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Search Results (540)

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Keywords = early development instrument

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18 pages, 1570 KiB  
Article
Design and Validation of a Multidimensional Instrument for Measuring Eco-Social Competences in Education for Sustainability in Early Childhood Education
by M. Teresa Fuertes-Camacho, Frederic Marimon and Sílvia Albareda-Tiana
Sustainability 2025, 17(17), 7629; https://doi.org/10.3390/su17177629 (registering DOI) - 24 Aug 2025
Abstract
Education for sustainability requires the integration of eco-social competences that encompass cognitive, affective, and behavioural dimensions to face today’s global challenges. This paper presents the development and initial validation of a multidimensional and adaptive assessment tool designed to assess these competences in early [...] Read more.
Education for sustainability requires the integration of eco-social competences that encompass cognitive, affective, and behavioural dimensions to face today’s global challenges. This paper presents the development and initial validation of a multidimensional and adaptive assessment tool designed to assess these competences in early childhood education. Based on robust international frameworks and pedagogical models such as “CARE-KNOW-DO”, the instrument includes nine items that measure children’s environmental awareness, social responsibility, and ethical sense across three levels: knowledge, emotional engagement, and behaviour. The study involved a sample of 150 children aged 5–6 and showed that, while their knowledge was considerable, emotional engagement played a key mediating role in transforming awareness into action. These findings confirm the theoretical assumption that emotional resonance is essential to bridge the gap between knowledge and behaviour. The tool proposed provides educators with a reliable age-appropriate method to assess eco-social competences and promotes transformative learning practices from an early age onwards. This study addresses the urgent need for using empirical tools in the field and supports the implementation of the Sustainable Development Goals through critical, participatory, and values-based education. Full article
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13 pages, 354 KiB  
Systematic Review
Motor Development Scales Validated in Spanish Populations of Children Aged 0–18 Months: Systematic Review
by Elena Cala de la Torre and Elena Pinero-Pinto
Children 2025, 12(9), 1106; https://doi.org/10.3390/children12091106 - 22 Aug 2025
Abstract
Background/Objectives: The assessment of motor development in early ages is considered fundamental for the early identification of alarm signs that indicate the possibility of a child suffering from a developmental disorder. To this end, it is necessary to use reliable evaluation tools [...] Read more.
Background/Objectives: The assessment of motor development in early ages is considered fundamental for the early identification of alarm signs that indicate the possibility of a child suffering from a developmental disorder. To this end, it is necessary to use reliable evaluation tools that have been specifically validated in the target population. The main aim of the current review was to examine the existing motor development assessment tools validated in Spanish populations of children aged 0–18 months. Methods: A systematic review was carried out following the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) declaration criteria, and it was registered in PROSPERO. A bibliographic search was conducted in the PubMed, Scopus, Web of Science, and Cochrane databases, using terms related to motor development, assessment tools, and validation. The COSMIN verification list was employed to evaluate the quality of the included scales, and the QUADAS-2 instrument was used to analyse the quality of the included studies. Results: A total of 7 studies were included in the review, all of which were validation studies of motor development assessment tools in Spanish populations of children aged 0–18 months. Moreover, they all show heterogeneity with respect to their characteristics, such as target population, sample size, and metric properties. Conclusions: The present systematic review provides relevant information about the characteristics and methodological quality of motor development assessment tools validated in Spanish populations. There are currently very few of these evaluation tools, as well as limitations in regard to theories that support them, their metric properties, and the methodological quality of their validation studies. Therefore, we confirm the need for validating updated motor development tools to improve the detection, prognosis, and evaluation of children with developmental disorders or at risk of suffering from them. Full article
(This article belongs to the Section Global Pediatric Health)
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22 pages, 4366 KiB  
Article
Controlled Fabrication of pH-Visualised Silk Fibroin–Sericin Dual-Network Hydrogels for Urine Detection in Diapers
by Yuxi Liu, Kejing Zhan, Jiacheng Chen, Yu Dong, Tao Yan, Xin Zhang and Zhijuan Pan
Gels 2025, 11(8), 671; https://doi.org/10.3390/gels11080671 - 21 Aug 2025
Viewed by 180
Abstract
Urine pH serves as an indicator of systemic acid–base balance and helps detect early-stage urinary and renal disorders. However, conventional monitoring methods rely on instruments or manual procedures, limiting their use among vulnerable groups such as infants and bedridden elderly individuals. In this [...] Read more.
Urine pH serves as an indicator of systemic acid–base balance and helps detect early-stage urinary and renal disorders. However, conventional monitoring methods rely on instruments or manual procedures, limiting their use among vulnerable groups such as infants and bedridden elderly individuals. In this study, a pH-responsive smart hydrogel was developed and integrated into diapers to enable real-time, equipment-free, and visually interpretable urine pH monitoring. An optimised degumming process enabled one-step preparation of a silk fibroin–sericin aqueous solution. We employed a visible light-induced photo-crosslinking strategy to fabricate a dual-network hydrogel with enhanced strength and stability. Increasing sericin content accelerated gelation (≤15 min) and improved performance, achieving a maximum stress of 54 kPa, strain of 168%, and water absorption of 566%. We incorporated natural anthocyanins and fine-tuned them to produce four distinct colour changes in response to urine pH, with significantly improved colour differentiation (ΔE). Upon contact with urine, the hydrogel displays green within the normal pH range, indicating a healthy state. At the same time, a reddish-purple or blue colour serves as a visual warning of abnormal acidity or alkalinity. This intelligent hydrogel system combines rapid gelation, excellent mechanical properties, and a sensitive visual response, offering a promising platform for body fluid monitoring. Full article
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24 pages, 4011 KiB  
Review
A Review of Pore Water Pressure Measurement Techniques in Early-Age Cement-Based Materials
by Qian Tian, Yang Wang, Hua Li, Yujiang Wang and Chen Jiang
Materials 2025, 18(16), 3875; https://doi.org/10.3390/ma18163875 - 19 Aug 2025
Viewed by 244
Abstract
The evolution of early-age structure in fresh cement-based materials fundamentally involves a transition from a suspended dispersion system to a porous medium, accompanied by changes in the energy state of the internal water. Monitoring pore water pressure (PWP) evolution reflects these changes in [...] Read more.
The evolution of early-age structure in fresh cement-based materials fundamentally involves a transition from a suspended dispersion system to a porous medium, accompanied by changes in the energy state of the internal water. Monitoring pore water pressure (PWP) evolution reflects these changes in water energy state and provides insight into the underlying mechanisms governing the development of early-age performance in cement-based materials. Building on concepts from soil physics, this paper examines the thermodynamic mechanisms driving PWP evolution during the early stages of cement-based materials’ formation. It further synthesizes advances in PWP testing methodologies and instrumentation for cement-based materials, alongside their applications in both fundamental research and engineering practice. Full article
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30 pages, 704 KiB  
Article
Semantic Governance Under Climate Stress: A Situational Grounded Model of Local Agricultural Irrigation Coordination in Taiwan
by Tung-Shan Liao and Chia-Hang Ruei
Sustainability 2025, 17(16), 7435; https://doi.org/10.3390/su17167435 - 17 Aug 2025
Viewed by 289
Abstract
This study investigates how local governance actors in northern Taiwan navigate agricultural irrigation coordination under intensifying climate-induced water stress. Although conventional water governance models prioritize structural alignment and centralized integration, they frequently prove to be inadequate under conditions marked by institutional ambiguity and [...] Read more.
This study investigates how local governance actors in northern Taiwan navigate agricultural irrigation coordination under intensifying climate-induced water stress. Although conventional water governance models prioritize structural alignment and centralized integration, they frequently prove to be inadequate under conditions marked by institutional ambiguity and semantic volatility. Focusing on the transitional phase between early drought signaling and the formal implementation of water rationing, this research adopts Situational Grounded Theory (SGT) to examine how actors discursively interpret, negotiate, and adapt to evolving hydrological and institutional constraints. Based on unstructured interviews with irrigation officials, farmers, and public administrators, this study traces how expressions such as “under review” and “adjusting regionally” function as semantic instruments for deferral, alignment, and legitimacy building. These phrases are not merely rhetorical fillers; rather, they operate as situated mechanisms through which actors reposition their roles and recalibrate the meanings of governance. Through iterative coding, semantic clustering, and reflexive mapping grounded in SGT, this study develops the LAWFGS (Local Adaptive Water Governance under Flexible Governance Settings) framework. This tri-axial interpretive framework comprises three interrelated dimensions: (1) governance contexts, which captures the hydrological and institutional phase; (2) actor strategy roles, which reflect how actors adopt and shift their discursive positions; and (3) interpretive flexibility, which denotes the degree of semantic maneuvering exercised in response to governance tensions. The LAWFGS framework offers a situated analytical perspective for understanding how coordination is maintained through meaning-making practices under environmental pressure. The framework emphasizes the relational dynamics through which governance unfolds across shifting and often uncertain contexts. Full article
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13 pages, 237 KiB  
Article
From Geopolitical Periphery to Center of Global Attention: Chile’s Historical Path
by Luis Roniger
World 2025, 6(3), 114; https://doi.org/10.3390/world6030114 - 14 Aug 2025
Viewed by 660
Abstract
The center–periphery paradigm has impacted on multiple disciplines in the social sciences and humanities. While criticized and revised for its duality, this paradigm has been most instrumental in tracing shifts in the dynamic positioning of world ‘players’, be they states, societies, or sectors [...] Read more.
The center–periphery paradigm has impacted on multiple disciplines in the social sciences and humanities. While criticized and revised for its duality, this paradigm has been most instrumental in tracing shifts in the dynamic positioning of world ‘players’, be they states, societies, or sectors thereof. This article follows it in highlighting the historical development of Chile, a society whose inception, in one of the most remote regions of the world, seemed to determine its path toward remaining a place at the ‘end of the world’. Still, by the late twentieth century, Chile attracted global attention, concern, and debate. Understanding this shift from the world’s periphery to the core of Cold War confrontation and of the neoliberal macroeconomic turn followed by the third wave of democratization enables us to trace how the global system evolved in the course of the late 20th and early 21st centuries, and how that Latin American country has been paradigmatic of those momentous changes. Full article
22 pages, 1383 KiB  
Article
The Association Between Borderline Personality Disorder Symptoms and Social Behaviour Among University Students
by Andreea Sălcudean, Iustin Olariu, Mădălina-Gabriela Cincu, Ramona Amina Popovici, Iuliana Comșulea, Cristina-Raluca Bodo, Dora-Mihaela Cîmpian and Elena-Gabriela Strete
Medicina 2025, 61(8), 1465; https://doi.org/10.3390/medicina61081465 - 14 Aug 2025
Viewed by 233
Abstract
Background and Objectives: Borderline personality disorder (BPD) is a complex psychiatric condition characterized by emotional instability, impulsivity, a fluctuating self-image, and persistent difficulties in maintaining close interpersonal relationships. Among university students, these traits may be associated with social adjustment and academic functioning difficulties. [...] Read more.
Background and Objectives: Borderline personality disorder (BPD) is a complex psychiatric condition characterized by emotional instability, impulsivity, a fluctuating self-image, and persistent difficulties in maintaining close interpersonal relationships. Among university students, these traits may be associated with social adjustment and academic functioning difficulties. The present study aimed to examine the prevalence of borderline traits within a Romanian student population and to investigate the associations between these traits and interpersonal difficulties encountered in family life, romantic relationships, and academic environments. Materials and Methods: This cross-sectional study included a total of 151 undergraduate students enrolled in higher education institutions across Romania. Data were gathered through an online questionnaire available between March and May 2025. The instrument comprised items addressing socio-demographic characteristics, diagnostic criteria for borderline personality traits according to the DSM, as well as self-reported social behaviour patterns. Statistical analysis was performed using GraphPad Prism 9, version 9.3.1 for Windows, employing Fisher’s exact test and the odds ratio (OR), with a significance threshold set at p < 0.05. Results: Most participants reported experiencing affective instability (71.5%) and distorted self-image (58.9%). Fear of abandonment was present in 29.4% of the respondents, while impulsivity was identified in 37.7%. Borderline personality traits were significantly associated with a range of social difficulties, including relational anxiety, outbursts of anger, peer conflicts, social withdrawal, and dissociative symptoms. Individuals who exhibited impulsivity, self-injurious behaviours, or dissociative episodes demonstrated a markedly increased risk of social dysfunction, with odds ratios ranging from 3 to 10 (p < 0.0001). Conclusions: The findings reveal a high prevalence of borderline traits within the analysed sample, along with statistically significant associations with social and emotional difficulties. These results underscore the importance of implementing psychological screening programs in universities, as well as early intervention strategies focused on the mental well-being of young adults. Establishing a supportive academic environment and fostering collaboration between faculty members and mental health professionals may play a key role in preventing symptom escalation and in promoting healthy personal and relational development. Full article
(This article belongs to the Special Issue Mental Health Care: Pandemic and Beyond)
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18 pages, 6788 KiB  
Review
Weather Forecasting Satellites—Past, Present, & Future
by Etai Nardi, Ohad Cohen, Yosef Pinhasi, Motti Haridim and Jacob Gavan
Information 2025, 16(8), 677; https://doi.org/10.3390/info16080677 - 8 Aug 2025
Viewed by 361
Abstract
Climate change has made weather more erratic and unpredictable. As a result, a growing need to develop more reliable short-term weather prediction models paved the way for a new era in satellite instrumentation technology, where radar systems for meteorological applications became critically important. [...] Read more.
Climate change has made weather more erratic and unpredictable. As a result, a growing need to develop more reliable short-term weather prediction models paved the way for a new era in satellite instrumentation technology, where radar systems for meteorological applications became critically important. This paper presents a comprehensive review of the evolution of weather forecasting satellites. We trace the technological development from the early weather and climate monitoring systems of the 1960s. Since the use of stabilized TV camera platforms on satellites aimed at capturing cloud cover data and storing it on magnetic tape for later readout and transmission back to ground stations, satellite sensor instrument technologies took great strides in the following decades, incorporating advancements in image and signal processing into satellite imagery methodologies. As innovative as they were, these technologies still lacked the capabilities needed to allow for practical use cases other than scientific research. The paper further examines how the next phase of satellite platforms is aimed at addressing this technological gap by leveraging the advantages of low Earth orbit (LEO) based satellite constellation deployments for near-real-time tracking of atmospheric hydrometers and precipitation profiles through innovative methods. These methods involve combining the collected data into big-data lakes on internet cloud platforms and constructing innovative AI-based multi-layered weather prediction models specifically tailored to remote sensing. Finally, we discuss how these recent advancements form the basis for new applications in aviation, severe weather readiness, energy, agriculture, and beyond. Full article
(This article belongs to the Special Issue Sensing and Wireless Communications)
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19 pages, 526 KiB  
Article
Development and Validation of the Autism Behavior Assessment Scale (ABAS)
by Ibrahim Halil Diken, Ozlem Diken and Umit Isik
Children 2025, 12(8), 1038; https://doi.org/10.3390/children12081038 - 8 Aug 2025
Viewed by 500
Abstract
Background: Autism Spectrum Disorder (ASD) encompasses a range of neurodevelopmental conditions characterized by impairments in social communication, restricted and repetitive behaviors, and sensory sensitivities. Despite increased awareness, timely diagnosis in Türkiye remains limited due to the lack of culturally appropriate, psychometrically robust [...] Read more.
Background: Autism Spectrum Disorder (ASD) encompasses a range of neurodevelopmental conditions characterized by impairments in social communication, restricted and repetitive behaviors, and sensory sensitivities. Despite increased awareness, timely diagnosis in Türkiye remains limited due to the lack of culturally appropriate, psychometrically robust assessment tools. Objective: This study aimed to develop, validate, and standardize the Autism Behavior Assessment Scale (ABAS) as a reliable and culturally adapted tool for assessing ASD-related behaviors in individuals aged 3–24 years in Türkiye. Methods: Employing a three-phase, nine-step scale development framework, data were gathered from 1275 informants (parents and professionals) across 14 provinces. The ABAS comprises 36 items rated on a three-point Likert scale, spanning four subscales: Restricted Repetitive Behaviors & Sensory Sensitivity (RRBSS), Social Interaction (SI), Social Communication (SC), and Non-Developmental Speech (NDS). Psychometric analyses included exploratory and confirmatory factor analysis, reliability testing, and validation against established instruments. Results: The four-factor structure was confirmed via EFA and CFA with excellent model fit. The ABAS demonstrated strong internal consistency (α = 0.91–0.96), test–retest reliability (r = 0.83), and criterion validity (r = 0.93 with GARS-2-TV; r = 0.84 with U-ODKL). Discriminant validity analyses showed that the ABAS accurately differentiated individuals with ASD from individuals with intellectual disabilities (ID) and individuals with hearing impairments (AUC = 0.99). Conclusions: The ABAS is a psychometrically sound, developmentally sensitive, and culturally grounded instrument for identifying and monitoring ASD-related behaviors in Türkiye. It holds promise for improving early detection and guiding educational and clinical interventions. Full article
(This article belongs to the Special Issue Advances in Mental Health and Well-Being in Children (2nd Edition))
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10 pages, 517 KiB  
Article
Facial Proportions in Stunted and Non-Stunted Children Aged 7–72 Months: A Cross-Sectional Study in Bandung, Indonesia
by Najwa Anindita Hidayat, Deni Sumantri Latif and Arlette Suzy Setiawan
Children 2025, 12(8), 1037; https://doi.org/10.3390/children12081037 - 7 Aug 2025
Viewed by 240
Abstract
Stunting is a chronic growth disorder that not only affects height but may also impair craniofacial development. Facial proportions, especially in the vertical dimension, may provide additional anthropometric insight into growth status among children. Objectives: To assess and compare the vertical and [...] Read more.
Stunting is a chronic growth disorder that not only affects height but may also impair craniofacial development. Facial proportions, especially in the vertical dimension, may provide additional anthropometric insight into growth status among children. Objectives: To assess and compare the vertical and horizontal facial proportions of stunted and non-stunted children, and to explore the potential of facial dimensions as supportive indicators for early-stunting detection in community-based settings. Methods: This cross-sectional analytical study involved 266 children aged 7–72 months (mean age 42.63 ± 13.82 months) from several community health centers in Bandung, Indonesia. Children were categorized as stunted or non-stunted based on WHO height-for-age Z-scores. Facial dimensions were measured directly by calibrated pediatric dentistry residents using manual instruments. The vertical dimensions included Nasion–Subnasale (N–SN) and Subnasale–Menton (SN–M), while horizontal dimensions included zygomatic width and intergonion width. Data were analyzed using the Mann–Whitney U test and Spearman correlation. Results: Significant differences were found in vertical facial dimensions between stunted and non-stunted children: median N–SN (32.4 mm vs. 33.6 mm; p = 0.003) and SN–M (42.5 mm vs. 45.1 mm; p < 0.001). No significant differences were observed in horizontal dimensions. All facial parameters showed a positive correlation with age (p < 0.001). No significant differences were found based on sex. Conclusions: Stunted children exhibited shorter vertical facial dimensions compared to their non-stunted peers, while horizontal dimensions remained stable across groups. Vertical facial proportions may serve as supportive indicators in the screening and monitoring of childhood stunting. This method has potential for integration into community-based growth monitoring using simple or digital anthropometric tools. Full article
(This article belongs to the Special Issue Multidisciplinary Approaches in Pediatric Orthodontics)
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28 pages, 930 KiB  
Review
Financial Development and Energy Transition: A Literature Review
by Shunan Fan, Yuhuan Zhao and Sumin Zuo
Energies 2025, 18(15), 4166; https://doi.org/10.3390/en18154166 - 6 Aug 2025
Viewed by 422
Abstract
Under the global context of climate governance and sustainable development, low-carbon energy transition has become a strategic imperative. As a critical force in resource allocation, the financial system’s impact on energy transition has attracted extensive academic attention. This paper presents the first comprehensive [...] Read more.
Under the global context of climate governance and sustainable development, low-carbon energy transition has become a strategic imperative. As a critical force in resource allocation, the financial system’s impact on energy transition has attracted extensive academic attention. This paper presents the first comprehensive literature review on energy transition research in the context of financial development. We develop a “Financial Functions-Energy Transition Dynamics” analytical framework to comprehensively examine the theoretical and empirical evidence regarding the relationship between financial development (covering both traditional finance and emerging finance) and energy transition. The understanding of financial development’s impact on energy transition has progressed from linear to nonlinear perspectives. Early research identified a simple linear promoting effect, whereas current studies reveal distinctly nonlinear and multidimensional effects, dynamically driven by three fundamental factors: economy, technology, and resources. Emerging finance has become a crucial driver of transition through technological innovation, risk diversification, and improved capital allocation efficiency. Notable disagreements persist in the existing literature on conceptual frameworks, measurement approaches, and empirical findings. By synthesizing cutting-edge empirical evidence, we identify three critical future research directions: (1) dynamic coupling mechanisms, (2) heterogeneity of financial instruments, and (3) stage-dependent evolutionary pathways. Our study provides a theoretical foundation for understanding the complex finance-energy transition relationship and informs policy-making and interdisciplinary research. Full article
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13 pages, 1194 KiB  
Review
Kiwifruit Peelability (Actinidia spp.): A Review
by Beibei Qi, Peng Li, Jiewei Li, Manrong Zha and Faming Wang
Horticulturae 2025, 11(8), 927; https://doi.org/10.3390/horticulturae11080927 - 6 Aug 2025
Viewed by 335
Abstract
Kiwifruit (Actinidia spp.) is a globally important economic fruit with high nutritional value. Fruit peelability, defined as the mechanical ease of separating the peel from the fruit flesh, is a critical quality trait influencing consumer experience and market competitiveness and has emerged [...] Read more.
Kiwifruit (Actinidia spp.) is a globally important economic fruit with high nutritional value. Fruit peelability, defined as the mechanical ease of separating the peel from the fruit flesh, is a critical quality trait influencing consumer experience and market competitiveness and has emerged as a critical breeding target in fruit crop improvement programs. The present review systematically synthesized existing studies on kiwifruit peelability, and focused on its evolutionary trajectory, genotypic divergence, quantitative evaluation, possible underlying mechanisms, and artificial manipulation strategies. Kiwifruit peelability research has advanced from early exploratory studies in New Zealand (2010s) to systematic investigations in China (2020s), with milestones including the development of evaluation metrics and the identification of genetic resources. Genotypic variation exists among kiwifruit genera. Several Actinidia eriantha accessions and the novel Actinidia longicarpa cultivar ‘Guifei’ exhibit superior peelability, whereas most commercial Actinidia chinensis and Actinidia deliciosa cultivars exhibit poor peelability. Quantitative evaluation highlights the need for standardized metrics, with “skin-flesh adhesion force” and “peel toughness” proposed as robust, instrument-quantifiable indicators to minimize operational variability. Mechanistically, peelability is speculated to be governed by cell wall polysaccharide metabolism and phytohormone signaling networks. Pectin degradation and differential distribution during fruit development form critical “peeling zones”, whereas ethylene, abscisic acid, and indoleacetic acid may regulate cell wall remodeling and softening, collectively influencing skin-flesh adhesion. Owing to the scarcity of easy-to-peel kiwifruit cultivars, artificial manipulation methods, including manual peeling benchmarking, lye treatment, and thermal peeling, can be employed to further optimize kiwifruit peelability. Currently, shortcomings include incomplete genotype-phenotype characterization, limited availability of easy-peeling germplasms, and a fragmented understanding of the underlying mechanisms. Future research should focus on methodological innovation, germplasm development, and the elucidation of relevant mechanisms. Full article
(This article belongs to the Section Fruit Production Systems)
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16 pages, 1701 KiB  
Article
Aromatase Inhibitor-Induced Carpal Tunnel Syndrome Immunohistochemical Analysis and Clinical Evaluation: An Observational, Cross-Sectional, Case–Control Study
by Iakov Molayem, Lucian Lior Marcovici, Roberto Gradini, Massimiliano Mancini, Silvia Taccogna and Alessia Pagnotta
J. Clin. Med. 2025, 14(15), 5513; https://doi.org/10.3390/jcm14155513 - 5 Aug 2025
Viewed by 458
Abstract
Background/Objectives: Breast cancer was the leading cause of malignant tumors among women in 2022. About two-thirds of breast cancer cases are hormone-receptor-positive. In these patients, aromatase inhibitors are a mainstay of treatment, but associated musculoskeletal symptoms can negatively affect patient compliance. Aromatase-inhibitor-induced [...] Read more.
Background/Objectives: Breast cancer was the leading cause of malignant tumors among women in 2022. About two-thirds of breast cancer cases are hormone-receptor-positive. In these patients, aromatase inhibitors are a mainstay of treatment, but associated musculoskeletal symptoms can negatively affect patient compliance. Aromatase-inhibitor-induced carpal tunnel syndrome represents one of the main causes of aromatase inhibitor discontinuation, with a non-compliance rate of up to 67%, potentially leading to increased cancer mortality. This study investigates estrogen receptor expression in aromatase-inhibitor-induced carpal tunnel syndrome tissues, in order to better define its etiopathogenesis and derive preventive or therapeutic measures that can improve aromatase inhibitor patient compliance. To our knowledge, there is no study on this subject in the literature. Methods: Between 2023 and 2024, we recruited 14 patients at the Jewish Hospital of Rome, including seven patients with aromatase-inhibitor-induced carpal tunnel syndrome (study group) and seven with postmenopausal idiopathic carpal tunnel syndrome (control group). Each patient was evaluated based on a clinical visit, a questionnaire, instrumental exams, and serum hormone dosages and were treated with open carpal tunnel release surgery, during which transverse carpal ligament and flexor tenosynovium samples were collected. For immunohistochemical experiments, sections were treated with anti-estrogen receptor α and anti-estrogen receptor β antibodies. Results: The immunohistochemical features in the study and control groups were similar, demonstrating that tissues affected by aromatase-inhibitor-induced carpal tunnel syndrome are targets of direct estrogen action and that estrogen deprivation is correlated with disease etiogenesis. Surgery was effective in patient treatment. Conclusions: Aromatase-inhibitor-induced carpal tunnel syndrome represents a newly defined form of the disease. This syndrome represents one of the main causes of aromatase inhibitor discontinuation, due to its negative impact on the patient’s quality of life. The identification by clinicians of aromatase inhibitor use as a possible risk factor for carpal tunnel syndrome development is of essential importance, as early diagnosis and prompt management can improve patient compliance and overall breast cancer treatment outcomes. Full article
(This article belongs to the Section General Surgery)
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29 pages, 3167 KiB  
Article
A Comparative Evaluation of Polymer-Modified Rapid-Set Calcium Sulfoaluminate Concrete: Bridging the Gap Between Laboratory Shrinkage and the Field Strain Performance
by Daniel D. Akerele and Federico Aguayo
Buildings 2025, 15(15), 2759; https://doi.org/10.3390/buildings15152759 - 5 Aug 2025
Viewed by 418
Abstract
Rapid pavement repair demands materials that combine accelerated strength gains, dimensional stability, long-term durability, and sustainability. However, finding materials or formulations that offer these balances remains a critical challenge. This study systematically evaluates two polymer-modified belitic calcium sulfoaluminate (CSA) concretes—CSAP (powdered polymer) and [...] Read more.
Rapid pavement repair demands materials that combine accelerated strength gains, dimensional stability, long-term durability, and sustainability. However, finding materials or formulations that offer these balances remains a critical challenge. This study systematically evaluates two polymer-modified belitic calcium sulfoaluminate (CSA) concretes—CSAP (powdered polymer) and CSA-LLP (liquid polymer admixture)—against a traditional Type III Portland cement (OPC) control under both laboratory and realistic outdoor conditions. Laboratory specimens were tested for fresh properties, early-age and later-age compressive, flexural, and splitting tensile strengths, as well as drying shrinkage according to ASTM standards. Outdoor 5 × 4 × 12-inch slabs mimicking typical jointed plain concrete panels (JPCPs), instrumented with vibrating wire strain gauges and thermocouples, recorded the strain and temperature at 5 min intervals over 16 weeks, with 24 h wet-burlap curing to replicate field practices. Laboratory findings show that CSA mixes exceeded 3200 psi of compressive strength at 4 h, but cold outdoor casting (~48 °F) delayed the early-age strength development. The CSA-LLP exhibited the lowest drying shrinkage (0.036% at 16 weeks), and outdoor CSA slabs captured the initial ettringite-driven expansion, resulting in a net expansion (+200 µε) rather than contraction. Approximately 80% of the total strain evolved within the first 48 h, driven by autogenous and plastic effects. CSA mixes generated lower peak internal temperatures and reduced thermal strain amplitudes compared to the OPC, improving dimensional stability and mitigating restraint-induced cracking. These results underscore the necessity of field validation for shrinkage compensation mechanisms and highlight the critical roles of the polymer type and curing protocol in optimizing CSA-based repairs for durable, low-carbon pavement rehabilitation. Full article
(This article belongs to the Special Issue Study on Concrete Structures—2nd Edition)
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16 pages, 489 KiB  
Review
A Scoping Review of Psychometric Instruments Measuring Teachers’ Resilience
by Athena Daniilidou and Christos Pezirkianidis
Encyclopedia 2025, 5(3), 109; https://doi.org/10.3390/encyclopedia5030109 - 31 Jul 2025
Viewed by 397
Abstract
Over the past two decades, rising concerns about teacher stress and professional sustainability have fueled the development of instruments assessing teacher resilience. This review aims to map the existing resilience assessment tools specifically designed for educators, evaluating their theoretical frameworks, psychometric soundness, and [...] Read more.
Over the past two decades, rising concerns about teacher stress and professional sustainability have fueled the development of instruments assessing teacher resilience. This review aims to map the existing resilience assessment tools specifically designed for educators, evaluating their theoretical frameworks, psychometric soundness, and contextual relevance. Twelve instruments were analyzed through an extensive literature review of peer-reviewed studies published over the past twenty years, including general, preservice, EFL, and teacher-specific scales for special education. Findings reveal a progression from early instruments emphasizing intrapersonal traits to current tools incorporating ecological and contextual dimensions. While several scales demonstrate satisfactory reliability and cross-cultural applicability, many still suffer from conceptual limitations, insufficient cultural adaptation, or marginal psychometric robustness. This review concludes that despite significant advances, future research must prioritize culturally grounded frameworks, broader subgroup validation, and advanced psychometric methodologies to ensure accurate, inclusive, and practical assessments of teacher resilience across diverse educational settings. Full article
(This article belongs to the Section Social Sciences)
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