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13 pages, 14213 KiB  
Article
All-Weather Drone Vision: Passive SWIR Imaging in Fog and Rain
by Alexander Bessonov, Aleksei Rozanov, Richard White, Galih Suwito, Ivonne Medina-Salazar, Marat Lutfullin, Dmitrii Gusev and Ilya Shikov
Drones 2025, 9(8), 553; https://doi.org/10.3390/drones9080553 - 7 Aug 2025
Abstract
Short-wave-infrared (SWIR) imaging can extend drone operations into fog and rain, yet the optimum spectral strategy remains unclear. We evaluated a drone-borne quantum-dot SWIR camera inside a climate-controlled tunnel that generated calibrated advection fog, radiation fog, and rain. Images were captured with a [...] Read more.
Short-wave-infrared (SWIR) imaging can extend drone operations into fog and rain, yet the optimum spectral strategy remains unclear. We evaluated a drone-borne quantum-dot SWIR camera inside a climate-controlled tunnel that generated calibrated advection fog, radiation fog, and rain. Images were captured with a broadband 400–1700 nm setting and three sub-band filters, each at four lens apertures (f/1.8–5.6). Entropy, structural-similarity index (SSIM), and peak signal-to-noise ratio (PSNR) were computed for every weather–aperture–filter combination. Broadband SWIR consistently outperformed all filtered configurations. The gain stems from higher photon throughput, which outweighs the modest scattering reduction offered by narrowband selection. Under passive illumination, broadband SWIR therefore represents the most robust single-camera choice for unmanned aerial vehicles (UAVs), enhancing situational awareness and flight safety in fog and rain. Full article
(This article belongs to the Section Drone Design and Development)
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12 pages, 1599 KiB  
Article
Nanopore Workflow for Grapevine Viroid Surveillance in Kazakhstan: Bypassing rRNA Depletion Through Non-Canonical Priming
by Karlygash P. Aubakirova, Zhibek N. Bakytzhanova, Akbota Rakhatkyzy, Laura S. Yerbolova, Natalya P. Malakhova and Nurbol N. Galiakparov
Pathogens 2025, 14(8), 782; https://doi.org/10.3390/pathogens14080782 - 6 Aug 2025
Abstract
Grapevine (Vitis vinifera L.) cultivation is an important agricultural sector worldwide. Its expansion into new areas, like Kazakhstan, brings significant phytosanitary risks. Viroids, such as grapevine yellow speckle viroid 1 (GYSVd-1) and hop stunt viroid (HSVd), are RNA pathogens that threaten vineyard [...] Read more.
Grapevine (Vitis vinifera L.) cultivation is an important agricultural sector worldwide. Its expansion into new areas, like Kazakhstan, brings significant phytosanitary risks. Viroids, such as grapevine yellow speckle viroid 1 (GYSVd-1) and hop stunt viroid (HSVd), are RNA pathogens that threaten vineyard productivity. They can cause a progressive decline through latent infections. Traditional diagnostic methods are usually targeted and therefore not suitable for thorough surveillance. In contrast, modern high-throughput sequencing (HTS) methods often face challenges due to their high costs and complicated sample preparation, such as ribosomal RNA (rRNA) depletion. This study introduces a simplified diagnostic workflow that overcomes these barriers. We utilized the latest Oxford Nanopore V14 cDNA chemistry, which is designed to prevent internal priming, by substituting a targeted oligo(dT)VN priming strategy to facilitate the sequencing of non-polyadenylated viroids from total RNA extracts, completely bypassing the rRNA depletion step and use of random oligonucleotides for c DNA synthesis. This method effectively detects and identifies both GYSVd-1 and HSVd. This workflow significantly reduces the time, cost, and complexity of HTS-based diagnostics. It provides a powerful and scalable tool for establishing strong genomic surveillance and phytosanitary certification programs, which are essential for supporting the growing viticulture industry in Kazakhstan. Full article
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32 pages, 1885 KiB  
Article
Mapping Linear and Configurational Dynamics to Fake News Sharing Behaviors in a Developing Economy
by Claudel Mombeuil, Hugues Séraphin and Hemantha Premakumara Diunugala
Technologies 2025, 13(8), 341; https://doi.org/10.3390/technologies13080341 (registering DOI) - 6 Aug 2025
Abstract
The proliferation of social media has paradoxically facilitated the widespread dissemination of fake news, impacting individuals, politics, economics, and society as a whole. Despite the increasing scholarly research on this phenomenon, a significant gap exists regarding its dynamics in developing countries, particularly how [...] Read more.
The proliferation of social media has paradoxically facilitated the widespread dissemination of fake news, impacting individuals, politics, economics, and society as a whole. Despite the increasing scholarly research on this phenomenon, a significant gap exists regarding its dynamics in developing countries, particularly how predictors of fake news sharing interact, rather than merely their net effects. To acquire a more nuanced understanding of fake news sharing behavior, we propose identifying the direct and complex interplay among key variables by utilizing a dual analytical framework, leveraging Structural Equation Modeling (SEM) for linear relationships and Fuzzy-Set Qualitative Comparative Analysis (fsQCA) to uncover asymmetric patterns. Specifically, we investigate the influence of news-find-me orientation, social media trust, information-sharing tendencies, and status-seeking motivation on the propensity of fake news sharing behavior. Additionally, we delve into the moderating influence of social media literacy on these observed effects. Based on a cross-sectional survey of 1028 Haitian social media users, the SEM analysis revealed that news-find-me perception had a negative but statistically insignificant influence on fake news sharing behavior. In contrast, information sharing exhibited a significant negative association. Trust in social media was positively and significantly linked to fake news sharing behavior. Meanwhile, status-seeking motivation was positively associated with fake news sharing behavior, although the association did not reach statistical significance. Crucially, social media literacy moderated the effects of trust and information sharing. Interestingly, fsQCA identified three core configurations for fake news sharing: (1) low status seeking, (2) low information-sharing tendencies, and (3) a unique interaction of low “news-find-me” orientation and high social media trust. Furthermore, low social media literacy emerged as a direct core configuration. These findings support the urgent need to prioritize social media literacy as a key intervention in combating the dissemination of fake news. Full article
(This article belongs to the Section Information and Communication Technologies)
18 pages, 13042 KiB  
Article
Visuality of the Invisible: The Image of Medjed in Sources of the 21st Dynasty
by Mykola Tarasenko
Arts 2025, 14(4), 87; https://doi.org/10.3390/arts14040087 (registering DOI) - 6 Aug 2025
Abstract
This paper discusses iconographic features of the deity or “demon” Medjed (Mḏd). The specific and unusual image of this character is only found during the 21st Dynasty and is unknown in the funerary art of the New Kingdom and Late Period. [...] Read more.
This paper discusses iconographic features of the deity or “demon” Medjed (Mḏd). The specific and unusual image of this character is only found during the 21st Dynasty and is unknown in the funerary art of the New Kingdom and Late Period. Only oneYe coffin and nine papyri are known in which the image of Medjed is depicted. Eight are in the context of Spell 17 of the Book of the Dead. In the text of Spell 17, Medjed is described in lines 71–72 of Grapow’s Urk. V Abschnitt 24. The “invisibility” of this “demon” is evidently the reason for his unusual iconography: Medjed has a conical shaped body, with human legs. Although he does not have a true head, his eyes are indicated, and he wears a belt. Equally the deity could be depicted as a figure covered entirely in a conical cover except for the eyes and feet, which are visible. This curious treatment can be understood as an attempt by Egyptian artists to depict an invisible being. Full article
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11 pages, 1259 KiB  
Article
Exploring the Role of MRCP+ for Enhancing Detection of High-Grade Strictures in Primary Sclerosing Cholangitis
by James Franklin, Charlotte Robinson, Carlos Ferreira, Elizabeth Shumbayawonda and Kartik Jhaveri
J. Clin. Med. 2025, 14(15), 5530; https://doi.org/10.3390/jcm14155530 - 6 Aug 2025
Abstract
Background: Identifying high-grade strictures (HGS) in patients with primary sclerosing cholangitis (PSC) relies upon subjective assessments of magnetic resonance cholangiopancreatography (MRCP). Quantitative MRCP (MRCP+) provides objective evaluation of MRCP examinations, which may help make these assessments more consistent and improve patient management and [...] Read more.
Background: Identifying high-grade strictures (HGS) in patients with primary sclerosing cholangitis (PSC) relies upon subjective assessments of magnetic resonance cholangiopancreatography (MRCP). Quantitative MRCP (MRCP+) provides objective evaluation of MRCP examinations, which may help make these assessments more consistent and improve patient management and selection for intervention. We evaluated the impact of MRCP+ on clinicians’ confidence in diagnosing HGS in patients with PSC. Methods: Three expert abdominal radiologists independently assessed 28 patients with PSC. Radiological reads of MRCPs were performed twice, in a random order, three weeks apart, then a third time with MRCP+. HGS presence was recorded on semi-quantitative confidence scales. The cases where readers definitively agreed on presence/absence of HGS were used to assess inter- and intra-reader agreement and confidence. Results: When using MRCP alone, high intra-reader agreement was observed in identifying HGS within both intra- and extrahepatic ducts (64.3% and 70.8%, respectively), while inter-reader agreement was significantly lower for intrahepatic ducts (42.9%) than extrahepatic ducts (66.1%) (p < 0.01). Using MRCP+ in the third read significantly improved inter-reader agreement for intrahepatic HGS detection to 67.9% versus baseline reads (p = 0.02) and was comparable with extrahepatic ducts. Reader confidence tended to increase when supplemented with MRCP+, and inter-reader variability decreased. MRCP+ metrics had good performance in identifying HGS in both extra-hepatic (AUC:0.85) and intra-hepatic ducts (AUC:0.75). Conclusions: MRCP evaluation supported by quantitative metrics tended to increase individual reader confidence and reduce inter-reader variability for detecting HGS. Our results indicate that MRCP+ might help standardize MRCP assessment and subsequent management for patients with PSC. Full article
(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
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27 pages, 1491 KiB  
Article
Spent Nuclear Fuel—Waste to Resource, Part 1: Effects of Post-Reactor Cooling Time and Novel Partitioning Strategies in Advanced Reprocessing on Highly Active Waste Volumes in Gen III(+) UOx Fuel Systems
by Alistair F. Holdsworth, Edmund Ireland and Harry Eccles
J. Nucl. Eng. 2025, 6(3), 29; https://doi.org/10.3390/jne6030029 - 5 Aug 2025
Viewed by 205
Abstract
Some of nuclear power’s primary detractors are the unique environmental challenges and impacts of radioactive wastes generated during fuel cycle operations. Key benefits of spent fuel reprocessing (SFR) are reductions in primary high active waste (HAW) masses, volumes, and lengths of radiotoxicity at [...] Read more.
Some of nuclear power’s primary detractors are the unique environmental challenges and impacts of radioactive wastes generated during fuel cycle operations. Key benefits of spent fuel reprocessing (SFR) are reductions in primary high active waste (HAW) masses, volumes, and lengths of radiotoxicity at the expense of secondary waste generation and high capital and operational costs. By employing advanced waste management and resource recovery concepts in SFR beyond the existing standard PUREX process, such as minor actinide and fission product partitioning, these challenges could be mitigated, alongside further reductions in HAW volumes, masses, and duration of radiotoxicity. This work assesses various current and proposed SFR and fuel cycle options as base cases, with further options for fission product partitioning of the high heat radionuclides (HHRs), rare earths, and platinum group metals investigated. A focus on primary waste outputs and the additional energy that could be generated by the reprocessing of high-burnup PWR fuel from Gen III(+) reactors using a simple fuel cycle model is used; the effects of 5- and 10-year spent fuel cooling times before reprocessing are explored. We demonstrate that longer cooling times are preferable in all cases except where short-lived isotope recovery may be desired, and that the partitioning of high-heat fission products (Cs and Sr) could allow for the reclassification of traditional raffinates to intermediate level waste. Highly active waste volume reductions approaching 50% vs. PUREX raffinate could be achieved in single-target partitioning of the inactive and low-activity rare earth elements, and the need for geological disposal could potentially be mitigated completely if HHRs are separated and utilised. Full article
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26 pages, 6880 KiB  
Article
IgA Nephropathy in Native Kidneys: Oxford and Banff Classifications Reveal Distinct Profiles and Predict Outcomes in Pediatric and Adult Patients
by Danijel Milivojević, Gorana Nikolić, Björn Tampe, Maja Pecić, Snežana Babac, Dušan Paripović, Gordana Miloševski Lomić, Voin Brković, Marko Baralić, Aleksandar Janković, Petar Đurić, Nataša Stajić, Jovana Putnik, Sanja Radojević Škodrić and Maja Životić
Life 2025, 15(8), 1231; https://doi.org/10.3390/life15081231 - 3 Aug 2025
Viewed by 226
Abstract
IgA nephropathy is the most common primary glomerulonephritis, with pathohistological changes described by the Oxford classification, while the Banff classification is used in transplant pathology. This study included 253 patients with IgA nephropathy in native kidneys, divided into the pediatric (n = [...] Read more.
IgA nephropathy is the most common primary glomerulonephritis, with pathohistological changes described by the Oxford classification, while the Banff classification is used in transplant pathology. This study included 253 patients with IgA nephropathy in native kidneys, divided into the pediatric (n = 105) and adult (n = 148) groups. It aimed to examine clinical, and Oxford and Banff morphological parameters in relation to age, correlations of clinical data with pathohistological parameters, and predictors of the disease outcome. Pediatric patients more frequently presented with macroscopic hematuria, while adults showed higher urea and creatinine levels, and lower eGFR. Examining Oxford classification parameters, chronic glomerular and tubulointerstitial lesions were more common in adults. Banff parameters revealed more frequent chronically active glomerular, inflammatory, chronic tubulointerstitial, and vascular lesions in adults. All inflammatory, chronic tubulointerstitial, and vascular parameters correlated with serum urea levels, eGFR and CKD stage in adults, while less frequent in pediatric patients. Tubulointerstitial Oxford and Banff parameters were strong predictors of CKD and proteinuria progression in children, while such predictors were fewer in adults; segmental glomerulosclerosis predicted hematuria progression in adults. Banff parameters (cg, t, ti, i, i-IFTA, ptc, cv), not in Oxford classification, significantly predict outcomes and are recommended for incorporation into IgA nephropathy reports. Full article
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8 pages, 347 KiB  
Article
Localizing Synergies of Hidden Factors in Complex Systems: Resting Brain Networks and HeLa GeneExpression Profile as Case Studies
by Marlis Ontivero-Ortega, Gorana Mijatovic, Luca Faes, Fernando E. Rosas, Daniele Marinazzo and Sebastiano Stramaglia
Entropy 2025, 27(8), 820; https://doi.org/10.3390/e27080820 - 1 Aug 2025
Viewed by 559
Abstract
Factor analysis is a well-known statistical method to describe the variability of observed variables in terms of a smaller number of unobserved latent variables called factors. Even though latent factors are conceptually independent of each other, their influence on the observed variables is [...] Read more.
Factor analysis is a well-known statistical method to describe the variability of observed variables in terms of a smaller number of unobserved latent variables called factors. Even though latent factors are conceptually independent of each other, their influence on the observed variables is often joint and synergistic. We propose to quantify the synergy of the joint influence of factors on the observed variables using O-information, a recently introduced metric to assess high-order dependencies in complex systems; in the proposed framework, latent factors and observed variables are jointly analyzed in terms of their joint informational character. Two case studies are reported: analyzing resting fMRI data, we find that DMN and FP networks show the highest synergy, consistent with their crucial role in higher cognitive functions; concerning HeLa cells, we find that the most synergistic gene is STK-12 (AURKB), suggesting that this gene is involved in controlling the HeLa cell cycle. We believe that our approach, representing a bridge between factor analysis and the field of high-order interactions, will find wide application across several domains. Full article
(This article belongs to the Special Issue Entropy in Biomedical Engineering, 3rd Edition)
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11 pages, 634 KiB  
Article
Comparative Analysis of a Rapid Quantitative Immunoassay to the Reference Methodology for the Measurement of Blood Vitamin D Levels
by Gary R. McLean, Samson Soyemi, Oluwafunmito P. Ajayi, Sandra Fernando, Wiktor Sowinski-Mydlarz, Duncan Stewart, Sarah Illingworth, Matthew Atkins and Dee Bhakta
Methods Protoc. 2025, 8(4), 85; https://doi.org/10.3390/mps8040085 (registering DOI) - 1 Aug 2025
Viewed by 172
Abstract
Vitamin D is the only vitamin that is conditionally essential, as it is synthesized from precursors after UV light exposure, whilst also being obtained from the diet. It has numerous health benefits, with deficiency becoming a major concern globally, such that dietary supplementation [...] Read more.
Vitamin D is the only vitamin that is conditionally essential, as it is synthesized from precursors after UV light exposure, whilst also being obtained from the diet. It has numerous health benefits, with deficiency becoming a major concern globally, such that dietary supplementation has more recently achieved vital importance to maintain satisfactory levels. In recent years, measurements made from blood have, therefore, become critical to determine the status of vitamin D levels in individuals and the larger population. Tests for vitamin D have routinely relied on laboratory analysis with sophisticated equipment, often being slow and costly, whilst rapid immunoassays have suffered from poor specificity and sensitivity. Here, we have evaluated a new rapid immunoassay test on the market (Rapi-D & IgLoo) to quickly and accurately measure vitamin D levels in small capillary blood specimens and compared this to measurements made using the standard laboratory method of liquid chromatography and mass spectrometry. Our results show that vitamin D can be measured very quickly and over a broad range using the new method, as well as correlate relatively well with standard laboratory testing; however, it cannot be fully relied upon currently to accurately diagnose deficiency or sufficiency in individuals. Our statistical and comparative analyses find that the rapid immunoassay with digital quantification significantly overestimates vitamin D levels, leading to diminished diagnosis of vitamin D deficiency. The speed and simplicity of the rapid method will likely provide advantages in various healthcare settings; however, further calibration of this rapid method and testing parameters for improving quantification of vitamin D from capillary blood specimens is required before integration of it into clinical decision-making pathways. Full article
(This article belongs to the Section Omics and High Throughput)
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14 pages, 1483 KiB  
Article
Molecular Dynamics Simulation of PFAS Adsorption on Graphene for Enhanced Water Purification
by Bashar Awawdeh, Matteo D’Alessio, Sasan Nouranian, Ahmed Al-Ostaz, Mine Ucak-Astarlioglu and Hunain Alkhateb
ChemEngineering 2025, 9(4), 83; https://doi.org/10.3390/chemengineering9040083 - 1 Aug 2025
Viewed by 159
Abstract
The contamination of drinking water by per- and polyfluoroalkyl substances (PFASs) presents a global concern due to their extreme persistence, driven by strong C–F bonds. This study investigated the potential of graphene as a filtration material for PFAS removal, focusing on six key [...] Read more.
The contamination of drinking water by per- and polyfluoroalkyl substances (PFASs) presents a global concern due to their extreme persistence, driven by strong C–F bonds. This study investigated the potential of graphene as a filtration material for PFAS removal, focusing on six key compounds regulated by the U.S. EPA: PFOA, PFNA, GenX, PFBS, PFOS, and PFHxS. Using molecular simulations, adsorption energy, diffusion coefficients, and PFAS-to-graphene distances were analyzed. The results showed that adsorption strength increased with molecular weight; PFOS (500 g/mol) exhibited the strongest adsorption (−171 kcal/mol). Compounds with sulfonic acid head groups (e.g., PFOS) had stronger interactions than those with carboxylate groups (e.g., PFNA), highlighting the importance of head group chemistry. Shorter graphene-to-PFAS distances also aligned with higher adsorption energies. PFOS, for example, had the shortest distance at 8.23 Å (head) and 6.15 Å (tail) from graphene. Diffusion coefficients decreased with increasing molecular weight and carbon chain length, with lower molecules like PFBS (four carbon atoms) diffusing more rapidly than heavier ones like PFOS and PFNA. Interestingly, graphene enhanced PFAS mobility in water, likely by disrupting the water structure and lowering intermolecular resistance. These results highlight graphene’s promise as a high-performance material for PFAS removal and future water purification technologies. Full article
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31 pages, 2831 KiB  
Article
Structural Diversity and Biodiversity of Forest and Hedgerow in Areas Managed for Pheasant Shooting Across the UK
by Peter R. Long, Leo Petrokofsky, William J. Harvey, Paul Orsi, Matthew W. Jordon and Gillian Petrokofsky
Forests 2025, 16(8), 1249; https://doi.org/10.3390/f16081249 - 1 Aug 2025
Viewed by 222
Abstract
Management for pheasant shooting is a widespread land use in the UK, with potential implications for forest and hedgerow habitats. This study evaluates whether sites managed for pheasant shooting differ ecologically from similar sites not used for shooting. A systematic evidence evaluation of [...] Read more.
Management for pheasant shooting is a widespread land use in the UK, with potential implications for forest and hedgerow habitats. This study evaluates whether sites managed for pheasant shooting differ ecologically from similar sites not used for shooting. A systematic evidence evaluation of comparative studies was combined with a spatial analysis using remote sensing data (2010–2024). The literature review identified only 32 studies meeting strict criteria for comparability, revealing inconsistent and often weak evidence, with few studies reporting detailed forest management or statistically robust outcomes. While some studies noted increased or decreased biodiversity associated with pheasant shooting, the evidence base was generally of low quality. Remote sensing assessed forest structural and spectral diversity, intactness, and hedgerow density across 1131 pheasant-managed and 1131 matched control sites. Biodiversity data for birds, plants, and butterflies were sourced from GBIF records. Structural diversity and hedgerow density were significantly higher on pheasant-managed sites, while no significant differences were found in forest spectral diversity, intactness, or biodiversity indicators. Pheasant management may shape certain habitat features but has limited demonstrable effects on overall biodiversity. Further field-based, controlled studies are required to understand causal mechanisms and inform ecologically sustainable shooting practices. Full article
(This article belongs to the Special Issue Biodiversity and Ecosystem Functions in Forests)
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19 pages, 474 KiB  
Article
An Interpretive Phenomenological Inquiry into Type 1 Diabetes and Work
by Emma Victoria Shiel, Steve Hemingway, Rajeeb Kumar Sah and Kim Burton
Int. J. Environ. Res. Public Health 2025, 22(8), 1200; https://doi.org/10.3390/ijerph22081200 - 31 Jul 2025
Viewed by 571
Abstract
There is little qualitative research on the support needed by workers with type 1 diabetes to effectively self-manage at work and maintain work ability. In this UK study, 21 workers with type 1 diabetes participated in semi-structured interviews. The interviews were transcribed and [...] Read more.
There is little qualitative research on the support needed by workers with type 1 diabetes to effectively self-manage at work and maintain work ability. In this UK study, 21 workers with type 1 diabetes participated in semi-structured interviews. The interviews were transcribed and analysed using interpretive phenomenological analysis and then characterised under the Psychosocial Flags Framework. Findings highlighted several obstacles to maintaining self-management, including systemic workplace issues (black flags), individual attitudes and beliefs (yellow flags), and workplace issues (blue flags). Participants generally lacked confidence in voicing their needs, emphasising a requirement for a more supportive, inclusive workplace culture. This indicates a need for employers to foster an environment where workers with T1D feel comfortable seeking support without penalty. Addressing unhelpful perceptions of T1D seems key to this, making increased knowledge and awareness crucial for the harmonious integration of T1D with work. But delivering effective interventions may be challenging, since they must account for the complex biopsychosocial interplay of obstacles to work ability that this qualitative investigation emphasises. Full article
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13 pages, 2893 KiB  
Article
Vaccine Attitudes, Knowledge, and Confidence Among Nursing, Pediatric Nursing, and Midwifery Undergraduate Students in Italy
by Ersilia Buonomo, Daniele Di Giovanni, Gaia Piunno, Stefania Moramarco, Giuliana D’Elpidio, Ercole Vellone, Enkeleda Gjini, Mariachiara Carestia, Cristiana Ferrari and Luca Coppeta
Vaccines 2025, 13(8), 813; https://doi.org/10.3390/vaccines13080813 - 30 Jul 2025
Viewed by 200
Abstract
Background: Vaccine hesitancy (VH) represents a growing concern among healthcare professionals and students, potentially undermining public health efforts. Nursing, pediatric nursing, and midwifery students are future vaccinators and educators, making it essential to understand their attitudes, knowledge, and confidence toward vaccination. This study [...] Read more.
Background: Vaccine hesitancy (VH) represents a growing concern among healthcare professionals and students, potentially undermining public health efforts. Nursing, pediatric nursing, and midwifery students are future vaccinators and educators, making it essential to understand their attitudes, knowledge, and confidence toward vaccination. This study aims to assess vaccine-related perceptions and behaviors among these student populations in an Italian university. Methods: A cross-sectional survey was conducted between November 2022 and February 2024 at the University of Rome “Tor Vergata”. A structured, anonymous questionnaire, including the Vaccination Attitudes Examination (VAX) scale, vaccine knowledge items, and sources of information, was administered to students in nursing (n = 205), pediatric nursing (n = 46), and midwifery (n = 21). Statistical analyses included descriptive statistics, ANOVA, post hoc tests, and Mann–Whitney U tests. Results: Among the 272 participants, 20.6% reported refusing at least one recommended vaccine, and 18.4% delayed vaccination for non-medical reasons. Vaccine knowledge and confidence increased significantly with academic progression (p < 0.001). Midwifery students showed both the highest concern for long-term vaccine effects and the greatest confidence in vaccine safety. Institutional and scientific sources were the most trusted, though traditional and non-institutional media also influenced perceptions, particularly among midwifery students. Conclusions: Despite high COVID-19 vaccine uptake, VH persists among health professional students. Discipline-specific patterns highlight the need for early, targeted educational strategies to enhance vaccine literacy and reduce hesitancy. Tailored training may empower future professionals to become informed and credible advocates for vaccination. Full article
(This article belongs to the Special Issue Acceptance and Hesitancy in Vaccine Uptake: 2nd Edition)
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12 pages, 558 KiB  
Review
The Challenge of Rebuilding Gaza’s Health System: A Narrative Review Towards Sustainability
by Eduardo Missoni and Kasturi Sen
Healthcare 2025, 13(15), 1860; https://doi.org/10.3390/healthcare13151860 - 30 Jul 2025
Viewed by 1081
Abstract
Background: Since the election of Hamas in 2006, Gaza has endured eight major military conflicts, culminating in the ongoing 2023–2025 war, now surpassing 520 days. This protracted violence, compounded by a 17-year blockade, has resulted in the near-total collapse of Gaza’s health [...] Read more.
Background: Since the election of Hamas in 2006, Gaza has endured eight major military conflicts, culminating in the ongoing 2023–2025 war, now surpassing 520 days. This protracted violence, compounded by a 17-year blockade, has resulted in the near-total collapse of Gaza’s health system. Over 49,000 deaths, widespread displacement, and the destruction of more than 60% of health infrastructure have overwhelmed both local capacity and international humanitarian response. Objectives: This narrative review aims to examine and synthesize the current literature (October 2023–April 2025) on the health crisis in Gaza, with a specific focus on identifying key themes and knowledge gaps relevant to rebuilding a sustainable health system. The review also seeks to outline strategic pathways for recovery in the context of ongoing conflict and systemic deprivation. Methods: Given the urgency and limitations of empirical data from conflict zones, a narrative review approach was adopted. Fifty-two sources—including peer-reviewed articles, editorials, reports, and correspondence—were selected through targeted searches using Medline and Google Scholar. The analysis was framed within a public health and political economy perspective, also taking health system building blocks into consideration. Results: The reviewed literature emphasizes emergency needs: trauma care, infectious disease control, and supply chain restoration. Innovations such as mobile clinics and telemedicine offer interim solutions. Gaps include limited attention to mental health (including that of health workers), local governance, and sustainable planning frameworks. Conclusions: Sustainable reconstruction requires a durable ceasefire; international stewardship aligned with local ownership; and a phased, equity-driven strategy emphasizing primary care, mental health, trauma management, and community engagement. Full article
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40 pages, 910 KiB  
Review
Impact of Indoor Air Quality, Including Thermal Conditions, in Educational Buildings on Health, Wellbeing, and Performance: A Scoping Review
by Duncan Grassie, Kaja Milczewska, Stijn Renneboog, Francesco Scuderi and Sani Dimitroulopoulou
Environments 2025, 12(8), 261; https://doi.org/10.3390/environments12080261 - 30 Jul 2025
Viewed by 579
Abstract
Educational buildings, including schools, nurseries and universities, face stricter regulation and design control on indoor air quality (IAQ) and thermal conditions than other built environments, as these may affect children’s health and wellbeing. In this scoping review, wide-ranging health, performance, and absenteeism consequences [...] Read more.
Educational buildings, including schools, nurseries and universities, face stricter regulation and design control on indoor air quality (IAQ) and thermal conditions than other built environments, as these may affect children’s health and wellbeing. In this scoping review, wide-ranging health, performance, and absenteeism consequences of poor—and benefits of good—IAQ and thermal conditions are evaluated, focusing on source control, ventilation and air purification interventions. Economic impacts of interventions in educational buildings have been evaluated to enable the assessment of tangible building-related costs and savings, alongside less easily quantifiable improvements in educational attainment and reduced healthcare. Key recommendations are provided to assist decision makers in pathways to provide clean air, at an optimal temperature for students’ learning and health outcomes. Although the role of educational buildings can be challenging to isolate from other socio-economic confounders, secondary short- and long-term impacts on attainment and absenteeism have been demonstrated from the health effects associated with various pollutants. Sometimes overlooked, source control and repairing existing damage can be important cost-effective methods in minimising generation and preventing ingress of pollutants. Existing ventilation standards are often not met, even when mechanical and hybrid ventilation systems are already in place, but can often be achieved with a fraction of a typical school budget through operational and maintenance improvements, and small-scale air-cleaning and ventilation technologies, where necessary. Full article
(This article belongs to the Special Issue Air Pollution in Urban and Industrial Areas III)
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