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25 pages, 6507 KiB  
Article
Sustainable Urban Heat Island Mitigation Through Machine Learning: Integrating Physical and Social Determinants for Evidence-Based Urban Policy
by Amatul Quadeer Syeda, Krystel K. Castillo-Villar and Adel Alaeddini
Sustainability 2025, 17(15), 7040; https://doi.org/10.3390/su17157040 (registering DOI) - 3 Aug 2025
Abstract
Urban heat islands (UHIs) are a growing sustainability challenge impacting public health, energy use, and climate resilience, especially in hot, arid cities like San Antonio, Texas, where land surface temperatures reach up to 47.63 °C. This study advances a data-driven, interdisciplinary approach to [...] Read more.
Urban heat islands (UHIs) are a growing sustainability challenge impacting public health, energy use, and climate resilience, especially in hot, arid cities like San Antonio, Texas, where land surface temperatures reach up to 47.63 °C. This study advances a data-driven, interdisciplinary approach to UHI mitigation by integrating Machine Learning (ML) with physical and socio-demographic data for sustainable urban planning. Using high-resolution spatial data across five functional zones (residential, commercial, industrial, official, and downtown), we apply three ML models, Random Forest (RF), Support Vector Machine (SVM), and Gradient Boosting Machine (GBM), to predict land surface temperature (LST). The models incorporate both environmental variables, such as imperviousness, Normalized Difference Vegetation Index (NDVI), building area, and solar influx, and social determinants, such as population density, income, education, and age distribution. SVM achieved the highest R2 (0.870), while RF yielded the lowest RMSE (0.488 °C), confirming robust predictive performance. Key predictors of elevated LST included imperviousness, building area, solar influx, and NDVI. Our results underscore the need for zone-specific strategies like more greenery, less impervious cover, and improved building design. These findings offer actionable insights for urban planners and policymakers seeking to develop equitable and sustainable UHI mitigation strategies aligned with climate adaptation and environmental justice goals. Full article
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17 pages, 1105 KiB  
Article
The Effects of Group Fitness Programs Zumba and MoFit on Body Composition Parameters in Women
by Armin Zećirović, Dejan Ćeremidžić, Aleksandar Joksimović, Tatjana Ćeremidžić, Dina Joksimović, Nikola Aksović, Lazar Toskić, Cristian-Corneliu Dragoi, Vasile Cătălin Ciocan, Anghel Mihaela, Tatiana Dobrescu and Daniel-Lucian Dobreci
Life 2025, 15(8), 1225; https://doi.org/10.3390/life15081225 (registering DOI) - 3 Aug 2025
Abstract
(1) Background: Physical inactivity is a major public health concern in modern society. Group fitness programs are widely used to promote physical activity, combining choreographed movements with various dance steps and music. This study aimed to examine the effects of Zumba and MoFit [...] Read more.
(1) Background: Physical inactivity is a major public health concern in modern society. Group fitness programs are widely used to promote physical activity, combining choreographed movements with various dance steps and music. This study aimed to examine the effects of Zumba and MoFit group fitness programs on body composition parameters in women. (2) Methods: The study included 98 female participants (Mean age = 27.8 ± 2.9 years), divided into three groups: E1 (n = 33), which followed the experimental Zumba program; E2 (n = 31), which followed the experimental MoFit program; and a control group (n = 34), which continued with their usual daily activities for 10 weeks. Body composition was assessed using 14 variables measured with the InBody 270 analyser. Statistical analyses included paired t-tests, MANCOVA, and ANCOVA. (3) Results: The findings confirmed the positive effects of both group fitness programs on most body composition parameters in women (p < 0.001). However, Bonferroni post hoc test results indicated that the Zumba program led to significantly greater improvements in most body composition variables compared to the MoFit program. (4) Conclusions: Both Zumba and MoFit programs were effective in reducing body fat, increasing muscle mass, total body water, and mineral content, whereas the control group did not achieve positive changes. Full article
(This article belongs to the Section Physiology and Pathology)
14 pages, 3520 KiB  
Article
Anterior Chamber Configuration and Its Related Factors Among 8-Year-Old Children in the Yamanashi Adjunct Study of the Japan Environment and Children’s Study
by Mingxue Bao, Ryo Harada, Yuka Kasai, Natsuki Okabe, Airi Takahashi, Chio Kuleshov, Yumi Shigemoto, Tadao Ooka, Hiroshi Yokomichi, Kunio Miyake, Reiji Kojima, Ryoji Shinohara, Hideki Yui, Sanae Otawa, Anna Kobayashi, Megumi Kushima, Zentaro Yamagata, Kenji Kashiwagi and on behalf of The Yamanashi Adjunct Study of the Japan Environment and Children’s Study Group
J. Clin. Med. 2025, 14(15), 5454; https://doi.org/10.3390/jcm14155454 (registering DOI) - 3 Aug 2025
Abstract
Objective: This study aims to examine the anterior chamber structure and related factors in 8-year-old children based on data from The Yamanashi Adjunct Study of the Japan Environment and Children’s Study (JECS). Methods: A total of 709 children aged 8 years [...] Read more.
Objective: This study aims to examine the anterior chamber structure and related factors in 8-year-old children based on data from The Yamanashi Adjunct Study of the Japan Environment and Children’s Study (JECS). Methods: A total of 709 children aged 8 years (350 boys and 359 girls) who participated in the JECS Adjunct Study were included. The right eyes were primarily used for measurements. Optical Coherence Tomography (OCT) was utilized to scan the anterior chambers of the participants’ eyes. The following parameters were measured: Angle Opening Distance (AOD500, 750), Trabecular Iris Space Area (TISA500, 750), Anterior Chamber Angle (ACA500, 750), Peripheral Iris Thickness (IT500, 750), and Peripheral Corneal Thickness (PCT500, 750). The relationships between anterior chamber structure, axial length (AL), spherical equivalent (SE), logMAR (without correction), and body height were analyzed. Results: A significant negative correlation was found between SE and ACA (500: coefficient = −0.19; 750: −0.24), AOD (500: −0.19; 750: −0.24), and TISA (500: −0.17; 750: −0.23) (p < 0.001). Conversely, a significant positive correlation was observed between AL and ACA (500: 0.22; 750: 0.26), AOD (500: 0.25; 750: 0.30), and TISA (500: 0.24; 750: 0.29) (p < 0.001). Boys exhibited a longer AL (boys: girls = 23.30 ± 0.76 mm; girls = 22.79 ± 0.72 mm) and greater CT (500: boys = 812.82 ± 51.94 mm; girls = 784.48 ± 51.81 mm; 750: boys = 776.01 ± 48.64 mm; girls = 751.34 ± 49.63 mm) compared to girls (p < 0.001) despite no significant difference in body height. CT and IT showed no correlation with AL or SE, and visual acuity had minimal correlation with IT and CT. Conclusions: In our cohort of eight-year-old children, the anterior chamber angle structure correlates with ocular structures and refractive error, revealing notable differences between boys and girls. Full article
(This article belongs to the Section Ophthalmology)
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19 pages, 4765 KiB  
Article
Dehydration-Driven Changes in Solid Polymer Electrolytes: Implications for Titanium Anodizing Efficiency
by Andrea Valencia-Cadena, Maria Belén García-Blanco, Pablo Santamaría and Joan Josep Roa
Materials 2025, 18(15), 3645; https://doi.org/10.3390/ma18153645 (registering DOI) - 3 Aug 2025
Abstract
This study investigates the thermal stability and microstructural evolution of the solid electrolyte medium used in DLyte® dry electropolishing and dry anodizing processes. Samples were thermally aged between 30 °C and 45 °C to simulate Joule heating during industrial operation. Visual and [...] Read more.
This study investigates the thermal stability and microstructural evolution of the solid electrolyte medium used in DLyte® dry electropolishing and dry anodizing processes. Samples were thermally aged between 30 °C and 45 °C to simulate Joule heating during industrial operation. Visual and SEM analyses revealed shape deformation and microcrack formation at temperatures above 40 °C, potentially reducing particle packing efficiency and electrolyte performance. Particle size distribution shifted from bimodal to trimodal upon aging, with an overall size reduction of up to 39.5% due to dehydration effects, impacting ionic transport properties. Weight-loss measurements indicated a diffusion-limited dehydration mechanism, stabilizing at 15–16% mass loss. Fourier transform infrared analysis confirmed water removal while maintaining the essential sulfonic acid groups responsible for ionic conductivity. In dry anodizing tests on titanium, aged electrolytes enhanced process efficiency, producing TiO2 films with improved optical properties—color and brightness—while preserving thickness and uniformity (~70 nm). The results highlight the need to carefully control thermal exposure to maintain electrolyte integrity and ensure consistent process performance. Full article
(This article belongs to the Special Issue Novel Materials and Techniques for Dental Implants)
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23 pages, 2059 KiB  
Systematic Review
Comparative Effectiveness of Nutritional Supplements in the Treatment of Knee Osteoarthritis: A Network Meta-Analysis
by Yuntong Zhang, Yunfei Gui, Roger Adams, Joshua Farragher, Catherine Itsiopoulos, Keegan Bow, Ming Cai and Jia Han
Nutrients 2025, 17(15), 2547; https://doi.org/10.3390/nu17152547 (registering DOI) - 3 Aug 2025
Abstract
Background: Knee osteoarthritis (KOA) is a prevalent degenerative joint disease that can greatly affect quality of life in middle-aged and elderly individuals. Nutritional supplements are increasingly used for KOA due to their low risk, but direct comparative evidence on their efficacy and [...] Read more.
Background: Knee osteoarthritis (KOA) is a prevalent degenerative joint disease that can greatly affect quality of life in middle-aged and elderly individuals. Nutritional supplements are increasingly used for KOA due to their low risk, but direct comparative evidence on their efficacy and safety remains scarce. This study aimed to systematically compare the effectiveness and safety of seven common nutritional supplements for KOA. Methods: A systematic review and network meta-analysis were conducted following PRISMA guidelines. Embase, PubMed, and the Cochrane Library were searched through December 2024 for randomized controlled trials (RCTs) evaluating use of eggshell membrane, vitamin D, Boswellia, curcumin, ginger, krill oil, or collagen, versus placebo, in adults with KOA. Primary outcomes included changes in scores for WOMAC pain, stiffness and function, and pain visual analog scale (VAS). Adverse events were also assessed. Bayesian network meta-analyses estimated ranking probabilities for each intervention. Results: In total, 39 RCTs (42 studies; 4599 patients) were included. Compared with placebo, Boswellia showed significant improvements in WOMAC pain (mean difference [MD] = 10.58, 95% CI: 6.45 to 14.78, p < 0.05), stiffness (MD = 9.47, 95% CI: 6.39 254 to 12.74, p < 0.05), function (MD = 14.00, 95% CI: 7.74 to 20.21, p < 0.05), and VAS pain (MD = 17.26, 95% CI: 8.06 to 26.52, p < 0.05). Curcumin, collagen, ginger, and krill oil also demonstrated benefits in some outcomes. No supplement was associated with increased adverse events compared to placebo. Bayesian rankings indicated Boswellia had the highest probability of being most effective for pain and stiffness, with krill oil and curcumin showing potential for function improvement. Conclusions: Nutritional supplements, particularly Boswellia, appear to be effective and well-tolerated for improving KOA symptoms and function. These results suggest that certain supplements may be useful as part of non-pharmacological KOA management. However, further large-scale, well-designed randomized controlled trials (RCTs) are needed to confirm these findings, particularly those that include more standardized dosages and formulations, as well as to evaluate their long-term efficacy. Full article
(This article belongs to the Section Nutrition Methodology & Assessment)
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21 pages, 1031 KiB  
Article
Waiting Times for Surgery and Radiotherapy Among Breast Cancer Patients in Switzerland: A Cancer Registry-Based Cross-Sectional and Longitudinal Analysis
by Christoph Oehler, Michel Eric Nicolas Zimmermann, Mohsen Mousavi, Kattic Ram Joorawon, Marcel Blum, Christian Herrmann and Daniel Rudolf Zwahlen
Radiation 2025, 5(3), 23; https://doi.org/10.3390/radiation5030023 (registering DOI) - 3 Aug 2025
Abstract
Background: Delays in breast cancer treatment negatively affect prognosis and have increased over time. Data on waiting times in Switzerland are limited. Patients and Methods: This study analyzed cancer registry data from 2003 to 2005 (2628 patients) and 2015 to 2017 (421 patients) [...] Read more.
Background: Delays in breast cancer treatment negatively affect prognosis and have increased over time. Data on waiting times in Switzerland are limited. Patients and Methods: This study analyzed cancer registry data from 2003 to 2005 (2628 patients) and 2015 to 2017 (421 patients) to evaluate waiting times for diagnosis, surgery, and radiotherapy; temporal trends; and survival in women with stage I–III invasive breast cancer treated with surgery without chemotherapy. Associations with demographic/clinical factors and overall survival (OS) were assessed using ANOVA, uni-/multivariable regression, Kaplan–Meier, and Cox regression. Results: From 2003 to 2005, mean intervals were biopsy-to-diagnosis 4.3 days, diagnosis-to-surgery 18.8 days, biopsy-to-surgery 26.8 days, and surgery-to-radiotherapy 56.7 days. Longer diagnosis-to-surgery times were associated with metropolitan areas, public hospitals, basic insurance, mastectomy, and older age (all p < 0.001). Radiotherapy delays were also longer in metropolitan areas and after mastectomy (p < 0.001). Between 2003–2005 and 2015–2017, diagnosis-to-surgery times rose in Eastern Switzerland (from 21.3 to 31.2 days), while radiotherapy timing remained stable. Five-year overall survival improved (from 76.7% to 88.4%), but was not significantly impacted by diagnosis-to-surgery intervals. Conclusions: Despite timely surgery in Switzerland (2003–2005), disparities existed, and time to surgery increased by 2015–2017. Reducing waiting times remains important despite no significant short-term OS impact. Full article
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19 pages, 1363 KiB  
Article
Non-Structural Carbohydrate Concentration Increases and Relative Growth Decreases with Tree Size in the Long-Lived Agathis australis (D.Don) Lindl.
by Julia Kaplick, Benjamin M. Cranston and Cate Macinnis-Ng
Forests 2025, 16(8), 1270; https://doi.org/10.3390/f16081270 (registering DOI) - 3 Aug 2025
Abstract
The southern conifer Agathis australis (D.Don) Lindl. is a large and long-lived species endemic to Aotearoa New Zealand. It is threatened due to past logging activities, pathogen attack and potentially climate change, with increasing severity and frequency of drought and heatwaves across its [...] Read more.
The southern conifer Agathis australis (D.Don) Lindl. is a large and long-lived species endemic to Aotearoa New Zealand. It is threatened due to past logging activities, pathogen attack and potentially climate change, with increasing severity and frequency of drought and heatwaves across its distribution. Like many large tree species, little is known about the carbon dynamics of this ecologically and culturally significant species. We explored seasonal variations in non-structural carbohydrates (NSCs) and growth in trees ranging from 20 to 175 cm diameter at breast height (DBH). NSCs were seasonally stable with no measurable pattern across seasons. However, we found growth rates standardised to basal area and sapwood area (growth efficiency) declined with tree age and stem NSC concentrations (including total NSCs, sugars and starch) all increased as trees aged. Total NSC concentrations were 0.3%–0.6% dry mass for small trees and 0.8%–1.8% dry mass for larger trees, with strong relationships between DBH and total NSC, sugar and starch in stems but not roots. Cumulative growth efficiency across the two-year study period declined as tree size increased. Furthermore, there was an inverse relationship between growth efficiency across the two-year study period and NSC concentrations of stems. This relationship was driven by differences in carbon dynamics in trees of different sizes, with trees progressing to a more conservative carbon strategy as they aged. Simultaneously declining growth efficiency and increasing NSC concentrations as trees age could be evidence for active NSC accumulation to buffer against carbon starvation in larger trees. Our study provides new insights into changing carbon dynamics as trees age and may be evidence for active carbon accumulation in older trees. This may provide the key for understanding the role of carbon processes in tree longevity. Full article
(This article belongs to the Section Forest Ecophysiology and Biology)
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14 pages, 2070 KiB  
Article
Carcass and Meat Quality Characteristics and Changes of Lean and Fat Pigs After the Growth Turning Point
by Tianci Liao, Mailin Gan, Yan Zhu, Yuhang Lei, Yiting Yang, Qianli Zheng, Lili Niu, Ye Zhao, Lei Chen, Yuanyuan Wu, Lixin Zhou, Jia Xue, Xiaofeng Zhou, Yan Wang, Linyuan Shen and Li Zhu
Foods 2025, 14(15), 2719; https://doi.org/10.3390/foods14152719 (registering DOI) - 3 Aug 2025
Abstract
Pork is a major global source of animal protein, and improving both its production efficiency and meat quality is a central goal in modern animal agriculture and food systems. This study investigated post-inflection-point growth patterns in two genetically distinct pig breeds—the lean-type Yorkshire [...] Read more.
Pork is a major global source of animal protein, and improving both its production efficiency and meat quality is a central goal in modern animal agriculture and food systems. This study investigated post-inflection-point growth patterns in two genetically distinct pig breeds—the lean-type Yorkshire pig (YP) and the fatty-type Qingyu pig (QYP)—with the aim of elucidating breed-specific characteristics that influence pork quality and yield. Comprehensive evaluations of carcass traits, meat quality attributes, nutritional composition, and gene expression profiles were conducted. After the growth inflection point, carcass traits exhibited greater variability than meat quality traits in both breeds, though with distinct patterns. YPs displayed superior muscle development, with the longissimus muscle area (LMA) increasing rapidly before plateauing at ~130 kg, whereas QYPs maintained more gradual but sustained muscle growth. In contrast, intramuscular fat (IMF)—a key determinant of meat flavor and texture—accumulated faster in YPs post inflection but plateaued earlier in QYPs. Correlation and clustering analyses revealed more synchronized regulation of meat quality traits in QYPs, while YPs showed greater trait variability. Gene expression patterns aligned with these phenotypic trends, highlighting distinct regulatory mechanisms for muscle and fat development in each breed. In addition, based on the growth curves, we calculated the peak age at which the growth rate declined in lean-type and fat-type pigs, which was approximately 200 days for YPs and around 270 days for QYPs. This suggests that these ages may represent the optimal slaughter times for the respective breeds, balancing both economic efficiency and meat quality. These findings provide valuable insights for enhancing pork quality through precision management and offer theoretical guidance for developing breed-specific feeding strategies, slaughter timing, and value-added pork production tailored to consumer preferences in the modern food market. Full article
(This article belongs to the Section Meat)
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14 pages, 2448 KiB  
Article
Study on the Semi-Interpenetrating Polymer Network Self-Degradable Gel Plugging Agent for Deep Coalbed Methane
by Bo Wang, Zhanqi He, Jin Lin, Kang Ren, Zhengyang Zhao, Kaihe Lv, Yiting Liu and Jiafeng Jin
Processes 2025, 13(8), 2453; https://doi.org/10.3390/pr13082453 (registering DOI) - 3 Aug 2025
Abstract
Deep coalbed methane (CBM) reservoirs are characterized by high hydrocarbon content and are considered an important strategic resource. Due to their inherently low permeability and porosity, horizontal well drilling is commonly employed to enhance production, with the length of the horizontal section playing [...] Read more.
Deep coalbed methane (CBM) reservoirs are characterized by high hydrocarbon content and are considered an important strategic resource. Due to their inherently low permeability and porosity, horizontal well drilling is commonly employed to enhance production, with the length of the horizontal section playing a critical role in determining CBM output. However, during extended horizontal drilling, wellbore instability frequently occurs as a result of drilling fluid invasion into the coal formation, posing significant safety challenges. This instability is primarily caused by the physical intrusion of drilling fluids and their interactions with the coal seam, which alter the mechanical integrity of the formation. To address these challenges, interpenetrating and semi-interpenetrating network (IPN/s-IPN) hydrogels have gained attention due to their superior physicochemical properties. This material offers enhanced sealing and support performance across fracture widths ranging from micrometers to millimeters, making it especially suited for plugging applications in deep CBM reservoirs. A self-degradable interpenetrating double-network hydrogel particle plugging agent (SSG) was developed in this study, using polyacrylamide (PAM) as the primary network and an ionic polymer as the secondary network. The SSG demonstrated excellent thermal stability, remaining intact for at least 40 h in simulated formation water at 120 °C with a degradation rate as high as 90.8%, thereby minimizing potential damage to the reservoir. After thermal aging at 120 °C, the SSG maintained strong plugging performance and favorable viscoelastic properties. A drilling fluid containing 2% SSG achieved an invasion depth of only 2.85 cm in an 80–100 mesh sand bed. The linear viscoelastic region (LVR) ranged from 0.1% to 0.98%, and the elastic modulus reached 2100 Pa, indicating robust mechanical support and deformation resistance. Full article
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13 pages, 2384 KiB  
Article
Legacy and Luxury Effects: Dual Drivers of Tree Diversity Dynamics in Beijing’s Urbanizing Residential Areas (2006–2021)
by Xi Li, Jicun Bao, Yue Li, Jijie Wang, Wenchao Yan and Wen Zhang
Forests 2025, 16(8), 1269; https://doi.org/10.3390/f16081269 (registering DOI) - 3 Aug 2025
Abstract
Numerous studies have demonstrated that in residential areas of Western cities, both luxury and legacy effects significantly shape tree species diversity dynamics. However, the specific mechanisms driving these diversity patterns in China, where urbanization has progressed at an unprecedented pace, remain poorly understood. [...] Read more.
Numerous studies have demonstrated that in residential areas of Western cities, both luxury and legacy effects significantly shape tree species diversity dynamics. However, the specific mechanisms driving these diversity patterns in China, where urbanization has progressed at an unprecedented pace, remain poorly understood. In this study we selected 20 residential settlements and 7 key socio-economic properties to investigate the change trend of tree diversity (2006–2021) and its socio-economic driving factors in Beijing. Our results demonstrate significant increases in total, native, and exotic tree species richness between 2006 and 2021 (p < 0.05), with average increases of 36%, 26%, and 55%, respectively. Total and exotic tree Shannon-Wiener indices, as well as exotic tree Simpson’s index, were also significantly higher in 2021 (p < 0.05). Housing prices was the dominant driver shaping total and exotic tree diversity, showing significant positive correlations with both metrics. In contrast, native tree diversity exhibited a strong positive association with neighborhood age. Our findings highlight two dominant mechanisms: legacy effect, where older neighborhoods preserve native diversity through historical planting practices, and luxury effect, where affluent communities drive exotic species proliferation through ornamental landscaping initiatives. These findings elucidate the dual dynamics of legacy conservation and luxury-driven cultivation in urban forest development, revealing how historical contingencies and contemporary socioeconomic forces jointly shape tree diversity patterns in urban ecosystems. Full article
(This article belongs to the Section Urban Forestry)
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21 pages, 4252 KiB  
Article
AnimalAI: An Open-Source Web Platform for Automated Animal Activity Index Calculation Using Interactive Deep Learning Segmentation
by Mahtab Saeidifar, Guoming Li, Lakshmish Macheeri Ramaswamy, Chongxiao Chen and Ehsan Asali
Animals 2025, 15(15), 2269; https://doi.org/10.3390/ani15152269 (registering DOI) - 3 Aug 2025
Abstract
Monitoring the activity index of animals is crucial for assessing their welfare and behavior patterns. However, traditional methods for calculating the activity index, such as pixel intensity differencing of entire frames, are found to suffer from significant interference and noise, leading to inaccurate [...] Read more.
Monitoring the activity index of animals is crucial for assessing their welfare and behavior patterns. However, traditional methods for calculating the activity index, such as pixel intensity differencing of entire frames, are found to suffer from significant interference and noise, leading to inaccurate results. These classical approaches also do not support group or individual tracking in a user-friendly way, and no open-access platform exists for non-technical researchers. This study introduces an open-source web-based platform that allows researchers to calculate the activity index from top-view videos by selecting individual or group animals. It integrates Segment Anything Model2 (SAM2), a promptable deep learning segmentation model, to track animals without additional training or annotation. The platform accurately tracked Cobb 500 male broilers from weeks 1 to 7 with a 100% success rate, IoU of 92.21% ± 0.012, precision of 93.87% ± 0.019, recall of 98.15% ± 0.011, and F1 score of 95.94% ± 0.006, based on 1157 chickens. Statistical analysis showed that tracking 80% of birds in week 1, 60% in week 4, and 40% in week 7 was sufficient (r ≥ 0.90; p ≤ 0.048) to represent the group activity in respective ages. This platform offers a practical, accessible solution for activity tracking, supporting animal behavior analytics with minimal effort. Full article
(This article belongs to the Section Animal Welfare)
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14 pages, 731 KiB  
Article
Effectiveness of the Human Papillomavirus Vaccine in Extended Age Groups: A Real-World Analysis Based on the Korean HPV Cohort Study
by Heekyoung Song, Sanha Lee, Suein Choi and Soo Young Hur
Cancers 2025, 17(15), 2561; https://doi.org/10.3390/cancers17152561 (registering DOI) - 3 Aug 2025
Abstract
Background/Objectives: This study evaluated the real-world effectiveness of prophylactic Human Papillomavirus (HPV) vaccination in Korean women aged over 26 years, focusing on its impact on persistent HPV infection and disease progression. Methods: This multicenter prospective study analyzed data from the Korea HPV Cohort [...] Read more.
Background/Objectives: This study evaluated the real-world effectiveness of prophylactic Human Papillomavirus (HPV) vaccination in Korean women aged over 26 years, focusing on its impact on persistent HPV infection and disease progression. Methods: This multicenter prospective study analyzed data from the Korea HPV Cohort (2010–2021). After applying exclusion criteria, the final analytical cohort included 1,231 women aged ≥ 27 years with cytologic findings of atypical squamous cells of undetermined significance/low-grade squamous intraepithelial lesions and HPV infection. Propensity score matching was used to compare vaccinated (n = 340) and unvaccinated (n = 891) participants. After matching, 273 vaccinated and 273 unvaccinated individuals were included in the final analysis. The primary outcomes were persistent HPV infection and progression to biopsy-confirmed cervical intraepithelial neoplasia grade 2 or worse (CIN2+). Logistic and Cox regression models were employed, with additional age-stratified analyses. Results: Among women aged 27–39 years, vaccination was significantly associated with a 54% reduction in the odds of persistent HPV infection (odds ratio = 0.46; 95% CI: 0.22–0.96; p = 0.040). In the full cohort, vaccinated participants had a 62% lower risk of progression to CIN2+ compared with unvaccinated participants (hazard ratio = 0.38; 95% CI: 0.18–0.81; p = 0.011). Body mass index had a notable impact on HPV persistence in HPV 16/18 genotype groups. Conclusions: HPV vaccination effectively reduced persistent infection and progression to CIN2+ in Korean women, particularly those vaccinated before age 40. These findings support the age-extended HPV vaccination policies in South Korea. Full article
(This article belongs to the Section Cancer Epidemiology and Prevention)
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18 pages, 2511 KiB  
Article
Depression, Anxiety, and MSQOL-54 Outcomes in RRMS Patients Receiving Fingolimod or Cladribine: A Cross-Sectional Comparative Study
by Müttalip Özbek, Adalet Arıkanoğlu and Mehmet Ufuk Aluçlu
Medicina 2025, 61(8), 1409; https://doi.org/10.3390/medicina61081409 (registering DOI) - 3 Aug 2025
Abstract
Background and Objectives: Multiple sclerosis (MS) is a chronic immune-mediated neurological disorder that primarily affects young adults and is frequently accompanied by psychiatric comorbidities such as depression and anxiety, both of which significantly diminish patients’ quality of life (QoL). This study investigated [...] Read more.
Background and Objectives: Multiple sclerosis (MS) is a chronic immune-mediated neurological disorder that primarily affects young adults and is frequently accompanied by psychiatric comorbidities such as depression and anxiety, both of which significantly diminish patients’ quality of life (QoL). This study investigated the effect of two oral disease-modifying therapies (DMTs), fingolimod and cladribine, on mental health and QoL in patients with relapsing-remitting MS (RRMS). The aim of the study was to compare levels of depression, anxiety, and health-related quality of life (HRQoL) in RRMS patients treated with fingolimod or cladribine, and to evaluate their associations with clinical and radiological parameters. Materials and Methods: Eighty RRMS patients aged 18 to 50 years with Expanded Disability Status Scale (EDSS) scores of 3.0 or less, no recent disease relapse, and no history of antidepressant use were enrolled. Forty patients were treated with fingolimod and forty with cladribine. Depression and anxiety were assessed using the Hamilton Depression Rating Scale (HDRS) and the Hamilton Anxiety Rating Scale (HARS). QoL was evaluated using the Multiple Sclerosis QoL-54 (MSQOL-54) instrument. Additional clinical data, including MRI-based lesion burden, EDSS scores, age, disease duration, and occupational status, were collected. Results: No statistically significant differences were observed between the two groups regarding HDRS and HARS scores (p > 0.05). However, patients treated with fingolimod had significantly higher scores in the Energy/Fatigue subdomain (7.55 ± 2.02 vs. 6.56 ± 2.57, p = 0.046) and Composite Mental Health (CMH) score (64.73 ± 15.01 vs. 56.00 ± 18.93, p = 0.029) compared to those treated with cladribine. No significant differences were found in the independent items of the MSQOL-54. A negative correlation was identified between total lesion load and QoL scores. Conclusions: Although fingolimod and cladribine exert comparable effects on depression and anxiety levels, fingolimod may be associated with better mental health outcomes and reduced fatigue in RRMS patients. Furthermore, lesion burden and clinical parameters such as age and EDSS score may independently influence QoL, regardless of the DMT used. Full article
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11 pages, 782 KiB  
Article
Exploring the Association Between Platelet Count, the Systemic Immune Inflammation Index, and Fracture Risk in Postmenopausal Women with Osteoporosis: A Cross-Sectional Study
by Cecilia Oliveri, Anastasia Xourafa, Rita Maria Agostino, Valentina Corigliano, Antonino Botindari, Agostino Gaudio, Nunziata Morabito, Alessandro Allegra and Antonino Catalano
J. Clin. Med. 2025, 14(15), 5453; https://doi.org/10.3390/jcm14155453 (registering DOI) - 2 Aug 2025
Abstract
Background/Objectives: Platelets play a role in bone metabolism and fracture healing. This study aimed to investigate the association between platelet indices and the derived systemic immune inflammation index (SII) with fracture risk in postmenopausal women. Methods: Platelet count, mean platelet volume, platelet distribution [...] Read more.
Background/Objectives: Platelets play a role in bone metabolism and fracture healing. This study aimed to investigate the association between platelet indices and the derived systemic immune inflammation index (SII) with fracture risk in postmenopausal women. Methods: Platelet count, mean platelet volume, platelet distribution width (PDW), platelet crit, percentage of large platelets (P-LCR), platelet–lymphocyte ratio, and the SII, calculated as (NxP)/L, where N, P, and L represented neutrophils, platelets and lymphocytes counts, respectively, were evaluated. Bone mineral density (BMD) was measured using dual-energy X-ray absorptiometry. Results: A total of 124 women (mean age 68.4 ± 9 years) were stratified into two groups based on the median platelet count; the “lower platelet count group” (n = 58) had a count of 200,000 (174,000 to 226,000), while the “higher platelet count group” (n = 66) had a count of 281,500 (256,500 to 308,500). The higher platelet count group showed a higher hip fracture risk (7.4 vs. 4.5%, p = 0.08) and lower lumbar spine BMD (0.773 vs. 0.83 gr/cm2, p = 0.03). By dividing the participants into two groups with higher SSI (950,848.6 ± 746,097.99) (n = 61) and lower SII (355,751.2 ± 88,662.6) (n = 63), the group with the higher SII showed the higher hip fracture risk (7.4 vs. 3.6%, p = 0.01). Univariate regression analysis revealed correlations between chronological age and PDW (r = 0.188, p = 0.047), and P-LCR (r = 0.208, p = 0.03), as well as associations between vitamin D status and P-LCR (r = −0.301, p = 0.034), and between SII and hip fracture risk (r = 0.12, p = 0.007). Conclusions: Platelet count and SII were associated with fracture risk in postmenopausal women undergoing osteoporosis assessment. Given their reproducibility and cost-effectiveness, these markers warrant further investigation in future prospective studies focused on bone fragility. Full article
(This article belongs to the Special Issue Diagnosis, Treatment, Prevention and Rehabilitation in Osteoporosis)
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17 pages, 516 KiB  
Article
Incidence and Predictive Factors of Acute Kidney Injury After Major Hepatectomy: Implications for Patient Management in Era of Enhanced Recovery After Surgery (ERAS) Protocols
by Henri Mingaud, Jean Manuel de Guibert, Jonathan Garnier, Laurent Chow-Chine, Frederic Gonzalez, Magali Bisbal, Jurgita Alisauskaite, Antoine Sannini, Marc Léone, Marie Tezier, Maxime Tourret, Sylvie Cambon, Jacques Ewald, Camille Pouliquen, Lam Nguyen Duong, Florence Ettori, Olivier Turrini, Marion Faucher and Djamel Mokart
J. Clin. Med. 2025, 14(15), 5452; https://doi.org/10.3390/jcm14155452 (registering DOI) - 2 Aug 2025
Abstract
Background: Acute kidney injury (AKI) frequently occurs following major liver resection, adversely affecting both short- and long-term outcomes. This study aimed to determine the incidence of AKI post-hepatectomy and identify relevant pre- and intraoperative risk factors. Our secondary objectives were to develop [...] Read more.
Background: Acute kidney injury (AKI) frequently occurs following major liver resection, adversely affecting both short- and long-term outcomes. This study aimed to determine the incidence of AKI post-hepatectomy and identify relevant pre- and intraoperative risk factors. Our secondary objectives were to develop a predictive score for postoperative AKI and assess the associations between AKI, chronic kidney disease (CKD), and 1-year mortality. Methods: This was a retrospective study in a cancer referral center in Marseille, France, from 2018 to 2022. Results: Among 169 patients, 55 (32.5%) experienced AKI. Multivariate analysis revealed several independent risk factors for postoperative AKI, including age, body mass index, the use of angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, time to liver resection, intraoperative shock, and bile duct reconstruction. Neoadjuvant chemotherapy was protective. The AKIMEBO score was developed, with a threshold of ≥15.6, demonstrating a sensitivity of 89.5%, specificity of 76.4%, positive predictive value of 61.8%, and negative predictive value of 94.4%. AKI was associated with increased postoperative morbidity and one-year mortality following major hepatectomy. Conclusion: AKI is a common complication post-hepatectomy. Factors such as time to liver resection and intraoperative shock management present potential clinical intervention points. The AKIMEBO score can provide a valuable tool for postoperative risk stratification. Full article
(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
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