Search Results (1,481)

Paralympic athletes are challenged by unique systemic strain due to impairment-related physiological and psychological stressors. This study aims to synthesize the current evidence regarding post-exercise recovery modalities in Paralympic athletes, providing an overview of their physiological considerations and practical applications. A narrative review was conducted across PubMed/MEDLINE, Scopus, and Web of Science (inception to December 2025). Inclusion criteria prioritized original research on competitive para-athletes evaluated through physiological or performance-based markers. Evidence identifies four critical domains: (1) Thermoregulation: In spinal cord injury (SCI), upper-body cooling is significantly more effective than lower-body strategies for core temperature reduction; objective monitoring of playing time is essential, as subjective perception is unreliable. (2) Systemic recovery: Sleep quality is compromised by secondary complications (e.g., nocturia and spasticity), and heart rate variability (HRV) serves as a sensitive autonomic marker to validate readiness. (3) Neuromuscular restoration: The early-phase rate of force development (RFD ≤ 50 ms) is more sensitive than the peak strength for detecting neural fatigue, particularly in SCI. (4) Contextual modulators: Infrastructure accessibility and psychological resilience are primary determinants of intervention efficacy. Effective recovery in para-sports requires a shift toward “active-assisted” impairment-specific interventions. Future research must validate specialized monitoring tools and longitudinal impacts on long-term health. Full article

Postural balance is a foundational component of human motor behavior, yet it remains conceptually ambiguous and methodologically heterogeneous across the clinical, educational, and sport sciences. This narrative review aims to provide an integrative framework that clarifies key concepts (postural control vs. postural balance), synthesizes the main sensorimotor and biomechanical mechanisms underpinning balance, and organizes current assessment approaches and functional implications across populations. Narrative literature synthesis was conducted to integrate evidence covering multisensory integration and sensory reweighting, central neural control (spinal, brainstem, cerebellar, and cortical contributions), neuromuscular and biomechanical strategies (e.g., ankle/hip/stepping), and cognitive influences (e.g., dual-task effects). We further summarize commonly used instrumental outcomes derived from force-platform center-of-pressure metrics and widely adopted clinical and functional balance tests, highlighting their typical applications and limitations across the lifespan including pediatric, general adults, older adults, and athletic populations. This review proposes a closed-loop, systems-based model in which postural balance is conceptualized as an emergent functional outcome arising from distributed postural control processes shaped by task, environmental, and individual constraints. In conclusion, integrating mechanistic understanding with population-specific assessment enhances interpretability and supports more precise, context-sensitive balance evaluation and intervention in both health and performance settings. Full article

Background: Sub-Saharan Africa is undergoing a rapid epidemiological transition marked by a growing burden of non-communicable diseases, including breast, cervical, ovarian, and uterine cancers, which constitute major causes of morbidity and mortality among women in the region; however, comprehensive assessments of long-term trends and regional heterogeneity remain limited. This study examines the burden and temporal trends of breast, cervical, ovarian, and uterine cancers across sub-Saharan Africa from 1990 to 2023. Methods: A retrospective ecological analysis was conducted using data from the latest Global Burden of Disease 2023 study. Age-standardised incidence rates, mortality rates, and disability-adjusted life year rates were estimated for breast, cervical, ovarian, and uterine cancers across 48 sub-Saharan African countries and four sub-regions. Temporal trends were assessed from 1990 to 2023, with percentage changes calculated to characterise epidemiological transitions. Geographic variation and age-specific patterns were examined to identify high-burden settings and priority populations. Results: Between 1990 and 2023, the burden of all four cancers increased substantially across sub-Saharan Africa, with significant regional and country-level heterogeneity. Breast cancer exhibited the largest absolute burden, with incidence increasing by over 120 percent and mortality by more than 80 percent, particularly in Central and Western Africa. Cervical cancer remained the leading cause of cancer-related mortality among women in Eastern and Southern Africa, despite evidence of stabilisation or decline in selected countries. Ovarian and uterine cancers demonstrated sustained upward trends, especially in Central Africa, with high mortality-to-incidence ratios indicating late diagnosis and limited treatment access. Across all cancer types, Central and Eastern sub-Saharan Africa consistently experienced the highest disability-adjusted life year burdens. Conclusions: The burden of the selected cancers in sub-Saharan Africa has increased markedly over the past three decades, with persistent regional inequities reflecting gaps in prevention, early detection, and treatment capacity. Strengthening cancer surveillance systems, expanding equitable access to screening and vaccination programmes, and improving diagnostic and treatment infrastructure are critical to reversing current trends. These findings provide region-specific evidence to guide cancer control priorities and resource allocation across sub-Saharan Africa. Full article

Lago Argentino and Lago Viedma are large lakes fed by glaciers in Southern Patagonia, characterized by extraordinarily strong, persistent westerly winds and sharp gradients in regional relief, climate, and gravity field. We present operational models of spatio-temporal lake-level variations that represent instantaneous ellipsoidal lake-surface height as the superposition of three components: (i) a time-averaged lake-level topography derived from geoid modeling and ICESat-2 residuals, (ii) temporally varying water-volume changes in the lake estimated from tide gauge time series corrected for atmospherically driven perturbations, and (iii) a static hydrodynamic response to wind stress and air-pressure forcing. The atmospheric response is parametrized through empirically derived transfer functions obtained by regressing instantaneous lake-level anomalies against ERA5 wind and pressure fields, capturing wind-driven tilting. Standard deviations of ICESat-2 ATL13 elevations amount to 106 cm and 70 cm over Lago Argentino and Lago Viedma, respectively. The subtraction of our models reduces these standard deviations to 8 cm (Argentino) and 14 cm (Viedma). Surface waves incompletely averaged out within ICESat-2’s narrow footprint are identified as a principal source for the residual variability. A standard deviation of ATL13 elevations below 2 cm on calm days demonstrates ICESat-2’s unprecedented capability of monitoring water resources from space in a region of sparse hydrological infrastructure. Full article

Reconfigurable intelligent surface (RIS)-assisted non-orthogonal multiple access (NOMA) has emerged as a promising technique to enhance spectral efficiency and coverage in fifth- and sixth-generation wireless networks. However, asymmetric indoor propagation conditions characterized by heterogeneous line-of-sight (LoS) and non-line-of-sight (NLoS) links often degrade user fairness. This paper investigates a downlink RIS-assisted NOMA system under the standardized 3GPP indoor office (InH) channel model to address fairness-oriented design under realistic link-budget constraints. We formulate an optimization problem for max–min fairness that jointly considers discrete RIS element partitioning and NOMA power allocation to achieve a symmetrical allocation of quality of service (QoS). To enable efficient computation, the non-convex problem is transformed into an epigraph form and solved using a low-complexity, bisection-based quasi-convex optimization framework combined with enumeration over RIS partitions. Numerical results demonstrate significant fairness gains; for instance, doubling the RIS array size yields a substantial improvement in the ergodic max–min rate, corresponding to approximately a 66% gain at moderate transmit power levels. Furthermore, by accounting for practical impairments such as imperfect successive interference cancellation (iSIC), imperfect channel state information (iCSI), and RIS implementation losses, the results reveal that fairness-optimal operation consistently prioritizes the far user to overcome severe indoor NLoS attenuation. The proposed framework is also compared with alternating optimization (AO)-based RIS-NOMA, conventional RIS beamforming without partition and RIS-assisted orthogonal multiple access (OMA) schemes. Simulation results confirm that the proposed framework achieves low computational complexity, making it suitable for practical indoor wireless environments. Full article

Traditional palliative care education may limit the development of clinical competencies and attitudes required to alleviate suffering and improve quality of life. Gamification has been proposed as an alternative educational strategy in this field. Background/Objectives: This study aimed to assess the association between gamification-based intervention and palliative care knowledge among nursing students at a public university. Methods: This single-group, pre–post-intervention study was conducted in the Nursing Program of the Universidad Técnica del Norte, Ecuador, including 136 students from the accessible population. Palliative care knowledge was assessed before and after the intervention using the validated Palliative Care Quiz for Nursing (PCQN-SV). Student satisfaction and Moodle usability were assessed using a 10-item Likert-type questionnaire. The gamified educational intervention was delivered online over 60 h. Data were analyzed using descriptive statistics and Wilcoxon signed-rank tests for paired comparisons, and exploratory logistic regression analyses were conducted to evaluate contextual differences across hospitals. Statistical significance was set at α = 0.05. Results: The mean age was 22.9 years (SD = 1.89), and 73.5% were female. Knowledge scores increased significantly after the intervention (Wilcoxon signed-rank test, p < 0.001; r = 0.35). The proportion of students achieving sufficient knowledge (≥13 correct responses) increased from 27.2% (37/136) at baseline to 49.3% (67/136) post-intervention. Contextual analysis indicated variability across clinical training sites, with Lago Agrio showing higher odds of sufficient knowledge (aOR = 3.25; 95% CI [1.26–8.41]; p = 0.015). Conclusions: The gamified intervention was associated with increased palliative care knowledge among nursing students. Heterogeneity across hospitals suggests that contextual factors may influence the magnitude of change. Full article

Propolis is a chemically complex natural product with recognized antioxidant potential, but its compositional heterogeneity and poor aqueous solubility complicate formulation and interpretation of in vitro release behavior. In this study, a nanostructured lipid carrier (NLC) based on Gelucire^® 44/14 was developed as a physicochemical platform to modulate the accessibility of a selected Chilean ethanolic propolis extract. Propolis extracts from different origins were first screened using complementary antioxidant assays (DPPH, ABTS, ORAC, FRAP), leading to the selection of the Peñaflor extract, which exhibited the highest phenolic content (~41 mg GAE/g) and antioxidant capacity. The selected extract was incorporated into NLCs with encapsulation efficiencies above 90%, a narrow size distribution (~200 nm), and high stability over 90 days. Under simple aqueous conditions, propolis release remained limited (<15% over 6 h), consistent with diffusion- and partition-controlled transport. In simulated gastrointestinal media containing bile components, pronounced pH- and composition-dependent effects were observed. While fed-state intestinal conditions induced extensive morphological remodeling without increasing the analytically accessible fraction (<3% at 4 h), fasted-state intestinal media promoted a higher accessible fraction (~14% within 1 h) without complete carrier disruption, as confirmed by transmission electron microscopy. Preliminary cytocompatibility studies in HepG2 cells showed acceptable viability at 10–40 µg/mL and concentration-dependent effects at higher doses. Overall, this work demonstrates that bile components modulate propolis accessibility through dynamic partitioning and colloidal reorganization rather than simple carrier breakdown, providing a physicochemical framework for future digestion and absorption studies. Full article

This study examines whether administrative simplification is associated with stronger document-management practices in a district-level local government organization, and why this matters for societal outcomes such as transparency and more equitable access to public services. Using a quantitative, cross-sectional, non-experimental design, we surveyed officials and administrative staff with validated Likert-type instruments (62 items for administrative simplification; 17 items for document management) and tested associations using Spearman’s rho. Results show a positive, modest relationship between simplification and document management (ρ ≈ 0.37; p < 0.001). Stage-level analyses indicate consistently positive correlations, with stronger associations in later, institutionalization-oriented stages (implementation, monitoring/evaluation, continuous improvement, and sustainability). The study contributes to debates on administrative burden and digital-era governance by linking staged simplification efforts to the organizational backbone of records flows. Practically, findings suggest that resource-constrained municipalities can improve governance quality by treating document management not as a back-office function but as an enabling infrastructure for user-centered services, accountability, and compliance with digital-government guidance. Limitations include the single-organization design and reliance on staff perceptions; future research should test citizen-level outcomes and service-equity effects. Full article

Affective disorders, such as major depressive disorder and anxiety disorders, represent a major global health burden, with current treatments proving inadequate for a substantial proportion of patients. Emerging research highlights the microbiota–gut–brain (MGB) axis as a crucial bidirectional communication system influencing brain function and neuroplasticity through neural, endocrine, immune, and metabolic pathways. This narrative review examines probiotics—live beneficial microorganisms—as modulators of adult neurogenesis and synaptic plasticity, two processes fundamentally implicated in the pathophysiology of affective disorders. Preclinical evidence demonstrates that specific strains, particularly from the Lactobacillus and Bifidobacterium genera, promote hippocampal neurogenesis and synaptic function through epigenetic regulation via short-chain fatty acids (SCFAs), notably butyrate-mediated histone deacetylase inhibition, modulation of neuroinflammatory pathways, regulation of neurotransmitter receptor expression across glutamatergic, GABAergic, and monoaminergic systems, and production of neuroactive peptides. Clinical evidence from randomized controlled trials and recent meta-analyses indicates that probiotic supplementation produces significant reductions in depressive and anxiety symptoms, with effects correlating to changes in gut microbiota composition and peripheral neuroplasticity biomarkers, particularly brain-derived neurotrophic factor (BDNF). However, significant methodological limitations persist, including small sample sizes, lack of standardization in probiotic strains and dosages, inconsistent outcome measures, and considerable interindividual variability. While the mechanistic and clinical evidence is biologically plausible and directionally promising, it is not yet sufficient to support definitive therapeutic recommendations. Future research must prioritize adequately powered clinical trials with standardized consortia, comprehensive multi-omics biomarker panels, and precision psychobiotic strategies guided by microbiome-defined patient stratification. Full article

Eutectic alloys stand out for their ability to combine high strength and good ductility; a behaviour rooted in their characteristic two-phase microstructure—lamellar or globular—formed at a constant solidification temperature that minimizes segregation and suppresses brittle phases. Their low interfacial energy limits microcrack propagation, while interfacial sliding and dislocation blocking at phase boundaries enhance both strength and toughness. In this work, we investigate how controlled microstructural modifications influence the behaviour of the eutectic high-entropy alloy AlCoCrFeNi2.1, composed of B2 (Ni–Al-rich) and L12 (Co–Fe–Ni-rich) phases. Because these phases exhibit distinct mechanical responses, microconstituent morphology becomes a design parameter. Powder metallurgy is the only processing route capable of providing the level of microstructural control required in this study. It preserves the rapidly solidified eutectic architecture of gas-atomised powders while allowing its intentional transformation during consolidation. Two strategies were implemented: (i) tuning the thermal–electrical input in Spark Plasma Sintering (SPS) and Electrical Resistance Sintering (ERS), and (ii) engineering the particle size distribution, including a bimodal design that enhances surface-energy-driven morphological transitions. SPS enables a gradual lamellar-to-globular evolution, whereas ERS induces ultrafast transformations governed by current intensity. The bimodal PSD significantly accelerates globularisation at lower energy input. EBSD-KAM (Electron Backscatter Diffraction—Kernel Average Misorientation) mapping identifies the lamellar B2 phase as metastable and highly strained, while globular B2 domains show reduced dislocation density. Nanoindentation confirms that intrinsic phase properties remain unchanged, whereas microhardness scales with morphology and lamellar spacing. These results demonstrate that the macroscopic mechanical response is governed by microstructure, establishing powder metallurgy as a uniquely powerful pathway for microstructure-driven design in eutectic HEAs. Full article

This study assesses the stability, in vitro bioaccessibility and potential bioavailability, and in vivo genotoxicity and toxicity of polyethylene glycol–soy lecithin (PEGSL-ACG-NSps) or β-cyclodextrin–soy lecithin (βCDSL-ACG-NSps) nanosuspensions (NSps). Both formulations exhibited initial particle sizes below 130 nm and PDI values below 0.3. Under simulated gastrointestinal conditions, PEGSL-ACG-NSps preserved structural integrity, with only a moderate size increase (~239 nm) in the intestinal phase and controlled release of acetogenins (ACGs); in contrast, βCDSL-ACG-NSps destabilized considerably (size > 500 nm) and released ACGs rapidly. Consistently, βCDSL-ACG-NSps achieved higher in vitro bioaccessibility and a potential bioavailability (up to 95% from post-digestion recovery). In contrast, PEGSL-ACG-NSps displayed a more gradual release profile (up to 55%). In vivo toxicity tests in mice showed no significant genotoxic or cytotoxic effects for either formulation, even at high doses. These findings suggest that selecting appropriate food-grade stabilizing polymers is crucial for optimizing NSps for the oral delivery of ACGs as therapeutic agents. Full article

This study investigates whether long-term global warming is associated with fertility decline across 195 countries from 1960 to 2023, and whether this relationship varies by economic development and adaptive capacity. We analyze Total Fertility Rate (TFR) data from the World Bank alongside temperature anomaly measures from NOAA and NASA using Pearson correlations and ordinary least squares (OLS) regression models. Regional analyses include Africa, Asia, Europe, the Middle East, and the Arctic, with GDP per capita serving as a proxy for economic development and adaptive capacity. Globally, temperature anomalies and fertility exhibit a strong negative correlation ($r\approx -0.90$, $p<0.001$). However, substantial regional heterogeneity emerges after controlling for GDP. In Africa ($r=-0.89$) and the Middle East, temperature anomalies remain statistically significant predictors of fertility decline even after GDP adjustment ($\beta =-0.99$, $p<0.001$; $\beta =-1.27$, $p<0.001$, respectively). In contrast, temperature effects become statistically insignificant in South Asia, East Asia, Europe, and the Arctic once GDP is controlled, indicating that fertility decline in these regions is driven primarily by socioeconomic modernization rather than climatic stress. These findings suggest that global warming functions as a conditional demographic stressor whose impact depends critically on adaptive capacity. In regions with limited infrastructure, including constrained access to air conditioning, healthcare, and occupational heat protection, rising temperatures remain significant predictors of fertility decline, potentially mediated through heat-sensitive biological mechanisms such as impaired spermatogenesis. By contrast, in higher-income regions, high adaptive capacity appears to buffer reproductive systems from thermal stress, allowing socioeconomic factors to dominate fertility dynamics. Full article

The emergence of artificial intelligence tools in scientific production is generating significant challenges for scientific integrity and editorial governance, prompting journals and publishers to develop normative guidelines for their use. This study analyzes the current state of guideline implementation among Latin American journals indexed in Scopus and classified according to the Scimago Journal Rank (SJR). A quantitative approach was adopted, complemented by a descriptive documentary analysis based on a detailed review of the websites of 1119 journals from 17 Latin American countries. The collected data were systematized using Excel and analyzed through descriptive and inferential statistical techniques. The results indicate that only 27.2% of journals have explicit guidelines on the use of artificial intelligence, with a predominantly regulatory rather than punitive orientation that prioritizes technical support while restricting practices that compromise human intellectual control. Additionally, statistically significant differences were identified according to quality indicators, showing that journals with higher quality levels are more likely to have such guidelines. Overall, the findings reveal an incipient and heterogeneous regulatory development, underscoring the need to strengthen and harmonize editorial guidelines on artificial intelligence in order to safeguard transparency, clarify the responsibilities of the actors involved in the production and publication process, and protect the integrity of scientific communication. Full article

Background. NOTCH receptors play a pivotal role in carcinogenesis. Upon ligand binding, a cascade of proteolytic cleavages mediated by ADAM proteases and the γ-secretase complex activates the receptor, ultimately releasing the NOTCH intracellular domain (NICD). NICD translocates to the nucleus, where it regulates gene expression. This review mainly aims to evaluate γ-secretase inhibitors (GSIs) as anticancer agents in preclinical and clinical settings, with a focus on their ability to block tumor progression, target cancer stem cells, and overcome resistance to standard therapies. Methods. A systematic search was conducted in the ISI Web of Science, PubMed, and Scopus databases, following PRISMA guidelines. The review included preclinical in vitro and in vivo studies, as well as clinical trials, investigating GSIs, either as monotherapy or in combination with other treatments, in TNBC, metastatic melanoma, PDAC, gastric cancer, and NSCLC. Exclusion criteria included duplicates, non-English articles, studies published before 2010, studies on non-cancer conditions, research unrelated to NOTCH signaling, and studies outside the selected cancer types. Overall, 69 articles were included and categorized into the five types of cancer analyzed (20 on NSCLC, 22 on TNBC, 11 on metastatic melanoma, 7 on GC, and 9 on PDAC). Of these, 60 studies corresponded to preclinical research in the types of cancer, and 9 studies corresponded to clinical trials in the types of cancer except for GC. Two independent authors screened and extracted relevant data, with disagreements resolved by the corresponding author. Findings were synthesized qualitatively across cancer types under study. Results. This review summarizes therapeutic advances involving GSIs in cancers driven by oncogenic NOTCH signaling, based on the 69 articles included. Preclinical studies show that GSIs synergize with chemotherapy and radiotherapy, particularly in NSCLC, melanoma, and TNBC, and block EMT, overcome therapeutic resistance, and improve prognosis. Commonly used GSIs include DAPT and RO4929097, which enhance the efficacy of agents, such as gemcitabine (PDAC), paclitaxel, osimertinib, erlotinib, and crizotinib (NSCLC), and 5-FU (gastric cancer, TNBC). Promising strategies include combining GSIs with SAHA, ATRA, CB-103, and other NOTCH signaling targeting molecules, either alone or with chemo- and radiotherapy. Clinical trials with GSIs, however, remain limited. RO4929097 is the most extensively tested GSI in clinical settings. PDAC trials combining GSIs with gemcitabine showed no benefit; melanoma trials yielded modest outcomes; and TNBC trials demonstrated partial responses to GSIs but overall low efficacy and significant adverse events. Discussion and Conclusions. Despite encouraging preclinical evidence, clinical trials with GSIs have underperformed, largely due to tumor heterogeneity, dosing limitations, and the non-selective nature of γ-secretase inhibition. Other NOTCH inhibitors, such as DLL4 antibodies, also resulted in partial responses and secondary effects. Future strategies should prioritize receptor-specific NOTCH inhibitors, patient stratification based on NOTCH pathway activation, and optimized combination regimens. Emerging approaches include integrating immunotherapy with advanced technologies such as CRISPR, CAR-T cells, and bispecific antibodies, as well as targeted delivery systems to enhance efficacy and reduce toxicity. Additional research directions include addressing the tumor microenvironment and EMT-driven resistance, elucidating the mechanisms of immune evasion, and inhibiting tumor angiogenesis. Finally, leveraging artificial intelligence and big-data-driven personalized medicine, including sex-specific considerations, will be essential for improving patient outcomes. Full article

Recent genomic phylogenies have generated new robust classifications of actinopterygian fishes, making possible greater nomenclatural stability, but genus-level classifications of groups like the diverse catfish subfamily Trichomycterinae are still unclear, containing ill-defined paraphyletic taxa. The focus of the present study is the Trichomycterus Lineage (TL), a clade with great morphological diversity, containing about 170 species widely distributed in South America, occurring in the most important biodiversity hotspots of the world, such as the Atlantic Forest, Cerrado, and the Tropical Andes. Most species are small, but at least one reaches about 400 mm of total length, being used as food and depicted in pre-Hispanic Andean ceramics. Based on a comparative morphological analysis, mainly using osteological characters, supported by concordant genomic phylogenies, a new classification at the genus level is here provided. Many morphological features delimiting TL genera seem to be related to ecological adaptations. Nine genera are here recognised of which five are new. Recognition of the new genera will allow easier descriptions of new species and consequently better biodiversity estimates. Full article