Background: The medical workforce plays a pivotal role in advancing human health, particularly within the healthcare system of Saudi Arabia. While the government-employed healthcare providers form the central structure of the system and offer free healthcare services, the private healthcare sector is also witnessing significant growth. In parallel, the field of child neurology has experienced notable transformations in recent years, with continued expansion. This expansion brings forth a range of challenges for both current and future pediatric neurologists, necessitating careful consideration and proactive measures to address them. Aim of the study: This study aims to analyze the current challenges faced by the pediatric neurology workforce. Methods: In May 2023, a community-based exploratory study was conducted involving 82 practicing pediatric neurologists as well as pediatric neurology trainees across the 13 regions of Saudi Arabia. A comprehensive 26-item questionnaire, divided into four sections, was utilized to assess the participants. Results: The survey received responses from a total of 82 pediatric neurologists in Saudi Arabia (response rate 55.03%), with 38 (46.34%) being male and 44 (53.66%) being female. The mean age was 33±1.225 years. The majority of participants practiced in major cities such as Riyadh and Jeddah. Around two-thirds had published three or fewer research articles. Approximately 30% were enrolled in a fellowship program. Nearly 50% of pediatric neurologists experienced some form of delay in obtaining their first job, ranging from 1 to 36 months. Conclusion: The landscape of the pediatric neurology workforce is currently witnessing noteworthy demographic shifts. With a majority of practitioners concentrated in major cities, there exists an ongoing demand for qualified professionals in peripheral areas. The study underscores the real-life challenges faced by pediatric neurologists, particularly the delay in securing employment after graduation, and underscores the critical importance of addressing these persistent issues along the journey of pediatric neurology.

The Wester coastal Delta zone of the Netherlands, the relatively more crowded area of the country hosting ten out of seventeen heading to twenty million people, asks for a growing alertness on the topic of resiliency the light of climate-change, like many coastal urban areas do. Approaches of resiliency are often pre-dominated by governmental rescue planning and mobilization of technology innovative solutions. By comparing the float disasters of the 2015 Katrina and 2012 Sandy thunder-storms that hit respectively New Orleans and New York we can learn that the behaviour of people can make the difference in overcoming climate change impact disasters. Post-PhD research with focus on the Dutch Zaanstreek-Waterland area north of the city of Amsterdam, where in 1916 a severe flood took place, proved such. The outcome from focus group sessions is that the alertness and availability of the people to act in case of disaster urgency makes a positive difference, if the memory of the area residents to previous disaster handling is kept alert. This Zaanstreek-Waterland research showed that the disaster from 100 year before still kept the residents alert into resiliency. With that result the defi-nition of resilience should be improved by adding: ‘the interplay in a triangular relationship of civil servants, technicians and residents’.

The Wester coastal Delta zone of the Netherlands is the relatively more crowded area of the country where ten of the seventeen million people live. The governmental prognosis is that this number of people will increase steadily in the coming decennia, unless the threat of climate-change seawater level rising. This is the picture in more Delta zones globally what makes the topic of resiliency for these delta-areas of importance. Approaches of resiliency are often dominated by governmental rescue planning and believe in technology solutions, while in the process the behaviour of people can make the difference in overcoming climate-change impact disasters. In the struggle against high water storming and flooding, the Dutch people prove this by developing societal resilient behaviour in a broad spectrum of activities. Post-PhD research on Dutch resilient behaviour in the in 1016-flooded Zaanstreek-Waterland area near the city of Amsterdam confirms that. Recently research by questionnaire among citizens in this region shows that people have favour for shared responsibility with government and related professional organizations. The Dutch examples of societal resiliency carried by people also show a action-learning perspective intertwined with governmental contingency planning. Therewith the Dutch practice shows a positive cross-fertilization of practice and knowledge development.

Physical inactivity is a well-known risk factor for various non-communicable diseases (NCDs). Sufficient physical activity (PA) is essential for the prevention of NCDs and thus it is imperative to study the current status of PA and its influencing factors among rural residents in China. A population-based survey was conducted in rural areas of Shandong, Shanxi and Yunnan Provinces using a stratified random sampling method. The International Physical Activity Questionnaire Short Form (IPAQ-S) was used to collect the data on PA. A total of 3780 rural residents participated in the survey. The result showed that 22.2% of rural residents were physical inactivity. The proportion of rural residents reporting practice of physical exercise was 54.4%. The most frequently performed physical exercise was walking/brisk walking(78.3%).Binary logistic regression analyses showed that being female, people at age between 15 to 34 years or 60 years old and above, employees of governmental departments/retirees, school students, the unemployed, people with NCDs were risk factors of PA and ethnic minority groups,smoking and alcohol consumption were risk factors of physical exercise. Health promotion programme aiming at increasing people’s PA in rural China is needed and it should focus on the populations groups of the female, people at age 60 years and above ,school students, the unemployed, and people with NCDs.

Risk factors for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are not well-defined in resident physicians and fellows (trainees). We aimed to identify sociodemographic, occupational and community factors associated with SARS-CoV-2 infection among trainees during the first wave of the coronavirus disease 2019 (COVID-19) pandemic in New York City (NYC). In this retrospective cohort study, we administered an electronic survey between June 26 and August 31, 2020 to trainees at the Mount Sinai Health System in NYC to assess risk factors for SARS-CoV-2 infection between February 1 and June 30, 2020. We used Bayesian generalized linear mixed effect regression and structural equation models to examine associations. SAR-CoV-2 infection was determined by self-reported IgG antibody and reverse transcriptase-polymerase chain reaction results and confirmed with laboratory results. Among 2354 trainees invited to participate, 328 (14%) completed the survey and reported test results. The cumulative incidence of SARS-CoV-2 infection was 20.1%. Assignment to medical-surgical units (odds ratio [OR], 2.51; 95% CI, 1.18-5.34), and training in emergency medicine, critical care and anesthesiology (OR, 2.93; 95% CI, 1.24-6.92) were independently associated with infection. Deployment to care for unfamiliar patient populations was protective against infection (OR, 0.16; 95% CI, 0.03-0.73). Community factors were not significantly associated with infection after adjustment for occupational factors. Our findings may inform tailored infection prevention strategies for trainees responding to the COVID-19 pandemic.

Hosting FIFA World Cup obviously produce immense socio-economic impacts to a nation. Proximal non-host city perception to mega event was frequently explored, while distal non-host city perception has less investigated. This study assessed the socio-economic impacts of FIFA World Cup Qatar 2022 in Chon Buri Sports City residents. Participants were 422 Chon Buri Sports City residents from eleven districts. Perception on socio-economic impacts of hosting FWC Qatar 2022 was measured from the translated Scale of Perceived Social Impacts. Extracted seven dimensions by confirmatory factor analysis is consistent with empirical data. Positive impact dimensions are Community Development, Community Pride, Economic Benefits. Negative impact dimensions are Traffic Problems, Security Risks, Economic Costs, and Environmental Concerns. Chon Buri Sports City residents perceived fewer negative impacts than other non-host city residents. Positive impacts of hosting FWC Qatar 2022 has more influenced on Chon Buri Sports City residents’ perception than negative impacts. These findings advantage for sport stakeholders to deeper understand the impacts of mega event hosting.

Green spaces in residential community is important, yet understudied, feature as an urban ecological system. While large urban parks and remnant wildlands in urban areas tend to receive a public attention from conservation and management perspectives, less is known for the importance of spatial and ecological characteristics of the community-scale landscapes. This study investigates natural elements in four planned communities in Phoenix metropolitan area, Arizona, two of which represent conventional type of neighborhood and the other two exemplify the community development with a proclaimed vision of sustainability. These distinct type of communities, which capture variations in age, location, open space type, and a cross-section of housing density, are compared with regard to landscape connectivity as a means of gauging ecological condition for community sustainability. Using Geographical Information System and landscape connectivity indices, each community’s landscape features including size, physical connectedness and ecological potential were examined. Furthermore, a questionnaire survey was performed to examine the perceptional differences between the two types of community residents. The findings demonstrate that the green spaces in conventional communities are more physically connected than the counterparts, but the naturalness and ecological quality manifested by the amount of the land that may serve as potential urban desert habitats were higher in the sustainable communities. The results of the survey indicated that the respondents inhabiting in sustainable communities possess a higher level of satisfaction than the people in conventional type of community due mainly to the amount of, easy access to, and perceived ecological values of, green spaces in their neighborhoods and surrounding areas. The study concludes that careful community design with ecological consideration can help create sustainable communities which can benefit both site-scale ecosystems and perceived human well-being.

Green-space resources, in the context of urbanisation, cannot meet the actual needs of residents well, and the study of the balance of green-space resource allocation from the relationship between supply and demand is an urgent problem to be solved. This study quantitatively evaluates the green-space supply level from four dimensions by constructing a framework for assessment in the community life circle. It also evaluates the matching of green space supply and demand, resource distribution fairness, and distribution equilibrium under group differentiation through the supply–demand coupling matrix, Gini coefficient, and the Kruskal–Wallis H non-parametric rank-sum test, respectively. This study shows that (1) a significant spatial imbalance exists in green-space resource allocation in community life circles in different dimensions. (2) The comprehensive green-space supply level in the community life circle matched the total demand of residents to a low degree. (3) There was significant inequality in green-space resource allocation within the community life circle (the Gini coefficient of each evaluation perspective was > 0.4). Based on the study results, we were able to identify community life circles with spatial mismatches, different supply and demand, and other green-space resource allocation problems, which is of great significance to urban green-space research and planning practice under the "green justice" framework.