Search Results (20,431)

Aquatic environments that support tourism, including coasts, lakes, reservoirs, and estuaries, are experiencing accelerating eutrophication worldwide. This trend increases the frequency and intensity of algal blooms. These blooms undermine ecosystem services and weaken the socio-economic performance of destination areas. Despite these challenges, existing research remains fragmented. Aquatic sciences mainly examine nutrient enrichment and bloom dynamics. In contrast, tourism studies often treat blooms as episodic disturbances and rarely integrate exposure pathways, risk communication, or feedback to destination governance. This review synthesizes evidence across freshwater and marine systems to develop a coupled tourism–water ecosystem perspective. We link eutrophication drivers and bloom typologies to three dimensions. These are the degradation of tourism-supporting ecosystem services, compound health stressors, and communication filters. The first includes losses of water clarity and aesthetic value. The second involves multi-route exposure through contact, inhalation, and seafood ingestion. The third shapes perceived safety, trust, and behavioral adaptation. We further connect perceived health risks to observable tourist behaviors, including cancellation, destination substitution, and activity avoidance. These micro-level responses can aggregate into market-level demand contractions and consumption reallocation. They can also trigger regional economic cascades, including public management costs, employment impacts, and long-term reputational damage. Crucially, tourism is not merely a victim of blooms. It can also act as a reinforcing anthropogenic driver through wastewater burdens, infrastructure expansion, and pulse pressures. These pressures lower ecological resilience, especially under warming and hydrological stabilization. Finally, we identify governance leverage points. These include early-warning systems, threshold-based graded interventions, transparent risk communication, and integrated social–ecological modeling. These strategies can reduce uncertainty-driven losses and support adaptive destination management. Overall, this review reframes algal blooms as systemic social–ecological risks. It provides a structured basis for future empirical attribution and policy design in tourism-dependent waters under climate stress. Full article

Rurbanization and peri-urbanization are among the most dynamic territorial processes affecting metropolitan regions in Morocco, particularly within the Casablanca–Settat region. These transformations, driven by rapid urban growth, demographic pressure, and socio-economic change, generate complex transitional spaces between rural and urban environments. In this context, the present study proposes a hybrid methodology for detecting, classifying, and analyzing the rural–urban continuum by using remote sensing data and artificial intelligence techniques. The approach integrates Sentinel-2 satellite imagery, spectral indices, Global Human Settlement Layer datasets, and socio-demographic indicators derived from the Moroccan census. Two models, Self-Organizing Maps (SOM) and Graph Neural Networks (GNN), were applied to classify territories into four categories: urban, peri-urban, rurban, and rural. Model outputs were combined with expert-based decision rules to improve classification robustness and interpretability. The SOM model achieved up to $89.3\%$ agreement with expert classifications and a Cohen’s Kappa coefficient of $0.842$, demonstrating strong interpretability and consistency, while the GNN model reached $53\%$ agreement and effectively modeled spatial dependencies and neighborhood interactions. Diachronic analysis between 2014 and 2024 revealed a $54\%$ increase in peri-urban municipalities, a $24\%$ decrease in rurban territories, and a decline in rural municipalities, highlighting intensified urban sprawl and fragmentation of agricultural landscapes. Beyond its scientific contribution, this study provides a valuable decision-support framework for urban planners, environmental agencies, and policy makers involved in territorial governance and sustainable development. It can support land-use planning, monitoring of urban sprawl, protection of agricultural lands, and the implementation of adaptive territorial policies aimed at improving the resilience and sustainability of rurban environments. Full article

This study assesses the future availability of water resources in Lake Guiers by 2050, considering the combined impacts of climate change and human activities, using the Water Evaluation and Planning System. As Senegal’s main freshwater source, the lake faces growing pressure from agricultural expansion, aquatic plant overgrowth, competing stakeholder demands, and increasing water use. The study combines field data on hydrological flows and agricultural water use with climate projections under the Shared Socioeconomic Pathways 4.5 and 8.5 scenarios. Climate data were downscaled and bias-corrected using CMhyd, multiple linear regression, and the Mann–Kendall test. Model calibration showed strong performance (NSE = 0.95; R² = 0.96). Results reveal decreasing precipitation and rising temperatures under both scenarios. Agricultural withdrawals (79,331,457.14 m³/year) already exceed crop water needs (69,115,088.03 m³/year), resulting in significant water losses estimated at over 10 million m³ per year. Scenario analysis indicates that high water demand under Shared Socioeconomic Pathways SSP8.5 could lead to critical declines in lake volume as early as 2026 (550 million m³), while moderate demand growth under SSP4.5 could maintain water availability until 2050. The proposed PREFERLO-Grand Transfer project would add further stress to the lake’s capacity. These findings emphasize the urgent need for sustainable water management and policy actions. Full article

Carbon reduction is an urgent challenge for developing nations that balance socioeconomic development and climate mitigation in global low-carbon control. As a key digital economy means, e-commerce development enables urban low-carbon transition. In this context, drawing on a Chinese panel dataset covering 283 cities during 2006–2022, and taking the National E-commerce Demonstration City Pilot Policy (NEDCP) as a quasi-natural experiment, we use a multi-stage difference-in-differences (DID) strategy to detect how NEDCP affects urban carbon emissions. The results reveal that the NEDCP greatly reduces carbon emissions at an urban scale, which remains robust through a series of robustness tests. Mechanism analysis focuses on three channels, which includes boosting energy efficiency, advancing the digital economy, and promoting green innovation. Heterogeneity tests show that these benefits are more strongly evident in cities with a higher openness, a larger population, better economic conditions, and a stronger innovation capacity. The spatial spillover effect test shows that the NEDCP not only promotes local carbon reduction, but also promotes carbon reduction in neighboring areas. These findings offer theoretical insights for enhancing the NEDCP’s environmental benefits, and a practical guide for differentiated low-carbon development strategies, especially for prioritizing logistics and innovation support and refining green e-commerce standards. Full article

Introduction: As global cancer incidence and survival rates continue to rise, understanding the experiences and needs of individuals in the survivorship phase is critical to inform policies that promote equitable care and adequate support for cancer survivors. Objective: The objective of this study was to examine the lived social and workplace experiences of cancer survivors in Newfoundland and Labrador (Canada) using a qualitative research design. Methods: The study was open to cancer survivors of majority age who resided in Newfoundland and Labrador after their diagnosis. Between June 2023 and August 2024, twenty-five individuals participated in the study. Data were collected virtually through focus groups, individual interviews, or written responses. Demographic and socioeconomic characteristics of participants were collected via a survey. Thematic analysis was performed on all qualitative data. Two patient partner investigators informed the research throughout the entire project. Results: Data were rich and diverse, revealing a range of positive and negative experiences in social and workplace settings. Major themes included stigma in social and workplace environments, financial toxicity, workplace accommodations, social support and information needs. Young participants had unique challenges. Participants offered recommendations aimed at enhancing available supports and improving the quality of life of cancer survivors. Overall, findings highlight shared experiences across different regions and cultures while also painting the local context. Discussion: The results of this study reveal diverse experiences among cancer survivors within social and workplace settings. The findings and resulting recommendations can inform meaningful improvement to policies and programs, thus promoting equity and enhancing the lived experiences of cancer survivors. Full article

Background/Objectives: The increasing burden of non-communicable diseases, together with accelerating environmental degradation, highlights the urgent need for sustainable dietary patterns that promote both human and planetary health. The Mediterranean diet (MedDiet), traditionally followed in countries bordering the Mediterranean basin, has gained recognition as a model of sustainable nutrition due to its well-documented health benefits and relatively low environmental impact. However, its broader role within sustainable food systems requires comprehensive and interdisciplinary evaluation. The aim of this review is to provide a state-of-the-art synthesis of the evidence on the MedDiet as a sustainable dietary pattern, integrating its health, environmental, economic, and socio-cultural dimensions. Methods: This state-of-the-art narrative review synthesizes evidence from peer-reviewed literature on the MedDiet and sustainability. Relevant studies were identified through major scientific databases, focusing on publications addressing nutritional, environmental, economic, and socio-cultural dimensions. Both observational and interventional studies, as well as modeling and life cycle assessment analyses, were included. Additional sources from international organizations and policy reports were incorporated to contextualize global trends and challenges. Results: High adherence to the MedDiet is consistently associated with a reduced risk of cardiovascular disease, type 2 diabetes, cancer, and all-cause mortality. From an environmental perspective, the MedDiet is associated with lower greenhouse gas emissions, reduced land and water use, and enhanced biodiversity conservation compared with Western dietary patterns. Economically, it may represent a cost-effective dietary model and support local food systems when grounded in traditional practices, although affordability varies across contexts. Socio-culturally, the MedDiet promotes food heritage, culinary skills, and social cohesion. Nevertheless, globalization, urbanization, and the increasing consumption of ultra-processed foods have contributed to declining adherence, posing significant challenges to its sustainability and scalability. Moreover, the sustainability benefits of the MedDiet seem to be context-dependent rather than intrinsic, raising several challenges and limitations for its adoption. Conclusions: The MedDiet should be viewed not as a definitive solution to global food-system challenges but as a valuable reference model that illustrates how dietary practices can contribute simultaneously to human health, environmental sustainability, and cultural continuity. Modern sustainable dietary strategies should build upon the strengths of the MedDiet while recognizing its limitations, embracing contextual adaptation, and addressing the structural determinants that shape food choices. Full article

Household food waste (HFW) is a major contributor to global food loss, making its reduction a priority for policymakers, businesses, and organizations. Accurate waste estimates and an understanding of their drivers are essential, yet current data are inconsistent due to different quantification methods. This study introduces the open-source, Integrated Food Waste (IFWASTE) agent-based model. IFWASTE is the first agent-based model to quantify household food waste by both weight and composition, incorporating behavioral factors such as the Theory of Planned Behavior and socioeconomic variables. Simulations of 10,000 households over 100 days show substantial variability in food waste, with an average of 0.23 to 0.33 kg per capita per day, depending on the number of kids. This estimate aligns with previously reported empirical data. The IFWASTE model also analyzes both individual HFW behavior over time and broader neighborhood-level patterns, supporting evidence-based reduction strategies. Full article

The water–energy–food (WEF) system acts as a critical nexus of social–ecological systems. However, rapid urbanization has intensified the regional imbalance in the supply and demand of ecosystem services (ESs). Clarifying the spatiotemporal matching of ecosystem services supply and demand (ESSD) within the WEF framework and revealing the driving mechanisms behind such imbalances are essential to formulating reasonable zoning schemes and targeted optimization strategies for the coordinated development of the regional WEF system. Taking Zhejiang Province as a case study, this research uses water yield (WY), carbon sequestration (CS), and grain production (GP) to characterize the WEF nexus system. It uses the InVEST model to assess WY and CS, applies spatial allocation methods to characterize GP, and integrates socioeconomic data to quantify the demand for the above three ESs. All indicators were standardized and integrated with equal weights to further clarify the comprehensive levels of ESSD. By integrating the Geodetector and K-Means clustering methods, the study analyzes the supply–demand matching of ecosystem services and its driving mechanisms in Zhejiang Province during this period, thereby exploring ecological management zoning and optimization strategies within the WEF system. The study findings indicate that: (1) From the supply perspective, Zhejiang Province’s WY services demonstrate a trend of elevated activity in the southwest and diminished presence in the northeast; high values for CS services are predominantly found in the vegetation-rich areas of the northwest, while high values for GP services are clustered in the northern Zhejiang Plain; from the demand perspective, high values for all three ESs in Zhejiang Province are primarily located in economically active, densely populated urban areas. (2) The correlation between ESSD within Zhejiang Province’s WEF system exhibits significant spatial heterogeneity and is driven by the combined effects of natural and socioeconomic factors, with the interaction between these two factors often producing a synergistic effect. Specifically, annual average precipitation and population density are the dominant factors influencing WY services, NDVI and human footprint are the dominant factors influencing CS services, and population density and GDP are the dominant factors influencing GP services. (3) From 2000 to 2020, the supply–demand ratio for comprehensive ESs in Zhejiang Province generally followed a pattern of being lower in the east and higher in the west. The supply–demand imbalance of ESs intensified in the core areas of eastern cities, whereas the western regions maintained a relatively sound supply–demand balance. (4) The study classifies the counties in Zhejiang Province into four ecological management zones—ecological stable zones, ecological conservation zones, ecological control zones, and ecological restoration zones—and explores differentiated approaches to optimizing these zones and implementing control strategies. Full article

Greece and the eastern Mediterranean are among the regions that are most exposed to climate-driven natural hazards, with wildfires, floods, and extreme rainfall events consistently producing significant socioeconomic and environmental impacts. Although previous literature has addressed each hazard type individually, a systematic, comparative analysis of the atmospheric circulation regimes associated with all three hazard categories within a unified Lagrangian framework has not yet been conducted for Greece. In this study, a 96 h HYSPLIT back-trajectory analysis driven by ERA5 reanalysis data, combined with k-means clustering, is employed to characterise the air mass origins associated with extreme events in Greece from 2000 to 2020 at two atmospheric levels: 750 m and 3000 m above sea level. Wildfire events are predominantly linked to short-distance northeast airflow at 750 m, and are directly associated with the Etesian wind system and to a coherent northwest-west Mediterranean signal at 3000 m, reflecting the influence of the summer blocking anticyclone over Europe. Conversely, flood events are dominated by northerly flow at 750 m, driven by the eastern flank of Mediterranean depressions. These results indicate that flooding in Greece is primarily conditioned by surface cyclogenesis, regardless of the upper-level flow geometry. Extreme rainfall events exhibit the most complex structure, with a dominant upper-level cluster that describes a recurving trajectory consistent with cut-off low dynamics. Cross-hazard comparisons demonstrate that similar near-surface trajectory patterns may arise from different atmospheric drivers, underscoring the necessity of integrating Lagrangian trajectory classification with additional context, such as thermodynamic and seasonal, to enable robust multi-hazard attribution and enhance early warning capabilities in the eastern Mediterranean. Full article

Background/Objectives: Despite the substantial clinical and socioeconomic burden of chronic low back pain (CLBP), objective diagnostic biomarkers remain limited. Structural alterations of the lumbosacral muscles, particularly muscle atrophy and fatty infiltration (FI), have been proposed as imaging correlates of chronic pain. This scoping review aimed to synthesize current evidence on these alterations in CLBP and characterize the imaging and segmentation methods used. Methods: The review was conducted in accordance with PRISMA-ScR guidelines and guided by the Population–Concept–Context framework. Population: adults with CLBP. Concept: MRI segmentation techniques are used to evaluate morphological soft-tissue changes. Context: clinical and research settings using MRI for CLBP evaluation. A comprehensive search of PubMed, Scopus, Embase, and Web of Science was performed for studies published between January 2014 and October 2024. Results: Twelve observational studies met the inclusion criteria. Degenerative alterations were consistently observed in CLBP and were not reported in control groups. Muscle atrophy was reported in ten studies (multifidus [MF]: 9; erector spinae [ES]: 7; psoas major [PM]: 2; paraspinal muscles [PPM]: 1; and increased FI in all studies (MF: 9; ES: 5; PM: 2; PPM: 2). Considerable heterogeneity between studies was noted. Conclusions: Lumbosacral muscles assessment may provide useful objective information for a more objective characterization of CLBP. Degenerative alterations were reported in all examined muscles except QL, with the MF most consistently affected. Changes in ES and PM may be specific for CLBP. The frequent co-occurrence of muscle atrophy and FI suggests that their combined evaluation may provide complementary information. Full article

Objectives: To evaluate associations between social vulnerability and rheumatoid arthritis (RA)-related mortality in the United States, with emphasis on domain-specific effects of the Social Vulnerability Index (SVI). Methods: We conducted a county-level ecological study of RA-related mortality from 2010 to 2019 using age-adjusted mortality rates and the Centers for Disease Control and Prevention SVI. Gamma regression models examined associations between RA mortality and overall SVI and four thematic domains, including socioeconomic status, household composition and disability, minority status and language, housing type and transportation by using both continuous and quartile-based measures. Results: Between 2010 and 2019, 354,280 deaths occurred among individuals with RA, corresponding to a mean age-adjusted mortality rate of 9.7 per 100,000 population. In multivariable analyses adjusting for all SVI domains, household composition and disability vulnerability demonstrated the strongest and most consistent positive association with mortality, with a dose–response relationship across quartiles. Housing type and transportation vulnerability showed a modest positive association. Minority status and language vulnerability was inversely associated with mortality, whereas socioeconomic vulnerability was not significant in continuous models but demonstrated an inverse association with mortality in quartile-based analyses. Conclusions: RA mortality is differentially associated with specific domains of social vulnerability rather than overall vulnerability burden. Household composition and disability represent clinically salient risk factors, demonstrating the relevance of functional status and caregiving context in RA outcomes. Domain-specific assessment of social vulnerability may enhance clinical risk stratification and inform more targeted, patient-centered RA management. Full article

Worldwide, flash floods are among the most unpredictable and hazardous hydrological phenomena, particularly in arid and semi-arid regions such as the Kingdom of Saudi Arabia, where sudden heavy rainfall follows prolonged periods of drought. This work presents an effective integrated model for flood hazard evaluation in the Hanefah Catchment, a socioeconomically vital area in the central part of Saudi Arabia that includes the capital city, Riyadh. Using high-resolution ALOS PALSAR 12.5 m Digital Elevation Model spatial data, we extracted and investigated indicative linear, areal, and relief morphometric keys of 64 sub-catchments. This paper employs a dual-method concept that integrates a multi-criteria ranking method and the El-Shamy approach in conjunction with morphotectonic analysis to model flood-susceptibility zones. Furthermore, this paper suggests a comparative assessment of low-cost morphometric models under data-scarce conditions, assessing the multi-criteria ranking method against El-Shamy’s approach, using the topographic position index (TPI) as an internal terrain scale benchmark. The ranking method successfully assigned 85.7% of the historically recorded flood locations to the high-hazard zone that covers ~24.22% of the Hanefah catchment. In contrast, the El-Shamy approach systematically underestimated flood susceptibility because regional tectonic activity increases bifurcation ratios, resulting in just ~42.9% of the historical floods being assigned to the high-hazard zone. The final results highlight the northern and northwestern parts of the catchment as high-hazard zones, characterized by high drainage density and steep relief. This study provides a refined, cost-effective model that aligns with the strategic objectives of Saudi Vision 2030 for sustainable water resources management and significant urban development. Full article

India exhibits substantial variation in neonatal mortality across regions and socioeconomic groups. This study used nationally representative survey data (2019–2021) to examine wealth-based inequalities in neonatal mortality. Socioeconomic disparities were assessed using Erreygers’ Normalized Concentration Index (ECI) and concentration curves, with subgroup analyses by residence, state development status (Empowered Action Group (EAG) vs. non-EAG), district typology, and region. Inequality was further decomposed using the Wagstaff method. Analysis of 176,843 most recent live births revealed marked rural–urban disparities, with neonatal mortality in rural areas (18.3 per 1000 live births) 1.6 times higher than in urban areas (11.5). Neonatal mortality was significantly concentrated among poorer households (ECI: −0.0123; p < 0.001), with greater inequality in urban areas, EAG states, and non-aspirational districts. Regional variation was evident, with the highest inequality in the Western and Central regions. Decomposition analysis showed that inequality was primarily driven by adverse household conditions and maternal risk factors concentrated among poorer populations. Key contributors included unclean cooking fuel, higher parity, large family size, normal delivery and inadequate antenatal care. These findings highlight the need for equality-focused strategies addressing both social determinants and gaps in access to quality maternal and newborn care. Full article

This study focuses on the quantitative simulation of the spatiotemporal distribution characteristics of permafrost area, providing scientific value for Mongolian Plateau permafrost dynamics. Understanding the permafrost area of the Mongolian Plateau and accurately predicting future changes in permafrost area are crucial for sustainable environmental development. In this study, ERA5-Land surface temperature (LST) combined with the temperature at the top of permafrost (TTOP) model are used to calculate the annual permafrost area from 1980 to 2024. In addition, this study used the long short-term memory (LSTM) model to predict permafrost area on the Mongolian Plateau from 2025 to 2100. In this study, it is concluded that (1) the study area is not uniformly covered with permafrost, and its distribution is mainly limited to the northern part of the Mongolian Plateau, with a permafrost area of 53.20 × 10⁴ km²; (2) the permafrost area is estimated with an accuracy and precision of 0.94 when compared to the baseline value derived from borehole permafrost data; (3) under the CMIP6 three different shared socioeconomic pathway (SSP) 1-2.6, 2-4.5, and 5-8.5 future scenarios, the distribution of permafrost area shows a downward trend. This study provides a theoretical reference for distribution permafrost area in geographical space, which can help achieve the sustainable development of ice and snow resources. Full article

Teachers’ behavioral consistency is recognized as a cornerstone of effective classroom management and of cultivating a positive school climate. This exploratory sequential mixed-methods study examined the extent to which middle-school teachers consistently applied values-based responses to comparable student behaviors across classroom and non-classroom settings. Results revealed higher consistency scores in classroom scenarios (M = 1.6) than in non-classroom scenarios (M = 1.1), with 40–50% of responses showing no overlap in strategy across contexts. Descriptive analyses indicated that behavioral consistency varied according to teacher gender, professional experience, and school socioeconomic context. These findings underscore differences in teachers’ reported responses across school settings and emphasize the importance of schoolwide behavior-management protocols and professional development initiatives that foster consistent, values-oriented practices throughout the school environment. Full article