Search Results (261)

Background/Objectives: This ecological study aimed to investigate changes in the time-varying reproduction number (Rt) of SARS-CoV-2 across six regions of Massachusetts from 2020 to 2022 and to evaluate the impact of various nonpharmaceutical interventions (NPIs) implemented in 2020 by examining associated changes in the Rt. Methods: COVID-19 incident case data from the Johns Hopkins University database were adjusted for reporting delays using deconvolution and for underreporting via a Poisson-distributed multiplier of 4. Negative and zero counts were corrected using imputation. Rt was estimated using R package EpiEstim (Version 2.2-4) with a 7-day sliding window from 2020 to 2022 and with non-overlapping time windows between policy changes in 2020. Results: From 2020 to 2022, Massachusetts experienced five COVID-19 surges, linked to the wild-type strain and emerging variants, with Rt exceeding 1 during each wave and stabilizing at or dropping below 1 during low-incidence phases. School closure and gathering restrictions, the first major intervention, were associated with a 14.7% statewide reduction in Rt (95% credible interval (CrI): −23.6%, −5.6%), with greater reductions in high-density areas such as Boston (−16.9%; 95% CrI: −26.9%, −7.5%). No statistically significant changes in Rt were found to be associated with other NPIs in 2020, including the mask mandate, reopening phases, travel restrictions and quarantine requirements, and curfews. Conclusions: Our findings highlight the different NPIs’ varying impacts on COVID-19 transmission dynamics across regions in Massachusetts in 2020 and underscore the importance of early interventions for future pandemic preparedness. Full article

The Japanese scholar and art critic Okakura Tenshin traveled to colonial India from January to September 1902 and made three visits to the Buddhist holy site of Bodh Gaya. There, he attempted to purchase a piece of land from the landowner, the Mahant, to build a vihāra (resthouse) for Japanese Buddhist devotees. His purchase request was rejected by the British colonial authority for his foreigner status, despite no legal prohibition against land sales to foreigners under Bodh Gaya’s land management laws at the time. The year after his journey to India, Okakura Tenshin published The Ideals of the East, wherein the renowned declaration that “Asia is one” subsequently evolved to be the intellectual cornerstone of twentieth-century Asianism (or Pan-Asianism). How did Okakura’s Indian journey and his experience of the failed attempt to purchase land in Bodh Gaya catalyze his conception of “Asia is One”? This essay first traces the Buddhist revival movements in late nineteenth-century India and Japan, elucidating how Buddhism helped forge a sense of transnational solidarity between the two nations, which Okakura also embraced. It then examines Okakura’s trip to India and his plan to purchase land at Bodh Gaya, uncovering the underlying geopolitical struggle between the British Empire and the New Asian Power Japan. In this context, the analysis will show that Okakura’s frustrating experience of failed land purchase underscored for him the necessity for the solidarity between Japan and India and the need for a unitary idea of Asia to articulate that solidarity. Finally, a comparative textual analysis between The Ideals of the East (1903) and Okakura’s “History of Japanese Art” lectures given at the Tokyo Fine Arts School before his trip to India explicates how Buddhism, which was being revived by a collective of various groups in and outside its place of origin India, served as a cohesive discursive agent in Okakura’s construction of the narrative of an Asian unity. This Buddhist framework helped Okakura to reconstruct the interlinked cultural histories of India, China, and Japan into a unified notion of Asia within which he crystallized a unique and favored cultural identity for Japan. Full article

Background: Although there is a considerable body of research evidence on active school travel (AST), the number of children walking to school has decreased over the years in Australia, as well as around the world. Different factors influence AST; the most cited in Melbourne is traffic safety perception. Traffic safety perception is influenced by built environment elements, and improving the built environment can enhance parental perception of traffic safety. Studies have shown that lateral separation from traffic and the provision of a buffer improve the perception of traffic safety, and this has to be explored for children walking to school based on the existing ground situation on a typical street near a school in Melbourne. Based on this background, a pilot study was carried out before the main study to test the reliability and validity of the survey questionnaire. Methods: The survey instrument was developed based on perceptions and/or AST studies, and included safety and probability aspects of the perception construct to elicit responses on perception. The perception of traffic safety was to be rated based on the streetscape videos embedded in the survey. The reliability was tested using Cronbach’s alpha and validity was explored through exploratory factor analysis. The study also checked the feasibility of the recruitment method and whether there would be an observable outcome from the study. The participants were recruited online through community Facebook groups. Results: The survey instrument had excellent reliability (α = 0.945) and was valid. The recruitment method through a Facebook community group was apt for recruiting participants. The preliminary analysis of the pilot data revealed a difference in perception ratings based on the streetscape element intervention. Conclusions: The survey instrument can be used for similar AST research, as it proved to be reliable and valid. Full article

This study investigates the resilience dynamics of the Maldives’ tourism sector through a longitudinal analysis of tourist arrivals from six global regions (2008–2024), focusing on spatiotemporal behavioral shifts induced by external shocks such as the COVID-19 pandemic. Using ANOVA and time-series data, the findings reveal divergent recovery trajectories across regions, highlighting resilience as a differentiated and adaptive process. European markets exhibited a rapid, V-shaped rebound, surpassing pre-pandemic levels by 2022, reflecting the “One Island, One Resort” model’s alignment with post-crisis preferences for safety, isolation, and controlled environments. Conversely, Asian markets experienced a more gradual, L-shaped recovery due to extended mobility restrictions and slower border reopening. The analysis further demonstrates that tourism seasonality has been structurally reconfigured, with European arrivals still driven by climatic “push” factors (winter-sun demand). In contrast, Middle Eastern travel is anchored in cultural and religious “pull” factors, such as halal tourism and school vacations. These findings emphasize that tourism resilience is spatially, temporally, and behaviorally contingent, rather than uniform. Accordingly, policymakers should move beyond one-size-fits-all recovery models and implement spatially targeted, adaptive strategies, including customized marketing, diversified tourism offerings, and crisis-ready governance frameworks, to mitigate seasonality and reinforce the Maldives’ long-term capacity to withstand future shocks. Full article

Spatial accessibility to education represents a key component of spatial justice, yet significant disparities persist between urban and rural areas in Romania. The present paper introduces the concept of education deserts as settlements where the population lacks proper access to education within a reasonable commuting distance and travel time, with a focus on high schools. Open-source demographic and institutional data and GIS-based spatial analysis were used in identifying education deserts across Romania. These were later evaluated based on a 20 min travel time or a 25 km distance threshold computed using OpenStreetMap API data. To assess the multidimensional nature of education deserts, a Composite Demand Index (CDI) and an Access Hardship Index (AHI) have been developed. Both were integrated into a final Education Desert Index (EDI) that captures unmet demand and spatial constraints. Results indicate that 34.3% of Romanian settlements (1092 LAU2s) and 15.2% of the high school-aged population reside in education deserts, found predominantly in the country’s North-East, South, and Centre regions. These areas coincide with rural, peripheral zones characterised by infrastructural deficits and low educational attainment. Findings reveal spatial inequities in upper secondary education provision between urban and rural communities. The present study offers a replicable methodological framework for evaluating educational accessibility and supports evidence-based policymaking aimed at reducing spatial disparities in education. Full article

Cyberbullying victimization (CBV) is widely linked to adolescent depression, but most studies collapse depression into a single score. Far less is known about which specific depressive symptoms track with CBV—and whether those patterns differ by gender—especially in Brazilian youth. We surveyed 268 public-school students in southern Brazil (M_age 13.4 years; 50.7% girls) using the Children’s Depression Inventory and the victimization subscale of the Revised Cyberbullying Inventory. Girls reported higher depressive symptoms overall (p < 0.05), although CBV did not differ by gender (p = 0.11). In gender-stratified analyses, CBV among girls was tied to every depression domain (anhedonia, ineffectiveness, interpersonal problems, negative mood, and negative self-esteem) as well as the total score; among boys, CBV was related only to overall depression. When domains were entered together, anhedonia and interpersonal problems uniquely signaled greater odds of any CBV for girls, whereas no single domain stood out for boys (ineffectiveness showed a modest, nonsignificant trend). Taken together, these results suggest that CBV travels with a distinct emotional–interpersonal profile for girls but aligns with general depressive burden for boys. Practically, schools and clinicians should pair universal digital-safety efforts with targeted supports—behavioral activation and peer-skills work for girls, and broad depression screening and stepped care for boys. Full article

The research aims to derive the positive and negative values and strange habits included in Ibn Battuta’s journey called “Tuhfat An-Nuzzar fi Ghara’ibal-Amsar wa-‘Aja’ib Al-Asfar” by Shams al-Din bin Abdullah al-Lawati, the Moroccan al-Tanji, known as Ibn Battuta (d. 1377 AD), presented and investigated by Ali al-Muntasir al-Katani (D.T), which was included in Ibn Battuta’s trip, to the peoples of the countries he visited on the African and Asian continents. A total of 440 respondents participated in the study: 195 teachers in the supplementary track and 245 fourth-year regular track students at an Arab College of Education from all disciplines: early childhood, Arabic language, science, mathematics and computer science, English language, and special education. The respondents were asked to select an enrichment text or a story of one or more pages from Ibn Battuta’s travels, with the aim of eliciting the positive and negative values and strange customs of the peoples and countries Ibn Battuta visited in Africa and Asia. The study results indicated that Ibn Battuta’s travelogue, “Tuhfat An-Nuzzar fi Ghara’ibal-Amsar wa-‘Aja’ib Al-Asfar,” is considered an important literary reference, rich with texts and stories from which we can deduce the values and customs of the people of the countries Ibn Battuta visited in Africa and Asia. Teachers can use this information for discussion and constructive dialogue with their students in schools, in various educational subjects such as social studies, religion, literature, Arabic language, history, and geography. Most of the study participants support the idea of integrating Ibn Battuta’s travelogue into various lessons. The study recommends the importance of integrating and expanding it to include other subjects in schools, colleges, and universities. This integration should be systematically built around various activities that achieve “meaningful learning,” ensure active student participation, and enhance value for the learner and society. In conclusion, I recommend conducting detailed studies and research on the educational values derived from travel literature. Full article

Ensuring equitable access to basic education is a core issue for promoting balanced regional development and sustainable educational outcomes. As a vast and sparsely populated region with relatively slow development, the Qinghai–Tibet Plateau faces particular challenges in ensuring educational accessibility and equity. Using a 100 m × 100 m travel time cost raster constructed from OSM road networks and the cost-distance method, together with local spatial autocorrelation, Lorenz curve, and Gini coefficients, as well as the Geodetector method, this study examines the spatial equity and factors influencing the accessibility of primary and secondary schools across 2798 townships at three time points (2016, 2020, and 2024) under three scenarios: Scenario 1 (nearby schooling), Scenario 2 (schooling within the prefecture-level city), and Scenario 3 (schooling within the county). The results show that: (1) Overall accessibility improved from 2016 to 2024, with primary schools being more accessible than secondary schools. Western townships, although initially disadvantaged, experienced the most notable gains. However, accessibility declined markedly when administrative-boundary constraints were imposed, with the greatest losses observed in ultra-high-altitude remote areas such as Ngari and Nagqu. (2) Spatial equity also improved, but when administrative boundaries were imposed, population-weighted inequities became even more pronounced than disparities in accessibility itself. Equity declined most sharply under county-level constraints, with pronounced impacts on both primary and secondary schooling. (3) Spatial variations in accessibility were jointly driven by multiple factors. In Scenario 1, road network density and population density had the strongest explanatory power. Under administrative boundary constraints, however, county type and ethnic autonomy became increasingly influential. In conclusion, in ultra-high-altitude areas where natural conditions remain difficult to overcome, improving educational equity depends less on transport expansion or facility provision and more on relaxing county-level boundary restrictions that constrain access to services. These findings may provide useful evidence to inform targeted policy interventions and resource allocation strategies aimed at promoting equitable access to basic education in underdeveloped and high-altitude regions. Full article

Demand-Responsive Transport (DRT) services ensure the implementation of more sustainable transport solutions and focuses on the creation of more flexible and personalised public transport systems. They help to reduce the use of cars, improve service efficiency, and reduce the environmental impact. The attractiveness of DRTs depends on the type of activities served (e.g., schools, hospitals, modal interchange hubs). The attractiveness of a specific stop depends not only on its location but also on proximity to essential services (such as schools). The aim of this study is to identify which categories of activities most influence users’ choice of stops. A conditional logit model is developed to analyse drop-off stop selection, based on the location and configuration of key stops and major attraction points in the monitored case study in Ragusa, Sicily (southern Italy). Accessibility to different attraction points from stops is considered as the main independent variable. The results show that proximity to sports facilities and schools strongly influence users’ choice of stops, along with nearby modal interchange stations and shopping-related activities. Conversely, stops near health centres tended to be less attractive in the study area. Furthermore, sports facilities exert the strongest attraction, while travel patterns to health services deviate from existing literature, likely reflecting the limited availability of complementary transport options. Full article

Last-mile logistics is a critical operational and environmental challenge in urban areas. This paper introduces an intelligent path planning system using the Resistive Grid Path Planning Methodology (RGPPM) to optimize distribution based on energy and environmental metrics. The foundational innovation is the integration of electrical-circuit analogies, modeling the distribution network as a resistive grid where optimal routes emerge naturally as current flows, offering a paradigm shift from conventional algorithms. Using a multi-connected grid with georeferenced resistances, RGPPM estimates minimum and maximum paths for various starting points and multi-agent scenarios. We introduce five key performance indicators (KPIs)—Percentage of Distance Savings (PDS), Coefficient of Savings (CS), Coefficient of Global Savings (CGS), Percentage of Load Imbalance (PLI), and Percentage of Deviation with Multi-Agent (PDM)—to evaluate system performance. Simulations for textbook delivery to 129 schools in the Veracruz–Boca del Río area show that RGPPM significantly reduces travel distances. This leads to substantial savings in energy consumption, CO₂ emissions, and operating costs, particularly with electric vehicles. Finally, the results validate RGPPM as a flexible and scalable strategy for sustainable urban logistics. Full article

Background: Direct clinical training on real patients is essential in dental education. However, the declining patient inflow increasingly challenges this objective. This cross-sectional study aimed to assess patients’ experiences and preferences to derive recommendations for improving patient recruitment. Material and Methods: Over a period of one year, patients treated by students in the courses and final examinations at the dental school of conservative dentistry were questioned using a specially designed questionnaire and reviewed using their medical records. They were asked about their complete treatment process, and patient files were used to record socio-demographic as well as economic and appointment-specific data. Results: We analysed 297 patients (142 women, 47.8%; 155 men, 52.2%) treated by undergraduates across two semesters (four courses) and two final examinations. Median age was 57.0 years (IQR 46–67; mean 55.2, SD 15.2; range 14–85) with no sex-based difference (p > 0.05). Arrival was predominantly by car (72.7%, n = 216); median one-way distance was 20.5 km (IQR 11.2–32.1); and 58.4% were employed, while 41.6% were not employed (33.7% retired, 7.9% unemployed). The leading reason for course attendance was “satisfaction with previous treatments” (65.32%). Information sources were reported by 290/297 (98%); the most common was already being a course patient (143, 48.1%). Most patients attended one appointment (109, 36.7%). Median travel cost per appointment (including parking) was €17.0 (typically €10.0–€23.5). Of 285 respondents, 93.68% answered “Yes” to satisfaction with student treatment. Conclusions: Important steps include enhancing parking facilities, optimizing recall systems and appointment accessibility, and strengthening relationships with regular patients to encourage word-of-mouth referrals. The main focus is to maintain high clinical quality, ensure affordability, and further reduce patient copayments where possible. Full article

This study presents the first comprehensive spatial accessibility assessment of essential urban services in Belgrade, Republic of Serbia, conducted entirely with open-source tools and data. The analysis focused on six facility categories: primary healthcare centers, public pharmacies, primary and secondary schools, libraries, and green markets. Spatial accessibility was modelled using OpenRouteService (ORS) isochrones for walking travel times of 5, 10, and 15 min, combined with population data from the Global Human Settlement Layer (GHSL). Results indicate that 79% of residents live within a 15-min walk of a healthcare facility, 74% of a pharmacy, 89% of an elementary school, 52% of a high school, 60% of a library, and 62% of a green market. Central administrative units such as Vračar, Zvezdara, and Stari Grad demonstrated nearly complete service coverage, while peripheral areas, including Resnik, Jajinci, and Višnjica, exhibited substantial accessibility deficits, often coinciding with lower-income zones. The developed workflow provides a transparent, replicable approach for identifying underserved neighborhoods and prioritizing investments in public infrastructure. This research emphasizes the role of spatial accessibility analysis in advancing Sustainable Development Goals (SDGs), contributing to the creation of more inclusive, walkable, and sustainable urban environments, while on the other hand, it offers practical insights for improving urban equity, guiding policy formulation, and supporting necessary planning decisions. Subsequent research will focus on alternative facilities, other cities such as Novi Sad and Niš, and the disparity between urban and rural populations. Full article

Rural communities face persistent transport disadvantages due to low population density, limited-service availability, and high operational costs, restricting access to essential services and exacerbating social inequality. Autonomous public transport systems offer a transformative solution by enabling flexible, cost-effective, and inclusive mobility options. This study investigates the operational determinants for autonomous road-based transit systems in rural and peri-urban South-East Queensland (SEQ), employing a structured survey of 273 residents and analytical approaches, including General Additive Model (GAM) and Extreme Gradient Boosting (XGBoost). The findings indicate that small shuttles suit flexible, non-routine trips, with leisure travelers showing the highest importance (Gain = 0.473) and university precincts demonstrating substantial influence (Gain = 0.253), both confirmed as significant predictors by GAM (EDF = 0.964 and EDF = 0.909, respectively). Minibus shuttles enhance first-mile and last-mile connectivity, driven primarily by leisure travelers (Gain = 0.275) and tourists (Gain = 0.199), with shopping trips identified as a significant non-linear predictor by GAM (EDF = 1.819). Standard-sized buses are optimal for high-capacity transport, particularly for school children (Gain = 0.427) and school trips (Gain = 0.148), with GAM confirming their significance (EDF = 1.963 and EDF = 0.834, respectively), demonstrating strong predictive accuracy. Hybrid models integrating autonomous and conventional buses are preferred over complete replacement, with autonomous taxis raising equity concerns for low-income individuals (Gain = 0.047, indicating limited positive influence). Integration with Mobility-as-a-Service platforms demonstrates strong, particularly for special events (Gain = 0.290) and leisure travelers (Gain = 0.252). These insights guide policymakers in designing autonomous road-based transit systems to improve rural connectivity and quality of life. Full article

Understanding the dose of ambient PM_2.5 inhaled by middle school students during active commuting between home and school is essential for optimizing their travel routes and reducing associated health risks. However, accurately modeling this remains challenging due to the difficulty of measuring ambient PM_2.5 concentrations along commuting routes at a population scale. In this study, we overcome this limitation by employing spatiotemporally dense observations of on-road ambient PM_2.5 concentrations collected through a massive mobile monitoring fleet consisting of around 200 continuously operating taxis installed with air quality monitoring instruments. Leveraging these rich on-road PM_2.5 observations combined with a GIS-terrain-based PM_2.5 dosage modeling approach, we (1) assess middle school students’ PM_2.5 dosages during morning (7:00 am–8:00 am) home–school walking commuting along the shortest-distance route; (2) examine the feasibility of identifying an alternative route for each student that minimizes PM_2.5 dosages during commuting; (3) investigate the trade-off between the relative reduction in PM_2.5 dosage and the relative increase in route length when opting for the alternative lowest-dosage route; and (4) examine whether exposure inequalities exist among students of different family socioeconomic statuses (SES) during their home–school commutes. The results show that (1) 18.8–57.6% of the students can reduce the dose of PM_2.5 by walking along an alternative lowest-dose route; (2) an alternative lowest-dose route could be found by walking along a parallel, less-polluted local road or walking on the less-trafficked side of the street; (3) seeking an alternative lowest-dose route offers a favorable trade-off between effectiveness and cost; and (4) exposure inequities do exist in a portion of students’ walking commutes and those students from higher-SES are more likely to experience higher exposure risks. The findings in our study could offer valuable insights into commuter exposure and inspire future research. Full article

Background/Objectives: Leisure participation is vital for children’s development and family inclusion, yet families of children with developmental delays and disabilities face significant barriers. Guided by a health literacy framework, this study examined how personal and organizational health literacy shape access to inclusive leisure opportunities. Methods: Semi-structured interviews were conducted with 14 caregivers of young children (aged 2 to 6 years) with developmental delays and disabilities. A qualitative content analysis was applied to identify family and environmental factors shaping leisure participation. Results: Families with stronger personal health literacy engaged in diverse leisure activities, prioritizing children’s development through park visits and structured home routines. In contrast, weak organizational health literacy—reflected in limited inclusive facilities and support systems—restricted opportunities, increased caregiver stress, and forced adaptations such as traveling farther or rescheduling activities. These barriers underscored families’ vulnerability to exclusion while also highlighting their resilience in navigating daily life. Conclusions: This study demonstrates that health literacy functions at both personal and organizational levels to shape leisure participation. Beyond identifying barriers, it shows that leisure is intertwined with developmental needs and school readiness. By applying a health literacy lens, the study contributes to understanding family dynamics in inclusive leisure and underscores the need for responsive community services and inclusive policies. Full article