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Search Results (4,113)

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Keywords = cross-protection

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24 pages, 472 KiB  
Article
The Effect of Workplace Mobbing on Positive and Negative Emotions: The Mediating Role of Psychological Resilience Among Nurses
by Aristotelis Koinis, Ioanna V. Papathanasiou, Ioannis Kouroutzis, Iokasti Papathanasiou, Dimitra Anagnostopoulou, Ioannis Androutsakos, Maria Papandreou, Ioulia Katsaiti, Nikolaos Tsioumas, Melpomeni Mourtziapi, Pavlos Sarafis and Maria Malliarou
Healthcare 2025, 13(15), 1915; https://doi.org/10.3390/healthcare13151915 - 5 Aug 2025
Abstract
Background: Workplace mobbing is a widespread phenomenon with serious psychological and emotional consequences on employees’ emotional well-being. Psychological resilience has been identified as a potential protective factor against such adverse outcomes. Aim: This study investigates the relationship between workplace mobbing and emotional well-being, [...] Read more.
Background: Workplace mobbing is a widespread phenomenon with serious psychological and emotional consequences on employees’ emotional well-being. Psychological resilience has been identified as a potential protective factor against such adverse outcomes. Aim: This study investigates the relationship between workplace mobbing and emotional well-being, as expressed through positive and negative affect, and examines the mediating role of psychological resilience in this association. Methods: Ninety nurses participated in this cross-sectional study. Data were collected using the Connor–Davidson Resilience Scale (CD-RISC), the Workplace Psychologically Violent Behaviors (WPVB) scale, and the Positive and Negative Affect Schedule (PANAS). Statistical analyses included correlation, multiple regression, and mediation using bootstrapped confidence intervals. Results: Resilience was strongly associated with positive affect (r = 0.74, p < 0.001) and inversely with negative affect (r = −0.46, p < 0.001). Mobbing was significantly related to increased negative affect (β = 0.12, p < 0.001) but not to positive affect. Resilience emerged as the strongest predictor of emotional outcomes and partially mediated the relationship between “Attack on professional role” and negative affect. Conclusions: Psychological resilience plays a key protective role in moderating the emotional impact of workplace mobbing. Enhancing resilience in healthcare professionals may mitigate the negative emotional effects of mobbing, although it does not fully buffer against all its consequences. Full article
(This article belongs to the Special Issue Well-Being of Healthcare Professionals: New Insights After COVID-19)
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21 pages, 3733 KiB  
Article
DNO-RL: A Reinforcement-Learning-Based Approach to Dynamic Noise Optimization for Differential Privacy
by Guixin Wang, Xiangfei Liu, Yukun Zheng, Zeyu Zhang and Zhiming Cai
Electronics 2025, 14(15), 3122; https://doi.org/10.3390/electronics14153122 - 5 Aug 2025
Abstract
With the globalized deployment of cross-border vehicle location services and the trajectory data, which contain user identity information and geographically sensitive features, the variability in privacy regulations in different jurisdictions can further exacerbate the technical and compliance challenges of data privacy protection. Traditional [...] Read more.
With the globalized deployment of cross-border vehicle location services and the trajectory data, which contain user identity information and geographically sensitive features, the variability in privacy regulations in different jurisdictions can further exacerbate the technical and compliance challenges of data privacy protection. Traditional static differential privacy mechanisms struggle to accommodate spatiotemporal heterogeneity in dynamic scenarios because of the use of a fixed privacy budget parameter, leading to wasted privacy budgets or insufficient protection of sensitive regions. This study proposes a reinforcement-learning-based dynamic noise optimization method (DNO-RL) that dynamically adjusts the Laplacian noise scale by real-time sensing of vehicle density, region sensitivity, and the remaining privacy budget via a deep Q-network (DQN), with the aim of providing context-adaptive differential privacy protection for cross-border vehicle location services. Simulation experiments of cross-border scenarios based on the T-Drive dataset showed that DNO-RL reduced the average localization error by 28.3% and saved 17.9% of the privacy budget compared with the local differential privacy under the same privacy budget. This study provides a new paradigm for the dynamic privacy–utility balancing of cross-border vehicular networking services. Full article
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19 pages, 357 KiB  
Article
Resilience and Mobbing Among Nurses in Emergency Departments: A Cross-Sectional Study
by Aristotelis Koinis, Ioanna V. Papathanasiou, Ioannis Moisoglou, Ioannis Kouroutzis, Vasileios Tzenetidis, Dimitra Anagnostopoulou, Pavlos Sarafis and Maria Malliarou
Healthcare 2025, 13(15), 1908; https://doi.org/10.3390/healthcare13151908 - 5 Aug 2025
Abstract
Background: Moral harassment (mobbing) in healthcare, particularly among nurses, remains a persistent issue with detrimental effects on mental health, resilience, and quality of life. Aim: We examine the relationship between the resilience of nurses working in Emergency Departments (EDs) and how these factors [...] Read more.
Background: Moral harassment (mobbing) in healthcare, particularly among nurses, remains a persistent issue with detrimental effects on mental health, resilience, and quality of life. Aim: We examine the relationship between the resilience of nurses working in Emergency Departments (EDs) and how these factors influence experiences of workplace mobbing. Methods: This cross-sectional study included 90 nurses from four public hospitals in Greece’s 5th Health District. Data were collected between October 2023 and March 2024 using the WHOQOL-BREF, Workplace Psychologically Violent Behaviors (WPVB) scale and the Connor–Davidson Resilience Scale (CD-RISC). The sample consisted primarily of full-time nurses (84.3% female; mean age = 43.1 years), with 21.1% reporting chronic conditions. Most participants were married (80.0%) and had children (74.4%), typically two (56.1%). Statistical analyses—conducted using SPSS version 27.0—included descriptive statistics, Pearson and Spearman correlations, multiple linear regression, and mediation analysis, with significance set at p < 0.05. Results: Resilience was moderate (mean = 66.38%; Cronbach’s α = 0.93) and positively correlated with all WHOQOL-BREF domains—physical, psychological, social, and environmental (r = 0.30–0.40)—but not with the overall WHOQOL-BREF. The mean overall WHOQOL-BREF score was 68.4%, with the lowest scores observed in the environmental domain (mean = 53.76%). Workplace mobbing levels were low to moderate (mean WPVB score = 17.87), with subscale reliabilities ranging from α = 0.78 to 0.95. Mobbing was negatively associated with social relationships and the environmental WHOQOL-BREF (ρ = –0.23 to –0.33). Regression analysis showed that cohabitation and higher resilience significantly predicted better WHOQOL-BREF outcomes, whereas mobbing was not a significant predictor. Mediation analysis (bootstrap N = 5000) indicated no significant indirect effect of resilience in the relationship between mobbing and WHOQOL-BREF. Conclusions: Resilience was identified as a key protective factor for nurses’ quality of life in emergency care settings. Although workplace mobbing was present at low-to-moderate levels, it was negatively associated with specific WHOQOL-BREF domains. Enhancing mental resilience among nurses may serve as a valuable strategy to mitigate the psychological effects of moral harassment in healthcare environments. Full article
(This article belongs to the Special Issue Health and Social Care Policy—2nd Edition)
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2 pages, 136 KiB  
Correction
Correction: Feemster et al. Implications of Cross-Reactivity and Cross-Protection for Pneumococcal Vaccine Development. Vaccines 2024, 12, 974
by Kristen Feemster, William P. Hausdorff, Natalie Banniettis, Heather Platt, Priscilla Velentgas, Alejandra Esteves-Jaramillo, Robert L. Burton, Moon H. Nahm and Ulrike K. Buchwald
Vaccines 2025, 13(8), 831; https://doi.org/10.3390/vaccines13080831 (registering DOI) - 4 Aug 2025
Abstract
The authors would like to make the following corrections to this published paper [...] Full article
16 pages, 1207 KiB  
Article
Study of Multi-Stakeholder Mechanism in Inter-Provincial River Basin Eco-Compensation: Case of the Inland Rivers of Eastern China
by Zhijie Cao and Xuelong Chen
Sustainability 2025, 17(15), 7057; https://doi.org/10.3390/su17157057 - 4 Aug 2025
Abstract
Based on a comprehensive review of the current research status of ecological compensation both domestically and internationally, combined with field survey data, this study delves into the issue of multi-stakeholder participation in the ecological compensation mechanisms of the Xin’an River Basin. This research [...] Read more.
Based on a comprehensive review of the current research status of ecological compensation both domestically and internationally, combined with field survey data, this study delves into the issue of multi-stakeholder participation in the ecological compensation mechanisms of the Xin’an River Basin. This research reveals that the joint participation of multiple stakeholders is crucial to achieving the goals of ecological compensation in river basins. The government plays a significant role in macro-guidance, financial support, policy guarantees, supervision, and management. It promotes the comprehensive implementation of ecological environmental protection by formulating relevant laws and regulations, guiding the public to participate in ecological conservation, and supervising and punishing pollution behaviors. The public, serving as the main force, forms strong awareness and behavioral habits of ecological protection through active participation in environmental protection, monitoring, and feedback. As participants, enterprises contribute to industrial transformation and green development by improving resource utilization efficiency, reducing pollution emissions, promoting green industries, and participating in ecological restoration projects. Scientific research institutions, as technology enablers, have effectively enhanced governance efficiency through technological research and innovation, ecosystem value accounting to provide decision-making support, and public education. Social organizations, as facilitators, have injected vitality and innovation into watershed governance by extensively mobilizing social forces and building multi-party collaboration platforms. Communities, as supporters, have transformed ecological value into economic benefits by developing characteristic industries such as eco-agriculture and eco-tourism. Based on the above findings, further recommendations are proposed to mobilize the enthusiasm of upstream communities and encourage their participation in ecological compensation, promote the market-oriented operation of ecological compensation mechanisms, strengthen cross-regional cooperation to establish joint mechanisms, enhance supervision and evaluation, and establish a sound benefit-sharing mechanism. These recommendations provide theoretical support and practical references for ecological compensation worldwide. Full article
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25 pages, 5914 KiB  
Article
Numerical Simulation of Surrounding Rock Vibration and Damage Characteristics Induced by Blasting Construction in Bifurcated Small-Spacing Tunnels
by Mingshe Sun, Yantao Wang, Guangwei Dai, Kezhi Song, Xuyang Xie and Kejia Yu
Buildings 2025, 15(15), 2737; https://doi.org/10.3390/buildings15152737 - 3 Aug 2025
Viewed by 55
Abstract
The stability of the intermediate rock wall in the blasting construction of bifurcated small-spacing tunnels directly affects the construction safety of the tunnel structure. Clarifying the damage characteristics of the intermediate rock wall has significant engineering value for ensuring the safe and efficient [...] Read more.
The stability of the intermediate rock wall in the blasting construction of bifurcated small-spacing tunnels directly affects the construction safety of the tunnel structure. Clarifying the damage characteristics of the intermediate rock wall has significant engineering value for ensuring the safe and efficient construction of bifurcated tunnels. Based on the Tashan North Road Expressway Tunnel Project, this paper investigated the damage characteristics of the intermediate rock wall in bifurcated tunnels under different blasting construction schemes, using numerical simulation methods to account for the combined effects of in situ stress and blasting loads. The results were validated using comparisons with the measured damage depth of the surrounding rock in the ramp tunnels. The results indicate that the closer the location is to the starting point of the bifurcated tunnel, the thinner the intermediate rock wall and the more severe the damage to the surrounding rock. When the thickness of the intermediate rock wall exceeds 4.2 m, the damage zone does not penetrate through the wall. The damage to the intermediate rock wall exhibits an asymmetric “U”-shaped distribution, with greater damage on the side of the trailing tunnel at the section of the haunch and sidewall, while the opposite is true at the section of the springing. During each excavation step of the ramp and main-line tunnels, the damage to the intermediate rock wall is primarily induced by blasting loads. As construction progresses, the damage to the rock wall increases progressively under the combined effects of blasting loads and the excavation space effect. In the construction of bifurcated tunnels, the greater the distance between the headings of the leading and trailing tunnels is, the less damage will be inflicted on the intermediate rock wall. Constructing the tunnel with a larger cross-sectional area first will cause more damage to the intermediate rock wall. When the bench method is employed, an increase in the bench length leads to a reduction in the damage to the intermediate rock wall. The findings provide valuable insights for the selection of construction schemes and the protection of the intermediate rock wall when applying the bench method in the construction of bifurcated small-spacing tunnels. Full article
(This article belongs to the Section Construction Management, and Computers & Digitization)
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17 pages, 2225 KiB  
Article
The Persistence of Cross-Reactive Immunity to Influenza B/Yamagata Neuraminidase Despite the Disappearance of the Lineage: Structural and Serological Evidence
by Yulia Desheva, Polina Kudar, Maria Sergeeva, Pei-Fong Wong, Tamara Shvedova, Ekaterina Bazhenova, Evelyna Krylova, Maria Kurpiaeva, Ekaterina Romanovskaya-Romanko, Vera Krivitskaya, Kira Kudria, Irina Isakova-Sivak and Marina Stukova
Int. J. Mol. Sci. 2025, 26(15), 7476; https://doi.org/10.3390/ijms26157476 (registering DOI) - 2 Aug 2025
Viewed by 184
Abstract
Influenza B viruses, divided into B/Victoria and B/Yamagata lineages, have not had B/Yamagata isolates after 2020. A study evaluated immunity to influenza B surface antigens hemagglutinin (HA) and neuraminidase (NA) in 138 patient sera from 2023 and 23 pairs of sera from 2018 [...] Read more.
Influenza B viruses, divided into B/Victoria and B/Yamagata lineages, have not had B/Yamagata isolates after 2020. A study evaluated immunity to influenza B surface antigens hemagglutinin (HA) and neuraminidase (NA) in 138 patient sera from 2023 and 23 pairs of sera from 2018 to 2019 vaccine recipients. The phylogenetic tree of the influenza B virus, based on HA and NA genes, shows that the Yamagata lineage evolves gradually, while the Victoria lineage exhibits rapid mutations with short branches. In 2023, mean levels of antibodies to HA and NA of B/Yamagata virus were higher than to B/Victoria, despite no cases of B/Yamagata lineage isolation after 2020. The titers of antibodies to NA of B/Yamagata statistically significantly differed among individuals born before and after 1988. Among patients examined in 2018–2019, neuraminidase-inhibiting (NI) antibody titers before vaccination were higher to B/Yamagata than to B/Victoria, and NI antibodies to B/Victoria and B/Yamagata positively correlated with neutralizing antibodies to B/Victoria virus before and after vaccination. Immunity to B/Yamagata virus was stronger in 2023, despite no isolation since 2020, probably due to the presence of cross-reactive antibodies from B/Victoria infections or vaccinations. Antibodies to NA of B/Victoria and B/Yamagata in 2023 correlated significantly in patients born before 1988, potentially supporting the concept of ‘antigenic sin’ phenomenon for influenza B viruses. The fact that NI antibody titers to B/Victoria and B/Yamagata correlated with neutralizing antibody titers to B/Victoria may suggest broad cross-protection. Studying influenza B virus NA antigenic properties helps understand the evolution and antigenic competition of HA and NA. Full article
(This article belongs to the Special Issue Respiratory Virus Infection)
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11 pages, 262 KiB  
Article
Secondary Traumatic Stress in Interpreters for Refugees: Why Training and Supervision Matter
by Gerhard Hapfelmeier, Lena Walfisch, Luisa Schroers, Stephan Bender and Marco Walg
Psychiatry Int. 2025, 6(3), 91; https://doi.org/10.3390/psychiatryint6030091 (registering DOI) - 1 Aug 2025
Viewed by 134
Abstract
Interpreters who translate for refugees are regularly confronted with traumatic content. Listening regularly to and translating potentially traumatizing stories make interpreters vulnerable to secondary traumatization. The current study aimed to investigate secondary traumatic stress (STS) in interpreters working with refugees and to identify [...] Read more.
Interpreters who translate for refugees are regularly confronted with traumatic content. Listening regularly to and translating potentially traumatizing stories make interpreters vulnerable to secondary traumatization. The current study aimed to investigate secondary traumatic stress (STS) in interpreters working with refugees and to identify potential risk and protective factors. In this cross-sectional study, 64 interpreters from Austria, Germany, and Switzerland participated. STS, compassion satisfaction, burnout, and resilience were assessed using the Secondary Traumatic Stress Scale, Professional Quality of Life Scale, and Connor–Davidson Resilience Scale. Sociodemographic data were collected (e.g., experiences with translation in psychotherapy, personal backgrounds of forced displacement, and personal experiences with psychotherapy as a client). Subgroup comparisons were conducted to identify risk factors for STS. A total of 43 participants (67%) showed at least mild STS. STS was significantly associated with burnout. Personal experiences of forced displacement, gender, and working context had no impact on STS. Interpreters with personal experiences of psychotherapy showed a higher level of STS as well as higher resilience than those without personal experiences of psychotherapy. Independent of personal experiences of forced displacement, gender, and working context, interpreters who work with refugees are at high risk of STS. Regular training and supervision for interpreters who work with refugees should thus be offered as standard practice. Full article
12 pages, 306 KiB  
Article
Health Problems, Unhealthy Behaviors and Occupational Carcinogens Exposures Among Night Shift Brazilian Workers: Results from National Health Survey, 2019
by Fernanda de Albuquerque Melo Nogueira, Giseli Nogueira Damacena, Ubirani Barros Otero, Débora Cristina de Almeida Mariano Bernardino, Christiane Soares Pereira Madeira, Marcia Sarpa and Celia Landmann Szwarcwald
Int. J. Environ. Res. Public Health 2025, 22(8), 1215; https://doi.org/10.3390/ijerph22081215 - 1 Aug 2025
Viewed by 142
Abstract
Introduction: Night shift work (NSW) has been increasingly addressed in the scientific literature, as it is considered a probable carcinogen. In this study, we investigated the association of NSW with health problems, unhealthy behaviors, and occupational carcinogens. Methods: Cross-sectional study with a sample [...] Read more.
Introduction: Night shift work (NSW) has been increasingly addressed in the scientific literature, as it is considered a probable carcinogen. In this study, we investigated the association of NSW with health problems, unhealthy behaviors, and occupational carcinogens. Methods: Cross-sectional study with a sample of 47,953 workers from the 2019 National Health Survey. NSW prevalence was estimated according to sociodemographic characteristics. To investigate the associations of NSW with all study variables, gender stratified logistic regression models were used. The odds-ratio and 95% confidence intervals were estimated. Results: Among men, there was a significant association of NSW with sleep disorders (OR = 1.39; 95% CI: 1.17–1.65), tiredness (OR = 1.68; 95% CI: 1.41–2.00), obesity (OR = 1.41; 95% CI: 1.20–1.66), unhealthy food consumption (OR = 1.28; 95% CI: 1.12–1.46), handling of radioactive material (OR = 2.45; 95% CI: 1.61–3.72), and biological material (OR = 3.18; 95% CI: 3.15–4.80). Among females, NSW was associated with the same variables except obesity, but depressive feelings (OR = 1.35 95% CI: 1.09–1.67), frequent alcohol intake (OR = 1.48; 95% CI: 1.23–1.78), handling of chemical substances (OR = 1.54; OR = 1.54; 95% CI: 1.20–1.97), and passive smoking at work (OR = 1.45; 95% CI: 1.12–1.86) were highly significant. Conclusion: Night shift workers are more vulnerable to occupational carcinogen exposure, experience greater impacts on their well-being, and are more likely to engage in unhealthy behaviors. These findings should be considered in managing and organizing night work in the workplace. Actions to promote healthy work environments should be encouraged to protect workers’ health. Full article
27 pages, 830 KiB  
Systematic Review
What Pushes University Professors to Burnout? A Systematic Review of Sociodemographic and Psychosocial Determinants
by Henry Cadena-Povea, Marco Hernández-Martínez, Gabriela Bastidas-Amador and Hugo Torres-Andrade
Int. J. Environ. Res. Public Health 2025, 22(8), 1214; https://doi.org/10.3390/ijerph22081214 - 1 Aug 2025
Viewed by 196
Abstract
Burnout syndrome is a growing concern in higher education, affecting the psychological well-being and performance of university professors. This systematic review presents a narrative synthesis of findings from quantitative studies on sociodemographic and psychosocial determinants of academic burnout. Following PRISMA 2020 guidelines, sixty [...] Read more.
Burnout syndrome is a growing concern in higher education, affecting the psychological well-being and performance of university professors. This systematic review presents a narrative synthesis of findings from quantitative studies on sociodemographic and psychosocial determinants of academic burnout. Following PRISMA 2020 guidelines, sixty peer-reviewed articles published between Jan 2019 and May 2024 were selected from Scopus and Web of Science. Inclusion criteria required validated psychometric instruments and exclusive focus on university faculty. Methodological quality was assessed using the Newcastle-Ottawa Scale and CASP checklist. Data from approximately 43,639 academic staff were analyzed. Key risk factors identified include excessive workload, lack of institutional support, and workplace conflict. In contrast, collegial support, participative leadership, and job satisfaction functioned as protective elements. Variables such as age, gender, academic rank, and employment stability significantly influenced burnout vulnerability. While general patterns were observed across studies, differences in design and sampling require caution in generalization. The evidence supports the implementation of integrated strategies encompassing mental health programs, workload regulation, participatory governance, and culturally responsive approaches. These findings inform the development of institutional policies aimed at preventing burnout and fostering academic well-being. Future research should adopt longitudinal and cross-cultural designs to further explore burnout trajectories and support educational reform. Full article
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21 pages, 3648 KiB  
Article
Preparation and Physicochemical Evaluation of Ionically Cross-Linked Chitosan Nanoparticles Intended for Agricultural Use
by Maria Karayianni, Emi Haladjova, Stanislav Rangelov and Stergios Pispas
Polysaccharides 2025, 6(3), 67; https://doi.org/10.3390/polysaccharides6030067 - 1 Aug 2025
Viewed by 178
Abstract
The search for sustainable, economically viable, and effective plant protection strategies against pathogenic bacteria, fungi, and viruses is a major challenge in modern agricultural practices. Chitosan (CS) is an abundant cationic natural biopolymer known for its biocompatibility, low toxicity, and antimicrobial properties. Its [...] Read more.
The search for sustainable, economically viable, and effective plant protection strategies against pathogenic bacteria, fungi, and viruses is a major challenge in modern agricultural practices. Chitosan (CS) is an abundant cationic natural biopolymer known for its biocompatibility, low toxicity, and antimicrobial properties. Its potential use in agriculture for pathogen control is a promising alternative to traditional chemical fertilisers and pesticides, which raise concerns regarding public health, environmental protection, and pesticide resistance. This study focused on the preparation of chitosan nanoparticles (CS-NPs) through cross-linking with organic molecules, such as tannic acid (TA). Various formulations were explored for the development of stable nanoscale particles having encapsulation capabilities towards low compounds of varying polarity and with potential agricultural applications relevant to plant health and growth. The solution properties of the NPs were assessed using dynamic and electrophoretic light scattering (DLS and ELS); their morphology was observed through atomic force microscopy (AFM), while analytical ultracentrifugation (AUC) measurements provided insights into their molar mass. Their properties proved to be primarily influenced by the concentration of CS, which significantly affected its intrinsic conformation. Additional structural insights were obtained via infrared and UV–Vis spectroscopic measurements, while detailed fluorescence analysis with the use of three different probes, as model cargo molecules, provided information regarding the hydrophobic and hydrophilic microdomains within the particles. Full article
(This article belongs to the Collection Bioactive Polysaccharides)
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13 pages, 530 KiB  
Article
Protective Factors for Falls Among Independent Older Adults: A Cross-Sectional Study
by Warangkana Srimoke, Chamnong Thanapop, Pimpichaya Sangchart, Sopanat Chitpong, Jirasuta Hnoophet, Nattaya Rueangkhanap and Kitipop Jantep
Int. J. Environ. Res. Public Health 2025, 22(8), 1202; https://doi.org/10.3390/ijerph22081202 - 31 Jul 2025
Viewed by 243
Abstract
As Thailand transitions into a super-aged society, falls are a rising public health issue. However, limited research focuses specifically on independent older adults in rural areas. This study examined intrinsic and extrinsic factors associated with falls among independent older adults in a rural [...] Read more.
As Thailand transitions into a super-aged society, falls are a rising public health issue. However, limited research focuses specifically on independent older adults in rural areas. This study examined intrinsic and extrinsic factors associated with falls among independent older adults in a rural district of southern Thailand, contributing to localized fall prevention strategies. A cross-sectional study was conducted using multi-stage probabilistic sampling with 325 older adults aged 60–79 years residing in Nakhon Si Thammarat. Data were collected through structured interviews, and multivariate logistic regression was used to identify fall predictors. A fall was defined as an unintended fall to a lower level within the previous 12 months. The fall prevalence was 29.8%, with the majority resulting in minor injuries. Multivariate analysis revealed protective factors, including sociodemographic factors such as higher monthly income (adjusted OR = 0.47; 95% CI: 0.30–0.74) and agricultural employment (adjusted OR = 0.50; 95% CI: 0.27–0.95), as well as the extrinsic factor of pet ownership (adjusted OR = 0.53; 95% CI: 0.35–0.81), were significantly associated with reduced fall risk. The study highlights context-specific protective factors that could inform community-based interventions. Future research should assess causality and intervention effectiveness in broader populations. Full article
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24 pages, 11280 KiB  
Article
Identifying Landscape Character in Multi-Ethnic Areas in Southwest China: The Case of the Miao Frontier Corridor
by Yanjun Liu, Xiaomei Li, Shangjun Lu, Liyun Xie and Zongsheng Huang
Land 2025, 14(8), 1571; https://doi.org/10.3390/land14081571 - 31 Jul 2025
Viewed by 261
Abstract
The landscapes of China’s multi-ethnic areas are rich in natural and cultural value, but they are threatened by homogenization and urbanization. This study aims to establish a method for identifying and classifying the landscape characters in China’s multi-ethnic areas to support the protection [...] Read more.
The landscapes of China’s multi-ethnic areas are rich in natural and cultural value, but they are threatened by homogenization and urbanization. This study aims to establish a method for identifying and classifying the landscape characters in China’s multi-ethnic areas to support the protection and sustainable development of the landscape in these areas. Taking the Miao Frontier Corridor as an example, the study optimized a parameterization method of landscape character assessment (LCA), integrated relevant cultural and natural elements, and used the K-means clustering algorithm to determine the landscape character types and regions of the Miao Frontier Corridor. The results show that (1) the natural conditions, ethnic exchanges, and historical institutions of the Miao Frontier Corridor have had a significant impact on its overall landscape; and (2) using ethnic group culture as a cultural element in LCA helps to reveal the unique cultural value of areas with different landscape characters. This study expands the LCA framework and applies it to multi-ethnic areas in China, thereby establishing a database that can serve as the basis for cross-regional landscape protection, management, and development planning in these areas. The research methods can be widely used in other multi-ethnic areas in China. Full article
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23 pages, 1447 KiB  
Article
Heat Risk Perception and Vulnerability in Puerto Rico: Insights for Climate Adaptation in the Caribbean
by Brenda Guzman-Colon, Zack Guido, Claudia P. Amaya-Ardila, Laura T. Cabrera-Rivera and Pablo A. Méndez-Lázaro
Int. J. Environ. Res. Public Health 2025, 22(8), 1197; https://doi.org/10.3390/ijerph22081197 - 31 Jul 2025
Viewed by 187
Abstract
Extreme heat poses growing health risks in tropical regions, yet public perception of this threat remains understudied in the Caribbean. This study examines how residents in Puerto Rico perceived heat-related health risks and how these perceptions relate to vulnerability and protective behaviors during [...] Read more.
Extreme heat poses growing health risks in tropical regions, yet public perception of this threat remains understudied in the Caribbean. This study examines how residents in Puerto Rico perceived heat-related health risks and how these perceptions relate to vulnerability and protective behaviors during the extreme heat events of the summer of 2020. We conducted a cross-sectional telephone survey of 500 adults across metropolitan and non-metropolitan areas of Puerto Rico, using stratified probability sampling. The questionnaire assessed heat risk perception, sociodemographic characteristics, health status, prior heat exposure, and heat-related behaviors. While most participants expressed concern about climate change and high temperatures, fewer than half perceived heat as a high level of personal health risk. Higher levels of risk perception were significantly associated with being male, aged 50–64, unemployed, and in fair health, having multiple chronic conditions, and prior experience with heat-related symptoms. Those with symptoms were nearly five times more likely to report high levels of risk perception (OR = 4.94, 95% CI: 2.93–8.34). In contrast, older adults (65+), despite their higher level of vulnerability, reported lower levels of risk perception and fewer symptoms. Nighttime heat exposure was widespread and strongly associated with heat-related symptoms. Common coping strategies included the use of fans and air conditioning, though economic constraints and infrastructure instability limited access. The findings highlight the disparity between actual and perceived vulnerability, particularly among older adults. Public health strategies should focus on risk communication tailored to vulnerable groups and address barriers to heat adaptation. Strengthening heat resilience in Puerto Rico requires improved infrastructure, equitable access to cooling, and targeted outreach. Full article
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15 pages, 1293 KiB  
Article
Hesitant Minds in Vulnerable Times: COVID-19 Vaccine Hesitancy Among University Students in Ukraine
by Prince Yeboah, Afraa Razouk, Philip Skotzke, Werner Pitsch, Olena Chubuchna, Victoria Serhiyenko, Nataliia Slyvka, Serhii Holota, Muhammad Jawad Nasim, Ahmad Yaman Abdin and Claus Jacob
COVID 2025, 5(8), 122; https://doi.org/10.3390/covid5080122 - 31 Jul 2025
Viewed by 205
Abstract
COVID-19 vaccine hesitancy (VH), like attitudes towards other vaccines, is a critical global public health concern. Despite numerous studies covering psychological, sociodemographic, and other determinants of vaccine acceptance, resistance, and hesitance, few studies have reported these factors among students, particularly in politically unstable [...] Read more.
COVID-19 vaccine hesitancy (VH), like attitudes towards other vaccines, is a critical global public health concern. Despite numerous studies covering psychological, sociodemographic, and other determinants of vaccine acceptance, resistance, and hesitance, few studies have reported these factors among students, particularly in politically unstable settings like Ukraine. This cross-sectional, descriptive, and quantitative study assesses hesitancy towards COVID-19 vaccines, utilizing the 5Cs Model. Among 936 respondents surveyed in 2023, 64% received at least one shot of the COVID-19 vaccine (acceptant), 11% were still considering getting vaccinated (hesitant), and 25% refused vaccination (resistant). Vaccination behavior is significantly associated with the 5Cs. Higher collective responsibility significantly increased acceptance and reduced resistance, while higher constraints lowered the chances of being either acceptant or resistant. Confidence protected against resistance. Complacency, counterintuitively, reduced odds of resistance, pointing to differences between passive hesitancy and active refusal. Male gender and sources of information and misinformation influenced confidence. Collective responsibility was positively associated with official sources and negatively with conspiracy beliefs. Complacency increased with official sources, while constraints and calculation were least explained by predictors. Practical barriers should be tackled through improved accessibility and fostering collective responsibility via targeted communication strategies. These findings provide actionable insights for policymakers, healthcare providers, and academic institutions to enhance vaccine uptake among university students, particularly in crisis settings. Full article
(This article belongs to the Special Issue COVID and Public Health)
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