Search Results (186)

Background/Objectives: Dental anxiety (DA) is a well-known obstacle affecting dental care in children. Children living in orphanages are a special population with healthcare needs. The aim of the study was to assess DA among children living in orphanages compared to those living with both biological parents. Methods: This frequency-matched case–control study included 61 children living in orphanages in Jeddah city and 122 age- and gender-matched peers living with both parents in Jeddah, Saudi Arabia. Demographic and background data, including medical history, dental visit history, and Adverse Family Experiences (AFEs), were completed by the caregiver. Dental anxiety was assessed subjectively using the self-reported Abeer Children Dental Anxiety Scale (ACDAS) and objectively by the Venham Clinical Anxiety Rating Scale (VCARS). Results: The prevalence of children with DA in the study sample among those living in orphanages was 18%. AFEs were significantly higher among children living in orphanages (96.7% vs. 32%, p < 0.001). ACDAS and VCARS showed fewer children with DA living in orphanages compared to children living with both parents. Logistic regression showed that living in orphanages decreased the adjusted odds ratio (AOR) of dental anxiety according to ACDAS (AOR = 0.36; p = 0.06) and VCARS (AOR = 0.43, p = 0.040). Conclusions: Although children living in orphanages presented with lower DA than those living with both parents, this may point to differences in emotional expression rather than true emotional state. Clinicians should not rely only on behavioral observations when treating institutionalized children. Full article

Urban building color research has long been anchored in the “dominant-color” paradigm, which describes only the basic attributes of the most prevalent color and overlooks multi-color compositional relationships, thereby failing to reach evaluative dimensions such as color combination quality and spatial order. This study proposes a Fundamental–Compositional–Spatial (FCS) evaluation framework for building color quality, organizing ten indicators into three hierarchical layers: fundamental attributes, compositional structure, and spatial association. Using the Macao Special Administrative Region as an empirical case and drawing on building façade color data extracted from 8163 street-view sampling points, we systematically quantify the city-wide building color quality. Results show that (1) at 76.8% of the sampling points the dominant-color share lies within only 13–21%, so the dominant color holds no absolute areal advantage, and there is a significant intrinsic tension between colorfulness and harmony (r = −0.363) within the compositional structure; (2) Macao’s building colors are dominated by warm hues (warm-to-cool ratio ≈ 4.5:1), with saturation and value forming a systematic co-variation between a “dark-yet-colored” and a “bright-yet-colorless” mode, and color contrast exhibiting pronounced positive spatial autocorrelation (Moran’s I = 0.456); and (3) clustering based on the six C+S-layer indicators identifies four color-quality types—Subdued-Transitional (38.1%), Vibrant-Fragmented (13.5%), Dark-Harmonious (45.6%), and Monotonous-Clustered (2.7%)—whose spatial distribution is broadly consistent with the city’s historical construction strata. The study demonstrates that a multi-dimensional color-evaluation approach based on street-view big data can effectively transcend the limitations of dominant-color analysis and provides an operational technical pathway for fine-grained cognition and differentiated governance of urban color. Full article

The electrification of public transport, particularly Bus Rapid Transits (BRT), is a significant step toward achieving sustainable urban mobility and reducing dependency on fossil fuels. However, rapid adoption of Electric Vehicles Smart Charging (EVSC) infrastructure presents grid stability, economic and environmental concerns. The rising demand for electric cars, particularly in developing nations such as Nigeria, highlights the urgent need for a sustainable hybrid renewable energy charging infrastructure for BRT systems. This study presents a techno-economic assessment of an off-grid hybrid systems that use photovoltaic (PV), wind turbines (WTs), hydrogen (H₂), fuel cell (FC) and battery technologies to power Electric Vehicles Smart Charging within Bus Rapid Transits networks. The Lagos BRT charging system at City Mall Station (CMS) serves as a case study, with hourly renewable resources obtained from National Aeronautics and Space Administration database (NASA). Using the HOMER pro-optimization tool, a multi-criteria analysis is performed to evaluate system viability, with special focus on key metrics such as levelized cost of energy (LCOE), net present cost (NPC), renewable energy fraction (REF), and greenhouse gas (GHG) emissions. The simulation results demonstrate that the hybrid PV/wind/FC/battery configuration is exceptionally economical, with an LCOE as low as $0.222/kWh, $2.03M NPC, 51.3% REF, and 159,209 kg of carbon dioxide emissions per year compared to grid-dependent charging. The study shows that integrated renewable-hydrogen systems are not only financially feasible, but also provide significant insights for policymakers, transportation authorities, and energy planners seeking to accelerate the transition to green public transportation infrastructure through innovative hybrid energy schemes. Full article

Introduction/Objectives: Intersectoral collaboration between education and mental health services is central to the care of autistic children and adolescents. However, recent literature indicates that evidence remains limited regarding how these collaborative arrangements are implemented in routine public services, particularly in low- and middle-income countries (LMICs). This study aimed to assess the intersectoral collaboration between Brazilian educational and mental health services for autistic children and adolescents and to examine the frequency and type of intersectoral contact. Methods: An exploratory cross-sectional study was conducted in the municipal public education system of Niterói, a city in the Southeast region of Brazil. Participants included parents of 123 autistic children and adolescents, 49 teachers from mainstream education and specialized educational services (SES), and 24 health professionals. Data were collected using structured questionnaires with multi-informant reports. The instruments were specifically developed for the study and submitted to expert content-validation procedures. Analyses included descriptive statistics and, in a subsample of 51 matched cases with paired responses from teachers and health professionals, Cohen’s kappa to assess agreement between reports. Results: Low levels of intersectoral collaboration were observed, characterized by infrequent contact, limited information exchange, and slight agreement between reports from teachers and health professionals (κ = 0.25; p = 0.01). Teachers were more likely to know where care was provided than to know which specialists were involved, while more than half of health professionals did not know which school the child attended. Conclusions: In the investigated municipal network, care appeared fragmented, highlighting difficulties in translating intersectoral recommendations from public policies into routine collaborative practices. Full article

Urban regeneration has traditionally focused on large-scale developments that aim at increasing the livability and vitality of disadvantaged areas. Alternative views of urban regeneration have emerged to challenge such a structural approach. These novel ideas reflect contextual changes in progressive and innovative Western countries that embrace the culture of experimentation, prefer sharing to ownership, and emphasize participation and inclusion as fundamental aspects of public governance. This article elaborates the idea of lean urban regeneration in the progressive welfare society context, with a special view of citizen and stakeholder involvement through inclusion, sharing, and co-creation. Empirical research utilizes mini cases of the largest cities in the growth triangle of Finland. This article identifies the manifestations of lean urban regeneration and discusses its preconditions and ability to tackle urban development challenges. The results emphasize the framing nature of inclusion, the underutilization of sharing, and the key role of co-creation in lean urban regeneration. A particular potential of lean interventions is based on co-creation as the core of multimodal or hybrid regenerative projects that are firmly anchored on economic inclusion. By utilizing the input of residents, entrepreneurs, and other local stakeholders, it is possible to open up a path to integrated high-leverage activities with a potential to alleviate structural urban problems. Full article

In the current context of the complexity of municipal management, the sustainable development of communities and compliance with the “2030 Agenda” objectives are essential. These objectives aim to reduce the negative environmental impact of cities by the year 2030, with special attention to issues such as air quality and municipal waste management, among other UN actions. The main objective is to verify the impacts on the residents around the São João monument, located in a city in the interior of Brazil, with its installation following the principles of sustainable development, Agenda 2030, and SDG 8. It is relevant to verify, with the rural community, the positive and negative impacts on the quality of life and development of families who reside around the São João monument. The research method was a single case study, and the data collection techniques were qualitative. Finally, the results point to benefits for the community with the implementation of the São João monument, such as the generation of income and jobs, the development of tourism, and compliance with SDG 8, goal 8.9. However, improvements in local planning and development are still needed. Full article

The global drive toward energy transition and carbon neutrality requires integrated and data-driven approaches for managing buildings and smart cities. Existing urban energy assessment frameworks remain fragmented and often lack multiscale interoperability between building-level models and territorial datasets. At the same time, shallow geothermal energy is emerging as an efficient and renewable solution for sustainable heating and cooling. To address these gaps, this study examines the potential of GeoBIM, the integration of Building Information Modeling (BIM) and Geographic Information Systems (GIS), as a unified framework for multiscale energy analysis and for supporting shallow geothermal applications. A systematic literature review was conducted based on the PRISMA framework, combining a systematic literature review using the Scopus database with the critical examination of representative case studies. The results show that GeoBIM-based modeling improves data quality, enhances thermal performance assessments, and supports the implementation of shallow geothermal systems, including energy piles and district-scale ground-coupled networks. Reported applications demonstrate energy consumption reductions exceeding 40% in certain urban contexts. Several research gaps and challenges were identified, particularly data interoperability issues, lack of standardization, computational complexity, and the need for specialized training. Overall, the review indicates that GeoBIM offers a promising pathway for optimizing resources, supporting informed decision-making, and advancing resilient and sustainable smart buildings and cities. Full article

To address the limitations of existing annual load scenario generation methods, including insufficient ability to represent long-term trends, excessive randomness in generated scenarios, and inadequate consideration of special holiday conditions, in this paper, an annual load curve generation method is proposed that integrates Seasonal–Trend decomposition using Loess (STL) with an improved denoising diffusion probabilistic model (DDPM). In the proposed method, the STL algorithm is first applied to decompose the annual load curve into a trend component and a daily seasonal component. The trend component is used as a baseline to ensure that the generated load curves remain consistent with the actual long-term trend characteristics. On this basis, an improved diffusion-based denoising model is employed to achieve controllable generation of different types of daily load scenarios. Finally, the generated daily load scenarios are aggregated with the trend component on an hourly basis to construct annual load scenario curves that simultaneously preserve realistic trend behavior and stochastic fluctuations. A case study based on a city in China is used to evaluate the proposed method. The results demonstrate that both the generated daily load scenarios and annual load scenarios outperform existing benchmark methods across multiple quantitative evaluation metrics, thereby validating the effectiveness of the proposed load scenario generation approach. Full article

The valorisation of household and commercial bio-waste into soil improvers helps to reduce disposable waste, mitigate climate change, and improve soil resilience. While the separate collection of bio-waste is mandatory in the European Union, this remains a challenging task, particularly for large cities, due to quality problems in densely populated areas. In addition to various informational and motivational tools for households, financial incentives are becoming increasingly important. However, there is a lack of robust evidence regarding the optimal use of these incentives and their impact on the quantity and quality of collected bio-waste. We investigated the impact of different charging systems on the quantity and quality of bio-waste, basing our research on the experiences of more than twenty European cities and using a detailed questionnaire completed by the relevant administrators. The results confirm that cities, which provide financial incentives for waste sorting, yield a higher quantity of separated bio-waste. As introducing tiered fees can lead to quality issues, monitoring bio-waste and taking action against polluters seems to be unavoidable. Since the identification of polluters is very difficult in the case of multi-family homes, the results are discussed with a special focus on densely populated cities. Pilot projects for alternative options for the valorisation of organic waste, particularly in districts with high-rise buildings, should be evaluated. Full article

As global climate change intensifies, research on low-carbon practices has become a critical component of sustainable tourism development. The carbon emission profile of ski tourism differs significantly from other tourism sectors. Ski resorts have a mountainous terrain and typically maintain relatively high levels of vegetation, endowing them with inherent advantages for pioneering low-carbon and sustainable tourism practices. However, the substantial energy demands associated with artificial snowmaking systems and advanced infrastructure pose significant challenges to reducing carbon emissions in ski resort operations. This study gathers first-hand data on sustainable tourism development in the Chongli ski resort—the region that hosted the 2022 Winter Olympics—through field investigations and interviews with key industry stakeholders. It develops a comprehensive framework accounting for carbon emissions in ski resorts by integrating input–output analysis with enterprise-level data, focusing on four core operational sectors: catering, skiing, wholesale and retail, and leasing and business services. Furthermore, this study examines the coupling relationship between carbon emissions and operating revenue. Using correlation and regression analyses, this study identifies the key drivers of carbon emissions across these operational departments within the ski tourism sector. The results indicate that carbon emissions from these four sectors in the Chongli ski resort exhibit periodic fluctuations with an overall upward trend year by year. Nevertheless, progress in low-carbon development is evident, suggesting that the resort is on a trajectory toward achieving peak carbon emissions and eventual carbon neutrality. The inclusion of natural endowments, market-scale effects, festival and special events, and capital investment in ski tourism collectively serve as crucial drivers for low-carbon sustainability in Chongli. Based on these findings, this study proposes targeted recommendations to support low-carbon sustainable development, offering scientific insights for similar Winter Olympics host cities. This study integrates top-down input–output analysis with bottom-up enterprise data, taking Chongli, the host city of the Winter Olympics, as a timely case study. It constructs a four-dimensional low-carbon development model based on the identification of key natural, social, and economic driving factors, and strengthens the reliability of the conclusion by relying on first-hand field research and operator interview data. Our study provides an analysis of methodological innovation, framework integrity, and solid empirical evidence that accounts for micro-scale carbon emissions in ski resorts. Full article

The Orchidaceae family in Calabria has been scarcely investigated during the 21st century, and available knowledge remains fragmentary, particularly for the rarer taxa. The last comprehensive study dates back to 2002, whereas subsequent checklists, limited to restricted areas of the region, provide incomplete or taxonomically uncertain data. Considering that the family is protected at global (CITES, Bern Convention, IUCN) and national (Italian Red List) levels, broader and more systematic attention is required. In this work, focused on the southern sector of the Metropolitan City of Reggio Calabria, with special reference to the mountain and foothill areas of the Aspromonte massif and in the adjacent districts, we describe four new hybrids for science, each assessed as Critically Endangered (CR), and report four previously unrecorded taxa for the region, evaluated as VU/CR. In addition, two hybrids, newly recorded for the Calabrian flora, were likewise assigned a CR conservation status. The study also provides confirmation of historical records of Ophrys speculum and identifies the southernmost stations in continental Italy for both O. speculum and Orchis branciforti Standardized floral and labellar morphometric traits were measured on representative individuals from each population, including the parental species in the case of hybrids. Conservation status was evaluated following IUCN criteria and GeoCAT-derived AOO values, complemented by field observations on population size, habitat conditions, and site-specific threats. Hybrid names comply with ICN provisions. These findings enhance understanding of orchid biodiversity in Southern Italy and provide new insights for regional conservation efforts. Full article

There have been many evaluations of specific parent programs, but there is minimal evidence of evaluation of the broader landscape of established advice or support services for parents of children under 18 years old. This paper investigates parent/carer perceptions of support services in their case study city. We explore and examine their perspectives on existing support services and how far they are meeting their needs. Through a thematic analysis of semi-structured interviews with parents and carers from across the city, a range of key themes emerged. These included the supportive environment and positive ethos of services accessed, lack of trust in some professionals, and perceived gaps in provision, highlighting the need for more activities, support, and accessible information, especially for families with special educational needs and disabilities (SEND). These findings underscore the complexity of navigating the landscape of support services and advocate for more coordinated, accessible, and trustworthy support systems for parents and carers. Full article

The construction industry is a major contributor to global resource consumption and waste. This sector extracts over two billion tons of raw materials each year and contributes over 30% of all solid waste generated annually through construction and demolition debris. The movement toward circularity in the built environment aims to replace linear processes of extraction and disposal by promoting policies favoring building preservation and adaptive reuse, as well as the salvage and reuse of building materials. Few North American cities have implemented explicit policies that incentivize circularity to decouple urban growth from resource consumption, and there remain substantial hurdles to adoption. Nonetheless, existing regulatory and planning tools, such as zoning codes and historic preservation policies, may already influence redevelopment in ways that could align with circularity. This article examines spatial patterns in these indirect pathways through a case study of a college town in New York State, assessing how commonly used local planning tools shape urban redevelopment trajectories. Using a three-stage spatial analysis protocol, including exploratory analysis, Geographically Weighted Regressions (GWRs), and Geographic Random Forest (GRF) modeling, the study evaluates the impact of zoning regulations and historic preservation designations on patterns of demolition, reinvestment, and incremental change in the building stock. National historic districts were strongly associated with more building adaptation permits indicating reinvestment in existing buildings. Mixed-use zoning was positively correlated with new construction, while special overlay districts and low-density zoning were mostly negatively correlated with concentrations of building adaptation permits. A key contribution of this paper is a replicable protocol for urban building stock analysis and insights into how land use policies can support or hinder incremental urban change in moves toward the circular city. Further, we provide recommendations for data management strategies in small cities that could help strengthen analysis-driven policies. Full article

Background: Numerous healthcare services have been affected by the COVID-19 pandemic worldwide. Specialized healthcare services were postponed or canceled, potentially compromising regular services for hemato-oncology patients. The current study aimed to analyze the impact of the COVID-19 pandemic on access to hemato-oncology services in Almaty, the largest city in Kazakhstan. Methods: We retrospectively analyzed the socio-demographic characteristics of patients admitted to two large tertiary centers rendering hemato-oncology services, the City Clinical Hospital 7 (H7) and the Kazakh Institute of Oncology and Radiology (KazIOR). All data were retrieved for the period spanning from 1 March 2019 to 28 February 2022. The retrieved variables included age, gender, type of residence, hospitalization rate, treatment outcomes (discharged/deceased), bed days, diagnoses according to International Classification of Diseases (ICD-10) (acute leukemia and hematopoietic depression, lymphoproliferative diseases, and myeloproliferative diseases), and referral sources (ambulance, another hospital, consultative and diagnostic assistance, primary healthcare, self-referral, and referrals from hematologists’ offices). Results: In the 2019–2022 period, 6763 hemato-oncology hospitalizations were registered: 3583 in H7 and 3180 in KazIOR. The mean age at hospitalization was 55.04 (SD = 16.07) for females and 51.2 (SD = 16.7) for males. The proportion of hospitalized urban and rural patients differed significantly: 6191 (92%) and 571 (8,4%), respectively (χ² = 13.8, p = 0.001). In the 2020–2021 period, fewer patients were discharged (n = 2047) compared to 2019–2020 (n = 2387) and 2021–2022 (n = 2081) (χ² = 20.09, p = 0.003). However, the proportion of deaths in the 2020–2021 period (3.5%) was higher than in the 2019–2020 (3.2%) and 2021–2022 periods (2.6%) (χ² = 20.09, p = 0.003). A total of 403 (19%) hospital admissions were carried out by ambulance (emergency cases) in the 2020–2021 period, 368 (14.8%) in 2019–2020, and 394 (18.3%) in 2021–2022 (χ² = 2231, p < 0.001). The number of patients transferred from other hospitals to H7 and KazIOR increased by 12.4% in the 2020–2021 period. Conclusions: Our findings indicate a negative impact of the COVID-19 pandemic on access to hemato-oncology services, leading to increased mortality. Further studies are warranted to explore factors underlying the trends in hospitalizations and mortality of hemato-oncology patients during healthcare crises. Full article

The centres of historical cities have changed trying to accommodate modern urban needs, while maintaining the original bohemian atmosphere that represents the identity of the local community. Restoration, according to Cesare Brandi, goes beyond mere physical repairs and focuses on preserving the core historical and cultural significance of a building within its context. Brandi highlights the importance of the surrounding environment, suggesting that the “horizontal plan” around a structure should be prioritised to ensure its recognition within its historical setting. Decisions about preserving or removing additions should be informed by historical evidence, as modifications over time contribute to the building’s narrative. Aesthetic considerations are secondary to historical accuracy, with the primary goal being the preservation of the building’s relationship with its context rather than its visual appeal. This perspective aligns with Giovannoni’s view that preservation should not focus solely on individual monuments but on the broader urban fabric, which collectively forms the city’s historical environment. By respecting the context in which buildings exist, restoration efforts can maintain their role in the larger space. Ultimately, the aim is to balance the conservation of architectural value with modern needs, all while ensuring that the structure’s historical integrity is maintained. While there is extensive research on heritage conservation and accessibility, there remains a lack of integrated strategies that harmoniously address both cultural preservation and inclusive access. This paper presents an urban study made on the historical centre of Lugoj, a Romanian city with interesting architecture. This study aims to illustrate how creating an urban promenade can improve cohesion between old and new, creating a harmonious public space that reflects the identity of the local community. Moreover, the accessibility of the case study area is investigated, following four major categories of special needs, mobility, visual, auditory, and cognitive impairments, and offering recommendations for a better public space for all the citizens. Full article