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17 pages, 2744 KiB  
Article
Experimental Crack Width Quantification in Reinforced Concrete Using Ultrasound and Coda Wave Interferometry
by Noah Sträter, Felix Clauß, Mark Alexander Ahrens and Peter Mark
Materials 2025, 18(15), 3684; https://doi.org/10.3390/ma18153684 - 6 Aug 2025
Abstract
For the first time, comprehensive investigations into the tensile load-bearing behavior and crack formation of reinforced concrete based on ultrasound are presented. Uniaxial tensile tests are performed on reinforced concrete tension members equipped with embedded ultrasonic transducers. Key mechanical parameters across all ranges [...] Read more.
For the first time, comprehensive investigations into the tensile load-bearing behavior and crack formation of reinforced concrete based on ultrasound are presented. Uniaxial tensile tests are performed on reinforced concrete tension members equipped with embedded ultrasonic transducers. Key mechanical parameters across all ranges of tensile behavior are continuously quantified by recording ultrasonic signals and evaluated with coda wave interferometry. The investigations include member configurations of different lengths to cover different numbers of cracks. For reference, crack patterns and crack widths are analyzed using digital image correlation, while the strain in the reinforcement is monitored with distributed fiber optic sensors. For the first time, a direct proportional relationship between the relative velocity change in ultrasonic signals and crack widths is established in the ranges of crack formation and stabilized cracking. In the non-cracked state, linear correlations are found between the velocity change and the average strain, as well as the length of the specimens. The experimental results significantly enhance the general understanding of the phenomena related to ultrasonic signals in flexural reinforced concrete members, particularly concerning cracking in the tensile zone. Consequently, this study contributes to the broader objective of employing coda wave interferometry to evaluate the condition of infrastructure. Full article
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24 pages, 1464 KiB  
Review
An Overview of the Italian Roadmap for the Implementation of Circular Economy in the Energy Transition of Buildings
by Marilena De Simone and Daniele Campagna
Buildings 2025, 15(15), 2755; https://doi.org/10.3390/buildings15152755 - 5 Aug 2025
Abstract
An important task for the European Union is to transpose agreements and international standards in regulation and directives that are binding on member states. The resultant European action plans and directives identify priority areas in the building and energy sectors where circular economy [...] Read more.
An important task for the European Union is to transpose agreements and international standards in regulation and directives that are binding on member states. The resultant European action plans and directives identify priority areas in the building and energy sectors where circular economy principles can be applied. Italy records a general circular materials rate of 20.8%, surpassing the mean European value. But low recycling rates are still registered in the construction sector. This paper aims to assess the position of Italy with respect to the European regulatory framework on circularity in the energy transition of buildings. Firstly, the government’s initiatives and technical standards are introduced and commented upon. Secondly, the study illustrates the current Italian platforms, networks, and public and private initiatives highlighting opportunities and obstacles that the energy sector has to overcome in the area of circularity. It emerges that Italian policies still use voluntary tools that are not sufficiently in line with an effective circular economy model. Moreover, data collection plays a crucial role in accelerating the implementation of future actions. Italy should consider the foundation of a National Observatory for the Circular Economy to elaborate European directives, harmonize regional policies, and promote the implementation of effective practices. Full article
(This article belongs to the Special Issue Research on Sustainable Energy Performance of Green Buildings)
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31 pages, 1698 KiB  
Article
Green Energy Fuelling Stations in Road Transport: Poland in the European and Global Context
by Tomasz Neumann
Energies 2025, 18(15), 4110; https://doi.org/10.3390/en18154110 - 2 Aug 2025
Viewed by 145
Abstract
The transition to green energy in the transport sector is becoming a priority in the context of global climate challenges and the European Green Deal. This paper investigates the development of alternative fuelling stations, particularly electric vehicle (EV) charging infrastructure and hydrogen stations, [...] Read more.
The transition to green energy in the transport sector is becoming a priority in the context of global climate challenges and the European Green Deal. This paper investigates the development of alternative fuelling stations, particularly electric vehicle (EV) charging infrastructure and hydrogen stations, across EU countries with a focus on Poland. It combines a policy and technology overview with a quantitative scientific analysis, offering a multidimensional perspective on green infrastructure deployment. A Pearson correlation analysis reveals significant links between charging station density and both GDP per capita and the share of renewable energy. The study introduces an original Infrastructure Accessibility Index (IAI) to compare infrastructure availability across EU member states and models Poland’s EV charging station demand up to 2030 under multiple growth scenarios. Furthermore, the article provides a comprehensive overview of biofuels, including first-, second-, and third-generation technologies, and highlights recent advances in hydrogen and renewable electricity integration. Emphasis is placed on life cycle considerations, energy source sustainability, and economic implications. The findings support policy development toward zero-emission mobility and the decarbonisation of transport systems, offering recommendations for infrastructure expansion and energy diversification strategies. Full article
(This article belongs to the Section B: Energy and Environment)
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14 pages, 233 KiB  
Article
Looking Through the Corporate Glass Ceiling in China
by Runping Zhu, Zunbin Huo, Zeqing Chen and Richard Krever
J. Risk Financial Manag. 2025, 18(8), 423; https://doi.org/10.3390/jrfm18080423 - 1 Aug 2025
Viewed by 173
Abstract
An important element in the Constitution of the People’s Republic of China is the guarantee of gender equality in all fields. The principle is not reflected in terms of corporate governance and senior management, however. A study of the largest 400 companies listed [...] Read more.
An important element in the Constitution of the People’s Republic of China is the guarantee of gender equality in all fields. The principle is not reflected in terms of corporate governance and senior management, however. A study of the largest 400 companies listed on Chinese stock exchanges shows far fewer female board members and senior managers than male counterparts and only a small improvement over the course of a decade. A comparison of gender balances in terms of a range of variables, including stock exchange listing, industry type, and ownership type, reveals better balances in wholly privately owned firms than in those with controlling state interests. Subject to intervening government policies to promote state-owned enterprises over private sector counterparts, the pattern over the decade studied suggests there is a possibility privately owned enterprises may gradually displace state-owned companies in the largest 400 group and gender balances in senior roles in the largest 400 group will consequently improve. Full article
(This article belongs to the Special Issue Emerging Issues in Economics, Finance and Business—2nd Edition)
16 pages, 2412 KiB  
Article
Measuring Equitable Prosperity in the EU-27: Introducing the IDDO, a Composite Index of Growth and Income Inequality (2005–2024)
by Narcis Eduard Mitu and George Teodor Mitu
World 2025, 6(3), 103; https://doi.org/10.3390/world6030103 - 1 Aug 2025
Viewed by 393
Abstract
This article introduces the Index of Distributive and Developmental Outlook (IDDO), a composite indicator designed to jointly assess economic performance and income inequality across EU-27 Member States. While GDP per capita is widely used to evaluate national prosperity, and the Gini coefficient captures [...] Read more.
This article introduces the Index of Distributive and Developmental Outlook (IDDO), a composite indicator designed to jointly assess economic performance and income inequality across EU-27 Member States. While GDP per capita is widely used to evaluate national prosperity, and the Gini coefficient captures income distribution, their separate use often obscures the interaction between growth and equity—an essential dimension of sustainable development. To address this gap, the IDDO integrates normalized values of both indicators using arithmetic and geometric means. The study applies the IDDO to a longitudinal dataset covering the years 2005, 2014, and 2024, allowing for comparative and temporal analysis. Based on IDDO scores, countries are classified into four development types: balanced development, growth with inequality, equity with stagnation, and dual vulnerability. Results show that while some Member States, such as Luxembourg, Czechia, and Slovenia, maintain consistently high IDDO levels, others—including Bulgaria, Romania, and Latvia—exhibit persistent challenges in aligning growth with equitable outcomes. The findings underscore the need for cohesion policies that prioritize not only economic convergence but also distributive fairness. The IDDO provides a practical and adaptable tool for diagnosing development patterns, benchmarking performance, and informing policy design within the EU framework. Full article
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24 pages, 861 KiB  
Article
Nutrition Security and Homestead Gardeners: Evidence from the Himalayan Mountain Region
by Nirmal Kumar Patra, Nich Nina, Tapan B. Pathak, Tanmoy Karak and Suresh Chandra Babu
Nutrients 2025, 17(15), 2499; https://doi.org/10.3390/nu17152499 - 30 Jul 2025
Viewed by 128
Abstract
Background: Addressing undernutrition and malnutrition requires a multi-pronged approach targeting different populations with appropriate interventions. Knowledge and perception (K&P) of Individuals and communities about nutrition to human health relationship/continuum is a prerequisite for addressing malnutrition in rural and mountain communities. Assessing K&P [...] Read more.
Background: Addressing undernutrition and malnutrition requires a multi-pronged approach targeting different populations with appropriate interventions. Knowledge and perception (K&P) of Individuals and communities about nutrition to human health relationship/continuum is a prerequisite for addressing malnutrition in rural and mountain communities. Assessing K&P is essential for developing strategic interventions to up-scaling K&P of communities and achieving nutrition security. Homestead gardens are a proven intervention for achieving nutrition security for all family members of gardeners. Methods: This paper includes homestead gardeners from the Himalayan Mountain Region (HMR) as respondents. We developed a scale to assess the K&P of respondents, based on ratings from 20 judges. A total of 134 issues/items have been retained in the scale from macronutrients, micronutrients, minerals, and vitamins. A framework has also been developed and adopted for the study. A knowledge and perception index (KPI) has been developed based on the respondents’ responses. We have reviewed and analysed the national policy interventions for augmenting the K&P of the study community to achieve nutrition security. Results: The nutrition K&P of respondents are inadequate and far from the desirable level. Policy review and analysis indicate that the creation of K&P in the community to contribute to self and family nutrition security was previously highly neglected. Conclusions: The policy process of national, state, and county/district-level development sectors in developing countries under the HMR may take the initiative to ensure self-nutrition security by creating K&P of the community on nutrition issues. The designed scale is prudent requires testing and validation for measuring farmers’ K&P on nutrition, which may be adopted in future studies and policymaking not only nationally but also from an international perspective. Full article
(This article belongs to the Section Nutritional Policies and Education for Health Promotion)
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17 pages, 327 KiB  
Article
De-Centering the Gaze on Peripheral Islams—New Forms of Rooting and Community Building Among Albanian Muslims in Italy
by Chiara Anna Cascino
Religions 2025, 16(8), 992; https://doi.org/10.3390/rel16080992 - 30 Jul 2025
Viewed by 299
Abstract
An analysis of Albanian Muslims in Italy provides a compelling case study of communities perceived as marginal. Studies of Muslims in Italy tend to focus on the majority and chronologically older groups within the country’s Islamic landscape, particularly those from Asia and Africa. [...] Read more.
An analysis of Albanian Muslims in Italy provides a compelling case study of communities perceived as marginal. Studies of Muslims in Italy tend to focus on the majority and chronologically older groups within the country’s Islamic landscape, particularly those from Asia and Africa. In addition to providing a better understanding of Islam in Italy, a study of the identity and community-building issues of the Albanian community of origin offers many insights into that community’s complexity. Albanians in Italy have a very specific historical and religious heritage; so, analyzing their roots and community-building processes helps us to better understand the development of Islam on the margins of large national organizations and majority groups. This article presents the results of the first national study of Albanian Muslims in Italy. Online interviews and field observations were conducted in 2024 within the Union of Muslim Albanians in Italy (Unione degli Albanesi Musulmani in Italia—UAMI), using the ethnographic method. The Association has fewer members compared with national level organizations. It was founded in 2009 to address specific issues related to the management of Muslim Albanian religious identity. The Association has sought to address the fragmentation of religion and Albanian nationalism, a consequence of a long period of state atheism, and to counter the literalist and radical tendencies in the interpretation of religion that have emerged in Albania since the collapse of the communist regime. In addition to these challenges, the Association has also tackled issues related to the Islamic religion in its local and global dimensions. The analysis of these challenges and the ways to deal with them offers a new framework in the Italian Islamic panorama, despite its marginality. The results of this research point to the emergence of new forms of rooting and belonging characterized by spirituality over orthopraxis. These forms adopt a religious approach open to diversity and pluralism. Full article
21 pages, 1538 KiB  
Article
Navigating the Blue Economy: Indonesia’s Regional Efforts in ASEAN to Support Sustainable Practices in Fisheries Sector
by Olivia Sabrina and Rhevy Adriade Putra
Sustainability 2025, 17(15), 6906; https://doi.org/10.3390/su17156906 - 30 Jul 2025
Viewed by 396
Abstract
In the 2021 summit, ASEAN leaders acknowledged the ocean as an essential driver of economic recovery post pandemic, leading to the ASEAN Declaration on the Blue Economy for the responsible management of marine resources. As an ASEAN nation with a long history in [...] Read more.
In the 2021 summit, ASEAN leaders acknowledged the ocean as an essential driver of economic recovery post pandemic, leading to the ASEAN Declaration on the Blue Economy for the responsible management of marine resources. As an ASEAN nation with a long history in the fishing sector, Indonesia then actively spread this concept across the region. The hegemony theory of Gramsci, which considers the interaction of a nation’s material resources, ideational influence, and institutional strategy, is further used to assess Indonesia’s leadership dynamics in the ASEAN to obtain consensus-based power. In this study, Joko Widodo’s speeches from 2023 are taken out and coded to determine the narrative that Indonesia constantly reinforces. With thematic analysis, speech data is processed to generate keywords such as unity, cooperation, and shared responsibilities, which Indonesia often uses to advance its regional agenda. By aligning member states’ interests with regional goals, Indonesian governance creates common ground for a blue economy and emphasizes how the sea is an integral source of opportunity for the region’s position as the Epicentrum Of Growth. Instead of pushing countries to agree with directives, Indonesia effectively advocates for regional agreements and ASEAN-led structures through the blue economy framework, with the ABEF emerging at its 2023 ASEAN chairmanship deliberations. Full article
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27 pages, 2565 KiB  
Review
The Role of ESG in Driving Sustainable Innovation in Water Sector: From Gaps to Governance
by Gabriel Minea, Elena Simina Lakatos, Roxana Maria Druta, Alina Moldovan, Lucian Marius Lupu and Lucian Ionel Cioca
Water 2025, 17(15), 2259; https://doi.org/10.3390/w17152259 - 29 Jul 2025
Viewed by 444
Abstract
The water sector is facing a convergence of systemic challenges generated by climate change, increasing demand, and increasingly stringent regulations, which threaten its operational and strategic sustainability. In this context, the article examines how ESG (environmental, social, governance) principles are integrated into the [...] Read more.
The water sector is facing a convergence of systemic challenges generated by climate change, increasing demand, and increasingly stringent regulations, which threaten its operational and strategic sustainability. In this context, the article examines how ESG (environmental, social, governance) principles are integrated into the governance, financing, and management of water resources, with a comparative focus on Romania and the European Union. It aims to assess the extent to which ESG practices contribute to the sustainable transformation of the water sector in the face of growing environmental and socio-economic challenges. The methodology is based on a systematic analysis of policy documents, regulatory frameworks, and ESG standards applicable to the water sector at both national (Romania) and EU levels. This study also investigates investment strategies and their alignment with the EU Taxonomy for Sustainable Activities, enabling a comparative perspective on implementation, gaps and strengths. Findings reveal that while ESG principles are increasingly recognized across Europe, their implementation remains uneven (particularly in Romania) due to unclear standards, limited funding mechanisms, and fragmented policy coordination. ESG integration shows clear potential to foster innovation, improve governance transparency, and support long-term resilience in the water sector. These results underline the need for coherent, integrated policies and stronger institutional coordination to ensure consistent ESG adoption across Member States. Policymakers should prioritize the development of clear guidelines and supportive funding instruments to accelerate sustainable outcomes. The originality of our study lies in its comparative approach, offering an in-depth analysis of ESG integration in the water sector across different governance contexts. It provides valuable insights for advancing policy coherence, investment alignment, and sustainable water resource management at both national and European levels. Full article
(This article belongs to the Section Water Resources Management, Policy and Governance)
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22 pages, 2575 KiB  
Article
European Green Deal Objective: Potential Expansion of Organic Farming Areas
by Aina Muska, Irina Pilvere, Ants-Hannes Viira, Kristaps Muska and Aleksejs Nipers
Agriculture 2025, 15(15), 1633; https://doi.org/10.3390/agriculture15151633 - 28 Jul 2025
Viewed by 330
Abstract
Organic farming represents a paradigm that emphasises a balance between production and environmental sustainability. In the European Union (EU), organic farming has evolved into a global production system with harmonised standards and increasing market demand. Compared with conventional agriculture, it produces greater environmental [...] Read more.
Organic farming represents a paradigm that emphasises a balance between production and environmental sustainability. In the European Union (EU), organic farming has evolved into a global production system with harmonised standards and increasing market demand. Compared with conventional agriculture, it produces greater environmental benefits. The European Green Deal and the Farm to Fork (F2F) strategy highlight the role of organic farming in achieving the EU’s climate and environmental goals, aiming to use at least 25% of the total agricultural area for organic farming by 2030. This research assesses the contributions of Member States towards achieving the objectives of the European Green Deal and F2F strategy and increasing the number of organic farming areas in the future. The research assessed the performance of EU Member States during the period of 2018–2022 and for the projected period up to 2030, using indicators outlined in the Common Agricultural Policy (CAP) Strategic Plan. EU Member States were classified by their historical growth in organic farming areas and their required future performance to meet targets. The results showed that the increase in organic farming areas across the EU is a sign of a shift towards more sustainable farming, although performance varied among Member States. Overall, performance tended to improve in seventeen Member States, remained stable in nine, and declined in only one. Full article
(This article belongs to the Special Issue Strategies for Resilient and Sustainable Agri-Food Systems)
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15 pages, 787 KiB  
Article
Beyond Treatment Decisions: The Predictive Value of Comprehensive Geriatric Assessment in Older Cancer Patients
by Eleonora Bergo, Marina De Rui, Chiara Ceolin, Pamela Iannizzi, Chiara Curreri, Maria Devita, Camilla Ruffini, Benedetta Chiusole, Alessandra Feltrin, Giuseppe Sergi and Antonella Brunello
Cancers 2025, 17(15), 2489; https://doi.org/10.3390/cancers17152489 - 28 Jul 2025
Viewed by 182
Abstract
Background: Comprehensive Geriatric Assessment (CGA) is essential for evaluating older cancer patients, but significant gaps persist in both research and clinical practice. This study aimed (I) to identify the CGA elements that most influence anti-cancer treatment decisions in older patients and (II) [...] Read more.
Background: Comprehensive Geriatric Assessment (CGA) is essential for evaluating older cancer patients, but significant gaps persist in both research and clinical practice. This study aimed (I) to identify the CGA elements that most influence anti-cancer treatment decisions in older patients and (II) to explore the predictive value of CGA components for mortality. Methods: This observational study included older patients with newly diagnosed, histologically confirmed solid or hematological cancers, recruited consecutively from 2003 to 2023. Participants were followed for four years. The data collected included CGA measures of functional (Activities of Daily Living-ADL), cognitive (Mini-Mental State Examination-MMSE), and emotional (Geriatric Depression Scale-GDS) domains. Patients were categorized into frail, vulnerable, or fit groups based on Balducci’s criteria. Statistical analyses included decision tree modeling and Cox regression to identify predictors of mortality. Results: A total of 7022 patients (3222 females) were included, with a mean age of 78.3 ± 12.9 years. The key CGA factors influencing treatment decisions were ADL (first step), cohabitation status (second step), and age (last step). After four years, 21.9% patients had died. Higher GDS scores (OR 1.04, 95% CI 1.01–1.07, p = 0.04) were independently associated with survival in men and living with family members (OR 1.67, 95% CI 1.35–2.07, p < 0.001) in women. Younger patients (<77 years) showed both MMSE and GDS as significant risk factors for mortality. Conclusions: Functional capacity, cohabitation status, and GDS scores are crucial for guiding treatment decisions and predicting mortality in older cancer patients, emphasizing the need for a multidimensional geriatric assessment. Full article
(This article belongs to the Section Clinical Research of Cancer)
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19 pages, 3060 KiB  
Article
Research on Damage Identification in Transmission Tower Structures Based on Cross-Correlation Function Amplitude Vector
by Qing Zhang, Xing Fu, Wenqiang Jiang and Hengdong Jin
Sensors 2025, 25(15), 4659; https://doi.org/10.3390/s25154659 - 27 Jul 2025
Viewed by 320
Abstract
Transmission towers constitute critical power infrastructure, yet structural damage may accumulate over their long-term service, underscoring the paramount importance of research on damage identification. This paper presents a cross-correlation function amplitude vector (CorV) method for damage localization based on time-domain response analysis. The [...] Read more.
Transmission towers constitute critical power infrastructure, yet structural damage may accumulate over their long-term service, underscoring the paramount importance of research on damage identification. This paper presents a cross-correlation function amplitude vector (CorV) method for damage localization based on time-domain response analysis. The approach involves calculating the CorV of structural members before and after damage using dynamic response data, employing the CorV assurance criterion (CVAC) to quantify changes in CorV, and introducing first-order differencing for damage localization. Taking an actual transmission tower in Jiangmen as the engineering backdrop, a finite element model is established. Damage conditions are simulated by reducing the stiffness of specific members, and parameter analyses are conducted to validate the proposed method. Furthermore, experimental validation in a lab is performed to provide additional confirmation. The results indicate that the CVAC value of the damaged structure is significantly lower than that in the healthy state. By analyzing the relative changes in the components of CorV, the damage location can be accurately determined. Notably, this method only requires acquiring the time-domain response signals of the transmission tower under random excitation to detect both the existence and location of damage. Consequently, it is well suited for structural health monitoring of transmission towers under environmental excitation. Full article
(This article belongs to the Special Issue Sensors for Non-Destructive Testing and Structural Health Monitoring)
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13 pages, 1599 KiB  
Article
Differential Expression of Hsp100 Gene in Scrippsiella acuminata: Potential Involvement in Life Cycle Transition and Dormancy Maintenance
by Fengting Li, Lixia Shang, Hanying Zou, Chengxing Sun, Zhangxi Hu, Ying Zhong Tang and Yunyan Deng
Diversity 2025, 17(8), 519; https://doi.org/10.3390/d17080519 - 26 Jul 2025
Viewed by 190
Abstract
Protein degradation plays a fundamental role in maintaining protein homeostasis and ensures proper cellular function by regulating protein quality and quantity. Heat shock protein 100 (Hsp100), found in bacteria, plants, and fungi, is a unique chaperone family responsible for rescuing misfolded proteins from [...] Read more.
Protein degradation plays a fundamental role in maintaining protein homeostasis and ensures proper cellular function by regulating protein quality and quantity. Heat shock protein 100 (Hsp100), found in bacteria, plants, and fungi, is a unique chaperone family responsible for rescuing misfolded proteins from aggregated states in an ATP-dependent manner. To date, they are primarily known to mediate heat stress adaptation and enhance cellular survival under extreme conditions in higher plants and algae. Resting cyst formation in dinoflagellates is widely recognized as a response to adverse conditions, which offers an adaptive advantage to endure harsh environmental extremes that are unsuitable for vegetative cell growth and survival. In this study, based on a full-length cDNA sequence, we characterized an Hsp100 gene (SaHsp100) from the cosmopolitan bloom-forming dinoflagellate Scrippsiella acuminata, aiming to examine its life stage-specific expression patterns and preliminarily explore its potential functions. The qPCR results revealed that Hsp100 transcript levels were significantly elevated in newly formed resting cysts compared to vegetative cells and continued to increase during storage under simulated marine sediment conditions (darkness, low temperature, and anoxia). Parallel reaction monitoring (PRM)-based quantification further confirmed that Hsp100 protein levels were significantly higher in resting cysts than in vegetative cells and increased after three months of storage. These findings collectively highlighted the fundamental role of Hsp100 in the alteration of the life cycle and dormancy maintenance of S. acuminata, likely by enhancing stress adaptation and promoting cell survival through participation in proteostasis maintenance, particularly under natural sediment-like conditions that trigger severe abiotic stress. Our work deepens the current understanding of Hsp family members in dinoflagellates, paving the way for future investigations into their ecological relevance within this ecologically significant group. Full article
(This article belongs to the Section Marine Diversity)
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20 pages, 2537 KiB  
Article
Spatial Disparities in University Admission Outcomes Among Ethnic Hungarian Students: Regional Analysis in the Central European Carpathian Basin
by József Demeter, Klára Czimre and Károly Teperics
Educ. Sci. 2025, 15(8), 961; https://doi.org/10.3390/educsci15080961 - 25 Jul 2025
Viewed by 466
Abstract
This research investigates higher education admission outcomes at Hungarian universities for ethnic Hungarian minority students residing in countries within the Carpathian Basin. The region is distinguished by a variety of national policies that impact minority education. By analyzing extensive data on the availability [...] Read more.
This research investigates higher education admission outcomes at Hungarian universities for ethnic Hungarian minority students residing in countries within the Carpathian Basin. The region is distinguished by a variety of national policies that impact minority education. By analyzing extensive data on the availability of mother tongue education, the status of minority rights, advanced level examination performance, and types of settlement using a wide range of statistical methods, our study reveals significant cross-national differences in the distribution of admission scores and central tendencies. Compared to lower and more varied scores for students from Ukraine and Romania, ethnic Hungarian students from Serbia and Slovakia achieved high average admission scores. Performance was notably more consistent among students from EU member states compared to non-EU regions, strongly linking outcomes to the more robust implementation of minority rights and better access to mother-tongue education within the EU framework. A critical finding is the strong positive correlation (Pearson r = 0.837) between admission scores and advanced level examination results, highlighting the pivotal role of these exams for the academic progression of these minority students. The Jonckheere-Terpstra test (p < 0.05) further confirmed significant performance differences between ranked country groups, with Serbian and Slovak students generally outperforming their Ukrainian and Romanian counterparts. Counterintuitively, settlement type (urban vs. rural) exhibited a negligible relationship with admission scores (r = 0.150), explaining only 2% of score variability. This challenges common assumptions and suggests other factors specific to the Hungarian minority context are more influential. This study provides crucial insights into the complex dynamics influencing Hungarian minority students’ access to higher education, underscoring cross-country educational inequalities, and informing the development of equitable minority rights and mother-tongue education policies in Central Europe for these often-marginalized communities. Full article
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19 pages, 424 KiB  
Article
Preparing for the EU HTA Regulation: Insights from the Dutch Perspective
by Anne Willemsen, Maureen Rutten-van Mölken, Riam al Dulaimi, Hedi Schelleman, Wim Goettsch and Lonneke Timmers
J. Mark. Access Health Policy 2025, 13(3), 35; https://doi.org/10.3390/jmahp13030035 - 24 Jul 2025
Viewed by 921
Abstract
The European Health Technology Assessment (HTA) regulation (HTAR) came into effect in January 2025 and impacts the HTA process in all European Member States. Member States must give due consideration to the joint clinical assessment (JCA) report. This may require adaptations at the [...] Read more.
The European Health Technology Assessment (HTA) regulation (HTAR) came into effect in January 2025 and impacts the HTA process in all European Member States. Member States must give due consideration to the joint clinical assessment (JCA) report. This may require adaptations at the national level. This paper describes the anticipated changes to the Dutch national HTA process and how the Dutch National Health Care Institute (Zorginstituut Nederland, ZIN) prepared for this, because sharing experience between Member States can be of general interest for future expansion of the EU HTAR. ZIN’s implementation activities were facilitated by a project-governance structure and by a continuous gap analysis of the current national assessment and appraisal process of medicinal products, resulting in a concrete action plan. The implementation of the HTAR has two major implications for ZIN’s HTA process, namely that the scoping phase starts much earlier and that the JCA report is the starting point for the national assessment. Gaps, challenges and issues were identified in the categories: information and knowledge, IT and template, communication and stakeholder engagement, capacity and resources, and financial aspects. Based on a thorough and well-defined implementation plan, ZIN is ready to implement the HTAR in national HTA processes and to take on (co-)assessor roles for JCA of medicinal products in 2025. Full article
(This article belongs to the Collection European Health Technology Assessment (EU HTA))
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