Search Results (149)

Near-death experiences (NDEs) are profound psychological events known to catalyze significant spiritual transformation, though most research has been conducted in Western contexts. This study investigated perceived changes in spirituality or religiosity following NDEs among adults residing in Jakarta, Indonesia (N = 402 NDErs; 70% female; M_age = 23, SD = 7.93). This population is crucial as spirituality or religiosity are deeply intertwined yet understudied here. Gender differences were non-significant in both continuous (t(400) = 0.43, p = 0.671) and categorical analyses (χ²(2) = 1.03, p = 0.597). Crucially, age emerged as a significant moderator. Early adulthood showed the highest rate of post-NDE increase, significantly exceeding adolescence (z = −2.86, p = 0.004). Conversely, middle adulthood showed higher baseline levels but greater post-NDE stability. Furthermore, pre-existing spirituality or religiosity significantly predicted post-NDE changes (r = 0.174, p < 0.001). Interestingly, non-religious individuals were paradoxically overrepresented among those reporting a decrease (χ²(4) = 15.10, p = 0.004). These findings indicate that age and pre-existing levels of spirituality or religiosity potentially moderate the relationship between NDEs and changes in spiritual or religious levels following NDEs, highlighting the role of developmental and cognitive factors in transformative experiences. This study suggests that NDEs are associated with increased spirituality or religiosity among Indonesians, consistent with the broader global literature on their transformative aftereffects. Full article

Postpericardiotomy syndrome (PPS) is the most frequent inflammatory after-effect of cardiac surgery and is characterized by high morbidity, delayed hospitalization, and increased long-term mortality rates. Although PPS is common, empirical anti-inflammatory therapy has historically been employed for its prevention, and mechanism-based approaches have not yet been standardized. In this literature review, which was conducted on the basis of randomized controlled trials, meta-analyses, cohort studies, and mechanistic research regarding pharmacologic interventions, surgical modalities, and biomarker-based preventive strategies, the deficiencies of a critical synthesis of existing preventive strategies and emerging risk stratification instruments for PPS are addressed. The review affirms that the most evidence-based pharmacologic intervention is colchicine, which demonstrates a consistent reduction in PPS incidence across a range of randomized trials. Nonsteroidal anti-inflammatory drugs show variable responses, whereas corticosteroids are no longer recommended for routine prophylaxis due to relapse. Specific anti–interleukin-1 therapies represent a promising novel approach for high-risk patients. Surgical interventions, such as pericardial closure using biomaterials and posterior pericardiotomy, are important and do not lead to increased hemodynamic complications, while postoperative effusions, atrial fibrillation, and tamponade are reduced. Less invasive methods may also be employed to mitigate inflammatory causes, particularly in valve-sparing procedures and congenital operations. Emerging biomarker data, including postoperative neutrophil-to-lymphocyte ratios, C-reactive protein levels, and pericardial fluid cytokines, enable the identification of high-risk patients and form the basis for a personalized prevention approach. In summary, pharmacologic prophylaxis, innovative surgical techniques, and biomarker-based risk stratification represent a pathway toward reducing the incidence and burden of PPS in modern cardiac surgery. Full article

Understanding how intrinsic brain networks adapt to cognitive demands is central to neuroscience. The aim of this study was to examine how eyes-open and eyes-closed resting-state network integration, derived from electroencephalography before and after a visual oddball task, relates to task performance in young adults. Task engagement reduced global integration in theta, lower alpha, and beta bands, independent of eye condition, indicating a transient shift toward a less demanding post-task configuration. Eyes-open resting states consistently exhibited higher integration than eyes-closed in the upper alpha band, both before and after the task, reflecting enhanced inter-regional communication and sensory readiness. Importantly, higher pre-task beta-band integration during eyes-open resting state predicted faster reaction times and larger post-task decreases in integration, highlighting baseline network organization as a determinant of cognitive efficiency and neural flexibility. These findings support the concept of neural reserve, where intrinsic network efficiency and adaptability underpin both performance readiness and dynamic reorganization. Overall, the results demonstrate that resting-state network integration—modulated by both eye condition and task engagement—captures fundamental aspects of the brain’s capacity for efficient and flexible cognitive function. Full article

Crops nitrogen supply through the in situ mineralization of soil organic matter is a critical process for plant nutrition. However, accurately estimating the contribution of mineralization remains challenging. The complexity of biological, chemical, and physical processes in the soil, influenced by environmental conditions, makes it difficult to precisely quantify the amount of nitrogen available for crops. In this study, we created a database by collecting results from 121 mineralization monitoring experiments carried out between 2015 and 2021 on different experimental plots across Wallonia, Southern Belgium, and assessed the efficiency of predictive mineralization methods. The most impactful analytical parameters on in situ mineralization (ISM), determined using LIXIM program, appeared to be potentially mineralizable nitrogen (PMN) (r = 0.79). PMN, estimated by anaerobic soil incubation, also allowed the effective consideration of the after-effects of grassland termination and manure inputs. A multiple linear regression (MLR) combining PMN, POxC, pH, TOC:N, and TOC:clay significantly improved the prediction of soil nitrogen mineralization available for crops, achieving r = 0.87 (vs. r = 0.58 for the current method), while reducing dispersion by 41% (RMSE 56.35 → 33.13 kg N·ha⁻¹). The use of a more flexible Bootstrap Forest model (BFM) further enhanced performance, reaching r = 0.92 and a 50.8% reduction in dispersion compared to the current method (RMSE 56.35 → 27.76 kg N·ha⁻¹), i.e., about 16% lower RMSE than the MLR. Those models provided practical and efficient tools to better manage nitrogen resources in temperate agricultural systems. Full article

Spring droughts, increasingly coinciding with canopy shade, interactively stress the growth of urban tree species and are poorly understood in Beijing. Three-year-old saplings of Pinus tabuliformis and Robinia pseudoacacia were subjected to comparative analysis under four drought–shade sequences, with a full-light, well-watered treatment serving as the control. During two periods encompassing the drought to wilting point and subsequent rewatering, we assessed leaf morphology, water status, photosynthetic gas exchange, and chlorophyll fluorescence. Both species exhibited losses in leaf water and carbon assimilation under drought, yet their adaptive strategies substantially differed. P. tabuliformis conserved water through the stable leaf anatomy and conservative stomatal control. In particular, P. tabuliformis under full-light and drought conditions decreased their specific leaf area (SLA) by 23%, as well as showing reductions in stomatal conductance (G_s) and transpiration rate (T_r) along with the drought duration (p < 0.01). As the duration of post-drought rewatering increased, the reductions in the net photosynthetic rates (P_n) of P. tabulaeformis showed that the shade condition intensified its photosynthetic limitation and slowed recovery after drought. Under low-light drought, R. pseudoacacia exhibited a 52% increase in SLA and a 77% decline in G_s; the latter was markedly smaller than the reduction observed under full-light drought. After rewatering, G_s displayed an overcompensation response. The rise in specific leaf area and the greater flexibility of stomatal regulation partly offset the adverse effects of drought. Nevertheless, post-drought P_n recovered to only 40%, significantly lower than the 61% recovery under full-light drought. Moreover, the negative correlation between SLA and P_n became significantly stronger, indicating that the “after-effects” of shade–drought hindered photosynthetic recovery once the stress was relieved. Drought duration eroded the phenotypic performance in both species, while the light environment during drought and subsequent rehydration determined the time trajectory and completeness of recovery. These results validate a trade-off between shade mitigation and drought legacy, and guide species selection: plant shade-tolerant R. pseudoacacia in light-limited urban pockets and reserve sun-dependent P. tabuliformis for open, high-light sites to enhance drought resilience of Beijing’s urban forests. Full article

Immersive theatre, as a contemporary performance form that integrates narrative, space, and sensory participation, has gradually expanded from entertainment consumption to a practice of cultural representation and memory construction. Audiences are no longer merely passive spectators but participate in the narrative through role-playing, situational interaction, and sensory triggers, thereby generating cultural identity and emotional memory. While existing research has preliminarily addressed the characteristics of immersive design and audience interaction, there remains a lack of in-depth exploration into how audiences, after the performance, come to develop cultural positional understanding and sustain memory through participatory practices. Drawing on three Taiwanese immersive productions with strong local cultural contexts—The Great Tipsy, Someone, and Ephemeral Light: Taiwan—this study employs participatory observation and content analysis as an exploratory qualitative inquiry. Findings indicate that audience subjectivity is shaped by role design and the degree of participatory freedom; the depth of interaction and cultural context within narrative strategies determine cultural reception; emotional triggers act as a catalyst for cultural memory construction; and the depth of immersion influences the intensity and continuity of post-performance cultural effects. The three works, respectively, embody “emotional,” “historical,” and “cognitive” modes of cultural influence, producing distinct levels of post-experiential effects. This study further reveals that the formation of cultural identity emerges from the interweaving of design strategies, affective triggers, and narrative participation. These insights not only inform immersive design practices but also suggest the importance of incorporating cultural aftereffect tracking and educational applications to extend the depth and breadth of cultural practice. Full article

Transcranial direct current stimulation (tDCS) can modulate cortical excitability in a polarity-specific manner, yet identical protocols often produce inconsistent outcomes across sessions or individuals. This narrative review proposes that much of this variability arises from the brain’s intrinsic temporal landscape. Integrating evidence from chronobiology, sleep research, and non-invasive brain stimulation, we argue that tDCS produces reliable, polarity-specific after-effects only within a circadian–homeostatic “window of efficacy”. On the circadian (Process C) axis, intrinsic alertness, membrane depolarisation, and glutamatergic gain rise in the late biological morning and early evening, whereas pre-dawn phases are marked by reduced excitability and heightened inhibition. On the homeostatic (Process S) axis, consolidated sleep renormalises synaptic weights, widening the capacity for further potentiation, whereas prolonged wakefulness saturates plasticity and can even reverse the usual anodal/cathodal polarity rules. Human stimulation studies mirror this two-process fingerprint: sleep deprivation abolishes anodal long-term-potentiation-like effects and converts cathodal inhibition into facilitation, while stimulating at each participant’s chronotype-aligned (phase-aligned) peak time amplifies and prolongs after-effects even under equal sleep pressure. From these observations we derive practical recommendations: (i) schedule excitatory tDCS after restorative sleep and near the individual wake-maintenance zone; (ii) avoid sessions at high sleep pressure or circadian troughs; (iii) log melatonin phase, chronotype, recent sleep and, where feasible, core temperature; and (iv) consider mild pre-heating or time-restricted feeding as physiological primers. By viewing Borbély’s two-process model and allied metabolic clocks as adjustable knobs for plasticity engineering, this review provides a conceptual scaffold for personalised, time-sensitive tDCS protocols that could improve reproducibility in research and therapeutic gain in the clinic. Full article

Background: Benzodiazepines (BZDs), commonly used to treat insomnia and anxiety, are increasingly used in Spain, raising concerns due to their potential for abuse and dependence. This study investigates the use of BZDs and other psychotropic medications among healthcare workers, exploring their prevalence, associated factors, and their relationship with mental health issues following the COVID-19 pandemic. Methods: An anonymous online survey was conducted among healthcare workers at the Salamanca University Healthcare Complex (CAUSA) from March 2023 to January 2024. Of 1121 participants, 685 provided complete responses, which were analysed. Insomnia, anxiety, and depression were assessed using the Insomnia Severity Index (ISI) and Patient Health Questionnaire-4 (PHQ-4). Results: Of the respondents, 23.8% reported using sleep medication, with 27.8% doing so without a prescription. Additionally, 14.7% used medication for depression or anxiety, with only 0.6% without a prescription. Hypnotic medicine use was associated with older age, insomnia, anxiety, depression, psychological or psychiatric treatment, COVID-19 after-effects, and diagnosed sleep disorders. Night-shift work was associated with increased hypnotic medication use in men but not in women. The use of these medications was linked to a reduced quality of life and impaired work performance. Conclusions: The use of BZD and self-medication are prevalent among healthcare professionals, exceeding the rates observed in the general population. These findings highlight the urgent need for targeted interventions to address psychotropic medication use, promote other pharmacological and non-pharmacological alternatives for insomnia, and enhance mental health support for this vulnerable population. Full article

Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique promisingly used to treat neurological and psychological disorders. Nevertheless, the inter-subject heterogeneity in its after-effects frequently limits its efficacy. This can be attributed to fixed-dose methods, which do not consider inter-subject anatomical variations. This work attempts to overcome this constraint by examining the effects of age and anatomical features, including the volume of cerebrospinal fluid (CSF), the thickness of the skull, and the composition of brain tissue, on electric field distribution and cortical excitability. A computational approach was used to map the electric field distribution over the brain tissues of realistic head models reconstructed from MRI images of twenty-three subjects, including adults and children of both genders. Significant negative correlations (p < 0.05) were found in the data between the maximum electric field strength and anatomical variable parameters. Furthermore, this study showed that the percentage of brain tissue exposed to an electric field amplitude above a pre-defined threshold (i.e., 0.227 V/m) was the main factor influencing the responsiveness to tDCS. In the end, the research suggests multiple regression models as useful tool to predict subjects’ responsiveness and to support a personalized approach that tailors the injected current to the morphology of the patient. Full article

Background: Gravity profoundly influences human locomotion. Studies examining the effects of hyper-gravity on gait have largely relied on added external mass, potentially confounding results with changes in inertia and center of mass. This study attempted to isolate the effects of increased gravitational load on kinematics and electromyography during walking at several different levels of load. Methods: Fifteen healthy adults were exposed to simulated gravitational loads ranging from 100% to 130% of body weight using a novel harness and spring-based system that increased weight without the addition of external mass and without altering limb inertia. Participants walked on a treadmill at a self-selected speed through incremental loading and unloading. Lower limb kinematics and electromyography data were recorded. Traditional measures of gait, as well as more dynamical measures, including angle–angle analysis and phase portraits, were examined. Results: Data demonstrated that a 130% load is sufficient to induce kinematic changes at the hip and knee; however, these changes become significant only during the transition from 130% to lower load levels. Ankle kinematics and electromyography appeared to be unaffected. Conclusions: These findings suggest that the presence of external mass and alterations in limb inertias should be considered seriously as independent variables in future loading studies, and that weight and mass may need to be considered as separate effectors during locomotion. This study also found that the act of loading and unloading elicit distinct responses in the joints of the lower extremities, as well as that it may induce an adaptative after-effect. Full article

In this work, a vertical landing mechanism of a reusable launch vehicle (RLV) is investigated using a flexible–rigid coupled dynamics model. The presented model takes into account the four-legged landing mechanism and the main body cabin. Flexibilities of the main components in the vertical landing mechanism are considered. The hydro-pneumatic spring force and thrust aftereffect caused by the sequential deactivation of the engine are introduced separately. Several simulation cases are selected to analyze the loads acting on the landing mechanism and the dynamics behavior of the whole RLV system. Simulation results show that considering flexibility in the landing mechanism is critical for dynamics analysis under various initial conditions. The adopted RLV design is capable of achieving stable landings under specified initial velocity and attitude conditions, demonstrating its feasibility for engineering applications. Moreover, the hydro-pneumatic spring plays a crucial role in absorbing the impact of the initial landing leg, ensuring a smoother landing experience and minimizing potential damage to the vehicle. Full article

Digestate is primarily a by-product of anaerobic digestion, where organic waste is converted into biogas. Also, digestate has become an excellent tool for enriching the eroding and disappearing fertile soil and restoring its fertility over the past two decades. The research applying digestate as a fertilizer includes outdoor and greenhouse vegetables such as tomatoes. Antioxidants are one of the most useful substances in tomatoes. Therefore, this work aimed to evaluate the residual effect of solid grain waste digestate (below digestate) used for seedling production on the response of the antioxidant capacity of tomatoes of different fruit maturity with other assays. Tomato seedlings were grown in a peat substrate (control) and peat mixed with 5%, 10%, 15%, and 20% biogas digestate addition; fruits were harvested at three maturity levels: green growth, half-ripe, and fully ripe. From each treatment, five fruits were randomly selected at different maturity stages. This research shows that both the maturity stage and the addition of digestate may influence the antioxidant activity and total phenolic contents in tomato fruit. The digestate addition shows a significant increase in phenolics; all treatments resulted in the highest amounts during full ripening. The percentage of digestate in peat substrate and peat mixture did not have such a uniform effect as fruit maturity. The addition of 20% digestate significantly increased antioxidant activity and total phenol content in green and medium-ripe fruit; however, fully ripened fruits had similar antioxidant system responses under all digestate treatments. Full article

The most common aftereffect of severe burns in patients is hypertrophic scarring. Hypertrophic scars typically form following severe burns; it refers to excessive collagen production in the dermal layer during the healing process, resulting in an abnormal raised scar. Currently, practical treatments for suppressing hypertrophic scars include laser therapy, pressure therapy, and the application of silicone sheets for moisture retention. The most extensively used treatment involves compression therapy using specially designed garments for the affected areas. However, this method has limitations when applied to curved surfaces like the face. To address this issue, three-dimensional (3D) scanning and 3D printing techniques have been actively developed for face masks and have shown promising clinical results. Unfortunately, current facial masks under development lack a sensor system to measure pressure, making it difficult to ensure consistent and appropriate pressures during clinical trials. In this study, we have developed a burn pressure mask capable of real-time pressure monitoring. The facial mask developed in this study utilizes an FSR-type sensor to measure the pressure applied to the skin. We have also embedded electrical wires within the mask to enhance its comfort and wearability. For this study, two patients wore the facial mask with real-time pressure measurement capabilities for 4 weeks in 12 h per day on average. We evaluated whether the mask maintained the appropriate pressure range (15–25 mmHg) throughout the clinical trial and whether it effectively inhibited scar formation. Through the analysis of recorded pressure signal data, we confirmed that the patients consistently maintained the appropriate pressure while wearing the mask during the clinical trial. Additionally, we observed significant differences in skin moisture levels, transepidermal water loss, and scar thickness before and after the experiment. These findings suggest that the facial mask, featuring real-time monitoring capabilities, effectively prevents the formation of hypertrophic scars. Full article

Background/Objectives. Mirror properties of the action observation network (AON) can be modulated through Hebbian-like associative plasticity using paired associative stimulation (PAS). We recently introduced a visuomotor protocol (mirror–PAS, m-PAS) that pairs transcranial magnetic stimulation (TMS) over the primary motor cortex (M1) with visual stimuli of ipsilateral (to TMS) movements, leading to atypical corticospinal excitability (CSE) facilitation (i.e., motor resonance) during PAS-conditioned action observation. While m-PAS aftereffects are robust, little is known about markers of associative plasticity during its administration and their predictive value for subsequent motor resonance rewriting. The present study aims to fill this gap by investigating CSE modulations during m-PAS and their relationship with the protocol’s aftereffects. Methods. We analyzed CSE dynamics in 81 healthy participants undergoing the m-PAS before and after passively observing left- or right-hand index finger movements. Here, typical and PAS-conditioned motor resonance was assessed with TMS over the right M1. We examined CSE changes during the m-PAS and used linear regression models to explore their relationship with motor resonance modulations. Results. m-PAS transiently reshaped both typical and PAS-induced motor resonance. Importantly, we found a gradual increase in CSE during m-PAS, which predicted the loss of typical motor resonance but not the emergence of atypical responses after the protocol’s administration. Conclusions. Our results suggest that the motor resonance reshaping induced by the m-PAS is not entirely predictable by CSE online modulations. Likely, this rewriting is the product of a large-scale reorganization of the AON rather than a phenomenon restricted to the PAS-stimulated motor cortex. This study underlines that monitoring CSE during non-invasive brain stimulation protocols could provide valuable insight into some but not all plastic outcomes. Full article

This case report is a reflection on the cumulative results of a number of research projects conducted in Iceland in the field of parenting with a disability. The underlying research consisted primarily of an analysis of court case documents and interviews with parents, extended family members and relevant professionals. The contribution that follows emerged out of a question that we posed to our overall research findings and experiences—what does justice look like for parents with ID who have to contend with deprivation of custody orders? In the rare instances in which a parent ultimately prevailed over an unjust deprivation order, this was only accomplished after an extensive fight through the court system, after which, a great deal of harm to the family had already been caused. We offer for consideration a close look at one such case that we followed, the aftereffects of which are still ongoing. The other path to success appears to be that of early intervention, but this typically occurs through happenstance and requires the involvement of a network of progressive professionals and fortuitous timing. Our contribution is a call to discuss what justice looks like and how this may be transformed into something more systematic. Full article