Search Results (19)

With the global economic restructuring and the consequent population mobility, urban shrinkage has become a common phenomenon. The Qinling–Daba Mountains, a zone with a key ecological function in China, have long experienced population decline and functional degradation. Clarifying the dynamics and influencing factors of urban shrinkage plays a vital role in supporting the sustainable development of the region. This study, using permanent resident population growth rates and nighttime light data, classified cities in the region into four spatial patterns: expansion–growth, intensive growth, expansion–shrinkage, and intensive shrinkage. It further examined the spatial characteristics of shrinkage across four periods (2005–2010, 2010–2015, 2015–2020, and 2020–2022). A Geographically and Temporally Weighted Regression (GTWR) model was applied to examine core influencing factors and their spatiotemporal heterogeneity. The results indicated the following: (1) The dominant pattern of urban shrinkage in the Qinling–Daba Mountains shifted from expansion–growth to expansion–shrinkage, highlighting the paradox of population decline alongside continued spatial expansion. (2) Three critical indicators significantly influenced urban shrinkage: the number of students enrolled in general secondary schools (X₅), the per capita disposable income of urban residents (X₇), and the number of commercial and residential service facilities (X₁₂), with their effects exhibiting significant spatiotemporal heterogeneity. Temporally, X₁₂ was the most influential factor in 2005 and 2010, while in 2015, 2020, and 2022, X₅ and X₇ became the dominant factors. Spatially, X₇ significantly affected both eastern and western areas; X₅’s influence was most pronounced in the west; and X₁₂ had the greatest impact in the east. This study explored the patterns and underlying drivers of urban shrinkage in underdeveloped areas, aiming to inform sustainable development practices in regions facing comparable challenges. Full article

Background: Pulmonary lobe resection is a common surgical intervention for various benign lung diseases, including tuberculosis (TB), bronchiectasis, and benign lung nodules. While immediate clinical outcomes are well documented, the impact on patients’ quality of life (QoL) remains less explored. This study aims to evaluate QoL before and after pulmonary lobe resection over a 6-month period among patients with benign lung diseases. Objectives: To assess and compare changes in QoL among patients undergoing pulmonary lobe resection for TB, bronchiectasis, and benign lung nodules, and to identify factors influencing QoL outcomes. Methods: This prospective study included 84 patients who underwent pulmonary lobe resection for benign lung diseases, divided into three groups: TB (n = 22), bronchiectasis (n = 31), and benign lung nodules (n = 31). QoL was assessed using the SF-36 and WHOQOL-BREF questionnaires preoperatively and at 6 months postoperatively. Anxiety and depression were evaluated using the Hospital Anxiety and Depression Scale (HADS), and perceived stress was measured using the Perceived Stress Scale (PSS-10). Statistical analyses included paired t-tests, ANOVA, and Pearson’s correlation, with p-values < 0.05 considered significant. Results: At 6 months postoperatively, all groups showed significant improvements in physical and mental QoL scores (p < 0.05). The TB group exhibited the greatest improvement in physical health domains, while the bronchiectasis group showed significant enhancement in social functioning. Anxiety and depression scores decreased significantly in all groups, with the TB group showing the most substantial reduction (p < 0.01). Perceived stress levels also decreased across all groups. Comparisons revealed that the TB group had significantly higher QoL improvement compared to the other groups (p < 0.05). Conclusions: Pulmonary lobe resection for benign diseases significantly improves QoL over a 6-month period, particularly in patients with TB. The findings suggest that surgical intervention not only alleviates physical symptoms but also enhances psychological well-being. These results underscore the importance of considering QoL outcomes in the management of benign lung diseases requiring surgical intervention. Full article

Pneumatophore fringes and mudflats are extremely valuable habitats and provide structures on which many fish species benefit in terms of food and reduced predation risk. We analyzed the spatiotemporal patterns in feeding habits, reproductive aspects and effects of predatory fish presence to assess the ecological drivers of the common halfbeak, Hyporhamphus unifasciatus, in a Brazilian estuary. Sampling was conducted during the rainy and dry periods. In summary, the results demonstrated that the number of predatory fishes was a strong predictor of population abundance and biomass, followed by pneumatophore complexity. The abundance and biomass values tended to increase with increasing habitat structural complexity towards the upper estuary. There was evidence that fish exhibited movement during the rainy season related to spawning events and subsequent juvenile recruitment in this area. Hymnoptera was the item most frequently ingested and made the greatest contributions to the volume of diet in habitat types throughout the year. There was an increase in the condition factor in the rainy season, which was associated with energy reserves, reproduction and growth (fitness). We concluded that predation is an important ecological process that operates at local spatial scales and that, together with the density of pneumatophores, it could affect the abundance of common halfbeak populations associated with estuarine habitats. Full article

For the time and frequency signals of Beidou satellites, a high-accuracy phase frequency detection technology based on phase group synchronization is proposed. Using the Beidou receiver and satellite signals as the frequency standard and the measured signals, respectively. The Beidou receiver and the satellite signals are sent to the phase coincidence detector of the different frequencies to generate a phase coincidence point pulse, which is sent to the different frequency phase detector as a control signal to generate the phase differences between the Beidou receiver and satellite signals, and then complete the high-accuracy phase synchronization between the Beidou receiver and satellite signals. Experimental results show that when the delay resolution reaches ps level, the phase synchronization accuracy of the system can reach 10 ps, which has the characteristics of small phase noise, low development cost, simple circuit structure, and high synchronization accuracy compared with the traditional phase synchronization technologies. Therefore, it would be widely used in satellite positioning, astrometry, precision navigation, aerospace, satellite launch, power transmission, communications, radar, and other high-tech fields. Full article

In the traditional farming systems, the excessive application of chemical fertilizers to boost crop yields has resulted in a range of issues, such as soil quality degradation, soil structure deterioration, and pollution of the farmland ecological environment. Green manure, as a high-quality biological fertilizer source with rich nutrient content, is of great significance for enhancing the soil quality and establishing a healthy farmland ecosystem. However, there are few studies on the effects of different green manures on the soil nutrient levels, enzyme activities, and soil bacterial community composition in the rice–wheat rotation areas in southern China. Thus, we planted Chinese milk vetch (MV; Astragalus sinicus L.), light leaf vetch (LV; Vicia villosa var.), common vetch (CV; Vicia sativa L.), crimson clover (CC; Trifolium incarnatum L.), Italian ryegrass (RG; Lolium multiflorum L.), and winter fields without any crops as a control in the Taihu Lake area of Jiangsu. The soil samples collected after tilling and returning the green manure to the field during the bloom period were used to analyze the effects of the different green manures on the soil nutrient content, enzyme activity, and the structural composition of the bacterial community. This analysis was conducted using chemical methods and high-throughput sequencing technology. The results showed that the green manure returned to the field increased the soil pH, soil organic matter (SOM), alkali-hydrolyzed nitrogen (AN), available phosphorus (AP), available potassium (AK), sucrose (SC), urease (UE), and neutral phosphatase (NEP) contents compared to the control. They increased by 1.55% to 10.06%, 0.26% to 9.31%, 20.95% to 28.42%, 20.66% to 57.79%, 12.38% to 37.94%, 3.11% to 58.19%, 6.49% to 32.99%, and 50.0% to 80.36%, respectively. In addition, the green manure field increased the relative abundance of the genera Proteobacteria and Haliangium while decreasing the relative abundance of Gemmatimonadetes, Chloroflexi, SBR1031, and Anaeromyxobacter in the soil bacteria. Both the number of ASVs (amplicon sequence variants) and α-diversity of the soil bacterial communities were higher compared to the control, and the β-diversity varied significantly among the treatments. Alkali-hydrolyzed nitrogen and neutral phosphatase had the greatest influence on the soil bacterial community diversity, with alkali-hydrolyzed nitrogen being the primary soil factor affecting the soil bacterial community composition. Meanwhile, the results of the principal component analysis showed that the MV treatment had the most significant impact on soil improvement. Our study provides significant insights into the sustainable management of the soil quality in rice–wheat rotations. It identifies MV as the best choice among the green manure crops for improving the soil quality, offering innovative solutions for reducing chemical fertilizer dependence and promoting ecological sustainability. Full article

As global warming intensifies, reducing carbon emissions has become a global common mission. Tourism transportation is one of the important sources of carbon emissions, and reducing its carbon emissions is a key part of achieving China’s carbon reduction goals. Based on the panel data of various provinces and cities in North China from 2000 to 2022, this paper calculates the carbon emissions of tourism transportation by using the carbon emission coefficients of different transportation modes in different segments. Moreover, the temporal and spatial evolution of the tourism economy is systematically analyzed. The Tapio decoupling model and LMDI addition decomposition model are used to analyze the relationship between carbon emissions and tourism economic growth and the effects of 11 influencing factors on carbon emissions. The results show that: (1) The carbon emission of tourism transportation in North China has experienced four stages: a steady growth period, a transitional adaptation period, a stable equilibrium period, and a drastic decline period. The overall carbon emission level of tourism transportation is as follows: Hebei Province > Shanxi Province > Inner Mongolia Autonomous Region > Beijing City > Tianjin City. (2) The decoupling coefficient between tourism traffic carbon emissions and economic development fluctuates but mainly shows a weak decoupling state. (3) In terms of influencing factors, passenger size and passenger density have the greatest impact on the carbon emissions of tourism transportation. Full article

Safety, progress, and investment risks are correlated during the construction period of large-scale water transfer projects. However, previous studies have only considered individual risk factors, overlooking the potential systemic risk posed to safety, progress, and investment, as well as any underlying common cause failures. Since traditional risk analysis methods are ill-suited to addressing common cause failure, this paper’s objective was to establish a comprehensive evaluation index framework and to identify the basic events of common cause failure. To do that, we developed a risk analysis method that models common cause failure based on a Bayesian network for assessing that systemic risk. The Henan Section of the Yangtze-to-Huaihe River Water Diversion Project in China was then used as a case study. The results show that a variety of common cause failure events, such as epidemic disease, design alteration, lagged approval process, heavy rain in the flood season, renewal material and failing equipment, construction accidents, and external interference, can significantly impact the safety, progress, and investment systemic risk. Design alteration poses the greatest risk, with renewal material and failing equipment exerting the strongest influence among all common cause failure events. It is also possible to elucidate the predominant causal chains; specifically, the contributing influence of each basic failure event to the systemic risk can be clarified by adjusting their respective initial state. The failure of renewal material and failing equipment was found to significantly increase the safety risk. This study effectively simulated the complex causal relationships and uncertainties of pertinent risk factors, thereby enhancing our understanding of the systemic risk associated with safety, progress, and investment in large-scale water transfer projects. Full article

Total hip and knee replacements are the most common orthopedic procedures performed due to osteoarthritis. Pain is an intrinsic symptom accompanying osteoarthritis, persisting long before surgery, and continuing during the preoperative and postoperative periods. Appropriate pain management after surgery determines the comfort, duration, and cost of hospitalization, as well as the effectiveness of postoperative rehabilitation. Individual differences in pain perception and tolerance in orthopedic patients remain an important research topic. Therefore, the aim of this study was to investigate the predictors of analgesic requirements (morphine, acetaminophen, and ketoprofen), including individual pain threshold and tolerance, body mass index (BMI), diabetes, and beliefs about pain control in patients undergoing elective hip or knee arthroplasty using a multilevel regression model (N = 147, 85 women, 62 men, 107 after hip replacement, and 40 after knee replacement). Results: Higher pain tolerance was associated with a lower dose of morphine per kg after surgery. Patients undergoing hip surgery received a lower dose of ketoprofen than patients undergoing knee surgery. The more the patient believed in personal pain control, the stronger the negative relationship between pain tolerance and morphine requirement. The lowest doses were given to patients with the highest pain tolerance and the greatest belief in personal control. Factors such as belief in pain control and pain tolerance should be considered in comprehensive postoperative pain management in orthopedic patients to reduce opioid doses and, thus, side effects. Full article

Pea is a widely cultivated leguminous plant which also contributes to soil enrichment through nitrogen fixation and benefits crop rotations. However, large weed populations are a challenge for pea production, requiring effective management strategies. It is essential to highlight the influence of soil parameters, factors affecting the environment, and management practices on weed populations to develop effective weed control and maximize pea yield and ease of harvesting. In our study, a total of 31 pea fields were surveyed prior to harvest to determine the coverage of each weed species, with the aim of identifying the typical weeds in the study area. In addition, environmental, soil, and management factors were recorded for each field. Based on our hypotheses, these factors influence the weed composition, and these effects can be described by the dominance of weed species. In our study, summer annuals and geophytic perennials were common, with Echinochloa crus-galli and Convolvulus arvensis being most dominant. The analysis revealed that the year of data record, soil type, and farming system most significantly influenced weed composition. Weed species were observed to have varying responses to soil texture, salt concentration, and phosphorus content. The survey period, geographical factors, farming system, and tillage practices also played a role in determining weed flora. The findings suggest strong correlations between soil parameters and weed composition, highlighting the importance of soil management in weed control. The year of data collection had the greatest influence on weed infestation. Soil-related variables, such as soil type, also played a significant role. Farming systems had a smaller effect on weed composition. Comparing our results with previous country level weed surveys in Hungary, our results identified some unique characteristics in the weed flora of South-East Hungary. Full article

We propose the methodology of building the process-driven models for medium-term forecasting of spring floods (including catastrophic ones) in the mountainous areas, the hydrological analysis of which is usually much more complicated in contrast to plains. Our methodology is based on system analytical modeling of complex hydrological processes in 34 river basins of the Altai-Sayan mountain country. Consideration of 13 types of landscapes as autonomous hydrological subsystems influencing rivers’ runoff (1951–2020) allowed us to develop the universal predictive model for the most dangerous April monthly runoff (with ice motion), which is applicable to any river basin. The input factors of the model are the average monthly air temperature and monthly precipitation for the current autumn–winter period, as well as the data on the basin landscape structure and relief calculated by GIS tools. The established universal dependences of hydrological runoffs on meteorological factors are quite complex and formed under influence of solar radiation and physical–hydrological patterns of melting snow cover, moistening, freezing, and thawing of soils. The model shows the greatest sensitivity of April floods to the landscape composition of river basins (49% of common flood variance), then to autumn precipitation (9%), winter precipitation (3%), and finally, to winter air temperature (0.7%). When it is applied to individual river basins, the forecast quality is very good, with the Nesh–Sutcliffe coefficient NSE = 0.77. In terms of the accuracy of process-driven predictive hydrological models for the mountainous areas, the designed model demonstrates high-class performance. Full article

In the last decades, gypsum-bearing industrial wastes become one of the common globally produced industrial and domestic wastes that are currently recycled and further utilized. In this study, the gypsum-bearing waste citrogypsum was used as a Ca²⁺-containing component to modify the properties of alkali-activated cement (AAC) based on granulated blast-furnace slag (GBFS). Citrogypsum was used in different AAC mixes activated with three different alkaline components: Na₂CO₃, NaOH, and Na₂SiO₃. Laser granulometry was applied to assess the granulometric characteristics of citrogypsum and GBFS. Specific gravity (SG), compressive strength, and water resistance were tested to evaluate the effect of citrogypsum on the physical and strength performance of AAC. Experimental results obtained over 4-day to 28-day time periods for the studied AACs showed that the addition of citrogypsum had a detrimental effect on the properties of AAC mixes, where decreases in compressive strength between 1 and 100%, decreases in specific gravity between 4 and 30%, and decreases in water resistance between 12 and 100% were observed. It was determined that AAC mixes modified with citrogypsum cured in ambient conditions had compressive strength values 61% to 90% lower than those cured in hydrothermal conditions. In terms of strength performance, specific gravity and water resistance, citrogypsum showed the greatest effect on AAC mixes activated with NaOH, and to a lesser extent, on mixes activated with Na₂CO₃. The highest water resistance value of 0.77 was observed for the AAC mixes activated with Na₂CO₃ cured in ambient conditions, and when cured in hydrothermal conditions, the highest water resistance reached up to 0.84 for the AAC mixes activated with NaOH. It was observed that the type of alkaline activator and curing conditions are both crucial factors that govern the response of citrogypsum as a supplementary mineral additive in GBFS-based AAC mixes in regard to compressive strength, specific gravity and water resistance. Full article

The aim of this study was to provide additional data on mortality from COVID-19 with particular attention to the factors associated with the positivity of patients admitted to the Lambayeque Hospital in Peru. A retrospective cohort analysis was carried out to determine the clinical-epidemiological factors associated with positivity for SARS-CoV-2 in patients treated at the Lambayeque Regional Hospital during the health emergency period in the context of the COVID-19 pandemic. It was observed that, as the demographic age group increased, the percentage of seropositivity increased, with 66.8% of elderly adults testing positive, compared to 37.4% of children (p < 0.001). More seropositive men than women were evident (61.1% vs. 54.1%; p < 0.001). The most frequent symptom of patients with suspected COVID-19 was cough (65.0%). However, the symptoms with the greatest frequency of seropositive patients were ageusia (78.6%) and fever (77.6%); cough was one of the symptoms with the lowest (63.9%) (p-value < 0.001). The comorbidities with the most seropositive patients were obesity (80.7%) and diabetes mellitus (73.6%) (p-value < 0.001), different from the top comorbidity of heart disease (12.7%) in suspected COVID-19 patients. In terms of disease signs, abnormal findings on MRI (98.11%) and dyspnea (28.7%) were the most common in suspected COVID-19 patients, similar to those in seropositive patients, which were dyspnea (81.4%) and abnormal tomography findings (75.3%) (p-value < 0.001). Full article

We studied the effects of new chemically synthesized selenium (Se) nanocomposites (NCs) based on natural polysaccharide matrices arabinogalactan (AG), starch (ST), and kappa-carrageenan (CAR) on the viability of phytopathogen Phytophthora cactorum, rhizospheric bacteria, and potato productivity in the field experiment. Using transmission electron microscopy (TEM), it was shown that the nanocomposites contained nanoparticles varying from 20 to 180 nm in size depending on the type of NC. All three investigated NCs had a fungicidal effect even at the lowest tested concentrations of 50 µg/mL for Se/AG NC (3 µg/mL Se), 35 µg/mL for Se/ST NC (0.5 µg/mL Se), and 39 µg/mL for Se/CAR NC (1.4 µg/mL Se), including concentration of 0.000625% Se (6.25 µg/mL) in the final suspension, which was used to study Se NC effects on bacterial growth of the three common rhizospheric bacteria Acinetobacter guillouiae, Rhodococcus erythropolis and Pseudomonas oryzihabitans isolated from the rhizosphere of plants growing in the Irkutsk Region, Russia. The AG-based Se NC (Se/AG NC) and CAR-based Se NC (Se/CAR NC) exhibited the greatest inhibition of fungal growth up to 60% (at 300 µg/mL) and 49% (at 234 µg/mL), respectively. The safe use of Se NCs against phytopathogens requires them to be environmentally friendly without negative effects on rhizospheric microorganisms. The same concentration of 0.000625% Se (6.25 µg/mL) in the final suspension of all three Se NCs (which corresponds to 105.57 µg/mL for Se/AG NC, 428.08 µg/mL for Se/ST NC and 170.30 µg/mL for Se/CAR NC) was used to study their effect on bacterial growth (bactericidal, bacteriostatic, and biofilm formation effects) of the three rhizospheric bacteria. Based on our earlier studies this concentration had an antibacterial effect against the phytopathogenic bacterium Clavibacter sepedonicus that causes diseases of potato ring rot, but did not negatively affect the viability of potato plants at this concentration. In this study, using this concentration no bacteriostatic and bactericidal activity of all three Se NCs were found against Rhodococcus erythropolis based on the optical density of a bacterial suspension, agar diffusion, and intensity of biofilm formation, but Se/CAR and Se/AG NCs inhibited the growth of Pseudomonas oryzihabitans. The cell growth was decrease by 15–30% during the entire observation period, but the stimulation of biofilm formation by this bacterium was observed for Se/CAR NC. Se/AG NC also had bacteriostatic and antibiofilm effects on the rhizospheric bacterium Acinetobacter guillouiae. There was a 2.5-fold decrease in bacterial growth and a 30% decrease in biofilm formation, but Se/CAR NC stimulated the growth of A. guillouiae. According to the results of the preliminary field test, an increase in potato productivity by an average of 30% was revealed after the pre-planting treatment of tubers by spraying them with Se/AG and Se/CAR NCs with the same concentration of Se of 0.000625% (6.25 µg/mL) in a final suspension. The obtained and previously published results on the positive effect of natural matrix-based Se NCs on plants open up prospects for further investigation of their effects on rhizosphere bacteria and resistance of cultivated plants to stress factors. Full article

Mastitis is one of the most important infectious diseases and one of the diseases that causes the greatest use of antibiotics in dairy cows. Therefore, updated information on the bacteria that cause mastitis and their antibiotic susceptibility properties is important. Here, for the first time in over 10 years, we updated the bacterial findings in clinical mastitis in Swedish dairy cows together with their antibiotic resistance patterns and risk factors for each bacterial species. During the period 2013–2018, samples from clinical mastitis were collected, together with information on the cows and herds of origin. The samples were cultured, and a total of 664 recovered bacterial isolates were subjected to susceptibility testing. Staphylococcus aureus (S. aureus) was the most common pathogen and accounted for 27.8% of diagnoses, followed by Streptococcus dysgalactiae (S. dysgalactiae) (15.8%), Escherichia coli (E. coli) (15.1%), Streptococcus uberis (S. uberis) (11.4%), Trueperella pyogenes (T. pyogenes) (7.7%), non-aureus staphylococci (NAS) (2.8%), Klebsiella spp. (2.7%), Enterococcus spp. (1.3%), and Streptococcus agalactiae (S. agalactiae) (1.2%). Various other bacteria accounted for 2.6%. Staphylococci were, in general, susceptible to most antibiotics, but 2.6% of S. aureus and 30.4% of NAS were resistant to penicillin. No methicillin-resistant staphylococci were found. All S. agalactiae were susceptible to penicillin. Bimodal and trimodal MIC distributions for penicillin in S. dysgalactiae and S. uberis, respectively, indicate acquired reduced susceptibility in some isolates. The mostly unimodal MIC distributions of T. pyogenes indicate that acquired resistance does usually not occur in this species. Among E. coli, 14.7% were resistant to at least one antibiotic, most often ampicillin (8.7%), streptomycin (7.8%), or sulphamethoxazole (6.9%). Klebsiella spp. had low resistance to tetracycline (9.1%) but is considered intrinsically resistant to ampicillin. Pathogen-specific risk factors were investigated using multivariable models. Staphylococcus aureus, S. dysgalactiae, and T. pyogenes were more common, while E. coli was less common in quarters with more than one pathogen. S. aureus and T. pyogenes were mostly seen in early lactation, while E. coli was more common in peak to mid lactation and S. dysgalactiae in early to peak lactation. Trueperella pyogenes and Klebsiella spp. were associated with a previous case of clinical mastitis in the current lactation. Staphylococcus aureus was associated with tie stalls and T. pyogenes with loose housing. All pathogens except E. coli and S. dysgalactiae had a seasonal distribution. In conclusion, the aetiological agents for clinical bovine mastitis have remained relatively stable over the last 10–15 years, S. aureus, S. dysgalactiae, E. coli and S. uberis being the most important. Resistance to penicillin among Gram-positive agents was low, and in general, antibiotic resistance to other compounds was low among both Gram-positive and Gram-negative agents. Full article

Background: A national database of work-related injuries has been established in Italy since 2002, collecting information on the injured person, his/her work tasks, the workplace and the risk factors contributing to incident dynamics, according to a model called Infor.Mo. Methods: A descriptive study of occupational fatal injuries, excluding work-related fatal traffic injuries, that occurred in Italy from 2002 to 2016 (15 years) was performed. Results: Among 4874 victims involved, all were males, mainly >51 years of age (43.2%), predominantly self-employed (27.8%) or workers with non-standard contracts (25%). About 18.4% and 17.3% of fatal events occurred in micro-enterprises belonging to, respectively, construction and agriculture. A wide range of nationalities (59 countries in addition to Italy) was identified. Overall, 18.9% of work-related fatal injuries were due to some form of hazardous energy—mechanical, thermal, electrical or chemical—that was normally present in the workplace. Workers’ falls from height (33.5%), heavy loads falling on workers from height (16.7%) and vehicles exiting their route and overturning (15.9%) were the events causing the greatest proportion of occupational fatal injuries in the present study (from 2002 to 2016) and in the initial pilot phase, focused on years 2002–2004, with a similar distribution of fatal events between the two time periods. The activity of the injured person made up 43.3% of 9386 risk factors identified in 4874 fatalities. Less common risk factors were related to work equipment (20.2%), work environment (14.9%), third–party activity (9.8%), personal protective equipment/clothing (8.0%) and materials (3.7%). The activity of the injured person remained the most relevant contributing factor even when the incident was caused by two or more risk factors. Discussion: Occupational fatal injuries occurred mainly in small size firms (up to nine employees) in hazardous workplaces. Small companies, which account for 68% (2888/4249) of all firms in the present study, generally have fewer resources to remain current with the continuously evolving health and safety at work regulations; moreover, these firms tend to be less compliant with health and safety at work regulations since they are less likely to be inspected by occupational vigilance services. Perspectives: An approach being introduced in Italy relies on the use of economic incentives to promote safe and healthy workplaces. The comparison of pre-intervention and post-intervention rates of work-related injuries by means of interrupted time series analyses could detect whether the intervention will have an effect significantly greater than the underlying secular trend. Full article