Search Results (1,185)

As people spend more time indoors, the impact of the built environment on psychological health has attracted growing attention. Yet existing studies often have difficulty capturing decision-makers’ reference dependence and loss aversion under uncertainty. To bridge this gap, we propose an evaluation framework comprising three first-level criteria—Outdoor Environment, Physical Comfort (including thermal, lighting, and color environments), and Acoustic Comfort—and determine combined weights by integrating subjective analytic hierarchy process (AHP) judgments with objective entropy weighting based on triangular fuzzy numbers (TFNs). We further incorporate prospect–regret theory to represent loss aversion, expectation-based reference points, and counterfactual regret/rejoicing, and couple it with the VIKOR compromise ranking method, forming an integrated “TFN + Prospect–Regret + VIKOR” approach. The proposed method is applied to four retrofit alternatives for an open-plan office floor (approximately 1200 m²), each emphasizing outdoor environment, physical comfort, acoustic comfort, or no single priority. Experts assessed the schemes using fuzzy linguistic variables. The results show that lighting conditions, thermal comfort, color scheme, and internal noise control receive the highest comprehensive weights. Extensive sensitivity analyses across value/weighting functions and regret-aversion parameters indicate that the ranking of alternatives remains stable while exhibiting clearer separation. Comparative analyses further suggest that, although the overall ordering is consistent with baseline methods, the proposed model increases score dispersion and improves discriminative power. Overall, by explicitly accounting for decision-makers’ psychological behavior and information uncertainty, the framework enables robust and interpretable selection of retrofit schemes for existing office spaces. Full article

Plastic pollution poses severe threats to ecosystems, human health, and economies as plastics fragment into macro- and microplastics that accumulate across marine and terrestrial environments. Conventional monitoring is constrained by scale, cost, and resources, particularly in under-resourced regions, whereas citizen science provides an inclusive, community-driven alternative for data collection, analysis, and remediation to support evidence-based policy. This systematic review advances the field through three novel contributions: a refined participatory typology that explicitly prioritizes co-creative models for equitable engagement in the Global South; the first comprehensive synthesis of direct citizen involvement in plastic bioremediation, including community microbial isolation, household biodegradation trials, and real-world testing of biodegradable materials; and a new conceptual framework positioning citizen science as the central nexus linking upstream prevention, technological innovation, bioremediation, and global governance. Findings highlight large-scale geotagged datasets, behavioral change, and policy influence, while persistent challenges include data standardization, digital exclusion, and Global North bias. We therefore advocate institutional mainstreaming through dedicated policy offices, decolonial integration of indigenous knowledge, and hybrid citizen–lab validation pipelines, especially in underrepresented regions such as Africa, establishing citizen science as a transformative mechanism for participatory and equitable responses to escalating plastic pollution. Full article

This paper proposes a large-scale, self-healing multipoint fiber Bragg grating (FBG) sensor network that employs reinforcement learning (RL) techniques to enhance the resilience and efficiency of optical wireless communication networks. The system features a mesh-structured, self-healing ring-mesh architecture employing 2 × 2 optical switches, enabling robust multipoint sensing and fault tolerance in the event of one or more link failures. To further extend network coverage and support distributed deployment scenarios, free-space optical (FSO) links are integrated as wireless optical backhaul between central offices and remote monitoring sites, including structural health, renewable energy, and transportation systems. These FSO links offer high-speed, line-of-sight connections that complement physical fiber infrastructure, particularly in locations where cable deployment is impractical. Additionally, RL-based artificial intelligence (AI) techniques are employed to enable intelligent path selection, optimize routing, and enhance network reliability. Experimental results confirm that the RL-based approach effectively identifies optimal sensing paths among multiple routing options, both wired and wireless, resulting in reduced energy consumption, extended sensor network lifespan, and improved transmission delay. The proposed hybrid FSO–fiber self-healing sensor system demonstrates high survivability, scalability, and low routing path loss, making it a strong candidate for future services and mission-critical applications. Full article

Problem Statement: Upper crossed syndrome (UCS), as first described by Janda, refers to a group of muscle imbalances in which tightness in the upper trapezius and levator scapulae dorsally cross with tightness in the pectoralis major and minor muscles, and weakness of deep cervical flexors cross ventrally with weakness of the middle and lower trapezius. Postural alterations from this dysfunction, including forward head, rounded shoulders, and scapular dyskinesis, contribute to upper-back and shoulder pain, particularly among office workers who spend long periods of the workday on a computer. Upper crossed syndrome is a significant contributor to both neck pain and shoulder pain among computer users, which have been rated at 55–69%, and 15–52%, respectively. Despite its prevalence, knowledge about UCS and its treatment remains spotty among primary care physicians. In addition, improvements in workstation ergonomics along with hourly work breaks may be considered as primary prevention strategies for UCS. Objectives: This narrative review examines and synthesizes evidence about the epidemiology and diagnosis of UCS, along with clinical recommendations for physiotherapeutic approaches to treatment. Ergonomic measures in the workplace, including changes in the design of computer workstations so that both the keyboard and monitor are at the proper heights to minimize the risk of long-term musculoskeletal disorders, are also critical. Methods: The first author, a Doctor of Behavioral Health, performed the initial literature search, which was reviewed by the second author, a PhD in sports injury epidemiology. The third author, a chiropractor and practice owner, provided clinical recommendations for stretching and strengthening exercises, which were also described in the literature. Discussion: While easily treatable when caught early, UCS may become resistant to noninvasive approaches over time, and more severe pathologies of the neck and shoulder, including impingement, thoracic outlet syndrome, and cervicogenic headaches may result. Because there is no specific ICD code for UCS, it is important for physicians to recognize the early signs, consider them in the context of workplace-related injuries, and understand physiotherapeutic strategies for symptom resolution. Full article

Background and Objectives: Hypertension affects more than 27% of adults in China, and despite ongoing public health efforts, substantial gaps remain in awareness, treatment, and blood pressure control, particularly among older adults and patients with multiple comorbidities. Conventional clinic-based care often provides limited opportunity for frequent monitoring and timely treatment adjustment, which may contribute to persistent poor control in routine practice. The objective of this study was to evaluate changes in blood pressure control and related clinical indicators during implementation of a mobile-enhanced remote patient monitoring (RPM)–supported care model among hypertensive patients with comorbidities, including patterns of medication adjustment, adherence, and selected cardiometabolic parameters. Methods: We conducted a multicenter, pre–post evaluation of a mobile-enhanced remote patient monitoring (RPM) program among 6874 adults with hypertension managed at six hospitals in Chongqing, China. Participants received usual care during the pre-RPM phase (April–September 2024; clinic blood pressure measured using an Omron HEM-7136 device), followed by an RPM-supported phase (October 2024–March 2025; home blood pressure measured twice daily using connected A666G monitors with automated transmission via WeChat, medication reminders, and clinician follow-up). Given the use of different devices and measurement settings, blood pressure comparisons may be influenced by device- and setting-related measurement differences. Monthly blood pressure averages were calculated from all available readings. Subgroup analyses explored patterns by sex, age, baseline BP category, and comorbidity status. Results: The cohort was 48.9% male with a mean age of 66.9 ± 13.7 years. During the RPM-supported care period, the proportion meeting the study’s blood pressure control threshold increased from 62.4% (pre-RPM) to 90.1%. Mean systolic blood pressure decreased from 140 mmHg at baseline to 116–118 mmHg at 6 months during the more frequent monitoring and active treatment adjustment period supported by RPM (p < 0.001), alongside modest reductions in fasting blood glucose and total cholesterol. These achieved SBP levels are below commonly recommended office targets for many older adults (typically <140 mmHg for ages 65–79, with individualized lower targets only if well tolerated; and less stringent targets for adults ≥80 years) and therefore warrant cautious interpretation and safety contextualization. Medication adherence improved, and antihypertensive regimen intensity increased during follow-up, suggesting that more frequent monitoring and active treatment adjustment contributed to the early blood pressure decline. Subgroup patterns were broadly similar across age and baseline BP categories; observed differences by sex and comorbidity groups were exploratory. Conclusions: In this large multicenter pre–post study, implementation of an RPM-supported hypertension care model was associated with substantial improvements in blood pressure control and concurrent intensification of guideline-concordant therapy. Given the absence of a concurrent control group, clinic-to-home measurement differences, and concurrent medication changes, findings should be interpreted as associations observed during an intensified monitoring and treatment period rather than definitive causal effects of RPM technology alone. Pragmatic randomized evaluations with standardized measurement protocols, longer follow-up, and cost-effectiveness analyses are warranted. Full article

Environmental health practice is facing an identity crisis. Not because our work lacks impact, but because our work lacks a coherent narrative. Environmental health practice needs a brand that speaks our truth and secures our place in the future of health protection. The brand of environmental health practice must be more than a label. It needs to be an asset that our industry can leverage to build identity, recognisability, credibility, relevance and a unique value proposition. A strong brand will allow us to express the unique impact of our role and thus, it needs to capture the most central component of our work that unmistakably differentiates it from anything else. A rapid review of the literature was performed using systematic methods to discern a coherent narrative capturing the essence of environmental health practice. Through application of a critical lens shaped through professional experience, a novel narrative was synthesized of the key defining component of our work. This narrative establishes the work of environmental health practitioners as a unique value proposition and forms the basis for a brand that we can fearlessly project and reverberate. It represents the makings for an unmistakable identity. The future of environmental health practice depends on environmental health practitioners establishing a brand by building awareness of the unique value of our work. Full article

Background/Objectives: Traditional surgeries for benign prostatic hyperplasia (BPH), such as transurethral resection of the prostate (TURP), carry risks including sexual dysfunction and extended recovery. EchoLaser transperineal laser ablation (TPLA) offers a minimally invasive alternative with potential benefits in preserving sexual function and reducing recovery time. This exploratory study evaluated the safety and efficacy of EchoLaser TPLA for the treatment of prostate-related voiding symptoms. Methods: This retrospective, single-center study enrolled seven patients with lower urinary tract symptoms due to BPH. TPLA was performed under local anesthesia, and follow-up was conducted at 1, 3, 6, and 12 months. The primary outcome was measured by the International Prostate Symptom Score (IPSS). Secondary outcomes included PSA levels, prostate and transition zone (TZ) volume, Q_max, post-void residual (PVR) volume, quality of life (QoL) score, Sexual Health Inventory for Men (SHIM) score, and Male Sexual Health Questionnaire to assess for ejaculatory dysfunction (MSHQ-EjD) score. Results: Statistically significant improvements in IPSS, Q_max, PVR, and QoL relative to baseline were observed at 1 month post-treatment, and these improvements remained significant throughout the 12-month follow-up period. Post-treatment reductions in PV and TZ volume were statistically significant at 6 months; while PV was further reduced at 12 months, this change lacked statistical significance. No statistically significant post-treatment changes were observed in SHIM, MSHQ-EjD 3-Item or Bother scores, or PSA. Mean pain score on the 10-point visual analog scale for procedural pain was 2.14 ± 0.69. Conclusions: Although limited by a lack of generalizability, our findings are consistent with previous studies that have shown EchoLaser TPLA to be a safe and effective in-office treatment for prostate-related voiding symptoms, with minimal discomfort and negligible impact on sexual function. Further studies with larger cohorts and extended follow-up are needed. Full article

Arthropod-borne viruses (arboviruses) such as dengue, chikungunya, Zika, and yellow fever pose significant global health risks, with mosquitoes from the Aedes genus as the primary vectors responsible for human transmission. The Republic of the Marshall Islands (RMI), particularly the urbanized areas of Kwajalein and Majuro atolls, has experienced multiple outbreaks of dengue, Zika, and chikungunya with substantial health and economic impacts. Vector control remains the most effective method for reducing disease risk, but comprehensive data on local mosquito vector composition, distribution, and abundance are needed to guide new, effective control efforts. From 2022 to 2024, we conducted a longitudinal baseline assessment of mosquito abundance and species composition on Ebeye and nearby islets in Kwajalein Atoll, RMI, using BG-Sentinel traps and ovitraps. Aedes aegypti was the most prevalent species, accounting for 58% of all adult females collected across study locations, with higher relative abundances on Ebeye than on northern islets (4.7 vs. 2.3 per trap/night). Aedes albopictus was more abundant on northern islets (0.7 vs. 3.2 per trap/night), and Culex quinquefasciatus showed similar abundances (1.2 vs. 1.7 per trap/night). Rainfall and anthropogenic factors, including water storage practices and housing density, influenced mosquito abundance. These findings provide multi-seasonal baseline data to support targeted vector control strategies in RMI. Full article

Traffic police officers represent a critical occupational group with high vulnerability to vehicular air pollution, a severe environmental health threat in rapidly urbanizing metropolises such as Addis Ababa. This cross-sectional study explored occupational exposure, protective practices, health risks, perceptions, and awareness of air-quality-associated health risks among 120 traffic police officers in Addis Ababa. The officers were mostly male (80%) and married (93.3%), with the majority (62.6%) having served for more than ten years. While vehicle emissions were consistently recognized as the main source of air pollution, critical knowledge gaps were identified, i.e., only 24.2% had received pollution-related training, fewer than half (45.8%) were aware of government policies, and just 9.2% reported collaboration with environmental authorities. Awareness of the Air Quality Index (AQI) was generally low, and regular monitoring of AQI was limited. Self-reported health symptoms were highly prevalent among participants, with cough (75.0%), eye irritation (61.7%), sneezing (58.3%), and runny nose (55.8%) being the most frequently reported. Notably, sneezing, runny nose, eye irritation, and psychological stress showed significant association with perceived pollution levels at the workplace (p < 0.05), while blood pressure, cough, difficulty concentrating, and sleep loss were not significantly associated (p > 0.05). A higher prevalence of symptoms was generally observed in groups experiencing moderate-to-very high levels of pollution. Protective measures were applied inconsistently; while 63.3% of participants reported using masks, their beliefs about the effectiveness of using masks varied. Relocation (60%) and use of face covers/glasses (13.3%) were less commonly practiced. Overall, traffic police officers are exposed to occupational air pollution, which is associated with various health symptoms. These findings highlight the need for enhanced training, clearer communication of policies, stronger institutional engagement, the provision of standardized protective masks, and the promotion of AQI utilization to reduce occupational health risks and safeguard the wellbeing of traffic police officers in Addis Ababa. Full article

VD (VD), a hormone-like, fat-soluble molecule, is essential for several biological processes, such as gene regulation, calcium balance, bone health, immune function, antiviral defense, and neuromuscular activity. Its deficiency is associated with various disorders, including chronic hypocalcemia and increased risk of severe diseases, such as COVID-19. Monitoring 25-hydroxyVD (25-OH-D) levels is vital, with serum 25-OH-VD being the standard marker. While chromatography and immunometric assays are well-established, innovative point-of-care (POC) platforms like AFIAS-1^® (Boditech & Menarini, Gangwon, Republic of Korea) are emerging as rapid and automated alternatives, particularly advantageous for decentralized settings such as pharmacies, general practitioners’ offices, and specialized hospital centers like intensive care units. This study compared AFIAS-1^® using whole blood with the gold standard UHPLC-MS/MS using plasma in 50 samples, showing a strong correlation and confirming AFIAS-1^® as a reliable method for measuring 25-OH-D levels. Full article

Indoor exposure to particulate matter (PM_2.5 and PM₁₀) remains a significant public health problem, especially in high-traffic areas, where outdoor pollution, building characteristics, and user activity jointly influence indoor air quality. This study aims to synthesise and compare the effectiveness of key technical solutions to reduce indoor PM concentrations in different types of buildings. A comprehensive review and comparative analysis of published experimental and field studies were conducted, covering residential, educational, office, medical, sports, and heritage buildings. The interventions evaluated included mechanical ventilation and filtration systems, portable HEPA air cleaners, integrated building envelope solutions, airflow optimisation strategies, and selected auxiliary technologies. Reported performance metrics such as baseline indoor and outdoor PM concentrations, air exchange rate (ACH), filter class, clean air delivery rate (CADR), and percentage reduction were systematically analysed. The results indicate that mechanical filtration, particularly high-efficiency HVAC (Heating Ventilation and Air-Conditioning) systems and HEPA filters, provide the most reliable and repeatable reductions in PM_2.5 and PM₁₀, especially under controlled airflow and recirculation conditions. Integrated approaches that combine airtight building envelopes, mechanical ventilation, and local air purification achieved the highest overall effectiveness. The findings confirm that successful PM mitigation requires context-specific multicomponent strategies tailored to building type, outdoor pollution load, occupancy, and ventilation design. Full article

This study aimed to determine carbonyl compound concentrations and assess their potential health risk in indoor air at three homes in different areas of the Mexico City Metropolitan Area (MCMA) during the COVID-19 lockdown. Sampling was conducted from March to April 2021, during the home office confinement period. Average concentrations of formaldehyde, acetaldehyde, acrolein, acetone, propionaldehyde, and butyraldehyde in living rooms ranged from 84.15 to 74.93 μg m⁻³, 66.49 to 50.20 μg m⁻³, 60.01 to 41.35 μg m⁻³, 74.58 to 63.02 μg m⁻³, 10.90 to 6.21 μg m⁻³, and 12.45 to 9.91 μg m⁻³, respectively. In bedrooms, concentrations ranged from 84.76 to 59.70 μg m⁻³, 50.12 to 51.73 μg m⁻³, 59.74 to 37.25 μg m⁻³, 76.62 to 59.72 μg m⁻³, 14.45 to 8.40 μg m⁻³, and 10.72 to 8.82 μg m⁻³, respectively. All measured carbonyls had significant indoor concentrations, exceeding those reported in other studies worldwide. From the statistical analysis, it was found that there were significant differences in carbonyl levels between the studied homes. This suggests diverse and prevalent sources in these environments. E-cigarette vapors clearly increased acrolein levels, and the use of personal care and household products (PCHPs) also contributed to higher carbonyl concentrations indoors. The lifetime cancer risk coefficient (LTCR) and hazard quotient (HQ) values for formaldehyde and acetaldehyde exceeded WHO and US EPA recommendations, indicating increased risks of both carcinogenic and non-carcinogenic effects. Full article

The accelerated expansion of telework, driven by the COVID-19 pandemic, has transformed global work dynamics. Despite this, limited research exists on the implications of Indoor Environmental Quality (IEQ) on home workspaces. Factors like thermal comfort, lighting, air quality, and noise significantly influence the well-being, productivity, and health of teleworkers. Home spaces are often not designed to meet the environmental quality standards of traditional offices, altering indoor conditions. This scoping review investigates the IEQ–telework relationship, analyzing 41 studies from 18 countries. Findings show that elevated noise levels and insufficient lighting increase stress and fatigue, while inadequate air quality reduces cognitive performance and creativity. Conversely, access to natural light, pleasant views, and thermal comfort improves overall satisfaction and productivity. The study identifies a fragmented and poorly connected research network, with few active global groups studying IEQ in home workspaces. These results underscore the need for interdisciplinary research to address the societal and environmental challenges of teleworking and develop equitable, healthy remote environments. Future studies must consider cultural diversity and underrepresented regions to bridge existing knowledge gaps. Full article

Prolonged exposure to acoustic environments in office settings may impair employees’ cognitive performance, yet the underlying mechanisms remain contested. This study investigated the dual effects of acoustic intensity and sound type on employees’ performance by integrating behavioral measures, subjective assessments, and neurophysiological evidence. Results demonstrated significant interaction effects: while increasing levels of office noise and music generally impaired accuracy and efficiency, dialog at moderate-to-high intensities (65 dBA and 85 dBA) significantly shortened reaction times compared to the low-intensity condition (45 dBA). Mediation analyses reconciled these patterns by revealing distinct psychological pathways: Tension-Anxiety fully mediated the performance decrement under noise. In contrast, Tension-Anxiety and Anger-Hostility served as partial mediators (29.71%) and suppressors (40.01%) in the relationship between dialog intensity and performance index. Mental workload fully mediated the performance benefits of moderate intensity music. Electroencephalography (EEG) analyses further corroborated the behavioral findings, identifying neurophysiological pathways through which acoustic exposure influenced performance. This study integrated behavioral and neural approaches to provide empirical evidence for optimizing indoor acoustic environments that promote health, comfort, and productivity. Full article

Background: Reserve Officer Training Corps (ROTC) Cadets undergo biannual Field Training Exercises (FTX) that impose substantial physiological demands, necessitating adequate nutritional intake to support performance and recovery. Methods: Energy Expenditure (EE) measured by actigraphy and self-reported nutritional intake (NI) of ROTC Cadets during a Fall FTX were obtained and compared to Military Dietary Reference Intake (MDRI) guidelines. Energy balance and nutrient adequacy were assessed using paired sample t-tests. Results: Cadets demonstrated significant caloric deficits, consuming fewer kilocalories than both their active metabolic rate (t = −12.07, df = 42, p < 0.001) and Low Energy Availability thresholds (t = 6.47, df = 57.54, p < 0.001). Macronutrient analysis revealed widespread deficiencies. Neither male nor female cadets met minimum carbohydrate gram recommendations. Protein intake in grams was significantly below MDRI guidelines for 94% of males (t = −10.03, p < 0.001) and 90% of females (t = −4.62, p = 0.001). Fat intake was generally adequate for all cadets, with 94% of males (t = 6.50, p < 0.001) and 90% of females (t = 4.19, p = 0.002) meeting or exceeding recommended fat intake. Conclusions: These findings underscore the prevalence of under-fueling during FTX and highlight the need for improved nutritional strategies to mitigate energy deficits and support cadet performance and health. Full article