Search Results (7,200)

Background: Insomnia is strongly associated with stimulant use across various populations and for a wide range of substances. It represents a significant clinical problem among individuals with stimulant use disorders, yet treatment guidelines for this specific population are limited. This gap underscores the need for a systematic review to analyze the pharmacological and non-pharmacological treatments for insomnia in individuals with stimulant use disorders. The aim of this review is to determine the efficacy, safety, and limitations of these approaches and their impact on psychiatric symptoms, stimulant use, and adverse events. Methodology: A systematic review was conducted through January–July 2025 using PubMed, Scopus, and Web of Science. The review focused on the management of chronic insomnia associated with stimulant use, including substances such as amphetamines, methylphenidate, nicotine, caffeine, and cocaine. The systematic review was structured in accordance with the PRISMA guidelines, and identified studies were assessed by title/abstract and full-text evaluation. Results: A total of twenty studies were included in the systematic review. Seven studies examined pharmacological interventions, including modafinil, naltrexone/buprenorphine-naloxone, varenicline, combination NRT, and ramelteon. Thirteen studies investigated non-pharmacological approaches, including Cognitive Behavioral Therapy (CBT), Repetitive Transcranial Magnetic Stimulation (rTMS), Electrical Vestibular Nerve Stimulation (VeNS), maximal strength training, electroacupuncture (EA), and probiotics. The majority of interventions demonstrated positive outcomes in reducing insomnia severity, with some participants achieving non-clinical levels. Commonly reported clinical symptoms related to insomnia included difficulty initiating or maintaining sleep, early morning awakening, and sleep dissatisfaction. Conclusions: Both pharmacological and non-pharmacological interventions showed promise. However, the lack of validated guidelines underscores the need for integrated therapeutic approaches that address the complex comorbidity of insomnia, stimulant use, and co-occurring psychiatric conditions. Full article

Background: The COVID-19 pandemic significantly impacted adolescent development, increasing behavioral problems and emotional distress. This study aimed to examine the impact of sensation seeking, empathy, and COVID-19-related stressors on deviant behavior in adolescents. Methods: A cross-sectional study was conducted with 638 Italian adolescents and young adults (M = 18.8 years, SD = 3.51) recruited from schools, universities, and the general population in Tuscany and Emilia-Romagna. Participants completed validated measures assessing sensation seeking, empathy, COVID-19-related stress, and deviant behaviors. Multiple regression analyses examined predictors of deviant behavior, while mediation analyses tested whether empathy mediated the relationship between sensation seeking and deviant behavior. Results: Correlation analyses show a positive association between sensation seeking and deviant behavior and a weaker positive association with COVID-19 isolation. Conversely, affective empathy demonstrated negative correlations with both deviant behavior and sensation seeking. COVID-19 stress demonstrated differentiated effects: social isolation increased deviance, whereas fear of contagion was protective. Mediation analysis revealed that affective empathy partially mediated the relationship between sensation seeking and deviance. Conclusions: This study demonstrates that sensation seeking is a primary risk factor for deviant behavior in adolescents and young adults, while affective empathy acts as a protective mechanism that partially mediates this relationship. Furthermore, COVID-19-related stressors have shown complex effects, with social isolation amplifying the risk of deviance, while fear of contagion promotes more inhibited behavior. These findings underscore the importance of considering both stable personality traits and situational stressors when seeking to understand the pathways leading to adolescent behavioral problems during periods of social crisis. Full article

Despite the oligotrophic conditions of the southeastern Levantine Sea and northern Red Sea, six lobster species—five slipper lobsters (Scyllaridae) and one spiny lobster (Palinuridae)—maintain permanent, reproducing populations in the study area. Additionally, there are isolated records of four other sporadic lobster species. In the southeastern Mediterranean, permanent species include the Mediterranean slipper lobster,Scyllarides latus, small European locust lobster, Scyllarus arctus, and pygmy locust lobster, Scyllarus pygmaeus. In the northern Red Sea, they include the clamkiller slipper lobster, Scyllarides tridacnophaga, Lewinsohn locust slipper lobster, Eduarctus lewinsohni, and pronghorn spiny lobster, Panulirus penicillatus. This review synthesizes current knowledge of their biology and ecology, including distribution, habitat, reproduction and development, feeding, predators and anti-predatory adaptations, behavior, sensory modalities, environmental impacts, threats, and conservation. Recent advances focus mainly on larger, commercially valuable species (S. latus, S. tridacnophaga, P. penicillatus), while major gaps remain for oceanic post-embryonic stages and the nektonic nisto postlarva, as well as for smaller, often cryptic species (S. arctus, S. pygmaeus, E. lewinsohni). Addressing these gaps will require targeted research, using modern methodologies, in coastal, deep, and open waters, coupled with citizen-science surveys. While many Indo-Pacific decapods have been established in the Mediterranean, no immigrant lobster species have successfully colonized Levant waters, despite rare records of three non-indigenous species (NIS). However potential NIS predators and shifts in mollusk compositions, the main prey of some native lobsters, may affect the latter. Large lobsters remain targeted by fisheries despite protective regulations, which are not always effective or obeyed. No-take marine protected areas (MPAs) or nature reserves can be effective if sufficiently large and well-managed. Habitat loss from marine construction can be partly compensated by stable, environmentally safe artificial reefs tailored to lobster behavioral ecology. The categories of the studied lobsters’ species in the International Union for Conservation of Nature (IUCN) Red List of Threatened Species, last updated over fifteen years ago, should be re-evaluated. Full article

Legionella is an environmental bacterium capable of causing severe respiratory infections, with outbreaks posing significant public health challenges in developed countries. Understanding public awareness of Legionella transmission, risk perception, and preventive behaviors is crucial for reducing exposure and guiding health education strategies. This study aimed to evaluate the Portuguese population’s knowledge of Legionella infections and their readiness to adopt preventive measures. A structured questionnaire was developed and administered to 239 participants aged 18–76 years across Portugal, collecting socio-demographic data and assessing literacy through statements organized into domains related to Legionella risk, control measures, and public health impact. The results indicate that participants possess moderate to high awareness of Legionella severity, transmission routes, and preventive strategies, yet gaps remain in understanding key risk factors, optimal water system maintenance, and the influence of temperature on bacterial growth. Age, educational attainment, and occupational status were associated with differences in self-assessed literacy levels. Artificial neural network models were applied to classify literacy levels, achieving a near 90% accuracy and demonstrating higher confidence in low and moderate categories. These findings provide insights for designing tailored educational programs, improving public health communication, and enhancing preventive behaviors to reduce Legionella infection risks. Full article

Pine wilt disease, transmitted primarily by Monochamus alternatus (Hope, 1842) adults, causes severe ecological and economic losses globally. Conventional chemical controls face challenges of resistance and non-target toxicity. This study identified Beauveria bassiana (Bals.-Criv.) Vuill. strain B4 as a high-virulence biocontrol agent against adult M. alternatus. Laboratory bioassays compared four strains (B1–B4), with B4 exhibiting rapid lethality (LT₅₀ = 6.61 days at 1 × 10⁸ spores/mL) and low median lethal concentration (LC₅₀ = 9.63 × 10⁵ spores/mL). Critically, B4 infection induced significant behavioral suppression, including reduced appetite and mobility prior to death. In forest trials, pheromone-enhanced nonwoven fabric bags impregnated with B4 spores reduced trap catches by 66.4% within one month, with effects persisting for over a year without reapplication. The slow-release carrier system enabled continuous spore dissemination and sustained population suppression. These results demonstrate that B4’s dual action—rapid lethality and behavioral disruption—provides an effective, eco-friendly strategy for sustainable pine wilt disease management. Full article

Background: Adolescence is a critical developmental stage marked by vulnerability to psychological difficulties. While family relationships, peer bonds, prosocial behaviors, and health-risk factors have been linked to adolescent mental health, few studies have examined their joint effects in clinical pediatric populations. This study assessed demographic, clinical, relational, and behavioral predictors of psychological difficulties in Italian adolescents. Methods: A cross-sectional sample of 177 adolescents (aged 11–14 years) from a pediatric clinic completed the Strengths and Difficulties Questionnaire (SDQ). The Total Difficulties (SDQ TD) score was the main outcome. Associations were tested with ordinary least squares (OLS) and confirmed using robust MM regression. Bootstrap confidence intervals and Benjamini–Hochberg corrections were applied. Sensitivity analyses excluded the Peer Problems subscale to address part–whole overlap. Results: Higher friendship satisfaction was consistently associated with fewer psychological difficulties, confirming its role as a strong protective factor. Prosocial behavior and male sex were also linked to fewer difficulties in initial analyses, though these associations were less stable after correction. Sensitivity analyses further supported the protective value of friendship satisfaction, even when accounting for overlap with peer problems. Despite relatively low overall levels of psychological difficulties, nearly one-quarter of adolescents met the clinical cut-off for eating disorder risk. Conclusions: Friendship satisfaction was the strongest protective factor, while prosocial behavior and sex showed weaker consistency. Findings suggest that distinct aspects of peer relationships jointly shape adolescents’ psychological outcomes. Interventions promoting social functioning may support mental health in clinical youth populations. Full article

In this work, we numerically investigate the fractional clannish random walker’s parabolic equations (FCRWPEs) and the nonlinear fractional Cahn–Allen (NFCA) equation using the Hybrid Decomposition Method (HDM). The analysis uses the Atangana–Baleanu fractional derivative (ABFD) in the Caputo sense, which has a nonsingular and nonlocal Mittag–Leffler kernel (MLk) and provides a more accurate depiction of memory and heredity effects, to examine the dynamic behavior of the models. Using nonlinear analysis, the uniqueness of the suggested models is investigated, and distinct wave profiles are created for various fractional orders. The accuracy and effectiveness of the suggested approach are validated by a number of example cases, which also support the approximate solutions of the nonlinear FCRWPEs. This work provides significant insights into the modeling of anomalous diffusion and complex dynamic processes in fields such as phase transitions, biological transport, and population dynamics. The inclusion of the ABFD enhances the model’s ability to capture nonlocal effects and long-range temporal correlations, making it a powerful tool for simulating real-world systems where classical derivatives may be inadequate. Full article

Background: Peritoneal dialysis (PD) depends on patients’ self-management abilities, supported by nursing interventions that extend beyond technical skills to include psychosocial and educational domains. Evidence from Saudi Arabia on how these behaviors relate to clinical and quality-of-life outcomes remains limited. Aim: To assess self-management behaviors among adult PD patients, examine their associations with clinical and quality-of-life outcomes, and explore the mediating role of emotional well-being, with implications for nursing practice. Methods: A descriptive cross-sectional study was conducted among 158 adult PD patients at King Saud University-affiliated centers in Riyadh. Validated Arabic versions of the Chronic Illness Self-Management Scale and KDQOL-SF were administered. Clinical indicators were extracted from medical records. Data were analyzed using descriptive statistics, t-tests, multivariate linear regression, and mediation analysis. Results: Technical skills achieved the highest self-management scores (mean 3.78 ± 0.62), while emotional coping was lowest (mean 2.71 ± 0.69). Participants with higher self-management had fewer hospitalizations (0.9 ± 0.5 vs. 1.6 ± 0.8, p = 0.01), higher serum albumin (3.60 ± 0.56 vs. 3.44 ± 0.61 g/dL, p = 0.04), and better emotional well-being (60.1 ± 14.9 vs. 55.3 ± 12.4, p = 0.03) than their counterparts. Educational level (β = 0.208, p = 0.001) and emotional well-being (β = 0.197, p = 0.001) were independent predictors of self-management, with partial mediation by emotional well-being (indirect β = 0.062, p = 0.004). Conclusions/Clinical Implications: Optimizing nursing support for PD patients requires moving beyond technical instruction to address health literacy, emotional resilience, and culturally sensitive education. Nurse-led interventions integrating psychosocial support with skill-building may enhance self-management, reduce hospitalizations, and improve quality of life in PD populations. Full article

Celiac disease (CeD) is an autoimmune disorder where adherence to a lifelong gluten-free diet (GFD) is the only available treatment. While this approach is rather effective, some patients experience ongoing symptoms, and this factor, along with the rigidity of the GFD, may predispose some to disordered eating behaviors, including Avoidant/Restrictive Food Intake Disorder (ARFID). ARFID is characterized by persistent food avoidance that is not driven by body image concerns, resulting in nutritional, psychological, and social impairment. This scoping literature review explores the emerging intersection between ARFID and CeD, examining prevalence, pathophysiology, clinical features, complications, and management strategies. Recent studies report that 14–57% of individuals with CeD may meet the criteria for ARFID, depending on the population and screening tools used. Factors contributing to ARFID in CeD may include ongoing gastrointestinal symptoms, anxiety over gluten exposure, negative conditioned responses to food, social challenges related to GFD adherence, and psychiatric co-morbidities. ARFID in CeD is associated with worsened nutritional deficiencies, anxiety, depression, and impaired social functioning, making the diagnosis of ARFID challenging due to symptom overlap with CeD and other psychiatric conditions. Management requires a multidisciplinary approach, including medical, nutritional, and psychological interventions. Routine screening, early intervention, and integrated care models may improve outcomes and quality of life. Full article

From a social epidemiology perspective, this study examines self-stigma among COVID-19 quarantine populations and its influence on negative coping strategies. An online survey of 292 residents from quarantine and non-quarantine zones assessed self-stigma, negative emotions, inspirational motivation, and coping behaviors. Results showed that quarantined individuals experienced higher negative emotions and lower inspirational motivation than non-quarantined individuals. Self-stigma was positively linked to negative emotions and maladaptive coping, and negatively linked to inspirational motivation. Mediation analysis revealed that negative emotions and inspirational motivation partially explained the effect of self-stigma on negative coping strategies. These findings highlight self-stigma as a significant social determinant affecting emotional and behavioral responses during quarantine. The study emphasizes the importance of integrating stigma assessment into mental health monitoring and suggests implementing stigma-reduction interventions to enhance psychological resilience in pandemic settings. Full article

The present study aimed to evaluate the effect of maternal involvement in children’s home-based learning activities during the COVID-19 lockdown on mothers’ parenting stress, the quality of maternal care perceived by offspring, and the level of children’s internalizing/externalizing symptoms. This study recruited 415 subjects from the general population. To assess parenting stress, mothers were administered the Parenting Stress Index–Short Form; to assess children’s perceived quality of maternal care, this study used the Parental Bonding Inventory; and the Child Behavior Checklist/6–18 was used to assess internalizing/externalizing symptoms in children. Correlations showed that the amount of time spent by the mother supervising children’s self-study was highly and positively correlated with parental stress and offspring’s externalizing (but not internalizing) symptoms, and highly and positively correlated with the subscale of maternal overprotection in the children’s perceived quality of maternal care. Moreover, the multiple regression analyses conducted based on the above significant correlations showed that the amount of time spent by the mother overseeing children’s study was associated with parental stress, children’s externalizing symptoms, and maternal overprotection. Overall, the current study contributes to showing the burden families had to face as a result of school closures and accompanying distance learning during the COVID-19 epidemic. Full article

Alternative housing systems for laying hens, such as the aviary, promote the expression of dustbathing behavior by providing substrate materials to improve their welfare. However, extensive litter areas in aviaries can lead to reduced air quality and increased incidence of diseases, making them unsuitable for deployment in new large cage aviary unit (LCAU) systems in China. Dust baths have advantages in terms of continuous availability, but their design lacks unified standards. This study explored the effects of different areas, shapes (circular and square), and substrate depths (1 cm, 5 cm, 9 cm) of dust baths on dustbathing behavior in LCAU systems by recording digital video. Each LCAU system was initially populated with 305 Jingfen No. 2 laying hens at 50 days of age. The dust baths were initially placed on the bottommost tier at 66 days of age. The results showed that after approximately 3 weeks of adaptation to dustbathing, the average daily proportion of dustbathing hens within the flock stabilized at approximately 10%. A 50 cm diameter circular dust bath could accommodate their dustbathing requirements. Increasing the number of circular dust baths to 2 did not significantly affect the daily proportion of dustbathing hens. Both the circular dust bath and a 5 cm depth substrate resulted in better expression of the hens’ side rubbing behavior and the lower frequency of tossing behavior. Full article

Collective superradiant decay of a tightly packed inverted quantum emitter ensemble is among the most intensely studied phenomena in quantum optics. Since the seminal work of Dicke more than half a century ago, a plethora of theoretical calculations in quantum many-body physics have followed. Widespread experimental efforts range from the microwave to the X-ray regime. Nevertheless, accurate calculations of the time dynamics of the superradiant emission pulse still remain a challenging task requiring approximate methods for large ensembles. Here, we benchmark the cumulant expansion method for describing collective superradiant decay against a newly found exact solution. The application of two variants of the cumulant expansion exhibits reliable convergence of time and magnitude of the maximum emission power with increasing truncation order. The long-term population evolution is only correctly captured for low emitter numbers, where an individual spin-based cumulant expansion proves more reliable than the collective spin-based variant. Surprisingly, odd orders show unphysical behavior. At sufficiently high spin numbers, both chosen cumulant methods agree, but still fail to reliably converge to the numerically exact result. Generally, on longer time scales the expansions substantially overestimate the remaining population. While numerically fast and efficient, cumulant expansion methods need to be treated with sufficient caution when used for long-time evolution or reliably finding steady states. Full article

Background/Objectives: Schizophrenia is associated with cognitive deficits that may compromise everyday functioning, including driving. This review systematically examined recent original research (2015–2025) on driving performance in individuals with schizophrenia with a focus on neuropsychological factors, applying a narrative synthesis given the heterogeneity of designs and outcomes, while no quantitative meta-analysis was feasible. Methods: Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a structured search of PubMed and Scopus was conducted on 4 May 2025. The inclusion criteria were original studies involving individuals diagnosed with schizophrenia, published between 2015 and 2025. Studies on animals, other psychiatric or neurological conditions, and healthy populations were also excluded. Critical appraisal was performed using the Joanna Briggs Institute (JBI) tools. Extracted data included sample demographics, cognitive deficits, neuropsychological assessments, brain imaging, and the main findings. A narrative synthesis was then performed. Results: Six high-quality studies met the inclusion criteria. Findings were grouped into three categories: (1) driving behavior: fitness to drive varied widely across individuals, (2) cognitive deficits and brain activity: poorer driving-related performance was consistently associated with specific impairments in cognition and brain structure, and (3) medication effects: individuals taking certain atypical antipsychotics demonstrated better driving performance compared to those on other types of medication, while extrapyramidal symptoms negatively influenced driving fitness. Conclusions: Driving in schizophrenia is shaped by cognitive, clinical, and pharmacological factors. These findings highlight the clinical relevance of individualized evaluations, integration into personalized care and targeted rehabilitation to promote driving autonomy and community inclusion. This area remains under-researched, as only six studies met the inclusion criteria, which restricts the robustness and generalizability of the conclusions. Funding: This review received no funding from any external sources. Registration: The review protocol was submitted to PROSPERO (International Prospective Register of Systematic Reviews) under registration number CRD420251060580. Full article

Wireless Sensor Networks (WSNs) have emerged as a foundational technology for monitoring and data collection in diverse domains such as environmental sensing, smart agriculture, and industrial automation. Precise node localization plays a vital role in WSNs, enabling effective data interpretation, reliable routing, and spatial context awareness. The challenge intensifies in range-free settings, where a lack of direct distance data demands efficient indirect estimation methods, particularly in large-scale, energy-constrained deployments. This work proposes a hybrid localization framework that integrates the distance vector-hop (DV-Hop) range-free localization algorithm with the Fire Hawk Optimizer (FHO), a nature-inspired metaheuristic method inspired by the predatory behavior of fire hawks. The proposed FHODV-Hop method enhances location estimation accuracy while maintaining low computational overhead by inserting the FHO into the third stage of the DV-Hop algorithm. Extensive simulations are conducted on multiple topologies, including random, circular, square-grid, and S-shaped, under various network parameters such as node densities, anchor rates, population sizes, and communication ranges. The results show that the proposed FHODV-Hop model achieves competitive performance in Average Localization Error (ALE), localization ratio, convergence behavior, computational, and runtime efficiency. Specifically, FHODV-Hop reduces the ALE by up to 35% in random deployments, 25% in circular networks, and nearly 45% in structured square-grid layouts compared to the classical DV-Hop. Even under highly irregular S-shaped conditions, the algorithm achieves around 20% improvement. Furthermore, convergence speed is accelerated by approximately 25%, and computational time is reduced by nearly 18%, demonstrating its scalability and practical applicability. Therefore, these results demonstrate that the proposed model offers a promising balance between accuracy and practicality for real-world WSN deployments. Full article