Search Results (1,568)

Sustainable municipal solid waste (MSW) treatment in rapidly urbanizing secondary cities requires evidence-based, district-level prioritization of technologies. We integrate GIS hotspot mapping, Random Forest, and AnyLogic System Dynamics into a decision-support framework and apply it to Shymkent, Kazakhstan (population 1.19 million; ≈301,400 tonnes of MSW in 2025). This is the first application of such a framework to MSW management in a Kazakhstani secondary city and, to our knowledge, the first regional application across Central Asia; the integration concept has prior precedents in Latin American, South Asian, and East Asian metropolitan studies, and the present contribution lies in empirical calibration to a Central Asian upper-middle-income context using 2015–2025 morphological audits, air-quality and soil monitoring, and Sentinel-2 NDVI. Random Forest (n = 80, 9 predictors) achieved R² = 0.976 ± 0.011 under 5-fold cross-validation; a complementary GroupKFold protocol confirms the model is Shymkent-calibrated while the methodology remains transferable. AnyLogic simulation shows an Infrastructure/Waste-to-Energy pathway reduces the 2030 annual landfilled volume to ≈201 kt, environmental risk by 70%, and methane emissions by 86% (≈270 kt CO₂-eq/year) relative to the Inertial baseline. The principal deliverable is a District × Technology × Phase prioritization matrix for sequencing sustainable investment under realistic budget constraints. Full article

Medical resources are primary public goods, but the nature of their distribution across different-sized cities is unclear. Here, we examined the nonlinear scaling relationship between urban populations and medical resources in China, moving beyond the limitations of traditional linear evaluation metrics. Taking 296 Chinese cities as samples, we constructed scaling law models between population size and three medical resource indicators: the numbers of hospital beds, doctors, and hospitals. The results show that the number of doctors maintained a linear scaling relationship on the whole (scaling exponent $\beta$: 0.98–1.06), while the numbers of hospitals ($\beta$: 0.79–0.91) and hospital beds ($\beta$: 0.91–0.99) both exhibited sublinear scaling (2000–2022), confirming the existence of economies of scale in basic medical facilities. The Scale-Adjusted Metropolitan Indicator (SAMI) further reveals spatial agglomeration characteristics: the northern and southwestern regions of China perform notably better than expected in hospital availability, while provincial cites show advantages in terms of the numbers of beds and doctors. This study quantifies the nonlinear allocation of medical resources across Chinese cities and advocates for a reasonable allocation mechanism to promote medical equity. Full article

To better capture ecological quality under aerosol pollution stress, an AOD-integrated Remote Sensing Ecological Index (ARSEI) was developed for the Shenyang Metropolitan Area (2000–2025). Using Google Earth Engine, multi-source MODIS products were compiled to generate an annual growing-season ARSEI through PCA, combining PC1 and PC2 by variance-weighted contributions. Long-term trends were assessed with Theil–Sen slope estimation and the Mann–Kendall test, future persistence with the Hurst index, and drivers with an optimal parameter geographical detector. ARSEI closely matched conventional RSEI in multi-year pixel means (R² = 0.98, p < 0.001) but identified larger “poor” (+0.4%) and “moderate” (+3.4%) areas from 2000 to 2025, indicating higher sensitivity to pollution-related stress. Ecological quality improved overall, with high grades in eastern mountainous forests and low grades in the central built-up core and surrounding croplands. Improvement was dominant (31.08% significant, 38.27% slight), while degradation was limited (4.27% significant, 13.92% slight) and concentrated in peri-urban expansion belts. Elevation was the strongest natural control, whereas land use and population were the leading socioeconomic drivers with increasing influence over time. Finally, we delineated differentiated management zones based on current status and projected trajectories to support targeted regional governance. Full article

Urban blue-green spaces play an important role in mitigating thermal environmental stress, yet their long-term configuration and relative thermal environmental benefits remain insufficiently understood at the metropolitan scale. This study examined Beijing from 2000 to 2020 by integrating Landsat time-series imagery, land-cover data, landscape metrics, land surface temperature retrieval, Geodetector analysis, and a configuration-oriented Blue-Green Environmental Benefit Index (BGEBI). The results showed that Beijing’s blue-green spaces experienced three stages: rapid decline during 2000–2003, gradual recovery during 2004–2012, and rapid expansion during 2013–2020. Spatially, low-temperature zones were mainly concentrated in the northwestern ecological conservation areas, whereas high-temperature zones were mainly distributed in the southeastern core and plain areas. Green-space landscape indicators, especially forest-related metrics, showed stronger explanatory associations with LST spatial heterogeneity than most wetland-related indicators at the metropolitan scale. The BGEBI results indicated an overall increase in relative thermal environmental benefits from 2000 to 2020, with high-value areas mainly located in the northwestern and central-western mountainous regions and low-value areas mainly distributed in southeastern urbanized areas. These findings suggest that blue-green space planning in high-density megacities should pay greater attention to landscape configuration, spatial connectivity, and scale-sensitive management. The proposed BGEBI framework provides a relative spatial-prioritization tool for identifying areas where blue-green configuration optimization may support thermal-environment improvement. Full article

Tourism development can both support and strain regional sustainability. Sustainable tourism matters especially in highly urbanized metropolitan areas, where resident mobility and tourist demand jointly use transport systems. This study evaluates transport infrastructure adequacy and quality under tourism pressure in regions containing Russia’s largest urban agglomerations. Because official tourist-flow statistics are available at the regional rather than agglomeration level, the analysis uses an exploratory regional proxy approach. The methods combine comparative analysis, correlation and regression analysis, index analysis, and sensitivity checks. Tourist flows show the strongest statistical associations with absolute indicators of bus infrastructure. Rail transport, especially commuter rail, also shows a stable positive association, which matters for large metropolitan areas and regions with intensive intermunicipal mobility. Overall, tourist flows in the studied regions correlate primarily with the scale of the existing passenger transport system. Therefore, the results represent diagnostic associations rather than causal estimates of tourist transport behavior. The study proposes a comparative index of tourism transport infrastructure adequacy that characterizes how well the selected territories’ transport systems can absorb tourist traffic under data limitations. The index reveals pronounced differentiation among the Moscow, Saint Petersburg, and Kaliningrad cases. Full article

This study develops a bottom-up cost optimization model (DC-DECOM) to evaluate decarbonization pathways for Japan’s data center industry, targeting carbon neutrality of the information and communications technology (ICT) sector by 2040. The model represents Power Usage Effectiveness (PUE) as a dynamic function of ambient temperature and cooling technology, and integrates technology selection, regional energy supply, and carbon pricing within a single cost-minimization framework. Three scenarios are compared: a reference case (REF), a centralized carbon-neutral scenario (C-CN) that restricts new capacity to metropolitan areas, and a regional decentralization scenario (R-CN) that allows for nationwide siting. Input parameters are calibrated against data from the International Energy Agency (IEA), the Uptime Institute, Japan’s Ministry of Internal Affairs and Communications (MIC) White Papers, and the Japan Science and Technology Agency (JST). The R-CN scenario achieves the 2040 net-zero target at 18–23% lower total system cost than C-CN. The cost gap decomposes into four channels (cooling-energy reduction ∼35%, lower regional renewable procurement cost ∼30%, lower carbon cost ∼25%, and lower siting-related cost ∼10%). Sensitivity analysis identifies the carbon-price trajectory and the hardware-efficiency improvement rate as the most influential parameters; the R-CN advantage remains positive across all $\pm 1\sigma$ parameter variations and across two combined-scenario stress tests. Full article

Background: Hepatitis C virus (HCV) remains a major cause of preventable liver-related mortality in the United States despite highly effective direct-acting antivirals (DAAs). Contemporary assessment of mortality trends and disparities is essential for elimination efforts. Methods: Using CDC WONDER multiple cause-of-death data (1999–2023), we identified HCV-related deaths using ICD-10 codes for acute and chronic HCV (B17.1, B18.2) and calculated age-adjusted mortality rates (AAMRs) per 100,000 (2000 US standard). Rates were stratified by sex, race/ethnicity, census region, and 2013 NCHS urban–rural classification. Joinpoint regression quantified temporal inflection points and annual percent changes (APCs). Results: Overall HCV-related AAMR increased from 1.8 (1999) to a peak of 5.0 (2014), then declined to 2.3 (2023), with a marked post-2014 decrease (APC −8.2%). Mortality was consistently higher in males than females (2023 rate ratio 2.57). In 2023, American Indian/Alaska Native individuals had the highest mortality (AAMR 8.7; rate ratio 3.48 vs. non-Hispanic White), followed by non-Hispanic Black individuals (AAMR 6.2; rate ratio 2.48). Mortality remained highest in the West and was higher in non-metropolitan than metropolitan counties (AAMR 2.8 vs. 2.3; rate ratio 1.22), with a slower post-2014 decline in non-metropolitan areas. Conclusions: Our findings indicate that while the DAA era has been associated with a substantial reduction in HCV-related mortality at the national level, this progress has not been uniform across all populations. Persistent excess mortality among Native American and non-Hispanic Black individuals may reflect inequities in the HCV care cascade, including screening, confirmatory testing, linkage to specialty care, insurance-related restrictions, and the high cost of antiviral therapy. These results highlight the need for policies and public health strategies that improve equitable and affordable access to curative HCV treatment. Full article

This Editorial introduces the Special Issue “Spatial Planning and Land-Use Management: 2nd Edition” and discusses the eight articles published in it. Taken together, these contributions demonstrate that contemporary spatial planning and land-use management can no longer be understood as narrowly regulatory or sector-specific activities. Rather, they must be approached as integrative and adaptive practices capable of mediating between ecological integrity, territorial cohesion, infrastructure provision, social justice, public health, and participatory governance. The Special Issue brings together case studies from China, the United States, Australia, Iran, Portugal, Slovakia, and Belgium, as well as comparative evidence from peri-urban landscapes, and spans a wide range of spatial scales, from neighbourhoods and urban forests to metropolitan green belts, urban agglomerations, peri-urban territories, and ecoregions. Several major lines of inquiry emerge across the volume. First, the articles reaffirm the need for multiscale planning frameworks able to connect local action with regional and supra-regional structures. Second, they broaden the understanding of infrastructure by including not only transport and urban facilities, but also ecological, green, and even nocturnal infrastructures. Third, they show that many of today’s most difficult planning questions arise in spaces of transition and overlap, especially peri-urban areas, where conflicts among land uses, ecosystem services, development pressures, and governance arrangements become particularly acute across sectors and across spatial and temporal scales. Fourth, they underline that planning effectiveness increasingly depends on participation, co-design, and cooperation among diverse actors, including civic initiatives and local communities. Overall, the Special Issue highlights spatial planning as a strategic field of action through which societies can address land-use conflicts, reconcile environmental and social objectives, and design more sustainable, resilient, and liveable territories. Full article

This paper examines how the growth and decline of agglomerations and peripheries in metropolitan regions can be understood in the context of Advanced Producer Service (APS) firm decisions, regional conditions and institutional policies. Focusing on Germany, it responds to divergent quantitative findings for Munich and Dresden and to outcome-oriented studies documenting spatial patterns, leaving underlying mechanisms under-specified. This study adopts an embedded qualitative case study design, analysing Munich and Dresden as contrasting metropolitan subunits within a shared national framework. Drawing on documentation, archival records and expert interviews with economic development and regional governance actors, it uses explanation building and template analysis to link empirical material to an analytical framework integrating firm, location and public authority perspectives. The results identify four recurrent configurations in the firm–location–policy nexus: reinforcing agglomeration, emerging limits to agglomeration, balancing peripheral growth and reinforced peripheral decline. These configurations show how the same metropolitan region can simultaneously exhibit core growth, constraints on further concentration, selective peripheral upgrading and cumulative peripheral disadvantage. Conceptually, this paper develops a mechanism-based account of APS-driven metropolitan development and proposes refined propositions that help reinterpret outcome-based studies on Munich and Dresden. More broadly, the configurations offer an analytical lens for analysing APS location dynamics and metropolitan governance challenges in other polycentric and federal contexts. Full article

Background: Food insecurity is an important but under-recognised issue in cancer patients. It is linked to malnutrition and contributes to inequities in care. As there is minimal national population data available, this study aimed to assess the food security status of people receiving treatment for cancer in the state of Victoria, Australia. Methods: A multi-site point prevalence study was conducted in Victorian acute health services in July 2024. Adults receiving ambulatory treatment and multi-day stay inpatients were included. Patients were screened and assessed for malnutrition (using the Malnutrition Screening Tool and Global Leadership Initiative on Malnutrition criteria) and assessed for their food security status (using the Household Food Security Survey Module for Adults). Results: A total of 24 health services recruited 2121 adults with cancer. Overall, 6.9% experienced food insecurity, with the majority (52.4%) experiencing marginal food insecurity. No differences in food security status were observed between admitted and ambulatory patients, nor between metropolitan and regional/rural locations. Culturally and linguistically diverse (CALD) patients recorded higher rates of food insecurity compared to non-CALD patients (10.4% vs. 6.0%; p = 0.001). Patients who were food insecure had a higher prevalence of malnutrition compared to food secure patients (37.4% vs. 27.5%; p = 0.014). Conclusions: Although the prevalence of food security was low overall among patients with cancer, it was more pronounced in patients with malnutrition or from CALD backgrounds. To effectively address the issue of malnutrition in patients with cancer, food security must be considered as part of a multi-modal intervention. Full article

Understanding the spatial organisation of small towns is essential for sustainable spatial planning and regional development. This study examines the spatio-functional pattern of Brzeziny, a small town located within the Łódź Metropolitan Area in Central Poland, selected as a representative case due to its typical Central European small-town morphology shaped by historical continuity, demographic stagnation, and metropolitan influence. The analysis is based on updated cadastral land-use data verified through field surveys and supplemented with topographic datasets (BDOT10k and OpenStreetMap). A modified land-use classification comprising nine categories is applied, and spatial analysis is performed using a regular grid and GIS tools. Dominant land-use structures are identified using the K. Doi method, enabling the delineation of spatio-functional zones. The results reveal a strong dominance of undeveloped land (77% of the total area), particularly agricultural land, alongside a compact central zone characterised by residential and service functions. The study demonstrates how historical development, economic structure, and metropolitan proximity shape the spatial organisation of small towns. The proposed methodology highlights the usefulness of cadastral data combined with grid-based spatial analysis for identifying S-FPs and supporting local planning processes. Full article

The Metropolitan Area of São Paulo (MASP), located in southeastern Brazil, faces significant air quality challenges due to its large vehicle fleet and complex fuel composition, including widespread ethanol use. Air pollution dynamics in this context are investigated, focusing on spatio-temporal variations in formaldehyde (HCHO) and nitrogen dioxide (${\mathrm{NO}}_2$), and their role in ozone (${\mathrm{O}}_3$) formation. High-resolution data from the TROPOspheric Monitoring Instrument (TROPOMI) on board the Sentinel-5 Precursor satellite are used to analyze HCHO and ${\mathrm{NO}}_2$ vertical column densities (VCDs) over a 5-year period (2019–2023). Results reveal high HCHO and ${\mathrm{NO}}_2$ VCDs over MASP, with spatial patterns related to land use and higher concentrations during the dry season, with HCHO mean VCD reaching 14.21 × ${10}^{15}$ molecules ${\mathrm{cm}}^{-2}$ and ${\mathrm{NO}}_2$ mean VCD reaching 8.91 × ${10}^{15}$ molecules ${\mathrm{cm}}^{-2}$. The Formaldehyde to Nitrogen dioxide Ratio (FNR) thresholds were derived based on observations from 24 CETESB surface ${\mathrm{O}}_3$ monitoring stations, providing region-specific constraints for ${\mathrm{O}}_3$ sensitivity classification in MASP, with lower and upper thresholds of 1.6 and 2.4. Based on these thresholds, the analysis indicates a predominance of VOC-sensitive conditions in the urban core, alongside transition and NOx-limited regimes in other areas. Full article

This study estimates rainfall disaggregation coefficients for the State of Rio de Janeiro and for the Rio de Janeiro Metropolitan Region (RMRJ) based on automatic rain gauges from the CEMADEN network. A Python-based workflow collected time series, selected stations according to record length, extracted annual extreme events (10 min to 48 h), and calculated sub-daily to daily rainfall ratios for return periods of 2–100 years. The formulations proposed by Pfafstetter and Chen were evaluated through a case study to guide the model selection. In the RMRJ, 109 stations were analyzed and aggregated by municipality, resulting in the metropolitan mean disaggregation coefficient (COERM). The COERM values are close to those proposed by CETESB up to the 30 min–1 h duration range. However, the coefficients were up to 18.8% higher in the duration range between 1 h and 3 h relative to the 24 h rainfall, indicating a stronger temporal concentration of precipitation precisely in durations critical for urban drainage design. Full article

In this study, we present a machine-learning approach—a land use random forest (LURF) model—to produce daily PM₁₀ concentration maps at a 1 km resolution across the Campania region for the year 2022. The model combines daily measurements from 13 ARPA Campania monitoring stations with a wide set of spatial and atmospheric information. The predictors include population, land cover, road network, ERA5 meteorological data, satellite aerosol observations from MODIS, output from the CHIMERE chemistry transport model, and a flag identifying days affected by Saharan dust transport. The model is trained and validated using a station-based cross-validation scheme that accounts for spatial correlation between sites. Under this scheme, the LURF reproduces observed concentrations with substantially smaller errors than the raw CHIMERE output (RMSE of 11.0 vs. 23.6 $\mathsf{\mu }$g m⁻³). CHIMERE concentrations and ERA5 meteorology emerge as the most informative predictors, while the dust flag specifically improves the representation of episodic high-PM₁₀ events. The resulting 1-km maps reveal clear urban–rural contrasts. They identify pollution hotspots in the Naples metropolitan area and along major motorways that are not visible in coarser model outputs. Probabilistic exceedance maps further show that meeting the future 2030 EU limit value of 20 $\mathsf{\mu }$g m⁻³ will be challenging across much of the metropolitan area. Overall, the proposed framework provides a low-cost, practical tool for high-resolution PM₁₀ exposure assessment, supporting epidemiological studies, environmental justice analyses, and air quality management in regions with complex terrain and limited monitoring coverage. Full article

Rapid urbanisation is threatening agriculture in major cities worldwide. In the Greater Bandung Area (GBA), large-scale conversion of agricultural land into built-up areas has occurred over recent decades. Therefore, this study aimed to understand the rural–urban transition and its control in the agricultural context over the last 20 years. The methods adopted were multitemporal analysis of land cover change (2003–2023), calculation of the sub-district development index (SDI) (2005–2014–2021), spatial clustering analysis, and assessment of the level of agricultural land control. The results showed a transformation of GBA’s spatial structure from a monocentric growth pattern to a polycentric configuration, with the peri-urban zone within a 10–20 km radius evolving as a high-performance area. This shift has diminished the dominance of the traditional city centre and produced a pronounced “donut effect”. An integrated analysis of SDI and spatial clustering identified three interrelated functional zones, namely urban, peri-urban, and rural, forming a continuous spatial gradient. The peri-urban area functioned as a dynamic interface where agricultural activities coexisted and competed with urban expansion pressures. These results outlined the need for context-specific and differentiated planning methods, supported by selective spatial control to guide metropolitan transition toward balanced and sustainable development. Full article