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Search Results (240)

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Keywords = economic costs of environmental health impact

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31 pages, 617 KiB  
Review
A Comprehensive Review: Bovine Respiratory Disease, Current Insights into Epidemiology, Diagnostic Challenges, and Vaccination
by Stephanie O’Donoghue, Sinéad M. Waters, Derek W. Morris and Bernadette Earley
Vet. Sci. 2025, 12(8), 778; https://doi.org/10.3390/vetsci12080778 - 20 Aug 2025
Viewed by 192
Abstract
The aim of this comprehensive review is to synthesize current knowledge on bovine respiratory disease (BRD), enhance diagnostic strategies, and support effective prevention and management practises. BRD remains a leading cause of morbidity and mortality in cattle, driven by a complex interplay of [...] Read more.
The aim of this comprehensive review is to synthesize current knowledge on bovine respiratory disease (BRD), enhance diagnostic strategies, and support effective prevention and management practises. BRD remains a leading cause of morbidity and mortality in cattle, driven by a complex interplay of viral and bacterial pathogens, host factors, environmental stressors, and management conditions. Its prevalence (2.1% to 20.2%) varies across geographical regions, age groups, and diagnostic methods. BRD leads to significant economic losses through direct impacts such as mortality, reduced growth rates, and lighter carcass weights, as well as indirect costs like market restrictions and long-term productivity declines. Diagnosing BRD is challenging due to its non-specific clinical signs and frequent subclinical presentations. Traditional diagnostic tools like clinical respiratory scoring (CRS) systems provide structure but suffer from low sensitivity and subjectivity. Behavioural monitoring shows promise by detecting early changes in feeding, movement, and social behaviours. Thoracic auscultation is widely used but limited in accuracy. Thoracic ultrasonography (TUS) stands out as a more sensitive method for detecting subclinical disease and correlating with growth outcomes. Combining CRS with TUS enhances early and accurate detection. Advancing diagnostic approaches is critical for improving animal health and minimizing economic losses in cattle production systems. Full article
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37 pages, 1945 KiB  
Review
Staphylococcus aureus in Foodborne Diseases and Alternative Intervention Strategies to Overcome Antibiotic Resistance by Using Natural Antimicrobials
by Anna Phan, Sanjaya Mijar, Catherine Harvey and Debabrata Biswas
Microorganisms 2025, 13(8), 1732; https://doi.org/10.3390/microorganisms13081732 - 24 Jul 2025
Viewed by 557
Abstract
Foodborne diseases are the most common causes of illness worldwide. Bacterial pathogens, including Staphylococcus aureus, are often involved in foodborne disease and pose a serious threat to human health. S. aureus is commonly found in humans and a variety of animal species. [...] Read more.
Foodborne diseases are the most common causes of illness worldwide. Bacterial pathogens, including Staphylococcus aureus, are often involved in foodborne disease and pose a serious threat to human health. S. aureus is commonly found in humans and a variety of animal species. Staphylococcal enteric disease, specifically staphylococcal food poisoning (SFP), accounts for numerous gastrointestinal illnesses, through the contamination of food with its enterotoxins, and its major impact on human health imposes a heavy economic burden in society. Commonly, antibiotics and antimicrobials are used to treat SFP. However, a range of complications may arise with these treatments, impeding the control of S. aureus diseases specifically caused by methicillin-resistant S. aureus (MRSA). Natural alternative options to control S. aureus diseases, such as bacteriophages, plant-based antimicrobials, nanoparticle-based or light-based therapeutics, and probiotics, are promising in terms of overcoming these existing problems as they are environmentally friendly, abundant, unlikely to induce resistance in pathogens, cost-effective, and safe for human health. Recent findings have indicated that these alternatives may reduce the colonization and infection of major foodborne pathogens, including MRSA, which is crucial to overcome the spread of antibiotic resistance in S. aureus. This review focuses on the present scenario of S. aureus in foodborne disease, its economic importance and current interventions and, most importantly, the implications of natural antimicrobials, especially probiotics and synbiotics, as alternative antimicrobial means to combat pathogenic microorganisms particularly, S. aureus and MRSA. Full article
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24 pages, 2758 KiB  
Article
A Techno-Economic Analysis of Integrating an Urban Biorefinery Process Within a Wastewater Treatment Plant to Produce Sustainable Wood Adhesives
by Blake Foret, William M. Chirdon, Rafael Hernandez, Dhan Lord B. Fortela, Emmanuel Revellame, Daniel Gang, Jalel Ben Hmida, William E. Holmes and Mark E. Zappi
Sustainability 2025, 17(15), 6679; https://doi.org/10.3390/su17156679 - 22 Jul 2025
Viewed by 500
Abstract
Societies are aiming to have a higher ecological consciousness in wastewater treatment operations and achieve a more sustainable future. With this said, global demands for larger quantities of resources and the consequent waste generated will inevitably lead to the exhaustion of current municipal [...] Read more.
Societies are aiming to have a higher ecological consciousness in wastewater treatment operations and achieve a more sustainable future. With this said, global demands for larger quantities of resources and the consequent waste generated will inevitably lead to the exhaustion of current municipal wastewater treatment works. The utilization of biosolids (particularly microbial proteins) from wastewater treatment operations could generate a sustainable bio-adhesive for the wood industry, reduce carbon footprint, mitigate health concerns related to the use of carcinogenic components, and support a more circular economic option for wastewater treatment. A techno-economic analysis for three 10 MGD wastewater treatment operations producing roughly 11,300 dry pounds of biosolids per day, in conjunction with co-feedstock defatted soy flour protein at varying ratios (i.e., 0%, 15%, and 50% wet weight), was conducted. Aspen Capital Cost Estimator V12 was used to design and estimate installed equipment additions for wastewater treatment plant integration into an urban biorefinery process. Due to the mechanical attributes and market competition, the chosen selling prices of each adhesive per pound were set for analysis as USD 0.75 for Plant Option P1, USD 0.85 for Plant Option P2, and USD 1.00 for Plant Option P3. Over a 20-year life, each plant option demonstrated economic viability with high NPVs of USD 107.9M, USD 178.7M, and USD 502.2M and internal rates of return (IRRs) of 24.0%, 29.0%, and 44.2% respectively. The options examined have low production costs of USD 0.14 and USD 0.19 per pound, minimum selling prices of USD 0.42–USD 0.51 per pound, resulting in between 2- and 4-year payback periods. Sensitivity analysis shows the effects biosolid production fluctuations, raw material market price, and adhesive selling price have on economics. The results proved profitable even with large variations in the feedstock and raw material prices, requiring low market selling prices to reach the hurdle rate of examination. This technology is economically enticing, and the positive environmental impact of waste utilization encourages further development and analysis of the bio-adhesive process. Full article
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21 pages, 1566 KiB  
Article
Environmental Degradation and Its Implications for Forestry Resource Efficiency and Total Factor Forestry Productivity in China
by Fuxi Wu, Rizwana Yasmeen, Xiaowei Xu, Heshan Sameera Kankanam Pathiranage, Wasi Ul Hassan Shah and Jintao Shen
Forests 2025, 16(7), 1166; https://doi.org/10.3390/f16071166 - 15 Jul 2025
Viewed by 407
Abstract
Environmental costs (carbon emissions) have come with China’s economic rise, and its forestry sector now faces difficulties in maintaining both its profit and the health of its ecosystems. This study assesses the impact of carbon emissions on forestry efficiency and total factor productivity [...] Read more.
Environmental costs (carbon emissions) have come with China’s economic rise, and its forestry sector now faces difficulties in maintaining both its profit and the health of its ecosystems. This study assesses the impact of carbon emissions on forestry efficiency and total factor productivity (TFFP) in China’s 31 provinces between 2001 and 2021. Using the data envelopment analysis (DEA) model through the slack-based measure (SBM framework) and Malmquist–Luenberger index (MLI), we examine the efficiency and productivity growth of forestry, both with and without accounting for carbon emissions. The study reveals that when carbon emissions are not taken into account, traditional measures of productivity tend to overstate both efficiency and total factor forestry productivity (TFFP) growth, resulting in an average of 7.7 percent higher efficiency and 1.6 percent of additional TFFP growth per year. If we compare the regions, coast provinces with stricter technical regulations have improved efficiency in usage, but places like Tibet and Qinghai, with more vulnerable ecosystems, endure harsher consequences. Regardless of incorporating bad output into the TFFP estimation, China’s growth in forestry productivity primarily depends on efficiency change (EC) rather than technological change (TC). Full article
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13 pages, 261 KiB  
Article
Diet with High Forage:Concentrate Ratio Improves Milk Nutritional Properties and Economic Sustainability of Buffalo Breeding
by Lorenzo Infascelli, Nadia Musco, Piera Iommelli, Giuseppe Vassalotti, Francesco Capezzuto, Fabio Zicarelli, Valeria Maria Morittu, Anna Antonella Spina, Federico Infascelli and Raffaella Tudisco
Animals 2025, 15(14), 2050; https://doi.org/10.3390/ani15142050 - 11 Jul 2025
Viewed by 421
Abstract
The present study aimed to evaluate the impact of two dietary regimens, characterized by different forage-to-concentrate ratios, on feed intake, milk yield and composition, as well as economic and environmental sustainability in lactating buffalo cows. Group H was fed a high-forage diet, while [...] Read more.
The present study aimed to evaluate the impact of two dietary regimens, characterized by different forage-to-concentrate ratios, on feed intake, milk yield and composition, as well as economic and environmental sustainability in lactating buffalo cows. Group H was fed a high-forage diet, while Group L was fed a diet with a lower forage-to-concentrate ratio. Despite a lower energy value (Unit for Feed Lactation: UFL 0.89 vs. 0.91), the diet of group H met the animals’ nutritional requirements, with similar dry matter intake (DMI) and body condition scores observed in both groups. While there was no significant difference in milk yield, protein, and lactose, group H exhibited significantly higher milk fat content and an enhanced fatty acid profile, characterized by increased oleic acid, conjugated linoleic acids (CLAs), and omega-3 polyunsaturated fatty acids. These fatty acids have been linked to potential health benefits in humans, including anti-inflammatory, cardioprotective, and anticarcinogenic effects. From an economic perspective, the H group’s diet was found to be more cost-effective, resulting in EUR 0.46 savings per head per day and a higher yield of mozzarella cheese. From an environmental perspective, the high-forage diet reduced reliance on imported concentrates and irrigation-dependent crops, aligning with sustainable development goals. In conclusion, increasing the forage content in buffalo diets has been demonstrated to support animal performance, improve milk quality, reduce environmental impact, and enhance economic returns for producers. Full article
(This article belongs to the Special Issue Buffalo Farming as a Tool for Sustainability)
26 pages, 692 KiB  
Review
Smart Biofloc Systems: Leveraging Artificial Intelligence (AI) and Internet of Things (IoT) for Sustainable Aquaculture Practices
by Mansoor Alghamdi and Yasmeen G. Haraz
Processes 2025, 13(7), 2204; https://doi.org/10.3390/pr13072204 - 10 Jul 2025
Viewed by 1103
Abstract
The rising demand for sustainable aquaculture necessitates innovative solutions to environmental and operational challenges. Biofloc technology (BFT) has emerged as an effective method, leveraging microbial communities to enhance water quality, reduce feed costs, and improve fish health. However, traditional BFT systems are susceptible [...] Read more.
The rising demand for sustainable aquaculture necessitates innovative solutions to environmental and operational challenges. Biofloc technology (BFT) has emerged as an effective method, leveraging microbial communities to enhance water quality, reduce feed costs, and improve fish health. However, traditional BFT systems are susceptible to water quality fluctuations, demanding precise monitoring and control. This review explores the integration of Artificial Intelligence (AI) and Internet of Things (IoT) technologies in smart BFT systems, highlighting their capacity to automate processes, optimize resource utilization, and boost system performance. IoT devices facilitate real-time monitoring, while AI-driven analytics provide actionable insights for predictive management. We present a comparative analysis of AI models, such as LSTM, Random Forest, and SVM, for various aquaculture prediction tasks, emphasizing the importance of performance metrics like RMSE and MAE. Furthermore, we discuss the environmental and economic impacts, including quantitative case studies on cost reduction and productivity increases. This paper also addresses critical aspects of AI model reliability, interpretability (SHAP/LIME), uncertainty quantification, and failure mode analysis, advocating for robust testing protocols and human-in-the-loop systems. By addressing these challenges and exploring future opportunities, this article underscores the transformative potential of AI and IoT in advancing BFT for sustainable aquaculture practices, offering a pathway to more resilient and efficient food production. Full article
(This article belongs to the Special Issue Machine Learning Optimization of Chemical Processes)
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16 pages, 340 KiB  
Article
Kosovo’s Financial and Economic Benefits from Natural Gas Investment Compared to the Western Balkans
by Gjelosh Vataj, Meshdi Ismailov and Shaqir Rexhepi
Sustainability 2025, 17(14), 6268; https://doi.org/10.3390/su17146268 - 8 Jul 2025
Viewed by 450
Abstract
This paper analyzes annual energy production data in Kosovo and explores the potential benefits of introducing natural gas as an energy source. The study compares current coal-based energy production with natural gas in terms of not only financial impact but also environmental pollution [...] Read more.
This paper analyzes annual energy production data in Kosovo and explores the potential benefits of introducing natural gas as an energy source. The study compares current coal-based energy production with natural gas in terms of not only financial impact but also environmental pollution and public health. The focus is on evaluating financial sustainability by assessing production costs and consumption effects, particularly the potential for expense reduction through natural gas adoption. A financial module analysis was applied, comparing energy prices from coal and natural gas sources. Special emphasis was placed on household economic benefits, return on investment, and reduced energy costs. With the integration of natural gas, household energy expenses could decrease from €0.12 to €0.10 per unit, resulting in estimated national savings of approximately €60 million per year. The investment evaluation was conducted using methodologies grounded in relevant case studies and price differentials in the energy market. Full article
(This article belongs to the Section Energy Sustainability)
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24 pages, 2408 KiB  
Article
Multi-Criteria Analysis of Three Walkable Surface Configurations for Healthy Urban Trees: Suspended Grating Systems, Modular Boxes, and Structural Soils
by Magdalena Wojnowska-Heciak, Olga Balcerzak and Jakub Heciak
Sustainability 2025, 17(13), 6195; https://doi.org/10.3390/su17136195 - 6 Jul 2025
Viewed by 445
Abstract
The conflicting demands of urban trees and walkable surfaces result in significant financial burdens for municipal administrators who understand that urban residents want tree-lined walkable surfaces. This study investigates three methodologies for mitigating this tension: suspended grating systems, modular box systems, and structural [...] Read more.
The conflicting demands of urban trees and walkable surfaces result in significant financial burdens for municipal administrators who understand that urban residents want tree-lined walkable surfaces. This study investigates three methodologies for mitigating this tension: suspended grating systems, modular box systems, and structural soils. A Multi-Criteria Analysis (MCA) was conducted to evaluate their suitability in dense urban areas, employing criteria categorized into Environmental, Economical, and Other considerations. The comparison focused on critical aspects such as the impact on tree health (root growth, water availability), installation complexity, initial costs, and overall suitability for diverse urban contexts. The MCA indicates that, under the given weighting of criteria, suspended grating systems (especially those suited for existing trees) rank the highest, primarily due to their superior root protection and minimal disturbance to established root systems. In contrast, modular box systems and structural soils emerge as particularly strong contenders for new tree plantings. Structural soils may have application at sites with existing trees, but the costs of removing native soil are a consideration. Sensitivity analysis suggests that modular box systems may become the preferred option when greater emphasis is placed on stormwater management and new plantings, rather than on challenges for existing trees or underground infrastructure. Structural soils score well in cost-effectiveness and installation speed but require careful implementation to address their lower root protection performance and long-term maintenance concerns. Ultimately, the optimal solution depends on unique site-specific conditions and budgetary constraints, emphasizing the necessity of tailored approaches to balance urban infrastructure with tree health. Full article
(This article belongs to the Section Sustainable Urban and Rural Development)
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24 pages, 964 KiB  
Article
Mechanistic Analysis of the Impact of Farmers’ Livelihood Transformation on the Ecological Efficiency of Agricultural Water Use in Arid Areas Based on the SES Framework
by Huijuan Du, Guangyao Wang, Guangyan Ran, Yaxue Zhu and Xiaoyan Zhu
Water 2025, 17(13), 1962; https://doi.org/10.3390/w17131962 - 30 Jun 2025
Viewed by 378
Abstract
Water resources have become a critical factor limiting agricultural development and ecological health in arid regions. The ecological efficiency of agricultural water use (EEAWU) serves as an indicator of the sustainable utilization of agricultural water resources, taking into account both economic output and [...] Read more.
Water resources have become a critical factor limiting agricultural development and ecological health in arid regions. The ecological efficiency of agricultural water use (EEAWU) serves as an indicator of the sustainable utilization of agricultural water resources, taking into account both economic output and environmental impact. This paper, grounded in the social–ecological system (SES) framework, integrates multidimensional variables related to social behavior, economic decision-making, and ecological constraints to construct an analytical system that examines the impact mechanism of farmers’ part-time employment on the EEAWU. Utilizing survey data from 448 farmers in the western Tarim River Basin, and employing the super-efficiency SBM model alongside Tobit regression for empirical analysis, the study reveals the following findings: (1) the degree of farmers’ part-time employment is significantly negatively correlated with EEAWU (β = −0.041, p < 0.05); (2) as the extent of part-time employment increases, farmers adversely affect EEAWU by altering agricultural labor allocation, adjusting crop structures, and inadequately adopting water-saving measures; (3) farm size plays a negative moderating role in the relationship between farmers’ part-time engagement and the EEAWU, where scale expansion can alleviate the EEAWU losses associated with part-time employment through cost-sharing and factor substitution mechanisms. Based on these findings, it is recommended to enhance the land transfer mechanism, promote agricultural social services, implement tiered water pricing and water-saving subsidy policies, optimize crop structures, and strengthen environmental regulations to improve EEAWU in arid regions. Full article
(This article belongs to the Section Water Use and Scarcity)
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34 pages, 1955 KiB  
Review
Advancing Phytoremediation: A Review of Soil Amendments for Heavy Metal Contamination Management
by Ahmed Abderrafaa Tamma, Krzysztof Lejcuś, Wiesław Fiałkiewicz and Daria Marczak
Sustainability 2025, 17(13), 5688; https://doi.org/10.3390/su17135688 - 20 Jun 2025
Viewed by 1511
Abstract
Heavy metal (HM) contamination poses a major threat to environmental health, agriculture and human well-being, requiring effective and sustainable remediation strategies. Phytoremediation, an eco-friendly and cost-effective approach, is widely used for the remediation of HM-contaminated soils. Although phytoremediation holds considerable potential in the [...] Read more.
Heavy metal (HM) contamination poses a major threat to environmental health, agriculture and human well-being, requiring effective and sustainable remediation strategies. Phytoremediation, an eco-friendly and cost-effective approach, is widely used for the remediation of HM-contaminated soils. Although phytoremediation holds considerable potential in the extraction, stabilisation and degradation of HMs, its effectiveness is often constrained by limited metal bioavailability, plant stress under toxic conditions and slow metal uptake rates. To address these limitations, this review examines the integration of various soil amendments—the application of biochar, compost, plant exudates, microbial agents and chelating agents—to enhance phytoremediation efficiency. This review critically evaluates empirical evidence on the effectiveness, scalability, economic feasibility and environmental impact of these amendments. By synthesising recent studies, this review advances the understanding of amendment-assisted phytoremediation as a viable solution for treating HM-contaminated soils. In addition, this review identifies practical applications, discusses limitations and explores the potential synergies of these amendments to optimise phytoremediation strategies, ultimately contributing to more effective and sustainable environmental cleanup efforts. Full article
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24 pages, 2597 KiB  
Article
Fuzzy Optimization and Life Cycle Assessment for Sustainable Supply Chain Design: Applications in the Dairy Industry
by Pablo Flores-Siguenza, Victor Lopez-Sanchez, Julio Mosquera-Gutierres, Juan Llivisaca-Villazhañay, Marlon Moscoso-Martínez and Rodrigo Guamán
Sustainability 2025, 17(12), 5634; https://doi.org/10.3390/su17125634 - 19 Jun 2025
Viewed by 557
Abstract
The increasing emphasis on integrating sustainability into corporate operations has prompted supply chain managers to incorporate not only economic objectives but also environmental and social considerations into their network designs. This study presents a structured six-stage methodology to develop a fuzzy multi-objective optimization [...] Read more.
The increasing emphasis on integrating sustainability into corporate operations has prompted supply chain managers to incorporate not only economic objectives but also environmental and social considerations into their network designs. This study presents a structured six-stage methodology to develop a fuzzy multi-objective optimization model for the sustainable design of a multi-level, multi-product forward supply chain network. The model incorporates two conflicting objectives: minimizing total network costs and reducing environmental impact. To quantify environmental performance, a comprehensive life cycle assessment is conducted in accordance with the ISO 14040 standard and the ReCiPe 2016 method, focusing on three impact categories: human health, resources, and ecosystems. To address uncertainty in demand and production costs, fuzzy mixed-integer linear programming is employed. The model is validated and applied to a real-world case study of a dairy small-to-medium enterprise in Ecuador. Using the epsilon-constraint method, a Pareto frontier is generated to illustrate the trade-offs between the economic and environmental objectives. This research provides a robust decision-making tool for uncertain environments and advances knowledge on the integration of life cycle assessment with supply chain optimization and network design methodologies for sustainable development. Full article
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14 pages, 241 KiB  
Article
The Effects of Jojoba Meal Supplementation on the Performance and Health of Nursing Awassi Ewes and the Pre-Weaning Growth of Their Lambs
by Ja’far Al-Khaza’leh and Belal S. Obeidat
Dairy 2025, 6(3), 29; https://doi.org/10.3390/dairy6030029 - 18 Jun 2025
Viewed by 525
Abstract
Utilizing agro-industrial by-products to feed livestock is crucial for environmental protection and, simultaneously, lowering production and feeding costs. In light of these aims, in this study, two trials were conducted to evaluate the impact of jojoba meal (JJM) on Awassi ewes’ milk properties, [...] Read more.
Utilizing agro-industrial by-products to feed livestock is crucial for environmental protection and, simultaneously, lowering production and feeding costs. In light of these aims, in this study, two trials were conducted to evaluate the impact of jojoba meal (JJM) on Awassi ewes’ milk properties, nutrient intake, digestibility, and the pre-weaning growth of their nursing lambs. In the first trial, 22 Awassi ewes were divided equally between two experimental diets at random (11 ewes per diet): 0% JJM (CON) and 15% JJM (JJM15) of dietary dry matter (DM). In the second trial, 10 ewes were randomly selected (5 ewes/diet) to assess nutritional digestibility and N balance. The results of trial 1 showed that neutral detergent fiber (NDF), acid detergent fiber (ADF), and ether extract (EE) intake values were greater (p ≤ 0.02) in the JJM15 group compared to the CON group. The total gain and average daily gain (ADG) of the lambs in the JJM15 group were significantly higher compared to those of the CON group (p < 0.05). The average milk yield of nursing ewes was similar between the two dietary groups (p ˃ 0.05). The percentage and yield of solids-not-fat (SNF) in the JJM15 group were significantly higher compared to the CON group. The other milk components, including protein, lactose, fat, and total solids yields, were similar between the dietary groups (p ˃ 0.05). The milk production cost was significantly lower for the JJM15 diet than the CON diet (p = 0.004). Triglyceride levels were lower (p = 0.001) in the JJM15 diet group than in the CON diet group. In trial 2, nutrient digestibility and N balance were not affected (p ≥ 0.073) by the consumption of JJM15. In conclusion, JJM at 15% of dietary DM resulted in no negative effects on the health, performance, or milk quality of Awassi ewes. Most significantly, by lowering the cost of production, our results appear to indicate that this dietary supplement improves economic efficiency. Full article
(This article belongs to the Section Dairy Animal Nutrition and Welfare)
37 pages, 998 KiB  
Systematic Review
Evaluating the Cost-Effectiveness of Air Pollution Mitigation Strategies: A Systematic Review
by Bo Vandenbulcke, Nick Verhaeghe, Lisa Cruycke, Max Lelie, Steven Simoens and Koen Putman
Int. J. Environ. Res. Public Health 2025, 22(6), 926; https://doi.org/10.3390/ijerph22060926 - 11 Jun 2025
Viewed by 1095
Abstract
Air pollution is the world’s greatest environmental health risk. Pollutants that pose large health concerns are particulate matter (PM2.5 and PM10), ozone (O3), carbon monoxide (CO), nitrogen dioxide (NO2), and sulphur dioxide (SO2). These [...] Read more.
Air pollution is the world’s greatest environmental health risk. Pollutants that pose large health concerns are particulate matter (PM2.5 and PM10), ozone (O3), carbon monoxide (CO), nitrogen dioxide (NO2), and sulphur dioxide (SO2). These compounds (especially PM2.5 and PM10) contribute to the onset of diseases, such as respiratory diseases (e.g., asthma, chronic obstructive pulmonary disease (COPD), or lung cancer) and cardiovascular diseases. Abatement interventions are implemented to reduce air pollution and thereby the risk of these diseases. This systematic review examined the published scientific evidence on the cost-effectiveness of strategies aimed at reducing or controlling air pollution and assessed the reporting quality of included studies. It employed rigorous data extraction and quality scoring procedures to ensure the reliability and validity of our findings. Overall, there is substantial evidence supporting the cost-effectiveness of interventions aimed at reducing air pollution. Seventy-four studies and four policy reports were included in this review. Predominantly, cost–benefit analyses have been reported (n = 40), reflecting the multisectoral impacts and associated costs of air pollution. Only four cost–utility analyses were found, indicating the need for more research within this domain. Additionally, eight articles reported one or more non-economic results. Thirty-nine studies focused on particulate matter (PM), and eleven focused on nitrogen oxides (NOx). The quality assessment yielded moderate results. The heterogeneity of studies and moderate quality of reporting make it difficult to compare results and draw definitive conclusions. Full article
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58 pages, 949 KiB  
Review
Excess Pollution from Vehicles—A Review and Outlook on Emission Controls, Testing, Malfunctions, Tampering, and Cheating
by Robin Smit, Alberto Ayala, Gerrit Kadijk and Pascal Buekenhoudt
Sustainability 2025, 17(12), 5362; https://doi.org/10.3390/su17125362 - 10 Jun 2025
Viewed by 2034
Abstract
Although the transition to electric vehicles (EVs) is well underway and expected to continue in global car markets, most vehicles on the world’s roads will be powered by internal combustion engine vehicles (ICEVs) and fossil fuels for the foreseeable future, possibly well past [...] Read more.
Although the transition to electric vehicles (EVs) is well underway and expected to continue in global car markets, most vehicles on the world’s roads will be powered by internal combustion engine vehicles (ICEVs) and fossil fuels for the foreseeable future, possibly well past 2050. Thus, good environmental performance and effective emission control of ICE vehicles will continue to be of paramount importance if the world is to achieve the stated air and climate pollution reduction goals. In this study, we review 228 publications and identify four main issues confronting these objectives: (1) cheating by vehicle manufacturers, (2) tampering by vehicle owners, (3) malfunctioning emission control systems, and (4) inadequate in-service emission programs. With progressively more stringent vehicle emission and fuel quality standards being implemented in all major markets, engine designs and emission control systems have become increasingly complex and sophisticated, creating opportunities for cheating and tampering. This is not a new phenomenon, with the first cases reported in the 1970s and continuing to happen today. Cheating appears not to be restricted to specific manufacturers or vehicle types. Suspicious real-world emissions behavior suggests that the use of defeat devices may be widespread. Defeat devices are primarily a concern with diesel vehicles, where emission control deactivation in real-world driving can lower manufacturing costs, improve fuel economy, reduce engine noise, improve vehicle performance, and extend refill intervals for diesel exhaust fluid, if present. Despite the financial penalties, undesired global attention, damage to brand reputation, a temporary drop in sales and stock value, and forced recalls, cheating may continue. Private vehicle owners resort to tampering to (1) improve performance and fuel efficiency; (2) avoid operating costs, including repairs; (3) increase the resale value of the vehicle (i.e., odometer tampering); or (4) simply to rebel against established norms. Tampering and cheating in the commercial freight sector also mean undercutting law-abiding operators, gaining unfair economic advantage, and posing excess harm to the environment and public health. At the individual vehicle level, the impacts of cheating, tampering, or malfunctioning emission control systems can be substantial. The removal or deactivation of emission control systems increases emissions—for instance, typically 70% (NOx and EGR), a factor of 3 or more (NOx and SCR), and a factor of 25–100 (PM and DPF). Our analysis shows significant uncertainty and (geographic) variability regarding the occurrence of cheating and tampering by vehicle owners. The available evidence suggests that fleet-wide impacts of cheating and tampering on emissions are undeniable, substantial, and cannot be ignored. The presence of a relatively small fraction of high-emitters, due to either cheating, tampering, or malfunctioning, causes excess pollution that must be tackled by environmental authorities around the world, in particular in emerging economies, where millions of used ICE vehicles from the US and EU end up. Modernized in-service emission programs designed to efficiently identify and fix large faults are needed to ensure that the benefits of modern vehicle technologies are not lost. Effective programs should address malfunctions, engine problems, incorrect repairs, a lack of servicing and maintenance, poorly retrofitted fuel and emission control systems, the use of improper or low-quality fuels and tampering. Periodic Test and Repair (PTR) is a common in-service program. We estimate that PTR generally reduces emissions by 11% (8–14%), 11% (7–15%), and 4% (−1–10%) for carbon monoxide (CO), hydrocarbons (HC), and oxides of nitrogen (NOx), respectively. This is based on the grand mean effect and the associated 95% confidence interval. PTR effectiveness could be significantly higher, but we find that it critically depends on various design factors, including (1) comprehensive fleet coverage, (2) a suitable test procedure, (3) compliance and enforcement, (4) proper technician training, (5) quality control and quality assurance, (6) periodic program evaluation, and (7) minimization of waivers and exemptions. Now that both particulate matter (PM, i.e., DPF) and NOx (i.e., SCR) emission controls are common in all modern new diesel vehicles, and commonly the focus of cheating and tampering, robust measurement approaches for assessing in-use emissions performance are urgently needed to modernize PTR programs. To increase (cost) effectiveness, a modern approach could include screening methods, such as remote sensing and plume chasing. We conclude this study with recommendations and suggestions for future improvements and research, listing a range of potential solutions for the issues identified in new and in-service vehicles. Full article
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27 pages, 1011 KiB  
Systematic Review
Sustainability in the Management of the Private Medical Sector in Romania: A European, USA and Japan Comparison
by Emanuel George Mesteru
Sustainability 2025, 17(12), 5360; https://doi.org/10.3390/su17125360 - 10 Jun 2025
Viewed by 825
Abstract
The private healthcare sector in Romania, led by prominent players such as Medlife, Regina Maria, Medicover and Sanador, has become a cornerstone of the country’s healthcare system. However, achieving sustainability in this sector remains a challenge. This study evaluates sustainability practices in Romania’s [...] Read more.
The private healthcare sector in Romania, led by prominent players such as Medlife, Regina Maria, Medicover and Sanador, has become a cornerstone of the country’s healthcare system. However, achieving sustainability in this sector remains a challenge. This study evaluates sustainability practices in Romania’s private medical sector using the Triple Bottom Line (TBL) framework, comparing them to those of the EU, USA and Japan. Using statistical methods and benchmarking, we identify correlations between healthcare expenditures, financing schemes and sustainability metrics. A bibliographic review highlights global trends in sustainable healthcare management, including environmental, social and economic strategies and provides insights into the cost-effectiveness of green initiatives. Special focus is given to the role of technology in driving sustainability through innovations in telemedicine, digital health records and operational optimization. Using statistical methods (Pearson and Spearman correlation coefficients), we have performed an analysis of health expenditure data for EU countries, the USA and Japan. The dataset was extracted from the Organisation for Economic Co-operation and Development (OECD) data portal and included various health expenditure indicators, financing schemes and administrative data for all EU countries, the USA and Japan for the period 2018–2023. We have performed a structured analysis that explores correlations between these indicators, with a focus on financial schemes, expenditures and management sustainability. The analysis shows strong correlations between healthcare expenditures, financing schemes and administrative costs. Countries with efficient governance, balanced financing and proactive population health strategies (e.g., Japan and Nordic countries) demonstrate better management sustainability. However, countries like the USA and Eastern EU nations face challenges due to high administrative costs and inefficient financing models, respectively. Addressing these issues is critical to sustaining healthcare systems in the long term. The findings reveal that while Romanian providers excel in patient satisfaction and technological innovation, they lag behind their European counterparts in environmental sustainability and equitable access. Recommendations are proposed to address these gaps, drawing on successful strategies implemented in other European healthcare systems. This study fills a gap in the literature by providing a structured analysis of sustainability practices in Romania’s private healthcare sector, contextualized within a global comparative framework. Full article
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