Clinical/methodological problem: The identification of clinically significant prostate carcinomas while avoiding overdiagnosis of low-malignant tumors is a challenge in routine clinical practice. Standard radiologic procedures: Multiparametric magnetic resonance imaging (MRI) of the prostate acquired and interpreted according to PI-RADS (Prostate Imaging Reporting and Data System Guidelines) is accepted as a clinical standard among urologists and radiologists. Methodological innovations: The PI-RADS guidelines have been newly updated to version 2.1 and, in addition to more precise technical requirements, include individual changes in lesion assessment. Performance: The PI-RADS guidelines have become crucial in the standardization of multiparametric MRI of the prostate and provide templates for structured reporting, facilitating communication with the referring physician. Evaluation: The guidelines, now updated to version 2.1, represent a refinement of the widely used version 2.0. Many aspects of reporting have been clarified, but some previously known limitations remain and require further improvement of the guidelines in future versions.
The relationship between transport infrastructure and accessibility has long stood as a central research area in regional and transport economics. Often invoked by governments to justify large public spending on infrastructure, the study of this relationship has led to conflicting arguments on the role that transport plays in productivity. This paper expands the existing body of knowledge by adopting a spatial analysis (with spillover effects) that considers the physical effects of investment in terms of accessibility (using distinct metrics). The authors have used the Portuguese experience at regional level over the last 30 years as a case study. The main conclusions are as follows: i) the choice of transport variables matters when explaining productivity, and more complex accessibility indicators are more correlated with; ii) it is important to account for spill-over effects; and iii) the evidence of granger causality is not widespread but depends on the regions.
Municipal authorities in industrialized and in developing countries face unceasingly the issues of congestion, insufficiency of transport means capacity, poor operability of transport systems and a growing demand for reliable and effective urban transport. While the expansion of infrastructure is generally considered as an undesirable option, in specific cases, when short links or ring roads are missing, new infrastructure projects may provide beneficial solutions. The upgrading and renewal of existing networks is always a challenge to the development of a modern city and the welfare of citizens. Central governance and management of transport systems, the establishment of smart and digital infrastructure, advanced surveillance and traffic monitoring, and intra-city energy-harvesting policy are some of the steps to be taken during the transition to a green and sustainable urban future.
Municipal authorities have also to consider other options and strategies to create a citizen-friendly setting for mobility: diminish the need for trips (digitalization of services, e-commerce, etc.), shift from private to public transport and transform the urban form to promote non-motorized transport in favor of the natural environment and public health. A citizen-friendly policy based on the anticipation of future needs and technological development seems to be a requisite for European cities searching for a smooth integration of their networks into urban space.
The rise of internet-based pharmacies has transformed the healthcare sector, giving patients access to medications, information, and direct interaction with pharmacists. While online pharmacies have become popular around the world, there are challenges hindering their widespread use in developing countries due to a limited understanding of the factors affecting their acceptance and usage. To bridge this knowledge gap, a study utilized a model combining the unified theory of acceptance and use of technology (UTAUT 2) with the technology acceptance model (TAM) to explore the drivers behind online pharmacy usage in Oman. Through this framework, twelve hypotheses were. A survey involving 378 individuals familiar with online pharmacies was conducted. Structural equation modeling (SEM) was applied to analyze the data and test these hypotheses. The results indicate that factors such as perceived expectancy effort expectancy and facilitating conditions hedonic motivation, habit perceived risk, technology trust, and technology awareness play roles in influencing the adoption of online pharmacies in Oman. The findings suggest that personal innovation plays a moderating role in the connection between perceived risk and behavioral intention, while it has a negative moderating influence on the relationship between technology trust and behavioral intention. Word of mouth was identified as a moderator in enhancing the correlation between behavioral intention and online pharmacy adoption. This research emphasizes the moderating relationship of personal innovation and word of mouth on shaping consumer attitudes towards online pharmacies and their acceptance. In summary, these results add to the existing knowledge on pharmacy adoption and in developed areas such as provide practical insights for online pharmacy providers to improve their offerings and attract a larger customer base.
Qatar FIFA 2022 was the first FIFA Football World Cup to be hosted by an Arab state and was predicted by some to fail. However, it did not only succeed but also showed a new display of destination sustainability upon hosting mega-sport events and linked tourism. Yet, some impacts tend to be long-term and need further analysis. The study aims to understand both positive and negative impacts on destination sustainability resulting from hosting mega-sport events, using bibliometric analysis of published literature during the last forty-seven years, and reflecting on the recent World Cup 2022 tournament in Qatar. A total of 2519 sources containing 665 open-access articles with 10,523 citations were found using the keywords “sport tourism” and “mega-sport”. The study found various literature researching the economic impacts in-depth, less on environmental impacts, and much less on social and cultural impacts on host communities. Debates exist in the literature concerning presumed economic benefits and motivations for hosting, and less on actual results achieved. Although World Cup 2022 is considered the most expensive among previous versions, destination sustainability seems to have benefited from the event’s hosting. Socio-cultural impacts of hosting mega-sport events seem to be addressed to an extent in the Qatar version of the World Cup, as well as environmental impacts while creating a unique image for FIFA 2022 and the destination itself. FIFA showcased this as using carbon-neutral technologies to create the micro-climate including perforated walls in the eight state-of-the-art stadiums, with the incorporation of a circular modular design for energy and water efficiency and zero-waste deconstruction post-event. The global event also drew attention and respect to the local community and underprivileged groups such as people with disabilities. Further research is needed to understand the demand-side perspective including the local community of Qatar and the event’s participants, and to analyze the long-term impacts and lessons learned from the Qatari experience.
Graphene, an innovative nanocarbon, has been discovered as a significant technological material. Increasing utilization of graphene has moved research towards the development of sustainable green techniques to synthesize graphene and related nanomaterials. This review article is basically designed to highlight the significant sustainability aspects of graphene. Consequently, the sustainability vision is presented for graphene and graphene nanocomposites. Environmentally sustainable production of graphene and ensuing nanomaterials has been studied. The formation of graphene, graphene oxide, reduced graphene oxide, and other derivatives has been synthesized using ecological carbon and green sources, green solvents, non-toxic reagents, and green routes. Furthermore, the utilization of graphene for the conversion of industrial polymers to sustainable recycled polymers has been studied. In addition, the recycled polymers have also been used to form graphene as a sustainable method. The implication of graphene in the sustainable energy systems has been investigated. Specifically, high specific capacitance and capacitance retention were observed for graphene-based supercapacitor systems. Subsequently, graphene may act as a multi-functional, high performance, green nanomaterial with low weight, low price, and environmental friendliness for sustainable engineering and green energy storage applications. However, existing challenges regarding advanced material design, processing, recyclability, and commercial scale production need to be overcome to unveil the true sustainability aspects of graphene in the environmental and energy sectors.
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