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19 pages, 1217 KiB  
Article
Improving Endodontic Radiograph Interpretation with TV-CLAHE for Enhanced Root Canal Detection
by Barbara Obuchowicz, Joanna Zarzecka, Michał Strzelecki, Marzena Jakubowska, Rafał Obuchowicz, Adam Piórkowski, Elżbieta Zarzecka-Francica and Julia Lasek
J. Clin. Med. 2025, 14(15), 5554; https://doi.org/10.3390/jcm14155554 - 6 Aug 2025
Abstract
Objective: The accurate visualization of root canal systems on periapical radiographs is critical for successful endodontic treatment. This study aimed to evaluate and compare the effectiveness of several image enhancement algorithms—including a novel Total Variation–Contrast-Limited Adaptive Histogram Equalization (TV-CLAHE) technique—in improving the detectability [...] Read more.
Objective: The accurate visualization of root canal systems on periapical radiographs is critical for successful endodontic treatment. This study aimed to evaluate and compare the effectiveness of several image enhancement algorithms—including a novel Total Variation–Contrast-Limited Adaptive Histogram Equalization (TV-CLAHE) technique—in improving the detectability of root canal configurations in mandibular incisors, using cone-beam computed tomography (CBCT) as the gold standard. A null hypothesis was tested, assuming that enhancement methods would not significantly improve root canal detection compared to original radiographs. Method: A retrospective analysis was conducted on 60 periapical radiographs of mandibular incisors, resulting in 420 images after applying seven enhancement techniques: Histogram Equalization (HE), Contrast-Limited Adaptive Histogram Equalization (CLAHE), CLAHE optimized with Pelican Optimization Algorithm (CLAHE-POA), Global CLAHE (G-CLAHE), k-Caputo Fractional Differential Operator (KCFDO), and the proposed TV-CLAHE. Four experienced observers (two radiologists and two dentists) independently assessed root canal visibility. Subjective evaluation was performed using an own scale inspired by a 5-point Likert scale, and the detection accuracy was compared to the CBCT findings. Quantitative metrics including Peak Signal-to-Noise Ratio (PSNR), Signal-to-Noise Ratio (SNR), image entropy, and Structural Similarity Index Measure (SSIM) were calculated to objectively assess image quality. Results: Root canal detection accuracy improved across all enhancement methods, with the proposed TV-CLAHE algorithm achieving the highest performance (93–98% accuracy), closely approaching CBCT-level visualization. G-CLAHE also showed substantial improvement (up to 92%). Statistical analysis confirmed significant inter-method differences (p < 0.001). TV-CLAHE outperformed all other techniques in subjective quality ratings and yielded superior SNR and entropy values. Conclusions: Advanced image enhancement methods, particularly TV-CLAHE, significantly improve root canal visibility in 2D radiographs and offer a practical, low-cost alternative to CBCT in routine dental diagnostics. These findings support the integration of optimized contrast enhancement techniques into endodontic imaging workflows to reduce the risk of missed canals and improve treatment outcomes. Full article
(This article belongs to the Section Dentistry, Oral Surgery and Oral Medicine)
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14 pages, 263 KiB  
Essay
The TV Series Severance as Speculative Organizational Critique: Control, Consent, and Identity at Work
by Dag Øivind Madsen and Marisa Alise Madsen
Adm. Sci. 2025, 15(8), 305; https://doi.org/10.3390/admsci15080305 - 5 Aug 2025
Abstract
The Apple TV+ series Severance (2022–present) offers a dystopian portrayal of workplace life that intensifies real-world dynamics of control, boundary management, and identity regulation. This paper analyzes Severance as a speculative case study in organizational theory, treating the show’s fictional world as a [...] Read more.
The Apple TV+ series Severance (2022–present) offers a dystopian portrayal of workplace life that intensifies real-world dynamics of control, boundary management, and identity regulation. This paper analyzes Severance as a speculative case study in organizational theory, treating the show’s fictional world as a site for conceptual reflection. Drawing on critical management studies and labor process theory, we examine how mechanisms of control, the regulation of work–life boundaries, and the fragmentation of autonomy and subjectivity are depicted in extreme form. We argue that fiction—particularly speculative satire—can serve as a tool of theoretical production, not merely illustration. Rather than restating familiar critiques, Severance allows us to see workplace norms with renewed clarity, surfacing the moral and psychological consequences of surveillance, coercion, and instrumentalized consent. A methodological note outlines our interpretive approach to narrative fiction, and a discussion of implications situates the analysis within broader debates about organizational ethics, resilience, and critique. Full article
24 pages, 1687 KiB  
Article
Content Osmosis in Television Programmes: The Inclusion of News in the Spanish Magazines Espejo Público and Mañaneros
by Lola Bañon-Castellón
Journal. Media 2025, 6(3), 125; https://doi.org/10.3390/journalmedia6030125 - 5 Aug 2025
Viewed by 45
Abstract
Television formats are undergoing a redefinition of the audiovisual panorama marked by digitisation and the decrease in audiences. In this context, news coverage at times of special interest is an opportunity to regain relevance, and for this reason the morning magazine programmes are [...] Read more.
Television formats are undergoing a redefinition of the audiovisual panorama marked by digitisation and the decrease in audiences. In this context, news coverage at times of special interest is an opportunity to regain relevance, and for this reason the morning magazine programmes are taking on the broadcasting of currently prevalent news, intervening in subjects traditionally reserved for news programmes. This paper analyses the news content of TV magazines in a context of hybridisation of genres that has blurred the acknowledged boundaries between the definitions of television programmes. To achieve this, we study the topics on the agenda and how the news is dealt with that is included in the two leading formats among the private and public channels with the biggest audiences in Spain: Espejo Público on Antena 3 and Mañaneros on Televisión Española. The results show that there is a process we call “news osmosis”, whereby the news is treated in a spectacular way, yet incorporating the language and aesthetics typical of the formality of news programmes. In this adaptation, the magazines impose themselves on the narration of the news scoop while restricting the thematic agenda, leaning towards a kind of reductionism in which the private channels choose to prioritise political conflict while the public channels concentrate on current incidents, understood here as newsworthy events of public interest (crimes or accidents). Full article
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19 pages, 1010 KiB  
Article
Online Video Streaming from the Perspective of Transaction Cost Economics
by Amit Malhan, Pankaj Chaudhary and Robert Pavur
J. Theor. Appl. Electron. Commer. Res. 2025, 20(3), 199; https://doi.org/10.3390/jtaer20030199 - 4 Aug 2025
Viewed by 132
Abstract
In recent years, online streaming has encountered the challenge of retaining its user base. This study considers the role of transaction cost economics theory in consumer choices to continue subscribing. Participants respond to their top three streaming services, resulting in 797 responses, accounting [...] Read more.
In recent years, online streaming has encountered the challenge of retaining its user base. This study considers the role of transaction cost economics theory in consumer choices to continue subscribing. Participants respond to their top three streaming services, resulting in 797 responses, accounting for multiple selections by each respondent. Respondents could choose their top three services from a list of Netflix, Disney, Hulu, Amazon Prime Video, HBO Max, and Apple TV+. The study’s conclusions highlight the impact of uncertainty, a negative measure of streaming quality, on online subscription-based video streaming. Additionally, asset specificity, reflecting uniqueness and exclusive content, is found to be positively related to continuing a subscription. This research distinguishes itself by examining individuals who are already subscribers to provide insights and guidance through the lens of Transaction Cost Economics, to help marketing professionals seeking a deeper understanding of consumer behavior in the online streaming landscape. Full article
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21 pages, 5966 KiB  
Article
Study on Mechanism and Constitutive Modelling of Secondary Anisotropy of Surrounding Rock of Deep Tunnels
by Kang Yi, Peilin Gong, Zhiguo Lu, Chao Su and Kaijie Duan
Symmetry 2025, 17(8), 1234; https://doi.org/10.3390/sym17081234 - 4 Aug 2025
Viewed by 93
Abstract
Crack initiation, propagation, and slippage serve as the key mesoscopic mechanisms contributing to the deterioration of deep tunnel surrounding rocks. In this study, a secondary anisotropy of deep tunnels surrounding rocks was proposed: The axial-displacement constraint of deep tunnels forces cracks in the [...] Read more.
Crack initiation, propagation, and slippage serve as the key mesoscopic mechanisms contributing to the deterioration of deep tunnel surrounding rocks. In this study, a secondary anisotropy of deep tunnels surrounding rocks was proposed: The axial-displacement constraint of deep tunnels forces cracks in the surrounding rock to initiate, propagate, and slip in planes parallel to the tunnel axial direction. These cracks have no significant effect on the axial strength of the surrounding rock but significantly reduce the tangential strength, resulting in the secondary anisotropy. First, the secondary anisotropy was verified by a hybrid stress–strain controlled true triaxial test of sandstone specimens, a CT 3D (computed tomography three-dimensional) reconstruction of a fractured sandstone specimen, a numerical simulation of heterogeneous rock specimens, and field borehole TV (television) images. Subsequently, a novel SSA (strain-softening and secondary anisotropy) constitutive model was developed to characterise the secondary anisotropy of the surrounding rock and developed using C++ into a numerical form that can be called by FLAC3D (Fast Lagrangian Analysis of Continua in 3 Dimensions). Finally, effects of secondary anisotropy on a deep tunnel surrounding rock were analysed by comparing the results calculated by the SSA model and a uniform strain-softening model. The results show that considering the secondary anisotropy, the extent of strain-softening of the surrounding rock was mitigated, particularly the axial strain-softening. Moreover, it reduced the surface displacement, plastic zone, and dissipated plastic strain energy of the surrounding rock. The proposed SSA model can precisely characterise the objectively existent secondary anisotropy, enhancing the accuracy of numerical simulations for tunnels, particularly for deep tunnels. Full article
(This article belongs to the Section Engineering and Materials)
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14 pages, 2398 KiB  
Article
TV-LSTM: Multimodal Deep Learning for Predicting the Progression of Late Age-Related Macular Degeneration Using Longitudinal Fundus Images and Genetic Data
by Jipeng Zhang, Chongyue Zhao, Lang Zeng, Heng Huang, Ying Ding and Wei Chen
AI Sens. 2025, 1(1), 6; https://doi.org/10.3390/aisens1010006 - 4 Aug 2025
Viewed by 111
Abstract
Age-related macular degeneration (AMD) is the leading cause of blindness in developed countries. Predicting its progression is crucial for preventing late-stage AMD, as it is an irreversible retinal disease. Both genetic factors and retinal images are instrumental in diagnosing and predicting AMD progression. [...] Read more.
Age-related macular degeneration (AMD) is the leading cause of blindness in developed countries. Predicting its progression is crucial for preventing late-stage AMD, as it is an irreversible retinal disease. Both genetic factors and retinal images are instrumental in diagnosing and predicting AMD progression. Previous studies have explored automated diagnosis using single fundus images and genetic variants, but they often fail to utilize the valuable longitudinal data from multiple visits. Longitudinal retinal images offer a dynamic view of disease progression, yet standard Long Short-Term Memory (LSTM) models assume consistent time intervals between training and testing, limiting their effectiveness in real-world settings. To address this limitation, we propose time-varied Long Short-Term Memory (TV-LSTM), which accommodates irregular time intervals in longitudinal data. Our innovative approach enables the integration of both longitudinal fundus images and AMD-associated genetic variants for more precise progression prediction. Our TV-LSTM model achieved an AUC-ROC of 0.9479 and an AUC-PR of 0.8591 for predicting late AMD within two years, using data from four visits with varying time intervals. Full article
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15 pages, 16075 KiB  
Article
Presence of Protozoan Viruses in Vaginal Samples from Pregnant Women and Their Association with Trichomoniasis
by Gegham Ghardyan, Lusine Abrahamyan, Karen Julhakyan, Hakob Davtyan, Norayr Martirosyan, Elina Arakelova, Hranush Avagyan, Sona Hakobyan, Tigranuhi Vardanyan, Naira Karalyan and Zaven Karalyan
Pathogens 2025, 14(8), 764; https://doi.org/10.3390/pathogens14080764 - 1 Aug 2025
Viewed by 276
Abstract
This study was conducted in Armenia and included 32 pregnant women with TV infection and 30 healthy controls. The vaginal virome includes viruses that infect human cells and unicellular eukaryotes such as Trichomonas vaginalis (TV). Among these are Trichomonas vaginalis viruses (TVVs), double-stranded [...] Read more.
This study was conducted in Armenia and included 32 pregnant women with TV infection and 30 healthy controls. The vaginal virome includes viruses that infect human cells and unicellular eukaryotes such as Trichomonas vaginalis (TV). Among these are Trichomonas vaginalis viruses (TVVs), double-stranded RNA viruses from the Totiviridae family, and giant DNA viruses that replicate in protozoa. This study investigated the presence of TVVs and giant protozoan viruses in pregnant women with trichomoniasis in Armenia and explored their potential associations with adverse pregnancy outcomes. Vaginal and urethral samples were collected from 32 pregnant women with confirmed TV infection and 30 healthy pregnant controls. TVVs and giant viruses (Marseilleviridae, Mimiviridae, Phycodnaviridae) were detected using qRT-PCR. Viral RNA and DNA were extracted from clinical samples and TV cultures, followed by quantification and gene expression analysis. Selected TVVs were visualized via scanning electron microscopy. All TV-positive women carried at least one TVV strain, with 94% harboring multiple TVV types and TVV4 being the most common. TV infection was significantly associated with preterm birth and premature rupture of membranes (PPROM). Giant viruses were identified in all TV-positive cases but in only 40% of controls. Marseilleviridae gene expression was observed in TV cultures, suggesting possible interactions. These findings highlight a potential role for protozoan viruses in reproductive complications and warrant further investigation. Full article
(This article belongs to the Section Viral Pathogens)
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18 pages, 6642 KiB  
Article
Flood Impact and Evacuation Behavior in Toyohashi City, Japan: A Case Study of the 2 June 2023 Heavy Rain Event
by Masaya Toyoda, Reo Minami, Ryoto Asakura and Shigeru Kato
Sustainability 2025, 17(15), 6999; https://doi.org/10.3390/su17156999 - 1 Aug 2025
Viewed by 209
Abstract
Recent years have seen frequent heavy rainfall events in Japan, often linked to Baiu fronts and typhoons. These events are exacerbated by global warming, leading to an increased frequency and intensity. As floods represent a serious threat to sustainable urban development and community [...] Read more.
Recent years have seen frequent heavy rainfall events in Japan, often linked to Baiu fronts and typhoons. These events are exacerbated by global warming, leading to an increased frequency and intensity. As floods represent a serious threat to sustainable urban development and community resilience, this study contributes to sustainability-focused risk reduction through integrated analysis. This study focuses on the 2 June 2023 heavy rain disaster in Toyohashi City, Japan, which caused extensive damage due to flooding from the Yagyu and Umeda Rivers. Using numerical models, this study accurately reproduces flooding patterns, revealing that high tides amplified the inundation area by 1.5 times at the Yagyu River. A resident questionnaire conducted in collaboration with Toyohashi City identifies key trends in evacuation behavior and disaster information usage. Traditional media such as TV remain dominant, but younger generations leverage electronic devices for disaster updates. These insights emphasize the need for targeted information dissemination and enhanced disaster preparedness strategies, including online materials and flexible training programs. The methods and findings presented in this study can inform local and regional governments in building adaptive disaster management policies, which contribute to a more sustainable society. Full article
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25 pages, 9193 KiB  
Article
Antibiotic-Loaded Bioglass 45S5 for the Treatment and Prevention of Staphylococcus aureus Infections in Orthopaedic Surgery: A Novel Strategy Against Antimicrobial Resistance
by Humera Sarwar, Richard A. Martin, Heather M. Coleman, Aaron Courtenay and Deborah Lowry
Pathogens 2025, 14(8), 760; https://doi.org/10.3390/pathogens14080760 - 1 Aug 2025
Viewed by 291
Abstract
This study explores the potential of biodegradable Bioglass 45S5 formulations as a dual-function approach for preventing and treating Staphylococcus aureus infections in orthopaedic surgery while addressing the growing concern of antimicrobial resistance (AMR). The research focuses on the development and characterisation of antibiotic-loaded [...] Read more.
This study explores the potential of biodegradable Bioglass 45S5 formulations as a dual-function approach for preventing and treating Staphylococcus aureus infections in orthopaedic surgery while addressing the growing concern of antimicrobial resistance (AMR). The research focuses on the development and characterisation of antibiotic-loaded BG45S5 formulations, assessing parameters such as drug loading efficiency, release kinetics, antimicrobial efficacy, and dissolution behaviour. Key findings indicate that the F2l-BG45S5-T-T-1.5 and F2l-BG45S5-T-V-1.5 formulations demonstrated controlled antibiotic release for up to seven days, with size distributions of D(10): 7.11 ± 0.806 µm, 4.96 ± 0.007 µm; D(50): 25.34 ± 1.730 µm, 25.20.7 ± 0.425 µm; and D(90): 53.7 ± 7.95 µm, 56.10 ± 0.579 µm, respectively. These formulations facilitated hydroxyapatite formation on their surfaces, indicative of osteogenic potential. The antimicrobial assessments revealed zones of inhibition against methicillin-susceptible Staphylococcus aureus (MSSA, ATCC-6538) measuring 20.3 ± 1.44 mm and 24.6 ± 1.32 mm, while for methicillin-resistant Staphylococcus aureus (MRSA, ATCC-43300), the inhibition zones were 21.6 ± 1.89 mm and 22 ± 0.28 mm, respectively. Time-kill assay results showed complete bacterial eradication within eight hours. Additionally, biocompatibility testing via MTT assay confirmed cell viability of >75%. In conclusion, these findings highlight the promise of antibiotic-loaded BG45S5 as a multifunctional biomaterial capable of both combating bone infections and supporting bone regeneration. These promising results suggest that in vivo studies should be undertaken to expedite these materials into clinical applications. Full article
(This article belongs to the Special Issue Antimicrobial Resistance in the Post-COVID Era: A Silent Pandemic)
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27 pages, 7457 KiB  
Article
Three-Dimensional Imaging of High-Contrast Subsurface Anomalies: Composite Model-Constrained Dual-Parameter Full-Waveform Inversion for GPR
by Siyuan Ding, Deshan Feng, Xun Wang, Tianxiao Yu, Shuo Liu and Mengchen Yang
Appl. Sci. 2025, 15(15), 8401; https://doi.org/10.3390/app15158401 - 29 Jul 2025
Viewed by 131
Abstract
Civil engineering structures with damage, defects, or subsurface utilities create a high-contrast exploration environment. These anomalies of interest exhibit different electromagnetic properties from the surrounding medium, and ground-penetrating radar (GPR) has the potential to accurately locate and map their three-dimensional (3D) distributions. However, [...] Read more.
Civil engineering structures with damage, defects, or subsurface utilities create a high-contrast exploration environment. These anomalies of interest exhibit different electromagnetic properties from the surrounding medium, and ground-penetrating radar (GPR) has the potential to accurately locate and map their three-dimensional (3D) distributions. However, full-waveform inversion (FWI) for GPR data struggles to simultaneously reconstruct high-resolution 3D images of both permittivity and conductivity models. Considering the magnitude and sensitivity disparities of the model parameters in the inversion of GPR data, this study proposes a 3D dual-parameter FWI algorithm for GPR with a composite model constraint strategy. It balances the gradient updates of permittivity and conductivity models through performing total variation (TV) regularization and minimum support gradient (MSG) regularization on different parameters in the inversion process. Numerical experiments show that TV regularization can optimize permittivity reconstruction, while MSG regularization is more suitable for conductivity inversion. The TV+MSG composite model constraint strategy improves the accuracy and stability of dual-parameter inversion, providing a robust solution for the 3D imaging of subsurface anomalies with high-contrast features. These outcomes offer researchers theoretical insights and a valuable reference when investigating scenarios with high-contrast environments. Full article
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18 pages, 1033 KiB  
Article
Analyzing the Impact of Carbon Mitigation on the Eurozone’s Trade Dynamics with the US and China
by Pathairat Pastpipatkul and Terdthiti Chitkasame
Econometrics 2025, 13(3), 28; https://doi.org/10.3390/econometrics13030028 - 29 Jul 2025
Viewed by 167
Abstract
This study focusses on the transmission of carbon pricing mechanisms in shaping trade dynamics between the Eurozone and key partners: the USA and China. Using Bayesian variable selection methods and a Time-Varying Structural Vector Autoregressions (TV-SVAR) model, the research identifies the key variables [...] Read more.
This study focusses on the transmission of carbon pricing mechanisms in shaping trade dynamics between the Eurozone and key partners: the USA and China. Using Bayesian variable selection methods and a Time-Varying Structural Vector Autoregressions (TV-SVAR) model, the research identifies the key variables impacting EU carbon emissions over time. The results reveal that manufactured products from the US have a diminishing positive impact on EU carbon emissions, suggesting potential exemption from future regulations. In contrast, manufactured goods from the US and petroleum products from China are expected to increase emissions, indicating a need for stricter trade policies. These findings provide strategic insights for policymakers aiming to balance trade and environmental objectives. Full article
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17 pages, 685 KiB  
Article
Food Safety and Waste Management in TV Cooking Shows: A Comparative Study of Turkey and the UK
by Kemal Enes, Gülbanu Kaptan and Edgar Meyer
Foods 2025, 14(15), 2591; https://doi.org/10.3390/foods14152591 - 24 Jul 2025
Viewed by 431
Abstract
This study examines food safety and waste behaviours depicted in the televised cooking competition MasterChef, a globally franchised series that showcases diverse culinary traditions and influences viewers’ practices. The research focuses on the MasterChef editions aired in Turkey and the United Kingdom, [...] Read more.
This study examines food safety and waste behaviours depicted in the televised cooking competition MasterChef, a globally franchised series that showcases diverse culinary traditions and influences viewers’ practices. The research focuses on the MasterChef editions aired in Turkey and the United Kingdom, two countries with distinctly different social and cultural contexts. Video content analysis, based on predefined criteria, was employed to assess observable behaviours related to food safety and waste. Additionally, content analysis of episode transcripts identified verbal references to these themes. Principal Component Analysis was employed to categorise patterns in the observed behaviours. The findings revealed frequent lapses in food safety, with personal hygiene breaches more commonly observed in MasterChef UK, while cross-contamination issues were more prevalent in MasterChef Turkey. In both versions, the use of disposable materials and the discarding of edible food parts emerged as the most common waste-related practices. These behaviours appeared to be shaped by the cultural and culinary norms specific to each country. The study highlights the importance of cooking shows in promoting improved food safety and waste management practices. It recommends involving relevant experts during production and clearly communicating food safety and sustainability messages to increase viewer awareness and encourage positive behaviour change. Full article
(This article belongs to the Special Issue Food Policy, Strategy and Safety in the Middle East)
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21 pages, 1934 KiB  
Article
Energy Conservation and Carbon Emission Reduction Potentials of Major Household Appliances in China Leveraging the LEAP Model
by Runhao Guo, Aijun Xu and Heng Li
Buildings 2025, 15(15), 2615; https://doi.org/10.3390/buildings15152615 - 23 Jul 2025
Viewed by 289
Abstract
Household appliances constitute the second largest source of residential energy consumption in China, accounting for over 20% of the total and exhibiting a steady growth trend. Despite their substantial impact on energy demand and carbon emissions, a comprehensive analysis of the current status [...] Read more.
Household appliances constitute the second largest source of residential energy consumption in China, accounting for over 20% of the total and exhibiting a steady growth trend. Despite their substantial impact on energy demand and carbon emissions, a comprehensive analysis of the current status and future trends of household appliances in China is still lacking. This study employs the Long-Range Energy Alternatives Planning (LEAP) system to model energy consumption and carbon emissions for five major household appliances (air conditioners, refrigerators, washing machines, TVs, and water heaters) from 2022 to 2052. Three scenarios were analyzed: a Reference (REF) scenario (current trends), an Existing Policy Option (EPO) scenario (current energy-saving measures), and a Further Strengthening (FUR) scenario (enhanced efficiency measures). Key results show that by 2052, the EPO scenario achieves cumulative savings of 1074.8 billion kWh and reduces emissions by 580.7 million metric tons of CO2 equivalent compared to REF. The FUR scenario yields substantially greater benefits, demonstrating the significant potential of strengthened policies. This analysis underscores the critical role of improving appliance energy efficiency and provides vital insights for policymakers and stakeholders aiming to reduce residential sector emissions. Full article
(This article belongs to the Section Building Energy, Physics, Environment, and Systems)
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26 pages, 4918 KiB  
Article
Is Bitcoin a Safe-Haven Asset During U.S. Presidential Transitions? A Time-Varying Analysis of Asset Correlations
by Pathairat Pastpipatkul and Htwe Ko
Int. J. Financial Stud. 2025, 13(3), 134; https://doi.org/10.3390/ijfs13030134 - 22 Jul 2025
Viewed by 637
Abstract
Amid the growing debate over how cryptocurrencies are reshaping global finance, this study explores the nexus between Bitcoin, Brent Crude Oil, Gold and the U.S. Dollar Index. We used a time-varying vector autoregressive (tvVAR) model to examine the connection among these four assets [...] Read more.
Amid the growing debate over how cryptocurrencies are reshaping global finance, this study explores the nexus between Bitcoin, Brent Crude Oil, Gold and the U.S. Dollar Index. We used a time-varying vector autoregressive (tvVAR) model to examine the connection among these four assets during the Trump (2017–2020) and Biden (2021–2024) governments. The 48-week return forecast of the Bitcoin–Gold correlation was also conducted by using the Bayesian Structural Time Series (BSTS) model. Results indicate that Bitcoin was the most volatile asset, while the U.S. Dollar remained the least volatile under both regimes. Under Trump, U.S. Dollar significantly influenced Oil and Bitcoin while Bitcoin and Gold were negatively linked to Oil and positively associated with U.S. Dollar. An inverse relationship between Bitcoin and Gold also emerged. Under Biden, Bitcoin, Gold, and U.S. Dollar all significantly affected Oil with Bitcoin showing a positive impact. Bitcoin and Gold remained negatively correlated though not significantly, and the Dollar maintained positive ties with both. Forecasts show a positive link between Bitcoin and Gold in the coming year. However, Bitcoin does not exhibit consistent characteristics of a safe-haven asset during the U.S. presidential transitions examined, largely due to its high volatility and unstable correlations with a traditional safe-haven asset, Gold. This study contributes to the understanding of shifting relationships between digital and traditional assets across political regimes. Full article
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17 pages, 5672 KiB  
Article
The Effect of Dienogest on Deep Endometriosis Nodules Involving the Recto-Sigmoid Colon: A Prospective Longitudinal Long-Term Study
by Carlos Andrés Contreras, Ignacio Brunel, Mónica Restrepo, Claudia Patricia Franco, María Clara Soto, José Carlos Vilches, Rodrigo Orozco, Stefano Guerriero and Juan Luis Alcázar
J. Clin. Med. 2025, 14(14), 5164; https://doi.org/10.3390/jcm14145164 - 21 Jul 2025
Viewed by 398
Abstract
Objective: To assess the long-term effects of Dienogest on clinical complaints and nodule sizes in women affected by recto-sigmoid deep endometriosis (DE). Methods: This was a single-center longitudinal prospective observational study comprising a consecutive series of women affected by recto-sigmoid DE, who underwent [...] Read more.
Objective: To assess the long-term effects of Dienogest on clinical complaints and nodule sizes in women affected by recto-sigmoid deep endometriosis (DE). Methods: This was a single-center longitudinal prospective observational study comprising a consecutive series of women affected by recto-sigmoid DE, who underwent medical treatment with Dienogest (2 mg daily continuous). All women underwent clinical visits and transvaginal sonography (TVS) with bowel preparation prior to starting therapy and at 3–6-month intervals for at least 12 months. Clinical complaints such as dysmenorrhea, dyspareunia and dyschezia were assessed using a visual analog scale (VAS). The DE recto-sigmoid lesion was measured in the three orthogonal planes. The lesion’s volume was estimated using the prolate ellipsoid formula. The maximum diameter and lesion volume were used for analysis. Patients’ complaints and lesion sizes before starting the treatment and at final follow-up were compared. Results: From January 2017 to July 2020, 125 patients were consecutively recruited (mean age: 37 years, ranging from 20 to 50 years). The median follow-up period was 47.8 months (range: 12–74 months). We did not observe a significant correlation between the severity of the symptoms and the lesion size prior to starting therapy. Clinical complaints improved significantly during treatment (88% of women were symptomatic at initial visit, versus 53% at final follow-up, p < 0.001). The median lesion volume significantly decreased (median initial volume vs. final volume: 1.1 mL vs. 0.9 mL, p = 0.017). However, the median maximum lesion diameter did not change significantly (26.0 mm vs. 25.0 mm, p = 0.779). Conclusions: Long-term Dienogest therapy significantly relieves clinical symptoms related to recto-sigmoid DE. This is accompanied by a significant reduction in the lesion volume but not the maximum lesion diameter. Full article
(This article belongs to the Special Issue Challenges in Fertility Preservation)
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