This study focuses on a comprehensive sustainability assessment of the management of the organic fraction of municipal solid waste in Ghent (Belgium), Hamburg (Germany) and Pécs (Hungary). A sustainability assessment framework has been applied to analyse social, environmental, and economic consequences at the midpoint level (25 impact categories) and at the endpoint level (5 areas-of-protection). For each case study, the reference scenario was analysed, along with three solutions to improve the sustainability performance, which were selected and developed with the collaboration of local stakeholders. The solutions focus on food waste prevention, collection (increasing separate collection and household composting) and/or valorisation treatment (insect breeding, bioplastic production and improvement of centralised treatment). The results show that food waste prevention results in substantial improvements in all areas of protection when a significant quantity of food is saved. Solutions proposing innovative treatments such as insect breeding do not show clear improvements at the endpoint level, given current technology development level, but appear promising for some categories such as Revenues, Ecotoxicity, Land Use or Particulate Matter if the substituted products compensate the impact of the treatment (e.g., energy and water use). Enhancing the separate collection of organic waste can improve sustainability, but trade-offs may arise, e.g., decreased environmental savings from energy recovery at incineration. For this, the influence of the electricity mix (more or less decarbonised) should be carefully considered in future studies. The application of the solutions proposed to other cities should also consider potential bottlenecks such as legislation barriers, public acceptance, or management costs.
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http://dx.doi.org/10.1016/j.wasman.2021.07.013 | DOI Listing |
BMC Health Serv Res
January 2025
Department of Engineering, University Campus Bio-Medico of Rome, Via Alvaro del Portillo 21, Rome, 00128, Italy.
Background: Oxygen therapy is critical and vital treatment for hypoxemia and respiratory distress, however, access to reliable oxygen systems remains limited in SSA. Despite WHO initiatives that distributed over 30,000 OC oxygen concentrators worldwide, SSA faces significant challenges related to their maintenance and use, due to harsh environmental conditions, technical skill shortages and inadequate infrastructure. This review aims to systematically identify and assess the literature on OC design adaptations, maintenance challenges, and knowledge gaps in SSA, providing actionable recommendations to inform innovative and context-sensitive solutions to improve healthcare delivery in the region.
View Article and Find Full Text PDFBMC Med Educ
November 2024
Faculty of Health Sciences, Bielefeld University, Bielefeld, Germany.
Background: Achieving sustainability in continuing medical education (CME) involves regular assessment of the evolving needs of healthcare professionals regarding their competencies and updates in educational content accordingly. This study aimed to investigate the key areas and competencies that physicians in Serbia prioritize for their professional development and to analyze the factors associated with these competencies.
Method: This cross-sectional study was conducted among 2,625 physicians who are members of the medical chamber in Serbia.
BMC Health Serv Res
January 2025
Cicatelli Associates Inc. (CAI), 505 8th Avenue, New York, NY, 10018, USA.
Background: The prevalence of trauma among individuals with HIV has prompted efforts to integrate trauma-informed care (TIC) into HIV care and treatment to improve health outcomes. A TIC Implementation Model, developed by a US capacity-building organization focuses on organizational changes, aligning cultural and physical environments, emphasizing values like safety and trustworthiness, engaging leadership, and training staff in skills-based TIC services. Despite growing research, gaps remain in understanding the relationship between organizational capacity, provider knowledge, and the dosage of technical assistance (TA) required to sustain TIC integration.
View Article and Find Full Text PDFEnviron Sci Pollut Res Int
January 2025
Division of Marine and Freshwater Biology, Department of Zoology, Faculty of Science, The Maharaja Sayajirao University of Baroda, Vadodara, Gujarat, India.
This study delves into the Molluscan diversity along the Gujarat coast, India, focusing on the distribution and habitat suitability of four key species: Cerithium caeruleum, Lunella coronata, Peronia verruculata, and Trochus radiatus. Utilizing species distribution models (SDMs) integrated with machine learning algorithms, we assessed the impact of environmental variables on the distribution patterns of these molluscs. Our findings reveal a nuanced understanding of habitat preferences, highlighting the critical roles of salinity, chlorophyll concentration, and water temperature.
View Article and Find Full Text PDFDrugs Real World Outcomes
January 2025
Takeda Pharmaceuticals USA, Inc., 45 Hayden Avenue, Lexington, MA, 02421, USA.
Background: Lanadelumab is the only long-term prophylaxis indicated for reduced administration frequency in patients with hereditary angioedema who have been well controlled for > 6 months. Understanding the characteristics of patients who reduce administration frequency will help identify populations where frequency modifications may be appropriate.
Objective: We aimed to describe characteristics of patients who did and did not reduce lanadelumab administration frequency to inform real-world dosing regimens, and characteristics indicative of sustained frequency reduction.
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