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Search Results (2,348)

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30 pages, 3408 KiB  
Article
Social Relationships of Captive Bachelor Przewalski’s Horses and Their Effect on Daily Activity and Space Use
by Anastasiia Nykonenko, Yevhen Moturnak and Philip Dunstan McLoughlin
Animals 2025, 15(1), 53; https://doi.org/10.3390/ani15010053 - 28 Dec 2024
Viewed by 421
Abstract
Understanding social relationships in at-risk species held in captivity is vital for their welfare and potential reintroduction. In social species like the Przewalski’s horse (Equus ferus przewalskii), daily time allocation and space use may be influenced by social structure and, in [...] Read more.
Understanding social relationships in at-risk species held in captivity is vital for their welfare and potential reintroduction. In social species like the Przewalski’s horse (Equus ferus przewalskii), daily time allocation and space use may be influenced by social structure and, in turn, reflect welfare. Here, we identify social relationships, time budgets, and spatial distribution of a group of nine older (aged 6–21 years) male Przewalski’s horses living in a non-breeding (bachelor) group. We conducted our work at the Askania-Nova Biosphere Reserve, over 65 h of observation in summer, 2015. Horses formed stronger social bonds with individuals of similar gregariousness and dominance levels. Social-network analysis identified three distinct subgroups with significant differences in locomotion, social behaviour, and foraging. However, resting and vigilance behaviour remained similar across the subgroups. Behavioural synchrony across all activities was higher within subgroups than between. Space use was also affected by subgroup membership, with some horses overusing or underusing critical resource areas like hay and water. These findings suggest opportunities to improve welfare by adjusting space and resource distribution, particularly for more submissive individuals. Our approach may also aid in selecting reintroduction candidates by considering social characteristics alongside health, genetic, and other factors. Full article
(This article belongs to the Special Issue The Relevance of Companionship and Social Behaviour for Horses)
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Figure 1
<p>Enclosure map (I, II) for adult male Przewalski’s horses, Askania-Nova Biosphere Reserve (21 July to 14 August 2015).</p>
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<p>The social network of association indices in the bachelor group of Przewalski’s horses (Social cluster = communities detected by Louvain method).</p>
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<p>The network of rates of affiliative interactions in a bachelor group of Przewalski’s horses (arrow direction reflects initiator and a recipient of affiliative behaviour; Social cluster = communities detected by Infomap method).</p>
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<p>The relationships between weighted degree and strength derived from association network (<b>left</b>) and network of affiliative interaction rates (<b>right</b>) of Przewalski’s horses males.</p>
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<p>The network of rates of agonistic interactions in a bachelor group of Przewalski’s horses (arrow direction reflects initiator and a recipient of either offensive or defensive behaviour; weight = rates of interactions, clusters = communities detected by Infomap method).</p>
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<p>Daily time budget of Przewalski’s bachelor males by time of day (mean percentage of behaviour ± s.d.).</p>
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<p>Behavioural synchrony in the bachelor group of Przewalski’s horses by activities by social clusters (see <a href="#animals-15-00053-t008" class="html-table">Table 8</a>).</p>
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<p>Visualization of daily time budget of a bachelor group of Przewalski’s horses with different enclosure availability (values for all activities for all study period).</p>
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<p>Electivity indices by zone with different resource availability for horses in periods with two and one enclosure available.</p>
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<p>Activities performed by Przewalski’s horses in different zones of the enclosures.</p>
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20 pages, 2510 KiB  
Article
Monitoring Brazilian Food Security Based on Emergy Concepts: A Proposed Approach
by Rafael Araujo Nacimento, Mario Duarte Canever, Luiz Carlos Terra dos Santos, Cecília Almeida, Feni Agostinho and Biagio Fernando Giannetti
Resources 2025, 14(1), 7; https://doi.org/10.3390/resources14010007 (registering DOI) - 28 Dec 2024
Viewed by 153
Abstract
This study enhances the discussion on food security by examining trade equity between food consumers and the supply chain from an emergy perspective. The objective is to develop a food security indicator for Brazil as a case study that provides a holistic view [...] Read more.
This study enhances the discussion on food security by examining trade equity between food consumers and the supply chain from an emergy perspective. The objective is to develop a food security indicator for Brazil as a case study that provides a holistic view of the historical relationship (from 1995 to 2022) between the emergy and money received by consumers and the emergy and money supplied by the food chain. Each item in the Brazilian food basket was evaluated using the Emergy Exchange Ratio (EER) indicator, which measures the advantages and disadvantages that consumers and the food chain experience in their exchanges. The results indicate that processed food items such as oils and butter generally provide greater net emergy benefits to consumers compared to fresh food items like meat, bananas, tomatoes, and potatoes, which often favor the supply chain. Furthermore, the findings highlight that vulnerable populations face significant challenges in achieving food security due to their increased efforts to generate income relative to the emergy they receive for their social welfare. The proposed food security indicator reveals that consumers enjoyed a more balanced trade since the mid-1990s; however, this trend has recently begun to reverse, underscoring the need for policies that ensure fairer exchanges. This work contributes to discussions on food security by considering an emergy-based approach with the modified Emergy per Money Ratio (EMR) as a complement to traditionally used approaches. Full article
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<p>Emergy Exchange Ratio for evaluating the benefits of purchases and sales: A—the flow of products and services provided by the market and paid for by families; and B—the flow of services (as a product) provided by families and paid in currency by the market. Please see <a href="#app1-resources-14-00007" class="html-app">Supplementary Material A</a> for more details on emergy synthesis and its EER index. Source: adapted from Odum [<a href="#B12-resources-14-00007" class="html-bibr">12</a>].</p>
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<p>The emergy benefit in food acquisition for families earning a minimum wage. The emergy benefit in food acquisition for those earning a minimum wage per month was calculated by comparing the emergy of the product to the emergy expended in monetary form for its acquisition. The emergy of the product was obtained from Equation (2b): Energy content of the product (kcal/g) × food acquisition (g/yr) × 4184 J × Unit Emergy Value (sej/J). Both the UEV and the energy content of the product were sourced from the scientific literature. The emergy expended in monetary form for product acquisition was calculated using: Emergy-to-Money Ratio (EMR) (sej/<span>$</span>) × food acquisition (kg/yr) × price (BRL/kg). The EMR, a microeconomic metric, was proposed by considering the relationship between the emergy required for the livelihood and the income earned as wages. The emergy for the livelihood encompassed both the nutritional energy requirements and the environmental emergy flows, as described by Nacimento et al. [<a href="#B53-resources-14-00007" class="html-bibr">53</a>]. The annual wage was considered the sole source of household income, with yearly variations from 1995 to 2022 based on IBGE data. The food acquisition data were sourced from the metadata of the Pesquisa de Orçamento Familiar [<a href="#B46-resources-14-00007" class="html-bibr">46</a>], covering food acquisition in the years 1987, 1995, 2002, 2008, and 2018. A polynomial equation was used to fill in the years with missing data, as previously described in the <a href="#sec3-resources-14-00007" class="html-sec">Section 3</a>. The nominal price paid per kilogram of food was obtained from Departamento Intersindical de Estatística e Estudos Socioeconômicos (DIEESE) reports, which considered the average annual price of food items in the basic food basket for 17 state capitals in Brazil [<a href="#B44-resources-14-00007" class="html-bibr">44</a>]. Please see <a href="#app1-resources-14-00007" class="html-app">Supplementary Material A</a> for more details about the calculation memory, <a href="#app1-resources-14-00007" class="html-app">Table S1</a>.</p>
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<p>Comparison of Emergy Exchange Ratios (EER) for basic food basket acquisition based on the family income. The emergy benefit in food acquisition for those earning a minimum wage per month was calculated by comparing the emergy of the product to the emergy expended in monetary form for its acquisition. The emergy of the product was derived from the following formula: Energy content of the product (kcal/g) × food acquisition (g/yr) × 4184 J × Unit Emergy Value (sej/J). Both the UEV and the energy content of the product were sourced from the scientific literature. The emergy expended in monetary form for product acquisition was calculated using: Emergy-to-Money Ratio (EMR) (sej/<span>$</span>) × food acquisition (kg/yr) × price (BRL/kg). The EMR, a microeconomic metric, was proposed by considering the relationship between the emergy required for the livelihood and the income earned as wages. The emergy for the livelihood encompassed both the nutritional energy requirements and the environmental emergy flows, as described by Nacimento et al. [<a href="#B53-resources-14-00007" class="html-bibr">53</a>]. The annual wage was considered the sole source of household income, with yearly variations from 1995 to 2022 based on IBGE data. The food acquisition data were sourced from the metadata of the Pesquisa de Orçamento Familiar [<a href="#B46-resources-14-00007" class="html-bibr">46</a>], covering food acquisition in the years 1987, 1995, 2002, 2008, and 2018. A polynomial equation was used to fill in the years with missing data, as previously described in the <a href="#sec3-resources-14-00007" class="html-sec">Section 3</a>. The nominal price paid per kilogram of food was obtained from Departamento Intersindical de Estatística e Estudos Socioeconômicos (DIEESE) reports, which considered the average annual price of food items in the basic food basket for 17 state capitals in Brazil [<a href="#B44-resources-14-00007" class="html-bibr">44</a>]. Please see <a href="#app1-resources-14-00007" class="html-app">Supplementary Material A</a> for more details about the calculation memory, <a href="#app1-resources-14-00007" class="html-app">Table S1</a>.</p>
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<p>Perceptual map from the multiple correspondence analysis (MCA) illustrating the relationships between food categories, family income levels, and Emergy Exchange Ratio classifications. Note: The food classes were (01) in natura (meat, bananas, potatoes, and tomatoes); (02) minimally processed (milk, flour, rice, beans, and coffee); and (03) processed (sugar, bread, butter, and oil/lard). The income classes were (01) extreme poverty (families with ⅕ of a minimum wage/month); (02) minimum wage (families that receive a minimum wage/month); (03) poverty line (families with ½ of a minimum wage/month); and (04) percentile 90 (families that receive 2.7 times a minimum wage/month). For the “Emergy Exchange Ratio—ERR”, three classes were considered: (01) EER &lt; 0.9—characterized by unfavorable consumer exchanges with the supply chain; (02) 0.9 &lt; EER &lt; 1.1—characterized by an equitable trade between consumers and the supply chain; and (03) EER &gt; 1.1—characterized by favorable consumer exchanges with the supply chain.</p>
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31 pages, 2843 KiB  
Article
Cross-Platform Logistics Collaboration: The Impact of a Self-Built Delivery Service
by Lanbo Li and Gang Li
J. Theor. Appl. Electron. Commer. Res. 2025, 20(1), 3; https://doi.org/10.3390/jtaer20010003 - 27 Dec 2024
Viewed by 450
Abstract
Motivated by the collaboration of a takeout platform and a crowdsourced delivery platform, we developed a stylized model to explore the interplay between the two platforms’ decisions. We captured the cross-platform network effects of the two complementary platforms, and investigated how the collaboration [...] Read more.
Motivated by the collaboration of a takeout platform and a crowdsourced delivery platform, we developed a stylized model to explore the interplay between the two platforms’ decisions. We captured the cross-platform network effects of the two complementary platforms, and investigated how the collaboration between the two platforms shapes the optimal prices, platform profits, and social welfare. We found that the takeout platform optimally adopts a subsidy pricing strategy when its commission rate is relatively high. In addition, when the demand-side network effect coefficient increases, the delivery platform optimally raises the shipping fee to trigger a larger supply of drivers. Furthermore, we found that the takeout platform introducing a self-logistics service reduces the subsidy intensity and raises the subsidy threshold. It also reshapes the strategic two-sided pricing to increase the network benefit when the network effect coefficient grows on one side. Specifically, as the supply-side network effect coefficient increases, instead of lowering the delivery price to increase demand and further increase the drivers’ network benefit, the takeout platform optimally raises it under certain conditions. Finally, self-logistics may benefit the takeout platform, while hurting the delivery platform, and it can increase social welfare. Our results, thus, unveil a price regime for platform collaboration and validate the effectiveness of the introduction of self-logistics by takeout platforms. Full article
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<p>Cross-platform network effects based on online food delivery (OFD) system.</p>
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<p>The OFD system structure.</p>
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<p>Timeline of events.</p>
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<p>Subsidy pricing strategy area in Case TS (<math display="inline"><semantics> <mrow> <msub> <mrow> <mi>β</mi> </mrow> <mrow> <mi>c</mi> </mrow> </msub> <mo>=</mo> <mn>0.28</mn> <mo>,</mo> <mo> </mo> <msub> <mrow> <mi>β</mi> </mrow> <mrow> <mi>s</mi> </mrow> </msub> <mo>=</mo> <mn>0.32</mn> <mo>,</mo> <mo> </mo> <mi>g</mi> <mo>=</mo> <mn>0.58</mn> <mo>,</mo> <mo> </mo> <msub> <mrow> <mi>n</mi> </mrow> <mrow> <mn>0</mn> </mrow> </msub> <mo>=</mo> <mn>0.10</mn> </mrow> </semantics></math>).</p>
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<p>The relative magnitude of two effects (<math display="inline"><semantics> <mrow> <mi>g</mi> <mo>=</mo> <mn>0.45</mn> <mo>,</mo> <mo> </mo> <msub> <mrow> <mi>n</mi> </mrow> <mrow> <mn>0</mn> </mrow> </msub> <mo>=</mo> <mn>0.33</mn> <mo>,</mo> <mo> </mo> <msub> <mrow> <mi>β</mi> </mrow> <mrow> <mi>c</mi> </mrow> </msub> <mo>=</mo> <mn>0.45</mn> </mrow> </semantics></math>).</p>
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<p>Profit change for takeout platform with self-building delivery service (<math display="inline"><semantics> <mrow> <mi>λ</mi> <mo>=</mo> <mn>0.72</mn> <mo>,</mo> <mo> </mo> <msub> <mrow> <mi>β</mi> </mrow> <mrow> <mi>s</mi> </mrow> </msub> <mo>=</mo> <mn>0.42</mn> <mo>,</mo> <mo> </mo> <msub> <mrow> <mi>β</mi> </mrow> <mrow> <mi>c</mi> </mrow> </msub> <mo>=</mo> <mn>0.38</mn> <mo>,</mo> <mo> </mo> <mi>g</mi> <mo>=</mo> <mn>0.41</mn> <mo>,</mo> <mo> </mo> <mi>τ</mi> <mo>=</mo> <mn>0.35</mn> </mrow> </semantics></math>).</p>
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<p>The effect of <math display="inline"><semantics> <mrow> <msub> <mrow> <mi>n</mi> </mrow> <mrow> <mn>0</mn> </mrow> </msub> <mo> </mo> </mrow> </semantics></math> on the takeout platform’s profit in Case TS (<math display="inline"><semantics> <mrow> <mi>λ</mi> <mo>=</mo> <mn>0.72</mn> <mo>,</mo> <mo> </mo> <msub> <mrow> <mi>β</mi> </mrow> <mrow> <mi>s</mi> </mrow> </msub> <mo>=</mo> <mn>0.42</mn> <mo>,</mo> <mo> </mo> <msub> <mrow> <mi>β</mi> </mrow> <mrow> <mi>c</mi> </mrow> </msub> <mo>=</mo> <mn>0.38</mn> <mo>,</mo> <mo> </mo> <mi>g</mi> <mo>=</mo> <mn>0.41</mn> <mo>,</mo> <mo> </mo> <mi>τ</mi> <mo>=</mo> <mn>0.35</mn> <mo>,</mo> <mo> </mo> <mi>c</mi> <mo>=</mo> <mn>0.39</mn> </mrow> </semantics></math>).</p>
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<p>The change in the takeout platform’s revenue for the two parts.</p>
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<p>The impact of a self-built delivery service on SW (<math display="inline"><semantics> <mrow> <msub> <mrow> <mi>β</mi> </mrow> <mrow> <mi>s</mi> </mrow> </msub> <mo>=</mo> <mn>0.22</mn> <mo>,</mo> <mo> </mo> <msub> <mrow> <mi>β</mi> </mrow> <mrow> <mi>c</mi> </mrow> </msub> <mo>=</mo> <mn>0.20</mn> <mo>,</mo> <mo> </mo> <mi>g</mi> <mo>=</mo> <mn>0.52</mn> <mo>,</mo> <mo> </mo> <mi>λ</mi> <mo>=</mo> <mn>0.72</mn> <mo>,</mo> <mo> </mo> <mi>τ</mi> <mo>=</mo> <mn>0.35</mn> </mrow> </semantics></math>).</p>
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28 pages, 3005 KiB  
Article
Attitudes Toward Aging: A Sustainability Psychology Perspective on the Perceptions of Undergraduate Students
by María Natividad Elvira-Zorzo, María Laura Vergara Álvarez and Miguel Lorenzo
Sustainability 2025, 17(1), 88; https://doi.org/10.3390/su17010088 - 26 Dec 2024
Viewed by 505
Abstract
The aging of the population is a key challenge for society today, with important implications for psychological and social sustainability. The persistence of negative attitudes toward older people leads to ageism, a form of discrimination that hinders an inclusive and equitable society. This [...] Read more.
The aging of the population is a key challenge for society today, with important implications for psychological and social sustainability. The persistence of negative attitudes toward older people leads to ageism, a form of discrimination that hinders an inclusive and equitable society. This study aims to develop a scale to assess attitudes toward old age and to analyze its psychometric properties in university students. The sample consisted of 185 university students aged between 19 and 44 years. A 35-item questionnaire was used, divided into two scales measuring positive and negative attitudes toward old age, each with three factors. The results indicate that the Attitudes toward Aging Scale (AAS) is suitable for measuring both attitudes and is a valid and reliable tool for diagnosing both negative and positive attitudes, as well as facilitating prevention and intervention strategies against ageism. From a sustainability psychology perspective, the use of the AAS contributes to a more equitable and sustainable society by promoting inclusive attitudes toward aging. This approach allows population aging to be seen not only as a demographic challenge, but also as an opportunity to promote intergenerational well-being and social cohesion, key elements for long-term sustainability. The limitations of this study include the small sample size, which could affect the generalizability of the results, but are justified by the contextual relevance of the sample, focusing on a key university group for the formation of future social and educational attitudes. Full article
(This article belongs to the Section Psychology of Sustainability and Sustainable Development)
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<p>Positive and negative adjectives about old age.</p>
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<p>Saturation of variables corresponding to Scale 1.</p>
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<p>Saturation of variables corresponding to Scale 2.</p>
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<p>Scheme of the AAS structure.</p>
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<p>Scheme of the distribution of items in the AAS corresponding to Scale 1.</p>
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<p>Distribution of data in the Impairment/Personality factor. This graph illustrates the frequency distribution of participants’ responses to the Impairment/Personality factor. The mean score is 22.5 with a standard deviation of 6.3 (<span class="html-italic">M</span> = 22.5, <span class="html-italic">SD</span> = 6.3). The distribution shows moderate dispersion in the data, indicating variability in how participants perceive personality impairment. This suggests that different individuals have differing levels of perception regarding personality impairment, with some scoring above or below the mean.</p>
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<p>Distribution of the data in the Disability factor. This graph depicts the frequency distribution of responses for the Disability factor. With a mean score of 9.95 and a standard deviation of 3.6 (<span class="html-italic">M</span> = 9.95, <span class="html-italic">SD</span> = 3.6), the data suggest that while some participants report higher levels of perceived disability, most participants show relatively lower levels of disability. The distribution reflects a moderate variation in the data.</p>
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<p>Distribution of Psychosocial Functioning data.</p>
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<p>Scheme of the distribution of items in the AAS corresponding to Scale 2.</p>
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<p>Distribution of data in the Attitude factor. Distribution of response frequencies for Factor 1, Attitudinal, of Scale 2. The chart shows the frequency of responses for each item of the scale, which evaluates general attitudes toward aging. The X-axis represents the item numbers, while the Y-axis reflects the number of responses associated with each item. This chart highlights variations in participants’ responses, showing differences in perceptions of aging.</p>
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<p>Data distribution for the Interpersonal Functioning factor. Frequency distribution of responses in Factor 2, Interpersonal Functioning, of Scale 2. The graph shows the number of responses for each item of the scale, which evaluates interpersonal skills and relationships in old age. The values on the X-axis represent the item numbers, while the Y-axis reflects the frequency of responses associated with each item.</p>
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<p>Distribution of data in the Wisdom factor. Frequency distribution of Factor 3: Wisdom (Scale 2). The graph shows the frequency of responses for each scale item, with a greater number of responses clustered in the central items, indicating a more common perception of wisdom among participants. The variability in frequencies suggests differences in the perception of wisdom across items.</p>
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<p>The scale of attitudes toward old age.</p>
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9 pages, 741 KiB  
Article
Positive Correlation of Social Rank and Hair Cortisol Concentration in Group-Housed Pregnant Cows
by Shigeru Ninomiya, Ayumi Nishi, Ririka Nakamura and Mitsuhiro Shibata
Animals 2025, 15(1), 13; https://doi.org/10.3390/ani15010013 - 24 Dec 2024
Viewed by 214
Abstract
In intensive beef production systems, social dominance relationships among cattle and human-cattle relationships constantly affect cattle welfare. However, these factors have not been investigated to assess their long-term effects on cattle welfare. In this study, the relations of hair cortisol concentrations of group-housed [...] Read more.
In intensive beef production systems, social dominance relationships among cattle and human-cattle relationships constantly affect cattle welfare. However, these factors have not been investigated to assess their long-term effects on cattle welfare. In this study, the relations of hair cortisol concentrations of group-housed pregnant cows with their social rank and avoidance distance when approached by humans were analysed. Thirty-two Japanese black cows were used in this study. Examinations were conducted six times throughout two years, and each cow was subjected to one–three examinations. Hair sampling was conducted on each examination day. The hair cortisol concentrations were measured using a cortisol enzyme immunoassay kit. Social behaviour recordings were made about 6 h on each examination day. The numbers of occurrences of butt, threat, chase, and avoidance behaviours of each animal were recorded using continuous recording methods, and the social rank score for each animal was calculated from the data. Avoidance distances from humans approaching were measured for 23 test cows during the first three examination days. Measurements were taken 5–10 min after the start of morning feeding. The relations between the hair cortisol concentration and social rank score or avoidance distance were analysed using a mixed-effects model or correlation analysis. Significant positive correlation was found between the social rank score and hair cortisol concentration (F1, 48 = 4.54, p = 0.038). No significant correlation was found between the cows’ responsiveness to humans and their hair cortisol concentration (r = −0.004, p = 0.99, n = 23). The findings suggest that low-ranking cows had lower cortisol levels. Full article
(This article belongs to the Section Animal Welfare)
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<p>The construction of the examination pen. The dotted line indicated headlocks. The width of the pen differed according to the number of housed cows.</p>
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<p>Relationship between social rank score and hair cortisol concentration.</p>
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<p>Relationship between avoidance distance and hair cortisol concentration.</p>
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17 pages, 1305 KiB  
Article
Association Between Adolescent Violence Exposure and the Risk of Suicide: A 15-Year Study in Taiwan
by Chieh Sung, Chi-Hsiang Chung, Chien-An Sun, Chang-Huei Tsao, Daphne Yih Ng, Tsu-Hsuan Weng, Li-Yun Fann, Fu-Huang Lin and Wu-Chien Chien
Children 2025, 12(1), 10; https://doi.org/10.3390/children12010010 - 24 Dec 2024
Viewed by 237
Abstract
Background/Objectives: According to the 2023 Ministry of Health and Welfare statistics, the suicide rate among adolescents aged 15 to 24 has steadily increased since 2018, from 3.7 to 5.5 per 100,000 populations, reaching a recent high. Although previous studies have pointed out that [...] Read more.
Background/Objectives: According to the 2023 Ministry of Health and Welfare statistics, the suicide rate among adolescents aged 15 to 24 has steadily increased since 2018, from 3.7 to 5.5 per 100,000 populations, reaching a recent high. Although previous studies have pointed out that the future risk of suicide of those who had suffered from abuse was higher than that of the general population, researchers seldom focused on adolescent groups. Therefore, the aim of this study was to explore the risk of suicide after youth violence and the impact of subsequent comorbid mental illness and suicide risk. Methods: This retrospective matched cohort study analyzed data from the NHIRD, covering the period from 2000 to 2015. A total of 976 cases aged 10–18 who had experienced violence were included in this study. Controlled grouping was conducted by 1:10 matching based on gender, age, and the time of medical treatment, and a control group who had not experienced violence was selected for comparison. We used the Cox proportional hazards model to analyze the risk of suicide among adolescents after exposure to violence. Results: The suicide rate among adolescents who have experienced violence was significantly higher than that of the control group after 15 years of follow-up (1.0% vs. 0.5%). The prevalence of mental illness or disorders in adolescents exposed to violence was significantly higher than in the control group (45.2% vs. 40.1%). Among adolescents who had experienced violence, the methods of suicide included poisoning (solid and liquid) (53.6% vs. 43.2%), hanging (1.2% vs. 0.6%), firearms (2.4% vs. 0%), and cutting instruments (27.4% vs. 22.8%), all of which were significantly higher than in the control group. After adjusting for gender, age, residential area, and mental health comorbidities, the risk of suicide in those who had experienced violence was 1.475 times that of the control group (95% CI = 1.125–1.933; p = 0.005). Conclusions: In this study, female, younger age, and comorbid mental disorders were identified as risk factors for suicide among the adolescent victims of violence. Exposure to youth violence was associated with an increased prevalence of emotional disorders, including depression and social isolation, which subsequently elevated the suicide risk. These findings underscore the urgent need for governmental attention to the mental health of adolescent victims of violence. Implementing targeted psychological support and intervention programs could play a crucial role in mitigating the risk of suicide among this vulnerable population. Full article
(This article belongs to the Section Global Pediatric Health)
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<p>Flowchart of the study.</p>
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<p>Kaplan–Meier for cumulative risk of suicide aged 10–18, stratified by violence with log-rank test.</p>
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<p>Joint effect for factors of suicide stratified by violence and mental disorders using Cox regression.</p>
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14 pages, 2435 KiB  
Article
Validity and Feasibility of the Seated Medicine Ball Throw and Unilateral Shot-Put Tests in Assessing Upper Extremity Function in Rotator-Cuff-Related Shoulder Pain
by Michal Linkovski, Jeremy Lewis and Hilla Sarig Bahat
Appl. Sci. 2024, 14(24), 12038; https://doi.org/10.3390/app142412038 - 23 Dec 2024
Viewed by 885
Abstract
Background: Rotator cuff-related shoulder pain (RCRSP) is a common musculoskeletal condition characterized by pain, functional disability, reduced mobility, and weakness. There is a need for valid functional tests that can measure shoulder strength and power without exacerbating pain. The Seated Medicine Ball Throw [...] Read more.
Background: Rotator cuff-related shoulder pain (RCRSP) is a common musculoskeletal condition characterized by pain, functional disability, reduced mobility, and weakness. There is a need for valid functional tests that can measure shoulder strength and power without exacerbating pain. The Seated Medicine Ball Throw (SMBT) and Unilateral Shot-Put Test (ULSPT) are throwing tests that use a weighted ball in a seated position, measuring throwing distance (m). This study aimed to evaluate the feasibility, discriminative validity, and convergent validity of these tests in individuals with RCRSP. Methods: This cross-sectional study included 64 participants: 30 with RCRSP and 34 asymptomatic controls. Participants completed the QuickDASH and Fear-Avoidance Beliefs Questionnaire (FABQ). Pain was assessed using a 10 cm visual analog scale (VAS) at multiple time points. The SMBT and ULSPT were performed using a 2 kg ball, with throwing distance calculated as the average of three trials. Active shoulder range of motion (AROM) and grip strength were also measured. A two-way mixed-model repeated-measures ANOVA was conducted to examine group effects, with post hoc analyses performed where relevant. Pearson correlations explored associations among outcome measures. Results: The RCRSP group presented with persistent moderate shoulder pain (mean duration = 6.33 ± 5.7 months, VAS = 5.03 ± 1.99 cm, QuickDASH = 26.2 ± 10.54). Pain did not significantly increase after throwing (VAS change = 0.5 ± 1.6 cm, P = 0.4), supporting the tests’ feasibility. ULSPT demonstrated significant differences between the RCRSP and control groups for both symptomatic (2.03 ± 0.81 m) and asymptomatic shoulders (2.04 ± 0.8 m) compared with controls (2.51 ± 0.93 m, P < 0.01). SMBT showed a trend toward group differences (P = 0.05). RCRSP participants showed reduced AROM (166.2 ± 10° vs. 175.1 ± 8.2°) but similar grip strength compared to controls. ULSPT strongly correlated with SMBT (r = 0.92–0.94, P < 0.0001). Both throwing tests correlated moderately with grip strength (r = 0.61–0.81, P < 0.05) and showed mild to moderate correlations with disability, pain, and fear-avoidance measures (r = 0.26–0.48, P < 0.05). Conclusions: The ULSPT demonstrated good discriminative validity in differentiating individuals with RCRSP from controls, while the SMBT showed a trend toward discrimination. Both tests were feasible to administer without significantly exacerbating pain. The strong correlation between ULSPT and SMBT, along with their associations with established measures, supports their potential as functional assessments of upper extremity performance in RCRSP. Full article
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<p>Seated medicine ball throw test (SMBT—The SMBT assesses bilateral upper body power, measured by throwing distance (cm))—starting position (<b>left</b>), throw (<b>right</b>).</p>
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<p>Unilateral shot put test (ULSP—The ULSP test assesses unilateral upper body power, measured by throwing distance (cm)).</p>
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<p>Key Correlations in RCRSP and control Groups. Spearman r correlation results are presented for the 2 throwing tests (ULSPT, SMBT) within them, and with the other measurements—Grip dynamometry for upper limb isometric strength, and QuickDASH for self-reported shoulder disability (See <a href="#applsci-14-12038-t004" class="html-table">Table 4</a> for the full correlation results).</p>
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21 pages, 318 KiB  
Article
Child-Centered Anti-Trafficking Approaches in Mediterranean Migration Routes: Italy and Turkey
by Ezgi Yaman Kennedy
Soc. Sci. 2024, 13(12), 700; https://doi.org/10.3390/socsci13120700 - 23 Dec 2024
Viewed by 2451
Abstract
Introduction: Child trafficking is a clear violation of human rights, robbing minors of their fundamental entitlements. These encompass the right to personal identity, familial bonds, cultural heritage, access to healthcare and proper nourishment, education, freedom of speech, and the assurance of safety and [...] Read more.
Introduction: Child trafficking is a clear violation of human rights, robbing minors of their fundamental entitlements. These encompass the right to personal identity, familial bonds, cultural heritage, access to healthcare and proper nourishment, education, freedom of speech, and the assurance of safety and security. Children and young people, given their inherent vulnerability and limited access to support networks, frequently struggle to safeguard themselves effectively. This predicament presents traffickers with opportunities to exploit and manipulate them. Therefore, it is essential for professionals across various sectors—including education, healthcare, protective and social services, as well as the justice system—to undergo comprehensive training and be integrated into a robust social protection system. This preparation should equip them to conduct screenings, accurately assess needs, and adhere to international guidelines when addressing cases of child trafficking. Aim: The aim of this study is to explore the child-centered anti-trafficking approaches employed by Italy and Turkey, situated along migration pathways in the Mediterranean region and experiencing significant regular and irregular migration flows in recent years. Both nations fall within the classification of southern European welfare regimes. Methodology: This research specifically delves into the social protection policies aimed at children and young victims established by these two countries. Carried out between 1 February 2020 and 20 May 2021, this study employed a semi-structured interview approach, conducting qualitative in-depth interviews in both Italy and Turkey. This research targeted experts from various disciplines engaged in combating human trafficking in both countries, with a total sample size of 46 participants, comprising 15 experts from Italy and 31 from Turkey. Grounded theory formed the basis of the study, with data analyzed using the MAXQDA 2020 Pro Analytics program, employing a multidisciplinary and empowerment approach. Results: The analysis yielded 2942 codes, 17 sub-themes, and four main themes. The study identified four main themes: (i) characteristics of child victims and vulnerable child groups, (ii) services provided to at-risk groups and child trafficking victims within the current national counter-trafficking framework, (iii) challenges encountered in delivering services to children and young individuals, and (iv) recommendations for establishing an effective and child-centered protection system. Discussion and Conclusion: It is imperative to ensure that victims of child trafficking have access to comprehensive social protection measures. It has been noted that both Italy and Turkey offer various services to victims of child trafficking, including in-kind and -cash social assistance, free legal aid, shelter services, access to education and healthcare, as well as prevention, awareness, and advocacy programs. However, there are also differences between the two countries in certain aspects. Recommendations aimed at addressing these differences can be developed by adhering to the minimum standards outlined in the Council of Europe Convention on Action against Trafficking in Human Beings. Full article
(This article belongs to the Special Issue Emerging Trends and Dimensions of Child Trafficking)
24 pages, 1010 KiB  
Systematic Review
Game-Based Digital Interventions for Enhancing Positive Development and Addressing Substance Use in Adolescents: A Systematic Review
by Serim Lee, Jinyung Kim, Sarah Bockhold, Jimin Lee, JongSerl Chun and Mansoo Yu
Children 2024, 11(12), 1554; https://doi.org/10.3390/children11121554 - 21 Dec 2024
Viewed by 323
Abstract
This study systematically reviewed research on the use of digital game approaches for the prevention, assessment, and treatment of substance use and positive development in adolescents. Background/Objectives: This study aimed to identify and summarize gaps in the published literature on game-based digital [...] Read more.
This study systematically reviewed research on the use of digital game approaches for the prevention, assessment, and treatment of substance use and positive development in adolescents. Background/Objectives: This study aimed to identify and summarize gaps in the published literature on game-based digital interventions for substance use and positive development for adolescents through a systematic review. Methods: Following PRISMA guidelines, 26 studies were selected for final analysis from an initial screening of 1601 references. Data were coded for multiple components, including study characteristics, intervention types, intervention contents, sample characteristics, substance use, positive development details, measurement tools, and main findings, particularly emphasizing the effectiveness of game-based digital interventions and the facilitators and barriers affecting program effectiveness. Results: Regarding substance use, 50% of studies reported game-based digital interventions as effective in reducing substance use, 16.7% as partially effective, and 33.3% as not effective. For attitudes toward substance use, 65.0% demonstrated statistical effectiveness, 25.0% indicated partial effectiveness, and 10% found no significance. Among studies that included a positive development component, 35.7% were effective, 50% were partially effective, and 14.3% were not effective. Very few studies have explored the facilitators and barriers to program effectiveness without statistical verification. Conclusions: This study offers valuable insights into the development and validation of game-based digital interventions, thereby establishing a robust foundation for their efficacy. Full article
(This article belongs to the Section Global Pediatric Health)
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<p>PRISMA flow chart.</p>
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<p>Number of studies by publication year.</p>
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14 pages, 1147 KiB  
Article
Collaborative Game-Theoretic Optimization of Public Transport Fare Policies: A Global Framework for Sustainable Urban Mobility
by Ekinhan Eriskin
Sustainability 2024, 16(24), 11199; https://doi.org/10.3390/su162411199 - 20 Dec 2024
Viewed by 374
Abstract
Urbanization intensifies the need for sustainable public transportation that balances financial viability, environmental sustainability, and social equity. Traditional fare-setting methods often focus narrowly on financial objectives, neglecting broader impacts. This study introduces a novel collaborative game-theoretic model integrating user sentiment analysis to optimize [...] Read more.
Urbanization intensifies the need for sustainable public transportation that balances financial viability, environmental sustainability, and social equity. Traditional fare-setting methods often focus narrowly on financial objectives, neglecting broader impacts. This study introduces a novel collaborative game-theoretic model integrating user sentiment analysis to optimize fare policies. By incorporating utilities of passengers, operators, and governments, and employing the Shapley value for fair benefit distribution, this model aims to maximize social welfare. The methodology frames fare optimization as a cooperative game among stakeholders, integrating passenger preferences through sentiment analysis. The social welfare function combines the utilities of all stakeholders and is maximized under operational, environmental, and financial constraints. Implemented in Python and applied to Isparta, Turkey, the model identifies an optimal fare of 19.5 TL (ranged between 14 and 26.50 TL) that maximizes social welfare, aligning closely with existing fares. Shapley value analysis distributes the benefits, assigning 221,457 (35.6%) units to passengers, 54,562 (8.7%) units to operators, and 347,433 (55.7%) units to the government, highlighting significant environmental gains for the government. Sensitivity analyses confirm the model’s robustness across varying trip volumes, suggesting its applicability to diverse urban settings. This research contributes to socially equitable and user-centric fare policies by providing a comprehensive framework aligning stakeholder interests. Policymakers can leverage this model to design fare strategies promoting sustainability, efficiency, and collaboration in public transportation systems. Full article
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<p>Pseudocode of the developed algorithm.</p>
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<p>The social welfare change based on fare pricing.</p>
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<p>The operator utility change based on fare pricing.</p>
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<p>The government utility change based on fare pricing.</p>
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<p>Shapley values for the coalition.</p>
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22 pages, 3258 KiB  
Article
Factors That Determine Successful Social Housing of African Green Monkeys (Chlorocebus sabaeus) in Same-Sex Pairs and Trios
by Amanda M. Murti, Clive C. Wilson, Antonio F. Pemberton, Tatiana M. Corey, Loveness N. Dzikiti, John D. Elsworth and Calvin B. Carpenter
Vet. Sci. 2024, 11(12), 667; https://doi.org/10.3390/vetsci11120667 - 20 Dec 2024
Viewed by 472
Abstract
Social housing provides a high level of enrichment for captive non-human primates, but providing this in research situations can be challenging. We have developed a multifactorial animal selection and introduction process coordinated by veterinary and animal care behavioral teams. This process sought to [...] Read more.
Social housing provides a high level of enrichment for captive non-human primates, but providing this in research situations can be challenging. We have developed a multifactorial animal selection and introduction process coordinated by veterinary and animal care behavioral teams. This process sought to successfully establish lasting same-sex pairs and trios for African green monkeys (Chlorocebus sabaeus) in studies lasting from three months to over a year. The selection and introduction process addresses variables that impact a successful grouping, including age, animal weight difference, cage size and configuration. Evaluation and consideration of these initial matchmaking parameters has favorably enhanced pairing/trio bonding. Social housing with females has been typically more successful than with males, with 90–100% of females successfully pair- or trio-housed. Successful pairs and trios exhibit multiple affiliative behaviors and demonstrate better overall health while under study, ensuring benefits both to animal welfare and study data. Full article
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<p>Typical social enclosure.</p>
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<p>Typical quad arrangement of cages. There are a variety of options for mesh barriers between cages, with different sized holes for tactile interaction. The barriers can all be reduced to allow full contact, with a sight barrier remaining. Both central floor panels can be removed to allow animals to access and move throughout all four cages. Natural sunlight and breeze ventilation is provided by the open slatted building walls.</p>
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<p>L configuration of three connected cages.</p>
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<p>C configuration of four connected cages.</p>
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<p>Historical pair-housing success by sex: full contact. Full contact refers to a pair of animals that are housed in two individual cages that have the center barrier removed, to allow them full access to each other (see <a href="#vetsci-11-00667-f002" class="html-fig">Figure 2</a>).</p>
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<p>Historical pair-housing success by sex: including protected contact. Protected contact refers to a pair of animals housed next to each other in individual cages, connected by a mesh barrier, allowing the animals to have some physical contact with each other (see <a href="#vetsci-11-00667-f002" class="html-fig">Figure 2</a>).</p>
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<p>Male pair-housing success by cage size. Percentage of success of full-contact male pairs is shown above, comparing the historical method of two individual cages per pair with the new method of <span class="html-italic">n</span> + 1 caging (at least three cages per pair). See <a href="#vetsci-11-00667-f003" class="html-fig">Figure 3</a> and <a href="#vetsci-11-00667-f004" class="html-fig">Figure 4</a>.</p>
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<p>Trio-housing success by sex: full contact.</p>
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<p>Trio-housing success by sex: including protected contact. For description of protected contact, see <a href="#sec2dot3dot1-vetsci-11-00667" class="html-sec">Section 2.3.1</a>.</p>
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27 pages, 7435 KiB  
Article
An Integrated Planning Methodology for a Just Climatic Transition in Rural Settlements
by Jorge Rodríguez-Álvarez, María Amparo Casares-Gallego, Emma López-Bahut, María de los Ángeles Santos Vázquez, Henrique Seoane Prado and Javier Rocamonde-Lourido
Buildings 2024, 14(12), 4036; https://doi.org/10.3390/buildings14124036 - 19 Dec 2024
Viewed by 375
Abstract
The article presents the findings of a research project that focuses on the role of rural areas as key players in addressing the current climate emergency. The article addresses the challenge of a just energy transition by examining the obstacles to the implementation [...] Read more.
The article presents the findings of a research project that focuses on the role of rural areas as key players in addressing the current climate emergency. The article addresses the challenge of a just energy transition by examining the obstacles to the implementation of renewable energy infrastructure. The investigation is situated within the context of Galicia, a rural region in the northwest of Spain. The study conducted an extensive review of the literature, surveys, and interviews, which revealed a significant gap between local communities and planning decisions to be one of the primary obstacles to a just transition. In light of these findings, the research puts forth an integrated planning methodology founded on social and metabolic principles. This methodology investigates the communal management of energy resources with the objective of improving local welfare and integrating this into the planning process. This methodology proposes a series of steps and associated tools for the analysis of the potential for local energy generation using biomass, hydropower, solar, and wind infrastructures. Landscape and social considerations are articulated through continuous community engagement. The energy generation capacity will be used as a catalyst to address the most pressing issues and to improve living conditions in rural areas. The article confirms the need for a holistic approach to energy infrastructures, paying particular attention to landscape integration and endogenous development. Full article
(This article belongs to the Special Issue Climate-Responsive Architectural and Urban Design)
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<p>Research structure.</p>
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<p>Energy justices for a just transition framework (after ref. [<a href="#B21-buildings-14-04036" class="html-bibr">21</a>]).</p>
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<p>Location and climatic data for the case study Galicia. Weather Station: Santiago de Compostela, plotted with CBE Clima Tool (v2023) [<a href="#B53-buildings-14-04036" class="html-bibr">53</a>].</p>
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<p>Population variation by settlement in Galicia 1999–2022. Data from Galician Institute of Statistics. Source: own elaboration.</p>
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<p>Eolic sectoral plan with existing wind turbines (icons) and proposed zones for future development (dotted lines and light orange fill). Dark grey zones represent the rural and urban/suburban areas.</p>
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<p>Steps of the Local Basic Service accessibility: (<b>a</b>) example of network analysis, showing service area from each populated settlement and (<b>b</b>) map of settlements with less than 1000 inhabitants classified by distance to the medical center.</p>
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<p>Map of registered associations classified by their scope and relation to the research.</p>
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<p>Local Basic Services accessibility index. The map shows the distance to LBS based on residential location. Source: own elaboration.</p>
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<p>Diagrams illustrating the main results of the survey conducted on rural women (202 respondents).</p>
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<p>Energy demand and end-use from all buildings in the study area: (<b>a</b>) demand per month and (<b>b</b>) hourly load characterization on a typical winter day. Source: own elaboration.</p>
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<p>Estimated hydropower potential of the Ponte Nova River without water storage.</p>
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<p>Diagram of the main categories in the planning methodology proposed in this article.</p>
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<p>Process timeline. Although the timeframe of the participatory process may vary depending on the case and local dynamics, the methodology proposes a progressive empowerment of local actors until the constitution of a local energy and services community capable of deploying and managing the proposed infrastructures and facilities. Source: own elaboration.</p>
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<p>Diagram of the energy infrastructure and potential yield.</p>
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14 pages, 652 KiB  
Article
Long-Term Care Policies in Spain: Welfare State and Resilience in the European Context
by Aída Díaz-Tendero and José M. Ruano
Economies 2024, 12(12), 347; https://doi.org/10.3390/economies12120347 - 17 Dec 2024
Viewed by 424
Abstract
This paper analyses the long-term care system in the context of Spain’s aging population from a comparative and multilevel perspective. Starting with the European regulatory framework, it examines the main characteristics of long-term care systems in Europe and the challenges of establishing a [...] Read more.
This paper analyses the long-term care system in the context of Spain’s aging population from a comparative and multilevel perspective. Starting with the European regulatory framework, it examines the main characteristics of long-term care systems in Europe and the challenges of establishing a welfare system in Spain amidst two consecutive crises: the economic and financial crisis of 2008–2014 and the pandemic crisis of 2020–2022. To achieve this, in addition to a thorough review of international literature, the study utilises legislation and reports from the European Commission, the Council of Europe, the World Health Organization, databases from the National Institute of Statistics and the Ministry of Social Rights, and Spain’s Ministry of Health. The article concludes that Spain’s long-term care model has evolved over time and has established a universal system characterised by territorial inequality. This inequality stems from regional preferences for service provision versus monetary compensation and their varying degrees of reliance on direct management or involvement of private organisations. Full article
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<p>Classification of long-term care typologies in Europe according to different criteria. Source: own elaboration based on <a href="#B28-economies-12-00347" class="html-bibr">Pavolini</a> (<a href="#B28-economies-12-00347" class="html-bibr">2021</a>), <a href="#B11-economies-12-00347" class="html-bibr">European Commission</a> (<a href="#B11-economies-12-00347" class="html-bibr">2021</a>), <a href="#B43-economies-12-00347" class="html-bibr">Zalakain</a> (<a href="#B43-economies-12-00347" class="html-bibr">2022</a>).</p>
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<p>Average annual growth in services and benefits (2010–2023). Source: (<a href="#B1-economies-12-00347" class="html-bibr">Asociación Estatal de Directoras y Gerentes de Servicios Sociales 2024</a>).</p>
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22 pages, 1564 KiB  
Article
Heritability and Genome-Wide Association Study of Dog Behavioral Phenotypes in a Commercial Breeding Cohort
by Nayan Bhowmik, Shawna R. Cook, Candace Croney, Shanis Barnard, Aynsley C. Romaniuk and Kari J. Ekenstedt
Genes 2024, 15(12), 1611; https://doi.org/10.3390/genes15121611 - 17 Dec 2024
Viewed by 449
Abstract
Background: Canine behavior plays an important role in the success of the human–dog relationship and the dog’s overall welfare, making selection for behavior a vital part of any breeding program. While behaviors are complex traits determined by gene × environment interactions, genetic [...] Read more.
Background: Canine behavior plays an important role in the success of the human–dog relationship and the dog’s overall welfare, making selection for behavior a vital part of any breeding program. While behaviors are complex traits determined by gene × environment interactions, genetic selection for desirable behavioral phenotypes remains possible. Methods: No genomic association studies of dog behavior to date have been reported on a commercial breeding (CB) cohort; therefore, we utilized dogs from these facilities (n = 615 dogs). Behavioral testing followed previously validated protocols, resulting in three phenotypes/variables [social fear (SF), non-social fear (NSF), and startle response (SR)]. Dogs were genotyped on the 710 K Affymetrix Axiom CanineHD SNP array. Results: Inbreeding coefficients indicated that dogs from CB facilities are statistically less inbred than dogs originating from other breeding sources. Heritability estimates for behavioral phenotypes ranged from 0.042 ± 0.045 to 0.354 ± 0.111. A genome-wide association analysis identified genetic loci associated with SF, NSF, and SR; genes near many of these loci have been previously associated with behavioral phenotypes in other populations of dogs. Finally, genetic risk scores demonstrated differences between dogs that were more or less fearful in response to test stimuli, suggesting that these behaviors could be subjected to genetic improvement. Conclusions: This study confirms several canine genetic behavioral loci identified in previous studies. It also demonstrates that inbreeding coefficients of dogs in CB facilities are typically lower than those in dogs originating from other breeding sources. SF and NSF were more heritable than SR. Risk allele and weighted risk scores suggest that fearful behaviors could be subjected to genetic improvement. Full article
(This article belongs to the Section Animal Genetics and Genomics)
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<p>Manhattan plot and QQ plot for social fear in a CB cohort. Red and blue lines in the Manhattan plot indicate the Wald test <span class="html-italic">p</span>-values of 3.54 × 10<sup>−6</sup> (suggestive threshold) and 4.00 × 10<sup>−5</sup>, respectively. The genomic inflation factor (lambda) for the QQ plot is 1.016.</p>
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<p>Manhattan plot and QQ plot for non-social fear in a CB cohort. Red and blue lines in the Manhattan plot indicate the Wald test <span class="html-italic">p</span>-values of 3.54 × 10<sup>−6</sup> (suggestive threshold) and 4.00 × 10<sup>−5</sup>, respectively. The genomic inflation factor (lambda) for the QQ plot is 1.015.</p>
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<p>Manhattan plot and QQ plot for startle response in a cohort of dogs from CB facilities. Red and blue lines in the Manhattan plot indicate the Wald test <span class="html-italic">p</span>-values of 3.54 × 10<sup>−6</sup> (suggestive threshold) and 4.00 × 10<sup>−5</sup>, respectively. The genomic inflation factor (lambda) for the QQ plot is 1.037.</p>
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<p>Density plots comparing risk allele counts (cGRS) and weighted genetic risk scores (wGRS) between more fearful and less fearful dogs in a CB cohort: (<b>a</b>–<b>c</b>) density plots of cGRS (simple risk allele counts) for SF, NSF, and SR, respectively; and (<b>d</b>–<b>f</b>) density plots of wGRS (weighted risk scores) for SF, NSF, and SR, respectively. Note that the x- and y-axes are not identical for each panel.</p>
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16 pages, 1186 KiB  
Article
Anxiety, Depression, and Quality of Life in Women with Breast Cancer and Type 2 Diabetes: A Pilot Study in North Greece
by Maria Parpori, Ioannis Tsamesidis, Evangelos Karamitrousis, Aikaterini Giakidou, Evangelia Kroustalidou, Polixeni Liamopoulou and Maria Lavdaniti
J. Pers. Med. 2024, 14(12), 1154; https://doi.org/10.3390/jpm14121154 - 17 Dec 2024
Viewed by 479
Abstract
Introduction: The incidence of breast cancer, as well as diabetes mellitus (DM), has continuously increased in recent years. The concurrent study of these diseases is particularly important, as there is a strong correlation between them due to hormonal, biochemical, and environmental factors. [...] Read more.
Introduction: The incidence of breast cancer, as well as diabetes mellitus (DM), has continuously increased in recent years. The concurrent study of these diseases is particularly important, as there is a strong correlation between them due to hormonal, biochemical, and environmental factors. Moreover, the underlying metabolic dysfunction in this case could affect the treatment of breast cancer, as well as overall survival. In addition, the relationship of these two diseases with depression is not well studied. Patients with DM and cancer patients both experience depressive symptoms that have an impact on their mental health, as well as their quality of life. Personalized medicine offers a potential solution to these challenges by tailoring treatments to individual patient profiles. The present study will attempt to fill a gap in the existing literature regarding the relationship of patients with concurrent breast cancer and DM experiencing depression. More specifically, it will attempt to answer the question of whether there is a strong correlation between breast cancer, DM, and mental health in patients from a large geographical division of the country. Methodology: This was a cross-sectional study. A total of 120 female patients participated in the research, 60 with type 2 diabetes mellitus (T2DM) (group B) and 60 with T2DM and breast cancer (group A). The DASS-21 questionnaire was used to determine their levels of anxiety and depression, and ADDQoL-19 was used to measure the patients’ quality of life. Results: Regarding quality of life, women with T2DM and breast cancer showed a better quality of life (QoL) than women with T2DM. Women who were retired (p = 0.025) and consequently postmenopausal (p = 0.035) demonstrated the highest levels of QoL, while stage III cancer patients had lower ADDQoL-19 scores. Regarding mental health, in the women from group A, a positive correlation of treatment with the occurrence of anxiety and depression (p = 0.034) and a negative correlation of cancer stage with mental health was observed. The women in group B (those with T2DM only) showed better mental health outcomes related to their treatment (p = 0.009). However, both married and unmarried women in this study experienced mental health burdens, with no significant difference between the two groups in terms of mental health impact. These findings suggest that marital status did not significantly influence the mental health of the participants in this study. Conclusions: Women with T2DM and breast cancer generally presented a better clinical picture than women with T2DM alone. Therefore, the comorbidity of these two diseases did not seem to negatively affect the quality of life and mental health of these women. Full article
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<p>Map of the Macedonia region in Greece, highlighting the locations where the study sample was collected.</p>
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