Integration Strategy Research Articles

Investigating the Influence of Varying Surface Conditions on Human Postural Control and Sensory Integration Strategies.

This study investigated the effects of different surface conditions on postural stability in response to unexpected perturbations. Thirty healthy adults underwent balance assessments on flat, incline ramp, balance pad, and balance pad on incline ramp surfaces. The center of pressure (COP) displacement in the mediolateral (ML) and anteroposterior (AP) directions, the velocity, and the area were measured. We found that the flat and ramp conditions resulted in significantly lower COP ML (F(3, 87) = 38.272, p < 0.001, ηp2 = 0.569) and AP displacements (F(3, 87) = 89.177, p < 0.001, ηp2 = 0.755), velocity (F(3, 87) = 89.177, p < 0.001, ηp2 = 0.755), and area (F(3, 87) = 52.659, p < 0.001, ηp2 = 0.645) compared to the balance pad and balance pad on ramp conditions (p < 0.05). The use of a balance pad, particularly on a ramp, significantly increased all the COP measurements, suggesting greater challenges to postural control. Through these findings, we demonstrate the adaptability and limitations of the human postural control system in response to varying surface conditions and perturbations.

Achieving internal legitimacy and job satisfaction in UK and US multinational corporation subsidiaries in Nigeria: Do acculturation strategies matter?

The ever-increasing organizations’ quest for multinational investments despite cross-border tensions and cultural diversity in the international business environment necessitates acculturation research. This research aims to determine the nature of acculturation strategies adopted among local workers in UK and US MNCs’ subsidiaries in Nigeria and how the acculturation strategies relate to internal legitimacy and job satisfaction among the workers. Utilizing a quantitative research design, the study uses a structured questionnaire to draw data from 454 Nigerians working in UK and US multinational corporations’ subsidiaries in Nigeria. The research finds that Nigerian workers in UK and US MNCs’ subsidiaries in Nigeria predominantly adopt the integrated acculturation strategy. The study further finds that the integration strategy significantly results in internal legitimacy and job satisfaction among the local workers. Contrary to expectations, assimilation, separation, and marginalization acculturation strategies insignificantly relate to internal legitimacy and job satisfaction. We highlighted the acculturation strategy the UK and US MNC subsidiaries in Nigeria can use to achieve internal legitimacy and job satisfaction among local employees.

A streamlined approach to classifying and tailoring implementation strategies: recommendations to speed the translation of research to practice

BackgroundImplementation science emerged from the recognized need to speed the translation of effective interventions into practice. In the US, the science has evolved to place an ever-increasing focus on implementation strategies. The long list of implementation strategies, terminology used to name strategies, and time required to tailor strategies all may contribute to delays in translating evidence-based interventions (EBIs) into practice. To speed EBI translation, we propose a streamlined approach to classifying and tailoring implementation strategies.Main textA multidisciplinary team of eight scholars conducted an exercise to sort the Expert Recommendations for Implementing Change (ERIC) strategies into three classes: implementation processes (n = 25), capacity-building strategies (n = 20), and integration strategies (n = 28). Implementation processes comprise best practices that apply across EBIs and throughout the phases of implementation from exploration through sustainment (e.g., conduct local needs assessment). Capacity-building strategies target either general or EBI-specific knowledge and skills (e.g., conduct educational meetings). Integration strategies include “methods and techniques” that target barriers or facilitators to implementation of a specific EBI beyond those targeted by capacity building. Building on these three classes, the team collaboratively developed recommendations for a pragmatic, five-step approach that begins with the implementation processes and capacity-building strategies practice-settings are already using prior to tailoring integration strategies. A case study is provided to illustrate use of the five-step approach to tailor the strategies needed to implement a transitional care intervention in skilled nursing facilities.ConclusionsOur proposed approach streamlines the formative work required prior to implementing an EBI by building on practice partner preferences, expertise, and infrastructure while also making the most of prior research findings.

AI in the Workplace: A Systematic Review of Skill Transformation in the Industry

AI applications streamline workflows, automate tasks, and require adaptive strategies for effective integration into business processes. This research explores the transformative influence of Artificial Intelligence (AI) on various industries, such as software engineering, automation, education, accounting, mining, legal services, and media. We investigate the relationship between technological advancements and the job market to identify relevant skills for individuals and organizations for implementing and managing AI systems and human–machine interactions necessary for actual and future jobs. We focus on the essential adaptations for individuals and organizations to flourish in this era. To bridge the gap between AI-driven demands and the existing capabilities of the workforce, we employ the Rapid Review methodology to explore the integration of AI in businesses, identify crucial skill sets, analyze challenges, and propose solutions in this dynamic age. We searched the Scopus database, screening a total of 39 articles, of which we selected 20 articles for this systematic review. The inclusion criteria focused on conference papers and journal articles from 2020 or later and written in English. The selected articles offer valuable insights into the impact of AI on education, business, healthcare, robotics, manufacturing, and automation across diverse sectors, as well as providing perspectives on the evolving landscape of expertise. The findings underscore the importance of crucial skill sets, such as technical proficiency and adaptability, to successfully adopt AI. Businesses respond strategically by implementing continuous skill adaptation and ethical technology to address challenges. The paper concludes by emphasizing the imperative of balanced skill development, proactive education, and strategic integration to navigate the profound impact of AI on the workforce effectively.

Exploring Collaborative Co-Signing Intelligence and Parallel Distributed Algorithms for Integrating Internal and External Documents

In today’s complex and linked technology environments, attaining business efficiency and innovation is crucial. In this paper, an innovative architecture combining parallel distributed algorithms and collaboratively co-signing intelligent verification frameworks is introduced. By promoting safe and effective interaction among heterogeneous systems, this synergistic method seeks to improve the integration process. Diverse systems are proliferating in both internal and external domains, requiring sophisticated integration solutions. Real-time data interchange, interoperability, and security are common issues with existing methods. By using parallel distributed algorithms and intelligent verification models, the suggested framework aims to overcome these difficulties. The framework presents a novel approach to confirming the integrity and validity of data transferred between systems by utilizing collaborative co-signing. Co-signing increases security and confidence in the integrated environment by having several parties jointly validate the information. Through the introduction of parallel distributed algorithms and collaborative co-signing smart verification models, this research advances a comprehensive strategy for smooth integration of systems. The results highlight how the framework can facilitate safe and effective data interchange between external and internal systems, opening the door for more developments in connected technology environments in the future.

Me versus we: How group detachment and social presence shape integration strategies in short-term technology-mediated groups

The adoption of ICTs for facilitating interactions can create barriers for those who identify as outsiders in technology-mediated groups. We use an experiment to investigate how outsiders pursue social integration strategies, including group assimilation and resistance, to empower themselves in short-term technology-mediated groups. We find the effectiveness of detached group members depends on the social integration strategies they employ and the social presence offered by the communication technologies they use. Our findings demonstrate that group members who are already feeling detached from others can become even more detached — indeed marginalized — when their group shifts to technology-mediated communications. They can improve their personal effectiveness by altering their social integration strategies and the technology being used to facilitate communication. This study has important theoretical and practical implications for outsiders’ social inclusion and effectiveness in short-term technology-mediated groups.

Is there room for interculturality? Indigenous youth in Peruvian private universities and the scholarship programme Beca 18

ABSTRACT Applying an ethnographic approach, this study examines recently implemented scholarship programmes for Indigenous people in private higher education (HE) institutions in Peru. Interviews with students and staff, participant observations, and participatory activities reveal distrust of scholarship holders by government staff and programme regulators, who exercise various surveillance and control mechanisms. Staff at private universities hinder cultural diversity among students through segregation or integration strategies to deal with Indigenous students, thereby curtailing an intercultural approach. Indigenous students ask for more integration activities and intercultural dialogues as they claim a lack of adequate support programmes and real inclusion, which leads to higher dropout rates. This study contributes to the recovery of students’ voices and concerns by unveiling persistent inequalities in HE. The findings have implications on policy design that take for granted problematic assumptions riddled with colonial prejudices and privatisation ideologies within the field of HE.

Numerical analysis of the hydrodynamic response of an aquaculture-cage group in offshore wind farm

Offshore wind turbine and aquaculture cage integration represent a significant research theme for economic growth and establishing a marine ecological civilisation. To optimise offshore space utilisation, this study proposes a wind-aquaculture spatial integration strategy comprising four monopile offshore wind turbines and an aquaculture-cage group (OWT-ACG) with 32 cages in a 4 × 8 configuration. Based on the lumped-mass method, a mathematical model is established. In addition, the effect of the floating collar stiffness on the hydrodynamic response of the cage group and the nonlinear characteristics is analysed. The results indicate that the flexible collar significantly reduces the heave response of the cage but markedly increases the surge, pitch, and mooring tension of the cages relative to the rigid floating collar. Furthermore, the presence of current enhances the nonlinearity of the fairlead motion windward, reducing the nonlinearity of the fairlead motion leeward and increasing the fairlead depth into the water. The findings presented herein provide valuable insights and guidance for engineering practices regarding the design and analysis of wind-aquaculture integration.

Integrating Tradition and Science: A Holistic Approach to Lower Back Pain Management with Yoga and Neurotherapy

Introduction: Low back pain (LBP) is a widespread global health issue affecting 40 to 80% of adults. Conventional treatments like medications, physical therapy, and surgery often provide only temporary relief and can lead to reinjury and persistent disability. This has sparked growing interest in non-conventional approaches for long-term solutions. This review investigates the potential of integrating ancient traditions and modern scientific findings, specifically Yoga and Neurotherapy, to manage LBP effectively. Literature Review: Existing literature highlights the limitations of conventional LBP treatments and the rising interest in holistic, long-term solutions. Yoga is well-documented for enhancing physical function, promoting relaxation, and improving mind-body awareness. Neurotherapy focuses on regulating the nervous system to modulate pain. By synthesizing various studies, this review presents an integrated approach that leverages the strengths of both Yoga and Neurotherapy for LBP management. Materials and Methods: To explore the effectiveness of Yoga and Neurotherapy in LBP management, a systematic analysis of scientific literature was conducted. Databases such as PubMed, Medline, and Google Scholar were searched using keywords like "Yoga," "Neurotherapy," "Low Back Pain," and "integrative treatment." Relevant articles were selected based on their contributions to understanding the mechanisms, effectiveness, and clinical applications of these therapies. Results: The analysis revealed that both Yoga and Neurotherapy offer substantial benefits for LBP sufferers. Yoga enhances physical function, promotes relaxation, and improves mind-body awareness, contributing to long-term relief. Neurotherapy regulates the nervous system to modulate pain, providing an additional layer of management. Combining these approaches creates a synergistic effect, improving patient outcomes more effectively than either treatment alone. Conclusion: Integrating Yoga and Neurotherapy provides a comprehensive, holistic solution for managing LBP, addressing the physical, mental, and neurological dimensions of pain. This review highlights the importance of such integrated strategies and suggests future research should focus on optimizing these approaches to enhance patient outcomes and provide long-term relief from LBP.

Parental impact during and after neonatal intensive care admission

Parents play a pivotal role in neurodevelopmental outcomes of their children in the neonatal intensive care unit (NICU) and beyond. Integration of parents in clinical care and research is synergistic. Engaged parents yield more comprehensive clinical care and more robust and meaningful research products. Subsequently, successful clinical and research efforts improve outcomes for children. We review strategies for parental integration into NICU clinical care and research, including parental involvement in therapeutic interventions and neurodevelopmental care, and effective communication strategies for clinicians and researchers. We discuss challenges in neonatal trials and emphasize the need for building a culture of research, collaborative partnerships with patient advocacy organizations, and ongoing support beyond the NICU. Overall, we call for recognizing and fostering the impactful role of parents as teammates with clinicians and researchers in optimizing neurodevelopmental outcomes in the NICU and beyond.

Estimation of economic losses due to leptospirosis in dairy cattle

There are few studies that effectively quantify the economic losses resulting from problems caused by leptospirosis in naturally infected dairy cattle. Given this gap, the objective of this study was to propose and apply a method to quantify the economic losses resulting from productive and reproductive problems in a commercial dairy herd naturally infected by Leptospira spp. For this study, the zootechnical and economic indicators at a property with Jersey cattle were analyzed during the period from 2014 to 2017. The leptospirosis outbreak occurred in 2014, and the therapeutic approach was carried out between 2015 and 2017, with the latter considered the year of control of the outbreak. The adopted integrated control strategy consisted of dividing the herd according to the serological results obtained through the microscopic agglutination test, the treatment of reagents with streptomycin, and vaccination against leptospirosis of non-reagent heifers and cows. The method used to evaluate the economic indicators of the property was the calculation of the gross margin by taking into account the implicit and explicit cost parameters associated with the manifestation of leptospirosis. The prevalence rate of leptospirosis decreased from 49.4 % in 2015 to 21.6 % in 2017. There was a reduction in the abortion rate (from 40.00 % in 2014 to 9.00 % in 2017), in the stillborn rate (from 2.63 % in 2014 to 1.69 % in 2017) and an increase in the calving rate (from 65.00 % in 2014 to 86.00 % in 2017). In addition, there were increases in the number of lactating cows (from 38 in 2014–57 in 2017) and the mean times of lactation duration, which increased from 275 days in 2014–295 days in 2017. As a result, the average annual production of milk increased from 164,655 liters in 2014–248,521 liters in 2017. In 2014, when treatment hadn’t yet started, the gross margin per liter of milk sold, considering implicit and explicit costs, was US$0.00. In 2015 and 2016, US$0.27 and US$0.30 were obtained, respectively, for this variable. In 2017, with the disease under control on the property, the gross margin per liter of milk reached US$0.36. The gross margin per liter of milk sold was higher in the period when the disease was controlled, showing losses of up to 84 % of the gross margin during the outbreak. Immediate treatment of positive cows and preventive measures had a significant impact on improving the productive and economic efficiency of the property.

“Wheels stuck in the mud”: A qualitative study of experiences of academic burnout in graduate nursing students

BackgroundAcademic burnout is widespread in higher education, affecting academic achievements, professional development, and physical and mental health. Previous related research lacks qualitative studies on graduate nursing students. AimThis study aims to provide valuable information to relevant authorities and stakeholders by identifying the key experiences associated with academic burnout in graduate nursing students. DesignAn exploratory qualitative research design. SettingsThis research was carried out at two medical universities located in the southern region of China. ParticipantsNineteen enrolled graduate nursing students. MethodsData collection spanned from December 2023 to January 2024. After obtaining informed consent from the participants, the researchers conducted in-depth, semi-structured interviews. Data processing and analysis were based on Giorgi's phenomenological method. The reporting of this study strictly adhered to the Standards for Reporting Qualitative Research (SRQR). ResultsNineteen participants completed the interviews, ranging in age from 22 to 42 years and including sixteen females and three males. “Wheels stuck in mud” was the core construct that explained graduate nursing students' academic burnout. Analyses revealed four themes: invisible hand, a battle with myself, two choices, find my way. ConclusionThe academic burnout of nursing graduate students is perceived as a psychological dilemma akin to being “wheels stuck in mud.” It is driven by an invisible force composed of multiple components, leading to intense internal struggles for individuals. Individuals exhibit two distinct trends in their academic performance: either “remaining detached and indifferent to academics” or “overcommitting and self-exploiting.” It is encouraged to conduct intervention using an integrative strategy based on acceptance and commitment therapy, self-disclosure, and mindfulness.

The Impact of Total Quality Management on Supply Chain Management in Five-Star Hotels in the Kingdom of Saudi Arabia

The research investigates the impact of Total Quality Management (TQM) on Supply Chain Management (SCM) in five-star hotels in Saudi Arabia, focusing on how integrating TQM principles can enhance operational efficiency, reduce costs, and improve customer satisfaction within the hospitality sector. The study emphasizes the convergence of TQM and SCM, highlighting continuous improvement, a culture of quality, and customer satisfaction as key impacts of TQM on SCM. TQM encourages organizations to evaluate and enhance processes continuously, leading to more streamlined and efficient supply chains. The integration of TQM principles into SCM processes aims to achieve higher levels of customer satisfaction, improved product quality, reduced costs, and increased operational efficiency. Several challenges in implementing TQM in Saudi five-star hotels are identified, including communication barriers, resistance to change, and resource constraints. The study proposes a comprehensive strategy for successful TQM and SCM integration, emphasizing leadership commitment, employee involvement, and the use of advanced technologies for real-time data sharing and performance monitoring. The findings are significant for hotel managers and decision-makers, providing evidence-based recommendations for implementing TQM principles to optimize supply chain processes. By adopting TQM practices, five-star hotels in Saudi Arabia can enhance their operational performance, achieve cost optimization, and ensure high levels of customer satisfaction, ultimately gaining a competitive advantage in the dynamic hospitality industry.

A techno-economic perspective on efficient hybrid renewable energy solutions in Douala, Cameroon’s grid-connected systems

Cameroon is currently grappling with a significant energy crisis, which is adversely affecting its economy due to cost, reliability, and availability constraints within the power infrastructure. While electrochemical storage presents a potential remedy, its implementation faces hurdles like high costs and technical limitations. Conversely, generator-based systems, although a viable alternative, bring their own set of issues such as noise pollution and demanding maintenance requirements. This paper meticulously assesses a novel hybrid energy system specifically engineered to meet the diverse energy needs of Douala, Cameroon. By employing advanced simulation techniques, especially the Hybrid Optimization Model for Electric Renewable (HOMER) Pro program, the study carefully examines the intricacies of load demands across distinct consumer categories while accommodating varied pricing models. The paper offers a detailed analysis of the proposed grid-connected PV/Diesel/Generator system, aiming to gauge its performance, economic feasibility, and reliability in ensuring uninterrupted energy supply. Notably, the study unveils significant potential for cost reduction per kilowatt-hour, indicating promising updated rates of $0.07/kW, $0.08/kW, and $0.06/kW for low, medium, and high usage groups, respectively. Furthermore, the research underscores the importance of overcoming operational challenges and constraints such as temperature fluctuations, equipment costs, and regulatory compliance. It also acknowledges the impact of operational nuances like maintenance and grid integration on system efficiency. As the world progresses towards renewable energy adoption and hybrid systems, this investigation lays a strong foundation for future advancements in renewable energy integration and energy management strategies. It strives to create a sustainable energy ecosystem in Cameroon and beyond, where hybrid energy systems play a pivotal role in mitigating power deficiencies and supporting sustainable development.

Van der Waals Integration of Large-Area Monocrystalline 3D Perovskite Thin Films on Arbitrary Semiconductor Substrates for Heterojunctions.

Perovskite monocrystalline films are regarded as desirable candidates for the integration of high-performance optoelectronics due to their unique photophysical properties. However, the heterogeneous integration of a perovskite monocrystalline film with other semiconductors is fundamentally limited by the lattice mismatch, which hinders direct epitaxy. Herein, the van der Waals (vdW) integration strategy for 3D perovskites is developed, where perovskite monocrystalline films are epitaxially grown on the mother substrate, followed by its peeling off and transferring to arbitrary semiconductors, forming monocrystalline heterojunctions. The as-achieved CsPbBr3-Nb-doped SrTiO3 (Nb:STO) vdW p-n heterojunction exhibited comparable performance to their directly epitaxial counterpart, demonstrating the feasibility of vdW integration for 3D perovskites. Furthermore, the vdW integration could be extended to silicon substrates, rendering the CsPbBr3-n-Si and CsPbCl3-p-Si p-n heterojunction with apparent rectification behaviors and photoresponse. The vdW integration significantly enriches the selections of semiconductors hybridizing with perovskites and provides opportunities for monocrystalline perovskite optoelectronics with complex configurations and multiple functionalities.

An adaptive control strategy for integration of wind farm using a VSC-HVDC transmission system

This study addresses the issue of integrating renewable energy sources into the power grid by proposing advanced power management strategies based on an adaptive observer. The system comprises a wind turbine farm (WTF) connected to an energy storage system via a Vienna rectifier, which serves as the voltage source converter (VSC), and is linked to the DC grid through a high-voltage direct current (HVDC) transmission line. The main objective of this study is to design a nonlinear controller to improve energy extraction from the wind power frame and enhance the stability of the power grid. The system controller is designed to operate in two modes. The main feature of this controller is its ability to achieve multi-objective control using different references. In this study, we have four references but only two control laws. Furthermore, an adaptive observer is designed to estimate the power grid requirements, allowing us to produce depending on the grid state. Finally, simulation results using MATLAB/Simulink will be displayed to demonstrate the stability and efficiency of the proposed implementation.

Deciphering novel molecular gene expression signatures and pathways in cystic fibrosis through integrative bioinformatics strategies

Cystic fibrosis (CF), a fatal autosomal recessive disorder, is triggered by a genetic alteration of the CF transmembrane conductance regulator (CFTR) gene. On a global scale, around one in 3000 live births are affected with CF annually. While diagnosis and therapy are available for CF patients with non-specific and rare mutations, the current research is dedicated to exploring customized biomarkers, genes, signaling networks, and therapy for improving the management of CF. Although still in the early stages of development and validation, mRNA and gene-based treatment strategies are aimed to target patients who are resistant to CFTR gene restoration therapies. In this study, we utilized the systems biology approaches integrated with gene expression analysis to identify novel biomarkers and pathways for CF treatment. At first, out of 54,676 differentially expressed genes, we identified 104 upregulated and 107 downregulated genes. The upregulated genes were largely concentrated on Glutamatergic synapses, and the downregulated genes were enriched in ubiquitin-mediated proteolysis. Utilizing the enrichment analysis, we explored deeper into the pathways linked to these genes, with emphasis on relevant pathways involving bronchial epithelial cells. Following the enrichment analysis, we identified six essential genes: WWP2, RNASEL, CUL1, CDC42, HDAC4, and UBA2. Furthermore, the discovered genes were evaluated using expression profile analysis. Finally, our data indicate that the WWP2 gene has a critical role in CF management. The current findings provide a coherent theoretical foundation for future experiments to further explore the WWP2 gene as a unique and prognostic target for developing an effective CF therapeutic approach.

A facile and sustainable integrated fabrication strategy for multi-performance 316L stainless steel

Additive manufacturing enables innovative design and integrated manufacturing of complex components. Metallic components with multi-performance and high reliability are always desirable for a broad range of high-end industries. Multi-material additive manufacturing is a promising way to provide multiple performances, yet there exist several persistent challenges on multi-material sustainability and recycling, interfacial defects and strength, dimensional accuracy and fineness, and manufacturing efficiency and cost, prohibiting its widespread practical applications. In this study, we introduce an additive/modification integrated manufacturing (AMIM) strategy for fabricating highly reliable multi-performance metals using only a single material with a one-step process. We demonstrate that, through a unique combination of pattern-induced orientation-consistent and layer-accumulated orientation-amplified mechanisms, the surface wear resistance performance of 316L stainless steels could be expanded to cover an exceptionally wide range from commercially available plastics to metals to ceramics. Furthermore, these strikingly different performances can be digitally programmed and precisely printed to form integrated 316L stainless steel components with excellent interfacial strength and high dimensional accuracy. This strategy paves a facile, inexpensive, and sustainable way to achieve multi-performance metals that are fully recyclable and environmentally friendly, serving as an alternative to the multi-material composite strategy.

Multifunctional phase change film with high recyclability, adjustable thermal responsiveness, and intrinsic self-healing ability for thermal energy storage

Phase change materials (PCMs) present promising potential for guaranteeing safety in thermal management systems. However, most reported PCMs have a single application in energy storage for thermal management systems, which does not meet the growing demand for multi-functional materials. In this paper, the flexible material and hydrogen-bonding function are innovatively combined to design and prepare a novel multi-functional flexible phase change film (PPL). The 0.2PPL-2 film exhibits solid-solid phase change behavior with energy storage density of 131.8 J/g at the transition temperature of 42.1 °C, thermal cycling stability (500 cycles), wide-temperature range flexibility (0–60 °C) and self-healing property. Notably, the PPL film can be recycled up to 98.5% by intrinsic remodeling. Moreover, the PPL film can be tailored to the desired colors and configurations and can be cleverly assembled on several thermal management systems at ambient temperature through its flexibility combined with shape-memory properties. More interestingly, the transmittance of PPL will be altered when the ambient temperature changes (60 °C), conveying a clear thermal signal. Finally, the thermal energy storage performance of the PPL film is successfully tested by human thermotherapy and electronic device temperature control experiments. The proposed functional integration strategy provides innovative ideas to design PCMs for multifunctionality, and makes significant contributions in green chemistry, high-efficiency thermal management, and energy sustainability.

Environmental sensitivity in the 27 National Roma Integration Strategies of the European Union member states

ABSTRACT The Roma people, particularly in Central and Eastern European countries, often live ethnically segregated in inadequate housing or without access to basic services (water, sewage system, electricity). Exposure to these harmful environmental factors jeopardizes their health and hinders their social integration. This study delves into the sensitivity of the National Roma Integration Strategies (NRIS) (2012–2020) regarding the environmental factors that affect the Roma population. Previous studies have explored gender or identity in the strategies, but few have analysed environmental sensitivity. Based on World Health Organization (WHO) reports, we consider the following environmental factors: housing, access to basic services, urban environment, working environment and injuries at home. The sensitivity of the 27 NRIS to these factors was quantified in all crucial areas (housing, health, education, employment). An inductive analysis of the operational content (measures, actions) was conducted on nine NRIS. The Member States in the southeast of the European Union were more environmentally sensitive than their counterparts in the northwest. The salient environmental factors were housing and basic services. The nine NRIS analysed show two approaches (western/eastern) in addressing the environmental conditions of the Roma population. Finally, although we identified environmental factors in the NRIS, this issue was not systematically addressed.