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18 pages, 1613 KiB  
Article
Evaluation of a Passive-Assist Exoskeleton Under Different Assistive Force Profiles in Agricultural Working Postures
by Naoki Saito, Takumi Kobayashi, Kohei Akimoto, Toshiyuki Satoh and Norihiko Saga
Actuators 2025, 14(8), 381; https://doi.org/10.3390/act14080381 (registering DOI) - 1 Aug 2025
Abstract
To enable the practical application of passive back-support exoskeletons employing pneumatic artificial muscles (PAMs) in tasks such as agricultural work, we evaluated their assistive effectiveness in a half-squatting posture with a staggered stance. In this context, assistive force profiles were adjusted according to [...] Read more.
To enable the practical application of passive back-support exoskeletons employing pneumatic artificial muscles (PAMs) in tasks such as agricultural work, we evaluated their assistive effectiveness in a half-squatting posture with a staggered stance. In this context, assistive force profiles were adjusted according to body posture to achieve more effective support. The targeted assistive force profile was designed to be continuously active from the standing to the half-squatting position, with minimal variation across this range. The assistive force profile was developed based on a PAM contractile force model and implemented using a cam mechanism. The effectiveness of assistance was assessed by measuring body flexion angles and erector spinae muscle activity during lifting and carrying tasks. The results showed that the assistive effect was greater on the side with the forward leg. Compared to the condition without exoskeleton assistance, the conventional pulley-based system reduced muscle activity by approximately 20% whereas the cam-based system achieved a reduction of approximately 30%. Full article
(This article belongs to the Special Issue Actuation and Sensing of Intelligent Soft Robots)
21 pages, 5062 KiB  
Article
Forest Management Effects on Breeding Bird Communities in Apennine Beech Stands
by Guglielmo Londi, Francesco Parisi, Elia Vangi, Giovanni D’Amico and Davide Travaglini
Ecologies 2025, 6(3), 54; https://doi.org/10.3390/ecologies6030054 (registering DOI) - 1 Aug 2025
Abstract
Beech forests in the Italian peninsula are actively managed and they also support a high level of biodiversity. Hence, biodiversity conservation can be synergistic with timber production and carbon sequestration, enhancing the overall economic benefits of forest management. This study aimed to evaluate [...] Read more.
Beech forests in the Italian peninsula are actively managed and they also support a high level of biodiversity. Hence, biodiversity conservation can be synergistic with timber production and carbon sequestration, enhancing the overall economic benefits of forest management. This study aimed to evaluate the effect of forest management regimes on bird communities in the Italian Peninsula during 2022 through audio recordings. We studied the structure, composition, and specialization of the breeding bird community in four managed beech stands (three even-aged beech stands aged 20, 60, and 100 years old, managed by a uniform shelterwood system; one uneven-aged stand, managed by a single-tree selection system) and one uneven-aged, unmanaged beech stand in the northern Apennines (Tuscany region, Italy). Between April and June 2022, data were collected through four 1-hour audio recording sessions per site, analyzing 5 min sequences. The unmanaged stand hosted a richer (a higher number of species, p < 0.001) and more specialized (a higher number of cavity-nesting species, p < 0.001; higher Woodland Bird Community Index (WBCI) values, p < 0.001; and eight characteristic species, including at least four highly specialized ones) bird community, compared to all the managed forests; moreover, the latter were homogeneous (similar to each other). Our study suggests that the unmanaged beech forests should be a priority option for conservation, while in terms of the managed beech forests, greater attention should be paid to defining the thresholds for snags, deadwood, and large trees to be retained to enhance their biodiversity value. Studies in additional sites, conducted over more years and including multi-taxon communities, are recommended for a deeper understanding and generalizable results. Full article
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21 pages, 23129 KiB  
Article
Validation of Global Moderate-Resolution FAPAR Products over Boreal Forests in North America Using Harmonized Landsat and Sentinel-2 Data
by Yinghui Zhang, Hongliang Fang, Zhongwen Hu, Yao Wang, Sijia Li and Guofeng Wu
Remote Sens. 2025, 17(15), 2658; https://doi.org/10.3390/rs17152658 (registering DOI) - 1 Aug 2025
Abstract
The fraction of absorbed photosynthetically active radiation (FAPAR) stands as a pivotal parameter within the Earth system, quantifying the energy exchange between vegetation and solar radiation. Accordingly, there is an urgent need for comprehensive validation studies to accurately quantify uncertainties and improve the [...] Read more.
The fraction of absorbed photosynthetically active radiation (FAPAR) stands as a pivotal parameter within the Earth system, quantifying the energy exchange between vegetation and solar radiation. Accordingly, there is an urgent need for comprehensive validation studies to accurately quantify uncertainties and improve the reliability of FAPAR-based applications. This study validated five global FAPAR products, MOD15A2H, MYD15A2H, VNP15A2H, GEOV2, and GEOV3, over four boreal forest sites in North America. Qualitative quality flags (QQFs) and quantitative quality indicators (QQIs) of each product were analyzed. Time series high-resolution reference FAPAR maps were developed using the Harmonized Landsat and Sentinel-2 dataset. The reference FAPAR maps revealed a strong agreement with the in situ FAPAR from AmeriFlux (correlation coefficient (R) = 0.91; root mean square error (RMSE) = 0.06). The results revealed that global FAPAR products show similar uncertainties (RMSE: 0.16 ± 0.04) and moderate agreement with the reference FAPAR (R = 0.75 ± 0.10). On average, 34.47 ± 6.91% of the FAPAR data met the goal requirements of the Global Climate Observing System (GCOS), while 54.41 ± 6.89% met the threshold requirements of the GCOS. Deciduous forests perform better than evergreen forests, and the products tend to underestimate the reference data, especially for the beginning and end of growing seasons in evergreen forests. There are no obvious quality differences at different QQFs, and the relative QQI can be used to filter high-quality values. To enhance the regional applicability of global FAPAR products, further algorithm improvements and expanded validation efforts are essential. Full article
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39 pages, 23165 KiB  
Article
Leveraging High-Frequency UAV–LiDAR Surveys to Monitor Earthflow Dynamics—The Baldiola Landslide Case Study
by Francesco Lelli, Marco Mulas, Vincenzo Critelli, Cecilia Fabbiani, Melissa Tondo, Marco Aleotti and Alessandro Corsini
Remote Sens. 2025, 17(15), 2657; https://doi.org/10.3390/rs17152657 (registering DOI) - 31 Jul 2025
Abstract
UAV platforms equipped with RTK positioning and LiDAR sensors are increasingly used for landslide monitoring, offering frequent, high-resolution surveys with broad spatial coverage. In this study, we applied high-frequency UAV-based monitoring to the active Baldiola earthflow (Northern Apennines, Italy), integrating 10 UAV–LiDAR and [...] Read more.
UAV platforms equipped with RTK positioning and LiDAR sensors are increasingly used for landslide monitoring, offering frequent, high-resolution surveys with broad spatial coverage. In this study, we applied high-frequency UAV-based monitoring to the active Baldiola earthflow (Northern Apennines, Italy), integrating 10 UAV–LiDAR and photogrammetric surveys, acquired at average intervals of 14 days over a four-month period. UAV-derived orthophotos and DEMs supported displacement analysis through homologous point tracking (HPT), with robotic total station measurements serving as ground-truth data for validation. DEMs were also used for multi-temporal DEM of Difference (DoD) analysis to assess elevation changes and identify depletion and accumulation patterns. Displacement trends derived from HPT showed strong agreement with RTS data in both horizontal (R2 = 0.98) and vertical (R2 = 0.94) components, with cumulative displacements ranging from 2 m to over 40 m between April and August 2024. DoD analysis further supported the interpretation of slope processes, revealing sector-specific reactivations and material redistribution. UAV-based monitoring provided accurate displacement measurements, operational flexibility, and spatially complete datasets, supporting its use as a reliable and scalable tool for landslide analysis. The results support its potential as a stand-alone solution for both monitoring and emergency response applications. Full article
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14 pages, 257 KiB  
Article
Mental and Physical Health of Chinese College Students After Shanghai Lockdown: An Exploratory Study
by Jingyu Sun, Rongji Zhao and Antonio Cicchella
Healthcare 2025, 13(15), 1864; https://doi.org/10.3390/healthcare13151864 - 30 Jul 2025
Viewed by 104
Abstract
The mental and physical health of college students, especially in urban environments like Shanghai, is crucial given the high academic and urban stressors, which were intensified by the COVID-19 lockdown. Prior research has shown gender differences in health impacts during public health crises, [...] Read more.
The mental and physical health of college students, especially in urban environments like Shanghai, is crucial given the high academic and urban stressors, which were intensified by the COVID-19 lockdown. Prior research has shown gender differences in health impacts during public health crises, with females often more vulnerable to mental health issues. Objective: This study aimed to comprehensively assess the physical and psychological health of Chinese college students post-lockdown, focusing on the relationship between stress, anxiety, depression, sleep patterns, and physical health, with a particular emphasis on gender differences. Methods: We conducted a cross-sectional study involving 116 students in Shanghai, utilizing psychological scales (HAMA, IPAQ, PSQI, SDS, FS 14, PSS, SF-36) and physical fitness tests (resting heart rate, blood pressure, hand grip, forced vital capacity, standing long jump, sit-and-reach, one-minute sit-up test and the one-minute squat test, single-leg stand test with eyes closed), to analyze health and behavior during the pandemic lockdown. All students have undergone the same life habits during the pandemic. Results: The HAMA scores indicated no significant levels of physical or mental anxiety. The PSS results (42.45 ± 8.93) reflected a high overall stress level. Furthermore, the PSQI scores (5.4 ± 2.91) suggested that the participants experienced mild insomnia. The IPAQ scores indicated higher levels of job-related activity (1261.49 ± 2144.58), transportation activity (1253.65 ± 987.57), walking intensity (1580.78 ± 1412.20), and moderate-intensity activity (1353.03 ± 1675.27) among college students following the lockdown. Hand grip strength (right) (p = 0.001), sit-and-reach test (p = 0.001), standing long jump (p = 0.001), and HAMA total score (p = 0.033) showed significant differences between males and females. Three principal components were identified in males: HAMA, FS14, and PSQI, explaining a total variance of 70.473%. Similarly, three principal components were extracted in females: HAMA, PSQI, and FS14, explaining a total variance of 69.100%. Conclusions: Our study underscores the complex interplay between physical activity (PA), mental health, and quality of life, emphasizing the need for gender-specific interventions. The persistent high stress, poor sleep quality, and reduced PA levels call for a reorganized teaching schedule to enhance student well-being without increasing academic pressure. Full article
19 pages, 2011 KiB  
Article
The Anti-Angiogenic Effect of Cynara cardunculus L. subsp. cardunculus Waste Product
by Anna Cacciola, Valeria D’Angelo, Federica De Gaetano, Antonella Fais, Maria Paola Germanò, Valentina Masala, Stefania Olla, Venerando Pistarà, Rosanna Stancanelli, Carlo Ignazio Giovanni Tuberoso and Cinzia Anna Ventura
Foods 2025, 14(15), 2656; https://doi.org/10.3390/foods14152656 - 29 Jul 2025
Viewed by 259
Abstract
Cynara cardunculus L. subsp. cardunculus (Cynara cardunculus L. var. sylvestris (Lam.) Fiori), the wild cardoon, is known for its culinary applications and potential health benefits. Due to this, and given the growing interest in circular economies, deepening our under-standing of the effects [...] Read more.
Cynara cardunculus L. subsp. cardunculus (Cynara cardunculus L. var. sylvestris (Lam.) Fiori), the wild cardoon, is known for its culinary applications and potential health benefits. Due to this, and given the growing interest in circular economies, deepening our under-standing of the effects of wild cardoon leaf waste on angiogenesis and collagenase activity represents a valuable opportunity to valorise agricultural byproducts as health-promoting ingredients. In this study, the waste product of wild cardoon leaves was extracted to examine its chemical composition and biological activities. Analytical techniques identified several bioactive compounds, including flavonoids, hydroxycinnamic acids such as dicaffeoyl-succinoylquinic acids, and luteolin-7-O-rutinoside. In vivo tests in zebrafish embryos and the chick chorioallantoic membrane demonstrated dose-dependent antiangiogenic effects, particularly enhanced by the complexation with hydroxypropyl-β-cyclodextrin (HP-β-CD). Considering the link between angiogenesis and collagenase, the potential effects of the extract on collagenase activity was investigated. The extract alone inhibited collagenase with an IC50 value comparable to that of the standard inhibitor while its complexed form exhibited a 4.5-fold greater inhibitory activity. A molecular docking study examined the interaction between the main compounds and collagenase. In conclusion, wild cardoon leaves can represent a valuable source of bioactive compounds. This study demonstrated that the complexation of the extract with cyclodextrin determines an increase in its biological activity. Full article
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13 pages, 339 KiB  
Article
Babel and New Jerusalem: Two Urban Expressions of Theological Contrast
by Bret David Fearrien
Religions 2025, 16(8), 982; https://doi.org/10.3390/rel16080982 - 29 Jul 2025
Viewed by 193
Abstract
Numerous researchers have linked the description of the New Jerusalem in Rev 21 to Fallen Babylon in Rev 18 in order to establish intertextual opportunities for comparison and contrast. However, the New Jerusalem is seldom linked to the Tower of Babel in Gen [...] Read more.
Numerous researchers have linked the description of the New Jerusalem in Rev 21 to Fallen Babylon in Rev 18 in order to establish intertextual opportunities for comparison and contrast. However, the New Jerusalem is seldom linked to the Tower of Babel in Gen 11—essentially, the urban archetype of Babylon in the Old Testament. Exploring these two urban metaphors—from a largely canonical, theological perspective—it appears that the New Jerusalem and the Tower of Babel stand out as two urban expressions of theological contrast. The two city metaphors contrast each other as they relate to themes of builders, unity/diversity, and temple language when describing divine and human activities. Full article
(This article belongs to the Section Religions and Theologies)
20 pages, 5696 KiB  
Article
Classification of User Behavior Patterns for Indoor Navigation Problem
by Aleksandra Borsuk, Andrzej Chybicki and Michał Zieliński
Sensors 2025, 25(15), 4673; https://doi.org/10.3390/s25154673 - 29 Jul 2025
Viewed by 157
Abstract
Indoor navigation poses persistent challenges due to the limitations of traditional positioning systems within buildings. In this study, we propose a novel approach to address this issue—not by continuously tracking the user’s location, but by estimating their position based on how closely their [...] Read more.
Indoor navigation poses persistent challenges due to the limitations of traditional positioning systems within buildings. In this study, we propose a novel approach to address this issue—not by continuously tracking the user’s location, but by estimating their position based on how closely their observed behavior matches the expected progression along a predefined route. This concept, while not universally applicable, is well-suited for specific indoor navigation scenarios, such as guiding couriers or delivery personnel through complex residential buildings. We explore this idea in detail in our paper. To implement this behavior-based localization, we introduce an LSTM-based method for classifying user behavior patterns, including standing, walking, and using stairs or elevators, by analyzing velocity sequences derived from smartphone sensors’ data. The developed model achieved 75% accuracy for individual activity type classification within one-second time windows, and 98.6% for full-sequence classification through majority voting. These results confirm the viability of real-time activity recognition as the foundation for a navigation system that aligns live user behavior with pre-recorded patterns, offering a cost-effective alternative to infrastructure-heavy indoor positioning systems. Full article
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20 pages, 28928 KiB  
Article
Evaluating the Effectiveness of Plantar Pressure Sensors for Fall Detection in Sloped Surfaces
by Tarek Mahmud, Rujan Kayastha, Krishna Kisi, Anne Hee Ngu and Sana Alamgeer
Electronics 2025, 14(15), 3003; https://doi.org/10.3390/electronics14153003 - 28 Jul 2025
Viewed by 193
Abstract
Falls are a major safety concern in physically demanding occupations such as roofing, where workers operate on inclined surfaces under unstable postures. While inertial measurement units (IMUs) are widely used in wearable fall detection systems, they often fail to capture early indicators of [...] Read more.
Falls are a major safety concern in physically demanding occupations such as roofing, where workers operate on inclined surfaces under unstable postures. While inertial measurement units (IMUs) are widely used in wearable fall detection systems, they often fail to capture early indicators of instability related to foot–ground interactions. This study evaluates the effectiveness of plantar pressure sensors, alone and combined with IMUs, for fall detection on sloped surfaces. We collected data in a controlled laboratory environment using a custom-built roof mockup with incline angles of 0°, 15°, and 30°. Participants performed roofing-relevant activities, including standing, walking, stooping, kneeling, and simulated fall events. Statistical features were extracted from synchronized IMU and plantar pressure data, and multiple machine learning models were trained and evaluated, including traditional classifiers and deep learning architectures, such as MLP and CNN. Our results show that integrating plantar pressure sensors significantly improves fall detection. A CNN using just three IMUs and two plantar pressure sensors achieved the highest F1 score of 0.88, outperforming the full 17-sensor IMU setup. These findings support the use of multimodal sensor fusion for developing efficient and accurate wearable systems for fall detection and physical health monitoring. Full article
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27 pages, 6405 KiB  
Article
PDMS Membranes Drilled by Proton Microbeam Writing: A Customizable Platform for the Investigation of Endothelial Cell–Substrate Interactions in Transwell-like Devices
by Vita Guarino, Giovanna Vasco, Valentina Arima, Rosella Cataldo, Alessandra Zizzari, Elisabetta Perrone, Giuseppe Gigli and Maura Cesaria
J. Funct. Biomater. 2025, 16(8), 274; https://doi.org/10.3390/jfb16080274 - 28 Jul 2025
Viewed by 604
Abstract
Cell migration assays provide valuable insights into pathological conditions, such as tumor metastasis and immune cell infiltration, and the regenerative capacity of tissues. In vitro tools commonly used for cell migration studies exploit commercial transwell systems, whose functionalities can be improved through engineering [...] Read more.
Cell migration assays provide valuable insights into pathological conditions, such as tumor metastasis and immune cell infiltration, and the regenerative capacity of tissues. In vitro tools commonly used for cell migration studies exploit commercial transwell systems, whose functionalities can be improved through engineering of the pore pattern. In this context, we propose the fabrication of a transwell-like device pursued by combining the proton beam writing (PBW) technique with wet etching onto thin layers of polydimethylsiloxane (PDMS). The resulting transwell-like device incorporates a PDMS membrane with finely controllable pore patterning that was used to study the arrangement and migration behavior of HCMEC/D3 cells, a well-established human brain microvascular endothelial cell model widely used to study vascular maturation in the brain. A comparison between commercial polycarbonate membranes and the PBW-holed membranes highlights the impact of the ordering of the pattern and porosity on cellular growth, self-organization, and transmigration by combining fluorescent microscopy and advanced digital processing. Endothelial cells were found to exhibit distinctive clustering, alignment, and migratory behavior close to the pores of the designed PBW-holed membrane. This is indicative of activation patterns associated with cytoskeletal remodeling, a critical element in the angiogenic process. This study stands up as a novel approach toward the development of more biomimetic barrier models (such as organ-on-chips). Full article
(This article belongs to the Collection Feature Papers in Biomaterials for Healthcare Applications)
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23 pages, 1711 KiB  
Case Report
Effect of Individualized Whole-Body Vibration Exercise on Locomotion and Postural Control in a Person with Multiple Sclerosis: A 5-Year Case Report
by Stefano La Greca, Stefano Marinelli, Rocco Totaro, Francesca Pistoia and Riccardo Di Giminiani
Appl. Sci. 2025, 15(15), 8351; https://doi.org/10.3390/app15158351 - 27 Jul 2025
Viewed by 338
Abstract
The present study aims to investigate the multi-year effects (5 years) of individualized whole-body vibration (WBV) on locomotion, postural control, and handgrip strength in a 68-year-old man with relapse remitting multiple sclerosis (PwRRMS). The dose–response relationship induced by a single session was quantified [...] Read more.
The present study aims to investigate the multi-year effects (5 years) of individualized whole-body vibration (WBV) on locomotion, postural control, and handgrip strength in a 68-year-old man with relapse remitting multiple sclerosis (PwRRMS). The dose–response relationship induced by a single session was quantified by determining the surface electromyographic activity (sEMG) of the participant. The participant wore an orthosis to limit the lack of foot dorsiflexion in the weakest limb during walking in daily life. The gait alteration during walking was assessed at 1, 2 and 3 km/h (without the orthosis) through angle–angle diagrams by quantifying the area, perimeter and shape of the loops, and the sEMG of leg muscles was recorded in both limbs. The evaluation of postural control was conducted during upright standing by quantifying the displacement of the center of pressure (CoP). The handgrip strength was assessed by measuring the force–time profile synchronized with the sEMG activity of upper arm muscles. The participant improved his ability to walk at higher speeds (2–3 km/h) without the orthosis. There were greater improvements in the area and perimeter of angle–angle diagrams for the weakest limb (Δ = 36–51%). The sEMG activity of the shank muscles increased at all speeds, particularly in the tibialis anterior of weakest limbs (Δ = 10–68%). The CoP displacement during upright standing decreased (Δ = 40–60%), whereas the handgrip strength increased (Δ = 32% average). Over the 5-year period of intervention, the individualized WBV improved locomotion, postural control and handgrip strength without side effects. Future studies should consider the possibility of implementing an individualized WBV in PwRRMS. Full article
(This article belongs to the Special Issue Recent Advances in Exercise-Based Rehabilitation)
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19 pages, 6150 KiB  
Article
Evaluation of Eutrophication in Small Reservoirs in Northern Agricultural Areas of China
by Qianyu Jing, Yang Shao, Xiyuan Bian, Minfang Sun, Zengfei Chen, Jiamin Han, Song Zhang, Shusheng Han and Haiming Qin
Diversity 2025, 17(8), 520; https://doi.org/10.3390/d17080520 - 26 Jul 2025
Viewed by 150
Abstract
Small reservoirs have important functions, such as water resource guarantee, flood control and drought resistance, biological habitat and maintaining regional economic development. In order to better clarify the impact of agricultural activities on the nutritional status of water bodies in small reservoirs, zooplankton [...] Read more.
Small reservoirs have important functions, such as water resource guarantee, flood control and drought resistance, biological habitat and maintaining regional economic development. In order to better clarify the impact of agricultural activities on the nutritional status of water bodies in small reservoirs, zooplankton were quantitatively collected from four small reservoirs in the Jiuxianshan agricultural area of Qufu, Shandong Province, in March and October 2023, respectively. The physical and chemical parameters in sampling points were determined simultaneously. Meanwhile, water samples were collected for nutrient salt analysis, and the eutrophication of water bodies in four reservoirs was evaluated using the comprehensive nutrient status index method. The research found that the species richness of zooplankton after farming (100 species) was significantly higher than that before farming (81 species) (p < 0.05). On the contrary, the dominant species of zooplankton after farming (7 species) were significantly fewer than those before farming (11 species). The estimation results of the standing stock of zooplankton indicated that the abundance and biomass of zooplankton after farming (92.72 ind./L, 0.13 mg/L) were significantly higher than those before farming (32.51 ind./L, 0.40 mg/L) (p < 0.05). Community similarity analysis based on zooplankton abundance (ANOSIM) indicated that there were significant differences in zooplankton communities before and after farming (R = 0.329, p = 0.001). The results of multi-dimensional non-metric sorting (NMDS) showed that the communities of zooplankton could be clearly divided into two: pre-farming communities and after farming communities. The Monte Carlo test results are as follows (p < 0.05). Transparency (Trans), pH, permanganate index (CODMn), electrical conductivity (Cond) and chlorophyll a (Chl-a) had significant effects on the community structure of zooplankton before farming. Total nitrogen (TN), total phosphorus (TP) and electrical conductivity (Cond) had significant effects on the community structure of zooplankton after farming. The co-linearity network analysis based on zooplankton abundance showed that the zooplankton community before farming was more stable than that after farming. The water evaluation results based on the comprehensive nutritional status index method indicated that the water conditions of the reservoirs before farming were mostly in a mild eutrophic state, while the water conditions of the reservoirs after farming were all in a moderate eutrophic state. The results show that the nutritional status of small reservoirs in agricultural areas is significantly affected by agricultural activities. The zooplankton communities in small reservoirs underwent significant changes driven by alterations in the reservoir water environment and nutritional status. Based on the main results of this study, we suggested that the use of fertilizers and pesticides should be appropriately reduced in future agricultural activities. In order to better protect the water quality and aquatic ecology of the water reservoirs in the agricultural area. Full article
(This article belongs to the Special Issue Diversity and Ecology of Freshwater Plankton)
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14 pages, 960 KiB  
Article
Backward Chaining Method for Teaching Long-Term Care Residents to Stand Up from the Floor: A Pilot Randomized Controlled Trial
by Anna Zsófia Kubik, Zsigmond Gyombolai, András Simon and Éva Kovács
J. Clin. Med. 2025, 14(15), 5293; https://doi.org/10.3390/jcm14155293 - 26 Jul 2025
Viewed by 364
Abstract
Objectives: Older adults who worry about not being able to stand up from the floor after a fall, reduce their physical activity, which leads to a higher risk of falling. The Backward Chaining Method (BCM) was developed specifically for this population to [...] Read more.
Objectives: Older adults who worry about not being able to stand up from the floor after a fall, reduce their physical activity, which leads to a higher risk of falling. The Backward Chaining Method (BCM) was developed specifically for this population to safely teach and practice the movement sequence required to stand up from the floor. Our aim is to evaluate the effectiveness of using the BCM to teach older adults how to stand up from the floor, and to determine whether this training has an impact on functional mobility, muscle strength, fear of falling, and life-space mobility. Methods: A total of 26 residents of a long-term care facility were randomly allocated to two groups. Residents in the intervention group (IG, n = 13) participated in a seven-week training program to learn how to stand up from the floor with BCM, in addition to the usual care generally offered in long-term care facilities. The participants in the control group (CG, n = 13) received the usual care alone. The primary outcome measure was functional mobility, assessed by the Timed Up and Go test. Secondary outcome measures included functional lower limb strength, grip strength, fear of falling, and life-space mobility. The outcomes were measured at baseline and after the seven-week intervention period. Results: We found no significant between-group differences in functional mobility, lower limb strength and grip strength; however, IG subjects demonstrated significantly lower fear of falling scores, and significantly higher life-space mobility and independent life-space mobility scores compared to CG subjects after the training program. Conclusions: This study demonstrates that the Backward Chaining Method is a feasible, well-tolerated intervention in a long-term care setting and it may have meaningful benefits, particularly in lessening fear of falling and improving life-space mobility and independent life-space mobility when incorporated into the usual physiotherapy interventions. Full article
(This article belongs to the Section Geriatric Medicine)
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14 pages, 806 KiB  
Article
Beat-to-Beat Blood Pressure Monitoring and Orthostatic Hypotension-Related Falls in Two Cohorts of Older Adults
by Liping Wang, Eveline P. van Poelgeest, Marjolein Klop, Jurgen A. H. R. Claassen, Alfons G. Hoekstra and Nathalie van der Velde
Geriatrics 2025, 10(4), 102; https://doi.org/10.3390/geriatrics10040102 - 26 Jul 2025
Viewed by 200
Abstract
Background: Falls are a major public health issue among older adults, often related to postural or orthostatic hypotension (OH). The optimal timing and methods for measuring blood pressure (BP) to assess OH and its relationship with falls are uncertain. Methods: We analyzed data [...] Read more.
Background: Falls are a major public health issue among older adults, often related to postural or orthostatic hypotension (OH). The optimal timing and methods for measuring blood pressure (BP) to assess OH and its relationship with falls are uncertain. Methods: We analyzed data from two older cohorts: the PROHEALTH study (n = 30, aged ≥ 65 years) and the NILVAD-CBF trial (n = 58, aged ≥ 50 years). Continuous beat-to-beat BP was measured during active stand tests. We assessed orthostatic BP responses during sit-to-stand and supine-to-stand maneuvers and calculated the associations between orthostatic BP response variables and falls. Results: In the PROHEALTH cohort, participants with a history of falls exhibited a significantly lower baseline BP (115 ± 13/68 ± 10 vs. 142 ± 21/79 ± 11 mmHg; p = 0.004/0.018) and lower systolic BP (SBP) nadir (90 ± 22 vs. 112 ± 25 mmHg; p = 0.043) than non-fallers. SBP recovery within three minutes post-stand was delayed in fallers but rapid in non-fallers. A lower resting BP was associated with fall risk, and a lower BP nadir within 10 s after standing showed a trend toward a higher fall risk. No significant associations were found in the NILVAD-CBF cohort (prospective falls). Conclusions: Our findings demonstrate that a lower resting SBP and diastolic BP (DBP) are associated with an increased fall risk in older adults, with a lower SBP and DBP nadir after standing also showing a potential association. Persistent OH or delayed BP recovery is identified as a potentially relevant fall risk factor. The supine-to-stand test was more sensitive in detecting OH than the sit-to-stand test. Continuous BP monitoring provides the advantage of detecting pathophysiologic orthostatic BP responses for fall risk assessment in older adults. Further research with larger cohorts is warranted to validate our findings. Full article
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12 pages, 231 KiB  
Article
Enhancing Preschoolers’ Motor Creativity Through Playfulness and Social Engagement
by Despoina Ourda, Eleni Polyzoudi, Athanasios Gregoriadis and Vassilis Barkoukis
Children 2025, 12(8), 969; https://doi.org/10.3390/children12080969 - 23 Jul 2025
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Abstract
Background/Objectives: Motor creativity is a vital component of preschoolers’ growth and development. However, its underlying determinants remain largely underexplored. This study investigates the interrelationship among playful behavior, social profile, and motor creativity in preschool children, emphasizing its implications for holistic health and [...] Read more.
Background/Objectives: Motor creativity is a vital component of preschoolers’ growth and development. However, its underlying determinants remain largely underexplored. This study investigates the interrelationship among playful behavior, social profile, and motor creativity in preschool children, emphasizing its implications for holistic health and development. Methods: A total of 200 children and their kindergarten teachers from Greece participated in the study. The Children’s Playfulness Scale (CPS) was employed to assess the children’s playfulness, while a sociometric test was used to evaluate their social standing within peer groups. Motor creativity was measured through TCAM, a performance-based test focusing on fluency, imagination, and originality. Results: The findings revealed that the dimensions of playful behavior, particularly motor and social playfulness, significantly and positively influenced motor creativity, a core component of physical and mental health in early childhood. Conversely, certain aspects of social behavior had a negative association with imaginative capacities. Conclusions: The study underscores the critical role of movement-based playful activities in fostering children’s physical, emotional, cognitive, and social health. It highlights the need for educators to design developmentally appropriate motor play activities that cultivate creativity and social integration, promoting a balanced and health-oriented early education framework. The results contribute to educational policy and practice by reinforcing the importance of structured motor play in supporting preschoolers’ well-being and comprehensive development. Full article
(This article belongs to the Section Global Pediatric Health)
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