Search Results (6,942)

This paper is aimed at landscape managers and designers. It looks at 123 real-world coastal landscape projects and organizes them into clear design categories, i.e., wetland restoration, hybrid infrastructure, or urban green spaces. We looked at how these projects were framed (whether they focused on climate adaptation, flood protection, or other goals) and how they tracked performance. We are hoping to bring some clarity to a very scattered field, helping us to see patterns in what is actually being carried out in terms of landscape interventions and increasing sea levels. We are hoping to provide a practical reference for making better, more climate-responsive design decisions. Coastal cities face escalating climate-driven threats from increasing sea levels and storm surges to urban heat islands. These threats are driving increased interest in nature-based solutions (NbSs) as green adaptive alternatives to traditional gray infrastructure. Despite an abundance of individual case studies, there have been few systematic syntheses aimed at landscape designers and managers linking design typologies, project framing, and performance outcomes. This study addresses this gap through a meta-synthesis of 123 implemented coastal landscape interventions aimed directly at landscape-oriented research and professions. Flood risk reduction was the dominant framing strategy (30.9%), followed by climate resilience (24.4%). Critical evidence gaps emerged—only 1.6% employed integrated monitoring approaches, 30.1% provided ambiguous performance documentation, and mean monitoring quality scored 0.89 out of 5.0. While 95.9% of the projects acknowledged SLR as a driver, only 4.1% explicitly integrated climate projections into design parameters. Community monitoring approaches demonstrated significantly higher ecosystem service integration, particularly cultural services (36.4% vs. 6.9%, $p<0.001$), and enhanced monitoring quality (mean score 1.64 vs. 0.76, $p<0.001$). Implementation barriers spanned technical constraints, institutional fragmentation, and data limitations, each affecting 20.3% of projects. Geographic analysis revealed evidence generation inequities, with systematic underrepresentation of high-risk regions (Africa: 4.1%; Latin America: 2.4%) versus concentration in well-resourced areas (North America: 27.6%; Europe: 17.1%). Full article

This study presents a comprehensive approach to risk management and planned preventative maintenance (PPM) for cultural heritage, focusing on the hypogeum archaeological site beneath the Chamber of Commerce in Rimini, Italy. Hypogeal environments pose unique conservation challenges due to their microclimates, biological threats, and structural vulnerabilities. Applying the ABC Method—developed by ICCROM and CCI—this research systematically identifies, analyzes, and prioritizes risks associated with agents of risks. The methodology was complemented by the Nara Grid to assess the site’s authenticity and cultural value, aiding in the delineation of risk areas and informing strategic conservation priorities. The study identifies efflorescence formation, flooding risks, and lack of management guidelines as extreme threats, proposing tailored treatments and practical interventions across multiple layers of control. Through environmental monitoring, empirical analysis, and a multidisciplinary framework, the research offers a replicable model for sustainable conservation and preventive heritage management in similar subterranean contexts. Full article

Background/Objectives: Pacific peoples in Aotearoa, New Zealand experience the highest burden of gout globally, yet there is still a lack of awareness and understanding of the disease. A Pacific community group and Pacific health professional network co-designed Pacific gout resources to improve understanding. The aim of this study is to identify and discuss the current state and perceptions of Pacific gout education, and explore health professionals’ views on Pacific co-designed resources and their usefulness in clinical settings. Methods: The Fa’afaletui model was utilised to conduct semi-structured Talanga interviews with 14 health professionals in Auckland, New Zealand who work in primary care clinics. The interview explored their views on providing gout education and on the feasibility of the Pacific co-designed gout resources. Talanga interviews were audio recorded and thematically analysed. Results: Overall, health professionals responded positively to the co-designed resources, identifying the benefits of supporting primary care consultations and improving Pacific patients’ understanding of gout. The key findings were summarised in five main themes: (1) health system barriers to gout education, (2) misleading information, (3) health professionals’ experiences of providing health education, (4) general impressions of Pacific co-designed resources, and (5) the feasibility of Pacific co-designed educational resources in a clinical setting. Conclusions: This study presents the views of health professionals in providing health education related to gout and on the feasibility of Pacific co-designed educational resources. It reinforces the significance of involving communities in the design and implementation of interventions to ensure they are culturally safe, relevant, and have long-term impacts on gout management. Full article

Background: Cellulosimicrobium, formerly known as the Oerskovia genus, is a Gram-positive organism known for its characteristic bright yellow colonies. While abundant in nature, it is very rarely linked to pathogenesis in humans. While there is no classical presentation for Cellulosimicrobium-associated infections, cases tend to be foreign body-related or involve immunocompromised patients. Rates of Cellulosimicrobium-associated infections have been hypothesised to rise in the future, due to rising numbers of immunocompromised patients in the community and increasing usage of foreign bodies such as prostheses and long-term catheters. Existing technical difficulties regarding misidentifying cultures as other species (often other coryneforms) may also play a significant role in the low number of documented cases, and this may change in the near future with diagnostic advancements such as whole genomic sequencing. Case Presentation: A 57-year-old immunocompetent Irish male presented with concomitant neck and lung masses. Notably, this was found to be directly following a recent dental procedure. During extensive investigations, Cellulosimicrobium was isolated from biopsied lung tissue using 16S ribosomal ribonucleic acid gene-sequencing analysis. The patient was treated with long-term oral amoxicillin and safely discharged, with both masses showing measurable reductions in size on subsequent imaging. Conclusions: Should Cellulosimicrobium represent the causative pathological organism in this case, then we believe this to represent a potential novel documented presentation of the organism’s pathogenesis in humans. We provide detailed discussion surrounding the successful management of this patient and the evaluation of the evolving differential diagnosis throughout this case. Full article

Climate change and rapid urbanization are underscoring the need for urban green spaces that offer a wide range of ecosystem services, which can provide irreplaceable benefits to residents. Cultural services are the ones that affect visitation patterns the most and may be the easiest to influence via investment or neglect. The main aim of this research was to evaluate and cluster the urban green spaces of a Hungarian city, Szeged, based on their potential cultural ecosystem service values, to uncover their investment and management differences. Regarding the methodology, we performed three field observations on each of the selected 19 sample areas, assessing their potential cultural ecosystem services and visitation patterns. The green spaces were evaluated on a total of 36 criteria, which we analysed using principal component analysis, factor analysis, and cluster analysis. As a result of our research, we defined four main urban green space clusters: city centre squares, suburban playgrounds, central parks, and informal green spaces. The differences in their potential cultural ecosystem service values significantly affect their usage patterns and are indicators of investment inequities. Understanding and tackling the uncovered environmental injustices requires a complex assessment of the local urban fabric along with its usage and management practices. Full article

As a national treasure, architectural heritage carries multiple value dimensions such as history, technology, art, and culture. With the increasing demand for architectural heritage protection and utilization, the traditional static digital model of architectural heritage based on geometric expression can no longer meet the practical application of multi-stage and multi-level scenarios. To this end, this paper proposes a value-chain-driven multi-level digital twin model of architectural heritage. Based on the three-stage logic of protection, management, and dissemination of value-chain classification, it integrates four types of models: geometry, physics, rules, and behavior. Combined with different hierarchical application levels, the digital model of architectural heritage is refined into a VCLOD (Value-Chain-Driven Level of Detail) detail hierarchy system to achieve a unified expression from spatial form restoration to intelligent response. Through the empirical application of three typical scenarios: the full-area guided tour of the Forbidden City, the exhibition curation of the central axis and the preventive protection of the Meridian Gate, the model shows the following specific results: (1) the efficiency of tourist guidance is improved through real-time personalized path planning; (2) the exhibition planning and visitor experience are improved through dynamic monitoring and interactive management of the exhibition environment; (3) the predictive analysis and preventive protection measures of structural safety are realized, effectively ensuring the structural safety of the Meridian Gate. The research results provide a theoretical basis and practical support for the systematic expression and intelligent evolution of digital twins of architectural heritage. Full article

Bacterial contamination of intravenous catheters in hospitalized horses may pose risks for both patient care and public health due to potential antimicrobial resistance and zoonotic transmission. This prospective clinical study aimed to evaluate the incidence of catheter contamination in equine patients admitted to a Veterinary Teaching Hospital between 2020 and 2021. All horses requiring intravenous catheterization were included, and data were collected on patient signalment, clinical status, duration of catheterization, treatments, and outcomes. Two catheter types were used: 5 cm polytetrafluoroethylene and 11 cm polyurethane, both 14-gauge. Catheters were aseptically removed, and the distal ends were cultured on Blood Agar and Brain Heart Infusion broth. Bacterial isolates were identified using standard microbiological techniques, and contamination was defined as any detectable bacterial growth. Of the 58 catheters collected from 52 patients, 38 (65.5%) showed bacterial growth, predominantly Staphylococcus spp. Multivariable logistic regression analysis identified antibiotic treatment as significantly associated with positive bacteriological culture. These findings indicate a higher contamination rate than previously reported in horses. While colonization may not always result in clinical infection, the observed frequency of contamination underscores the need for careful catheter management and further investigation into its implications for antimicrobial stewardship. Full article

To identify the impact of destination performance on long-term tourist loyalty in the context of sustainable cultural heritage tourism, this study formulated a research model to examine the relationship between destination performance and perceived value, expectation confirmation, satisfaction, and loyalty through extending the expectation–confirmation model (ECM). Using the Pantang Wuyue Historic District in Guangzhou as a case, data were collected from 542 tourists and analyzed using a structural equation model (SEM). The results indicate that destination performance exerts a direct and significant influence on long-term tourist loyalty. Furthermore, destination performance exerts a direct and significant influence on expectation confirmation and perceived value. The empirical analysis not only provides a comprehensive theoretical framework for understanding tourists’ long-term loyalty in the context of sustainable cultural heritage tourism but also offers practical insights for managers aiming to improve the quality and attractiveness of destination performance to foster long-term tourist loyalty. Full article

Background: Scedosporium apiospermum is a filamentous fungus increasingly recognized as an opportunistic pathogen in immunocompromised hosts, though rare infections in immunocompetent individuals with structural lung disease have been reported. Its diagnosis and management remain challenging due to non-specific clinical presentation and intrinsic resistance to multiple antifungal agents. Case Presentation: We report the case of a 66-year-old immunocompetent woman with idiopathic bilateral non-cystic fibrosis bronchiectasis, who presented with subacute cough and increased sputum production. Chest high-resolution CT revealed new subsolid and ground-glass infiltrates superimposed on stable bronchiectatic changes. Bronchoalveolar lavage (BAL) cultures isolated S. apiospermum as the sole pathogen. The patient was treated with oral voriconazole (200 mg BID) for 4 weeks, followed by a 4-week course of aerosolized amphotericin B. Clinical and radiological improvement was observed, and no relapse occurred during follow-up. Discussion: This case highlights the potential for S. apiospermum to cause clinically relevant pulmonary infection in structurally abnormal but immunocompetent lungs. Non-CF bronchiectasis may facilitate fungal colonization due to impaired mucociliary clearance and chronic mucus retention. Combined antifungal therapy involving systemic voriconazole and inhaled amphotericin B (though not yet standardized) was employed based on clinical rationale and the available literature, resulting in favorable outcomes. Conclusions:S. apiospermum pulmonary infection, although rare in immunocompetent hosts with bronchiectasis, should be considered in cases of new or persistent infiltrates. Early recognition and individualized antifungal strategies, including the potential role of inhaled agents, may improve clinical outcomes. This case reinforces the importance of multidisciplinary collaboration in the management of complex fungal infections in chronic airway disease. Full article

With the advancement of refined urban governance and the construction of high-quality public spaces, street furniture design and usage face multiple challenges, including insufficient public participation and a neglect of actual user experience. These issues highlight the urgent need to establish a scientifically grounded user evaluation framework to inform design practices. This study focuses on Yangzhou Ecological Science and Technology New Town and, drawing on field investigation, grounded theory, and the Delphi method, develops a street furniture design evaluation framework encompassing three core dimensions: planning and configuration, environmental coordination, and operational management. Building on this framework, the Analytic Hierarchy Process and Fuzzy Comprehensive Evaluation method are employed to conduct a holistic assessment of the street furniture and to identify critical design deficiencies. The results demonstrate that the proposed framework effectively identifies the strengths and weaknesses of street furniture and provides robust support for formulating targeted optimization strategies. The results reveal significant variations in the perceived importance of design factors among different user groups. Residents primarily emphasize practicality and convenience in daily use. Tourists value aesthetic expression and cultural resonance, whereas government officials focus on construction standardization and maintenance efficiency. In terms of satisfaction, all three groups reported relatively low scores, with the ranking as follows: “planning and configuration” > “management and operations” > “environmental coordination.” Based on these findings, the study proposes targeted design guidelines for future practice. The evaluation framework has been adopted by local authorities, incorporated into official street furniture design guidelines, and implemented in pilot projects—demonstrating its practical applicability and value. This research contributes to the theoretical advancement of street furniture design and provides empirical and methodological support for applications in other emerging urban areas and new town developments. Full article

Coffee pulp, the primary residue generated during the wet processing of Coffea arabica L., is frequently applied directly to fields as a crude soil amendment. However, this practice often lacks proper microbial stabilization, limiting its agronomic potential and posing risks due to the presence of phytotoxic compounds. In Colombia, disease-resistant varieties such as Coffea arabica L. var. Castillo and var. Cenicafé 1, developed by the National Coffee Research Center (Cenicafé), are the amongst the most widely cultivated varieties in the country; however, despite their widespread adoption, the microbial ecology of postharvest residues from these varieties remains poorly characterized. This study aimed to isolate and functionally characterize native microbial communities from the pulp of Coffea arabica var. Castillo and var. Cenicafé 1, and to evaluate their role in postharvest processing and organic waste management. Fresh pulp samples were collected from a wet-processing facility located in tropical mid-elevation zones. A total of 53 microbial isolates were recovered using culture-dependent techniques on selective media targeting yeasts, lactic acid bacteria (LAB), and filamentous fungi. Amplicon sequencing of the 16S rRNA gene (V3–V4 region) and ITS1 region was conducted to profile bacterial and fungal communities, revealing diverse microbial consortia dominated by Aspergillus, Lactobacillus, Leuconostoc, Pichia, and Saccharomyces species. Enzymatic screening indicated high pectinolytic and cellulolytic activity. Composting trials using inoculated pulp showed a ~40% reduction in composting time and improved nutrient content. These findings support the use of native microbiota to enhance composting efficiency and postharvest valorization, contributing to more sustainable and circular coffee systems. Full article

Augmented reality has hastened innovators to create things instantly. It has long been understood that the tourism industry is an industry of cultural exchange and visitation seeking experience, satisfaction, and pride. This study aims to increase behavior intention and delight mediating through experiential value co-creation using service-dominant logic theory. This study answers the focused research question by conducting surveys (n = 307) of members of Generation Y in Jakarta and Semarang city. The findings show that experiential value co-creation and delight directly and indirectly have a positively effect on behavior intention in virtual travel. This research offers a new concept, namely experiential value co-creation, to explain the connection between how tourists’ behavior in surfing the internet can influence their behavior intentions. This research certainly has managerial implications which are very useful for increasing behavioral intention, especially in the tourism sector. Tourist attraction managers must pay attention to content that discusses tourist destinations. Complete and accurate information is very useful in increasing the desire to visit tourist locations. Full article

Chronic dermatologic diseases are characterized by pathophysiologic complexity and the existence of many unmet patient management needs that can contribute to treatment failure, with poor adherence being a major issue. This study aims to identify key topics in this field, using the Web of Science database. To perform this analysis, tools such as VOSviewer, Bibliometrix, and Excel were used. A Python script leveraging machine learning algorithms was developed to standardize terminology. The initial search yielded 35,373 documents, which were then refined to 12,952 publications spanning 1975 to 2024 through parameter optimization. The study found an increasing interest in this research domain, with a notable surge in 2019. The analysis identified the United States, Germany, and England as the most prolific countries in terms of scientific output. Canada ranked sixth in total document production, but its documents received the highest average citations, reflecting a significant impact. Normalization analysis revealed Italy as the most specialized country in chronic skin disease research relative to total national research output. Trend analysis revealed an evolution in research topics, particularly after 2020, with a growing focus on personalized treatment methods and long-term treatment outcomes. The study highlighted international collaboration, especially among countries with cultural or regional connections, such as those within the European Union. It underscores the growing need for continuous updates and the increasing global focus on chronic skin diseases, highlighting the critical role of staying current with emerging trends to drive advancements in treatment and patient care. Full article

The construction of cascade reservoir systems (CRSs) is increasing globally, providing reliable energy and water resources for human social development, while also having significant impacts on the watershed water environment, particularly in terms of nitrogen and phosphorus distribution in the rivers and lakes of these areas. Watershed management authorities urgently need model tools that can comprehensively analyze the sources of nitrogen and phosphorus in CRSs and the nitrogen and phosphorus cycling in lakes and reservoirs. Therefore, this study establishes a model framework that includes a watershed nutrient load model and a hierarchical reservoir nutrient cycling model, validating and analyzing this framework in the Water Diversion Basin from the Luanhe River to Tianjin (WDBLT) in North China, which yields nitrogen and phosphorus substance flows over different time scales. The conclusions show that banning cage culture and curbing point sources improved reservoir water quality, and the internal TP flux serves as a key environmental indicator. This model framework is scientifically sound, easy to operate, and does not require high data demands, demonstrating high practical value for similar water environmental management in CRS. Full article

Suicide is a leading cause of death among construction workers, particularly younger and lower-skilled employees. Barriers such as stigma, low mental health literacy, and traditional masculine norms hinder help-seeking in this male-dominated sector. Few mental health interventions are tailored to this context. This study developed a co-designed, theory-informed training to improve mental health literacy, reduce stigma, and increase help-seeking among construction workers in Ireland. Using the Medical Research Council’s framework, the training was developed with the Theory of Planned Behavior (TPB), Behavior Change Techniques, and extensive stakeholder co-design. Two systematic reviews, a broad literature review, and focus groups with industry managers informed the content and structure. The training will be pilot-tested using validated measures: the Literacy of Suicide Scale (LOSS), the Stigma of Suicide Scale (SOSS), and the General Help-Seeking Questionnaire (GHSQ), the results of which will be the subject of a separate study. CAIRDE is a promising, evidence-based training that addresses key mental health barriers in Irish construction. Embedding the TPB within a co-design methodology has resulted in the development of a training program that is underpinned by theoretical fidelity and cultural relevance and provides a framework for other male-dominated industries to draw upon. Future work should address remaining challenges related to stigma and help-seeking, and explore broader implementation through integration into mandatory safety training. Full article