This research aims to build an appropriate leadership model for regional heads in mitigating disasters due to climate change that is occurring in Papua. Papua Island is one of the islands that is included in disaster-prone areas, namely earthquakes, flash floods, tidal floods and landslides. This disaster occurred due to Papua’s geological conditions in the form of activity on the Indo-Australian plate (southern part) and the Pacific plate (north-eastern part). Exploitation of nature carried out by companies and communities themselves in a particular area has an impact on the balance of the natural ecosystem. So far, disaster management has only focused on emergency response. Aid movements coordinated by ordinary people also focus more on raising aid for emergency situations. In fact, comprehensive disaster management includes before, during and after a disaster occurs. So a combination of leadership styles is needed that must be carried out at each phase of a disaster so that the right model can be produced. The results of this research found that the leadership model of regional heads in mitigating climate change in Papua is in accordance with the disaster management cycle with leadership styles, and traditional Papuan leadership styles. This combination is called a collaborative leadership model for disaster management in Papua. It is hoped that by implementing this model, climate change disaster mitigation can be effective.

Census 2022 of Saudi Arabia was released recently, with 12 years of intercensal interval. Although it appeared provisional having no reports similar to the 2010 census, efforts to analyze, interpret, disseminate, and discuss were essential for building structures and systems at par with demographic trends and patterns. An analysis was carried out with this census data compared to 2004 and 2010 to track population change—demographic pace, trends, and patterns—over the two decades. Data from all three censuses were analyzed with conventional demographic techniques. A reduction in growth was observed with a declining percentage of the childhood population but with an expanding percentage of the adults (working age) indicating a demographic dividend resulted, mostly, from fertility decline. An aging trend established by the previous censuses was lost, recently: the constriction of the pyramid of 2010 was changed to a different shape. Not only the percentage distribution trends were uneven but also the age-based indices. Thus, these trends revealed a demographic difference to an extent, that demands standardized reports, uniform procedures for the data collection and compilation, and geographic distribution equations. The increasing concentration in urban centers of major administrative areas—Al-Riyadh, Makkah Al-Mokarramah, and the Eastern Region demand redistribution policies. Self-contained townships appear as a strategic option in population redistribution, guaranteeing quality standards and lifestyle.

This paper aims to investigate the impact of China’s central state-owned enterprises (SOEs) relocation policy from the capital city of Beijing on the economy and local fiscal revenue. We find that these enterprises play a critical role in implementing national strategies, promoting industrial upgrading, and enhancing the competitiveness of the industry chain. At the same time, their relocation has also dispersed the pressure of economic development in Beijing, promoted regional economic coordination and development, and increased local fiscal revenue. However, attention should be paid to the particularity and diversity of local areas in the process of policy formulation to avoid “one-size-fits-all” solutions. Therefore, when formulating corresponding policies, the central government should guide enterprises to handle relocation issues correctly and safeguard the legitimate rights and interests of employees and their families. Meanwhile, local governments should also formulate corresponding support policies to facilitate enterprise settlement. The ultimate goal is to solve problems and contradictions through development and achieve common prosperity. Therefore, we suggest that the government and enterprises work together to bring prosperity to everyone and jointly promote the sustainable development of the Chinese economy.

Definitive diagnosis of Craniosynostosis (CS) with computed tomography (CT) is readily available, however, exposure to ionizing radiation is often a hard stop for parents and practitioners. Lowering head CT radiation exposure helps mitigate risks and improves diagnostic utilization. The purpose of the study is to quantify radiation exposure from head CT in patients with CS using a ‘new’ (ultra-low dose) protocol; compare prior standard CT protocol; summarize published reports on cumulative radiation doses from pediatric head CT scans utilizing other low-dose protocols. A retrospective study was conducted on patients undergoing surgical correction of CS, aged less than 2 years, between August 2014 and February 2022. Cumulative effective dose (CED) in mSv was calculated, descriptive statistics were performed, and mean ± SD was reported. A literature search was conducted describing cumulative radiation exposure from head CT in pediatric patients and analyzed for ionizing radiation measurements. Forty-four patients met inclusion criteria: 17 females and 27 males. Patients who obtained head CT using the ‘New’ protocol resulted in lower CED exposure of 0.32 mSv ± 0.07 compared to the prior standard protocol at 5.25 mSv ± 2.79 (p < 0.0001). Five studies specifically investigated the reduction of ionizing radiation from CT scans in patients with CS via the utilization of low-dose CT protocols. These studies displayed overall CED values ranging from 0.015 mSv to 0.77 mSv. Our new CT protocol resulted in 94% reduction of ionizing radiation. Ultra-low dose CT protocols provide similar diagnostic data without loss of bone differentiation in CS and can be easily incorporated into the workflow of a children’s hospital.

Chinese municipalities have developed a large stock of capital assets during a period of rapid growth and urbanization, but have yet to modernize asset management practices. Cities face challenges such as premature decline of fixed assets and spiking liabilities related to operating and maintaining assets. This paper evaluates the asset management practices in three selected small cities and towns in China, using a benchmarking assessment tool followed by an in-depth field assessment. The paper finds that overall performance is below half the international benchmark for good practice in all three cities. Management practices are considerably more advanced for land than for buildings and infrastructure. Key deficiencies in data availability and reporting, governance, capacity, and financial management indicate increased risks for local government finance and the delivery of public services. For small cities and towns where public revenues are often uncertain and limited, urban public services will be at risk of deterioration unless good asset management practices are put in place. The paper recommends strategic actions for upper and lower levels of government, to advance local asset management practices and facilitate the reform agenda.

Objective: To evaluate the clinical and radiographic results and complications of arthroscopic subcapital realignment osteotomy for the treatment of chronic and stable proximal femoral epiphysiolysis (PFE) in an initial series of patients. According to the literature review, the study presents the first description of an arthroscopic technique of this type of osteotomy. Methods: Between June 2012 and December 2014, seven patients underwent arthroscopic subcapital realignment osteotomy for the treatment of chronic, stable PFE. The mean age of the patients was 11 years and four months. Minimum follow-up ranged from 6 to 36 months (mean, 16.5 months). Patients were clinically evaluated according to the Harris Hip Score modified by Byrd and radiographically according to Southwick’s quantitative classification and the epiphyseal-diaphyseal angle. Postoperative complications were analyzed. Results: With regard to the evaluation of the Harris Hip Score Modified by Byrd clinical score, a preoperative mean of 35.8 points and a postoperative mean of 97.5 points were observed (p < 0.05). Radiographically, five patients were classified as Southwick grade II and two as grade III. A mean correction of the epiphyseal-diaphyseal angle of 40° was observed. There were no immediate postoperative complications. One patient developed avascular necrosis of the femoral head, without collapse or chondrolysis at the last follow-up (22 months). Conclusion: The arthroscopic technique presented by the authors for the treatment of chronic, stable PFE resulted in clinical and radiographic improvement of the patients in this initial series.