Sustainable Strategies Research Articles

Towards sustainable development goals: Leveraging multi-data remote sensing fusion for monitoring groundwater-induced bedrock subsidence dynamics in Egypt's Nile Valley

Egypt's Golden Triangle megaproject within Egypt's vision 2030, involving land reclamation in Qena Bend's densely populated governorate, develops sustainable land management strategies. Advanced technologies and low-cost remote sensing multi-data fusion are utilized to understand subsidence dynamics influenced by geologic structure, groundwater, climate change, and human activities in Egypt's Nile Valley. This approach identifies environmental hazards and provides a detailed explanation for groundwater-induced bedrock subsidence, aiding in informed decision-making and risk avoidance. Landsat images reveal 13% increased cultivation, 28.28% urban-growth, and decreased water by 8.46%, impacting groundwater resources and controlling the situation. The Gravity Recovery and Climate Experiment(GRACE) and Global Land Data Assimilation System (GLDAS) satellite observations reveal changes in water storage, impacting climate change, groundwater storage dynamics, and aquifer behavior. Historical data indicates a significant southwest-northeast gradient in precipitation from 5 to 60 mm. GLDAS shows soil moisture decline from 0.25 to 0.23 mm. GRACE (total water storage) depleting, then slightly increasing from 2020 to 2023 with an average value (−5 cm/yr). Groundwater storage increases in wet seasons, in 2015 showing (+3–4 mm), less than (+1 mm) in (2018), and (+6–8 mm) in (2020–2023). The NE-SW and NW-SE faults increase hydraulic connection and recharge from aquifers, causing groundwater circulation and karstification in Eocene limestone aquifers, posing risks to urban development and human safety. The InSAR (Synthetic Aperture Radar) measures ground subsidence over time, revealing a range of (−0.04 to −0.07m) in the northwest to (+0.03m) in the southeast, with average subsidence (-4 cm), primarily associated with increased groundwater storage motivate the interaction between the carbonate and groundwater. The ArcGIS overlay model divides the region into three zones: northern, middle, and southern, each with varying degrees of displacement and groundwater storage. The findings emphasize the significance of remote sensing in hazard evaluation for development planning due to its cost-effectiveness and accuracy, applicable globally in hydrogeologically similar areas.

Integrating proximal geophysical sensing and machine learning for digital soil mapping: Spatial prediction and model evaluation using a small dataset

Geophysical methods support soil security by providing non-invasive tools to assess soil properties, monitor degradation, and guide sustainable management strategies. However, studies focusing the spatial prediction of geophysical data remain limited. In this research, we aimed to model and predict the spatial distribution of soil geophysical properties using parent material and terrain attributes with machine learning algorithms. In addition, we tested the nested leave-one-out cross validation (nested-LOOCV) method to deal with datasets with limited size. We performed a geophysical survey using three types of sensors (radiometric, magnetic and electric methods). The random forest (RF) and support vector machine (SVM) algorithms presented the best results, with RF showing higher performance for K40 and magnetic susceptibility, and SVM had higher performance for eU, eTh and apparent electrical conductivity. Parent materials and digital elevation model were the most significant variables for the modelling. The nested-LOOCV method proved to be adequate for small soil dataset. Machine learning techniques are potential tools for modelling soil geophysical variables. The combination with computational techniques shows the great relevance of geophysical measurements for the estimation of soil properties related to fertility and soil genesis.

Ultra-Pressurized Deposition of Hydrophobic Chitosan Surface Coating on Wood for Fungal Resistance.

Fungi (Neolentinus lepideus, Nl, and Trametes versicolor, Tv) impart wood rot, leading to economic and environmental issues. To overcome this issue, toxic chemicals are commonly employed for wood preservation, impacting the environment and human health. Surface coatings based on antimicrobial chitosan (CS) of high molar mass (145 × 105 Da) were tested as wood preservation agents using an innovative strategy involving ultra-pressurizing CS solutions to deposit organic coatings on wood samples. Before coating deposition, the antifungal activity of CS in diluted acetic acid (AcOOH) solutions was evaluated against the rot fungi models Neolentinus lepideus (Nl) and Trametes versicolor (Tv). CS effectively inhibited fungal growth, particularly in solutions with concentrations equal to or higher than 0.125 mg/mL. Wood samples (Eucalyptus sp. and Pinus sp.) were then coated with CS under ultra-pressurization at 70 bar. The polymeric coating deposition on wood was confirmed through X-ray photoelectron spectroscopy (XPS), energy dispersive X-ray spectroscopy (EDS), scanning electron microscopy (SEM) images, and water contact angle measurements. Infrared spectroscopy (FTIR) spectra of the uncoated and coated samples suggested that CS does not penetrate the bulk of the wood samples due to its high molar mass but penetrates in the surface pores, leading to its impregnation in wood samples. Coated and uncoated wood samples were exposed to fungi (Tv and Nl) for 12 weeks. In vivo testing revealed that Tv and Nl fungi did not grow on wood samples coated with CS, whereas the fungi proliferated on uncoated samples. CS of high molar mass has film-forming properties, leading to a thin hydrophobic film on the wood surface (water contact angle of 118°). This effect is mainly attributed to the high molar mass of CS and the hydrogen bonding interactions established between CS chains and cellulose. This hydrophobic film prevents water interaction, resulting in a stable coating with insignificant leaching of CS after the stability test. The CS coating can offer a sustainable strategy to prevent wood degradation, overcoming the disadvantages of toxic chemicals often used as wood preservative agents.

Calcium oxide nanoparticles ameliorate cadmium toxicity in alfalfa seedlings by depriving its bioaccumulation, enhancing photosystem II functionality and antioxidant gene expression

Cadmium (Cd) is a highly toxic and carcinogenic pollutant that poses significant risks to living organisms and the environment, as it is absorbed by the plant roots and accumulates in different parts of crop during its production. A promising sustainable strategy to counteract these threats to use calcium oxide nanoparticles (CaO-NPs) as soil supplements in fodder crops. This approach has shown notable morpho-physiological and biochemical improvements under metal toxicity conditions. However, the specific mechanisms driving Cd tolerance, particularly at physio-biochemical level and antioxidant related genes expression in fodder crops including alfalfa remain unexplored. CaO-NPs supplementation can trigger various signaling pathways that lead to enhance the photosynthetic pigments formation, stomatal conductance, CO2 assimilation rate and quantum yield of photosystem II. In this study, we evaluated various doses of CaO-NPs (0, 25, 50, and 100 mg kg−1) for their efficacy in reducing Cd bioavailability and toxicity in alfalfa plants. Our results demonstrated that Ca2+ and Cd2+, which share the same ionic radius, compete for ion transport through channels. The small size and high availability of CaO-NPs facilitate their rapid translocation within plant tissues, reducing metal uptake by 61 % in shoots and 30 % in roots. Notably, application of CaO-NPs at 100 mg kg−1 significantly increased shoot length (44 %) and root lengths (35 %) as compared to Cd-treated control plants. The highest dose of CaO-NPs also improved photosynthetic efficiency and gas exchange attributes including (gs, Tr, Pn and Ci) by 66 %, 27 %, 33 % and Ci 21 %, respectively, compared with the Cd treated control. Moreover, CaO-NPs (at 100 mg kg−1) alleviated metal-induced oxidative stress by boosting antioxidant enzyme activity like SOD (25 %) POD (42 %), CAT (72 %) and APX (87 %) and diminishing reactive oxygen species (ROS) production when compared with sole Cd treatment. Scanning and transmission electron microscopy revealed that CaO-NPs positively impacted stomatal conductance and mitigated Cd toxicity in leaf ultrastructure. Additionally, the highest dose of CaO-NPs markedly upregulated the expression of antioxidant-related genes, MsCu/Zn SOD, MtPOD, MtCAT, and MtAPX in roots and shoots by 0.67 and 1.03 fold-change (FC), 0.61 and 0.53 FC, 0.54 and 0.88 FC, and 0.46 and 0.66 FC, respectively. In conclusion, CaO-NPs demonstrate significant potential for environmentally friendly mitigation of Cd stress in alfalfa by reducing its uptake, thereby supporting sustainable agriculture.

Modified Biochar Materials From Eucalyptus globulus Wood as Efficient CO2 Adsorbents and Recyclable Catalysts

AbstractHighly porous carbon materials derived from renewable resources constitute a promising and sustainable strategy regarding the enhancement of CO2 capture technologies. In this work, the valorization of Eucalyptus globulus wood, a forest invasive species present in European forests, is performed through its transformation in biochar. The deposition of nitrogen and different metals (aluminum, copper and chromium) onto biochar is performed, using the magnetron sputtering as a pioneering technique, to produce coated biochar nanoparticles with improved properties. The resultant modified biochar particles maintain a highly porous structure and present a remarkable CO2 adsorption capacity (up to 4.80 mmol g−1 for N@BC), which is attributed to the synergy of their large total surface area (527 m2 g−1) and microporosity (pore diameter = 21 Å), with a high content of nitrogen and oxygen heteroatom moieties (40.4% N, 11.4% O). Their application as heterogeneous bifunctional catalysts in CO2 cycloaddition to epichlorohydrin is performed, in the absence of any solvent or co‐catalyst, under moderate conditions (20 bar CO2, 120 °C), leading to good conversions (up to 58% conversion) and excellent selectivity for cyclic carbonates. Cu‐coated biochar is shown to be more stable than non‐modified material, being recycled and reused along 4 consecutive runs without loss of catalytic activity or selectivity.

The environmental costs of clean cycles: Quantitative analysis for the case of PVC window profile recycling in Germany

AbstractRecycling schemes for long‐lived products are challenged by the presence of “legacy substances,” which have been used in production in the past, but are nowadays classified as substances of concern. This study quantitatively evaluates the trade‐offs between phasing out legacy substances, increasing circularity levels, and reducing life cycle impacts of polyvinylchloride (PVC) window profiles recycling in Germany based on a comprehensive dynamic material and substance flow analysis coupled with a prospective life cycle assessment. Scenario results indicate that although lead had been phased out in virgin PVC by 2015, lead concentrations in end‐of‐life PVC window profiles will remain above 0.3% until the end of the century without a restriction of lead in recycled PVC and will be by factor 3–5 higher compared to a restriction as stipulated by EU 2023/923. However, the latter is associated with lower recycling rates and higher life cycle environmental impacts of PVC window frame waste management, which cannot be fully compensated by the introduction of new waste treatment pathways using currently available technologies. The study serves to introduce a new comprehensive modeling framework, which allows for the consideration of trade‐offs between substance, material, and environmental impact dimensions as a basis for discussing and developing sustainable waste management strategies.

The Impact of Digital Technology on Water Resources Management: Evidence from China

Digital technology is gradually emerging as a new driving force in the field of water resources management. In this paper, we conduct a thorough analysis of panel data from 30 provinces in China spanning from 2013 to 2022. Utilizing the fixed-effects model, the mediation effect model, a panel threshold model, and a coupling coordination degree model, this study empirically examines the impact of digital technology on water resources management. The findings are as follows: (1) The direct impact of digital technology on water resources management is significantly positive at the 1% level, with notable regional variations. (2) Digital technology improves water management through green innovation. (3) In the process of digital technology promoting water resources management, green innovation exhibits a threshold effect, with an estimated threshold value of 1.840. (4) During the sample period, the national coupling coordination degree of digital technology and water resources management was barely coordinated, showing the following characteristics: Eastern China > Western China > Central China. These research conclusions will offer valuable insights and directions for advancing sustainable water resources management strategies and fostering the deep integration of digital technology and water resources management.

Analysis of research trends on tax morale in indexed journals in Indonesia

This study aims to analyze the research trends on tax morale in taxation journals indexed in Indonesia from 2019 to 2024. The method used is a systematic literature review by collecting data from various journals accredited by the Science and Technology Index (SINTA). The results show a significant increase in the number of publications discussing tax morale, especially in 2020, influenced by the COVID-19 pandemic. Factors such as trust in the government, social norms, and strict sanctions were found to have a positive impact on tax morale and tax compliance. The study also found that tax morale can be an effective tool for improving tax compliance through a holistic approach, including tax education, tax audits, sanctions, and incentives. This study provides important contributions to the taxation literature by presenting an in-depth analysis of tax morale research trends and their implications for tax policy in Indonesia. These findings are expected to help policymakers design more effective and sustainable taxation strategies.

Microplastics and Nanoplastics as Environmental Contaminants of Emerging Concern: Potential Hazards for Human Health

With nearly 40% of the total plastics produced being used for packaging, up to five trillion plastic bags are consumed in the world annually. The inadequate disposal of plastic waste and its persistence has become a serious challenge/risk to the environment, health, and well-being of living creatures, including humans. The natural degradation of plastics is extremely slow; large pieces of plastic may break down into microplastics (MPs) (1 μm–5 mm) or nanoplastics (NPs) (<1000 nm) after protracted physical, chemical, and/or biological degradations. A brief overview of the transport of micro- and nanoplastics in the aquatic, terrestrial, and atmospheric environments is presented. Details are provided on the exposure routes for these waste materials and their entry into humans and other biota through ingestion, inhalation, and dermal contact. The greatest concern is the cumulative impact of the heterogeneous secondary MPs and NPs on planetary and human health. Inhaled MPs and NPs have been shown to affect the upper respiratory tract, lower respiratory tract, and alveoli; prolonged exposure can lead to chronic inflammatory changes and systemic disease. These can also lead to autoimmune diseases and other chronic health conditions, including atherosclerosis and malignancy. Sustainable mitigation strategies to reduce the impact of MPs/NPs include source reduction, material substitution, filtration and purification, transformation of plastic waste into value-added materials, technological innovations, etc. Multidisciplinary collaborations across the fields of medicine, public health, environmental science, economics, and policy are required to help limit the detrimental effects of widespread MPs and NPs in the environment.

Characterisation of the bacteriomes harboured by major wireworm pest species in the Canadian Prairies.

Nearly all insects harbour bacterial communities that can have a profound effect on their life history, including regulating and shaping host metabolism, development, immunity and fitness. The bacteriomes of several coleopterans have been described; however, very little has been reported for wireworms. These long-lived larvae of click beetles (Coleoptera: Elateridae) are major agricultural pests of a variety of crops grown in the Canadian Prairies. Consequently, the goal of this study was to characterise the bacteriomes of five of the most significant pest species within the region: Limonius californicus, Hypnoidus abbreviatus, H. bicolor, Aeolus mellillus and Dalopius spp. To do this, we collected larvae from southern Manitoba fields (pre-seeding) and carried out 16S rRNA sequencing on individual specimens. Our results indicate wireworms have diverse and taxon-rich bacterial communities, with over 400 genera identified predominately from the phyla Proteobacteria, Actinobacteriota, Bacteroidota and Firmicutes. However, each species had nine or fewer genera comprising >80% of their bacteriome. Network analyses revealed some community structuring consistent among species, which may culminate in shaping/regulating host biology. Moreover, the microbial signatures were influenced by both ontogeny (early vs. late stage larvae) and reproductive strategy (sexual vs. parthenogenetic), with a myriad of other factors likely contributing to bacterial diversity that are impossible to resolve from our study. Overall, this metagenomics study represents the first to characterise the bacteriomes of wireworms in the Canadian Prairies and the findings could assist in the development of sustainable management strategies for these important agricultural pests.

Identification of optimal waste-to-energy strategies for sustainable development in Iran: SWOT analysis, hybrid MCDM methods, and game theory

The growing global focus on environmental sustainability and the pressing need for efficient waste management and energy crisis mitigation have prompted extensive investigations into sustainable waste management strategies. Given Iran's economic development and population growth, the country faces challenges in energy supply and waste management, making waste-to-energy (WtE) applications a promising solution for sustainable waste management. This study employs a combination of SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis, Multi-Criteria Decision-Making (MCDM) approaches, and game theory to explore WtE technologies and processes, evaluate their applicability within Iran's context, and identify the most effective WtE strategies for the country. Furthermore, game theory and fuzzy Shapley value analysis were utilized to determine the optimal combination of WtE development strategies. The strategy player “SO” held the highest position of power, with a fuzzy Shapley value of (0.391, 1.744, 3.264), resulting in the identification of the optimal strategy combination of SO2ST2WO1WT2, with a value of (0.429, 0.679, 0.893). The recommended combination emphasizes landfill with gas capture, development of incineration power plants, and integrated resource recovery through residue-derived fuel (RDF) implementation. Achieving these objectives necessitates energy policy reforms, pricing adjustments, improvements in the energy subsidy system, and infrastructure and market development.

Rural transformation and sustainable livelihood approaches under regional environmental policies: Evidence from two villages in the Yangtze River Delta metropolitan region, China

AbstractHasty and often uncontrolled urbanization and industrialization in metropolitan regions have pressured fragile rural ecosystems and large‐scale rural livelihoods in China. Through in‐depth observation and face‐to‐face interviews with key insiders in the villages of China's largest metropolitan region, the Yangtze River Delta, findings show that environmental policies in this region have profoundly influenced the local institutional processes and rural transformation. Through the lens of a modified sustainable livelihoods approach (MSLA), two institutional processes in formulating livelihoods strategies have stood out from case villages—state sponsorship exemplified by Yu village and grassroots entrepreneurship exemplified by Daxi village—and achieved sustainable livelihood outcomes in both collective level and household level. In particular, state‐sponsored development in Yu village was strongly supported by local leadership and trust between local cadres and villagers. In contrast, grassroots entrepreneurial development in Daxi village emphasized rural entrepreneurs' self‐learning and self‐governance capacities. As such, we argue that making sustainable livelihood strategies is not a unidirectional process like top‐down or bottom‐up, albeit multifaceted alternatives intertwined with dynamic institutional processes for collectives and households in rural areas. Ultimately, we call for more vivid and in‐depth case studies to nuance regional geography and its contextual attributes in further sustainable livelihood research in rural areas.

Vegetation degradation reduces aggregate associated carbon by reducing both labile and stable carbon fraction in Northeast China

Vegetation changes can affect soil organic carbon (SOC) content and storage by altering the inputs of plant biomass and the catabolism and anabolism of soil microorganisms. However, influence of vegetation degradation on aggregate associated carbon fractions and the contribution of different aggregates to total SOC in bulk soil remains poorly understood. In this study, undisturbed soil samples were collected from three types of grassland in Songnen grassland: an undegraded grassland (LEY, Leymus chinensis), a moderately degraded grassland (CHL, Chloris virgata), and a severely degraded grassland (SUA, Suaeda heteroptera). Three soil aggregates including macroaggregate (> 0.25 mm), microaggregate (0.053–0.25 mm) and silt and clay fraction (< 0.053 mm) were separated using wet sieving. Contents of total SOC, soil labile and stable carbon in bulk soil and different soil aggregates were measured. Compared with LEY, the mean weight diameter and geometric mean diameter under the degraded vegetation communities reduced by 39.42 % and 28.47 %, respectively. The reduction in SOC contents in bulk soil, macroaggregate, microaggregate and silt and clay fraction resulting from vegetation degradation was 49.81 %, 26.00 %, 76.17 % and 43.65 %, respectively. Under the degraded vegetation communities, contents of soil labile and stable carbon in bulk soil (45.73 % and 52.61 %, respectively), macroaggregate (17.38 % and 31.61 %, respectively), microaggregate (77.83 % and 74.18 %, respectively), and silt and clay fraction (21.20 % and 53.45 %, respectively) were significantly lower than those under LEY. The contribution of macroaggregate, microaggregate and silt and clay fraction to total SOC was 13.27 %, 23.61 % and 63.12 %, respectively. The contribution of soil aggregates to total SOC following vegetation degradation reduced by 53.63 % for microaggregate, but increased by 47.10 % for silt and clay fraction. These findings collectively indicate that vegetation degradation reduces the aggregate associated carbon content by reducing both labile and stable carbon fraction in Songnen grassland, and sustainable vegetation restoration strategies are need to enhance soil carbon storage in Northeast China.

Evaluating the Bio-Efficacy of Pesticide Combinations on Natural Enemies in Rice Cultivation

Rice cultivation is frequently threatened by pests, leading to the widespread use of chemical pesticides including organophosphates, carbamates, and synthetic pyrethroids. This study evaluates the bio-efficacy of various pesticide combinations in rice fields and their effects on natural enemies like spiders and coccinellids. Pesticides such as chlorantraniliprole, flubendiamide, Azoxystrobin, Tebuconazole, Difenconazole and cartap hydrochloride used alone or in combination were tested for their compatibility and safety. Results showed that these combinations do not significantly suppress natural enemies, making them suitable for Integrated pest management due to often carefully selected to target pests without affecting beneficial organisms. It supports the development of sustainable pest management strategies that minimize harm to beneficial organisms.

Contested agendas and discursive strategies of sustainability: A critical analysis of promotional discourses at the World Expo

Contested agendas and discursive strategies of sustainability: A critical analysis of promotional discourses at the World Expo

Assessment of homogeneous electro-Fenton process coupled with microbial fuel cell utilizing Serratia sp. AC-11 for glyphosate degradation in aqueous phase

Glyphosate (GLY), a globally-used organophosphate herbicide, is frequently detected in various environmental matrices, including water, prompting significant attention due to its persistence and potential ecological impacts. In light of this environmental concern, innovative remediation strategies are warranted. This study utilized Serratia sp. AC-11 isolated from a tropical peatland as a biocatalyst in a microbial fuel cell (MFC) coupled with a homogeneous electron-Fenton (EF) process to degrade glyphosate in aqueous medium. After coupling the processes with a resistance of 100 Ω, an output voltage value of 0.64 V was obtained and maintained stable throughout the experiment. A bacterial biofilm of Serratia sp. AC-11 was formed on the carbon felt electrode, confirmed by attenuated total reflectance-Fourier transformed infrared (ATR-FTIR) and scanning electron microscopy with energy dispersive spectroscopy (SEM-EDS). In the anodic chamber, the GLY biodegradation rate was 100% after 48 h of experimentation, with aminomethylphosphonic acid (AMPA) remaining in the solution. In the cathodic chamber, the GLY degradation rate for the EF process was 69.5% after 48 h experimentation, with almost all of the AMPA degraded by the in situ generated hydroxyl radicals. In conclusion, the results demonstrated that Serratia sp. AC-11 not only catalyzed the biodegradation of glyphosate but also facilitated the generation of electrons for subsequent transfer to initiate the EF reaction to degrade glyphosate. This dual functionality emphasizes the unique capabilities of Serratia sp. AC-11, it as an electrogenic microorganism with application in innovative bioelectrochemical processes, and highlighting its role in sustainable strategies for environmental remediation.

Adult Cattle Unit based Fodder Model for Supplementing Round the Year Green Fodder in Irrigated Subtropics of Jammu and Kashmir: A Review

Ensuring year-round provision of green fodder for a single adult cattle unit poses a significant challenge, especially in regions with distinct seasons. However, with careful planning and the use of a variety of forage crops including legumes, grains and perennial grasses, it is possible to maintain a consistent supply of green fodder. Factors such as cattle type, weight, activity levels and the nutritional quality of the fodder all influence the amount of green fodder required by adult cattle. Adequate green fodder intake is crucial for meeting their nutritional needs and maintaining optimal health and productivity. This underscores the importance of exploring sustainable strategies for year-round green fodder provision highlighting the vital role of forage crop diversity in meeting the dietary needs of adult cattle. The research experiment took place at the Research Farm of the Division of Agronomy, SKUAST- Jammu spanning two consecutive years from 2020-2021 to 2021-2022. The experimental layout consisted of eight treatments arranged in three staggered configurations during both kharif and rabi seasons alongside perennial fodders planted along the borders. The design employed a randomized block design (RBD) and was replicated three times. Significantly higher system productivity was recorded with Multicut Bajra + Cowpea - Berseem + Oats with Root slips of Napier planted in July. Multicut Sorghum + Cowpea - Lucerne + Oat with stem cuttings of Setaria planted in January recorded maximum land requirement for 1 ACU and 10 ACU’s whereas minimum land requirement for 1 ACU and 10 ACU’s was observed in Multicut Bajra + Maize - Berseem + Barley with root slips of Napier planted in July.

Tren Pariwisata Backpacker di Asia Tenggara

The backpacker tourism trend in Southeast Asia has grown rapidly in the past few decades, with Thailand becoming one of the top destinations for budget travelers. This study aims to identify the factors that make Thailand a favorite destination for backpackers in the region. The research methodology involves literature analysis, interviews with backpackers, and tourism statistics. The results show that the combination of natural beauty, cultural diversity, affordable cost of living, good tourism infrastructure, and easy access to various attractions are the main factors that attract backpackers. In addition, Thailand's image as a friendly, safe, and open country for foreign tourists also contributes to its popularity. The study also compares Thailand with its neighboring countries such as Vietnam, Cambodia, and Indonesia to understand Thailand's competitive advantages. The findings provide insights for the government and tourism industry players in developing sustainable strategies to maintain and enhance the attractiveness of the destination for the backpacker tourist segment

Contextual factors associated with successful alcohol screening and brief intervention implementation and sustainment in adult primary care

IntroductionHazardous drinking is a public health problem affecting approximately 20 % of the U.S. primary care population. Clinical trials have documented the efficacy and effectiveness of Alcohol Screening and Brief Intervention (ASBI), yet widespread implementation remains elusive, and questions remain regarding optimal implementation and sustainment strategies. Kaiser Permanente Northern California (KPNC) implemented systematic ASBI in adult primary care in mid-2013. We used 8 years of electronic health record (EHR) data, combined with surveys which captured primary care provider perceptions organized into PRISM (Practical, Robust Implementation and Sustainability Model) implementation framework domains (Intervention, External Environment, Implementation Infrastructure, and Recipients), to characterize ASBI implementation and sustainment and test how various factors are associated with ASBI rates. MethodsUsing EHR data, we calculated yearly screening rates of adults with a primary care visit, and brief intervention (BI) rates among those with a positive hazardous drinking screen, (exceeding the age and sex-specific daily and weekly low-risk NIH guidelines (≤3 per day and ≤ 7 per week for women and older men; ≤4 per day and ≤ 14 per week for men 18–65)), across KPNC, from 2014 to 2021. We collected web-based survey data, informed by the PRISM domains, from primary care providers (n = 796; 35.5 % RR) to assess perceptions on ASBI implementation and sustainability. ResultsBetween 1/1/2014 and 12/31/21 there were 5,072,270 completed screenings and 624,167 BIs. After adjusting for patient panel characteristics, we found that facilities with higher Implementation Infrastructure domain scores, indicating more robust implementation capacity, had higher screening and BI rates; facilities with higher Intervention domain scores, indicating positive perceptions of SBIRT evidence, and facilities with higher Recipients domain scores, indicating perceived organizational robustness, clinician culture and management support; and greater perceived patient needs and their likely benefit from SBIRT, had higher BI rates. ConclusionsResults provide information on factors which may facilitate successful ASBI implementation and sustainability and could inform future ASBI implementation efforts in healthcare system settings. In particular, efforts toward bolstering an organization's implementation infrastructure capacity, prior to embarking on implementation of a systematic ASBI program, could potentially help pave the way for successful implementation.

Dynamic Interactive Effects of Technological Innovation, Transportation Industry Development, and CO2 Emissions

This paper aims to clarify the intricate relationships between technological innovation, transportation industry development, and CO2 emissions to facilitate a positive synergy among technology, the economy, and climate, advancing the fulfillment of the ‘double carbon’ goal. Utilizing panel data from 30 provinces in China from 2005 to 2020, we employ the panel vector autoregressive model using a generalized method of moments to empirically examine the dynamic interactive effects between these participants. The findings reveal that the transportation industry significantly promoted the inhibitory impact of technological innovation on CO2 emissions. However, such reductions cannot counterbalance the rise in emissions from the transportation industry. Moreover, its effects varied significantly across regions. Specifically, transportation industry development within eastern China contributed to a shift in the local carbon emission effects from positive to negative under the positive influence of technological innovation. In the northeast, the transportation industry enhanced the inhibitory effect of technological innovation on CO2 emissions. In contrast, across the western region, industrial development in transportation intensified the role of technological innovation in promoting CO2 emissions. Furthermore, this work found that CO2 emissions notably diminished the CO2 reduction performance of technological innovation in the eastern part and enhanced this performance in the northeastern region. These findings further revealed the complex interplay between technological innovation, the transportation industry, and CO2 emissions. They offer insights for policymakers to tailor region-specific technologies to bolster the ‘dual carbon’ goal and sustainable transportation development strategies, thereby achieving CO2 reduction.