Search Results (2,843)

The prosperity of the Maritime Spice Route in China during the Song–Yuan dynasties (960–1368) propelled Quanzhou into a global hub for maritime trade and cultural integration. A large number of Muslims settled in Quanzhou via maritime routes, living and multiplying over generations—their journey fully documenting the localization trajectory of the immigrant group. To explore the relationship between the evolution of their traditional residence types and immigration localization, this study takes 185 “one bright hall and two dark rooms” traditional residences of the Ding’s Hui ethnic group in Chendai as an example, constructing a “4 × 6” matrix framework via the spatiotemporal biaxial coordinate classification method, with an integrated application of statistics, field surveying and mapping, Space Syntax, and genealogical document analysis. Results reveal that 15 of the 24 theoretical residence types are effectively preserved, forming a “prototype + combined type” evolutionary chain. Residence-type acceptance presents distinct traits, Class A as the foundational form, Class D as the mainstream, and Classes B and C as transitional types, a pattern reflecting the comprehensive influence of construction land conditions, living patterns, and local construction concepts on residence-type selection. Significant disparities in average connectivity between the central courtyard and various core public spaces embody the multi-branch small-family cohabitation mode and verify the localization development trajectory of residential space. The evolution of this residence-type system is confirmed to feature three core characteristics—nonlinearity, integrated and diversified fusion, and spatial constraint—and proposes preservation strategies for double-standard dimensional, multicultural and identifiability qualities, which provide a scientific reference for the protection and renewal of architectural heritage in Hui ethnic communities and similar immigrant settlements on China’s southeast coast. Full article

Background/Objectives: Healthcare workers (HCWs) have a crucial role in addressing vaccine hesitancy in ethnic minority populations as they are a trusted source of information. The aim of this systematic review is to synthesise and evaluate behaviour change techniques (BCTs) and strategies in interventions aimed at HCWs to promote vaccine uptake among ethnic minority populations. Methods: The literature was systematically searched in peer-reviewed databases and the grey literature. Studies were included if they reported interventions for respiratory and routinely recommended vaccine-preventable diseases which were delivered by HCWs to increase vaccine uptake in ethnic minority groups. Interventions were coded using the Behaviour Change Wheel (BCW) and BCT Taxonomy. Results: From 7250 records identified, 14 studies were included in the review. Vaccines targeted by interventions included influenza, pneumococcal disease, pertussis, tetanus, diphtheria, meningitis and hepatitis B. Seven BCW intervention types, six policy options and 22 BCTs were identified. Main intervention types used were persuasion, enablement and education. Effective interventions had multi-components and were tailored to specific populations. Staff training to improve vaccine recommendation and dialogue with patients, and prompts/cues were associated with positive effects, but there was no strong evidence to recommend one specific intervention strategy over another as effectiveness was linked to a multitude of BCTs and intervention types. Conclusions: Several strategies aimed at HCWs can be used and tailored to increase vaccine uptake among ethnic minority communities; however, this does not address all issues related to low vaccine uptake. While HCWs are necessary, without system-level enablement, they cannot fully address barriers to vaccine uptake. Full article

In the face of increasing pressure on agriculture and the effects of climate change, as well as the increasing popularity of Western foods, the enhancement of local food resources stands out as an essential strategy to strengthen food security and to slow down the erosion of traditions. Buprestid beetles are customarily consumed by some people in Togo, but these beetles remain poorly documented. This study explores the nutritional value of Buprestids consumed in Ecological Zone I of Togo. In total 630 individuals representing 7 ethnic groups from 14 localities, with 45 respondents in each, were interviewed. Buprestids were collected in the surveyed areas for identification, and specimens of Sternocera interrupta (Olivier, 1790) were specifically selected for biochemical analyses. Ash, amino and fatty acids, vitamins and fibre contents were determined using AOAC and AFNOR methods. Mineral content was determined by spectrophotometry; fatty acid composition by gas chromatography and amino acid composition by Biochrom 30+ analyzer. The results show that three species of Buprestids are still consumed in Togo, but that this practice is becoming increasingly rare among younger people. The decline can be attributed to a combination of ecological, sociocultural, and economic factors. The analysis of S. interrupta revealed the following composition (dry weight): 58.02 ± 0.18% protein, 6.63 ± 0.28% lipid, and 12.81 ± 0.49% fibre. From a micronutritional standpoint, the species is rich in vitamins and minerals, highlighting the need to conserve Buprestids for their nutritional value and role in food security amidst ecological transition, as well as their contribution to biodiversity. Full article

Communities susceptible to disasters frequently endure severe socio-economic and psychological repercussions. Therefore, it is essential to thoroughly understand the various vulnerabilities encountered by different groups. Residents of New Orleans, Louisiana, faced significant hardships after Hurricane Katrina hit on 29 August 2005. A multitude of individuals lost their residences, while others, regrettably, lost family members. The Displaced New Orleans Residents Survey (DNORS) offered significant insights into individuals and households living in New Orleans immediately prior to Hurricane Katrina’s impact in August 2005. The survey interview was conducted from mid-2009 until mid-2010. This study utilizes DNORS public data files to evaluate socio-demographic characteristics pertinent to the analysis, including age, gender, race/ethnicity, marital status, household income, education level, employment status in 2005, and insurance coverage, alongside psychological measures such as mental health symptoms, posttraumatic stress, depression, and perceived stress. The research employs various regression techniques to identify the at-risk categories affected psychologically and physically by the hurricane. These findings may aid policymakers in developing targeted post-disaster recovery strategies, thereby promoting more resilient and sustainable communities. Full article

Background and Objectives: This study aimed to compare coronary plaque characteristics between Asian and European populations undergoing coronary CT angiography and to examine associations between cardiovascular risk factors and coronary artery calcification. Materials and Methods: In this retrospective, two-center, cross-sectional observational study, 1591 adult patients (1203 of Asian and 388 of European descent) referred for coronary computed tomography angiography (CCTA) due to suspected coronary artery disease between 2008 and 2025 were included. Demographic, clinical characteristics, and laboratory data were obtained from medical records. Computed tomography (CT) was performed on different CT scanners, including a 64-slice Siemens SOMATOM Definition AS, a 250-slice Siemens SOMATOM, a 640-slice multi-detector Canon Aquilion ONE, and a 128-slice multi-detector GE Revolution scanner with prospective cardiac synchronization and 0.6 mm slice reconstruction. Coronary artery calcium (CAC) scores were quantified using automated software “Vitrea”. Associations between ethnicity, cardiovascular risk factors, and CAC were assessed using non-parametric analyses and multivariable regression models. Stata 18 software was used for all statistical analyses. Results: European participants demonstrated a higher prevalence of obesity, hypertension, tobacco use, and alcohol consumption compared with Asian participants. The prevalence of CAC > 0 was higher in Europeans than in Asians (60.6% vs. 50.3%, p < 0.01). European individuals were independently associated with CAC presence in multivariable analysis. Multivessel (≥2-vessel) stenosis and calcified plaques were more frequently observed in Europeans, whereas non-calcified and low-density plaques predominated among Asians. Conclusions: Within this referral-based cohort, differences in coronary plaque characteristics were observed between the studied groups within this clinical CCTA cohort. The European group was associated with a higher prevalence of calcified plaques, whereas non-calcified and low-density plaques were more frequently observed among Asian participants. These findings show associations between ethnicity and plaque characteristics within a clinical cohort and require confirmation in prospective studies. Full article

Ecological resettlement (ER), or conservation-led displacement, is widely implemented to safeguard biodiversity but often produces complex socio-ecological outcomes. This study assessed the environmental justice (both social and ecological) impacts of ER in Nepal’s Terai Arc Landscape (TAL) using an enhanced (including social, ecological, and environmental aspects) environmental justice (EJ) framework. Data were collected from 240 households across all resettled villages within the Chitwan and Parsa National Parks (NPs) of Nepal through household interviews, key informant interviews, focus groups, and field observations, supplemented by policy reviews, reports, and unpublished documents. Household demographics indicated an average family size of 5.5, gender parity (664 females, 658 males), and diverse caste/ethnic composition (ethnic: 146 households; higher caste: 64; lower caste: 6). Wealth distribution and literacy were uneven, with disparities in land ownership, assets, and social positions. Social and ecological justice outcomes were analysed using chi-square and McNemar tests. We observed a significant difference (p < 0.05) in substantive justice (food, shelter, clothing, and security) attributes before and after the resettlements. Similarly, significant improvements post-resettlement were observed in procedural and recognition justice: participation in decision-making increased from 43% to 62% (χ² = 12.34, p < 0.05). However, recognition of Indigenous knowledge and FPIC rights remained low, with 93% of households reporting inadequate acknowledgment (χ² = 198.5, p < 0.05). Distributive justice indicators, including access to compensation and forest resources, showed mixed outcomes, with 52% reporting fair compensation and 48% citing inequities (p < 0.05). Ecological outcomes also shifted significantly: forest cover decreased in 65% of surveyed areas post-resettlement, while grassland extent increased in 28% (χ² = 27.4, p < 0.05). Water source accessibility declined for 48% of households (χ² = 21.6, p < 0.05), and bushfire incidence decreased by 15% (χ² = 9.8, p < 0.05). Composite scoring revealed strong linkages between social justice deficits and ecological downturn in the resettled areas, suggesting that inadequate participation, recognition, inequitable compensation, and ecological degradation shift the issues from parks to the outside and exacerbate environmental vulnerability. These findings demonstrate that ER can achieve partial ecological objectives inside the parks but often perpetuates social inequities and ecological downturn in the resettled areas, undermining the long-term sustainability of the socio-ecological landscape. The study highlights the critical need to integrate social justice, participatory governance, and ecological monitoring into resettlement planning. Future policies should be grounded in the understanding that conservation effectiveness and social equity are mutually reinforcing, and that ignoring justice dimensions risks undermining both biodiversity outcomes and human wellbeing. Full article

This study explored the experiences, perspectives and confidence of teaching and research staff of discussing race and ethnicity, and associated equalities matters, at a post-1992 university in North West England, UK. In particular, it studied whether colleagues, who were largely white, had the understanding and personal skills to deliver on race equity in teaching and learning in a Higher Education Institution (HEI). Further, it examined whether there was a disconnect between the intention of an HEI working towards the Race Equality Charter (REC) mark and the detrimental effects this may have on its minoritised ethnic staff. The study was based on focus groups and interviews of 43 academic staff as participants using Critical Race Theory (CRT) and Intersectionality as the theoretical lens. These address discrepancies between institutional declarations and realities within higher education, which is important, as HEIs are increasingly positioning themselves as committed to diversity and equity, while the practical implementation often remains inconsistent. The findings demonstrate that the white participants were not confident, competent or pro-active enough to effect any meaningful change in race equity. At the same time, the minoritised ethnic participants often felt the burden of having to relive the trauma and pain of racism and take the lead in any race equity initiatives. In sum, the study demonstrates that HEI initiatives that purport to tackle systemic racism through decolonisation and the REC mark have little chance of effecting institutional change if the staff do not have the confidence, competence and necessary skills to make it happen. Full article

Background: Breast cancer outcomes are influenced by tumor biology, stage at diagnosis, and access to timely care. Refugee populations may experience disparities in cancer outcomes despite formal access to healthcare services. Türkiye hosts the largest population of Syrian refugees globally and provides universal access to oncology care, offering a unique context to examine equity in breast cancer outcomes. Methods: We performed a retrospective cohort study of female patients diagnosed with invasive breast cancer between 2013 and 2022 at two tertiary oncology centers in Gaziantep, Türkiye. Patients were grouped as Syrian refugees or Turkish citizens based on recorded nationality. Baseline clinicopathologic features and stage at diagnosis were compared between groups. Overall survival (OS) was estimated by the Kaplan–Meier method and compared using log-rank tests. Survival analyses were performed overall and stratified by stage category (I–III vs. IV). Cox proportional hazards regression was used to evaluate the association between ethnicity and OS with adjustment for stage and molecular subtype (and other prespecified covariates as appropriate). Treatment delivery patterns (systemic therapy and radiotherapy) were descriptively compared to evaluate access after entry into care. Results: Among 499 patients (150 Syrian refugees; 349 Turkish citizens), Syrian patients were younger at diagnosis and more frequently presented with de novo metastatic disease. In the overall cohort with survival data (n = 430), unadjusted OS differed by ethnicity; however, survival differences were attenuated after stratification by stage. In stage I–III disease, OS did not significantly differ between groups, and in stage IV disease, median OS was comparable between ethnicities. In multivariable analysis adjusting for stage and molecular subtype, ethnicity was not independently associated with OS, whereas stage and molecular subtype remained prognostic. Treatment delivery patterns in both the non-metastatic and metastatic settings were broadly similar between groups. Conclusions: Within a universal healthcare system, the dominant disparity between Syrian refugees and Turkish citizens was more advanced stage at presentation. After accounting for stage and tumor biology, ethnicity itself was not independently associated with overall survival, suggesting that efforts to reduce outcome gaps should prioritize earlier diagnosis and linkage to care. Full article

(1) Background: Nutrition research in cancer care has largely focused on disease prevention and management, overlooking the importance of food literacy. Culinary cancer care programs may address this gap by facilitating the practical application of nutrition through culinary skills, fostering social connections over nutrient-dense meals, and supporting individuals during periods of physical and social vulnerability. The Not-Just-Supper Club (NJSC) at Gilda’s Club Toronto (GT) is a community-based culinary cancer care program delivering evidence-based, plant-forward meals. The objectives of this study were to examine how NJSC supports its members and to provide recommendations to inform future models of culinary cancer care programs. (2) Methods: An explanatory sequential mixed methods design was used. Participants completed a modified food frequency questionnaire (FFQ) assessing major protein food groups since joining NJSC. Semi-structured interviews explored perceived dietary changes, food literacy, and social engagement. Associations between duration of participation and protein food intake were examined using multivariable-adjusted linear regression models. Interview field notes and transcripts were coded in NVivo 12 and thematically analyzed. (3) Results: Among 41 participants, 36 (88%) were female and 17 (41%) were of White ethnicity. A total of 38 (93%) participants reported that NJSC had a positive impact on their lives, and 27 (66%) reported positive changes in eating habits. In multivariable-adjusted analyses, longer participation in NJSC was associated with higher nut consumption (β = 0.49 servings/day per year; 95% CI, 0.02–0.96). Interviews were completed by 40 participants. Seven themes described program support across psychosocial domains (social network; social support; emotional support and mental health; impact on health) and practical nutritional domains (improved food literacy and skills; food decisions; inclusion of plant-based foods). Participants described applying program knowledge at home and perceived improvements in well-being and cancer-related symptoms. (4) Conclusions: NJSC was perceived by members as beneficial across psychosocial and nutritional domains and supported food literacy and plant-forward dietary choices. These findings contribute to our understanding of how culinary cancer care programs can complement existing cancer support services and provide insights for designing future programs for cancer survivors and their support networks. Full article

Human civilization embodies a rich cultural heritage shaped over long historical periods by numerous ethnic groups, each employing distinctive motifs and patterns in religious spaces, architecture, clothing, utensils, and other artifacts. Such motifs commonly originate from elementary geometric primitives that are organized through symmetric or asymmetric compositions to convey symbolic and esthetic meaning. This study focuses on Mongolian patterns derived from the nomadic heritage of Mongolia and still prevalent in contemporary design. These patterns draw inspiration from nature, geometry, animals, plants, and symbolic forms. This article proposes a mathematical modeling-driven digitization framework for the systematic analysis and digitization of Mongolian patterns, with the objective of generating accurate digital representations in the form of computer-aided design (CAD) models. A concise review of related work is first presented, followed by a structured digitization framework and a taxonomy of representative Mongolian motifs. A case study demonstrates that, when combined through distance-preserving and shape-preserving geometric operations such as translation, rotation, and reflection, four fundamental geometric entities, namely the circle, circular arc, spiral, and astroid, are sufficient to retain the intrinsic symmetry and compositional coherence of complex patterns observed in selected artifacts. Furthermore, the proposed analytical modeling approach enables the generation of vector-based line drawings that support precise CAD model construction. Accordingly, this study establishes a computational design workflow that integrates cultural heritage patterns into CAD-based modeling environments, thereby supporting digital preservation and fabrication with high geometric fidelity. Full article

Background/Objective: Heart disease is the leading cause of death for men and women across most racial and ethnic groups. Effective self-care improves patient outcomes. This study aimed to examine self-care and its associated variables in men and women with coronary heart disease. Methods: This cross-sectional survey enrolled patients with coronary heart disease through convenience sampling. Data were collected via in-person interview, including sociodemographic variables (e.g., age and sex) and clinical variables (e.g., comorbidities). We also used the Charlson Comorbidity Index to measure comorbidity; the Patient Health Questionnaire-9 to measure depression; and Generalized Anxiety Disorder-7 to measure anxiety. Self-care was evaluated with the Self-care Coronary Heart Disease Inventory and Self-Care Self-Efficacy Scale. Descriptive and multivariate analyses were performed. This study adhered to the CROSS guidelines. Results: The sample comprised 354 patients (57.6% men and 42.4% women). Self-care monitoring and management scores were inadequate with women. Self-care self-efficacy scores were marginally adequate. Men had worse depression, comorbidities, and smoking, while women had higher anxiety and a sedentary lifestyle. Older age, low education, public transportation use, sedentary lifestyle, comorbidity, anxiety, and depression were associated with worse self-care, whereas being single and ambulance accessibility improved self-care. Conclusions: Self-care monitoring and self-care management scores were inadequate for both sexes. Depression and public transportation use were inversely associated with all self-care domains. Depression and anxiety screening should be included in routine practice. Healthcare providers should enhance self-care education for CHD patients. Interventions must address sedentary lifestyles in women and cigarette smoking in men. Full article

Cultural diversity holds an irreplaceable ecological value in biodiversity conservation. Jingxi is a county-level city in Baise City, Guangxi Zhuang Autonomous Region. In Jingxi, where the Zhuang ethnic group accounts for 99.4% of the population, a symbiotic relationship has developed between its unique ethnic culture and ecological environment. According to the 2017 census of old trees (OTs) in Jingxi, a total of 1361 OTs were recorded, of which 63.3% (865 trees) were concentrated in human settlements, including village entrances or exits, and cultivated lands, demonstrating significant spatial differentiation. This distinctive distribution pattern raises two core research questions: (1) What are the spatial distribution patterns of OTs within human settlements? (2) Do cultural factors play a significant role in OTs conservation? Therefore, an ethnobotanical study of OTs in Jingxi is necessary. The objectives of this study are to: (1) conduct a comprehensive ethnobotanical investigation of the OTs among the Zhuang people in the region; (2) summarize the environmental spaces of OTs based on their geographical locations; (3) analyze the symbolic cultural meaning associated with OTs across different environmental spaces. This study also aims to reveal conservation strategies for OTs from a cultural perspective and to integrate cultural values into biodiversity conservation, thereby providing significant insights into the mechanisms underlying cultural–ecological synergy. Full article

Pediatric obesity represents an urgent public health concern, with rapidly increasing prevalence across all regions. While genetic susceptibility contributes significantly to interindividual variability in weight, the significant increase in obesity prevalence over the last 30 years is driven by shifts in environmental contributors. This narrative review will summarize evidence on the major environmental determinants of childhood obesity. Environmental contributors to obesity include the food environment, physical activity and built environments, socioeconomic and community context, home and family environments, digital exposures, early life and chemical obesogens and policy drivers. These environmental factors influence activity patterns, dietary habits, sleep, and stress. Additionally, many of these contributing factors cluster within communities that are disadvantaged, thereby increasing predisposition of specific racial, ethnic and socioeconomic groups to childhood obesity. We highlight research gaps and opportunities for multisectoral interventions aligned to impact the growing prevalence of childhood obesity. Full article

Background: Recent diagnostic methods have enabled the detection of often culture-negative pathogens, including anaerobic bacteria from the oral cavity. Characterising the microbial diversity and co-occurrence of bacteria in such infections is important for understanding the molecular pathophysiology in odontogenic brain abscesses. Case presentation: We describe a case of polymicrobial odontogenic brain abscess in a 59-year-old man of Vietnamese ethnicity with a documented increased risk of brain abscess due to Hereditary Haemorrhagic Telangiectasia (HHT). The microbiological diagnostic work-up included conventional culture, matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS), targeted 16S rDNA analysis using three broad-range group-specific PCR (polymerase chain reaction) assays and next-generation sequencing (NGS). A literature review was conducted, including database searches for each identified microorganism. Twelve anaerobic bacterial species were detected, among which Treponema medium, Capnocytophaga HMT-323 and Candidatus Saccharibacteria oral taxon 488 have not previously been reported in brain abscesses. In addition, we identified the extremely rare pathogens Arachnia propionica and Capnocytophaga ochracea. Conclusion: This is the first report of Ca. Saccharibacteria oral taxon 488 in a clinical sample and the first detection of any species from this phylum in a brain abscess, co-detected with A. propionica, consistent with its obligate epibiotic lifestyle. Our findings broaden the known microbial diversity associated with odontogenic brain abscesses and underscore the value of 16S rDNA NGS in characterising polymicrobial infections, particularly when fastidious or uncultivable organisms are involved. Full article

Just energy transitions require diverse voices to be considered, but appropriate tools are still lacking. This study aimed to identify a tool by which diverse views could be considered in decision-making for climate change and energy transitions. Specifically, a literature review was conducted to understand the current status and gaps in the use and the application of Serious Games (SGs) in the field of sustainability. This was further used to construct a framework of criteria for selecting SGs that can enable diversity in decision-making. A specific Serious Game was selected using the framework criteria and applied in qualitative analysis that investigated a gameplay and method of data collection and analysis to assess the impact group diversity has on collective decision-making for sustainability and the quality of outcomes produced. The New Shores game was used within the context of sustainability and resilience to climate disasters. A more diverse and a less diverse group (age, ethnicity, gender, and professional role) were recruited in winter 2021, to play the game in online workshops and make decisions to sustainably develop an island while balancing personal and community wellbeing. The way each group engaged with each other and addressed the challenges of the gameplay were qualitatively evaluated to scrutinise levels of collaboration; collective decision-making and the final status of the island was quantitatively analysed to assess quality of outcomes produced by each group. Positive findings indicate that heterogenous groups demonstrated stronger collaboration, prioritised collective goals, and achieved more socially equitable and resilient outcomes compared to homogenous groups. While small scale and exploratory, the positive findings of this study indicate the need for further sustained research into use of Serious Games for sustainability decision-making, to better understand how diverse groups make decisions in game playing contexts and the extent and conditions needed for these patterns’ transfer to real-world contexts. Full article