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1.
J Environ Sci (China) ; 150: 177-187, 2025 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-39306394

RESUMEN

Evaluating the pressure of atmospheric pollutant emissions on the atmospheric environment is crucial for effective pollution control and emission reduction policies. This study introduces a novel Atmospheric Environmental Pressure Index (AEPI) and employs a dynamic comprehensive method to evaluate China's Atmospheric Environmental Pressure (AEP) across 31 provinces from 2008 to 2017. The drivers of AEP were analyzed using a spatial panel data model, uncovering the integral role of pollution reduction policies, particularly the Air Pollution Prevention and Control Action Plan, which led to a 25% reduction in AEP during its enforcement. Our findings reveal significant spatial disparities in AEP, with higher levels in the Beijing-Tianjin-Hebei and Yangtze River Delta regions. The regression analysis identifies economic development, industrial structure, energy efficiency, environmental regulations, and urbanization as key influencing factors, though their impacts vary across different regions, suggesting the need for region-specific pollution control policies. Furthermore, the shift in the AEP gravity center from 2008 to 2017 indicated a southeastward movement, suggesting the necessity to focus air pollution control efforts on the southeast provinces. In conclusion, the AEPI developed in this study enables comparative analysis of AEP across different regions and facilitates the monitoring of long-term trends, which is valuable in guiding regional air pollution control in China.


Asunto(s)
Contaminantes Atmosféricos , Contaminación del Aire , Monitoreo del Ambiente , China , Contaminación del Aire/estadística & datos numéricos , Contaminación del Aire/prevención & control , Monitoreo del Ambiente/métodos , Contaminantes Atmosféricos/análisis , Presión Atmosférica , Urbanización/tendencias
2.
Am J Health Promot ; : 8901171241282579, 2024 Sep 09.
Artículo en Inglés | MEDLINE | ID: mdl-39250618

RESUMEN

To mitigate the impact of personal and structural barriers hindering HPV vaccination in military women, multiple research studies have advocated for adding the HPV vaccine to the mandatory list for enlistees. Intervention Mapping (IM) is a systematic and stepwise theory-based approach that has been used to inform the development of health promotion interventions and implementation strategies in community and clinical settings at national, regional, and global levels. Development and evaluation of effective strategies and multi-level interventions using IM may increase the uptake of the HPV vaccine among military females who are at-risk of HPV infections and associated co-morbidities.

3.
Front Pharmacol ; 15: 1476849, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39253378
4.
Risk Anal ; 2024 Sep 11.
Artículo en Inglés | MEDLINE | ID: mdl-39261276

RESUMEN

Critical infrastructure systems (CISs) are the cornerstone of modern cities. Substantial economic losses and social impacts are caused once natural disasters or man-made disruptions attack the CISs. As a "resilient city" has become an essential theme of communities' sustainable development, research on resilience and its practice in industries boost the CISs' capacity to respond and adapt to changing environments. From the Web of Science (WOS) Core Collection, this study screened 1,247 scientific articles related to resilience in CISs and conducted a bibliometric analysis to investigate the evolution and future potential in this field. Topic visualized networks were constructed for CIS resilience using CiteSpace, a dedicated tool for visualizing and analyzing trends and patterns in scientific literature. The results demonstrate collaborative research networks among countries, institutions, main scholar/group networks, and leading journals publishing CIS resilience work. This study also explained how the research interest evolved over the last 20 years and found the current frontiers pointing to "power systems resilience" and "supply chain resilience." The reasons were discussed subsequently from the perspectives of the influence that natural hazards (based on the EM-DAT data) and government policies have upon CISs' resilience work.

5.
JMIR Res Protoc ; 13: e55613, 2024 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-39255031

RESUMEN

BACKGROUND: Influenza represents a critical public health challenge, disproportionately affecting at-risk populations, including older adults and those with chronic conditions, often compounded by socioeconomic factors. Innovative strategies, such as gamification, are essential for augmenting risk communication and community engagement efforts to address this threat. OBJECTIVE: This study aims to introduce the "Let's Control Flu" (LCF) tool, a gamified, interactive platform aimed at simulating the impact of various public health policies (PHPs) on influenza vaccination coverage rates and health outcomes. The tool aligns with the World Health Organization's goal of achieving a 75% influenza vaccination rate by 2030, facilitating strategic decision-making to enhance vaccination uptake. METHODS: The LCF tool integrates a selection of 13 PHPs from an initial set proposed in another study, targeting specific population groups to evaluate 7 key health outcomes. A prioritization mechanism accounts for societal resistance and the synergistic effects of PHPs, projecting the potential policy impacts from 2022 to 2031. This methodology enables users to assess how PHPs could influence public health strategies within distinct target groups. RESULTS: The LCF project began in February 2021 and is scheduled to end in December 2024. The model creation phase and its application to the pilot country, Sweden, took place between May 2021 and May 2023, with subsequent application to other European countries. The pilot phase demonstrated the tool's potential, indicating a promising increase in the national influenza vaccination coverage rate, with uniform improvements across all targeted demographic groups. These initial findings highlight the tool's capacity to model the effects of PHPs on improving vaccination rates and mitigating the health impact of influenza. CONCLUSIONS: By incorporating gamification into the analysis of PHPs, the LCF tool offers an innovative and accessible approach to supporting health decision makers and patient advocacy groups. It enhances the comprehension of policy impacts, promoting more effective influenza prevention and control strategies. This paper underscores the critical need for adaptable and engaging tools in PHP planning and implementation. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/55613.


Asunto(s)
Algoritmos , Gripe Humana , Cobertura de Vacunación , Humanos , Cobertura de Vacunación/estadística & datos numéricos , Gripe Humana/prevención & control , Gripe Humana/epidemiología , Vacunas contra la Influenza/administración & dosificación , Política de Salud , Suecia/epidemiología , Adulto , Anciano , Vacunación/métodos , Masculino , Persona de Mediana Edad , Femenino
6.
J Environ Manage ; 370: 122180, 2024 Sep 09.
Artículo en Inglés | MEDLINE | ID: mdl-39255580

RESUMEN

The burgeoning electric vehicle (EV) market poses a substantial challenge to battery recycling systems, yet understanding EV battery recycling behavior from the demand side remains limited. Previous studies have analyzed perceptual or attitudinal factors, neglecting the observable attributes of EV battery recycling. To this end, we proposed a discrete choice model to investigate the differences between formal and informal recycling behaviors, identifying consumer preferences and willingness to pay. By analyzing 1190 sample data collected from Chongqing, China, we find that: (1) The formal recycling market exhibits greater sensitivity to prices compared to the informal recycling market. (2) The formal recycling market favors recycling by EV battery producers, whereas the informal recycling market shows the least preference for recycling by automobile producers. (3) Door-to-door recycling services are the most effective in facilitating the transition from informal to formal recycling markets for EV batteries. (4) Capacity subsidy policies outperform one-time fixed subsidy policies in incentivizing formal recycling. (5) The formal recycling market for EV batteries necessitates "traceability to the recycling outlet", as opposed to being untraceable. (6) The high-awareness group exhibits greater sensitivity to government policies compared to those with lower environmental concerns and less knowledge of EV battery recycling.

7.
8.
Heliyon ; 10(16): e35294, 2024 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-39220889

RESUMEN

The objective of the proposed research study is to examine how the economic policy mandates and governance frameworks of central banks affect the implementation of climate-related economic measures. Empirical evidence supports a positive correlation between the adoption of climate-related economic policies and a broader mandate for monetary policy. The existing body of research contradicts the idea that an enhanced framework for governing economic stability will result in higher implementation of financial measures related to climate change. The study, which focuses on China from 2015 to 2023, concludes that enhanced economic stability governance, founded on less integrated arrangements, leads to more successful implementation of climate-related financial measures. For other criteria such as central bank independence, the existence of a democratic government, and membership in the Sustainable Banking Network, a positive and statistically significant influence is seen across all specifications. Physical risks associated with climate change, such as heat waves, droughts, floods, and storms, as well as transition risks represented by variables like per-person CO2 emissions, policies aimed at mitigating climate change, and the financial capacity to carry out climate adaptation plans, must also manifest. Even after accounting for a new dependent variable and several alternative model parameters, the findings hold up well. We employ a fixed-effects panel regression approach to control for unobserved heterogeneity and isolate the impact of time-varying variables on renewable energy production. This methodology ensures robust and consistent estimates, providing clear insights into how monetary policy adjustments influence renewable energy investments.

9.
BMC Public Health ; 24(1): 2552, 2024 Sep 19.
Artículo en Inglés | MEDLINE | ID: mdl-39300446

RESUMEN

BACKGROUND: Although the World Health Organisation (WHO) has proposed the use of fiscal policies to mitigate consumption externalities such as overweight and obesity-related diseases, very little is known about the impacts of the different types and framing of national and/or regional fiscal policies that have been implemented over the years. There is the need to provide up-to-date evidence on the impact of fiscal policies that have been enacted and implemented across the globe. METHODS: We conducted a scoping review of all implemented government fiscal policies in the food and drinks sector to identify the different types of fiscal policies that exist and the scope of their impact on consumers as well as the food environment. Electronic databases such as the Web of Science and Google Scholar were used to search for appropriate literature on the topic. A total of 4,191 articles were retrieved and 127 were synthesized and charted for emerging themes. RESULTS: The results from this review were synthesized in MS Excel following Arksey & O'Malley (2005). Emerging themes were identified across different countries/settings for synthesis. The results confirms that fiscal policies improve consumers' health; increase the prices of foods that are high in fats, sugar, and salt; increase government revenue; and shift consumption and purchases towards healthier and untaxed foods. CONCLUSION: Governments already have the optimum tool required to effect changes in consumer behaviour and the food environment.


Asunto(s)
Salud Global , Humanos , Política Nutricional , Dieta/economía , Promoción de la Salud/economía , Promoción de la Salud/métodos
10.
BMC Med Educ ; 24(1): 1017, 2024 Sep 17.
Artículo en Inglés | MEDLINE | ID: mdl-39289665

RESUMEN

BACKGROUND: Accrediting medical specialties programs are expected to influence and standardize training program quality, align curriculum with population needs, and improve learning environments. Despite global agreement on its necessity, methods vary widely. In the Chilean context, a recent new accreditation criteria includes research productivity in relation to educational research on resident programs, so we aimed to define it. What is the profile of publications in educational research produced by Chilean medical specialty residency programs in the last five years? Based on these results, we intend to analyze the potential impact of the new accreditation policy on medical specialty programs in Chile. METHODS: We performed a preliminary bibliometric search to identify the use of the term "resident" in literature. After that, we conducted a literature search, using a six-step approach to scoping reviews, including the appraisal of the methodological quality of the articles. RESULTS: Between 2019 and 2023, an average of 6.2 articles were published yearly (19%). The bibliometric analysis revealed that the dominant thematic area of the journals was clinical, accounting for 78.1%. Most articles focused on residents (84.38%), with only two articles including graduates as participants. One university was responsible for 62.50% of the articles and participated in all multicenter studies (9.38%). Surgical specialties produced 15 research articles focused on procedural training using simulation. Psychiatry was the second most productive specialty, with 5 articles (15.63%) covering standardized patients, well-being, and mental health assessment. The most frequent research focus within residency programs over the five-year period was teaching and learning methodologies, with 19 articles representing almost 60% of the total analyzed. CONCLUSIONS: Research on medical education in Chile's postgraduate residency programs is limited, with most studies concentrated in a few universities. The new accreditation criteria emphasize educational research, posing challenges for many institutions to meet higher standards. Understanding unexplored areas in educational research and learning from successful programs can enhance research productivity and align efforts with accreditation expectations. Continuous evaluation and new research on residents' satisfaction, skills acquisition, and well-being are needed to ensure training quality and accountability.


Asunto(s)
Acreditación , Internado y Residencia , Chile , Acreditación/normas , Internado y Residencia/normas , Humanos , Curriculum , Bibliometría , Educación de Postgrado en Medicina/normas , Investigación Biomédica/educación
11.
J Am Med Dir Assoc ; : 105249, 2024 Sep 05.
Artículo en Inglés | MEDLINE | ID: mdl-39245232

RESUMEN

OBJECTIVES: Many countries have reformed their long-term care system to promote aging-in-place. Currently, there is no framework for evaluating these reforms. This review aimed to identify performance indicators used for aging-in-place reform evaluation. DESIGN: A scoping review and evidence map of literature following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews checklist. SETTING AND PARTICIPANTS: Long-term care reforms aimed at aging-in-place. METHODS: The databases Medline, Embase, and Academic Search Premier were searched. Three independent reviewers screened the articles. Pairs of data collectors extracted the data, with conflicts determined by agreement or by a third reviewer. Performance indicators were classified into the Donabedian framework as structure, process, or outcome. RESULTS: We retained 58 articles. From the included articles, 28 discussed structure indicators, comprising of 71 indicators in the domains expenditures, care availability, and workforce; 36 articles included process indicators comprising 80 indicators about care utilization, service quality, and service satisfaction; and 20 articles reported on outcome indicators comprising 34 indicators about health status and informal caregiving. CONCLUSION AND IMPLICATIONS: Most articles focused on the performance domains care expenditures and care utilization, whereas measuring effects on older adults and society was less common. A framework assessing system and services delivery indicators and the effects on those aging-in-place with actionable performance indicators is recommended.

12.
BMJ Glob Health ; 8(Suppl 3)2024 Sep 07.
Artículo en Inglés | MEDLINE | ID: mdl-39244218

RESUMEN

BACKGROUND: Indigenous knowledge and responses were implemented during the COVID-19 pandemic to protect health, showcasing how Indigenous communities participation in health systems could be a pathway to increase resilience to emergent hazards like climate change. This study aimed to inform efforts to enhance climate change resilience in a health context by: (1) examining if and how adaptation to climate change is taking place within health systems in the Peruvian Amazon, (2) understanding how Indigenous communities and leaders' responses to climatic hazards are being articulated within the official health system and (3) to provide recommendations to increase the climate change resilience of Amazon health systems. METHODS: This study was conducted among two Peruvian Amazon healthcare networks in Junin and Loreto regions. A mixed methodology design was performed using a cross-sectional survey (13 healthcare facilities), semistructured interviews (27 official health system participants and 17 Indigenous participants) and two in-person workshops to validate and select key priorities (32 participants). We used a climate-resilient health system framework linked to the WHO health systems building blocks. RESULTS: Indigenous and official health systems in the Peruvian Amazon are adapting to climate change. Indigenous responses included the use of Indigenous knowledge on weather variability, vegetal medicine to manage health risks and networks to share food and resources. Official health responses included strategies for climate change and response platforms that acted mainly after the occurrence of climate hazards. Key pathways to articulate Indigenous and official health systems encompass incorporating Indigenous representations in climate and health governance, training the health work force, improving service delivery and access, strengthening the evidence to support Indigenous responses and increasing the budget for climate emergency responses. CONCLUSIONS: Key resilience pathways call for a broader paradigm shift in health systems that recognises Indigenous resilience as valuable for health adaptation, moves towards a more participatory health system and broadens the vision of health as a dimension inherently tied to the environment.


Asunto(s)
Cambio Climático , Adulto , Femenino , Humanos , Masculino , Estudios Transversales , Atención a la Salud , Servicios de Salud del Indígena , Indígenas Sudamericanos , Liderazgo , Perú
13.
Rev Panam Salud Publica ; 48: e67, 2024.
Artículo en Español | MEDLINE | ID: mdl-39247390

RESUMEN

Objective: Analyze the implementation of diagnosis-related groups (DRGs) in Chile with a view to optimizing the distribution of public resources. Methods: A chronological narrative analysis of the main milestones was complemented by simulated application of DRGs through emulated competition and cluster analysis for evaluative purposes. Results: In 2001, DRGs were introduced in Chile in an academic context. The National Health Fund (FONASA) began using DRGs in the private sector. A public sector pilot was launched in 2015. After nearly two decades of progress, in 2020 FONASA established the DRG program as a payment mechanism for public hospitals. However, the COVID-19 pandemic slowed its development. In 2022, implementation was resumed. After evaluating the program, it was evident that the hospital clusters that had been predefined for differentiated payment did not successfully differentiate homogeneous groups. In 2023, the program was reformed, financing was increased, a single cluster and base rate were defined, and greater hospital complexity was recognized, compared to previous years. Three hospitals were added to the program, for a total of 68. Conclusions: This experience shows that it is possible to sustain a public health financing policy that achieves greater efficiency and equity in the health system, based on the existence of robust institutions that continuously develop and improve.


Objetivo: Analisar a implementação de grupos de diagnósticos relacionados (DRG, na sigla em inglês) no Chile, com o objetivo de otimizar a distribuição de recursos públicos. Método: Foi utilizada uma análise narrativa cronológica dos principais marcos, complementada por simulações da implementação de DRG usando concorrência simulada (yardstick competition) e análise de agrupamento para fins de avaliação. Resultados: O modelo de DRG foi introduzido no Chile em 2001, em um contexto acadêmico. Em 2015, o Fundo Nacional de Saúde (FONASA) começou a utilizá-lo no setor privado e, com um projeto-piloto, no setor público. Após quase duas décadas de progresso, em 2020, o programa de DRG foi implementado como mecanismo de pagamento do FONASA para os hospitais públicos. No entanto, a pandemia de COVID-19 interrompeu seu desenvolvimento. Em 2022, a aplicação foi retomada e, após uma avaliação do programa, ficou claro que os grupos hospitalares predefinidos para o pagamento diferenciado por DRG não formavam grupos homogêneos. Em 2023, o programa foi reformulado, com aumento dos recursos financeiros e a definição de um único agrupamento e de uma taxa básica, reconhecendo-se uma maior complexidade hospitalar do que nos anos anteriores. Além disso, três hospitais foram adicionados ao programa, elevando o total para 68. Conclusões: A experiência mostra que é possível dar continuidade a uma política pública de financiamento da saúde para alcançar maior eficiência e equidade no sistema de saúde com base na existência de instituições sólidas que persistam em seu desenvolvimento e contínuo aprimoramento.

14.
J Safety Res ; 90: 341-349, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39251291

RESUMEN

INTRODUCTION: This paper presents a comprehensive investigation into the current and emerging solutions, policies, and guidance employed by various agencies to mitigate wrong-way driving (WWD) activities in the United States. The study utilized a two-pronged approach, involving an online survey and follow-up phone interviews with respondents from state transportation agencies, tollway authorities, and law enforcement. METHODS: The initial step involved conducting an online survey to gather general insights about the existing strategies and practices used to combat WWD. The survey questionnaire, consisting of 12 questions, covered topics such as mitigation strategies/policies, guidance for selecting countermeasures, and topics/needs for national handbook. The survey was emailed to traffic and safety engineers from all 50 state transportation agencies and 59 tollway authorities across the nation. As the second step, follow-up phone interviews were conducted with respondents identified from the online survey. The interviews delved deeper into specific aspects such as crash/incident data collection methods, identification of crash-prone locations, countermeasure selection and implementation, experience with Intelligent Transportation Systems (ITS) applications, and future initiatives. RESULTS: The findings from the survey and interviews indicated an increasing awareness and adoption of best practices to combat WWD. Various states have implemented new policies and advanced technologies to deter WWD incidents. The insights gathered from the survey and interviews with different agencies are invaluable in shaping safe system approaches and guidelines for the national handbook on WWD solutions. PRACTICAL APPLICATIONS: Overall, this study sheds light on the efforts and progress made by state transportation agencies, tollway authorities, and law enforcement in addressing the critical issue of WWD. By gathering valuable lessons and practices from the various agencies, this research lays the groundwork for developing national guidelines to reduce WWD crashes and incidents on divided highways.


Asunto(s)
Accidentes de Tránsito , Conducción de Automóvil , Aplicación de la Ley , Estados Unidos , Humanos , Conducción de Automóvil/legislación & jurisprudencia , Conducción de Automóvil/estadística & datos numéricos , Encuestas y Cuestionarios , Accidentes de Tránsito/prevención & control , Accidentes de Tránsito/estadística & datos numéricos , Aplicación de la Ley/métodos , Entrevistas como Asunto
15.
Sci Rep ; 14(1): 20317, 2024 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-39223238

RESUMEN

Carbon emission reduction is crucial for mitigating global climate change, and green fiscal policies, through providing economic incentives and reallocating resources, are key means to achieve carbon reduction targets. This paper uses data covering 248 cities from 2003 to 2019 and applies a multi-period difference-in-differences model (DID) to thoroughly assess the impact of energy conservation and emission reduction (ECER) fiscal policies on enhancing carbon emission (CE1) reduction and carbon efficiency (CE2). It further analyzes the mediating role of Green Innovation (GI), exploring how it strengthens the impact of ECER policies. We find that: (1) ECER policies significantly promote the improvement of carbon reduction and CE2, a conclusion that remains robust after excluding the impacts of concurrent policy influences, sample selection biases, outliers, and other random factors. (2) ECER policies enhance CE1 reduction and CE2 in pilot cities by promoting green innovation, and this conclusion is confirmed by Sobel Z tests. (3) The effects of ECER policies on CE1 reduction and the improvement of CE2 are more pronounced in higher-level cities, the eastern regions and non-resource cities. This research provides policy makers with suggestions, highlighting that incentivizing green innovation through green fiscal policies is an effective path to achieving carbon reduction goals.

16.
BMC Endocr Disord ; 24(1): 175, 2024 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-39223524

RESUMEN

BACKGROUND: China has undergone a significant socioeconomic transformation over the past few decades due to the implementation of family planning policies. These societal changes have resulted in an increased susceptibility among females to developing cardiometabolic diseases (CMD). Unfortunately, studies investigating the correlation between family planning policies in China and the incidence of CMD remain scarce. METHODS: Data from 1,226 females, aged 30 years or older with ≥ 1 live birth, undergoing routine physical examinations between January 2018 and December 2021 were collected, and they were grouped by number of live births 1, 2, and ≥ 3. A binary logistic regression model was employed to examine the association between the number of live births with CMD. Furthermore, the subgroup analysis was performed to elucidate the impact of the implementation of family planning policies with CMD. RESULTS: Women with live births ≥ 3 tended to be older, had higher gravidities, a greater proportion of central obesity, general obesity, hypertension, and dyslipidemia (all P < 0.05). Across the three groups (live birth = 1, =2 and ≥ 3), the odds ratio (OR) with 95% CI for obesity were: 1.00, 3.32 (2.36-4.69), and 5.73 (3.79-8.68); for dyslipidemia were: 1.00, 1.75 (1.29-2.39), and 2.02 (1.38-2.94); and for CMD were: 1.00, 1.91 (1.44-2.54), and 2.15 (1.46-3.15), respectively (all P < 0.05). In addition, based on the different periods of the childbearing policy in China, a subgroup analysis (where age was divided into ≤ 45, 45-65, and ≥ 65 years old) found that each additional live birth increased the prevalence risk of obesity and CMD in the younger generations, while hypertension and dyslipidemia in the elder generation. CONCLUSIONS: Higher live births are positively associated with the prevalence of CMD among women in Southwest China. Moreover, giving birth after the implementation of the one-child policy tends to have a higher risk of developing CMD.


Asunto(s)
Nacimiento Vivo , Humanos , Femenino , China/epidemiología , Adulto , Nacimiento Vivo/epidemiología , Persona de Mediana Edad , Enfermedades Cardiovasculares/epidemiología , Enfermedades Cardiovasculares/etiología , Embarazo , Factores de Riesgo , Obesidad/epidemiología , Enfermedades Metabólicas/epidemiología , Política de Planificación Familiar , Dislipidemias/epidemiología , Incidencia , Pronóstico , Pueblos del Este de Asia
17.
Artículo en Inglés | MEDLINE | ID: mdl-39279024

RESUMEN

Developing countries primarily rely on fossil-based energy sources to meet their energy demands. The use of fossil fuels has several adverse environmental repercussions that damage the biosphere both directly and indirectly. Among fossil fuels, coal brings about the heaviest environmental externalities, yet its abundance makes its use widespread, particular in countries having significant power generation deficits, such as Pakistan. This study presents an environmental, technological, and economic analysis of a supercritical coal-based power unit located in Pakistan and used for electricity generation. For environmental assessment, the CML-1A baseline method in OpenLCA software was used, and eight midpoint impact indicators were selected. The functional unit chosen was 1 MWh of generated electricity. The results indicated that the category of ozone layer depletion has the least impact, whereas global warming potential has the highest impact score. Except for photochemical oxidation and human toxicity, the plant operational stage dominated most of the selected impact categories. The current paper also reveals that the removal efficiency of CO2 and other pollutants is higher in supercritical compared to subcritical plants. Moreover, the economic feasibility of supercritical plant is compared with chemical looping combustion (CLC)-based supercritical coal-fired power plant, and results shows that CLC-based coal-fired power plant is a more competitive and environmentally friendly option. The utilization of a scientific cleaner energy-management system in real-time, as exemplified in this study, may facilitate the development of a optimal policy framework that encourages for the adoption of cleaner coal power generation in developing countries, ultimately resulting in improved energy sustainability. Furthermore, this paper also presents some policy implications which could be helpful for policymakers, researchers, and industrialists to improve the sustainability of energy in emerging economies.

18.
BMC Public Health ; 24(1): 2473, 2024 Sep 11.
Artículo en Inglés | MEDLINE | ID: mdl-39261849

RESUMEN

BACKGROUND: As people age, they are more likely to experience several health conditions which are circumstances that arise throughout life that can interfere with an individual's ability to work, leading them to demand the social security system. This research aims to systematically review and synthesize studies related to health conditions in the aging process with social security policy reforms. METHODS: A systematic review was performed across Embase, Web of Science, Scopus, Pubmed, CINAHL, ASSIA (Proquest) and APA PsycNet from 1979 to 2022. Methods are outlined in a published protocol registered a priori on PROSPERO (CRD42021225820). Eligible studies include original empirical articles published in English, Spanish, French and Portuguese, using the search terms "aging" and "social security". Identified outcomes were organized into categories and a meta-ethnography was completed following the phases proposed by Noblit and Hare and the eMERGe meta-ethnography reporting guidance. RESULTS: There were 17 eligible studies from 4 continents with 10 cross-sectional, 1 both cross-sectional and longitudinal and 5 longitudinal data analysis. These assessed the relationship of health conditions that occur in the aging process related to social security policies, in particular, to retirement. The categories included (i) health as a way to promote an active working life for the elderly; (ii) health as an indicator for reforms in social security policies; (iii) retirement planning as a strategic element for coping with post-retirement life; and (iv) the relationship between social security policies and psychological health. CONCLUSIONS: This review showed that health and retirement defined in social security policies are related and have an impact on people's lives, especially in the decision to leave the labor market. Therefore, measures to assess the possible consequences of this relationship when promoting reforms on social security policies should be encouraged.


Asunto(s)
Jubilación , Seguridad Social , Humanos , Jubilación/psicología , Anciano , Estado de Salud , Política Pública
19.
Nutrients ; 16(17)2024 Aug 26.
Artículo en Inglés | MEDLINE | ID: mdl-39275172

RESUMEN

This multicenter study aims to assess the impact of public policies (PPs) on the health-related quality of life (HRQoL) of individuals with celiac disease (CD) using the Celiac Disease Questionnaire (CDQ) and PPs for Celiac Disease Score (PPCDS). This cross-sectional exploratory study was conducted in four stages: first, standardizing data from countries using the CDQ; second, analyzing PPs aimed at CD patients; third, statistically examining these data; and fourth, associating HRQoL indicators with corresponding PPs. This study analyzed 15 CDQ assessments from 12 countries from 2007 to 2023. It found that comprehensive PPs positively correlated with HRQoL outcomes (Spearman correlation of 0.358). However, policies specifically targeting gluten-free meals and certification did not significantly improve HRQoL individually, suggesting they may be more effective when implemented together. Additionally, specialized health services did not notably reduce gastrointestinal symptoms, underscoring the necessity for improved patient education to enhance the effectiveness of these services. This study concludes that implementing and rigorously monitoring regulations to support CD patients is crucial for enhancing their HRQoL.


Asunto(s)
Enfermedad Celíaca , Política Pública , Calidad de Vida , Humanos , Estudios Transversales , Encuestas y Cuestionarios , Dieta Sin Gluten , Masculino , Femenino , Adulto
20.
Saudi Med J ; 45(9): 935-944, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39218461

RESUMEN

OBJECTIVES: To analyze the fertility rate trends in the GCC countries and their association with socioeconomic factors so that policymakers may use the study findings for future healthcare plans. METHODS: Total population, crude death rate, life expectancy, literacy rate, human development index (HDI), female employment, unemployment rate, urbanisation, gross domestic product (GDP) per capita and inflation were chosen as possible predictors of TFR trends. The data were collected for the Global Burden of Disease 2021 study and other official databases such as the World Bank, the United Nations Development Program and Our World in Data for the 6 Gulf Cooperation Council (GCC) countries. Mean with standard deviation and percentage change was calculated to assess trends of TFR and all other variables from 1980-2021. RESULTS: The fertility rate declined in all 6 countries in 2021 compared to 1980. The highest decline was found in the United Arab Emirates (75.5%), while the lowest was in Kuwait (60.9%). From 1980-2021, total population, life expectancy, HDI, literacy rate, GDP, urbanisation, and female labor force increased in all GCC countries. The total population, life expectancy, urbanisation, female labor force, GDP and HDI were negatively and significantly correlated with TFR (p<0.01). The literacy rate showed a negative and significant correlation with TFR in Bahrain, Kuwait, Saudi Arabia, and Qatar. CONCLUSION: The TFR is declining in GCC countries. The plausible causes include the inclination towards postponement of marriages and excessive costs of living. These trends and associations need to be evaluated by policymakers so that they identify priority areas for interventions, allocate resources and formulate developmental plans accordingly to ensure strategic progress of the region.


Asunto(s)
Tasa de Natalidad , Esperanza de Vida , Factores Socioeconómicos , Humanos , Tasa de Natalidad/tendencias , Femenino , Esperanza de Vida/tendencias , Medio Oriente/epidemiología , Producto Interno Bruto , Estudios Longitudinales , Factores Económicos , Alfabetización/estadística & datos numéricos , Kuwait/epidemiología , Emiratos Árabes Unidos/epidemiología , Fertilidad , Urbanización/tendencias , Demografía , Empleo/estadística & datos numéricos
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