ALBERT

Description: Sustainability, Vol. 9, Pages 1928: A Co-Word Analysis of Organizational Constraints for Maintaining Sustainability Sustainability doi: 10.3390/su9101928 Authors: Daoyan Guo Hong Chen Ruyin Long Hui Lu Qianyi Long A good understanding of organizational constraints is vital to facilitate organizational development as the sustainable development of organizations can be constrained by the organization itself. In this study, bibliometric methods were adopted to investigate the research status and trends of organizational constraints. The findings showed that there were 1138 articles and reviews, and 52 high-frequency keywords related to organizational constraints during the period 1980–2016. The research cores were “constraints”, “learning”, “institution”, and “behavior” in the co-occurrence network, and “constraints” played the most significant role. The 52 high-frequency keywords were classified into six clusters: “change and decision-making”, “supply chain and sustainability”, “human system and performance”, “culture and relations”, “entrepreneur and resource”, and “learning and innovation”. Furthermore, the indicators of organizational development (e.g., innovation, supply chain, decision-making, performance, sustainability, and employee behavior) were found to be significantly related to the organizational constraints. Based on these findings, future trends were proposed to maintain the sustainability of organizations. This study investigated the state of the art in terms of organizational constraints and provided valuable references for maintaining the sustainable development of organizations.

Description: IJERPH, Vol. 15, Pages 492: The Burden of COPD Morbidity Attributable to the Interaction between Ambient Air Pollution and Temperature in Chengdu, China International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15030492 Authors: Hang Qiu Kun Tan Feiyu Long Liya Wang Haiyan Yu Ren Deng Hu Long Yanlong Zhang Jingping Pan Evidence on the burden of chronic obstructive pulmonary disease (COPD) morbidity attributable to the interaction between ambient air pollution and temperature has been limited. This study aimed to examine the modification effect of temperature on the association of ambient air pollutants (including particulate matter (PM) with aerodynamic diameter <10 μm (PM10) and <2.5 μm (PM2.5), nitrogen dioxide (NO2), sulfur dioxide (SO2), carbon monoxide (CO) and ozone (O3)) with risk of hospital admissions (HAs) for COPD, as well as the associated morbidity burden in urban areas of Chengdu, China, from 2015 to 2016. Based on the generalized additive model (GAM) with quasi-Poisson link, bivariate response surface model and stratification parametric model were developed to investigate the potential interactions between ambient air pollution and temperature on COPD HAs. We found consistent interactions between ambient air pollutants (PM2.5, PM10 and SO2) and low temperature on COPD HAs, demonstrated by the stronger associations between ambient air pollutants and COPD HAs at low temperatures than at moderate temperatures. Subgroup analyses showed that the elderly (≥80 years) and males were more vulnerable to this interaction. The joint effect of PM and low temperature had the greatest impact on COPD morbidity burden. Using WHO air quality guidelines as reference concentration, about 17.30% (95% CI: 12.39%, 22.19%) and 14.72% (95% CI: 10.38%, 19.06%) of COPD HAs were attributable to PM2.5 and PM10 exposures on low temperature days, respectively. Our findings suggested that low temperature significantly enhanced the effects of PM and SO2 on COPD HAs in urban Chengdu, resulting in increased morbidity burden. This evidence has important implications for developing interventions to reduce the risk effect of COPD morbidity.

Description: Background: In 2012, a pilot health policy of contractual service relations between general practitioners and patients was implemented in China. Due to the decline in body and cognitive function, as well as the lack of family care and narrow social support networks, the demand of health services among the elderly is much higher than that among the general population. This study aims to probe into the empty nesters’ willingness-to-pay for general practitioners using a contractual service policy, investigating empty nesters’ payment levels for the service, and analyze the main factors affecting the willingness of empty-nesters’ general practitioners using contractual service supply cost. Methods: This cross-sectional study adopted a multistage stratified sampling method to survey 865, city empty nesters (six communities in three districts of one city) aged 60–85 years. A condition value method was used to infer the distribution of the willingness-to-pay; Cox’s proportional hazards regression model was used to analyze the influencing factors of willingness-to-pay. Results: More than seventy percent (76.6%) of the empty nesters in this city were willing to pay general practitioners using contract service in Chongqing. The level of willingness-to-pay for the surveyed empty nesters was 34.1 yuan per year. The median value was 22.1 yuan per year, which was below the Chongqing urban and rural cooperative medical insurance individual funding level (60 yuan per year) in 2013. Cox’s proportional hazards regression model analysis showed that the higher the education level was, the worse the self-reported health status would be, accompanied by higher family per capita income, higher satisfaction of community health service, and higher willingness-to-pay empty nesters using a contract service. Women had a higher willingness-to-pay than men. Conclusions: The willingness-to-pay for general practitioners by contractual service is high among city empty nesters in Chongqing, thus, individual financing is feasible. However, people are willing to pay less than half of the current personal financing of cooperative medical insurance of urban and rural residents. Education level, family per capita income, and self-reported health status are the main factors affecting the cost sharing intention for general practitioners using contract service supply. According to the existing situation of different empty nesters, it is important to perfect the design of general practitioners using a contractual service policy system, according to differentiated personal financing levels.

Description: The Delphi technique is a means of facilitating discussion among experts in order to develop consensus, and can be used for policy formulation. This article describes a modified Delphi approach in which 27 multi-disciplinary academics and 22 stakeholders from Ghana and North America were polled about ways to address negative effects of small-scale gold mining (ASGM) in Ghana. In early 2014, the academics, working in disciplinary groups, synthesized 17 response options based on data aggregated during an Integrated Assessment of ASGM in Ghana. The researchers participated in two rounds of Delphi polling in March and April 2014, during which 17 options were condensed into 12. Response options were rated via a 4-point Likert scale in terms of benefit (economic, environmental, and benefit to people) and feasibility (economic, social/cultural, political, and implementation). The six highest-scoring options populated a third Delphi poll, which 22 stakeholders from diverse sectors completed in April 2015. The academics and stakeholders also prioritized the response options using ranking exercises. The technique successfully gauged expert opinion on ASGM, and helped identify potential responses, policies and solutions for the sector. This is timely given that improvement to the ASGM sector is an important component within the UN Minamata Convention.

Description: Artisanal and small-scale gold mining (ASGM) is growing in many regions of the world including Ghana. The problems in these communities are complex and multi-faceted. To help increase understanding of such problems, and to enable consensus-building and effective translation of scientific findings to stakeholders, help inform policies, and ultimately improve decision making, we utilized an Integrated Assessment approach to study artisanal and small-scale gold mining activities in Ghana. Though Integrated Assessments have been used in the fields of environmental science and sustainable development, their use in addressing specific matter in public health, and in particular, environmental and occupational health is quite limited despite their many benefits. The aim of the current paper was to describe specific activities undertaken and how they were organized, and the outputs and outcomes of our activity. In brief, three disciplinary workgroups (Natural Sciences, Human Health, Social Sciences and Economics) were formed, with 26 researchers from a range of Ghanaian institutions plus international experts. The workgroups conducted activities in order to address the following question: What are the causes, consequences and correctives of small-scale gold mining in Ghana? More specifically: What alternatives are available in resource-limited settings in Ghana that allow for gold-mining to occur in a manner that maintains ecological health and human health without hindering near- and long-term economic prosperity? Several response options were identified and evaluated, and are currently being disseminated to various stakeholders within Ghana and internationally.

Description: Coal blending is an effective way to organize and control coal ash fusibility to meet different requirements of Coal-fired power plants. This study investigates three different eutectic processes and explains the mechanism of how coal blending affects ash fusibility. The blended ashes were prepared by hand-mixing two raw coal ashes at five blending ratios, G:D = 10:90 (G10D90), G:D= 20:80 (G20D80), G:D = 30:70 (G30D70), G:D = 40:60 (G40D60), and G:D = 50:50 (G50D50). The samples were heated at 900 °C, 1000 °C, 1100 °C, 1200 °C, and 1300 °C in reducing atmosphere. XRD and SEM/EDX were used to identify mineral transformations and eutectic processes. The eutectic processes were finally simulated with FactSage. Results show that the fusion temperatures of the blended ashes initially decrease and then increase with the blending ratio, a trend that is typical of eutectic melting. Eutectic phenomena are observed in D100, G10D90, and G30D70 in different degrees, which do not appear in G100 and G50D50 for the lack of eutectic reactants. The main eutectic reactants are gehlenite, magnetite, merwinite, and diopside. The FactSage simulation results show that the content discrepancy of merwinite and diopside in the ashes causes the inconsistent eutectic temperatures and eutectic degrees, in turn decrease the fusion temperature of the blended ash and then increase them with the blending ratio.

Description: The electric vehicle charging infrastructure is in the initial development period in China, where there is an imbalanced supply and demand structure, an increasingly mature institutional environment, and an imperfect support system. The infrastructure is important for supplying energy to electric vehicles, and it needs to be provided in a reasonable manner with a moderately advanced layout. Due to large-scale investment, unclear financing rights and responsibilities, a single participant, interlinked risks, and other factors, “absence” and “dislocation” of the charging infrastructure coexist. The public–private partnership (PPP) model is an effective supply path for the infrastructure. Thus, introducing the PPP model into the charging infrastructure can leverage social capital, eases the burden on local finance, enhances the level of project management and profitability, and reduces construction and operation risks. For the participant level of PPP projects in the charging infrastructure, the present study elucidates the support mechanisms required by the government, social capital, and intermediaries in order to construct an effective charging infrastructure in China.

Description: An experimental study was performed to investigate the effect of subcritical carbon dioxide (CO2) adsorption on mechanical properties of shales with different coring directions. Uniaxial compressive strength (UCS) tests were conducted on shale samples with different CO2 adsorption time at a pressure of 7 MPa and a temperature of 40 °C. The crack propagation and the failure mechanism of shale samples were recorded by using acoustic emission (AE) sensors together with ARAMIS technology. According to the results, samples with parallel and normal bedding angles present reductions of 26.7% and 3.0% in UCS, 30.7% and 36.7% in Young’s modulus after 10 days’ adsorption of CO2, and 30.3% and 18.4% in UCS, 13.8% and 22.6% in Young’s modulus after 20 days’ adsorption of CO2. Samples with a normal bedding angle presented higher brittleness index than that with a parallel bedding angle. The strain distributions show that longer CO2 adsorption will cause higher axial strains and lateral strains. The AE results show that samples with a parallel angle have higher AE energy release than the samples with a normal angle. Finally, samples with longer CO2 adsorption times present higher cumulative AE energy release.

Description: Hypertension with high homocysteine (HHcy) (H-type hypertension) and C reactive protein (CRP) can increase the incidence of ischemic stroke. However, it is not clear whether recurrent ischemic stroke (RIS) is related to H-type hypertension and CRP. The present study investigated the correlation of H-type hypertension and CRP level with RIS. Totally, 987 consecutive patients with acute ischemic stroke were recruited in a teaching hospital in Henan province, China during March 2014 to March 2015. The demographic and clinical characteristics and blood biochemical parameters of patients were analyzed. Elevated levels of CRP and homocysteine (Hcy) were defined as >8.2 mg/L and 10 μmol/L, respectively. Among the 987 patients, 234 were RIS. Thirty-eight percent of RIS patients had elevated CRP level and 91.5% of RIS patients had HHcy. In multivariate analysis, adjusted odds ratio (OR) of RIS in patients aged ≥60 years was 1.576 (95% CI: 1.125–2.207), in male patients 1.935 (95% CI: 1.385–2.704), in patients with diabetes 1.463 (95% CI: 1.037–2.064), CRP levels 1.013 (95% CI: 1.006–1.019), simple hypertension 3.370 (95% CI: 1.15–10.183), and H-type hypertension 2.990 (95% CI: 1.176–7.600). RIS was associated with older age, male, diabetes, H-type hypertension and CRP. Controlling H-type hypertension and CRP level may reduce the risk of RIS.

Description: This report is one of three synthesis documents produced via an integrated assessment (IA) that aims to increase understanding of artisanal and small-scale gold mining (ASGM) in Ghana. Given the complexities surrounding ASGM, an IA framework was utilized to analyze economic, social, health, and environmental data, and co-develop evidence-based responses with pertinent stakeholders. The current analysis focuses on the health of ASGM miners and community members, and synthesizes extant data from the literature as well as co-authors’ recent findings regarding the causes, status, trends, and consequences of ASGM in Ghana. The results provide evidence from across multiple Ghanaian ASGM sites that document relatively high exposures to mercury and other heavy metals, occupational injuries and noise exposure. The work also reviews limited data on psychosocial health, nutrition, cardiovascular and respiratory health, sexual health, and water and sanitation. Taken together, the findings provide a thorough overview of human health issues in Ghanaian ASGM communities. Though more research is needed to further elucidate the relationships between ASGM and health outcomes, the existing research on plausible health consequences of ASGM should guide policies and actions to better address the unique challenges of ASGM in Ghana and potentially elsewhere.