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Search Results (1,300)

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15 pages, 1973 KiB  
Article
Infrastructure as Environmental Health Policy: Lessons from the Clean School Bus Program’s Challenges and Innovations
by Uchenna Osia, Bethany B. Cutts, Kristi Pullen Fedinick and Kofi Boone
Int. J. Environ. Res. Public Health 2025, 22(8), 1232; https://doi.org/10.3390/ijerph22081232 - 7 Aug 2025
Abstract
This study evaluates the 2022 rollout of the Clean School Bus Rebate Program (CSBRP) to understand how eligibility rules and data practices shape funding distribution across communities with varying needs. We ask whether more accurate maps can improve environmental funding outcomes or whether [...] Read more.
This study evaluates the 2022 rollout of the Clean School Bus Rebate Program (CSBRP) to understand how eligibility rules and data practices shape funding distribution across communities with varying needs. We ask whether more accurate maps can improve environmental funding outcomes or whether challenges stem from how agencies define and apply eligibility criteria. Using logistic regression and dasymetric mapping, we find that prioritization criteria helped direct funds to underserved areas, but reliance on school district boundaries introduced inconsistencies that affected program reach. Including charter schools as independent applicants increased competition and sometimes diverted funds from larger public systems serving more. Our geospatial analysis shows that while refined mapping approaches improve resource targeting and reduce goal-outcome mismatches, agency discretion and administrative rules remain key factors in ensuring equitable outcomes. Full article
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21 pages, 524 KiB  
Article
The Role of Solidarity Finance in Sustainable Local Development in Ecuador
by Pablo Dávila Pinto, Sigfredo Ortuño-Pérez, Diego Mantilla Garcés and Víctor Albuja Centeno
Economies 2025, 13(8), 227; https://doi.org/10.3390/economies13080227 - 6 Aug 2025
Abstract
This study explores the role of solidarity finance in promoting local development and the empowerment of marginalized communities through financial inclusion and access to community credits. It focuses on how solidarity-based financial mechanisms provide accessible credit with fewer barriers, fostering productive activities and [...] Read more.
This study explores the role of solidarity finance in promoting local development and the empowerment of marginalized communities through financial inclusion and access to community credits. It focuses on how solidarity-based financial mechanisms provide accessible credit with fewer barriers, fostering productive activities and economic resilience. This study employed a quantitative and exploratory design, analyzing data from 51 community funds in Ecuador out of a total of 220 through a self-administered online survey, validated by auditing professionals and answered by community representatives. The 25-item questionnaire gathered data on organizational dynamics, financial practices, and perceptions of sustainability. Descriptive analysis was complemented with an analysis of variance to test hypotheses concerning associativity, self-management, and organizational performance. The results show that while associativity, self-management, and organizational management are perceived as institutional strengths, aspects such as autonomy and solidarity received lower evaluations, suggesting critical areas for strategic improvement. Notably, significant differences emerged between self-management–organization and solidarity–organization groups, emphasizing the importance of associativity (collaboration) in enhancing the sustainability of solidarity finance, which proves to be a vital mechanism for community empowerment and local development; however, its long-term sustainability depends on strengthening internal dimensions, particularly autonomy and solidarity, and reinforcing associativity as a core driver of organizational resilience. Full article
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23 pages, 849 KiB  
Article
Assessment of the Impact of Solar Power Integration and AI Technologies on Sustainable Local Development: A Case Study from Serbia
by Aco Benović, Miroslav Miškić, Vladan Pantović, Slađana Vujičić, Dejan Vidojević, Mladen Opačić and Filip Jovanović
Sustainability 2025, 17(15), 6977; https://doi.org/10.3390/su17156977 - 31 Jul 2025
Viewed by 172
Abstract
As the global energy transition accelerates, the integration of solar power and artificial intelligence (AI) technologies offers new pathways for sustainable local development. This study examines four Serbian municipalities—Šabac, Sombor, Pirot, and Čačak—to assess how AI-enabled solar power systems can enhance energy resilience, [...] Read more.
As the global energy transition accelerates, the integration of solar power and artificial intelligence (AI) technologies offers new pathways for sustainable local development. This study examines four Serbian municipalities—Šabac, Sombor, Pirot, and Čačak—to assess how AI-enabled solar power systems can enhance energy resilience, reduce emissions, and support community-level sustainability goals. Using a mixed-method approach combining spatial analysis, predictive modeling, and stakeholder interviews, this research study evaluates the performance and institutional readiness of local governments in terms of implementing intelligent solar infrastructure. Key AI applications included solar potential mapping, demand-side management, and predictive maintenance of photovoltaic (PV) systems. Quantitative results show an improvement >60% in forecasting accuracy, a 64% reduction in system downtime, and a 9.7% increase in energy cost savings. These technical gains were accompanied by positive trends in SDG-aligned indicators, such as improved electricity access and local job creation in the green economy. Despite challenges related to data infrastructure, regulatory gaps, and limited AI literacy, this study finds that institutional coordination and leadership commitment are decisive for successful implementation. The proposed AI–Solar Integration for Local Sustainability (AISILS) framework offers a replicable model for emerging economies. Policy recommendations include investing in foundational digital infrastructure, promoting low-code AI platforms, and aligning AI–solar projects with SDG targets to attract EU and national funding. This study contributes new empirical evidence on the digital–renewable energy nexus in Southeast Europe and underscores the strategic role of AI in accelerating inclusive, data-driven energy transitions at the municipal level. Full article
16 pages, 581 KiB  
Article
Financial Literacy and Sustainable Food Production in Rural Nigeria: Access and Adoption Perspectives
by Benedict Ogbemudia Imhanrenialena and Eveth Nkeiruka Nwobodo-Anyadiegwu
Sustainability 2025, 17(15), 6941; https://doi.org/10.3390/su17156941 - 30 Jul 2025
Viewed by 245
Abstract
Despite the importance of financial literacy, particularly in sustaining and improving rural agriculture, it is documented in the literature that little is known about financial literacy, particularly in rural communities in developing countries. Responding to the calls for research to address this gap, [...] Read more.
Despite the importance of financial literacy, particularly in sustaining and improving rural agriculture, it is documented in the literature that little is known about financial literacy, particularly in rural communities in developing countries. Responding to the calls for research to address this gap, the current study investigates how financial literacy relates to access to funding, innovative service adoption, and sustainable food production among agricultural food producers in Nigeria’s rural communities. A probability sampling technique was used to draw 460 samples from registered rural farmers in the Central Bank of Nigeria’s Anchored Borrower’s Programme for food production in Edo State, Nigeria. Quantitative data were collected using a structured questionnaire. The hypotheses were tested using regression analysis, while descriptive statistics were deployed to analyse the demographic data of the respondents. The outcomes suggest that financial literacy has significant links with access to funding, innovative service adoption and sustainable food production among agricultural food producers in Nigerian rural communities. Based on the outcomes, it is concluded that financial literacy significantly influences sustainable food production in Nigerian rural communities. As such, there is a need for the Nigerian government and financial authorities to embark on a financial literacy drive to increase financial literacy, particularly in light of ever-evolving disruptive financial technologies. Full article
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20 pages, 304 KiB  
Article
Normative Power and Europeanization: The EU’s Global Agenda for Gender Equality
by Oana-Andreea Ion, Gabriela-Roxana Irod and Cristian Pîrvulescu
Societies 2025, 15(8), 208; https://doi.org/10.3390/soc15080208 - 27 Jul 2025
Viewed by 374
Abstract
This article explores how the European Union (EU) promotes gender equality beyond its borders, situating the analysis within broader debates on external Europeanization and normative power. While most studies have examined the domestic impact of EU policies, this paper focuses on how gender [...] Read more.
This article explores how the European Union (EU) promotes gender equality beyond its borders, situating the analysis within broader debates on external Europeanization and normative power. While most studies have examined the domestic impact of EU policies, this paper focuses on how gender equality norms are projected internationally and conceptually investigates the mechanisms involved in their diffusion. Drawing on existing theoretical literature, the article analyzes how EU-level normative strategies may interact with domestic political, institutional, and societal dynamics in third countries, often in complex and contested ways. Rather than providing empirical testing, the study identifies core mechanisms—such as strategic communication, partnerships, and funding tools—and reflects on their limitations and the role of local agency in interpreting or resisting EU-promoted norms. The findings highlight the difficulty of isolating EU influence from other international and transnational drivers of norm diffusion, and the need for caution in attributing policy shifts solely to EU action. The article concludes that a better understanding of these processes requires more attention to domestic contexts, as well as future empirical research to complement conceptual analyses of Europeanization in sensitive policy domains such as gender equality. Full article
16 pages, 777 KiB  
Communication
The Platform Readiness Dashboard: A Tool for Evaluating Vaccine Platform Suitability for a Rapid Response to Epidemic and Pandemic Threats
by Ramin Sabet-Azad, Catherine Hoath, Nicole Bézay and Anna Särnefält
Vaccines 2025, 13(8), 793; https://doi.org/10.3390/vaccines13080793 - 26 Jul 2025
Viewed by 884
Abstract
Rapid vaccine availability is essential for effective epidemic and pandemic response. Building on the Coalition for Epidemic Preparedness Innovations (CEPI) 100 Days Mission, which aims to have new vaccines ready for initial authorization and manufacturing at scale within 100 days of recognition of [...] Read more.
Rapid vaccine availability is essential for effective epidemic and pandemic response. Building on the Coalition for Epidemic Preparedness Innovations (CEPI) 100 Days Mission, which aims to have new vaccines ready for initial authorization and manufacturing at scale within 100 days of recognition of a pandemic pathogen, the CEPI has developed a Chemistry, Manufacturing and Controls (CMC) Rapid Response Framework to define technical and logistical CMC requirements to enable rapid vaccine availability. Central to this framework is the availability of adaptable vaccine platforms that can be readily tailored to emerging pathogens. To support strategic decision-making and identify gaps in platform capabilities, CEPI has created the Platform Readiness Dashboard. This tool provides a structured, multi-dimensional initial assessment of platform maturity across six key categories: Adaptability, Compatibility, Suitability, Regulatory, Manufacturing, and Facility Readiness. Each category includes specific technical and operational considerations scored using a color-coded system to reflect outbreak response readiness level. This Dashboard aims to enable vaccine developers, manufacturers, funders, and outbreak response teams to evaluate platform strengths and limitations at any given time, informing funding, preparedness and response activities. By offering a dynamic view of essential platform readiness indicators, the dashboard can communicate progress supporting faster responses to future health emergencies. Full article
(This article belongs to the Special Issue Estimating Vaccines' Value and Impact)
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16 pages, 304 KiB  
Article
The Effects of Participation in Organized Prayer Movements on Christians’ Development of Faith, Hope, Spiritual Wellness, and Love
by Hong Sheung Chui, Edmund Sui Lung Ng and K. F. Au-Yeung Chan
Religions 2025, 16(8), 968; https://doi.org/10.3390/rel16080968 - 25 Jul 2025
Viewed by 788
Abstract
The teaching of the Bible emphasizes the importance of prayer for Christians’ faith and spiritual growth, particularly during times of trial and difficulty. Through prayers, Christians enable their spiritual experience of continuous transformation. This study tries to investigate the effects of the organised [...] Read more.
The teaching of the Bible emphasizes the importance of prayer for Christians’ faith and spiritual growth, particularly during times of trial and difficulty. Through prayers, Christians enable their spiritual experience of continuous transformation. This study tries to investigate the effects of the organised prayer movement by Jireh Fund Prayer Movement (JFPM) in Hong Kong on Christians who follow the movement. This study explores the effects of participating in the JFPM on Christians’ development of faith, spiritual wellness, resilience and love. A cross-sectional survey study was conducted in 2024, with more than 500 Christians from 67 churches responding to a questionnaire developed for the study to measure the various effects on Christians after they participated in the movement. The questionnaire was developed to measure Christians’ participation in the movement, their spiritual development of faith with hope, spiritual wellness, love, and resilience in the face of stress experienced. The findings are that the organised prayer movements provided by the Jireh Fund have a profound influence on Christians’ development of faith, spiritual wellness, and love. Through shared experiences in participating in prayer group movements, individuals strengthen their faith, enhance their spiritual development, experience divine love, and reduce stress in their daily lives. The sense of community and support found in these movements enhances spiritual wellness, while the focus on collective prayer fosters a culture of love and compassion. Through prayer, believers are empowered to grow in their relationship with God and to extend His love to others, demonstrating the transformative power of organised prayer movements in the lives of Christians. Full article
(This article belongs to the Section Religions and Theologies)
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25 pages, 4929 KiB  
Article
Public–Private Partnership for the Sustainable Development of Tourism Hospitality: Comparisons Between Italy and Saudi Arabia
by Sara Sampieri and Silvia Mazzetto
Sustainability 2025, 17(15), 6662; https://doi.org/10.3390/su17156662 - 22 Jul 2025
Viewed by 588
Abstract
This study examines the role of public–private partnerships in promoting the sustainable development of travel destinations through a comparative analysis of two emblematic heritage-based hospitality projects: Dar Tantora in Al Ula, Saudi Arabia, and Sextantio Le Grotte della Civita in Matera, Italy. These [...] Read more.
This study examines the role of public–private partnerships in promoting the sustainable development of travel destinations through a comparative analysis of two emblematic heritage-based hospitality projects: Dar Tantora in Al Ula, Saudi Arabia, and Sextantio Le Grotte della Civita in Matera, Italy. These case studies were analysed through both architectural–urban and economic–legal perspectives to highlight how public–private partnership models can support heritage conservation, community engagement, and responsible tourism development. A mixed-methods approach was employed, combining quantitative indicators—such as projected profitability, tourist volume, and employment—with qualitative insights from interviews with key stakeholders. The analysis reveals that while both models prioritise cultural authenticity and adaptive reuse, they differ significantly in funding structures, legal frameworks, and governance dynamics. Dar Tantora exemplifies a top-down, publicly funded model integrated into Saudi Arabia’s Vision 2030 strategy, whereas Sextantio reflects a bottom-up, private initiative rooted in social enterprise. The findings offer insights into how different public–private partnership configurations can foster sustainable tourism development, depending on local context, institutional frameworks, and strategic goals. The study contributes to the broader discourse on regenerative tourism, architectural conservation, and policy-driven heritage reuse. Full article
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23 pages, 924 KiB  
Article
Identifying Critical Success Factors in the Regeneration of English Seaside Resorts
by Liam Richardson, Anya Chapman and Duncan Light
Tour. Hosp. 2025, 6(3), 142; https://doi.org/10.3390/tourhosp6030142 - 16 Jul 2025
Viewed by 358
Abstract
This paper focuses on regeneration projects in ‘first-generation’ seaside resorts in England from the perspective of those leading and managing such projects. There have been numerous recent initiatives intended to revive seaside resorts and enable them to regain competitiveness, but limited analysis of [...] Read more.
This paper focuses on regeneration projects in ‘first-generation’ seaside resorts in England from the perspective of those leading and managing such projects. There have been numerous recent initiatives intended to revive seaside resorts and enable them to regain competitiveness, but limited analysis of what is necessary for such regeneration projects to be successful. This paper contributes to debates about the role of critical success factors (CSFs) in regeneration by identifying issues that apply to the specific context of seaside resorts. In-depth interviews were undertaken with ten managers responsible for individual projects focusing on the CSFs necessary for regeneration projects to succeed. Four such factors were identified: (1) the need to secure appropriate funding (and associated difficulties); (2) the importance of involving stakeholders (particularly the local authority and local community); (3) the need for a strong business plan (which must evolve as the project progresses); and (4) the importance of considering best practices elsewhere. The importance of each success factor varied by the sector (public/commercial/third) leading the regeneration initiative and varied at different stages of a regeneration project. These findings have practical implications for local authorities, commercial enterprises, and third-sector bodies in seaside destinations. Full article
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19 pages, 1952 KiB  
Article
Strategic Planning for Nature-Based Solutions in Heritage Cities: Enhancing Urban Water Sustainability
by Yongqi Liu, Jiayu Zhao, Rana Muhammad Adnan Ikram, Soon Keat Tan and Mo Wang
Water 2025, 17(14), 2110; https://doi.org/10.3390/w17142110 - 15 Jul 2025
Viewed by 385
Abstract
Nature-Based Solutions (NBSs) offer promising pathways to enhance ecological resilience and address urban water challenges, particularly in heritage cities where conventional gray infrastructure often fails to balance environmental needs with cultural preservation. This study proposes a strategic framework for the integration of NBSs [...] Read more.
Nature-Based Solutions (NBSs) offer promising pathways to enhance ecological resilience and address urban water challenges, particularly in heritage cities where conventional gray infrastructure often fails to balance environmental needs with cultural preservation. This study proposes a strategic framework for the integration of NBSs into historic urban landscapes by employing Internal–External (IE) matrix modeling and an impact–uncertainty assessment, grounded in a structured evaluation of key internal strengths and weaknesses, as well as external opportunities and threats. The Internal Factor Evaluation (IFE) score of 2.900 indicates a favorable internal environment, characterized by the multifunctionality of NBS and their ability to reconnect urban populations with nature. Meanwhile, the External Factor Evaluation (EFE) score of 2.797 highlights moderate support from policy and public awareness but identifies barriers such as funding shortages and interdisciplinary coordination. Based on these findings, two strategies are developed: an SO (Strength–Opportunity) strategy, promoting community-centered and policy-driven NBS design, and a WO (Weakness–Opportunity) strategy, targeting resource optimization through legal support and cross-sectoral collaboration. This study breaks new ground by transforming theoretical NBS concepts into actionable, culturally sensitive planning tools that enable decision-makers to navigate the unique challenges of implementing adaptive stormwater and environmental management in historically constrained urban environments. Full article
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18 pages, 1210 KiB  
Article
Under-Resourced Learning Programs Imperil Active Stewardship of Alaska’s Marine Systems for Food Security
by John Fraser, Rosemary Aviste, Megan Harwell and Jin Liu
Sustainability 2025, 17(14), 6436; https://doi.org/10.3390/su17146436 - 14 Jul 2025
Viewed by 360
Abstract
The future of marine sustainability depends on public understanding and trust in the policy recommendations that emerge from scientific research. For common pool marine resource decisions made by the people who depend on these resources for their food, employment, and economic future, understanding [...] Read more.
The future of marine sustainability depends on public understanding and trust in the policy recommendations that emerge from scientific research. For common pool marine resource decisions made by the people who depend on these resources for their food, employment, and economic future, understanding the current status of these marine systems and change is essential to ensure these resources will persist into the future. As such, the informal learning infrastructure is essential to increasing marine science literacy in a changing world. This mixed-methods research study analyzed the distribution and accessibility of marine science education and research across Alaska’s five geographic regions. Using the PRISMA framework, we synthesized data from 198 institutions and analyzed peer-reviewed literature on marine ecosystems to identify geographic and thematic gaps in access to informal science learning and research focus. In parallel, we undertook geospatial analysis and resource availability to describe the distribution of resources, types of informal learning infrastructure present across the state, regional presence, and resources to support informal marine science learning opportunities. Findings from this multifactor research revealed a concentration of resources in urban hubs and a lack of consistent access to learning resources for rural and Indigenous communities. The configurative literature review of 9549 publications identified topical underrepresentation of the Bering Sea and Aleutian Islands, as well as a lack of research on seabirds across all regions. Considered together, these results recommend targeted investments in rural engagement with marine science programming, culturally grounded partnerships, and research diversification. This review concludes that disparities in learning resource support and government-funded priorities in marine wildlife research have created conditions that undermine the local people’s participation in the sustainability of sensitive resources and are likely exacerbating declines driven by rapid change in Arctic and sub-Arctic waters. Full article
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31 pages, 592 KiB  
Systematic Review
Risk Factors for Teen Dating Violence Among Sexual and Gender Minority Youths: A Systematic Review
by Francesco Sulla, Giulia Fiorentino, Giuseppe La Selva, Nunzia Merafina, Salvatore Adam Leone and Lucia Monacis
Adolescents 2025, 5(3), 37; https://doi.org/10.3390/adolescents5030037 - 14 Jul 2025
Viewed by 393
Abstract
Background: Teen dating violence (TDV) is a serious public health concern, with sexual and gender minority youth (SGMY) at elevated risk due to minority stress and systemic inequalities. This systematic review examines individual, relational, and contextual risk factors for TDV among SGMY. Methods: [...] Read more.
Background: Teen dating violence (TDV) is a serious public health concern, with sexual and gender minority youth (SGMY) at elevated risk due to minority stress and systemic inequalities. This systematic review examines individual, relational, and contextual risk factors for TDV among SGMY. Methods: A systematic search was conducted in Scopus, Web of Science, and APA PsycInfo on 10 December 2024. Studies published between 2014 and 2024 focusing on teen dating violence (TDV) as an outcome among sexual and gender minority youth (SGMY) aged 13–19 were included. Study selection was independently performed by multiple reviewers using Rayyan. Risk of bias was assessed using the JBI Critical Appraisal Tools. Due to heterogeneity in the study design and measurement tools, a narrative synthesis was conducted. Results: Six risk domains emerged: (1) Demographic/Identity (e.g., gender, orientation, or race); (2) Psychological/Behavioral (e.g., distress or substance use); (3) Violence/Bullying (e.g., cyberbullying or exclusion); (4) Family/Sexual Abuse (e.g., family rejection); (5) Relational/Social (e.g., partner outing); and (6) School/Community (e.g., non-inclusive environments). Bisexual, pansexual, transgender, and racialized youth showed heightened vulnerability. Most studies were conducted in the USA and relied on non-validated TDV measures and cross-sectional designs, limiting comparability and causal inference. Conclusions: SGMY face unique, often overlooked TDV risks. There is a need for intersectional, longitudinal research and inclusive, developmentally appropriate prevention efforts that address both relational and structural factors. This review received no external funding and was not registered. Full article
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16 pages, 554 KiB  
Review
Crossing Borders: SRH Challenges Among Immigrant and Minority Adolescents
by Patience Castleton, Ahmed Shabbir Chaudhry, Negin Damabi, Salima Meherali and Zohra S. Lassi
Int. J. Environ. Res. Public Health 2025, 22(7), 1101; https://doi.org/10.3390/ijerph22071101 - 12 Jul 2025
Viewed by 332
Abstract
The adolescent years are pivotal in reproductive and sexual development and maturation, yet the experience of migration can severely disrupt this period, inhibiting young immigrants’ knowledge, access, and engagement with sexual and reproductive health (SRH) services. Further, young immigrants and minority populations often [...] Read more.
The adolescent years are pivotal in reproductive and sexual development and maturation, yet the experience of migration can severely disrupt this period, inhibiting young immigrants’ knowledge, access, and engagement with sexual and reproductive health (SRH) services. Further, young immigrants and minority populations often face persistent intersectional barriers, including language difficulties, cultural stigma, and systemic exclusion, that result in adverse SRH outcomes. Recent advances in SRH care, particularly in digital health and community-based interventions, show promise in improving access to culturally appropriate SRH services and information. Co-designing SRH programs with families and young immigrants to adequately acknowledge the unique cultural norms and barriers in SRH is essential in ensuring a high outreach of interventions. Shifts in traditional health policies are needed to ensure that immigrant and minority adolescents are not overlooked and that SRH programs incorporate culturally relevant content that is easily and widely accessible. Despite positive shifts, several barriers remain: limited disaggregated data on diverse populations, inadequate policy attention, and the insufficient scalability and funding of promising interventions. Future research and promotional efforts must prioritise the co-creation of SRH interventions with stakeholders and affected communities, ensuring that services are sustainable, culturally appropriate, and accessible to all adolescents. Full article
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25 pages, 2940 KiB  
Article
Sustainability in Action: Analyzing Mahasarakham University’s Integration of SDGs in Education, Research, and Operations
by Woraluck Sribanasarn, Anujit Phumiphan, Siwa Kaewplang, Mathinee Khotdee, Ounla Sivanpheng and Anongrit Kangrang
Sustainability 2025, 17(14), 6378; https://doi.org/10.3390/su17146378 - 11 Jul 2025
Viewed by 431
Abstract
The UI GreenMetric World University Ranking has become a widely adopted instrument for benchmarking institutional sustainability performance; nevertheless, empirically grounded evidence from universities in diverse regional contexts remains scarce. This study undertakes a rigorous appraisal of the extent to which Mahasarakham University (MSU) [...] Read more.
The UI GreenMetric World University Ranking has become a widely adopted instrument for benchmarking institutional sustainability performance; nevertheless, empirically grounded evidence from universities in diverse regional contexts remains scarce. This study undertakes a rigorous appraisal of the extent to which Mahasarakham University (MSU) has institutionalized the United Nations Sustainable Development Goals (SDGs) within its pedagogical offerings, research portfolio, community outreach, and governance arrangements during the 2021–2024 strategic cycle. Employing a mixed-methods design and guided by the 2024 UI GreenMetric Education and Research indicators, this investigation analyzed institutional datasets pertaining to curriculum provision, ring-fenced research funding, 574 peer-reviewed sustainability publications, student-led community initiatives, and supporting governance mechanisms; the analysis was interpreted through a Plan–Do–Check–Act management lens. The number of sustainability-oriented academic programs expanded from 49 to 58. Student participation in community service activities strongly recovered following the COVID-19 pandemic, and MSU’s GreenMetric score increased from 7575 to 8475, thereby elevating the institution to the 100th position globally. These gains were facilitated by strategic SDG-aligned investment, cross-sector collaboration, and the consolidation of international partnerships anchored in Thailand’s Isaan region. The MSU case provides a transferable model for universities—particularly those operating in resource-constrained contexts—endeavoring to align institutional development with the SDGs and internationally recognized quality benchmarks. The findings substantiate the capacity of transformative education and applied research to engender enduring societal and environmental benefits. Full article
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15 pages, 878 KiB  
Review
Machine Learning in Primary Health Care: The Research Landscape
by Jernej Završnik, Peter Kokol, Bojan Žlahtič and Helena Blažun Vošner
Healthcare 2025, 13(13), 1629; https://doi.org/10.3390/healthcare13131629 - 7 Jul 2025
Viewed by 582
Abstract
Background: Artificial intelligence and machine learning are playing crucial roles in digital transformation, aiming to improve the efficiency, effectiveness, equity, and responsiveness of primary health systems and their services. Method: Using synthetic knowledge synthesis and bibliometric and thematic analysis triangulation, we identified the [...] Read more.
Background: Artificial intelligence and machine learning are playing crucial roles in digital transformation, aiming to improve the efficiency, effectiveness, equity, and responsiveness of primary health systems and their services. Method: Using synthetic knowledge synthesis and bibliometric and thematic analysis triangulation, we identified the most productive and prolific countries, institutions, funding sponsors, source titles, publications productivity trends, and principal research categories and themes. Results: The United States and the United Kingdom were the most productive countries; Plos One and BJM Open were the most prolific journals; and the National Institutes of Health, USA, and the National Natural Science Foundation of China were the most productive funding sponsors. The publication productivity trend is positive and exponential. The main themes are related to natural language processing in clinical decision-making, primary health care optimization focusing on early diagnosis and screening, improving health-based social determinants, and using chatbots to optimize communications with patients and between health professionals. Conclusions: The use of machine learning in primary health care aims to address the significant global burden of so-called “missed diagnostic opportunities” while minimizing possible adverse effects on patients. Full article
(This article belongs to the Special Issue Artificial Intelligence in Healthcare: Opportunities and Challenges)
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