Articles

Conventional cyclone risk assessments in Small Island Developing States (SIDS) systematically fail to predict food system collapse locations, leading to misallocated adaptation investments. This study quantifies a fundamental exposure-impact disconnect across Vanuatu's 71 area councils: cyclone exposure explains only 14% of food security impact variance (R² = 0.14, r = 0.38), with topographic, agro-ecological, and infrastructure mediators determining the remaining 86%. Using data from five Category 4–5 cyclones (2015–2023), we constructed a Hazard Exposure Index (HEI; proximity 40%, intensity 35%, frequency 25%) and an Impact Severity Index (ISI; four equally weighted dimensions: agriculture, infrastructure, food insecurity, recovery). Regression with interaction terms reveals three mediating mechanisms. First, topographic elevation reduces ISI by 40–60% at highland area councils (>400 m) relative to coastal equivalents at comparable HEI (r = −0.54, p < 0.001). Second, crop diversity buffers medium-exposure zones (HEI 0.3–0.6; β = −0.082, p = 0.018) but provides no significant protection under extreme cyclone loading (HEI > 0.7), consistent with resilience theory stability thresholds. Third, infrastructure capacity generates "hidden hotspots": Torba province (low exposure, ISI = 0.34) required a median 18 days to reach 50% of affected households versus 6 days in Shefa (high exposure, ISI = 0.61) — a threefold differential driven solely by maritime connectivity deficits. High-exposure provinces with strong infrastructure systematically outperform low-exposure provinces with distribution network weaknesses. A Food Security Resilience Index (FSRe; range: 46–61 on a 0–100 scale) reveals stark provincial heterogeneity — Sanma as buffered regional hub (FSRe = 61) versus Tafea and Shefa as critical/fragile (FSRe 46–47) — enabling a four-category spatial typology for targeted adaptation investments under SIDS fiscal constraints. Findings demonstrate that spatially explicit integration of topography, agro-ecology, and infrastructure is essential for efficient climate adaptation planning in archipelago SIDS, with direct implications for Sendai Framework Target E national DRR strategy development and Green Climate Fund adaptation investment prioritization.

<b>Background:</b> Tobacco endgame, defined as elimination of commercial tobacco sales The U.S. tobacco control landscape is a complex, adaptive system shaped by diverse stakeholders, evolving products and regulations, shifting social norms, and the strategic countermeasures of a powerful industry. Managing such complexity requires more than isolated interventions—it demands a coordinated, enterprise-wide approach that accounts for dynamic interactions, feedback loops, and emergent risks. <b>Objective:</b> Drawing on complex systems thinking, Zachman enterprise architecture model, and public health best practices, we conceptualize tobacco control as an evolving enterprise progressing through six interconnected phases: (1) Conception &#x26; Initiation, (2) Policy &#x26; System Design, (3) Implementation &#x26; Operation, (4) Evaluation &#x26; Adaptation, (5) Consolidation &#x26; Endgame Transition, and (6) Sustainment or Sunset. Each phase incorporates governance structures, performance benchmarks, and transition criteria designed to manage interdependence and reduce systemic vulnerabilities. <b>Results:</b> The lifecycle framing emphasizes how tobacco control in the U.S. can evolve as a complex, adaptive enterprise—integrating public health objectives with legal, operational, and cultural change processes. This model supports strategic sequencing, cross-sector alignment, and risk mitigation against emergent industry tactics, enabling a resilient and measurable pathway to the endgame. <b>Conclusions:</b> Seeing tobacco control as a complex enterprise that operates under a lifecycle model may offer a roadmap for achieving and sustaining the tobacco endgame. Using this approach may enhance policy coherence, resource efficiency, and adaptability, ensuring tobacco endgame is achieved.

Smallholder farmers play a pivotal role in global food security; however, they remain exceptionally vulnerable to the impacts of climate change due to their reliance on natural resources and limited adaptive capacities. This narrative review synthesizes a wide range of global sources to explore the intersection of smallholder agriculture and climate adaptation strategies. The review examines adaptation practices, agroecological methods, and the adoption of climate-resilient crop varieties. It reveals that the implementation of these strategies is frequently hindered by systemic barriers such as financial constraints, limited technological access, and institutional inefficiencies. Recognizing that previous studies have addressed isolated aspects of adaptation or relied on secondary data, this review highlights research gaps and offers a comprehensive synthesis of relevant literature. This review uses a narrative synthesis model suitable for integrating evidence from agronomy, economics, and social science to capture the complex challenges faced by smallholder farmers. The review emphasizes the importance of policy frameworks and participatory approaches that empower smallholder communities. This review synthesizes current evidence to inform potential directions for targeted interventions and future field-based studies, while recognizing the limitations of relying on secondary data. These recommendations aim to facilitate integrated policy reforms and drive research initiatives, ultimately strengthening the resilience and adaptability of smallholder agriculture in the face of ongoing climate change.

Considering the current climate conjuncture, it is a consensus that green spaces in large contemporary urban areas should be increasingly more numerous and simultaneously more sustainable, being adapted to the edaphoclimatic conditions of the site, and with reduced maintenance costs. In the case of Algarve, where this research is focused, the current and future water availability, assumes a preponderant role in the design of green spaces, where the demands mentioned above can only be achieved if we deviate from conventional landscape practices and develop holistic strategies of management and design of green spaces that integrate different areas of knowledge and not merely aesthetic issues. In this context, this work aims to develop more adapted and resilient landscaping practices to the current and future climatic conditions of the Algarve, thus reinventing the concept of landscaping in the south of Portugal. Thus, it will be of paramount importance to develop more sustainable, resilient and tolerant projects to worsening ecological conditions, particularly limitations associated with water availability. The xeromorphic succulents are a group of plants with mechanisms of tolerance to water stress and with very specific characteristics, being succulence one of the most relevant. Studies on these mechanisms are increasingly frequent, which may prove to be very advantageous in our adaptation to future climatic challenges. In addition, their ornamental potential is enormous, since their bold forms and colours are a veritable sensory explosion, which, combined with their morphological and physiological characteristics, make them the species of choice in the reconversion or creation of xerophytic gardens.

Cancer is the second cause of death worldwide, affecting one in six people, with breast cancer being the most prevalent in females. Adapting to an oncological disease entails many physical and psychological changes that affect the patient and their families. This work aims to present existing scientific research on adaptation to oncological disease and the end of life of women with metastatic cancer aged between 45 and 65, framing with Acceptance and Commitment Therapy. (TAC). Fifty documents with publication dates between 2002 and 2022 were included in this study. It was found that there is much information on the topic in question, as it is a problem that affects not only women but also all the systems they are in. When faced with a terminal diagnosis, a woman faces many doubts and uncertainties, in addition to all the physical effects of the disease. Therefore, she should be accompanied by a team specialized in Palliative Care, which can provide her and her family with all the support needed in this challenging phase.