Explore the vast range of titles available.

Background Population aging poses a demographic burden on a country such as India with inadequate social security systems and very low public investment in health sector. This challenge of accelerated demographic transition is coupled by the rural-urban disparity in access to healthcare services among the elderly people in India. An important objective of India’s National Health Policy (2017) is to “progressively achieve universal health coverage” which is posited upon mitigating the sub-national disparity that necessitates identifying the drivers of the disparity for targeted policy intervention. This study, therefore, makes an attempt towards the exploration of the prominent contributory factors behind the rural-urban gap in utilisation of healthcare among the older population in India. Methods The analysis has been done by using the unit level data of Social Consumption: Health (Schedule number 25.0) of the 75th round of the National sample Survey conducted during July 2017–June 2018. Two binary logistic models have been proposed to capture the crude and the adjusted association between health seeking behaviour and place of residence (rural/ urban). To compute the group differences (between rural and urban) in the rate of healthcare utilization among the elderly population in India and to decompose these differences into the major contributing factors, Fairlie’s decomposition method has been employed. Results The logistic regression models established a strong association between place of residence and likelihood of healthcare utilisation among the Indian elderly people. The results of the Fairlie’s decomposition analysis revealed considerable rural-urban inequality disfavouring the rural residents and health care utilisation was found to be 7 percentage points higher among the older population residing in urban India than their rural counterparts. Level of education and economic status, both of which are indicators of a person’s Socio-Economic Status, were the two major determinants of the existing rural-urban differential in healthcare utilisation, together explaining 41% of the existing rural-urban differential. Conclusion Public health care provisions need to be strengthened both in terms of quality and outreach by way of greater public investments in the health sector and by building advanced health infrastructure in the rural areas. Implementation of poverty alleviation programmes and ensuring social-security of the elderly are also indispensable in bringing about equity in healthcare utilisation.

The high cost of air conditioning during the summer makes it crucial to develop strategies to reduce energy use in buildings, especially in hot arid climates. Nanomaterial-based external window insulation is considered an effective method for achieving this goal. This research examines the effectiveness of using aerogel-based glazing systems combined with passive design techniques to improve energy efficiency in buildings in hot arid regions. This study presents various scenarios, including building orientation and aspect ratio, utilizing field measurements and energy simulations with aerogel-filled windows. This study is two-phased. The first phase compares two rooms with aerogel and conventional glazing in Aswan. The new glazing system made the room 0.3–1.9 °C cooler. The second phase simulated the Egyptian Japanese School in Aswan to assess the effects of aerogel glazing systems and altering the enclosed semi-open courtyard’s building orientation and aspect ratio. Results show that using aerogel glazing systems and altering the building orientation and aspect ratio can significantly reduce energy consumption and improve indoor thermal comfort. The results reveal that Scenario 1, which represents using aerogel glazing in the northern façade, could reduce the average air temperature between 0.30 and 1.49 °C below the base case (BC). Scenario 3, which used aerogel glazing on the southern facade, reduced annual energy consumption by 26.3% compared to the BC. Meanwhile, Scenario 5, a semi-open courtyard with an aerogel glazing system and an aspect ratio of 2.40, could save 25.7% more energy than Scenario 1. The economic viability of the scenarios was also analyzed using a simple payback period analysis, with Scenario 3 having the second-shortest payback period of 4.13 years. By insulating the exterior panes of windows, this study proposes that adopting aerogel glazing systems can make windows more cost-effective and ecologically sustainable.

Building energy management, in terms of both adopted technologies and occupant consumption behaviour, is becoming an essential element of sustainability and climate change mitigation programs. The global COVID-19 pandemic and the consequential lockdowns and remote working had a notable impact on office building operations and provided a unique opportunity for building energy consumption studies. This paper investigates the COVID-19 effects on energy consumption in office buildings, particularly in the education sector. We studied different buildings at the University of Technology Sydney (UTS) campus before and during the pandemic period. The results demonstrate that the changes in energy consumption due to COVID-19 in different UTS faculties are not as strongly correlated with occupant activity. The comparison shows that buildings with administrative offices or classrooms are easier to switch to a remote-working mode than those housing laboratories and special equipment. During weekends, public holidays, or conditions requiring working from home, the per capita energy consumption increases significantly translating into lower energy efficiency. Our findings highlight the essential need for some changes in office building energy management systems. We provide recommendations for office and commercial buildings in general to deal with similar crises and to reduce energy overconsumption in normal situations.

The direction of higher education is at a crossroads against a background of mounting sustainability-related issues and uncertainties. This book seeks to inspire positive change in higher education by exploring the rich notion of the sustainable university and illustrating pathways through which its potential can be realised. Based on the experience of leading higher education institutions in the UK, the book outlines progress in the realisation of the concept of the 'sustainable university' appropriate to the socioeconomic and ecological conditions facing society and graduates. Written by leading exponents of sustainability and sustainability education, this book brings together examples, insight, reflection and strategies from the experience of ten universities, widely recognised as leaders in developing sustainability in higher education. The book thus draws on a wealth of experience to provide reflective critical analysis of barriers, achievements, strategies and potential. It critically reviews the theory and practice involved in developing the sustainable university in a systemic and whole institutional manner, including the role of organisational learning.While remaining mindful of the challenges of the current climate, The Sustainable University maps out new directions and lines of research as well as offering practical advice for researchers, students and professionals in the fields of management, leadership, organisational change, strategy and curriculum development who wish to take this work further.

PurposeThe Family Stress Model was applied to examine the associations between material hardship, parental depressive symptoms, destructive interparental conflict, and parental emotional availability. This study contributes novel information to the literature by including data from both mothers and fathers from racially diverse and socioeconomically disadvantaged contexts, using multimethod data (observational and survey), and examining fathers’ residential status as a moderator.MethodParticipants (n = 858) were racially and ethnically diverse families with preschoolers and low income from the Building Strong Families project. Mothers primarily reported on material hardship, and both mothers and fathers reported on their depressive symptoms, destructive interparental conflict, and warmth. The two-bags task was employed to assess both parents’ detachment. Structural equation modeling was used to examine the links between material hardship and parental warmth and detachment, with depressive symptoms and destructive conflict as mediators.ResultsMaterial hardship was linked with higher maternal and paternal depressive symptoms, which were each, respectively, associated with mothers’ and fathers’ destructive conflict. Subsequently, maternal destructive interparental conflict was linked with higher, but paternal destructive interparental conflict linked with lower, maternal detachment. For both parents, depressive symptoms were linked with lower warmth. Fathers’ resident status did not moderate examined family processes.ConclusionsFathers and mothers with low income share similar and different pathways by which material hardship impacts their emotional availability toward their preschoolers. Importantly, the findings point to targeting parental depressive symptoms and maternal destructive interparental conflict to facilitate positive parenting in diverse families.

Educational buildings, including schools, nurseries and universities, face stricter regulation and design control on indoor air quality (IAQ) and thermal conditions than other built environments, as these may affect children’s health and wellbeing. In this scoping review, wide-ranging health, performance, and absenteeism consequences of poor—and benefits of good—IAQ and thermal conditions are evaluated, focusing on source control, ventilation and air purification interventions. Economic impacts of interventions in educational buildings have been evaluated to enable the assessment of tangible building-related costs and savings, alongside less easily quantifiable improvements in educational attainment and reduced healthcare. Key recommendations are provided to assist decision makers in pathways to provide clean air, at an optimal temperature for students’ learning and health outcomes. Although the role of educational buildings can be challenging to isolate from other socio-economic confounders, secondary short- and long-term impacts on attainment and absenteeism have been demonstrated from the health effects associated with various pollutants. Sometimes overlooked, source control and repairing existing damage can be important cost-effective methods in minimising generation and preventing ingress of pollutants. Existing ventilation standards are often not met, even when mechanical and hybrid ventilation systems are already in place, but can often be achieved with a fraction of a typical school budget through operational and maintenance improvements, and small-scale air-cleaning and ventilation technologies, where necessary.

There is evidence on the health, social and developmental benefits of arts and cultural participation for young people. While there is a known social gradient across adult arts participation where socially advantaged individuals are more likely to engage in the arts, it remains unclear whether socio-economic factors also affect child participation either in school or out of school. This study analysed cross-sectional data from 1,986 children aged 11–15 in the Taking Part Survey interviewed from 2015–2018. It focused on three aspects of children‘s participation: (i) performing arts activities, (i) arts, crafts and design activities, and (iii) cultural and heritage engagement. Results show a social gradient across all three activities for out-of-school engagement, but not for in-school engagement. Arts and cultural activities provided by schools are therefore important to ensuring universal access to the arts amongst young people.

Buildings account for sixty percent of the world’s total annual energy consumption; therefore, it is essential to find ways to reduce the amount of energy used in this sector. The road administration organization in Jakarta, Indonesia, utilized a questionnaire as well as the insights of industry experts to determine the most effective energy optimization parameters. It was decided to select variables such as the wall and ceiling materials, the number and type of windows, and the wall and ceiling insulation thickness. Several different modes were evaluated using the DesignBuilder software. Training the data with a supported vector machine (SVM) revealed the relationship between the inputs and the two critical outputs, namely the amount of energy consumption and CO2 production, and the ant colony algorithm was used for optimization. According to the findings, the ratio of the north and east windows to the wall in one direction is 70 percent, while the ratio of the south window to the wall in the same direction ranges from 35 to 50 percent. When the ratio and percentage of the west window to the west wall is between 60 and 70 percent, the amount of produced energy and CO2 is reduced to negligible levels.

We exploit an admission reform of junior high schools in Chengdu, China, to identify the capitalization effect of high-quality educational facilities on housing prices. Since 2013, some elite junior high schools have conducted an experimental policy called the four-year junior high school project (hereinafter referred to as FJHP). The FJHP reduced the admission chances to elite junior high schools within the FJHP school districts via lottery. Based on 88,745 resale housing transaction records from Chengdu during 2010–2018, we used the difference-in-difference (DID) methodology to estimate the average price effect of the FJHP. Furthermore, we established a DID model with quantile regression to estimate the heterogeneous effect of the FJHP on housing prices. The empirical results show that the implementation of the FJHP reduced the housing prices in the relevant school districts by at least 5.5%, and its price reduction effect increased over time. The quantile regression results show that households with high-priced housing are more sensitive to the change of admission chance to elite junior high schools, which indicates the inequality in accessing high-quality school facilities under the designating admission zone policy. This study concludes with implications for improving the accessibility of school facilities.

Background: Be Active Eat Well (BAEW) was a multifaceted community capacity-building program promoting healthy eating and physical activity for children (aged 4–12 years) in the Australian town of Colac. Objective: To evaluate the effects of BAEW on reducing children's unhealthy weight gain. Methods: BAEW had a quasi-experimental, longitudinal design with anthropometric and demographic data collected on Colac children in four preschools and six primary schools at baseline (2003, n =1001, response rate: 58%) and follow-up (2006, n =839, follow-up rate: 84%). The comparison sample was a stratified random selection of preschools ( n =4) and primary schools ( n =12) from the rest of the Barwon South Western region of Victoria, with baseline assessment in 2003–2004 ( n =1183, response rate: 44%) and follow-up in 2006 ( n =979, follow-up rate: 83%). Results: Colac children had significantly lower increases in body weight (mean: −0.92 kg, 95% CI: −1.74 to −0.11), waist (−3.14 cm, −5.07 to −1.22), waist/height (−0.02, −0.03 to −0.004), and body mass index z-score (−0.11, −0.21 to −0.01) than comparison children, adjusted for baseline variable, age, height, gender, duration between measurements and clustering by school. In Colac, the anthropometric changes were not related to four indicators of socioeconomic status (SES), whereas in the comparison group 19/20 such analyses showed significantly greater gains in anthropometry in children from lower SES families. Changes in underweight and attempted weight loss were no different between the groups. Conclusions: Building community capacity to promote healthy eating and physical activity appears to be a safe and effective way to reduce unhealthy weight gain in children without increasing health inequalities.