Search Results (11,824)

This study documents the diversity, ethnobotany, and ethnolinguistic aspects of Passifloraceae species in Non Din Daeng District, Buri Ram Province, Thailand. Field surveys conducted from April 2024 to March 2025 recorded nine taxa across three genera, including two native species (Adenia heterophylla and A. viridiflora) newly reported for Buri Ram Province, and seven taxa (Passiflora ‘Soi Fah’, P. edulis f. flavicarpa, P. miniata, P. trifasciata, P. vesicaria, Turnera subulata, and T. ulmifolia) representing new provincial records. Native species were primarily associated with dry dipterocarp and mixed deciduous forests, whereas introduced taxa occurred mainly in cultivated or disturbed habitats, reflecting both ecological adaptability and human-mediated introduction. Ethnobotanical data revealed diverse uses including food, traditional medicine, ornamentals, beverages, and economic purposes with P. edulis f. flavicarpa and A. viridiflora having particularly high cultural and economic significance. Passiflora flower also holds cultural prominence, inspiring local and iconic textile motifs of Non Din Daeng. Vernacular names and terminology provide insights into local classification systems and cultural perceptions of these plants. Conservation assessments indicate potential threats to A. heterophylla from wild harvesting, whereas cultivated and naturalized Passiflora taxa are assessed as Least Concern. The results highlight the ecological, cultural, and economic value of Passifloraceae in Non Din Daeng District and emphasize the role of community knowledge in biodiversity conservation and sustainable management. Full article

Out-of-pocket health expenditure (OOPHE) significantly impacts people with chronic and complex diseases (CCDs) and injuries. Aboriginal communities experience a higher burden of CCDs and injury, along with greater OOPHE inequities. This project aims to develop and implement a social prescribing digital platform (Web App) to reduce OOPHE. It is grounded in citizen science approaches that value the lived experience and knowledge of Aboriginal people in shaping solutions. The project uses a citizen science methodology adapted for these communities, using knowledge interface methodology to weave together Indigenous and Western knowledges. Research methods (Indigenous, quantitative, qualitative) explore the relational nature of OOPHE risks and protective factors through co-design and workshops with Aboriginal participants to develop the Web App. A community-centric developmental evaluation guides the trial and refinement of the platform, allowing for ongoing learning and adaptation. Process measures inform a national scale-up and evaluation framework. Addressing OOPHE is essential to improving health and wellbeing for Aboriginal and Torres Strait Islander individuals and families living with or at risk of CCDs. This initiative aims to reduce the impact of OOPHE through digital social prescribing, there by connecting people with essential community services to access healthcare, offering a scalable approach to addressing health inequities nationwide. Full article

Massive machine-type communications (mMTC) in future 6G networks will involve a vast number of devices with sporadic traffic. Grant-free access has emerged as an effective strategy to reduce the access latency and processing overhead by allowing devices to transmit without prior permission, making accurate active user detection and channel estimation (AUDCE) crucial. In this paper, we investigate the joint AUDCE problem in wideband massive access systems. We develop an innovative channel prior model that captures the dual correlation structure of the channel using three state variables: active indication, channel supports, and channel values. By integrating Markov chains with coupled Gaussian distributions, the model effectively describes both the structural and numerical dependencies within the channel. We propose the correlated hybrid message passing (CHMP) algorithm based on Bethe free energy (BFE) minimization, which adaptively updates model parameters without requiring prior knowledge of user sparsity or channel priors. Simulation results show that the CHMP algorithm accurately detects active users and achieves precise channel estimation. Full article

Background/Objectives: Heart rate variability (HRV) is associated with the risk of vascular events. However, the predictive value of HRV for the presence of intracranial atherosclerosis (ICAS) is unclear. This study aimed to investigate the relationship between daytime HRV measured by 3 min ECG monitoring and ICAS identified by high-resolution magnetic resonance imaging (HR-MRI). Methods: A total of 272 adults (mean age, 63.4 ± 6.8; 43% male) were recruited from November 2022 to December 2024. A series of cardiac function parameters is automatically generated through a 3 min analysis by the electrocardiographic dispersion mapping (ECG-DM) software, including heart rate variability and myocardial ischemic metabolic impairment. HRV was assessed as the standard deviation of normal-to-normal intervals (SDNN), which was categorized into tertiles for data analysis. Myocardial micro-alteration index (MMI, %) was used as an indicator of ischemia, reflecting myocardial abnormalities at the metabolic level. Atrial and ventricular myocardial oxygenation deficits were directly visualized in a color-coded scatter plot, with different colors indicating the severity of pathological changes. On HR-MRI intracranial artery wall scanning, the prevalence of ICAS was assessed in middle cerebral arteries (MCAs), vertebral arteries (VAs), and basilar arteries (BAs), and the associated plaque characteristics (eccentricity, thickening patterns, remodeling index, and surface morphology) were evaluated. Results: Among the subjects, 209 arterial lesions caused by ICAS were detected in 152 subjects (56%), including MCAs (105/544), VAs (68/526), and BAs (36/272). Ninety-four subjects (94/272) with significant HRV deviation had ICAS (p = 0.040). Furthermore, subjects with ICAS were more likely to present with atrial hypoxia (p = 0.030) compared to those without ICAS. In multivariate analyses, lower standard deviation of normal-to-normal intervals (SDNN, odds ratio, OR = 1.55, 95% CI 1.10–2.18, p = 0.012) and atrial deviation (OR = 1.85, 95% CI 1.10–3.14, p = 0.022) were independently associated with the presence of ICAS. Conclusions: Among middle-aged or older adults in a local community, our study suggested that lower HRV and significant atrial hypoxia were independently associated with the presence of ICAS. Full article

Background: Chronic Brain Injury (CBI) is a lifelong condition requiring continuous adaptation by patients, families, and healthcare professionals. Transitioning rehabilitation toward patient-centered and self-management approaches is essential, yet remains limited in Spain. Methods: We conducted a two-phase consensus study in collaboration with the Spanish Society of Physical Medicine and Rehabilitation (SERMEF) and the Spanish Federation of Brain Injury (FEDACE). In Phase 1, surveys were distributed to patients (214 invited; 95 complete responses, 44.4%) and physiatrists (256 invited; 106 valid responses, 41.4%) to capture perceptions of current rehabilitation practices, including tele-rehabilitation. Differences and convergences between groups were analyzed using a Synthetic Factor (F). In Phase 2, a panel of 21 experts applied a real-time eDelphi process (SmartDelphi) to assess the feasibility of proposed innovations, rated on a six-point Likert scale. Results: Patients and professionals showed both alignment and divergence in their views. Patients reported lower involvement of rehabilitation teams and expressed more reluctance toward replacing in-person care with telemedicine. However, both groups endorsed hybrid models and emphasized the importance of improved communication tools. Expert consensus prioritized feasible interventions such as online orthopedic renewal services, hybrid care models, and educational video resources, while less feasible options included informal communication platforms (e.g., WhatsApp) and bidirectional teleconsultations. Recommendations were consolidated into five domains: (R1) systemic involvement of rehabilitation teams in chronic care, (R2) patient and caregiver education, (R3) self-management support, (R4) communication tools, and (R5) socialization strategies. Conclusions: This study demonstrates the value of combining patient and professional perspectives through digital Delphi methods to co-design innovation strategies in CBI rehabilitation. Findings highlight the need to strengthen communication, provide structured education, and implement hybrid care models to advance patient-centered rehabilitation. The methodology itself fostered engagement and consensus, underscoring its potential as a tool for participatory healthcare planning. Full article

Based on 350 visualizations, this paper examines the depiction of museum curators by the popular generative artificial intelligence (AI) model, ChatGPT4o. While the AI-generated representations do not reiterate popular stereotypes of curators as nerdy, conservative in dress, and stuck in time, rummaging through collections, they contrast sharply with real-world demographics. AI-generated imagery severely under-represents women (3.5% vs. 49–72% in reality) and disregards ethnic communities outside of Caucasian communities (0% vs. 18–36%). It not only over-represents young curators (79% vs. approx. 27%) but also renders curators to resemble yuppie professionals or people featured in fashion advertising. Stereotypical attributes are prevalent, with curators widely depicted as having beards and holding clipboards or digital tablets. The findings highlight biases in the generative AI image creation data sets, which are poised to shape an inaccurate portrayal of museum professionals if the images were to be taken uncritically at ‘face value’. Full article

Background: Ethnic minority groups are under-represented in their use of community mental health services in the UK. Online mental health forums could be a more appealing support option than traditional mental health services. Part one of this study investigated the level of online forum use in people from ethnic minority groups. Part two investigated the factors influencing online mental health forum use for people from ethnic minority groups. Methods: Part one involved comparing data from a range of pre-existing national datasets, and datasets local to Berkshire, UK (i.e., on the general population, people experiencing common mental health problems, users of mental health forums, and NHS Talking Therapies services). Part two involved interviewing 14 individuals from ethnic minority backgrounds who had used, or considered using, online mental health forums. Results: In part one, nationally, Asian, Black, and Mixed ethnic groups appeared over-represented in their online mental health forum use based on their reporting of common mental health problems. In Berkshire, people from Asian and Black ethnic groups were under-represented in their use of Berkshire NHS Trust’s online mental health forum based on their representation in the Berkshire population. In Part Two, three themes were identified as influencing forum use: (1) sense of community in the online and offline worlds, (2) trust is crucial, and (3) barriers to accessing online forums. Conclusion: People from ethnic minority groups vary in their use and experiences of mental health forums. Whilst forums can offer a valued accessible space for anonymous sharing of often stigmatised experiences, pathways to access require trusted figures to promote their availability, and forum designers and moderators to co-create culturally sensitive spaces with people from these target communities. Full article

Exposure to heavy metals from mining activities has been consistently associated with disruptions in hematologic homeostasis, adversely affecting children’s overall development. We aimed to determine population-specific distributions of hematological markers and to compare anemic and nonanemic children in a mining-exposed highland community. A cross-sectional study was conducted with 156 children aged 3 to 7 years from the Peruvian highlands, using non-probability sampling and following CLSI C28-A3 guidelines for this population. Inclusion criteria were children with complete blood count results and residency in mining-contaminated areas. Blood samples were collected via venipuncture and analyzed with a 3-part Sysmex differential hematology analyzer. The mean WBC count was 10.42 ± 1.76 × 10³/µL, with no significant differences between males and females (p = 0.770). Hematological indices, including RBC, hemoglobin, and hematocrit levels, were consistent between sexes. However, significant differences were noted between anemic and nonanemic 3–4-year-old children for RBC (5.56 ± 0.47 vs. 7.06 ± 0.96 × 10⁶/µL) and HCT (33.97 ± 6.89 vs. 35.64 ± 5%) (each p < 0.00001), with lower values in anemic subjects. Also, anemic and nonanemic 5–7-year-old children had significant differences in RBC (5.87 ± 1.02 vs. 7.36 ± 0.79 × 10⁶/µL) and HCT (31.13 ± 1.73 vs. 36.54 ± 4) (each p < 0.00001). Our findings reveal variations in hematological parameter distributions, emphasizing the importance of personalized blood assessments for mining-exposed populations. This approach could enable earlier diagnosis and intervention for anemia among vulnerable pediatric groups. Full article

As the environmental burden of traditional plastics continues to grow, bioplastics (BPs) have emerged as a promising alternative due to their renewable origins and potential for biodegradability. However, the most popular anaerobic systems (ASs)—anaerobic digestion (AD), acidogenic fermentation (AF), and enzyme hydrolysis (EH)—for BPs degradation still face many challenges, e.g., low degradation efficiency, process instability, etc. As a sustainable clean energy technology, bioelectrochemical systems (BESs) have demonstrated strong potential in the treatment of complex organic waste when integrated with ASs. Nevertheless, research on the synergistic degradation of BPs using BES-ASs remains relatively limited. This review systematically summarizes commonly used anaerobic degradation methods for BPs, along with their advantages and limitations, and highlights the BES-AS as an innovative strategy to enhance BPs degradation efficiency. BESs can accelerate the decomposition of complex polymer structures through the activity of electroactive microorganisms, while also offering benefits such as energy recovery and real-time process monitoring. When coupled with anaerobic digestion, the BES-AS demonstrates significant synergistic effects, improving degradation efficiency and promoting the production of high-value-added products such as volatile fatty acids (VFAs) and biogas, thereby showing great application potential. This review outlines current research progress, identifies key knowledge gaps in mechanism elucidation, system design, source recovery, etc., and proposes future research directions. These include system optimization, microbial community engineering, development of advanced electrode materials, and omics-based mechanistic studies. Advancing multidisciplinary integration is expected to accelerate the practical application of BES-ASs in BP waste management and contribute to achieving the goals of sustainability, efficiency, and circular utilization. Full article

The conservation of ecosystems is essential for ensuring natural resources like water, a key ecosystem service sustaining human activities. However, its effect on human well-being remains uncertain. This study explores links between water provision, local activities, and Sustainable Development Goals (SDG) targets in El Carmen de Jadán, a rural Andean community in Azuay, Ecuador. Located downstream of the Aguarongo Protected Forest (APF), residents rely on headwaters for agriculture, livestock, and domestic use. Conservation efforts since the 1990s have played a key role in maintaining this supply. We developed a storyline to create a conceptual framework connecting water provision, respondents’ activities, and personal and community goals and challenges. We surveyed 55 water users and evaluated relationships through two indices: Level of Support for Contribution (LSC) and Importance of Contribution (IC). A network analysis of highest values revealed that human consumption activities (44–52 responses) were most linked to water, followed by livestock (29–37), agriculture (24–29), and ancestral health practices (28). Human consumption was associated with SDG targets 2.4, 6.1, 6.4, 6.6, 12.8, 13.3, 15.2, and 15.4 (346–416 links), while other activities were linked to all 11 targets analyzed, including 1.1, 1.2, and 2.1 (220–427). The results show strong connections between conservation, livelihoods, and sustainability goals. Full article

Background: Performance-enhancing drug (PED) use has become increasingly prevalent among adolescents and emerging adults, not solely for athletic advantage but as a psychological and sociocultural coping mechanism. In Türkiye, where Westernized body ideals intersect with traditional values, the emotional and symbolic meanings of PED use among youth remain underexplored. Methods: This qualitative study employed semi-structured interviews and reflexive thematic analysis to examine the subjective experiences of 26 Turkish adolescents and emerging adults (19 males, 7 females; ages 16–22) in Istanbul who reported non-medical use of steroids or other PEDs. Participants were recruited through snowball sampling in gym-adjacent communities across six urban districts. Interviews were conducted online, recorded, transcribed, and analyzed to identify emergent psychological themes. Results: Six interconnected themes were identified: (1) body-based insecurity and the fantasy of reinvention; (2) emotional regulation through bodily control; (3) secrecy as autonomy; (4) compulsive enhancement and dissatisfaction; (5) psychological dependency and regret; and (6) PED use as agency and protest. While male and female participants differed in aesthetic goals and social narratives, both groups framed PED use as a means of identity construction, emotional survival, and social validation. Participants did not perceive themselves as deviant but as strategic actors navigating a performance-driven culture. Conclusions: PED use among youth in urban Türkiye emerges as a psychologically embedded coping mechanism rooted in emotional regulation, self-concept, and perceived control. Rather than a deviant behavior, it reflects an adaptive but precarious strategy for managing insecurity and achieving recognition during a critical developmental stage. Full article

(1) Background/Purpose: Our research focuses on stakeholders’ attitudes in the Slovak SME sector, which we assessed through a questionnaire. The ability to evolve and adapt continuously is critical for micro-enterprises in competitive markets. (2) Study Design/Methodology/Approach: The primary objective of our research is to gain a comprehensive understanding of the new work organization processes in SMEs operating in a rapidly changing economic environment. Our research employed a single-sample cross-sectional sampling method, wherein respondents completed a questionnaire within a defined time frame. The primary data collection was carried out using a questionnaire containing closed questions. The research assesses the opinions of the respondents regarding the problem under study over a given period of time. The survey was conducted online. (3) Findings: 31% of the companies surveyed considered that introducing new work organization processes would make the company more adaptable to the changing economic environment. Only one-third considered involving employees in the processes the most important means to achieve this. Higher employee satisfaction is reported as a positive by 24% of companies. However, only a quarter of them believe the best way to achieve this is to involve employees in processes. For micro-enterprises, limited resources and smaller staff prioritize effective communication, and gaps can cause significant difficulties. Regarding the sample examined, among the hypotheses based on the literature background, we were only able to accept hypothesis H3 with modifications, which states that the biggest challenge for micro-companies in the industrial sector in a competitive market is understanding new technologies when improving employee skills. (4) Originality/Value: The research shows that micro-enterprises are particularly sensitive to the challenges associated with new technologies, which can be important information for designing training programs and developing support strategies for enterprises. Full article

Human activities have altered rivers worldwide, but how their combined effects shape fish assemblages remains unclear. We therefore surveyed fish and habitats seasonally along the middle and lower reaches of the Han River, China, during 2022, specifically in June–August (wet season) and October–November (dry season). This study analyzed the spatial distribution pattern of fish diversity, explored the effects of natural factors (e.g., hydrology, water quality) and human stressors (e.g., dam, land use) on the spatial pattern of fish diversity, and identified the key driving factors. Cluster analysis and Non-metric Multidimensional Scaling (NMDS) showed that the fish communities could be divided into three groups: the Danjiangkou reservoir area (DRA), the middle reaches (MR), and the lower reaches (LR). For α-diversity, the LR had the highest value, followed by the DRA, with the MR being the lowest. For β-diversity, the MR had the highest value, followed by the LR, with the DRA being the lowest. Random Forest model showed that fish diversity was mainly affected by natural factors; among these factors, the key drivers of α-diversity were hydrological factors such as the water level (3.56–5.97%) and river width (4.53–4.69%), while for β-diversity, the key drivers were water quality factors, including the dissolved oxygen (10.08–12.36%), total nitrogen (6.49–9.31%), and chlorophyll a (8.26–8.40%). Structural Equation Modeling further revealed that natural factors affected β-diversity mainly through direct pathways, while human stressors affected β-diversity mainly through indirect pathways. The results revealed the differential roles of natural factors and human stressors in driving the patterns of fish α-diversity and β-diversity in human-disturbed rivers, which will provide a scientific basis for the conservation of fish diversity in the Han River. Full article

Residing in public housing is associated with adverse health outcomes, partly due to higher prevalence of unhealthy lifestyle behaviors linked to lower socioeconomic status. Health promotion and disease prevention interventions can mitigate these disparities but are often underutilized due to accessibility barriers and low health literacy. Delivering interventions directly within public housing areas may enhance reach and effectiveness. However, synthesized knowledge of such interventions remains limited. This scoping review aimed to identify and summarize available evidence on health-promoting and disease-preventive interventions in these settings. The review followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRIMA-ScR) guidelines. A systematic search was performed in PubMed, CINAHL, Embase, and Scopus. Articles were screened using predefined criteria. Intervention details, key findings, and digital components were extracted and categorized. 31 articles were included, covering eight intervention categories: (1) Health promoter programs, (2) Nutrition programs, (3) Health screenings, (4) Health promotion messages, (5) Physical activity programs, (6) Mental health programs, (7) Oral health programs, and (8) Other health interventions. Five articles incorporated digital components. This review highlights the value of resident involvement, demonstrated by positive outcomes in interventions with strong community engagement. Despite promising effects, digital health components were underutilized, representing a missed opportunity for scalable, cost-effective interventions. Full article

The integration of cultural heritage into sustainable urban development has garnered increasing attention, with a growing recognition of its role in fostering resilient, inclusive, and identity-rich cities. While surface-level monuments often receive the primary focus in heritage conservation, archaeological remains buried beneath cities face escalating threats—particularly from large-scale underground infrastructure projects. Among these, underground transit systems pose the most significant risk due to their spatial extent and physical disruption. This paper addresses the pressing challenge of balancing underground urban development with the preservation of subterranean cultural heritage. Using the Ancient Cultural and Communication Complex “Serdika” in Sofia, Bulgaria, as a case study, this study examines how integrated planning and interdisciplinary cooperation can harmonize heritage conservation with modern infrastructure development. The study explores strategies such as spatial integration, design coordination, and adaptive reuse to embed archaeological remains within transit-oriented public spaces. The Serdica project demonstrates that such approaches not only protect heritage sites but also enhance their accessibility and public value, contributing to strengthened urban identity and increased cultural tourism. The findings highlight the potential of underground heritage spaces to serve as dynamic nodes of cultural exchange and urban continuity. The study concludes that culturally sustainable design of underground public infrastructure-when guided by inclusive planning and heritage-informed strategies—offers a viable path toward sustainable urban futures that respect both development needs and historical continuity. Full article