Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Article Types

Countries / Regions

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Search Results (313)

Search Parameters:
Keywords = cognitive load measurement

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
26 pages, 6868 KB  
Article
A Novel Human–Machine Shared Control Strategy with Adaptive Authority Allocation Considering Scenario Complexity and Driver Workload
by Lijie Liu, Anning Ni, Linjie Gao, Yutong Zhu and Yi Zhang
Actuators 2026, 15(1), 51; https://doi.org/10.3390/act15010051 - 13 Jan 2026
Viewed by 35
Abstract
Human–machine shared control has been widely adopted to enhance driving performance and facilitate smooth transitions between manual and fully autonomous driving. However, existing authority allocation strategies often neglect real-time assessment of scenario complexity and driver workload. To address this gap, we leverage non-invasive [...] Read more.
Human–machine shared control has been widely adopted to enhance driving performance and facilitate smooth transitions between manual and fully autonomous driving. However, existing authority allocation strategies often neglect real-time assessment of scenario complexity and driver workload. To address this gap, we leverage non-invasive eye-tracking devices and the 3D virtual driving simulator Car Learning to Act (CARLA) to collect multimodal data—including physiological measures and vehicle dynamics—for the real-time classification of scenario complexity and cognitive workload. Feature importance is quantified using the SHAP (SHapley Additive exPlanations) values derived from Random Forest classifiers, enabling robust feature selection. Building upon a Hidden Markov Model (HMM) for workload inference and a Model Predictive Control (MPC) framework, we propose a novel human–machine shared control architecture with adaptive authority allocation. Human-in-the-loop validation experiments under both high- and low-workload conditions demonstrate that the proposed strategy significantly improves driving safety, stability, and overall performance. Notably, under high-workload scenarios, it achieves substantially greater reductions in Time to Collision (TTC) and Time to Lane Crossing (TLC) compared to low-workload conditions. Moreover, the adaptive approach yields lower controller load than alternative authority allocation methods, thereby minimizing human–machine conflict. Full article
(This article belongs to the Section Actuators for Surface Vehicles)
Show Figures

Figure 1

34 pages, 608 KB  
Article
Scaffolding Probabilistic Reasoning in Civil Engineering Education: Integrating AI Tutoring with Simulation-Based Learning
by Jize Zhang
Educ. Sci. 2026, 16(1), 103; https://doi.org/10.3390/educsci16010103 - 9 Jan 2026
Viewed by 199
Abstract
Undergraduate civil engineering students frequently struggle to transition from deterministic to probabilistic reasoning, a conceptual shift essential for modern structural design practice governed by reliability-based codes. This paper presents a design-based research (DBR) contribution and a theoretically grounded pedagogical framework that integrates AI-powered [...] Read more.
Undergraduate civil engineering students frequently struggle to transition from deterministic to probabilistic reasoning, a conceptual shift essential for modern structural design practice governed by reliability-based codes. This paper presents a design-based research (DBR) contribution and a theoretically grounded pedagogical framework that integrates AI-powered conversational tutoring with interactive simulations to scaffold this transition. The framework synthesizes cognitive load theory, scaffolding principles, self-regulated learning research, and threshold concepts theory. The design incorporates three novel elements: (1) a structured misconception inventory specific to structural reliability, derived from literature and expert elicitation, with each misconception linked to targeted intervention strategies; (2) an integration architecture connecting large language model tutoring with domain-specific simulations, where simulation states inform tutoring and misconception detection triggers targeted activities; and (3) a scaffolded module sequence building systematically from deterministic foundations through probability concepts to reliability analysis methods. Sequential modules progress from uncertainty recognition through Monte Carlo simulation and design applications. We provide technical specifications for the implementation of AI tutoring, including prompt engineering strategies, accuracy safeguards that address known limitations of large language models (LLMs), and protocols for escalation to human instructors. An assessment framework specifies concept inventory items, process measures, and practical competence tasks. Ultimately, this paper provides testable conjectures and identifies conditions under which the framework might fail, structuring subsequent empirical validation with student participants following institutional ethics approval. Full article
(This article belongs to the Section Technology Enhanced Education)
Show Figures

Figure 1

14 pages, 1406 KB  
Article
The Effects of Advertisement Placement Configurations on Visual Attention and Recall According to Dynamic Road Traffic Conditions Using Virtual Reality and Eye Tracking
by Haram Choi and Sanghun Nam
Appl. Sci. 2026, 16(2), 698; https://doi.org/10.3390/app16020698 - 9 Jan 2026
Viewed by 105
Abstract
Virtual reality (VR) provides immersive environments that resemble real-world consumption settings, enabling realistic analysis of consumer responses to advertisements. Therefore, VR has been increasingly adopted in marketing. Visual attention is a key indicator of advertising effectiveness, and neuromarketing approaches using eye-tracking are widely [...] Read more.
Virtual reality (VR) provides immersive environments that resemble real-world consumption settings, enabling realistic analysis of consumer responses to advertisements. Therefore, VR has been increasingly adopted in marketing. Visual attention is a key indicator of advertising effectiveness, and neuromarketing approaches using eye-tracking are widely used to overcome the limitations of self-report measures by providing objective insights into attentional processes. However, most previous studies have focused on static retail environments, leaving a research gap in understanding advertising effectiveness in dynamic road traffic contexts. Guided by selective attention theory, this study addresses this gap by integrating VR and eye-tracking to examine how advertisement placement under different traffic conditions influences visual attention and recall. A real-time eye-tracking measurement system was developed, and fixation duration, fixation count, and recall were used as evaluation metrics. The results showed significant differences across advertisement placement types. Advertisements positioned in front of buildings during stops elicited the highest levels of visual attention and recall, indicating that attention is greater when users are stationary than when riding. These findings indicate that cognitive resources shift from traffic-related tasks to advertisements as cognitive load decreases, highlighting the effectiveness of integrating VR and eye-tracking to objectively evaluate advertising outcomes in dynamic environments. Full article
(This article belongs to the Special Issue Advances in Virtual Reality Applications)
Show Figures

Figure 1

32 pages, 3255 KB  
Article
Integrated Blood Biomarker and Neurobehavioural Signatures of Latent Neuroinjury in Experienced Military Breachers Exposed to Repetitive Low-Intensity Blast
by Alex P. Di Battista, Maria Y. Shiu, Oshin Vartanian, Catherine Tenn, Ann Nakashima, Janani Vallikanthan, Timothy Lam and Shawn G. Rhind
Int. J. Mol. Sci. 2026, 27(2), 592; https://doi.org/10.3390/ijms27020592 - 6 Jan 2026
Viewed by 240
Abstract
Repeated exposure to low-level blast overpressure (BOP) during controlled detonations is an emerging occupational health concern for military breachers and Special Operations Forces personnel, given accumulating evidence that chronic exposure may produce subtle, subclinical neurotrauma. This study derived a latent neuroinjury construct integrating [...] Read more.
Repeated exposure to low-level blast overpressure (BOP) during controlled detonations is an emerging occupational health concern for military breachers and Special Operations Forces personnel, given accumulating evidence that chronic exposure may produce subtle, subclinical neurotrauma. This study derived a latent neuroinjury construct integrating three complementary domains of brain health—post-concussive symptoms, working-memory performance, and circulating biomarkers—to determine whether breachers exhibit coherent patterns of neurobiological alteration. Symptom severity was assessed using the Rivermead Post-Concussion Questionnaire (RPQ), and working memory was assessed with the N-Back task and a panel of thirteen neuroproteomic biomarkers was measured reflecting astroglial activation, neuronal and axonal injury, oxidative stress, inflammatory signaling, and neurotrophic regulation. Experienced Canadian Armed Forces breachers with extensive occupational BOP exposure were compared with unexposed controls. Bayesian latent-variable modeling provided probabilistic evidence for a chronic, subclinical neurobiological signal, with the strongest contributions arising from self-reported symptoms and smaller but consistent contributions from the biomarker domain. Working-memory performance did not load substantively on the latent factor. Several RPQ items and circulating biomarkers showed robust loadings, and the latent neuroinjury factor was elevated in breachers relative to controls (97% posterior probability). The pattern is broadly consistent with subclinical neurobiological stress in the absence of measurable cognitive impairment, suggesting early or compensated physiological alterations rather than overt dysfunction. This multidomain, biomarker-informed framework provides a mechanistically grounded and scalable approach for identifying subtle neurobiological strain in military personnel routinely exposed to repetitive low-level blast. It may offer value for risk stratification, operational health surveillance, and the longitudinal monitoring of neurobiological change in high-risk occupations. Full article
(This article belongs to the Section Molecular Neurobiology)
Show Figures

Figure 1

18 pages, 895 KB  
Article
Analysis of Motor and Perceptual–Cognitive Performance in Young Soccer Players: Insights into Training Experience and Biological Maturation
by Afroditi Lola, Eleni Bassa, Sousana Symeonidou, Georgia Stavropoulou, Anastasia Papavasileiou, Kiriakos Fregidis and Marios Bismpos
Sports 2026, 14(1), 22; https://doi.org/10.3390/sports14010022 - 5 Jan 2026
Viewed by 258
Abstract
Background/Objectives: This cross-sectional study examined how training age, chronological age, and biological maturity influence motor and perceptual–cognitive performance in youth soccer players, with relevance for health and well-being through sport participation. Methods: Forty-one male athletes (age = 14.86 ± 0.81 years) completed a [...] Read more.
Background/Objectives: This cross-sectional study examined how training age, chronological age, and biological maturity influence motor and perceptual–cognitive performance in youth soccer players, with relevance for health and well-being through sport participation. Methods: Forty-one male athletes (age = 14.86 ± 0.81 years) completed a two-day field-based assessment following a holistic framework integrating motor (sprinting, jumping, and agility) and perceptual–cognitive components (psychomotor speed, visuospatial working memory, and spatial visualization). Biological maturity was estimated using the maturity offset method. Results: Regression analyses showed that biological maturity and training age significantly predicted motor performance, particularly sprinting, jumping, and pre-planned agility, whereas chronological age was not a predictor. In contrast, neither maturity nor training experience influenced perceptual–cognitive skills. Among cognitive measures, only psychomotor speed significantly predicted reactive agility, emphasizing the role of rapid information processing in dynamic, game-specific contexts. Conclusions: Youth soccer training should address both physical and cognitive development through complementary strategies. Physical preparation should be tailored to maturity status to ensure safe and progressive loading, while systematic training of psychomotor speed and decision-making should enhance reactive agility and game intelligence. Integrating maturity and perceptual–cognitive assessments may support individualized development, improved performance, and long-term well-being. Full article
Show Figures

Figure 1

30 pages, 482 KB  
Article
Chromatic Asymmetry in Visual Attention: Dissociable Effects of Background Color on Capture and Processing During Reading—An Eye-Tracking Study
by Ana Teixeira, Pedro Martins, Sónia Brito-Costa and Maryam Abbasi
Symmetry 2026, 18(1), 76; https://doi.org/10.3390/sym18010076 - 2 Jan 2026
Viewed by 179
Abstract
Visual attention mechanisms are modulated by chromatic properties of the environment, with significant implications for human–computer interaction, interface design, and cognitive ergonomics. Despite extensive research on color perception, a critical gap remains in understanding how background colors differentially affect initial attentional capture versus [...] Read more.
Visual attention mechanisms are modulated by chromatic properties of the environment, with significant implications for human–computer interaction, interface design, and cognitive ergonomics. Despite extensive research on color perception, a critical gap remains in understanding how background colors differentially affect initial attentional capture versus sustained processing efficiency during text reading. This study investigates how seven different background colors (yellow, orange, red, green, blue, purple, and black) influence visual attention and cognitive load during standardized reading tasks with white text, revealing a fundamental asymmetry in chromatic processing stages. Using high-frequency eye-tracking at 120 Hz with 30 participants in a within-subjects design, we measured time-to-first fixation, total viewing duration, fixation count, and revisitation frequency across chromatic conditions. Non-parametric statistical analyses (Friedman test for omnibus comparisons, Wilcoxon signed-rank test for pairwise comparisons) revealed a systematic dissociation between preattentive capture and sustained processing. Yellow backgrounds enabled the fastest initial attentional capture (0.65 s), while black backgrounds produced the slowest detection (1.75 s). However, this pattern reversed during sustained processing: black backgrounds enabled the shortest total viewing time (0.88 s) through efficient information sampling (median 5.0 fixations), while yellow required the longest viewing duration (1.75 s) with fewer fixations (median 3.0). Statistical comparisons confirmed significant differences across conditions (Friedman test: χ2(6)=138.4154.2, all p<0.001; pairwise comparisons with Bonferroni correction: α=0.0024). We note that luminance and chromatic contrast were not independently controlled, as colors inherently vary in both dimensions in realistic interface design. Consequently, the observed effects reflect the combined influence of hue, saturation, and luminance contrast as they naturally co-occur. These findings reveal a descriptive pattern consistent with functionally distinct mechanisms, where chromatic salience appears to facilitate preattentive capture while luminance contrast appears to determine sustained processing efficiency, with optimal colors for one stage being suboptimal for the other under the present experimental conditions. This observed chromatic asymmetry suggests potential implications for interface design: warm colors like yellow may optimize rapid attention capture for alerts and warnings, while high-contrast combinations like white-on-black may optimize sustained reading efficiency, though these preliminary patterns require validation across diverse contexts. Green and purple backgrounds offer balanced performance across both processing stages, representing near-symmetric solutions suitable for mixed-task interfaces. Given the controlled laboratory setting, university student sample, and 15 s exposure duration, design recommendations should be considered preliminary and validated in diverse real-world contexts. Full article
Show Figures

Figure 1

20 pages, 1567 KB  
Article
Antioxidant and Neuroprotective Capacity of Resveratrol-Loaded Polymeric Micelles in In Vitro and In Vivo Models with Generated Oxidative Stress
by Maria Lazarova, Elina Tsvetanova, Almira Georgieva, Miroslava Stefanova, Krasimira Tasheva, Lyubomira Radeva, Magdalena Kondeva-Burdina and Krassimira Yoncheva
Biomedicines 2026, 14(1), 63; https://doi.org/10.3390/biomedicines14010063 - 27 Dec 2025
Viewed by 400
Abstract
Background: Resveratrol (3,5,4′-trihydroxy-trans-stilbene, RVT) is one of the most extensively studied natural polyphenols, with numerous health benefits documented in the literature. One of its most characterized biological properties is the strong antioxidant capacity. However, its poor biopharmaceutical properties limit its in vivo [...] Read more.
Background: Resveratrol (3,5,4′-trihydroxy-trans-stilbene, RVT) is one of the most extensively studied natural polyphenols, with numerous health benefits documented in the literature. One of its most characterized biological properties is the strong antioxidant capacity. However, its poor biopharmaceutical properties limit its in vivo applicability. In this study, we conducted a detailed comparative analysis of the antioxidant and protective capacity of pure and loaded into Pluronic micelles resveratrol. Methods: Various in vitro antioxidant assays, such as DPPH, ABTS, superoxide anion radical scavenging, ferric (FRAP), and copper-reducing power assay (CUPPRAC), and iron-induced lipid peroxidation were performed. In addition, the in vitro 6-OHDA model of neurotoxicity in brain synaptosomes and the in vivo scopolamine (Sco)-induced model of cognitive impairment in rats were also employed. The main antioxidant biomarkers—the levels of lipid peroxidation (LPO) and total glutathione (GSH), as well as activities of superoxide dismutase, catalase, and glutathione peroxidase—were measured in the cortex and hippocampus. Results: The results from the in vitro tests demonstrated better ferric-reducing power activity and better neuroprotective capacity of the micellar resveratrol (mRVT), as evidenced by preserved synaptosomal viability and maintained GSH levels in a concentration-dependent manner in 6-OHDA-induced neurotoxicity. Regarding the in vivo results, mRVT (10 µM concentration) was the most effective treatment in supporting recognition memory formation in dementia rats. Further, mRVT demonstrated better LPO protective capacity in the hippocampus and GSH preserving activity in the cortex than the pure drug. Conclusions: The incorporation of resveratrol in polymeric micelles could enhance its antioxidant and neuroprotective effects. Full article
(This article belongs to the Section Molecular and Translational Medicine)
Show Figures

Figure 1

24 pages, 3742 KB  
Article
A Study on the Restorative Effects of Hydrangea Flower Color and Structure on Human Psychology and Physiology
by Qinhan Li, Xueni Ou, Shizhen Cai, Li Guo, Xiangyu Zhou, Xueqian Gong, Yinan Li, Zhigao Zhai, Mohamed Elsadek and Haoyuan Tang
Horticulturae 2026, 12(1), 34; https://doi.org/10.3390/horticulturae12010034 - 27 Dec 2025
Viewed by 275
Abstract
Amid growing “nature deficit” associated with urbanization and indoor living, flowering plants are increasingly used to support psychological restoration. Yet evidence on how floral color and structural morphology jointly shape restorative outcomes remains limited. This study employed a within-subjects, repeated-measures design, utilizing physiological [...] Read more.
Amid growing “nature deficit” associated with urbanization and indoor living, flowering plants are increasingly used to support psychological restoration. Yet evidence on how floral color and structural morphology jointly shape restorative outcomes remains limited. This study employed a within-subjects, repeated-measures design, utilizing physiological instruments and psychological questionnaires to investigate the physiological and psychological restorative benefits of Hydrangea macrophylla and to quantify the differences in restorative effects across five colors (blue, pink, white, mauve, red), two inflorescence types (mophead, lacecap), and two petal structures (single, double). Twenty-eight healthy young adults viewed 15 live hydrangea stimuli under controlled laboratory conditions. Multimodal outcomes combined objective measures—eye-tracking and single-channel EEG—with subjective measures (SD; POMS). Hydrangea exposure significantly reduced negative mood, and color and structure exerted distinct and interactive effects on visual attention and arousal. Red and mauve elicited larger pupil diameters than white and pink, while lacecap inflorescences were associated with lower cognitive load and improved attentional recovery relative to mophead. Double-petaled forms showed greater attentional dispersion than single-petaled forms. Interactions indicated that morphology modulated color effects. The mauve lacecap double-flowered cultivar (M02) showed the strongest observed restorative potential within this sample. These findings highlight the importance of integrating color and structural cues when selecting flowering plants for restorative environments and horticultural therapy, and they motivate field-based replications with broader samples and higher-density physiology. Full article
(This article belongs to the Section Outreach, Extension, and Education)
Show Figures

Figure 1

24 pages, 2587 KB  
Article
Discriminative Capabilities of Eye Gaze Measures for Cognitive Load Evaluation in a Driving Simulation Task
by Anastasiia Bakhchina, Karina Arutyunova, Evgenii Burashnikov, Anastasiya Filatova, Andrei Filimonov and Ivan Shishalov
J. Eye Mov. Res. 2026, 19(1), 1; https://doi.org/10.3390/jemr19010001 - 24 Dec 2025
Viewed by 270
Abstract
Driving is a cognitively demanding task engaging attentional effort and working memory resources, which increases cognitive load. The aim of this study was to evaluate the discriminative capabilities of an objective eye tracking method in comparison to a subjective self-report scale (the NASA–Task [...] Read more.
Driving is a cognitively demanding task engaging attentional effort and working memory resources, which increases cognitive load. The aim of this study was to evaluate the discriminative capabilities of an objective eye tracking method in comparison to a subjective self-report scale (the NASA–Task Load Index) in distinguishing cognitive load levels during driving. Participants (N = 685) performed highway and urban driving in a fixed-base driving simulator. The N-Back test was used as a secondary task to increase cognitive load. In line with previous studies, the NASA–Task Load Index was shown to be an accurate self-report tool in distinguishing conditions with higher and lower levels of cognitive load due to the additional N-Back task, with best average accuracy of 0.81 within the highway driving scenario. Eye gaze metrics worked best when differentiating between stages of highway and urban driving, with an average accuracy of 0.82. Eye gaze entropy measures were the best indicators for cognitive load dynamics, with average accuracy reaching 0.95 for gaze transition entropy in the urban vs. highway comparison. Eye gaze metrics showed significant correlations with the NASA–Task Load Index results in urban driving stages, but not in highway driving. The results demonstrate that eye gaze metrics can be used in combination with self-reports for developing algorithms of cognitive load evaluation and reliable driver state prediction in different road conditions. Full article
Show Figures

Figure 1

20 pages, 813 KB  
Article
Artificial Intelligence in Sub-Elite Youth Football Players: Predicting Recovery Through Machine Learning Integration of Physical, Technical, Tactical and Maturational Data
by Pedro Afonso, Pedro Forte, Luís Branquinho, Ricardo Ferraz, Nuno Domingues Garrido and José Eduardo Teixeira
Healthcare 2025, 13(24), 3301; https://doi.org/10.3390/healthcare13243301 - 16 Dec 2025
Viewed by 726
Abstract
Background: Monitoring training load and recovery is essential for performance optimization and injury prevention in youth football. However, predicting subjective recovery in preadolescent athletes remains challenging due to biological variability and the multidimensional nature of training responses. This exploratory study examined whether supervised [...] Read more.
Background: Monitoring training load and recovery is essential for performance optimization and injury prevention in youth football. However, predicting subjective recovery in preadolescent athletes remains challenging due to biological variability and the multidimensional nature of training responses. This exploratory study examined whether supervised machine learning (ML) models could predict Total Quality of Recovery (TQR) using integrated external load, internal load, anthropometric and maturational variables collected over one competitive microcycle. Methods: Forty male sub-elite U11 and U13 football players (age 10.3 ± 0.7 years; height 1.43 ± 0.08 m; body mass 38.6 ± 6.2 kg; BMI 18.7 ± 2.1 kg/m2) completed a microcycle comprising four training sessions (MD-4 to MD-1) and one official match (MD). A total of 158 performance-related variables were extracted, including external load (GPS-derived metrics), internal load (RPE and sRPE), heart rate indicators (U13 only), anthropometric and maturational measures, and tactical–cognitive indices (FUT-SAT). After preprocessing and aggregation at the player level, five supervised ML algorithms—K-Nearest Neighbors (KNN), Support Vector Machine (SVM), Decision Tree (DT), Random Forest (RF), and Gradient Boosting (GB)—were trained using a 70/30 train–test split and 5-fold cross-validation to classify TQR into Low, Moderate, and High categories. Results: Tree-based models (DT, GB) demonstrated the highest predictive performance, whereas linear and distance-based approaches (SVM, KNN) showed lower discriminative ability. Anthropometric and maturational factors emerged as the most influential predictors of TQR, with external and internal load contributing modestly. Predictive accuracy was moderate, reflecting the developmental variability characteristics of this age group. Conclusions: Using combined physiological, mechanical, and maturational data, these ML-based monitoring systems can simulate subjective recovery in young football players, offering potential as decision-support tools in youth sub-elite football and encouraging a more holistic and individualized approach to training and recovery management. Full article
(This article belongs to the Special Issue From Prevention to Recovery in Sports Injury Management)
Show Figures

Figure 1

19 pages, 3373 KB  
Article
Beyond the Heart: The Neuroprotective Potential of Nebivolol in Acute Myocardial Infarction
by Guldem Mercanoglu, Ozge E. Bamac, Gulbin Sennazlı, Rivaze Kalaycı and Fehmi Mercanoglu
Life 2025, 15(12), 1880; https://doi.org/10.3390/life15121880 - 9 Dec 2025
Viewed by 591
Abstract
Myocardial infarction (MI) triggers complex heart–brain interactions that increase the risk of stroke, cognitive decline, and mortality. Neuroinflammation and oxidative stress serve as critical mediators of these complications. We evaluated the neuroprotective effects of nebivolol, a β-blocker with nitric oxide-releasing properties, during acute [...] Read more.
Myocardial infarction (MI) triggers complex heart–brain interactions that increase the risk of stroke, cognitive decline, and mortality. Neuroinflammation and oxidative stress serve as critical mediators of these complications. We evaluated the neuroprotective effects of nebivolol, a β-blocker with nitric oxide-releasing properties, during acute MI. Male Sprague-Dawley rats were divided into sham-operated controls, MI-induced controls, and MI groups treated with oral nebivolol or intravenous loading followed by oral nebivolol. MI was induced by left anterior descending coronary artery ligation. Cardiac function was assessed by echocardiography and hemodynamic measurements. Brain tissues were analyzed for proinflammatory cytokines, oxidative stress markers, and histopathological changes. Nitric oxide synthase (NOS) isoform expression was evaluated by immunohistochemistry. MI induced significant neuroinflammation in the cerebral cortex and hippocampus, characterized by elevated cytokines, increased oxidative stress, upregulated iNOS expression, and altered histological patterns (necrosis, astrocytosis, gliosis, demyelination). Intravenous nebivolol significantly reduced these neuroinflammatory markers, normalized cytokine levels, prevented structural brain changes, and attenuated iNOS expression, while oral administration showed minimal effects. Both routes preserved cardiac function without affecting infarct size. These findings demonstrate that nebivolol, particularly via intravenous administration, provides significant NO-dependent neuroprotection during acute MI, supporting its potential as a dual-action therapeutic strategy targeting both cardiac and neurological complications. Full article
(This article belongs to the Special Issue Management of Ischemia and Heart Failure—3rd Edition)
Show Figures

Graphical abstract

18 pages, 931 KB  
Article
Effects of Creatine Monohydrate Loading on Sleep Metrics, Physical Performance, Cognitive Function, and Recovery in Physically Active Men: A Randomized, Double-Blind, Placebo-Controlled, Crossover Trial
by Khouloud Ben Maaoui, Slaheddine Delleli, Nourhène Mahdi, Arwa Jebabli, Juan Del Coso, Hamdi Chtourou, Luca Paolo Ardigò and Ibrahim Ouergui
Nutrients 2025, 17(24), 3831; https://doi.org/10.3390/nu17243831 - 7 Dec 2025
Viewed by 3504
Abstract
Background/Objectives: Creatine monohydrate (CrM) supplementation is well-established for enhancing physical performance and accelerating recovery in several sporting contexts. However, beyond these traditional performance benefits, its effects on sleep metrics and cognitive function have not been thoroughly investigated. This investigation aimed to determine the [...] Read more.
Background/Objectives: Creatine monohydrate (CrM) supplementation is well-established for enhancing physical performance and accelerating recovery in several sporting contexts. However, beyond these traditional performance benefits, its effects on sleep metrics and cognitive function have not been thoroughly investigated. This investigation aimed to determine the effect of a loading phase of CrM on sleep metrics, physical performance, psycho-cognitive aspects, and recovery in physically active men. Methods: In a randomized, double-blind, placebo-controlled crossover design, 14 physically active men ingested 20 g/day of CrM or placebo (PL) for 7 days, during which their habitual exercise routines were maintained and standardized across both intervention phases. Sleep metrics were monitored throughout the interventions using wrist-worn actigraphy. On the day following the completion of each supplementation phase, participants rated their sleep quality using the Sleep Subjective Quality (SSQ) scale, and the Hooper questionnaire was used to monitor participants’ well-being status. Physical performance was assessed using the 5 m shuttle run test (5mSRT), which measured total distance (TD), best distance (BD), performance decrement (PD), fatigue index (FI), and the rating of perceived exertion (RPE). Affective valence was determined using the feeling scale (FS) and cognitive function was evaluated using the digit cancellation test (DCT). Recovery and muscle soreness perceptions were evaluated at multiple time points (pre-exercise, 5 min, 24 h, 48 h, and 72 h post-exercise) using the perceived recovery status (PRS) and the delayed onset muscle soreness (DOMS) scales, respectively. Results: During the supplementation, CrM improved sleep quality compared to PL, as measured with the SSQ scale (d = 0.81, p = 0.009), and was associated with an earlier in-bed time (r = 0.60; p = 0.026). However, CrM did not affect sleep latency (t = 0.98; p = 0.35), sleep efficiency (t = 0.018; p = 0.98), or total sleep time (t = 0.25; p = 0.81). After the supplementation phase, CrM resulted in significantly lower muscle soreness scores, as measured by the Hooper questionnaire (d = −0.59; p = 0.046), improved cognitive performance on the DCT (d = 0.77; p = 0.013), and enhanced TD (r = 0.88; p < 0.001) and BD (r = 0.76; p < 0.05) during the 5mSRT. However, CrM did not significantly affect other exercise-related measures such as RPE, fatigue index (FI), or performance decrement (PD) during the 5mSRT, nor did it alter other subjective recovery scales compared to PL, up to 72 h following the end of the supplementation phase (all p > 0.05). Conclusions: A 7-day CrM loading protocol improved subjective sleep quality during the supplementation phase, enhanced cognitive performance, and increased physical output during high-intensity intermittent exercise. CrM also reduced muscle soreness, but did not significantly affect objective sleep parameters, or recovery markers up to 72 h post-exercise. These findings suggest that CrM may offer additional benefits beyond its traditional ergogenic role. Trial Registration: This trial was registered on 18 September 2023 at the Pan African Clinical Trials Registry (PACT) (identifier: PACTR202309597156293). Full article
(This article belongs to the Section Nutrition and Public Health)
Show Figures

Figure 1

16 pages, 1037 KB  
Review
Pupillometry as an Objective Measure of Auditory Perception and Listening Effort Across the Lifespan: A Review
by Shruthi Raghavendra
J. Otorhinolaryngol. Hear. Balance Med. 2025, 6(2), 24; https://doi.org/10.3390/ohbm6020024 - 6 Dec 2025
Viewed by 698
Abstract
Background/Objectives: This narrative review aims to evaluate the use of pupillometry as an objective measure of auditory perception and listening effort across the lifespan. Specifically, it synthesizes research examining pupillary responses in individuals with and without hearing impairment across pediatric, adult, and older [...] Read more.
Background/Objectives: This narrative review aims to evaluate the use of pupillometry as an objective measure of auditory perception and listening effort across the lifespan. Specifically, it synthesizes research examining pupillary responses in individuals with and without hearing impairment across pediatric, adult, and older adult populations. The review addresses methodological practices and clinical implications for integrating pupillometry into routine audiological assessment. Methods: 12 peer-reviewed studies published between 2010 and 2025 were selected through a systematic search of databases including PubMed, Scopus, Web of Science, and Google Scholar. Inclusion criteria required empirical use of pupillometry in auditory tasks involving human participants with normal hearing or hearing impairment. Studies were analyzed for population characteristics, experimental paradigms, pupillometric metrics (e.g., peak pupil dilation), level of evidence, and relevance to clinical audiology. This article uses a narrative review approach to organize and interpret findings. Results: Across age groups and hearing conditions, pupillometry consistently demonstrated sensitivity to cognitive load and listening effort, particularly in noisy environments or during complex auditory tasks. Pediatric studies revealed its potential as a non-invasive tool for preverbal children. Adult and older adult studies confirmed that pupillary responses reflect device performance (e.g., hearing aids, cochlear implants) and cognitive–linguistic demands. Methodological variability and individual differences in pupil response patterns were noted as limitations. Conclusions: The findings support the use of pupillometry as a valuable adjunct to behavioral audiometry, offering objective insight into auditory–cognitive load. Its application holds promise for pediatric diagnostics, hearing technology evaluation, and geriatric audiology. Standardization of measurement protocols and development of normative data are necessary to enhance clinical applicability and generalizability. Full article
(This article belongs to the Section Otology and Neurotology)
Show Figures

Figure 1

14 pages, 780 KB  
Article
Development and Rasch Validation of the Parental Topical Corticosteroid Phobia Scale (PTCPS) in Pediatric Eczema Care
by Ahmad Assiri
Healthcare 2025, 13(23), 3160; https://doi.org/10.3390/healthcare13233160 - 3 Dec 2025
Viewed by 313
Abstract
Background and Objectives: Parental fears and misconceptions about topical corticosteroids (TCS), known as TCS phobia, can hinder adherence and lead to poor eczema control in children. Despite its clinical relevance, few instruments capture this phenomenon using modern psychometric principles. This study aimed [...] Read more.
Background and Objectives: Parental fears and misconceptions about topical corticosteroids (TCS), known as TCS phobia, can hinder adherence and lead to poor eczema control in children. Despite its clinical relevance, few instruments capture this phenomenon using modern psychometric principles. This study aimed to develop and validate the Parental Topical Corticosteroid Phobia Scale (PTCPS), a brief tool grounded in Rasch measurement theory. Methods: A cross-sectional survey was conducted among 678 parents of children with eczema in Saudi Arabia. The five-item PTCPS was designed to reflect cognitive, emotional, and behavioral components of corticosteroid phobia. Rasch analysis using WINSTEPS assessed item fit, person and item separation and reliability, unidimensionality, and category functioning. Exploratory factor analysis (EFA) and principal component analysis (PCA) of residuals further evaluated structural validity. Results: All five items fit the Rasch model well (infit/outfit MnSq: 0.8–1.2), with strong item reliability (0.96) and clear item separation (4.67), indicating a well-defined item hierarchy. Person reliability was lower (0.40), suggesting limited precision in distinguishing between respondent levels. The scale showed functioning dichotomous response categories with no disordered thresholds. The eigenvalue of the first residual contrast (1.78) supported unidimensionality. Exploratory factor analysis confirmed a single-factor solution accounting for 53.0% of total variance, with substantial factor loadings (0.68–0.76) across all items, supporting structural coherence of the scale. Conclusions: The PTCPS is a psychometrically robust, unidimensional instrument for assessing TCS phobia in parents. Future research should validate its use across cultures, explore longitudinal stability, and assess its predictive value for treatment adherence. Full article
Show Figures

Figure 1

18 pages, 1478 KB  
Article
Effect of a Visual Dual-Task on Single-Leg Countermovement-Jump in Male Professional Soccer Players with Lower-Limb Injuries: A Cross-Sectional Observational Study
by Geoffrey Memain, Christopher Carling, Jean Bouvet, Paul Fourcade, Pascal Maille and Eric Yiou
Sports 2025, 13(12), 419; https://doi.org/10.3390/sports13120419 - 1 Dec 2025
Viewed by 482
Abstract
Background: Participation in soccer imposes high physical, mechanical, and cognitive demands. Recent evidence suggests that cognitive load, often overlooked in injury prevention, interacts with biomechanical factors and injury risk, resembling a dual-task paradigm where players must adapt motor responses while processing unpredictable game [...] Read more.
Background: Participation in soccer imposes high physical, mechanical, and cognitive demands. Recent evidence suggests that cognitive load, often overlooked in injury prevention, interacts with biomechanical factors and injury risk, resembling a dual-task paradigm where players must adapt motor responses while processing unpredictable game situations. This cross-sectional observational study examined how adding a dual-task during single-leg countermovement-jumps (SLCMJ) affects neuromotor control and performance in elite soccer players. Methods: Players performed SLCMJ on the injured leg while muscle activation, kinematics, and kinetics were measured, with and without a dual-task requiring color identification, via repeated-measures ANOVA; three injured groups (Chondropathy, n = 10, ACL, n = 15, Muscle Injury, n = 15) and a healthy control group (n = 22, followed the same protocol during final-rehabilitation stage. Results: Specific main outcomes were kinetics, kinematics, and EMG variables. Kinetic performances were significantly higher (p < 0.001, d > 0.6) with dual-task: eccentric rate-of-force-development, jump-height, reactive-strength-index-modified, and shorter for time-to-peak of ground-reaction-force (p < 0.05, d > 0.6). Muscle activation increased with dual-task in rectus femoris and biceps femoris during pushing (eccentric and concentric phases) (p < 0.01, d = 0.7) and for medial gastrocnemius during landing (p < 0.05, d = 0.7). Kinematic analyses showed greater pushing knee flexion, while pushing and landing trunk flexion was lower (p < 0.01, d > 0.8). Kinetic values in the three injured groups were lower than those of controls (p < 0.01, d > 0.8). Conclusions: Injured elite soccer players appeared disinhibited in dual-task conditions that improved SLCMJ performance but altered neuromotor control, underscoring the importance of a neurocognitive approach in return-to-play assessments to evaluate reinjury risk. Full article
Show Figures

Figure 1

Back to TopTop