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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Saleem S. AlSaleem; Abdulbasit Almhafdy; Umberto Berardi; Amal A. Al-Shargabi; +1 Authors

    The deleterious effects of noise pollution on public health have been well documented, with traffic noise being identified as a significant contributor to stress and adverse impacts on the human body and mind. In this study, sound levels at 12 different points in Al-Oqailat Park in Buraydah, Saudi Arabia, were measured using a sound level meter (SLM), with the study’s primary objective being to conduct this measurement. The experimental results were then compared with perception measurements collected from users who frequently visited Al-Oqailat park. Sound measurements were taken in four different zones (A, B, C, and D) during rush hours between 1:30 p.m. and 5:20 p.m. It was found that noise levels at point A1 peaked at 79 dBA at 4:40 p.m., while the lowest level recorded was 41.1 dBA at point D2 at 2:35 p.m. The range of noise levels varied between 79 and 41 dBA, with a rate of decline of 48.10%. Zones A and B seemed to have the highest noise levels during rush hours, since they were located closest to King Fahd Road and Al-Adl Street, while zone D exhibited the lowest noise levels due to its location as a parking lot for Buraydah Court. An intermediate noise level was found in zone C, in the middle of Al-Oqailat park. The people perception results, completed by 84 park visitors, showed that zone A was identified as having exceptionally high noise levels compared to the other zones, with zone D having the lowest levels. These results were consistent with the experimental findings and reflected that the points along King Fahd Road and Al-Adl Street had the highest noise levels. Overall, the research highlighted the dominance of car traffic and horns as the primary sources of noise pollution in and around Al-Oqailat Park, emphasizing the significance of meticulous site selection for parks in urban areas.

    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Sustainabilityarrow_drop_down
    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Sustainability
    Article . 2023 . Peer-reviewed
    License: CC BY
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    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Sustainability
    Article . 2023
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Sustainabilityarrow_drop_down
      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
      Sustainability
      Article . 2023 . Peer-reviewed
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
      Sustainability
      Article . 2023
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Giovanni Vecchio; Bryan Castillo; Rodrigo Villegas; Carolina Rojas Quezada; +2 Authors

    Street markets can contribute to food security, since they are a source of fresh food and comparably inexpensive goods, being very relevant for low-income groups. Their relevance is even higher when considering older people, due to their often-constrained financial resources and possibilities to move. To assess the potential contribution of street markets to food security, this paper aims at evaluating to what extent older people have access to such a relevant asset. We consider the case of Chile, an ageing country with an unequal pension system, which makes it relevant for older people to access healthy and inexpensive food. We analyze what proportion of older people (i.e., people over 65) has walking access within 10 min to a street market—feria libre—in each Chilean region, with particular detail in the country’s four major urban areas. We compare the resulting accessibility maps with census data to identify neighborhoods with higher proportions of older people and examine their socio-economic conditions. Our findings show that while street markets are less accessible to older people in comparison to the general population, the inhabitants who can access them belong mainly to low-income groups. The results provide relevant insights to develop neighborhood-based policies for spreading and strengthening street markets, especially in low-income areas with insufficient levels of access to other relevant urban opportunities.

    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Sustainabilityarrow_drop_down
    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Sustainability
    Article . 2023 . Peer-reviewed
    License: CC BY
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    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Sustainability
    Article . 2023
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Sustainabilityarrow_drop_down
      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
      Sustainability
      Article . 2023 . Peer-reviewed
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
      Sustainability
      Article . 2023
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Alireza Mohammadi; Behzad Kiani; Hassan Mahmoudzadeh; Robert Bergquist;

    This study utilised multi-year data from 5354 incidents to predict pedestrian–road traffic accidents (PTAs) based on twelve socioeconomic and built-environment factors. The research employed the logistic regression model (LRM) and the fuzzy-analytical hierarchy process (FAHP) techniques to evaluate and assign weights to each factor. The susceptibility map for PTAs is generated using the “Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS)”. Subsequently, the probability of accidents in 2020 was predicted using real multi-year accident data and the Markov chain (MC) and cellular automata Markov chain (CA-MC) models, with the prediction accuracy assessed using the Kappa index. Building upon promising results, the model was extrapolated to forecast the probability of accidents in 2023. The findings of the LRM demonstrated the significance of the selected variables as predictors of accident likelihood. The prediction approaches identified areas prone to high-risk accidents. Additionally, the Kappa for no information (KNO) statistical value was calculated for both the MC and CA-MC models, which yielded values of 0.94 and 0.88, respectively, signifying a high level of accuracy. The proposed methodology is generalizable, and the identification of high-risk locations can aid urban planners in devising appropriate preventive measures.

    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Sustainabilityarrow_drop_down
    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Sustainability
    Article . 2023 . Peer-reviewed
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    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Sustainability
    Article . 2023
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Sustainabilityarrow_drop_down
      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
      Sustainability
      Article . 2023 . Peer-reviewed
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
      Sustainability
      Article . 2023
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Mario J. Valladares-Garrido; Aldo Alvarez-Risco; Luis E. Vasquez-Elera; Christopher G. Valdiviezo-Morales; +8 Authors

    We aimed to identify the factors associated with mortality in patients with COVID-19 from the hospitalization service of the Cayetano Heredia Hospital, Piura, Peru, from May to June 2020. A prospective study was conducted in hospitalized patients with a confirmed diagnosis of COVID-19 through serological and/or molecular reactive testing. The dependent variable was death due to COVID-19, and the independent variables were the epidemiological, clinical and laboratory characteristics of the patient. The chi-square test and the non-parametric Mann–Whitney U test were used, with a significance level of 5%. Of 301 patients with COVID-19, the majority of them were male (66.1%), and the mean age was 58.63 years. Of the patients analyzed, 41.3% of them died, 40.2% of them were obese and 59.8% of them had hepatic steatosis. The three most frequent signs/symptoms were dyspnea (90.03%), fatigue (90.03%) and a cough (84.72%). Being an older adult (p = 0.011), being hospitalized in the ICU (p = 0.001), overweight (p = 0.016), obese (p = 0.021) and having compromised consciousness (p = 0.039) and thrombocytopenia (p = 0.024) were associated with mortality due to COVID-19. Overall, the mortality rate due to COVID-19 was 41.3%. Having an older age, being hospitalized in the ICU, overweight, obese and having compromised consciousness and thrombocytopenia were positively associated with mortality in patients with COVID-19. These findings highlight the need to establish an adequate system of surveillance and epidemiological education in hospitals and communities in the event of new outbreaks, especially in rural and northern Peru.

    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Sustainabilityarrow_drop_down
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    Sustainability
    Article . 2023 . Peer-reviewed
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    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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    Article . 2023
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Sustainabilityarrow_drop_down
      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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      Article . 2023 . Peer-reviewed
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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      Article . 2023
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Priya Gauttam; Nitesh Patel; Bawa Singh; Jaspal Kaur; +2 Authors

    (1) Background: Society and public policy have been remained interwoven since the inception of the modern state. Public health policy has been one of the important elements of the public administration of the Government of India (GOI). In order to universalize healthcare facilities for all, the GOI has formulated and implemented the national health policy (NHP). The latest NHP (2017) has been focused on the “Health in All” approach. On the other hand, the ongoing pandemic COVID-19 had left critical impacts on India’s health, healthcare system, and human security. The paper’s main focus is to critically examine the existing healthcare facilities and the GOI’s response to combat the COVID-19 apropos the NHP 2017. The paper suggests policy options that can be adopted to prevent the further expansion of the pandemic and prepare the country for future health emergency-like situations. (2) Methods: Extensive literature search was done in various databases, such as Scopus, Web of Science, Medline/PubMed, and google scholar search engines to gather relevant information in the Indian context. (3) Results: Notwithstanding the several combatting steps on a war-footing level, COVID-19 has placed an extra burden over the already overstretched healthcare infrastructure. Consequently, infected cases and deaths have been growing exponentially, making India stand in second place among the top ten COVID-19-infected countries. (4) Conclusions: India needs to expand the public healthcare system and enhance the expenditure as per the set goals in NHP-17 and WHO standards. The private healthcare system has not been proved reliable during the emergency. Only the public health system is suitable for the country wherein the population’s substantial size is rural and poor.

    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ University of Toront...arrow_drop_down
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    Article . 2021 . Peer-reviewed
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      Article . 2021 . Peer-reviewed
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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    Authors: Rochelle Thompson; Briana N. M. Hagen; Andria Jones-Bitton;

    Characterized by high unpredictability and little control, everyday factors make farming one of the most stressful occupations globally. Indeed, farmers around the world and in Canada score more severely on measures of perceived stress and negative mental health outcomes like anxiety and depression, and suicide ideation among farmers is disproportionately high. Research investigating effective ways of coping with everyday stress within the time and workload constraints of farming is scarce. This mixed-methods study explores the ways farmers in Ontario and Canada cope with daily farming stressors. Qualitative data from 75 in-depth interviews with farmers and industry professionals in Ontario, Canada, were analyzed to investigate farming-specific coping strategies within the farming context. Quantitative survey responses from 1167 farmers across Canada to the 14-item Ways of Coping measure developed for the Canadian Community Health Survey Cycle 1.2 were analyzed to determine which coping strategies Canadian farmers use most in relation to the representative national population. The ways of coping endorsed by farmers are presented in this paper, including adaptations of positive coping strategies in the farming context. The descriptions of positive and negative coping strategies used provide direction for effective avenues to reduce stress and boost farmers’ well-being.

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    Sustainability
    Article . 2023 . Peer-reviewed
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    Article . 2023
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      Article . 2023 . Peer-reviewed
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    Authors: Robin Pla; Laurent Bosquet; Anaël Aubry; Jean-François Toussaint; +1 Authors

    The purpose was to observe the effects of a four-week lockdown on the resting heart rate (RHR) and well-being perception of elite swimmers. Twenty elite swimmers performed RHR measurements upon waking in supine and standing positions. Baseline values and those measured after four weeks of lockdown were compared. Swimmers completed a questionnaire on their training volume and state of well-being. During the lockdown, swimmers reported a weekly mean physical activity of 10.4 ± 3.6 h (an estimated reduction of 254% compared to their usual training volume). After four weeks of lockdown, RHR in the supine position increased by more than two beats per minute (58.8 ± 8.2 vs. 56.5 ± 7.4 bpm, p < 0.05). In the standing position, RHR increased by almost 15 beats per minute (103.3 ± 13.2 vs. 88.4 ± 9.4 bpm, p < 0.0001). Fifty percent of these athletes expressed a decrease in well-being. These results underline that the lockdown circumstances induced a large reduction in parasympathetic activity in elite athletes, which was associated with a decrease in training volume. This increase in RHR may reflect that a highatly strenuous environment and maintaining a high level of physical activity in this population could be favorable to preserve physical and psychological health.

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    Article . 2021
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      Article . 2021
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    Authors: Sanaullah Panezai; Ubaid Ali; Alam Zeb; Muhammad Rafiq; +2 Authors

    Air pollution is among the major causes of death and disease all around the globe. The prime impact of ambient air pollution is on the lungs through the respiratory system. This study aims to estimate the health cost due to air pollution from a Sugar Mill in the Mardan district of Khyber Pakhtunkhwa, Pakistan. To determine the impact of pollution on respiratory illness, primary data were collected from 1141 individuals from 200 households living within a 3 km radius of the mill. The Household Production Method was used to drive the reduced-form Dose–Response Function and the Mitigation Cost Function for assessing the impact of pollution on health and then estimating the monetary cost associated with mitigating such illnesses. The results indicate that about 60% of the respondents living in the surrounding area of the mill suffered from different respiratory illnesses. The study estimates that by reducing the suspended particulate matter (SPM) level by 50%, the expected annual welfare gains to an individual living within a 3 km radius of the mill are US $20.21. The whole community residing within a 3 km radius of the mill will enjoy an estimated welfare gain of PKR. 70.67 million (US $0.511 million). If the pollution standard limits prescribed by the World Health Organization are followed, the expected monetary benefits to all the individuals living within a 3 km radius of the mill are PKR. 114.48 million (US $0.27 million) annually.

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    Article . 2021 . Peer-reviewed
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    Article . 2021
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    Authors: Durdana Qaiser Gillani; Syed Ahmad Saad Gillani; Muhammad Zahid Naeem; Cristi Spulbar; +3 Authors

    Health has vital importance in maintaining economic development since it is essential for, and a result of, economic development. This indicates that health makes a large contribution in achieving sustainable development and health outcomes. The significance of health is shown in the millennium development goals (MDGs) and in the sustainable development goals (SDGs), where four of the seventeen objectives focus on improving health outcomes (UN, 2021). As compared to other countries, some Asian countries are still worse off regarding health outcomes and are facing challenges in achieving positive outcomes for such goals. This study mainly focuses on identifying the link between public health expenditures and health outcomes in nine Asian economies from 2000 to 2018. The study implements fixed effects panel data estimations by using the Hausman specification test to identify the fixed effects model as the suitable estimator for the study. The empirical results from the fixed effects technique show that immunization, GDP per capita, trade openness, and utilization of basic water service facilities improve under-five and infant mortality in Asian economies. However, ecological footprint increases under-five and infant deaths by damaging the environment.

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    Authors: Nuria Pérez-Romero; Verónica Morales-Sánchez; José L. Pastrana-Brincones; Carolina Sánchez-García; +3 Authors

    New technologies have improved the efficiency and sustainability of psychosocial research. However, online assessment tools may differ from traditional paper-based ones in different domains. This study aims to provide an updated perspective of the online assessment advantages of a psychosocial platform called MenPas 1.0. A literature review was conducted, choosing validated questionnaire studies located in the MenPas 1.0 platform, specifically, motivation and hypnosis questionnaires. A total of five studies showing the psychometric properties of psychosocial evaluation tools were analysed and compared with their previous paper-based studies. In addition, internet impact over the last 20 years was analysed according to gender, age, nationality, and employment status. Finally, a conclusion was drawn on the impact of these tools on sustainability. The results showed that online studies have a higher number of participants (5866 users in 5 studies versus 5623 participants in 11 studies) and higher reliability rates than those of previous paper-based ones. A decrease in the social gap over the years was also found and the contribution of online tools to sustainability was discussed. This study could show the importance of the analysis of psychometric properties in online tools, the need for further research, and encourage their use in psychosocial assessment.

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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Saleem S. AlSaleem; Abdulbasit Almhafdy; Umberto Berardi; Amal A. Al-Shargabi; +1 Authors

    The deleterious effects of noise pollution on public health have been well documented, with traffic noise being identified as a significant contributor to stress and adverse impacts on the human body and mind. In this study, sound levels at 12 different points in Al-Oqailat Park in Buraydah, Saudi Arabia, were measured using a sound level meter (SLM), with the study’s primary objective being to conduct this measurement. The experimental results were then compared with perception measurements collected from users who frequently visited Al-Oqailat park. Sound measurements were taken in four different zones (A, B, C, and D) during rush hours between 1:30 p.m. and 5:20 p.m. It was found that noise levels at point A1 peaked at 79 dBA at 4:40 p.m., while the lowest level recorded was 41.1 dBA at point D2 at 2:35 p.m. The range of noise levels varied between 79 and 41 dBA, with a rate of decline of 48.10%. Zones A and B seemed to have the highest noise levels during rush hours, since they were located closest to King Fahd Road and Al-Adl Street, while zone D exhibited the lowest noise levels due to its location as a parking lot for Buraydah Court. An intermediate noise level was found in zone C, in the middle of Al-Oqailat park. The people perception results, completed by 84 park visitors, showed that zone A was identified as having exceptionally high noise levels compared to the other zones, with zone D having the lowest levels. These results were consistent with the experimental findings and reflected that the points along King Fahd Road and Al-Adl Street had the highest noise levels. Overall, the research highlighted the dominance of car traffic and horns as the primary sources of noise pollution in and around Al-Oqailat Park, emphasizing the significance of meticulous site selection for parks in urban areas.

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    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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    Article . 2023 . Peer-reviewed
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    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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    Article . 2023
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Sustainabilityarrow_drop_down
      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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      Article . 2023 . Peer-reviewed
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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      Article . 2023
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Giovanni Vecchio; Bryan Castillo; Rodrigo Villegas; Carolina Rojas Quezada; +2 Authors

    Street markets can contribute to food security, since they are a source of fresh food and comparably inexpensive goods, being very relevant for low-income groups. Their relevance is even higher when considering older people, due to their often-constrained financial resources and possibilities to move. To assess the potential contribution of street markets to food security, this paper aims at evaluating to what extent older people have access to such a relevant asset. We consider the case of Chile, an ageing country with an unequal pension system, which makes it relevant for older people to access healthy and inexpensive food. We analyze what proportion of older people (i.e., people over 65) has walking access within 10 min to a street market—feria libre—in each Chilean region, with particular detail in the country’s four major urban areas. We compare the resulting accessibility maps with census data to identify neighborhoods with higher proportions of older people and examine their socio-economic conditions. Our findings show that while street markets are less accessible to older people in comparison to the general population, the inhabitants who can access them belong mainly to low-income groups. The results provide relevant insights to develop neighborhood-based policies for spreading and strengthening street markets, especially in low-income areas with insufficient levels of access to other relevant urban opportunities.

    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Sustainabilityarrow_drop_down
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    Article . 2023 . Peer-reviewed
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    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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    Article . 2023
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      Article . 2023 . Peer-reviewed
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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      Article . 2023
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Alireza Mohammadi; Behzad Kiani; Hassan Mahmoudzadeh; Robert Bergquist;

    This study utilised multi-year data from 5354 incidents to predict pedestrian–road traffic accidents (PTAs) based on twelve socioeconomic and built-environment factors. The research employed the logistic regression model (LRM) and the fuzzy-analytical hierarchy process (FAHP) techniques to evaluate and assign weights to each factor. The susceptibility map for PTAs is generated using the “Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS)”. Subsequently, the probability of accidents in 2020 was predicted using real multi-year accident data and the Markov chain (MC) and cellular automata Markov chain (CA-MC) models, with the prediction accuracy assessed using the Kappa index. Building upon promising results, the model was extrapolated to forecast the probability of accidents in 2023. The findings of the LRM demonstrated the significance of the selected variables as predictors of accident likelihood. The prediction approaches identified areas prone to high-risk accidents. Additionally, the Kappa for no information (KNO) statistical value was calculated for both the MC and CA-MC models, which yielded values of 0.94 and 0.88, respectively, signifying a high level of accuracy. The proposed methodology is generalizable, and the identification of high-risk locations can aid urban planners in devising appropriate preventive measures.

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    Article . 2023 . Peer-reviewed
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    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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    Article . 2023
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Sustainabilityarrow_drop_down
      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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      Article . 2023 . Peer-reviewed
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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      Article . 2023
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Mario J. Valladares-Garrido; Aldo Alvarez-Risco; Luis E. Vasquez-Elera; Christopher G. Valdiviezo-Morales; +8 Authors

    We aimed to identify the factors associated with mortality in patients with COVID-19 from the hospitalization service of the Cayetano Heredia Hospital, Piura, Peru, from May to June 2020. A prospective study was conducted in hospitalized patients with a confirmed diagnosis of COVID-19 through serological and/or molecular reactive testing. The dependent variable was death due to COVID-19, and the independent variables were the epidemiological, clinical and laboratory characteristics of the patient. The chi-square test and the non-parametric Mann–Whitney U test were used, with a significance level of 5%. Of 301 patients with COVID-19, the majority of them were male (66.1%), and the mean age was 58.63 years. Of the patients analyzed, 41.3% of them died, 40.2% of them were obese and 59.8% of them had hepatic steatosis. The three most frequent signs/symptoms were dyspnea (90.03%), fatigue (90.03%) and a cough (84.72%). Being an older adult (p = 0.011), being hospitalized in the ICU (p = 0.001), overweight (p = 0.016), obese (p = 0.021) and having compromised consciousness (p = 0.039) and thrombocytopenia (p = 0.024) were associated with mortality due to COVID-19. Overall, the mortality rate due to COVID-19 was 41.3%. Having an older age, being hospitalized in the ICU, overweight, obese and having compromised consciousness and thrombocytopenia were positively associated with mortality in patients with COVID-19. These findings highlight the need to establish an adequate system of surveillance and epidemiological education in hospitals and communities in the event of new outbreaks, especially in rural and northern Peru.

    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Sustainabilityarrow_drop_down
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    Article . 2023 . Peer-reviewed
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    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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    Article . 2023
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      Article . 2023 . Peer-reviewed
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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      Article . 2023
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Priya Gauttam; Nitesh Patel; Bawa Singh; Jaspal Kaur; +2 Authors

    (1) Background: Society and public policy have been remained interwoven since the inception of the modern state. Public health policy has been one of the important elements of the public administration of the Government of India (GOI). In order to universalize healthcare facilities for all, the GOI has formulated and implemented the national health policy (NHP). The latest NHP (2017) has been focused on the “Health in All” approach. On the other hand, the ongoing pandemic COVID-19 had left critical impacts on India’s health, healthcare system, and human security. The paper’s main focus is to critically examine the existing healthcare facilities and the GOI’s response to combat the COVID-19 apropos the NHP 2017. The paper suggests policy options that can be adopted to prevent the further expansion of the pandemic and prepare the country for future health emergency-like situations. (2) Methods: Extensive literature search was done in various databases, such as Scopus, Web of Science, Medline/PubMed, and google scholar search engines to gather relevant information in the Indian context. (3) Results: Notwithstanding the several combatting steps on a war-footing level, COVID-19 has placed an extra burden over the already overstretched healthcare infrastructure. Consequently, infected cases and deaths have been growing exponentially, making India stand in second place among the top ten COVID-19-infected countries. (4) Conclusions: India needs to expand the public healthcare system and enhance the expenditure as per the set goals in NHP-17 and WHO standards. The private healthcare system has not been proved reliable during the emergency. Only the public health system is suitable for the country wherein the population’s substantial size is rural and poor.

    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ University of Toront...arrow_drop_down
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    Article . 2021 . Peer-reviewed
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    Article . 2021
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      Article . 2021 . Peer-reviewed
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      Article . 2021
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    Authors: Rochelle Thompson; Briana N. M. Hagen; Andria Jones-Bitton;

    Characterized by high unpredictability and little control, everyday factors make farming one of the most stressful occupations globally. Indeed, farmers around the world and in Canada score more severely on measures of perceived stress and negative mental health outcomes like anxiety and depression, and suicide ideation among farmers is disproportionately high. Research investigating effective ways of coping with everyday stress within the time and workload constraints of farming is scarce. This mixed-methods study explores the ways farmers in Ontario and Canada cope with daily farming stressors. Qualitative data from 75 in-depth interviews with farmers and industry professionals in Ontario, Canada, were analyzed to investigate farming-specific coping strategies within the farming context. Quantitative survey responses from 1167 farmers across Canada to the 14-item Ways of Coping measure developed for the Canadian Community Health Survey Cycle 1.2 were analyzed to determine which coping strategies Canadian farmers use most in relation to the representative national population. The ways of coping endorsed by farmers are presented in this paper, including adaptations of positive coping strategies in the farming context. The descriptions of positive and negative coping strategies used provide direction for effective avenues to reduce stress and boost farmers’ well-being.

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    Article . 2023 . Peer-reviewed
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    Article . 2023
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    Authors: Robin Pla; Laurent Bosquet; Anaël Aubry; Jean-François Toussaint; +1 Authors

    The purpose was to observe the effects of a four-week lockdown on the resting heart rate (RHR) and well-being perception of elite swimmers. Twenty elite swimmers performed RHR measurements upon waking in supine and standing positions. Baseline values and those measured after four weeks of lockdown were compared. Swimmers completed a questionnaire on their training volume and state of well-being. During the lockdown, swimmers reported a weekly mean physical activity of 10.4 ± 3.6 h (an estimated reduction of 254% compared to their usual training volume). After four weeks of lockdown, RHR in the supine position increased by more than two beats per minute (58.8 ± 8.2 vs. 56.5 ± 7.4 bpm, p < 0.05). In the standing position, RHR increased by almost 15 beats per minute (103.3 ± 13.2 vs. 88.4 ± 9.4 bpm, p < 0.0001). Fifty percent of these athletes expressed a decrease in well-being. These results underline that the lockdown circumstances induced a large reduction in parasympathetic activity in elite athletes, which was associated with a decrease in training volume. This increase in RHR may reflect that a highatly strenuous environment and maintaining a high level of physical activity in this population could be favorable to preserve physical and psychological health.

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    Article . 2021
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    Authors: Sanaullah Panezai; Ubaid Ali; Alam Zeb; Muhammad Rafiq; +2 Authors

    Air pollution is among the major causes of death and disease all around the globe. The prime impact of ambient air pollution is on the lungs through the respiratory system. This study aims to estimate the health cost due to air pollution from a Sugar Mill in the Mardan district of Khyber Pakhtunkhwa, Pakistan. To determine the impact of pollution on respiratory illness, primary data were collected from 1141 individuals from 200 households living within a 3 km radius of the mill. The Household Production Method was used to drive the reduced-form Dose–Response Function and the Mitigation Cost Function for assessing the impact of pollution on health and then estimating the monetary cost associated with mitigating such illnesses. The results indicate that about 60% of the respondents living in the surrounding area of the mill suffered from different respiratory illnesses. The study estimates that by reducing the suspended particulate matter (SPM) level by 50%, the expected annual welfare gains to an individual living within a 3 km radius of the mill are US $20.21. The whole community residing within a 3 km radius of the mill will enjoy an estimated welfare gain of PKR. 70.67 million (US $0.511 million). If the pollution standard limits prescribed by the World Health Organization are followed, the expected monetary benefits to all the individuals living within a 3 km radius of the mill are PKR. 114.48 million (US $0.27 million) annually.

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    Article . 2021
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    Authors: Durdana Qaiser Gillani; Syed Ahmad Saad Gillani; Muhammad Zahid Naeem; Cristi Spulbar; +3 Authors

    Health has vital importance in maintaining economic development since it is essential for, and a result of, economic development. This indicates that health makes a large contribution in achieving sustainable development and health outcomes. The significance of health is shown in the millennium development goals (MDGs) and in the sustainable development goals (SDGs), where four of the seventeen objectives focus on improving health outcomes (UN, 2021). As compared to other countries, some Asian countries are still worse off regarding health outcomes and are facing challenges in achieving positive outcomes for such goals. This study mainly focuses on identifying the link between public health expenditures and health outcomes in nine Asian economies from 2000 to 2018. The study implements fixed effects panel data estimations by using the Hausman specification test to identify the fixed effects model as the suitable estimator for the study. The empirical results from the fixed effects technique show that immunization, GDP per capita, trade openness, and utilization of basic water service facilities improve under-five and infant mortality in Asian economies. However, ecological footprint increases under-five and infant deaths by damaging the environment.

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    Authors: Nuria Pérez-Romero; Verónica Morales-Sánchez; José L. Pastrana-Brincones; Carolina Sánchez-García; +3 Authors

    New technologies have improved the efficiency and sustainability of psychosocial research. However, online assessment tools may differ from traditional paper-based ones in different domains. This study aims to provide an updated perspective of the online assessment advantages of a psychosocial platform called MenPas 1.0. A literature review was conducted, choosing validated questionnaire studies located in the MenPas 1.0 platform, specifically, motivation and hypnosis questionnaires. A total of five studies showing the psychometric properties of psychosocial evaluation tools were analysed and compared with their previous paper-based studies. In addition, internet impact over the last 20 years was analysed according to gender, age, nationality, and employment status. Finally, a conclusion was drawn on the impact of these tools on sustainability. The results showed that online studies have a higher number of participants (5866 users in 5 studies versus 5623 participants in 11 studies) and higher reliability rates than those of previous paper-based ones. A decrease in the social gap over the years was also found and the contribution of online tools to sustainability was discussed. This study could show the importance of the analysis of psychometric properties in online tools, the need for further research, and encourage their use in psychosocial assessment.

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