Search Results (101)

Background/Objectives: While immigrants represent 21% of Canada’s total population, they represent 30% of the country’s older population. Sociocultural and economic barriers to the Canadian healthcare system have been frequently reported among older adult immigrants. These barriers are intricately linked to a vastly understudied phenomenon-transnational health practices (THP), which may involve travelling to home countries for healthcare, accessing medicine and health-related information and resources linked to home countries. This study aimed to explore the relationships among local healthcare experiences in Canada, individual characteristics and use of THP among older adult immigrants. Methods: A mixed-methods approach was used combining statistical, spatial and qualitative methods to analyze group patterns of THP and its influencing factors. Primary data was collected through surveys and focus groups of older Mainland Chinese and older South Korean immigrants residing in Toronto. They are the two largest East Asian groups in Canada, with documented transnational ties with their home country. Results: The study found that THP were sought by both groups but were more prevalent among older Chinese immigrants. By integrating quantitative and qualitative analyses, the study revealed complex relationships between THP and barriers in local healthcare access relating to wait times, cost, language, availability, spatial accessibility and quality of care, for different types of care including primary, specialist, eye and dental care. Conclusions: The study generates new knowledge on THP in Canada and adds to the growing body of literature on transnational healthcare practices and behaviours among migrants across different countries and regions. It provides implications to inform health policy and deliver care for older adult immigrants as their populations continue to increase. Full article

This study examines the global mobility of researchers in the smart city domain from 2000 to 2020, using inter-country and intercity affiliation data from the Web of Science. Employing network analysis and spatial econometric models, the paper maps the structural reconfiguration of scientific labor circulation. The results show that the international mobility network is dense yet asymmetric, dominated by a small set of high-frequency corridors such as China–United States, which intensified markedly over the two decades. While early networks were fragmented and polycentric, the later period reveals a multipolar configuration with significant growth in South–South and intra-European exchanges. At the city level, Beijing, Shanghai, Wuhan, and Nanjing emerged as central nodes, reflecting the consolidation of East Asian hubs within the global knowledge system. Mesoscale community detection highlights the coexistence of territorially embedded ecosystems and transregional corridors sustained by thematic and reputational affinities. Growth decomposition indicates that high-income countries benefit from both talent retention and international inflows, while upper-middle-income countries rely heavily on inbound mobility. Spatial regression and quantile models confirm that economic growth and baseline scientific visibility remain robust drivers of urban smart city performance. In contrast, mobility effects are context-dependent and heterogeneous across city positions. Together, these findings demonstrate that researcher mobility is not only a vector of knowledge exchange but also a mechanism that reinforces spatial hierarchies and reshapes the geography of global smart city innovation. Full article

Background: It is important to investigate the combination of 24 h movement behaviors (24 h MB)—such as physical activity, screen time, and sleep—as children’s daily habitual behaviors significantly influence their health-related quality of life (HRQoL). However, such studies remain extremely limited in East Asia. This study aimed to examine whether adherence to the 24 h MB is associated with HRQoL among children from three East Asian countries. Methods: In this cross-sectional study, data were collected from primary school children aged 7–12 years in Japan (n = 786), China (n = 1246), and South Korea (n = 1011). HRQoL was assessed using the KIDSCREEN-27 questionnaire, while physical activity, screen time, and sleep duration were measured through a self-reported questionnaire survey. Results: Logistic regression analyses, adjusted for relevant covariates, confirmed significant associations with HRQoL subfactors including physical well-being, psychological well-being, social support, and peer relationships. Conclusions: Our findings highlight the critical relationship between adherence to 24 h MB and HRQoL in East Asian children, contributing valuable evidence to support integrated health promotion strategies in this region. Full article

Background/Objectives: Childhood stunting remains a critical public health issue in low- and middle-income countries. Despite Malaysia’s economic growth, there is limited large-scale evidence on the determinants of stunting among children from infancy to primary school age. This cross-sectional study, part of South East Asian Nutrition Surveys II (SEANUTS II), aimed to determine sociodemographic and environmental risk factors for stunting among 2989 children aged 0.5–12 years. Methods: Children were recruited from four regions in Peninsular Malaysia (Central, East Coast, 2022–2030Northern, Southern). Standing height or recumbent length was measured, and stunting was classified based on WHO criteria (height-for-age Z-score below −2 standard deviations). Parents reported information on socioeconomic status, sanitation facilities, and hygiene practices. Multivariate binary logistic regression was used to determine the determinants of stunting. Results: Stunting prevalence was 8.9%, with infants (aOR = 2.92, 95%CI:1.14–7.52) and young children (aOR = 2.92, 95%CI:1.80–4.76) having higher odds than school-aged children. Key biological predictors included low birth weight (aOR = 2.41; 95%CI:1.40–4.13) and maternal height <150 cm (aOR = 2.24; 95%CI:1.36–3.70). Chinese (aOR = 0.56; 95%CI:0.35–0.88) and Indian children (aOR = 0.16; 95%CI:0.05–0.52) had a lower risk of stunting compared to Malays. Conclusions: This study highlights the ongoing challenge of childhood stunting in Malaysia, with age, birth weight, ethnicity, and maternal height identified as key determinants. These findings call for early identification of at-risk households and targeted support, especially through education and financial aid to foster healthy child growth. Full article

Climate change is a pressing global issue with severe consequences for the planet and human health. The Earth’s temperature has risen by 2 °C from 1901 to 2023, and this warming trend is expected to continue, causing potentially dangerous shifts in climate. Climate change impacts are already visible, with more frequent and severe heat waves, droughts, intense rain, and floods becoming increasingly common. Therefore, hydropower can contribute to addressing the global climate change issue and help to achieve global energy transition and stabilize global energy security. A Long Short-Term Memory (LSTM)-based model implemented in Python for global and regional hydropower forecasting was developed for a study period of 2023 to 2060 by taking the input data from 1980 to 2022. The results revealed that Asian countries have greater hydropower potential, which is expected to increase from 1926.51 TWh in 2023 to 2318.78 TWh in 2030, 2772.06 TWh in 2040, 2811.41 TWh in 2050, and 3195.79 TWh in 2060, as compared with the other regions of the world like the Middle East, Africa, Asia, Common Wealth of Independent State (CIS), Europe, North America, and South and Central America. The global hydropower potential is also expected to increase from 4350.12 TWh in 2023 to 4806.26 TWh in 2030, 5393.80 TWh in 2040, 6003.53 TWh in 2050, and 6644.06 TWh in 2060, which is sufficient for achieving energy transition and energy security goals. Furthermore, the performance and accuracy of the LSTM-based model were found to be 98%. This study will help in the efficient scheduling and management of hydropower resources, reducing uncertainties caused by environmental variability such as precipitation and runoff. The proposed model contributes to the energy transition and security that is needed to meet the global climate targets. Full article

Background: Employing the most recent dataset from the Global Burden of Disease (GBD) Study 2021, this report sought to delineate the current epidemiologic landscape of breast cancer in Asian women. Methods: We examined the evolving trends in disease prevalence and explored the correlations between breast cancer and factors such as age, temporal periods, and generational cohorts. We utilized an autoregressive integrated moving average (ARIMA) model to predict the incidence and deaths of breast cancer in Asia. Results: From 1990 to 2021, the age-standardized incidence rate (ASIR), age-standardized DALYs rate (ASDR), and age-standardized mortality rate showed an overall upward trend for Asian women with breast cancer. In 2021, the high-income Asia Pacific region had the highest ASIR value, while South Asia had the lowest ASIR value. The highest age-standardized mortality rate and ASDR values in 2021 occurred in Southeast Asia, while the lowest values for these metrics were in East Asia. In 2021, breast cancer incidence and DALYs were highest in the 50–54 age group, with deaths peaking in the 55–59 age group. The leading risk factor attributed to breast cancer deaths in Asia in 1990 and 2021 was a “diet high in red meat”. Breast cancer incidence and mortality rates are expected to continue to rise in Asia over the next 10 years. Conclusions: The burden of breast cancer in Asian women is increasing, especially in low SDI countries. This study highlighted the differences between populations and regions and predicted the incidence and mortality rates of breast cancer in Asia over the next decade using an ARIMA model. An increased awareness of breast cancer risk factors and prevention strategies is necessary to reduce breast cancer burden in the future. Full article

Coronary artery disease (CAD) is the most prevalent form of cardiovascular disease. A growing body of research shows that interleukins (ILs), such as IL-8, IL-18 and IL-16, elicit pro-inflammatory responses and may play critical roles in the pathologic process of CAD. Single nucleotide polymorphisms (SNPs), capable of generating functional modifications in IL genes, appear to be associated with CAD risk. This study aims to evaluate the associations of ten previously identified SNPs of the three cytokines with susceptibility to or protection of CAD. A systematic review and meta-analysis were conducted using Pubmed, EMBASE, WOS, CENTRAL, CNKI, CBM, Weipu, WANFANG Data and Google Scholar databases for relevant literature published up to September 2024. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated for the four genetic models of the investigated SNPs in overall and subgroups analyses. Thirty-eight articles from 16 countries involving 14574 cases and 13001 controls were included. The present meta-analysis revealed no significant association between CAD and IL-8-rs2227306 or five IL-16 SNPs (rs8034928, rs3848180, rs1131445, rs4778889 and rs11556218). However, IL-8-rs4073 was significantly associated with an increased risk of CAD across all genetic models. In contrast, three IL-18 (rs187238, rs1946518 and rs1946519) variants containing minor alleles were associated with decreased risks of CAD under all models. Subgroups analyses by ethnicity indicated that IL-8-rs4073 conferred a significantly higher risk of CAD among Asians, including East, South and West Asians (allelic OR = 1.46, homozygous OR = 1.96, heterozygous OR = 1.47, dominant OR = 1.65), while it showed an inversely significant association with CAD risk in Caucasians (homozygous OR = 0.82, dominant OR = 0.85). Additionally, IL-18-rs187238 and IL-18-rs1946518 were significantly associated with reduced CAD risks in East Asians (for rs187238: allelic OR = 0.72, homozygous OR = 0.33, heterozygous OR = 0.73, dominant OR = 0.71; for rs1946518: allelic OR = 0.62, homozygous OR = 0.38, heterozygous OR = 0.49, dominant OR = 0.45). IL-18-rs187238 also demonstrated protective effects in Middle Eastern populations (allelic OR = 0.76, homozygous OR = 0.63, heterozygous OR = 0.72, dominant OR = 0.71). No significant associations were observed in South Asians or Caucasians for these IL-18 SNPs. Consistent with the overall analysis results, subgroups analyses further highlighted a significant association between IL-8-rs4073 and increased risk of acute coronary syndrome (heterozygous OR = 0.72). IL-18-rs187238 was significantly associated with decreased risks of myocardial infarction (MI) (allelic OR = 0.81, homozygous OR = 0.55, dominant OR = 0.80) and multiple vessel stenosis (allelic OR = 0.54, heterozygous OR = 0.45, dominant OR = 0.45). Similarly, IL-18-rs1946518 was significantly associated with reduced MI risk (allelic OR = 0.75, heterozygous OR = 0.68). These findings support the role of cytokine gene IL-8 and IL-18 variants as predisposing factors for the development and progression of CAD. Full article

Worldwide, attempted suicide and suicide death are one of the leading causes of morbidity and mortality. Women in South-East Asia are especially vulnerable, as almost 50% of all global female suicides occur in the 11 countries of the WHO South-East Asia Region. This scoping literature analysis aimed to identify and analyze the predictors or risk factors for attempted suicide and suicide death among South-East Asian women. A scoping literature review was conducted. Five databases—PubMed, MEDLINE, EBSCOhost, PsycINFO, and EMBASE—were searched. Forty studies and twelve literature reviews were eligible for inclusion. Women in South-East Asia, particularly those who are young and married, living in poverty, with low or no education, living in rural areas, with no employment outside the home, with lower socioeconomic position, and living within joint families are highly vulnerable to suicidality. This review identified gender disadvantage, infertility, domestic abuse, intimate partner violence, family conflicts, husband’s alcohol misuse, child marriage, forced marriages, and dowry disputes as the most significant predictors of attempted suicide and suicide death among South-East Asian women. A better understanding of the phenomenon is essential to develop effective gender-specific and culturally appropriate suicide prevention strategies or interventions. Full article

Hydroelectric power is one of the most important renewable energy sources in the world. It currently generates more electricity than all other renewable technologies combined and, according to the International Energy Agency, it is expected to remain the world’s largest source of renewable electricity generation into the 2030s. Thus, despite the increasing focus on more recent energy technologies, such as solar and wind power, it will continue to play a critical role in energy transition. The management of hydropower plants and future planning should be ensured through careful planning based on the suitable forecasting of the future of this energy source. Starting from these considerations, in this paper, we examine the evolution of hydropower with a forecasting analysis for a selected group of countries. We analyze the time-series data of hydropower generation from 1965 to 2023 and apply Innovation Diffusion Models, as well as other models such as Prophet and ARIMA, for comparison. The models are evaluated for different geographical regions, namely the North, South, and Central American countries, the European countries, and the Middle East with Asian countries, to determine their effectiveness in predicting trends in hydropower generation. The models’ accuracy is assessed using Mean Absolute Error (MAE), Root Mean Squared Error (RMSE), and Mean Absolute Percentage Error (MAPE). Through this analysis, we find that, on average, the GGM outperforms the Prophet and ARIMA models, and is more accurate than the Bass model. This study underscores the critical role of precise forecasting in energy planning and suggests further research to validate these results and explore other factors influencing the future of hydroelectric generation. Full article

This paper explores the challenges of measuring and classifying the East African Asian population in Aotearoa New Zealand. As a particularly diverse country, New Zealand has a significant and varied population of immigrants from South Asia, including India, Pakistan and Bangladesh, along with immigrants of South Asian origin, from Fiji, Southeast Asia, the Caribbean and East Africa. New Zealand’s system of ethnic classification relies on self-identification, with a broad definition of ethnicity encompassing heritage, ancestry, culture, language and feelings of belonging. However, the collection of this information at a granularity that enables detailed analysis is constrained for the South Asian population, regardless of origin or identification. People are typically presented with the choice of selecting “Indian” ethnicity as a tick box, or providing ethnicities under “Other” as write-in descriptors, which in turn are coded to a limited set of categories within the classification being used. This practice potentially conceals a diversity of ethnicities, which can only partially be hinted at by responses to questions relating to religions, languages and birthplaces, especially for second or third-generation descendants of migrants. Ethnic classification at the highest level, moreover, includes East African Indians as Asian, rather than African, reflecting diasporic heritage as a shorthand for ancestry and overlooking the relevance of layers of identity associated with the double diaspora. Drawing on Peter J. Aspinall’s work on collective terminology in ethnic data collection and categorizing the “Asian” ethnic group in the UK, this paper looks at the overlaps and disconnects between heritage, ethnicity and national belonging in classifying less clearcut identities. We explore the strengths and limitations of New Zealand’s self-identification approach to ethnic identity, and query what exactly is being asked of groups on the margins: when self-identification does not match external perception, are we looking for geographic, cultural, or genetic origins? A focus on the East African Asian population in Aotearoa highlights the complexity of identity for diasporic groups with distant ancestral links with India, as lived experience of cultural connection extends far beyond the bounds of ethnicity, language and even ancestry. Full article

The current research methods employed in the study of gardens are largely concentrated in the fields of landscape architecture, architecture, and ecology. However, there is a paucity of analytical methods dedicated to the domain of garden design. However, the design content of gardens is within the scope of design studies. It is therefore imperative to develop or refine research methods for the analysis of gardens that are firmly grounded in design principles. The primary contribution of this study is the development of a design analysis framework, centered on the interrelationships between ‘user–garden–environment’, which can be applied to the analysis and investigation of gardens from a ‘people, objects, and environment’ perspective, in alignment with design studies. Influenced by similar geography, environment, culture, customs, etc., the garden design of China, Japan, and South Korea presents a very East Asian design style of forms, elements, features, etc., but also formed the differences of each characteristic. This paper takes China’s Chengde Mountain Resort, Japan’s Shugakuin Imperial Villa, and South Korea’s Changdeokgung, which are listed on the World Heritage List, as examples Based on the design analysis method proposed in this paper, a relevant design comparative study is conducted in three aspects: users of East Asia’s royal gardens, the design object—the gardens—and the external environment, and the similarities and differences between the Chinese, Japanese, and Korean royal gardens are analyzed. This study aims to verify the feasibility of the analytical framework of ‘user–garden–environment’ design by analyzing typical cases of royal gardens in China, Japan, and South Korea. This will enable the creation of multiple values conducive to the development of gardens. Furthermore, the analytical framework of ‘user–garden–environment’ is subjected to a process of deconstruction through the case studies of typical royal gardens in the three East Asian countries. This is done to overcome the limitations of existing research methodologies, provide a novel systematic research methodology for garden research, and facilitate the protection and inheritance of the historical and cultural heritage of gardens in East Asia. Additionally, this approach offers a reference point for related garden research in the context of modern lifestyles. Full article

The red spider mite, Tetranychus macfarlanei, is a serious pest of many cultivated crops in Bangladesh and other East-Asian and South-East Asian countries, in the Afrotropical, Oriental, and Palearctic regions. Sublethal concentration of pesticides, such as LC₁₅ and LC₃₀ (the concentrations that result in 15 and 30 percent lethality, respectively) impact reproduction, behavior, development, and physiology. This study assessed the effects of different concentrations of spirotetramat, an insecticide that disrupts lipid production, on the biological traits of T. macfarlanei. The LC₁₅, LC₃₀, LC₅₀, and LC₉₀ values were 2.16, 6.57, 20.54, and 332.81 mg·L⁻¹, respectively. Sublethal concentrations (LC₁₅ and LC₃₀) slightly reduced female fecundity but did not significantly affect development duration, pre-oviposition, oviposition period, or longevity compared to the untreated control group. Life table parameters differed between the treated and control groups, with significant reductions in the intrinsic rate of increase (r), the net reproductive rate (R₀), and the finite rate of increase (λ) for LC₁₅ and LC₃₀. LC₁₅ and LC₃₀ had negative effects on the intrinsic rate of increase for females. This study demonstrated that lower lethal concentrations of spirotetramat compromised survivability and negatively impacted the life-table parameters of subsequent generations of T. macfarlanei. These findings highlight the importance of sublethal effects in pest control, offering valuable insights for developing more effective and sustainable integrated pest management strategies. Full article

Crimean-Congo hemorrhagic fever (CCHF) is a tick-borne disease transmitted by ticks of the genus Hyalomma and caused by a virus of the Nairoviridae family. In humans, the virus can generate different clinical presentations that can range from asymptomatic to mild illness or produce an hemorrhagic fever with a mortality rate of approximately 30%. The virus pathogenicity and the lack of effective treatment or vaccine for its prevention make it an agent of concern from a public health point of view. The main transmission route is tick bites, so people most exposed to this risk are more likely to become infected. Another risk group are veterinarians and livestock farmers who are in contact with the blood and other fluids of animals that are mostly asymptomatic. Finally, due to its first phase with a non-characteristic symptomatology, there exists a risk of nosocomial infection. It is endemic in Africa, the Balkans, the Middle East, and those Asian countries south of the 50th parallel north, the geographical limit of the main vector. Recently, autochthonous cases have been observed in areas of Europe where the virus was not previously present. Human cases have been detected in Greece, Bulgaria, and Spain. Spain is one of the most affected countries, with a total of 17 autochthonous cases detected since 2013. In other countries, such as France, the virus is present in ticks and animals but has not spread to humans. A high-quality epidemiological surveillance system in these countries is essential to avoid the expansion of this virus to new areas and to limit the impact of current cases. Full article

This study examines the current state of China’s agricultural exports to ASEAN countries using a segmented export structure analysis via a stochastic frontier gravity model, based on panel data from 2007 to 2020. The results indicate that: (1) China’s primary agricultural exports to ASEAN countries include plant products, food and beverages, and tobacco, with animal products mainly exported to Thailand, plant products mainly exported to Vietnam, and animal and plant fats, food, beverages, and tobacco mainly exported to Malaysia. (2) The economic scale and population size of China and ASEAN countries have differing impacts on various markets, while distance significantly negatively affects the exports of animal products, plant products, food, beverages, and tobacco. Additionally, ASEAN countries’ per capita carbon emissions positively influence the exports of these product categories. (3) The liner shipping connectivity index is significantly negatively correlated with trade inefficiency. The influences of financial freedom, trade freedom, investment freedom, and government expenditure on trade inefficiency vary across ASEAN countries. (4) China’s export efficiency for animal products, plant products, food, beverages, and tobacco has increased rapidly to Thailand and Vietnam, with Malaysia and Singapore showing high export efficiency, while that to Cambodia lags. (5) China exhibits significant export potential to Thailand, Indonesia, and Vietnam, with substantial expansion opportunities in Indonesia. Moreover, China’s export potential and opportunities in Cambodia are steadily increasing. Full article

The International Breakfast Research Initiative is a global study of breakfast nutrition, involving 17 countries in four continents, aiming to derive nutrient-based regional recommendations for breakfast. This study aimed to propose a harmonised recommendation for three South-East Asian countries: Indonesia, Malaysia, and the Philippines. For each country, data from nationally representative dietary surveys on the contribution of breakfast to daily nutrient intakes at both the adult population level and at the level of the upper tertile of daily nutrient density using the Nutrient Rich Food (NRF) Index were collated and examined. Energy intakes at breakfast ranged from 26 to 27% of daily energy intake. In all three countries, breakfast was carbohydrate-rich, providing 52 to 72% of breakfast energy intake, while it was higher in total and saturated fat in Malaysia and Indonesia. Intakes of fibre and vitamin C were low in all countries, while Malaysia tended to have higher intakes of most minerals, including sodium. Daily and breakfast nutrient intakes (at the population level and in the upper tertile of the NRF Index) were compared to the Codex Alimentarius nutrient reference values (NRVs) to assess adequacy. A decision tree was established based on these data to guide the development of recommendations for nutrient intakes at breakfast across the three countries. Full article