Geographical Settings Research Articles

Impact of digital logistics platforms to facilitate more regional food in the hospitality sector and communal catering

PurposeThis paper studies digitalization projects aiming to increase the share of regional food in the hospitality sector and communal catering. The focus is set on influencing factors and underlying feedback structures that arise through the digitalization of regional food supplies. The results can guide stakeholders to get a better understanding of key influencing factors and complexities from a holistic perspective.Design/methodology/approachA systems thinking approach is employed to model regional food networks. The influencing factors were found in the literature and in two model regions. Feedback loops and underlying structures were explained and validated through semi-structured interviews. Findings are visualized in causal loop diagrams (CLDs) and are used for theory development.FindingsThe presentation in CLDs helps understanding the influence of digital logistics platforms on the entire system of regional food supply and not just on isolated parts. Among others, cooperation, trust and digital solutions were identified as key success factors when aiming to increase the share of regional food in the hospitality sector and communal catering.Research limitations/implicationsThe work focused on the underlying feedback structures occurring in regional food supply in two, rural Bavarian regions in Germany with their unique geographical settings. Findings may, consequently, not be entirely transferable to other regions with varying characteristics. Further research needs to be done to see how much these regional parameters influence digital logistics platforms.Originality/valueThe paper contributes to the existing scientific literature by showing the impact coming from digital logistics platforms on regional food supply systems. Developing CLDs provides a basis for future work and facilitates discussion for researchers and practitioners to support future real-world implementations.

Tibetan lake sediment records reveal historical emission and long-range atmospheric transport of chlorinated paraffins

The Tibetan Plateau, a recognized global sink for Persistent Organic Pollutants (POPs), lies adjacent to two major emitting regions, inland China and India. This unique geographical setting makes it a pivotal site for examining the presence and compositional evolution of POPs following their long-range atmospheric transport (LRAT). This study focuses on the current predominant POPs, chlorinated paraffins (CPs). We comprehensively screened 675 homologues of the very short- (vSCCPs), short- (SCCPs), medium- (MCCPs), and long-chain CPs (LCCPs) in six dated sediment cores across the extensive Tibetan area. The findings unveiled pronounced temporal disparities in CP concentrations and compositions between Tibet's southern and eastern sectors, reflecting divergent usage and emission chronicles of inland China and India. Notably, a market shift in China from regulated SCCPs to the in-use MCCPs and LCCPs was observed in the 21st century, contrasting with India's unregulated production of SCCPs. The Organization for Economic Cooperation and Development (OECD) Screening Tool, developed to assess the overall persistence (POV) and long-range transport potential (LRTP) of organic chemicals, elucidated the erosion of CP source signatures induced by fractionation, a process that intensifies with transport distance from the source regions. This study enhances our understanding of the emission inventories and LRAT behavior of these transitional regulatory contaminants, highlighting the Tibetan Plateau's crucial role as an environmental sentinel in global pollution dynamics.

Safety, feasibility and efficacy of sonothrombolysis with micro boluses of perfluoropropane as a point of care therapy for patients with acute ST-elevation myocardial infarction.

Despite advances in timely revascularisation of ST elevation myocardial infarction (STEMI) patients, there are several practical and unavoidable delays. Sonothrombolysis (administered during micro boluses of Perfluoropropane) initiated bedside as a point-of-care therapy during the initial evaluation of the patient may potentially mitigate this by producing early culprit vessel revascularisation. This was a prospective, single-centre study on hemodynamically stable patients presenting within 12 hours of a first STEMI who consented for study participation. Fifteen patients were recruited over a 1-month period. Eleven were male. Nine patients had anterior wall STEMI and left anterior descending as culprit vessel. There were no significant changes in safety outcomes. Median First Medical Contact (FMC)-Sono time was 12 min (10-15). Median duration of sonothrombolysis was 14 min (12-16). FMC-device time was 97 min (79-128). Six patients had culprit vessel recanalisation before primary percutaneous coronary intervention (PPCI) which was consistent with the reference rates of therapy-associated recanalisation (p = 0.535). Micro bolus sonothrombolysis maybe safely initiated as a point of care therapy adjunctive to PPCI in hemodynamically stable STEMI patients with reasonable efficacy. Further randomised trials are needed to ascertain its applicability in various geographical and clinical settings.

Evaluating the impacts of anticipated sea level rise, climate change and land use land cover scenarios on the rice crop in Alappuzha, Kerala and strategies to build climate responsive agriculture

PurposeThis paper aims to inform the readers an overview of expected impacts of sea level rise (SLR) and climate change on rice crops area, yield and the urgent need to build climate responsive infrastructures to a coastal district, Alappuzha – a high-risk area which is already under mean sea level (MSL). This research carried out to understand the realities and impacts with respect to the exposures of rise in SLR and possible inundation extent of crop land. The extreme precipitation events have caused crop loss and damage, numerous casualties and enormous economic loss in this district during the recent past and project the likely impacts under anticipated climate change.Design/methodology/approachGlobal sea levels have already been risen noticeably as a result of climate change, and this trend is anticipated to continue. To reflect on the research objectives, the paper projects a climate change scenario analysis and impact assessment on the major crop grown, i.e. rice, using a crop simulation model, DSSAT 4.7 as the first part of the study. QGIS 3.28 version and Erdas Imagine software were used for land use land cover analysis and to delineate possible inundation in the major land use land cover, especially in agriculture area under SLR scenario. It points out the need to equip the district urgently with climate responsive agriculture strategies as majority of the area comes under 10 mts of elevation as per the Sentinel 2 data. For better adapting to the current and future climate change impacts in the aspects of built environment such as early warnings in farm sector in particular and forests, urban water management, transportation systems, building construction and operation and land use planning in general. Climate change is no longer a policy issue alone; now it is a common man’s nightmare. For a coastal state like Kerala, extreme climate events during 2018 and 2019 and 2021 have posed substantial impacts and damages on the environment and society. The impacts hit the vulnerable communities in multiple ways.FindingsFrom the analysis, it was revealed that there is an increasing trend in rainfall observed over the past three decades in Alappuzha district. It is projected that day and night time temperatures may increase in Alappuzha by 2.5°C and 2.6°C by 2100, respectively, under RCP 4.5. With unchecked pollution or emission reduction actions, warming may further rise and hence the median projection when SLR reaches 2.4 meters (8 ft) at Alappuzha to Cochin coast is 2130s. The possible inundation analysis shows that around 53.48% of the coastal agriculture land may be likely inundated if SLR is only with mitigation measures such as extreme carbon cuts, SLR rise can be delayed till 2200. Alappuzha is known as the rice bowl of Kerala; however, it is highly exposed to climate vulnerability in terms of its unique environmental geographical settings like coastal wetlands, lagoons and sand beaches. DSSAT simulations shows that Uma rice, a major ruling variety in the region, may have yield reductions of up to 13% in the near century for Alappuzha.Research limitations/implicationsThis paper in general explains the projected climate change perspectives for Alappuzha, a climate change hotspot of Kerala with respect to SLR and coastal agriculture. and a review of the progression of DRR in the built environment and mainstreaming CCA and DRR by government and other agencies in the state.Practical implicationsThis study underscores the urgent need for climate-responsive agricultural strategies in Alappuzha, Kerala, due to anticipated sea level rise, climate change, and land use changes. Equipping farmers with the knowledge and tools to adapt is essential for ensuring food security and sustainable livelihoods. Implementing climate-resilient practices and technologies will help mitigate adverse effects on rice crops, promoting economic stability and resilience in the region. Involving local stakeholders in the adaptation process is crucial, as their participation can enhance collaboration, increase awareness, and accelerate the adoption of sustainable agricultural practices, making the transition smoother and more effective.Social implicationsIt is the responsibility of the scientific community to inform the knowledge gained for the benefit of the society, especially on criticality of altering the existing land use pattern and building climate resilient coastal infrastructures. Studies such as this can stand as basis for implementing planned adaption actions. This is to conclude that instead of working in silos, mainstreaming climate change adaptation holistically across sectors is very necessary at this crucial hour. Participatory action plans and policies involving all local stakeholders can strengthen awareness and fasten the learning processes for adaptation including managed retreats.Originality/valueAt present, there are no specific studies, on the impacts of climate change and SLR on rice cropping systems in the district which specifically inform how to mainstream adaptation in the agriculture strategies in low lying coastal zones of Alappuzha.

Radiotelemetry reveals the dependence of inland tern breeding and foraging habitats on ADCP-identified sediment aggradation reaches in lowland rivers

The largest rivers in developed countries have usually been turned into waterways by straightening them and removing large bedforms hampering navigation. For river restoration and their sustainable management it is important to know how large bedforms support biodiversity, whether they could be protected and what potential conflicts in river management they can pose. We have addressed these questions by studying the role of large bedforms in supporting populations of two inland tern species Sternula albifrons and Sterna hirundo. We spatially analysed the behaviour of these two species with reference to the bedform structure mapped over a long semi-natural reach of the River Wisła (Vistula) (S. Poland). The results show that radiotagged terns breed on islands within the aggradation reaches, foraging in the adjacent shallows inhabited by populations of small fish. For Little Terns, the more complex the water line of emergent forms, the greater their foraging intensity. The islands do not pose any flood risk to human settlements. The whole geofeature forms an integral habitat for fish and birds; it is maintained by its geographic settings and so is stable over long periods of time (over 200 years). Protection of such habitats is thus feasible.

A Systematic Review and Meta-Analysis of Aeromonas-Associated Diarrhea Among Children in Asia.

Background: Diarrheal illness is a prominent public health worry in developing countries, resulting in high mortality among children. Sociodemographic characteristics and geographic settings are the main effective factors for the increased incidence of childhood diarrhea. Aeromonas is a neglected organism capable of causing dysentery and diarrhea. The aim of this systematic review and meta-analysis was to determine the prevalence of Aeromonas as an agent in the causation of diarrhea in Asian children. Methods: We conducted a systematic review using Web of Science, PubMed, Wiley Online Library, Science Direct, and Google Scholar for peer-reviewed articles published between January 2000 and February 2023. We considered studies that found Aeromonas in diarrheal stool. A random-effects model was used to determine the pooled prevalence of Aeromonas. Results: Our search returned 2,057 articles, with 17 articles from seven Asian nations being included in the systematic review. The pooled prevalence of Aeromonas was 4.5% (95% confidence interval [CI]: 2.9%-6.8%), with heterogeneity (I2 = 96.85; p < 0.001). There was a greater prevalence in areas with high population living in poverty (12.2%; 95% CI: 5.8%-24%) and lower-middle-income countries (5.0%; 95% CI: 2.7%-9.0%). In addition, the prevalence of Aeromonas was greater in South Asia (10.0%; 95% CI: 5.6%-17.2%), in India (12.9%; 95% CI: 6.8%-23%), and in countries with open defecation rate of 5%-25% (11.3%; 95% CI: 6.3%-19.2%). Conclusion: The prevalence of Aeromonas-associated diarrhea in children in Asia estimated in the present study highlighted the high burden of Aeromonas in some parts of Asia.

The challenge of colorectal cancer (CRC) screening in low and middle-income countries (LMIC): Acceptance, knowledge, and preferences in Brazil.

153 Background: Presenting an increasing incidence and high mortality rates, CRC is a challenge that many LMIC face and struggle to establish an effective screening strategy. Brazil is one of the few Latin American countries and LMIC that have a population-based CRC screening program, targeting ages 50-74 and performing a fecal occult blood test (FT) every 2 years and colonoscopy/sigmoidoscopy as a confirmatory test. Methods: We conducted a survey in patients visiting the primary care unit in the months of January and March 2024 in three distinct settings (Rural, Suburban, and Urban) aiming to estimate acceptance, knowledge, and preferences regarding FT and colonoscopy. Patients aged 50-74 were invited to join this study, excluding those with a history of CRC, and we used the integrated digital charting platform to set demographic variables. At the end of the survey, participants were invited to undergo CRC screening. Those who refuse to screen would select the main reason. Results: A total of 1,031 individuals responded the survey, which 52% were females and the median age was 62 years. A total of 763 (74%) accepted to undergo CRC screening with an overall preference for FT (72%) compared to colonoscopy (53,5%). FT acceptance remained somewhat constant in both gender subgroups (70-75%), and a lower colonoscopy acceptance in the male subgroup (46%). In the subdivided geographic setting groups, the rural population (12%) had the lowest knowledge score and the lowest overall acceptance rate (65%), ranking “No symptoms” as the main reason for not screening. The suburban and urban subgroups showed an equivalent overall acceptance rate (74-75%), ranking “Busy schedule” and “Healthy lifestyle” as the main reasons for not screening. Conclusions: Data suggests that an effective CRC screening depends on multiple factors. While literature sustains the weight of cost and long waiting times, this study contributes adding a new, more granular perspective. Efforts in patient education, and clarification of misconceptions and anxieties could prove to be an important step in the right direction. A closer contact between patient and healthcare provider could make the difference between screening or not. A leave of absence or mailed FT might be of great benefit for those with a busy schedule, while interaction with CRC survivors seems to drastically increase colonoscopy acceptance, an important intervention that should be encouraged and widespread. Although this study has its limitations due to sample size and geographic characteristics, it lays down a new layer in understanding the individuals and planning actions to prevent the advance of CRC in LMIC.

Factors contributing to online child sexual abuse in Bangladesh: A qualitative inquiry

Background Children globally, including in Bangladesh, are facing various forms of online sexual abuse including sextortion, exploitation, body shaming, and blackmail. They are also coerced into engaging in intimate activities, harassed through the sending of sexual content, among other forms of abuse. We aimed to explore the root cause of online child sexual abuse (OCSA) in Bangladesh. Methods This qualitative research design utilized in-depth interviews (IDIs) and key informant interviews (KIIs) between February and April 2022. The study sample comprised 21 school-going children aged 13−17 years, selected from two different geographical settings (10 from rural areas and 11 from urban areas) in Bangladesh using purposive sampling techniques. They participated in in-depth interviews (IDIs) while additional data was obtained through key informant interviews (KIIs) with 11 multidisciplinary stakeholders. Results Children from both rural and urban areas reported facing abuse in various ways, such as being asked to send naked photos, being invited to be naked in video calls, and being invited to have virtual sex, among others, over the internet. Conclusions The government should consider integrating OCSA education into secondary levels. Additionally, there should be efforts to ensure a safe online environment through content scrutiny, promotion of outdoor activities, and community campaigns. An anonymous reporting system must be implemented, and strict measures under the Children's Act must be enforced against perpetrators. Further intervention studies are needed to ensure effective child protection measures in Bangladesh.

The moderating effect of access to food facilities and recreational activity space on mHealth multiple health behavior change intervention.

To evaluate whether the neighborhood social and built environment moderates response to a mobile health multiple health behavior change intervention targeting fruit/vegetable intake, sedentary behavior, and physical activity. Participants were 156 Chicago-residing adults with unhealthy lifestyle behaviors. Using linear mixed models, we evaluated whether access to food facilities (fast food restaurants and grocery stores) and recreational activity spaces (gyms and parks) moderated the difference in behavior change between the active intervention condition relative to control. Using spatial data analysis (cross K functions), we also assessed whether participants who achieved goal levels of behaviors ("responders") were more or less likely than those who did not achieve intervention goals ("non-responders") to reside near fast food restaurants, grocery stores, gyms, or parks. According to linear mixed models, none of the neighborhood social and built environment factors moderated the difference in behavior change between the active intervention condition and the control condition (Likelihood Ratio (χ²[1] = 0.02-2.33, P-values > 0.05). Cross K functions showed that diet behavior change responders were more likely than non-responders to reside near fast food restaurants, but not grocery stores. The results for activity behavior change were more variable. Sedentary screen time responders were more likely to reside around recreational activity spaces than non-responders. Moderate-vigorous physical activity responders had greater and lesser clustering than non-responders around parks, dependent upon distance from the park to participant residence. A complex relationship was observed between residential proximity to Chicago facilities and response to multiple health behavior change intervention. Replication across diverse geographic settings and samples is necessary.

Occupational post-exposure prophylaxis among healthcare workers: a scoping review of factors affecting optimal utilization.

Post-exposure prophylaxis (PEP) is an efficacious prevention method when initiated promptly after an HIV exposure. Yet, PEP has been underutilized, even among healthcare workers (HCWs) with occupational exposure in sites with PEP policies and procedures and access to PEP medications. It is important to understand the dynamics of uneven PEP use in what appears to be an optimal context to better protect the health and wellbeing of HCWs. We conducted a scoping review to elucidate factors influencing HCWs' use of PEP after occupational exposure. We searched PubMed, PsychInfo and Google Scholar for peer-reviewed literature published in English from 2014 to 2022 using the terms HIV, postexposure/post-exposure prophylaxis, acceptability, healthcare workers, and values and preferences. An inductive narrative review of the resulting 53 studies identified core themes. Nearly all studies (96%) with various HCW types and settings occurred in low- and middle-income countries (LMICs) in Africa and Asia. Identified themes arrayed along a trajectory of PEP use experience: awareness/knowledge; acceptability; availability/access; uptake/use; adherence/completion. Across studies, awareness of PEP for HIV prevention was high, knowledge about drug regimens and healthcare facility policies was moderate to low; acceptability of PEP was moderate to high; PEP's perceived accessibility/availability was inconsistent and varied by geographic location and setting; HCWs' uptake of PEP was low, affected by not knowing how to report an exposure and being unaware of PEP availability; and adherence/completion of PEP regimens was moderate to low, impeded by side effects and a belief that completing regimens was unnecessary to avert seroconversion. HCWs consistently expressed concern about HIV stigma. Findings are limited by the inconsistent use of constructs across studies and a lack of clarity about reporting exposure events. Multi-level approaches are needed to address the interplay of individual, social and structural barriers that diminish HCWs' PEP use. Improved training, incident reporting, 24-hour access to non-stigmatizing PEP services and monitoring of adherence/completion are essential to optimizing HCWs' PEP use. Lessons from HCWs' experience in LMICs may inform understanding of PEP under-use among people in these settings with non-occupational exposures.

Marriage squeeze in the Loess Plateau Region, Northwestern China: A case study of two villages

The quest for spouses among rural men in China has become increasingly arduous, resulting in a growing number of older bachelors. However, the mechanisms driving the marriage squeeze in underdeveloped rural areas remain poorly understood. This study analyzes time-series data from 70 marital unions across 58 households in two geographically distinct villages in the Loess Plateau Region of China. The results indicate that marriage expenses and the subsequent financial burden on the bridegroom's household increased substantially from 1969 to 2018, particularly in the most recent decade, while the bride's household received the majority of marriage-related income. There has been an overall increasing trend in economic pressure induced by marriage expenses in both villages since 1979. A cohort of older bachelors has emerged in the hilly village, where rural males traditionally marry women from more remote, underdeveloped areas. Conversely, rural males in the tableland village can consistently find spouses from comparable geographical settings and have not yet emerged as older bachelors. This study concludes that the marriage squeeze manifests as dual pressures from economic and living conditions, and excludes economically disadvantaged males in harsh environments from the marriage market within the context of rural out-migration and the sex ratio imbalance.

Renewable Energy Sources in The Context of Emissions Reduction: Geographical Aspects And Challenges for Sustainable Development

Purpose: The study aims to provide a nuanced understanding of renewable energy sources' geographical aspects and challenges in reducing emissions and promoting sustainable development. Design/Methodology/Approach: This study adopts a qualitative approach to investigate renewable energy sources in the context of emissions reduction, focusing on geographical aspects and challenges for sustainable development. The methodology is designed to gain in-depth insights and understand the complexities of deploying and utilising renewable energy across different geographical regions. Case studies provide detailed, context-specific insights into the practical implementation and challenges of renewable energy projects. The selection of case studies follows a purposive sampling method to ensure diversity in geographical settings, types of renewable energy, and stages of development. Reviewing project reports, policy documents, and environmental assessments related to each case study. The data was analysed by cross-verifying information from different data sources to enhance the reliability and validity of the findings. Research Limitation/Implications: It justifies the immediate construction of a “green economy” in Ukraine, drawing on theory and the experience of advanced countries. Findings: The diversity of renewable energy sources, geographical influences, technological advancements, policy and regulatory frameworks, and socio-economic impacts influenced their efforts to reduce emissions. Social Implication: The modern global economy faces significant challenges such as energy security, sustainable development of society, and climate change. Practical Implication: The paper identifies directions and outlines paths and mechanisms for accelerated development. Indeed, such a powerful carbon dioxide and methane emissions surge has never been observed. Originality/ Value: Recently, the most pressing issue is the “carbon footprint”, which refers to the total amount of carbon dioxide and methane emissions released into the environment due to human industrial activity. Measures to combat it will soon focus on modernising technologies to facilitate the transition to the sixth technological paradigm and minimise greenhouse gas emissions. Critical technical solutions may involve harnessing the potential of hydrogen energy and immobilising or preventing greenhouse gas formation technologies. As an alternative direction, the authors consider research to solve some issues related to hydrogen production using metals.

Co-designing in Tandem: Case study journeys to inspire and guide climate services

This study tests, empirically validates and refines the Tandem framework for co-designing climate services(Daniels et al., 2019; 2020), to enhance its applicability and effectiveness. Intended as an inspirational guide for ‘good practice’, Tandem is practical and non-prescriptive and is designed to be tailored to context. We apply Tandem in three different geographic and socioeconomic settings: 1) a rural community in Indonesia, where smallholder farmers are confronting climate impacts on agriculture; 2) two cities in Sweden, where planners are addressing climate-related flooding and heat stress; and 3) communities and institutions in a Colombian river basin, where climate change is leading to water scarcity, raising questions about equitable use. We find that Tandem was effective in these settings in: 1) moving from ‘useful’ to ‘usable’ information by building trust; 2) increasing institutional embedding through strengthened relationships and networks; 3) improving climate information uptake and use; 4) increasing capacity, confidence and a shared understanding of climate information by users, and the decision context by providers; and, 5) serving as a non-prescriptive guide for users, intermediaries and providers to co-design and structure an effective process for collaborative learning and action. We use insights from these case studies to enhance the original framework, enabling it to 1) scope and review climate and non-climate vulnerability and risks; 2) incorporate gender, social equity and power considerations; 3) acknowledge the value of local and traditional ecological knowledge; 4) co-explore horizontal and vertical governance at appropriate decision-making scales; and, 5) provide flexible starting points, with early identification of impact indicators.

Formación de identidad cosmopolita y cultura de consumo: un estudio de Ndibe Foreign Gods, Inc.

The dream of a cosmopolitan utopia and the idea of being locally situated yet globally connected has never seemed more plausible than today. Globality has made the vast supermarket of goods, home decor and exotic items locally available to consumers, irrespective of their geographical setting. The consumption of such goods from around the world has made so-called cosmopolitanism possible. In a way, Cosmopolitanism has acted as an emancipatory force capable of overcoming global inequalities. However, recent global economic trends suggest a contradictory nature of “capitalism-tamed-cosmopolitanism”. Through the study of Okey Ndibe novel Foreign Gods, Inc. (2014), the article argues that capitalism, which is an intrinsic element in global processes, tends to reproduce divisions, which cosmopolitanism claims to dissolve. The paper also addresses the nuances of Aesthetico-cultural cosmopolitanism and its role towards identity formation. The analysis of the text suggests that there is a difference between ‘cosmopolitanism of having’ and ‘cosmopolitanism of being’.

Validation of a model for outcome prediction after endovascular treatment for ischemic stroke.

The recently developed MR-PREDICTS@24 h model showed excellent performance in the MR-CLEAN Registry cohort in patients presenting within 12 h from onset. However, its applicability to an U.S. population and to patients presenting beyond 12 h from last known normal are still undetermined. We aim to externally validate the MR-PREDICTS@24 h model in a new geographic setting and in the late window. In this retrospective analysis of a prospectively collected database from a comprehensive stroke center in the United States, we included patients with intracranial carotid artery or middle cerebral artery M1 or M2 segment occlusions who underwent endovascular therapy and applied the MR-PREDICTS@24 h formula to estimate the probabilities of functional outcome at day 90. The primary endpoint was the modified Rankin Scale (mRS) at 90 days. We included 1246 patients, 879 in the early (<12 h) and 367 in the late (≥12 h) cohort. For both cohorts, calibration and discrimination of the model were accurate throughout mRS levels, with absolute differences between estimated and predicted proportions ranging from 1% to 5%. Calibration metrics and curve inspections showed good performance for estimating the probabilities of mRS ≤ 1 to mRS ≤ 5 for the early cohort. For the late cohort, predictions were reliable for the probabilities of mRS ≤ 1 to mRS ≤ 4. The MR-PREDICTS@24 h was transferrable to a real-world U.S.-based cohort in the early window and showed consistently accurate predictions for patients presenting in the late window without need for updating.

Year-round performance evaluation of photovoltaic-thermal collector with nano-modified phase-change material for building application in an arid desert climate zone

This study provides a comprehensive analysis of the energetic and thermoelectric characteristics of a solar photovoltaic-thermal (PVT) collector equipped with a nano-modified phase-changing material (NPCM) for PV cooling. The operational effectiveness of the collector is evaluated using various parameters such as PV temperature, electrical and thermal powers, melting time, PCM liquid fraction, and PV cooling duration. These factors are meticulously examined under different operating conditions of solar irradiance, ambient air temperature, and the thickness of the NPCM layer. Hail, Saudi Arabia, a city known for its arid desert climate, is chosen as the geographic setting for the study. A numerical methodology based on finite volume discretization is used to solve the governing mathematical models. The year-round performance of the combined PVT and NPCM unit is systematically assessed in terms of monthly averages across the four seasons, considering varying NPCM layer thickness over different time frames. The results indicate that an NPCM with a nanoparticle volumetric concentration of 5% and an appropriately chosen NPCM layer thickness provides effective PV cooling, with cooling durations ranging from 54 to 305 min throughout the year. In terms of electrical performance, months with high solar irradiance yielded a greater power output, peaking at approximately 52.5 Watts, while the winter months exhibited the lowest output. The thermal performance followed a similar pattern, demonstrating the significant influence of solar irradiance on thermal efficiency, with peak outputs reaching up to 225 Watts during high solar intensity months.

What is a migrant death? An operational definition for a more accurate enumeration of migrant mortality along the US-Mexico border

Over the last forty years an indeterminate number of persons, ranging from thousands to tens of thousands, have died along the US-Mexico border during migration, fleeing poverty, armed conflict, situations of violence, and disasters. An accurate accounting of migrant deaths along the southern US border is the first step toward an understanding of the extent and the contributing factors of these deaths. In this article, we describe a key aspect of our collaborative work aimed at developing a more representative account of migrant mortality along the southwestern US border: the determination of criteria for inclusion of specific forensic cases as “migrant.” Our intention is not to propose a definition of “what is a migrant death” applicable to all contexts and situations but rather one specific to the US-Mexico border region. Our main impetus is to build and launch a web portal to track and map migrant deaths at the US-Mexico border. The criteria we have identified are based on an examination of death data collected by various agencies in the four border states (California, Arizona, New Mexico, and Texas) and at the federal level by the National Missing and Unidentified Persons System (NamUs). They include a) context of human remains discovery; b) identification media/documentation; c) geographic setting; and d) personal effects. Taken together, these criteria will facilitate our determination, case by case, of the probability that human remains found along the United States side of the border may be from a person in the context of migration.

"Exercise… to Me, It's Freedom": Motivation, Support, and Self-Management to Keep Physically Active with Parkinson's Disease: A Qualitative Study.

The benefits of exercise have been widely explored among people with Parkinson's (PwP). Exercise can improve non-motor (fatigue, pain, sleep, etc.) and motor features (balance, muscle strength, gait speed, etc.), maintain function, as well as prevent disease progression. Although the benefits are well known, PwP continue to show difficulty adhering to physical activity and exercise. This study aims to explore motivation to exercise, support, and self-management needs among people with Parkinson's, their family members, and physiotherapists. Purposeful and maximum-variation sampling methods (age, sex, geographical setting, and disease severity) were employed. PwP and family members were recruited through physiotherapy services and local support groups. Twelve semi-structured interviews with PwP and two group interviews, one with family members (n = 4) and one with physiotherapists (n = 5), were conducted. Interview guides were informed by patient-public input and a recent systematic review. Interviews were recorded, transcribed, and analysed using thematic analysis informed by the Grounded Theory methodology. Four common themes emerged: (1) The value of an intrinsic connection with exercise, for which there are challenges. A greater connection to exercise led to long-term adherence. (2) Adapting exercise to the needs and preferences of a person is essential. Preferred exercises and environments were mixed, with differences emerging between sexes. (3) Physiotherapists' aim to only maintain physical function led to frustration. Limited self-management opportunities, stigma, and dehumanisation were discussed. (4) Non-motor symptoms, stigma, fear, and determination as well as apathy, pain, and low mood were discussed. Exercise provided physical, emotional, and social rewards. Supports are necessary; however, challenges arise when PwP's motivations are mismatched to family members' and physiotherapists' goals. Co-created goals, tailored to their preferences, and exercise plans with supported self-management are recommended.

Inferring the natural history of HPV from global cancer registries: insights from a multi-country calibration

Human papillomavirus (HPV) is the cause of almost all cases of cervical cancer, a disease that kills some 340,000 women per year. The timeline from initial infection with HPV to the onset of invasive cervical cancer spans decades, and observational studies of this process are limited to settings in which treatment of precancerous lesions was withheld or inadequate. Such studies have been critical for understanding the natural history of HPV. Modeling can shed additional insight on the natural history of HPV, especially across geographical settings with varying prevalence of factors known to affect the host-side immune response to HPV, such as HIV and tobacco use. In this study, we create models for the 30 most populous countries in Sub-Saharan Africa, each with country-specific demographic, and behavioral inputs. We found that it was not possible to fit the data if we assumed that the natural history parameters were exactly identical for all countries, even after accounting for demographic and behavioral differences, but that we could achieve a good fit with the addition of a single immunocompetence parameter for each country. Our results indicate that variation in host immune responses may play a role in explaining the differences in the burden of cervical cancer between countries, which in turn implies a greater need for more geographically diverse data collection to understand the natural history of HPV.

Prevalence and Impact of Refractive Errors in School-Aged Children: A Cross-Sectional

This cross-sectional study aims to determine the prevalence and patterns of refractive errors among 700 schoolchildren aged 5-15 years in Al-Manara School, Tobruk, Libya. A comprehensive ophthalmic examination will be conducted to assess visual acuity and identify refractive errors. Academic performance will be evaluated by reviewing school records, including grades and standardized test scores. The impact of refractive errors on quality of life will be measured using a validated pediatric vision-related quality of life questionnaire. The study seeks to provide data on the burden of refractive errors and their effects on learning and daily living in this population. We hypothesize that uncorrected refractive errors will be associated with poorer academic achievement and reduced quality of life compared to peers without vision impairment. This research can highlight the need for regular vision screening and provision of spectacles for schoolchildren in Libya. Findings may guide education policy and school health programs to address this treatable cause of impaired classroom performance. The large sample size will allow for analysis of prevalence stratified by key demographics and characterization of the patterns of refractive errors in this geographic setting.