Search Results (1,075)

Background/Objectives: Family caregivers of individuals with dementia frequently experience substantial psychological distress, yet their emotional responses are heterogeneous. Depression, anxiety and psychological well-being may co-occur in distinct patterns, and socio-economic resources such as education and income are often hypothesized to buffer caregiver distress. This study aimed to identify latent psychological profiles among dementia caregivers and to examine whether education and income moderate the association between affective symptoms and well-being. Methods: A cross-sectional study was conducted with 73 family caregivers of dementia patients attending the Neurology–Psychiatry Department of C.F.2 Clinical Hospital, Bucharest (November 2023–April 2024). Participants completed the PHQ-9 (depression), the COVI Anxiety Scale and Ryff’s Psychological Well-Being Scales. Care recipients’ cognitive status was extracted from medical records using the MMSE. Gaussian Mixture Modeling was used for latent profile analysis (LPA). Between-profile differences were examined using one-way ANOVAs and Tukey post-hoc tests and Pearson correlations were used to assess associations between affective symptoms and psychological well-being, and examined whether education and income were associated with profile membership and psychological well-being. Results: LPA supported a three-profile solution: (1) lower depressive symptoms with moderate anxiety (33%), (2) severe combined depression and anxiety (18%) and (3) moderately severe depression with severe anxiety (49%). Profiles differed significantly in depressive symptom severity, whereas anxiety severity did not differ significantly across profiles. Caregivers in Profile 3 (moderately severe depression–severe anxiety) reported significantly higher overall psychological well-being than those in Profile 1 (moderate depression–moderate anxiety). In contrast, caregivers in Profile 2 (severe depression–severe anxiety), who exhibited the highest affective symptom burden, showed intermediate levels of overall well-being, with comparatively lower scores on specific dimensions such as purpose in life. Depressive symptoms were weakly but significantly associated with autonomy and self-acceptance, whereas anxiety symptoms showed no significant associations with psychological well-being. Education level and household income were not significantly associated with profile membership or psychological well-being. Conclusions: Family caregivers of individuals with dementia can be meaningfully described as forming three exploratory psychological profiles characterized by different configurations of depressive and anxiety symptoms. These findings indicate that caregiver distress does not follow a simple severity gradient and that psychological well-being is not solely determined by symptom burden. Socio-economic characteristics did not account for differences in caregiver adjustment, underscoring the importance of individualized psychological assessment and tailored interventions to support caregiver mental health. Full article

Background/Objectives: Professional quality of life influences patient care, staff well-being, and organizational efficacy. The COVID-19 pandemic placed pressure on healthcare professionals, disrupting their professional quality of life and imposing a psychological burden. In Greece, these issues were intensified by a decade of economic crisis, marked by constrained healthcare budget, personnel shortages, and insufficient resources. This study investigates the pandemic’s impact on the professional quality of life of Greek healthcare professionals to support targeted interventions. Methods: A cross-sectional study was conducted using descriptive statistics. The participants were a convenience sample of 246 healthcare professionals from a Greek regional university hospital with at least one year of experience and who had worked with COVID-19-positive or potentially exposed but asymptomatic patients. Data were collected between March and June 2021 using the Professional Quality of Life Scale (version 5). Results: Of the 246 participants, 81.3% were women and 33.8% were aged 50 or older. Moderate concern and fear regarding COVID-19 were reported, with 34.6% extremely afraid of transmitting the virus to family or friends and 22.8% to patients or their families. Overall professional quality of life was moderate: compassion satisfaction was moderate to high, while burnout and secondary traumatic stress were moderate to low. Higher compassion satisfaction was linked to holding a position of responsibility. Burnout was associated with having children, permanent employment, years of experience, and increased pandemic-related fear. Higher secondary traumatic stress was associated with older age, more years of experience, and greater pandemic-related fear. Conclusions: These findings support international research and highlight that the moderate levels observed indicate intrinsic motivation based on professionalism in patient care, providing evidence of resilience and coping mechanisms that reduce psychological consequences on well-being due to the pandemic. Full article

Background/Objectives: Von Hippel–Lindau (VHL) disease is a rare autosomal dominant hereditary disorder. Central nervous system hemangioblastomas are one of the most common tumor types associated with VHL disease. Although these tumors are histologically benign, delayed diagnosis and treatment may result in severe neurological dysfunction, permanent disability, and even death. However, little is known about the experiences of patients with VHL disease. The aim of this study was to gain a better understanding of the illness experiences and psychological responses of patients with VHL disease accompanied by central nervous system hemangioblastomas. Methods: A qualitative study based on a semi-structured guide was conducted. Twelve participants were recruited. Data were collected through face-to-face interviews and analyzed using the constant comparative method. Results: Four themes and their subthemes were identified: 1. powerlessness—unpredictable disease progression and uncontrollable continuity; 2. negative emotional experiences—guilt and self-blame, depression, and low self-esteem; 3. compromise—acceptance of fate, positive outlook, and sense of hope; and 4. persistent worry—worries about family members, anxiety regarding finances and employment, and uncertainty regarding the future. Conclusions: This study identified four major themes in the illness experiences of patients with VHL disease accompanied by central nervous system hemangioblastomas, which provided deep insights into the care needs of individuals with VHL disease. Healthcare providers should develop effective measures to enhance patients’ ability to maintain a good quality of life and confront the future with resilience. Full article

Local vegetables and spices are essential components of traditional food and health systems in northeastern Thailand, yet quantitative ethnobotanical evidence remains limited. This study documents the diversity, utilization, and cultural significance of vegetables and spices used in Sang Kho Sub-district, Phu Phan District, Sakon Nakhon Province. Ethnobotanical data were collected in 2025 through field surveys, voucher-based plant identification, semi-structured interviews, and participant observation involving 92 informants across 23 villages. Cultural significance and medicinal knowledge were evaluated using the Cultural Importance Index (CI), Informant Consensus Factor (FIC), and Fidelity Level (FL). A total of 113 taxa belonging to 94 genera and 49 plant families were recorded. Poaceae and Zingiberaceae were the most species-rich families. Native species slightly predominated (51.33%), and herbaceous taxa were most common. Leaves were the most frequently used plant part. Most taxa were used as vegetables (92 species), followed by traditional medicines (20 species), spices or seasonings (18 species), and food ingredients or culinary additives (18 species). The highest CI values were recorded for Allium ascalonicum L. (1.152), Capsicum annuum L. (1.098), and Coriandrum sativum L. (1.043). FIC values ranged from 0.60 to 1.00, with complete consensus for circulatory and neurological disorders. Cymbopogon citratus showed the highest FL (75%) for gastrointestinal uses. These findings demonstrate the close integration of food and medicine in local plant-use systems and provide baseline data for food system resilience and cultural knowledge conservation. Full article

Within the Rajidae family, the blonde ray (Raja brachyura) is considered one of the less resilient species to fishing pressure and other anthropogenic pressures, primarily due to its late maturity and large maximum size, which can exceed 120 cm total length. This is the first study to provide comprehensive insights into the reproductive biology of Raja brachyura in the continental waters of Portugal, with insights into its timing, maturity, and fecundity. It was determined that egg-laying occurs from February to November, with a peak observed between April and September. Males were reproductively active throughout the year, with highest proportions of active males observed between January and May. The length at first maturity was estimated at 95.2 cm for females and 90.0 cm for males, corresponding to 85% of the maximum observed length in each sex. The potential fecundity was estimated at 115 follicles per female per year, and evidence suggests that the species has a determinate fecundity. The findings reinforce the appropriateness of current management measures in Portuguese continental waters, namely seasonal closure when overlapping with the peak of the reproductive season (May and June), and provide valuable scientific support for future conservation and management measures. Full article

Grapevine (Vitis vinifera L.) is a globally significant crop increasingly affected by a variety of biotic and abiotic stresses. Plant biostimulants offer a promising approach to enhance plant resilience by modulating key physiological and metabolic processes. This study aimed to demonstrate that the preventive application of a Fabaceae-based biostimulant can prime grapevine defense pathways, thereby improving plants’ ability to endure potential stress conditions. Indeed, resistance to both biotic and abiotic stresses in plants involves common pathways, including Ca²⁺ and ROS signaling, MAPK cascades, hormone cross-talk, transcription factor activation, and induction of defense genes. Grapevine leaves were subjected to high-throughput transcriptomic analysis coupled with qPCR validation 6 and 24 h following treatment application. Differentially expressed genes were visualized using MapMan to identify the major metabolic and signaling pathways responsive to the treatment. This integrative analysis revealed several defense-related pathways triggered by the biostimulant, with representative protein families showing both up- and downregulation across key functional categories. Overall, the results indicate that a wider array of pathways associated with stress tolerance and growth regulation were stimulated in treated plants compared to untreated controls. These findings support the conclusion that a preventive biostimulant application can effectively prime grapevine metabolism, enhancing its preparation to cope with forthcoming environmental challenges. Full article

Plant roots form highly specialized apoplastic barriers that regulate the exchange of water, ions, and solutes between the soil and vascular tissues, thereby protecting plant survival under environmental stress. Among these barriers, the endodermis and exodermis play essential roles, enhanced by suberin lamellae and lignin-rich Casparian strips (CS). Recent advances have shown that these barriers are not static structures but are dynamic systems, rapidly adapting in response to drought, salinity and nutrient limitation. The R2R3-MYB transcription factor (TF) family is essential to this adaptive plasticity. These TFs serve as key regulators of hormonal and developmental signals to regulate suberin and lignin biosynthesis. Studies across different species demonstrate both conserved regulatory structure and species-specific adaptations in barrier formation. Suberization provides a hydrophobic structure that limits water loss and ion toxicity, while lignification supports structural resilience and pathogen defense, with the two pathways exhibiting adaptive and interactive regulation. However, significant knowledge gaps remain regarding MYB regulation under combined abiotic stresses, its precise cell-type-specific activity, and the associated ecological and physiological trade-offs. This review summarizes the central role of root barrier dynamics in plant adaptation, demonstrating how MYB TFs regulate suberin and lignin deposition to enhance crop resilience to environmental stresses. Full article

Intergenerational trauma significantly affects the health and mental health of African American families, particularly women whose lives are shaped by systemic inequities and historical oppression. This scoping review examines how trauma and resilience are transmitted across generations in African American communities, with a focus on dyads such as mother–child and mother–daughter relationships and a conceptual grandmother–mother–daughter triad. The review aims to identify mechanisms of trauma transmission and resilience and to inform culturally responsive, multigenerational interventions. Peer-reviewed studies published between 2012 and 2025 were identified that included African American caregivers and children and addressed biological, psychological, social, cultural, and resilience dimensions of intergenerational processes. Data were synthesized using a dimensional conceptual analysis approach. Findings indicate that intergenerational trauma is perpetuated through chronic stress and discrimination, maternal mental health challenges, family structure and caregiving strain, and cultural narratives about strength and self-reliance. At the same time, resilience is transmitted through sensitive caregiving, spirituality and faith, social and kin support, racial socialization, and economic survival strategies that draw on cultural and historical knowledge. These results underscore the importance of addressing intergenerational trauma holistically by integrating dyadic evidence within a broader conceptual triadic framework. Culturally responsive, multigenerational interventions that leverage family and community strengths and make space for emotional vulnerability are essential for interrupting cycles of trauma and fostering healing within African American families. Full article

Background/Objectives: Cancer is a disease with a rising global incidence each year, and an interdisciplinary approach for both its treatment and care is needed. This study aimed to evaluate the effects of a 10-week interdisciplinary integrative oncology group-based program for patients with cancer on quality of life, fatigue, resilience, well-being, anxiety and depression. Methods: This prospective, nonrandomized intervention, waiting-list control group study evaluated the quality of life, fatigue, resilience, anxiety, depression and well-being of a total of 128 patients with cancer (intervention group: n = 86; waiting-list control group: n = 42) at baseline (week 0) and at the end of the observation period (week 10). Results: Compared with patients in the waiting-list group, patients who participated in a 10-week interdisciplinary integrative group program during or after cancer treatment had positive effects on quality of life, social/family well-being, functional well-being, resilience, fatigue, and anxiety. Specifically, significant time × group effects were observed on (FACT-G: p = 0.002, η² = 0.73; FACIT-Fatigue: p = 0.014, η² = 0.47; FACIT-F: p = 0.002, η² = 0.74), social/family well-being (p = 0.015, η² = 0.46), functional well-being (p < 0.001, η² = 0.102), with a large effect size and resilience mean scores (p = 0.003, η² = 0.069), and anxiety mean scores (p = 0.005, η² = 0.060), with a medium effect size. Conclusions: This study revealed that compared with nonparticipants, participants in the 10-week interdisciplinary program benefited more from the program. Full article

Background/Objectives: Community violence remains a pervasive public health challenge that disproportionately affects Black youth, with lasting impacts on physical and mental health. Traditional models often conceptualize resilience as individual “bounce back” capacity, overlooking how adaptation unfolds amid chronic violence and structural inequity. This study examined how Black youth and trauma clinicians understand, navigate, and redefine resilience within contexts of ongoing community violence exposure. Methods: Using a phenomenological qualitative design, the study drew on semi-structured interviews and focus groups with Black youth and clinicians participating in a community violence trauma recovery program in Chicago, Illinois. Data were analyzed thematically to identify patterns in how resilience was described, practiced, and supported. Results: Black youth redefined resilience through adaptive survival strategies—such as hypervigilance, avoidance, and emotional regulation—that functioned as protective responses to continuous threat. Clinicians recognized resilience as relational and context-dependent but reported limited training to address trauma rooted in chronic, community-level conditions. Both groups highlighted the role of collective and structural supports, including family, peers, and community networks, in sustaining adaptation. Conclusions: Findings highlight the need to expand trauma-informed care beyond individual treatment to address structural conditions that perpetuate community violence. Integrating ecological and culturally grounded models of resilience into clinical training and community programming can improve support for Black youth navigating chronic exposure to violence. Full article

For the Simeulue community, trauma does not remain a source of fear or psychological burden. Instead, it becomes a guideline for their survival. This study explores how societies reconstruct themselves through memory by examining smong, the local knowledge of the Simeulue community in Indonesia, as a cultural mechanism that transforms disaster experience into social resilience. Using a qualitative ethnographic approach, the research utilizes interviews, nandong and song lyrics, field notes, and historical documentation. The findings indicate that smong operates through interconnected layers of communicative and cultural memory: it is preserved in family stories, bedtime stories, artistic expressions, commemorative practices, and symbolic markers such as monuments and grave inscriptions. Through these processes, traumatic experiences are reframed as moral instructions and actionable knowledge that guide rapid evacuation, mutual aid, and collective vigilance during earthquakes and tsunamis. This study demonstrates that the reconstruction of the Simeulue community is driven not by a formal disaster management system but by practices rooted in culture. Past disaster experiences are continuously reinterpreted and integrated into everyday life. This highlights the importance of memory-based strategies for strengthening community resilience and offers directions for future research on intergenerational knowledge transmission, cultural adaptation, and disaster preparedness in oral societies. Full article

Heat shock transcription factors (HSFs) play a central role in mediating plant responses to abiotic stress. Anthocyanins, one of the most important secondary metabolites in plants, contribute to both stress tolerance and the enhancement in crop nutritional quality. However, the possible role of HSFs in regulating anthocyanin biosynthesis in sweet potato (Ipomoea batatas L.) remains unknown. This study conducted a genome-wide analysis of the sweet potato HSF gene family to explore their functions related to anthocyanin metabolism and salinity stress. Multiple stress-inducible promoter elements were identified within IbHSF22, including those induced by drought, salt, heat, ABA, and light. For functional characterization of this gene, a 35S-driven overexpression construct was prepared and then transformed into Nicotiana benthamiana. Overexpression of IbHSF22 led to a nearly two-fold increase in anthocyanin content, concurrently with the elevated expression of key structural genes such as NtCHS, NtF3H, NtDFR, and NtANS. Under salt stress, the transgenic plants also exhibited enhanced tolerance, which was associated with maintained antioxidant enzyme activity and concerted induction of stress-responsive genes, events that collectively resulted in decreased oxidative damage. Therefore, the present work identifies IbHSF22 as an integrator of anthocyanin biosynthesis and salt defense mechanisms. These findings provide a conceptual basis and candidate gene strategy for dual improvement in stress resilience and nutritional quality in sweet potato breeding. Full article

Heat threatens male fertility in crops, yet the regulatory basis of anther dehiscence under high temperatures remains unclear. We compared a heat-sensitive pepper cultivar (DL) with a heat-tolerant landrace (B021) across two anther stages using integrated transcriptome, small-RNA, degradome, co-expression, and enzymatic assays. DL showed a collapse of anther dehiscence above 34–38 °C, whereas B021 retained normal dehiscence at 39 °C, and histology revealed tapetal enlargement, premature degeneration, and locule contraction only in DL. RNA-seq indicated genotype- and stage-dependent reprogramming, with DL suppressing phenylpropanoid/cell-wall, transport, and proteostasis pathways, while B021 maintained reproductive and stress-integration programs. Small-RNA profiling and degradome sequencing identified conserved miRNA families with in vivo target cleavage, and notably, miR397 targeting a laccase gene showed stronger evidence in B021, which is consistent with controlled lignification. Functional organization of differentially expressed miRNA targets highlighted modules in respiration/redox, hormone and terpenoid metabolism, vascular–cell-wall programs, and proteostasis/osmotic buffering. WGCNA modules correlated with heat-tolerance traits converged on the same processes. Enzyme assays corroborated multi-omics predictions, with SOD, CAT, and POD activities consistently induced in B021 and limited MDA accumulation. Together, the data supports a model in which tolerant anthers sustain dehiscence under heat by coordinating secondary-wall formation, auxin/jasmonate/gibberellin crosstalk, respiratory and reactive oxygen species buffering, and protein/membrane quality control, providing tractable targets for breeding heat-resilient peppers. Full article

Habitat micromodification poses significant challenges to wildlife, necessitating adaptive responses. This study aimed to investigate how such habitat alterations affect the dietary intake and gut microbiota of Père David’s deer (Elaphurus davidianus). A total of 25 fresh fecal samples were collected from Père David’s deer through non-invasive sampling in Tianjin Qilihai Wetland across three distinct phases of habitat micromodification: pre-change (N = 10), under-change (N = 8), and post-change (N = 7). Dietary composition was analyzed via microscopic identification of plant residues, and gut microbiota structure was characterized using 16S rRNA high-throughput sequencing. Results showed that the diet shifted significantly across phases, with 33 plant species from 20 families identified. Meanwhile, the core gut microbiota remained structurally stable. The phyla Firmicutes and Bacteroidota consistently dominated, despite fluctuations in some specific bacterial genera. Functional prediction indicated minimal change in core microbial metabolic pathways. Correlation analysis suggested that key dietary plants were linked to the abundance of specific, functionally relevant microbial taxa. In conclusion, this study demonstrates that the gut microbiota of Père David’s deer exhibits marked resilience to dietary shifts induced by habitat micromodification. This stability is underpinned by functional redundancy within the microbial community and the consistent intake of fibrous plants, representing a key adaptive mechanism. Our findings highlight that integrating non-invasive monitoring of diet and microbiota can effectively assess the adaptive capacity of endangered ungulates to managed habitat change, thereby informing more resilient conservation strategies. Full article

Mastectomy, while a life-saving intervention for breast cancer, often leads to profound psychological and emotional challenges for affected women. Feelings of loss altered body image, and anxiety about recurrence can significantly impact mental well-being. This study aimed to explore and describe the experiences of women after mastectomy at Mankweng Tertiary Hospital in Limpopo Province, South Africa. In this study, a qualitative phenomenological design was used. Data were collected through semi-structured in-depth interviews with women who had undergone mastectomy. Fifteen participants were purposively sampled, and thematic analysis was used to identify key patterns and meanings in their narratives. The findings revealed that the participants initially described feelings of being ‘disabled’, incomplete, and anxious about cancer recurrence or their ability to perform maternal functions such as breastfeeding. However, over time, many developed resilience and acceptance, seeing surgery as a life-saving measure and an opportunity for renewal. The adjustment of women after mastectomy is a complicated emotional transition from crisis and loss to adjustment and empowerment. The results identify the need for holistic psychosocial support that combines counseling, peer networks, and education for their family members addressing their emotional healing, body image, and social reintegration. Full article