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Search Results (467)

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Keywords = urban–rural disparity

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22 pages, 2484 KiB  
Article
Urban Land Revenue and Common Prosperity: An Urban Differential Rent Perspective
by Fang He, Yuxuan Si and Yixi Hu
Land 2025, 14(8), 1606; https://doi.org/10.3390/land14081606 (registering DOI) - 6 Aug 2025
Abstract
Common prosperity serves as a pivotal condition for achieving sustainable development by fostering social equity, bolstering economic resilience, and promoting environmental stewardship. Differential land revenue, as a crucial form of property based on spatial resource occupation, significantly contributes to the achievement of common [...] Read more.
Common prosperity serves as a pivotal condition for achieving sustainable development by fostering social equity, bolstering economic resilience, and promoting environmental stewardship. Differential land revenue, as a crucial form of property based on spatial resource occupation, significantly contributes to the achievement of common prosperity, though empirical evidence of its impact is limited. This study explores the potential influence of land utilization revenue disparity on common prosperity from the perspective of urban macro differential rent (UMDR). Utilizing panel data from 280 Chinese cities spanning 2007 to 2020, we discover that UMDR and common prosperity levels exhibit strikingly similar spatiotemporal evolution. Further empirical analysis shows that UMDR significantly raises urban common prosperity levels, with a 0.217 standard unit increase in common prosperity for every 1 standard unit rise in UMDR. This boost stems from enhanced urban prosperity and the sharing of development achievements, encompassing economic growth, improved public services, enhanced ecological civilization, and more equitable distribution of development gains between urban and rural areas and among individuals. Additionally, we observe that UMDR has a more pronounced effect on common prosperity in eastern cities and those with a predominant service industry. This study enhances the comprehension of the relationship between urban land revenue disparities, prosperity, and equitable sharing, presenting a new perspective for the administration to contemplate the utilization of land-based policy tools in pursuit of the common prosperity goal and ultimately achieve sustainable development. Full article
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22 pages, 3476 KiB  
Article
Digital Inequality and Smart Inclusion: A Socio-Spatial Perspective from the Region of Xanthi, Greece
by Kyriaki Kourtidou, Yannis Frangopoulos, Asimenia Salepaki and Dimitris Kourkouridis
Smart Cities 2025, 8(4), 123; https://doi.org/10.3390/smartcities8040123 - 28 Jul 2025
Viewed by 363
Abstract
This study explores digital inequality as a socio-spatial phenomenon within the context of smart inclusion, focusing on the Regional Unit of Xanthi, Greece—a region marked by ethno-cultural diversity and pronounced urban–rural contrasts. Using a mixed-methods design, this research integrates secondary quantitative data with [...] Read more.
This study explores digital inequality as a socio-spatial phenomenon within the context of smart inclusion, focusing on the Regional Unit of Xanthi, Greece—a region marked by ethno-cultural diversity and pronounced urban–rural contrasts. Using a mixed-methods design, this research integrates secondary quantitative data with qualitative insights from semi-structured interviews, aiming to uncover how spatial, demographic, and cultural variables shape digital engagement. Geographic Information System (GIS) tools are employed to map disparities in internet access and ICT infrastructure, revealing significant gaps linked to geography, education, and economic status. The findings demonstrate that digital inequality is particularly acute in rural, minority, and economically marginalized communities, where limited infrastructure intersects with low digital literacy and socio-economic disadvantage. Interview data further illuminate how residents navigate exclusion, emphasizing generational divides, perceptions of technology, and place-based constraints. By bridging spatial analysis with lived experience, this study advances the conceptualization of digitally inclusive smart regions. It offers policy-relevant insights into how territorial inequality undermines the goals of smart development and proposes context-sensitive interventions to promote equitable digital participation. The case of Xanthi underscores the importance of integrating spatial justice into smart city and regional planning agendas. Full article
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45 pages, 1090 KiB  
Review
Electric Vehicle Adoption in Egypt: A Review of Feasibility, Challenges, and Policy Directions
by Hilmy Awad, Michele De Santis and Ehab H. E. Bayoumi
World Electr. Veh. J. 2025, 16(8), 423; https://doi.org/10.3390/wevj16080423 - 28 Jul 2025
Viewed by 607
Abstract
This study evaluates the feasibility and visibility of electric vehicles (EVs) in Egypt, addressing critical research gaps and proposing actionable strategies to drive adoption. Employing a systematic review of academic, governmental, and industry sources, the paper identifies underexplored areas such as rural–urban adoption [...] Read more.
This study evaluates the feasibility and visibility of electric vehicles (EVs) in Egypt, addressing critical research gaps and proposing actionable strategies to drive adoption. Employing a systematic review of academic, governmental, and industry sources, the paper identifies underexplored areas such as rural–urban adoption disparities, lifecycle assessments of EV batteries, and sociocultural barriers, including gender dynamics and entrenched consumer preferences. Its primary contribution is an interdisciplinary framework that integrates technical aspects, such as grid resilience and climate-related battery degradation, with socioeconomic dimensions, providing a holistic overview of EV feasibility in Egypt tailored to Egypt’s context. Key findings reveal infrastructure limitations, inconsistent policy frameworks, and behavioral skepticism as major hurdles, and highlight the untapped potential of renewable energy integration, particularly through synergies between solar PV generation (e.g., Benban Solar Park) and EV charging infrastructure. Recommendations prioritize policy reforms (e.g., tax incentives, streamlined tariffs), solar-powered charging infrastructure expansion, public awareness campaigns, and local EV manufacturing to stimulate economic growth. The study underscores the urgency of stakeholder collaboration to transform EVs into a mainstream solution, positioning Egypt as a regional leader in sustainable mobility and equitable development. Full article
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16 pages, 351 KiB  
Article
Assessment of Telehealth Literacy in Users: Survey and Analysis of Demographic and Behavioral Determinants
by Marcela Hechenleitner-Carvallo, Jacqueline Ibarra-Peso and Sergio V. Flores
Healthcare 2025, 13(15), 1825; https://doi.org/10.3390/healthcare13151825 - 26 Jul 2025
Viewed by 310
Abstract
Background: Telehealth is an essential component of modern healthcare, and it was especially relevant during the COVID-19 pandemic, but disparities in digital and technological literacy among health professionals may limit its equitable adoption and impact. Objective: This study seeks to validate [...] Read more.
Background: Telehealth is an essential component of modern healthcare, and it was especially relevant during the COVID-19 pandemic, but disparities in digital and technological literacy among health professionals may limit its equitable adoption and impact. Objective: This study seeks to validate an eight-item telehealth literacy survey among health professionals in Central–South Chile and to examine demographic and behavioral determinants of literacy levels, developing predictive models to identify key factors. Methods: In this cross-sectional study, 2182 health professionals from urban and rural centers in Central–South Chile completed the adapted survey along with questions on age, gender, nationality, and frequency of telehealth use. We assessed internal consistency (Cronbach’s α), explored factor structure via exploratory factor analysis (EFA), and tested associations using Pearson correlations, t-tests, one-way ANOVA, and both linear and multinomial logistic regressions. Results: The instrument demonstrated high reliability (Cronbach’s α = 0.92) and a two-factor structure explaining 65% of variance. Age negatively correlated with literacy (r = −0.26; p < 0.001), while the frequency of telehealth use showed a positive correlation (r = 0.26; p < 0.001). Female professionals and those in urban settings scored significantly higher on telehealth literacy (p = 0.005 and p < 0.001, respectively). The reduced multinomial model achieved moderate classification accuracy (51.65%) in distinguishing low, medium, and high literacy groups. Conclusions: The validated survey is a reliable tool for assessing telehealth literacy among health professionals in Chile. The findings highlight age, gender, and geographic disparities, and support targeted digital literacy interventions to promote equitable telehealth practice. Full article
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23 pages, 3773 KiB  
Article
Spatiotemporal Differentiation of Carbon Emission Efficiency and Influencing Factors in the Five Major Maize Producing Areas of China
by Zhiyuan Zhang and Huiyan Qin
Agriculture 2025, 15(15), 1621; https://doi.org/10.3390/agriculture15151621 - 26 Jul 2025
Viewed by 215
Abstract
Understanding the carbon emission efficiency (CEE) of maize production and its determinants is critical to supporting China’s dual-carbon goals and advancing sustainable agriculture. This study employs a super-efficiency slack-based measure model (SBM) to evaluate the CEE of five major maize-producing regions in China [...] Read more.
Understanding the carbon emission efficiency (CEE) of maize production and its determinants is critical to supporting China’s dual-carbon goals and advancing sustainable agriculture. This study employs a super-efficiency slack-based measure model (SBM) to evaluate the CEE of five major maize-producing regions in China from 2001 to 2022. Kernel density estimation and the Dagum Gini coefficient are used to analyze spatiotemporal disparities, while a geographically and temporally weighted regression (GTWR) model explores the underlying drivers. Results indicate that the national average maize CEE was 0.86, exhibiting a “W-shaped” fluctuation with turning points in 2009 and 2016. From 2001 to 2015, the Southwestern Mountainous Region led with an average efficiency of 0.76. Post-2015, the Northern Spring Maize Region emerged as the most efficient area, reaching 0.90. Efficiency levels have generally become more concentrated across regions, though the Southern Hilly and Northwest Irrigated Regions showed higher volatility. Inter-regional differences were the primary source of overall CEE disparity, with an average annual contribution of 46.66%, largely driven by the efficiency gap between the Northwest Irrigated Region and other areas. Spatial heterogeneity was evident in the impact of key factors. Agricultural mechanization, cropping structure, and environmental regulation exhibited region-specific effects. Rural economic development and agricultural fiscal support were positively associated with CEE, while urbanization had a negative correlation. These findings provide a theoretical foundation and policy reference for region-specific emission reduction strategies and the green transition of maize production in China. Full article
(This article belongs to the Section Agricultural Economics, Policies and Rural Management)
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24 pages, 622 KiB  
Article
The Differential Impact of Human Capital on Social Integration Among Rural–Urban and Urban–Urban Migrants in China
by Tao Xu and Jiyan Ren
Urban Sci. 2025, 9(8), 292; https://doi.org/10.3390/urbansci9080292 - 25 Jul 2025
Viewed by 539
Abstract
Differences exist between rural–urban migrants and urban–urban migrants in terms of human capital’s accumulation and pathways of social integration, yet few studies have systematically compared these distinctions. Based on the CMDS2017 survey data, this study constructed a comprehensive social integration index across four [...] Read more.
Differences exist between rural–urban migrants and urban–urban migrants in terms of human capital’s accumulation and pathways of social integration, yet few studies have systematically compared these distinctions. Based on the CMDS2017 survey data, this study constructed a comprehensive social integration index across four dimensions—economic integration, behavioral adaptation, identity recognition, and psychological assimilation—to analyze the influencing factors and decompose the disparities in social integration levels between the two groups from a human capital perspective. Using Oaxaca mean decomposition and Machado–Mata (MM) quantile decomposition, the results indicated that urban–urban migrants exhibited higher social integration levels than rural–urban migrants, with human capital significantly influencing integration outcomes. Better education, health status, longer migration duration, and more work experience positively enhanced migrants’ social integration. Human capital accounted for 38.35% of the social integration gap between the two groups, while coefficient differences were the primary driver of disparities. The returns to education diminish at higher integration levels, suggesting education played a stronger role for those with lower integration. The social integration gap between the two groups followed an inverted U-shaped trend, with smaller disparities at higher quantiles. As integration levels rose, characteristic differences declined continuously, indicating convergence toward homogeneity among high-integration migrants. These research findings indicated that the improvement in the social integration level of migrants still requires continuous investment in cultivating the human capital of migrants. Full article
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20 pages, 3122 KiB  
Article
Spatial Analysis of Medical Service Accessibility in the Context of Quality of Life and Sustainable Development: A Case Study of Olsztyn County, Poland
by Iwona Cieślak, Bartłomiej Eźlakowski, Andrzej Biłozor and Adam Senetra
Sustainability 2025, 17(15), 6687; https://doi.org/10.3390/su17156687 - 22 Jul 2025
Viewed by 199
Abstract
This study investigates the accessibility of public healthcare services in Olsztyn County, a major urban center in the Warmia and Mazury region of Poland. The aim was to develop a methodological framework using Geographic Information System (GIS) tools and spatial data to assess [...] Read more.
This study investigates the accessibility of public healthcare services in Olsztyn County, a major urban center in the Warmia and Mazury region of Poland. The aim was to develop a methodological framework using Geographic Information System (GIS) tools and spatial data to assess the local availability of healthcare infrastructure. The analysis included key facilities such as hospitals, clinics, pharmacies, and specialized outpatient services. A spatial accessibility indicator was constructed to evaluate and compare access levels across municipalities. The results show a clear disparity between urban and rural areas, with significantly better access in cities. Several rural municipalities were found to have limited or no access to essential healthcare services. These findings highlight the uneven spatial distribution of medical infrastructure and point to the need for targeted strategies to improve service availability in underserved areas. The proposed methodological approach may support future studies and inform local and regional planning aimed at reducing healthcare inequalities and improving access for all residents, regardless of their location. This research contributes to the growing body of evidence emphasizing the role of spatial analysis in assessing public service accessibility and supports the development of more equitable healthcare systems at the local level. Full article
(This article belongs to the Special Issue Quality of Life in the Context of Sustainable Development)
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35 pages, 10235 KiB  
Article
GIS-Driven Spatial Planning for Resilient Communities: Walkability, Social Cohesion, and Green Infrastructure in Peri-Urban Jordan
by Sara Al-Zghoul and Majd Al-Homoud
Sustainability 2025, 17(14), 6637; https://doi.org/10.3390/su17146637 - 21 Jul 2025
Viewed by 445
Abstract
Amman’s rapid population growth and sprawling urbanization have resulted in car-centric, fragmented neighborhoods that lack social cohesion and are vulnerable to the impacts of climate change. This study reframes walkability as a climate adaptation strategy, demonstrating how pedestrian-oriented spatial planning can reduce vehicle [...] Read more.
Amman’s rapid population growth and sprawling urbanization have resulted in car-centric, fragmented neighborhoods that lack social cohesion and are vulnerable to the impacts of climate change. This study reframes walkability as a climate adaptation strategy, demonstrating how pedestrian-oriented spatial planning can reduce vehicle emissions, mitigate urban heat island effects, and enhance the resilience of green infrastructure in peri-urban contexts. Using Deir Ghbar, a rapidly developing marginal area on Amman’s western edge, as a case study, we combine objective walkability metrics (street connectivity and residential and retail density) with GIS-based spatial regression analysis to examine relationships with residents’ sense of community. Employing a quantitative, correlational research design, we assess walkability using a composite objective walkability index, calculated from the land-use mix, street connectivity, retail density, and residential density. Our results reveal that higher residential density and improved street connectivity significantly strengthen social cohesion, whereas low-density zones reinforce spatial and socioeconomic disparities. Furthermore, the findings highlight the potential of targeted green infrastructure interventions, such as continuous street tree canopies and permeable pavements, to enhance pedestrian comfort and urban ecological functions. By visualizing spatial patterns and correlating built-environment attributes with community outcomes, this research provides actionable insights for policymakers and urban planners. These strategies contribute directly to several Sustainable Development Goals (SDGs), particularly SDG 11 (Sustainable Cities and Communities) and SDG 13 (Climate Action), by fostering more inclusive, connected, and climate-resilient neighborhoods. Deir Ghbar emerges as a model for scalable, GIS-driven spatial planning in rural and marginal peri-urban areas throughout Jordan and similar regions facing accelerated urban transitions. By correlating walkability metrics with community outcomes, this study operationalizes SDGs 11 and 13, offering a replicable framework for climate-resilient urban planning in arid regions. Full article
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29 pages, 1372 KiB  
Article
Whether Digital Villages Can Alleviate Towns–Rural Clean Energy Consumption Inequality in China?
by Xin Wen, Jiaxin Wen and Zhibo Yu
Sustainability 2025, 17(14), 6599; https://doi.org/10.3390/su17146599 - 19 Jul 2025
Viewed by 481
Abstract
The equitable allocation of clean energy access across towns–rural divides is a critical benchmark of modernization in developing economies. This is because it is intricately linked to the realization of strategic goals such as shared prosperity, ecological civilization advancement, and national energy security [...] Read more.
The equitable allocation of clean energy access across towns–rural divides is a critical benchmark of modernization in developing economies. This is because it is intricately linked to the realization of strategic goals such as shared prosperity, ecological civilization advancement, and national energy security reinforcement. This research examines the impact of China’s digital village (DV) construction in reducing the urban–rural disparity in household clean energy access, evaluates the effect on towns–rural clean energy consumption inequality (CEI), explores the mediating mechanisms, and considers regional heterogeneity. It is an innovative approach to test the influence of digital village construction on clean energy consumption inequality between urban and rural areas, beyond which conventional research is limited to infrastructure investment and policy considerations. We can reach the following three results: (1) With the continuous improvement of digital village construction, CEI between towns and rural areas shows an “inverted U-shaped” change. (2) From the perspective of the intermediary mechanism, agricultural technological progress (ATP) and industrial structure upgrading (IND) can facilitate digital village construction and reduce the disparity in clean energy consumption between towns and rural regions. (3) From the perspective of heterogeneity analysis, digital village construction in areas with low urbanization levels, high terrain undulation, and non-clean energy demonstration provinces can significantly alleviate CEI. It is on this basis that the present paper proposes a policy recommendation for the Chinese government to effectively reduce the gap between towns and rural clean energy consumption in the process of digital village construction. Full article
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21 pages, 774 KiB  
Article
Mapping Territorial Disparities in Artificial Intelligence Adoption Across Local Public Administrations: Multilevel Evidence from Germany
by Loredana Maria Clim (Moga), Mariana Man and Ionica Oncioiu
Adm. Sci. 2025, 15(7), 283; https://doi.org/10.3390/admsci15070283 - 19 Jul 2025
Viewed by 417
Abstract
In a European context, facing pressure to digitalize public administration, the integration of artificial intelligence (AI) at the local level remains a deeply uneven and empirically poorly understood process. This study investigates the degree of adoption of artificial intelligence (AI) in local public [...] Read more.
In a European context, facing pressure to digitalize public administration, the integration of artificial intelligence (AI) at the local level remains a deeply uneven and empirically poorly understood process. This study investigates the degree of adoption of artificial intelligence (AI) in local public administrations in Germany, exploring territorial disparities and institutional factors influencing this transition. Based on a national sample of 347 municipalities, this research proposes a composite AI adoption index, built by integrating six relevant indicators (including the use of conversational bots and the automation of internal and decision-making processes). In the simulations, local administration profiles were differentiated according to factors such as IT staff (with a weight of 30%), the degree of urbanization (25%), and participation in digital networks (20%), reflecting significant structural variations between regions. The analysis model used is a multilevel one, which highlights the combined influences of local and regional factors. The results indicate a clear stratification of digital innovation capacity, with significant differences between eastern and western Germany, as well as between urban and rural environments. The study contributes to the specialized literature by developing a replicable analytical tool and provides public policy recommendations for reducing interregional digital divides. Full article
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14 pages, 662 KiB  
Article
Changes in Body Mass Index Among Korean Adolescents Before and After COVID-19: A Comparative Study of Annual and Regional Trends
by Seong Jun Ha
Int. J. Environ. Res. Public Health 2025, 22(7), 1136; https://doi.org/10.3390/ijerph22071136 - 18 Jul 2025
Viewed by 264
Abstract
This study aimed to longitudinally analyze changes in body mass index (BMI) among Korean middle and high school students before and after the COVID-19 pandemic. Data were obtained from the national-level Physical Activity Promotion System (PAPS), collected between 2018 and 2024. A total [...] Read more.
This study aimed to longitudinally analyze changes in body mass index (BMI) among Korean middle and high school students before and after the COVID-19 pandemic. Data were obtained from the national-level Physical Activity Promotion System (PAPS), collected between 2018 and 2024. A total of 171,705 adolescents aged 13 to 18 were included in the analysis (86,542 males and 85,163 females), with a mean age of 15.2 years (SD = 1.68). Time-series analysis and two-way analysis of variance (ANOVA) were conducted to examine differences in BMI by year, sex, region (capital vs. non-capital), and urban–rural classification. The results indicated a significant increase in BMI during the pandemic period (2020–2022), peaking in 2022, followed by a gradual decline thereafter. Notably, male students and those living in rural or non-capital areas consistently exhibited higher BMI levels, suggesting structural disparities in access to physical activity opportunities and health resources. This study employed the Socio-Ecological Model and the Health Equity Framework as theoretical lenses to interpret BMI changes not merely as individual behavioral outcomes but as consequences shaped by environmental and policy-level determinants. The findings underscore the need for equity-based interventions in physical education and health policy to mitigate adolescent health inequalities during future public health crises. Full article
(This article belongs to the Special Issue Advances in Primary Health Care and Community Health)
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19 pages, 1359 KiB  
Article
Spatial Barriers to Improved Water and Sanitation in Rural Zambia
by Sarah L. Smiley, Angela G. Subulwa and Sav Herald
Water 2025, 17(14), 2132; https://doi.org/10.3390/w17142132 - 18 Jul 2025
Viewed by 338
Abstract
The Sustainable Development Goals seek to achieve universal, adequate, and equitable access to drinking water and sanitation by the year 2030. Yet, significant and persistent disparities in water and sanitation access exist, with rural and low-income households in Sub-Saharan Africa exhibiting some of [...] Read more.
The Sustainable Development Goals seek to achieve universal, adequate, and equitable access to drinking water and sanitation by the year 2030. Yet, significant and persistent disparities in water and sanitation access exist, with rural and low-income households in Sub-Saharan Africa exhibiting some of the lowest levels. This paper uses household surveys from rural villages in Zambia’s Western Province to identify, highlight, and examine spatial barriers to improved water and sanitation. Most households included in the study area drink unimproved water, including surface water, and either use unimproved sanitation facilities or practice open defecation. Access to improved water sources and improved sanitation in the study area lags behind the rest of rural Zambia. Beyond the distance to urban areas that makes piped water and sanitation expensive, the location of these villages in the Barotse Floodplain necessitates seasonal migration, which creates barriers to universal access to improved water and sanitation. Full article
(This article belongs to the Special Issue Groundwater Quality and Human Health Risk, 2nd Edition)
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27 pages, 1844 KiB  
Article
Renewable Energy Index: The Country-Group Performance Using Data Envelopment Analysis
by Geovanna Bernardino Bello, Luana Beatriz Martins Valero Viana, Gregory Matheus Pereira de Moraes and Diogo Ferraz
Energies 2025, 18(14), 3803; https://doi.org/10.3390/en18143803 - 17 Jul 2025
Viewed by 317
Abstract
Renewable energy stands as a pivotal solution to environmental concerns, prompting substantial research and development endeavors to promote its adoption and enhance energy efficiency. Despite the recognized environmental superiority of renewable energy systems, there is a lack of globally standardized indicators specifically focused [...] Read more.
Renewable energy stands as a pivotal solution to environmental concerns, prompting substantial research and development endeavors to promote its adoption and enhance energy efficiency. Despite the recognized environmental superiority of renewable energy systems, there is a lack of globally standardized indicators specifically focused on renewable energy efficiency. This study aims to develop and apply a non-parametric data envelopment analysis (DEA) indicator, termed the Renewable Energy Indicator (REI), to measure environmental performance at the national level and to identify differences in renewable energy efficiency across countries grouped by development status and income level. The REI incorporates new factors such as agricultural methane emissions (thousand metric tons of CO2 equivalent), PM2.5 air pollution exposure (µg/m3), and aspects related to electricity, including consumption (as % of total final energy consumption), production from renewable sources, excluding hydroelectric (kWh), and accessibility in rural and urban areas (% of population with access), aligning with the emerging paradigm outlined by the United Nations. By segmenting the REI into global, developmental, and income group classifications, this study conducts the Mann–Whitney U test and the Kruskal–Wallis H tests to identify variations in renewable energy efficiency among different country groups. Our findings reveal top-performing countries globally, highlighting both developed (e.g., Sweden) and developing nations (e.g., Costa Rica, Sri Lanka). Central and North European countries demonstrate high efficiency, while those facing political and economic instability perform poorly. Agricultural-dependent nations like Australia and Argentina exhibit lower REI due to significant methane emissions. Disparities between developed and developing markets underscore the importance of understanding distinct socio-economic dynamics for effective policy formulation. Comparative analysis across income groups informs specific strategies tailored to each category. Full article
(This article belongs to the Section B: Energy and Environment)
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13 pages, 309 KiB  
Article
The Need for Pediatric Palliative Care in Romania: A Retrospective Study (2022–2023) Based on Quantitative Research and Analysis of Secondary Statistical Data
by Mihaela Hizanu Dumitrache, Mădălina Duceac Covrig, Dana Elena Mîndru, Alina Plesea Condratovici, Geta Mitrea, Eva Maria Elkan, Antoanela Curici, Bogdan Gafton and Letiția Doina Duceac
Medicina 2025, 61(7), 1282; https://doi.org/10.3390/medicina61071282 - 16 Jul 2025
Viewed by 217
Abstract
Background and Objectives: Estimating the need for palliative care for children is a crucial step in addressing the needs of children facing life-threatening conditions, while providing a powerful argument to combat unacceptably wide disparities in access to care. The need for palliative [...] Read more.
Background and Objectives: Estimating the need for palliative care for children is a crucial step in addressing the needs of children facing life-threatening conditions, while providing a powerful argument to combat unacceptably wide disparities in access to care. The need for palliative care for children in Romania remains insufficiently quantified. More accurate estimates are indispensable to assess the true extent of need and to support adequate policy responses. Materials and Methods: This retrospective cross-sectional study aimed to estimate the need for pediatric palliative care in Romania for 2022–2023. We analyzed secondary data obtained from the General Directorates of Social Assistance and Child Protection (DGASPC) in 41 counties and the six sectors of Bucharest. The analysis focused on life-limiting conditions as defined by the WHO Annex 3, Order no. 253/2018. Results: The study identified 14,499 pediatric cases with palliative care needs, showing a highly uneven national distribution, especially across diagnostic groups and age categories. We observed a higher number of cases in rural areas (7553) compared with urban areas (6946). Our own data do not include resource estimates; however, prior reports indicate only 50 palliative care beds for children in Romania. Conclusions: This study reveals a substantial and unevenly distributed need for pediatric palliative care in Romania, with notable disparities across age groups, diagnostic categories, and urban-rural areas. The identification of 14,499 eligible cases underscores the urgency of developing targeted policies and allocating adequate resources to ensure equitable access to specialized palliative services for all children in need. Full article
(This article belongs to the Section Pediatrics)
33 pages, 10985 KiB  
Article
Integrating AHP-Entropy and IPA Models for Strategic Rural Revitalization: A Case Study of Traditional Villages in Northeast China
by Chenghao Wang, Guangping Zhang and Yunying Zhai
Buildings 2025, 15(14), 2475; https://doi.org/10.3390/buildings15142475 - 15 Jul 2025
Viewed by 311
Abstract
Traditional villages are critical to preserving cultural heritage and promoting sustainable rural development. This study evaluates the development potential of 47 traditional villages in Jilin Province from the perspectives of spatial planning, architectural conservation, and rural real estate revitalization. A Development Potential Assessment [...] Read more.
Traditional villages are critical to preserving cultural heritage and promoting sustainable rural development. This study evaluates the development potential of 47 traditional villages in Jilin Province from the perspectives of spatial planning, architectural conservation, and rural real estate revitalization. A Development Potential Assessment (DPA) framework is constructed based on five dimensions: geographical position, cultural resources, socio-economic factors, natural ecology, and living environment. The AHP-entropy weighting method is applied to ensure objectivity in scoring, while kernel density analysis and coefficient of variation techniques identify spatial patterns and internal disparities. To further inform strategic planning and targeted investment, an Importance–Performance Analysis (IPA) model is introduced, aligning resource advantages with development performance. Key findings include the following: (1) significant spatial heterogeneity, with higher potential concentrated in the southeast and lower levels in the northwest; (2) cultural and socio-economic dimensions are the most influential factors in differentiating development types; and (3) a subset of villages shows a disconnect between resource endowment and realized potential, indicating the need for tailored design interventions and investment strategies. This research offers a visual and data-driven basis for differentiated revitalization strategies, integrating urban science methods, architectural thinking, and real estate development logic. It supports refined policy implementation, spatial design decisions, and the activation of underutilized rural assets through context-sensitive planning. Full article
(This article belongs to the Section Architectural Design, Urban Science, and Real Estate)
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