Environmental Domains Research Articles

Water strategies and management: current paths to sustainable water use

Freshwater is unquestionably the most crucial resource essential for the sustenance and advancement of humankind. This invaluable entity surpasses all societal, economic, and environmental domains, consequently rendering it a ubiquitous good. Globally, it has been estimated that the industrial sector employs approximately 20% of the available freshwater. The principal aim within the industrial domain is to maximize production efficiency, rather than prioritizing the enhancement of water conservation and efficiency. Research suggests that a favorable association exists between the monetary investments made in technological improvements for industrial water treatment and reuse and a profitable return on investment that is sustained over a prolonged duration. This could plausibly explain the dearth of willingness exhibited by some corporations in dedicating resources to this vital issue. The objective of this study is to explicate the notion of sustainability concerning water management that can be operationalized in the context of Pakistan, while delving into the latest advancements in the sphere of sustainable management practices. This research endeavor shall serve as an instructive source for executives, entrepreneurs, and vested parties in various industrial domains to propel their endeavors toward sustainable practices while simultaneously achieving optimization and surpassing the benchmarks set by national regulations and international establishments. This investigation has illuminated the imperative of executing an all-encompassing water management strategy that incorporates the ecological, financial, and societal dimensions as the essential constituents of viability in industrial water utilization. This work ought to possess a worldwide scope, bearing in mind the ubiquitous character of industrial practices in the epoch of globalization.

The adsorption behavior of perfluorooctane sulphonate on diamane regulated by strain

The adsorption of per- and polyfluoroalkyl substances (PFAS), such as perfluorooctane sulfonate (PFOS), is currently a critical issue in the environmental domain, yet it is not fully understood. Diamane, as a stable monolayer adsorbent, has garnered significant research interest. Defects and strain are reported to play a crucial role in regulating its electronic structure. In this study, we employ density functional theory (DFT) calculations to investigate the adsorption of PFOS on both pristine and nitrogen-vacancy (N–V) defected diamane, respectively. Additionally, we systematically examine the effects of strain in diamane along both the a- and b-directions (two directions of a monolayer) on PFOS adsorption. This analysis involves studying the adsorption energy (Eads), electron transfer, and the partial density of states. Finally, we propose the synergistic effects of N–V defects and compression strain in diamane, which enhance PFOS adsorption. Diamane is considered a promising candidate for PFOS sensing or capture.

Associations of upper- and lower-limb muscle strength, mass, and quality with health-related quality of life in community-dwelling older adults.

This study aimed to investigate the associations between upper- and lower-limb muscle strength, mass, and quality and health-related quality of life (HRQoL) among community-dwelling older adults. A cross-sectional study was conducted with 428 Brazilian community-dwelling older adults aged 60 to 80 years. Upper- and lower-limb muscle strength were evaluated through the handgrip strength (HGS) test and the 30-s chair stand test, respectively. Muscle mass was assessed by dual-energy X-ray absorptiometry (DXA) and bioelectrical impedance analysis (BIA). Muscle quality was evaluated using the muscle quality index (MQI). HRQoL was assessed using the World Health Organization Quality of Life Brief Version questionnaire. Lower-limb, but not upper-limb, muscle strength and quality were independently associated with HRQoL, particularly within the domains of physical capacity, environment, and overall HRQoL for both males and females (P < 0.05). DXA- and BIA-derived analyses provided similar results in relation to muscle mass and muscle quality. Lower-limb, but not upper-limb, muscle strength and quality were independently associated with HRQoL among community-dwelling older adults. Moreover, the results obtained from both BIA and DXA were similar, highlighting that BIA can serve as a viable surrogate method for estimating body composition in resource-limited clinical settings. Geriatr Gerontol Int 2024; 24: 683-692.

Wet markets in Southeast Asia and access to healthy diets

Hunger and malnutrition in all forms continues to rise in Africa and Asia. Urban and rural communities’ diets in Southeast Asia (SEA) are increasingly unhealthy, with consumption influenced by affordability and convenience. The cost of a healthy diet is a major barrier to accessing healthy foods in SEA. Wet markets are key places in food environments where people buy and sell a variety of foods. They are especially important for food and nutrition insecure communities. This mini narrative review explores the role that wet markets, in SEA food environments, play in providing local communities with access to healthy foods. Fourteen peer-review papers, published in English between 2017 and 2022, were identified during screening and analysed according to six food environment domains. Findings highlight that convenient access to wet markets facilitates access to fruits and vegetables in peri urban and urban areas. Fresh foods, most notably fruits, were viewed as being more expensive than processed foods which in turn influenced purchasing behavior. Divergent findings were presented in the identified papers regarding affordability of food in wet markets. Concerns about food quality and the use of chemicals and pesticides were raised. This review was constrained by several factors including the lack of consistent and meaningful definitions and typologies of the varied forms of wet markets. Looking ahead, better defined interpretations of wet markets can enhance the development and refinement of appropriate policies and actions and comparison of wet markets, in respect of access to diverse, healthy foods, vendor practices and consumer food choices.

Sustainability in the Public Healthcare Sector: Insights From an Analytical Hierarchy Process Analysis.

Background This study aimed to identify sustainability priorities within Oman's healthcare sector using the analytical hierarchy process (AHP) methodology. Mainly, it focused on assessing the relative importance of economic, environmental, and social factors and their sub-elements in sustaining Oman's healthcare system. Methodology A semi-quantitative, cross-sectional design was employed to collect data from 23 Omani healthcare experts with at least 10 years of experience in five different public hospitals in Oman. The AHP methodology was used to analyze pairwise comparisons of sustainability factors and derive their priorities. The consistency ratio was calculated to ensure the reliability of the analysis, and the transitivity rule was applied to address inconsistencies in pairwise comparisons. Results The findings revealed a strong emphasis on environmental and social sustainability, with economic considerations ranking comparatively lower. Circular practices emerged as a key priority within the environmental domain, while patient satisfaction stood out within the social domain. The analysis showed the integration between healthcare, environmental health, and societal well-being, emphasizing the need for holistic approaches to sustainability. Conclusions This study contributes to the understanding of healthcare sustainability by providing empirical evidence of stakeholder preferences within Oman's healthcare system. By quantitatively assessing the relative importance of economic, environmental, and social factors, it informs decision-making and resource allocation toward sustainable healthcare development. The findings also support the argument for integrated approaches to healthcare sustainability that balance economic efficiency with environmental protection and social inclusion.

It's not just Black and White: Identifying the combined influence of multi-level determinants of tobacco use among Black adolescents.

Black individuals are disproportionately affected by tobacco-related illnesses. Although tobacco use is often initiated in adolescence and risk factors thereof originate from multiple domains of influence, investigations of tobacco use among Black adolescents seldom consider these multiple domains simultaneously. These examinations are needed to identify the influence of co-occurring risk factors on tobacco use and inform comprehensive tobacco prevention and treatment programs. Our study sought to identify the combined influence of factors across multiple domains on tobacco use among Black adolescents. Participants were Non-Hispanic Black (N = 1,801) adolescent (age 12-17 years) respondents from Wave 1 of the Population Assessment of Tobacco and Health study. Latent class analysis identified unique response patterns to items assessing risk of tobacco use across sociocultural, environmental, psychological, and behavioral (e.g., alcohol use) domains. Subsequent logistic regressions compared the odds of ever and current tobacco use between the classes. Four latent classes were identified. According to item response probabilities they were named: Low Risk (LR: 36.5%), Low Psychological (LP: 19.0 %), High Psychological (HP: 30.4%) and High Social, Psychological, and Behavioral (HSPB: 14.1%) risk. The odds of ever and current tobacco use were highest among adolescents in the HSPB latent class compared to the other latent classes (odds ratio: 6.5 to 42.1). Adolescents with the highest odds of tobacco use endorse multiple risks including feeling distress, perceiving tobacco as beneficial for handling stress, and using substances, and may prioritize the management of negative emotions over perceived health consequences from tobacco use. Multi-level interventions that incorporate the development of coping strategies for effectively handling negative affect may prove highly effective in preventing tobacco use among Black adolescents.

A Comprehensive Review of Hollow-Fiber Membrane Fabrication Methods across Biomedical, Biotechnological, and Environmental Domains.

This work presents methods of obtaining polymeric hollow-fiber membranes produced via the dry-wet phase inversion method that were published in renowned specialized membrane publications in the years 2010-2020. Obtaining hollow-fiber membranes, unlike flat membranes, requires the use of a special installation for their production, the most important component of which is the hollow fiber forming spinneret. This method is most often used in obtaining membranes made of polysulfone, polyethersulfone, polyurethane, cellulose acetate, and its derivatives. Many factors affect the properties of the membranes obtained. By changing the parameters of the spinning process, we change the thickness of the membranes' walls and the diameter of the hollow fibers, which causes changes in the membranes' structure and, as a consequence, changes in their transport/separation parameters. The type of bore fluid affects the porosity of the inner epidermal layer or causes its atrophy. Porogenic compounds such as polyvinylpyrrolidones and polyethylene glycols and other substances that additionally increase the membrane porosity are often added to the polymer solution. Another example is a blend of two- or multi-component membranes and dual-layer membranes that are obtained using a three-nozzle spinneret. In dual-layer membranes, one layer is the membrane scaffolding, and the other is the separation layer. Also, the temperature during the process, the humidity, and the composition of the solution in the coagulating bath have impact on the parameters of the membranes obtained.

Health Behaviours and the Quality of Life of Students of Medical Fields during the COVID-19 Pandemic.

(1) Background: Social distancing and closing down public spaces associated with learning, leisure and physical activity limited the spread of COVID-19. These measures had an impact not only on the economy and education but also on health behaviours and the quality of life of individuals affected by the restrictions. The aim of this study was to identify the role of health behaviours in the perception of the quality of life of students during the COVID-19 pandemic. (2) Methods: This study was conducted among 796 students of the University of Warmia and Mazury in Olsztyn in the first quarter of 2022. Subgroup 1 consisted of students at the Public Health School (n = 428; 53.8%) and subgroup 2 consisted of students belonging to the Faculty of Veterinary Medicine (n = 368; 46.2%). The diagnostic survey method was applied, and an original survey questionnaire, the Health Behaviour Inventory and the Quality of Life Questionnaire (WHOQoL-Bref version) were used. (3) Results: The largest contribution to the prediction of quality of life of students in subgroup 1 was made by a positive mental attitude related to avoiding too strong emotions, which explained 19% of the result variability in the somatic domain (ßeta = 0.24; R2 = 0.21), 20% of the result variability in the psychological domain (ßeta = 0.36; R2 = 0.20), 16% of the result variability in the social domain (ßeta = 0.52; R2 = 0.17) and 17% of the result variability in the environmental domain (ßeta = 0.19; R2 = 0.19). Moreover, in subgroup 2, a predominantly positive mental attitude significantly predicted quality of life in the somatic domain, explaining 23% of the result variability (ßeta = 0.24; R2 = 0.26), while it explained 25% of the result variability in the psychological domain (ßeta = 0.47; R2 = 0.25), 16% of the result variability in the social domain (ßeta = 0.46; R2 = 0.17) and 21% of the result variability in the environmental domain (ßeta = 0.38; R2 = 0.23). (4) Conclusions: Positive correlations between health behaviours and the quality of life among the study participants were determined. Health-promoting behaviours had a beneficial impact on the respondents' quality of life during the COVID-19 pandemic. The category of health behaviours described as a positive mental attitude was an important predictor for the participants' quality of life.

The relationships between body image, self-esteem and quality of life in adults with trauma-related limb loss sustained in the Syrian war

BackgroundNumerous military soldiers have lost limbs as a result of the Syrian War. While there are variations between trauma-related amputations in military and civilian populations, both scenarios result in life-changing injuries. ObjectiveTo explore the relationship between body image, self-esteem, and quality of life (QOL) domains following trauma-related major amputation.It will be the first study in Syria on the correlation between self-esteem and body image. It will help improve our quality of care to meet patient needs and increase well-being, which in turn will help to address body image, self-esteem, and QOL. MethodA cross-sectional study that recruited 235 soldiers with amputations in two centers and two military hospitals in Latakia and Tartous. Patients were given an 81-item questionnaire that included the Amputee Body-Image Scale (ABIS), the Rosenberg Self-esteem (RSE) scale, the WHOQOL-BREF questionnaire, and unidimensional pain measures. The ANOVA test, a student's t-test, multiple linear regression, internal consistency, and test-retest reliability were utilized for statistical analysis. ResultsThere was a strong relationship between body image, self-esteem, and QOL, with the presence of body image concerns significantly associated with lower self-esteem scores and lower QOL scores (p=0.001). Patients with phantom pain sensation had significantly reduced self-esteem (p =0.001), greater body image concerns (p =0.001), and lower scores in all domains of QOL. We found that body image and self-esteem impacted the psychological, social, and environmental domains. After controlling for pain level and number of co-morbid conditions, body image and self-esteem did not predict WHOQOL-BREF scores, with the exception of the environmental domain, where no pain and low self-esteem predicted better environmental domain scores. ConclusionPatients' body image and self-esteem were greatly impacted by lower-limb amputations. Additionally, phantom pain further impacted self-esteem, body image, and QOL. The image of the body had a profound effect on psychological, social, and environmental domains, and self-esteem was influenced by almost all aspects of QOL.

Current understanding and knowledge gaps regarding wildlife as reservoirs of antimicrobial resistance.

Antimicrobial resistance (AMR) is a serious health issue shared across all One Health domains. Wildlife species represent a key intersection of the animal and environmental domains. They are a relevant but understudied reservoir and route of spread for AMR throughout the environment. Most wildlife AMR research thus far has focused on avian species, terrestrial mammals, and a selection of aquatic and marine species. Pathogens often identified in terrestrial wildlife include enteric zoonotic organisms such as Eschericia coli and Salmonella spp, in addition to nonenterics such as Staphylococci. Resistances have been commonly identified to antimicrobials important in veterinary and human medicine, including β-lactams, tetracyclines, aminoglycosides, and macrolides. Our emerging understanding of the dynamics of AMR distribution across life on Earth provides further opportunities for us to assess the risk it poses to veterinary and human health. Future work will require prioritizing which wildlife most exacerbates and indicates AMR in domestic animals. However, decreasing prices and increasing ease for metagenomic sequencing allows for synergies with expanding wildlife viral disease surveillance. Improved understanding of how wildlife impacts veterinary and human healthcare may increase opportunities for related research funding and global equity in such research. The companion Currents in One Health article by Vezeau and Kahn, JAVMA, June 2024, addresses in further detail the routes of spread of AMR across different animal populations and actions that can be taken to mitigate AMR with special consideration for wildlife sources.

Too hot to be innovative: Examining the relationship between high temperatures and corporate green innovation

A substantial body of literature suggests that climate change-induced extreme weather events, including high temperatures, can affect country-level economic output and growth. However, there is still a lack of knowledge about how extreme weather events affect the organizational moves, particularly their responses in the environmental domain, such as corporate green innovation. Building upon the attention-based view, we argue that high temperatures may lead to operational disruptions which require a shift in managerial attention, thereby impeding corporate green innovation. We have substantiated the negative impact of high temperatures on corporate green innovation based on the analysis of a sample of Chinese publicly listed manufacturing firms. Furthermore, we find that the top management team with green or technical backgrounds, two critical sources of informal expertise power, enables firms to redirect their attention and prioritize corporate green innovation, thereby mitigating the negative impact of high temperatures.

Quality of life and psychopathology in different COVID-19 pandemic periods: A longitudinal study.

Τhe aim of this longitudinal study was to investigate the effect of the COVID-19 pandemic on the mental health and quality of life (QoL) of the general population in the region of Attica, Greece, during the third year of the pandemic (2022), and tο compare the findings with those of a survey conducted in the first year (2020). Our sample consisted of 130 participants and the study was conducted through phone interviews. The instruments used were: the World Health Organisation QoL instrument, the Depression-Anxiety-Stress Scale, the Body Vigilance Scale, the Dimensional Obsessive-Compulsive Scale, as well as socio-demographic data and questions on stressors related to COVID-19. The findings of the study were the following: (1) Regarding the comparison of the variables between the first and the third year of the pandemic in the total sample: a) In comparison to the first year, in the third year we observed a significant decrease in negative feelings caused by the pandemic; b) obsessive compulsive (OC) and hypochondriacal symptomatology were significantly reduced, and the fact that participants felt safe following vaccination had a statistically significant effect on this decrease; c) job insecurity was aggravated; d) QoL remained low and even deteriorated in the Environment domain; f) no changes were found in Depression-Stress. (2) Regarding participants who were contaminated, there was a significant increase in negative feelings during the third year of the pandemic. Moreover, QoL decreased in the Physical, Psychological health, Environment domains, as well as in OC symptomatology. (3) Depression-Stress, hypochondriacal symptomatology, and the case of contamination were the predominant factors negatively associated with the dependent variables of QoL. (4) Vaccination was found to contribute to high levels of the QoL Environment domain score. (5) Anxiety, hypochondriacal symptomatology, fear of contamination, and negative feelings seemed to predict OC symptomatology. (6) The most vulnerable groups, in terms of QoL and mental health, were men, older and lower-educated people. Overall, it was found that the negative psychosocial impact of the pandemic persisted, especially on people who had fallen ill during the third year of the pandemic. Therefore, targeted psychotherapeutic interventions should be implemented, especially for those who got infected.

Quality of Life and its sociodemographic determinants: a population-based study from rural Punjab, India

BackgroundQuality of Life (QoL) is an individual’s subjective perception of well-being within their cultural context. While most QoL studies focus on individuals with certain health conditions, factors such as sex, marital status, education, and family structure can influence QoL beyond age and health conditions. Considering the limited studies on QoL in the general Indian population, especially from rural areas, the present study aims to explore the QoL and sociodemographic factors affecting QoL among community-dwelling adults in rural Punjab.MethodsThis community-based cross-sectional study was conducted among 931 individuals of both sexes (59.6% female) aged 20–75 years residing in rural areas of Mansa, Punjab, India. Sociodemographic data were collected using an interview schedule, and QoL was measured using the WHOQOL-BREF.ResultsThe overall mean QoL score was found to be 67.44 ± 14.7. The most affected QoL was in the physical domain (mean = 60.203 ± 13.49), followed by psychological (mean = 65.67 ± 18.3), social-relationship (mean = 69.88 ± 26.43), and environmental domains (mean = 74.05 ± 20.58). Adjusted logistic regression analysis revealed female sex, advanced age (age group ≥ 60 years), illiteracy, and unmarried status to be positively associated and family size of 6–10 members to be negatively associated with poor QoL.ConclusionThe study suggests that females, elderlies, illiterates, and unmarried individuals may be at a higher risk of poor QoL. Further, education and a bigger family size appear to increase subjective well-being among participants.

Piezoelectric MEMS Energy Harvester for Low-Power Applications

With the global market value of sensors on the rise, this paper focuses on the fabrication and testing of a proof-of-concept piezoelectric energy harvester which is able to harvest mechanical energy from the ambient environment and convert it into electrical energy in order to power wireless sensor networks. We focused on obtaining a new device structure based on a comb-type array of piezoelectric MEMS cantilevers (2 × 10) for a resonant frequency in the environmental application domain (a few hundred Hz) and a chip area of only 1 cm2. The configuration of the lead-free piezoelectric cantilever consists of a Si substrate, a pair of Ti-Pt electrodes and a sputtered piezoelectric layer of 12% Sc-doped AlN with a thickness of 1000 nm, a dielectric constant of ~13 and e31,f = 1.3 C/m2. At a resonant frequency of 465.2 Hz and an acceleration of 1 g, the maximum value for the collected power was 2.53 µW for an optimal load resistance of 1 MΩ resulting in a power density of 60.2 nW/mm3 for the unpacked device, without taking into account the vibration volume. By increasing the excitation acceleration to 2 g RMS and using LTC3588-1 for the power circuitry we were able to obtain a stabilized output voltage of 1.8 V.

A study on optimizing public spaces in rural heritage tourist sites from spatial perception: The case of Jinggang historic town

The development of cultural and rural tourism has fostered the expansion of heritage sites while concurrently presenting challenges such as resource wastage and cultural degradation. Optimizing spatial use requires a comprehensive understanding of the dynamics inherent to these sites. An emerging trend involves the integration of human perception technology into spatial perception research. Thus, to examine the correlation between alterations in physical and visual environments, tourists&amp;rsquo; perceived changes, and primary influencing elements in rural heritage tourism sites, Jinggang &amp;ndash; a historic and cultural town in Changsha, Hunan province, China &amp;ndash; was selected as the research site. A comprehensive interdisciplinary analysis was conducted by integrating physical environment data from public spaces. These data include air temperature (Ta), relative humidity (RH), wind speed (WS), equivalent sound pressure level (ESPL), visual environment data (including green view index [GVI], sky view index [SVI], road and pavement view index (R&amp;PVI), and construction view index [CVI]), along with biosensing data (level of stress [LS]) collected from tourists. The findings indicate the following: (i) the LS of the public space in Jinggang falls within the normal range but remains generally high, with the humanistic landscape, dominated by traditional architecture, scoring higher than the natural landscape; (ii) regarding spatial perception, the quantity of physical environment elements influencing LS surpasses that of visual environment elements, and the most relevant indicators, including ESPL, R&amp;PVI, and CVI, all contribute to tourists&amp;rsquo; LS; and (iii) ESPL significantly influences LS within the environment domain, where higher environmental noise decibels correspond to tourists&amp;rsquo; increased LS. The study concludes that historic towns possess distinct characteristics as types of rural heritage tourism sites. This study provides valuable insights into enhancing spatial environmental quality and promoting an appealing and sustainable rural setting by implementing public space optimization strategies in rural heritage sites.

Assessing the engineering, environmental and economic aspects of repowering onshore wind energy

As onshore wind farms approach the end of their life, critical decisions about their future become imperative. Wind turbine repowering projects encounter multifaceted challenges across economic, engineering, environmental, and social domains. This study critically examines the state of the art in onshore wind repowering on a global scale. The potential of repowering onshore wind to achieve three key objectives is investigated: enhancing energy output, extending operational life, and contributing to net-zero targets. The analyses reveal significant increases in generation capacity through repowering, with benefits extending to local economies and emissions reduction. Additionally, technological advancements such as variable hub heights and wind turbine classes offer optimization opportunities for repowering projects. Challenges such as time-limited consents and financial disincentives prompt an examination of the complexities inherent in these issues and the opportunities they present. The study analyses the complicated interactions of engineering, environmental, and economic factors on a global scale. To overcome these challenges, the study recommends implementing stable financial support mechanisms, streamlining regulations through adaptive energy laws, and enhancing public engagement. Emphasising sustainable practices, the paper calls for clear legislative frameworks focused on wind turbine recyclability and collaborative efforts between the wind industry and communities to ensure environmentally responsible repowering projects.

Sustainable development goals in energy system models: A systematic interlinkages mapping analysis

With less than 6 years left to achieve the global sustainable development goals (SDGs) by 2030, there is a growing urgency to increase the effectiveness of policy actions by targeting multiple SDGs. Mathematical modeling tools facilitate sustainability assessment in support of integrated policymaking. This study examines the interlinkages between the SDGs with commonly used and broadly applicable energy system models (ESMs) using the 248 indicators defined by the United Nations. The SDGs are classified under the environment (SDGs 6, 7, 12, 13, 14, 15), economy (SDGs 8, 9, 10, 11, 17), and society (SDGs 1, 2, 3, 4, 5, 16) domains governing the sustainability framework. The results ascertain that current ESMs are conceived to prioritize energy-related environmental indicators related to SDG7 (Affordable and Clean Energy), SDG12 (Responsible Consumption and Production) and SDG13 (Climate Action) with limited focus on non-energy indicators of the environmental domain, along with little to no coverage of SDGs-indicators allocated within the economic and social domains, respectively. The findings call for expanding the frontiers of ESMs to incorporate emerging systemic interdependencies that extend beyond the traditional “energy-environmental” nexus considering the multi-dimensional facets of sustainable development. For this purpose, a conceptual integrated framework was developed underscoring procedural protocols and technical directives to advance the ESMs-SDGs modeling paradigm through the application of methodological improvement opportunities. Theoretical and practical implications driven by policy and managerial perspectives were also discussed. In closure, this study can inform stakeholders about the gaps (sustainability issues and corresponding targets-indicators) that are imperative to address in modeling the SDGs and how to leverage existing ESMs into integrating a broader range of SDGs beyond traditional considerations. The improved outcomes are expected to facilitate integrated sustainable policy planning and formulation in pursuit of operationalizing the SDGs for the timely attainment of the 2030 agenda.

FINANCE OF BIODIVERSITY

The 2030 Agenda for Sustainable Development, adopted at the UN General Assembly in New York in 2015, then implemented by the European Union, respectively by Romania (through Romania’s Sustainable Development Strategy 2030), is a historic document, through its 17 goals, which promotes a sustainable future for all citizens. Structured on the three pillars of sustainable development – economic, social and environmental – it highlights one of the priorities of global sustainable development and a major concern of our time – environmental protection. Two of the Sustainable Development Goals of the 2030 Agenda – life on land and life in water – are found in the EU’s Biodiversity Strategy for 2030. This strategy is the cornerstone of nature protection in the EU, a key element of the European Green Deal. Biodiversity is disappearing at an unprecedented rate, with biodiversity loss and ecosystem collapse among the most important threats that humanity will face in the next decade. In this context, the EU member states must establish a series of commitments, objectives and appropriate specific measures to preserve the environment, substantially increase the allocation of financial resources necessary to achieve these objectives, so as to stop the loss of biodiversity. The objective of this approach is to highlight some aspects related to private and public financing for the protection of the environment and of biodiversity in Romania, based on statistical data. Evaluating public data sources, national concerns regarding the protection of the environment and biodiversity are highlighted, through specific indicators: national expenditures and investments for the protection of the environment, of biodiversity respectively, by categories of environmental services producers, by environmental domains, at European and national level.

Environmental Determinants of Post-Discharge Acute Respiratory Illness among Preterm Infants with Bronchopulmonary Dysplasia.

To analyze the association of components of the Centers for Disease Control and Prevention (CDC) Environmental Justice Index (EJI) with respiratory health outcomes among infants with bronchopulmonary dysplasia (BPD) within one year after discharge from the neonatal intensive care unit. This was a retrospective cohort study of a cohort of preterm infants with BPD. Multivariable logistic regression models estimated associations of EJI and its components with medically attended acute respiratory illness, defined as an ED visit or inpatient readmission, within one year of discharge from the neonatal intensive care unit. A mediation analysis was conducted to evaluate how environmental injustice may contribute to racial disparities in acute respiratory illness. Greater EJI was associated with an increased risk of medically attended respiratory illness (per EJI standard deviation increment, aOR 1.38, 95% CI: 1.12-1.69). Of the index's components, the Environmental Burden Module's Air pollution domain had the greatest association (aOR 1.44, 95% CI: 1.44-2.61). With respect to individual indicators within the EJI, Diesel Particulate Matter (DSLPM) and Air Toxic Cancer Risk (ATCR) demonstrated the strongest relationship (aOR 2.06, 95% CI: 1.57-2.71 and aOR 2.10, 95% CI: 1.59-2.78, respectively). Among non-Hispanic Black infants, 63% experienced a medically attended acute respiratory illness as compared to 18% of non-Hispanic White infants. DSLPM mediated 39% of the Black-White disparity in medically attended acute respiratory illness (p = 0.004). Environmental exposures, particularly air pollution, are associated with post-discharge respiratory health outcomes among preterm infants with BPD after adjusting for clinical, demographic, and social vulnerability risk factors. Certain types of air pollutants, namely, DSLPM, are more greatly associated with acute respiratory illness. Environmental exposures may contribute to racial disparities in medically attended acute respiratory illness among infants with BPD.

The Integrated Family Approach in Mental Health Care Services: A Study of Risk Factors.

Parental mental disorders in families are frequently accompanied with other problems. These include family life, the development of children, and the social and economic environment. Mental health services often focus treatments on the individual being referred, with little attention to parenting, the family, child development, and environmental factors. This is despite the fact that there is substantial evidence to suggest that the children of these parents are at increased risk of developing a mental disorder throughout the course of their lives. Young children are particularly vulnerable to environmental influences given the level of dependency in this stage of development. The main objective of this study was to identify whether there were a complexity of problems and risks in a clinical sample of patients and their young children (0-6) in mental health care, and, if so, whether this complexity was reflected in the integrated treatment given. The data were collected for 26 risk factors, based on the literature, and then subdivided into the parental, child, family, and environmental domains. The data were obtained from the electronic case files of 100 patients at an adult mental health service and the corresponding 100 electronic case files of their infants at a child mental health service. The findings evidenced a notable accumulation of risk factors within families, with a mean number of 8.43 (SD 3.2) risk factors. Almost all of the families had at least four risk factors, more than half of them had between six and ten risk factors, and a quarter of them had between eleven and sixteen risk factors. Furthermore, two-thirds of the families had at least one risk factor in each of the four domains. More than half of the families received support from at least two organizations in addition to the involvement of adult and child mental health services, which is also an indication of the presence of cumulative problems. This study of a clinical sample shows clearly that the mental disorder among most of the patients, who were all parents of young children, was only one of the problems they had to deal with. The cumulation of risk factors-especially in the family domain-increased the risk of the intergenerational transmission of mental disorders. To prevent these parents and their young children being caught up in this intergenerational cycle, a broad assessment is needed. In addition, malleable risk factors should be addressed in treatment and in close collaboration with other services.