Search Results (314)

Since non-human animals also experience welfare, an increasing number of scholars advocate including non-human animal welfare in cost–benefit analysis. Recent proposals to achieve this through interspecies comparisons of welfare, however, are incompatible with the principles of positive welfare economics. Based on conceptual and theoretical analysis, this article argues that, to remain consistent with positive welfare economics, the monetary value of welfare changes should be set equal to the marginal costs of alternative options available to offset those welfare changes. This applies equally to human adults, small children, and non-human animals. The article further argues that monetary valuation is appropriate only in cases involving marginal changes in the risk of harm—for example, an increased mortality risk for birds and bats caused by windmills—but not in cases involving direct and certain harms, such as those inflicted on farm animals. Moreover, a key rationale behind cost–benefit analysis is that a positive outcome increases social wealth, thereby expanding the government’s capacity to enhance social welfare through redistribution or investment in public services. In the interspecies context, however, this rationale remains doubtful as long as governments fail to give equal consideration to non-human animal welfare in policy making. Full article

Background: Opioids are commonly used to manage both acute and chronic pain by acting on opioid receptors in the central and peripheral nervous systems. However, concerns about their increasing prescription and misuse have emerged due to adverse effects, toxicity, and the global impact of opioid-related harm. Objectives: This systematic review aims to evaluate the harmful (adverse and toxic) effects of prescribed opioids on the pediatric and the general population. Methods: Following PRISMA guidelines, a systematic search was conducted for data from January 2011 to December 2024 across selected electronic databases (PubMed^®, SciELO^®, Web of Science^®, and EMBASE^®) using a specific search strategy with Boolean operators. Cross-sectional, cohort, and case–control designs published in English, analyzing and identifying the harmful effects of prescribed opioids in children and the general population, were eligible for inclusion. Three reviewers independently assessed titles and abstracts for eligibility, followed by a full-text review. A referee reviewer resolved discrepancies. Data extraction was performed for qualifying studies. The risk of bias was assessed by the ROBINS-I tool. Results: A total of 3984 papers were collected, with 1697 duplicates and 2062 non-eligible papers removed; resulting in 25 papers (112.825 patients) selected for qualitative analysis. The pediatric group experienced more harmful effects across multiple body systems (nausea and vomiting, hypotension, agitation, drowsiness/lethargy, lethargy, respiratory depression, aspiration pneumonia) compared to the general population (dominant S wave, long QTc interval, right axis deviation, seizure). Conclusions: Despite the data heterogeneity, this study highlights the importance of evaluating the harmful effects of opioids, particularly in pediatric patients, to assess the risk–benefit balance and health risks associated with their use. The lower number of effects in the general population may be attributed to increased pharmacological tolerance and tolerability. Full article

This study examines regulatory requirements concerning the ethical review of animal research in Sweden, in particular legal obligations placed on applicants, and to some extent on Animal Ethics Committees (AECs). It focuses on what information applying researchers are required to provide, to what extent submitted applications reflect the fulfilment of these requirements, and how the AECs handle the information they receive. The study emphasizes areas of concern critical for an ethical evaluation. By examining a selection of submitted applications, the study has found information about harm, benefit, and the 3Rs is often insufficient or occasionally altogether missing, thus hindering the AECs’ performance of a harm–benefit analysis (HBA) and an assessment of how the applying researcher has considered the 3Rs in their project. The authors underscore the necessity for applying researchers to include detailed, relevant, complete, and accurate information to facilitate a thorough ethical review. To facilitate a shift towards a more thorough project evaluation, the authors suggest nine action points to improve the ethical review process for the sake of applicants, evaluators (AECs), and the animals used in research. This approach will also help enhance research quality, promote transparency, and build public trust in the ethical review process. Full article

Indoor air quality management has become increasingly critical for public health, particularly after the global COVID-19 respiratory disease outbreaks that highlighted airborne pathogen transmission risks. This review investigates an advanced air and surface purification method that is used in devices utilising heterogeneous photocatalysis with tungsten oxide (W₁₈O₄₉) and zinc oxide (ZnO) catalyst systems to generate controlled concentrations of hydrogen peroxide for continuous indoor sanitisation. The photocatalytic system converts ambient water vapour into aerosolised hydrogen peroxide at concentrations of 0.04–0.05 ppm, significantly below established safety thresholds, while maintaining effective antimicrobial activity. The W₁₈O₄₉ catalyst demonstrates superior visible-light absorption compared to conventional titanium dioxide (TiO₂) systems, with ZnO serving as an effective cocatalyst to reduce electron–hole recombination and enhance reactive oxygen species generation. Safety analysis based on OSHA, WHO, and ACGIH guidelines confirms that continuous exposure to these low hydrogen peroxide concentrations poses no health risks to occupants. Real-world applications demonstrate up to 90% reduction in airborne pathogens and a 20–30% decrease in sick leave rates in office environments. The technology offers significant economic benefits through reduced healthcare costs and improved productivity while providing environmentally sustainable air purification without harmful residues. This photocatalytic approach represents a scientifically validated, safe, and economically viable solution for next-generation indoor air quality management across healthcare, educational, commercial, and residential sectors. Full article

Research in western countries concludes that children and adolescents are exposed to multiple forms of online risks and harms. However, in the context of Saudi Arabia, research in online safety education is lagging. Currently, online safety education is generic and not research informed. Hence, this exploratory study seeks to generate a qualitative understanding of online risks and harms experienced by Saudi children, adolescents, and parents as well as online safety strategies. Using a semi-structured interview, this study explores the views of 15 children (12–15 years) and 10 parents. Interpretative Phenomenological Analysis (IPA) yielded four key themes: Negotiating the Promise and Peril of the internet, Living with the Shadows of the Online World, Psychological, and Physical Health Consequences, and Navigating Safety in a Digital Landscape of Uncertainty. While the benefits are clear (e.g., education and socialisation), children and parents have shared worries about cyberbullying, aggression, and exploitation. Internet addiction and isolation are notable consequences along with vision impairment and obesity. Children’s online safety practices are reactive, e.g., blocking and deleting risky content/behaviour, while parents share their struggles in monitoring children online. Online safety education, or the lack of it, is to blame. Children’s and parents’ limited awareness of online risks and poor online safety practices need to improve in Saudi Schools and households; there is an urgent need for further research and adequate implementation of systematic online safety education. Full article

Biofouling presents a major challenge for maritime industries, leading to the widespread use of copper-based biocidal coatings that, while effective, release harmful substances into marine environments. Biocide-free alternatives, such as silicone-based, hydrogel, and natural product-derived coatings, offer more sustainable solutions. This systematic review and meta-analysis assesses the functional, economic, and environmental performance of both coating types using PRISMA guidelines and literature from Scopus and ISI Web of Knowledge (2003–2025). Data from experimental, field, and modeling studies were synthesized, covering fouling intensity, coating durability, toxicity, cost-effectiveness, and regulatory compliance. Biocidal coatings generally performed better short-term, but biocide-free options showed comparable efficacy in some cases and clear environmental benefits. Although initial costs for biocide-free coatings are higher, they may yield savings over time. The meta-analysis found no significant differences in fouling or hydrodynamic performance, though quantitative evidence is limited. Research gaps remain, particularly in long-term studies, highlighting the need for standardized testing and lifecycle assessments to guide sustainable antifouling practices. The outcome of the review also showed that some evidence was excluded due to being in non-indexed sources. This highlights the importance of combining systematic and traditional review methods to ensure a more comprehensive assessment. Full article

Background: Understanding the mechanisms underlying dental pain caused by pulpitis in humans has led to the development of animal models, such as the rat, which enable the study of the mechanisms underlying inflammation; the use of these models is considered ethically justified when the anticipated scientific benefits outweigh the potential impacts on animals in the harm/benefit balance. Objective: To develop a rat model of mechanically induced pulpitis and to evaluate the potential impact on animal well-being. Methods: Pulpitis was mechanically induced in male Lewis rats (13–16 weeks, 350–400 g) which were anesthetized and endotracheally intubated. Following pulp exposure, the cavity was sealed with either amalgam (n = 10) or zinc phosphate cement (n = 10). Following recovery and return to their housing, behavioral assessments and histological evaluations using Hematoxylin and Eosin (H&E) staining were conducted in separate cohorts at two time points: 3 h and 5 days following the procedure. Results: A standardized model of mechanically induced pulpitis was established and verified clinically and by histopathological analysis, which showed evidence of the inflammatory process and revealed no statistically significant differences in the scoring of pain, discomfort, or distress, nor in the measurements of food and water consumption or body weight. Conclusions: The behavioral assessments conducted in this study supported the implementation of a safe and easily reproducible model for future research aimed at elucidating the mechanisms underlying pulp inflammation. Full article

Construction and demolition waste (C&D waste) contains various types of substances, which require different processing methods to maximize benefits and minimize harm to realize the goal of the circular economy. Therefore, it is urgent to promote the on-site sorting of C&D waste and explore the determinants of managers’ waste sorting intention. Based on a comprehensive literature review of C&D waste management, seven determinants are identified to explore how antecedent factors influence waste sorting intention by symmetric and asymmetric techniques. Firstly, the partial least squares structural equation modeling (PLS-SEM) was adopted to analyze the data collected from 489 managers to assess the net impact of each determinant on their intentions. Then, the fuzzy-set qualitative comparative analysis (fsQCA) provided another perspective by determining the configurations of the causal conditions that lead to higher or lower levels of intention. The PLS-SEM results reveal that all determinants show a significant positive relationship with the intention except for the perceived risks, which are negatively correlated with managers’ attitudes and intentions regarding C&D waste sorting. Moreover, top management support and subjective norms from other project participants and the public exhibit a huge impact, while the influence of perceived behavioral control (PBC) and policies is moderate. Meanwhile, fsQCA provides a complementary analysis of the complex causality that PLS-SEM fails to capture. That is, fsQCA identified six and five configurations resulting in high and low levels of intention to sort the C&D waste, respectively, and highlighted the crucial role of core conditions. The results provide theoretical and practical insights regarding proper C&D waste management and enhancing sustainable development. Full article

Veterinarians are not just animal health professionals; they are also considered animal welfare experts. Animal-directed empathy, the ability to understand and match an animal’s emotional state, is essential for recognizing animal welfare issues. It is therefore a vital competency for veterinarians. The factors that play a role in shaping this empathy are animal, personal, and cultural influences, as well as the categorization of animals based on their benefit or harm to people: pet, pest or profit (used for economic purposes). We conducted a survey among veterinary students in the Netherlands to assess their levels of animal-directed empathy by scoring their attitude toward animals with the “Pet, Pest, Profit Scale”. Analysis of 321 completed surveys revealed that students showed the highest empathy for pets, the second-highest levels for pest animals, and the lowest levels for profit animals. Empathy levels also differed depending on career choice, background, and diet. These findings indicate that categorizing animals influences veterinary students’ empathy levels, which can lead to unrecognized welfare issues, especially for pest and profit animals. It is important to enhance empathy for these categories through targeted educational interventions to help prepare veterinary students for their responsibility as veterinarians, ensuring the welfare of all animals, whether pet, pest or profit. Full article

Background: Self-harm in young people is influenced by multiple factors, with media playing a significant role. While research has examined its harmful and protective effects, little attention has been paid to how healthcare professionals interpret and respond to media’s role in shaping young people’s experiences of self-harm. To our knowledge, no research has examined adolescent mental health professionals’ perspectives and, crucially, how these are constructed and understood. The study aimed to examine the following: (1) how mental health practitioners construct and use discourses to interpret the role of media in young people’s self-harm; and (2) how these discourses shape clinical understanding and practice. Methods: This qualitative study employed semi-structured interviews with ten clinicians from child and adolescent mental health services across England working with young people who self-harm. Data were analysed using critical discourse analysis to uncover how broader societal and institutional narratives shape clinicians’ perspectives. Results: Two dominant discourses were identified: “Media as Disruptor” and “The Hidden World of Youth”. These discourses framed media as both a risk factor and a potential intervention tool, positioning media as a powerful yet morally ambiguous force in young people’s lives. Clinicians largely framed media’s influence as negative but acknowledged its capacity for education and intervention. Conclusions: This research offers new insights into how media-related self-harm risks and benefits are framed and managed in mental health care settings. The study underscores the need for systemic changes in clinical practice, enhanced training, updated guidelines and a shift towards broader sociocultural perspectives in understanding self-harm and suicidal behaviour. Full article

Various activities, whether economic, social, or environmental, exert pressure on a coastal area. The extent of economic activities taking place in coastal regions is continuously increasing, particularly in tourism, maritime transport, port operations, and fisheries and aquaculture. Therefore, the decision to establish activities in a coastal area is complex and requires careful consideration by all stakeholders who use this space, which is potentially one of the most important natural resources for the development of any coastal country. This research is focused on assessing the justification for establishing economic activities in a coastal area, taking into account the interconnection of spatial, safety, environmental, and social factors. Therefore, three possible scenarios have been proposed: the location of the communal port, the location of the nautical port-marina, and the location of the marine entertainment and recreation centre. The goal was to develop a model that would enable the objective assessment and selection of the most suitable activity that would simultaneously benefit society and have the least harmful impact on the environment. Therefore, a multi-criteria analysis was conducted using the AHP (Analytic Hierarchy Process) method. The decision-making process was based on the expert validation of criteria, sub-criteria, and alternatives. An analytical tool called Expert Choice was used to synthesise the results and select the optimal activity. The sensitivity analysis confirmed the stability and reliability of the obtained results, with the AHP method proving to be an effective tool in structuring the decision-making process regarding the establishment of activities in the coastal area. Based on the results of the multi-criteria assessment, planning the establishment of activities is an important precondition for the long-term and sustainable development of coastal activities in an area. Full article

Statistical data demonstrate a concurrent rise in smoking prevalence and mental disorders, such as depression and anxiety, which may be attributed to contemporary lifestyle factors, including social media and recent global events. This indicates a potential correlation between these trends, as individuals with mental disorders may engage in smoking as a form of self-medication to alleviate anxiety. However, smoking is harmful and increases the risk of many diseases. Therefore, smoking cessation strategies are increasingly being considered. Nicotine is a naturally produced alkaloid in plants that makes smoking so addictive. Unfortunately, the public’s lack of understanding of the effects of nicotine leads to misleading claims in the public and media about its biological effects. Thus, current narrative literature review is focused on the examination of the biological effects of organic nicotine from various angles, considering the psychological aspects of addiction and the immune system. Analysis of recent data showed that nicotine not only causes addiction but also has therapeutic benefits in certain diseases (depression, anxiety, schizophrenia) and has anti-inflammatory properties (autoimmunity, neurodegenerative diseases), and a deeper understanding and a broader approach to its effects is needed. Full article

Introduction: The introduction of the transdiagnostic approach in psychiatry shifts the focus from discrete diagnoses to shared symptoms across various disorders. The Transdiagnostic Global Impression—Psychopathology (TGI-P) scale is a newly developed tool designed to assess psychiatric symptoms across diagnostic boundaries. It evaluates ten core symptom domains—positive, negative, cognitive, manic, depressive, addiction, anxiety, sleep, hostility, and self-harm—regardless of specific diagnoses. Objective: This study aims to evaluate the efficacy of cariprazine across these ten transdiagnostic symptom domains. Methods: A systematic literature review and meta-analysis were conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Searches were performed on EMBASE and clinicaltrials.gov. Efficacy measures such as the Positive and Negative Syndrome Scale (PANSS), Montgomery–Åsberg Depression Rating Scale (MADRS), Young Mania Rating Scale (YMRS), Hamilton Anxiety Rating Scale (HAM-A), and Columbia-Suicide Severity Rating Scale (C-SSRS) were used to assess cariprazine’s effect on the ten transdiagnostic symptoms. Multilevel random-effects meta-analyses were conducted to evaluate the efficacy of cariprazine versus placebo in alleviating depressive and anxiety symptoms across clinical trials. Results: A total of 30 studies were included in the review. Cariprazine showed therapeutic benefits on positive, negative, manic, and depressive symptoms in specifically designed trials. Preliminary positive effects were seen on anxiety, hostility, and cognitive symptoms across disorders. However, specific trials have not been conducted for anxiety disorders or cognitive impairment. Meta-analyses demonstrated that cariprazine significantly reduces both depressive and anxiety symptoms compared to placebo. Cariprazine significantly improved sleep-related symptoms in both mania and depression trials. Suicidality was evaluated in non-suicidal populations, and no increase was observed. Addiction symptoms were part of the exclusion criteria in the RCTs, so they could not be assessed. Previous reports of cariprazine’s anti-craving and anti-abuse effects come from real-world evidence rather than RCT data. Conclusions: Cariprazine appears to be promising in addressing a broad range of symptom domains across psychiatric conditions. Full article

Although the transition to electric vehicles (EVs) is well underway and expected to continue in global car markets, most vehicles on the world’s roads will be powered by internal combustion engine vehicles (ICEVs) and fossil fuels for the foreseeable future, possibly well past 2050. Thus, good environmental performance and effective emission control of ICE vehicles will continue to be of paramount importance if the world is to achieve the stated air and climate pollution reduction goals. In this study, we review 228 publications and identify four main issues confronting these objectives: (1) cheating by vehicle manufacturers, (2) tampering by vehicle owners, (3) malfunctioning emission control systems, and (4) inadequate in-service emission programs. With progressively more stringent vehicle emission and fuel quality standards being implemented in all major markets, engine designs and emission control systems have become increasingly complex and sophisticated, creating opportunities for cheating and tampering. This is not a new phenomenon, with the first cases reported in the 1970s and continuing to happen today. Cheating appears not to be restricted to specific manufacturers or vehicle types. Suspicious real-world emissions behavior suggests that the use of defeat devices may be widespread. Defeat devices are primarily a concern with diesel vehicles, where emission control deactivation in real-world driving can lower manufacturing costs, improve fuel economy, reduce engine noise, improve vehicle performance, and extend refill intervals for diesel exhaust fluid, if present. Despite the financial penalties, undesired global attention, damage to brand reputation, a temporary drop in sales and stock value, and forced recalls, cheating may continue. Private vehicle owners resort to tampering to (1) improve performance and fuel efficiency; (2) avoid operating costs, including repairs; (3) increase the resale value of the vehicle (i.e., odometer tampering); or (4) simply to rebel against established norms. Tampering and cheating in the commercial freight sector also mean undercutting law-abiding operators, gaining unfair economic advantage, and posing excess harm to the environment and public health. At the individual vehicle level, the impacts of cheating, tampering, or malfunctioning emission control systems can be substantial. The removal or deactivation of emission control systems increases emissions—for instance, typically 70% (NO_x and EGR), a factor of 3 or more (NO_x and SCR), and a factor of 25–100 (PM and DPF). Our analysis shows significant uncertainty and (geographic) variability regarding the occurrence of cheating and tampering by vehicle owners. The available evidence suggests that fleet-wide impacts of cheating and tampering on emissions are undeniable, substantial, and cannot be ignored. The presence of a relatively small fraction of high-emitters, due to either cheating, tampering, or malfunctioning, causes excess pollution that must be tackled by environmental authorities around the world, in particular in emerging economies, where millions of used ICE vehicles from the US and EU end up. Modernized in-service emission programs designed to efficiently identify and fix large faults are needed to ensure that the benefits of modern vehicle technologies are not lost. Effective programs should address malfunctions, engine problems, incorrect repairs, a lack of servicing and maintenance, poorly retrofitted fuel and emission control systems, the use of improper or low-quality fuels and tampering. Periodic Test and Repair (PTR) is a common in-service program. We estimate that PTR generally reduces emissions by 11% (8–14%), 11% (7–15%), and 4% (−1–10%) for carbon monoxide (CO), hydrocarbons (HC), and oxides of nitrogen (NO_x), respectively. This is based on the grand mean effect and the associated 95% confidence interval. PTR effectiveness could be significantly higher, but we find that it critically depends on various design factors, including (1) comprehensive fleet coverage, (2) a suitable test procedure, (3) compliance and enforcement, (4) proper technician training, (5) quality control and quality assurance, (6) periodic program evaluation, and (7) minimization of waivers and exemptions. Now that both particulate matter (PM, i.e., DPF) and NO_x (i.e., SCR) emission controls are common in all modern new diesel vehicles, and commonly the focus of cheating and tampering, robust measurement approaches for assessing in-use emissions performance are urgently needed to modernize PTR programs. To increase (cost) effectiveness, a modern approach could include screening methods, such as remote sensing and plume chasing. We conclude this study with recommendations and suggestions for future improvements and research, listing a range of potential solutions for the issues identified in new and in-service vehicles. Full article

Objective: This systematic review and meta-analysis aimed to evaluate the efficacy of cervical pessaries in preventing perinatal mortality and extreme preterm birth in pregnancies characterized by a short cervix. Methods: The analysis included data from nine randomized controlled trials (RCTs), incorporating a total of 3813 participants. These studies compared the use of cervical pessaries against standard care or other interventions in preventing preterm births in women with a short cervix, defined as less than 30 mm. The eligibility criteria for the trials included studies on asymptomatic pregnant women with a short cervix. The primary outcomes analyzed were perinatal mortality and the incidence of preterm birth before 28 weeks of gestation. Results: The results showed an imprecise effect estimate for perinatal mortality (OR = 0.93; 95% CI: 0.54 to 1.62). Similarly, the risk reduction for preterm birth before 28 weeks was also non-significant (OR = 0.76; 95% CI: 0.49 to 1.15). Substantial heterogeneity was observed among the studies (I² = 62%), suggesting variability in the study results, which could have been influenced by differences in the study design, population, and interventions. Conclusions: Although the results were statistically inconclusive and the estimates imprecise, the confidence intervals still span possible benefit and harm. Thus, while the current evidence does not support the routine use of cervical pessaries, it also does not indicate an increased risk of fetal or neonatal mortality. Full article