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17 pages, 1448 KiB  
Article
Nursery Propagation Systems for High-Quality Strawberry (Fragaria × ananassa Duch.) Plug Plant Production from Micropropagated, Soilless-Grown Mother Plants
by Valentina Morresi, Franco Capocasa, Francesca Balducci, Jacopo Diamanti and Bruno Mezzetti
Horticulturae 2025, 11(8), 888; https://doi.org/10.3390/horticulturae11080888 (registering DOI) - 1 Aug 2025
Viewed by 163
Abstract
The commercial propagation of strawberries is increasingly constrained by the incidence of both established and emerging soilborne pathogens, particularly under soil cultivation systems. Micropropagation represents an effective strategy to ensure the production of virus-free, true-to-type mother plants suitable for high-efficiency propagation. In this [...] Read more.
The commercial propagation of strawberries is increasingly constrained by the incidence of both established and emerging soilborne pathogens, particularly under soil cultivation systems. Micropropagation represents an effective strategy to ensure the production of virus-free, true-to-type mother plants suitable for high-efficiency propagation. In this study, micropropagated mother plants of four short-day cultivars (‘Francesca’, ‘Silvia’, ‘Lauretta’, and ‘Dina’) and one ever-bearing advanced selection (‘AN12,13,58’) were cultivated under a controlled soilless system. Quantitative parameters including number of runners per plant, runner length, and number of tips per runner and per plant were assessed to evaluate propagation performance. Micropropagated mother plants exhibited a significantly higher stoloniferous potential compared to in vivo-derived mother plants (frigo plants type A), with the latter producing approximately 50% fewer propagules. Rooted tips of ‘Dina’ were further assessed under different fertigation regimes. The NPK 20–20–20 nutrient solution enhanced photosynthetic activity and shoot and root biomass (length, diameter, and volume via WinRHIZO analysis). These results confirm the suitability of micropropagated mother plants grown in soilless conditions for efficient, high-quality clonal propagation and support the integration of such systems into certified nursery production schemes. Full article
(This article belongs to the Section Propagation and Seeds)
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16 pages, 2125 KiB  
Review
A Quantitative Literature Review on Forest-Based Practices for Human Well-Being
by Alessandro Paletto, Sofia Baldessari, Elena Barbierato, Iacopo Bernetti, Arianna Cerutti, Stefania Righi, Beatrice Ruggieri, Alessandra Landi, Sandra Notaro and Sandro Sacchelli
Forests 2025, 16(8), 1246; https://doi.org/10.3390/f16081246 - 30 Jul 2025
Viewed by 463
Abstract
Over the last decade, the scientific community has increasingly focused on forest-based practices for human well-being (FBPW), a term that includes all forest activities (e.g., forest bathing, forest therapy, social outdoor initiatives) important for improving people’s health and emotional status. This paper aims [...] Read more.
Over the last decade, the scientific community has increasingly focused on forest-based practices for human well-being (FBPW), a term that includes all forest activities (e.g., forest bathing, forest therapy, social outdoor initiatives) important for improving people’s health and emotional status. This paper aims to develop a quantitative literature review on FBPW based on big data analysis (text mining on Scopus title and abstract) and PRISMA evaluation. The two techniques facilitate investigations across different geographic areas (major areas and geographical regions) and allow a focus on various topics. The results of text mining highlight the prominence of publications on FBPW for the improvement of human health in East Asia (e.g., Japan and South Korea). Furthermore, some specific themes developed by the literature for each geographical area emerge: urban green areas, cities, and parks in Africa; sustainable forest management and planning in the Americas; empirical studies on physiological and psychological effects of FBPW in Asia; and forest management and FBPW in Europe. PRISMA indicates a gap in studies focused on the reciprocal influences of forest variables and well-being responses. An investigation of the main physiological indicators applied in the scientific literature for the theme is also developed. The main strengths and weaknesses of the method are discussed, with suggestions for potential future lines of research. Full article
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11 pages, 3356 KiB  
Article
Probing the pH Effect on Boehmite Particles in Water Using Vacuum Ultraviolet Single-Photon Ionization Mass Spectrometry
by Xiao Sui, Bo Xu and Xiao-Ying Yu
Int. J. Mol. Sci. 2025, 26(15), 7254; https://doi.org/10.3390/ijms26157254 - 27 Jul 2025
Viewed by 243
Abstract
Boehmite has been widely used in theoretical research and industry, especially for hazardous material processing. For the liquid-phase treating process, the interfacial properties of boehmite are believed to be affected by pH conditions, which change its physicochemical behavior. However, molecular-level detection on cluster [...] Read more.
Boehmite has been widely used in theoretical research and industry, especially for hazardous material processing. For the liquid-phase treating process, the interfacial properties of boehmite are believed to be affected by pH conditions, which change its physicochemical behavior. However, molecular-level detection on cluster ions is challenging when using bulk approaches. Herein we employ in situ vacuum ultraviolet single-photon ionization mass spectrometry (VUV SPI-MS) coupled with a vacuum-compatible microreactor system for analysis at the liquid–vacuum interface (SALVI) to investigate the solute molecular composition of boehmite under different pH conditions for the first time. The mass spectral results show that more complex clustering of solute molecules exists at the solid–liquid (s–l) interface than conventionally perceived in a “simple” aqueous solution. Besides solute ions, such as boehmite molecules and fragments, the composition and appearance energies of these newly discovered solvated cluster ions are determined by VUV SPI-MS in different pH solutions. We offer new results for the pH-dependent effect of boehmite and provide insights into a more detailed solvation mechanism at the s–l interface. By comparing the key products under different pH conditions, fundamental understanding of boehmite dissolution is revealed to assist the engineering design of waste processing and storage solutions. Full article
(This article belongs to the Special Issue Ion and Molecule Transport in Membrane Systems, 6th Edition)
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21 pages, 2789 KiB  
Article
BIM-Based Adversarial Attacks Against Speech Deepfake Detectors
by Wendy Edda Wang, Davide Salvi, Viola Negroni, Daniele Ugo Leonzio, Paolo Bestagini and Stefano Tubaro
Electronics 2025, 14(15), 2967; https://doi.org/10.3390/electronics14152967 - 24 Jul 2025
Viewed by 239
Abstract
Automatic Speaker Verification (ASV) systems are increasingly employed to secure access to services and facilities. However, recent advances in speech deepfake generation pose serious threats to their reliability. Modern speech synthesis models can convincingly imitate a target speaker’s voice and generate realistic synthetic [...] Read more.
Automatic Speaker Verification (ASV) systems are increasingly employed to secure access to services and facilities. However, recent advances in speech deepfake generation pose serious threats to their reliability. Modern speech synthesis models can convincingly imitate a target speaker’s voice and generate realistic synthetic audio, potentially enabling unauthorized access through ASV systems. To counter these threats, forensic detectors have been developed to distinguish between real and fake speech. Although these models achieve strong performance, their deep learning nature makes them susceptible to adversarial attacks, i.e., carefully crafted, imperceptible perturbations in the audio signal that make the model unable to classify correctly. In this paper, we explore adversarial attacks targeting speech deepfake detectors. Specifically, we analyze the effectiveness of Basic Iterative Method (BIM) attacks applied in both time and frequency domains under white- and black-box conditions. Additionally, we propose an ensemble-based attack strategy designed to simultaneously target multiple detection models. This approach generates adversarial examples with balanced effectiveness across the ensemble, enhancing transferability to unseen models. Our experimental results show that, although crafting universally transferable attacks remains challenging, it is possible to fool state-of-the-art detectors using minimal, imperceptible perturbations, highlighting the need for more robust defenses in speech deepfake detection. Full article
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15 pages, 1796 KiB  
Systematic Review
Treadmill Training in Patients with Parkinson’s Disease: A Systematic Review and Meta-Analysis on Rehabilitation Outcomes
by Elisa Boccali, Carla Simonelli, Beatrice Salvi, Mara Paneroni, Michele Vitacca and Davide Antonio Di Pietro
Brain Sci. 2025, 15(8), 788; https://doi.org/10.3390/brainsci15080788 - 24 Jul 2025
Viewed by 342
Abstract
Background/Objectives: Parkinson’s disease (PD) is a neurodegenerative disorder that impairs mobility. Treadmill training (TT) is a common rehabilitation strategy for improving gait parameters in individuals with PD. This systematic review evaluated the effectiveness of TT in improving motor function, walking ability, and [...] Read more.
Background/Objectives: Parkinson’s disease (PD) is a neurodegenerative disorder that impairs mobility. Treadmill training (TT) is a common rehabilitation strategy for improving gait parameters in individuals with PD. This systematic review evaluated the effectiveness of TT in improving motor function, walking ability, and overall functional mobility in PD patients. Methods: We compared TT to other forms of gait and motor rehabilitation, including conventional and robotic gait training. Trials that compared a treadmill training group with a non-intervention group were excluded from this review. We searched multiple databases for RCTs involving Parkinson’s patients until January 2025. The primary outcomes were motor function (UPDRS-III) and walking ability (6 MWT and TUG test). Results: We identified 285 articles; 199 were excluded after screening. We assessed the full text of 86 articles for eligibility, and 13 RCTs met the inclusion criteria. Some of them were included in the meta-analysis. The TT group showed a significant improvement in UPDRS-III scores [mean difference (MD): −1.36 (95% CI: −2.60 to −0.11)] and greater improvement in TUG performance [MD, −1.75 (95% CI: −2.69 to −0.81)]. No significant difference in walking capacity as assessed through the 6 MWT was observed [MD: 26.03 (95% CI: −6.72 to 58.77). Conclusions: The current study suggests that TT is effective in improving the motor symptoms and functional mobility associated with PD. Further studies are needed to develop protocols that consider the patients’ clinical characteristics, disease stage, exercise tolerance, and respiratory function. Full article
(This article belongs to the Special Issue Outcome Measures in Rehabilitation)
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21 pages, 4393 KiB  
Article
Lightweight and Sustainable Steering Knuckle via Topology Optimization and Rapid Investment Casting
by Daniele Almonti, Daniel Salvi, Emanuele Mingione and Silvia Vesco
J. Manuf. Mater. Process. 2025, 9(8), 252; https://doi.org/10.3390/jmmp9080252 - 24 Jul 2025
Viewed by 401
Abstract
Considering the importance of the automotive industry, reducing the environmental impact of automotive component manufacturing is crucial. Additionally, lightening of the latter promotes a reduction in fuel consumption throughout the vehicle’s life cycle, limiting emissions. This study presents a comprehensive approach to optimizing [...] Read more.
Considering the importance of the automotive industry, reducing the environmental impact of automotive component manufacturing is crucial. Additionally, lightening of the latter promotes a reduction in fuel consumption throughout the vehicle’s life cycle, limiting emissions. This study presents a comprehensive approach to optimizing and manufacturing a MacPherson steering knuckle using topology optimization (TO), additive manufacturing, and rapid investment casting (RIC). Static structural simulations confirmed the mechanical integrity of the optimized design, with stress and strain values remaining within the elastic limits of the SG A536 iron alloy. The TO process achieved a 30% reduction in mass, resulting in lower material use and production costs. Additive manufacturing of optimized geometry reduced resin consumption by 27% and printing time by 9%. RIC simulations validated efficient mold filling and solidification, with porosity confined to removable riser regions. Life cycle assessment (LCA) demonstrated a 27% reduction in manufacturing environmental impact and a 31% decrease throughout the component life cycle, largely due to vehicle lightweighting. The findings highlight the potential of integrated TO and advanced manufacturing techniques to produce structurally efficient and environmentally sustainable automotive components. This workflow offers promising implications for broader industrial applications that aim to balance mechanical performance with ecological responsibility. Full article
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10 pages, 232 KiB  
Article
Long-Term Pulmonary Function in Healthcare Workers: A Spirometric Evaluation Three Years Post-COVID-19 Pandemic
by Lorenzo Ippoliti, Luca Coppeta, Giuseppe Bizzarro, Cristiana Ferrari, Andrea Mazza, Agostino Paolino, Claudia Salvi, Laura Angelini, Cristina Brugaletta, Matteo Pasanisi, Antonio Pietroiusti and Andrea Magrini
Biomedicines 2025, 13(8), 1809; https://doi.org/10.3390/biomedicines13081809 - 24 Jul 2025
Viewed by 242
Abstract
Background: The long-term impact of SARS-CoV-2 infection on pulmonary function remains insufficiently characterised, particularly among individuals who have experienced mild or asymptomatic disease. This study aimed to assess spirometric changes over a three-year period and evaluate potential associations with demographic and clinical [...] Read more.
Background: The long-term impact of SARS-CoV-2 infection on pulmonary function remains insufficiently characterised, particularly among individuals who have experienced mild or asymptomatic disease. This study aimed to assess spirometric changes over a three-year period and evaluate potential associations with demographic and clinical variables. Methods: We retrospectively analysed spirometry data from 103 healthcare workers (HCWs) who underwent pulmonary function tests at three time points: before the pandemic (Time 0), one year post-pandemic (Time 1), and two years post-pandemic (Time 2). Linear regression models were employed to evaluate the impact of various factors, including age, BMI, gender, smoking status, history of SARS-CoV-2 infection, vaccination status prior to infection, and the number of infections, on changes in FVC and FEV1. Results: A statistically significant decrease in both FVC and FEV1 were observed at Time 1 and Time 2 compared to baseline (p < 0.05). Smoking habits were significantly associated with a greater decline in both FVC and FEV1. Multiple infections were associated with larger reductions in FVC at Time 1. No significant associations were found with age, gender, BMI, or vaccination status. Even in the absence of severe symptoms of the disease, healthcare workers exhibited a measurable decline in pulmonary function over time. Smoking and reinfection emerged as relevant factors associated with reduced lung capacity. Conclusions: These findings emphasise the need for ongoing respiratory monitoring in occupational settings and the importance of targeted preventive measures. Full article
9 pages, 222 KiB  
Article
Evaluation of Anti-HB Levels in a Multi-Ethnic Cohort of Health Profession Students
by Lorenzo Ippoliti, Andrea Pizzo, Agostino Paolino, Luca Coppeta, Giuseppe Bizzarro, Cristiana Ferrari, Andrea Mazza, Claudia Salvi, Ersilia Buonomo, Fabian Cenko, Andrea Magrini and Antonio Pietroiusti
Vaccines 2025, 13(7), 771; https://doi.org/10.3390/vaccines13070771 - 21 Jul 2025
Viewed by 298
Abstract
Background: Despite the widespread implementation of childhood vaccination programmes, hepatitis B virus (HBV) infection remains an ongoing occupational risk for healthcare students. In multi-ethnic and international university settings, differences in vaccination programmes and immune responses must be considered. This retrospective study aimed to [...] Read more.
Background: Despite the widespread implementation of childhood vaccination programmes, hepatitis B virus (HBV) infection remains an ongoing occupational risk for healthcare students. In multi-ethnic and international university settings, differences in vaccination programmes and immune responses must be considered. This retrospective study aimed to assess the prevalence of protective levels of anti-HBs among medical students at an international university in Rome, exploring associations with demographic and vaccination-related factors. Methods: Data were collected from routine occupational health surveillance conducted in 2023. Anti-HB titres were measured in 507 students, and information on age, sex, country of birth, age at vaccination, and time since the last dose was analysed. Results: Overall, 55.0% of students had antibody levels of at least 10 mIU/mL, indicating serological protection. Higher seroprotection rates were observed among students vaccinated in the first year of life compared to those vaccinated later. A significant decline in antibody titres was also associated with longer intervals since vaccination. Students born outside Europe tended to show lower levels of protection. Conclusions: These results emphasise the importance of screening future healthcare professionals and continuously monitoring antibody titres to help reduce HBV infections. Full article
(This article belongs to the Section Hepatitis Virus Vaccines)
23 pages, 43055 KiB  
Article
Tumor-Associated Macrophages and Collagen Remodeling in Mammary Carcinomas: A Comparative Analysis in Dogs and Humans
by Ana Paula Vargas Garcia, Marisa Salvi, Luana Aparecida Reis, Bárbara Regina Melo Ribeiro, Cristiana Buzelin Nunes, Ana Maria de Paula and Geovanni Dantas Cassali
Int. J. Mol. Sci. 2025, 26(14), 6928; https://doi.org/10.3390/ijms26146928 - 18 Jul 2025
Viewed by 470
Abstract
The tumor microenvironment (TME) plays a central role in cancer progression, with tumor-associated macrophages (TAMs) and extracellular matrix (ECM) components such as collagen being key modulators of invasiveness and immune regulation. Although macrophage infiltration and ECM remodeling are well-documented individually, their coordinated contribution [...] Read more.
The tumor microenvironment (TME) plays a central role in cancer progression, with tumor-associated macrophages (TAMs) and extracellular matrix (ECM) components such as collagen being key modulators of invasiveness and immune regulation. Although macrophage infiltration and ECM remodeling are well-documented individually, their coordinated contribution to mammary carcinoma aggressiveness remains underexplored, particularly in comparative oncology models. This study analyzed 117 mammary carcinoma samples—59 from dogs and 58 from women—using immunohistochemistry, immunofluorescence, and second-harmonic-generation (SHG) microscopy. We quantified TAM density and phenotype (CD206, iNOS, and S100A8/A9), assessed collagen fiber organization, and examined correlations with clinical–pathological variables and overall survival. Increased TAM infiltration was associated with a higher histological grade, aggressive molecular subtypes, enhanced cell proliferation, and shortened survival in dogs. High TAM density also correlated with decreased collagen fiber length and increased alignment, suggesting active immune–matrix remodeling in aggressive tumors. Macrophage phenotyping revealed heterogeneous populations, with CD206+ cells predominating in high-grade tumors, while S100A8/A9+/iNOS+ phenotypes were enriched in less aggressive subtypes. The findings were consistent across species, reinforcing the relevance of canine models. Our results identify macrophage–collagen interactions as critical determinants of tumor aggressiveness in mammary carcinomas. This study bridges comparative oncology and translational research by proposing immune–ECM signatures as potential prognostic biomarkers and therapeutic targets. These insights contribute to the advancement of molecular oncology in Brazil by supporting innovative strategies that integrate immune modulation and matrix-targeted interventions in breast cancer. Full article
(This article belongs to the Special Issue State-of-the-Art Molecular Oncology in Brazil, 3rd Edition)
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17 pages, 678 KiB  
Article
Validation of the Alcohol Use Questionnaire (AUQ) in the Italian Context: A Measure for Assessing Alcohol Intake and Binge Drinking
by Eleonora Topino and Alessio Gori
Eur. J. Investig. Health Psychol. Educ. 2025, 15(7), 137; https://doi.org/10.3390/ejihpe15070137 - 17 Jul 2025
Viewed by 292
Abstract
An accurate assessment of alcohol consumption is essential for identifying at-risk individuals and informing prevention and intervention strategies. The present study aimed to validate the Italian version of the Alcohol Use Questionnaire (AUQ), a self-report instrument designed to assess both general alcohol intake [...] Read more.
An accurate assessment of alcohol consumption is essential for identifying at-risk individuals and informing prevention and intervention strategies. The present study aimed to validate the Italian version of the Alcohol Use Questionnaire (AUQ), a self-report instrument designed to assess both general alcohol intake and binge drinking patterns. A sample of 378 Italian participants (54.5% female; Mage = 26.76 years, SD = 8.44) completed the AUQ along with additional measures assessing binge eating and psychological vulnerabilities related to addiction. Confirmatory factor analysis supported a bifactor model reflecting two distinct but related dimensions: general intake and binge drinking. Network analysis highlighted the central role of perceived frequency of intoxication within the structure of alcohol-related behaviors. Both AUQ indices showed good internal consistency and significant associations with external variables, particularly impulsivity, dissociation, and affect dysregulation, supporting construct validity. The Italian AUQ emerges as a valid and reliable tool for assessing alcohol use patterns and may be useful in both research and clinical practice. Full article
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26 pages, 819 KiB  
Article
META—Measurement for Evolution, Transformation, and Autorealization: A New Assessment Protocol
by Alessio Gori and Eleonora Topino
Behav. Sci. 2025, 15(7), 942; https://doi.org/10.3390/bs15070942 - 11 Jul 2025
Viewed by 368
Abstract
Self-realization, a multifaceted concept, has long been a subject of interest in the scientific literature. Given its profound impact on overall well-being and work-related satisfaction, the development of instruments capturing its complexity assumes significant relevance. Therefore, this study presents the development and validation [...] Read more.
Self-realization, a multifaceted concept, has long been a subject of interest in the scientific literature. Given its profound impact on overall well-being and work-related satisfaction, the development of instruments capturing its complexity assumes significant relevance. Therefore, this study presents the development and validation of the META—Measurement for Evolution, Transformation, and Autorealization, a self-report measure designed to assess the propensity for self-realization. The study involved a sample of 634 participants, who completed a survey comprising the META, Satisfaction with Life Scale, Career Adapt-Abilities Scale, General Self-Efficacy Scale, Insight Orientation Scale, and 10-item Connor–Davidson Resilience Scale. The analyses confirmed the statistical solidity of the three hypothesized sections; Part A (Evolutionary Thrust), including Sense of life, Spirit of service, Self-Authorizing, Self-Centering, and Internal Drive for Realization; Part B (Transformative Adaptation), including Propensity for transformation, Distress to change, Adaptability, and Fullness of the Experience; Part C (Work Attitude), including Social Service and Care, Administrative and Office Works, Entrepreneurship, Customer Service and Hospitality, and Manual activities. Factor analyses supported the structural validity of the three hypothesized sections of the META, and all subscales showed good to excellent internal consistency. Significant correlations between the META dimensions/subdimensions and self-realization or well-being outcomes also emerged. The META showed excellent psychometric properties and may be used in various fields, promoting advancements in research and practices supporting well-being and personal fulfilment. Full article
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22 pages, 2245 KiB  
Article
XPS Monitoring of Calcarenite Building Walls Long Exposed Outdoors: Estimation of Deterioration Trend from the Time Sequence of Curve-Fitted Spectra and PCA Exploration of the Large Dataset
by Maria A. Acquavia, Francesco Cardellicchio, Mariangela Curcio, Fausto Langerame, Anna M. Salvi, Laura Scrano and Carmen Tesoro
Appl. Sci. 2025, 15(14), 7741; https://doi.org/10.3390/app15147741 - 10 Jul 2025
Viewed by 203
Abstract
A temporal monitoring of monumental buildings in calcarenite, exposed outdoors in the considered Mediterranean environment of Southern Italy, was performed using XPS, the surface-specific technique. The methodology adopted to monitor the surfaces interacting with atmospheric agents and biotic/abiotic pollutants involved progressive sampling, extended [...] Read more.
A temporal monitoring of monumental buildings in calcarenite, exposed outdoors in the considered Mediterranean environment of Southern Italy, was performed using XPS, the surface-specific technique. The methodology adopted to monitor the surfaces interacting with atmospheric agents and biotic/abiotic pollutants involved progressive sampling, extended to about five years, from the walls of a new building, specifically installed in the immediate vicinity of an ancient farmhouse in an advanced state of degradation. Taking the ancient building as the final temporal reference, the aim was to obtain adequate information on the degradation processes of calcarenitic stones, from the initial and evolving phases of the new building towards those representative of the old reference. A large set of XPS data was obtained by resolving, through curve-fitting, the acquired spectra into component peaks, identified as ‘indicator’ chemical groups, which trend as a function of time, supported by PCA, demonstrates a close compositional similarity between the samples of the new building analyzed after 52 months from its installation and those of the ancient building dating back to over a century ago. The results obtained can be considered in the diagnostic strategy of the ongoing PNRR programs dedicated to the care of historical monuments and ecosystem sustainability. Full article
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14 pages, 1402 KiB  
Article
E-Gastryal® + Magnesium Alginate Plus PPI vs. PPI Alone in GERD: Results from the GENYAL® Randomized Controlled Trial
by Cristiano Spada, Daniele Salvi, Silvia Pecere, Francesca Mangiola, Simone Varca, Serban Rosu, Vora Prateek, Petru Vasile Ciobanca, Adrian Goldis, Dionisio Franco Barattini and Guido Costamagna
J. Clin. Med. 2025, 14(13), 4794; https://doi.org/10.3390/jcm14134794 - 7 Jul 2025
Viewed by 539
Abstract
Background: Up to one-third of patients with gastroesophageal reflux disease (GERD) have persistent symptoms despite proton-pump inhibitor (PPI) therapy. E-Gastryal® + MgAlg (Aurora Biofarma, Italy) is a mucosal protective agent that enhances barrier function against acid and non-acidic reflux. This study [...] Read more.
Background: Up to one-third of patients with gastroesophageal reflux disease (GERD) have persistent symptoms despite proton-pump inhibitor (PPI) therapy. E-Gastryal® + MgAlg (Aurora Biofarma, Italy) is a mucosal protective agent that enhances barrier function against acid and non-acidic reflux. This study assessed its efficacy in combination with omeprazole versus omeprazole alone and as maintenance therapy. Methods: Patients with symptomatic GERD and Grade A reflux esophagitis confirmed by endoscopy were randomized to receive omeprazole 20 mg plus E-Gastryal® + MgAlg or omeprazole 20 mg alone. The primary endpoint was the number of rescue medications used over 28 days. Secondary endpoints included symptom relief and quality-of-life assessments using the Reflux Symptom Index (RSI), Gastroesophageal Reflux Disease Impact Scale (GIS), GERD-Health-Related Quality of Life (GERD-HRQL), and Global Assessment of Performance (IGAP). Results: Ninety-six patients were included. The combination group used significantly fewer rescue medications (mean: 21 vs. 40.9 tablets; p = 0.002). At week 4, the combination group showed greater improvement in RSI, GIS, and GERD-HRQL scores (p < 0.001). Symptom relief was sustained during weeks 5–26 with E-Gastryal® + MgAlg alone. Conclusions: E-Gastryal® + MgAlg combined with omeprazole improves symptom control compared to PPI monotherapy. Continued use as maintenance therapy supports its role in long-term GERD management (NCT04130659). Full article
(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
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14 pages, 339 KiB  
Article
Difficulties in Emotion Regulation and Stress in Intensive Care Unit Nurses During COVID-19: Exploring the Mediating Role of Psychological Inflexibility and the Moderating Effect of Work Experience
by Cristian Di Gesto, Giulia Rosa Policardo, Sara Bocci Benucci, Eriada Çela and Caterina Grano
Healthcare 2025, 13(13), 1575; https://doi.org/10.3390/healthcare13131575 - 1 Jul 2025
Viewed by 450
Abstract
Background/Objectives: The COVID-19 pandemic has placed intensive care unit (ICU) nurses under intense psychological pressure, increasing emotional and psychological stress. Two constructs—difficulties in emotion regulation and psychological inflexibility (i.e., low contact with the present moment and a lack of committed action based on [...] Read more.
Background/Objectives: The COVID-19 pandemic has placed intensive care unit (ICU) nurses under intense psychological pressure, increasing emotional and psychological stress. Two constructs—difficulties in emotion regulation and psychological inflexibility (i.e., low contact with the present moment and a lack of committed action based on personal values)—have been associated with increased perceived stress levels but remain underexplored in this population. Aims: This study investigated whether psychological inflexibility mediates the relationship between emotion regulation difficulties and perceived stress in ICU nurses. It also examined whether years of ICU work experience moderate the direct relationship between emotion regulation difficulties and perceived stress. Methods: A cross-sectional study was conducted with 210 ICU nurses (65.2% women; 34.8% men; mean age = 40.25 years ± 11.36) from Italian public hospitals. The participants completed the Difficulties in Emotion Regulation Scale, the Acceptance and Action Questionnaire-II, and the Perceived Stress Scale. A moderated mediation model was tested to examine whether psychological inflexibility mediates the relationship between emotion regulation difficulties and perceived stress and whether years of ICU work experience moderate the path between these variables. Results: Higher difficulties in emotion regulation predicted greater psychological inflexibility, which, in turn, predicted higher perceived stress. Psychological inflexibility fully mediated the relationship between emotion regulation difficulties and perceived stress. Additionally, years of ICU work experience significantly moderated the direct link between emotion regulation difficulties and perceived stress. This relationship was strongest for nurses with 1–15 years of ICU experience. The model explained 33% of the variance in perceived stress. Conclusions: This study highlights the importance of the novel construct of psychological inflexibility in the context of healthcare professionals and its role in shaping perceived stress. Addressing psychological inflexibility through targeted interventions may help mitigate stress and promote well-being among ICU nurses. Full article
(This article belongs to the Special Issue The Impact of COVID-19 on Mental Health Across Diverse Populations)
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21 pages, 4924 KiB  
Article
Quantifying the Influence of Parameters on Heat Release Rate in Electrical Cabinet Fires
by Umang Selokar, Brian Y. Lattimer, Urvin Salvi, Elvan Sahin, Mohammad Amer Allaf and Juliana Pacheco Duarte
Fire 2025, 8(7), 256; https://doi.org/10.3390/fire8070256 - 30 Jun 2025
Viewed by 454
Abstract
Electrical cabinet fire scenarios constitute a significant risk within nuclear facilities, emphasizing the need to mitigate uncertainties in risk evaluations. Owing to the disparate nature of electrical cabinet parameters, only a few factors have been experimentally explored and statistically analyzed to assess their [...] Read more.
Electrical cabinet fire scenarios constitute a significant risk within nuclear facilities, emphasizing the need to mitigate uncertainties in risk evaluations. Owing to the disparate nature of electrical cabinet parameters, only a few factors have been experimentally explored and statistically analyzed to assess their impact on peak HRR. In this study, we conducted both a cabinet parameter study and a combustible configuration study to systematically evaluate their influence on peak HRR and time-to-peak HRR. A series of 51 simulation matrices were created using statistical experiment design (SED) and ANOVA to quantify the influence of cabinet volume, combustible surface area, vent area, ignition characteristics, and burning behavior (e.g., HRRPUA and duration). A computational fluid dynamics (CFD) model, specifically a Fire Dynamics Simulator (FDS), was used to model the ignition source and flame spread inside of the electrical cabinet that influence peak HRR. The most impactful parameters influencing peak HRR and time-to-peak HRR were identified. The findings revealed that the configuration of combustibles and the placement of the ignition source play a pivotal role in determining the peak HRR. A partition screening analysis was conducted to identify the conditions under which the ventilation area becomes a more significant parameter. Additionally, a comparison between experimental results and numerical simulations demonstrated good agreement, further validating the predictive capability of the model. Full article
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