Search Results (166)

Introduction: Congestive heart failure (CHF), a complex clinical syndrome characterized by the heart’s inability to pump blood effectively due to structural or functional impairments, is a growing public health concern, with profound implications for patients’ physical and emotional well-being. In India, the burden of CHF is rising due to aging demographics and increasing prevalence of lifestyle-related risk factors. Among the subtypes of CHF, heart failure with preserved ejection fraction (HFpEF), i.e., heart failure with left ventricular ejection fraction of ≥50% with evidence of spontaneous or provokable increased left ventricular filling pressure, and heart failure with reduced ejection fraction (HFrEF), i.e., heart failure with left ventricular ejection fraction of 40% or less and is accompanied by progressive left ventricular dilatation and adverse cardiac remodeling, may present differing impacts on health-related quality of life (HRQoL), i.e., an individual’s or a group’s perceived physical and mental health over time, yet comparative data remains limited. This study assesses HRQoL among CHF patients using the Minnesota Living with Heart Failure Questionnaire (MLHFQ), one of the most widely used health-related quality of life questionnaires for patients with heart failure based on physical and emotional dimensions and identifies sociodemographic and clinical variables influencing these outcomes. Methods: A cross-sectional analytical study was conducted among 233 CHF patients receiving inpatient and outpatient care at the Department of Cardiology at a quaternary care teaching hospital in coastal Karnataka in India. Participants were enrolled using convenience sampling. HRQoL was evaluated through the MLHFQ, while sociodemographic and clinical characteristics were recorded via a structured proforma. Statistical analyses included descriptive measures, independent t-test, Spearman’s correlation and stepwise multivariable linear regression to identify associations and predictors. Results: The mean HRQoL score was 56.5 ± 6.05, reflecting a moderate to high symptom burden. Patients with HFpEF reported significantly worse HRQoL (mean score: 61.4 ± 3.94) than those with HFrEF (52.9 ± 4.64; p < 0.001, Cohen’s d = 1.95). A significant positive correlation was observed between HRQoL scores and age (r = 0.428; p < 0.001), indicating that older individuals experienced a higher burden of symptoms. HRQoL also varied significantly across NYHA functional classes (χ² = 69.9, p < 0.001, ε² = 0.301) and employment groups (χ² = 17.0, p < 0.001), with further differences noted by education level, gender and marital status (p < 0.05). Multivariable linear regression identified age (B = 0.311, p < 0.001) and gender (B = –4.591, p < 0.001) as significant predictors of poorer HRQoL. Discussion: The findings indicate that patients with HFpEF experience significantly poorer HRQoL than those with HFrEF. Older adults and female patients reported greater symptom burden, underscoring the importance of demographic-sensitive care approaches. These results highlight the need for routine integration of HRQoL assessment into clinical practice and the development of comprehensive, personalized interventions addressing both physical and emotional health dimensions, especially for vulnerable subgroups. Conclusions: CHF patients, especially those with HFpEF, face reduced HRQoL. Key factors include age, gender, education, employment, marital status, and NYHA class, underscoring the need for patient-centered care. Full article

This dataset presents environmental observations collected in August 2021 from 18 port and harbor sites located around Jeju Island, Korea. It includes physical, biogeochemical, and greenhouse gas (GHG) variables measured in surface seawater, such as temperature, salinity, dissolved oxygen, nutrients, chlorophyll-a, pH, total alkalinity, and dissolved inorganic carbon. Concentrations and air–sea fluxes of nitrous oxide (N₂O), methane (CH₄), and carbon dioxide (CO₂) were also quantified. All measurements were conducted following standardized analytical protocols, and certified reference materials and duplicate analyses were used to ensure data accuracy. Consequently, the dataset revealed that elevated nutrient accumulation in port and harbor waters and GHG concentrations tended to be higher at sites with stronger land-based influence. During August 2021, most sites functioned as sources of N₂O, CH₄, and CO₂ to the atmosphere. This integrated dataset offers valuable insights into the influence of anthropogenic and hydrological factors on coastal GHG dynamics and provides a foundation for future studies across diverse semi-enclosed marine systems. Full article

Remote reefs offer insights into natural coral dynamics, influenced by regional environmental factors and climate change fluctuations. Clipperton Atoll is the eastern tropical Pacific’s most isolated reef, where coral reef growth and life strategies have been poorly studied so far. Recognizing the coral species’ growth response might help understand ecological dynamics and the impacts of anthropogenic stressors on coastal reefs. The present study evaluates annual coral growth parameters of the most abundant coral reef-building species, Porites australiensis, Porites arnaudi, Porites lutea, and Porites lobata. The results showed that during 2015–2019, corals exhibited the lowest annual linear extension (0.65 ± 0.29 cm yr⁻¹), skeletal density (1.14 ± 0.32 g cm⁻³), and calcification rates (0.78 ± 0.44 g cm⁻² yr⁻¹) for the genera along the Pacific. Differences in growth patterns among species were observed, with Porites lutea and Porites lobata showing a higher radial extension, developing massive-hemispherical morphologies, and acting as structural stabilizers; meanwhile, P. arnaudi and P. australiensis exhibited more skeletal compaction but also with a high plasticity on their morphologies, contributing to benthic heterogeneity. These differences are particularly important as each species fulfills different ecological functions within the reef, contributing to the ecosystem balance and enhancing the relevance of the massive species in the physical structure of remote reef systems, such as Clipperton Atoll. Full article

Coastal areas are increasingly vulnerable to erosion, a process that can lead to severe consequences such as flooding and land loss. This study investigates strategies for preventing and mitigating coastal erosion, with a particular focus on nature-based solutions, notably artificial sand nourishment. Artificial nourishment has proven to be an effective method for erosion control. However, its success depends on factors such as the placement location, sediment volume, and frequency of operations. To optimize these interventions, simulations were conducted using both a numerical model (CS-Model) and a physical flume model, based on the same cross-section beach/dune profile, to compare cross-shore nourishment performance across different scenarios. The numerical modeling approach is presented first, including a description of the reference prototype-scale scenario. This is followed by an overview of the physical modeling, detailing the experimental 2D cross-section flume setup and tested scenarios. These scenarios simulate nourishment interventions with variations in beach profile, aiming to assess the influence of water level, berm width, bar volume, and bar geometry. The results from both numerical and physical simulations are presented, focusing on the cross-shore morphological response of the beach profile under wave action, particularly the effects on profile shape, water level, bar volume, and the position and depth of the bar crest. The main conclusion highlights that a wider initial berm leads to greater wave energy dissipation, thereby contributing to the mitigation of dune erosion. Full article

This study presents a comprehensive coastal vulnerability assessment framework by integrating a range of physical, environmental, and climatic parameters. Key criteria include shoreline changes, coastal geomorphology, slope, elevation, bathymetry, tidal range, wave height, shoreline change rates, population density, land use and land cover (LULC), temperature, precipitation, and coastal inundation factors. By synthesizing these parameters with real-time coastal monitoring data, the framework enhances the accuracy of regional risk evaluations. The study employs Multi-Criteria Spatial Analysis (MCSA) to systematically assess and prioritize vulnerability indicators, enabling a data-driven and objective approach to coastal zone management. The findings aim to support coastal planners, policymakers, and stakeholders in designing effective, sustainable adaptation and mitigation strategies for regions most at risk. This integrative approach not only strengthens the scientific understanding of coastal vulnerabilities but also serves as a valuable tool for informed decision-making under changing climate and socioeconomic conditions. Full article

As sea levels rise and extreme weather events become more frequent due to climate change, coastal urban areas are increasingly vulnerable to wave overtopping and flooding. Retrofitting existing vertical seawalls with retreated storm walls represents a key adaptive strategy, especially in the Mediterranean, where steep foreshores and limited public space constrain conventional coastal defenses. This study investigates the effectiveness of storm walls in reducing wave overtopping on vertical walls with steep foreshores (1:7 to 1:10) through high-fidelity numerical simulations using the SWASH model. A comprehensive parametric study, involving 450 test cases, was conducted using Latin Hypercube Sampling to explore the influence of geometric and hydrodynamic variables on overtopping rate. Model validation against Eurotop/CLASH physical data demonstrated strong agreement (r = 0.96), confirming the reliability of SWASH for such applications. Key findings indicate that longer promenades (Gc) and reduced impulsiveness of the wave conditions reduce overtopping. A new empirical reduction factor, calibrated for integration into the Eurotop overtopping equation for plain vertical walls, is proposed based on dimensionless promenade width and water depth. The modified empirical model shows strong predictive performance (r = 0.94) against SWASH-calculated overtopping rates. This work highlights the practical value of integrating storm walls into urban seawall design and offers engineers a validated tool for enhancing coastal resilience. Future research should extend the framework to other superstructure adaptations, such as parapets or stilling basins, to further improve flood protection in the face of climate change. Full article

Erosion represents a significant global threat to coastal zones, especially beaches, which are among the most valuable coastal landforms. This study evaluates the vulnerability to coastal erosion along the Brazilian Amazon coast, focusing on eight recreational beaches. The research is based on an assessment of geological, physical, ecological, and anthropogenic indicators. Some of these indicators were proposed in this study to enhance the evaluation of vulnerability in Amazonian beaches. The analysis reveals that most of the beaches studied are highly vulnerable to erosion due to a combination of natural factors and human activities. The barrier–beach ridge, composed of unconsolidated sediments, exhibits the highest vulnerability, while low cliffs present a moderate level of risk. The study highlights that semi-urban beaches with significant infrastructure development are particularly susceptible to erosion, a problem exacerbated by unplanned land use. Conversely, rural beaches, especially those located in protected areas, show lower vulnerability due to reduced human impact and better conservation of natural ecosystems. Furthermore, the study underscores the effects of extreme climatic events, such as prolonged rainfall and high-energy waves, which can intensify erosion risks. The findings suggest that anthropogenic changes, combined with extreme climate events, significantly influence the dynamics of coastal erosion. This research emphasizes the importance of targeted management strategies that address both natural and human-induced vulnerabilities, aiming to enhance coastal resilience and sustainability for Amazonian beaches. Full article

The coastal region of Klaipėda (Lithuania) has experienced major political, economic, social, and cultural transformations since the 20th century. Landscapes as evolving expressions of land use and land cover patterns offer a valuable lens to analyse these changes. This study examines the evolution of physical landscape structures across the pre-Soviet, Soviet, and post-Soviet periods, using historical maps and open-access geospatial data. An ontological approach, combined with morphological and configurational metrics, reveals four major and relatively persistent landscape structures: hydrological systems (sea, lagoon, rivers), forest cover, farming intensity (from extensive grassland use to intensive arable farming), and semi-natural environments. Their structural evolution reflects broader cultural factors, such as contrasting land use traditions between former Prussian and Russian territories. The study also highlights the impact of Soviet collectivisation, marked by irrigation networks, agricultural intensification, and forest expansion. The post-Soviet period is characterised by widespread farmland abandonment and fragmentation, revealing new spatial dynamics and challenges in land reappropriation. Landscape transformations are predominantly structured around agricultural dynamics. Although the analysis was limited by the incomplete availability of data for this specific land use class, the centrality of agriculture in shaping territorial organisation is evident and reinforces the strong rural identity associated with the landscape. Full article

The increasingly observable financial vulnerability of households in emerging market countries makes it imperative to investigate the factors influencing it. Considering that China stands as a representative of emerging market economies, analyzing the factors influencing household financial vulnerability in China presents great reference significance for the sustainable development of households in emerging market countries. Using data from the China Household Finance Survey (CHFS) household samples, this paper presents the regional distribution of households with financial vulnerability in China. Utilizing machine learning (ML), this research examines the factors that influence household financial vulnerability in China and determines the most significant ones. The results reveal that households with financial vulnerability in China takes up a proportion of more than 63%, and household financial vulnerability is lower in economically developed coastal regions than in medium and small-sized cities in the central and western parts of China. The analysis results of the SHAP method show that the debt leverage ratio of a household is the most significant feature variable in predicting financial vulnerability. The ALE plots demonstrate that, in a household, the debt leverage ratio, the age of household head, health condition, economic development and literacy level are significantly nonlinearly related to financial vulnerability. Heterogeneity analysis reveals that, except for household debt leverage and insurance participation, the key characteristic variables exerting the most pronounced effect on financial fragility differ between urban and rural households: household head age for urban families and physical health status for rural families. Furthermore, digital financial inclusion and social security exert distinct impacts on financial vulnerability, showing significantly stronger effects in high per capita GDP regions and low per capita GDP regions, respectively. These findings offer valuable insights for policymakers in emerging economies to formulate targeted financial risk mitigation strategies—such as developing household debt relief and prevention mechanisms and strengthening rural health security systems—and optimize policies for household financial health. Full article

Climate change will have a significant impact on saltwater intrusion in coastal aquifers between now and 2150. Global sea levels are predicted to rise somewhere between 0.5 and 1.8 m. To mitigate sea level rise, coastal aquifers will require intensive management to avoid inland migration of seawater that could impact water supplies. In addition to reducing pumping of freshwater, the construction and operation of salinity barriers will be required in many locations. Eleven types of salinity barriers were investigated, including physical barriers (curtain wall and grout curtains), infiltration canals filled with freshwater paralleling the coastline, injection of freshwater (treated surface water or wastewater), pumping or abstraction barriers, mixed injection and abstraction barriers, combined abstraction, desalination, and recharge (ADR), ADR hybrid barriers using various water sources including desalinated water and treated wastewater, compressed air barriers, aquifer storage and recovery dual use systems, biofilm barriers, and clay swelling or dispersion barriers. Feasibility of the use of each salinity barrier type was evaluated within the context of the most recent projections of sea level changes. Key factors used in the evaluation included local hydrogeology, land surface slope, water use, the rate of sea level rise, technical feasibility (operational track record), and economics. Full article

Under the adverse geological conditions of silty soft soil in coastal, lakeside, and river areas of countries worldwide, safety and quality during deep foundation pit construction are research challenges that researchers must overcome. Through 3D simulation, micro-finite element coupling modeling and construction site monitoring tests, this paper comprehensively analyzes the formation mechanism and causes of deep foundation pit foundation quality defects and diseases under the most unfavorable environment and multi-factor interference and puts forward scientific treatment suggestions. The research process accurately applies multidisciplinary coupling model research such as computer science, instrument science and technology, and material mechanics to solve the impact of multi-factor and uncertain environments on construction. The final research results provide sufficient theoretical and physical cases for improving the safety and stability of deep foundation pits under soft foundation conditions and provide rich practical specifications for the testing, monitoring and construction of similar projects; it provides a strong guarantee for the global deep foundation pit monitoring and early warning system under soft foundation conditions. Full article

The operational efficiency of insurance companies is crucial for their long-term stability and sustainable development. Climate risk has emerged as a significant factor affecting insurers’ operational performance in the context of global climate change and sustainable development goals. Although prior research provides a solid foundation, further exploration is needed to clarify how climate risk influences insurers’ efficiency and underlying mechanisms. This paper uses panel data from 248 Chinese insurance companies spanning 2011 to 2021 to construct a climate risk indicator and systematically examines the potential pathways through which this indicator influences operational efficiency. Precisely, absolute temperature deviation measures physical climate risk, and an entropy-weighted method captures climate transition risk; the DEA model evaluates operating efficiency. A fixed-effects model reveals that physical climate risk may adversely affect operational efficiency, while climate transition risk demonstrates a U-shaped relationship with efficiency. Mechanism analysis shows that physical climate risk increases exposure to natural disaster losses, whereas transition risk may encourage green insurance development. Heterogeneity emerges across insurer types and between coastal and non-coastal regions, with resilient infrastructure mitigating the adverse effects of physical risks and insurance technology driving gradual transformation to offset initial transition risks. Overall, this study expands the perspective on how climate risk shapes the insurance industry’s sustainable development, offering theoretical and practical insights for policymakers to optimize risk management and promote green finance. Full article

This study presents the development of the Comprehensive Index for Beaches (CIB), a holistic tool designed to address the limitations of traditional beach monitoring systems by integrating social and ecological dimensions within a socio-ecological systems (SES) framework. While existing certification schemes predominantly emphasize physical parameters such as water quality and sand cleanliness, they often overlook critical social factors like safety perceptions, overcrowding, and user behavior. This oversight is significant because these social factors play a vital role in shaping visitor satisfaction, supporting community well-being, and ensuring the long-term sustainability of the destination. The CIB addresses this gap, offering a multidimensional approach that includes environmental, infrastructural, social, and safety-related dimensions. Through a multi-stage methodology, the index was developed and validated using Exploratory Factor Analysis (EFA) with data from over 600 beach visitors across key coastal destinations. Results indicate the robustness of the CIB in capturing both natural and social components, underscoring its theoretical alignment with SES principles and its practical potential to enhance beach management. By prioritizing user perceptions and behaviors alongside ecological parameters, the CIB provides an affordable and adaptable alternative to traditional schemes, fostering improved safety, user satisfaction, and sustainability in diverse beach contexts. Full article

Cyclone Mocha, classified as an Extremely Severe Cyclonic Storm (ESCS), followed an unusual northeastward trajectory while exhibiting a well-defined eyewall structure. It experienced rapid intensification (RI) before making landfall along the Myanmar coast. It caused heavy rainfall (~90 mm) and gusty winds (~115 knots) over the coastal regions of Bay of Bengal Initiative for Multi-Sectoral Technical and Economic Cooperation (BIMSTEC) countries, such as the coasts of Bangladesh and Myanmar. The factors responsible for the RI of the cyclone in lower latitudes, such as sea surface temperature (SST), tropical cyclone heat potential (TCHP), vertical wind shear (VWS), and mid-tropospheric moisture content, are studied using the National Ocean and Atmospheric Administration (NOAA) SST and National Center for Medium-Range Weather Forecasting (NCMRWF) Unified Model (NCUM) global analysis. The results show that SST and TCHP values of 30 °C and 100 (KJ cm⁻²) over the Bay of Bengal (BoB) favored cyclogenesis. However, a VWS (ms⁻¹) and relative humidity (RH; %) within the range of 10 ms⁻¹ and >70% also provided a conducive environment for the low-pressure system to transform into the ESCS category. The physical mechanism of RI and recurvature of the Mocha cyclone have been investigated using forecast products and compared with Cooperative Institute for Research in the Atmosphere (CIRA) and Indian Meteorological Department (IMD) satellite observations. The key results indicate that a dry air intrusion associated with a series of troughs and ridges at a 500 hPa level due to the western disturbance (WD) during that time was very active over the northern part of India and adjoining Pakistan, which brought north-westerlies at the 200 hPa level. The existence of troughs at 500 and 200 hPa levels are significantly associated with a Rossby wave pattern over the mid-latitude that creates the baroclinic zone and favorable for the recurvature and RI of Mocha cyclone clearly represented in the NCUM analysis. Moreover the Q-vector analysis and steering flow (SF) emphasize the vertical motion and recurvature of the Mocha cyclone so as to move in a northeast direction, and this has been reasonably well represented by the NCUM model analysis and the 24, 7-, and 120 h forecasts. Additionally, a quantitative assessment of the system indicates that the model forecasts of TC tracks have an error of 50, 70, and 100 km in 24, 72, and 120 h lead times. Thus, this case study underscores the capability of the NCUM model in representing the physical mechanisms behind the recurving and RI over the BoB. Full article

Pump station engineering is extensively utilized in water supply and drainage, as well as agricultural irrigation. Due to its geographical advantages and significant comprehensive benefits, the construction of pumping stations in coastal areas has gained substantial attention in recent years. Adverse flow conditions caused by various factors negatively affect the inlet flow regime of pumps, becoming a key factor that restricts the operating life and further development of pump station systems. Optimizing the flow regime in the forebay is crucial for enhancing overall engineering quality, minimizing pump performance degradation, and reducing the risks of cavitation and vibration. This study investigates the flow characteristics of the forebay by combining the Navier–Stokes equations and the $k-\epsilon$ RNG turbulence model. The analysis focuses on the internal flow field, transverse flow before the inlet channel, and the uniformity of flow velocity distribution after the inlet channel. Numerical simulations are validated through physical model tests. We examine the flow characteristics in the forebay, analyze the causes of internal flow disorder, and propose a reasonable and practical rectification scheme for the forebay. Additionally, we elucidate the mechanism of flow state optimization through partition walls. The findings indicate that with the optimal partition wall length, the average elimination rate of transverse flow velocity before the pump station inlet channel reached 48.3%, and the uniformity of flow velocity distribution after the inlet increased by 3.24%. These research findings contribute to mitigating cavitation and vibration in water pump units, providing theoretical support for the safe operation of coastal pumping stations. Full article