Explore the vast range of titles available.

Alcohol consumption is a major risk factor for diseases and social burdens worldwide. Despite this, depictions of alcohol use continue to rise across various social media platforms, increasing concerns about their potential impact, particularly on adolescents. While some guidelines exist to regulate alcohol portrayals in media, they remain largely advisory and lack legal enforcement. As alcohol-related content becomes more widespread on social media, the need for stronger regulatory measures is growing. This study aimed to analyze the content of sulbang (broadcasts featuring alcohol consumption) on YouTube and to assess public opinions regarding the regulation of alcohol-related broadcasts on social media platforms such as YouTube. To evaluate public attitudes toward appropriate regulations on alcohol depictions in web-based media, a survey was conducted with 1500 adults (aged 20-74 years) residing in South Korea. Participants were recruited through stratified multistage sampling, with a 21.8% (n=1500) response rate from 6880 invitations. The survey included Likert-scale and rank-ordered questions, with reliability assessed using Cronbach α. Additionally, a content analysis of 318 YouTube (sulbang) videos was conducted based on the Korean government's media alcohol scene guidelines. Two trained coders independently analyzed the videos, achieving high intercoder reliability (Cohen κ=0.92). This study found that exposure to sulbang content was significantly higher among individuals with higher education levels (n=33, 26.2% graduate degree holders), lower income groups (P<.001), and women. Younger individuals and heavy drinkers were also more likely to engage with such content, with heavy drinkers showing a significantly higher likelihood (P<.001). Regarding public opinion, 83.1% (n=1247) of respondents supported some form of regulation on sulbang content. However, heavy drinkers were less inclined to agree (coefficient: -0.3652; P<.001). Age was positively associated with stronger support for regulation (coefficient: 0.21984; P<.001), while women were significantly more likely than men to advocate for stricter restrictions (coefficient: 0.37827; P<.001). Exposure frequency also had the strongest correlation with support for regulation (coefficient: 1.0278; P<.001). The analysis of 318 YouTube videos revealed an average Like ratio of 97.9% (range: 32.7-100.0), indicating predominantly positive viewer responses, with a median Video Power Index of 939.6 (range: 10.4-84,821.7). Content analysis based on the Media Drinking Scene Guidelines showed that 89.0% (n=283) of the videos glorified drinking, often portraying alcohol as a stress reliever or a source of recovery. Additionally, 92.8% (n=295) of the videos depicted binge drinking or drunkenness, and 27.7% (n=88) of the videos featured celebrities or notable figures consuming alcohol. Furthermore, 42.8% (n=136) of the videos presented distorted drinking norms, such as glorifying high tolerance or linking alcohol to sexual advances. In contrast, only 0.6% (n=2) of the videos were age-restricted, and 31.1% (n=99) included any warning message. Given the potential influence of alcohol-related content on drinking perceptions and behaviors, regulatory measures should be explored to mitigate possible risks. Strengthening content guidelines and increasing awareness could help address concerns about alcohol-related social media exposure.

With the increased use of digital health innovations in Canadian health care, educating health care users, professionals, and researchers on the ethical challenges and privacy implications of these tools is essential. The Datum project, funded by the Fondation Barreau du Quebec, was created to help these actors better understand legal and ethical issues regarding the collection, use, and disclosure of digital health data for the purposes of scientific research, thereby enhancing literacy around data privacy. The project consists of a multimedia website divided into legislation and policy documents and narrative-based video content. Users can access the core legislation and policies governing the collection and use of health care data geared toward researchers and health practitioners. Users can also view the narrative-based video content explaining key concepts related to digital health data. The Datum project makes an original contribution to the field of law and ethics in health science research by using novel approaches, such as learning health systems and data banks, to improve equity in health care delivery and by generating multimedia content aimed at encouraging health care users to become better consumers and supporting the collective use of their data. The Datum project also promotes digital literacy as a digital communication tool, which has the significant potential to improve health outcomes, bridge the digital divide, and reduce health inequities.

In 2016, the National Health Service (NHS) England sought to drive digital transformation within select NHS trusts through the Global Digital Exemplar (GDE) program. While the program did advance the NHS's integration with digital technologies, disparities in digital maturity persisted between GDE-funded and nonfunded NHS trusts. The Department of Health and Social Care (DHSC) launched a data strategy in 2022 that aimed to develop the appropriate technical infrastructure and data architecture to enable more effective and efficient use of its data. Given the diversity in digital capabilities, open-source adoption, and interoperability standards within NHS services, official guidance has continued to struggle to provide effective unification. Data about capabilities and technologies from application development teams in the NHS trusts, crucial for advancing these areas, remains insufficient. This study aimed to further document the capabilities and technologies used in the NHS to develop digital capacity, comparing those with standard funding against those with additional GDE funding. This comparative analysis provides a foundational understanding for evaluating current practices and identifying potential areas for improvement in the NHS digital transformation efforts. This study was conducted using Freedom of Information (FOI) requests and systematic website searches. The Freedom of Information Act (FOIA) allows individuals to request information held by public authorities. This process supports transparency and accountability by ensuring public access to government data. Data were compiled from two sources: (1) FOI requests submitted to NHS trusts between July 2020 and December 2020, and (2) systematic website searches for technology conducted between August 2020 and July 2021. A series of chi-square tests was conducted to validate and strengthen the robustness of the FOI questions. A total of 191 (84.5%) of the then 226 NHS trusts completed the FOI request, and 161 of the 191 (84%) had software and app development, website, or innovation teams. A total of 112 (69.6%) teams developed front-facing service user websites and apps. Out of 191, 150 (93.2%) worked with clinical staff to formulate innovative ideas, 55 (34.2%) carried out developments for other trusts and external entities, 35 (21.7%) had attempted to secure an innovation grant, and 138 (86%) disclosed the technologies they use. A total of 25 (15.5%) said they always used open-source technology, and 24 (17%) disclosed technologies associated with interoperability standards in their responses. The NHS must adopt a cohesive strategy and refine policies to ensure the success of its digital, open-source technology and interoperability standards initiatives. Five recommendations toward greater organizational interoperability are made by the authors. Future research should examine digital innovation across NHS trusts, focusing on barriers such as limited resources, organizational culture, and technical expertise. Identifying these challenges is essential for developing strategies to reduce disparities and promote equal progress.

Electronic cigarettes (e-cigarettes) are the most used form of tobacco products among adolescents and young adults, and Vuse is one of the most popular brands of e-cigarettes among US adolescents. In October 2021, Vuse Solo became the first e-cigarette brand to receive marketing granted orders (MGOs) from the US Food and Drug Administration (FDA), authorizing its marketing and their tobacco-flavored pods. Vuse Ciro and Vuse Vibe, and their tobacco-only (\"original\") e-liquids, were authorized for marketing in May 2022 and Vuse Alto tobacco-flavored devices were authorized in July 2024. These marketing authorizations are contingent upon the company adhering to the MGOs' stated marketing restrictions, including reducing exposure and appeal to youth via digital, radio, television, print, and point-of-sale advertising. In this study, we analyzed the official social media channels of Vuse (Instagram and Facebook) to examine how Vuse marketed its products on social media and whether these marketing posts contain potentially youth-appealing themes. We conducted content analysis of the official RJ Reynolds Vapor Company Instagram and Facebook accounts. We collected all posts from October 10, 2019, when RJ Reynolds Vapor Company submitted its premarket tobacco product application to the FDA, to February 21, 2022, to cover the first winter holiday season after the MGO. Two coders developed the codebook with 17 themes based on the Content Appealing to Youth index to capture the posts' characteristics and potentially youth-appealing content. We calculated the percentage of posts in which each code was present. A total of 439 unique posts were identified. During this study's period, there were no posts on Instagram or Facebook marketing Vuse Solo (the authorized product at that time). Instead, Vuse Alto (unauthorized to date of study) was heavily marketed, with 59.5% (n=261) of the posts specifically mentioning the product name. Further, \"Vuse\" more generally was marketed on social media without differentiating between the authorized and unauthorized products (n=182, 41.5%). The marketing messages contained several potentially youth-appealing themes including creativity or innovation (n=189, 43.1%), individuality or freedom (n=106, 24.2%), and themes related to art (n=150, 34.2%), music (n=77, 17.5%), sports (n=125, 28.5%), nature (with n=49, 11.2% of the posts containing flora imageries), alcohol imagery (n=10, 2.3%), and technology (n=6, 1.4%). Although Vuse Alto e-cigarettes had not yet obtained FDA marketing authorization during the 28 months of data collection, they were the primary Vuse e-cigarette devices marketed on social media. Vuse social media posts use themes that are appealing to and likely promote youth use, including creativity and innovation, individuality or freedom, arts and music, nature, technology, and alcohol imagery. The FDA should (1) prohibit companies from comarketing unauthorized products alongside authorized products, and (2) exercise enforcement against even authorized products that are marketed using youth-appealing features.

From our roles within international public health organizations, we have collectively witnessed the global challenges presented by outdated health information systems, platforms, and applications. The COVID-19 pandemic has clearly exposed the limitations of our current paper-based vaccine certification methods and highlighted the deficiencies of outdated technological platforms that lack interoperability standards, a situation that underscores the critical need for a digital transformation in how we manage and verify immunization records. Digital vaccination certificates are understood to be secure, electronically stored, and easily accessible records that provide verifiable proof of a person’s immunization status. The Pan American Health Organization (PAHO) envisions leveraging digital technologies to strengthen health systems, enhance data-driven decision-making, and improve health outcomes. The organization’s vision emphasizes the integration of innovative technologies to build resilient and responsive health systems capable of addressing modern public health challenges. In an era of unprecedented technological advancement, our continued reliance on paper-based vaccine certificates is not just anachronistic—it is a significant liability for global public health that impacts the efficiency and effectiveness of our health systems on multiple fronts, limiting our ability to respond to public health crises effectively. With the strategic guidance from its Member States, PAHO has agreed to move toward the digital transformation of the health sector across the entire continent with an initiative that aims to improve health outcomes, ensure equitable access to health services, and enhance the overall efficiency of health systems in the Americas. The roadmap for this digital transformation outlines strategic actions and goals to achieve a connected, efficient, and resilient health sector.

Over the past few decades, the production and consumption of clothing has increased exponentially, leading to a dramatic increase in the negative environmental consequences produced by the fashion industry. Given the rising pace of global warming and the rising concern about the fashion industry’s contribution to the climate crisis and its exploitative social dimensions, decision makers, politicians and government officials have begun to promote sustainable fashion through public policy. This article reviews the main barriers facing a circular economy in general and the fashion industry in particular. It considers nascent regulations emerging throughout the world in the field of sustainable fashion, applying circular economic principles to the fashion industry. Four categories of policy proposals are evaluated: Command and Control Interventions, Educational Initiatives, Incentives and Certification, grading them according to criteria of effectiveness, sustainability, feasibility, equity and compliance. The ranking process was based on an elicitation of expert judgement among a panel with expertise in the areas of sustainable fashion from the business sector, academia and civil society. Findings suggest that while some policy options appear to meet all criteria successfully, when selecting an optimal strategy for promoting sustainable fashion, there are frequently trade-offs between different alternatives.

In February 2018, the Government of India announced a massive public health insurance scheme extending coverage to 500 million citizens, in effect making it the world's largest insurance program. To meet this target, the government will rely on technology to effectively scale services, monitor quality, and ensure accountability. While India has seen great strides in informational technology development and outsourcing, cellular phone penetration, cloud computing, and financial technology, the digital health ecosystem is in its nascent stages and has been waiting for a catalyst to seed the system. This National Health Protection Scheme is expected to provide just this impetus for widespread adoption. However, health data in India are mostly not digitized. In the few instances that they are, the data are not standardized, not interoperable, and not readily accessible to clinicians, researchers, or policymakers. While such barriers to easy health information exchange are hardly unique to India, the greenfield nature of India's digital health infrastructure presents an excellent opportunity to avoid the pitfalls of complex, restrictive, digital health systems that have evolved elsewhere. We propose here a federated, patient-centric, application programming interface (API)-enabled health information ecosystem that leverages India's near-universal mobile phone penetration, universal availability of unique ID systems, and evolving privacy and data protection laws. It builds on global best practices and promotes the adoption of human-centered design principles, data minimization, and open standard APIs. The recommendations are the result of 18 months of deliberations with multiple stakeholders in India and the United States, including from academia, industry, and government.

Background There is a decrease in the supply of physicians in Israel resulting from the declining flow of immigrant physicians from the former Soviet Union, a large proportion of whom have reached retirement age in recent years. This problem could become worse because the number of medical students in Israel cannot increase quickly, especially because the number of clinical training sites is inadequate. The quick population growth and anticipated ageing will exacerbate the shortage. The aim of our study was to accurately assess the current situation and factors that affect it, and to propose systematic steps to improve the physician shortage. Main body The number of physicians per capita is lower in Israel than in the OECD at 3.1 vs. 3.5 per 1000 population, respectively. About 10% of licensed physicians live outside of Israel. There is a sharp increase in the number of Israelis returning from medical school abroad, but some of those schools are of low academic standard. The main step is a gradual increase in the number of medical students in Israel with a transition of clinical practice to the community, and hospital clinical hours in the evening and in the summer. Students with high psychometric scores who were not admitted to an Israeli medical school would get support to study in quality medical schools abroad. Additional steps include encouraging physicians from abroad to come to Israel, especially in specializations in distress, recruitment of retired physicians, transferring functions to other medical professions, economic incentives for departments and teachers, and incentives to prevent physicians from quitting or migrating to other countries. It is also important to close the gap between the number of physicians working in central Israel and the periphery through grants, employment opportunities for physicians’ spouses, and preferential selection of students from the periphery for medical school. Conclusions Manpower planning requires a broad, dynamic perspective and collaboration among governmental and non-governmental organizations.

This essay offers a discussion and critique of Alon Ben-Meir’s (2022) proposal entitled, “The Case for an Israeli-Palestinian-Jordanian Confederation: Why Now and How?” Incorporating elements of other viewpoints and prior proposals to add nuance, I explore Ben-Meir’s concerted attempt to think past the exemplary twostate model for settling the Palestine and Israel conflict and to introduce thoughts on how policy makers and common actors can apply a confederal system later on. Given the entrenched one-state reality, I argue that the liberation of Palestinians through emancipation in a solitary popularity-based nation is the most thoughtfully clear option in contrast to many years of failed endeavors. Este ensayo ofrece una discusión y crítica de la propuesta de Alon Ben-Meir (2022) titulada “El caso de una confederación israelí-palestina-jordana: ¿por qué ahora y cómo? Al incorporar elementos de otros puntos de vista y propuestas previas para agregar matices, exploro el intento concertado de Ben-Meir de pensar más allá del modelo ejemplar de dos estados para resolver el conflicto de Palestina e Israel y presentar ideas sobre cómo los responsables de la formulación de políticas y los actores comunes pueden aplicar un modelo confederal. sistema más adelante. Dada la arraigada realidad de un solo estado, argumento que la liberación de los palestinos a través de la emancipación en una nación solitaria basada en la popularidad es la opción más clara y reflexiva en contraste con muchos años de esfuerzos fallidos. 本文对Alon Ben-Meir (2022) 撰写的《以色列-巴勒斯坦-约旦联盟案例： 为何现在结盟，如何结盟？》一文进行探讨和批判。结合其他观点的要 素和先前的提议以增加细微性，我探究了这种协同尝试，以期不局限于 思考用于解决巴勒斯坦和以色列冲突的示范性两国模式，并介绍了决策 者和共同行动者如何能在今后应用一种联盟制度。鉴于根深蒂固的一国 现实，我论证认为，与多年的失败尝试相比，通过在一个以独居为基础 的国家中解放巴勒斯坦人是最深思熟虑的明确选择。

The transition from traditional logistics to green and low-carbon logistics is crucial and inevitable due to the pressure of climate change and sustainable development in China. Meanwhile, technological innovation is perceived as an important factor affecting the development of the logistics industry. To explore the impacts of technological innovation and other factors and to propose proper policies based on the results, this study utilizes a generalized estimating equations (GEE) regression model to analyze panel data of 30 provinces during 2001–2019. Firstly, the entropy weight method is applied to calculate the green logistics development level based on an index system considering green factors. Secondly, a GEE model which considers the correlation among different observations is used to investigate the impacts of crucial factors on the green logistics development level. Moreover, regional heterogeneity is also analyzed in this paper by comparing the regression results of the Eastern region, Central region, and Western region. Based on the above analysis, several conclusions are drawn: (1) In terms of the average green logistics development levels, the Eastern region ranks 1st, the Central region ranks 2nd, and the Western region ranks 3rd. (2) GEE regression model is proved effective in our sample. (3) For the full sample, technological innovation, trade openness, and logistics infrastructure positively affect the green logistics development level; while, government regulation and energy intensity negatively influence the green logistics development level. (4) Regional heterogeneity is confirmed in our sample. Related policy recommendations are proposed based on our regional regression results. Take the Eastern region as an example, the local governments in the Eastern region should upgrade the manufacturing industry, reduce government financial investment in the transportation sector, and enhance environmental control expenditure in the transportation sector.