Search Results (661)

Climate change is driving the need for forest management strategies that simultaneously enhance ecosystem resilience and contribute to climate change mitigation. Voluntary carbon markets (VCMs), regulated in the European Union by the Carbon Removal Certification Framework (CRCF), offer potential financial incentives for such management, but eligibility criteria—particularly biodiversity requirements—limit the applicability of certain species. This study assessed the ecological and economic outcomes of six alternative management scenarios for a 4.7 ha, 99-year-old Scots pine (Pinus sylvestris) stand in western Hungary, comparing them against a business-as-usual (BAU) regeneration baseline. Using field inventory data, species-specific yield tables, and the Forest Industry Carbon Model, we modelled living and dead biomass carbon stocks for 2025–2050 and calculated potential CO₂ credit generation. Economic evaluation employed total discounted contribution margin (TDCM) analyses under varying carbon credit prices (€0–150/tCO₂). Results showed that an extended rotation yielded the highest carbon sequestration (958 tCO₂ above BAU) and TDCM but was deemed operationally unfeasible due to declining stand health. Black locust (Robinia pseudoacacia) regeneration provided high mitigation potential (690 tCO₂) but was ineligible under CRCF rules. Grey poplar (Populus × canescens) regeneration emerged as the most viable option, balancing biodiversity compliance, climate adaptability, and economic return (TDCM = EUR 22,900 at €50/tCO₂). The findings underscore the importance of integrating ecological suitability, market regulations, and economic performance in planning carbon farming projects, and highlight that regulatory biodiversity safeguards can significantly shape feasible mitigation pathways. Full article

This article presents a qualitative analysis of GAVIN, a Blockchain-based system for educational information management that is fully compliant with the General Data Protection Regulation (GDPR). This system was designed to address the challenges of academic credential verification and recovery in a context where academic certificate issuance and verification is highly fragmented, with institutions operating isolated systems that hinder efficient verification and facilitate the proliferation of fraudulent documents. The GAVIN model introduces a multi-blockchain architecture aimed at recognition of formal, non-formal, and informal learning, guaranteeing compliance with GDPR. After completing the design and development of a functional prototype, this study discusses its qualitative evaluation by means of a validation workshop with diverse stakeholders from the education sector, using pre- and post-workshop questionnaires grounded in the Technology Acceptance Model (TAM). Results indicate a strong perceived usefulness and significant potential to improve current credentialing processes. However, concerns were raised regarding implementation feasibility, associated costs, the need for official standardization, and the importance of establishing robust governance and sustainable business models. This study offers valuable insights into the challenges and opportunities of blockchain adoption in education, providing guidance for future development and policy-making. Full article

The construction industry is one of the most resource-intensive and environmentally impactful sectors, responsible for nearly 40% of global greenhouse gas emissions, over one-third of energy consumption, and a significant share of raw material depletion. These figures underscore the urgent need to transform conventional approaches to project delivery and resource management. Integrating construction management with environmental engineering offers a comprehensive pathway to enhance efficiency, mitigate environmental pressures, and align the sector with international sustainability commitments. This paper presents a systematic review of peer-reviewed studies published between 2000 and 2025 to evaluate sustainable practices that connect these two domains. The review focuses on five thematic areas: project delivery and management strategies with sustainability goals, environmental engineering tools such as pollution control and life cycle assessment, green certification frameworks, waste reduction and circular economy practices, and the integration of emerging digital and material technologies. Together, these areas illustrate how managerial systems and engineering solutions can jointly foster sustainable outcomes. The review indicates notable progress in fields such as green certification adoption, the use of Building Information Modeling for resource efficiency, and advanced recycling technologies. However, persistent challenges remain. These include the uneven uptake of sustainable practices between developed and developing economies, limited application of digital innovations such as artificial intelligence and the Internet of Things, and insufficient policy coordination to support the United Nations Sustainable Development Goals. By synthesizing dispersed insights across disciplines, this review contributes an integrated perspective that clarifies current achievements, highlights unresolved gaps, and suggests directions for future research and practice. The analysis is intended to support policymakers, industry professionals, and scholars in accelerating the transition toward a more resource-efficient and environmentally responsible construction sector. Full article

This study compares certification systems for green healthcare facilities implemented worldwide. Healthcare facilities are complex structures designed to provide uninterrupted service while involving substantial resources, high energy consumption, and heavy human and material traffic. The COVID-19 pandemic emphasized the importance of designs that ensure hygiene, reduce environmental impact, and improve energy efficiency, making green certification systems for healthcare facilities increasingly critical. Eight certification systems currently in use across eight countries were examined, four from advanced economies (LEED in the U.S., BREEAM in the U.K., Green Star in Australia, and CASBEE in Japan) and four from developing economies (YeS-TR in Türkiye, IGBC in India, GBI in Malaysia, and GREENSHIP in Indonesia). Country selection considered regional diversity, similarities in environmental policies, and the potential for healthcare infrastructure development. A literature-based comparative analysis was conducted, and seven key categories were identified for evaluating sustainability: sustainable land and transport, water and waste management, energy efficiency, material and life cycle impact, indoor environmental quality, project management process, and innovation. The comparison revealed considerable overlap among the systems but also highlighted shortcomings in addressing healthcare-specific needs. This paper contributes to the advancement of sustainability assessment in the healthcare sector by highlighting the need for certification schemes specifically designed for medical facilities. The findings emphasize the necessity of developing healthcare-tailored frameworks that not only address environmental performance but also capture the unique operational, functional, and clinical dynamics of this sector. Full article

The study investigates how agriculture can serve as a driver of sustainable tourism and local development within the Vesuvius National Park under the European Charter for Sustainable Tourism (ECST) framework. Based on 14 semi-structured interviews with farmers, tourism operators, cultural institutions, and producer consortia, the findings reveal that agriculture plays a central role not only as a productive sector but also as a custodian of biodiversity, identity, and territorial resilience. Stakeholders emphasised the economic and symbolic value of traditional crops, highlighting how farm-based experiences, product certifications, and civil-society networks strengthen community cohesion and diversify visitor flows. Nevertheless, tourism remains predominantly concentrated in the vicinity of the volcano’s crater, thereby excluding the park’s other trails, limiting the positive impacts on rural and peripheral areas. Practical implications point to the need for improved mobility infrastructure, cross-sector coordination, and targeted incentives to link agrotourism circuits with regional branding and EU sustainability policies. Overall, the study shows that integrating agriculture into tourism governance can foster more inclusive, resilient, and territorially embedded forms of rural development in protected areas. Full article

Cities around the world are facing growing challenges related to climate change, urban sprawl, infrastructure strain, and digital transformation. In response, smart and sustainable urban development has become a global focus, aiming to integrate technology and environmental stewardship to improve the quality of life. The smart and sustainable city concept is typically applied at the city scale; however, its impact is most tangible at the neighborhood level, where residents interact directly with infrastructure, services, and community spaces. A variety of global frameworks have been developed to assess sustainability and technological integration. However, these models often fall short in addressing localized needs, particularly in regions with distinct environmental and cultural contexts. In Saudi Arabia, Vision 2030 emphasizes livability, sustainability, and digital transformation, yet there remains a lack of tailored tools to evaluate smart and sustainable progress at the neighborhood scale. This study develops HayyScore, a localized evaluation framework and prototype digital platform developed to assess neighborhood performance across five core categories: (i) Environment and Urban Resilience, (ii) Smart Infrastructure and Governance, (iii) Mobility and Accessibility, (iv) Quality of Life and Social Inclusion, and (v) Economy and Innovation. The HayyScore platform operationalizes this framework through an interactive web-based tool that allows users to input data through structured forms, calculate scores, receive category-based and overall certification levels, and view results through visual dashboards. The methodology involved a comprehensive review of global frameworks, expert input to define localized indicators, and iterative prototyping of the platform using Python 3.13.5 and Streamlit 1.45.1. To demonstrate its practical application, the prototype was tested on two Saudi neighborhoods: King Abdullah Petroleum Studies and Research Center (KAPSARC) and King Fahd University of Petroleum and Minerals (KFUPM). Key platform features include automated scoring logic, category weighting, certification generation, dynamic performance charts, and a rankings page for comparing multiple neighborhoods. The platform is designed to be scalable, with the ability to add new indicators, support multilingual access, and integrate with real-time data systems in future iterations. Full article

Dragon fruit (Hylocereus spp.), an increasingly popular tropical fruit, has attracted global interest because of its distinct appearance, nutritional value, and health advantages. As cultivation has spread from its native Central and South American regions to tropical and subtropical regions around the world, there is an increasing demand for sustainable production approaches to address environmental, economic, and social issues. This study provides current knowledge on three different types of dragon fruits—H. megalanthus, H. undatus, and H. costaricencis—and their biology, agronomic requirements, and worldwide production trends, highlighting the critical need for management solutions. Conventional practices, which frequently rely on chemical fertilizers and pesticides, are compared with new sustainable approaches such as organic amendments, high tunnel systems, and agroforestry. This review examines regional challenges like climate variability, pest and disease issues, and pollination limits and explores innovative solutions to boost production and resilience. Socioeconomic factors, including market trends, farmer education, and policy frameworks, are recognized as key influences on the adoption of sustainable practices. This article highlights important research gaps, including the need for genetic improvement, digital agriculture tools, and strong certification mechanisms. This review integrates diverse views and provides actionable ideas for researchers, policymakers, and practitioners seeking to increase productivity, environmental stewardship, and long-term sustainability in dragon fruit agriculture. Full article

Introduction: Major depressive disorder (MDD) is a mental disorder with a high prevalence rate and a high recurrence rate. Therefore, identifying and intervening in the core symptoms of MDD patients is of great significance. Anhedonia is manifested as an individual losing interest in activities or experiencing a significant decrease in the sense of pleasure, which is one of the two core symptoms of MDD. Episodic Future Thinking (EFT) training refers to the process of stimulating individuals’ hope for positive future scenarios and encouraging them to take purposeful actions, which may have an effect in alleviating anhedonia. However, the perception of anhedonia of MDD patients among Chinese healthcare professionals is still unclear, and there has been no exploration of the views of healthcare professionals regarding the implementation of EFT training for MDD patients led by psychiatric nurses in a clinical setting. Aim: This study aimed to understand the attention paid by Chinese healthcare professionals to the symptom of anhedonia in patients with MDD, as well as their previous coping strategies. This study further explored the views of healthcare professionals regarding the implementation of EFT training for MDD patients led by psychiatric nurses with a psychological therapist certificate in China, as well as suggestions for future implementation. Methods: This qualitative descriptive study adopted a phenomenological approach. Using purposive sampling, 15 healthcare professionals (psychiatrists, psychiatric nurses and psychological counselors) were recruited from the psychiatry department of a public tertiary hospital in Wuhan, Hubei Province, China. Using the NVivo 12 Plus software, the semi-structured interviews and analyses were conducted by applying Colaizzi’s seven-step phenomenological method. Rigor was ensured through checks of credibility, dependability, and confirmability during data collection and analysis. Results: A thematic analysis revealed that, while psychia-trists and psychological counselors viewed anhedonia as a significant treatment target, nurses were more focused on immediate patient safety concerns. Participants recognized the potential of EFT training to alleviate anhedonia but identified several implementation challenges, including patient resistance, cognitive limitations, and the need for tailored interventions. Conclusions: The research results indicated that psychiatric nurses had relatively poor ability to identify anhedonia. Therefore, it is necessary to enhance the awareness of psychiatric nurses regarding the clinical significance of anhedonia, and incorporate knowledge related to anhedonia into routine nursing training. It is suggested that communication and collaboration among psychiatrists, psychiatric nurses and psychological counselors should be strengthened, and an assessment and feedback process for the lack of anhedonia in patients with MDD should be established, so as to assist these patients in achieving faster psychological recovery. Given the sufficient staffing conditions in the field of psychiatry nursing in China, the design concept and curriculum of EFT training for psychiatry nurses with a psychological therapist certificate should be promoted. Encourage psychiatry nurses with a psychological therapist certificate to conduct offline and online group EFT training intervention forms for MDD patients in the hospital wards during their hospitalization periods, as well as after discharge at home. Full article

The port of Gaženica, managed by the Port Authority of Zadar, is open to public traffic of special economic interest to the Republic of Croatia. Situated outside Zadar’s city centre, with convenient access to the airport and A1 highway, this port presents significant opportunities for Zadar County’s economic growth. While also serving as a cargo and fishing port, as the second-largest passenger port in Croatia, the port of Gaženica prioritises the development of cruise ship traffic. The expansion of intermodal traffic is being facilitated through the development of a multipurpose terminal to accommodate general, roll-on/roll-off, and containerised cargo (full and empty containers). The rising number of passenger ships—particularly cruise ships—along with the increasing passenger, vehicle, and cargo traffic, poses a significant risk of pollution due to dust, noise, greenhouse gases, and other pollutants. Considering these risks, the use of alternative energy sources, decarbonisation of maritime transport, the separation of waste by type, and the proper handling and disposal of ship waste are of utmost importance. The aim of this study is to present and analyse the green transition process of the port of Gaženica through the results that have been achieved or are yet to be achieved through the implementation of green projects by the Port Authority of Zadar. For this purpose, a mixed-methods approach combining project analysis and the qualitative analysis of emissions data is used. It is important to highlight that the method of interviews with relevant representatives of institutions involved in the project was also used to gain insight into financial and infrastructural challenges, the accessibility of certain data, and potential improvements in implementation. The research results indicate that the port of Gaženica has completed four green projects, while another four are currently being implemented, with their completion expected by 2026. The research concludes that it is necessary to strengthen environmental awareness regarding proper waste disposal among all stakeholders in maritime transport, including the local community, businesses, and local authorities. The results demonstrate a need to focus on certification with the aim of strengthening the green transition process through involvement in the EcoPorts and Green Award certification schemes. It is also necessary to actively improve the public availability of data from the base station in the port of Gaženica to inform the public about environmental impacts in real time (24/7) while facilitating data collection for statistical reporting purposes. Full article

Research surrounding impacts of staffing on pharmacy residents is limited. This prospective survey study aims to elucidate relationships between burnout and weekends staffed among California pharmacy residents. Postgraduate year 1 and 2 (PGY1 and PGY2) pharmacy residents completed electronic surveys in August 2023 and February 2024. The primary outcome was the difference in burnout score changes based on weekends required to staff (measured using the Maslach Burnout Inventory-Human Services Survey for Medical Personnel). Secondary subgroup analyses measured differences in burnout scores by the overall cohort, no weekend staffing vs. weekend staffing required, PGY1 vs. PGY2, and by changes in planned professional pursuits. Of 66 respondents, no significant differences in burnout scores were observed based on the number of weekends required to staff. Final mean emotional exhaustion (EE), but not depersonalization (DP) or personal accomplishment (PA), scores were significantly higher for all residents combined, increasing from 24.8 (SD 10.2) to 28.4 (SD 11.5). Final mean EE scores were also significantly higher among PGY2s compared to PGY1s, at 35.1 (SD 0.70) vs. 25.8 (SD 12.0), respectively. Final mean burnout scores were significantly worse in those becoming less likely to pursue board specialty certification across all domains, with EE = 32.6 (SD 6.50), DP = 4.29 (4.79), and PA = 36.3 (SD 3.21). Based on these results, staffing intensity alone may not be associated with burnout among California pharmacy residents, but PGY2 pharmacy residents may be at higher risk of burnout. Higher burnout scores may predict the likelihood of pursuing board specialty certification. Future studies assessing additional confounding factors with a broader scope are needed to fully define risk factors for burnout in pharmacy residents. Full article

The increasing emphasis on environmental protection, climate change mitigation, and the transition to a circular economy requires industries, including the wood-processing sector, to integrate sustainability into strategic and operational management. Green growth indicators represent essential tools for evaluating the environmental, economic, and social impacts of business activities, while also contributing to the sustainable economics and responsible management of forest resources and products. This study applies a qualitative research design using structured interviews with 10 executives from medium and large woodworking enterprises in Slovakia. The interviews examined company strategies, practices, and challenges in sustainable development and forest resource utilization. The findings reveal that while many companies actively manage waste, invest in green technologies, and conduct internal audits, the broader implementation of environmental management systems and the uptake of public sustainability funding remain limited. Notably, 90% of respondents emphasized waste volume and recovery rates as critical indicators. Based on the results, a set of green growth indicators was developed and categorized across key thematic areas including waste management, energy efficiency, stakeholder communication, certification, and strategic planning. These indicators not only support the assessment of corporate sustainability but also strengthen efficient forest resource management, responsible use of raw materials, and the long-term economic viability of the sector. The study highlights the importance of systematically designed and practically applicable indicators for guiding companies toward sustainable competitiveness and emphasizes the need for stronger institutional support, improved access to reliable data, and integration of sustainability metrics into core business decision-making. Full article

Contemporary data on coccidioidomycosis death rates are sparse. Death certificate data for 2018–2023 from the US National Vital Statistics System were evaluated. Coccidioidomycosis deaths were identified using diagnosis codes B38.x listed anywhere on certificates. Deaths and age-adjusted mortality rates (AAMRs)/1,000,000 people, with 95% confidence intervals (CIs), were determined. We identified 1760 coccidioidomycosis-attributable deaths (AAMR = 0.75; 0.72–0.79). Most occurred in 55–74-year-olds (43.9%; corresponding AAMR = 1.72; 1.59–1.84). Males had a 2.69-fold increased AAMR versus females and American Indian or Alaska Native individuals had a 4.28-fold increased rate versus White individuals. Hispanics had a higher AAMR than the overall population (AAMR = 1.92; 1.76–2.08). AAMRs increased from 0.52 in 2019 to 0.79–0.94 in later years. Most (89.7%) death certificates were from endemic states, with Arizona having the highest AAMR. Seven hundred and thirteen certificates (40.5%) listed coccidioidomycosis as the primary cause of death, with 43.8% coded for pulmonary, 34.9% coded for disseminated, and 21.3% coded for unspecified coccidioidomycosis. Diabetes, COVID-19, and human immunodeficiency virus were more frequent on certificates with coccidioidomycosis versus without (RR range = 1.47–17.20). Mortality remained closely tied to demographic and geographic factors identified in prior studies, with county-level mapping revealing high-burden areas for targeted intervention. Coccidioidomycosis-attributable AAMRs rose over time, possibly influenced by concurrent COVID-19 infection. Only 40% of death certificates listed it as the primary cause, indicating that most patients experience chronic infection rather than death directly from the disease. These findings suggest the need for heightened clinical awareness of coccidioidomycosis, along with earlier diagnosis and prompt initiation of antifungal treatment in these high-risk groups. Full article

The growing integration of distributed energy resources and electrification of end users is driving the need for greater system flexibility in modern power grids. Various electrical assets can contribute to this flexibility, either inherently or through external control mechanisms, although their suitability varies even within the same category of assets. This paper presents a novel methodological approach to assess the flexibility potential of electrical assets based on their inherent technical characteristics and their intended installation context. Inspired by the principles of the Smart Readiness Indicator (SRI) for buildings, the proposed method employs a scoring system to evaluate a set of key functionalities that determine an asset’s readiness to contribute to system flexibility, then through a weighted sum a final index is obtained. These scores are combined through a weighted aggregation to produce a single, easy-to-interpret index that synthesizes multiple characteristics, enabling comparisons across different technologies. Unlike the SRI, this approach is not focused on certification but rather on providing a decision-support tool for end-users. The applicability of the method is demonstrated through a case study evaluating a photovoltaic inverter, followed by a sensitivity analysis to assess the robustness of the weighting scheme. Results indicate that the proposed index provides a transparent and replicable means of quantifying flexibility potential, supporting more informed planning and investment decisions. Full article

International building sustainability assessment tools (BSATs) offer a comprehensive framework for assessing environmental, economic, and social sustainability. However, these tools cannot fill the gap between their standards and the regional needs of developing countries such as Morocco. This paper presents a new framework to assess the sustainability of buildings in Morocco. The methodology proposed is the Fuzzy Delphi method to minimize the list of indicators with the help of 14 local experts and give an appropriate weight to the indicators and sub-indicators. The two-round analysis found a balanced weighting for the environmental, economic, and social dimensions, with the social pillar ranked highest in importance. A hierarchical framework of six consensus-based categories and 63 sub-indicators was developed. Consensus was measured using the dispersion threshold approach ≤ 0.2. The results show that waste and pollution (0.80), adaptability and resilience (0.78), and resources (0.75) are prioritized over the innovation category. Notably, sewage management, water reuse, and public infrastructure emerged as critical sub-indicators. A comparative evaluation against local BSATs from the region—Ethiopia, Sub-Saharan Africa, Saudi Arabia, and Oman—revealed convergence in core indicators like energy and water, yet divergence in economic and resilience criteria, reflecting regional specificities. This work contributes to the literature by presenting a validated, expert-driven assessment tool that aligns with local needs, offering a practical basis for national green certification and sustainable housing policy in Morocco and similar contexts. Full article

Personal identification (ID) is a prerequisite to many financial and social services; however, many vulnerable residents do not have ID and lack the resources to acquire it. To assess the impact of ID inaccessibility in a local context, a study was conducted throughout New Brunswick, Canada. The study objective was to understand the implications of ID requirements and the barriers to acquiring it through the lens of consumers. This mixed-methods, observational study included surveys and interviews. The survey collected demographics, socioeconomic status (SES), financial behaviors and experiences, and barriers to accessing ID. The semi-structured interviews explored individual experiences. In order to address disparities in health and social outcomes, ID requirements and barriers to access need to be acknowledged and mitigated. A total of 142 surveys were completed. Many respondents reported difficulty obtaining or replacing a driver’s license (30.8%), a provincial photo ID (47.7%), or their birth certificate (39.4%), identifying cost (34.4%) and required documentation (28.1%) as the main barriers. Thematic analysis identified three main themes: the difficulty of living without ID, barriers to obtaining or replacing an ID, and an exploration of solutions. Current ID policies restrict access to community services such as banking, housing, and employment, which are intended to support individuals to improve their situation and gain autonomy. Policies and services are required to address this urgent issue. Full article