Search Results (12,076)

Advancing Integrated Water Resources Management (IWRM) is essential for integrating land and water strategies and ensuring access to safe and secure water services. Yet, assessing the quality of IWRM implementation remains a persistent challenge for policy and practice. This study presents the first systematic review of 375 empirical articles to consolidate evidence on how enablers and obstacles shape IWRM’s effectiveness in advancing Sustainable Territorial Development (S-TD). Following PRISMA guidelines and combining bibliometric and qualitative coding procedures, we identify ten categories of enablers and eleven categories of obstacles. Results show that institutional strengthening, stakeholder participation, and technological innovation are the most frequent enablers, while fragmentation, coordination challenges, and financial limitations are the most prevalent obstacles. Beyond frequency patterns, this review highlights that outcomes depend on the configurations and interactions of these factors, which condition IWRM’s capacity to steer sustainable development trajectories in the territory. By comparing enablers and obstacles across nexus sectors (food, energy, land) and geographic scales (sub-basin, basin, transboundary, urban, national), we delineate scale- and sector-sensitive pathways linking IWRM to S-TD. To support further research, we provide an open-access dataset as a unique resource for replication, comparative analysis, and policy design, enabling evidence-based decision-making toward sustainability and resilience across diverse geographical and institutional contexts. Full article

Background/Objectives: Transcranial direct current stimulation (tDCS) is increasingly used by athletes, yet sport-performance-enhancement findings are mixed and often small, with outcomes depending on stimulation target, timing, and task demands. Aim: This scoping review mapped and synthesized the soccer-specific trial evidence to identify (i) which tDCS targets and application schedules have been tested in soccer players, (ii) which soccer-relevant outcomes show the most consistent immediate (minutes–hours) or training-mediated benefits, and (iii) where evidence gaps persist. Methods: We conducted a scoping review of clinical trials in footballers, following review best-practice guidance (PRISMA-informed) and a preregistered protocol. Searches (August 2025) spanned PubMed/MEDLINE, ResearchGate, Google Scholar, and Cochrane, using combinations of “football/soccer” and “tDCS/transcranial direct current stimulation,” with inclusion restricted to trials from 2008–2025. Dual independent screening was applied. Of 47 records identified, 21 studies met the criteria. Across these, the total N was 593 (predominantly male adolescents/young adults; wide range of levels). Results: Prefrontal protocols—most commonly left-dominant dorsolateral prefrontal cortex (DLPFC) (+F3/−F4, ~2 mA, ~20 min)—most consistently improved post-match recovery status/well-being (e.g., fatigue, sleep quality, muscle soreness, stress, mood), and when repeated and/or paired with practice, shortened decision times and promoted more efficient visual search. Effects on classic executive tests were inconsistent, and bilateral anodal DLPFC under fatigue increased risk-tolerant choices. Motor-cortex targeting (C3/C4/Cz) rarely changed rapid force–power performance after a single session—e.g., multiple well-controlled trials found no immediate CMJ gains—but when paired with multi-week training (core/lumbar stability, plyometrics, HIIT, sling), it augmented strength, jump height, sprint/agility, aerobic capacity, and task-relevant EMG. Autonomic markers (exercise HR, early HR recovery) showed time-dependent normalization without specific tDCS effects in single-session, randomized designs. In contrast, a season-long applied program that added prefrontal stimulation to standard recovery reported significantly reduced creatine kinase. Across studies, protocols and masking were athlete-friendly and rigorous (~2 mA for ~20 min; robust sham/blinding), with only mild, transient sensations reported and no serious adverse events. Conclusions: In soccer players, tDCS shows a qualified pattern of benefits that follows a specificity model: prefrontal stimulation can support post-match recovery status/well-being and decision efficiency, while M1-centered stimulation is most effective when coupled with structured training to bias neuromuscular adaptation. Effects are generally modest and heterogeneous; practitioners should treat tDCS as an adjunct, not a stand-alone enhancer, and align montage × task × timing while monitoring individual responses. Full article

Background: European population-based cancer registries (PBCRs) provide the foundation for monitoring skin cancer, yet registration practices and coverage vary, particularly for non-melanoma skin cancer (NMSC). Methods: We conducted a narrative review combining descriptive analyses of European Cancer Information System (ECIS) outputs with evidence from the European Network of Cancer Registries (ENCR) Working Group on NMSC and from national reports. A targeted PubMed search (2015–2025) assessed scientific usage of European registry data. Results: Nearly 200 PBCRs operate across about 40 European countries, with heterogeneous structures and timeliness. The ECIS estimated 101,500 incident cutaneous melanomas (CM) in the European Union in 2022. Long-term data from Nordic countries show a tenfold increase in CM incidence over the last six decades, with recent plateauing in younger cohorts. NMSC registration remains inconsistent: some countries record both cutaneous squamous cell carcinoma (cSCC) and basal cell carcinoma (BCC), others record cSCC only, and several omit NMSC entirely. Consequently, Europe-wide NMSC figures are not available from the ECIS. Global estimates exclude BCC and understate the true burden, which is likely between 1 and 1.6 million incident cases annually in Europe. The PubMed search identified 538 European registry-based publications on skin cancer (2015–2025). Conclusions: Melanoma registration in Europe is robust, but NMSC remains under-registered. Priorities include harmonized definitions and counting rules, better integration of outpatient and pathology data, streamlined EU-level reporting, digital/AI-enabled case ascertainment, and sentinel regions to generate reliable NMSC estimates. Full article

Background: Cardiotoxicity is a major limitation of chemotherapy and radiotherapy for thoracic and systemic cancers, contributing significantly to morbidity and mortality among survivors. Early prediction and prevention are critical to balance oncologic efficacy with cardiovascular safety. Artificial intelligence (AI) offers powerful tools to improve risk stratification, enable earlier detection of subclinical injury, and guide treatment planning in cardio-oncology. Methods: We performed a comprehensive review of the literature on AI applications for cancer therapy-related cardiotoxicity. Evidence was identified from PubMed, Scopus, and Web of Science, focusing on electrocardiography, biomarkers, proteomics, extracellular vesicles, genomics, advanced imaging (echocardiography, cardiac magnetic resonance, computed tomography, nuclear imaging), and radiotherapy dose modeling (dosiomics). Translational insights from animal models and in vitro systems were also included. Methodological quality was appraised with reference to TRIPOD-AI, PROBAST-AI, and CLAIM standards. Results: AI applications span multiple domains. Machine learning models integrating biomarkers, exosomes, and extracellular vesicles show promise for noninvasive early detection. Deep learning enables automated analysis of echocardiographic strain and cardiac MRI mapping, while radiomics and dosiomics approaches combine imaging with cardiac substructure dose maps to predict and prevent late radiation-induced injury. Preclinical studies demonstrate AI-driven advances in small-animal imaging, histopathology quantification, and multi-omics data integration, supporting the discovery of translational biomarkers. Despite encouraging performance, most models remain limited by small cohorts, methodological heterogeneity, and scarce external validation. Conclusions: AI has the potential to transform cardio-oncology by shifting from reactive detection to proactive prevention of cardiotoxicity. Future research should prioritize multimodal integration, harmonized multicenter datasets, prospective validation, and guideline-based clinical trials. As emerging data are incorporated, the field is expanding rapidly—dynamic, complex, and evolving. Full article

Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the growing spine, frequently associated with functional impairment, altered trunk biomechanics, compromised respiratory performance, and psychosocial burden. The risk of curve progression increases during periods of rapid growth, highlighting the need for effective conservative interventions targeting both structural and neuromuscular components of the deformity. This review synthesizes evidence published between 2005 and 2025 on the effects of Schroth-based physiotherapeutic scoliosis-specific exercises in adolescents aged 10–18 years with idiopathic scoliosis and Risser stages 0–5. Studies applying Schroth therapy exclusively or predominantly, either as a stand-alone intervention or combined with bracing, were included, while non-idiopathic scoliosis and mixed PSSE protocols were excluded. A total of 17 studies meeting predefined eligibility criteria were included. Across randomized controlled trials, controlled cohort studies, and longitudinal case series, Schroth interventions were associated with attenuation of Cobb angle progression, improvements in three-dimensional trunk symmetry, postural control, respiratory mechanics, and health-related quality of life. Combined Schroth and brace therapy generally demonstrated superior outcomes compared with bracing alone. Despite these findings, heterogeneity in intervention protocols and outcome measures limits direct comparability across studies. Overall, current evidence supports the Schroth Method as a relevant conservative strategy for AIS, particularly when initiated early and delivered through individualized three-dimensional correction. Further high-quality multicenter studies with standardized protocols are required to strengthen the long-term evidence base. Full article

Background/Objectives: Penile prosthesis implantation is a safe and effective treatment for erectile dysfunction, with low complication rates. Glans ischemia is a rare but serious postoperative complication that can lead to irreversible tissue loss. However, not all postoperative glans color changes reflect true ischemia, and distinguishing reversible from irreversible perfusion compromise remains challenging. The objective was to describe the clinical course, management, and outcomes of four patients who developed glans color changes following penile prosthesis implantation, emphasizing the role of glans sensibility in guiding treatment. Methods: We conducted a retrospective case series supplemented with a narrative literature review. Clinical data were obtained from medical records, operative reports, and follow-up visits. Literature searches were performed using PubMed, Scopus, and Google Scholar. Results: Four patients developed postoperative glans discoloration. Two patients, with preserved glans sensibility and no evidence of tissue necrosis, were managed conservatively with cylinder deflation and removal of compressive dressings, resulting in full recovery without tissue loss. Two patients, who exhibited impaired glans sensitivity, developed progressive ischemia. One had prior pelvic radiation, and the other underwent combined grafting and glanspexia. Both required surgical debridement and reconstruction, with permanent tissue loss. Conclusions: Glans color changes after penile prosthesis implantation do not always indicate irreversible ischemia. Preserved glans sensibility is a useful clinical marker of potentially reversible perfusion compromise and may support a conservative management strategy with close monitoring. Conversely, loss of sensation and necrosis should prompt urgent consideration of prosthesis explantation to prevent further tissue loss. Full article

Accurate spatiotemporal alignment of multi-view video streams is essential for a wide range of dynamic-scene applications such as multi-view 3D reconstruction, pose estimation, and scene understanding. However, synchronizing multiple cameras remains a significant challenge, especially in heterogeneous setups combining professional- and consumer-grade devices, visible and infrared sensors, or systems with and without audio, where common hardware synchronization capabilities are often unavailable. This limitation is particularly evident in real-world environments, where controlled capture conditions are not feasible. In this work, we present a low-cost, general-purpose synchronization method that achieves millisecond-level temporal alignment across diverse camera systems while supporting both visible (RGB) and infrared (IR) modalities. The proposed solution employs a custom-built LED Clock that encodes time through red and infrared LEDs, allowing visual decoding of the exposure window (start and end times) from recorded frames for millisecond-level synchronization. We benchmark our method against hardware synchronization and achieve a residual error of 1.34 ms RMSE across multiple recordings. In further experiments, our method outperforms light-, audio-, and timecode-based synchronization approaches and directly improves downstream computer vision tasks, including multi-view pose estimation and 3D reconstruction. Finally, we validate the system in large-scale surgical recordings involving over 25 heterogeneous cameras spanning both IR and RGB modalities. This solution simplifies and streamlines the synchronization pipeline and expands access to advanced vision-based sensing in unconstrained environments, including industrial and clinical applications. Full article

It is largely acknowledged that the dairy industry faces momentous challenges to make progress toward major environmental goals in balance with economic and social sustainability. This study addresses this concern by examining the processes of sustainability transition in the dairy industry in Spain. In particular, we analyzed the process of shifting from the classical, purely economic-driven business models toward more sustainable business models and also integrating environmental and social concerns. We provide a conceptual model for assessing sustainability transformation in the dairy industry and test the applicability of this model using a combination of evidence from the literature and primary information. Primary data were obtained through a dedicated questionnaire addressed to four dairy companies purposefully selected as illustrative case studies. The findings suggest that sustainability goals in the dairy industry can be represented appropriately through the proposed framework both at the sector and company levels, facilitating the identification of concrete business areas better suited for potential innovations and improvements in terms of sustainable value creation and delivery. The results also reveal the need for activity-specific assessments and a more-focused approach to sustainability practices, including the development of more comprehensive sustainability metrics and measurement methods specifically tailored to the dairy industry. Full article

Small cell lung cancer (SCLC) is a highly aggressive neuroendocrine disease marked by rapid growth, early metastatic spread, and poor outcomes. The addition of immune checkpoint inhibitors (ICIs) targeting the PD-1/PD-L1 axis to first-line chemotherapy has recently reshaped the treatment landscape for extensive-stage SCLC (ES-SCLC); however, the resulting survival gains remain modest compared with non-small lung cancer (NSCLC). This review explores the molecular features of the SCLC immune landscape that contribute to its predominantly “cold” tumor phenotype, including low MHC class I expression, T-cell exhaustion, and a profoundly immunosuppressive tumor microenvironment (TME). We summarize key clinical findings from landmark trials and examine mechanisms of both primary and acquired resistance against ICIs in SCLC. In addition, we have reviewed the growing role of precision medicine in SCLC, including molecular subtyping (SCLC-A, -N, -P, and -I) and the development of next-generation immunotherapies such as bispecific T-cell engagers (BiTEs), B7-H3, targeted therapy, and antibody–drug conjugates. By combining existing clinical evidence with new molecular insights, this review article presents strategies to overcome the existing therapeutic plateau and enhance personalized immunotherapy approaches in SCLC. Full article

Background/Objectives: Infertility is a major public health concern, affecting one in six individuals worldwide and nearly one-quarter of couples in France. While a male, female, or combined factor can be identified in approximately 75% of cases, infertility remains unexplained in 10–25%. Genital tract infections account for roughly 15% of male infertility cases and are often asymptomatic, being detected incidentally during routine evaluation prior to assisted reproductive technology (ART). Emerging evidence suggests that the seminal microbiota may contribute to sperm quality and male reproductive health. This systematic review aims to evaluate whether specific microbial profiles are associated with alterations in semen parameters. Methods: A comprehensive literature search was conducted in PubMed and ScienceDirect, yielding 165 and 1418 records, respectively. In the end, 20 articles were included in this systematic review. Results: Men with normal semen parameters commonly exhibited a higher abundance of Lactobacillus and Bifidobacterium, whereas Prevotella was more frequently observed in individuals with impaired semen quality. Several taxa—such as Gardnerella, Corynebacterium, and Staphylococcus spp.—were detected in both normal and altered semen profiles, suggesting that their impact on sperm quality may depend on reaching a pathogenic threshold. Conclusions: Current evidence supports an association between seminal microbiota composition and sperm quality. However, the heterogeneity of available studies and the lack of standardized methodologies limit the ability to draw firm conclusions. Further well-designed studies are required to clarify causal relationships and to determine the clinical relevance of seminal microbiota assessment in male infertility. Full article

The performance of a printed square split-ring resonator as a sensor for quantifying nanoparticle concentrations in PVDF-based nanocomposites was evaluated at UHF frequencies. The sensing mechanism was based on the frequency response of parameter S₂₁, observing the shift in the resonant frequency and a variation in S₂₁ level, while samples were placed on the ring split and compared to the sensor without a sample. Experiments with samples of PVDF-based nanocomposites combined with different concentrations of both MoS₂ and MXenes, ranging from 0.01% to 0.2%, were conducted. In general, considering both types of samples studied, it was observed that, as the concentration increases, S₂₁ (dB) increases from −6.35 to −6 dB. At the same time, the resonance frequency in the S₂₁ plot went from 500.4 to 498.25 MHz. Although the concentrations and their variations were relatively low, shifts in the resonance frequency of S₂₁ were evident, demonstrating the ability of the sensor to detect low concentrations and variations of MoS₂ and MXenes, being the detection of samples with higher concentrations feasible as future work, and concluding that the sensor had a relatively acceptable performance. In this study, MXenes were the concentrations that produced more noticeable shifts in the resonance frequency of S₂₁. Likewise, characterizations based on SEM and TEM were performed to corroborate the ones at UHF frequencies. Full article

Hypertension is highly prevalent among patients with chronic kidney disease (CKD), contributing significantly to cardiovascular morbidity and progressive renal decline. This overview explores the intricate pathophysiologic mechanisms driving hypertension in renal insufficiency, including volume overload, renin–angiotensin–aldosterone system (RAAS) activation, sympathetic overactivity, and vascular dysfunction. Diagnostic challenges such as white-coat hypertension and the underuse of ambulatory monitoring are discussed, along with the importance of volume assessment and target organ evaluation. We also emphasize individualized management strategies combining lifestyle modification, pharmacotherapy—including RAAS inhibitors, diuretics, and novel agents—and the growing role of device-based interventions. In particular, renal denervation (RDN) has emerged as a potential adjunctive option for selected patients with resistant hypertension in CKD, with preliminary evidence suggesting blood pressure reduction in selected and carefully studied populations, including dialysis-dependent patients. Special considerations for transplant recipients, elderly individuals, and those on dialysis are highlighted, underscoring the need for nuanced, patient-centered care. Misconceptions surrounding RAAS blockade, dialysis hypotension, and therapeutic inertia are critically appraised. Finally, future directions point to biomarker-driven approaches, digital health integration, and large-scale trials on RDN to refine treatment paradigms. This comprehensive synthesis offers a pragmatic framework for clinicians managing hypertension in CKD, aligning mechanistic insights with emerging evidence and clinical realities. Full article

African grasses deliberately introduced for cattle forage have become among the most destructive invaders of tropical wetlands globally, yet invasion mechanisms and management strategies remain poorly understood. We conducted field experiments examining competition dynamics between the invasive African grass Echinochloa pyramidalis and native wetland species in La Mancha, Mexico—a Ramsar site of international importance. Experiment 1 tested invasion potential within native Sagittaria lancifolia zones using four treatments: control, herbicide removal, E. pyramidalis transplant, and combined removal + transplant. Repeated-measures ANOVA showed significant treatment and time effects on invasion success, with vegetation removal facilitating invasion (relative importance value increasing from 0 to 149.4 ± 26.6 after 18 months) while transplants alone failed to establish (RIV < 7.0). Sagittaria maintained 35–48% biomass across treatments, demonstrating coexistence capacity. Experiment 2 examined natural invasion of the vegetation ecotone over 49 months. Mixed-effects models revealed that E. pyramidalis increased dominance in its zone (β = 9.98, z = 4.77, p < 0.001) but showed minimal expansion into the adjacent Sagittaria habitat, indicating propagule limitation rather than competitive exclusion as the invasion constraint. Sagittaria removal within E. pyramidalis zones significantly reduced invasion temporal increase (β = −6.44, z = −2.18, p = 0.030), suggesting biotic resistance. Results demonstrate that E. pyramidalis possesses invasion potential but requires disturbance to overcome establishment barriers. These findings support prevention-based management prioritizing disturbance limitation in intact wetlands and demonstrate that hydrological management maintaining permanent flooding (>30 cm depth) can effectively control established invasions by exploiting C4 photosynthetic limitations. Conservation implications for Mexican coastal wetlands—which lack legal protection equivalent to mangroves despite comparable ecosystem services—are discussed. These findings inform evidence-based management of African grass invasions in tropical wetlands worldwide. Full article

Hypera postica (Gyllenhal) is a major pest of alfalfa. We combined mitochondrial COI and CytB gene sequences to characterize the genetic diversity of 20 geographic populations of H. postica across Xinjiang, China, and to elucidate their lineage relationships at both regional and global scales. We found that Nucleotide diversity (Pi) was markedly higher in western Xinjiang populations (Pi > 0.016), specifically Wusu (0.023), Tekes (0.023), Jinghe (0.023), Wenquan (0.021), Bole (0.021), Habahe (0.020), Nilka (0.020), Tacheng (0.019), Toli (0.018), Altay (0.017), Emin (0.016), Xinyuan (0.016), and Zhaosu (0.016), whereas central Xinjiang populations exhibited substantially lower diversity (Pi < 0.014), including Shawan 0.014), Qitai (0.011), Jimsar (0.007), Urumqi (0.004), Hutubi (0.003), Fukang (0.001), and Manas (0.001). Pairwise F_ST analysis revealed pronounced genetic divergence between the western Xinjiang group (Altay, Bole, Wenquan, Tacheng, Emin, Toli, Nilka, Xinyuan, Tekes, Zhaosu) and the central Xinjiang group (Qitai, Urumqi, Fukang, Habahe, Hutubi, Jimsar, Shawan, Manas). At the global level, H. postica can be divided into two major phylogroups: the Western and Eastern lineages. All Xinjiang populations belong to the Eastern lineage. Haplotype network analysis identified two distinct sublineages, western and central Xinjiang, with H2 and H26 as their respective dominant shared haplotypes; both are unique to China. Both maximum likelihood (ML) and Bayesian phylogenetic trees robustly support the central Xinjiang lineage as a distinct clade. Neutrality tests provided strong evidence of recent demographic expansion across the Xinjiang H. postica population as a whole (Fu’s Fs = −21.987, p < 0.05), with particularly pronounced signals in Hutubi (HTB: Tajima’s D = −1.966, Fu’s Fs = −0.781, p < 0.05), Jimsar (JMSE: Tajima’s D = −2.176, Fu’s Fs = −0.962, p < 0.01), and Wenquan (WQ: Fu’s Fs = −11.159, p < 0.01). Our results reveal a clear phylogeographic split within Xinjiang H. postica populations, comprising western and central sub-lineages, with the western sub-lineage likely representing ancestral lineage. The western Xinjiang sub-lineage appears to be shaped primarily by mountainous topography, whereas the central Xinjiang sub-lineage likely results from the combined effects of piedmont plain geography and infection with the endosymbiont Wolbachia strain wHypera4. Full article

Communicating heritage to contemporary audiences, especially younger generations, is a central challenge in Heritage Education. This study aims to analyse audience perceptions of the documentary Amato Lusitano: Ciência e Humanismo—a cultural mediation tool designed and produced by the authors—and to verify the association of these perceptions with sociodemographic profiles. Framed within an action research methodology, the study combines artistic creation and empirical analysis of public reception. During the first screening, a questionnaire was administered to 55 viewers (37 students aged < 40), and data were submitted to an exploratory factor analysis. This revealed a two-factor structure, highlighting a primary factor—Communicative and Educational Effectiveness—with high internal consistency (α = 0.89). Participants reported high agreement with this dimension, with statistically significant differences across generational groups (p < 0.005). Participants with less prior knowledge about Amato Lusitano showed a greater perception of novelty. Clarity of information and quality of the content were the most valued aspects. In contrast, duration and accessibility emerged as areas for improvement. The potential of the documentary as a heritage education resource for initial teacher training is evident. It is necessary to develop more modular, dynamic content ecosystems tailored for young audiences. Full article