Rapid population growth and inadequate adherence to scientific and managerial principles in urban planning have intensified numerous challenges, pushing major Iranian cities toward instability. Tehran, as the capital and one of the most urbanized regions in the country, faces significant sustainability threats that require immediate attention. These challenges are not unique to Tehran but represent a broader issue faced by rapidly urbanizing cities worldwide, particularly in developing countries. Addressing such challenges is critical to fostering sustainable development on a global scale. While urban sustainability has been extensively studied, limited research has focused on the indicators of urban instability and their tangible impacts on sustainable urban planning. This study aims to bridge this gap by identifying and analyzing key factors contributing to urban instability across economic, environmental, and social dimensions, with Tehran serving as a representative case. The findings reveal that economic instability is driven by uncertainty in economic policies, fluctuating housing prices, non-standard housing conditions, income disparity, unemployment, and cost of living pressures. Environmental instability is exacerbated by climate change, urban heat islands, floods, transportation mismanagement, energy insecurity, pollution, and insufficient green infrastructure. Social instability arises from limited social interaction, unequal access to services, weak community participation, social harms, and diminished urban safety and welfare. By framing these local challenges within a global context, the study underscores the interconnectedness of these dimensions and highlights the necessity for integrated, evidence-based approaches that combine local insights with global best practices. The findings aim to contribute to the broader discourse on sustainable urban development by offering actionable insights and strategies that can be adapted and implemented in other rapidly urbanizing cities. This research serves as a guide for policymakers, urban planners, and stakeholders worldwide, emphasizing the importance of holistic and resilient urban strategies to address the multifaceted challenges of sustainability and instability.

Management and efficiency have a fundamental impact on the performance of public hospitals, as well as on their philanthropic mission. Various studies have shown that the financial weaknesses of these entities affect the planning, setting of goals and objectives, monitoring, evaluation and feedback necessary to improve health systems and guarantee accessibility as an inalienable right. This study aims to analyze the management and efficiency of third-level and/or high-complexity hospitals in Colombia, through a statistical model that uses financial analysis and key performance indicators (KPIs) such as ROA, ROE and EBITDA. A non-experimental cross-sectional design is used, with an analytical-synthetic, documentary, exploratory and descriptive approach. The results show financial deficiencies in the hospitals evaluated; hence it is recommended to make adjustments in the operating cycle to increase efficiency rates. In addition, the use of the KPIs ROA and ROE under adjusted models is suggested for a more precise analysis of the financial ratios, since these adequately explain the variability of each indicator and are appropriate to evaluate hospital management and efficiency, but not in EBITDA ratio, hence the latter is not recommended to evaluate hospital efficiency reliably. This study provides relevant information for public health policy makers, hospital managers and researchers, in order to promote the efficiency and improvement of health services.

All ophiolite associations mark epochs of active tectonic movements, which lead to significant petrological processes and modification of the relief of the Earth’s crust. Here we present a geological-petrographical characterization of one ophiolitic associations composed of: a) serpentinites; b) amphibolites-metamorphosed volcanic rocks and tuffs; c) metagabbros and metagabbrodiabases, placed among the Proterozoic metamorphic complex in the Rhodope Massif of Bulgaria on the Balkan Peninsula, South-Eastern Europе. The goal is to clarify the paleogeographical and geological setting during its creation. The methods of lithostratigraphic profiling and correlations on the database of geological field mapping were used, supplemented by microscopic, geochemical and isotopic studies of numerous rock samples. The summarized results confirm a certain stratigraphic level of the Ophiolite Association among the metamorphic complex and a complicated and protracted heterogenetic development, which is typical for the ophiolite associations created in eras of closing oceans, opposite movement of tectonic plates, subduction-obduction environment with appearance of autochthonous Neoproterozoic magmatism. Obducted fragments of serpentinites mark an old erosional continental surface, subsequently covered by transgressively deposited pelitic-carbonate sediments. The general conclusion of our study confirms the concept that the metamorphic complex of the Rhodope Massif represents a unified stratigraphic system consisting of two petrographic groups of different ages, with which we oppose the idea of a trust construction, launched by a group of geologists.

Social Services are vital for addressing adversity and safeguarding vulnerable individuals, presenting professionals with complex challenges that demand resilience, recovery, and continual learning. This study investigates Organizational Resilience within Community Social Services, focusing on strategic planning, adaptive capacity, and user perspectives. A cross-sectional study involved 534 professionals and service users from Community Social Services Centers in Spain. Centers were selected based on the characteristics of their population and the representativeness of their geographic location. The study utilized the Benchmark Resilience Tool (BRT) to evaluate Organizational Resilience and the SERVPERF questionnaire to gauge user-perceived service quality. The results demonstrate satisfactory levels of Organizational Resilience and user satisfaction, while also highlighting key areas for enhancing resilient strategies: reinforcement of personnel for thinking outside the box or in the resources available to the organization to face unexpected changes. These findings suggest the need to develop and optimize measures that improve the organization’s ability to adapt to and recover from adverse situations, ensuring a positive user experience. Emphasizing the importance of resilience in Social Services as a quality predictor, future research should explore innovative strategies to bolster Organizational Resilience. The findings emphasize the need to strengthen resilience in Social Services, enhancing practice, policy, and adaptability to support vulnerable populations.

This study aims to scrutinize specific long-term sustainability industrial indicators in Thailand as a representative of an emerging economy. The study uses a Bloomberg database comprising all Thai listed companies on the Stock Exchange of Thailand from 2013 to 2023. The research employs a two-step Generalized Method of Moments (GMM) statistics to assess the enduring impact on industrial sustainability. These results provide consistent, significant and positive relationships between asset turnover and sales with all industrial sustainability. The results additionally reveal that some other factors may moderate industrial sustainability but reveal the GDP growth rate and institutional shareholders are less likely to be corporate sustainability to all indicators. The results provide insight into valuable guidance to management teams, financial statements’ users, investors and other stakeholders on designing effective operations and investment strategies to improve sustainability.

This research focused on the design and implementation of the flipped classroom approach for higher mathematics courses in medical colleges. Out of 120 students, 60 were assigned to the experimental group and 60 to the control group. In the continuous assessment, which included homework and quizzes, the average score of the experimental group was 85.5 ± 5.5, while that of the control group was 75.2 ± 8.1 (P < 0.05). For the final examination, the average score in the experimental group was 88.3 ± 6.2, compared to 78.1 ± 7.3 in the control group (P < 0.01). The participation rate of students in the experimental group was 80.5%, significantly higher than the 50.3% in the control group (P < 0.001). Regarding autonomous learning ability, the experimental group spent an average of 3.2 hours per week on self-study, compared to 1.5 hours in the control group (P < 0.005). Other potential evaluation indicators could involve the percentage of students achieving high scores (90% or above) in problem-solving tasks (25.8% in the experimental group vs. 10.3% in the control group, P < 0.05), and the improvement in retention of key concepts after one month (70.2% in the experimental group vs. 40.5% in the control group, P < 0.01). In conclusion, the flipped classroom approach holds substantial promise in elevating the learning efficacy of higher mathematics courses within medical colleges, offering valuable insights for educational innovation and improvement.