Articles

<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.

The synthesis and optimization of Active Pharmaceutical Ingredients (APIs) is fundamental to pharmaceutical drug development, directly influencing drug efficacy, safety, and cost-effectiveness. Over recent years, significant advancements in synthetic methodologies and manufacturing technologies have transformed API production. This manuscript provides an overview of the latest innovations in API synthesis, focusing on key techniques such as green chemistry, continuous flow chemistry, biocatalysis, and automation. Green chemistry principles, including solvent substitution and catalytic reactions, have enhanced sustainability by reducing waste and energy consumption. Continuous flow chemistry offers improved reaction control, scalability, and safety, while biocatalysis provides an eco-friendly alternative for synthesizing complex and chiral APIs. Additionally, the integration of automation and advanced process control using machine learning and real-time monitoring has optimized production efficiency and consistency. The manuscript also discusses the challenges associated with regulatory compliance and quality assurance, highlighting the role of advanced analytical techniques such as HPLC, NMR, and mass spectrometry in ensuring API purity. Looking ahead, personalized medicine and smart manufacturing technologies, including blockchain for traceability, are expected to drive further innovation in API production. This review concludes by emphasizing the need for continued advancements in sustainability, efficiency, and scalability to meet the evolving demands of the pharmaceutical industry, ultimately enabling the development of safer, more effective, and environmentally responsible medicines.

Drug shortages represent a significant and growing challenge within the pharmaceutical supply chain, with profound implications for patient care, public health, and healthcare costs. This manuscript provides a comprehensive examination of the causes and impacts of drug shortages, highlighting the multifaceted nature of this issue. Key factors contributing to shortages include manufacturing complications, limited availability of active pharmaceutical ingredients (APIs), market dynamics that discourage the production of less profitable medications, and regulatory challenges that slow down the approval process for new manufacturing capacities. The consequences of these shortages are far-reaching. Patients often face treatment delays, which can lead to adverse health outcomes, increased hospitalization rates, and even mortality. Healthcare providers experience heightened operational costs as they seek alternative therapies and manage complications resulting from inadequate treatment. Furthermore, the frequent occurrence of drug shortages erodes public trust in both the healthcare system and the pharmaceutical industry, leading to decreased patient adherence to prescribed therapies. To mitigate the impacts of drug shortages, this manuscript proposes several strategic solutions, including enhanced communication among stakeholders, diversification of supply sources, increased regulatory flexibility, and collaborative approaches between public and private sectors. Additionally, raising awareness among healthcare providers and patients regarding the causes and potential alternatives can empower stakeholders to navigate shortages effectively. Ultimately, addressing drug shortages necessitates a proactive and coordinated effort from all participants in the pharmaceutical supply chain. By implementing these strategies, stakeholders can enhance the resilience of the supply chain, ensuring that essential medications remain accessible and that patient care is not compromised. The findings of this manuscript underscore the urgent need for ongoing vigilance and collaborative action to tackle the challenges posed by drug shortages, safeguarding public health and improving healthcare outcomes globally.

Active Pharmaceutical Ingredients (APIs) form the backbone of pharmaceutical formulations, influencing their efficacy, safety, and stability. Essence control of APIs involves stringent regulation and optimization of their chemical, physical, and biological properties to ensure consistent quality and therapeutic outcomes. This manuscript explores the critical aspects of essence control in APIs, including synthesis, characterization, quality assessment, and regulatory considerations. The synthesis of Active Pharmaceutical Ingredients is a pivotal stage in pharmaceutical manufacturing, where precise control over chemical reactions and process conditions is paramount to achieving high-quality, safe, and effective medicines. Advances in synthetic methodologies, optimization strategies, sustainability practices, and the implementation of PAT technologies continue to drive innovation in API synthesis, supporting the development of novel therapeutic agents and enhancing pharmaceutical manufacturing efficiency.

Breast cancer is the most prevalent cancer in women worldwide, with approximately two million new cases every year. The number of cases increases despite the high survival rate. The aim of this study is, therefore, to understand this cancer by finding out what has been studied in this area using scientific evidence published between 2003 and 2023. A search was therefore carried out for scientific articles and other relevant sources on the subject with free access, and 48 documents were then analyzed. According to the analysis, many studies have been conducted in the area, particularly on quality of life and body image. However, little has been done in terms of environmental sustainability and breast cancer.

Progress in the development and adoption of technological innovations is instrumental in enhancing the efficiency of production systems across the globe. Through the introduction of cost-efficient and high-performing technologies, countries can both reduce the resource use intensity of their economies and boost the global supply of essential products. The focus of this study is to analyze the application of advanced machinery and mechanisms within the agricultural sector, a primary industry that acts as a major contributor to the gross domestic product (GDP) of many nations. Specifically, this paper provides an in-depth review of the latest impact assessments based on analytical and modeling tools conducted on agricultural machinery and production technologies. Our findings highlight the positive role played by scientific progress and innovation in driving the competitiveness, growth and improved sustainability of the agricultural sector. Over the years, advanced technologies have accelerated the development and modernization of machinery, equipment, and processes in farming. Typically, modern machinery and equipment have enabled large-scale production on farms, enhancing the cost-efficient use of both land and labor, as well as the capacity and timeliness in performing essential agricultural operations. The rapid diffusion of technical advancements has further contributed to resource savings, productivity growth, and the overall transformation of agricultural value chains. Accordingly, the implementation of appropriate enabling conditions is of vital importance in encouraging the widespread integration of technologies in agriculture, not only boosting productivity along the agri-food chain but also yielding widespread social, economic, and environmental benefits.

In Cuba, the great diversity and high endemism of the plant formations on serpentine stand out. Cuabales (scrub xeromorphic thorny on serpentine) present important natural values for the sustainability of Cuban biodiversity, but with a high degree of vulnerability. Although there are currently several investigations into the flora and vegetation of these ecosystems, there is a scientific vacuum on the conservation of these plant formations, from the social point of view. In the Callejón de Los Patos of Santa Clara, there is a cuabal, although it presents a high level of deterioration, due to anthropic activity. This research focused on assessing environmental management for the sustainability of the cuabal of Callejón de Los Patos of Santa Clara. The methodological perspective that predominated in the research process was qualitative and quantitative analysis of the data was incorporated to better visualize the trend in the analysis of the results. The investigative methods used were: observation, document analysis, in-depth and structured interviews. The diagnosed results showed insufficient knowledge, in the inhabitants of Callejón de Los Patos, related to the cuabal, its sustainability, and its importance. The absence of collective projection of actions to mitigate environmental problems identified in the settlement, that affect the deterioration of said plant formation was detected; results demonstrate poor environmental management for the sustainability of cuabal.

The equipment used in the construction industry is usually associated with a high impact on the environment. Although sustainable design has shown to be a main player among the initiatives focused on reducing environmental impact, it has been driven by the workers and processes, leaving the equipment endeavors in more restrictive and later stages. The equipment industry has been a constant target of environmental standards and economic pressure, but the increasing technological development allows it to respond to sustainability and safety expectations while enhancing its performance. However, there are still several limitations that lead this sector to be one of the last to reach upgrading levels in terms of development. A study identified some gaps in the equipment design that require a greater effort to effectively support the workers and companies towards sustainable construction. This chapter is based on a study aiming to understand the consolidated knowledge of technologically sustainable equipment design and to identify the challenges left for its full development. The findings support the development of innovative eco-friendly equipment, taking into consideration sustainable materials and product guidelines, as well as green economy initiatives. It also supports complex system approaches and safety by design specificities to establish a corporate knowledge of sustainable equipment and align it with the new regulations of the construction industry. The chapter introduces the context of construction equipment in terms of new challenges when faced with the need to provide construction work with a greater capacity for safety, from an environmental and energy efficiency perspective, and within the paradigm of sustainability. Then, it presents the concept of sustainable equipment considering its principles, followed by a characterization of the agents involved in its life cycle.

Ever since the idea of sustainable development was proposed, how to achieve it has always been the focus of researchers and policymakers. At the same time, in the letters of sustainable development, two approaches of weak sustainability and strong sustainability have been mentioned; Two approaches with different assumptions suggest different policies and will have different consequences. On the other hand, with the increase of environmental concerns in recent decades, the concept of natural capital and physical, human, and social capital has been added to the common literature of economics. Recently, with the collection of data related to the natural capital of nations by the World Bank, the possibility of statistical studies in this field has been provided. In the form of several regression models and at the international level, the present study will analyze the most fundamental difference between the two approaches of weak sustainability and strong sustainability, i.e., the possibility or impossibility of replacing physical capital instead of natural capital. The study results show that natural capital has a direct, positive, and independent role in explaining sustainable development indicators. Even the addition of physical, human, and social capital indicators does not threaten the significant coefficient of natural capital. Therefore, it can be concluded that under the assumption of a strong sustainability model, other types of capital can not replace natural capital.

COVID-19 demonstrated a global catastrophe that touched everybody, including the scientific community. As we respond and recover rapidly from this pandemic, there is an opportunity to guarantee that the fabric of our society includes sustainability, fairness, and care. However, approaches to environmental health attempt to decrease the populations burden of COVID-19, toward saving patients from becoming ill along with preserving the allocation of clinical resources and public safety standards. This paper explores environmental and public health evidence-based practices toward responding to Covid-19. A literature review tried to do a deep dive through the use of various search engines such as Mendeley, Research Gate, CAB Abstract, Google Scholar, Summon, PubMed, Scopus, Hinari, Dimension, OARE Abstract, SSRN, Academia search strategy toward retrieving research publications, “grey literature” as well as reports from expert working groups. To achieve enhanced population health, it is recommended to adopt widespread evidence-based strategies, particularly in this uncertain time. As only together can evidence-informed decision-making (EIDM) can become a reality which include effective policies and practices, transparency and accountability of decisions, and equity outcomes; these are all more relevant in resource-constrained contexts, such as Nigeria. Effective and ethical EIDM though requires the production as well as use of high-quality evidence that are timely, appropriate and structured. One way to do so is through co-production. Co-production (or co-creation or co-design) of environmental/public health evidence considered as a key tool for addressing complex global crises such as the high risk of severe COVID-19 in different nations. A significant evidence-based component of environmental/public health (EBEPH) consist of decisions making based on best accessible, evidence that is peer-reviewed; using data as well as systematic information systems; community engagement in policy making; conducting sound evaluation; do a thorough program-planning frameworks; as well as disseminating what is being learned. As researchers, scientists, statisticians, journal editors, practitioners, as well as decision makers strive to improve population health, having a natural tendency toward scrutinizing the scientific literature aimed at novel research findings serving as the foundation for intervention as well as prevention programs. The main inspiration behind conducting research ought to be toward stimulating and collaborating appropriately on public/environmental health action. Hence, there is need for a “Plan B” of effective behavioural, environmental, social as well as systems interventions (BESSI) toward reducing transmission.

Green cloud computing is part of endeavors to develop sustainable data center ecosystems and, more importantly, nurtures a mindful alignment between environmental considerations and our cloud computing practices. This view is reinforced with the requirements of resource and energy minimization, as well as clean computing. This paper surveys the current practices, strategies, and significant aspects involved in moving towards green cloud computing, providing energy-efficient data centers. The energy efficiency criteria call for unified strategies in power-proportional components, big data storage, server systems, and power supply units to save holistic energy. In addition, there are significant challenges in moving towards green cloud computing for service providers and data center operators. We address various energy-conscious resource management technologies and discuss the importance of developing innovative, effective green management solutions. Data centers are ubiquitous but inherently more conspicuous to begin to see the urgency of making them sustainable in our ecological environment. With this in mind, this paper encapsulates the multidimensional issues and increased complexities of bringing up green solutions in cloud computing practices and provides guidance and potential strategies. We outline, realign, and insist on adopting strategies in practice not only from the technical aspect but also in strengthening partnerships and investigating strategies to further dissect challenges, converge solutions, and consider our impact in even more areas of study.