Recreation in the Area of River Ardas: The Views of Elementary School Pupils

River Ardas in Greece is an area of outstanding natural beauty and used as a recreation area. Each year the area is visited by people of all ages. Children visit the place either with their school or with their parents. It is important to study their views about the river as a recreation area. The children asked were pupils of the elementary schools of the region. All of these children had visited the area before. The majority of the children declare satisfied from their visit in the area and assess the landscape positively. However, most of them have a less positive view about the provided recreation services. Through the use of hierarchical loglinear analysis it becomes clear that pupils who declare from totally to very satisfied regarding their visit in the recreation area of Ardas also find that the provided recreation services range from very good to good. The same pupils also believe that that the river constitutes from very small to fair danger to their safety and visit the place more than five times a year. In addition, the pupils who visit the area more than five times a year think that the river constitutes from very small to fair danger to their safety. Most of the pupils think that the diversity of plants ranges from big to very big while the diversity of animals ranges from small to very small. There is a need for improved infrastructure in the area, e.g. observatories, so that pupils can discover the wild animals that live there. The love of the children for animals becomes obvious from the fact that they do not wish the prohibition of pets in the place. Most of the pupils like the idea of camping in the area with their parents but the idea of doing so with their fellow pupils is even more popular. The children think that their parents would find it easier to grant permission to them to camp in the area if they themselves accompanied their children and not if their children did so together with their fellow pupils. Through the test of independence it becomes obvious that the will of the children to camp in the area depends on the will of their parents

Recreation in the Area of River Ardas: The Views of Elementary School Pupils

River Ardas in Greece is an area of outstanding natural beauty and used as a recreation area. Each year the area is visited by people of all ages. Children visit the place either with their school or with their parents. It is important to study their views about the river as a recreation area. The children asked were pupils of the elementary schools of the region. All of these children had visited the area before. The majority of the children declare satisfied from their visit in the area and assess the landscape positively. However, most of them have a less positive view about the provided recreation services. Through the use of hierarchical loglinear analysis it becomes clear that pupils who declare from totally to very satisfied regarding their visit in the recreation area of Ardas also find that the provided recreation services range from very good to good. The same pupils also believe that that the river constitutes from very small to fair danger to their safety and visit the place more than five times a year. In addition, the pupils who visit the area more than five times a year think that the river constitutes from very small to fair danger to their safety. Most of the pupils think that the diversity of plants ranges from big to very big while the diversity of animals ranges from small to very small. There is a need for improved infrastructure in the area, e.g. observatories, so that pupils can discover the wild animals that live there. The love of the children for animals becomes obvious from the fact that they do not wish the prohibition of pets in the place. Most of the pupils like the idea of camping in the area with their parents but the idea of doing so with their fellow pupils is even more popular. The children think that their parents would find it easier to grant permission to them to camp in the area if they themselves accompanied their children and not if their children did so together with their fellow pupils. Through the test of independence it becomes obvious that the will of the children to camp in the area depends on the will of their parents

Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study

: The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI

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

Hermoupolis: A Trajectory Generator for Simulating Generalized Mobility Patterns

Abstract. During the last decade, the domain of mobility data mining has emerged providing many effective methods for the discovery of intuitive patterns representing collective behavior of trajectories of moving objects. Although a few real-world trajectory datasets have been made available recently, these are not sufficient for experimentally evaluating the various proposals, therefore, researchers look to synthetic trajectory generators. This case is problematic because, on the one hand, real datasets are usually small, which compromises scalability experiments, and, on the other hand, synthetic dataset generators have not been designed to produce mobility pattern driven trajectories. Motivated by this observation, we present Hermoupolis, an effective generator of synthetic trajectories of moving objects that has the main objective that the resulting datasets support various types of mobility patterns (clusters, flocks, convoys, etc.), as such producing datasets with available ground truth information