Search Results (68)

This paper focuses on the social effect assessment of the ecological governance of Poyang Lake wetland in Jiangxi Province. By distributing 1098 valid questionnaires to the surrounding residents and collecting them, this paper deeply explores the feedback on residents’ satisfaction and recognition regarding the effectiveness of wetland governance measures. Through the comprehensive use of the Order Logit model and descriptive statistical methods such as the mean and standard deviation, this paper deeply discusses the impact of the ecological management measures of Poyang Lake wetland on residents’ life quality, environmental protection awareness, and community well-being. The study found that the wetland ecological management project was widely praised, and the overall satisfaction of residents was as high as 87.5%, reflecting a significant social effect. Further analysis revealed that satisfaction was affected by multiple factors, including age, education, quality of life (including increased leisure and recreational space and enhanced regional identity), and improvement in environmental quality (including increased bird species diversity, improved water and air quality, and improved infrastructure). Residents’ cognition of wetland function is multi-dimensional and profound, but they still need to strengthen standard science education in deep-level ecological functions such as species protection. Based on the research conclusion, three policy suggestions are proposed: first, the government should strengthen ecological education and enhance the public awareness of environmental protection; second, the government should pay attention to the win–win of ecology and people’s livelihoods and promote the harmonious coexistence of wetland protection and community development; and third, the government should improve the relevant infrastructure, strengthen environmental protection facilities, scientific research monitoring and legal construction, and lay a solid foundation for the sustainable protection and utilization of wetland resources. Full article

(1) Background: With the deep integration of e-commerce and video technology, live-streaming marketing has emerged globally and maintained rapid growth. However, most of the current research on live-streaming e-commerce marketing focuses on merchants’ sales strategies and consumers’ purchase intentions, and there is relatively little research related to the risks of live-streaming e-commerce marketing. Nevertheless, with the development of live-streaming e-commerce marketing and its integration with technologies such as artificial intelligence and virtual reality (VR), live-streaming e-commerce marketing still faces challenges such as unclear subject responsibility, difficulty in verifying the authenticity of marketing information, and uneven product quality. It also harbors problems such as the ethical misbehavior of AI anchors and the excessive beautification of products by VR technology. (2) Methods: This study systematically analyzes the scenarios of live-streaming marketing to elucidate the mechanisms of risk formation. Utilizing fault tree analysis (FTA) and risk checklist methods, risks are identified based on the three core elements of live-streaming marketing: “people–products–scenes”. Subsequently, the Delphi method is employed to refine the initial risk indicator system, resulting in the construction of a comprehensive risk indicator system comprising three first-level indicators, six second-level indicators, and 16 third-level indicators. A hesitant fuzzy multi-attribute group decision-making method (HFMGDM) is then applied to calculate the weights of the risk indicators and comprehensively assess the live-streaming marketing risks in live broadcast rooms of three prominent celebrity anchors in China. Furthermore, a detailed analysis is conducted on the risks associated with the six secondary indicators. Based on the risk evaluation results, targeted recommendations are proposed. This study aims to enhance consumers’ awareness of risk prevention when conducting live-streaming transactions and pay attention to related risks, thereby safeguarding consumer rights and fostering the healthy and sustainable development of the live-streaming marketing industry. (3) Conclusions: The results show that the top five risk indicators in terms of weight ranking are: Ethical Risk of the AI Anchor (A4), VR Technology Promotion Risk (F3), Anchor Reputation (A1), Product Quality (D1), and Logistics Distribution Service Quality (D2). The comprehensive live-streaming marketing risk of each live broadcast room is Y > L > D. Based on the analysis results, targeted recommendations are provided for anchors, MCN institutions, merchants, supply chains, and live-streaming platforms to improve consumer satisfaction and promote sustainable development of the live-streaming marketing industry. Full article

The purposes of this study were to determine whether perceived food insecurity significantly influences food purchasing behaviors, food preparation practices, and life satisfaction; and to verify the moderating effect of generation in South Korea. Structural equation modeling and multi-group analyses were conducted to confirm the research model and test the hypotheses. Perceived food insecurity positively influenced food purchasing behaviors and food preparation practices. In addition, this study verified the presence of a significant negative relationship between perceived food insecurity and life satisfaction. Notably, a greater awareness of food insecurity in Generation M increased food preparation practices, and the negative impact of perceived food insecurity on life satisfaction was more strongly exhibited in the older generation than in the younger generation. This presents a need to pay greater attention to food insecurity issues at the government level and accelerate related future research. Specifically, it will be necessary to establish a structured educational environment and support services for systematic food security education. Also, rather than educating people with high levels of perceived food insecurity about why they should eat healthy food, proactive efforts should first be made to remove barriers to healthy eating habits. As a preventive measure against the worsening of food insecurity, more solutions should be prepared from a macroscopic perspective in addition to implications from the microscopic perspective mentioned so far. Full article

In recent years, researchers and organizations have increasingly focused on understanding how various aspects of the work environment affect employees’ well-being, acknowledging its critical influence on organizational performance and employee satisfaction. This study aims to evaluate the effects of the work environment on employees’ well-being, paying attention to the physical and social dimensions, organizational job characteristics, intrinsic job factors, and employees’ perspectives on their roles. The research used a survey to collect data from Romanian employees across diverse sectors. Structural equation modeling enabled analysis of the relationships between these variables and their direct or indirect influence on well-being. The results demonstrate that the work environment’s physical and social aspects, intrinsic job characteristics, and future perspectives significantly contribute to employees’ well-being. Key organizational factors, such as job autonomy and managerial support, enhance work experience. The findings indicate that enhancing workplace conditions and relationships can positively affect employees’ well-being, with broader implications for organizational productivity and employee retention. This study emphasizes the need for a comprehensive approach to workplace design, integrating physical and social elements to promote higher levels of employee engagement. Full article

Under the dual constraints of limited resources and cold climate, the built environment of small cities in cold areas has a particularly prominent impact on the outdoor activities of the elderly and the need for aging optimization. Based on a questionnaire survey and field measurement data, combined with multiple linear regression, Spearman correlation analysis, and difference analysis, this paper systematically discusses the effects of different built environment characteristics on outdoor activity behaviors (frequency, intensity, and stay time) of the elderly in Bei’an City, Heilongjiang Province, China. The difference in environmental satisfaction of the elderly with different genders, ages, and education levels was analyzed. The results show that green coverage, air quality, leisure facilities, and barrier-free facilities are the core environmental factors that significantly improve the activity behavior of the elderly. In contrast, noise level, road damage, and inadequate facility maintenance significantly inhibit the activity willingness of the elderly. It was found that older adults are more dependent on barrier-free facilities and site safety, while younger people pay more attention to sports facilities and social space. Older women pay more attention to environmental details and cultural elements, while men tend to evaluate environmental functionality and so on. Further analysis shows that green environments and leisure facilities in cold climates provide visual beauty and play an important role in improving air quality and enhancing mental health. These elements are particularly critical in winter activities for older people, demonstrating the potential of the built environment to promote health and social participation. Starting from the unique background of small cities in cold regions, this study verified the applicability of the WHO age-friendly city framework in small cities in cold climates through empirical data, and revealed the necessity of climate-adaptive design (such as winter anti-slip facilities and cold-resistant greening) to improve the activity behavior of the elderly, providing a regional supplement to the existing theories. Full article

Many primary studies and reviews have been published on the influence of chronic diseases (CDs) on sexual dysfunction (SD), but CDs not involving the genitals are less well represented in the literature. Aim: To determine the prevalence of SD in patients with non-genital CD and assess the overall impact on sexual functioning. Methods: An umbrella review was performed of published systematic reviews on the relationship between the occurrence of CDs not involving the genitals and patients’ sexual functioning, following the PRISMA guidelines. PubMed, EMBASE, the Cochrane Library, PsycInfo, Scopus, and CINAHL were used to find publications for inclusion in the review, with two independent researchers performing the search and selection of articles, data extraction, and quality assessment. The relative risk (RR) or odds ratio (OR) with 95% confidence was used as an indicator of the association between CD and SD across studies. The quality of studies included in the review was assessed using Amstar-2. Outcomes: Forty-three systematic reviews, thirty of which included a meta-analysis, met the inclusion criteria, representing a total of 880,586 patients (756,629 (85.9%) men, 68,388 (7.8%) women, and 55,569 (6.3%) unspecified). Results: Among men, CD is associated with erectile dysfunction, and among females, with lower levels of desire, arousal, lubrication, orgasm, and sexual satisfaction and with increased pain during intercourse. For both men and women, depression, anxiety, and fatigue are also reported, while women with CD are more affected by a poor body image than men. Clinical implications: Patients with CD, especially females, should be more routinely assessed for the impact of their condition on sexual functioning. The impact of CD on men’s sexuality has been extensively studied in terms of erectile capacity, but other aspects of their sexuality are largely neglected. Strengths and limitations: This is the first umbrella review to bring together the documented findings regarding sexual dysfunction among patients with various non-genital CDs. While the heterogeneity of the CDs makes the study unique and clinically relevant, it renders the interpretation of the results more difficult. The overrepresentation of men in existing studies reflects the current state of research but limits the applicability of the findings for women. Conclusions: Women and men with non-genital CDs can suffer from SD or reduced sexual function. Health professionals should pay more attention to managing these sexual disorders, even when the disease does not affect the genitals. Full article

This study considers Jinniu Lake (JNL), the biggest artificial lake and National Water Conservancy Scenic Spot (WCSS) in Nanjing, as an example to analyze the determinants of tourists’ willingness to pay (WTP) and satisfaction, as well as their pro-environmental behavior from a ‘tourist perceived value’ perspective (i.e., function, emotional, social, and epistemic), and then estimate the non-use value of JNL using the contingent valuation method (CVM). A total of 321 valid responses to questionnaires were analyzed using structural equation modeling (SEM) with the obtained results indicating the following: (1) JNL possesses a relatively high non-use value, influenced by emotional value, function value, social value, and epistemic value. (2) Satisfaction mediates the relationships between perceived value and WTP. (3) Education level, monthly travel frequency, and past visit frequency are all significantly positively correlated with WTP. In conclusion, strengthening tourists’ emotional and functional identification within destinations is conducive to improving visitor satisfaction and inspiring their pro-environmental behavior, ultimately feeding back into the development of the scenic area through WTP, achieving imitable ecological–economic circular development. Full article

Background/Objectives: Root canal treatment (RCT) is a crucial procedure for preserving dental health. While its clinical success rates are well documented, patient-reported outcomes regarding quality of life remain less explored. This study aimed to assess the long-term impact of RCT performed in an educational hospital on patients’ oral-health-related quality of life (OHRQoL) using the Oral Health Impact Profile-14 (OHIP-14). Methods: A total of 1500 patients who underwent non-surgical RCT between April 2018 and February 2023 were called and invited for a follow-up visit. During the visit, all teeth that had undergone RCT were assessed clinically and radiographically by two calibrated examiners to evaluate RCT quality and pre- and post-treatment periapical index (PAI) scores. Demographic information and OHIP-14 responses were collected, and the data were recorded. Results: Patients reported high levels of satisfaction (95%) and no negative impact on their OHRQoL. Statistical analysis revealed that post-operative periapical index (PAI) scores (p < 0.001), patient gender (p = 0.003) and nationality (p = 0.029) significantly influenced OHRQoL perceptions; Conclusion: These findings emphasize the effectiveness of RCT in enhancing patients’ quality of life and highlight the impact of demographic factors—such as gender and whether the patient is a resident or a national of the country, along with post-treatment severity of the disease—on patient-reported outcomes. Full article

Access to rural primary healthcare services has been broadly studied in the past few decades. However, most earlier studies that focused on examining access to rural healthcare services have conventionally treated spatial and non-spatial access as separate factors. This research aims to measure access to primary healthcare services in rural areas with the consideration of both spatial and non-spatial dimensions. The methodology of study is threefold. First, the Gaussian two-step floating catchment area (G-2SFCA) method was adopted to measure spatial access to primary healthcare services. Then, a questionnaire survey was conducted to investigate non-spatial access factors, including demographic condition, patient’s household income, healthcare insurance, education level, and patient satisfaction level with the services. After that, a comprehensive evaluation index system was employed to integrate both spatial and non-spatial access. The empirical study showed a remarkable disparity in spatial access to primary healthcare services. In total, 78 villages with 185,137 local people had a “low” or “very low” level of spatial access to both clinics and hospitals. For the non-spatial dimension, the results depicted that Songzi had significant inequalities in socioeconomic status (e.g., income, education) and patient satisfaction level for medical service. When integrating both spatial and non-spatial factors, the disadvantaged areas were mainly located in the eastern and middle parts. In addition, this study found that comprehensively considering the spatial and non-spatial access had a significant impact on results in healthcare access. In conclusion, this study calls for policymakers to pay more attention to primary healthcare inequalities within rural areas. The spatial and non-spatial access should be considered comprehensively when the long-term rural medical support policy is designated. Full article

Willingness to pay (WTP) for geological protection is essential for market-based geopark conservation tactic formulations. Whether geotourists are willing to pay and how much they prefer to pay might be influenced by different determinants. The present study aims to (1) investigate the probability of paying and the payment amount for geopark conservation and (2) examine how factors influence the intention and amount to pay for the upkeep of geoparks. The results suggest that geotourists would contribute financially to geological conservation and geopark management. The findings also revealed that geotourists’ intentions and payment for conservation were associated with educational background and monthly income level. In addition, geotourist attachment and satisfaction concerning visiting geoparks positively affected intention and payment. This study might provide empirical references for geopark management and conservation in the Greater China Region. Full article

This was a prospective observational study based on clinical simulation courses taught in 2017 at the IDEhA Simulation Center of Alcorcón Foundation University Hospital. Two courses in metabolic emergencies (MEs) and respiratory emergencies (REs) were offered to primary care physicians all over Spain. The main objective was to teach nontechnical skills (crisis resource management). Using a modified five-level Kirkpatrick–Phillips education evaluation model, level I (reaction, K1), level II (learning, K2) and level III (behavioral change, K3) changes were evaluated through surveys at the end of the courses and one year later. Thirty courses were held (15 ME courses and 15 RE courses) with 283 primary care physicians. The overall satisfaction (K1) was high: ME courses, 9.5/10; RE courses, 9.6/10. More than 80% of the participants rated the organization, resources, content, debriefing and scenarios as excellent, with no significant differences between the two courses. After one year (156 responses), the respondents for both courses reported that they would repeat the training annually (K2), encourage debriefing with colleagues (K3) and have modified some aspects of their workplace (K3), citing improvements in procedures and in the organization of the health team as the most important. After the ME course, few participants, i.e., 5 (6%), reported providing improved care to patients; after the RE course, 15 (19%) participants reported providing improved care; the difference between groups was significant (p < 0.05). Compared with the ME course, the RE course imparted greater knowledge about patient safety (K2) (38 (49%) vs. 24 (31%) (p < 0.05)) and more useful tools for daily clinical practice (K3) (67% vs. 56.4%) and resulted in participants paying more attention to personal performance and to colleagues when working as a team (K2) (64% vs. 50%). Clinical simulation courses are highly valued and potentially effective for training primary care physicians in patient safety and CRM tools. Future studies with objective measures of long-term impact, behavior in the workplace (K3) and benefits to patients (K4) are needed. Based on the results of our study, the areas that are important are those aimed at improving procedures and the organization of health teams. Full article

Background: The Doctor of Philosophy (Ph.D.) is a doctoral research degree that represents the highest level of academic qualification awarded by universities. It is expected that professionals holding a Ph.D. degree can target higher-paying jobs. However, little is known about the real correlation between Ph.D. holders and professional career development. For the first time, a study was undertaken among Ph.D. graduates from the Complutense University of Madrid (UCM), one of the largest universities in Spain, to understand the value of the Ph.D. on students’ satisfaction and career prospects. Methods: An anonymous questionnaire, created through Google Forms with three sections (sociodemographic data, academic data about doctoral studies, and employment status), was sent to Ph.D. graduates from UCM between 2015 and 2022. Results: A total of 107 Ph.D. graduates participated in this study. Responders felt that the Ph.D. degree has positively impacted their soft skills development and capability for constant learning but has minimal impact on their overall employability, although the employment rate was 94%. Most of the jobs undertaken by the Ph.D. holders were linked to academic research areas and were located in Spain, with salaries ranging between 14,000 and 50,000 EUR. Conclusions: Universities should implement novel policies at the Ph.D. level to ensure students are not only exposed to the scientific environment but are also prepared and qualified for highly skilled jobs. It is key to creating a community along with the private sector and providing the necessary tools for fostering Ph.D. students’ satisfaction and career prospects. Full article

The turnover rate, income levels, and salary distribution among kindergarten teachers in China have gained increasing attention as these issues may negatively affect teacher quality. They largely impede the sustainable development of preschool education. This study aimed to explore the level of perceptions of pay equity among preschool teachers and examine the relationships among pay equity, turnover intention, perceived organizational support (POS), and job satisfaction. A survey was conducted with 2029 preschool teachers from Chinese public kindergartens, and descriptive analysis and covariance-based structural equation modeling (CB-SEM) were used to analyze the data. The results showed that the level of pay equity for preschool teachers was moderate, with a significant difference between teachers with Bianzhi and those without. The structural equation model revealed a significant negative relationship between teachers’ pay equity and their intent to leave. Perceived organizational support and job satisfaction independently mediated the relationship between pay equity and turnover intention, with a serial mediation effect observed. These findings highlight the importance of considering teachers’ pay equity, POS, and job satisfaction in order to retain high-quality teachers. Full article

CSR is a strategy to realize sustainability. CSR needs to be understood based on a priority scale and objectives to build a solid organizational structure and ensure sustainable CSR implementation. In this regard, CSR implementation at the micro and macro levels needs further explanation. The study aims to analyze the effect of CSR on employee performance through assessment and job satisfaction using the micro foundation framework. This causal study surveyed 382 state-owned enterprises’ non-manager employees in Indonesia. The results demonstrate employees’ responses to internal and external CSR. Internal CSR, which primarily aims to improve employee performance, was found to improve employee satisfaction and engagement and lead to better performance more significantly than external CSR. Internal CSR had a higher effect on employee performance than external CSR. Compiling a scale of top priorities for corporate stakeholders became the leading choice to encourage long-term performance. The originality of this study is that the foundation of long-term performance ensures the corporation’s performance, and CSR lies in the strength of the microstructure at the individual level. The implementation of CSR based on the legal system requires paying attention to the scale of priorities based on the internal function of CSR in strengthening a corporation’s microstructure. Full article

Today, organizations must pay attention to countless aspects of work life to maintain high levels of organizational sustainability. One of the key aspects of organizational sustainability is maintaining low levels of turnover. In line with the Job Demands-Resources (JD-R) model and environmental psychology, the organizational environment must sustain employee well-being, motivation and performance. However, stressors such as environmental bullying, that is, bullying behaviors involving environmental elements (i.e., not giving colleagues the opportunity to adjust the temperature of the office or making noise near a colleague’s workspace), can have destructive effects on the employee and the organization. The present work aimed to test the impact of environmental bullying on employee turnover intention. In addition, to better understand the underlying psychosocial processes, we observed the mediating role played by secure workplace attachment and satisfaction toward the work environment. Using a cross-sectional design, we conducted a survey of 182 office employees and tested a serial mediation model. Hypotheses were tested using the PROCESS macro. The results show that employees who feel bullied through manipulation of their workspace or workplace have greater intention to leave, and secure workplace attachment and environmental satisfaction play a role in this relationship. The results confirm that while the environmental characteristics of the workplace can play a supportive role by meeting the employee’s needs, environmental bullying behaviors may have an adverse effects by promoting insecure attachment and an intention to leave. To reduce turnover intention, management should carefully consider the physical–spatial characteristics of workplaces as means of developing attachment to the place and environmental satisfaction in employees. Full article