Search Results (17)

This study presents a cross-cultural comparison of two fortified residences—Palazzo Farnese in Italy and Dong’s Fortified Compound in China—through a triadic analytical framework encompassing architectural form, symbolic ornamentation, and public perception. By combining field observation, iconographic interpretation, and digital ethnography, the research investigates how heritage meaning is constructed, encoded, and reinterpreted across distinct sociocultural contexts. Empirical materials include architectural documentation, decorative analysis, and a curated dataset of 4947 user-generated images and 1467 textual comments collected from Chinese and international platforms between 2020 and 2024. Methods such as CLIP-based visual clustering and BERTopic-enabled sentiment modelling were applied to extract patterns of perception and symbolic emphasis. The findings reveal contrasting representational logics: Palazzo Farnese encodes dynastic authority and Renaissance cosmology through geometric order and immersive frescoes, while Dong’s Compound conveys Confucian ethics and frontier identity via nested courtyards and traditional ornamentation. Digital responses diverge accordingly: international users highlight formal aesthetics and photogenic elements; Chinese users engage with symbolic motifs, family memory, and ritual significance. This study illustrates how historically fortified residences are reinterpreted through culturally specific digital practices, offering an interdisciplinary approach that bridges architectural history, symbolic analysis, and digital heritage studies. Full article

To document the dynamics of biocultural heritage, we studied traditional uses of plants on a segment of the Andean Road System, or Qhapaq Ñan, within the central Andes of Ecuador, home of the Kichwa community of Nizag. Here, residents preserved a rich diversity of plants within their agricultural fields, or chakra, of the Andean landscapes, upholding a culture steeped in traditional knowledge. Wild and domesticated plants are a cornerstone for the community, prompting the development of ethnobotanical management strategies with a conservation approach. The diverse plant uses aim to revalue their culture, fortify their self-identification as an indigenous community, and ensure the transmission of ancestral knowledge. This research aims to ascertain the ethnobotanical applications of this venerable community. Employing participatory action research, semistructured interviews were conducted with 43 community informants to gather ethnobotanical data on the flora applied within their territory, spanning categories such as food, agriculture, crafts, living fences, construction, fuel, ornamental, environmental, technological, and medicinal services. The findings indicate that age, rather than educational level and gender, significantly influences the variation in plant usage knowledge. In total, 142 plant species were cataloged, comprising herbs (58%), shrubs (23%), trees (15%), and climbers (4%). The most represented families were Asteraceae, Fabaceae, Lamiaceae, and Poaceae. Notably, 96% of these species provide some type of environmental service or fulfill a niche within the socioecological system. Medicinal uses were reported for 89% of the plants, while 56% served agricultural purposes, primarily in fertilizer production and forage. Additionally, 44% of the plants are utilized as food, typically consumed fresh. Among the medicinal plants, leaves are the most used part (58%), prepared as infusions and poultices. The prevalent ailments addressed include respiratory and urinary system conditions, with Borago officinalis, Carica pentagona, Vasconcellea pubescens, and Origanum mejorana being the most frequently employed plants. Full article

City health examinations are integral to China’s urban planning, construction, and management. They effectively identify potential risks and vulnerabilities in urban development, ensuring safety resilience—a critical component. This resilience enhances the city’s ability to withstand internal and external shocks, promoting the safety of urban residents and fostering sustainable city development. Drawing on the Japanese disaster prevention strategy, the disaster prevention life circle emerges as a rescue and protection system during urban disasters, fortifying urban safety resilience. However, smaller and mid-sized cities, constrained by limited resources, significantly need to catch up in disaster prevention planning. Consequently, bolstering safety resilience in these cities becomes a pressing concern. This study focuses on Lindian County in Heilongjiang Province as the urban area under consideration for resilient city objectives. Leveraging the ArcGIS network analysis tool, we optimize the placement of emergency shelters, aligning with urban disaster assessments and the equilibrium of disaster prevention facility supply and demand. Accessibility analysis of emergency shelters was conducted using the Gaussian two-step floating catchment area method. Ultimately, we integrate the range of demand points assigned to each shelter, along with the effective land area reflecting the supply of shelters, as weights into a weighted Voronoi diagram. This diagram is combined with a reference to the entire region to delineate the disaster prevention life circle. Findings reveal that, under the premise of minimizing government construction costs while maximizing coverage and evacuation utilization rates, the optimal resident emergency congregate shelters in the study area are 8, with 98 emergency evacuation and embarkation shelters. Striking a balance between disaster prevention facility supply and demand and regional accessibility, the urban area of Lindian County is segmented into 3 resident disaster prevention life circles and 24 emergency disaster prevention life circles. The objective of this study is to optimize shelter siting and establish disaster prevention life circles in diverse urban areas. This endeavor aims to bolster urban resilience and foster sustainable urban development. Full article

Background: Community health workers (CHWs), hailing from the general populace, play a pivotal role in fortifying healthcare systems, with a primary focus on mitigating non-communicable diseases (NCDs) and elevating overall life expectancy. To assess the aptitude of CHWs in NCD prevention, we introduced the Community Health Workers Perceptual and Behavioral Competency Scale for preventing non-communicable diseases (COCS-N). This study examines the multifaceted interplay of individual and community factors that influence CHWs’ COCS-N scores. Methods: The research design is a secondary analysis using data from a self-administered questionnaire survey of 6480 CHWs residing in municipalities across Japan, which obtained 3120 valid responses, between September to November 2020. The COCS-N was employed as the dependent variable, while the independent variables were individual-related factors, including years of community health work, health literacy, and community-related factors, such as CHWs’ sense of community. To ascertain the significance of associations between individual and community factors and CHWs’ competency, an analysis of covariance (ANCOVA) was utilized to compare the three groups Q1/Q2/Q3 by low, medium, and high scores on the COCS-N scale. Statistical significance was considered to be indicated by a p-value of less than 0.05. Results: The ANCOVA analysis revealed that three factors were significantly linked to CHWs’ competence. These comprised individual factors: “years of CHWs” (mean ± SD Q1: 6.0 ± 6.0, Q2: 7.8 ± 7.0, Q3: 8.2 ± 7.7, p < 0.001) and “health literacy” (Q1: 27.7 ± 6.6, Q2: 30.4 ± 6.9, Q3: 33.8 ± 7.8, p < 0.001), as well as a community factor: “Sense of community” (Q1: 14.8 ± 3.7, Q2: 16.5 ± 3.5, Q3: 18.2 ± 3.6, p < 0.001). Conclusions: Our finding is that a positive association was derived between COCS-N scores and certain determinants. Notably, “years of CHWs” and “health literacy” in the individual domain, along with the “Sense of community” in the communal context, were firmly established as being significantly associated with CHWs’ competency. Consequently, CHWs need training to increase their “health literacy” and “sense of community”, to acquire high competency in NCD prevention, which will lead to the empowerment of CHWs and maintain their motivation to continue. Full article

Diet diversity becomes especially relevant during adolescence to satisfy the adequate micronutrient intake. Diet diversity (DD) and micronutrient probability of adequacy (PA) were studied in 818 Costa Rican (CR) and 1202 Mexican (MX) adolescents aged 13–18 years. DD was compared using the Minimum Dietary Diversity (MDD) score. Receiver-operating characteristic (ROC) curves were employed to identify the optimal MDD for each sample from the respective countries. The mean MDD for the overall CR sample was 4.17 ± 1.43 points, and for the MX sample, the mean MDD was 4.68 ± 1.48 points. The proportion of adolescents with a DD was significantly higher in Costa Rica than in Mexico (66.5% vs. 55.6%; p < 0.0001). Also, DD was higher in rural Costa Rican adolescents, while no difference was found in the MX adolescents by area of residence. CR adolescents reported significantly higher PA than MX participants for 6 of the 11 micronutrients assessed. The calcium PA in MX adolescents was significantly higher than in the CR sample (MX: 0.84 vs. CR: 0.03; p < 0.0001), while low PA was obtained for iron in both countries (CR: 0.01 vs. MX: 0.07; p < 0.0001). In Costa Rica and Mexico, nutritional interventions and assessing the compliance of food-fortifying programs are needed to improve the PA of diverse micronutrients. Full article

Vitamin A is a fat-soluble micronutrient that is essential for human health. In this study, the daily vitamin A intake of Chinese residents was evaluated by investigating the vitamin A content of various foods. The results show that the dietary intake of vitamin A in common foods was 460.56 ugRAE/day, which is significantly lower than the recommended dietary reference intake of vitamin A (800 ugRAE/day for adult men and 700 ugRAE/day for adult women). Vegetables contributed the most to daily vitamin A dietary intake, accounting for 54.94% of vitamin A intake (253.03 ugRAE/day), followed by eggs, milk, aquatic products, meat, fruit, legumes, coarse cereals, and potatoes. Therefore, an increase in the vitamin A content of vegetables and the fortification of vegetable oils with vitamin A are effective ways to increase vitamin A intake to meet the recommended dietary guidelines in China. The assessment results support the design of fortified foods. Full article

Vitamin D plays a crucial role in regulating the growth and maintenance of the musculoskeletal system. Postmenopausal women are vulnerable to bone fractures because of the decrease in bone mineral density (BMD). Therefore, this study aimed to identify the determinants that influence BMD and the 25(OH)D levels in Korean postmenopausal women. This study collected general and dietary intake information, measured biochemical indices, and conducted BMD tests in 96 postmenopausal women residing in a metropolitan area in Korea. This study analyzed factors that influenced serum 25-hydroxyvitamin D (25(OH)D) and BMD, as well as the correlation between the intact parathyroid hormone (iPTH) and serum 25(OH)D levels. The serum 25(OH)D levels increased by 0.226 ng/mL in the summertime, 0.314 ng/mL in the wintertime, and 0.370 ng/mL on annual average when vitamin D intake rose by 1 µg/1000 kcal. When the serum 25(OH)D levels were ≥18.9 ng/mL, the iPTH levels did not rapidly increase. To maintain the serum 25(OH)D levels at ≥18.9 ng/mL, a daily vitamin D intake of ≥13.21 µg was required. Consequently, consuming vitamin D-fortified foods or vitamin D supplements is necessary to improve both bone health and vitamin D nutritional status. Full article

Microcystins are toxic chemicals generated by certain freshwater cyanobacteria. These chemicals can accumulate to dangerous levels during harmful algal blooms. When exposed to microcystins, humans are at risk of hepatic injury, including liver failure. Here, we describe a method to detect microcystins in human plasma by using immunocapture followed by a protein phosphatase inhibition assay. At least 279 microcystins have been identified, and most of these compounds share a common amino acid, the Adda side chain. We targeted this Adda side chain using a commercial antibody and extracted microcystins from human samples for screening and analysis. To quantitate the extracted microcystins, we fortified plasma with microcystin-LR, one of the most well-studied, commonly detected, and toxic microcystin congeners. The quantitation range for the detection of microcystin in human plasma using this method is 0.030–0.50 ng/mL microcystin-LR equivalents. This method detects unconjugated and conjugated forms (cysteine and glutathione) of microcystins. Quality control sample accuracies varied between 98.9% and 114%, with a precision of 7.18–15.8%. Finally, we evaluated plasma samples from a community health surveillance project of Florida residents living or working near harmful algae blooms. Full article

United Nations Educational, Scientific and Cultural Organization (UNESCO) World Heritage Sites (WHS) have great prestige. Each year, candidatures are presented by advocates seeking to raise awareness of the importance of certain cultural and natural sites, to achieve better protection and to make them known, which can promote tourism to benefit the surrounding regions. One of these cases is Ibiza, which, after a first rejection in 1986, obtained the inscription of “Ibiza, Biodiversity and Culture” in 1999. This WHS is made up of various cultural and natural elements of the island, although the best known is the fortified Upper Town of Ibiza (Dalt Vila). Since then, important restoration and musealization actions have been carried out in the old town, and some tourism promotion events have been held, but there have been failures in its conversion into a tourist product: Both residents and tourists see this as complementary to the traditional offer (sun and beach tourism); confusion has been generated in communication, focusing on the old town and forgetting the other elements; tourist visits to the registered elements have not taken off and are concentrated in the summer months (the traditional high season); some decisions have been politicized, among other problems. Finally, different lines of tourism development are proposed. Full article

This mixed-methods community-based participatory research project is set in the rural coastal community of Minamisanriku, Miyagi. Ten years after the 2011 Great East Japan Earthquake, this study investigates whether and to what extent social capital acts as an asset to drive economic growth, recovery, collaboration, and decision making for residents to address social and economic problems as they perceive them. The connection between reconstruction planning and recovery is also investigated. Primary data collection methods include a conceptual social capital mapping exercise (n = 200) to document resident bonding, bridging, and linking capital relationships (n = 1994), and semi-structured interviews (n = 70) to capture how residents with high linking capital do or do not utilize it. Participant observation and secondary data analysis contextualized resident maps and interviews. Overall, the study results suggest that the utility of social capital is highly sensitive to the cultural norms of social and power hierarchies, that it fortifies in group–out group dynamics, and enables residents to address immediate needs, but lacks the ability to enable residents to use the resources and information entrenched in their social networks and other structures effectively due to intermediating issues of unequal development of social and economic infrastructure across districts and other community disparities that emerge through the reconstruction process. Full article

Surveillance data have highlighted continued disparities in neural tube defects (NTDs) by race-ethnicity in the United States. Starting in 2016, the Food and Drug Administration (FDA) authorized voluntary folic acid fortification of corn masa flour to reduce the risk of neural tube defects (NTDs) among infants of Hispanic women of reproductive age. To assess the impact of voluntary corn masa fortification, cross-sectional data from the National Health and Nutrition Examination Survey (NHANES) 2011–2018 for Hispanic women of reproductive age with available red blood cell (RBC) folate concentrations were analyzed, with additional analyses conducted among Hispanic women whose sole source of folic acid intake was fortified foods (enriched cereal grain products (ECGP) only), excluding ready-to-eat cereals and supplements. RBC folate concentration (adjusted geometric mean) among Hispanic women of reproductive age did not differ between 2011–2016 and 2017–2018, though RBC folate concentration increased significantly among lesser acculturated Hispanic women consuming ECGP only. Concentrations of RBC folate for those born outside the U.S and residing in the U.S <15 years increased from 894 nmol/L (95% CI: 844–946) in 2011–2016 to 1018 nmol/L (95% CI: 982–1162; p < 0.001) in 2017–2018. Primarily Spanish-speaking Hispanic women of reproductive age who only consumed ECGP saw an increase from 941 nmol/L (95% CI: 895–990) in 2011–2016 to 1034 nmol/L (95% CI: 966–1107; p = 0.03) in 2017–2018. By subpopulation, we observed no significant changes in the proportion at risk of NTDs (<748 nmol/L) and no changes in the model-based estimated NTD rates following voluntary corn masa fortification. This analysis suggests that there is a remaining risk among Hispanics for folate sensitive NTDs, though continued monitoring of folate status in future NHANES data cycles will help inform the long-term efficacy of voluntary fortification of corn masa flour. Full article

This study evaluated the sensory properties of uncooked and cooked milled lentils that were fortified with varying concentrations of Fe and Zn in the form of NaFeEDTA and ZnSO₄.H₂O, respectively. Our study was carried out among 196 lentil consumers residing in rural Bangladesh who experience with growing, processing, and marketing lentils. A nine-point hedonic scale was used to rate the appearance, odor, taste, texture and overall acceptability of three uncooked and two cooked lentil (dal) samples made from each of the three milled lentil product types (LPTs), red football, red split and yellow split. Preferences for sensory properties were found to be significantly different among all uncooked lentil samples, but not significantly different for cooked samples, with a few exceptions. This means that the fortification process minimally affects dual-fortified lentil sample (fortified with 16 mg of Fe and 8 mg of Zn per 100 g of lentil), which was compared to another cooked sample (unfortified control), in terms of consumers liking for all four attributes (appearance, odor, taste, and texture). Full article

This study assessed awareness and attitudes regarding industrial food fortification among adults in urban and rural Mongolia, and the city of Harbin, China. Between 2014 and 2017, surveys were collected from healthy men and women aged ≥18 years (182 Harbin residents and 129 urban and rural Mongolians participating in a nationwide nutrition survey in Mongolia). Survey reproducibility was assessed among 69 Mongolian participants to whom it was administered twice (summer and winter). Findings revealed that only 19% of rural and 30% of urban Mongolians, and 48% of Harbin residents were aware that industrial fortification is practiced in their countries. For most food groups evaluated, at least half of Mongolians and less than half of Harbin residents thought fortification was government-mandated (only the addition of iodine with salt is actually mandated in both countries). Fifty-five percent of rural and urban Mongolians favored mandatory fortification of foods, 14% disapproved of it, and 31% were uncertain (compared with 25%, 38%, and 37% respectively in Harbin). Upon learning that the primary purpose of adding vitamin D to milk is to prevent rickets, 75% of Mongolians but only 18% of Harbin residents favored mandatory fortification, while 42% of Harbin residents favored voluntary fortification (compared with <10% of Mongolians). In conclusion, in Mongolia and Harbin, awareness and understanding of food fortification is low, as is receptivity toward mandatory fortification. Health promotion and social marketing should be designed to create an enabling environment for increasing supply and demand of fortified foods, in support of upcoming program implementation in Mongolia and potential future legislation in northeern China. Full article

The effects of “standard (STD)” vs. “protein- and energy-enriched (HEHP)” food-service meals on the nutrient intake, nutritional status, functional capacity, and wellbeing of older adults was investigated using a 12 week, double-blinded, parallel group design. All participants received dietetics counseling and either an STD (2.3 MJ and 30 g protein per meal) or a HEHP (4.6 MJ and 60 g protein) hot lunchtime meal for at least 3 days/week; those who did not want food-service meals were included in the control group (CON). Twenty-nine participants completed the study (STD = 7; HEHP = 12; CON = 10). From baseline to week 12, the HEHP subjects increased their mean daily energy intake from 6151 ± 376 kJ to 8228 ± 642 kJ (p = 0.002 for effect of time) and protein intake from 67 ± 4 g to 86 ± 8 g (p = 0.014 for effect of time). The MNA (Mini Nutritional Assessment) score was increased significantly in HEHP by 4.0 ± 1.1 points (p = 0.001), but not in the STD and CON groups (2.8 ± 2.1 points and 1.8 ± 1.1 points, p > 0.05). No difference was found for other clinical outcomes between the groups. The findings indicate that provision of HEHP-fortified food-service meals can increase energy and protein intake and improve the nutritional status of nutritionally at-risk older people. Full article

Dengue fever is making a significant comeback globally and its control still depends largely on residents’ actions. Community awareness and education are central to its management; however, programmes have had limited impact, because they are often based on short-term research and limited awareness of the socio-ecological contexts wherein local knowledge of dengue and its vectors (lay entomology) is produced and enacted in and through place. Long-term studies of lay knowledge of dengue vectors are very rare, even though they are essential to the development of effective, targeted community education campaigns and mobilisation. In this paper, we examine the popular belief that dengue vector, Aedes aegypti, is ubiquitous in the north Australian landscape and demonstrate how local typologies of water are central to the reasoning underwriting this assumption. We show how these logics are fortified by people’s lived experiences of mosquitoes and the watery abodes they are thought to reside in, as well as through key messages from health education. We posit that long term, context-sensitive research approaches are better able to identify, understand and later address and challenge assumptions and may be more effective at informing, empowering and mobilizing the public to combat dengue fever. Full article