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26 pages, 1271 KiB  
Article
A Logarithmic Transfer Function for Binary Swarm Intelligence Algorithms: Enhanced Feature Selection with White Shark Optimizer
by Seyma Gules, Alper Kılıç, Mustafa Servet Kiran and Mesut Gunduz
Appl. Sci. 2025, 15(15), 8710; https://doi.org/10.3390/app15158710 (registering DOI) - 6 Aug 2025
Abstract
With the increasing size of datasets in data mining applications, feature selection has become critical for enhancing classification accuracy and reducing computational complexity. In this study, a novel binary feature selection algorithm, called bWSO-log, is proposed based on the White Shark Optimizer (WSO). [...] Read more.
With the increasing size of datasets in data mining applications, feature selection has become critical for enhancing classification accuracy and reducing computational complexity. In this study, a novel binary feature selection algorithm, called bWSO-log, is proposed based on the White Shark Optimizer (WSO). Unlike the commonly used S-shaped and V-shaped transfer functions in the literature, the WSO algorithm is converted into a binary form for the first time using a logarithmic transfer function. The performance of the proposed method was tested on nineteen benchmark datasets and compared with eight widely used metaheuristic algorithms. The results show that the bWSO-log algorithm demonstrates superior or competitive performance in terms of classification accuracy and the number of selected features. These findings reveal the effectiveness of the proposed logarithmic function and highlight the potential of WSO-based binary optimization in feature selection problems. Full article
(This article belongs to the Special Issue Machine Learning-Based Feature Extraction and Selection: 2nd Edition)
18 pages, 326 KiB  
Article
Why the Study of Religion Needs to Talk About Racism—Observations and Suggestions from Switzerland
by Lea Sara Maegli
Religions 2025, 16(8), 1018; https://doi.org/10.3390/rel16081018 - 6 Aug 2025
Abstract
This article explores strategies for integrating anti-racist approaches into university-level study of religion teaching on multiple levels, including curriculum design, selection of teaching materials, self-reflection practices, responses to concrete classroom situations and fostering environments that protect students of colour while encouraging “white” students [...] Read more.
This article explores strategies for integrating anti-racist approaches into university-level study of religion teaching on multiple levels, including curriculum design, selection of teaching materials, self-reflection practices, responses to concrete classroom situations and fostering environments that protect students of colour while encouraging “white” students to critically examine their own privileges. To contextualize this endeavour, the article first outlines the current situation and describes some challenges related to racism and anti-racism efforts within a Swiss university context, drawing on recent empirical studies. This is followed by an examination of the historical development of racial thought, culminating in contemporary discussions of neo-racism and its connection with the classification category religion. A working definition of racism suitable for academic teaching is then proposed. The article further investigates the relationship between racism and the study of religion, arguing that the discipline has a crucial role to play in addressing and combating racist ideologies. This argument is supported by some empirical data from the author’s doctoral research, as well as examples drawn from the author’s teaching experience at the University of Zurich. By combining historical analysis with practical teaching strategies, thearticle aims to provide a coherent framework for embedding anti-racist principles in higher education. Full article
15 pages, 2179 KiB  
Review
From Nutrition to Innovation: Biomedical Applications of Egg Components
by Amin Mohseni Ghalehghazi and Wen Zhong
Molecules 2025, 30(15), 3260; https://doi.org/10.3390/molecules30153260 - 4 Aug 2025
Abstract
Valued for their nutritional content, eggs have recently gained attention as a versatile biomaterial owing to their biocompatibility, biodegradability, and unique structural and biochemical composition. This review highlights the biomedical potential of various egg components—eggshell, eggshell membrane, egg white, and egg yolk—and their [...] Read more.
Valued for their nutritional content, eggs have recently gained attention as a versatile biomaterial owing to their biocompatibility, biodegradability, and unique structural and biochemical composition. This review highlights the biomedical potential of various egg components—eggshell, eggshell membrane, egg white, and egg yolk—and their applications in bone grafting, tissue engineering, wound healing, drug delivery, and biosensors. Eggshells serve as a natural, calcium-rich source for bone tissue engineering and regenerative medicine. The eggshell membrane, with its antimicrobial and structural properties, offers promise as a wound healing scaffold. Egg white, known for its gelation and film-forming capabilities, is utilized in hydrogel-based systems for drug delivery and biosensing. Egg yolk, rich in lipids and immunoglobulin Y (IgY) antibodies, is being explored for diagnostic and therapeutic applications. This review critically examines the advantages and limitations of each egg-derived component and outlines current research gaps, offering insights into future directions for the development of egg-based biomaterials in biomedical engineering. Full article
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17 pages, 1097 KiB  
Article
Mapping Perfusion and Predicting Success: Infrared Thermography-Guided Perforator Flaps for Lower Limb Defects
by Abdalah Abu-Baker, Andrada-Elena Ţigăran, Teodora Timofan, Daniela-Elena Ion, Daniela-Elena Gheoca-Mutu, Adelaida Avino, Cristina-Nicoleta Marina, Adrian Daniel Tulin, Laura Raducu and Radu-Cristian Jecan
Medicina 2025, 61(8), 1410; https://doi.org/10.3390/medicina61081410 - 3 Aug 2025
Viewed by 125
Abstract
Background and Objectives: Lower limb defects often present significant reconstructive challenges due to limited soft tissue availability and exposure of critical structures. Perforator-based flaps offer reliable solutions, with minimal donor site morbidity. This study aimed to evaluate the efficacy of infrared thermography [...] Read more.
Background and Objectives: Lower limb defects often present significant reconstructive challenges due to limited soft tissue availability and exposure of critical structures. Perforator-based flaps offer reliable solutions, with minimal donor site morbidity. This study aimed to evaluate the efficacy of infrared thermography (IRT) in preoperative planning and postoperative monitoring of perforator-based flaps, assessing its accuracy in identifying perforators, predicting complications, and optimizing outcomes. Materials and Methods: A prospective observational study was conducted on 76 patients undergoing lower limb reconstruction with fascio-cutaneous perforator flaps between 2022 and 2024. Perforator mapping was performed concurrently with IRT and Doppler ultrasonography (D-US), with intraoperative confirmation. Flap design variables and systemic parameters were recorded. Postoperative monitoring employed thermal imaging on days 1 and 7. Outcomes were correlated with thermal, anatomical, and systemic factors using statistical analyses, including t-tests and Pearson correlation. Results: IRT showed high sensitivity (97.4%) and positive predictive value (96.8%) for perforator detection. A total of nine minor complications occurred, predominantly in patients with diabetes mellitus and/or elevated glycemia (p = 0.05). Larger flap-to-defect ratios (A/C and B/C) correlated with increased complications in propeller flaps, while smaller ratios posed risks for V-Y and Keystone flaps. Thermal analysis indicated significantly lower flap temperatures and greater temperature gradients in flaps with complications by postoperative day 7 (p < 0.05). CRP levels correlated with glycemia and white blood cell counts, highlighting systemic inflammation’s impact on outcomes. Conclusions: IRT proves to be a reliable, non-invasive method for perforator localization and flap monitoring, enhancing surgical planning and early complication detection. Combined with D-US, it improves perforator selection and perfusion assessment. Thermographic parameters, systemic factors, and flap design metrics collectively predict flap viability. Integration of IRT into surgical workflows offers a cost-effective tool for optimizing reconstructive outcomes in lower limb surgery. Full article
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18 pages, 1481 KiB  
Article
Ambiguities, Built-In Biases, and Flaws in Big Data Insight Extraction
by Serge Galam
Information 2025, 16(8), 661; https://doi.org/10.3390/info16080661 - 2 Aug 2025
Viewed by 88
Abstract
I address the challenge of extracting reliable insights from large datasets using a simplified model that illustrates how hierarchical classification can distort outcomes. The model consists of discrete pixels labeled red, blue, or white. Red and blue indicate distinct properties, while white represents [...] Read more.
I address the challenge of extracting reliable insights from large datasets using a simplified model that illustrates how hierarchical classification can distort outcomes. The model consists of discrete pixels labeled red, blue, or white. Red and blue indicate distinct properties, while white represents unclassified or ambiguous data. A macro-color is assigned only if one color holds a strict majority among the pixels. Otherwise, the aggregate is labeled white, reflecting uncertainty. This setup mimics a percolation threshold at fifty percent. Assuming that directly accessing the various proportions from the data of colors is infeasible, I implement a hierarchical coarse-graining procedure. Elements (first pixels, then aggregates) are recursively grouped and reclassified via local majority rules, ultimately producing a single super-aggregate for which the color represents the inferred macro-property of the collection of pixels as a whole. Analytical results supported by simulations show that the process introduces additional white aggregates beyond white pixels, which could be present initially; these arise from groups lacking a clear majority, requiring arbitrary symmetry-breaking decisions to attribute a color to them. While each local resolution may appear minor and inconsequential, their repetitions introduce a growing systematic bias. Even with complete data, unavoidable asymmetries in local rules are shown to skew outcomes. This study highlights a critical limitation of recursive data reduction. Insight extraction is shaped not only by data quality but also by how local ambiguity is handled, resulting in built-in biases. Thus, the related flaws are not due to the data but to structural choices made during local aggregations. Although based on a simple model, these findings expose a high likelihood of inherent flaws in widely used hierarchical classification techniques. Full article
(This article belongs to the Section Artificial Intelligence)
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17 pages, 1522 KiB  
Article
Characterization of Solid Particulates to Be Used as Storage as Well as Heat Transfer Medium in Concentrated Solar Power Systems
by Rageh Saeed, Syed Noman Danish, Shaker Alaqel, Nader S. Saleh, Eldwin Djajadiwinata, Hany Al-Ansary, Abdelrahman El-Leathy, Abdulelah Alswaiyd, Zeyad Al-Suhaibani, Zeyad Almutairi and Sheldon Jeter
Appl. Sci. 2025, 15(15), 8566; https://doi.org/10.3390/app15158566 (registering DOI) - 1 Aug 2025
Viewed by 128
Abstract
Using solid particulates as a heat transfer medium for concentrated solar power (CSP) systems has many advantages, positioning them as a superior option compared with conventional heat transfer media such as steam, oil, air, and molten salt. However, a critical imperative lies in [...] Read more.
Using solid particulates as a heat transfer medium for concentrated solar power (CSP) systems has many advantages, positioning them as a superior option compared with conventional heat transfer media such as steam, oil, air, and molten salt. However, a critical imperative lies in the comprehensive evaluation of the properties of potential solid particulates intended for utilization under such extreme thermal conditions. This paper undertakes an exhaustive examination of both ambient and high-temperature thermophysical properties of four naturally occurring particulate materials, Riyadh white sand, Riyadh red sand, Saudi olivine sand, and US olivine sand, and one well-known engineered particulate material. The parameters under scrutiny encompass loose bulk density, tapped bulk density, real density, sintering temperature, and thermal conductivity. The results reveal that the theoretical density decreases with the increase in temperature. The bulk density of solid particulates depends strongly on the particulate size distribution, as well as on the compaction. The tapped bulk density was found to be larger than the loose density for all particulates, as expected. The sintering test proved that Riyadh white sand is sintered at the highest temperature and pressure, 1300 °C and 50 MPa, respectively. US olivine sand was solidified at 800 °C and melted at higher temperatures. This proves that US olivine sand is not suitable to be used as a thermal energy storage and heat transfer medium in high-temperature particle-based CSP systems. The experimental results of thermal diffusivity/conductivity reveal that, for all particulates, both properties decrease with the increase in temperature, and results up to 475.5 °C are reported. Full article
(This article belongs to the Section Applied Thermal Engineering)
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17 pages, 3272 KiB  
Review
Timing Is Everything: The Fungal Circadian Clock as a Master Regulator of Stress Response and Pathogenesis
by Victor Coca-Ruiz and Daniel Boy-Ruiz
Stresses 2025, 5(3), 47; https://doi.org/10.3390/stresses5030047 - 1 Aug 2025
Viewed by 101
Abstract
Fungi, from saprophytes to pathogens, face predictable daily fluctuations in light, temperature, humidity, and nutrient availability. To cope, they have evolved an internal circadian clock that confers a major adaptive advantage. This review critically synthesizes current knowledge on the molecular architecture and physiological [...] Read more.
Fungi, from saprophytes to pathogens, face predictable daily fluctuations in light, temperature, humidity, and nutrient availability. To cope, they have evolved an internal circadian clock that confers a major adaptive advantage. This review critically synthesizes current knowledge on the molecular architecture and physiological relevance of fungal circadian systems, moving beyond the canonical Neurospora crassa model to explore the broader phylogenetic diversity of timekeeping mechanisms. We examine the core transcription-translation feedback loop (TTFL) centered on the FREQUENCY/WHITE COLLAR (FRQ/WCC) system and contrast it with divergent and non-canonical oscillators, including the metabolic rhythms of yeasts and the universally conserved peroxiredoxin (PRX) oxidation cycles. A central theme is the clock’s role in gating cellular defenses against oxidative, osmotic, and nutritional stress, enabling fungi to anticipate and withstand environmental insults through proactive regulation. We provide a detailed analysis of chrono-pathogenesis, where the circadian control of virulence factors aligns fungal attacks with windows of host vulnerability, with a focus on experimental evidence from pathogens like Botrytis cinerea, Fusarium oxysporum, and Magnaporthe oryzae. The review explores the downstream pathways—including transcriptional cascades, post-translational modifications, and epigenetic regulation—that translate temporal signals into physiological outputs such as developmental rhythms in conidiation and hyphal branching. Finally, we highlight critical knowledge gaps, particularly in understudied phyla like Basidiomycota, and discuss future research directions. This includes the exploration of novel clock architectures and the emerging, though speculative, hypothesis of “chrono-therapeutics”—interventions designed to disrupt fungal clocks—as a forward-looking concept for managing fungal infections. Full article
(This article belongs to the Collection Feature Papers in Plant and Photoautotrophic Stresses)
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20 pages, 4135 KiB  
Article
Climate-Induced Water Management Challenges for Cabbage and Carrot in Southern Poland
by Stanisław Rolbiecki, Barbara Jagosz, Roman Rolbiecki and Renata Kuśmierek-Tomaszewska
Sustainability 2025, 17(15), 6975; https://doi.org/10.3390/su17156975 - 31 Jul 2025
Viewed by 250
Abstract
Climate warming poses significant challenges for the sustainable management of natural water resources, making efficient planning and usage essential. This study evaluates the water requirements, irrigation demand, and rainfall deficits for two key vegetable crops, carrot and white cabbage, under projected climate scenarios [...] Read more.
Climate warming poses significant challenges for the sustainable management of natural water resources, making efficient planning and usage essential. This study evaluates the water requirements, irrigation demand, and rainfall deficits for two key vegetable crops, carrot and white cabbage, under projected climate scenarios RCP 4.5 and RCP 8.5 for the period 2031–2100. The analysis was conducted for Kraków and Rzeszów Counties in southern Poland using projected monthly temperature and precipitation data from the Klimada 2.0 portal. Potential evapotranspiration (ETp) during the growing season (May–October) was estimated using Treder’s empirical model and the crop coefficient method adapted for Polish conditions. The reference period for comparison was 1951–2020. The results reveal a significant upward trend in water demand for both crops, with the highest increases under the RCP 8.5 scenario–seasonal ETp values reaching up to 517 mm for cabbage and 497 mm for carrot. Rainfall deficits are projected to intensify, especially during July and August, with greater shortages in Rzeszów County compared to Kraków County. Irrigation demand varies depending on soil type and drought severity, becoming critical in medium and very dry years. These findings underscore the necessity of adapting irrigation strategies and water resource management to ensure sustainable vegetable production under changing climate conditions. The data provide valuable guidance for farmers, advisors, and policymakers in planning effective irrigation infrastructure and optimizing water-use efficiency in southern Poland. Full article
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20 pages, 6138 KiB  
Article
DBSCAN-MFI Based Improved Clustering for Field-Road Classification in Mechanical Residual Film Recovery
by Huimin Fang, Jinshan Hu, Xuegeng Chen, Qingyi Zhang and Jing Bai
Agriculture 2025, 15(15), 1651; https://doi.org/10.3390/agriculture15151651 - 31 Jul 2025
Viewed by 126
Abstract
Accurate accounting of residual film recovery operation areas is essential for supporting targeted implementation of white pollution control policies in cotton fields and serves as a critical foundation for data-driven prevention and control of soil contamination. To address the reliance on manual screening [...] Read more.
Accurate accounting of residual film recovery operation areas is essential for supporting targeted implementation of white pollution control policies in cotton fields and serves as a critical foundation for data-driven prevention and control of soil contamination. To address the reliance on manual screening during preprocessing in traditional residual film recovery area calculation methods, this study proposes a DBSCAN-MFI field-road trajectory segmentation method. This approach combines DBSCAN density clustering with multi-feature inference. Building on DBSCAN clustering, the method incorporates a convex hull completion strategy and multi-feature inference rules utilizing speed-direction feature filtering to automatically identify and segment field and road areas, enabling precise operation area calculation. Experimental results demonstrate that compared to DBSCAN, OPTICS, the Grid-Based Method, and the DBSCAN-FR algorithm, the proposed algorithm improves the F1-Score by 7.01%, 7.13%, 7.28%, and 4.27%, respectively. Regarding the impact on operation area calculation, segmentation accuracy increased by 23.61%, 25.14%, 20.71%, and 6.87%, respectively. This study provides an effective solution for accurate field-road segmentation during mechanical residual film recovery operations to facilitate subsequent calculation of the recovered area. Full article
(This article belongs to the Section Artificial Intelligence and Digital Agriculture)
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17 pages, 920 KiB  
Article
Enhancing Early GI Disease Detection with Spectral Visualization and Deep Learning
by Tsung-Jung Tsai, Kun-Hua Lee, Chu-Kuang Chou, Riya Karmakar, Arvind Mukundan, Tsung-Hsien Chen, Devansh Gupta, Gargi Ghosh, Tao-Yuan Liu and Hsiang-Chen Wang
Bioengineering 2025, 12(8), 828; https://doi.org/10.3390/bioengineering12080828 - 30 Jul 2025
Viewed by 424
Abstract
Timely and accurate diagnosis of gastrointestinal diseases (GIDs) remains a critical bottleneck in clinical endoscopy, particularly due to the limited contrast and sensitivity of conventional white light imaging (WLI) in detecting early-stage mucosal abnormalities. To overcome this, this research presents Spectrum Aided Vision [...] Read more.
Timely and accurate diagnosis of gastrointestinal diseases (GIDs) remains a critical bottleneck in clinical endoscopy, particularly due to the limited contrast and sensitivity of conventional white light imaging (WLI) in detecting early-stage mucosal abnormalities. To overcome this, this research presents Spectrum Aided Vision Enhancer (SAVE), an innovative, software-driven framework that transforms standard WLI into high-fidelity hyperspectral imaging (HSI) and simulated narrow-band imaging (NBI) without any hardware modification. SAVE leverages advanced spectral reconstruction techniques, including Macbeth Color Checker-based calibration, principal component analysis (PCA), and multivariate polynomial regression, achieving a root mean square error (RMSE) of 0.056 and structural similarity index (SSIM) exceeding 90%. Trained and validated on the Kvasir v2 dataset (n = 6490) using deep learning models like ResNet-50, ResNet-101, EfficientNet-B2, both EfficientNet-B5 and EfficientNetV2-B0 were used to assess diagnostic performance across six key GI conditions. Results demonstrated that SAVE enhanced imagery and consistently outperformed raw WLI across precision, recall, and F1-score metrics, with EfficientNet-B2 and EfficientNetV2-B0 achieving the highest classification accuracy. Notably, this performance gain was achieved without the need for specialized imaging hardware. These findings highlight SAVE as a transformative solution for augmenting GI diagnostics, with the potential to significantly improve early detection, streamline clinical workflows, and broaden access to advanced imaging especially in resource constrained settings. Full article
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16 pages, 1182 KiB  
Article
Machine Learning-Based Identification of Risk Factors for ICU Mortality in 8902 Critically Ill Patients with Pandemic Viral Infection
by Elisabeth Papiol, Ricard Ferrer, Juan C. Ruiz-Rodríguez, Emili Díaz, Rafael Zaragoza, Marcio Borges-Sa, Julen Berrueta, Josep Gómez, María Bodí, Susana Sancho, Borja Suberviola, Sandra Trefler and Alejandro Rodríguez
J. Clin. Med. 2025, 14(15), 5383; https://doi.org/10.3390/jcm14155383 - 30 Jul 2025
Viewed by 216
Abstract
Background/Objectives: The SARS-CoV-2 and influenza A (H1N1)pdm09 pandemics have resulted in high numbers of ICU admissions, with high mortality. Identifying risk factors for ICU mortality at the time of admission can help optimize clinical decision making. However, the risk factors identified may [...] Read more.
Background/Objectives: The SARS-CoV-2 and influenza A (H1N1)pdm09 pandemics have resulted in high numbers of ICU admissions, with high mortality. Identifying risk factors for ICU mortality at the time of admission can help optimize clinical decision making. However, the risk factors identified may differ, depending on the type of analysis used. Our aim is to compare the risk factors and performance of a linear model (multivariable logistic regression, GLM) with a non-linear model (random forest, RF) in a large national cohort. Methods: A retrospective analysis was performed on a multicenter database including 8902 critically ill patients with influenza A (H1N1)pdm09 or COVID-19 admitted to 184 Spanish ICUs. Demographic, clinical, laboratory, and microbiological data from the first 24 h were used. Prediction models were built using GLM and RF. The performance of the GLM was evaluated by area under the ROC curve (AUC), precision, sensitivity, and specificity, while the RF by out-of-bag (OOB) error and accuracy. In addition, in the RF, the im-portance of the variables in terms of accuracy reduction (AR) and Gini index reduction (GI) was determined. Results: Overall mortality in the ICU was 25.8%. Model performance was similar, with AUC = 76% for GLM, and AUC = 75.6% for RF. GLM identified 17 independent risk factors, while RF identified 19 for AR and 23 for GI. Thirteen variables were found to be important in both models. Laboratory variables such as procalcitonin, white blood cells, lactate, or D-dimer levels were not significant in GLM but were significant in RF. On the contrary, acute kidney injury and the presence of Acinetobacter spp. were important variables in the GLM but not in the RF. Conclusions: Although the performance of linear and non-linear models was similar, different risk factors were determined, depending on the model used. This alerts clinicians to the limitations and usefulness of studies limited to a single type of model. Full article
(This article belongs to the Special Issue Current Trends and Prospects of Critical Emergency Medicine)
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17 pages, 3666 KiB  
Article
Integrating UAV and USV for Elaboration of High-Resolution Coastal Elevation Models
by Isabel López, Luis Bañón and José I. Pagán
J. Mar. Sci. Eng. 2025, 13(8), 1464; https://doi.org/10.3390/jmse13081464 - 30 Jul 2025
Viewed by 223
Abstract
Coastal erosion, exacerbated by climate change, poses a critical global threat to both the environment and human livelihoods. Acquiring accurate, high-resolution topo-bathymetric data is vital for understanding these dynamic environments, without underestimating the hydrodynamic and meteo-oceanographic conditions. However, traditional methods often present significant [...] Read more.
Coastal erosion, exacerbated by climate change, poses a critical global threat to both the environment and human livelihoods. Acquiring accurate, high-resolution topo-bathymetric data is vital for understanding these dynamic environments, without underestimating the hydrodynamic and meteo-oceanographic conditions. However, traditional methods often present significant challenges in achieving comprehensive, high-resolution topo-bathymetric coverage efficiently in shallow coastal zones, leading to a notable ”white ribbon” data gap. This study introduces a novel, integrated methodology combining unmanned aerial vehicles (UAVs) for terrestrial surveys, unmanned surface vehicles (USVs) for bathymetry, and the Global Navigation Satellite System (GNSS) for ground control and intertidal gap-filling. Through this technologically rigorous approach, a seamless Bathymetry-Topography Digital Surface Model for the Guardamar del Segura dune system (Spain) was successfully elaborated using a DJI Mini 2 UAV, Leica Zeno FLX100 GNSS, and Apache 3 USV. The method demonstrated a substantial time reduction of at least 50–75% for comparable high-resolution coverage, efficiently completing the 86.4 ha field campaign in approximately 4 h. This integrated approach offers an accessible and highly efficient solution for generating detailed coastal elevation models crucial for coastal management and research. Full article
(This article belongs to the Special Issue Monitoring Coastal Systems and Improving Climate Change Resilience)
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15 pages, 747 KiB  
Article
Comparative Analysis of LLMs in Dry Eye Syndrome Healthcare Information
by Gloria Wu, Hrishi Paliath-Pathiyal, Obaid Khan and Margaret C. Wang
Diagnostics 2025, 15(15), 1913; https://doi.org/10.3390/diagnostics15151913 - 30 Jul 2025
Viewed by 237
Abstract
Background/Objective: Dry eye syndrome affects 16 million Americans with USD 52 billion in annual healthcare costs. With large language models (LLMs) increasingly used for healthcare information, understanding their performance in delivering equitable dry eye guidance across diverse populations is critical. This study aims [...] Read more.
Background/Objective: Dry eye syndrome affects 16 million Americans with USD 52 billion in annual healthcare costs. With large language models (LLMs) increasingly used for healthcare information, understanding their performance in delivering equitable dry eye guidance across diverse populations is critical. This study aims to evaluate and compare five major LLMs (Grok, ChatGPT, Gemini, Claude.ai, and Meta AI) regarding dry eye syndrome information delivery across different demographic groups. Methods: LLMs were queried using standardized prompts simulating a 62-year-old patient with dry eye symptoms across four demographic categories (White, Black, East Asian, and Hispanic males and females). Responses were analyzed for word count, readability, cultural sensitivity scores (0–3 scale), keyword coverage, and response times. Results: Significant variations existed across LLMs. Word counts ranged from 32 to 346 words, with Gemini being the most comprehensive (653.8 ± 96.2 words) and Claude.ai being the most concise (207.6 ± 10.8 words). Cultural sensitivity scores revealed Grok demonstrated highest awareness for minority populations (scoring 3 for Black and Hispanic demographics), while Meta AI showed minimal cultural tailoring (0.5 ± 0.5). All models recommended specialist consultation, but medical term coverage varied significantly. Response times ranged from 7.41 s (Meta AI) to 25.32 s (Gemini). Conclusions: While all LLMs provided appropriate referral recommendations, substantial disparities exist in cultural sensitivity, content depth, and information delivery across demographic groups. No LLM consistently addressed the full spectrum of dry eye causes across all demographics. These findings underscore the importance for physician oversight and standardization in AI-generated healthcare information to ensure equitable access and prevent care delays. Full article
(This article belongs to the Special Issue Artificial Intelligence Application in Cornea and External Diseases)
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15 pages, 288 KiB  
Article
Association of Dietary Sodium-to-Potassium Ratio with Nutritional Composition, Micronutrient Intake, and Diet Quality in Brazilian Industrial Workers
by Anissa Melo Souza, Ingrid Wilza Leal Bezerra, Karina Gomes Torres, Gabriela Santana Pereira, Raiane Medeiros Costa and Antonio Gouveia Oliveira
Nutrients 2025, 17(15), 2483; https://doi.org/10.3390/nu17152483 - 29 Jul 2025
Viewed by 239
Abstract
Introduction: The sodium-to-potassium (Na:K) ratio in the diet is a critical biomarker for cardiovascular and metabolic health, yet global adherence to recommended levels remains poor. Objectives: The objective of this study was to identify dietary determinants of the dietary Na:K ratio and its [...] Read more.
Introduction: The sodium-to-potassium (Na:K) ratio in the diet is a critical biomarker for cardiovascular and metabolic health, yet global adherence to recommended levels remains poor. Objectives: The objective of this study was to identify dietary determinants of the dietary Na:K ratio and its associations with micronutrient intake and diet quality. Methods: An observational cross-sectional survey was conducted in a representative sample of manufacturing workers through a combined stratified proportional and two-stage probability sampling plan, with strata defined by company size and industrial sector from the state of Rio Grande do Norte, Brazil. Dietary intake was assessed using 24 h recalls via the Multiple Pass Method, with Na:K ratios calculated from quantified food composition data. Diet quality was assessed with the Diet Quality Index-International (DQI-I). Multiple linear regression was used to analyze associations of Na:K ratio with the study variables. Results: The survey was conducted in the state of Rio Grande do Norte, Brazil, in 921 randomly selected manufacturing workers. The sample mean age was 38.2 ± 10.7 years, 55.9% males, mean BMI 27.2 ± 4.80 kg/m2. The mean Na:K ratio was 1.97 ± 0.86, with only 0.54% of participants meeting the WHO recommended target (<0.57). Fast food (+3.29 mg/mg per serving, p < 0.001), rice, bread, and red meat significantly increased the ratio, while fruits (−0.16 mg/mg), dairy, white meat, and coffee were protective. Higher Na:K ratios were associated with lower intake of calcium, magnesium, phosphorus, and vitamins C, D, and E, as well as poorer diet quality (DQI-I score: −0.026 per 1 mg/mg increase, p < 0.001). Conclusions: These findings highlight the critical role of processed foods in elevating Na:K ratios and the potential for dietary modifications to improve both electrolyte balance and micronutrient adequacy in industrial workers. The study underscores the need for workplace interventions that simultaneously address sodium reduction, potassium enhancement, and overall diet quality improvement tailored to socioeconomic and cultural contexts, a triple approach not previously tested in intervention studies. Future studies should further investigate nutritional consequences of imbalanced Na:K intake. Full article
(This article belongs to the Special Issue Mineral Nutrition on Human Health and Disease)
22 pages, 5960 KiB  
Article
Application of Integrated Geospatial Analysis and Machine Learning in Identifying Factors Affecting Ride-Sharing Before/After the COVID-19 Pandemic
by Afshin Allahyari and Farideddin Peiravian
ISPRS Int. J. Geo-Inf. 2025, 14(8), 291; https://doi.org/10.3390/ijgi14080291 - 28 Jul 2025
Viewed by 278
Abstract
Ride-pooling, as a sustainable mode of ride-hailing services, enables different riders to share a vehicle while traveling along similar routes. The COVID-19 pandemic led to the suspension of this service, but Transportation Network Companies (TNCs) such as Uber and Lyft resumed it after [...] Read more.
Ride-pooling, as a sustainable mode of ride-hailing services, enables different riders to share a vehicle while traveling along similar routes. The COVID-19 pandemic led to the suspension of this service, but Transportation Network Companies (TNCs) such as Uber and Lyft resumed it after a significant delay following the lockdown. This raises the question of what determinants shape ride-pooling in the post-pandemic era and how they spatially influence shared ride-hailing compared to the pre-pandemic period. To address this gap, this study employs geospatial analysis and machine learning to examine the factors affecting ride-pooling trips in pre- and post-pandemic periods. Using over 66 million trip records from 2019 and 43 million from 2023, we observe a significant decline in shared trip adoption, from 16% to 2.91%. The results of an extreme gradient boosting (XGBoost) model indicate a robust capture of non-linear relationships. The SHAP analysis reveals that the percentage of the non-white population is the dominant predictor in both years, although its influence weakened post-pandemic, with a breakpoint shift from 78% to 90%, suggesting reduced sharing in mid-range minority areas. Crime density and lower car ownership consistently correlate with higher sharing rates, while dense, transit-rich areas exhibit diminished reliance on shared trips. Our findings underscore the critical need to enhance transportation integration in underserved communities. Concurrently, they highlight the importance of encouraging shared ride adoption in well-served, high-demand areas where solo ride-hailing is prevalent. We believe these results can directly inform policies that foster more equitable, cost-effective, and sustainable shared mobility systems in the post-pandemic landscape. Full article
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