Results We used the Japanese Ministry of Health, Labour and Welfare national database to determine the rate of TAVI for patients with AS performed per 100,000 population aged ≥40 years in all 47 prefectures in 2022. A linear regression model was developed to assess factors contributing to the regional medical supply, including the rates of PCI per 100,000 population aged ≥40 years and the numbers of cardiologists, cardiovascular surgeons, cardiovascular intervention and therapy training facilities, cardiovascular surgery base facilities, and TAVI facilities. The numbers in the highest and lowest regions were 26.6 and 3.9 (a 6.8-fold difference) for TAVI number. The number of TAVI facilities contributed most significantly to the TAVI volumes (P = 0.0105), while the rates of PCI and other factors did not contribute significantly. The number of TAVI facilities was positively correlated with the number of transesophageal echocardiographies the most (r = 0.353). Conclusion This study revealed large regional variations in TAVI volumes in Japan, of which administrative facility standards were a major determinant.

What are the challenges in the Health Technology Assessment of genetic and genomic applications?

Abstract Introduction Evaluating genetic/genomic applications (GGAs) is crucial for their implementation in clinical practice but hindered by several issues, such as rapid development processes and unclear benefits. Since these challenges lack comprehensive discussion, this study aims to identify and analyze all barriers emerged in the Health Technology Assessment (HTA) of genetic/genomic tests, filling a gap in the current literature. Methods PubMed, Scopus and Web of Science were searched to identify studies that specifically discussed any challenge or barrier in the HTA evaluation of GGAs. No restriction was applied on evaluation aspect or study type. Challenges/barriers were then grouped into the domains outlined in the EUnetHTA Core Model. A narrative synthesis of the main findings was performed. This study was supported by the EC and MUR- PNRR-M4C2-I1.3 Project PE_00000019 ‘HEAL ITALIA’. Results 19 articles were included: one third involved experts from different countries, and about 50% were author perspectives. Articles either focused on one aspect only (37%) or were more general (47%). The most challenging domain was economic aspects (69%), followed by clinical effectiveness (47%) and social impact (42%), but issues were found in all domains. The lack of a standardized HTA approach, the paucity of evidence on clinical outcomes, the challenges in capturing all health benefits, and the difficulties in identifying the healthcare pathways triggered by the test were consistently mentioned across the HTA domains. Conclusions Our study systematically summarized challenges in the HTA evaluation of GGAS, providing a thorough analysis and categorization of these issues. Various challenges surfaced, notably related to the identification of costs, as well as clinical and non-clinical benefits. There is a need for exhaustive discussion on potential solutions to facilitate the assessment process of these technologies to ultimately foster their implementation in clinical practice. Key messages • There are multiple challenges in the HTA evaluation of genetic and genomic tests in clinical practice that impact every HTA domain. • There is a need for concrete efforts in generating further evidence in relation to the definition of costs and benefits of the healthcare pathways triggered by genetic/genomic applications.

Configurational Design of a Hybrid System Based on an Air–Water Heat Pump and Biomass Boiler for a Rural Dwelling

Hybrid energy systems combine multiple energy sources and storage technologies to enhance performance and meet diverse energy needs. Hybrid heat pump systems are particularly suitable for heating and cooling buildings in rural areas. Air-source heat pumps have two well-known disadvantages during the coldest period of the year, when the building’s heating load is at its peak: the heat pump’s capacity is reduced and it needs to perform defrost cycles. A potential solution is to size the heat pump to cover only a portion of the peak load and to use a second heat generator in a hybrid heat pump system. There is a gap in the literature regarding the configurational analysis of hybrid heat pump (HHP) systems, particularly in terms of combining heat pumps and biomass boilers, and evaluating their efficiency, economic aspects, and environmental impact. Thus, in this research, a dynamic model of a HHP system, consisting of an air-to-water heat pump paired with a biomass boiler as a backup, is presented. Various configurations of the HHP system have been developed to evaluate key performance indicators, such as efficiency, emissions, operational costs, and other relevant factors. The findings of this paper indicate that the energy performance of HHP systems is significantly affected by the system layout, heat pump size, cut-off temperature, and the control algorithm used to activate the heat generators. Moreover, series operation of HHP systems is not only more efficient than parallel operation but also results in lower emissions and reduced operation costs. As expected, the energy loss associated with defrost cycles significantly impacts the overall performance of a hybrid system based on an air-source heat pump. Finally, the impact of the cut-off temperature on the key parameters in the configuration analysis was examined, and the optimal performance of the HHP system, in terms of minimizing operational costs and emissions, was depicted using a heat map diagram.

When toxicity is not just from gluten: a systematic review on financial toxicity and celiac disease

Abstract Background With an incidence of up to ∼2% globally, Celiac Disease (CD) is probably one of the most life-long common chronic conditions. Although ‘Financial toxicity’ (FT) has been mainly linked to oncology, significant financial burdens have been described across all healthcare domains, even in CD and to the unexpected economic effort resulting from illness and the need for treatments. This study aimed to investigate the potential relationship between CD and FT. Methods A systematic literature review was performed according to the PRISMA Statement 2020 guidelines. The search query queried the following databases: PubMed, Scopus, CINAHL and APA PsycInfo. No time and study design limits were included. Results 105 articles were found, and 25 were included in the review. The main results revealed that CD impacts physical health and imposes a significant financial burden on patients and their families. FT in CD is primarily due to the high costs of diagnosis, lifestyle changes, and expenses for gluten-free foods. Several studies highlighted the scarce adherence to the therapeutic diet due to the cost of food and poor acceptance of CD. Furthermore, since 2007, there has been increased attention to the difficulty of finding gluten-free products and their expensive fees. All these aspects, even for low-income countries, were faced differently globally, as documented by the heterogeneity of government subsidy policies highlighting the health inequity. Conclusions Considering the prevalence, a comprehensive health assessment with a global health approach should consider clinical, social, and economic aspects. This regard could improve the quality of life for CD patients and ensure fair and personalised access to care, regardless of their geographical location or financial situation. This review has highlighted the fragmentation of resources available internationally, underlining the relevance from a public health point of view. Key messages • Celiac Disease is one of the most common life-long disorders, and financial toxicity is an aspect that should be taken into account also from a public health point of view to ensure health equity. • The gluten-free diet represents an important therapeutic choice in CD; the related expensive fees could increase scarce adherence and worse health outcomes.

Index System of Low-carbon Driving Factors of Construction Industry in Hebei Province

Under the background of "double carbon" goal, the low-carbon development of construction industry in Hebei Province has become an important part of achieving the carbon peak in 2030 and carbon neutrality in 2060. The construction industry is one of the main sources of carbon emission in Hebei Province, and how to promote its low-carbon development is an urgent issue to be solved. Based on the five aspects of technology, energy, society, economy and industry, this paper constructs the low-carbon driving factor index system of the construction industry. The research shows that technological innovation, energy structure optimization and economic structure adjustment are the key factors to promote the low-carbon construction industry. In addition, by analyzing the current situation and future trend of carbon emissions of the construction industry, this paper puts forward corresponding policy suggestions, which provides theoretical support for the government to formulate countermeasures for the low-carbon development of the construction industry. The conclusion points out that the research and development and application of low-carbon technology, the optimization of energy structure and the green transformation of industrial structure will be the core path to realize the low-carbon development of the construction industry.