Search Results (403)

Objectives: To theorize the work-related dimension involved in the process of reconciling work and personal roles among nurses working in Intensive Care Units. Methods: Constructivist grounded theory was employed to conceptualize the phenomenon of interest from the perspectives of nurses, their families, and administrative staff. Data were derived from 202 h of non-participant observation in two high-complexity hospitals in Chile (one public and one private), 57 institutional documents, and 51 in-depth interviews. Data analysis followed the constant comparative method and multilevel coding. To ensure methodological rigor, the study adhered to the 13 criteria for constructivist grounded theory research proposed by Charmaz and Thornberg and was approved by a scientific ethics committee. Results: Work-related roles are defined as the set of behaviors associated with the professional context, which are shaped by nine sources of interaction: (1) Job content; (2) Workload and pace; (3) Work schedule; (4) Control; (5) Environment and equipment; (6) Organizational culture; (7) Interpersonal relationships; (8) Function within the organization; and (9) Career development. Conclusions: The study presents the theorization process of the work-related dimension involved in the reconciliation of work and personal roles among nurses in Intensive Care Units. Work-related roles are essential to understanding this reconciliation process. The findings provide evidence for the existence of nine sources of interaction, which are influenced by institutional strategic planning and, in turn, by national and international public policies. Full article

Scientific conferences are invaluable for knowledge exchange, yet pose growing environmental concerns, especially through long-distance travel. This work quantifies and compares the environmental burdens of a national conference (30 delegates, Pisa, Italy) and an international conference (50 delegates, Athens, Greece) using ISO 14040/44-compliant Life-Cycle Assessment (LCA). A cradle-to-grave inventory combined primary data on participant travel, venue utilities, catering materials and waste handling with secondary datasets from Ecoinvent 3.8. Sixteen midpoint impact categories were calculated with the Environmental Footprint 3.1 method and normalized per delegate. The international meeting incurred 130 kg CO_2eq per delegate, compared with 11 kg CO_2eq per delegate for the domestic event, reflecting a ten-fold rise in fossil energy demand and comparable multiples across acidification, eutrophication and toxicity categories. Participant travel explained >85% of every global indicator in both cases, while venue energy and material flows together accounted for ≤12%. Further developments require harmonized functional units, improved digital-infrastructure inventories and integration of social impact metrics. The findings provide preliminary input for evidence-based guidelines for organizers and contribute to the standardization of LCA in the emerging field of event sustainability. Full article

Background/Objectives: Parental mental representations play a crucial role in shaping early parent–child relationships, particularly during the perinatal period. These internal models influence caregiving behaviors, emotional attunement, and the intergenerational transmission of attachment. The present systematic review aims to address this gap by examining the nature of both maternal and paternal mental representations in the perinatal period (involving pregnancy and the first postnatal time), with a particular emphasis on reflective functioning, and by outlining the variables that are influenced by these representations. Methods: Following PRISMA guidelines, eligible peer-reviewed studies were identified through a comprehensive literature search of major scientific databases (Scopus, Web of Science, PsychArticle/PsycInfo). Qualitative assessment and detailed description were carried out. Results: In total, 28 studies were selected and analyzed. Findings reveal that while representations tend to organize around shared psychological domains—such as expectations regarding the child, parental identity, and the anticipated relationship—there is significant heterogeneity in how these are conceptualized and measured across studies. Risk factors such as maternal depression, low social support, and adverse life experiences were consistently linked to disengaged or distorted representations, whereas balanced representations were associated with greater RF, emotional availability, and protective relational contexts. Conclusions: Overall, the review highlights the clinical relevance of assessing parental mental representations and RF during the perinatal period, suggesting that early, targeted interventions may enhance parental sensitivity and promote secure parent–infant bonds. Future research should adopt integrated theoretical models, include diverse family configurations, and evaluate the efficacy of preventive programs that support reflective and adaptive representations. Full article

Metro carriages, as enclosed transport microenvironments, have been understudied regarding pollution characteristics and health risks from ACs, especially during high-temperature summers that amplify exposure. This study applied NTS techniques for the first time across three major Chengdu metro lines, systematically identifying sixteen ACs, including hazardous species such as acetophenone, benzonitrile, and benzoic acid that are often overlooked in conventional BTEX-focused monitoring. The TAC concentration reached 41.40 ± 5.20 µg/m³, with half of the compounds exhibiting significant increases during peak commuting periods. Source apportionment using diagnostic ratios and PMF identified five major contributors: carriage material emissions (36.62%), human sources (22.50%), traffic exhaust infiltration (16.67%), organic solvents (16.55%), and industrial emissions (7.66%). Although both non-cancer (HI) and cancer (TCR) risks for all population groups were below international thresholds, summer tourists experienced higher exposure than daily commuters. Notably, child tourists showed the greatest vulnerability, with a TCR of 5.83 × 10⁻⁷, far exceeding that of commuting children (1.88 × 10⁻⁷). Benzene was the dominant contributor, accounting for over 50% of HI and 70% of TCR. This study presents the first integrated NTS and quantitative risk assessment to characterise ACs in summer metro environments, revealing a broader range of hazardous compounds beyond BTEX. It quantifies population-specific risks, highlights children’s heightened vulnerability. The findings fill critical gaps in ACs exposure and provide a scientific basis for improved air quality management and pollution mitigation strategies in urban rail transit systems. Full article

Patient involvement in health technology assessment (HTA) processes is increasingly recognized as pivotal for informed, equitable, and patient-relevant health care decision-making. With the implementation of Joint Scientific Consultations (JSCs) and Joint Clinical Assessments (JCAs) under Regulation (EU) 2021/2282, the European Union has a unique opportunity to design harmonized mechanisms that reflect best practices from established HTA systems. This article, drawing on the Acute Leukemia Advocates Network (ALAN)’s comparative analysis of HTA practices across seven countries (Canada, England, Scotland, France, Germany, Spain, and Italy), examines how current patient involvement processes can inform the JCA framework. It identifies opportunities to replicate effective practices and proposes strategies to embed patient voices meaningfully into the JCA process. By prioritizing robust and inclusive patient involvement, the EU can establish a global benchmark for impactful and consistent HTA processes. By leveraging lessons from international HTA systems and prioritizing clear frameworks, early involvement, and capacity building, the EU can set a global standard for meaningful patient participation in HTA processes. ALAN is an independent global network of patient organizations dedicated to improving outcomes for patients with acute leukemia. Full article

With the ongoing advancement of industrialization and rapid urbanization, the emission of volatile organic compounds (VOCs) has increased significantly. As key precursors of PM_2.5 and ozone formation, VOCs pose a growing threat to the health of ecosystems. Due to their complex and dynamic transformation processes across air, water, and soil media, the ecological risks associated with VOCs have attracted increasing attention from both the scientific community and policy-makers. This study systematically reviews the core literature on the ecological impacts of VOCs published between 2005 and 2024, based on data from the Web of Science and Google Scholar databases. Utilizing three bibliometric tools (CiteSpace, VOSviewer, and Bibliometrix), we conducted a comprehensive visual analysis, constructing knowledge maps from multiple perspectives, including research trends, international collaboration, keyword evolution, and author–institution co-occurrence networks. The results reveal a rapid growth in the ecological impact of VOCs (EIVOCs), with an average annual increase exceeding 11% since 2013. Key research themes include source apportionment of air pollutants, ecotoxicological effects, biological response mechanisms, and health risk assessment. China, the United States, and Germany have emerged as leading contributors in this field, with China showing a remarkable surge in research activity in recent years. Keyword co-occurrence and burst analyses highlight “air pollution”, “exposure”, “health”, and “source apportionment” as major research hotspots. However, challenges remain in areas such as ecosystem functional responses, the integration of multimedia pollution pathways, and interdisciplinary coordination mechanisms. There is an urgent need to enhance monitoring technology integration, develop robust ecological risk assessment frameworks, and improve predictive modeling capabilities under climate change scenarios. This study provides scientific insights and theoretical support for the development of future environmental protection policies and comprehensive VOCs management strategies. Full article

The 100-Day Mission, coordinated by the Coalition for Epidemic Preparedness Innovations (CEPI) and endorsed by significant international stakeholders, aims to shorten the timeframe for developing and implementing vaccines to 100 days after the report of a new pathogen. This ambitious goal is outlined as an essential first step in improving pandemic preparedness worldwide. This review highlights the mission’s implementation potential and challenges by examining it through the lens of low- and middle-income countries (LMICs), which often face barriers to equitable vaccine access. This article explores the scientific, economic, political, and social aspects that could influence the mission’s success, relying on lessons learned from previous pandemics, such as the Spanish flu, H1N1, and COVID-19. We also examined important cornerstones like prototype vaccine libraries, accelerated clinical trial preparedness, early biomarkers identification, scalable manufacturing capabilities, and rapid pathogen characterization. The review also explores the World Health Organization (WHO) Pandemic Agreement and the significance of Phase 4 surveillance in ensuring vaccine safety. We additionally evaluate societal issues that disproportionately impact LMICs, like vaccine reluctance, health literacy gaps, and digital access limitations. Without intentional attempts to incorporate under-resourced regions into global preparedness frameworks, we argue that the 100-Day Mission carries the risk of exacerbating already-existing disparities. Ultimately, our analysis emphasizes that success will not only rely on a scientific innovation but also on sustained international collaboration, transparent governance, and equitable funding that prioritizes inclusion from the beginning. Full article

Bupleurum scorzonerifolium Willd. is a perennial herbaceous plant of the genus Bupleurum in the Apiaceae family. Also known as red Bupleurum, it is mainly distributed in Northeast China, North China and other regions and is a commonly used medicinal plant. It is difficult for the wild plant resources of Bupleurum scorzonerifolium Willd. to meet the market demand. In artificial cultivation, there are problems such as a low yield per plant, low quality, weakened stress resistance and variety degradation. The contents of bioactive components and metabolites in traditional Chinese medicinal materials vary significantly across different growth years. The growth duration directly impacts their quality and clinical efficacy. Therefore, determining the optimal growth period is one of the crucial factors in ensuring the quality of traditional Chinese medicinal materials. In this study, Gas Chromatography–Mass Spectrometry (GC-MS) and High-performance liquid chromatography (HPLC) were comprehensively applied to analyze the metabolically differential substances in different parts of Bupleurum scorzonerifolium Willd. By comparing the compositions and content differences of chemical components in different growth years and different parts, the chemical components with significant differences were accurately screened out. In order to further explore the dynamic change characteristics and internal laws of metabolites, a metabolic network was constructed for a visual analysis and, finally, to see the optimal growth years of Bupleurum scorzonerifolium Willd. This result showed that with the accumulation of the growth cycle, the height, root width, fresh mass and saikosaponins content of Bupleurum scorzonerifolium Willd. increased year by year. Except for sodium and calcium elements in the main shoot, the other elements were significantly reduced. In addition, 59 primary metabolites were identified by GC-MS, with the accumulation of the growth cycle, the contents of organic acids, sugars, alcohols and amino acids gradually decreased, while the contents of alkyl, glycosides and other substances gradually increased. There were 53 positive correlations and 18 negative correlations in the triennial Bupleurum scorzonerifolium Willd. grid, all of which were positively correlated with saikosaponins. Therefore, the triennial Bupleurum scorzonerifolium Willd. was considered to be the suitable growth year. It not only provided a new idea and method for the quality evaluation of Bupleurum scorzonerifolium Willd., but also provided a scientific basis for the quality control of Chinese herbs. Full article

In the context of global warming, polar tourism is developing rapidly, and the demand for polar cruise travel in the Northwest Passage continues to increase, while sea ice has long been a key factor limiting the development of polar cruise tourism. This study focuses on the operational risk of sea ice on cruise ships in the Northwest Passage (NWP), aiming to provide a scientific basis for ensuring the safety of cruise ship navigation and promoting the sustainable development of polar tourism. Based on ice data from 2015 to 2024, this study used the Polar Operational Limit Assessment Risk Indexing System (POLARIS) methodology recommended by the International Maritime Organization (IMO) to establish three scenarios for the route of ice class IC cruise ships: light ice, normal ice, and heavy ice. The navigable windows were systematically analyzed and critical waters along the route were identified. The results indicate that the navigable windows for IC ice-class cruise ships under light ice conditions are from mid-July to early December, while the navigable period under normal ice conditions is only from mid- to late September, and navigation is not possible under heavy ice conditions. The study identified Larsen Sound, Barrow Strait, Bellot Strait and Eastern Beaufort Sea as critical waters on the NWP cruise route. Among them, Larsen Sound and Eastern Beaufort Sea have a more prominent impact on voyage scheduling because their navigation weeks overlap less with other waters. This study provides a new idea for the risk assessment of polar cruise ships in ice regions. The research results can provide an important reference for the safe operation of polar cruise ships in the NWP and the decision-making of relevant parties. Full article

The impact of black carbon (BC) emissions on climate change, human health, and the environment is well-documented in the scientific literature. Although BC still remains largely unregulated at the international level, efforts have been made to reduce emissions of BC and Particulate Matter (PM_2.5), particularly in sectors such as energy production, industry, and road transport. In contrast, the maritime shipping industry has made limited progress in reducing BC emissions from ships, mainly due to the absence of stringent BC emission regulations. While the International Maritime Organization (IMO) has established emission limits for pollutants such as SO_x, NO_x, and VOCs under MARPOL Annex VI, as of today, BC emissions from ships are still unregulated at the international level. Whereas it was anticipated that PM_2.5 and BC emissions would be reduced with the adoption of the SO_x regulations, especially within the sulfur emission control areas (SECA), this study reveals that BC emissions are only partially affected by the current MARPOL Annex VI regulations. Based on 886 real-world black carbon (BC) emission measurements from ships operating in the southern North Sea, the study demonstrates that SECA-compliant fuels do contribute to a notable decrease in BC emissions. However, it is important to note that the average BC emission factors (EFs) within the SECA remain comparable in magnitude to those reported for non-compliant fuels in earlier studies. Moreover, ships using exhaust gas cleaning systems (EGCSs) as a SECA-compliant measure were found to emit significantly higher levels of BC, raising concerns about the environmental sustainability of EGCSs as an emissions mitigation strategy. Full article

The H5N1 avian influenza virus continues to evolve into genetically diverse and highly pathogenic clades with increased potential for cross-species transmission. Recent scientific advances have included the development of next-generation vaccine platforms, promising antiviral compounds, and more sensitive diagnostic tools, alongside strengthened surveillance systems in both animals and humans. However, persistent structural challenges hinder global readiness. Vaccine production is heavily concentrated in high-income countries, limiting equitable access during potential pandemics. Economic and logistical barriers complicate the implementation of control strategies such as vaccination, culling, and compensation schemes. Gaps in international coordination, public communication, and standardization of protocols further exacerbate vulnerabilities. Although sustained human-to-human transmission has not been documented, the severity of confirmed infections and the rapid global spread among wildlife and domestic animals underscore the urgent need for robust preparedness. International organizations have called for comprehensive pandemic response plans, enhanced multisectoral collaboration, and investment in targeted research. Priorities include expanding surveillance to asymptomatic animal hosts, evaluating viral shedding and transmission routes, and developing strain-specific and universal vaccines. Strengthening global cooperation and public health infrastructure will be critical to mitigate the growing threat of H5N1 and reduce the risk of a future influenza pandemic. Full article

Background/Objectives: The global population is rapidly aging, raising interest in dietary practices for promoting the healthspan. This study aimed to comprehensively investigate the state of diet and longevity research over the past decade, addressing the lack of bibliometric synthesis within the field. Methods: A bibliometric analysis was performed using the keywords “diet” and “longevity” on English-language articles from the Web of Science database that were published from 2015 to 2024. Data were analyzed using Web of Science tools, InCites, and VOSviewer to identify trends in publication output, citation metrics, coauthorship networks, institutional contributions, and keyword co-occurrence patterns. Results: Overall, 2203 articles meeting the inclusion criteria were included in the analysis. Publication volume and citation counts gradually increased, peaking in 2021. Countries, including the United Kingdom, and organizations, such as the National Institutes of Health and Harvard University, had significant citation impact, and the United States and China led productivity. Molecular processes (oxidative stress and autophagy), dietary models (Mediterranean diet and calorie restriction), and public health issues (obesity and mortality) were the main thematic clusters. Model species, including Caenorhabditis elegans and Drosophila melanogaster, were frequently used. Regional disparities in research production and notable terminology variability were noted. Conclusions: This study emphasizes the development and diversity of nutrition and longevity research while highlighting novel molecular and translational topics. More international cooperation, uniform language, and multidisciplinary frameworks are warranted to promote equal scientific advancement worldwide and connect mechanistic discoveries with therapeutic outcomes. Full article

Cantabrian mixed forests, located in areas of Spain, Portugal, and France, serve as an essential biogeographic transition region, noted for its extraordinary plant diversity and ecological intricacy. To aid conservation and research initiatives, a uniform checklist of vascular plants was created, incorporating information from citizen science platforms, scientific databases, herbarium records, and local floras. The outcome is a carefully selected collection of more than 8000 taxa, with over 76% recognized as native, highlighting the area’s importance as a reservoir of biodiversity and a climate refuge. Taxonomic discrepancies were resolved via expert verification and adherence to international naming standards, establishing a dependable basis for ecological research. The checklist demonstrates notable variations in organisms, ecological approaches, and evolutionary lineages, influenced by geographical diversity, climate variations, and past land use patterns. Importantly, the study emphasizes the drawbacks of unchecked biodiversity data and shows the benefits of expert-driven synthesis for addressing gaps and biases in species documentation. The floristic information presented here can act as a basis for transboundary conservation planning, ongoing biodiversity tracking, and the development of adaptive management approaches in response to climate change and ecological decline. This initiative represents an important move towards safeguarding the distinct natural heritage of this distinctive biogeographic region. Full article

The fast growth of artificial intelligence during recent years has resulted in its implementation across various sectors. The broad implementation of AI systems has generated substantial ethical issues because AI algorithm decisions can affect basic rights such as privacy, fairness, security and individual autonomy. With these concerns, governments, international organizations, and academic institutions have established guidelines and regulations to ensure that artificial intelligence systems are designed and implemented in a manner that upholds fundamental ethical principles. This work presents the results of a Systematic Literature Review using the PRISMA approach and aims to identify which approaches/methods are the most suitable ones for being used to integrate ethics and trustworthiness into AI tools for industrial engineering applications. Therefore, the review considered 38 pertinent scientific works published between 2019 and the end of August 2024. Full article