Search Results (1,866)

This article aims to explore and analyze current issues and features of environmental protection in managing local tourism destinations based on the principles of sustainable development through the relevant literature and thus to provide an insight into major environmental measures and activities that should be implemented in practice, emphasizing the importance of environmental sustainability as a key factor in the development and success of local tourist destinations in today’s business environment. Qualitative methods were used, with the literature review based on content analysis by keywords. This particularly affects the business process efficiency and the participation of destination stakeholders and in many cases leads to a low level of environmentally sustainable destination practices. In addition to this theoretical approach, this study also has direct managerial implications for destination environmental business operations. An attractive and well-preserved environment is the primary factor of tourism and local tourism destination development and its success, as well as an integrated part of the tourism product. This study addresses a critical gap in the existing literature on environmental sustainability at local destinations, where prior work has often overlooked the integration of actionable, practice-oriented frameworks tailored for both researchers and practitioners. While theoretical insights into sustainable practices abound, there remains a scarcity of holistic analyses that bridge scholarly understanding with implementable strategies for on-the-ground application. To fill this void, our research provides a comprehensive overview and systematic analysis of current practices, with targeted emphasis on co-developing scalable frameworks for improving environmentally sustainable practices at local destinations. Full article

Sexual health constitutes a fundamental aspect of overall well-being, with direct implications for individual development and the broader social and economic progress of communities. Promoting environments that ensure sexual experiences free from coercion, discrimination, and violence is a key public health priority. Sexuality, in this regard, should be understood as an inherent dimension of human experience, shaped by biological, cultural, cognitive, and ideological factors. Accordingly, sexual health education requires a holistic and multidimensional approach that integrates sociocultural, biographical, and professional perspectives. This study aims to examine the level of knowledge and training in sexual health among nursing students and healthcare professionals, as well as to assess the extent to which sexual health content is incorporated into nursing curricula at Spanish universities. A scoping review was conducted using the Dialectical Structural Model of Care (DSMC) as the theoretical framework. The findings indicate a significant lack of knowledge regarding sexual health among both nursing students and healthcare professionals, largely due to educational and structural limitations. Furthermore, sexual health education remains underrepresented in nursing curricula and is frequently addressed from a narrow, fragmented biomedical perspective. These results highlight the urgent need for the comprehensive integration of sexual health content into nursing education. Strengthening curricular inclusion is essential to ensure the preparation of competent professionals capable of delivering holistic, inclusive, and empowering care in this critical area of health. Full article

Recovering oil by fracturing fluid imbibition has demonstrated significant potential for enhanced oil recovery (EOR) in tight oil reservoirs. White mineral oil (WMO), kerosene, or saturated alkanes with matched apparent viscosity have been widely used as “crude oil” to investigate imbibition mechanisms in light shale oil or tight oil. However, the representativeness of these simulated oils for low-maturity crude oils with higher viscosity and greater content of resins and asphaltenes requires further research. In this study, imbibition experiments were conducted and T₂ and T₁–T₂ nuclear magnetic resonance (NMR) spectra were adopted to investigate the oil recovery characteristics among resin–asphaltene-rich Jimusar shale oil and two WMOs. The overall imbibition recovery rates, pore scale recovery characteristics, mobility variations among oils with different occurrence states, as well as key factors influencing imbibition efficiency were analyzed. The results show the following: (1) WMO, kerosene, or alkanes with matched apparent viscosity may not comprehensively replicate the imbibition behavior of resin–asphaltene-rich crude oils. These simplified systems fail to capture the pore-scale occurrence characteristics of resins/asphaltenes, their influence on pore wettability alteration, and may consequently overestimate the intrinsic imbibition displacement efficiency in reservoir formations. (2) Surfactant optimization must holistically address the intrinsic coupling between interfacial tension reduction, wettability modification, and pore-scale crude oil mobilization mechanisms. The alteration of overall wettability exhibits higher priority over interfacial tension in governing displacement dynamics. (3) Imbibition displacement exhibits selective mobilization characteristics for oil phases in pores. Specifically, when the oil phase contains complex hydrocarbon components, lighter fractions in larger pores are preferentially mobilized; when the oil composition is homogeneous, oil in smaller pores is mobilized first. Full article

Background: Schizophrenia affects patients’ organizational thinking, as well as their ability to identify problems. The main objective of this study was to explore healthcare consultants’ application of AI mind maps to educate patients with schizophrenia regarding their perceptions of family function, social support, quality of life, and loneliness, and to help these patients think more organizationally and understand problems more effectively. Methods: The study used a survey research design and purposive sampling method to recruit 66 participants with schizophrenia who attended the psychiatric outpatient clinic of a hospital in central Taiwan. They needed to be literate, able to respond to the topic, and over 18 years old (inclusive), and they attended individual and group health education using AI mind maps over a 3-month period during regular outpatient clinic visits. Results: The study results show that patients’ family function directly affects their quality of life (p < 0.05) and loneliness (p < 0.05), satisfaction with social support affects quality of life and loneliness directly (p < 0.05), and satisfaction with social support is a mediating factor between family function and quality of life (p < 0.05), as well as a mediating factor between family function and loneliness (p < 0.05). Conclusions: Therefore, this study confirms the need to provide holistic, integrated mental health social care support for patients with schizophrenia, showing that healthcare consultants can apply AI mind maps to empower patients with schizophrenia to think more effectively about how to mobilize their social supports. Full article

Background/Objective: The most effective strategy for addressing users’ prosthetic needs is a comprehensive clinical assessment that provides a holistic understanding of the individual’s symptoms, health, function, and environmental barriers and facilitators. A standardized evaluation form would provide guidance for a structured approach to comprehensive clinical assessments of people with LLA. The objective of this study was to determine a list of relevant elements to be included in prosthetic evaluation for adults with lower limb amputation. Methods: Three independent focus group discussions were conducted with prosthetists (n = 15), prosthesis users (n = 11), and decision makers (n = 4) to identify all relevant elements that should be included in the clinical assessment of prosthetic services. The final content was then determined using the Delphi technique, with 35 panelists (18 prosthetists and decision makers, and 17 prosthesis users) voting in each round. Results: A total of 91 elements were identified through the focus group, of which 78 were included through the Delphi process. The identified elements are mostly related to the physical health of the prosthesis user (e.g., mobility, pain, and medical information), while others address personal or psychosocial aspects (e.g., activities of daily living, goals, and motivation) or technical aspects (prosthesis-related). Conclusions: Through a Delphi consensus, a list of relevant elements to be included in a prosthetic evaluation was generated. These results will inform the development of a standardized clinical prosthetic assessment form. This form has the potential to improve the quality of clinical evaluations, guide interventions, and enhance the well-being of prosthetic users. Full article

Transmission towers are particularly vulnerable to extreme wind events, which can lead to structural damage or collapse, thereby compromising the stability of power transmission systems. Enhancing the wind-resistant capacity of these towers is therefore critical for improving the reliability and resilience of electrical infrastructure. This study utilizes finite element analysis (FEA) to evaluate the structural response of a 220 kV transmission tower subjected to fluctuating wind loads, effectively capturing the dynamic characteristics of wind-induced forces. A comprehensive dynamic analysis is conducted to account for uncertainties in wind loading and variations in wind direction. Through this approach, this study identifies the most critical wind angle and local structural weaknesses, as well as determines the threshold wind speed that precipitates structural collapse. To improve structural resilience, a concurrent multi-scale modeling strategy is adopted. This allows for localized analysis of vulnerable components while maintaining a holistic understanding of the tower’s global behavior. To mitigate failure risks, the traditional perforated plate reinforcement technique is implemented. The reinforcement’s effectiveness is evaluated based on its impact on load-bearing capacity, displacement control, and stress redistribution. Results reveal that the critical wind direction is 45°, with failure predominantly initiating from instability in the third section of the tower leg. Post-reinforcement analysis demonstrates a marked improvement in structural performance, evidenced by a significant reduction in top displacement and stress intensity in the critical leg section. Overall, these findings contribute to a deeper understanding of the wind-induced fragility of transmission towers and offer practical reinforcement strategies that can be applied to enhance their structural integrity under extreme wind conditions. Full article

To date, few studies have been published for cities in Germany that take into account climate change and changing hydrologic patterns due to increases in building density. This study investigates the efficiency of LID for past and future climate in the polycentric agglomeration area Frankfurt, Main (Central Germany) using observed and projected climate (model) data for a standard reference period (1961–1990) and a high emission scenario (RCP 8.5) as well as a climate protection scenario (RCP 2.6), under 40 to 75 percent building density. LID elements included green roofs, permeable pavement and bioretention cells. SWMM₅ was used as model for simulation purposes. A holistic evaluation of simulation results showed that effectiveness increases incrementally with LID implementation percentage and inverse to building density if implemented onto at least 50 percent of available impervious area. Building density had a higher adverse effect on LID efficiency than climate change. The results contribute to the understanding of localized effects of climate change and the implementation of adaption strategies to that end. The results of this study can be helpful for the scientific community regarding future investigations of LID implementation efficiency in dense residential areas and used by local governments to provide suggestions for urban water balance revaluation. Full article

Background/Objectives: Legislative changes in educational systems have influenced how student learning is understood and promoted. In physical education (PE), there has been a shift from behaviorist models to more holistic approaches. In this context, physical literacy (PL) is presented as an emerging pedagogical model in school PE, aimed at fostering students’ motor competence in a safe, efficient, and meaningful way. The aim of this study is to analyze the origins, foundations, methodological elements, and educational value of PL, highlighting its potential to promote holistic and inclusive learning as the basis for an emerging PL model. Methods: A narrative review was conducted through a literature search in the Web of Science, PubMed, Scopus, and SportDiscus databases up to June 2025, focusing on scientific literature related to PL and PE. The analysis included its historical background, philosophical and theoretical foundations, and the key methodological elements and interventions that support its use as a pedagogical model. Results/Discussion: The findings indicate that the PL model can be grounded in key principles, such as student autonomy, teacher training, connection with the environment, inclusion, and collaboration. Additionally, motivation, enjoyment, creativity, and continuous assessment are identified as essential components for effective implementation. Moreover, this model not only guides and supports teachers in the field of PL but also promotes comprehensive benefits for students at the physical, cognitive, affective, and social levels, while encouraging increased levels of physical activity (PA). Conclusions: PL is understood as a dynamic and lifelong process that should be cultivated from early childhood to encourage sustained and active participation in PA. As a pedagogical model, PL represents an effective tool to enhance student learning and well-being in PE classes. Full article

Background: It is well-established that, for adolescents to adopt sustainable healthy lifestyle behaviors, not only access to information but also the skills required to translate that information into action are critical. In this field, research that examines the relationship between e-health literacy and sustainable healthy lifestyle behaviors within the context of physical literacy is notably scarce. In this context, the aim of this study is to examine the effect of e-health literacy on a sustainable healthy lifestyle and to evaluate the mediating role of physical literacy in this relationship. Methods: A total of 835 adolescents from high schools across Türkiye voluntarily participated in this study. During the data collection process, the e-Health Literacy Scale, the Perceived Physical Literacy Scale, and the Healthy and Sustainable Lifestyle Scale were utilized. Data were analyzed using the JASP (version 0.18.3.0) software. Correlation analysis and structural equation modeling were conducted, and the bootstrap method (n = 5000) was employed for mediation analysis. Results: The effect of e-health literacy on a sustainable healthy lifestyle was found to be positive and statistically significant (β = 0.452, p < 0.001). Similarly, e-health literacy significantly predicted physical literacy (β = 0.755, p < 0.001), and physical literacy significantly predicted a sustainable healthy lifestyle (β = 0.310, p < 0.001). The mediating effect was also statistically significant (β = 0.234, p < 0.001). The model explained 32% of the variance in healthy lifestyle behaviors. Conclusions: The findings indicate that evaluating e-health literacy and physical literacy together provides a holistic approach to fostering sustainable healthy lifestyle habits among adolescents. It is recommended that intervention programs be structured to encompass both areas of competence. Full article

Aging is a multifactorial process that affects various physiological functions, including masticatory performance, which is crucial for oral health and nutritional well-being. Impaired masticatory function, often due to factors such as tooth loss, reduced salivation, or muscle atrophy, can lead to significant nutritional challenges and compromise the overall health of elderly individuals. Recent research has illuminated the interconnectedness of masticatory function, oral microbiota, and gut health, suggesting that altered chewing ability may disrupt oral microbial communities, which in turn affect gastrointestinal health and systemic inflammation. This commentary review provides a comprehensive analysis of the role of masticatory function in aging, exploring its impact on the oral microbiota, gut health, and broader nutritional status. We discuss the potential consequences of impaired mastication, including malnutrition, dysbiosis, and gastrointestinal disorders, and explore possible strategies for improving masticatory function and maintaining a healthy gut microbiome through interventions like dietary modifications, oral care, and rehabilitation. We aim to underscore the importance of integrating masticatory function management into the broader context of aging-related healthcare, promoting holistic, multidisciplinary approaches to support nutritional needs and quality of life in older adults. Full article

Honey bees are vital to ecosystem conservation, agricultural production, and biodiversity, yet their welfare has often been overlooked. This study introduces the integration of Honey Bee Welfare Practices (HBWPs) into the One Welfare framework, addressing the interconnectedness of honey bee welfare, environmental welfare, and human wellbeing. We analysed and re-evaluated the 243 HBWPs already identified and categorised within the context of the Five Domains model in 2024 by Giovanni Formato et al., and we explored their broader impacts. By incorporating the One Welfare approach, we assessed each practice’s effect on bee welfare both as individuals and as a superorganism, human wellbeing, and environmental welfare, as well as their economic and time-related implications for beekeepers. The aim of this study was to obtain a list of One Welfare Practices in Beekeeping, considering all stakeholders as equally important. The analysis highlights the multidimensional nature of beekeeping, with 280 practices positively affecting honey bee welfare, while also considering their potential impact on human wellbeing, environmental health, and production. Challenges such as balancing beekeeper time constraints and welfare goals are discussed, with recommendations for practical compromises. This approach can offer a holistic and sustainable model for apiculture, ensuring that welfare is maintained across all stakeholders, and provides a flexible framework applicable to various beekeeping systems worldwide. Full article

This paper serves as a comprehensive and practical resource to guide researchers in selecting suitable metals for use as photocathodes in radio-frequency (RF) and superconducting radio-frequency (SRF) electron guns. It offers an in-depth review of bulk and thin-film metals commonly employed in many applications. The investigation includes the photoemission, optical, chemical, mechanical, and physical properties of metallic materials used in photocathodes, with a particular focus on key performance parameters such as quantum efficiency, operational lifetime, chemical inertness, thermal emittance, response time, dark current, and work function. In addition to these primary attributes, this study examines essential parameters such as surface roughness, morphology, injector compatibility, manufacturing techniques, and the impact of chemical environmental factors on overall performance. The aim is to provide researchers with detailed insights to make well-informed decisions on materials and device selection. The holistic approach of this work associates, in tabular format, all photo-emissive, optical, mechanical, physical, and chemical properties of bulk and thin-film metallic photocathodes with experimental data, aspiring to provide unique tools for maximizing the effectiveness of laser cleaning treatment. Full article

Seed priming, traditionally viewed as a method for enhancing crop resilience to abiotic stress, has evolved into a multifaceted agronomic strategy. This review synthesizes the current findings demonstrating that priming influences plant development, metabolic regulation, and yield enhancement even under optimal conditions. By covering a wide range of crops, including cereals (e.g., wheat, maize, rice, and barley) as well as vegetables and horticultural species (e.g., tomato, carrot, spinach, and lettuce), we highlight the broad applicability of priming across agricultural systems. The underlying mechanisms include hormonal modulation, altered source–sink dynamics, accelerated phenology, and epigenetic memory. Various priming techniques are discussed, including hydropriming, osmopriming, biopriming, chemopriming, and nanopriming, with attention to their physiological and molecular effects. Special focus is given to the role of seed priming in advancing climate-smart and precision agriculture. By shifting the narrative from stress mitigation to holistic crop performance optimization, seed priming emerges as a key tool for sustainable agriculture in the face of global challenges. Full article

Sustainable farmland management is vital for global food security and for mitigating environmental degradation and climate change. While individual practices such as crop rotation and no-tillage are well-documented, this review synthesizes current evidence to illuminate the critical synergistic effects of integrating four key strategies: crop rotation, conservation tillage, organic amendments, and soil microbiome management. Crop rotation enhances nutrient cycling and disrupts pest cycles, while conservation tillage preserves soil structure, reduces erosion, and promotes carbon sequestration. Organic amendments replenish soil organic matter and stimulate biological activity, and a healthy soil microbiome boosts plant resilience to stress and enhances nutrient acquisition through key functional groups like arbuscular mycorrhizal fungi (AMFs). Critically, the integration of these practices yields amplified benefits that far exceed their individual contributions. Integrated management systems not only significantly increase crop yields (by up to 15–30%) and soil organic carbon but also deliver profound global ecosystem services, with a potential to sequester 2.17 billion tons of CO₂ and reduce soil erosion by 2.41 billion tons annually. Despite challenges such as initial yield variability, leveraging these synergies through precision agriculture represents the future direction for the field. This review concludes that a holistic, systems-level approach is essential for building regenerative and climate-resilient agroecosystems. Full article

Background: Spirituality is increasingly seen as a key component of patient-centered care, especially in serious illness or surgery. However, its role among surgical patients in Eastern Europe remains underexplored. Objective: To assess daily spiritual experiences among surgical patients compared to healthy individuals in the Bucovina region (northeastern Romania). Methods: This observational case-control study included 102 participants (51 surgical patients and 51 healthy controls), recruited between March 2023 and April 2024. Participants completed the validated Romanian version of the Daily Spiritual Experiences Scale (DSES). Results: Surgical patients reported significantly higher mean DSES scores (M = 66.27, SD = 16.40) than healthy individuals (M = 55.06, SD = 12.81; p < 0.001). Higher scores were also associated with female gender (p = 0.002), older age, and oncological conditions. Widowed and highly educated participants showed a trend toward higher spirituality, though it was not statistically significant. Conclusions: Surgery may intensify spiritual experiences, possibly as a coping response to perceived risk. Addressing spiritual needs in perioperative care—particularly among women, older adults, and oncology patients—could enhance holistic care and improve patient well-being. Full article