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14 pages, 1493 KB  
Article
Canine Hemangioblastoma: Case Series and Literature Review
by Çağla Aytaş, Alberto Cauduro, Cristian Falzone, Stefania Gianni, Anna Tomba and Carlo Cantile
Animals 2025, 15(20), 3010; https://doi.org/10.3390/ani15203010 - 16 Oct 2025
Abstract
Human hemangioblastoma is a benign, slow-growing, highly vascular neoplasm. The tumor most commonly arises in the cerebral hemispheres and cerebellum, where it is more frequently observed in patients with von Hippel–Lindau disease. In veterinary medicine, hemangioblastoma has only been described in the central [...] Read more.
Human hemangioblastoma is a benign, slow-growing, highly vascular neoplasm. The tumor most commonly arises in the cerebral hemispheres and cerebellum, where it is more frequently observed in patients with von Hippel–Lindau disease. In veterinary medicine, hemangioblastoma has only been described in the central nervous system of dogs and in the skin of lambs. Our study aimed to characterize the clinical and neuropathological features of five cases of canine spinal cord hemangioblastoma and one case of sciatic nerve localization, and to compare these results with those reported in the veterinary literature. Diagnoses were achieved by neurological examination, neuroimaging, surgery or post-mortem examination, histopathology, and immunohistochemistry. All tumors were composed of numerous, haphazardly arranged capillaries lined by plump endothelium and interstitial fusiform to stellate stromal cells. Immunohistochemically, the stromal cells were strongly immunolabeled with NSE and carbonic anhydrase IX and were negative for von Willebrand factor VIII and inhibin-α. Canine hemangioblastoma exhibits morphological and immunohistochemical features comparable to the human counterpart, although the latter is mostly positive for inhibin-α. Surgery may be effective in cases of intradural-extramedullary and peripheral nerve locations, as in humans. This is the first report of peripheral nerve hemangioblastoma in animals. Full article
(This article belongs to the Section Veterinary Clinical Studies)
31 pages, 7776 KB  
Article
Constructing an Ecological Security Pattern Coupled with Climate Change and Ecosystem Service Valuation: A Case Study of Yunnan Province
by Yilin Lin, Fengru Liu, Zhiyuan Ma, Junsan Zhao and Han Xue
Sustainability 2025, 17(20), 9193; https://doi.org/10.3390/su17209193 (registering DOI) - 16 Oct 2025
Abstract
Ecosystem services provide the scientific foundation and optimization objectives for constructing ecological security patterns, and their spatial characteristics directly affect planning decisions such as ecological source identification and corridor layout. However, current methods for constructing ecological security patterns rely excessively on static spatial [...] Read more.
Ecosystem services provide the scientific foundation and optimization objectives for constructing ecological security patterns, and their spatial characteristics directly affect planning decisions such as ecological source identification and corridor layout. However, current methods for constructing ecological security patterns rely excessively on static spatial optimization of landscape structure and ecological processes, while overlooking the dynamic variations in ecosystem service values under climate change. Taking Yunnan Province as a case study, this paper calculates ecosystem service values, analyzes their spatiotemporal variations, and based on ecosystem service value hotspots, applies the MSPA model and circuit theory to identify ecological sources, corridors, pinch points, barrier areas, and improvement areas. On this basis, we construct and optimize the ecological security pattern of Yunnan Province and propose ecological protection strategies. The results show that: (1) From 2000 to 2030, ecosystem service values in Yunnan exhibit significant spatiotemporal heterogeneity. From 2000 to 2020, they first declined and then increased, with aquatic ecosystems contributing the most. Under future climate scenarios, ecosystem service values continue to increase, with the greatest growth under the SSP2-4.5 scenario. The spatial pattern is characterized by higher values in the central region and lower values in the eastern and western areas. (2) In 2020, 56 ecological sources were identified; under the SSP1-1.9 scenario, 61 were identified, while 57 were identified under both SSP2-4.5 and SSP5-8.5 scenarios. These sources are mainly distributed in northwestern Yunnan and the Nujiang and Lancang River basins, presenting a “more in the west, fewer in the east” pattern. (3) In 2020, 132 ecological corridors and 74 pinch points were identified. By 2030, under SSP1-1.9, there are 149 corridors and 84 pinch points; under SSP2-4.5, 135 corridors and 55 pinch points; and under SSP5-8.5, 134 corridors and 60 pinch points. (4) By integrating results across multiple scenarios, an ecological security pattern characterized as “three screens, two zones, six corridors, and multiple points” is constructed. Based on regional ecological background characteristics, differentiated strategies for ecological security protection of territorial space are proposed. This study provides a scientific reference for the synergistic optimization of ecosystem services and ecological security patterns under climate change. Full article
28 pages, 7823 KB  
Article
Numerical Investigation of Seismic Soil–Structure–Excavation Interaction in Sand
by Tarek N. Salem, Mahmoud S. Elmahdy, Dušan Katunský, Erika Dolníková and Ahmed Abu El Ela
Buildings 2025, 15(20), 3732; https://doi.org/10.3390/buildings15203732 - 16 Oct 2025
Abstract
The dynamic loads affecting earth-retaining structures may increase in seismically active regions. Therefore, studying the soil–structure interaction among the soil, shoring systems, and adjacent structures is crucial. However, there is limited research on this important topic. This study investigates the seismic performance of [...] Read more.
The dynamic loads affecting earth-retaining structures may increase in seismically active regions. Therefore, studying the soil–structure interaction among the soil, shoring systems, and adjacent structures is crucial. However, there is limited research on this important topic. This study investigates the seismic performance of a deep braced excavation and a nearby 10-story building in sandy soil formation. The main focus of this study is the consideration of the influence of varying foundation depths of adjacent structures on the seismic response of the shoring system and the performance of the shoring system and adjacent structure under different earthquake records. PLAXIS 2D software (Version 22.02) was used to carry out the numerical analysis. Sandy soil was modeled using the Hardening Soil with small-strain stiffness model (HS-small). Back analysis of observation data extracted from a real case study of a deep braced excavation in the central district of Kaohsiung City, adjacent to the O7 Station on the Orange Line of the Kaohsiung MRT system in Taiwan, was used to validate the numerical analysis. Beyond model validation, a parametric study was conducted to address the effect of the foundation level of the building adjacent to the excavation on both the seismic behavior of the shoring system and the structure itself, using the Loma-Prieta (1989) earthquake record. The parametric study was further extended to assess the responses of the shoring system and the adjacent structure under the influence of the earthquake records of Loma-Prieta (1989), Northridge (1994), and El-Centro (1940). The results show that the maximum lateral displacement of the diaphragm wall occurred at the top of the wall in all studied cases. The maximum dynamic bending moment in the retaining structure was more than three times the static one on average. In contrast, the dynamic shear force was more than 2.85 times the static one on average. In addition, the dynamic axial force of the first and second struts was 1.38 and 3.17 times the static forces, respectively. The results also reveal large differences in the behavior of the shoring system and the adjacent structure between the different earthquake records. Full article
(This article belongs to the Special Issue Constructions in Europe: Current Issues and Future Challenges)
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21 pages, 760 KB  
Article
Perioperative Complications in the Primary Vaginal Mesh Surgery for Pelvic Organ Prolapse
by Francesco Deltetto, Irene Deltetto, Antonella Giannantoni, Margaret Jorgensen, Stefano Landi, Marco Manni, Luisa Marcato, Daniela Mirabella, Alessandro Libretti and Valentino Remorgida
Surgeries 2025, 6(4), 89; https://doi.org/10.3390/surgeries6040089 (registering DOI) - 16 Oct 2025
Abstract
Background/Objectives: The use of vaginal mesh for pelvic organ prolapse (POP) repair remains controversial following global restrictions due to safety concerns. This study evaluated intra- and perioperative morbidity following a standardized single-incision, six-point fixation approach using an ultralight vaginal mesh in primary surgery [...] Read more.
Background/Objectives: The use of vaginal mesh for pelvic organ prolapse (POP) repair remains controversial following global restrictions due to safety concerns. This study evaluated intra- and perioperative morbidity following a standardized single-incision, six-point fixation approach using an ultralight vaginal mesh in primary surgery for anterior/central POP. Methods: We conducted a retrospective multicenter study including 426 women who underwent primary POP repair with the InGYNious mesh system between May 2016 and February 2024. All surgeries followed a uniform technique across seven Italian centers. Data were collected on perioperative complications, urinary function, postoperative pain, and catheter duration. Results: The overall morbidity rate was 7.3% (31/426), primarily due to hematomas (4.5%), bladder injuries (1.4%), and ureteral injuries (0.7%). Median surgery duration was 40 min with minimal blood loss. Early postoperative pain was associated with higher POP-Q scores, longer surgical duration, and lower BMI. No cases of de novo urinary incontinence or urinary tract infection were reported in the perioperative period. Conclusions: This large multicenter case series suggests that, in experienced hands, this standardized vaginal mesh approach is associated with a low perioperative complication rate. However, the absence of a control group and the short follow-up are major limitations. Long-term outcome data, particularly regarding mesh-related complications, are essential before drawing firm conclusions on the broader safety or role of vaginal mesh in POP repair. Full article
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23 pages, 6751 KB  
Article
Health Risk Assessment of Groundwater in Cold Regions Based on Kernel Density Estimation–Trapezoidal Fuzzy Number–Monte Carlo Simulation Model: A Case Study of the Black Soil Region in Central Songnen Plain
by Jiani Li, Yu Wang, Jianmin Bian, Xiaoqing Sun and Xingrui Feng
Water 2025, 17(20), 2984; https://doi.org/10.3390/w17202984 - 16 Oct 2025
Abstract
The quality of groundwater, a crucial freshwater resource in cold regions, directly affects human health. This study used groundwater quality monitoring data collected in the central Songnen Plain in 2014 and 2022 as a case study. The improved DRASTICL model was used to [...] Read more.
The quality of groundwater, a crucial freshwater resource in cold regions, directly affects human health. This study used groundwater quality monitoring data collected in the central Songnen Plain in 2014 and 2022 as a case study. The improved DRASTICL model was used to assess the vulnerability index, while water quality indicators were selected using a random forest algorithm and combined with the entropy-weighted groundwater quality index (E-GQI) approach to realize water quality assessment. Furthermore, self-organizing maps (SOM) were used for pollutant source analysis. Finally, the study identified the synergistic migration mechanism of NH4+ and Cl, as well as the activation trend of As in reducing environments. The uncertainty inherent to health risk assessment was considered by developing a kernel density estimation–trapezoidal fuzzy number–Monte Carlo simulation (KDE-TFN-MCSS) model that reduced the distribution mis-specification risks and high-risk misjudgment rates associated with conventional assessment methods. The results indicated that: (1) The water chemistry type in the study area was predominantly HCO3–Ca2+ with moderately to weakly alkaline water, and the primary and nitrogen pollution indicators were elevated, with the average NH4+ concentration significantly increasing from 0.06 mg/L in 2014 to 1.26 mg/L in 2022, exceeding the Class III limit of 1.0 mg/L. (2) The groundwater quality in the central Songnen Plain was poor in 2014, comprising predominantly Classes IV and V; by 2022, it comprised mostly Classes I–IV following a banded distribution, but declined in some central and northern areas. (3) The results of the SOM analysis revealed that the principal hardness component shifted from Ca2+ in 2014 to Ca2+–Mg2+ synergy in 2022. Local high values of As and NH4+ were determined to reflect geogenic origin and diffuse agricultural pollution, whereas the Cl distribution reflected the influence of de-icing agents and urbanization. (4) Through drinking water exposure, a deterministic evaluation conducted using the conventional four-step method indicated that the non-carcinogenic risk (HI) in the central and eastern areas significantly exceeded the threshold (HI > 1) in 2014, with the high-HI area expanding westward to the central and western regions in 2022; local areas in the north also exhibited carcinogenic risk (CR) values exceeding the threshold (CR > 0.0001). The results of a probabilistic evaluation conducted using the proposed simulation model indicated that, except for children’s CR in 2022, both HI and CR exceeded acceptable thresholds with 95% probability. Therefore, the proposed assessment method can provide a basis for improved groundwater pollution zoning and control decisions in cold regions. Full article
(This article belongs to the Special Issue Soil and Groundwater Quality and Resources Assessment, 2nd Edition)
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25 pages, 12285 KB  
Article
Integrated Geophysical Hydrogeological Characterization of Fault Systems in Sandstone-Hosted Uranium In Situ Leaching: A Case Study of the K1b2 Ore Horizon, Bayin Gobi Basin
by Ke He, Yuan Yuan, Yue Sheng and Hongxing Li
Processes 2025, 13(10), 3313; https://doi.org/10.3390/pr13103313 - 16 Oct 2025
Abstract
This study presents an integrated geophysical and hydrogeological characterization of fault systems in the sandstone-hosted uranium deposit within the K1b2 Ore Horizon of the Bayin Gobi Basin. Employing 3D seismic exploration with 64-fold coverage and advanced attribute analysis techniques (including [...] Read more.
This study presents an integrated geophysical and hydrogeological characterization of fault systems in the sandstone-hosted uranium deposit within the K1b2 Ore Horizon of the Bayin Gobi Basin. Employing 3D seismic exploration with 64-fold coverage and advanced attribute analysis techniques (including coherence volumes, ant-tracking algorithms, and LOW_FRQ spectral attenuation), the research identified 18 normal faults with vertical displacements up to 21 m, demonstrating a predominant NE-oriented structural pattern consistent with regional tectonic features. The fracture network analysis reveals anisotropic permeability distributions (31.6:1–41.4:1 ratios) with microfracture densities reaching 3.2 fractures/km2 in the central and northwestern sectors, significantly influencing lixiviant flow paths as validated by tracer tests showing 22° NE flow deviations. Hydrogeological assessments indicate that fault zones such as F11 exhibit 3.1 times higher transmissivity (5.3 m2/d) compared to non-fault areas, directly impacting in situ leaching (ISL) efficiency through preferential fluid pathways. The study establishes a technical framework for fracture system monitoring and hydraulic performance evaluation, addressing critical challenges in ISL operations, including undetected fault extensions that caused lixiviant leakage incidents in field cases. These findings provide essential geological foundations for optimizing well placement and leaching zone design in structurally complex sandstone-hosted uranium deposits. The methodology combines seismic attribute analysis with hydrogeological validation, demonstrating how fault systems control fluid flow dynamics in ISL operations. The results highlight the importance of integrated geophysical approaches for accurate structural characterization and operational risk mitigation in uranium mining. Full article
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8 pages, 711 KB  
Case Report
Quantification of Bacterial and Drug-Resistant DNA Using dPCR in a Pediatric Patient with CVC-Related Bloodstream Infection
by Masato Kojima, Hiroki Kitagawa, Kayoko Tadera, Ryo Touge, Sho Kurihara, Mari Tanaka, Maiko Shimomura, Isamu Saeki and Hiroki Ohge
Infect. Dis. Rep. 2025, 17(5), 130; https://doi.org/10.3390/idr17050130 - 16 Oct 2025
Abstract
Background: Digital polymerase chain reaction (dPCR) is a highly sensitive molecular method that allows rapid detection of bacterial DNA and resistance genes, requiring only a small blood volume. Although not a new technology, its application in pediatric patients with suspected catheter-related bloodstream [...] Read more.
Background: Digital polymerase chain reaction (dPCR) is a highly sensitive molecular method that allows rapid detection of bacterial DNA and resistance genes, requiring only a small blood volume. Although not a new technology, its application in pediatric patients with suspected catheter-related bloodstream infection (CRBSI) remains limited. Case presentation: A 16-year-old female, diagnosed with recurrent acute myelogenous leukemia, received re-induction chemotherapy through a peripherally inserted central venous catheter (PICC). The patient developed a fever, and the blood culture (BC) drawn from the PICC was positive for methicillin-resistant S. epidermidis, leading to suspicion of CRBSI. Several antibiotics were used, and the PICC was replaced. Eventually, the fever subsided, and the BC was negative after PICC removal. The levels of S. epidermidis-specific DNA sequences and mecA genes were correlated with the results of the BC and clinical course. Turnaround time was significantly shorter in dPCR (3.5 h) than in the BC (14–21 h); dPCR was performed using only 400 µL of blood. Conclusions: This case highlights the potential of dPCR as a complementary tool to conventional BCs in the management of pediatric CRBSI. dPCR may support rapid decision-making and monitoring of the treatment response, particularly when sample volumes are limited. Full article
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12 pages, 262 KB  
Article
Evaluation of the Performance of StypCelTM Absorbable Hemostat for Intraoperative Hemorrhage Control in Neurosurgery: A Multicenter, Single-Arm Study in Riga, Latvia
by Kaspars Auslands, Evelina Kocane, Evija Bergfelde, Egils Valeinis, Julija Dolgopolova, Jekabs Aksiks and Igors Aksiks
Medicina 2025, 61(10), 1862; https://doi.org/10.3390/medicina61101862 - 16 Oct 2025
Abstract
Background and Objectives: Intraoperative bleeding during neurosurgical procedures poses a significant risk by increasing morbidity and mortality, obscuring the surgical field and prolonging operative time and hospitalization. Effective hemostasis is therefore essential, frequently necessitating the use of topical hemostatic agents. This study aimed [...] Read more.
Background and Objectives: Intraoperative bleeding during neurosurgical procedures poses a significant risk by increasing morbidity and mortality, obscuring the surgical field and prolonging operative time and hospitalization. Effective hemostasis is therefore essential, frequently necessitating the use of topical hemostatic agents. This study aimed to evaluate the performance of a plant-derived oxidized regenerated cellulose (ORC) hemostatic agent StypCel™ Absorbable Hemostat (Medprin Regenerative Medical Technologies Co., Ltd.) in various neurosurgical interventions, including intracranial tumor resections, spinal surgeries, trigeminal neuralgia operations, cerebrospinal fluid fistula repair and ventriculoperitoneal shunt implantation. The study aimed to assess its performance in these procedures due to the high risk of intraoperative bleeding and the challenges of achieving hemostasis in delicate neural structures. Materials and Methods: This prospective, single-arm clinical study included 46 patients who underwent neurosurgical procedures at three neurosurgerical clinics in Riga, Latvia. The primary endpoint was the rate of effective bleeding control achieved within 5 min of StypCel™ application. Safety assessments included monitoring for central nervous system infections (CNSI), intracranial granuloma formation, new-onset neurological deficits, seizures, anaphylactic reactions or device malfunction. All adverse events (AEs) and serious adverse events (SAEs) were documented during the postoperative follow-up. Results: The cohort consisted of 46 patients (29 females and 17 males), including 20 with neoplastic intracranial lesions and 26 with other neurosurgical pathologies. Effective bleeding control within 5 min was achieved in 93.5% of cases (95% CI: 82.1–98.6%). In three patients, bleeding control exceeded 5 min due to unexpected arterial hemorrhage encountered during intracranial tumor resection. No device-related AEs, SAEs, CNSIs or granuloma formations were reported throughout the follow-up period. Conclusions: The findings demonstrate that StypCel™ Absorbable Hemostat is a safe and effective adjunct for achieving intraoperative hemostasis in neurosurgical procedures. Its favorable safety profile and high hemostatic success rate support its clinical utility, particularly for controlling low-pressure venous or capillary bleeding. Further comparative and long-term studies are warranted to validate these results in broader surgical settings. Full article
(This article belongs to the Section Neurology)
24 pages, 16521 KB  
Article
Retrofitting of Existing Residential Masonry Buildings Through Integrated Seismic and Energy Aspects: A Case Study of the City of Niš in Serbia
by Jelena Savić, Andrija Zorić, Dušan Ranđelović, Miloš Nedeljković and Danijela Đurić Mijović
Buildings 2025, 15(20), 3729; https://doi.org/10.3390/buildings15203729 - 16 Oct 2025
Abstract
The comprehensive renovation of existing buildings has become imperative and is recognized as a central priority within the European Union’s agenda (European Green Deal). The objectives of this initiative include reducing energy consumption, mitigating environmental pollution, and achieving long-term decarbonization targets. This research [...] Read more.
The comprehensive renovation of existing buildings has become imperative and is recognized as a central priority within the European Union’s agenda (European Green Deal). The objectives of this initiative include reducing energy consumption, mitigating environmental pollution, and achieving long-term decarbonization targets. This research addresses the case of load-bearing masonry buildings constructed in the post-World War II period, characterized by specific geometric and volumetric features. Current regulations on seismic design and thermal protection reveal significant deficiencies in both the structural safety and the energy performance of these buildings. Recent seismic events and the increasing demand for electricity further highlight the urgency of integrated retrofitting measures that simultaneously enhance structural resistance and improve thermal protection. This research aims to develop an integrated retrofitting approach that simultaneously improves seismic resistance and energy efficiency. A review of strengthening techniques and thermal upgrades was carried out, followed by a critical assessment of their applicability. The proposed intervention combines two comparable seismic reinforcement schemes with thermal improvements, implemented through a one-sided reinforced cement mortar overlay coupled with external thermal insulation materials. Analyses demonstrate that the retrofit increases the structural resistance to agR = 0.10 g and upgrades the building envelope to current energy efficiency requirements. The results confirm that the method is both effective and feasible, offering a replicable solution for similar residential masonry buildings. This study concludes that integrated retrofitting can extend building service life, enhance occupant safety and comfort, and provide a practical framework for large-scale application in sustainable renovation practices, which is especially significant for Serbia and other Balkan countries, considering that the analyzed case study buildings are characteristic representatives for these regions. Full article
(This article belongs to the Section Building Structures)
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17 pages, 273 KB  
Essay
Algorithmic Charisma Under Strain: Elon Musk and the Dynamics of Founder Myths in the Platform Era
by Dag Øivind Madsen
Adm. Sci. 2025, 15(10), 394; https://doi.org/10.3390/admsci15100394 - 16 Oct 2025
Abstract
This paper introduces the concept of algorithmic charisma to explain how leadership authority is sustained through visibility, virality, and platform amplification. Using Elon Musk as an illustrative case, it examines “Muskism”—the evolving set of myths, narratives, and symbolic performances that surround Musk and [...] Read more.
This paper introduces the concept of algorithmic charisma to explain how leadership authority is sustained through visibility, virality, and platform amplification. Using Elon Musk as an illustrative case, it examines “Muskism”—the evolving set of myths, narratives, and symbolic performances that surround Musk and his ventures. Based on publicly available material from 2008 to 2025, the study applies four complementary lenses: charismatic authority, media mythmaking and ritual, organizational cult dynamics, and scapegoating/sacrificial mechanisms. The analysis traces Muskism’s trajectory across four phases—myth construction, polarization and institutionalization, charismatic decay, and symbolic reconfiguration—showing how founder myths are built, contested, and adapted in the platform era. The central contribution is the articulation of algorithmic charisma as a distinct form of founder authority, sustained less by stable belief than by recursive cycles of digital visibility. In doing so, the essay advances understanding of founder-led leadership cultures, highlighting the durability of early mythic framing, the role of audience segmentation in sustaining charisma, and the value of integrating multiple theoretical perspectives in interpretive organizational research. Full article
12 pages, 734 KB  
Review
Pharmacological Insights into Optimal Dosing in Burning Mouth Syndrome: A Narrative Review of the Non-Linear Actions of Amitriptyline and Aripiprazole
by Takahiko Nagamine
J. Clin. Med. 2025, 14(20), 7282; https://doi.org/10.3390/jcm14207282 - 15 Oct 2025
Abstract
Background: Burning Mouth Syndrome (BMS) is a nociplastic pain condition characterized by altered central nervous system pain processing, significantly impacting patient quality of life. Pharmacological management often involves amitriptyline (monotherapy) and aripiprazole (for refractory cases) in Japan. However, the therapeutic efficacy of [...] Read more.
Background: Burning Mouth Syndrome (BMS) is a nociplastic pain condition characterized by altered central nervous system pain processing, significantly impacting patient quality of life. Pharmacological management often involves amitriptyline (monotherapy) and aripiprazole (for refractory cases) in Japan. However, the therapeutic efficacy of these drugs in BMS frequently exhibits a non-sigmoid (U-shaped or bell-shaped) dose–response relationship, indicating a clinically effective dose that is often considerably lower than those used for their primary indications and challenging conventional pharmacological assumptions. Method: This paper synthesizes existing pharmacological knowledge to elucidate the mechanisms underlying the non-dose-dependent actions of amitriptyline and aripiprazole in BMS. It focuses on their specific interactions with key neurotransmitter systems and receptors, particularly N-methyl-D-aspartate (NMDA) receptors and dopamine D2 receptors, to explain the observed non-linear dose–response and the importance of identifying a personalized therapeutic window. Result: Amitriptyline demonstrates efficacy in BMS at low doses (e.g., 25 mg), primarily through its action as an NMDA receptor antagonist via calcium-dependent desensitization and open-channel block, addressing central sensitization. Its effects are distinct from its antidepressant actions, and the “serotonin paradox” highlights the complexity of serotonin’s role in pain. Aripiprazole, utilized for refractory BMS, acts as a dopamine D2 receptor partial agonist, leading to a non-linear dose–response where sustained therapeutic effect is observed at specific low doses (e.g., 1.7–1.8 mg/day). This non-linearity is attributed to partial agonism, alongside interactions with serotonin 5-HT1A and 5-HT2A receptors. The general non-dose-dependency for both drugs is further explained by phenomena such as multiple binding sites with differing affinities, receptor desensitization/downregulation, activation of counter-regulatory mechanisms, and hormesis. Discussion: The observed non-linear dose–response curves for amitriptyline and aripiprazole in BMS underscore the inadequacy of a “one-size-fits-all” treatment approach. This necessitates a shift towards personalized medicine, which considers individual patient factors including pharmacogenomics, comorbidities, age, organ function, and psychological/social profiles. The true “personalized therapeutic window” is a balance between achieving significant pain relief and minimizing adverse effects, emphasizing careful titration and patient-centered care. Conclusions: The pharmacological actions of amitriptyline and aripiprazole in BMS are not linearly dose-dependent, but rather exhibit a personalized therapeutic window driven by complex interactions with NMDA and D2 receptors and adaptive physiological responses. This intricate pharmacological landscape mandates a personalized medicine approach to optimize treatment outcomes, improve patient adherence, and enhance the quality of life for individuals suffering from this challenging nociplastic pain condition. Full article
(This article belongs to the Special Issue Orofacial Pain: Innovations in Treatment Modalities and Patient Care)
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18 pages, 1167 KB  
Article
Resilience of Specialized Transportation Systems for People with Disabilities Under Extreme Weather Conditions
by Jinuk Hwang
Systems 2025, 13(10), 906; https://doi.org/10.3390/systems13100906 (registering DOI) - 15 Oct 2025
Abstract
Climate change is increasing the frequency of extreme weather events, posing critical challenges for the resilience of specialized transportation services (STSs) that provide essential mobility for people with disabilities. In the South Korean context, heatwaves, cold spells, and heavy rainfall are particularly relevant [...] Read more.
Climate change is increasing the frequency of extreme weather events, posing critical challenges for the resilience of specialized transportation services (STSs) that provide essential mobility for people with disabilities. In the South Korean context, heatwaves, cold spells, and heavy rainfall are particularly relevant because they directly affect health risks, trip demand, and operational reliability, making them central stressors for evaluating STS resilience in Busan. This study examines STS resilience in Busan, South Korea, focusing on three weather stressors: heatwaves, cold spells, and heavy rainfall. Large-scale operational data from the STSs of Busan were analyzed using the 4R (robustness, rapidity, redundancy, and resourcefulness) framework to classify daily service performance into distinct profiles. The analysis revealed that heatwaves coincided with reduced trip demand and shorter waiting times, yet this apparent stability reflected demand suppression rather than genuine robustness. Heavy rainfall produced the most severe disruptions, with longer and more variable waiting times that exacerbated inequities across users. Cold spells were associated with rapid recovery and the preservation of critical trips, although the small number of cases limits broader interpretation. These findings indicate that resilience in STSs is not uniform but event-specific, offering policy insights for strengthening operational stability and promoting equity in accessible transport. Full article
(This article belongs to the Section Systems Practice in Social Science)
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22 pages, 1977 KB  
Article
Evaluation of the Partition of Global Solar Radiation into UVA, PAR, and NIR Components in a Rural Environment
by Lucía Moreno-Cuenca, Francisco Navas-Guzmán, Lionel Doppler and Inmaculada Foyo Moreno
Remote Sens. 2025, 17(20), 3439; https://doi.org/10.3390/rs17203439 - 15 Oct 2025
Abstract
Observational studies in several regions and our dataset indicate changes in global solar radiation (RS); here, we analyze how atmospheric conditions modulate its spectral composition. This study investigates the effects of atmospheric conditions on the spectral composition of global solar radiation [...] Read more.
Observational studies in several regions and our dataset indicate changes in global solar radiation (RS); here, we analyze how atmospheric conditions modulate its spectral composition. This study investigates the effects of atmospheric conditions on the spectral composition of global solar radiation (RS) across different wavelength ranges: ultraviolet A (UVA), photosynthetically active radiation (PAR), and near-infrared radiation (NIR), using the ratios UVA/RS, PAR/RS, and NIR/RS. A high-quality spectral irradiance dataset (300–1025 nm) covering eight years of observations from a representative rural site in Central Europe (Meteorological Observatory Lindenberg, Tauche, in North-East Germany) was used. The average values obtained for the ratios were 0.049 ± 0.010 for UVA/RS, 0.433 ± 0.044 for PAR/RS, and 0.259 ± 0.030 for NIR/RS. Thus, the UVA range contributed approximately 5% to global radiation, PAR 43%, and NIR 26%. Strong correlations were found between each spectral component and RS, with determination coefficients exceeding 0.90 in all cases, particularly for PAR. This suggests that, in the absence of direct spectral measurements, these components can be reliably estimated from RS. A seasonal pattern was also identified, with maximum values in warmer months and minimum values in colder ones, most notably for PAR/RS. In contrast, NIR/RS exhibited an inverse pattern, likely influenced by atmospheric water vapor. A long-term decreasing trend in these ratios was also identified, being most pronounced in the UVA/RS ratio. Additionally, atmospheric conditions significantly affected the spectral distribution of RS, with UVA and PAR proportions increasing under specific conditions, while NIR remained more stable. Under overcast conditions, the ratios for shorter wavelengths (UVA and PAR) increased, indicating higher scattering effects, while NIR was less affected. Full article
(This article belongs to the Special Issue Remote Sensing of Solar Radiation Absorbed by Land Surfaces)
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24 pages, 3792 KB  
Article
From Space–Behavior Mismatch to Regional Integration: A Cross-Scale Social Network Analysis of Sustainable Rural Construction in Suburban China
by Yi Qian and Xianfeng Li
Sustainability 2025, 17(20), 9137; https://doi.org/10.3390/su17209137 (registering DOI) - 15 Oct 2025
Abstract
Rapid urbanization in China has intensified spatial and social disparities between urban and rural areas, posing major challenges to sustainable rural development. Traditional top-down rural construction and evaluation models often neglect villagers’ everyday practices, resulting in mismatches between spatial planning and actual use. [...] Read more.
Rapid urbanization in China has intensified spatial and social disparities between urban and rural areas, posing major challenges to sustainable rural development. Traditional top-down rural construction and evaluation models often neglect villagers’ everyday practices, resulting in mismatches between spatial planning and actual use. This study develops a cross-scale, bottom-up framework for assessing rural construction through social network analysis (SNA), taking Xiongfan Village in Dawu County, Hubei Province, as a case study. At the village scale, the comparison between the “Public Space Structure Network” and the “Villagers’ Space Usage Behavior Network” reveals a significant mismatch between spatial compactness and behavioral dispersion, with high-frequency activities concentrated along the north–south axis while peripheral and east–west spaces remain underutilized. At the township scale, GPS-based analysis shows that the revitalization of Xiongfan transformed it from a peripheral node into a central hub, restructuring the network into a new pattern of “characteristic towns—traditional villages—ecological scenic areas.” These findings highlight the dual role of rural construction in both meeting residents’ daily needs and fostering regional integration. The proposed cross-scale SNA framework not only advances methodological tools for evaluating rural construction but also provides practical guidance for inclusive, resilient, and sustainable urban–rural development in line with the UN Sustainable Development Goals (SDGs). Full article
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27 pages, 29844 KB  
Systematic Review
Smart Cities: A Systematic Review of Emerging Technologies
by Dante D. Sanchez-Gallegos, Diana E. Carrizales-Espinoza, Catherine Torres-Charles and Jesus Carretero
Smart Cities 2025, 8(5), 173; https://doi.org/10.3390/smartcities8050173 - 14 Oct 2025
Abstract
In the 21st century, rapid urbanisation has brought both challenges and opportunities. Smart cities have emerged as innovative solutions to meet the complex demands of urban life. Information and Communication Technology (ICT) serves as the backbone of this transformation, integrating infrastructure, public services, [...] Read more.
In the 21st century, rapid urbanisation has brought both challenges and opportunities. Smart cities have emerged as innovative solutions to meet the complex demands of urban life. Information and Communication Technology (ICT) serves as the backbone of this transformation, integrating infrastructure, public services, and environmental sustainability. Within ICT, the computing continuum has become a key paradigm for efficient resource management, while Artificial Intelligence (AI) and the Internet of Things (IoT) enhance urban planning, optimise resource use, and strengthen governance. This paper systematically reviews smart city developments from January 2020 to June 2025, focusing on technological advances and sustainability goals in databases such as Scopus, IEEE Xplore, and Web of Science. By synthesising the literature, it identifies common challenges, implementation strategies, and future directions. The review highlights the central role of the computing continuum and AI, covering enabling technologies, applications, case studies, and deployment challenges. Our findings indicate that the IoT, AI, and data analytics are currently dominant approaches, yet significant gaps remain in citizen participation, equitable access, and long-term governance. Overall, smart cities aim to integrate data, digital technologies, and intelligent infrastructure to improve the quality of life while promoting sustainable, resilient, and inclusive services. Full article
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