Search Results (1,122)

Effective water infrastructure planning and management is key to sustainable water supply globally. This research assesses water infrastructure planning and management in Gauteng, South Africa, amid growing challenges from rapid urbanisation, high water demand, climate change, and resource scarcity. These challenges threaten the achievement of Sustainable Development Goals 6 and 11; hence, an integrated approach is required for water sustainability. The study responds to a gap in the literature, which often treats planning and management separately, by adopting an integrated, multi-institutional approach across the water value chain. A mixed-methods triangulation strategy was employed for data collection whereby surveys provided quantitative data, while two sets of structured interviews were conducted: the first round to determine causal relationships among the critical success factors and the second round to validate the proposed framework. The findings reveal a misalignment between infrastructure planning and implementation, contributing to infrastructure backlogs and a short- to medium-term focus. Infrastructure management is further constrained by inadequate system redundancy, leading to ineffective maintenance. External factors such as delayed adoption of 4IR technologies, lack of climate resilient strategies, and fragmented institutional coordination exacerbate these issues. Using Decision-Making Trial and Evaluation Laboratory (DEMATEL) analysis, the study identified Strategic Alignment and a Value-Driven Approach as the most influential critical success factors in water asset management. The research concludes by proposing an integrated water infrastructure and planning framework that supports sustainable water supply. Full article

This study explores how corporate governance reforms can enhance financial reporting quality and organizational transparency, focusing on Greece’s transition from Law 3016/2002 to Law 4706/2020. The legislative reform aimed to modernize governance structures, align national practices with international standards, and strengthen investor protection in a post-crisis economic environment. Moving beyond a simple legal comparison, the study examines how Law 3016/2002’s formal compliance model contrasts with Law 4706/2020’s more substantive accountability framework. We hypothesize that Law 4706/2020 introduces substantively stronger governance mechanisms than its predecessor, thereby improving transparency and investor protection, while compliance with the new law imposes materially greater administrative and financial burdens, especially on small- and mid-cap firms. Methodologically, the research employs a narrative literature review and a structured comparative legal analysis to assess the administrative and financial implications of the new law for publicly listed companies, focusing on board composition and diversity, internal controls, suitability policies, and disclosure requirements. Drawing on prior comparative evidence, we posit that Law 4706/2020 will foster governance and disclosure improvements, enhanced oversight, and clearer board roles. However, these measures also impose compliance burdens. Due to the heterogeneity of listed companies and the lack of firm-level data following Law 4706/2020’s implementation, the findings are neither fully generalizable nor quantifiable; future quantitative research using event studies or panel data is required to validate the hypotheses. We conclude that Greece’s new framework is a critical step toward sustainable corporate governance and more transparent financial reporting, offering regulators, practitioners, and scholars examining legal reform’s impact on governance effectiveness and financial reporting integrity. Full article

Background: Depression that is resistant to two or more adequate treatment trials—treatment-resistant depression (TRD)—is a prevalent clinical challenge. Although psychotherapies have been recommended by clinical guidelines as an alternative or adjunctive treatment strategy, the effectiveness of psychotherapy in individuals with TRD has not yet been evaluated through meta-analytic methods, primarily due to a limited number of trials. This highlights the necessity of personalized research targeting this specific population. This systematic review and meta-analysis aimed to summarize the evidence on psychotherapy in treating TRD. Methods: A systematic search was conducted following the Guidelines from Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Articles were included if they quantitatively examined the efficacy of psychotherapy on depression symptoms in individuals diagnosed with depression who had not responded to at least two prior treatments (i.e., pharmacotherapy and/or psychotherapy). Results: A total of 12 studies were included. The quality of evidence was evaluated as being globally moderate. When pooling all psychotherapies, a small-to-moderate, but significant, effect on depressive symptoms was observed compared to the control group (SMD = −0.49, CI = −0.63; −0.34). The observed effect remained unchanged after removing the outlier (SMD = −0.47, CI = −0.62; −0.32). When examining depressive symptoms by type of psychotherapy, Mindfulness-Based Cognitive Therapy (SMD = −0.51, CI = −0.76; −0.25), Cognitive Behavioral Therapy (SMD = −0.53, CI = −0.92; −0.14), and Cognitive Therapy (SMD = −0.51, CI = −1.01; −0.01) showed a moderately significant effect on depressive symptoms compared to the control group. Conclusions: Although this potentially represents the first meta-analysis in this area, the number of studies specifically addressing this complex population remains limited, and the existing literature is still in its early stages. Research focusing on TRD is notably sparse compared to the broader body of work on depression without treatment resistance. Consequently, it was not possible to conduct meta-analyses by type of psychotherapy across all treatment modalities and by type of control group. Due to several study limitations, there is currently limited evidence available about the effectiveness of psychotherapy for TRD, and further trials are needed. Beyond the treatments usually offered for depression, it is possible that TRD requires a personalized medicine approach. Full article

Despite the importance of financial literacy, particularly in sustaining and improving rural agriculture, it is documented in the literature that little is known about financial literacy, particularly in rural communities in developing countries. Responding to the calls for research to address this gap, the current study investigates how financial literacy relates to access to funding, innovative service adoption, and sustainable food production among agricultural food producers in Nigeria’s rural communities. A probability sampling technique was used to draw 460 samples from registered rural farmers in the Central Bank of Nigeria’s Anchored Borrower’s Programme for food production in Edo State, Nigeria. Quantitative data were collected using a structured questionnaire. The hypotheses were tested using regression analysis, while descriptive statistics were deployed to analyse the demographic data of the respondents. The outcomes suggest that financial literacy has significant links with access to funding, innovative service adoption and sustainable food production among agricultural food producers in Nigerian rural communities. Based on the outcomes, it is concluded that financial literacy significantly influences sustainable food production in Nigerian rural communities. As such, there is a need for the Nigerian government and financial authorities to embark on a financial literacy drive to increase financial literacy, particularly in light of ever-evolving disruptive financial technologies. Full article

Over the last decade, the scientific community has increasingly focused on forest-based practices for human well-being (FBPW), a term that includes all forest activities (e.g., forest bathing, forest therapy, social outdoor initiatives) important for improving people’s health and emotional status. This paper aims to develop a quantitative literature review on FBPW based on big data analysis (text mining on Scopus title and abstract) and PRISMA evaluation. The two techniques facilitate investigations across different geographic areas (major areas and geographical regions) and allow a focus on various topics. The results of text mining highlight the prominence of publications on FBPW for the improvement of human health in East Asia (e.g., Japan and South Korea). Furthermore, some specific themes developed by the literature for each geographical area emerge: urban green areas, cities, and parks in Africa; sustainable forest management and planning in the Americas; empirical studies on physiological and psychological effects of FBPW in Asia; and forest management and FBPW in Europe. PRISMA indicates a gap in studies focused on the reciprocal influences of forest variables and well-being responses. An investigation of the main physiological indicators applied in the scientific literature for the theme is also developed. The main strengths and weaknesses of the method are discussed, with suggestions for potential future lines of research. Full article

Artificial intelligence (AI) agents are increasingly shaping vital sectors of society, including healthcare, education, supply chains, and finance. As their influence grows, AI alignment research plays a pivotal role in ensuring these systems are trustworthy, transparent, and aligned with human values. Leveraging blockchain technology, proven over the past decade in enabling transparent, tamper-resistant distributed systems, offers significant potential to strengthen AI alignment. However, despite its potential, the current AI alignment literature has yet to systematically explore the effectiveness of blockchain in facilitating secure and ethical behavior in AI agents. While existing systematic literature reviews (SLRs) in AI alignment address various aspects of AI safety and AI alignment, this SLR specifically examines the gap at the intersection of AI alignment, blockchain, and ethics. To address this gap, this SLR explores how blockchain technology can overcome the limitations of existing AI alignment approaches. We searched for studies containing keywords from AI, blockchain, and ethics domains in the Scopus database, identifying 7110 initial records on 28 May 2024. We excluded studies which did not answer our research questions and did not discuss the thematic intersection between AI, blockchain, and ethics to a sufficient extent. The quality of the selected studies was assessed on the basis of their methodology, clarity, completeness, and transparency, resulting in a final number of 46 included studies, the majority of which were journal articles. Results were synthesized through quantitative topic analysis and qualitative analysis to identify key themes and patterns. The contributions of this paper include the following: (i) presentation of the results of an SLR conducted to identify, extract, evaluate, and synthesize studies on the symbiosis of AI alignment, blockchain, and ethics; (ii) summary and categorization of the existing benefits and challenges in incorporating blockchain for AI alignment within the context of ethics; (iii) development of a framework that will facilitate new research activities; and (iv) establishment of the state of evidence with in-depth assessment. The proposed blockchain-based AI alignment framework in this study demonstrates that integrating blockchain with AI alignment can substantially enhance robustness, promote public trust, and facilitate ethical compliance in AI systems. Full article

Society’s adaptation to shared mobility services is a growing topic that requires detailed understanding of the local circumstances of potential and current users. This paper focuses on analyzing barriers to the adoption of urban bike-sharing systems in post-industrial cities, using a case study of the Silesian agglomeration in Poland. Methodologically, the article integrates quantitative survey methods with multivariate statistical analysis to analyze the demographic, socioeconomic, and motivational factors that underline the adoption of shared micromobility. The study highlights a detailed segmentation of users by income, age, professional status, and gender, as well as the observation of profound disparities in access and perceived usefulness. Of note is the study’s identification of a highly concentrated segment of young, low-income users (mostly students), which largely accounts for the general perception of economic and infrastructural barriers. These include the use of factor analysis and regression to plot the interaction patterns between individual user characteristics and certain system-level constraints, such as cost, infrastructure coverage, weather, and health. The study’s findings prioritize problem-specific interventions in urban mobility planning: bridging equity gaps between user groups. This research contributes to the current literature by providing detailed insights into the heterogeneity of user mobility behavior, offering evidence-based recommendations for inclusive and adaptive options for shared transportation infrastructure in a changing urban context. Full article

Background: In a global panorama marked by a progressive rise in obesity, metabolic syndrome, and chronic non-communicable disease prevalence, nutrition education (NE) might play a pivotal role in restoring adoption and strengthening adherence to dietary patterns that protect human health. Therefore, the primary purpose of this work is to review the existing scientific literature studying NE programs aimed at schoolchildren in the decade 2014–2024 and evaluate the effectiveness of intervention tools. Methods: During the first phase of this research, a qualitative analysis was conducted to track similarity in intervention tools and strategies used in nutrition education programs. In the second phase, a quantitative analysis was carried out, extracting common parameters among studies and assessing their potential influence in improving adherence to the Mediterranean diet (MD). Results: A high degree of heterogeneity was observed in educational program designs and intervention tools, which were usually not properly described and justified. All studies that measured adherence to the MD registered an improvement after the intervention, in some cases even higher than 10%. However, this study found no relationship between common parameters (i.e., number of formal tools, number of non-formal tools, lesson duration, and program length) used in NE and the improvement in students’ adherence to MD. Conclusions: This research has contributed to outlining a general framework of NE and to promoting a systematic approach in this research field. Full article

Heritage Building Information Modeling (HBIM) has emerged as a key tool in advancing heritage conservation and sustainable management. Preceding reviews had typically concentrated on specific technical aspects but did not provide sufficient bibliometric analysis. This study aims to integrate existing HBIM research to identify key research patterns, emerging trends, and forecast future directions. A total of 1516 documents were initially retrieved from the Web of Science Core Collection using targeted search terms. Following a relevance screening, 1175 documents were related to the topic. CiteSpace 6.4.R1, VOSviewer 1.6.20, and Bibliometrix 4.1, three bibliometric tools, were employed to conduct both quantitative and qualitative assessments. The results show three historical phases of HBIM, identify core journals, influential authors, and leading regions, and extract six major keyword clusters: risk assessment, data acquisition, semantic annotation, digital twins, and energy and equipment management. Nine co-citation clusters further outline the foundational literature in the field. The results highlight growing scholarly interest in workflow integration and digital twin applications. Future projections emphasize the transformative potential of artificial intelligence in HBIM, while also recognizing critical implementation barriers, particularly in developing countries and resource-constrained contexts. This study provides a comprehensive and systematic framework for HBIM research, offering valuable insights for scholars, practitioners, and policymakers involved in heritage preservation and digital management. Full article

Background: Digital platforms and inclusive leadership are pivotal in modern healthcare, influencing organizational performance and patient outcomes. Despite the growing adoption of these factors, their combined impact on leadership effectiveness and patient care remains insufficiently understood. Prior research has primarily examined digital technology or leadership inclusivity separately, lacking integrative studies that address their joint effect on healthcare outcomes. There is a need to explore how these variables interact to improve leadership and patient-related metrics. Methods: This cross-sectional study surveyed 250 participants, including healthcare leaders, professionals, and patients, using structured questionnaires. The data analysis involved multiple regression, structural equation modeling (SEM), and hierarchical linear modeling (HLM) to examine the direct and hierarchical relationships among digital platform usage, leadership inclusivity, leadership effectiveness, and patient outcomes. Results: Leadership inclusivity showed a significant positive effect on leadership effectiveness (β = 0.16, p < 0.01) and patient satisfaction (β = 0.09, p < 0.05). Digital platform usage demonstrated a smaller but positive association with leadership effectiveness (β = 0.04) and patient satisfaction (β = 0.03). Leadership effectiveness was found to correlate moderately with patient safety (β = 0.23) and treatment efficacy (β = 0.25), with minimal organizational-level effects. Conclusions: This study uniquely integrates the adoption of digital technology with inclusive leadership, highlighting their synergistic influence on healthcare delivery. It advances the existing literature by providing quantitative evidence on how these elements interact to shape leadership and patient care outcomes. Full article

In the context of the growing emphasis on sustainable development and building safety performance, wooden architecture will attract increasing attention due to its low-carbon characteristics and excellent seismic resistance. In this study, the bibliometric software Citespace is used for data visualization analysis based on the literature related to Chinese wooden architecture in the China National Knowledge Infrastructure (CNKI) and the Web of Science (WOS) databases, aiming to construct an analytical framework that integrates quantitative visualization and qualitative thematic interpretation which could reveal the current status, hotspots, and frontier trends of research in this field. The results show the following: Research on Chinese wooden architecture has shown a steady growth trend, indicating that it has received attention from an increasing number of scholars. Researchers and institutions are mainly concentrated in higher learning and research institutions in economically developed regions. Research hotspots cover subjects such as seismic performance, mortise–tenon structures, imitation wood structures, Dong architecture, Liang Sicheng, and the Society for the Study of Chinese Architecture. The research process of Chinese wooden architecture can be divided into three stages: the macro stage, the specific deepening stage, and the inheritance application and interdisciplinary integration stage. In the future, the focus will be on interdisciplinary research on wooden architecture from ethnic minority cultures and traditional dwellings. Full article

What elements of nature do people involved in conservation projects seek to protect, and why? How do they identify and relate to nature? Answers to such fundamental questions are shaped by normative assumptions that can result in distinct conservation strategies and practices. Despite their importance, normative assumptions are rarely explicitly stated in conservation sciences, possibly because an epistemology of modern science suggests that normative backgrounds are not relevant to the production of objective knowledge, or because researchers and practitioners are unaware of the diversity of positions that exist. Using a combination of qualitative and quantitative methods, we created a catalogue of existing normative positions in conservation literature and described their key characteristics. We described 72 distinctive normative positions about human–nature relationships. Each position was characterized by unique combinations of value-states belonging to one or more of the following five dimensions: ontology (the positionality of human with respect to nature), axiology (value systems and ethical frameworks), pragmatism (extent of human interventions), epistemology (knowledge sources), and agency (agents of change). We then scored each position in terms of its alignment (support, opposition, or neutrality) with respect to all value-states within each dimension. A fuzzy correspondence analysis revealed that the field of conservation is heterogeneous beyond the conventional gradient of intrinsic–instrumental–relational values. The frequency and circumstances under which stakeholders adopt different normative positions are unknown, but the list of dimensions and associated values provided in this study may serve as a checklist for scoping this diversity. Consideration of values stemming from alternative normative positions may help broaden support for conservation actions. Full article

This study provides a comprehensive assessment and synthesis of the literature on short-selling. It performs a lexicometric analysis, providing a quantitative review of 1093 peer-reviewed journal articles to identify and illustrate the main themes in short-selling research. Almost half the published literature on short-selling is thematically clustered around portfolio management techniques. Other key themes involve short-selling as it relates to risk management, strategic management, and market irregularities. Descending hierarchical classification examines the overall structure of the textual corpus of the short-selling literature and the relationships between its key terms. Similarity analysis reveals that the short-selling literature is highly concentrated, with most conceptual groups closely aligned and fitting into overlapping or conceptually similar areas. Some notable groups highlight prior short-selling studies of market dynamics, behavioral factors, technological advancements, and regulatory frameworks, which can serve as a foundation for market regulators to make more informed decisions that enhance overall market stability. Additionally, this study proposes a conceptual framework in which short-selling can be either a driver or an outcome by integrating the literature on its antecedents, consequences, explanatory variables, and boundary conditions. Finally, it suggests directions for future research. Full article

Background/Objectives: Grief in cancer patients represents a multidimensional psychological response encompassing anticipatory, existential, and identity-related distress. While the recent literature has examined grief in caregivers, family members, and even healthcare professionals, the psychological grief experienced by patients themselves following a cancer diagnosis remains comparatively understudied and insufficiently characterized in empirical research. This systematic review aims to evaluate observational studies that used validated psychometric instruments to measure grief in adult cancer patients and to synthesize findings on the significance of grief in this population. Methods: Following PRISMA 2020 guidelines, a systematic search of PubMed, CINAHL, and PsycINFO was conducted to identify observational studies that employed validated tools to assess grief among adult cancer patients. The inclusion criteria required the use of psychometrically validated grief instruments and the collection of quantitative data. Fifteen studies met eligibility criteria and were included in the final analysis. Results: Grief symptoms were consistently present at moderate to high levels across diverse cancer types, care settings, and geographic regions. Preparatory Grief in Advanced Cancer (PGAC) scores often exceeded thresholds associated with clinical concern, with correlations observed between grief and psychological variables such as anxiety (r = 0.63), depression (r = 0.637), hopelessness (r = 0.63), and dignity (r = 0.654). Demographic factors (e.g., younger age, female gender) and illness perceptions (e.g., identity centrality, stigma) further intensified grief. Grief was a predominant psychological concern even when general distress measures failed to capture its presence. Conclusions: Future research is essential to identify an effective public health strategy for addressing grief through structured screening conducted in primary care and outpatient medical settings, coupled with accessible referral pathways to community-based support groups and coordinated follow-up services to facilitate grief management. Full article

Urban regeneration, as a key strategy for promoting sustainable development of urban areas, requires innovative digital technologies to address increasingly complex urban challenges in its implementation. With the fast advancement of digital technologies such as artificial intelligence (AI), Internet of Things (IoT), and big data, these technologies have extensively penetrated various dimensions of urban regeneration, from planning and design to implementation and post-operation management, providing new possibilities for improving urban regeneration efficiency and quality. However, the existing literature lacks a systematic evaluation of technology application patterns across different project scales and phases, comprehensive analysis of stakeholder–technology interactions, and quantitative assessment of technology distribution throughout the urban regeneration lifecycle. This research gap limits the in-depth understanding of how digital technologies can better support urban regeneration practices. This study aims to identify and quantify digital technology application patterns across urban regeneration stages, scales, and stakeholder configurations through systematic analysis of 56 high-quality articles from the Scopus and Web of Science databases. Using a mixed-methods approach combining a systematic literature review, bibliometric analysis, and meta-analysis, we categorized seven major digital technology types and analyzed their distribution patterns. Key findings reveal distinct temporal patterns: GIS and BIM/CIM technologies dominate in the pre-urban regeneration (Pre-UR) stage (10% and 12% application proportions, respectively). GIS applications increase significantly to 14% in post-urban regeneration (Post-UR) stage, while AI technology remains underutilized across all phases (2% in Pre-UR, decreasing to 1% in Post-UR). Meta-analysis reveals scale-dependent technology adoption patterns, with different technologies showing varying effectiveness at building-level, district-level, and city-level implementations. Research challenges include stakeholder digital divides, scale-dependent adoption barriers, and phase-specific implementation gaps. This study constructs a multi-dimensional analytical framework for digital technology support in urban regeneration, providing quantitative evidence for optimizing technology selection strategies. The framework offers practical guidance for policymakers and practitioners in developing context-appropriate digital technology deployment strategies for urban regeneration projects. Full article