Search Results (466)

Plant-based diets are increasingly attracting attention as they play a significant role in human health and environmental sustainability and are believed to be key components of sustainable food systems. In the present study, both pros and cons of the adoption of plant-based diets are analyzed using a bibliometric method integrated with a qualitative examination of the scientific literature. For the bibliometric study, Bibliometrix software was utilized, examining 3245 scientific articles, downloaded from the Scopus database, and printed between the years 1957 and 2025. The analyses were conducted using R software, version 4.4.1, with access to the Bibliometrix package, version 4.1. The results indicate a remarkable rise, in the last two decades, in the scholarly focus on the influence of plant-based diets on the individual’s health condition as well as the environment. Keyword co-occurrence studies and international collaborations demonstrate a dominance of research focus in both the United States and Europe, with significant contributions from the Asia–Pacific region. Furthermore, the current work offers qualitative identification of the benefits of plant diets from various perspectives like nutritional, economic, ecological, and cultural. It also explores the main dissuaders from adhering to these diets, including perceived nutritional hazards, cost perceptions, low availability, and social prohibitions. Findings emphasize that, in spite of all the barriers, plant food-based diets have a wide-ranging ability to provide tangible benefits at both the individual and population levels, and documented in the scientific literature are recommendations of expert-led education programs, economic incentives, and judiciously framed public policies to overcome these barriers and to make this transition possible towards sustainable food choices. Findings provide a comprehensive understanding of the current lines of inquiry and stage the subsequent work on how to motivate sustainability among the general population. Full article

This study evaluates the viability of a specific hybrid renewable energy system (HRES) installation designed for a remote community as a case study in Cuba. The system integrates solar, wind, and biomass resources to address localised challenges of energy insecurity and environmental degradation. Rather than offering a generalised evaluation of HRES technologies, this work focuses on the performance, impacts, and viability of this particular configuration within its unique geographical, social, and technical context. Using life cycle assessment (LCA) and input–output modelling, the research assesses environmental and socioeconomic impacts. The proposed HRES reduces greenhouse gas emissions by 60% (from 1.14 to 0.47 kg CO₂eq/kWh) and fossil energy consumption by 50% compared to diesel-based systems. Socioeconomic analysis reveals that the system generates 40.3 full-time equivalent (FTE) jobs, with significant employment opportunities in operation and maintenance. However, initial investments primarily benefit foreign suppliers due to Cuba’s reliance on imported components. The study highlights the potential for local economic gains through workforce training and domestic manufacturing of renewable energy technologies. These findings underscore the importance of integrating multiple renewable sources to enhance energy resilience and sustainability in Cuba. Policymakers should prioritise strategies to incentivise local production and capacity building to maximise long-term benefits. Future research should explore scalability across diverse regions and investigate policy frameworks to support widespread adoption of HRES. This study provides valuable insights for advancing sustainable energy solutions in Cuba and similar contexts globally. Full article

As hybrid organizations that combine market-related logic with social logic, social enterprises (SEs) play a crucial role in addressing the challenges faced by people in employment while creating economic benefits through innovative solutions to drive economic and social rural revitalization. Focusing on social enterprises, this study employs environmental analysis and theoretical reasoning to examine the logic and approaches through which social enterprises participate in rural revitalization in China’s northwest regions from the perspective of “new-quality productive forces.” Research findings indicate that in the face of an external environment characterized by weakened investment and consumption and the decline of the demographic dividend, and an internal environment marked by lagging socio-economic development and ecological fragility, SEs should integrate devotion and profit logic based on a mixed action logic of multi-value co-creation. Through approaches such as cultivating new quality talent, constructing a new quality industrial system, shaping a new quality rural environment, promoting synergistic innovation between science and technology and culture, and actively participating in the revitalization of rural areas in China’s northwest region, SEs can play an active role in China’s rural revitalization efforts. Full article

In Italy, the management of built assets confiscated from organized crime groups is particularly relevant. Returning these assets to the community is becoming increasingly important for Italian municipalities, thanks to the many social benefits that can be generated (e.g., new spaces to provide community services, a visible and tangible symbol of legality, etc.). The process of redeveloping confiscated buildings, due to procedural complexity and a lack of resources, is currently characterized, on one hand, by a limited number of projects actually implemented compared to the potential of the total number of buildings available and, on the other hand, by the lengthy duration of the redevelopment process (12 years on average), which significantly increases the time it takes for the asset to return social value to the community. The objective of this research was to study, develop, and describe a mechanism that (i) enables an increase in the number of redevelopment actions of confiscated assets, (ii) accelerates the attribution of social value to these assets over time and (iii) extends the social impact of the requalification interventions that provide an opportunity for the professional training of students and the professional qualification of vulnerable people. There are two main tasks of the research shown in this article: (i) to highlight the main critical issues and needs in the management of confiscated assets by Italian municipalities, through a survey conducted among key informants; (ii) to build and test an innovative ‘win–win model’ for the requalification process of confiscated buildings, aimed at overcoming obstacles and anticipating the delivery of social benefits to a large group of stakeholders, including vulnerable people, tested in a pilot project. This “win–win model” combines building requalification and training through the activation of a “construction site school”. All original contributions are derived from the research “Co-WIN”, funded by the “Polisocial Awards 2021”, which developed methods, strategies, and tools capable of reducing social imbalances, with an equity and sustainability perspective. The results illustrated the drivers and challenges for the renovation and reuse of confiscated built assets; the necessary changes in documents and procedures to activate and replicate the “Co-WIN model”; and a training program for the construction-site school based on the social categories involved. Finally, the discussion highlights the network and the mutual benefits for stakeholders, focusing on the social relevance and social impact achievable through applying the Co-WIN model to the requalification process of confiscated buildings. Full article

Background: Family caregivers are a vital yet often under-recognized part of the healthcare system. They provide essential emotional, physical, and logistical support to individuals with illness, disability, or frailty, and their contributions improve continuity of care and reduce system strain. However, many healthcare and social service providers are not equipped to meaningfully engage caregivers as partners. In Alberta, stakeholders validated the Caregiver-Centered Care Competency Framework and identified the need for a three-tiered education model—Foundational, Advanced, and Champion—to help providers recognize, include, and support family caregivers across care settings. This paper focuses on the development and early evaluation of the Advanced Caregiver-Centered Care Education modules, designed to enhance the knowledge and skills of providers with more experience working with family caregivers. The modules emphasize how partnering with caregivers benefits not only the person receiving care but also improves provider effectiveness and supports better system outcomes. Methods: The modules were co-designed with a 154-member interdisciplinary team and grounded in the competency framework. Evaluation used the first three levels of the Kirkpatrick–Barr health workforce education model. We analyzed pre- and post-surveys from the first 50 learners in each module using paired t-tests and examined qualitative feedback and SMART goals through inductive content analysis. Results: Learners reported a high level of satisfaction with the education delivery and the knowledge and skill acquisition. Statistically significant improvements were observed in 53 of 54 pre-post items. SMART goals reflected intended practice changes across all six competency domains, indicating learners saw value in engaging caregivers as partners. Conclusions: The Advanced Caregiver-Centered Care education improved providers’ confidence, knowledge, and skills to work in partnership with family caregivers. Future research will explore whether these improvements translate into real-world practice changes and better caregiver experiences in care planning, communication, and navigation. Full article

Background/Objectives: Collaboration in mental health care is essential for implementing a model oriented towards the psychosocial rehabilitation of people based on multifaceted interventions involving different actors and sectors of society to respond to demands. Despite the benefits presented by the scientific evidence, there are still many barriers to collaborative care, and professionals continue to struggle in reorienting their conduct. The current situation demands organization and the framing of well-founded action plans to overcome challenges, which in turn requires a detailed understanding of collaborative practices in mental health care and their conceptual boundaries. A concept analysis was undertaken to propose a working definition of collaborative practices in mental health care (CPMHC). Methods: This paper used the Walker and Avant concept analysis method. This includes identifying the defining concept attributes, antecedents, consequences, and empirical referents. A literature search was carried out from November 2024 to February 2025 in three databases (Medline, CINAHL, and LILACS), considering studies published between 2010 and 2024. Results: The final sample of literature investigated consisted of 30 studies. The key attributes were effective communication, building bonds, co-responsibility for care, hierarchical flexibility, articulation between services, providers and community, monitoring and evaluating of care processes, and attention to the plurality of sociocultural contexts. Conclusions: This comprehensive analysis contributes to guiding future research and policy development of collaborative practices in mental health, considering the individual, relational, institutional, and social levels. Further research is possible to deepen the understanding of the production of collaborative practices in mental health in the face of the complexity of social relations and structural inequities. Full article

Invasive plant species pose an increasing threat to mangroves globally. This study assessed the impact of Paspalum vaginatum invasion on carbon loss and early recovery following four years of restoration in a mangrove forest with Rhizophora racemosa in Benin. Organic carbon was quantified in the total biomass, including both aboveground and belowground components, as well as in the soil to a depth of −50 cm. In addition, soil gas fluxes of CO₂, CH₄, and N₂O were measured. Three sites were evaluated: a conserved mangrove, a site degraded by P. vaginatum, and the same site post-restoration via hydrological rehabilitation and reforestation. Invasion significantly reduced carbon storage, especially in soil, due to lower biomass, incorporation of low C/N ratio organic residues, and compaction. Restoration recovered 7.8% of the total biomass carbon compared to the conserved mangrove site, although soil organic carbon did not rise significantly in the short term. However, improvements in deep soil C/N ratios (15–30 and 30–50 cm) suggest enhanced soil organic matter recalcitrance linked to R. racemosa reforestation. Soil CO₂ emissions dropped by 60% at the restored site, underscoring restoration’s potential to mitigate early carbon loss. These results highlight the need to control invasive species and suggest that restoration can generate additional social benefits. Full article

This study analyses the conditions under which co-opetition improves the supply of healthcare services in Benin. Using non-centralised administrative data from a sample of public and private health centres, we apply network theory and negative binomial regression to assess the extent to which competition affects collaboration between public and private healthcare providers. We found that competition reduces the degree of collaboration between private and public health providers. However, the COVID-19 pandemic significantly mitigated this effect, highlighting the potential for competition within the healthcare system without compromising social welfare. Notwithstanding that, we show that these benefits are not sustained over time. These findings have policy implications for the sustainability of health system financing in Africa, particularly by promoting sustainable financial mechanisms for the private sector and more inclusive governance structures. Full article

There is still a need to develop scenarios and models aimed at substituting fuelwood and reducing the use of fossil fuels such as liquefied petroleum gas (LPG), on which low-income rural households in the Global South often depend. The use of these fuels for cooking and heating in domestic and productive activities poses significant health and environmental risks. This study validated, in three different phases, the sustainability of a model for the production and use of biogas from the treatment of swine-rearing wastewater (WWs) on a community farm: (i) A Multi-Criteria Analysis (MCA), incorporating environmental, social/health, technical, and economic criteria, identified the main weighted criterion to C8 (use of small-scale technologies and low-cost access), with a score of 0.44 points, as well as the Tubular biodigester (Tb) as the most suitable option for the study area, scoring 8.1 points. (ii) Monitoring of the Tb over 90 days showed an average biogas production of 2.6 m³ d⁻¹, with average correlation 0.21 m³ Biogas kg Biomass⁻¹. Using the experimental biogas production rate (k = 0.0512 d⁻¹), the process was simulated with the BgMod model, achieving an average deviation of only 10.4% during the final production phase. (iii) The quantification of benefits demonstrated significant reductions in firewood use: in Scenario S1 (kitchen energy needs), biogas replaced 83.1% of firewood, while in Scenario S2 (citronella essential oil production), the substitution rate was 24.1%. In both cases, the avoided emissions amounted to 0.52 tons of CO_2eq per month. Finally, this study proposes a synthesised, community-based rural biogas framework designed for replication in regions with similar socio-environmental, technical, and economic conditions. Full article

In recent years, significant progress has been made in breast reconstructive surgery, particularly with the use of three-dimensional (3D) disassemblable scaffolds. Reconstructive plastic surgery aimed at restoring the shape and size of the mammary gland offers medical, psychological, and social benefits. Using autologous tissues allows surgeons to recreate the appearance of the mammary gland and achieve tactile sensations similar to those of a healthy organ while minimizing the risks associated with implants; 3D disassemblable scaffolds are a promising solution that overcomes the limitations of traditional methods. These constructs offer the potential for patient-specific anatomical adaptation and can provide both temporary and long-term structural support for regenerating tissues. One of the most promising approaches in post-mastectomy breast reconstruction involves the use of autologous cellular and tissue components integrated into either synthetic scaffolds—such as polylactic acid (PLA), polyglycolic acid (PGA), poly(lactic-co-glycolic acid) (PLGA), and polycaprolactone (PCL)—or naturally derived biopolymer-based matrices, including alginate, chitosan, hyaluronic acid derivatives, collagen, fibrin, gelatin, and silk fibroin. In this context, two complementary research directions are gaining increasing significance: (1) the development of novel hybrid biomaterials that combine the favorable characteristics of both synthetic and natural polymers while maintaining biocompatibility and biodegradability; and (2) the advancement of three-dimensional bioprinting technologies for the fabrication of patient-specific scaffolds capable of incorporating cellular therapies. Such therapies typically involve mesenchymal stromal cells (MSCs) and bioactive signaling molecules, such as growth factors, aimed at promoting angiogenesis, cellular proliferation, and lineage-specific differentiation. In our review, we analyze existing developments in this area and discuss the advantages and disadvantages of 3D disassemblable scaffolds for mammary gland reconstruction, as well as prospects for their further research and clinical use. Full article

The building sector remains one of the largest contributors to global energy consumption and CO₂ emissions, yet selecting optimal retrofit strategies is often hindered by inconsistent evaluation practices and limited integration of environmental and social impacts. This review addresses that gap by systematically analyzing how various assessment methods are applied to building retrofits, particularly from a financial and environmental perspective. A structured literature review was conducted across four major scientific databases using predefined keywords, filters, and inclusion/exclusion criteria, resulting in a final sample of 50 studies (green colored citations of this paper). The review focuses on the application of Life Cycle Cost Analysis (LCCA), Cost–Benefit Analysis (CBA), and Life Cycle Assessment (LCA), as well as additional indicators that quantify energy and sustainability performance. Results show that LCCA is the most frequently used method, applied in over 60% of the studies, often in combination with LCA (particularly for long time horizons). CBA appears in fewer than 25% of cases. More than 50% of studies are based in Europe, and over 60% of case studies involve residential buildings. EnergyPlus and DesignBuilder were the most common simulation tools, used in 28% and 16% of the cases, respectively. Risk and uncertainty were typically addressed through Monte Carlo simulations (22%) and sensitivity analysis. Comfort and social impact indicators were underrepresented, with thermal comfort included in only 12% of studies and no formal use of tools like Social-LCA or SROI. The findings highlight the growing sophistication of retrofit assessments post-2020, but also reveal gaps such as geographic imbalance (absence of African case studies), inconsistent treatment of discount rates, and limited integration of social indicators. The study concludes that future research should develop standardized, multidimensional evaluation frameworks that incorporate social equity, stakeholder values, and long-term resilience alongside cost and carbon metrics. Full article

Background/Objectives: The scientific literature shows that new scientific and social priorities regarding social impacts and co-creation are leading to profound transformations in all scientific and social contexts. In the field of mental health, one dimension of this transformation is the increasing visibility of dialogic models that support the improvement of mental health. While this is very positive, it carries a risk of deformations that can lead to negative outcomes for both society and science. There is a lack of scientific research about the errors related to the new visibility of the Successful Dialogues in Mental Health (SDMH) model. The objective of this research is to clarify a certain type of error, namely when the excellent results obtained through the use of this model in particular contexts are attributed to a supposed dialogic approach of psychiatric rehabilitation, made by researchers without a degree in medicine. Methods: In order to clarify this error, we use a communicative methodology through a qualitative research design, oriented to unveil the main steps in the original development of the model. Results: The results show that the SDMH model has never presented itself as psychiatric, but instead as a social–dialogic collaboration with psychiatrists with the aim of helping individuals to overcome mental health problems. Conclusions: This study clarifies the purpose of the SDMH model which contributes to benefiting citizens, particularly those with mental health conditions. Full article

Neoehrlichia mikurensis and Anaplasma phagocytophilum, both members of the Anaplasmataceae family, are pathogens that can cause diseases in animals and humans. Ixodid ticks are the primary vectors for both species. While urban green spaces offer various ecological and social benefits, there is increasing evidence suggesting potential public health risks, particularly increased exposure to vector-borne diseases. The aim of the present study was to assess the prevalence and co-occurrence of A. phagocytophilum and N. mikurensis in ticks from urban environments in Lithuania. A total of 3599 Ixodes ricinus and 29 Dermacentor reticulatus were collected from 31 urban and 21 peri-urban areas. Ticks were examined for pathogens using duplex real-time PCR. Anaplasma phagocytophilum was detected in 4.47% of tested ticks, while N. mikurensis in 6.17%. Co-infection was found in 0.42% of I. ricinus specimens. Phylogenetic analysis of the groEl gene revealed low genetic variability of N. mikurensis and the circulation of two ecotypes (I and II) of A. phagocytophilum. Additionally, Ehrlichia muris was identified in I. ricinus ticks. This study is the first report of N. mikurensis detection in ticks from Lithuania. Our findings highlight the potential risk posed by tick-borne pathogens in urban and peri-urban areas of the country. Full article

The Morehouse School of Medicine Prevention Research Center (MSM-PRC) conducted a Community Health Needs and Assets Assessment (CHNAA) survey using a Community-Based Participatory Research (CBPR) approach. In this article, we will demonstrate the application of CBPR in informing research agenda and implementation strategies. We will discuss the practical considerations and potential benefits of engaging the community in data collection, interpretation, and utilization to address community health challenges. Emphasizing collaboration, co-learning, and respect, and guided by the CBPR principles, CHNAA ensured that community voices led to the identification and integration of the research priorities. Overseen by the Community Coalition Board (CCB) and its Data Monitoring and Evaluation (DME) Committee, the survey featured closed- and open-ended questions addressing social determinants of health. Out of 1000 targeted participants, 754 provided valid responses, with a 75% response rate. Most respondents were female and represented a racially diverse group. Descriptive statistics and thematic analysis revealed that key health concerns were diabetes, COVID-19, mental health, and high blood pressure. Barriers to care included lack of food access, affordable housing, and limited mental health services. The findings led to five public health initiatives launched between 2023 and 2024 demonstrating the CBPR model’s effectiveness in aligning community needs with actionable solutions. Full article

Understanding how sectoral CO₂ emissions shape sustainable development outcomes is essential for designing effective energy and economic strategies within the European Union (EU). This study presents a multidimensional analysis of CO₂ emissions, the contributions of individual sectors, and their connections to the Sustainable Development Goals (SDGs). Using Bayesian network analysis, the research identifies significant interdependencies between emission reductions and progress in sustainable development, highlighting the complex relationship between energy transition, economic growth, and social justice. The findings show that total CO₂ emissions in the EU have decreased since 1990; however, the rate of reduction varies across sectors and member states. The most substantial decreases have been recorded in the energy sector, while industrial processes and agriculture show slower progress. Economic crises, such as the 2008 financial collapse and the COVID-19 pandemic, have led to temporary declines in emissions; however, lasting achievements in sustainability require structural transformations rather than short-term disruptions. The Bayesian model reveals strong connections between emission reductions and progress on clean energy (SDG 7), responsible consumption (SDG 12), and climate action (SDG 13), while also indicating indirect impacts on economic growth (SDG 8) and social equity. This highlights the importance of integrated policymaking to maximise the benefits of sustainable development. This study provides a data-driven foundation for enhancing EU climate strategies, ensuring that emission reductions support environmental goals, economic resilience, and social well-being. Full article