Initiatives Worldwide Research Articles

Is the delivery of National Disability Insurance Scheme in Australia through quasi markets achieving the right outcomes in vision rehabilitation services? A qualitative study

Purpose Despite being a pioneering social initiative worldwide, Australia’s National Disability Insurance Scheme (NDIS) still presents unresolved issues for individuals with vision-related disability regarding its processes and outcomes. This study evaluates how well the NDIS markets are perceived to achieve efficiency, responsiveness, choice, quality, and equity within the vision rehabilitation sector, and identified factors facilitating or hindering desired outcomes. Materials and methods This qualitative study conducted 22 semi-structured interviews involving individuals with vision disability, service providers, peak-body and professional-body representatives, and an NDIS planner. Results Findings across stakeholder groups show minimal variation. The NDIS’s quasi-market approach has improved participants’ choices over ways to utilise and manage their funding and consequently provided them with a sense of control and empowerment. However, inefficiencies persist due to insufficient competition, workforce shortages, price caps, information asymmetry, high transaction costs, gaming behaviour, inadequate staff training, complex and lengthy processes, and eligibility concerns. Supportive factors include effective advocacy, pragmatic regulations to maintain quality, opportunities for innovation, and service providers’ motivation for cost-effectiveness. Conclusions While NDIS markets have made significant strides in enhancing participants’ choice and control, our findings underscore the need for continued refinement to achieve broader social objectives and long-term sustainability for individuals with vision-related disability.

Scanning the horizon- environmental health indicator surveillance

Abstract Aim This work aimed to conduct a comprehensive literature review with narrative synthesis of evidence in relation to the surveillance of environmental health indicators by Public Health agencies internationally. This will strengthen the All-Hazards approach to Health Protection in Ireland. Methods The project proposal was registered on PROSPERO. Preferred Reporting Systems for Systematic Review and Meta-Analysis (PRISMA) guidelines were followed. A systematic search was conducted across five databases. In addition, relevant websites, reference lists and the grey literature were searched. Data were extracted following TIDieR-PHP guidelines. Risk of bias was considered and quality appraisal was performed using SANRA and AGREE-HS tools. A narrative synthesis of the evidence was completed. Results 12 papers were included in the final review. Four were narrative review articles describing European and worldwide initiatives and the remaining eight described a single health system. Only three papers were deemed high quality. The number of indicators monitored varied widely from one in Italy to over 400 in the USA. The most established programmes described the use of a framework such as Drivers-Pressures-States-Exposures-Effects-Actions (DPSEEA) and indicator selection criteria were applied. The papers described a variety of public health actions arising from the surveillance of environmental health indicators. The knowledge provided by this review can inform the implementation process. Establishment of a project team, and beginning with monitoring one domain is suggested. Air quality is the most frequently monitored domain internationally. The DPSEEA framework is recommended, and Briggs’ indicator selection criteria should be applied to any indicator under consideration. The system should measure both hazard and outcome measures. Finally, meaningful public health action should result from the monitoring. Key messages • Environmental health indicator surveillance is essential to all-hazards health protection. • Few public health agencies internationally are systematically monitoring environmental health outcomes.

Balancing Sustainability and Cost: Green Electricity Adoption in Chinese Vehicle Manufacturing

Abstract: Against the backdrop of escalating environmental concerns and the worldwide drive towards achieving carbon neutrality, this paper tackles the urgent task of incorporating environmentally-friendly electricity into an industry known for its substantial energy usage. The central research focuses on the justification of investing in green electricity for vehicle manufacturers in China, taking into account the abundance of other carbon reduction choices that may provide more economically efficient solutions. The study utilizes literature analysis and review to examine the economic and environmental consequences of adopting green electricity. It situates the topic within the larger framework of China's goals for sustainable economic growth and carbon neutrality. Its objective is to provide clarity on the compromises between sustainability and affordability, providing valuable perspectives on how automobile manufacturers may effectively negotiate these obstacles while actively supporting the worldwide initiative to combat climate change.

Transfer and Interruptions in Anticorruption Policies in Guatemala (2013–2019)

Guatemala ranks last in the region in terms of the penetration and perception of state corruption ranking 149th out of 180 countries. Therefore it has promoted anti-corruption initiatives such as the International Commission Against Impunity (CICIG 2007–2019). The CICIG was a unique public policy initiative worldwide with international community support and significant progress in reducing corruption. However what were the main failures encountered during the implementation process of the CICIG? This comparative individual case study analyzes two factors: sustainability and capacity building. The explanations for the CICIG’s disruptions are not understood exclusively as the absence of state capacity much less because of its design. My qualitative research delves into endogenous political contexts (client networks resilience). The research identifies some fissures in implementation and draws lessons that can be extrapolated to public policy in Latin America.

Integrated Techno-Environmental Analysis of Finely Ground Silica Sand in Sustainable Mortar Production

The environmental impacts of cement production are becoming more urgent concerns. This study examined the mechanical characteristics of cement when it is partially replaced with finely crushed sand. The experimental program consisted of three different levels of sand fineness of 459 m2/kg, 497 m2/kg, and 543 m2/kg, as well as four substitution ratios of 10%, 20%, 30%, and 40%. A total of thirteen combinations were formulated and then evaluated. The results demonstrated that increasing sand fineness from 459 m2/kg to 543 m2/kg substantially impacted the compressive strength (CS), increasing it by up to 30%, and increasing the substitution ratio from 10% to 40% reduced the mechanical strength by roughly 40%. An extensive techno-environmental evaluation showed that replacing cement with finely crushed sand is technically feasible and environmentally advantageous. This technique can decrease carbon dioxide (CO2) emissions by around 40%, emphasizing its ecological benefits and coinciding with worldwide initiatives to decrease the environmental impact of construction materials. In summary, this study demonstrates the advantages of improving the mechanical characteristics of cement while minimizing its ecological footprint. It suggests that finely crushed sand can be used as a sustainable alternative in cement manufacturing, promoting the use of more environmentally friendly construction methods.

Hibiscus sabdariffa as a Novel Alternative Strategy Against Helicobacter pylori Infection Development to Gastric Cancer.

Most gastric cancers (95%) are related to an initial Helicobacter pylori infection worldwide. Treatments against this pathogen include a mix of antibiotics, antimicrobials, and proton-pump inhibitors. Over time, H. pylori mutated, generating resistance to treatments and making it hard to combat its infection. The purpose of this review is Hibiscus sabdariffa, commonly known as hibiscus, as a potential agent for anti-H. pylori activity. Scientific interest has increased toward plant-derived bioactive compounds, which have the ability to enhance the antibiotic effect and can lead to the development of new drugs, such is the case for H. sabdariffa. In general, studies show that natural products, such as plant-derived bioactive compounds, can be used as alternative treatments from natural origin against the pathogen. The specific action mechanism of these bioactive compounds is still controversial, but it is suggested that they have an anti-inflammatory effect, and they also act as antibiotic coadjutants. Research has been conducted regarding different bioactive compounds such as polyphenols, epicatechins, alkaloids, and caryophyllenes. H. sabdariffa contains several of these compounds; therefore, more studies are needed to establish its effect against H. pylori.

The International Year of Quantum Science and Technology

Abstract On 7 June 2024, the United Nations proclaimed 2025 as the International Year of Quantum Science and Technology (IYQ). According to the proclamation, this year-long, worldwide initiative will “be observed through activities at all levels aimed at increasing public awareness of the importance of quantum science and applications.”

Unveiling the Subterranean Heritage: A Case Study of the Underground City of Kukës, Albania

Abstract This paper investigates the viability of conserving and repurposing Kukës’ underground city, which was built as a system of civil defence tunnels during the communist era in Albania. Beneath contemporary Kukës, the underground complex, which houses administrative offices and hospitals, is an important but underutilized historical and architectural asset. This study assesses the architectural elements, historical value, and present state of the tunnels using an extensive methodology that includes expert interviews, public consultations, on-site inspections, and archival research. Results highlight the site’s dual significance as a historical landmark and a possible center for innovation and tourism. The research offers strategic proposals for reviving the tunnels to strengthen the local economy, maintain cultural identity, and increase tourist attraction, drawing on foreign case studies. By promoting the inclusion of Kukës’ underground city in larger regional development projects and considering both community goals and pragmatic concerns, the article adds to the current conversations in urban planning and cultural preservation. Sustaining and repurposing Kukës’ underground city has various benefits, including enhanced cultural tourism and economic resurgence that encourage sustainable growth, the paper points out. Still, challenges like deteriorating infrastructure, security concerns, and accessibility issues must be overcome. Urban planners and politicians can apply the research’s practical implications by using it to develop a model for cultural preservation that aligns with modern social and economic goals. A sense of shared identity and legacy among the local community’s members is fostered by the initiative, which has significant social implications as well. The study has some drawbacks, including the need for significant funding and the potential for opposition from groups who do not recognize the advantages of these kinds of initiatives. To summarise, this research highlights the potential of adaptive reuse to bolster the sustainability and resilience of urban ecosystems by offering useful guidance and strategies that may be used to comparable initiatives worldwide.

The Urgency of Stakeholder Roles and Environmental Politics in Achieving SDGs through Environmental Management in Malaumkarta Village, Sorong

This study examines the implementation of Sustainable Development Goals (SDGs) through the traditional egek/sasi practices in Malaumkarta Village, Sorong Regency, Indonesia. It explores the roles of various stakeholders in integrating indigenous ecological knowledge with modern conservation efforts to achieve sustainable development. Using a qualitative case study approach, it highlights the role of a multi-stakeholder collaboration, including local youth, NGOs, religious institutions, local government, and the customary council. The study reveals that the successful localization of SDGs in Malaumkarta is attributed to a robust multi-stakeholder collaborative framework, encompassing local youth, NGOs, religious institutions, local government, and the customary council. The inaugural Egek Festival in 2023 exemplifies this collaboration, symbolizing the Moi tribe's commitment to sustainable resource management and cultural preservation. The research highlights the potential of integrating traditional ecological knowledge into modern conservation efforts and the importance of adapting global sustainability goals to local contexts. While the study's geographical scope and timeframe present limitations, its findings have significant implications for policy, practice, and future research in sustainable development, particularly in indigenous contexts. The Malaumkarta case offers valuable insights for achieving SDGs while preserving cultural heritage and ecological integrity, potentially informing similar initiatives worldwide

CHALLENGES IN DEVELOPING VACCINE FOR CANINE DISTEMPER

The Canine Distemper Virus (CDV) represents a considerable risk to domestic and wild carnivore populations globally, notwithstanding the existence of vaccinations. This study examines the significant obstacles in creating successful CDV vaccines, especially regarding virus evolution, immune evasion, cross-species transmission, and vaccine reluctance. This review aims to consolidate existing research on CDV vaccine development, emphasizing emerging technologies, such as nanoparticle and DNA vaccines, and their capacity to address present challenges in immunogenicity and cross-species protection. Through the analysis of recent findings, this review delineates significant gaps in the comprehension of CDV's genetic variety of CDVs, the sustainability of wildlife reservoirs, and the obstacles to attaining extensive vaccination coverage. This review evaluates the influence of public health infrastructure and socioeconomic factors on vaccination distribution and uptake constraints, particularly in developing areas. These findings highlight the significance of a One Health approach, which amalgamates veterinary, wildlife, and public health viewpoints to address CDV epidemics more efficiently. Future research should focus on augmenting vaccine efficacy in non-domestic species, increasing public awareness of immunization initiatives, and creating thermostable vaccines for improved distribution accessibility. This review offers critical insights into the intricacies of the CDV vaccination and presents a framework for enhancing worldwide initiatives to combat this destructive virus.

Community Initiatives and the Use of Welfare Technologies in Super-Aged Areas: A Case Study from Japan

Abstract Background Community initiatives are seen as a solution to issues such as social isolation of older people and the lack of formal care. The study examines the use of welfare technologies in two municipalities in southern Japan to enhance their community-based care systems amidst challenges like underfunding and coordination. One case, an agriculture-led town with a handful of administrators, and the other, a manufacturing-led 'Tokku' (national strategic special zone) with active central and local government involvement, provide contrasting approaches. Methods Using a case study approach, the initiatives taken by the two municipalities were identified from ’grey’ literature and examined to see what types of welfare technologies have been introduced and how, and what impacts the overall projects had on older people’s lives, well-being and care delivery. Results The current average ageing rate in Japan is 29.2%. Town A, with a population of 13,878 and a significant ageing population of 43.3%, has initiated various ICT projects since 2011. For example, recognising the difficulties older people have in accessing information, adopting a familiar ICT solution and taking time to explore new applications together contributed to the overall wellbeing during the initiation process. In contrast, ‘Tokku’ B, with a population of 916,003 and an ageing rate of 31.5%, the highest among 25 ‘Tokku’, prioritises Digital Transformation from cradle to grave. They are committed to sustainable development and improving the well-being of their residents (all ages) through collaborative strategies and a forward-looking perspective. The overall impact remains uncertain, however. Conclusion These findings shed light on Japan's technology-driven strategies to address age-related challenges, which resonate with age-friendly city initiatives worldwide. However, challenges remain, particularly in depopulated areas with limited resources and skilled care professionals. Further research, including comparative studies between Japan, Ireland and beyond, is essential to understand the impact of welfare technology integration in supporting ageing in place.

Restoring vancomycin activity against resistant Enterococcus faecalis using a transcription factor decoy as a vanA operon-inhibitor.

Vancomycin-resistant enterococci (VRE) represent a public health threat due to the few available treatments. Such alarm has triggered worldwide initiatives to develop effective antimicrobial compounds and novel delivery and therapeutic strategies. vanA operon is responsible for most cases of acquired vancomycin resistance in enterococci. Development of a transcription factor decoy (TFD) system as a vanA gene transcription-inhibitor. Vancomycin MIC was determined in the presence of TFD-lipoplexes. Additionally, the effect of TFD-lipoplexes on the expression level of the vanA gene and the growth pattern of E. faecalis was evaluated. The haemolytic activity of the developed TFD-lipoplexes and their cytotoxicity were examined. TFD-lipoplexes efficiency in treating vancomycin-resistant E. faecalis (VREF) infection was tested in vivo using a systemic mice infection model. A reduction in vancomycin MIC against VRE from 256 mg/L (resistant) to 16 mg/L (intermediate susceptible), in the presence of TFD-lipoplexes, was recorded. The developed TFD-lipoplexes lacked any effect on E. faecalis growth and significantly reduced the transcription level of the vanA gene by about 3-fold. In an initial evaluation of the safety of TFD-lipoplexes, they were found not to be overtly haemolytic to human blood or cytotoxic to human skin fibroblast cells. The co-administration of TFD-lipoplexes and vancomycin efficiently eradicated VREF infection in vivo. The developed TFD-lipoplexes successfully restored vancomycin activity against VREF. They offer a safe effective unconventional therapy against this stubborn organism and present a revolution in gene therapy that can be applied to other resistance-encoding genes in various organisms.

Toward low‐carbon cities: A review of circular economy integration in urban waste management and its impact on carbon emissions

AbstractUrban areas significantly contribute to global carbon emissions, necessitating a shift toward low‐carbon environments. The concept of low‐carbon cities presents a viable pathway for mitigating these anthropogenic emissions, particularly through solid waste management. This article explores the critical role of circular economy‐integrated waste management (CEWM) strategies in reducing carbon emissions and fostering sustainable urban development. We examine city‐level CEWM initiatives worldwide, assess the carbon emission quantification methods, and highlight specific CEWM strategies with significant carbon reduction potential. Our findings reveal that city‐level initiatives predominantly prioritize waste reduction and prevention (51%), followed by education and engagement (23%), material recycling and upcycling (21%), and waste conversion (6%). Key strategies such as composting, waste sorting, recycling, and biogas plants have demonstrated substantial potential in reducing carbon emissions. Integrating CE principles with waste management transforms the traditional linear take‐make‐dispose model into a circular approach that minimizes waste and maximizes resource efficiency. This integration is crucial for reducing carbon emissions and promoting a sustainable urban environment. A holistic perspective is required to plan and strategize for sustainable urbanization whereby CE and waste management are interconnected. CE principles provide an ideal foundation that enhances waste management strategies toward sustainability, ultimately leading to reduced carbon emissions. This article provides essential insights to equip decision‐makers with evidence‐based strategies for effective urban waste management.This article is categorized under: Climate and Environment > Circular Economy Sustainable Development > Goals

Analysis of Factors Influencing Community Resilience during the (COVID)-19 Pandemic: A Case Study from China

Objectives: In this study, we explore the factors affecting community resilience during the COVID-19 pandemic. Methods: We adopted an extensive case study methodology and employed snowball sampling to select 10 typical interviewees for semi-structured interviews. Data collected were analyzed through reading, coding, thematic analysis, and classification to extract the key variables influencing community resilience implementation. Results: Organizational systems, volunteer engagements, and technological innovations play indispensable roles in enhancing urban community resilience. The organizational system emerges as the foundational framework underpinning the realization of community resilience. Proactive involvement in emergency volunteer services constitutes the actionable cornerstone for community resilience, effectively mitigating personnel shortages in community operations. Digital technologies emerge as pivotal enablers of technological prerequisites for community resilience, fostering seamless information dissemination among diverse stakeholders within the community. Conclusion: This study offers a compelling case study of a Chinese community's response to the COVID-19 pandemic. The investigation reveals that 3 pivotal mechanisms – organizational systems, volunteer engagements, and technological innovations –assume indispensable roles in bolstering urban community resilience. The experiential insights gleaned from China's response to major public health emergencies offer invaluable lessons for the advancement of community resilience initiatives worldwide.

ADAPTABLE MATERIALS FOR SUSTAINABLE DEVELOPMENT: A FOCUS ON SANITARY PADS

Menstrual hygiene is a vital health issue affecting millions of women and girls globally, impacting their physical health, dignity, and participation in various social, educational, and economic activities (Sommer et. al., 2016). Traditional sanitary pads, predominantly composed of non-biodegradable plastics and synthetic fibres, pose severe environmental challenges, taking hundreds of years to decompose and contributing to significant waste (Garside & Sutherland, 2019). These conventional products lead to landfill overload, water pollution, air pollution from incineration, and related health hazards (Smith, 2020). Additionally, the economic and social barriers posed by the high cost of these products disrupt education, workplace participation, and perpetuate social stigmas (Kuhlmann, 2018). This paper examines the use of adaptable materials to create sustainable sanitary pads, focusing on innovative materials like biodegradable and reusable options (White & O'Neill, 2021). It highlights the potential for technological advancements to revolutionize menstrual hygiene management, aligning with the Sustainable Development Goals (SDGs) related to health, gender equality, responsible consumption, and climate action (United Nations, 2021). The paper also presents case studies of successful initiatives worldwide, addressing challenges and proposing solutions to promote widespread adoption of sustainable menstrual hygiene products (Chaudhary & Dhawan, 2022). Through collaborative efforts in education, policy-making, and community engagement, sustainable sanitary pads can contribute significantly to a healthier, more equitable, and environmentally friendly future (Jones, 2023).

NEW CHALLENGES IN DIGITALIZATION INNOVATIONS OF TOURISM SERVICES AT THE EXAMPLE OF HOSPITALITY

Digitization in tourism represents a big challenge. Worldwide initiatives are directed towards its application in the service of the industry. Already at the present time, their portfolio is quite broad and gives opportunities for the use of these innovations. The aim of the empirical study was to find out, analytically evaluate and describe the perception of the attractiveness of selected digital tools in hotel rooms and the interest in them. Through questionnaire research as a tool of quantitative research, it approximates the results on a sample of Slovak respondents, who participate in tourism and use the accommodation services regularly. The results point to the fact that digital tools harmonize the offer, but do not represent a highly attractive element without which the tourists could not imagine their stay in accommodation establishments.

ENIGMA-Chronic Pain: a worldwide initiative to identify brain correlates of chronic pain.

ENIGMA-Chronic Pain: a worldwide initiative to identify brain correlates of chronic pain.

Innovations in Aquaculture Technology and Market Access in Sub-Saharan Africa

Aquaculture refers to the farming of aquatic organisms such as fish, shellfish, and plants in controlled environments, addressing global demands for seafood while supplementing natural fish stocks and supporting food security initiatives worldwide. Aquaculture in Sub-Saharan Africa is pivotal for addressing food security challenges and fostering economic growth amidst a rapidly growing population. This article reviews the transformative role of technological innovations, sustainable practices, and market access strategies in advancing aquaculture across the region. Technological advancements such as recirculating aquaculture systems (RAS) and improved breeding techniques are enhancing productivity and sustainability. Sustainable practices like integrated multitrophic aquaculture (IMTA) promote resource efficiency and environmental integrity. Market access initiatives, including infrastructure development and value chain innovations, are critical for connecting small-scale producers with markets and improving economic returns. The methodology employed in writing this review article involved synthesizing recent literature on aquaculture innovations, sustainability practices, and market dynamics in Sub-Saharan Africa, drawing from peer-reviewed sources and recent publications to present a comprehensive overview of the subject matter. By embracing these innovations and practices, Sub-Saharan Africa can strengthen food security, support economic development, and promote sustainable aquaculture while conserving natural resources. Keywords: Aquaculture, Sub-Saharan Africa, Technological innovations, Sustainable practices, Market access.

Brazilian-Portuguese Version of My Strengths My Health System: A Methodological Study.

My Strengths My Health (MSMH) is a simplified version of the Omaha System developed for the use of patients and their caregivers. Its main objective is to enable a whole-person assessment with the participation of the patients in understanding the concepts that comprise their care plan. Since 2021, we joined a worldwide initiative to translate MSMH to other languages and this paper reports the Brazilian experience in 3 stages, developed from January 2022 to December 2023: translation and back translation of terms, its validation by freshman nursing students and its adoption by patients at an outpatient facility. Among the results, we highlight the patients' comments on the perceived ease of use of the system. MSMH adoption by caregivers and populations of different cultures and languages can amplify the comprehension of biological, psychological, social, spiritual and environmental determinants of health worldwide specially if issues on digital health literacy are considered.

Geomorphology, morphodynamic, and surficial material of the Orosi Valley, Costa Rica

The Orosi Valley in Costa Rica holds significant geomorphological importance due to its diverse landscapes shaped by tectonic activity, river systems, erosion processes, and rich biodiversity. Moreover, this valley is important for agriculture, tourism, water reservoirs, and hydroelectricity production. This study presents a comprehensive geomorphological mapping of the Orosi Valley in Costa Rica. Six distinct geomorphological units have been identified and classified through a combination of field surveys, topographic data analysis, and remote sensing techniques. These units include hillslopes, alluvial fans, terraces at the valley margins, volcanic landforms, colluvial deposits, landslide scars, and fluvial landforms. The results provide valuable insights into the geomorphological processes and landform evolution within the Orosi Valley, contributing to scientific knowledge, land use planning, natural hazard assessment, and environmental management in the region. This study holds global importance by deepening the understanding of how geomorphology, disaster risk, and socio-economic development are interconnected. It informs worldwide initiatives to create resilient communities in response to evolving environmental hazards.