Search Results (524)

Neurodevelopmental disorders (NDDs) significantly impact children’s health and development. They pose a substantial burden to families and the healthcare system. Challenges in early identification, accurate and timely diagnosis, and effective treatment persist due to overlapping symptoms, lack of appropriate diagnostic biomarkers, significant stigma and discrimination, and systemic barriers. Generative Artificial Intelligence (GenAI) offers promising solutions to these challenges by enhancing screening, diagnosis, personalized treatment, and research. Although GenAI is already in use in some aspects of NDD management, effective and strategic leveraging of evolving AI tools and resources will enhance early identification and screening, reduce diagnostic processing by up to 90%, and improve clinical decision support. Proper use of GenAI will ensure individualized therapy regimens with demonstrated 36% improvement in at least one objective attention measure compared to baseline and 81–84% accuracy relative to clinician-generated plans, customize learning materials, and deliver better treatment monitoring. GenAI will also accelerate NDD-specific research and innovation with significant time savings, as well as provide tailored family support systems. Finally, it will significantly reduce the mortality and morbidity associated with NDDs. This article explores the potential of GenAI in transforming NDD management and calls for policy initiatives to integrate GenAI into NDD management systems. Full article

Amaranthus is appointed as a common weed associated with crops. The research was designed to survey the Amaranth existence pattern throughout the Fayoum Depression, Egypt, accompanied with a community vegetation analysis. The study was extended to collect and analyze associated soil samples. The obtained results figured out the prevalence of dicot families, herb growth forms, therophyte followed by phanerophyte life forms, the Pantropical monoregional chorotype, and the Mediterranean and Sudano-Zambezian followed by the Irano-Turanian pluri-regional chorotype. Multilevel pattern analysis stated that Gossypium barbadense, Corchorus olitorius, Sorghum bicolor, Sesamum indicum, and Zea mays are indicator species most related to Amaranth occurrence and prediction. NMDS analysis denoting that the Ibshaway, Youssef Al Seddik, Itsa, and Fayoum districts are the most representative districts for Amaranth existence on the basis of edaphic resources. Itsa and Youssef Al Seddik, in addition to Itsa and Fayoum, resemble each other in species composition. High pH and CaCO₃ percentages were discriminatory in Ibshaway, Itsa, and Youssef Al Seddik. Ni was the cornerstone for districts partitioning in pruned trees. Finally, Amaranth was flourishing in both comfortable and harsh habitats with cultivated crops and orchards, as well as on the outskirts. The findings are considered to be valorized by decision makers in arable land management. Full article

Aim: To explore the experiences, beliefs, and values of patients who participated in a two-arm randomized clinical trial assessing a nurse-led intervention program for chronic pain self-management, which demonstrated positive effects on pain reduction, depression, and anxiety, and on health-related quality of life 24 months after completion of the program. Design: Descriptive phenomenological qualitative study. Methods: Patients were recruited via telephone, informed about the study, and invited to participate in an individual interview at a place of their choice (hospital or home). All interviews were audiotaped, and an inductive thematic analysis was performed. Results: Seven interviews were carried out between both groups. Six emerging categories were found: effective relationship with the healthcare system, learning to live with pain, family and social support, behaviors regarding pain, resources for self-management, and concomitant determinants. Conclusions: Patients report key aspects that help us to understand the impact of this type of nurse-led group intervention: the intrinsic therapeutic effect of participating in the program itself, the ability to learn to live with pain, the importance of family and social support, the modification of pain-related behaviors, and the identification of resources for self-care. The findings highlight the need for gender-sensitive, individualized care approaches to chronic pain, addressing stigma and social context. Expanding community-based programs and supporting caregivers is essential, as is further research into gender roles, family dynamics, and work-related factors. Full article

Background/Objectives: Migraine affects approximately 3–10% of school-aged children and up to 28% of adolescents, with prevalence increasing during adolescence. For pediatric specialty providers, increased awareness of this condition may influence patient care. This study examined pediatric dentists’ education, clinical exposure, and perceived knowledge gaps related to pediatric migraine, with the goal of identifying barriers to recognition and referral, as well as informing future training to support accurate diagnosis and interdisciplinary care. Methods: A 28-item electronic questionnaire was distributed to all members of the American Academy of Pediatric Dentistry, including pediatric dentists and postgraduate pediatric dental residents, assessing knowledge, beliefs, clinical experience, and interest in further training regarding pediatric headache/migraine management. Respondents with and without previous training were compared in terms of general understanding using t-tests; a linear regression model analyzed predictors of provider awareness regarding links between oral conditions and headache/migraine. Results: Among 315 respondents, the mean self-perceived awareness score was 2.7 ± 1.3 (on a 0–5 scale). The most frequently identified contributing factors were clenching (73.7%), bruxism (72.4%), and temporomandibular disorders (65.7%). Nearly all respondents (95.2%) reported no formal education on headache/migraine prevention, yet 78.1% agreed on the importance of understanding the relationship between oral health and headache/migraine. Respondents with prior training were significantly more aware (p < 0.001) than those without prior training. Educating families (p < 0.001), frequency of patient encounters with headache (p = 0.032), coordination with healthcare providers (p = 0.002), and access to appropriate management resources (p < 0.001) were significant predictors of providers’ awareness. Conclusions: Pediatric dental providers expressed strong interest in enhancing their knowledge of headache/migraine management, highlighting the value of integrating headache/migraine-related education into training programs and promoting greater interdisciplinary collaboration. Full article

Background/Objectives: Wolf–Hirschhorn syndrome (WHS; OMIM #194190) is a rare neurodevelopmental disorder, caused by deletions in the distal short arm of chromosome 4. It is characterized by developmental delay, epilepsy, intellectual disability, and distinctive facial dysmorphism. Clinical presentation varies widely, complicating prognosis and individualized care. Methods: We assembled a cohort of 140 individuals with genetically confirmed WHS from Spain and Latin-America, and developed and validated a multidimensional, Clinician-Reported Outcome Assessment (ClinRO) based on the Global Functional Assessment of the Patient (GFAP), derived from standardized clinical questionnaires and weighted by HPO (Human Phenotype Ontology) term frequencies. The GFAP score quantitatively captures key functional domains in WHS, including neurodevelopment, epilepsy, comorbidities, and age-corrected developmental milestones (selected based on clinical experience and disease burden). Results: Higher GFAP scores are associated with worse clinical outcomes. GFAP showed strong correlations with deletion size, presence of additional genomic rearrangements, sex, and epilepsy severity. Ward’s clustering and discriminant analyses confirmed GFAP’s discriminative power, classifying over 90% of patients into clinically meaningful groups with different prognoses. Conclusions: Our findings support GFAP as a robust, WHS-specific ClinRO that may aid in stratification, prognosis, and clinical management. This tool may also serve future interventional studies as a standardized outcome measure. Beyond its clinical utility, GFAP also revealed substantial social implications. This underscores the broader socioeconomic burden of WHS and the potential value of GFAP in identifying high-support families that may benefit from targeted resources and services. Full article

Background/Objectives: Effective diabetes self-management is critical for glycemic management and well-being, yet Latino youth face unique cultural and socioeconomic barriers that are insufficiently explored in the literature. This review mapped existing evidence on diabetes self-management for Latino youth. Methods: Searches were conducted in PubMed, CINAHL, SCOPUS, Web of Science, LILACS, ERIC, and The Cochrane Library, using the gray literature and reference lists, in September 2024, following JBI guidelines. The included studies were qualitative, quantitative, and mixed-methods studies and reviews on diabetes self-management for Latinos aged 0–30 with type 1 or 2 diabetes. Studies including participants over 30 or with gestational diabetes were excluded. Two reviewers independently extracted data using a standardized table and analyzed findings using the Association of Diabetes Care & Education Specialists framework (ADCES7) for self-care behaviors: healthy eating, being active, monitoring, taking medication, problem-solving, reducing risks, and healthy coping. Results: Forty-five studies (forty from the United States) were included from 860 citations. The findings highlighted challenges in adopting diabetes-friendly diets, including cultural preferences, food insecurity, and limited resources. Physical activity improved glycemic control but was hindered by family and school obligations. Continuous glucose monitoring (CGM) enhanced outcomes, though economic barriers limited access. Family-centered education improved medication adherence, while family support strengthened problem-solving. CGMs and insulin pumps reduced complications, and culturally adapted psychological support enhanced emotional well-being and glycemic management. Conclusions: This review underscores persistent disparities in diabetes self-management among Latino youth. While the study designs and settings were heterogeneous, the findings highlight the need for culturally tailored, family-centered interventions that address structural barriers and psychosocial needs to improve care. Full article

In the context of increasing demands for sustainable natural resource management, this study analyzes the demographic and structural characteristics of family farms in Croatia and their participation in three environmental measures under the 2014–2022 Rural Development Programme. Using national administrative data and spatial analysis, the results highlight key patterns linked to age, education, gender, and ownership, as well as regional disparities in measure uptake. The findings suggest the importance of tailoring rural development policy to small farms’ specific needs to improve future CAP implementation. Full article

To investigate the species composition, reproductive dynamics, and hydrological drivers of fish resources in the early stage in the Guiping section of the Xunjiang River, we conducted a two-year survey (2022–2023) downstream of the Datengxia Dam. A total of 22,464 fish eggs and larvae were collected, representing 6 orders, 17 families, and 67 species, with Cyprinidae (58.2%) as the dominant family. Dominant species included Squaliobarbus curriculus, Gobiidae, Hemiculter leucisculus, and Culter, exhibiting significant interannual variation in abundance. The breeding season peaked from May to September, accounting for 94.6% of annual recruitment. Hydrological conditions strongly influenced reproductive output: the multiple flood pulse periods in 2022 (peak discharge: 29,000 m³/s) yielded 34.997 billion eggs and larvae, whereas reduced flows in 2023 (peak discharge: 12,200 m³/s) led to a 75.4% decline (8.620 billion). Redundancy analysis (RDA) revealed that discharge, water temperature, natural hydrological data, and dissolved oxygen were the primary environmental drivers, explaining 46.11% of variability in larval abundance (p < 0.001). Notably, the proportion of important economic fish, “four major Chinese carps”, plummeted from 4.9% (2022) to less than 0.1% (2023), indicating spawning ground function degradation. Our results demonstrate that flood pulses are essential for sustaining fish recruitment, particularly for pelagic spawning riverine fish like the four major Chinese carps. Their proportion plummeted to less than 0.1% in 2023, highlighting the urgent need for eco-hydrological management in the Xunjiang River. Full article

The widespread adoption of mobile work, driven by advancements in information and communication technology, has increasingly blurred the boundaries between work and personal life. This phenomenon can increase job stress, potentially leading to sleep deprivation, which affects not only employees’ health and well-being but also organizational performance. Grounded in Conservation of Resources theory, this study examines the pathway through which mWork contributes to sleep deprivation, focusing on the mediating role of job stress, and investigates the moderating effects of gender and number of children on this relationship. Data were collected using a stratified random sampling method across three waves with 4-week intervals, involving 325 employees in South Korea engaged in diverse occupations, including the administrative, technical, service, and sales sectors. The findings reveal that mWork increases sleep deprivation through the mediation of job stress. Furthermore, the relationship between mWork and job stress was found to vary depending on gender and number of children, with stronger moderating effects observed among women and employees with children. This study underscores the need for organizations to develop tailored management strategies that address the unique challenges posed by mWork, taking particular note of employees’ gender and family responsibilities. By mitigating the negative effects of mWork on job stress and sleep deprivation, organizations can enhance employee well-being and promote sustainable long-term performance. Full article

Sustainable rural development seeks to balance social, economic, and environmental needs in rural areas, improving the quality of life of communities and the long-term protection of natural resources. Indigenous local solutions give place to grassroots entrepreneurial initiatives, which together with associative and economic integration are key factors for agricultural production, transformation of products, self-consumption, and commercialization. This study was done in Hñähñu communities with the aim to test if participative workshops based on detonating questions are an effective approach for developing entrepreneurship agriculture initiatives of self-managed social enterprises. The initiatives were proposed by the communities to solve local problems. Three initiatives arose: (1) a community seed bank of local species associated with the Milpa including agave; (2) reforestation with agave to produce agave shoots, leaves, and sap; and (3) a company to produce agave-sap syrup. The participants, based on their traditional knowledge, developed the projects, including economic evaluation, risk analysis, and environmental aspects. Some impacts are the conservation of soil and endangered landraces, accessibility to quality seeds not commercially available, building of local organizational and entrepreneurial capacities, strengthening the community, improving the family’s income, recovery of traditional agroecological techniques, and conservation of agrobiodiversity. In conclusion, the methodology is effective for the Indigenous communities to develop initiatives for sustainable self-managed social enterprises. Full article

Background: Unlike other chronic diseases, cancer patients undergo different types of treatments that affect their well-being, and as a result, they tend to have different experiences from those of other chronic disease sufferers. The purpose of this study was to assess the effects of cancer diagnosis and coping strategies on patients in Vhembe District hospitals in Limpopo Province. Methodology: The study design used was a quantitative descriptive cross-sectional survey. The target population included patients in the Vhembe District of Limpopo who had started treatment within the last year. Probability-stratified sampling was used to sample 207 patients from seven selected hospitals in Vhembe District. A self-administered questionnaire was used to collect data, and the data were analyzed using a software package for descriptive statistics (SPSS version 23). Tables were used to display the results visually, and chi-square tests were used to compare the variables. Ethical principles were considered for the participants’ privacy, anonymity, and informed consent. Findings: The findings revealed that the majority of patients 185 (89.4%) experienced a sense of psychosocial distress such as emotional pain; 142 (68.6%) participants experienced hopelessness and despair, 127 (61.3%) resorted to substance use, 160 (77.3%) did not have a positive attitude towards seeking the medical and other support resources available, only a minority resorted to spirituality, and 121 (63.2%) indicated seeking further clarity about the disease. The study recommends supporting cancer patients and their families through the cancer journey. Contributions: Clinicians should provide psychosocial support interventions to enhance mental health and quality of life in cancer patients, and decentralize oncology services by including primary care professionals in delivering chronic illness disease management strategies. Full article

China leads global carp aquaculture (farming of species within the family Cyprinidae), producing 20 million tons annually in a sector shaped by favorable policies, infrastructure, and innovation. Carp farming in China is rooted in millennia of traditional practices and transformative post-1978 economic reforms. This review synthesizes the historical trajectory, technological advancements, policy frameworks, and sustainability challenges shaping China’s carp aquaculture sector. Historically, carp polyculture systems, developed during the Tang Dynasty (618–907 CE), laid the foundation for resource-efficient practices. Modern intensification, driven by state-led policies, genetic innovations, and feed-based systems, enabled unprecedented growth. However, rapid expansion has exacerbated environmental trade-offs, including nutrient pollution, habitat loss, and antibiotic resistance, while socioeconomic disparities, aging labor forces, and market volatility threaten sectoral resilience. Policy shifts since the 2000s prioritize ecological sustainability, exemplified by effluent regulations, wetland restoration, and green technologies. Despite progress, challenges persist in reconciling economic viability with environmental safeguards. Key success factors include long-term policy support, smallholder capacity building, vertically integrated supply chains, product differentiation, and adaptive management. With balanced policies emphasizing economic, social, and environmental sustainability, carp aquaculture can enhance domestic food and nutrition security. China’s experience showcases the potential of aquaculture to bolster food security but highlights the urgent need to harmonize productivity with ecological and social equity to ensure long-term resilience. Lessons from China’s model offer actionable insights for global aquaculture systems navigating similar sustainability imperatives. Full article

Carbon dioxide (CO₂) is a predominant greenhouse gas significantly contributing to atmospheric heat retention, primarily driven by anthropogenic activities intensifying the greenhouse effect. This study aims to evaluate the diversity of plant species, above-ground biomass (AGB), and carbon stock within a dry dipterocarp forest, which is a vital local natural resource. This study presents a comprehensive evaluation of plant species diversity, AGB, and carbon stock capacity within a dry dipterocarp forest at the Nature Study Center, Mahasarakham University, located in the Kham Riang Subdistrict of Kantharawichai District, Maha Sarakham Province, spanning an area of 20.80 hectares. Ten sample plots, each measuring 40 × 40 m, were established and distributed across the study area. The diameter at breast height (DBH) and the height of the trees were meticulously recorded for all trees within these plots. Advanced statistical techniques were employed to calculate the relative dominance (RD), relative frequency (RF), and Importance Value Index (IVI), alongside a comprehensive assessment of plant species diversity. The AGB was assessed using precise allometric equations, with a focus on analyzing carbon storage within woody biomass. The findings revealed the presence of 52 tree species across 26 families within the forest. The total AGB was measured at 144.510 tons, with carbon stock reaching 67.920 tCO₂. These results offer critical insights into enhancing land management strategies to optimize carbon stock, thereby playing a vital role in mitigating greenhouse gas emissions, a significant factor in climate change dynamics. Full article

Ethnobotanical knowledge and biodiversity are critical components of sustainable natural resource management, especially in regions undergoing rapid environmental and socio-economic change. In Northeast Thailand, traditional plant knowledge is deeply intertwined with local cultural identity but faces increasing threats from urbanization, agricultural expansion, and generational shifts. This study presents a floristic and ethnobotanical survey of the Khanthararat Public Benefit Forest, a community-managed remnant forest in Maha Sarakham Province, documenting 110 plant species from 42 families. The Fabaceae family was the most diverse, consistent with other tropical ecosystems. Predominantly native species (85.45%) indicate minimal disturbance, while introduced (11.82%) and endemic species (2.73%) reflect ecological complexity. Ethnobotanical data revealed 34 wild edible species, 33 medicinal plants, and 19 ornamental species used by the local community, highlighting the forest’s vital role in supporting livelihoods and cultural practices. High Use Values (UVs) for species such as Spondias pinnata and Coccinia grandis underline their dual importance in food and medicine. Informant Consensus Factor (Fic) values demonstrate strong agreement on plant use for reproductive and musculoskeletal health, reflecting well-established traditional knowledge. The findings underscore the forest’s dual significance as an ecological hotspot and a repository of cultural heritage, providing essential ecosystem services including biodiversity conservation, climate regulation, and cultural provisioning. By integrating traditional knowledge with biodiversity assessment, this study offers valuable insights for community-based conservation strategies that sustain both ecological integrity and cultural resilience in Northeast Thailand. Full article

Background/Objectives: Prostate cancer (PCa) is the second most common malignancy among men worldwide and a leading cause of cancer-related mortality. In 2022, over 1.4 million new cases were reported globally, with a prevalence exceeding 5 million. Despite its widespread occurrence, the incidence and mortality of PCa show substantial geographic variation, influenced by factors such as genetic predisposition, healthcare access, lifestyle, and the adoption of screening programs. Regions with high PCa incidence, such as Northern America and Oceania, often have lower mortality rates due to early detection and advanced healthcare infrastructure. Conversely, areas with limited access to medical resources, such as parts of Africa and Latin America, experience higher mortality rates. Methods: This review explores non-modifiable risk factors such as age, family history, and race, emphasizing their role in PCa development and progression. Results: Modifiable factors, including diet, physical activity, alcohol consumption, and smoking, are also addressed, with evidence suggesting their potential in mitigating risk. Emerging data on medications such as 5-alpha reductase inhibitors and statins, as well as dietary supplements such as vitamins D, indicate their potential for chemoprevention, though further research is needed to solidify these findings. Healthcare disparities, especially in low- and middle-income regions, highlight the need for equitable access to diagnostic tools and treatment options. The review underscores the significance of tailored screening approaches, particularly in high-risk populations, to optimize outcomes while minimizing overdiagnosis and overtreatment. Conclusions: The review concludes with recommendations for future research, including the need for standardized screening protocols and the exploration of novel biomarkers for early detection. By synthesizing epidemiological data and current evidence, this review aims to enhance understanding of PCa risk factors, geographic disparities, and preventive strategies, ultimately contributing to improved global PCa management and outcomes. Full article