Examining the Influential Factors on Urban Growth and Population Attraction: A Case Study of Almere, Netherlands

This paper explores the intricate nature of population attraction and urban growth, which are influenced by a wide range of social, economic, and environmental factors. Through a case study of Almere, Netherlands, this study investigates the connection between population attraction, urban quality of life, livability, and sustainability. To assess the impact of these factors on urban growth, the study developed a measurable indicator matrix based on a theoretical framework. The study’s results demonstrate that social life, urban economy, population standards, ease of access to services, transportation, and the quality of the built environment are significant factors in population attraction and urban growth. Additionally, the study revealed some previously unconsidered factors that play a crucial role in sustaining population attraction and urban growth. The study’s findings offer insights for urban planners and policymakers to design effective strategies that promote population attraction and foster sustainable urban growth

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Additional file 1 of Home design features post-COVID-19

Additional file 1

Assessment of X-Salt characterization: a salt-based construction material using natural adhesives for additive manufacturing

Purpose – Despite the dramatic increase in construction toward additive manufacturing, several challenges are faced using natural materials such as Earth and salt compared to the most market-useable materials in 3D printing as concrete which consumes high carbon emission. Design/methodology/approach – Characterization and mechanical tests were conducted on 19 samples for three natural binders in dry and wet tests to mimic the additive manufacturing process in order to reach an efficient extrudable and printable mixture that fits the 3D printer. Findings – Upon testing compressive strength against grain size, compaction, cohesion, shape, heat and water content, X-Salt was shown to record high compressive strength of 9.5 MPa. This is equivalent to old Karshif and fire bricks and surpasses both rammed Earth and new Karshif. Material flow analysis for X-Salt assessing energy usage showed that only 10% recycled waste was produced by the end of the life cycle compared to salt. Research limitations/implications – Findings are expected to upscale the use of 3D salt printing in on-site and off-site architectural applications. Practical implications – Findings contribute to attempts to resolve challenges related to vernacular architecture using 3D salt printing with sufficient stability. Social implications – Benefits include recyclability and minimum environmental impact. Social aspects related to technology integration remain however for further research. Originality/value – This paper expands the use of Karshif, a salt-based traditional building material in Egypt’s desert by using X-Salt, a salt-base and natural adhesive, and investigating its printability by testing its mechanical properties to reach a cleaner and low-cost sustainable 3D printed mixture