Social Affairs Research Articles

Digital rehabilitation care planning for people with chronic diseases (RehaPro-SERVE): study protocol for a German multicentre randomised controlled trial

BackgroundChronic diseases are a significant and growing problem of our time. They impair the ability to work and increase the risk of early retirement. To support the return to work, rehabilitation services can be applied for in Germany. Currently, the application system for rehabilitation allows only a limited degree of individualisation of the treatment and is associated with a lack of multidisciplinary communication. To facilitate rehabilitation care planning, we developed a complex intervention. A digital, platform-based case management approach (intervention) will ensure multidisciplinary communication and the tailored selection of medical treatments and/or non-medical support measures. The overall objective is to assess the effectiveness of the intervention compared to treatment as usual (control condition). The German Federal Ministry of Labour and Social Affairs (BMAS) funds the RehaPro-SERVE study (grant number: 661R0053K1).MethodsThis is the protocol for an investigator-initiated, pragmatic, multicentre, randomised and controlled two-arm parallel-group superiority trial with embedded qualitative process evaluation. The study will be conducted in Hesse state, Germany. N = 59 primary care physicians will be recruited and tasked with the recruitment of six eligible patients each. Eligibility criteria: age 40–60; minimum of 4-week work disability due to musculoskeletal, oncologic or psychological conditions or the post-COVID-19 syndrome within the last 6 months; at high risk for early retirement. In total, n = 352 patients will be randomised with a 1:1 allocation to intervention or control group and stratified by primary care practice using permuted blocks. The primary outcome is the number of days of sick leave during a 12-month period after the assumed completion of treatments (t1 to t2). Secondary outcomes include the number of days of sick leave (self-report), work ability, and health-related quality of life, as well as data from the qualitative process evaluation.DiscussionThe results of the study will inform the design of future care services and provide valuable information on multidisciplinary case management in the context of rehabilitation care planning. The results of the qualitative process evaluation will further contribute to the understanding of facilitating and hindering factors.Trial registrationDRKS-German Clinical Trials Register, DRKS0 00242 07. Registered on 22 March 2021.

Tackling Health Inequalities in Times of Crisis

Abstract Across Europe, people are grappling with a multitude of challenges, spanning from the cost of living to housing, food insecurity, climate change, conflicts, and social unrest. These adversities significantly impact individuals’ health and wellbeing, and create the conditions for persisting health inequalities. At the root of these crises are unjust economic systems, in which the privileged few benefit while the majority face difficulties on a daily basis. Societies across Europe are witnessing rising polarisation and discrimination. Competitiveness and security are emerging as key priorities in the new European political landscape, with health and wellbeing pushed to the sidelines. Tackling health inequalities in times of crisis requires urgent, targeted action across societal sectors and levels. Education emerges as a crucial equaliser, alongside income and social safety nets. Moreover, effective climate strategies must prioritise the needs of the most vulnerable population groups. This plenary session lays the groundwork for understanding our contemporary, rapidly evolving landscape and its implications for addressing health inequalities. What lessons can we draw from new approaches across sectors that meet social and health needs, and how can we navigate these challenges – and sail those waves of innovation – to ensure equitable health and social justice for all? Moderators Caroline Costongs Director EuroHealthNet Cristina Abreu Santos Vice-President Instituto Nacional de Saúde Doutor Ricardo Jorge (INSA), Portugal Keynote speakers Fran Baum The Stretton Institute, The University of Adelaide, Australia (by video message) Katarina Ivanković Knežević Director for Social Rights and Inclusion, Directorate-General Employment, Social Affairs and Inclusion, European Commission Panellists Didier Jourdan UNESCO Chair and WHO Collaborating Centre ‘Global Health and Education’, University of Clermont-Auvergne, France Jill Litt Professor of Environmental Health in the Environmental Studies Programme, University of Colorado, USA and Senior researcher, Barcelona Institute of Global Health (ISGlobal), Spain

Global health

Abstract Global health emphasizes the importance of addressing health challenges that transcend national borders and require strong international collaboration and governance. This concept is grounded in collaborative transnational actions aimed at promoting health for all, reducing disparities, and protecting against threats. Strengthening health systems, public health infrastructure, improving health service delivery, and ensuring equal access to healthcare for all are key focus areas in global health. This plenary will address several major health challenges and critical issues, such as the rising burden of non-communicable diseases, re-emerging pandemics, environmental threats, and the suboptimal responses of national healthcare systems to manage these challenges. The need to focus on vulnerable and marginalized populations, particularly those affected by migration and ethnicity, will be highlighted. The discussion will also showcase the importance of including ethnic minority and Indigenous people’s perspectives in health policy and decision-making processes, as well as addressing the social determinants of health that disproportionately affect these communities. Central to the discussion on global health is the role of global health policy and diplomacy, focusing on how countries can collaborate to address health threats and challenges, shaping international strategies and frameworks. Innovation, including reverse innovation and the development of evidence-informed policies and effective public health strategies that can be implemented globally and is relevant also in resource-constrained contexts, is another critical aspect in addressing the intersection of health and development. Finally, strong public health leadership is needed to shape practices and policies, as well as fostering the next generation of global health leaders. The multifaceted nature of global health calls for a comprehensive approach to health—one that integrates policy, leadership, and equity into the core of public health strategies. The integration of health into all policies at the global level is vital for creating supportive environments, policies, services, and communications that promote better health for all. Moderators Iveta Nagyova President EUPHA Henrique Barros President ASPHER Speakers/Panellists Emma Rawson Te Patu President World Federation of Public Health Associations Charles Agyemang Professor of Global Migration, Ethnicity & Health, University of Amsterdam, Netherlands Agnès Buzyn Former Minister of Health and Social Affairs, France Moredreck Chibi Public Health Innovation Lead, WHO Regional Office for Europe

Social media discourses of Nigerian social affairs: a critical appraisal of YouTube vloggers’ panacea hypotheses for national recovery

ABSTRACT Different strata of Nigerian society including social media vlogs have been discussing the ills plaguing Nigeria. Such social ills include debt burden, flooding linked to Cameroon’s Lagdo Dam, food crisis resulting from border closure, and insecurity following government’s Visa on Arrival policy. Many suggestions have been offered as solutions. The study considers the perspectives of both Diaspora and local vloggers across gender and ages. Guided by Nancy Fraser’s subaltern counter-publics theoretical principle and Hollis Chenery’s theory of Structural Change, this paper evaluates YouTube discourses on Nigeria with a view to interpreting the vloggers’ hypotheses and the local factors militating against the vloggers’ viewpoints. Some of the panaceas recommended by the vloggers include no-debt pardoning, jettisoning project abandonment culture, voting on competence rather than ethnic affiliation, and emulation of the United States and Germany on ethnic unification. Other recommendations include oil theft blockage, reversal of the Visa on Arrival policy, self-determination, and inclusion of women in curbing food crisis. This study raises the consciousness of the Nigerian citizens on the country’s socio-political development roadmap enabled by the ubiquitous nature of social media. The study concludes that institutionalized corruption, leadership ineptitude, nepotism, and patriarchal hegemony hamper the actualization of the vloggers’ viewpoints.

Trust in scientific institutions and experts during the first 2 years of the COVID-19 pandemic in Finland.

To explore variations in trust in science and scientific institutions in Finland during the COVID-19 pandemic, and the factors influencing trust in experts of a key institution in the management of the pandemic, the Finnish Institute for Health and Welfare (THL). These results are contrasted with trust in the Ministry of Social Affairs and Health. Five surveys were conducted between April 2020 and March 2022 (n=5448). The changes were tested with the chi-square test. Predictors of trust in THL and the ministry was examined with binary logistic regression. Trust in science and key scientific institutions remained consistently high throughout this period. In the early pandemic, trust in the ministry declined. The most significant explanatory factors for trust in THL and the ministry were being a supporter of some other party than the right-wing Finns Party and belonging to the age groups over 50 years. Our findings indicate that the pandemic, marked by unpredictability, did not weaken trust in science and THL, whereas trust in the ministry responsible for managing the pandemic and university experts weakened. In increasingly politically polarised societies, the impact of political sentiments on health-related perceptions and choices should be analysed more in future public health studies.

Research on the Functions and Obstacles of Rural Social Organizations in Rural Governance from the Perspective of Structural Functionalism

Since the reform and opening up, with the transformation of the national governance model, my country's rural social structure has undergone earth-shaking changes. The multi-center governance subject structure has gradually replaced the traditional single governance subject structure and has become the main model for the management of rural social public affairs in my country. As an important subject in governance activities, rural social organizations play a key role in promoting farmers' collective actions and nurturing grassroots democracy. As an important part of the rural social structure, rural social organizations not only have their structure and functions rooted in the transformation of the social structure, but their changes and development also play an important role in the transformation of the social structure. From the perspective of structural functionalism, analyzing the role and function of rural social organizations in the rural social structure has positive theoretical value and practical significance for achieving the effective fit of the structure and function of rural social organizations and building a benign management order in rural society under the background of the rural revitalization strategy.

ეროვნული საკანონმდებლო რეგულაციების მიმოხილვა და ანალიზი შრომის სამართლის და შრომის უსაფრთხოების მიმართულებით

National legislative acts - Georgian Laws, Georgian Government resolutions, as well as Orders of Ministry of Internally displaced persons from occupied territories, Labour, Health and Social Affairs of Georgia concerning labour law and labour safety are considered. On the basis of survey and analysis of these legislative acts the authors of this article express their view, namely, it/s necessary: enlarge sphere of supervision over the objects with heightened technical danger; for every danger object elaborate standard in Georgian; on the basis of accumulated experience revise the periodicity of inspection of some objects; for some important enterprises of Georgia (mines, caves, metro, hydroelectric power stations) create mine – rescue service within the limits of state institution. Owing to these measures the level of technical safety will increase and the number of accidents will decrease.

Translation of Earthliness: An Exploration of Translation Dislocation of Folk Language in Chin P'ing Mei in Late Ming Dynasty within the Framework of Aesthetic Reception

As the first full-lenght satiric novel, Jin Ping Mei (Chin P'ing Mei), written by Lanling Xiaoxiao Sheng at the end of the Ming Dynasty, elaborates the social and worldly affairs comprehensively through vivid language and skillful usage of literary devices. Due to the richness of the folk language for the language forms, and the differences and great colloquial and regional characteristics to the Western readers in the geographical and time facets, for the purpose of reception in the target culture, the translator gives adjustment or modification to folk languages forms like dialect, slang, idiom, and proverbs, etc., which engenders certain translation dislocation to some extent. Through qualitative and comparative analyses, this paper aims to offer a preliminary exploration of the basic paradigm, causes, and construction process of the translation dislocation of the folk language in those two English translation versions of Jin Ping Mei from the four dimensions of readers' expectation horizons, aesthetic distance, integration of horizons, and the construction of respond-inviting structures under the perspective of aesthetic reception theory, so as to provide an avenue for English readers to delve into the peculiar translation dislocation of the folk language in the translation of Chinese classical works.

Impact of COVID-19 Vaccination on Female Fertility.

Despite evidence in previous literature regarding vaccine safety, more data were needed as concerns about COVID-19 vaccines were raised, particularly regarding their effects on female fertility, exacerbated by the widespread dissemination of information without scientific evidence. This study aims to answer the question: does COVID-19 vaccination have any impact on female fertility at a population level. In this ecological study, vaccination rates against COVID-19 and birth rates in 100 different countries were correlated. In addition, the correlation between these two rates of interest and the Gini index were also analyzed. Data were retrieved from the World Population Prospects document produced by the Population Division of the United Nations Department of Economic and Social Affairs, from the World Health Organization (WHO) website, and from the World Bank website. Statistical analyses were conducted using the ANOVA test, and Pearson's correlation using the JASP software. For all analyses, results were considered significant if P < 0.05. In evaluating the trend of the birth rate in the countries included in the study, a persistent reduction of approximately 1.66% per year was observed between 2010 and 2022. From 2019 to 2022, the decline was close to 5%, resulting in an annual average reduction of 1.68%, which is similar to previous years. Among the selected countries, until December 2021, the average number of vaccine doses administered was 137 per 100 inhabitants. There was no observed correlation between the number of vaccine doses administered in different countries and the variation in the birth rate per thousand inhabitants between 2019 and 2022 (Pearson's r = 0.075; P = 0.455). A correlation was found between the Gini index and the birth rate, considering the base year of 2022, with a Pearson's r value of 0.376 (P < 0.01). This correlation remained consistent for all other years. A negative correlation was found between vaccine doses and the Gini index, with a Pearson's r value of -0.219 (P = 0.040). The findings of this article, as well as previous scientific evidence, do not identify any correlation between COVID-19 vaccines and female fertility issues. The associations analyzed in this study indicate the safety of vaccines for reproductive health and contribute to reducing vaccine hesitancy among the population of childbearing age.

Delegation of Authority to Human Beings: A Late Safavid Theologian’s Account on the Legislative Meaning of Tafwīḍ

Abstract In this article, I intend to examine an account of human free will suggested by one of the most prominent figures in religious institutions during the Safavid reign, which had a long-term effect on subsequent discussions on the subject. Muḥammad Bāqir Majlisī (1627–1699), a renowned theologian, muḥaddith, and jurist who played a significant role in shaping Shīʿism in Iran, emphasized human free will (ikhtiyār) in his various works. While he considers it a self-evident truth, Majlisī attempts to justify human agency in voluntary activities through his arguments. However, it appears that his emphasis on human free will is primarily aimed at demonstrating that individuals are legally bound. Due to the limitations of human intellect, Majlisī argues that humans cannot be considered competent to create the legal rules they must follow. Consequently, individuals are not authorized to determine their own obligations even though they are responsible for their actions. Thus, while Majlisī was determined to establish that humans possess free will, he believed that individuals were not allowed to exercise this freedom in the realm of social and political affairs.

WHY DOES HOMELESS GOVERNANCE IS NOT WORKING IN LOCAL GOVERNMENT?

The number of homeless in Tangerang Regency is the highest in Banten province, so a government commitment is needed to control the high number of homeless in Tangerang Regency. This study aims to identify and describe the factors that cause the governance of homelessness prevention in Tangerang District not to be optimal by using the constructivism paradigm that relies on qualitative data with an inductive approach. The data analysis technique used is thematic analysis with the coding method. The results of the study illustrate that the governance of homeless control in Tangerang Regency is still not running optimally. There are several factors affecting the homelessness governance is not working, namely the lack of human resources, lack of infrastructure, and lack of accredited LKSA by the Ministry of Social Affairs. The concept of governance is needed in controlling vagrancy so that the government plays a role in involving other actors in realizing good governance.

Improvement of Elderly Welfare Through Food Program

The general background increasing number of elderly in society requires effective welfare programs to meet their specific needs. Specific background in Indonesia, the Food Program of the Ministry of Social Affairs aims to provide essential nutritional support for this demographic group. Knowledge gap although this program has been implemented, there is still a lack of comprehensive analysis regarding its effectiveness and reach, especially in the Sidoarjo District. This study aims to fill this knowledge gap by evaluating the program through descriptive qualitative methods, including observation and interviews. Results findings indicate that the implementers' understanding of the program has improved due to socialization activities. Positive changes have been recorded among beneficiaries, demonstrating the program's potential to improve the welfare of the elderly. The novelty of this study lies in the comprehensive assessment of the components of the Food Program. Implications these findings can serve as a guide for improving and adapting social welfare programs in the future, emphasizing the importance of addressing the welfare of the elderly in community development initiatives. Highlights: Improved understanding of the Food Program through socialization activities. Need to increase the number of eligible elderly beneficiaries. Program meets health standards, indicating successful food provision. Keywords: Program, Food, Social, Effectiveness, Welfare

24-hour movement behaviours and cardiometabolic markers in women with polycystic ovary syndrome (PCOS): a compositional data analysis.

Are 24-h movement composition and time reallocations between the movement behaviours (moderate-to-vigorous physical activity (MVPA), light physical activity (LPA), sedentary behaviour (SB), and sleep) differentially associated with cardiometabolic markers in women with polycystic ovary syndrome (PCOS) relative to women without PCOS? There was no difference in 24-h movement composition between the groups, although among women without PCOS, reducing SB time while increasing either MVPA or LPA time was associated with beneficial differences in cardiometabolic markers, whereas in women with PCOS beneficial differences were observed only when SB time was replaced with MVPA. Women with PCOS display lower levels of physical activity, higher sedentary time, and less total sleep than women without the syndrome. Exercise interventions among women with PCOS have shown improvements in body composition and insulin sensitivity, while the findings regarding blood pressure, insulin resistance, and lipid profiles are contradictory. This study was part of a prospective, general population-based Northern Finland Birth Cohort 1966 (NFBC1966) (n = 5889 women). At the 31-year and 46-year follow-up, data collection was performed through postal and clinical examinations, including fasting blood samples and anthropometric measurements. Accelerometer data collection of 14 days (n = 2602 women) and a 2-h oral glucose tolerance test (n = 2780 women) were performed at the 46-year follow-up. Participants were identified as women with or without PCOS at age 31 (n = 1883), and the final study population included those who provided valid accelerometer data at age 46 (n = 857). Women with PCOS (n = 192) were identified based on the 2023 International Evidence-based Guideline, while those who exhibited no PCOS features were considered women without PCOS (controls; n = 665). Accelerometer-measured MVPA, LPA, and SB were combined with self-reported sleep to obtain 24-h compositions. Multivariable regression analysis based on compositional data analysis and isotemporal reallocations were performed to investigate the associations between 24-h movement composition and cardiometabolic markers. Isotemporal reallocations were expressed as differences (%Δ) from the sample's mean. There was no difference in overall 24-h movement composition between women with PCOS and controls in midlife. The 24-h movement composition was associated with waist circumference, triglycerides, fasting serum insulin, and Homeostatic Model Assessment-insulin resistance (HOMA-IR) in both controls and women with PCOS. Reallocating 15 min from SB to MVPA was associated with favourable differences in cardiometabolic markers in both controls (%Δ range from -1.7 to -4.9) and women with PCOS (%Δ range from -1.9 to -8.6). Reallocating 15 min from SB to LPA was also associated with favourable differences in cardiometabolic markers among controls (%Δ range from -0.5 to -1.6) but not among women with PCOS. The substitution technique used in this study is theoretical, which can be considered as a limitation. Other limitations of this study are the use of self-reported sleeping time and the difference in the group sample sizes. These findings suggest that women with PCOS should be targeted with interventions involving physical activity of at least moderate intensity to improve their cardiometabolic health and underline the importance of developing tailored activity guidelines for women with PCOS. This study was funded by the Jenny and Antti Wihuri Foundation, Sigrid Juselius Foundation, Novo Nordisk (NNF21OC0070372), Research Council of Finland (315921/2018, 321763/2019, 6GESS 336449), Ministry of Education and Culture of Finland (OKM/54/626/2019, OKM/85/626/2019, OKM/1096/626/2020, OKM/20/626/2022, OKM/76/626/2022, and OKM/68/626/2023), and Roche Diagnostics International Ltd. L.J.M. is supported by a Veski Fellowship. M.Nu. has received funding from Fibrobesity-project, a strategic profiling project at the University of Oulu, which is supported by Research Council of Finland (Profi6 336449). NFBC1966 follow-ups received financial support from University of Oulu (Grant no. 65354, 24000692), Oulu University Hospital (Grant no. 2/97, 8/97, 24301140), Ministry of Health and Social Affairs (Grant no. 23/251/97, 160/97, 190/97), National Institute for Health and Welfare, Helsinki (Grant no. 54121), Regional Institute of Occupational Health, Oulu, Finland (Grant no. 50621, 54231), and ERDF European Regional Development Fund (Grant no. 539/2010 A31592). T.T.P. declares consulting fees from Gedeon Richter, Organon, Astellas, Roche; speaker's fees from Gedeon Richter, Exeltis, Roche, Stragen, Merck, Organon; and travel support from Gedeon Richter. The remaining authors declare no conflicts of interest. N/A.

Dismissed or Acclaimed for Breaking Norms: The Discursive Positioning of Young Active Citizens in Czech Online Media

Despite new affordances available since the mainstreaming of digital media in countries with high levels of internet connectivity, young actors in teenage years are a group whose involvement in social and political affairs remains constrained by prevailing stereotypes regarding the social role of youth and acceptable forms of civic engagement. This paper explores the discourse on youths’ active citizenship found in Czech online media outlets, conceptualised as adult-governed spaces. Considering age as a significant exclusionary category in approaches to citizenship, the discursive construction of young active Czech citizens is studied on six concrete local actors and analysed via two types of relational positioning: (1) intra-generational (youth-to-youth) and (2) inter-generational (youth-to-adult). Media representations reveal normative expectations of youth as political actors that range from a refusal to recognise their participation to acclaiming them for it. Depending on the intersection of the actors’ agendas, their personal profiles, and the political orientation of the media outlets, the media depict the actors either negatively as deviant or positively as exceptional, reflecting contemporary ideo-political conflicts in Czechia. The paper concludes that the young age of the actors serves as an amplification factor for discreditation of a counter-attitudinal political agenda.

Realizing An Inclusive Policy For Persons with Disabilities in Indonesia Through The Art of Expressionism Gesture Photography

Inclusiveness of people with disabilities is a global issue related to equal rights and opportunities for active participation. The art of gesture photography is a medium to realize this. So, how to make it happen? Using descriptive qualitative research methods and an ethnographic approach, as well as the implementation model of Van Meter and Van Horn as the basis for data analysis. The results of the research show that there is quite a lot of potential for photography artists with disabilities in Indonesia, the absence of a specific policy has resulted in less than optimal implementation. The mistake of forming the KND, which was non-structural and independent, was to make it part of the Ministry of Social Affairs. The government needs to involve people with disabilities in making policies and not only focus disability issues on social issues, but more broadly on human rights issues.

THE IMPACT OF DIGITALIZATION ON THE DEVELOPMENT OF THE AGRO-FOOD SPHERE

The agro-food sphere is one of the key industries in the country's economy and plays a major role in ensuring food security. The development of the agro-food sphere requires the development and implementation of innovative projects in this field. The creation and implementation of such innovative projects require the availability of information support, which includes complete and up-to-date information about the objects and processes related to the project. It has been proven that the innovative development of the agro-food sphere is closely related to the digitalization process in this field. It is noted that digitalization in the management of agriculture and the agro-food sphere opens up new opportunities for increasing the efficiency, transparency, and sustainability of this industry. The main directions of implementing digitalization in the agro-food sphere have been studied, including the creation of electronic registers and databases, and the development of decision support systems. The integration of e-government services in the agro-food sphere offers significant opportunities for improving the efficiency of public administration, enhancing service delivery, improving interaction between public authorities and agricultural market entities, and ensuring sustainable agricultural development. The author has developed a methodology for the integral assessment of the level of e-government development in the country. The integral assessment is based on initial indicators, including those defined by the United Nations Department of Economic and Social Affairs. The method of the modified principal component was used to determine the weighting coefficients of these indicators in the integral assessment. Integral assessments of the components of the agro-food sphere have been determined: the food industry, retail trade in food products, and indicators related to the protection and preservation of the environment associated with the agro-food sphere. A significant correlation has been found between these integral assessments and the integral assessment of digitalization

Challenges of Leadership in the Implementation of the National Children’s Policy of Ethiopia at Bahir Dar City Administration Women, Children and Social Affairs Department

The purpose of this research was to identify the major challenges of Leadership in the implementation of the national children’s policy of Ethiopia, at Bahir Dar City Administration Women, Children and Social Affairs Department. To identify the major challenges of leadership in the implementation of the policy, constructivist research paradigm, qualitative research approach and phenomenological research design were employed. Interviews and focus group discussions were the basic tools of data collection. Purposive sampling technique and thematic data analysis are employed. The challenges of leadership in the implementation of the national children’s policy in the study area are multi-faceted. But according to the findings of this study, they are grouped into four themes. These are: economic challenges, socio-cultural challenges, lack of awareness and political and legal problems. To overcome the challenges of leadership in the implementation of the policy, the following recommendations were given. These were: providing education and health facilities for children, providing school feeding for children, creating awareness about the rights of children for all stakeholders, increasing the economic level of families, building recreational centers for children, allocating enough financial and human resources for children affairs, increasing children role and participation in decision making processes affecting them, giving due attention for the rights of children by the government and providing effective justice system for children.

Trichomonas vaginalis: comparison of primers for implementation as an in-house PCR in rural Vellore, South India

BackgroundTrichomonas vaginalis (TV) accounts for the highest burden of curable, non-viral sexually transmitted infections worldwide. Prevalence in India ranges from 0.4 to 27.4% in women and 0.0-5.6% in men. In 2015, the prevalence of TV among pregnant women of rural Vellore was 3.11% using Sekisui OSOM® Trichomonas test and culture methods. Molecular methods are the most sensitive, rapid diagnostic tool for Sexually Transmitted Infection’s (STI) albeit cost hinders implementation of commercial platforms. To determine a sensitive, sustainable molecular method, we compared three targets (Adhesin AP65, cytoskeleton Beta-tubulin BTUB 9/2 and TVK 3/7) with the highest published diagnostic accuracy against microscopy, culture and Real Time PCR (RT- PCR).Materials & methodsSix-hundred adult, sexually active women attending the Obstetrics-Gynaecology rural out-patient clinic the Rural Unit for Health and Social Affairs (RUHSA) from July 2020 - February 2021 were enrolled. A vaginal lateral and posterior fornix specimen was inoculated, onsite, into Biomed InPouch® TV culture and smeared onto a slide for fluorescence microscopy using Acridine orange. A flocked nylon swab specimen for PCR was used to determine the sensitivities of the Adhesin AP65, cytoskeleton Beta-tubulin BTUB 9/2 and TVK 3/7 gene targets. Seegene Allplex™ STI Essential Assay, S.Korea was used to confirm TV positives.ResultsNine specimens (9/600, 1.5%) were positive for TV. There was a 100% correlation between Biomed InPouch TV® culture, PCR with TVK 3/7 and RT-PCR while a correlation of 66.6% with BTUB 9/2 and AP65 gene targets. Clinically, 77.7% (n = 7) presented with white-greenish discharge per vagina, 11% (n = 1) with infertility, 22.2% (n = 2) were asymptomatic. Eight of nine patients (88.9%) had co-infections with other bacterial STIs. Prevalence of TV coinfection with Neisseria gonorrhoea was 1.1%.ConclusionCurrent hospital-based prevalence of TV in rural Vellore was 1.5%. Repetitive DNA target TVK 3/7 was more sensitive than AP65 and BTUB 9/2 primers.

Integrated sustainability perspective and spillover effects of social, environment and economic pillars: A case study using SEY model

This study examines the integrated sustainability perspective by mapping the spillover effects among sustainable development pillars including social, environment, and economy. To this end, it estimates the sustainability elasticities between a developing country, Iran, and six global regions including 1- North America, 2- Latin America and Caribbean, 3- European Union, 4- Sub-Saharan Africa, 5- Middle East and North Africa (MENA) and 6- East Asia and Pacific. This estimation uses the SEY model, an econometric package involving simultaneous equations systems, Vector Autoregressive models (VAR), and Granger causality within 1971–2019. This research differs from the previous studies by exploring the sustainability spillovers not only spatially but also across various pillars of sustainable development. The results show that the pillars of sustainable development have significant and positive elasticities. This finding accepts the integrated sustainability perspective since the pillars of sustainable development indicate considerable and synergistic effects from both spatial and contextual outlooks. In this way, the findings support globalization, openness, and flow-based governance, consistent with Sustainable Development Goals (SDGs) 16 (Peace, justice and strong institutions) and 17 (Partnerships for the goals). Therefore, policymakers should strengthen the globalization and openness by establishing and promoting international agreements, global organizations, and inclusive frameworks not only in trade, finance, and economy but also in cultural, social, and political affairs.

Future Trends of Population Aging

Population aging is an important issue related to social development, and promoting balanced population development is an important part of global population work. Population aging is an inevitable trend of social development and an important embodiment of human social progress. We must face up to the problem of population aging and take active action. This paper mainly analyzes the percentage distribution of the population of each age group in China, the United States and India. The population percentages of different age groups were calculated using the population Division of the United Nations Department of Economic and Social Affairs in 2024, which published the total population of each country in different age groups.