Search Results (932)

Background: Health equity can only be achieved when every individual has access to quality healthcare without fear of being discriminated against. This study analyzed the sociodemographic characteristics associated with self-reported racial discrimination when receiving medical care in the United States. Methods: This quantitative cross-sectional study utilized the 2022 National Trends Survey 6. We performed a logistic regression analysis using 6102 survey responses from study participants who answered the question about perceived discrimination. Results: Older adults aged 75 years and above had significantly lower odds of reporting perceived discrimination when receiving medical care compared to those aged 18–34 years (AOR = 0.24; 95% CI: 0.10–0.58). The odds of reporting perceived discrimination were significantly higher among non-Hispanic Blacks (AOR = 7.30; 95% CI: 4.48–11.88), Hispanics (AOR = 3.56; 95% CI: 2.45–5.17), non-Hispanic Asians (AOR = 5.95; 95% CI: 2.25–15.73), and individuals identifying as non-Hispanic Other (AOR = 10.91; 95% CI: 5.42–21.98), compared to non-Hispanic Whites. Compared to individuals from households earning less than USD 20,000, the odds of reporting perceived discrimination when receiving medical care were significantly lower among individuals from households earning between USD 50,000 and <USD 75,000 (AOR = 0.42; 95% CI: 0.23–0.78) and those earning USD 75,000 or more (AOR = 0.43; 95% CI: 0.22–0.83). Conclusions: Despite having a multicultural and ethnically diverse population, racial discrimination persists in the United States and has become a barrier to achieving health equity. Health organizations should implement policies that ensure health workers attend mandatory anti-racism training. Full article

Environmental protection has become one of the key challenges of our time. This has led to an increase in pro-environmental activities in the field of cosmetics and household chemicals, where manufacturers are increasingly trying to meet the expectations of consumers who are aware of the potential risks associated with the production of cosmetics and household chemistry products. This is one of the most important challenges of today’s industry, given that some of the raw materials still commonly used, such as surfactants, may be toxic to aquatic organisms. Many companies are choosing to use natural raw materials that have satisfactory performance properties but are also environmentally friendly. In addition, modern products are also characterized by reduced consumption of water, resources, and energy in production processes. These measures reduce the carbon footprint and reduce the amount of plastic packaging required. In the present study, seven formulations of environmentally friendly car shampoo concentrates were developed, based entirely on mixtures of bio-based surfactants. The developed formulations were tested for application on the car body surface, allowing the selection of the two best products. For these selected formulations, an in-depth physicochemical analysis was carried out, including pH, density, and viscosity measurements. Comparison of the results with commercial products available on the market was also performed. Additionally, using the multiple light scattering method, the foamability and foam stability were determined for the car shampoos developed. The results obtained indicate the very high application potential of the products under study, which combine high performance and environmental concerns. Full article

Plant by-products have gained significant attention due to their rich content in bioactive compounds, which exhibit promising antioxidant, antimicrobial, and antitumor properties. In European countries, vegetable waste generation ranged from 35 to 78 kg per capita in 2022, highlighting both the scale of the challenge and the potential for valorization. This review provides an overview of key studies investigating the potential of plant residues in biomedicine, highlighting their possible contents of antioxidant compounds, their antimicrobial and antitumor properties, as well as their applications in dermocosmetics and nutraceuticals. However, despite their potential, several challenges must be addressed, such as the standardization of extraction protocols, as bioactive compound profiles can vary with plant source, processing conditions, and storage methods. Effective segregation and storage protocols for household organic waste also require optimization to ensure the quality and usability of plant by-products in biomedicine. Emerging 4.0 technologies could help to identify suitable plant by-products for biomedicine, streamlining their selection process for high-value applications. Additionally, the transition from in vitro studies to clinical trials is hindered by gaps in the understanding of Absorption, Distribution, Metabolism, and Excretion (ADME) properties, as well as interaction and toxicity profiles. Nonetheless, environmental education and societal participation are crucial to enabling circular bioeconomy strategies and sustainable biomedical innovation. Full article

The growing environmental concerns associated with petroleum-based plastics require the development of sustainable, biodegradable alternatives. Polyhydroxyalkanoates (PHAs), a family of biodegradable bioplastics, offer a promising potential as eco-friendly substitutes due to their renewable origin and favorable degradation properties. This research investigates the use of synthetic condensate, mimicking the liquid fraction from drying and shredding of household food waste, as a viable substrate for PHA production using mixed microbial cultures. Two draw-fill reactors (DFRs) were operated under different feed organic concentrations (2.0 ± 0.5 and 3.8 ± 0.6 g COD/L), maintaining a consistent carbon-to-nitrogen ratio to selectively enrich microorganisms capable of accumulating PHAs through alternating nutrient availability and deficiency. Both reactors achieved efficient organic pollutant removal (>95% soluble COD removal), stable biomass growth, and optimal pH levels. Notably, the reactor with the higher organic load (DFR-2) demonstrated a modest increase in PHA accumulation (19.05 ± 7.18%) compared to the lower-loaded reactor (DFR-1; 15.19 ± 6.00%), alongside significantly enhanced biomass productivity. Polymer characterization revealed the formation of poly(3-hydroxybutyrate-co-3-hydroxyvalerate) (PHBV), influenced by the substrate composition. Microbial community analysis showed an adaptive shift towards Proteobacteria dominance, signifying successful enrichment of effective PHA producers. Full article

Solid fuels are still widely used in household heating in Europe and North America. Emissions from boilers are released in proximity to people. Therefore, there is a need to minimise the toxicity of emissions affecting human health to the greatest extent possible. This study compares the genotoxic potential of the emissions of four boilers of modern and old design (automatic, gasification, down-draft, over-fire) operating at reduced output to simulate the real-life combustion fed by various fossil and renewable solid fuels (hard coal, brown coal, brown coal briquettes, wood pellets, wet and dry spruce). Organic emissions were tested for genotoxic potential by analysing bulky DNA adducts and 8-oxo-dG adduct induction. There was no consistent genotoxic pattern among the fuels used within the boilers. Genotoxicity was strongly correlated with polycyclic aromatic hydrocarbon (PAH) content, and even stronger correlation was observed with particulate matter (PM). In all measured variables (PM, PAHs, genotoxicity), the technology of the boilers was a more important factor in determining the genotoxic potential than the fuels burned. The highest levels of both bulky and 8-oxo-dG DNA adducts were induced by organics originating from the over-fire boiler, while the automatic boiler exhibited genotoxic potential that was ~1000- and 100-fold lower, respectively. Full article

Groundwater contamination by nitrates (NO₃⁻) and nitrites (NO₂⁻) is an urgent problem in rural areas of Eastern Europe, with profound public health and sustainability implications. This paper presents an integrated assessment of groundwater vulnerability and water quality in rural wells in the Ceanu Mare commune, Cluj County, Romania—a representative area of the Northern Transylvania Basin, characterized by diverse geological structures, intensive agricultural activities, and incomplete public water infrastructure. This study combines detailed hydrochemical analyses, household-level studies, and geological context to identify and quantify key factors influencing nitrate and microbial contamination in rural wells, providing a comprehensive perspective on water quality challenges in the central part of Romania. This study adopts a multidisciplinary approach, integrating detailed geotechnical investigations conducted through four strategically located boreholes. These are complemented by extensive hydrogeological and lithological characterization, as well as rigorous chemical and microbiological analyses of nearby wells. The results reveal persistently elevated concentrations of NO₃⁻ and NO₂⁻, commonly associated with inadequate livestock waste management and the proximity of manure storage areas. Microbiological contamination was also frequent. In this study, the NO₃⁻ levels in well water ranged from 39.7 to 48 mg/L, reaching up to 96% of the EU/WHO threshold (50 mg/L), while the NO₂⁻ concentrations varied from 0.50 to 0.69 mg/L, exceeding the legal limit (0.5 mg/L) in 87% of the sampled wells. Ammonium (NH₄⁺) was detected (0.25–0.34 mg/L) in all the wells, below the maximum allowed limit (0.5 mg/L) but indicative of ongoing organic pollution. All the well water samples were non-compliant for microbiological parameters, with E. coli detected in 100% of cases (5–13 CFU/100 mL). The regional clay–marl substrate offers only limited natural protection against pollutant infiltration, primarily due to lithological heterogeneity and discontinuities observed within the clay–marl layers in the study area. This research delivers a replicable model for rural groundwater assessment and addresses a critical gap in regional and European water safety studies. It also provides actionable recommendations for sustainable groundwater management, infrastructure development, and community risk reduction in line with EU water directives. Full article

The amount of waste generated by society is constantly increasing. Consequently, there is a need to develop new and better methods of treating it. A significant part of municipal waste is biowaste, which can be treated as a source of valuable resources such as nutrients, organic matter, and energy. The present work aims to determine the properties of the tested household biowaste and the possibility of using it as feedstock in slow pyrolysis to obtain biochar. The slow pyrolysis process of the biowaste was carried out in an electrically heated Horizontal Tube Furnace (HTF) at temperatures of 400 °C, 500 °C, and 600 °C in a nitrogen atmosphere. The analysis showed that depending on the type and composition of the biowaste, its properties are different. All the biowaste tested has a high moisture content (between 63.51% and 81.53%), which means that the biowaste needs to be dried before the slow pyrolysis process. The characteristics of kitchen biowaste are similar to those of food waste studied by other researchers in different regions of the world. In addition, the properties of kitchen biowaste are similar to those of the typical biomasses used to produce biochar via slow pyrolysis, such as wood, almond shells, and rice husks. Both kinds of garden biowaste tested may have been contaminated (soil, rocks) during collection, which affected the high ash content of spring (17.75%) and autumn (43.83%) biowaste. This, in turn, affected all the properties of the garden biowaste, which differed significantly from both the literature data of other garden wastes and from the properties of typical biomass feedstocks used to produce biochar in slow pyrolysis. For all biowaste tested, it was shown that as the pyrolysis temperature increases, the yield of biochar decreases. The maximum mass yield of biochar for kitchen, spring garden, and autumn garden biowaste was 36.64%, 66.53%, and 66.99%, respectively. Comparing the characteristics of biowaste before slow pyrolysis, biochar obtained from kitchen biowaste had a high carbon content, fixed carbon, and a higher HHV. In contrast, biochar obtained from garden biowaste had a lower carbon content and a lower HHV. Full article

This paper examines how demographic characteristics, institutional structures, and livelihood strategies shape household resilience to climate variability and drought in West Pokot County, one of Kenya’s most climate-vulnerable arid and semi-arid lands (ASALs). Using a mixed-methods approach, it combines household survey data with three statistical techniques: Multinomial Logistic Regression (MLR) assesses the influence of gender, age, and education on livestock ownership and livelihood choices; Multiple Correspondence Analysis (MCA) reveals patterns in institutional access and adaptive practices; and Stepwise Linear Regression (SLR) quantifies the relationship between resilience strategies and agricultural productivity. Findings show that demographic factors, particularly gender and education, along with access to veterinary services, drought-tolerant inputs, and community-based organizations, significantly shape resilience. However, trade-offs exist: strategies improving livestock productivity may reduce crop yields due to resource and labor competition. This study recommends targeted interventions, including gender-responsive extension services, integration of indigenous and scientific knowledge, improved infrastructure, and participatory governance. These measures are vital for strengthening resilience not only in West Pokot but also in other drought-prone ASAL regions across sub-Saharan Africa. Full article

Food waste is a global sustainability issue, and in Japan, approximately half of all food waste is generated in households. This study focused on refrigerator management behaviors aimed at using up the food inventory in the home. An intervention study involving 119 households with two or more members across Japan, with a two-week baseline period and a two-week intervention, was conducted. Target behaviors were set as “search food that should be eaten quickly,” “move it to a visible place,” and “use the foods that should be eaten quickly,” and tools to support these behaviors were selected, including an organizer for the refrigerator, photos, and food management apps. Each tool was assigned to approximately 30 households, and a control group was established. Food waste was measured using a cloud-based automatic weighing system, and all participants were asked to separate avoidable food waste at home and dispose of it in the designated waste bin. During the intervention period, the average weekly food waste per household decreased by 29% to 51% in the intervention group, while there was little change in the control group. An analysis using a two-way mixed ANOVA revealed a marginally significant interaction (p < 0.10), indicating moderate effectiveness. Among the behaviors contributing to reduced food waste, three actions—“having trouble not being able to recall food inventory at home during shopping,” “moving foods that should be used sooner,” and “organizing refrigerator”—showed significant interaction effects (p < 0.05) in a two-way mixed ANOVA, indicating the effectiveness of the intervention. Full article

Amid the global push for agricultural green transformation, sustainable agriculture requires not only technological innovation but also market mechanisms that effectively incentivize green practices. Agricultural e-commerce is increasingly viewed as a potential driver of green technology diffusion among farmers. However, the extent and mechanism of e-commerce’s influence on farmers’ green production remain underexplored. Using survey data from 346 rural households in Inner Mongolia, China, this study develops a conceptual framework of “e-commerce participation–green cognition–green adoption” and employs propensity score matching (PSM) combined with mediation analysis to evaluate the impact of e-commerce participation on green technology adoption. The empirical results yield four main findings: (1) E-commerce participation significantly promotes the adoption of green production technologies, with an estimated 29.52% increase in adoption. (2) Participation has a strong positive effect on water-saving irrigation and pest control technologies at the 5% significance level, a moderate effect on straw incorporation at the 10% level, and no statistically significant impact on plastic film recycling or organic fertilizer use. (3) Compared to third-party sales, the direct e-commerce model more effectively promotes green technology adoption, with an increase of 21.64% at the 5% significance level. (4) Green cognition serves as a mediator in the relationship between e-commerce and green adoption behavior. This study makes contributions by introducing e-commerce participation as a novel explanatory pathway for green technology adoption, going beyond traditional policy-driven and resource-based perspectives. It further highlights the role of cognitive mechanisms in shaping adoption behaviors. The study recommends that policymakers subsidize farmers’ participation in e-commerce, invest in green awareness programs, and support differentiated e-commerce models to enhance their positive impact on sustainable agricultural practices. Full article

Eliminating all forms of poverty is a core component of the United Nations’ Sustainable Development Goals. At the household level, poverty and income inequality significantly threaten farmers’ sustainable development and food security. Based on a sample of 1234 kiwi farmers from the Shaanxi and Sichuan provinces in China, this paper empirically examines the impact of participation in agricultural industry organizations (AIOs) on household income and income inequality, as well as the underlying mechanisms. The results indicate the following: (1) Participation in AIOs increased farmers’ average household income by approximately 19,570 yuan while simultaneously reducing the income inequality index by an average of 4.1%. (2) Participation increases household income and mitigates income inequality through three mechanisms: promoting agricultural production, enhancing sales premiums, and improving human capital. (3) After addressing endogeneity concerns, farmers participating in leading agribusiness enterprises experienced an additional average income increase of 21,700 yuan compared to those participating in agricultural cooperatives. Therefore, it is recommended to optimize the farmer–enterprise linkage mechanisms within agricultural industry organizations, enhance technical training programs, and strengthen production–marketing integration and market connection systems, aiming to achieve both increased farmer income and improved income distribution. Full article

The drastic and historic fall in natural rubber prices has prompted many smallholders around the world to abandon rubber plantations in favor of other survival alternatives. In the Lomela and Lodja territories of Sankuru Province (Democratic Republic of Congo), where a historical absence of a rubber market prevails, local communities have conserved rubber plantations inherited from the colonial era (dating back to 1955). Data collected from 401 households enabled us to identify the perceptions and determinants of rubber plantation conservation. The results show that households are highly dependent on forest ecosystem services. Agriculture is the main activity for 81.3% of respondents, in the context of extreme poverty where daily incomes amount to 0.33 USD/person. The patriarchal system favored men, who inherited 97% of the plantations. Men perceived the conservation of the plantations as beneficial, while women perceived it as serving external project interests. Perceptions were significantly influenced by gender, age, social and legal organization, geographical origin, mode of acquisition, main activity, diversification of income sources, membership in a tribal mutuality, access to the informal mutual aid networks, membership in an association and contact with extension services. Conservation was positively and significantly correlated with geographical origin, membership in an association, contact with extension service, consideration of plantations as natural heritage and the ecosystem services provided. These results underline that rubber plantations cannot be understood only in terms of rubber production, but also in terms of their socio-ecological and heritage dimensions. Full article

Background: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States (U.S.) and a major contributor to several cancers, including cervical, anal, penile, and oropharyngeal cancers. Although a safe and effective vaccine is available, HPV vaccination rates remain suboptimal, particularly among racial, ethnic, and immigrant minority groups. This study explored multiple factors, such as cultural, social, and structural influences, influencing HPV vaccine decision-making among Cape Verdean immigrant parents in the U.S., a population currently underrepresented in HPV research. Methods: Qualitative study using individual, in-depth interviews with Cape Verdean immigrant parents of children aged 11 to 17 years living in the U.S. Interviews were transcribed verbatim and analyzed thematically using the social ecological model (SEM) to identify barriers and facilitators at the intrapersonal, interpersonal, organizational, community, and policy levels. Results: Forty-five Cape Verdean parents (27 mothers, 18 fathers) participated. Fathers were significantly older than mothers (50.0 vs. 41.1 years, p = 0.05). Most were married or partnered (60%), had at least a high school education (84.4%), and reported annual household incomes of US$50,000 or more (66.7%), with no significant gender differences. Nearly all spoke Creole at home (95.6%). Fathers had lower acculturation than mothers (p = 0.05), reflecting less adaptation to U.S. norms and language use. Most parents had limited knowledge of HPV and the vaccine, with gendered beliefs and misconceptions about risk. Only seven mothers (25.9%) reported receiving a provider recommendation; all indicated that their children had initiated vaccination (1 dose or more). Mothers were the primary decision-makers, though joint decision-making was common. Trust in providers was high, but poor communication and the lack of culturally and linguistically appropriate materials limited informed decision-making. Stigma, misinformation, and cultural taboos restricted open dialogue. Trusted sources of information included schools, churches, and Cape Verdean organizations. While parents valued the U.S. healthcare system, they noted gaps in public health messaging and provider engagement. Conclusions: Findings revealed that HPV vaccine uptake and hesitancy among Cape Verdean immigrant parents in the U.S. were influenced by individual beliefs, family dynamics, healthcare provider interactions, cultural norms, and structural barriers. These findings highlight the need for multilevel strategies such as culturally tailored education, community engagement, and improved provider communication to support informed vaccination decisions in this population. Full article

Against the backdrop of global climate change, enhancing farmers’ adaptive capacity to reduce crop production risks has emerged as a critical concern for governments and researchers worldwide. Drawing on social capital theory, this study develops a four-dimensional measurement framework comprising social networks, social trust, social norms, and social participation, utilizing survey data from 1772 households in the Yellow River Basin. We employ factor analysis to construct comprehensive social capital scores and apply ordered Probit models to examine how social capital influences farmers’ climate adaptation behaviors, with particular attention to the moderating roles of agricultural extension interaction and digital literacy. Key findings include: (1) Adoption patterns: Climate adaptation behavior adoption remains low (60%), with technical adaptation measures showing particularly poor uptake (13%); (2) Direct effects: Social capital significantly promotes adaptation behaviors, with social trust (p < 0.01), networks (p < 0.01), and participation (p < 0.05) demonstrating positive effects, while social norms show no significant impact; (3) Heterogeneous effects: Impact mechanisms differ by crop type, with grain producers relying more heavily on social networks (+, p < 0.01) and cash crop producers depending more on social trust (+, p < 0.01); (4) Moderating mechanisms: Agricultural extension interaction exhibits scale-dependent effects, negatively moderating the relationship for large-scale farmers (p < 0.05) while showing no significant effects for smaller operations; digital literacy consistently demonstrates negative moderation, whereby higher literacy levels weaken social capital’s promotional effects (p < 0.01). Policy recommendations: Effective climate adaptation strategies should integrate strengthened rural social organization development, differentiated agricultural extension systems tailored to farm characteristics, and enhanced rural digital infrastructure investment. Full article

Traditional smoking techniques, while historically valued for preservation and flavor enhancement, face limitations in aromatic diversity and safety, prompting exploration of spice-derived alternatives to meet modern culinary demands. This study explores the volatile compound profiles and aroma modulation of chicken wings smoked with four spices—cardamom, rosemary, mint, and rose—using a novel, household-friendly smoking protocol. The method combines air fryer pre-cooking (180 °C, 16 min) with electric griddle-based smoke infusion, followed by HS-SPME/GC-TOF/MS, relative odor activity value (ROAV) calculations, and metabolomic analysis. A total of 314 volatile compounds were identified across five samples. Among them, 45 compounds demonstrated odor activity values (ROAV) ≥ 1, contributing to green, woody, floral, and sweet aroma attributes. Eucalyptol displayed the highest ROAV (2543), underscoring its dominant sensory impact. Metabolomic profiling revealed a general upregulation of differential volatiles post-smoking: terpenes were enriched in wings smoked with cardamom, rosemary, and mint, while aldehydes and alcohols predominated in rose-smoked samples. An integrated screening based on ROAV and metabolomic data identified 24 key volatiles, including eucalyptol, β-myrcene, methanethiol, and α-pinene, which collectively defined the aroma signatures of spice-smoked wings. Spice-specific aroma enrichment and sensory properties were evident: rosemary intensified woody–spicy notes, mint enhanced herbal freshness, and rose amplified floral attributes. The proposed method demonstrated advantages in safety, ease of use, and flavor customization, aligning with clean-label trends and supporting innovation in home-based culinary practices. Moreover, it facilitates the tailored modulation of smoked meat flavor profiles, thereby enhancing product differentiation and broadening consumer acceptance. Full article