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The study analyzes gender differences in time use in the Latin American context, from a comparative perspective (2010–2019) and across life stages. Particularly, the study presents evidence on the likelihood of women and men spending time on three types of activities: Household work, paid work activities, and personal activities. Logistic regression was applied using data from time use surveys conducted in Peru in 2010 and 2019. The results suggests that women were much more likely to spend additional time on household work, while men were more likely to spend additional time on paid work and personal activities. However, these differences became less pronounced in 2019. In terms of age groups, a U-shaped and an inverted U-shaped pattern were found for paid work activities and household chores respectively. In both cases, the largest gender gap was found in the 30–39 age group, possibly related to motherhood. The originality of the research lies in providing a comprehensive analysis of gender inequality in time use in a developing country that has one of the highest rates of female labor force participation in the region, and is also characterized by a patriarchal structure in which machismo and marianismo influence time distribution. [ABSTRACT FROM AUTHOR]

Motorcycle crashes remain a significant public safety concern, requiring diverse analytical approaches to inform countermeasures. This study uses machine learning to analyze injury severity in crashes in Thailand from 2018 to 2020. Traditional and advanced models, including including random forest (RF), support vector machine (SVM), deep neural network (DNN), recurrent neural network (RNN), long short-term memory (LSTM), and eXtreme gradient boosting (XGBoost), were compared. Hyperparameter tuning via GridSearchCV optimized performance. XGBoost, with a tradeoff score of 105.65%, outperformed other models in predicting severe and fatal injuries. SHapley Additive exPlanations (SHAPs) identified significant risk factors including speeding, drunk driving, two-lane roads, unlit conditions, head-on and truck collisions, and nighttime crashes. Conversely, factors such as barrier medians, flashing traffic signals, sideswipes, rear-end crashes, and wet roads were associated with reduced severity. These findings suggest opportunities for integrated infrastructure improvements and expanded rider training and education programs to address behavioral risks. [ABSTRACT FROM AUTHOR]

3D printing (3DP) has emerged as a disruptive manufacturing technology that benefits both the manufacturing and educational sectors. The emergence of low-cost and affordable 3D printers has facilitated the widespread use of 3DP technology, particularly in higher education institutions (HEIs) in developing countries. Despite its promising benefits, 3DP is still poorly adopted in developing countries. While research has explored the use and adoption of 3DP in education within developed nations, little research has been conducted on the integration of 3DP to capitalize on its benefits in developing countries. Therefore, in this study, we aim to investigate the perspectives of students and faculty members in higher education (HE) regarding 3DP integration in the classroom. A survey was conducted with 307 participants (272 students and 35 faculty members) at 12 Vietnamese universities where 3DP education is offered. We found that a misaligned curriculum, lack of training for faculty members, the high cost of materials and equipment, English language barriers, and limited student exposure to 3DP technology were significant obstacles to 3DP education. Several recommendations have been provided to address these challenges; for instance, faculty members and industry professionals need collaboration to ensure that the curriculum is current and that faculty members receive adequate training to teach 3DP effectively. This study provides guidelines for faculty members and policymakers to reinforce 3DP education for sustainable development in developing countries. [ABSTRACT FROM AUTHOR]

Summary: Our study investigates vertebral fractures in individuals with distal radius fractures. Among 512 patients, 41.21% had vertebral fractures, predominantly in the lumbar spine. These findings highlight the importance of screening for vertebral fractures in this population, informing early intervention strategies to mitigate risks associated with osteoporosis. Purpose: This study's main goal was to look into the frequency, location, kind, and severity of asymptomatic vertebral fragility fractures (VFF) in people who had fractures of the fragility of the distal radius. Although VFF is frequently misdiagnosed, it is linked to higher mortality, morbidity, and hip fracture risk. The study also attempted to investigate the relationship between VFF and certain demographic and lifestyle factors, as well as FRAX data, in this patient population. Methods: Between January, 2021, and January, 2022, individuals with low-energy distal radial fractures who presented to the emergency room of tertiary care hospital of Karachi, Pakistan, were the subject of a cross-sectional study and were 45 years of age or older except those who fitted the exclusion criteria (n = 208). The thoracic and/or lumbar spine was imaged using radiology, and information on demographics, way of life, and FRAX (Fracture Risk Assessment Tool) was gathered. Using the Genant semiquantitative approach, an impartial and blinded orthopaedist identified VF in the images and determined their severity. SPSS version 20 was used to analyse the data. Results: Two hundred eleven (41.21%) of them were found to have radiographic VFF and only 12 (2.34%) of the 512 patients who were tested were getting osteoporotic therapy. The thoracic spine (32.7%), followed by the lumbar spine (43.12%), was the area most frequently afflicted. In 24.17% of the patients, multiple fractures of the thoracolumbar spine were found. The wedge form (54.5%), followed by biconcave (30.81%) and crush (14.7%), was the most prevalent VFF type. The majority of detected VFF were rated as having a 25–40% height loss (64.9%) then severe (> 40%) fractures (35.1%), according to the Genant grading method. Notably, there were no variations in smoking, drinking, BMI, or FRAX score between patients with and without VFF that were statistically significant. Conclusion: Based on our study's findings, it is clear that osteoporotic vertebral fragility fractures occur in almost half of individuals with distal radius fractures. The lumbar spine is notably the most affected region, predominantly with wedge fractures. Given the high prevalence of asymptomatic vertebral fragility fractures (VFF), proactive measures are necessary to mitigate associated risks. Prioritising comprehensive fall risk assessments for these patients and interventions to enhance bone mineral density and strength are crucial. Early identification of asymptomatic VFF enables timely intervention, optimising patient care and minimising the risk of complications in this vulnerable population. [ABSTRACT FROM AUTHOR]

Despite the construction industry's detrimental effects on environmental sustainability, the concept of green procurement (GP) is still relatively new in the developing world. The barriers hindering GP adoption need detailed investigation as studies in the context of developing countries are still limited and the underlying dimensions remain a known-unknown. This study appraised the critical barriers to GP adoption in the Malaysian construction industry. Twenty (20) barriers were identified from the detailed literature review and a field survey was conducted with 150 professionals. The ranking analysis results indicated the top five barriers are: high initial cost; lack of expertise and regulations; lack of government regulations; lack of top management commitment and lack of awareness among construction stakeholders. A factor analysis further identified five major underlying dimensions. The study showed that both government and organisational commitments are crucial in promoting GP adoption. This study adds to incremental knowledge in GP literature by analysing the critical barriers and the associated underlying dimensions to GP adoption in a developing country, which could help practitioners and policymakers in evaluating the organisation's or industry's readiness to adopt GP practices along with devising apt measures to mitigate the barriers to shift to sustainable and environmentally friendly construction. [ABSTRACT FROM AUTHOR]

The Pew Charitable Trust's 2020 report 'Breaking the Plastic Wave', indicates that existing technologies could support an 80% reduction in plastic leakage relative to business as usual by 2040. Therefore, South Africa became the first country to work with the Pew Charitable Trust and Oxford University to test and apply 'Pathways', a modelling framework and software tool which stemmed and evolved from the Pew report, at country level. The tool calculates the flows of plastics in the economy and the impact of various strategies to reduce future plastic pollution. The Scenario Builder within the Pathways tool allows the user to optimise flows in the plastics value chain to satisfy a set of defined objectives in order to achieve an optimal solution. Three major findings have emerged from the application of Pathways at country level for South Africa. Firstly, plastic pollution is set to almost double by 2040 if no interventions are implemented. Secondly, meeting the newly legislated extended producer responsibility (EPR) targets set for plastic packaging can avoid 33% of projected total pollution over the period of 2023–2040. Lastly, an optimal system change can avoid 63% of total plastic pollution over the period 2023–2040. Thus, applying Pathways at country level in South Africa has proven to be valuable by setting a baseline against which progress towards reducing plastic pollution can be measured; determining the outcome of meeting the legislated EPR targets over time, and informing policy decisions by allowing users to model different scenarios towards an optimal system change scenario. [ABSTRACT FROM AUTHOR]

Purpose: Mining activities can promote development despite issues of environmental and social impact; however, corporate social responsibility (CSR) implementation is still an issue in the industry, which has received little attention in the literature and almost none to the operational level. This paper aims to address this gap by adopting the perspective of CSR practitioners to explore the way mining companies implement CSR at site level. Design/methodology/approach: This paper uses an exploratory approach with in-depth interviews to investigate site-level CSR implementation and challenges in the context of mining in Brazil. Findings: This study identifies primary challenges in CSR implementation and several ways in which they might be addressed. To the best of the authors' knowledge, this paper identifies for the first time two implementation-hindering aspects of the routine of CSR practitioners – excessive time spent at the office as opposed to in the field engaging in the community and a disproportionate amount of time spent on complaint management. In addition, this paper demonstrates the applicability of stakeholder theory in the CSR field, highlighting the need for increased collaboration among internal and external stakeholders to advance CSR implementation. Originality/value: This study adopts the perspective of CSR practitioners, who are key stakeholders in CSR implementation, working in mining sites in Brazil, as the impact of mining can be especially marked in developing countries. [ABSTRACT FROM AUTHOR]

Operational resilience is crucial for navigating the increasing transportation disruption challenges, but building this capability can be expensive and sometimes result in inefficiencies. Meanwhile, firms must prioritize efficiency to remain competitive and profitable. However, it is unclear how and when firms' pursuit of efficiency priority hinders or helps their resilience to specific disruptions. This research uses the theory of constraints to propose that while efficiency priority limits opportunities for improving operational resilience, buffering and bridging strategies lessen this constraint by enabling firms to align efficiency priority with operational resilience objectives. The study hypothesizes that these strategies positively moderate the negative effect of efficiency priority on operational resilience to transportation disruptions. These arguments are tested on primary data from a sample of 199 firms in Ghana using moderated regression analysis and the Johnson-Neyman technique. The results reveal that efficiency priority is negatively related to the disruption absorption dimension of operational resilience but unrelated to its recoverability dimension. Additionally, the study finds that under low conditions of buffering and bridging strategies, efficiency priority has stronger negative associations with both dimensions of operational resilience. In contrast, these relationships are positive under the high conditions of either strategy. These findings contribute to resolving existing debates on the efficiency-resilience link and have important implications for supply chain and business executives, as discussed in this article. [ABSTRACT FROM AUTHOR]

Different methods of transforming rural migrants’ household registration can affect their integration into citizenship. This study assesses the impact of different rural-to- urban hukou conversion methods on labor market wages and job entry, utilizing empirical analysis with China General Social Survey (CGSS) data. Rural migrants transitioning to urban hukou are categorized as active or passive “agricultural to non-agricultural” groups. Wage disparities between these groups are analyzed using the Oaxaca-Blinder decomposition method, revealing that 50% of the wage gap remains unexplained by individual characteristics. Additionally, this paper explores factors contributing to wage and job entry differences using OLS regression analysis. Empirical findings indicate that discrimination significantly contributes to the wage and job entry gap between passive and active groups, with primary mechanisms including statistical bias, information acquisition differences, and identity challenges. These results underscore the inevitable transition of the agricultural population to urban areas in emerging nations’ development trajectory. However, challenges may arise during this transformation, particularly in China, where passive “agricultural to non-agricultural” individuals face discrimination. Addressing the rights and interests of this group is crucial for ensuring smooth urbanization in China and offers insights to improve urbanization efforts in developing nations. [ABSTRACT FROM AUTHOR]

The present study aims to investigate the present scenario of social media-based public library services in Bangladesh and develop a model plan to popularize these services among the user community. A semi-structured interview questionnaire was used to collect responses from the representatives of public libraries. Findings indicated that while there is a growing trend of using social media for community engagement in public libraries in Bangladesh, there are significant challenges that need to be addressed. The study also identified several opportunities for public libraries to use social media to better engage with their communities. [ABSTRACT FROM AUTHOR]

Background: Effective risk communication about medicines is crucial to the success of all pharmacovigilance activities but remains a worldwide challenge. Risk communication has been conducted in Malaysia for decades, yet awareness on the communication methods remains low among healthcare professionals. While international guidelines are available, clear guidance on effectively communicating the risks of medicines in specific countries is scarce. This study aimed to establish a consensus on the priority strategies for enhancing risk communication about medicines by regulators. Methods: We conducted a two-round modified Delphi survey among local and international communication experts, and also recipients of medicines risk communication in Malaysia. We developed a list of 37 strategies based on the findings of our previous studies. In Round 1, participants were asked to rate the priority for each strategy using a 5-point Likert scale and suggest additional strategies via free-text comments. Strategies scoring a mean of ≥ 3.75 were included in Round 2. We defined consensus for the final list of strategies a priori as > 75% agreement. Data were analysed using descriptive statistics and thematic analysis. Results: Our final Delphi panel (n = 39, 93% response rate) comprised medicines communication experts from nine countries and Malaysian healthcare professionals. Following Round 1, we dropped 14 strategies and added 11 strategies proposed by panellists. In the second round, 21 strategies achieved consensus. The priority areas identified were to improve the format and content of risk communication, increase the use of technology, and increase collaboration with various stakeholders. Priority ratings for the strategy "to offer incentives to pharmaceutical companies which maintain effective communication systems" were significantly higher among recipients compared to communicators [χ2(1, N = 39) = 10.1; p = 0.039] and among local versus international panellists [χ2(1, N = 39) = 14.3; p = 0.007]. Conclusions: Our study identified 21 priority strategies, which were used to develop a strategic plan for enhancing medicines risk communication. This plan is potentially adaptable to all countries with developing pharmacovigilance systems. The difference in views between communicators and recipients, as well as local and international panellists, highlights the importance of involving multiple stakeholders in research. [ABSTRACT FROM AUTHOR]

Objective: To explore impact of flood on breastfeeding practices and identify barriers in continuation of breastfeeding among mothers residing in flood relief camps. Methods: This exploratory observational study was conducted during visit of medical team of The University of Child Health Sciences, Children’s Hospital at flood relief camps of Sindh (7th September to 12th September, 2022) and southwest of Punjab province (18th November to 20th November, 2022). The data was collected on structured questionnaire from 40 lactating mothers residing in flood relief camps. Purposive sampling technique was used in this regard. Results: The mean age of breastfed children was 16.1±7.811 months. There was negative impact on breastfeeding practices (n=21, 52.5%) as frequency decreased in 18(45%) mothers and 3(7.5%) totally stopped breastfeeding. There was significant relation between pre-flood breastfeeding status and impact of flood on breastfeeding practices (p=0.001). The major barriers to appropriate breastfeeding were mother’s perception of insufficient breast milk due to inadequate diet (n=6, 15%) or depression and anxiety (n=4, 10%), mother’s illness (n=3, 7.5%), constant displacement (n=2, 5%) and provision of breast milk substitutes (n=2, 5%). Conclusion: There has been significant negative impact of flood on breastfeeding practices among lactating mothers residing in flood relief camps. Perception of decreased milk production due to inadequate diet and stress are major barriers in continuation of breastfeeding. Breastfeeding supportive services need to be integral component of flood crisis management. [ABSTRACT FROM AUTHOR]

This study examines the effect of ethical ideology on fraud rationalization among future accountants in Nigeria. Specifically, it investigates whether being a moral idealist or moral relativist influences the ability of future accountants to rationalize fraud. The study collected data from 225 participants with a scenario-based questionnaire, which was analysed using independent sample t-tests and regression estimation techniques. The results reveal a direct correlation between ethical ideology and fraud rationalization, indicating that future accountants who are high in moral relativism and low in moral idealism have higher tendencies to rationalize fraud than those who are high in moral idealism and low in moral relativism. These findings emphasize the importance of ethical ideology as an intrinsic psychological mechanism that can predict fraud rationalization tendencies in individuals. The study highlights the important implications of its findings and provides suggestions for future research. [ABSTRACT FROM AUTHOR]

Relative concerns influence many economic choices, including household consumption decisions. In this study, we test the conspicuous consumption hypothesis. In particular, we test whether non-rich households are affected by the consumption of rich households and whether they increase their consumption of visible items to signal high status. This is one of the few studies to investigate status signaling in a developing country setting for different consumption categories. We use nationally representative data from the Turkish Household Budget Survey for the years 2003–2012. The conspicuous consumption hypothesis is validated for highly visible nondurable consumption items that possess signaling values. By contrast, we find no evidence of a similar effect on the consumption of non-visible items by the non-rich. We interpret our findings based on the economic experience of the country during the study period. [ABSTRACT FROM AUTHOR]

Purpose: This study aims to investigate the impact of big data disclosure on audit quality in the Omani context. Design/methodology/approach: This study used data extracted from annual reports for a sample from financial companies listed on the Muscat Stock Exchange over the period from 2014 to 2020. We applied a content analysis approach to measure the level of big data disclosure in these firms. This study used ordinary least squares and panel data regression analysis to investigate the relationship between big data disclosure and audit quality. Moreover, we moderated the relationship between big data disclosure and audit quality with family members who are serving on the board of directors and with royal membership. Findings: The findings of the study indicated that big data disclosure played a vital role in enhancing the audit quality of the financial firms in the Omani context. In addition, family memberships positively moderated the association between big data disclosure and audit quality in these firms. However, royal members negatively moderated such relationship. Research limitations/implications: We included only financial institutions in the sample. Practical implications: The study offers practical implications for investors, managers, and policymakers. It will raise awareness on the importance of implementing regulations necessary for disclosing such information in annual reports, thereby enhancing the audit quality of firms and increasing the reliability and validity of financial reports. Originality/value: The study is considered the first, to the best of our knowledge, to examine the impact of big data disclosure on the audit quality in the Omani context. It contributes to the existing knowledge of digital transformation in the Omani financial firms. [ABSTRACT FROM AUTHOR]

Lean practice is recognised for having a great potential in promoting safety risk management in off-site construction (OSC). This paper presents results of a study conducted to assess the impact of lean practice on safety risk management in OSC in a developing country. A quantitative approach using a survey-based questionnaire was adopted. Lean management practices (LMPs) identified from a literature review were empirically tested using a sample survey of 103 OSC contractors. The survey responses were subjected to descriptive and inferential statistics. The top ranked LMPs for safety risk management in OSC included two mistake-proofing practices, i.e., use of personal protective equipment (PPE) and use of hazard warning equipment; two last planner system (LPS) practices, i.e., involvement of workers in safety planning and providing necessary working equipment; and one first run studies (FRS) practice, i.e., critical analysis of work methods. These LMPs are useful in controlling high-consequence safety risks in OSC. Based on evidence found in this study, the paper argues that lean practice can bring great value to safety risk management in OSC in countries where OSC is transitioning. [ABSTRACT FROM AUTHOR]

Social sustainability has become an increasingly global concern, particularly in urban areas, where ensuring the well-being of urban societies is essential. However, the rapid urbanization of Dhaka city, Bangladesh, has transformed it into a prominent global megacity, accompanied by significant social challenges that impact its social sustainability status. Consequently, this study assessed the present condition of social sustainability in Dhaka city. To accomplish this objective, a quantitative research methodology was employed, utilizing a structured questionnaire survey as the means of data collection. The questionnaire is being held from May 1 to November 2, 2021, to collect as many responses as possible in this study. In this study, a multistage sampling technique was used to select 564 residents of Dhaka city. The results revealed Dhaka city residents have low satisfaction levels regarding social sustainability conditions. This indicates that there is a need for policymakers, urban planners, and implementing agencies to take action to improve the city's social sustainability. The study's empirical findings provide valuable evidence for informing socially sustainable planning, policy development, and practical implementation. Moreover, this research supports scholars in developing countries in broadening their perspectives regarding comparable urban social challenges. Furthermore, the study contributes to attaining Sustainable Development Goal 11, titled " Sustainable cities and communities," as established by the United Nations. By equipping policymakers with essential insights, the research outcomes aid in promoting inclusive, safe, resilient, and sustainable cities and human settlements, not only in Dhaka but also in similar urban settings. [ABSTRACT FROM AUTHOR]

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Objectives: While significant evidence supports the benefits of normothermic cardiopulmonary bypass (NCPB) over hypothermic techniques, many institutions in developing countries, including ours, continue to employ hypothermic methods. This study aimed to assess the early postoperative outcomes of normothermic cardiopulmonary bypass (NCPB) for complete surgical repair via the Tetralogy of Fallot (TOF) within our national context. Methods: We conducted this study in the Pediatric Cardiac Intensive Care Unit (PCICU) at the University Children's Hospital. One hundred patients who underwent complete TOF repair were enrolled and categorized into two groups: the normothermic group (n = 50, temperature 35–37 °C) and the moderate hypothermic group (n = 50, temperature 28–32 °C). We evaluated mortality, morbidity, and postoperative complications in the PCICU as outcome measures. Results: The demographic characteristics were similar between the two groups. However, the cardiopulmonary bypass (CPB) time and aortic cross-clamp (ACC) time were notably longer in the hypothermic group. The study recorded seven deaths, yielding an overall mortality rate of 7%. No significant differences were observed between the two groups concerning mortality, morbidity, or postoperative complications in the PCICU. Conclusions: Our findings suggest that normothermic procedures, while not demonstrably effective, are safe for pediatric cardiac surgery. Further research is warranted to substantiate and endorse the adoption of this technique. [ABSTRACT FROM AUTHOR]

REDD+ aims to mitigate climate change by reducing deforestation and forest degradation in developing countries while ensuring social and environmental benefits through the involvement of diverse stakeholders. While several studies evaluate stakeholder participation in various aspects of REDD+, such as the level and type of stakeholder participation at both the project and national context level, there is a lack of research on how the government conducted the consultation meetings across all administrative levels. The objective of this study is to evaluate the participation of different stakeholders in REDD+ in Lao People's Democratic Republic (Lao PDR), or Laos, funded by the World Bank, with a focus on analyzing government consultation processes to identify drivers of deforestation and forest degradation. The study applied both a literature review and online interviews, conducted with government officials and representatives of CSOs, which took place from March to April 2020. The results indicate significant involvement from cross-sectoral stakeholders. However, central government agencies and development partners dominated stakeholder participation, potentially influenced by government ownership. Non-state stakeholders, though invited to the consultations, had limited participation, highlighting the need for greater emphasis on their roles to ensure the integration of diverse interests and views in the REDD+ initiative. [ABSTRACT FROM AUTHOR]

Firm clusters are considered as a contributing factor to local economic development. However, there are limited studies on the effect of firm clusters on the well‐being of rural communities, particularly in terms of income improvement, poverty reduction, and migration. Our research aims to shed light on these relationships at both the household and commune levels. For empirical analysis, we employ the propensity score matching method to mitigate endogeneity bias. Our results reveal the role of firm clusters in increasing income and reducing poverty. Firm clusters also contribute to decreasing labor emigration and attracting immigrants. However, the magnitude of these impacts is relatively small, with moderate effects on income and modest effects on poverty and migration. In particular, firm clusters reduce the commune poverty rate by around 2.36%–2.51% and enhance household annual income by approximately 16.46–17.08 million VND (725–752 USD). Furthermore, analyses at the household level highlight the significance of larger clusters in improving household income. Our research underscores policy implications for rural development with a specific emphasis on firm clusters. [ABSTRACT FROM AUTHOR]

Purpose: This article aims to extend the Unified Theory of Acceptance and Use of Technology (UTAUT) model to understand the factors affecting the usage behavior of Blockchain from accountants' and auditors' perspectives and its impact on their performance. Design/methodology/approach: A quantitative research approach employing a web-based questionnaire was applied, and the empirical data were gathered from 329 potential and current users of Blockchain in the accounting and auditing profession in Jordan. The analytical model was based on structural equation modeling (SEM) using AMOS 25.0. Findings: The experimental findings of the structural path confirmed that performance expectancy (PE), social influence (SI), Blockchain transparency (BT) and Blockchain efficiency (BE) were significantly affecting individuals' behavioral intention (BI) toward the use of Blockchain-based systems and helped to explain (0.67) of its variance. Also, BE has a positive significant impact on PE. Whereas, in contrast to what is anticipated, the influence of effort expectancy (EE) on BI was not supported. Additionally, users' intentions were found to affect the actual usage (AU) behavior and helped to explain (0.69) of its variance. The outcome variables proposed in this study: knowledge acquisition (KACQ) and user satisfaction (USAT) were significantly influenced by the AU of Blockchain technology. Practical implications: This study outlines practical implications for government, policymakers, business leaders and Blockchain service providers aiming to exploit the advantages of Blockchain technology (BCT) in the accounting and auditing context. Originality/value: To the best of the authors' knowledge, this article is one of the few studies that offer an evidence-based perspective to the discussions on the effect of disruptive and automated information and communication technologies (ICTs), on the accounting and auditing profession. It applies an innovative approach to analysis through the integration of UTAUT, contextual factors: BT and BE, besides two outcome factors: KACQ and USAT within its theoretical model. This study extends and complements the academic literature on information technology/information systems acceptance and use by providing novel insights into accountants' and auditors' views. [ABSTRACT FROM AUTHOR]

The waste management issue in developing countries, particularly in Indonesia, remains uncontrolled and is urgent to address. This problem is significantly tied to the issue of resource scarcity and global climate change. Various policies have been formulated, both globally and nationally, to resolve this issue. Makassar City is one of the cities the government should target to achieve the goal of converting waste into energy by 2025. This study focuses on the environmental impact of various scenarios on waste-to-energy potential using Life Cycle Assessment (LCA) in Makassar City. The waste management strategy in this study uses five scenarios, comparing incinerators generating electricity, landfills with gas, and composting. The results showed that scenario 5, which has a low environmental impact, consists of 10% composting, 45% incineration, and 45% landfill gas (LFG). Incineration can reduce 45% of solid waste disposal (SWD) and produce 1.45 E+08 kg/year of CO2 emissions. The Waste-to-Energy (WtE) scenario model significantly reduces the environmental impact, especially the concentration of greenhouse gases (GHGs) in the atmosphere. The role of incinerators in the environment is not only to reduce the volume of SWD per year but also to provide a new source of energy. The LFG collector plays a crucial role in reducing the concentration of CH4 in the atmosphere due to its facility for capturing CH4 gas

Abstract Background Effective risk communication about medicines is crucial to the success of all pharmacovigilance activities but remains a worldwide challenge. Risk communication has been conducted in Malaysia for decades, yet awareness on the communication methods remains low among healthcare professionals. While international guidelines are available, clear guidance on effectively communicating the risks of medicines in specific countries is scarce. This study aimed to establish a consensus on the priority strategies for enhancing risk communication about medicines by regulators. Methods We conducted a two-round modified Delphi survey among local and international communication experts, and also recipients of medicines risk communication in Malaysia. We developed a list of 37 strategies based on the findings of our previous studies. In Round 1, participants were asked to rate the priority for each strategy using a 5-point Likert scale and suggest additional strategies via free-text comments. Strategies scoring a mean of ≥ 3.75 were included in Round 2. We defined consensus for the final list of strategies a priori as > 75% agreement. Data were analysed using descriptive statistics and thematic analysis. Results Our final Delphi panel (n = 39, 93% response rate) comprised medicines communication experts from nine countries and Malaysian healthcare professionals. Following Round 1, we dropped 14 strategies and added 11 strategies proposed by panellists. In the second round, 21 strategies achieved consensus. The priority areas identified were to improve the format and content of risk communication, increase the use of technology, and increase collaboration with various stakeholders. Priority ratings for the strategy “to offer incentives to pharmaceutical companies which maintain effective communication systems” were significantly higher among recipients compared to communicators [χ2 (1, N = 39) = 10.1; p = 0.039] and among local versus international panellists [χ2 (1, N = 39) = 14.3; p = 0.007]. Conclusions Our study identified 21 priority strategies, which were used to develop a strategic plan for enhancing medicines risk communication. This plan is potentially adaptable to all countries with developing pharmacovigilance systems. The difference in views between communicators and recipients, as well as local and international panellists, highlights the importance of involving multiple stakeholders in research.

Illegal waste disposal site (IWDS) have become a chronic and severe environmental issue worldwide. Monitoring of IWDS is a central environmental issue in both developed and developing countries. The main aim of this study is to analyze changes in the shape and size of the IWDS over a period of time and to evaluate problems related to IWDS activities. This study also aims to determine the spatial and temporal pattern distribution of IWDS activities based on land use by combining time-series analysis from 2021 to 2023 using historical satellite imagery and ArcGIS. The results show an increase in IWDS locations in Deli Serdang from 98 in 2021 to 112 in 2022 and 120 in 2023. The total area IWDS in Deli Serdang also rose from 115,138.1971 sq.m in 2021 to 164,194.87 sq.m in 2023. Plantation/estate areas consistently recorded the highest number of IWDS incidents each year. The result shows that the trend highlights the tendency for IWDS to occur in natural vegetation-rich environments, which effectively hides these activities and complicates detection and access efforts.

Abstract Objectives While significant evidence supports the benefits of normothermic cardiopulmonary bypass (NCPB) over hypothermic techniques, many institutions in developing countries, including ours, continue to employ hypothermic methods. This study aimed to assess the early postoperative outcomes of normothermic cardiopulmonary bypass (NCPB) for complete surgical repair via the Tetralogy of Fallot (TOF) within our national context. Methods We conducted this study in the Pediatric Cardiac Intensive Care Unit (PCICU) at the University Children’s Hospital. One hundred patients who underwent complete TOF repair were enrolled and categorized into two groups: the normothermic group (n = 50, temperature 35–37 °C) and the moderate hypothermic group (n = 50, temperature 28–32 °C). We evaluated mortality, morbidity, and postoperative complications in the PCICU as outcome measures. Results The demographic characteristics were similar between the two groups. However, the cardiopulmonary bypass (CPB) time and aortic cross-clamp (ACC) time were notably longer in the hypothermic group. The study recorded seven deaths, yielding an overall mortality rate of 7%. No significant differences were observed between the two groups concerning mortality, morbidity, or postoperative complications in the PCICU. Conclusions Our findings suggest that normothermic procedures, while not demonstrably effective, are safe for pediatric cardiac surgery. Further research is warranted to substantiate and endorse the adoption of this technique.

ABSTRACTIn developing countries the most marginalised and disadvantaged people are in rural, remote and regional areas and social enterprises in these areas – rural social enterprises (RSEs) – have been identified as key development actors in this context. However, their impacts are rarely rigorously measured. Our study fills this gap by measuring an RSE’s social impact in a developing country. A smallholder farmers’ survey (n = 1021) is utilised in a propensity score-based method which allowed us to generate counterfactual and estimate outcomes between members and non-members of an RSE. This method was complemented by a stakeholder focus group discussion. Predictors of participation and social impacts of the RSE are identified besides an evaluation of its interventions. Results generate implications for social enterprise practitioners, supporters and policymakers interested in applying RSEs as local and regional development actors as well as researchers involved in social impact measurement.

Background There is paucity of data-driven study on pediatric traumatic spinal cord injury (SCI) in the developing countries. This study aims to define the clinical profile of pediatric traumatic SCI in a rural tertiary hospital in a sub-Saharan African country. Methods This was a prospective observational study of all children with spinal cord injury managed at our center over a 42-month period. Results There were 20 patients, comprising 13 males and 7 females with a mean age of 11.5 years. Road traffic crash was the cause in 70% of the cases (motorcycle accident = 45%), and fall from height in 25%. Pedestrians were the victims of the road traffic crash in 42.9% (6/14) of the cases, while 21.4% (3/14) and 28.6% (4/14) were passengers on motorcycles and in motor vehicles, respectively. The cervical spine was the most common location of injury, occurring in 90% of the cases (18/20). Seventy-five percent of the patients (15/20) had transient deficits, but were grossly normal neurologically on examination (American Spinal Cord Injury Association [ASIA] grade E); 2 patients had ASIA D, while 1 patient each had ASIA C, B, and A injuries. All patients were managed nonoperatively. The patients with incomplete deficits improved, while those with complete injury did not make any motor or sensory gain. Conclusion Road traffic accident, mostly motorcycle crash, was the most common etiology of pediatric SCI in this series, and most of the injuries were located in the cervical spine. Disabling injury constituted a small proportion of pediatric SCI in our practice. [ABSTRACT FROM AUTHOR]

Entrepreneurship scholars have focused their research on compiling a list of competencies that enhance entrepreneurial behaviour. Yet, these efforts might be redundant as new competencies are necessary in the Fourth Industrial Revolution (4IR). Furthermore, previous research investigated entrepreneurial competencies (ECs) from a developed country perspective. This paper follows two phases in identifying ECs for the 4IR in a developing country context. During phase 1, a Delphi study is employed, whereby 12 participants provide 108 ECs (round 1) and 87 ECs (round 2) required for the 4IR. Based on an extensive literature review, a concept matrix is conducted in phase 2, in which 136 competencies are listed. After phase 2 has been conducted, 87 ECs are identified, of which 33 have resulted as the most cited in the literature. By utilizing this multi-dimensional holistic approach, we can distinguish the ECs necessary to increase entrepreneurs' capacity to innovate. The final analyses indicate 12 ECs, presented in a conceptual framework and categorized into four domains: cognitive (knowledge), functional (skills), social (attitudes and behaviours) and meta (facilitating learning). The findings illustrate the demand for specific ECs, although no additional ECs such as technology skills are identified for the 4IR within a developing country context. [ABSTRACT FROM AUTHOR]

At the beginning of 2020, the world experienced the COVID-19 pandemic in which several countries all around the world closed their borders and established isolation measures. These types of measures, in line with the spread of the virus, mainly affected those sectors where face-to-face interaction and mobility were central, as it was the case in the tourism sector. As a response to this crisis, some countries implemented policies to promote tourism within the same country. In this paper, we study the case of a tourist program applied in Argentina and estimate its effects on the tourism sector and the overall economy with a general equilibrium perspective addressing its implications in a context where government's budget constraints are binding. [ABSTRACT FROM AUTHOR]

Illegal waste disposal site (IWDS) have become a chronic and severe environmental issue worldwide. Monitoring of IWDS is a central environmental issue in both developed and developing countries. The main aim of this study is to analyze changes in the shape and size of the IWDS over a period of time and to evaluate problems related to IWDS activities. This study also aims to determine the spatial and temporal pattern distribution of IWDS activities based on land use by combining time-series analysis from 2021 to 2023 using historical satellite imagery and ArcGIS. The results show an increase in IWDS locations in Deli Serdang from 98 in 2021 to 112 in 2022 and 120 in 2023. The total area IWDS in Deli Serdang also rose from 115,138.1971 m2 in 2021 to 164,194.87 m² in 2023. Plantation/estate areas consistently recorded the highest number of IWDS incidents each year. The result shows that the trend highlights the tendency for IWDS to occur in natural vegetation-rich environments, which effectively hides these activities and complicates detection and access efforts. [ABSTRACT FROM AUTHOR]

Coaches contribute toward helping older adults achieve quality sport experiences, but there are few resources grounded in adult-oriented psychosocial approaches from which they can learn. The purpose of this Participatory Action Research study was to facilitate a personalized professional development program for a Colombian football (soccer) league of older adult men using an evidence-based self-assessment tool for Masters coaches. Data were collected from 23 coaches, who were also players in the league, via interviews, workshops, and observations. Data were analyzed via reflective thematic analysis that aimed to understand coaches' perceptions of how they learned through the workshops and how they implemented what they learned into their coaching. Findings indicate that personalized professional development enabled better structured leadership in the league, creating Quality Masters Sport Experiences. [ABSTRACT FROM AUTHOR]

Introduction The degree of disability in childrenwith Cerebral Palsy (CP) can be evaluated with the Gross Motor Function Classification System (GMFCS), a valid tool which was designed for such purposes. However, there appears to be paucity of data on the awareness and use of the GMFCS particularly in the Sub-Saharan continent where the condition is still prevalent. Thus, this study aims to describe awareness, use, merits and demerits of the GMFCS system as perceived by health professionals who take care of children with CP. Methods: This was a cross sectional study of health professionals from three Nigerian teachingchospitals. Information obtained via structured questionnaire were demographic data, years of qualification, years of experience ofworking with children with CP, awareness, use, merits and demerits of the GMFCS. Factors associated with use of the GMFCS were also evaluated with the Chi-square analysis. Results: 78 health professionals participated in the study and majority (58.9%) were doctors. 55 (70.5%) of the study participants were aware of the GMFCS but only 33(42.3%) were using it. The nurses were neither aware of the system nor using it. A higher proportion of therapists (65.4%) were familiar with the system compared to the doctors (54.3 % ) .The location of practice was significantly associated with the use of the GMFCS (p=0.013). More doctors noted the merits and demerits of the system compared to the therapists. Conclusion: Though health professionals were aware of the GMFCS only a small proportion was using this vital tool in the clinical setting. Thus, there is the need to create more awareness on GMFCS and its clinical utility, and the training of nurses should be of paramount importance in the developing country.

Abstract Background Multi-morbidity is a pervasive and growing issue worldwide. The prevalence of multi-morbidity varies across different populations and settings, but it is particularly common among older adults. It poses substantial physical, psychological, and socio-economic burdens on individuals, caregivers and healthcare systems. In this context, the present study aims to provide an insight on the prevalence and degree of multi-morbidity; and also, on the relationship between level of multi-morbidity and morbid conditions among a group of slum-dwelling older women. Methods This community based cross-sectional study was conducted in the slum areas of urban Kolkata, West Bengal, India. It includes total 500 older women, aged 60 years or above. Pre-tested schedules on so-demographic and morbidity profile have canvassed to obtain the information by door-to-door survey. To determine the relationship between the level of multi-morbidity and morbid conditions, correspondence analysis has performed. Results The study revealed three most prevalent morbid conditions- back and/or joint pain, dental caries/cavity and hypertension. The overall prevalence of multi-morbidity was 95.8% in this group of older women. It was highly over-represented by the oldest-old age group (80 years and above). Majority were found to suffer from five simultaneous morbid conditions that accounted for 15.2% of the total respondents. All of the oldest-old women of this study reported to suffer from more than two medical conditions simultaneously. Three distinct groups were formed based on the inter-relationship between level of multi-morbidity and morbid conditions. The group 1 and 2 represents only 27.8% and 18% of the total sample. Whereas, group 3 comprises the highest level of morbidities (≥ 6) and 52.8% of total sample, and strongly related with general debilities, cardiac problems, asthma/COPD, gastrointestinal, musculoskeletal problems, neurological disorders, hypothyroidism and oral health issues. Conclusion The findings confirmed the assertion that multi-morbidity in slum living older adults is a problem with high prevalence and complexity. This study proposes an easily replicable approach of understanding complex interaction of morbidities that can help further in identifying the healthcare needs of older adults to provide them with healthy and more productive life expectancy.

Abstract Background Climate change has made the relationship between disaster and sustainable development more critical. Especially in developing countries, disasters frequently devastate local communities and hinder progress. Children are at a higher risk during catastrophes; however, their knowledge of disaster risk is limited. Education for disaster risk reduction can bring the necessary changes for a safe society. School disaster prevention education can raise awareness through lectures and games, but interactive dialogues between students and teachers can be more effective. Also, GPS tracking can be a valuable tool for understanding people’s behavior during disasters. Methodology This study proposes a method to analyze the relationship between students’ daily behavior and their experiences of flood damage and preparedness for disaster risk. It is a simple method using questionnaires and GPS loggers and can be applied in mountainous areas in developing countries where equipment is inadequate. The proposed method will be used to understand the current state of disaster risk among children and identify disaster risk reduction issues. The study area lies in Paluntar Municipality, Gorkha district, Nepal. Forty-five students from two schools in the region participated in the study. Results The results showed that students who commute to school in areas inundated by heavy rainfall in recent years were not adequately prepared for disasters, even though they had experienced flood damage in the past and were significantly more concerned about future harm. Our field observations and interviews of teacher-student relationships showed that students were very attentive to their teachers’ instruction. Teachers understand the dangers of heavy rainfall and how to prepare for it, but students need to learn how to deal with it. In other words, the school staff’s disaster education to the students effectively reduces disasters. Early warning is needed when severe floods are expected during the rainy season.

Recently, corruption has become widespread, and firms' responses to corruption carry significant implications. The aim of this study is to check how corruption levels in Jordan influence the capital structure of 80 non-financial companies listed on the Amman Stock Exchange (ASE) from 2013 to 2022. Capital structure is the main dependent variable, and corruption is the crucial variable analyzed as the independent factor. Control variables include company age, profitability, asset tangibility, company size, and the Gross Domestic Product (GDP), in addition to the inflation rate, to create a solid framework for analyzing this nexus. This quantitative research paper applies the fixed-effect (FE) estimation to examine the static model of the study and the generalized method of moment (GMM) for the dynamic model via panel data investigation encompassing 800 company-year observations. The R2 results explain 42.1% of the variations in capital structure level. Accordingly, a 1% upsurge in corruption is accompanied by a 0.0367-unit upsurge in the capital structure ratio. This response is interpreted through the lens of the shielding theory, suggesting that firms raise debt to protect themselves against the predations of corrupt officials. The analysis reveals meaningful connections between the control variables and the capital structure. Specifically, increases in tangibility, firm size, inflation, and GDP correspond to a 3.56%, 1.07%, 6.06%, and 2.143% increase in capital structure, respectively, indicating a positive influence. Conversely, the firm age and profitability variables show adverse effects on capital structure, with coefficients of –1.46% and –7.3%, respectively.

This research aims to analyze whether mudharabah and murabaha financing have an impact on maximizing real sector growth in Indonesia, Malaysia and Brunei Darussalam. The method used in this research is quantitative with a descriptive-associative approach. The data used in this research comes from secondary data and time series data obtained from the Financial Services Authority (FSA) Islamic banking statistics report, Indonesian economic and financial statistics report, Kuwait Finance House annual report, Malaysian economy in Figures 2022 report, report annual Islamic bank Brunei Darussalam, and the International Monetary Fund (IMF) report. This research uses panel data regression analysis. The research results show that partial mudharabah and murabaha financing does not impact real sector growth. Simultaneously, mudharabah and murabaha financing significantly impact real sector growth. This research provides a new contribution to scientific development, stating that mudharabah and murabaha financing do not impact real sector growth. Practically, this research proves that there must be improvements related to mudharabah and murabaha financing so that they can have an impact on real sector growth.

Background This study aims to empirically test a comprehensive interrelationship between green supply chain management (GSCM), green technology innovation (GTI), waste management (WM), big data analytics capability powered by artificial intelligence (BDAC-AI), and their collective impact on sustainable performance (SP) in organizational contexts. Methods This study was conducted in Pakistan’s food processing sector. The respondents included 495 managers working in the food processing industry. A structural equation modelling (SEM) approach is used to examine direct and indirect relationships between the variables. The originality of this study lies in integration of the technology acceptance model (TAM) and dynamic capability theory (DCT) to understand sustainable practices in the context of the provided model. Results This study highlights that GSCM, GTI, WM, and BDAC-AI have positive, strong, and direct impacts on SP. Furthermore, GTI and WM only partially mediate the link between GSCM and SP, whereas the two moderate the link. In addition, BDAC-AI had a moderating effect on the relationship between GTI and SP. This study has managerial implications, including strategies that involve the use of theoretical frameworks for technological acceptance and dynamic capabilities to support sustainable initiatives. However, it is worth noting that the findings provide a practical contingency for managers and businesses interested in implementing green studies effectively, improving technologies, and strengthening sustainable performance capabilities. Conclusions The study extends the literature by establishing a model for operationalizing GSCM in the food processing sector. Furthermore, it adds value in that it first integrates TAM and DCT to explain sustainable operations and their impact on organizations. Furthermore, it extends the existing literature by establishing a relationship between GSCM and SC. It offers a model through which GSCM can be operationalized in the context of the FS sector.

The building sector is very dynamic and complex, so construction works are surrounded by uncertainties. The deficiencies of this sector are mainly related to poor project planning and management, resulting in losses because of missed deadlines, cost overruns, reworks, and unsatisfied clients. For a project to be successful, all the parties involved should work together to effectively manage the risks that could emerge in the project life cycle. This research defines and establishes a classification of the factors causing cost and time deviations in construction projects in the Dominican Republic. For this purpose, the most common factors are compiled, and their risk levels are determined by using the data obtained in a survey in which professionals from the building sector participated. The indexes marked by the participants show that the serious risk factors are design variations and the variations made by clients, a tight project schedule and the preparation of bid offers, deficiencies in the work planning and schedule, the lack of skilled labour, and work performance errors. [ABSTRACT FROM AUTHOR]

Background: Multi-morbidity is a pervasive and growing issue worldwide. The prevalence of multi-morbidity varies across different populations and settings, but it is particularly common among older adults. It poses substantial physical, psychological, and socio-economic burdens on individuals, caregivers and healthcare systems. In this context, the present study aims to provide an insight on the prevalence and degree of multi-morbidity; and also, on the relationship between level of multi-morbidity and morbid conditions among a group of slum-dwelling older women. Methods: This community based cross-sectional study was conducted in the slum areas of urban Kolkata, West Bengal, India. It includes total 500 older women, aged 60 years or above. Pre-tested schedules on so-demographic and morbidity profile have canvassed to obtain the information by door-to-door survey. To determine the relationship between the level of multi-morbidity and morbid conditions, correspondence analysis has performed. Results: The study revealed three most prevalent morbid conditions- back and/or joint pain, dental caries/cavity and hypertension. The overall prevalence of multi-morbidity was 95.8% in this group of older women. It was highly over-represented by the oldest-old age group (80 years and above). Majority were found to suffer from five simultaneous morbid conditions that accounted for 15.2% of the total respondents. All of the oldest-old women of this study reported to suffer from more than two medical conditions simultaneously. Three distinct groups were formed based on the inter-relationship between level of multi-morbidity and morbid conditions. The group 1 and 2 represents only 27.8% and 18% of the total sample. Whereas, group 3 comprises the highest level of morbidities (≥ 6) and 52.8% of total sample, and strongly related with general debilities, cardiac problems, asthma/COPD, gastrointestinal, musculoskeletal problems, neurological disorders, hypothyroidism and oral health issues. Conclusion: The findings confirmed the assertion that multi-morbidity in slum living older adults is a problem with high prevalence and complexity. This study proposes an easily replicable approach of understanding complex interaction of morbidities that can help further in identifying the healthcare needs of older adults to provide them with healthy and more productive life expectancy. [ABSTRACT FROM AUTHOR]

Background: Climate change has made the relationship between disaster and sustainable development more critical. Especially in developing countries, disasters frequently devastate local communities and hinder progress. Children are at a higher risk during catastrophes; however, their knowledge of disaster risk is limited. Education for disaster risk reduction can bring the necessary changes for a safe society. School disaster prevention education can raise awareness through lectures and games, but interactive dialogues between students and teachers can be more effective. Also, GPS tracking can be a valuable tool for understanding people's behavior during disasters. Methodology: This study proposes a method to analyze the relationship between students' daily behavior and their experiences of flood damage and preparedness for disaster risk. It is a simple method using questionnaires and GPS loggers and can be applied in mountainous areas in developing countries where equipment is inadequate. The proposed method will be used to understand the current state of disaster risk among children and identify disaster risk reduction issues. The study area lies in Paluntar Municipality, Gorkha district, Nepal. Forty-five students from two schools in the region participated in the study. Results: The results showed that students who commute to school in areas inundated by heavy rainfall in recent years were not adequately prepared for disasters, even though they had experienced flood damage in the past and were significantly more concerned about future harm. Our field observations and interviews of teacher-student relationships showed that students were very attentive to their teachers' instruction. Teachers understand the dangers of heavy rainfall and how to prepare for it, but students need to learn how to deal with it. In other words, the school staff's disaster education to the students effectively reduces disasters. Early warning is needed when severe floods are expected during the rainy season. [ABSTRACT FROM AUTHOR]

Aim Background Methods Results Conclusion Implications for nursing and health policy This study aimed to identify the factors influencing nurses’ migration patterns in Turkey.The flow of nurse migration from developing countries to developed countries is steadily increasing. As a result, countries that are sources of migration tend to develop domestic inequities with respect to the population's ability to access health services. In particular, fragile economic conditions and the pandemic triggered the migration of nurses from Turkey, a developing country.This study employed a mixed‐method explanatory sequential design and was conducted in Turkey between April and November 2022. The decision to migrate was the focus of both the quantitative aspect, involving 237 participants, and the qualitative aspect, with 20 participants. Quantitative data were gathered through a questionnaire, and qualitative data were obtained using open‐ended questions during in‐depth individual interviews. We followed the Strengthening the Reporting of Observational Studies in Epidemiology checklist in the quantitative phase and the Consolidated Criteria for Reporting Qualitative Research checklist in the qualitative phase. Descriptive statistics and thematic analyses were used to analyze the data.In the quantitative stage of the study, nurses’ reasons for deciding to migrate were identified as economic conditions, working conditions, society's outlook on the profession, political factors, and professional growth opportunities. In the qualitative stage, four major themes influencing nurse migration patterns emerged: devaluation and poor collegiality in nursing; inadequate management support; negative work environment; and health, social, and economic policies.The results of the study showed that the three factors most influential in the decision to migrate were economic issues, a negative work environment, and political climate.In developing countries, there is an urgent need for nurse administrators and health workforce decision‐makers to create healthy working conditions and manage resources efficiently, focusing on improving nurses’ economic situations while developing appropriate nationwide and international strategies. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Chronic venous insufficiency (CVI) is a common condition especially among those of advance age that is often neglected. As the disease severity progresses, it increases the healthcare cost and resources required, while diminishing the quality of life of the persons. Health-related Quality of Life (HRQoL) among CVI patients begins to decline once the symptom starts to appear, and reduces it further as the symptoms worsens. MATERIALS AND METHODS: This is a prospective, multi-centred, cross-sectional study on consenting symptomatic CVI patients who presented to the International Islamic University of Malaysia (IIUM) teaching hospital in Pahang, Malaysia. The diagnosis of CVI was confirmed on duplex imaging. Clinical grading was performed using Clinical Etiologic Anatomic Pathophysiologic (CEAP) classification. Patients completed generic validated Malay language Short Form 36 (SF36) HRQoL instrument. RESULTS: One hundred and ten patients (62% male) with a mean age of 57 years, Malays (60%), Chinese (25%) and Indian (15%) were recruited. The most frequent CVD symptoms reported were pain (42%). The clinical, aetiological, anatomical, and pathophysiological (CEAP) classification placed most patients in the C2 class (34%). Apart from partaking in social functions, all other elements of mental and physical health component of SF 36 showed a marked deterioration as the disease progressed. CONCLUSIONS: We found a significant decline in the HRQoL among symptomatic CVI patients presenting to IIUM hospital in a multi-ethnic developing country. [ABSTRACT FROM AUTHOR]

The fourth industrial revolution (4IR) can significantly benefit the construction sector, improving productivity, efficiency, collaborative efforts, and product quality while promoting safety and sustainability. However, research on applying 4IR technologies in construction is scarce in developing countries. It is crucial to understand the ability of construction companies to adopt new technologies and identify factors influencing the success of technology implementation. In this study, a questionnaire-based survey was conducted with construction professionals to evaluate the level of technological development of the construction market in an emerging economy, assess the potential for innovation implementation, and identify factors that might influence technological development. The results showed that most innovations are in the early stages of implementation in the construction sector, and their adoption tends to occur differently, depending on the size of the company and the stage of the construction lifecycle in which they operate. Furthermore, technologies tend to be progressively adopted and driven by virtualization technologies. This article presents a framework to assist in decision-making regarding the adoption of 4IR technologies at different phases of the lifecycle of construction projects and identifies the potential barriers and promoters of this adoption in the analyzed context. [ABSTRACT FROM AUTHOR]

Hit-and-run crashes often have severe consequences for vulnerable road users. In light of governmental efforts to promote pedestrian-friendly urban environments, the significance of these crashes cannot be overstated. In this study, we assessed the factors that influence the injury severity of pedestrians involved in hit-and-run crashes in Ghana. Historical crash data (1469 observations) spanning from 2013 to 2020 was used in this study. An injury-severity model was developed using random parameters logit approach to assess what crash factors significantly affect the injury outcome of the crashes. It was observed that hit-and-run crashes that occur on dark and unlit roadways were more likely to result in fatal injuries. Also, female pedestrians were less likely to be killed in hit-and-run crashes. These findings provide the basis for developing and implementing appropriate countermeasures, such as punitive laws for drivers who leave the crash scene and protective laws for those who help their victims. [ABSTRACT FROM AUTHOR]