Peripheral Regions Research Articles

Spatial variation and predictors of incomplete pneumococcal conjugate vaccine (PCV) uptake among children aged 12–35 months in Ethiopia: spatial and multilevel analyses

BackgroundDespite the Ethiopian government included the Pneumococcal Conjugate Vaccine (PCV) in the national expanded program for immunization in 2011, only 56% of children aged 12–23 months received the full dose of PCV. Despite some studies on PCV uptake in Ethiopia, there was a dearth of information on the geographical distribution and multilevel factors of incomplete PCV uptake. Hence, this study aimed to identify the spatial variations and predictors of incomplete PCV uptake among children aged 12–35 months in Ethiopia.MethodsThe study was based on an in-depth analysis of 2016 Ethiopia Demographic Health Survey data, using a weighted sample of 3,340 women having children aged 12–35 months. Arc-GIS version 10.7 and SaTScan version 9.6 statistical software were used for the spatial analysis. To explore spatial variation and locate spatial clusters of incomplete PCV, the Global Moran's I statistic and Bernoulli-based spatial scan (SaTScan) analysis were carried out, respectively. A multilevel mixed-effect multivariable logistic regression was done by STATA version 16. Adjusted odds ratio (AOR) with its corresponding 95% CI was used as a measure of association, and variables with a p < 0.05 were deemed as significant determinants of incomplete PCV.ResultsThe overall prevalence of incomplete PCV in Ethiopia was found to be 54.0% (95% CI: 52.31, 55.69), with significant spatial variation across regions (Moran's I = 0.509, p < 0.001) and nine most likely significant SaTScan clusters. The vast majority of Somali, southeast Afar, and eastern Gambela regions were statistically significant hot spots for incomplete PCV. Lacking ANC visits (AOR = 2.76, 95% CI: 1.91, 4.00), not getting pre-birth Tetanus injections (AOR = 1.84, 95% CI: 1.29, 2.74), home birth (AOR = 1.72, 95% CI: 1.23, 2.34), not having a mobile phone (AOR = 1.64, 95% CI: 1.38, 1.93), and residing in a peripheral region (AOR = 4.63; 95% CI: 2.34, 9.15) were identified as statistically significant predictors of incomplete PCV.ConclusionThe level of incomplete PCV uptake was found to be high in Ethiopia with a significant spatial variation across regions. Hence, the federal and regional governments should collaborate with NGOs to improve vaccination coverage and design strategies to trace those children with incomplete PCV in peripheral regions. Policymakers and maternal and child health program planners should work together to boost access to maternal health services like antenatal care and skilled delivery services to increase immunization coverage.

Spatial Heterogeneity Analysis of Factors on Commuting Carbon Emissions: Evidence from the Shenzhen Metropolitan Area in China

As an essential part of daily life, commuting produces considerable carbon emissions and is currently receiving increased amounts of attention. Comprehensive explorations of carbon emissions and the spatial distribution of their effects based on previous studies are lacking. First, we adopt stepwise regression and geographically weighted regression (GWR) to explore the diverse impacts of carbon emissions on the different layers of metropolitan areas, employing factors from the perspectives of socioeconomics, transportation services, and road networks. Our findings show that optimizing the road network structure could be an effective approach to reducing carbon emissions from commuting, especially in the periphery of metropolitan areas. In addition, the mixed use of land contributes to reducing carbon emissions from commuting, especially in the central areas. Thus, the coverage of public transport should be improved, especially in peripheral regions. Policymakers should monitor the spatial heterogeneity of variables and develop suitable policies to adapt to the conditions of the different layers of metropolitan areas.

Meniscal Repair with ArthroZheal® an Autologous Bioactive Fibrin Scaffold. A New Technique and Treatment Option.

Injuries of the meniscus often lead to changes in joint biomechanics, which affect the load distribution and contact stresses. The menisci consist of a peripheral vascular region (red zone) and an inner avascular region (white zone). The blood supply plays an important role in the healing of meniscal tears. Surgical treatment of such lesions includes meniscectomy/meniscoplasty and repair, depending on the type of injury, where "meniscoplasty" refers to the treatment modality that occurs under coblation. The application of Autologous Bioactive Matrix (ABM) has been shown to promote healing in such lesions. In addition, a special type of PRF (ArthroZheal®, Vivostat A/S, Allerød, Denmark) has been demonstrated to have healing effects in extracellular matrix synthesis and cell proliferation, as well as regenerative and remodeling effects. This autologous product can be applied directly at the meniscal repair site. We performed a prospective study on meniscus repair with ArthroZheal® alone (plus meniscoplasty) and ArthroZheal® together with an all-inside suturing technique using the STAR AccurFix Meniscal Repair Device system (STAR Sports Medicine, Beijing, China), depending on the type and the site of the lesion. One hundred twenty knees (110 patients) were identified through the use of clinical examination and MRI scan. The study took place between January 2023 and August 2023. Two groups were created: GROUP A was treated only with ArthroZheal®(plus meniscoplasty) and GROUP B was treated with a combination of ArthroZheal® and an all-inside suturing technique (STAR AccurFix). Pre- and postoperative grading was performed with the International Knee Documentation Committee (IKDC) score and the Tegner Activity Level Scale (Tegner Score). The results with both treatment methods were excellent and meniscus restoration has been documented on MRIs conducted 6 months post-op. In 15 patients, 2nd-look arthroscopy was performed through a nanoscope on an outpatient basis, and showed meniscal healing and remodeling. Tegner scores and IKDC scores in both groups showed significant improvement. Meniscal repair should be performed at all costs to maintain meniscal integrity and prevent long-term degenerative changes. New treatment methods include orthobiologics and all-inside suturing techniques. The main idea is to apply an autologous biological scaffold which is able to carry cells into the meniscal lesion and to allow their differentiation, proliferation, and extracellular matrix synthesis to produce a meniscal-like tissue. Our results suggest that the application of autologous ABM (ArthroZheal®) for the treatment of such lesions by means of dry arthroscopy results in better MRI, pain management and functional results at 3 months post-op, and these improvements can persist for up to 6 months.

Dosimetric effects of small field size, dose grid size, and variable split-arc methods on gamma pass rates in radiation therapy.

This study investigates the influence of calculation accuracy in peripheral low-dose regions on the gamma pass rate (GPR), utilizing the Acuros XB (AXB) algorithm and ArcCHECK™ measurement. The effects of varying small field sizes, dose grid sizes, and split-arc techniques on GPR were analyzed. Various small field sizes were employed. Thirty-two single-arc plans with dose grid sizes of 2mm and 1mm and prescribed doses of 2, 5, 10, and 20Gy were calculated using the AXB algorithm. In total, 128 GPR plans were examined. These plans were categorized into three sub-fields (3SF), four sub-fields (4SF), and six sub-fields (6SF). The GPR results deteriorated with smaller target sizes and a 2mm dose grid size in a single arc. A similar degradation in GPR was observed with smaller target sizes and a 1mm dose grid size. However, the 1mm dose grid size generally resulted in better GPR compared with the 2mm dose grid size for the same target sizes. The GPR improved with finer split angles and a 2mm dose grid size in the split-arc method. However, no statistically significant improvement was observed with finer split angles and a 1mm dose grid size. This study demonstrates that coarser dose grid sizes result in lower GPRs in peripheral low-dose regions as calculated by AXB with ArcCHECK™ measurement. To enhance GPR, employing split-arc methods and finer dose grid sizes could be beneficial.

Case report: Findings in ovaries development from an aborted equine fetus

An aborted female foal was submitted for necropsy. During the gross examination, the ovaries were pale, grayish, and enlarged (6 × 5 cm), with a well-developed vascular structure surrounding the external surface; the cut surface of the ovaries showed a brownish parenchyma with white follicular areas mainly localized in the peripheral region. The ovaries were fixed for histological investigations. The histological evaluation of the ovaries showed polygonal-shaped cells with abundant cytoplasm and round or oval nuclei, arranged in cords of single cells. The tissue architecture was characterized by the presence of lobular-like tissues with a central vein. The tissue mimicking hepatocytes was delimited by a mature fibrous tissue and was surrounded by the normal ovarian tissue characterized by germinal epithelium and primordial follicular structures. Based on the histological findings, a diagnosis of bilateral ovarian hamartoma was carried out initially. For a better characterization of the ovarian tissue, the expression of tissue-specific (liver and ovary) markers was investigated using immunohistochemistry. Following the immunohistochemical analysis, the hamartoma diagnosis was excluded. The ovaries exhibited unique characteristics different from those of adult horse ovaries as well as unique morphological features different from other mammalian species. This case report enhances our understanding of ovaries at a later stage of pregnancy and unveils unique characteristics of horse ovaries development, avoiding misdiagnosis with pathological findings, hamartomas, or neoplasia.

Promoting equity in civics education: Teaching marginalized students in Israel's remote areas

Significant civic education transpires through establishing connections with students' local realities. Nevertheless, a literature gap exists concerning civic education in rural settings, which introduces concerns regarding equity influenced by the neoliberal educational paradigm. Through interviews with twelve Israeli civics teachers working in the country's peripheral regions, we investigated their perspectives on classroom practices. We identified four primary approaches: Spoon-feeding, Redeeming, Demanding, and Empowering. These perceptions of practices contribute to the development of a theoretical model that advocates for a place-based approach. This model promotes equitable practices by concentrating on the unique needs and contexts of students in peripheral areas.

Public transport provision and social sustainability in Sweden

ABSTRACT The provision of public transport is important for a sustainable society and is vital for many groups. Children, older people, and people from carless households are examples of such groups: they rely on public transport and risk social exclusion without it. The aim of this study is to identify areas in Sweden where an improved public transport system might enhance social sustainability. To this end, an index of public transport needs at a sub-municipality level was calculated along with an index of public transport provision using data from public transport authorities in Sweden. The results indicate that areas with a mismatch between the provision of and estimated demand for public transport are relatively heterogenous. High gaps exist both in rural and peripheral regions of Sweden as well as the suburbs of urban regions.

Deep understanding of LiCoO2 electrode degradation for optimized recycling strategies

Empowered by a synergistic combination approach of Scanning Transmission X-ray Microscopy (STXM) imaging and X-ray Absorption Near Edge Structure (XANES) spectroscopy, a quantitative analysis on the composition and spatial distribution of the cathode in a failed 18650 LiCoO2 (LCO) battery was conducted. Distinct compositional differences between the central and peripheral cathode regions in the failed LCO battery were discerned by utilizing bulk XANES in Total Electron Yield (TEY) and Fluorescence Yield (FY) modes. The central region shows more severe degradation in terms of LCO reduction and excess cathode-electrolyte interface (CEI) buildup. Meanwhile, the STXM technique precisely imaged a specific region of interest in the center of the cathode, covering C, O, and F K-edges, and Co L2,3-edge, to deeply investigate the degradation. Quantitative chemical mapping with spatially resolved XANES spectroscopy, facilitate an in-depth understating of the interfacial reactions on battery electrodes and battery failure fundamentals.

Environmental awareness of university students in Colombia

The objective of this article was to evaluate the level of environmental awareness of university students in a peripheral region of southern Colombia. Environmental awareness was approached as a multidimensional variable consisting of cognitive, emotional, and behavioral dimensions. The study was quantitative, approached from the deductive method and descriptive type. The study population corresponded to young university students, and a non-probabilistic convenience sampling was used. For the environmental awareness variable, an instrument was developed with a Likert-type scale based on multiple research studies. The sample consisted of 527 university students. The reliability of the study was evaluated with Cronbach's alpha and composite reliability, while validity was analyzed with mean variance explained and confirmatory factor analysis, being in all cases satisfactory. As a result, modest levels of environmental awareness were evidenced in all dimensions, which is particularly worrying as most of the young people surveyed were between 18 and 25 years old, indicating low interest, knowledge, and availability for environmental issues among future professionals of the South Colombian region. The results were in line with certain results found in similar research reported in the literature. Nevertheless, the situation is worrisome because young students are the new generation of citizens. Acknowledgment This article was written within the framework of the Special Cooperation Agreement No. 230 of 2023 signed between the Universidad Surcolombiana and the Corporación Autónoma Regional del Alto Magdalena CAM in the project “Implementation of the SENDICAM Science Center as a strategy for the recognition, conservation and social appropriation of the natural heritage in the central and southern area of the department of Huila” BPIN 2021000100425.

Comparison of Corneal Endothelial Cell Loss in Femtosecond Laser-assisted Cataract Surgery: Impact on Endothelial Cells in Different Regions.

To compare changes in corneal endothelial parameters following femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification (CPS) in different corneal regions. Chang Gung Memorial Hospital, Linkou, Taiwan, 2018- 2022. Single-center, retrospective. Before and 1, 3, and 6 months post-op, specular microscopy was performed to measure endothelial cell density (ECD), corneal thickness, hexagonal cell rate (Hex), and coefficient of variation (CoV). Position 1 referred to the central cornea, Position 2 was nearest to the main wound, and Position 3 was at the peripheral zone diagonal to the main wound. This study analyzed 96 eyes in the FLACS group and 110 eyes in the CPS group. Preoperatively, Position 1 had lower ECD and CoV and higher Hex compared to the peripheral regions. FLACS patients had a significantly less phaco time and cumulative dissipated energy. At one month, FLACS patients showed a significantly smaller increase in corneal thickness at Positions 1 and 2. At 3 months, FLACS patients had lower endothelial cell loss (ECL) at Positions 1 and 3. ECL remained lower in FLACS patients at 6 months. The highest ECL was observed at Position 2 in both groups and was progressive up to 6 months. Following phacoemulcification, ECL varied in different corneal regions. At 3 months, the FLACS group exhibited significantly less ECL at the central cornea; however, the continued ECL at 6 months near the main wound suggested ongoing endothelial remodeling in the region.

CD3 and CD20 Expressions and Infiltrating Patterns in Salivary Gland Tumors.

Tumor-infiltrating lymphocytes (TILs) represent a subset of immunological constituents within the tumor microenvironment that can influence cancer growth. We retrospectively evaluate the density and pattern of CD3 and CD20 expression in salivary gland tumors and their relation to clinical pathologic parameters. A total of 44 formalin-fixed paraffin-embedded blocks of salivary gland tumors were included. These tumors were stained immunohistochemically with CD3 and CD20. The chi-square test was used to relate immune scoring, intensity, and clinical pathological parameters to different salivary tumors. p-value < 0.05 was considered statistically significant. The intra-tumoral CD3 infiltrating count was high and diffused in (71.4%) of pleomorphic adenomas (PAs) followed by mucoepidermoid carcinomas (MECs) (66.7%). At the same time, adenoid cystic carcinomas (AdCCs) exhibited significantly low infiltration (71.4%) (p = 0.046). The three types of tumors exhibited high tumor-infiltrating counts diffused in peripheral areas with significant differences between malignant tumors (p = 0.047). The intra-tumoral CD20 infiltrating count significantly differed among the tumors (p = 0.002); it was low in all PAs and AdCCs, while MECs showed an equal percentage of expression. However, in the peripheral area, PAs and MECs exhibited significantly (p = 0.007) high infiltrating counts (69.2% and 84.6), and the lowest infiltrating count was predominantly found for AdCCs. The two markers had a significant positive correlation between the mean of CD3 in the intra-tumoral and peripheral regions and CD20 in the peripheral zone across the total samples. In conclusion, the density of CD3 expression is notably higher than CD20 across tumor types. PAs and MECs showed high-density scores, while AdCCs were characterized by low scores. TIL expression was found to be significantly associated with patients' outcomes in the intra-tumoral area.

The influence of corporate entrepreneurship strategy on SMEs’ internationalization: proposing and testing a model

Purpose This paper aims to propose and test a corporate entrepreneurship strategy (CES) model in small- and medium-sized enterprises (SMEs) with international activity located in Andalusia (Spain) – a peripheral region with high levels of inequality in the European Union (EU). Design/methodology/approach A quantitative analysis has been carried out with data from 101 SMEs to contrast and analyze the proposed CES model. The sample data were obtained through questionnaire-guided interviews with chief executive officers. Data processing has been done using partial least squares-path modeling, a variance-based technique for structural equation modeling. Findings The results of this study show the positive effect of environmental conditions on the development of CES actions in Andalusian SMEs (Spain) and the positive influence of CES on the results of SMEs’ international activity. In turn, environmental conditions do not directly affect the international activity. Originality/value Although previous works address the relationship between corporate entrepreneurship (CE) and international enterprise activity, to the best of the authors’ knowledge, this work is original in testing a CES model (including CE and the entrepreneurial strategic vision) in SMEs in a region that has one of the lowest levels of development in the EU. The results have important implications for SMEs and policymakers and could be extrapolated to other emerging economies.

The suitability assessment for land territorial spatial planning based on ANN-CA model and the Internet of Things

This work aims to utilize Internet of Things (IoT) technology and the Artificial Neural Network - Cellular Automaton (ANN-CA) model to analyze the construction of indicators for territorial spatial planning and urban development suitability assessment. Firstly, the IoT technology is introduced, and its application potential in land planning is explored. Using the IoT technology, various data related to land use are collected, and these data are transmitted and summarized through IoT equipment to form a data base. Based on the collected data, the ANN-CA model and the “dual assessment” concept are employed to establish an indicator system for urban development suitability assessment, encompassing permanent basic farmland, ecological redlines, and current built-up areas. Through the combination of these two models, the future land use situation can be predicted more accurately. The trained model is evaluated, including simulation accuracy, error analysis, Kappa coefficient and other indicators. Compared with the actual data, the accuracy and credibility of the model are verified. Finally, according to the prediction results of the model, the land use situation is analyzed and interpreted to provide decision support for urban planning and development. The research results show that the combination of IoT technology and ANN-CA model can effectively analyze the evolution law of land use and the suitability of urban development. Through the reasonable setting and processing of model parameters and data, people can get high accuracy land use prediction results, which provides important reference and support for urban planning and sustainable development. The suitability for urban development within County M exhibits noticeable spatial disparities, with the central region being more suitable for development while the peripheral regions are relatively less favorable. This work provides valuable guidance for decision-makers and researchers in the field of territorial planning, and promotes orderly urban development and sustainable prosperity.

Regional structure-function relationships of lumbar cartilage endplates

Cartilage endplates (CEPs) act as protective mechanical barriers for intervertebral discs (IVDs), yet their heterogeneous structure–function relationships are poorly understood. This study addressed this gap by characterizing and correlating the regional biphasic mechanical properties and biochemical composition of human lumbar CEPs. Samples from central, lateral, anterior, and posterior portions of the disc (n = 8/region) were mechanically tested under confined compression to quantify swelling pressure, equilibrium aggregate modulus, and hydraulic permeability. These properties were correlated with CEP porosity and glycosaminoglycan (s-GAG) content, which were obtained by biochemical assays of the same specimens. Both swelling pressure (142.79 ± 85.89 kPa) and aggregate modulus (1864.10 ± 1240.99 kPa) were found to be regionally dependent (p = 0.0001 and p = 0.0067, respectively) in the CEP and trended lowest in the central location. No significant regional dependence was observed for CEP permeability (1.35 ± 0.97 * 10−16 m4/Ns). Porosity measurements correlated significantly with swelling pressure (r = −0.40, p = 0.0227), aggregate modulus (r = −0.49, p = 0.0046), and permeability (r = 0.36, p = 0.0421), and appeared to be the primary indicator of CEP biphasic mechanical properties. Second harmonic generation microscopy also revealed regional patterns of collagen fiber anchoring, with fibers inserting the CEP perpendicularly in the central region and at off-axial directions in peripheral regions. These results suggest that CEP tissue has regionally dependent mechanical properties which are likely due to the regional variation in porosity and matrix structure. This work advances our understanding of healthy baseline endplate biomechanics and lays a groundwork for further understanding the role of CEPs in IVD degeneration.

Soziale Logistik: Öffentlicher Nahverkehr als regionaler Verteiler von Gütern in ländlichen Regionen. Chancen für die langfristige Etablierung eines nachhaltigen regionalen Logistikkonzepts

This paper presents initial findings on the establishment of a social logistics project in a peripheral rural region in Germany. As part of a real-life laboratory, two services were developed and tested with the aim of improving rural supply: the delivery of regional goods and the return of online orders in cooperation with a regional public transport provider, regional retailers and parcel services. An evaluation team provided support to the project in identifying, monitoring, and documenting the societal impact of the services and promoted impact-oriented project management. The concept of providing services of general interest through social logistics and testing them in a real-world laboratory was based on preliminary work in the region. The results indicate that this approach can promote this type of social logistics in the long term. A social logistics approach does not focus solely on economic aspects but emphasises social and environmental benefits for the region. A real-world laboratory approach enables an environment that promotes open exchange, involvement of different stakeholders and joint problem solving in a reflective, iterative process. This methodological approach enabled the continuation and out-scaling of the service’s core offerings immediately after ending the test phase and is seen as an important prerequisite for establishing a long-term perspective.

Utility of CT Radiomics and Delta Radiomics for Survival Evaluation in Locally Advanced Nasopharyngeal Carcinoma with Concurrent Chemoradiotherapy.

A high incidence rate of nasopharyngeal carcinoma (NPC) has been observed in Southeast Asia compared to other parts of the world. Radiomics is a computational tool to predict outcomes and may be used as a prognostic biomarker for advanced NPC treated with concurrent chemoradiotherapy. Recently, radiomic analysis of the peripheral tumor microenvironment (TME), which is the region surrounding the gross tumor volume (GTV), has shown prognostic usefulness. In this study, not only was gross tumor volume (GTVt) analyzed but also tumor peripheral regions (GTVp) were explored in terms of the TME concept. Both radiomic features and delta radiomic features were analyzed using CT images acquired in a routine radiotherapy process. A total of 50 patients with NPC stages III, IVA, and IVB were enrolled between September 2004 and February 2014. Survival models were built using Cox regression with clinical factors (i.e., gender, age, overall stage, T stage, N stage, and treatment dose) and radiomic features. Radiomic features were extracted from GTVt and GTVp. GTVp was created surrounding GTVt for TME consideration. Furthermore, delta radiomics, which is the longitudinal change in quantitative radiomic features, was utilized for analysis. Finally, C-index values were computed using leave-one-out cross-validation (LOOCV) to evaluate the performances of all prognosis models. Models were built for three different clinical outcomes, including overall survival (OS), local recurrence-free survival (LRFS), and progression-free survival (PFS). The range of the C-index in clinical factor models was (0.622, 0.729). All radiomics models, including delta radiomics models, were in the range of (0.718, 0.872). Among delta radiomics models, GTVt and GTVp were in the range of (0.833, 0.872) and (0.799, 0.834), respectively. Radiomic analysis on the proximal region surrounding the gross tumor volume of advanced NPC patients for survival outcome evaluation was investigated, and preliminary positive results were obtained. Radiomic models and delta radiomic models demonstrated performance that was either superior to or comparable with that of conventional clinical models.

Contribution To the Evaluation of Soot Deposit Thickness Evolution and Its Impact on Heat Transfer Within Heavy Diesel Engines: An Innovative Simplistic Procedure

This study deals with a numerical procedure designed and built to evaluate the evolution of soot deposits thickness and their impact on heat transfer for a high-pressure common rail 16V280 marine diesel engine piston. Using a combination of 3D numerical computations and an iterative calculation algorithm, this work reveals the complex relationship between soot deposit, temperature distribution, and piston thermal dynamics. Non-uniform soot deposit distribution is observed, concentrated at the piston bowl peripheral regions. This distribution aligns with theoretical expectations, indicating the influence of the swirl effect. The presence of soot deposits alters the temperature distribution, implying displacement of high-temperature zones towards the bowl region of the piston. The reduction in surface temperature of approximately 14%, is attributed to the lower heat transfer coefficient of deposited layers. This greatly influences the distribution of thermo-mechanical stresses of the piston. The proposed procedure offers an approach to assess the impact of soot deposit on heat transfer. In addition, this study contributes to a better understanding of realistic piston conditions and addresses the challenges introduced by soot deposits in heavy-duty diesel engines by combining the proposed procedure with investigations based on CFD software tools.

Iran’s water policy: Environmental injustice and peripheral marginalisation

Water exhibits various politico-economic dynamic. Water scarcity can lead to conflicts, and it lies at the core of Iran’s environmental crises. The literature on Iran’s water crisis indicates the effects of this issue in terms of multidimensional environmental degradation, community disintegration, and state-society and intercommunal conflict. Approximately 28 million of Iran’s 85 million residents reside in water-stressed areas, a situation identified as ‘water bankruptcy’. The water shortage is experienced differently across the country. The plateau’s central regions, home to Iran’s major industries, are where the worst water deficit is occurring. However, regions with abundant water resources have also been impacted. These regions – known as ‘donor basins’ – due to intensive and disproportional inter-basin water transfer and other engineering interventions deployed by the Government to deal with the water shortage of the central regions, suffer from a different form of water crisis. A condition of asymmetrical and conflictual power relations between the state and subaltern communities in Iran’s peripheral regions has been created. This paper argues that this constitutes environmental racism, characterised by multilayered impoverishment and unsustainable development among communities in the donor regions.

Spatial Barriers to Transforming toward a Healthy Food System in the Noreste of Mexico.

In the past five decades, global food systems have undergone a notable transition, moving from predominantly rural settings to increasingly urban and industrialized environments, largely driven by processes of globalization and supply chain integration. However, this evolution has not adequately addressed equitable access to nutritious diets and food environments, resulting in adverse health outcomes. This study delves into the spatial and non-spatial barriers that impede the adoption of healthy diets in the Noreste of Mexico, particularly focusing on the challenges associated with accessing and cultivating plant-based foods. Through an examination of suitable areas for urban agriculture and an exploration of the socio-cultural factors influencing the adoption of plant-based diets, the research focuses on interventions aimed at promoting healthier and more sustainable eating practices in Monterrey. The findings of the study reveal significant disparities in food access across the Monterrey metropolitan area, with central urban zones exhibiting superior access to fresh foods compared to suburban and peripheral regions. This inequality disproportionately affects marginalized areas characterized by higher poverty rates, exacerbating issues of food insecurity. Nevertheless, traditional dietary practices could offer promising avenues for creating culturally significant and healthier dietary transitions, even amidst the ongoing process of urbanization.

Makeshift activism and the afterlives of refugee welcome in Covid-19 Italy

This article captures a shift occurring at the peripheries of the Italian asylum system where, as reception infrastructures are progressively gutted, dismantled, and transformed into security apparatuses, local organizations refocus their efforts on helping refugees and asylum seekers carve out spaces of agency and autonomy in the time-space after institutional reception. I introduce the concept of “makeshift activism” to describe this relentless, creative patching together of solutions to support migrant emplacement beyond and – sometimes – against the confines of official programs. Drawing on ethnographic fieldwork in one of the world’s first Covid-19 hotspots – Italy’s Veneto region, I take the pandemic as a magnifying glass to expose the precarious nature of this activism but also its potential for prefiguring alternatives to the state’s (non-existent) paths towards long-term inclusion. More broadly, I shift the anthropological gaze towards charting the afterlives and aftermaths of refugee “welcome” in less spectacular locales, such as mid-size cities and small municipalities in peripheral mountain regions.