Search Results (1,317)

Since its first appearance as a human pathogen in 1976, Legionella pneumophila has been identified as a causative agent of community-acquired pneumonia (CAP). It survives in rivers, bays, lakes, and water reservoirs, and it is categorized as the fourth most common causative agent of CAP leading to hospitalization. We aimed to investigate patterns in which environmental, seasonal and regional factors may affect the prevalence of Legionnaires’ disease in Crete during the last two decades (2000–2022).The data used originated from the national surveillance database and included any person reported with travel-associated Legionnaires’ disease (TALD) between January 2000 and December 2022. Meteorological data were collected from the National Weather Service. The meteorological variables included (max) temperature (in °C), cloudiness (in octas), wind speed (in knots), and relative humidity (RH) (%). The statistical analysis was based on a case-crossover design with 1:1 matching characteristic. We revealed both seasonal and regional effects on the incidence of Legionnaires’ disease. Cases are significantly more frequent in autumn, in comparison to the other three seasons, while Rethymnon is the prefecture with fewer cases in comparison to Chania or Heraklion. In addition, our research showed that the majority of cases occurred during the years 2017–2018. TALD in Crete is significantly associated with temperature in °C and wind speed in knots. Our research suggests that temporal and spatial factors significantly influence disease cases. These results are in line with studies from foreign countries. The study results aspire to expand our knowledge regarding the epidemiological characteristics of Legionnaires’ disease in relation to local, geographical and meteorological factors on the island of Crete. Full article

Unemployment and weak economic productivity are significant global issues, particularly in West Africa. Recently, through diverse mechanisms, remittances and foreign direct investment (FDI) have been sources of foreign capital flow that have positively influenced many less developed economies, including ECOWAS (ECOWAS stands for Economic Community of West African States). Nevertheless, these financial flows have exhibited significant inconsistencies, primarily resulting from economic downturns in migrants’ destination countries, with remarkable implications for beneficiary economies. This study, therefore, examines the effect of remittances and FDI on employment in ECOWAS. Specifically, the study assesses the effects of the inflow of remittances and FDI on employment using panel dynamic ordinary least squares (PDOLS) and also investigates the shock effects of remittances and FDI by employing Panel Vector Error Correction (PVECM), which involves variance decomposition. The results show that foreign direct investment (FDI) positively and significantly affects employment. Other variables that show a significant relationship with employment are wage rate, education expenditure, and interest rate. The variance decomposition result revealed that external shocks on remittances and FDI have short- and long-term effects on employment. The above findings imply that foreign direct investment has a far-reaching positive impact on the economy-wide management of the West African sub-region and thus calls for relevant policy options. Full article

The purpose of this paper is to analyze how China’s outward foreign direct investment (OFDI), driven by different motivations, affects the bilateral global value chain (GVC) relationship between the home country (China) and host countries, evaluating both bilateral GVC trade value and relative GVC positions. Employing the OECD Trade in Value Added (TiVA) database combined with Chinese listed firm data, we found the following results: (1) Strategic asset-seeking OFDI strengthens the GVC relationship between China and host countries while enhancing China’s GVC position relative to host countries. (2) Efficiency-seeking OFDI increases the domestic value-added exported from host countries to China but does not improve China’s relative GVC position. (3) Natural resource-seeking OFDI enhances bilateral GVC trade volumes but has no significant impact on the relative GVC positions of China and host countries. (4) China’s OFDI, not driven by these motivations, generates a trade substitution effect between home and host countries. We also examined the heterogeneity of these effects. Our findings suggest that China’s OFDI fosters equitable and sustainable international cooperation, supports mutually beneficial GVC trade and host-country economic growth, and therefore, progresses toward Sustainable Development Goal (SDG) 8. Full article

The importance of non-performing loans (NPLs) for the stability of financial sectors is difficult to overestimate. The NPL level depends on numerous factors; this study’s goal is to determine the impact of macroeconomic factors on NPLs with the mediation effect of foreign, saving and social factors in Kazakhstan’s banking sector. To determine the affecting factors, the authors performed a systematic literature review. To determine the dependencies between constructs, the Partial Least Squares Structural Equation Modeling (PLS-SEM) method was used. Macroeconomic factors’ direct effect on non-performing loans (NPLs) was examined; a significant negative dependence was determined. The mediation effect of foreign, saving, and social factors was investigated. Foreign factors have a mediation effect, strengthening the dependence between macro factors and NPLs. Nevertheless, they do not have a mediating effect; moreover, they balance and make the effect of macro factors on NPLs statistically insignificant. These findings allow policy-makers to stabilize the situation on NPLs in the financial markets of developing countries like Kazakhstan by directly influencing not only the financial sector but also other sectors of the national economy. Full article

The effects of changes in China’s final demand structure on its forestry sector and associated supply chains have not been thoroughly examined. This study aims to provide a detailed analysis of the quantitative relationships and underlying mechanisms between these interactive changes. Using China’s 153-sector input–output tables from the National Bureau of Statistics and applying a Leontief-based input–output model, we conducted scenario simulations through three distinct schemes, generating both quantitative and qualitative results. Our findings indicate that (1) For China’s forestry sector and its entire value chain to thrive, policymakers should boost consumer demand. This can better stimulate the development of forestry and the “agriculture-forestry-animal husbandry-fishery services” sector and related service industries; (2) Increased investment demand effectively stimulates the development of tertiary industries and secondary industries within the forestry supply chain and boosts the demand and production of intermediate products; (3) Changes in net exports have a significant impact on forestry and the forestry industry chain. To reduce dependence on foreign timber resources, China should strategically expand commercial plantation development; (4) Regarding intermediate product production, investment has a more pronounced effect on increasing total volume compared to consumption. Additionally, the Sino–US tariff disputes negatively impact the forestry industries of both countries. China needs to accelerate import substitution strategies for timber products, adjust international trade markets, and expand domestic consumption and investment to ensure the healthy and stable development of its forestry sector. Full article

Our research explores the dynamic relationship between CO₂ emissions and four major influencing factors: foreign direct investment (FDI), economic growth (GDP), renewable energy consumption (REN) and population (POP) in the Association of Southeast Asian Nations (ASEAN) and three large Asian countries—China, India and Pakistan, collectively referred to as LACs (larger Asian countries), from 1990 to 2022. The study has three main objectives: (1) to assess the short-run and long-run effects of GDP, FDI, REN and POP on CO₂ emissions; (2) to compare the adjustment speeds and environmental policy responsiveness between ASEAN and LAC regions; and (3) to evaluate the role of renewable energy in mitigating environmental degradation. Against the backdrop of increasing environmental challenges and divergent development paths in Asia, this research contributes to the literature by applying a dynamic heterogeneous panel autoregressive distributed lag (panel ARDL) model. Unlike traditional static panel models, the panel ARDL model captures both long-run equilibrium relationships and short-run adjustments, allowing for country-specific dynamics. The results reveal a significant long-run cointegration among the variables. The error correction term (ECT) indicates a faster adjustment to equilibrium in LACs (−1.18) than ASEAN (−0.37), suggesting LACs respond more swiftly to long-run disequilibria in emissions-related dynamics. This may reflect more responsive policy mechanisms, stronger institutional capacities or more aggressive environmental interventions in LACs. In contrast, the slower adjustment in ASEAN highlights potential structural rigidities or delays in implementing effective policy responses, emphasizing the need for enhanced regulatory frameworks and targeted climate strategies to improve policy intervention efficiency. Results show that GDP and FDI increase emissions in both regions, while REN reduces them. POP is insignificant in ASEAN but increases emissions in LACs. These results provide insights into the relative effectiveness of policy instruments in accelerating the transition to a low-carbon economy, highlighting the need for differentiated strategies that align with each country’s institutional capacity, development stage and energy structure. Full article

The relationship between economic progress and environmental quality remains a central focus in global sustainability discourse. This study examines the link between per capita economic growth and CO₂ emissions across 128 countries from 1996 to 2022, controlling for energy consumption, trade volume, and foreign direct investment (FDI) inflows. It also evaluates the role of governance quality—measured by regulatory quality and its volatility—while considering the globalization index as a confounding factor influencing CO₂ emissions. We test the Environmental Kuznets Curve (EKC) hypothesis, which suggests that emissions initially rise with income but decline after reaching a certain economic threshold. Our findings confirm the global presence of the EKC. The analysis further shows that trade openness, governance, and globalization significantly influence FDI inflows, with FDI, in turn, reinforcing institutional quality through improved governance and globalization indicators. However, in countries with weaker governance and regulatory frameworks, FDI tends to promote pollution-intensive industrial growth, lending support to aspects of the Pollution Haven Hypothesis (PHH). We find a significant departure in EKC explained by post-COVID governance and globalization compromises, which induced the environment towards the PHH phenomenon. These results highlight the need for context-specific policy measures that align economic development with environmental constraints. Full article

Housing prices have recently risen sharply in many countries, primarily linked to the global credit cycle. Although various factors play a role, the ability of developing countries to navigate this cycle and maintain autonomous monetary policies is crucial. This paper introduces a dynamic macroeconomic model featuring a housing production sector within an imperfect banking framework. It captures key housing and economic dynamics in advanced and emerging economies. The analysis shows domestic liquidity policies, such as bank capital requirements, reserve ratios, and currency devaluation, can stabilize investment and production. However, their effectiveness depends on foreign interest rates and liquidity. Stabilizing housing prices and risk-free bonds is more effective in high-interest environments, while foreign liquidity shocks have asymmetric impacts. They can boost or lower the effectiveness of domestic policy, depending on the country’s level of financial development. These findings have several policy implications. For example, foreign capital controls would be adequate in the short term but not in the long term. Instead, governments would try to promote the development of local financial markets. Controlling debt should be a target for macroprudential policy as well as promoting saving instruments other than real estate, especially during low interest rates. Full article

This article examines the communication strategies of religious diplomacy used by Pope Francis in his diplomatic relations with the countries of the Middle East from 2013 to 2025. The study identifies and characterizes key elements of papal communication, taking into account both verbal and nonverbal dimensions, in the context of the complex geopolitical and religious situation of the region. Based on the analysis of official documents, speeches, foreign visits and diplomatic initiatives, specific communication patterns are identified that distinguish Francis’ pontificate from that of his predecessors. The research results indicate an innovative approach of the Pope, combining traditional Vatican diplomacy with direct personal engagement, the use of symbolism of gestures and the promotion of interreligious dialogue as a tool for building peace and intercultural understanding. Full article

The subject of this article is the centuries-old religious heritage of Vilnius. The aim of the article is to analyse this heritage and its reflection in the gaze of tourists. In particular, it focuses on selected Catholic, Orthodox, Protestant, Jewish, and Karaite sites. The methods used in the empirical study include the analysis of reviews posted on the Tripadvisor website by tourists from different countries who visited five selected sites: (1) St. Anne’s Church, (2) Holy Spirit Orthodox Church, (3) Evangelical Lutheran Church, (4) Vilnius Choral Synagogue, and (5) Kenesa. The authors employed the method of desk research, which involves the analysis of existing data. The selection of objects was made by indicating the most commented sites of a given religious tradition for which the most comments were received. In the light of the pervasive influence of social media, it is noteworthy to observe the contemporary representation of multi-religious Vilnius that is disseminated through this medium. Urban sacred spaces are not only places of worship of interest to religious people, including local and foreign pilgrims. Furthermore, they constitute an attractive urban heritage for a significant number of cultural tourists. Committed tourists, including cultural tourists, meticulously document their impressions in various forms of narrative, offering either endorsement or criticism of a particular object. In this manner, they also interpret elements of the heritage in the local urban space. Full article

This paper investigates religious encounters between Chinese and Senegalese Muslims in the relatively new Chinatown of Dakar. Chinese Muslims from Kaifeng City, Henan Province first arrived in Senegal in the 1990s following the Henan provincial state-owned construction company. They started a wholesale business mainly of clothing and shoes and brought their relatives and family members to Dakar. However, scholars studying the Chinese community in Dakar have largely ignored their Muslim identity and its significance. Moving beyond the conventional focus on tensions between Muslim and Chinese identities in the study of overseas Chinese Muslims, this paper turns to religious encounters in everyday life. Based on field research and interviews both in Dakar and Henan, this paper argues that for these Chinese Muslim businesspersons in Dakar, Islam as a shared religious identity sometimes provides opportunities to connect with their fellow Muslims in a foreign country. However, differences in religious practices can also lead to misconceptions between them and other Senegalese Muslims. This paper thus contributes to Islamic studies and the study of global China, particularly in relation to overseas Chinese Muslims, China–Africa encounters, and global Chinatowns. Full article

The stable control of the main steam flow rate (MSFR) can effectively improve the waste combustion efficiency and energy utilization, reduce environmental pollution, and is crucial for promoting the sustainable development of municipal solid waste incineration (MSWI). Developed countries benefit from stable municipal solid waste (MSW) composition, enabling advanced automated combustion control. However, in developing countries, fluctuating waste composition and calorific value cause frequent disturbances, limiting the use of foreign control methods. Therefore, MSFR control technologies suited to developing countries are crucial. This study proposes a two-layer intelligent control method, consisting of an optimization setting layer and a loop control layer. The optimization layer uses a steam flow prediction model (OPTICS and RBF) and an improved antlion optimizer (IALO) for manipulated variable setpoints. The control layer applies reinforcement learning (actor–critic) to fine-tune PI controller parameters. Experimental results show that the proposed method adaptively adjusts manipulated variables, ensuring MSFR control within the target range and maintaining efficient, stable MSWI operation. Full article

International healthcare staff migration remains a persistent issue, particularly for low- and middle-income countries facing health workforce shortages. While motivations for migration have been well-studied, limited attention has been given to the experiences of healthcare professionals returning to their countries of origin. This study explores the perceptions and reintegration experiences of healthcare workers who returned to Albania after working abroad. A mixed-methods approach was employed. Data collection was conducted during January and February 2025. Quantitative data were collected from 24 healthcare professionals using structured questionnaires, while qualitative insights were gathered through semi-structured interviews. Thematic analysis, following Braun and Clarke’s framework, was used for qualitative data interpretation. The main reasons for return included family-related motivations (41.7%) and professional challenges abroad (33.3%). Over half of participants (54.2%) found work immediately upon return, while others experienced difficulty re-entering the workforce or worked outside their profession. Most returnees (91.7%) believed they were contributing positively to the healthcare system. Challenges included delayed employment, low wages, inadequate infrastructure, and bureaucratic obstacles. Despite improvements, perceptions of the healthcare workforce in Albania remained mixed. Returning healthcare professionals offer valuable skills gained abroad but face reintegration barriers. Policies recognizing foreign qualifications, offering employment support, and opportunities for returnees are critical to optimize their contribution to the national health system. Full article

This study critically examines the rapid proliferation of megaprojects across the Arab region, with a focus on the Gulf Cooperation Council (GCC) countries, where large-scale developments are strategically deployed to reshape global economic influence and enhance geopolitical positioning. Megaprojects, characterized by their vast scale, substantial financial investment, and long-term impact, remain a subject of intense academic debate. While much of the literature questions their economic viability, citing frequent cost overruns and misalignment with localized urban priorities, megaprojects continue to emerge worldwide. Governments and developers promote megaprojects as catalysts for foreign investment, tourism growth, and enhancing the global stature of host countries and regions. Beyond financial and economic imperatives, megaprojects are fundamentally shaped by socio-spatial, socio-political, and capital accumulation dynamics, each playing a critical role in their justification and implementation. These interconnected forces influence the prioritization of large-scale developments, often reinforcing their persistence as dominant urban and infrastructural strategies despite well-documented uncertainties and risks. The study employs a comparative case study approach to analyze two high-profile megaprojects: Masdar City in Abu Dhabi and The Line in NEOM, Saudi Arabia. By examining their underlying motivations, political, social, and economic dynamics, and projected success factors, the study aims to provide an evidence-based assessment of the forces driving these large-scale developments and their potential for completion and long-term viability. This study contributes to the ongoing discourse on megaproject development by offering a nuanced, evidence-based analysis of the socio-political and economic forces shaping large-scale urban initiatives in the Arab region. By critically evaluating the motivations and viability of Masdar City and The Line, this research provides valuable insights that can inform future scholarly inquiries into the governance, planning, and long-term sustainability of megaprojects. The Study offers a strategic framework for policymakers, urban planners, and investors to make more informed, balanced decisions that align large-scale developments with broader economic and social priorities, mitigating risks associated with cost overruns, feasibility challenges, and socio-spatial disparities. Full article

Background/Objectives: Childhood anemia remains a serious public health issue, negatively affecting cognitive and psychomotor development, with repercussions on school performance and adult productivity. This study aimed to characterize the profile of children aged 6 months to 5 years diagnosed with or at risk of anemia who attended a pediatric hospital in Lisbon, Portugal. Methods: A hospital-based, cross-sectional descriptive study was conducted from September 2023 to September 2024. Descriptive statistics, including frequency distributions and cross-tabulations, summarized participant characteristics and key variables. Results: We observed that 33.3% (74/222) of the children were either anemic or at risk of anemia. Among these, 93.2% (69/74) were confirmed anemic or at risk based on hemoglobin levels. Five children (6.8%) had normal hemoglobin but abnormal red-cell indices, with microcytic (60.0%; 3/5) or normocytic (40.0%; 2/5) patterns. Anemia rates were higher in males (55.1%), children aged 24–59 months, those residing in the Metropolitan Lisbon Area (82.6%), children whose caregivers had only basic or secondary education (58.0%), and those whose mothers were born in foreign countries (48.4%). Microcytic red-cell indices were observed in 63.1% of cases. Serum iron results indicated that 32.0% were pre-anemic and 40.0% anemic. Ferritin levels showed iron-deficiency anemia in 22.2% of tested cases. In addition, 33.3% carried the sickle cell trait, and 35.0% had elevated C-reactive protein, suggesting anemia of inflammation. Conclusions: Anemia is a moderate public health issue, mainly affecting children with less-educated caregivers and migrant mothers. Targeted public health actions, including systematic screening, caregiver education, and multiculturally sensitive interventions, are crucial to address anemia. Full article