Application of the sustainable system-of-systems approach and econometric analysis to address China's decarbonisation problem.

The Sustainable system-of-systems (SSoS) approach, complemented with econometric analysis was used to address China's decarbonisation problem, i.e. selecting fossil fuel consumption sources to be reduced in various regions to meet CO2 reduction targets with minimal effect on population and economic growth. In the SSoS, the micro-level system is represented by residents' health expenditure, the meso-level system by industry's CO2 emissions intensity, and the macro-level system by the government's achievement of economic growth. Regional panel data from 2009 to 2019 were used in an econometric analysis conducted using structural equation modelling. The results show that health expenditure was affected by CO2 emissions from the consumption of raw coal and natural gas. To support economic growth, the government should reduce raw coal consumption. For CO2 emissions reduction, industry in the eastern region should reduce raw coal consumption. The key advantage is SSoS with econometrics offers a way to reach a common goal among stakeholders.Practitioner summary: This research shows that the use of the SSoS approach, complemented with an econometric analysis of key social, economic, and natural capital data, can address a complex decarbonisation problem facing a nation (China, in the present case) while considering the goals of all stakeholders (the government, industrial communities, and residential communities).Abbreviations: CEADs: Carbon Emissions Accounts and Datasets for Emerging Countries; CEIC: CEIC Global Database; GRPS: World Economic Forum's Global Risks Perception Survey; HFE: human factors/ergonomics; ML-SEM: maximum likelihood estimation method; NDRC: National Development and Reform Commission of China; SEM: structural equation modelling; SSoS: Sustainable system-of-systems; TBL: triple bottom line.

A qualitative study on stress, coping strategies and feasibility of music intervention among women with cancer receiving chemotherapy during COVID-19 pandemic in Vietnam.

Breast and gynaecological cancer (BGC) patients receiving chemotherapy may experience high levels of stress during the COVID-19 pandemic. Music interventions may be effective in lowering their stress levels. This study explored stressors, coping strategies, and the feasibility of music interventions among BGC patients in Vietnam. An exploratory qualitative study with individual face-to-face semi-structured interviews was conducted. A convenience sample of BGC patients receiving chemotherapy was recruited from the oncology centre of a public hospital in Vietnam. Twenty patients were interviewed with open-ended questions developed based on the transactional model of stress and coping to explore stress-causing factors and coping strategies and based on guidelines for music therapy practice to explore their music preferences and perceptions. Field notes and interview transcripts were analysed following the qualitative content analysis approach. Two stressor themes were identified: undesirable experiences during treatment and patients' inability to fulfil their own roles and responsibilities. Our findings revealed a new coping strategy-self-realisation of responsibilities towards the family-that is not listed in the transactional model of stress and coping. Future psychological interventions for stress management among BGC patients should focus on raising the patients' awareness of their values and responsibilities towards their families. Three categories of preferred music genres for stress reduction were identified: religious, softly melodic, and revolutionary music. The patients were aware of the positive effects of music and had different musical preferences. This study also explored the acceptance of music interventions and facilitators and barriers to implementing them among BGC patients in Vietnam. The findings suggest that before implementing music interventions, the musical preferences, religions, and beliefs of each individual should be considered to achieve desirable results. Music interventions for BGC patients receiving chemotherapy in Vietnam are feasible. Further intervention studies are needed to evaluate their effectiveness.