European Territory Research Articles

The snow depth and its dynamics on the continental part of the Russian Arctic under conditions of the present-day climate

Based on the data of route snow surveys for the period 1966–2020, the comparison of the average long-term maximum depths of snow cover, the depths of snow cover for individual months and the dynamics of snow accumulation (the ratio of the depths of snow cover to the maximum value) on the continental part of the Russian Arctic for two representative periods (1966–1990 and 1991–2020) was made. Maps of snow cover depths and snow accumulation dynamics have been constructed for both periods. These maps made possible to analyze influence of the climatic changes on the depths of snow cover and the dynamics of snow accumulation. A comparison of these values for the first (1991–2020) period with the same of the second one showed that in October–November in the European part of the Russian Arctic, the snow depths decreased by an average of 22% (first period) and 8% (second period), and in some areas the decrease reached 70 and 20%. In the Arctic part of Western Siberia, these characteristics of snow cover increased. Growth of snow cover depths in November/January/March averaged as 11/20/23%, and in some areas it exceeded 40%. The dynamics of snow accumulation in the Arctic for the whole period 1991–2020 averages 18/37%, in October/November, and 71/91% in January/March. In the European part of the Arctic, these values are smaller: 13/29% and 68/90%, respectively. The dynamics of snow accumulation in the west and in the center of the European Arctic territory by the end of the autumn period does not reach 30%, while in the Arctic part of Siberia this mainly exceeds 50%. In October/November 1991–2020, the dynamics of snow accumulation decreased in several regions of the European Arctic and the Arctic part of Western Siberia as compared to 1966–1990. On average over the entire territory of the Arctic, the decrease in the dynamics of snow accumulation compared to 1966–1990 amounted to 13/4% in October/November, and 3/1% in January/March.

Continuous and Dynamic Circulation of West Nile Virus in Mosquito Populations in Bucharest Area, Romania, 2017-2023.

West Nile virus (WNV) is a mosquito-borne pathogen with a worldwide distribution. Climate change and human activities have driven the expansion of WNV into new territories in Europe during the last two decades. Romania is endemic for WNV circulation since at least 1996 when the presence of lineage 1 was documented during an unprecedented outbreak. Lineage 2 was first identified in this country during a second significant human outbreak in 2010. Its continuous circulation is marked by clade replacement, and even co-circulation of different strains of the same clade was observed until 2016. The present study aims to fill the information gap regarding the WNV strains that were circulating in Romania between 2017 and 2023, providing chiefly viral sequences obtained from mosquito samples collected in the Bucharest metropolitan area, complemented by human and bird viral sequences. WNV was detected mainly in Culex pipiens mosquitoes, the vectors of this virus in the region, but also in the invasive Aedes albopictus mosquito species. Lineage 2 WNV was identified in mosquito samples collected between 2017 and 2023, as well as in human sera from patients in southern and central Romania during the outbreaks of 2017 and 2018. Both 2a and 2b sub-lineages were identified, with evidence of multiple clusters and sub-clusters within sub-lineage 2a, highlighting the complex and dynamic circulation of WNV in Romania, as a consequence of distinct introduction events from neighboring countries followed by in situ evolution.

Implementing Antimony Supply and Sustainability Measures via Extraction as a By-Product in Skarn Deposits: The Case of the Chalkidiki Pb-Zn-Au Mines

Antimony is one of the world’s scarcest metals and is listed as a Critical Raw Material (CRM) for the European Union. To meet the increasing demand for metals in a sustainable way, one of the strategies that could be implemented would be the recovery of metals as by-products. This would decrease the amount of hazardous materials filling mining dumps. The present study investigates the potential for producing antimony as a by-product at the Olympias separation plant in Northern Greece. This plant works a skarn mineralization that shows interesting amounts of Sb. Boulangerite (Pb5Sb4S11) reports on Pb concentrate levels reached 8% in the analyzed product. This pre-enrichment is favorable in terms of boulangerite recovery since it can be separated from galena through froth flotation. Boulangerite distribution in the primary ore is quite heterogeneous in terms of the inclusion relationships and grain size. However, a qualitative assessment shows that the current Pb concentrate grain size is too coarse to successfully liberate a good amount of boulangerite. The use of image analysis and textural assessments is pivotal in determining shape factors and crystal size, which is essential for the targeting of flotation parameters during separation. The extraction of antimony as a by-product is possible through a two-step process; namely, (i) the preliminary concentration of boulangerite, followed by (ii) the hydrometallurgical extraction of the antimony from the boulangerite concentrate. The Olympias enrichment plant could therefore set a positive example by promoting the benefits of targeted Sb extraction as a by-product within similar sulfide deposits within the European territory.

Implementation of Saving Function as the Main Function in Activities of European Visual Arts Museums during World War Two

The purpose of the article is to research the saving function implemented by the personnels of the visual arts museums during the Second World War on the territory of Ukraine and of the Western European countries, research the actions of the museum workers seen as sociocultural projects from a scientific point of view. The research methodology lies in the application of historical methods due to which the origin and the development of historical processes and events are being explored in their chronological order with the scope of finding out the historical connections and patterns by means of a modern analysis of how the museum workers fulfilled their positions' tasks during the war. Empirical and theoretical methods are being used. Such methodological research allows the explorers to analyse the ways of the task fulfilment aimed at saving as the main function of all the activities carried out by European art museums during the wars in the twentieth century. The scientific novelty is in a new generalising scientific view on the fulfilment of their positions' tasks by museum workers and military men of a specially founded unit whose goal was to save the museum objects of the world's art heritage under the threat of illegal deeds of the aggressor country. Conclusions. The sociocultural planning of the activities of the European museums' workers used the stereotyped marketing methods aimed at the implementation of saving as the main function. It is necessary to point out that, due to full-scale hostilities on the European territory, the priority function the museums workers wanted to implement was saving and evacuation of museum collections from the hostilities area, as well as conservation works. After the evacuation and restoration in a safe area, the museum personnels, when it was possible, focused their attention on the function of the art works' exhibition.

Impact of the Common Agricultural Policy (CAP) on the Development of Rural Territories: Principal Component Analysis in SW Spain, Extremadura (2007–2020)

The Common Agricultural Policy (CAP) is a European Union (EU) policy aimed at supporting farmers, guaranteeing food security, and promoting sustainable rural development, which has undergone numerous reforms to adapt to the needs of the agricultural sector and society in general. The main objective of this work is to statistically analyse CAP aid in southwest Spain, specifically in Extremadura, a region characterised by areas at risk of depopulation and deep rural areas, during the last two periods of European aid (2007–2013 and 2014–2020). In this study, by means of principal component analysis (PCA), agricultural, economic, and demographic variables were interrelated, together with geographic information systems (GIS), to evaluate their impact on the development of the regional agricultural sector. This methodology will help to identify areas with improvements in their territorial structures and can therefore serve as a basis for their application in other European territories. Through the analysis, we identified areas where the interrelation of the variables showed improvements in their demographic, social, and economic structures, with the municipalities of populations over 10,000 inhabitants in Extremadura being the ones that compose the territorial substructure A. Therefore, this work shows how European agricultural aid can disproportionately favour the most dynamic territories and leave the less developed regions at a disadvantage.

Mapping Flood Impacts on Mortality at European Territories of the Mediterranean Region within the Sustainable Development Goals (SDGs) Framework

Mapping Flood Impacts on Mortality at European Territories of the Mediterranean Region within the Sustainable Development Goals (SDGs) Framework

Work-Family Life Course Trajectories and Women's Mental Health: The Moderating Role of Defamilization Policies in 15 European Territories.

This study employs multichannel sequence analysis of data from the Survey of Health, Ageing, and Retirement in Europe to explore variations in the association between work-family life trajectories and women's mental health across European cohorts born between 1924 and 1965 within different policy contexts. It finds that trajectories characterized by prolonged employment and delayed familial commitments are generally associated with increased depressive symptoms. Notably, the strength of this association varies significantly across cohorts and is notably moderated by defamilization policies. These policies, which aim to reduce dependency on family for managing social risks, buffer mental health challenges in traditional family roles but are less effective for women in trajectories with delayed family formation. This investigation highlights the nuanced ways in which historical and cultural contexts alongside policy environments shape mental health outcomes at various life stages, offering valuable insights into our understanding of health disparities across the life course, with an emphasis on exposure to changing institutions.

Counter-hegemonic uses of law in struggles for freedom of movement in the Central Mediterranean

Law constitutes the architecture of the governance of global mobility. It regulates the irreducible impulse to move, binding people to territories through the institution of citizenship and limiting the possibilities of crossing international borders. Law can also be mobilised to secure the rights of people on the move. In the Mediterranean various actors interact across a densely entangled legal landscape involving the Law of the sea, fundamental rights and asylum, and public law rules granting control and repressive powers to states for border protection and crime prevention. This article asks if — and under which conditions — law can take on counter-hegemonic qualities in the struggles for freedom of movement. It argues that legal interventions that support migrants on the move can be counter-hegemonic if they combine different approaches regarding the legal responsibility of states and when they support migratory claims to enter European territory without focusing only on the issue of international protection.

FORMATION OF THE ARCHITECTURAL AND URBAN PLANNING SPACE OF OXBOW LAKES: SCIENTIFIC AND PRACTICAL EXPERIENCE

Problem statement. Following the adoption of Law No. 1641-VIII on October 4, 2016, the Ukrainian legislation introduced the “basin management principle”. This principle entails comprehensive (integrated) management of water resources within the river basin area [1]. In the valleys of lowland rivers with numerous bends, particularly in the Dnipro, Danube, and Vistula rivers, oxbow lakes are formed, representing remnants of old river channels. Oxbow lakes are small lakes that form on floodplains due to erosion and sediment deposition. In large cities, such lakes are important centers of biological diversity, improve microclimate, act as barriers to floods, and have an attractive appearance. However, oxbow lakes are susceptible to drying up, silting, and turning into marshes. Therefore, research on oxbow lakes in the context of urban planning is highly necessary to prevent chaotic development and preserve similar ecosystems. Additionally, the consolidation of experience in the development and rehabilitation of such objects is practically significant for urban planning. Research objective. The purpose is to examine and summarize the scientific and practical experience in forming the architectural and urban planning space along oxbow lakes. Conclusion. Scientific research in the fields of hydraulic engineering, agronomy, and urban planning that can be implemented in urban planning practice to address oxbow lake issues has been identified and systematized. Using satellite imagery and analytical maps, patterns in the organization of oxbow lake spaces in the largest cities of Ukraine have been identified. Similarly, examples of planning and development of lakeside (old riverbed) territories in Europe, America, Asia, and Oceania have been found and analyzed. Successful practical solutions for the use of scientific and technical methods for preserving oxbow lakes have been identified in the aforementioned examples. Patterns and trends in organizing development and street networks around small floodplain lakes and oxbow lakes have been revealed.

Firearm ownership and suicide: Has the time come to discuss uniformity of health and social assessments in aid of regulation? Reflection from a retrospective study on a forensic case series.

Firearm-related deaths are an issue of ongoing public interest, from a health and economic perspective. Worldwide, firearm prevalence in suicides varies widely, depending on multiple factors including the availability of weapons in each country. Although several studies have shown that national laws about gun ownership, reducing legal access to guns, decrease the risk of suicide by firearm, the current situation clashes with widely differing legislations. Retrospective study on a forensic case series. Autopsy reports assessed at the Section of Legal Medicine of Milan (Italy) from January 2014 to December 2023 were retrospectively documented. Only firearm suicides were considered. For each case, a close analysis of the criminal offence reports has been performed to obtain information about the gender and age of the victim, as well as the legal possession of firearms, psychiatric disorders, alcohol, and illicit drug abuse. Among all the 1,164 suicides assessed at the Section of Legal Medicine of Milan over a 10-year-period, 101 cases (8.7%) were firearm-related. The male to female ratio was therefore about 13:1. No seasonal trends were observed. Most of the individuals owned the firearm license. Of the entire dataset, 35.6% suffered from psychiatric disorders, 4% of alcohol abuse and 2% of drug addiction. Among the owners of a firearm license, 42.3% had psychiatric disorders. Knowledge about firearm suicide and its relation to firearm legal possession is limited and current preventive laws should be reconsidered. Present administrative and clinical examinations required to obtain a firearm license in Italy and in some European territories are dealt with. The evaluation of the firearm-related risk of abuse is an essential but complex procedure, which requires not only clinic-anamnestic data but also in-deep psychiatric information. There is a need to develop and reinvigorate a debate that currently presents very heterogeneous solutions, but which would probably benefit from a common vision of the prevention strategies that can be implemented and enacted for the benefit of the entire community.

Occurrence of Nosema ceranae, Ascosphaera apis and trypanosomatids in Vespa orientalis linneus 1771

Vespa orientalis is spreading across the Italian and European territories leading to new interactions among species, which could lead to the transmission of pathogens between species. Detection of honey bee viruses in V. orientalis has already been revealed in both adults and larvae, while no information is available regarding parasitic occurrence. Sixty adult hornets collected across apiaries in the South of Italy were subjected to cytological, histopathological and biomolecular examination to evaluate the occurrence of Nosema ceranae, Ascosphaera apis, Lotmaria passim, Crithidia mellificae, and Crithidia bombi.Cytological examination revealed the presence of Nosema spores in 38.33% of individuals while histopathological analysis showed the presence of L. passim-like elements in the rectum of two examined specimens and the presence of fungal hyphae in the small intestine of another hornet. Biomolecular investigation revealed that N. ceranae was the most prevalent pathogen (50.0%), followed by A. apis (6.66%), L. passim (6.66%) and C. bombi (6.0%).

Analysis of informativeness of features of classification of dangerous weather events based on radar observation results

One of the crucial factors affecting the safety and regularity of state and civil aviation flights is the meteorological situation. The European territory of Russia is most characterized by dangerous meteorological phenomena associated with cumulonimbus clouds: shower, thunderstorms, hail, accompanied by high atmospheric turbulence. Currently, meteorological radar stations are an indispensable source of information about the weather situation for air transport. The criteria for the classification of meteorological phenomena used in modern radar stations are formed for each event separately and are based on knowledge only about the altitude distribution of radar reflectivity and air temperature, despite the fact that radar data assess the wind characteristics of the atmosphere. It is shown that optimization of the classification criteria for the mentioned meteorological phenomena should be realized by generalization of the criteria and their construction in accordance with the theory of statistical hypothesis distinction, as well as by additional use of information on atmospheric turbulence. Based on the analysis of radar signals reflected from the meteorological events of shower, thunderstorm, and hail, probability distributions of reflectivity and specific dissipation rate of turbulent energy were obtained. Statistical analysis of probability distribution densities was carried out for: the maximum value of reflectivity Zmax, its dependence on height H(Zmax), as well as the maximum specific dissipation rate of turbulent energy EDRmax and the value H(EDRmax). The classification criterion based on the maximum probability functional was chosen to determine the structure of classification algorithms and decision rules. At the same time under the acceptable confidence is accepted the value of the probability of correct classification not lower than 0.8. For the accepted criterion the decision thresholds are constructed and the complete matrices of classification probabilities are calculated. The results of calculations showed that the worst informativeness in the classification of dangerous meteorological events of cumulonimbus cloudiness have parameters H(Zmax), H(EDRmax). Parameters Zmax, EDRmax have greater separating ability, but even for them the confidence of classification is unacceptable. In the article to increase the confidence of classification the joint use of features in the form of multivariate probability distribution densities of information parameters was applied. The best results are achieved when three p(Zmax,H(Zmax),EDRmax) and four p(Zmax,H(Zmax),EDRmax,H(EDRmax)) features are used. In the probability matrices for these cases, the maximum and acceptable at 0.8 level of probabilities of correct classification are achieved. Thus, the expansion of the feature space due to atmospheric turbulence is justified in the problem under consideration. These results will be refined with increasing observation time and will vary for different climatic zones. In general, the decision thresholds for classifying dangerous meteorological events of cumulonimbus cloudiness should be adaptive.

THE EMERGING THREAT OF CHINESE ORGANIZED CRIME IN ITALY AND EUROPE

The mafias, opening up from their territories of origin, have opened up to profound global transformations, also rethinking their own hierarchies of values, their own purposes and their own rules. In particular, in this paper the author deals with the Chinese mafia and its presence on Italian and European territory. In a transnational dimension, the Chinese underworld operates, with the native and foreign criminal cliques present in the territories, in carrying out illicit business and does this with a "mafia-style" methodology.Triad is the name given in the West to a secret society, founded in China in the 17th century and which has today become a dangerous mafia criminal organisation. It has its bases in Hong Kong and the island of Taiwan, but today it is increasingly widespread not only in the United States of America, but also in Italy and Europe.

Evaluation of the Performance of SMEs in the Context of Regional Development

Research background: Regional development of the European territory is becoming a key priority area and thus arouses interest in analyzes of the impact of development not only of business activities on economic competitiveness. Entrepreneurship is an important part of every country's economic system and has important implications for the growth of society. The paper focuses on the possibility of identifying the determinants of regional competitiveness of the manufacturing industry with a focus on defining their impact on SME performance, in the sense of EVA in the programming period 2014-2020. Purpose of the article: The presented paper focuses on the performance of companies in the Czech economy in connection with the reflection of national regional policy documents. Purpose of the article is to evaluate the economic performance of small and medium-sized enterprises in the manufacturing industry in connection with the level of development of the regions in the Czech Republic in which they are located. Methods: The evaluation of the achieved level of regional development is performed at the level of regions and administrative districts of municipalities with extended powers. Through multidimensional regression modelling, the determinants of regional development disparities are identified with a focus on defining their impact on the performance of small and medium-sized enterprises expressed by the economic value added (EVA) indicator. Findings & Value Added: Public sector expenditure on science and research was evaluated as the most important parameter of regional disparities, which explains the economic performance of companies. Based on the achieved results, measures are proposed for the cultivation of the business environment for the next programming period. The contribution is the proposals for the formulation of regional policy with a focus on the segment of small and medium-sized enterprises.

Financial Absorption of Cohesion Policy Funds: How Do Programmes and Territorial Characteristics Influence the Pace of Spending?

AbstractUsing data from the execution of 2014–2020 cohesion policy, this article presents a novel indicator to measure how fast European territories were able to spend their allocated budget and then explores the drivers of such financial performance. This analysis aims to fill a gap in scientific literature as most existing studies tend to focus solely on the total absorption at the end of the period without looking at the average financial performance over time. The article also explores the influence on financial absorption of the governance model (nationally or regionally managed programmes) and the thematic structure of the funds, which has never been done before. The determinants of the speed of financial absorption are investigated through a Tobit model. Results show that both programme‐specific and territorial characteristics are relevant factors in explaining the varying levels of fund absorption. This suggests that increased flexibility in spending rules and the adoption of more tailored strategies could be instrumental in improving fund absorption.

Эколого-биологические методы формирования устойчивых лесомелиоративных комплексов в степных и полупустынных ландшафтах европейской территории России

The arid region of the European territory of Russia includes a zone of dry steppe (dark chestnut soils) and a semi-desert zone (light chestnut and brown soils). There is practically no woody natural vegetation in the region on elevations and plains, and on the prevailing complexes of zonal soils, forest plantations are characterized by low durability. Materials and methods. The work used the results of field (expedition) and laboratory studies of the growth, condition, durability, productivity of protective forest plantations of tree and shrub species in various soil and hydrological conditions of the dry-steppe and semi desert zones. Results and discussion. The author’s developments made it possible to recommend a reliable range of trees and shrubs for the creation of forest-reclamation plantations in each agroforestry area and soil ecological niche. It was revealed that when selecting the assortment, a significant role should be given to selection and genetic methods of using seed and planting material well adapted to local conditions (drought-, salt- and frost-resistant and healthy genotypes). The main reason for the early drying of protective plantations on complex light chestnut soils of the dry-steppe and semi-desert zones has been established. Taking into account the extremely arid conditions and the main causes of their drying, the concept of increasing their stability and effectiveness in adverse growing conditions is given. Agroforestry zoning and groups of soil forest suitability by type and classification, as well as groups of longevity of the main tree species are given. Conclusion. The large diversity of soils contributes to the formation of a stepped profile in adult cereals. Woody species shrink when their root system comes into contact with salt horizons. Ecological techniques are reduced to the correct selection of tree species that correspond to a specific ecological background. The technological use of differentiated agricultural cultivation techniques involves the use of moisture-saving technologies. Biological measures include biological reclamation of unsuitable soils and methods of breeding and genetic improvement of the qualitative composition of forest reclamation plantations. Suggestions for practical applications and directions for future research. The results of the work can be used by managers and specialists of forestry enterprises, researchers, graduate students, students of educational institutions. The assortment of trees and shrubs can be used in the design of plantings of various types on different soils.

ІНСТИТУЦІЙНА ПОБУДОВА ЄВРОПЕЙСЬКОЇ ТА МІЖАМЕРИКАНСЬКОЇ СИСТЕМИ ЗАХИСТУ ПРАВ ЛЮДИНИ: ПОРІВНЯЛЬНО-ПРАВОВИЙ АНАЛІЗ

Institutional accoding to normative framework adopted by international organizations established on the European and American continents. In addition, in Europe it is supplemented by the European Union Acts. Both systems have judicial and extrajudicial human rights protection mechanisms. The key judicial bodies are the European and Inter-American Courts for the Protection of Human Rights. Courts perform jurisdictional, advisory and preventive functions. They are authorized to decide both interstate complaints and individual petitions. An indicative criterion for the effectiveness of the work of the European and Inter-American Courts is the implementation of their decisions by the member states of the Council of Europe and the Organization of American States. The extrajudicial mechanism for the protection of human rights is implemented by convention bodies that are present in both systems and ensure the protection of certain categories of persons (convicts, women, children), namely: the Commissioner for Human Rights (Europe) and the Inter-American Commission for the Protection of Human Rights (North and South America ). The Agency for Fundamental Rights, which promotes the realization of human rights and freedoms (European Union), operates on the territory of Europe. The article states that the complaint review procedure has its own peculiarities. In Europe, the European Court of Human Rights is the main body for reviewing complaints. On the American continent, the complaints are first examined by the Inter-American Commission on Human Rights, and then the latter can refer them to the Inter-American Court of Human Rights, i.e. a two-level system of human rights protection is provided. On the basis of the given analysis of the theoretical material, conclusions were formulated, which set out the common and distinctive features inherent in the institutional system of human rights protection in the member states of the Council of Europe and the Organization of American States. Key words: European system, American system, institutional system, international conventions, human rights, protection of human rights, protection procedure.

Insights into the spatial distribution of global, national, and subnational greenhouse gas emissions in the Emissions Database for Global Atmospheric Research (EDGAR v8.0)

Abstract. To mitigate the impact of greenhouse gas (GHG) and air pollutant emissions, it is of utmost importance to understand where emissions occur. In the real world, atmospheric pollutants are produced by various human activities from point sources (e.g. power plants and industrial facilities) but also from diffuse sources (e.g. residential activities and agriculture). However, as tracking all these single sources of emissions is practically impossible, emission inventories are typically compiled using national-level statistics by sector, which are then downscaled at the grid-cell level using spatial information. In this work, we develop high-spatial-resolution proxies for use in downscaling the national emission totals for all world countries provided by the Emissions Database for Global Atmospheric Research (EDGAR). In particular, in this paper, we present the latest EDGAR v8.0 GHG, which provides readily available emission data at different levels of spatial granularity, obtained from a consistently developed GHG emission database. This has been achieved through the improvement and development of high-resolution spatial proxies that allow for a more precise allocation of emissions over the globe. A key novelty of this work is the potential to analyse subnational GHG emissions over the European territory and also over the United States, China, India, and other high-emitting countries. These data not only meet the needs of atmospheric modellers but can also inform policymakers working in the field of climate change mitigation. For example, the EDGAR GHG emissions at the NUTS 2 level (Nomenclature of Territorial Units for Statistics level 2) over Europe contribute to the development of EU cohesion policies, identifying the progress of each region towards achieving the carbon neutrality target and providing insights into the highest-emitting sectors. The data can be accessed at https://doi.org/10.2905/b54d8149-2864-4fb9-96b9-5fd3a020c224 specifically for EDGAR v8.0 (Crippa et al., 2023a) and https://doi.org/10.2905/D67EEDA8-C03E-4421-95D0-0ADC460B9658 for the subnational dataset (Crippa et al., 2023b).

Types of Innovation and State Support in the Field of European Creative Territories: A Literature Review

Types of Innovation and State Support in the Field of European Creative Territories: A Literature Review

Anthropology and ethnobotany in health mediation: an illustration of a clinical, personalized approach for Haitian migrants in a French Guianese hospital.

In French Guiana, a European territory in Guiana shield in the Amazon area, close to 40% of the current population was born abroad. In this context, it is important to listen to the experiences of migrants to better understand the difficulties encountered within the healthcare pathways. This is the aim of ANRS Parcours d'Haïti project, an epidemiological, biographical and socio-anthropological study conducted on a representative sample of the Haitian community in French Guiana and focusing on the social determinants of health. Within the framework of this study, the Infectious and Tropical Diseases clinical team of Cayenne Hospital has established close collaboration with health mediators and the ethnobotanist anthropologist of the study. To illustrate the contribution of a personalized approach to health mediation, we report the case of a migrant woman of Haitian origin admitted to the Infectious and Tropical Diseases Unit. We highlight the different socio-cultural aspects addressed and their place in the care process through a thematic discussion and socio-anthropological analysis of the care relationship, based on participatory ethnography and inductive analysis of an in-depth interview with the patient. This example illustrates the need for a multidisciplinary approach to ensure culturally adapted care for patients. Personal interviews are important because they allow to better take into account the cultural specificities of patients' experiences and the socio-cultural environment in which they live (and especially, in the case of Haitian patients, their religious affiliation). By allowing them to speak and express themselves freely, they integrate not only their own cultural baggage, but also their own expectations and representations of the disease they suffer from and how it should be treated. Ultimately, this tripartite collaboration between patient, caregiver, and anthropologist or health mediator leads to a better therapeutic alliance. The analysis of this health care relationship is emblematic of the issue of cultural competence and pre-conceptualizes what intercultural mediation in health care could be, as close as possible to the caregiver and the individual.