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Maintaining community resource use and securing ecosystem services for the public is a major issue in protected area management. This research developed an institutional diagnostic tool for community resource use based on the theories of "Common-Pool Resources", "Environment Entitlement" and "Socio-ecological System". This tool is maturing and tested in the Wuyishan National Park through a knowledge co-production process of communities' narratives and researchers' observations. It was used to identify key institutional factors that affect communities' ecosystem management, facilitate a negotiation procedure that can motivate communities' acceptance of new rules and participation in conservation, and provide policy entry points for sustaining both the ecosystem and rural livelihoods. Results show that key factors affecting resource accessibility mainly include land policy at the macro scale, protected area planning and management at the meso-scale, and the internalising of modern regulations and technologies with historical inheritance at the micro-scale. Key institutions affecting access to ecosystem services and well-being include mainly the formal institutions such as the market and credit system at the meso-scale, and informal institutions expressed by collective actions at the micro-scale. Results also indicate that local people mainly cared about the procedural legitimacy and their environmental autonomy for negotiation in the multi-stakeholder context. They required a reasonable and clear definition of resource use regulation, and low risks to join in a negotiation. By integrating the key institutions and negotiation demands, we provided the policy entry point to facilitate the institutional change in Wuyishan National Park. This diagnostic tool is proved applicable in the way of knowledge co-production, and it is promising to help formulate context-specific conservation policies to facilitate the community to participate in the construction and management of protected areas for win-win outcomes of the natural ecosystem and community welfare.
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http://dx.doi.org/10.1016/j.jenvman.2022.115508 | DOI Listing |
Cardiol Rev
September 2025
Departments of Cardiology and Medicine, Westchester Medical Center and New York Medical College, Valhalla, NY.
Heart failure (HF) remains one of the leading causes of 30-day hospital readmissions, presenting a major challenge to healthcare systems worldwide. This comprehensive review synthesizes recent evidence on effective strategies to reduce readmission rates through patient education, self-care interventions, and systemic reforms. Structured education-particularly when reinforced postdischarge through methods like teach-back, tele-coaching, and home visits-has consistently demonstrated improved self-management, symptom recognition, and quality of life.
View Article and Find Full Text PDFAnn Am Thorac Soc
September 2025
Hadassah Medical Center, Pediatric Pulmonology Unit and Cystic Fibrosis Center, Jerusalem, Jerusalem, Israel.
Background Although advances in care have improved cystic fibrosis (CF) outcomes in higher-income countries (HICs), the situation remains alarming in lower-income countries (LICs). Methods People with CF (pwCF) enrolled in the European Cystic Fibrosis Society Patient Registry (ECFSPR) and carrying at least one F508del variant allele were evaluated in 2017 and in 2022 for predicted percent forced expiratory volume (ppFEV1), underweight status, and chronic Pseudomonas aeruginosa (Pa) infection, according to the gross national income (GNI) per capita divided into three terciles (low-income countries, LICs; middle-income countries, MICs; and high-income countries, HICs). Survival was evaluated in the periods 2013-2017 and 2018-2022.
View Article and Find Full Text PDFJ Craniofac Surg
September 2025
Department of Pediatric Plastic and Reconstructive Surgery, Children's Hospital Colorado.
Background: Craniosynostosis repair is traditionally performed at high-volume academic centers with multidisciplinary teams. Access barriers in rural or suburban regions raise the question of whether comparable outcomes can be achieved and if this surgery can be performed safely in community settings.
Objective: To evaluate the safety and perioperative outcomes of cranial vault reconstruction for craniosynostosis performed at a community-based children's hospital and compare these outcomes to those reported at academic institutions.
PLOS Glob Public Health
September 2025
TB Modelling Group, TB Centre, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Population-wide screening may accelerate the decline of tuberculosis (TB) incidence, but the optimal screening algorithm and duration must weigh resource considerations. We calibrated a deterministic transmission model to TB epidemiology in Viet Nam. We simulated three population-wide screening algorithms from 2025: sputum nucleic acid amplification tests (NAAT, Xpert MTB/RIF Ultra) only; chest radiography (CXR) followed by NAAT; and CXR-only without microbiological confirmation.
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