Search Results (514)

Background: Plantar fasciitis (PF) is a common enthesopathy in patients with ankylosing spondylitis (AS). Shear wave elastography (SWE) and the Belgrade ultrasound enthesitis score (BUSES) may detect PF, but their comparative diagnostic performance is unclear. Objective: To compare SWE with the BUSES for identifying PF in individuals with and without AS. Methods: In this cross-sectional study, 96 participants were stratified into AS and non-AS populations, each further divided based on the presence or absence of clinical PF. Demographic data, the American Orthopedic Foot and Ankle Society Score (AOFAS), and the BASDAI score were recorded. All subjects underwent grayscale ultrasonography, the BUSES scoring, and SWE assessment of the plantar fascia. Logistic regression models were constructed for each population, controlling for age, body mass index (BMI), and fascia–skin distance. ROC curve analyses were performed to evaluate diagnostic accuracy. Results: In both AS and non-AS groups, SWE and the BUSES were significant predictors of PF (p < 0.05). SWE demonstrated slightly higher diagnostic accuracy, with area under the curve (AUC) values of 0.845 (AS) and 0.837 (non-AS), compared to the BUSES with AUCs of 0.785 and 0.831, respectively. SWE also showed stronger adjusted odds ratios in regression models. The interobserver agreement was good to excellent for both modalities. Conclusions: Both SWE and the BUSES are effective for PF detection, with SWE offering marginally superior diagnostic performance, particularly in AS patients. SWE may enhance the early identification of biomechanical changes in the plantar fascia. Full article

(1) Background: Physical inactivity is a major public health concern in modern society. Group fitness programs are widely used to promote physical activity, combining choreographed movements with various dance steps and music. This study aimed to examine the effects of Zumba and MoFit group fitness programs on body composition parameters in women. (2) Methods: The study included 98 female participants (Mean age = 27.8 ± 2.9 years), divided into three groups: E1 (n = 33), which followed the experimental Zumba program; E2 (n = 31), which followed the experimental MoFit program; and a control group (n = 34), which continued with their usual daily activities for 10 weeks. Body composition was assessed using 14 variables measured with the InBody 270 analyser. Statistical analyses included paired t-tests, MANCOVA, and ANCOVA. (3) Results: The findings confirmed the positive effects of both group fitness programs on most body composition parameters in women (p < 0.001). However, Bonferroni post hoc test results indicated that the Zumba program led to significantly greater improvements in most body composition variables compared to the MoFit program. (4) Conclusions: Both Zumba and MoFit programs were effective in reducing body fat, increasing muscle mass, total body water, and mineral content, whereas the control group did not achieve positive changes. Full article

Background and Objectives: Rumors, disinformation, and fake news are problems of contemporary society. We live in a world where the truth no longer holds much importance, and the line that divides the truth from lies, between real news and disinformation, becomes increasingly blurred and difficult to identify. The purpose of this study is to describe this concept, to draw attention to one of the “pandemics” of the 21st-century world, and to find methods by which we can defend ourselves against them. Materials and methods. A cross-sectional study was conducted based on a sample of 442 respondents. Results. For 77.8% of the people surveyed, the concept of “fake news” is important in Romania. Regarding trust in the mass media, a clear dominance (72.4%) was observed among participants who have little trust in the mass media. Although 98.2% of participants detect false information found on the internet, 78.5% are occasionally deceived by the information provided. Of the participants, 47.3% acknowledged their vulnerability to disinformation. The main source of disinformation is the internet, as 59% of the interviewed subjects believed. As the best measure against disinformation, the study group was divided almost equally according to the three possible answers, all of which were considered to be equally important: imposing legal restrictions and blocking the posting of certain news (35.4%), imposing stricter measures for authors (33.9%), and increasing vigilance among people (30.5%). Conclusions. According to the statistics based on the participants’ responses, the main purposes of disinformation are propaganda, manipulation, distracting attention from the truth, making money, and misleading the population. It can be observed that the main intention of disinformation, in the perception of the study participants, is manipulation. Full article

In the context of the growing emphasis on sustainable development and building safety performance, wooden architecture will attract increasing attention due to its low-carbon characteristics and excellent seismic resistance. In this study, the bibliometric software Citespace is used for data visualization analysis based on the literature related to Chinese wooden architecture in the China National Knowledge Infrastructure (CNKI) and the Web of Science (WOS) databases, aiming to construct an analytical framework that integrates quantitative visualization and qualitative thematic interpretation which could reveal the current status, hotspots, and frontier trends of research in this field. The results show the following: Research on Chinese wooden architecture has shown a steady growth trend, indicating that it has received attention from an increasing number of scholars. Researchers and institutions are mainly concentrated in higher learning and research institutions in economically developed regions. Research hotspots cover subjects such as seismic performance, mortise–tenon structures, imitation wood structures, Dong architecture, Liang Sicheng, and the Society for the Study of Chinese Architecture. The research process of Chinese wooden architecture can be divided into three stages: the macro stage, the specific deepening stage, and the inheritance application and interdisciplinary integration stage. In the future, the focus will be on interdisciplinary research on wooden architecture from ethnic minority cultures and traditional dwellings. Full article

This study investigates the cybersecurity landscape of Aotearoa-New Zealand through a culturally grounded lens, focusing on the integration of Indigenous Māori values into cybersecurity frameworks. In response to escalating cyber threats, the research adopts a mixed-methods and interdisciplinary approach—combining surveys, focus groups, and case studies—to explore how cultural principles such as whanaungatanga (collective responsibility) and manaakitanga (care and respect) influence digital safety practices. The findings demonstrate that culturally informed strategies enhance trust, resilience, and community engagement, particularly in rural and underserved Māori communities. Quantitative analysis revealed that 63% of urban participants correctly identified phishing attempts compared to 38% of rural participants, highlighting a significant urban–rural awareness gap. Additionally, over 72% of Māori respondents indicated that cybersecurity messaging was more effective when delivered through familiar cultural channels, such as marae networks or iwi-led training programmes. Focus groups reinforced this, with participants noting stronger retention and behavioural change when cyber risks were communicated using Māori metaphors, language, or values-based analogies. The study also confirms that culturally grounded interventions—such as incorporating Māori motifs (e.g., koru, poutama) into secure interface design and using iwi structures to disseminate best practices—can align with international standards like NIST CSF and ISO 27001. This compatibility enhances stakeholder buy-in and demonstrates universal applicability in multicultural contexts. Key challenges identified include a cybersecurity talent shortage in remote areas, difficulties integrating Indigenous perspectives into mainstream policy, and persistent barriers from the digital divide. The research advocates for cross-sector collaboration among government, private industry, and Indigenous communities to co-develop inclusive, resilient cybersecurity ecosystems. Based on the UTAUT and New Zealand’s cybersecurity vision “Secure Together—Tō Tātou Korowai Manaaki 2023–2028,” this study provides a model for small nations and multicultural societies to create robust, inclusive cybersecurity frameworks. Full article

The gradual recovery of the economy has positioned the digital economy as a vital force driving global economic growth. However, the sustainability of this emerging economic sector is being tested by unexpected systemic shocks. There is a scarcity of research on the factors influencing the sustainable development of the digital economy. Therefore, developing a framework to assess the sustainability of the digital economy is significant. Building on previous research, this study established an evaluation system that extracts key indicators across four dimensions: society, the economy, the environment, and technology. Data were then collected through questionnaires and in-depth interviews with experts. Subsequently, this study employed the fuzzy Decision-Making Trial and Evaluation Laboratory–Analytical Network Process (fuzzy DANP) method to determine the weight of each indicator and used the Technique for Order Preference by Similarity to the Ideal Solution (TOPSIS) method to evaluate the sustainability of the digital economy in three cities. Sensitivity analysis was conducted to validate this comprehensive evaluation method. The results indicate that society and the economy are the two most crucial dimensions, while the regional economic development level, enterprise innovation culture, and digital divide are the top three indicators affecting the sustainable development of the digital economy industry. This work suggests that the digital economy industry should enhance regional economic levels, strengthen technological and innovative corporate cultures, and narrow the digital divide to achieve the goal of sustainable development in the digital economy sector. Full article

Background: Despite the inference about the cardiotoxicity induced by Carfilzomib, no validated risk prediction models for adverse cardiovascular events in a real-life population are available. Objectives: The aim of this study was to evaluate the performance of the risk stratification score for Carfilzomib-induced cardiotoxicity of the Heart Failure Association of the European Society of Cardiology and the International Cardio-Oncology Society (HFA-ICOS) in patients with multiple myeloma (MM). Methods: This is a prospective, real-world study including MM patients consecutively enrolled prior to starting Carfilzomib, divided into levels of risk according to the HFA-ICOS proforma. Results: Of 169 patients, 11.8% were classified as ‘low risk’, 38.5% as ‘medium risk’, 45.6% as ‘high risk’ and 4.1% as ‘very high risk’ at baseline. A total of 89 (52.7%) patients experienced one of the following events: 36 (21.3%) had at least one cardiovascular event and 77 (45.6%) had almost one hypertension-related event. No significant differences were observed for the incidence of any cardiovascular events between the different levels of risk (p > 0.05), even considering the HFA-ICOS score as a continuous variable. The integration of the score with the baseline systolic blood pressure and pulse wave velocity enhanced the accuracy of the score (AUC 0.557 vs. 0.736). Conclusions: The HFA-ICOS score did not discriminate between patients at low, medium and high risk, showing a limited discriminatory power in predicting the risk of events in our population. The integration of other parameters in the HFA-ICOS score, such as systolic blood pressure and pulse wave velocity, improved the performance of the score. Full article

(1) Background: As digitalisation transforms society, digital competences are increasingly essential. Yet students’ digital competences often vary significantly, largely influenced by socio-economic background. Some schools—termed “resilient schools”—effectively counter these disadvantages and foster high digital competence. This study investigates the prevalence of such schools and examines how they differ from others. (2) Methods: Drawing on representative ICILS 2023 data, quantitative secondary analyses—including descriptive statistics, t-tests, and multiple regression—were conducted. Following the identification of resilient schools, in-depth analyses focus on those countries with substantial proportions of resilient schools above 10 percent (Austria, Italy, and Portugal), as these countries seem to have effective strategies to foster school resilience. (3) Results: The findings highlight considerable cross-national variation, indicating that school resilience is context-dependent. Resilient schools consistently emphasise student learning-related factors—such as ICT-related attitudes and educational aspirations—while the influence of home environments is less pronounced than in other schools. (4) Conclusions: Strengthening student learning-related factors appears to be crucial for building digital resilience. These insights can inform policy and practice aimed at fostering educational equity and closing the digital divide, particularly in socio-economically disadvantaged contexts. Full article

Infectious disease outbreaks amplify the influence of stressors on psychological conditions. The purpose of this study was to analyze the disturbing influence of COVID-19 outbreak-related information and the influence of trust on the Serbian healthcare system and COVID-19 preventive measures on anxiety and depression. An anonymous online questionnaire assessing the demographic information, disturbance level and causes, and levels of anxiety and depression has been distributed to the participants, divided into student and non-student groups. The non-student group was further divided into healthcare, military, and education workers. Anxiety and depression levels, as well as the level of decreased trust in COVID-19-related preventive measures, were higher among students compared to non-students (p = 0.011). Higher anxiety and depression levels, and higher influence of the COVID-19 outbreak on those levels, were observed in education and healthcare workers, compared to military personnel. Medical doctors reported a higher level of trust in the healthcare system compared to nurses (p = 0.023). Trust in the healthcare system increased more frequently compared to the pre-vaccination period among medical doctors, compared to nurses (p = 0.040). Higher anxiety and depression and lower public trust levels in students and workers in education and the healthcare sector indicate a need to focus on these important society members during public health emergencies. Full article

Background/Objectives: Ultra-processed foods (UPFs) constitute a large proportion of the daily energy intake of Europeans, particularly among children and adolescents. High UPFs consumption is associated with poor dietary quality and adverse health outcomes. This study aimed to examine whether high UPFs consumption is associated with metabolic health in children, adolescents, and adults, using data from the I.Family study. Methods: This cross-sectional analysis (2013/2014) included 2285 participants: 147 children (6–9 years), 645 adolescents (10–19 years), and 1493 adults (≥20 years). For the children and adolescents, a metabolic syndrome (MetS) z-score was calculated, consisting of age- and sex-standardized z-scores of WC, HOMA index, HDL-C, TRG, systolic blood pressure (SBP), and diastolic blood pressure (DBP). For the adults, MetS was defined according to the criteria of the International Diabetes Federation Task Force and other societies. The participants completed at least one 24 h recall, from which their UPFs consumption was estimated using the NOVA classification. The consumption levels were divided into age- and sex-specific quintiles based on the relative energy contribution of these foods. Multivariable regression analyses were conducted to evaluate the associations between UPFs consumption and MetS or its components. Results: No statistically significant associations were found between UPFs consumption and MetS or its components in any age group. The effect sizes were negligible across the quintiles (η² = 0.0065 in children, 0.015 in adolescents, and 0.0009 in adults). While the mean MetS score showed little variation, the prevalence of MetS scores above the 90th percentile increased in the highest UPFs quintile among the children. The diet quality decreased with increasing UPFs consumption. Conclusions: UPFs consumption was not associated with MetS or its components across the age groups. However, a decline in diet quality was observed with increasing UPFs intake, highlighting the importance of public health strategies to reduce UPFs consumption and improve dietary patterns, particularly among younger populations. Full article

This perspective paper examines the research and development challenges faced by plant factories with artificial lighting (plant factories hereafter). The global and local challenges facing our planet can be divided into the following four categories: (1) food and agriculture; (2) environment and ecosystems; (3) depletion, uneven distribution, and the overuse of nonrenewable resources; and (4) society, economy, and quality of life. All of the aspects of this four-way deadlock problem must be resolved simultaneously, since solving only one of them could exacerbate one or more of the remaining three. In this paper, the role of plant factories in solving the four-way deadlock problem is discussed from the following perspectives: (1) civilization and culture, (2) participatory science, and (3) the integration of biotechnology and the latest nonbiological technology, such as artificial intelligence (AI). The relationship and interactions between the environment and plant ecosystems are easily observed in the plant factories’ cultivation room. Thus, it is easy to analyze their relationship and interactions. The findings from such observations can also be applied to increase the yield in plant factories, with minimum resource inputs. Moreover, if the electricity generated by renewable energy sources is used, it will become an energy-autonomous plant factory. This means that the plant factory can be operated with the minimum contribution of greenhouse gas emissions to global warming and land area use. Full article

This article examines the intersecting forces of gender, class, and education in early twentieth-century Britain through a feminist reading of Pip Williams’ historical novel The Bookbinder of Jericho. Centering on the fictional character Peggy Jones—a working-class young woman employed in the Oxford University Press bindery—the study explores how women’s intellectual ambitions were constrained by economic hardship, institutional gatekeeping, and patriarchal social norms. By integrating close literary analysis with historical research on women bookbinders, educational reform, and the impact of World War I, the paper reveals how the novel functions as both a narrative of personal development and a broader critique of systemic exclusion. Drawing on the genre of the female Bildungsroman, the article argues that Peggy’s journey—from bindery worker to aspiring scholar—mirrors the real struggles of working-class women who sought education and recognition in a male-dominated society. It also highlights the significance of female solidarity, especially among those who served as volunteers, caregivers, and community organizers during wartime. Through the symbolic geography of Oxford and its working-class district of Jericho, the novel foregrounds the spatial and social divides that shaped women’s lives and labor. Ultimately, this study shows how The Bookbinder of Jericho offers not only a fictional portrait of one woman’s aspirations but also a feminist intervention that recovers and reinterprets the overlooked histories of British women workers. The novel becomes a literary space for reclaiming agency, articulating resistance, and criticizing the gendered boundaries of knowledge, work, and belonging. Full article

Background: The guidelines proposed by the World Society for Emergency Surgery (WSES) in 2020 for the management of Acute Diverticulitis (AD) emphasize the safety of non-operative management (NOM) in selected patients and recommend sigmoid resection (SR) with primary anastomosis (PA) as the surgical technique of choice. Aim: To analyze the clinical outcomes following the implementation of an evidence-based clinical pathway developed by an Acute Care Surgery Unit (ACSu) at a reference center. Methods: For analysis, patients were divided into two groups: pre-guidelines (2018–2019) and post-guidelines (2020–2023), following the May 2020 WSES publication. Patients were classified according to the WSES classification. Results: NOM failure and PA after SR rates by groups were as follows (NOM failure not applicable to III–IV): 0-IA, 2.7% and 94.7%; IB–IIA, 16% and 85.2%; IIB, 7.1% and 50%; III–IV, 75.6%. The global stoma-free rate was 78.8%, with a 15.7% anastomotic leak rate and 14.2% significant morbidity, with an increased rate of anastomosis in unstable patients thanks to Damage Control Surgery (DCS). A logistic regression model was performed to identify factors associated with postoperative morbidity. Patients who underwent primary anastomosis had a lower risk of postoperative morbidity compared to those treated with Hartmann’s procedure (OR = 0.22 (0.04–1.25), p = 0.088). Conclusions: Excellent outcomes in AD healthcare may be achieved if evidence-based recommendations are followed. The ACSu plays a key role in designing and promoting these protocols. Full article

In this article, we revisit the core concepts of nature and of landscape assessment and sustainability, based on which we propose an approach to natural resource management and diversity preservation from the perspective of cultural landscapes. We build on past and contemporary debates on the notion of nature and its relation to “Non-Nature”, attempting to systematize the main variables of the study of past societies as a methodological framework for the analysis of contemporary contexts; this is based on bibliographic references and case studies using such methodological approaches. Landscapes are structured through human activity, which relates to the technological and logistic drivers of historical studies, and are the domain of humans (anthropic nature), as opposed to non-anthropic nature (or wilderness). Sustainable resource management, focused on the preservation of biodiversity and cultural diversity as part of it, needs to overcome the divide between nature and culture, framing debates and conflicts as part of a cultural landscape of discussions served by an established methodological framework, in which education is the main driver and museum-related structures (libraries, etc.) form the flexible institutional backbone. The introduction sets the context for the argument, revisiting some of the theoretical approaches to the notions of nature and landscapes from the late 19th century in Europe, while also referring to reflections in antiquity and traditional and indigenous understandings. A section on materials and methods explains the methodological framework and data used by the author, situating it within a systematization of the humanities’ assessment of the past. A third section explores the interplay between materialities and perceptions, including the relevance of time- and space-driven approaches that shape different perceived landscapes; it proposes a definition of cultural landscape structured through these interplays. The fourth section discusses the dimension of perceived nature as a cultural landscape and characterizes its main drivers, offering two contemporary case studies as examples. A final section of conclusions discusses the role of humanities and of structures like museums, pointing to the new UNESCO program BRIDGES as a useful tool for pursuing landscape transformations. Full article

Background/Objectives: Perimesencephalic subarachnoid hemorrhage (pmSAH) is generally considered to be a benign variant of spontaneous SAH. However, in rare cases, an underlying aneurysm may be present, altering both clinical management and prognosis. The aim of this study was to evaluate the prognostic impact of aneurysmal pathology in patients presenting with perimesencephalic hemorrhage, focusing on the occurrence of complications and functional outcomes. Methods: This single-center, retrospective study included 77 patients diagnosed with perimesencephalic hemorrhage between 2012 and 2022. Clinical and radiological data were extracted, including demographics, risk factors, complications (hydrocephalus, vasospasm, and delayed cerebral ischemia (DCI)), and outcome scores (Glasgow Outcome Scale (GOS) and modified Rankin scale (mRS) at discharge). Patients were divided into two groups based on the presence or absence of an aneurysm confirmed through digital subtraction angiography (DSA). Results: Of the 77 patients, 7 (9.1%) were found to have an aneurysm. While rates of complications such as hydrocephalus and DCI were higher in the aneurysm group, these differences did not reach statistical significance. However, patients with aneurysms had significantly worse functional outcomes, with higher mRS and lower GOS scores at discharge. Logistic regression confirmed the presence of aneurysms as an independent factor associated with poor outcomes (OR = 21.6; 95% CI: 1.00−467.3; p = 0.050), while other variables such as age, sex, and World Federation of Neurosurgical Societies (WFNS) score were not statistically significant. ROC analysis showed moderate discriminative power of aneurysm presence for poor outcomes (AUC = 0.72). Conclusions: The presence of an aneurysm, although rare in pmSAH, significantly worsens functional outcomes. These findings highlight the necessity of early and sensitive vascular diagnostics—particularly DSA—to reliably exclude aneurysms. Differentiating between aneurysmal and non-aneurysmal perimesencephalic bleeding is essential not only for clinical decision-making but also for optimizing resource allocation in neurocritical care. Full article