Search Results (408)

The social acceptance of Renewable Energy Sources (RESs) is a decisive factor in the successful implementation of clean energy projects. This study explores the attitudes, demographic profiles, and common misconceptions of citizens in the Region of Epirus, Greece, toward photovoltaic and wind energy installations. Special attention is given to the role of education, age, and access to information—as well as spatial factors such as visual exposure—in shaping public perceptions and influencing acceptance of RES deployment. A structured questionnaire was administered to 320 participants across urban and rural areas, with subdivision between regions with and without visual exposure to RES infrastructure. Findings indicate that urban residents exhibit greater acceptance of RES, while rural inhabitants—especially those in proximity to installations—express skepticism, often grounded in esthetic concerns or perceived procedural injustice. Misinformation and lack of knowledge dominate in areas without visual contact. Statistical analysis confirms that younger and more educated participants are more supportive and environmentally aware. The study highlights the importance of targeted educational interventions, transparent consultation, and spatially sensitive communication strategies in fostering constructive engagement with renewable energy projects. The case of Epirus underscores the need for inclusive, place-based policies to bridge the social acceptance gap and support the national energy transition. Full article

Urban areas are at the forefront in addressing global challenges such as climate change and biodiversity loss. Among the key responses are nature-based solutions, which are increasingly being integrated into policy frameworks but which require strong community engagement for their effective implementation. This paper presents the findings of surveys conducted within the Place Lab in Katowice, Poland, an initiative developed as part of an international project and used as a participatory tool for co-creating and implementing green infrastructure. The project applies both place-based and people-centred approaches to support European cities in their transition towards regenerative urbanism. Place Lab activities encourage collaboration between local authorities and residents, enhancing awareness and fostering participation in environmental initiatives. The survey data collected during the project allowed for the evaluation of changes in public attitudes and levels of engagement and for the identification of broader societal phenomena that may influence the implementation of nature-based solutions. The findings revealed, for instance, that more women were interested in supporting the project, that residents tended to be sceptical of governmental actions on climate change, and that views were divided on the trade-off between urban infrastructure such as parking and roads and the presence of green areas. Furthermore, questions of responsibility, awareness, and long-term commitment were frequently raised. Building on the survey results and the existing literature, the study proposes a set of indicators to assess the contribution of citizen participation to the adoption of nature-based solutions. While the effectiveness of nature-based solutions in mitigating climate change impacts can be assessed relatively directly, evaluating civic engagement is more complex. Nevertheless, when conducted transparently and interpreted by experts, indicator-based assessment can offer valuable insights. This study introduces a novel perspective by considering not only drivers of engagement but also the obstacles. The proposed indicators provide a foundation for evaluating community readiness and commitment to nature-based approaches and may be adapted for application in other urban settings and in future research on climate resilience strategies. Full article

This study conducts a systematic qualitative review of empirical research on sense of place within housing contexts, employing the tripartite model of place identity, place attachment, and place dependence. The study employs an expanded model that captures the internal complexity of each indicator by integrating its cognitive, affective, and conative components, which represent the dimensions of human–place interaction. This model conceptualizes sense of place as a multidimensional construct, facilitating thematic synthesis and cross-study comparisons. A structured search of Scopus and Web of Science identified 10 studies that met predefined inclusion criteria. Additionally, eight studies with divergent conceptualizations of sense of place were narratively analyzed to explore the diversity of interpretations across disciplinary perspectives in housing research. The review yields three key findings: (1) The expanded tripartite model provides a framework for understanding the relationships between residents and housing. (2) Sense of place is both a criterion and a catalyst for housing sustainability. (3) The development of a sense of place is influenced by the interaction of physical, spatial, environmental, social, cultural, economic, and institutional housing factors. Sense of place provides insight into how housing becomes home, informing context-dependent strategies that enhance place-based connections and contribute to housing sustainability. Full article

This study examines the regional disparities in public perceptions of decarbonization and the acceptance of the bioeconomy within Western Macedonia, a Greek region undergoing structural economic change. While the environmental benefits of decarbonization, such as reduced carbon emissions and improved air quality, are widely acknowledged, perceptions of economic and social outcomes, including investments, new business development, and policy support, vary significantly across sub-regions. To this end, a structured survey was conducted among 765 residents, utilizing Likert-scale items to assess attitudes, with demographic data providing a contextual framework. Statistical analyses, incorporating techniques such as one-way analysis of variance (ANOVA), Kruskal–Wallis, and multiple regression, were employed to explore spatial variations and identify the primary drivers of bioeconomy acceptance. The results indicate that perceived government action, visible investment, new enterprises, and a positive view of public sentiment are all significant predictors of acceptance, with institutional support showing the strongest influence. The findings reveal that certain areas feel less engaged in the transition, expressing skepticism about its benefits, while others report more optimism. This disparity in perception underscores the necessity for targeted policy interventions to ensure inclusive and equitable participation. The study emphasizes the necessity for regionally responsive governance, enhanced communication strategies, and tangible local development initiatives to cultivate public trust and support. The study makes a significant contribution to the broader discourse on just transitions by emphasizing the role of place-based perceptions in shaping sustainable change. Full article

Background: Vaccination effectively reduces the risk of infection, including COVID-19 yet older adults often receive insufficient attention despite their increased vulnerability. The study aimed to correlate serological results with underlying conditions, vaccination status, and COVID-19 history. Methods: This non-interventional, multicenter study aimed to assess vaccination coverage and SARS-CoV-2 antibody levels among residents of eight long-term care facilities (LTCFs) in Southern Poland. Data collection took place between January and June 2022, with 429 participants recruited based on their ability to provide informed consent and their residency in LTCFs. Sociodemographic data, medical history, and COVID-19-related information—including infection history and vaccination status—were collected through surveys. Blood samples were obtained for serological testing using enzyme-linked immunosorbent assays (ELISA) to detect anti-SARS-CoV-2 antibodies. Statistical analysis, including Spearman’s correlation, revealed significant associations between antibody levels and vaccination status, as well as between RT-PCR-confirmed COVID-19 infections and higher antibody titers. Results: Among the seven different qualitative serological, only the Anti-SARS-CoV-2 NCP (IgG) and Anti-SARS-CoV-2 (IgA) tests showed a positive correlation with the Anti-SARS-CoV-2 QuantiVac (IgG) test, which was used as a comparator. A weak correlation was noted with the age of the residents. Conclusions: Our findings suggest that vaccination positively influences antibody responses, underscoring the importance of immunization among LTCF residents. Additionally, certain comorbidities—such as degenerative joint disease and diabetes—showed weak correlations with higher antibody levels. This study provides valuable insights into the humoral immune response to COVID-19 in vulnerable populations residing in LTCFs. Full article

Background: It is estimated that in Italy, there were 364,000 new diagnoses of neoplasms each year and that the overall incidence of blood cancers was 10% of these. Leukemia and lymphomas represented the ninth and eighth places, respectively, among the causes of death from neoplasia. Hematopoietic stem cell transplantation represented an effective treatment option for many of these malignancies, and not only that: benign and congenital diseases could also be treated. Objective: To assess knowledge among the Apulian population regarding stem cell donation and factors that could influence this choice, focusing especially on the knowledge of the residents of Puglia, Italy on how stem cells were harvested and their functions, their reasons for joining the National Registry, and the reasons that hold them back from making such a choice. Study Design: An observational and cross-sectional study was conducted, through snowball sampling methodology, until data saturation. An online survey was conducted, which included several Italian associations. The questionnaire administered contained five main sections, such as sociodemographic data, knowledge of the existence of National Registries and their adherence, the nationwide presence of various associations that promote donation, knowledge with respect to the structure, use and functions of stem cells, sources of procurement, such as bone marrow, peripheral blood and umbilical cord, and related procedures, beliefs, attitudes, values, and opinions of the Italian population regarding the topic, and degree of information and education regarding bone marrow donation. Results: A total of 567 Apulian citizens were enrolled. Of these, 75.3% were female and 96.8% were aged between 18 and 65 years. Most of participants were single (46.9%) and married (47.3%) and had a diploma (44.4%), and less had a degree (35.8%). Significant differences were recorded between gender, singles, and married participants, and participants with a diploma or a degree and the items proposed. Conclusions: A true culture of donation in our region was not clearly spread. Although something has been accomplished in recent years in terms of deceased donor donation, still a great deal needs to be achieved for living donation, which encountered a great deal of resistance. It has been deemed necessary to seek winning solutions to this issue in terms of communication and information campaigns, raising awareness and empowering citizens to express consciously their concerns about organs and tissues and to stand in solidarity with those who suffered. Full article

Background: Prematurely born newborns with low birth weight constitute a group of patients who require special care from the first days of life. Prematurity and low birth weight affect about 13.4 million infants. Risk factors include placental disorders but also factors related to the mother, such as smoking, alcohol drinking, drug use, malnutrition, or certain diseases. It is imperative to educate women of reproductive age (15–49) about the basic factors influencing embryonic development, such as oral health, diet, medicine intake, and harmful habits. Even though most women are aware of the negative impact of harmful habits on the fetus, still too little attention is paid to oral health in pregnant women. Poor oral health may influence the well-being of the future mother, as well as of the child. Therefore, women of reproductive age and those who are pregnant must have adequate knowledge on this subject. The aim of this study was to assess the knowledge of Polish women of reproductive age (15–49) regarding oral health during pregnancy, including the impact of dental treatment, oral hygiene, and maternal oral conditions on pregnancy outcomes and the health of the newborn. Materials and Methods: This was a cross-sectional study of 508 women, in the reproductive age, whose age ranged from 18 to 49 years old. The surveys were conducted from April 2020 to November 2020. The questionnaire was originally developed based on the available literature and consisted of seven sections: basic information, general health and habits, pregnancy status and dental care, knowledge of treatment options during pregnancy, oral health status and its association with the risk of preterm birth, prematurity and the child’s oral health, and breastfeeding and oral development. Results: After excluding incomplete questionnaires, a total of 499 questionnaires were included in the analysis. Women participating in the study had a fairly good understanding of the impact of oral health on the fetus and the role of breastfeeding in the development of the stomatognathic system (from 50% to 70% correct answers). However, even though most respondents had completed higher education (344/68.94%), their knowledge of oral health, preterm birth, and low birth weight was very limited (including the impact of inflammation on the intrauterine development of the child or bacteria and transfer across the placenta). In these sections, the percentage of correct answers ranged from less than 20% to 50%. When analyzing knowledge by age, education, number of births, and place of residence, the highest levels of knowledge were observed among respondents with higher education, particularly those aged 27–32. Conclusions: Respondents had a fairly good understanding of the general impact of oral health during pregnancy and recognition of the importance of breastfeeding for infants. However, their knowledge about the impact of bacteria and inflammation in the mother’s oral cavity on prematurity and low birth weight was limited. Therefore, educating women of reproductive age and pregnant women on this topic is essential, as it may help reduce the adverse consequences of prematurity. Full article

Superficial fungal infections (SFIs) remain a common dermatological issue in the pediatric population, with varying prevalence across regions and age groups. This study aimed to assess the epidemiology of SFIs among children and adolescents in northern Poland in the years 2019 to 2024. A retrospective analysis was conducted on 1237 patients under 18 years of age who underwent direct mycological examination and culture, due to suspicion of SFIs. Data were evaluated based on age, gender, infection site, fungal species identified, and place of residence. The prevalence of SFIs in the studied population was 21.4%. The most frequently isolated fungi were Microsporum canis and Trichophyton rubrum complex. Infection patterns varied by age: tinea capitis and tinea cutis glabrae predominated in younger children, while adolescents were more affected by tinea pedis and onychomycosis. A higher proportion of positive results was observed in rural patients, although more urban dwellers were tested. Species distribution also varied with gender and place of residence. No significant change in SFI prevalence or pathogen profile was observed over the study period. This study provides updated insights into the epidemiology of SFIs in Polish children, highlighting the influence of demographic and environmental factors. The findings underscore the importance of accurate diagnosis and suggest a need for further research into behavioral and socio-economic contributors to infection patterns. Full article

Wetlands in northeastern Algeria’s Numidia region provide vital ecosystem services, yet their cultural and intangible values (e.g., spiritual or aesthetic benefits) remain under-recognized in policy and practice. This study explores how gender, education, occupation, and wetland protection status influence local perceptions of provisioning, regulating, and cultural ecosystem services. Based on surveys (n = 552) across 12 wetland communities, results show that women place greater importance on cultural services, while those with higher education display more ecological awareness but less connection to traditional practices. Occupation and residence in protected areas also significantly shape valuation. These findings highlight the need for inclusive conservation strategies that integrate gender perspectives and local knowledge, promoting community-driven stewardship. This research supports more equitable and resilient environmental governance. Full article

Stream metabolism is traditionally defined as the combined metabolism of all aerobic organisms in a stream. Its component processes of oxygenic photosynthesis and aerobic respiration create and consume dissolved oxygen (DO) and therefore can be measured using time series of DO concentration, solar radiation, and water temperature, in conjunction with a model of DO dynamics that includes photosynthesis, respiration, and oxygen exchange with the atmosphere. A complication is that stream communities typically exhibit pronounced longitudinal heterogeneity in habitat type (e.g., shaded versus unshaded reaches) and species composition and abundance. The influence of a given stream reach and associated community on DO concentration propagates downstream with the current, gradually being replaced, over a transition zone, by the influence of the next downstream reach. Knowing the approximate length of this transition zone is important when estimating stream metabolism with one-station DO monitoring, since it indicates which stream reach and associated community the metabolism estimates apply to. We propose new methods for estimating the transition-zone length and for estimating the proportions of DO at a given location in a stream reach that entered the reach from upstream, from photosynthesis within the reach, and from atmospheric uptake within the reach. We also propose methods for estimating the residence-time distribution of DO present at a given stream location, and the corresponding distribution of upstream distances at which the DO entered the stream. Both distributions are approximately exponential. Thus, habitat immediately upstream of the sonde has the greatest influence on metabolism estimates with one-station monitoring, and it is therefore important to place the sonde so this habitat is representative of the study reach. Full article

This study explores the evolution of China’s intangible cultural heritage (ICH) governance through the lens of discursive institutionalism, with a specific focus on how institutional discourse and arrangements shape the spatial configuration and symbolic meaning of ICH-related landscapes. By analyzing policy discourse, governance actors, resource mobilization, and regulatory mechanisms, the study traces the transition from community-led practices to increasingly formalized and spatialized systems under the influence of the 2003 UNESCO Convention. Drawing on a combination of historical policy analysis and place-specific institutional insights, the research finds that while institutional reforms have enhanced administrative coherence and international alignment, they have also at times disrupted vernacular meanings and weakened residents’ place-based cultural attachments. Conversely, localized revitalization initiatives can foster community resilience and landscape justice. These findings are derived from an interpretive synthesis of institutional trajectories and spatial governance practices. Overall, the study contributes to the theoretical integration of discursive institutionalism and cultural geography, offering new insights into heritage governance and sustainable cultural planning in rapidly urbanizing contexts. Full article

In recent years, an increasingly important role in the etiopathogenesis of lung cancer has been attributed to genetic predisposition. Current genetic research suggests that the increased risk of this cancer may be due to gene polymorphism within repair genes. In the case of lung cancer, observations about genes involved in the DNA repair system by cutting bases of nitrogen—base excision repair (BER)—seem to be interesting. Most attention has been devoted to the XRCC1 gene, which coordinates the various stages of BER. The aim of this study was to assess the role of the single nucleotide polymorphism Arg399Gln in the XRCC1 gene as a factor influencing the risk of lung cancer. The study involved 118 patients with non-small cell lung cancer (NSCLC). The control group consisted of 60 people who did not have cancer. The study proved that the polymorphism of the XRCC1 gene is characterized by a statistically significant relationship with the onset of cancer. There were no statistically significant differences between the Arg399Gln polymorphism of the XRCC1 gene and risk factors for non-small cell lung cancer, such as age, sex, smoking and its duration, or place of residence, as well as between the histological type of the tumor or its severity. Detailed analysis of three genotypes—Arg/Arg, Arg/Gln, and Gln/Gln—showed that the incidence of particular genotypes in the group of patients was, respectively, 16.10%, 27.12%, and 58.78%. In the case of the Gln/Gln genotype, the most common associated histopathological type was squamous cell carcinoma, and in the case of adenocarcinoma, the most common genotype was Arg/Arg. It was estimated that each Arg allele reduced the chance of tumor occurrence to 0.48 times the reference value, i.e., the Gln/Gln genotype class for the Arg/Gln genotype and the Arg/Gln genotype for the Arg/Arg genotype. The relationship between the male sex and the occurrence of cancer remained insignificant, in contrast to the presence of nicotinism. Studies suggest that the Arg399Gln polymorphism of the XRCC1 gene has limited prognostic significance in non-small cell lung cancer. Full article

Rapid urban expansion has led to an increasing number of people relocating to Urban–Rural Fringe Areas (URFAs) in China, with related development placing pressure on ecosystems in these locations. Community parks (CPs) are a key category of urban public park (UPPs) in Chinese planning and play a vital role in improving residents’ quality of life and enhancing regional environment, whilst also promoting sustainable urban development. Consequently, CPs are considered by many to be integral components of “communities” in Chinese cities. Drawing on documentary analysis and field research, this paper explores the socio-economic and ecological values associated with CP investments in URFAs in China. It assesses governmental policies and expert perspectives concerning CPs’ development in URFAs and analyses the factors influencing their planning and delivery. The research highlights how policy and stakeholders’ viewpoints impact the development of sustainable green space in URFAs. To enhance the construction of multi-functional CPs in URFAs, we propose a series of characteristics that need to be considered in future developments, including stakeholder engagement, resident needs, and park design. These insights offer an evidence-based reference for decision-makers, aiming to better meet the requirements of residents and support the development of urban sustainability. Full article

Background/Objectives: The under-five mortality rate (U5MR) remains a serious health challenge in Indonesia, with low birth weight (LBW) being a key risk factor. This study aimed to identify predictors of survival among under-five children with LBW using data from the 2017 Indonesia Demographic and Health Survey (IDHS). Methods: This cross-sectional study included 625 children under five with LBW. The dependent variable was under-five mortality (children aged 0–59 months), while the independent variables include child (gender), maternal (age at delivery, education, empowerment, delivery complications, and breastfeeding history), health service (antenatal care-ANC and place of delivery), and household (wealth quintile and residence) factors. Data were obtained from the 2017 IDHS using household and women’s questionnaires and analyzed using univariate analysis, Kaplan–Meier estimation, and Cox regression. Results: 41 of 625 children born with LBW died before the age of five. The Kaplan–Meier estimation found that maternal (delivery complications and breastfeeding history), health service (ANC history and place of delivery), and household factors (residence) significantly influenced the survival of LBW children. The Cox regression results showed that LBW children who were breastfeed and whose mother had adequate antenatal care visits had a lower risk of under-five mortality. Surprisingly, children born in health facilities had a significantly higher risk of death compared to those born elsewhere. Conclusions: Exclusive breastfeeding, adequate antenatal care, and place of delivery are important determinants of survival among children born with LBW. This support targeted interventions to improve the survival chances of children born with LBW, particularly in their early years of life. Full article

In the course of rural spatial transformation in China, the vicissitudes of the traditional built environment have given rise to the deconstruction of locality, whereas place attachment emerges as the crux for addressing this issue. Considering that current research on how the built environment influences place attachment remains deficient in constructing a multi-dimensional and composite analytical framework from a rural perspective, this paper constructs a ”community–individual” nested analytical framework and establishes a five-dimensional system of rural built environment elements covering roads, boundaries, regions, nodes, and landmarks. On this basis, this paper takes 15 village cases in Leiling Town, Guangdong Province, China, as the research object, using a hierarchical linear model (HLM) to systematically analyze the impact of rural built environment elements on residents’ place attachment. The study finds that 1. At the individual level, the average score of place attachment is 0.61, with females showing significantly higher levels than males, and age and length of residence being positively correlated with place attachment. 2. At the community level, the built environment explains about 15% of the variance in attachment, with the distance from villages to town centers being negatively correlated and building compactness, environmental tidiness, and cultural landmark density being positively correlated. 3. Node–landmark elements have a significantly stronger impact on place attachment than road-boundary and functional-area elements. 4. The influence mechanism follows the identity cycle of “memory identity—place identity—social identity”. Full article