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Search Results (12,287)

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20 pages, 1188 KiB  
Article
Consensus-Based Recommendations for Comprehensive Clinical Assessment in Prosthetic Care: A Delphi Study
by Frédérique Dupuis, Marion Pichette, Bonnie Swaine, Claudine Auger and Diana Zidarov
Prosthesis 2025, 7(4), 92; https://doi.org/10.3390/prosthesis7040092 (registering DOI) - 1 Aug 2025
Abstract
Background/Objective: The most effective strategy for addressing users’ prosthetic needs is a comprehensive clinical assessment that provides a holistic understanding of the individual’s symptoms, health, function, and environmental barriers and facilitators. A standardized evaluation form would provide guidance for a structured approach to [...] Read more.
Background/Objective: The most effective strategy for addressing users’ prosthetic needs is a comprehensive clinical assessment that provides a holistic understanding of the individual’s symptoms, health, function, and environmental barriers and facilitators. A standardized evaluation form would provide guidance for a structured approach to comprehensive clinical assessments of people with LLA. The objective of this study was to determine a list of relevant elements to be included in prosthetic evaluation for adults with lower limb amputation. Methods: Three independent focus group discussions were conducted with prosthetists (n = 15), prosthesis users (n = 11), and decision makers (n = 4) to identify all relevant elements that should be included in the clinical assessment of prosthetic services. The final content was then determined using the Delphi technique, with 35 panelists (18 prosthetists and decision makers, and 17 prosthesis users) voting in each round. Results: A total of 91 elements were identified through the focus group, of which 78 were included through the Delphi process. The identified elements are mostly related to the physical health of the prosthesis user (e.g., mobility, pain, and medical information), while others address personal or psychosocial aspects (e.g., activities of daily living, goals, and motivation) or technical aspects (prosthesis-related). Conclusions: Through a Delphi consensus, a list of relevant elements to be included in a prosthetic evaluation was generated. These results will inform the development of a standardized clinical prosthetic assessment form. This form has the potential to improve the quality of clinical evaluations, guide interventions, and enhance the well-being of prosthetic users. Full article
(This article belongs to the Section Orthopedics and Rehabilitation)
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11 pages, 936 KiB  
Article
Endoscopic Ultrasound-Guided Drainage for Post-Pancreatitis and Post-Surgical Peripancreatic Collections: A Retrospective Evaluation of Outcomes and Predictors of Success
by Nadica Shumka and Petko Ivanov Karagyozov
Gastroenterol. Insights 2025, 16(3), 27; https://doi.org/10.3390/gastroent16030027 (registering DOI) - 1 Aug 2025
Abstract
Background: Peripancreatic collections (PPCs) are a frequent and severe complication of acute and chronic pancreatitis, as well as pancreatic surgery, often requiring interventions to treat and prevent infection, gastric obstruction, and other complications. Endoscopic ultrasound (EUS)-guided drainage has emerged as a minimally invasive [...] Read more.
Background: Peripancreatic collections (PPCs) are a frequent and severe complication of acute and chronic pancreatitis, as well as pancreatic surgery, often requiring interventions to treat and prevent infection, gastric obstruction, and other complications. Endoscopic ultrasound (EUS)-guided drainage has emerged as a minimally invasive alternative to surgical and percutaneous approaches, offering reduced morbidity and shorter recovery times. However, the effectiveness of EUS-guided drainage in post-surgical PPCs remains underexplored. Methods: This retrospective, single-center study evaluated the technical and clinical outcomes of EUS-guided drainage in patients with PPCs between October 2021 and December 2024. Patients were categorized as having post-pancreatitis or post-surgical PPCs. Technical success, clinical success, complications, recurrence rates, and the need for reintervention were assessed. Results: A total of 50 patients underwent EUS-guided drainage, including 42 (84%) with post-pancreatitis PPCs and 8 (16%) with post-surgical PPCs. The overall technical success rate was 100%, with clinical success achieved in 96% of cases. Lumen-apposing metal stents (LAMSs) were used in 84% of patients, including 7.1% as a dual-gate salvage strategy after the failure of double-pigtail drainage. The complication rate was 24%, with infection being the most common (16%). The recurrence rate was 25%, with no significant difference between post-pancreatitis and post-surgical cases. Patients with walled-off necrosis had a significantly higher reintervention rate (35%) than those with pseudocysts (18%; p = 0.042). Conclusions: EUS-guided drainage is a highly effective and safe intervention for PPCs, including complex post-surgical cases. The 100% technical success rate reinforces its reliability, even in anatomically altered post-surgical collections. While recurrence rates remain a consideration, EUS-guided drainage offers a minimally invasive alternative to surgery, with comparable outcomes in both post-pancreatitis and post-surgical patients. Future multi-center studies should focus on optimizing treatment strategies and reducing recurrence in high-risk populations. Full article
(This article belongs to the Section Pancreas)
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18 pages, 590 KiB  
Review
FcRn Blockade as a Targeted Therapeutic Strategy in Antibody-Mediated Autoimmune Diseases: A Focus on Warm Autoimmune Hemolytic Anemia
by Michael Sandhu and Irina Murakhovskaya
Antibodies 2025, 14(3), 65; https://doi.org/10.3390/antib14030065 (registering DOI) - 1 Aug 2025
Abstract
Antibody-mediated autoimmune diseases are common, can involve any organ system, and pose a large burden for patients and healthcare systems. Most antibody-mediated diseases are mediated by IgG antibodies. Selective targeting of pathogenic antibodies is an attractive treatment option which has already proven to [...] Read more.
Antibody-mediated autoimmune diseases are common, can involve any organ system, and pose a large burden for patients and healthcare systems. Most antibody-mediated diseases are mediated by IgG antibodies. Selective targeting of pathogenic antibodies is an attractive treatment option which has already proven to be effective in antibody-positive generalized myasthenia gravis, maternal-fetal alloimmune cytopenias, and immune thrombocytopenic purpura. Warm autoimmune hemolytic anemia (wAIHA) is an autoimmune disorder mediated by pathogenic antibodies mainly of the IgG class with no approved therapy. Current treatment includes non-specific immunosuppression with corticosteroids, rituximab, and other immunosuppressive agents. With most therapies, time to response can be delayed and transfusions may be needed. Neonatal Fc receptor (FcRN) therapies provide rapid and sustained reduction of pathogenic IgG levels providing potential for fast, effective therapy in antibody-mediated autoimmune diseases including warm autoimmune hemolytic anemia. This review focuses on the emerging role of FcRn inhibition in autoimmune hematologic diseases, and their therapeutic potential in wAIHA. Full article
(This article belongs to the Special Issue Antibody and Autoantibody Specificities in Autoimmunity)
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19 pages, 523 KiB  
Review
Whey Proteins and Metabolic Dysfunction-Associated Steatotic Liver Disease Features: Evolving the Current Knowledge and Future Trends
by Maja Milanović, Nataša Milošević, Maja Ružić, Ludovico Abenavoli and Nataša Milić
Metabolites 2025, 15(8), 516; https://doi.org/10.3390/metabo15080516 (registering DOI) - 1 Aug 2025
Abstract
Metabolic dysfunction-associated steatotic liver disease (MASLD), previously known as non-alcoholic fatty liver disease (NAFLD), is a prevalent, multisystem disease affecting approximately 30% of adults worldwide. Obesity, along with dyslipidemia, type 2 diabetes mellitus, and hypertension, are closely intertwined with MASLD. In people with [...] Read more.
Metabolic dysfunction-associated steatotic liver disease (MASLD), previously known as non-alcoholic fatty liver disease (NAFLD), is a prevalent, multisystem disease affecting approximately 30% of adults worldwide. Obesity, along with dyslipidemia, type 2 diabetes mellitus, and hypertension, are closely intertwined with MASLD. In people with obesity, MASLD prevalence is estimated to be about 75%. Despite various approaches to MASLD treatment, dietary changes remain the most accessible and safe interventions in MASLD, especially in obese and overweight patients. Whey proteins are rich in bioactive compounds, essential amino acids with antioxidant properties, offering potential benefits for MASLD prevention and management. This state-of-the-art review summarizes whey protein impacts on a spectrum of MASLD-related manifestations, such as obesity, impaired glucose and lipid metabolism, hypertension, liver injury, oxidative stress, and inflammation. The results obtained in clinical environments, with a focus on meta-analysis, propose whey protein supplementation as a promising strategy aimed at managing multifaced MASLD disorders. Well-designed cohort studies are needed for validation of the efficacy and long-term safety of whey proteins in MASLD patients. Full article
(This article belongs to the Special Issue Effects of Diet on Metabolic Health of Obese People)
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33 pages, 870 KiB  
Article
Decarbonizing Urban Transport: Policies and Challenges in Bucharest
by Adina-Petruța Pavel and Adina-Roxana Munteanu
Future Transp. 2025, 5(3), 99; https://doi.org/10.3390/futuretransp5030099 (registering DOI) - 1 Aug 2025
Abstract
Urban transport is a key driver of greenhouse gas emissions in Europe, making its decarbonization essential to achieving EU climate neutrality targets. This study examines how European strategies, such as the Green Deal, the Sustainable and Smart Mobility Strategy, and the Fit for [...] Read more.
Urban transport is a key driver of greenhouse gas emissions in Europe, making its decarbonization essential to achieving EU climate neutrality targets. This study examines how European strategies, such as the Green Deal, the Sustainable and Smart Mobility Strategy, and the Fit for 55 package, are reflected in Romania’s transport policies, with a focus on implementation challenges and urban outcomes in Bucharest. By combining policy analysis, stakeholder mapping, and comparative mobility indicators, the paper critically assesses Bucharest’s current reliance on private vehicles, underperforming public transport satisfaction, and limited progress on active mobility. The study develops a context-sensitive reform framework for the Romanian capital, grounded in transferable lessons from Western and Central European cities. It emphasizes coordinated metropolitan governance, public trust-building, phased car-restraint measures, and investment alignment as key levers. Rather than merely cataloguing policy intentions, the paper offers practical recommendations informed by systemic governance barriers and public attitudes. The findings will contribute to academic debates on urban mobility transitions in post-socialist cities and provide actionable insights for policymakers seeking to operationalize EU decarbonization goals at the metropolitan scale. Full article
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16 pages, 2047 KiB  
Review
Efflux-Mediated Resistance in Enterobacteriaceae: Recent Advances and Ongoing Challenges to Inhibit Bacterial Efflux Pumps
by Florent Rouvier, Jean-Michel Brunel, Jean-Marie Pagès and Julia Vergalli
Antibiotics 2025, 14(8), 778; https://doi.org/10.3390/antibiotics14080778 (registering DOI) - 1 Aug 2025
Abstract
Efflux is one of the key mechanisms used by Gram-negative bacteria to reduce internal antibiotic concentrations. These active transport systems recognize and expel a wide range of toxic molecules, including antibiotics, thereby contributing to reduced antibiotic susceptibility and allowing the bacteria to acquire [...] Read more.
Efflux is one of the key mechanisms used by Gram-negative bacteria to reduce internal antibiotic concentrations. These active transport systems recognize and expel a wide range of toxic molecules, including antibiotics, thereby contributing to reduced antibiotic susceptibility and allowing the bacteria to acquire additional resistance mechanisms. To date, unlike other resistance mechanisms such as enzymatic modification or target mutations/masking, efflux is challenging to detect and counteract in clinical settings, and no standardized methods are currently available to diagnose or inhibit this mechanism effectively. This review first outlines the structural and functional features of major efflux pumps in Gram-negative bacteria and their role in antibiotic resistance. It then explores various strategies used to curb their activity, with a particular focus on efflux pump inhibitors under development, detailing their structural classes, modes of action, and pharmacological potential. We discuss the main obstacles to their development, including the structural complexity and substrate promiscuity of efflux mechanisms, the limitations of current screening methods, pharmacokinetic and tissue distribution issues, and the risk of off-target toxicity. Overcoming these multifactorial barriers is essential to the rational development of less efflux-prone antibiotics or of efflux pump inhibitors. Full article
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27 pages, 968 KiB  
Article
Factors Influencing Generative AI Usage Intention in China: Extending the Acceptance–Avoidance Framework with Perceived AI Literacy
by Chenhui Liu, Libo Yang, Xinyu Dong and Xiaocui Li
Systems 2025, 13(8), 639; https://doi.org/10.3390/systems13080639 (registering DOI) - 1 Aug 2025
Abstract
In the digital era, understanding the intention to use generative AI is critical, as it enhances productivity, transforms workflows, and enables humans to focus on higher-value tasks. Drawing upon the unified theory of acceptance and use of technology (UTAUT) and the technology threat [...] Read more.
In the digital era, understanding the intention to use generative AI is critical, as it enhances productivity, transforms workflows, and enables humans to focus on higher-value tasks. Drawing upon the unified theory of acceptance and use of technology (UTAUT) and the technology threat avoidance theory (TTAT), this research integrates perceived AI literacy into the AI acceptance–avoidance framework as a central variable. This study gathered 583 valid survey responses from China and validated its model using a dual-phase, combined method that integrates structural equation modeling and artificial neural networks. Research findings indicate that the model explains 51.6% of the variance in generative AI usage intention. Except for social influence, all variables within the extended framework significantly impact the usage intention, with perceived AI literacy being the strongest predictor (β = 0.33, p < 0.001). Additionally, perceived AI literacy mitigates the adverse effect of perceived threats on the intention to use AI. Practical implications suggest that enterprises adopt a tiered strategy, as follows: maximize perceived benefits by integrating AI skills into reward systems and providing task-automation training; minimize perceived costs through dedicated technical support and transparent risk mitigation plans; and cultivate AI literacy via progressive learning paths, advancing from data analysis to innovation. Full article
(This article belongs to the Topic Theories and Applications of Human-Computer Interaction)
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10 pages, 284 KiB  
Article
“Young Care”: A Community-Based Intervention to Transform Youth Mindsets on Elder Care in Thailand—Program Development and Outcome Evaluation
by Ranee Wongkongdech, Darunee Puangpronpitag, Tharinee Srisaknok, Kukiat Tudpor, Niruwan Turnbull, Souksathaphone Chanthamath and Adisorn Wongkongdech
Int. J. Environ. Res. Public Health 2025, 22(8), 1206; https://doi.org/10.3390/ijerph22081206 - 31 Jul 2025
Abstract
Background: Thailand is rapidly transitioning into an aging society, creating an intergenerational caregiving gap that strains existing support systems. Objective: This study evaluated the effectiveness of “Young Care,” a community-based intervention designed to enhance youth knowledge, attitudes, and caregiving practices (KAP) toward older [...] Read more.
Background: Thailand is rapidly transitioning into an aging society, creating an intergenerational caregiving gap that strains existing support systems. Objective: This study evaluated the effectiveness of “Young Care,” a community-based intervention designed to enhance youth knowledge, attitudes, and caregiving practices (KAP) toward older adults. Methods: A two-day structured training was conducted in Maha Sarakham Province in 2023 using a pre-post mixed-methods design. Middle and high school students participated in lectures, multimedia sessions, and experiential learning activities related to caregiving. Quantitative data were collected using validated KAP questionnaires, while qualitative insights were obtained from focus group discussions involving students, older persons, caregivers, and local leaders. Results: Post-intervention analysis revealed significant improvements in knowledge and attitudes (p < 0.001), accompanied by increased empathy, caregiving initiative, and a sense of moral responsibility among participants. Conclusions: The initiative fostered formal partnerships among schools, local governments, healthcare providers, and universities through memoranda of understanding. These collaborations enabled budgetary support and outreach to out-of-school youth, positioning “Young Care” as a scalable, youth-centered strategy to address Thailand’s long-term care challenges. Full article
(This article belongs to the Special Issue Advances in Primary Health Care and Community Health)
37 pages, 2065 KiB  
Review
Research Activities on Acid Mine Drainage Treatment in South Africa (1998–2025): Trends, Challenges, Bibliometric Analysis and Future Directions
by Tumelo M. Mogashane, Johannes P. Maree, Lebohang Mokoena and James Tshilongo
Water 2025, 17(15), 2286; https://doi.org/10.3390/w17152286 (registering DOI) - 31 Jul 2025
Abstract
Acid mine drainage (AMD) remains a critical environmental challenge in South Africa due to its severe impact on water quality, ecosystems and public health. Numerous studies on AMD management, treatment and resource recovery have been conducted over the past 20 years. This study [...] Read more.
Acid mine drainage (AMD) remains a critical environmental challenge in South Africa due to its severe impact on water quality, ecosystems and public health. Numerous studies on AMD management, treatment and resource recovery have been conducted over the past 20 years. This study presents a comprehensive review of research activities on AMD in South Africa from 1998 to 2025, highlighting key trends, emerging challenges and future directions. The study reveals a significant focus on passive and active treatment methods, environmental remediation and the recovery of valuable resources, such as iron, rare earth elements (REEs) and gypsum. A bibliometric analysis was conducted to identify the most influential studies and thematic research areas over the years. Bibliometric tools (Biblioshiny and VOSviewer) were used to analyse the data that was extracted from the PubMed database. The findings indicate that research production has increased significantly over time, with substantial contributions from top academics and institutions. Advanced treatment technologies, the use of artificial intelligence and circular economy strategies for resource recovery are among the new research prospects identified in this study. Despite substantial progress, persistent challenges, such as scalability, economic viability and policy implementation, remain. Furthermore, few technologies have moved beyond pilot-scale implementation, underscoring the need for greater investment in field-scale research and technology transfer. This study recommends stronger industry–academic collaboration, the development of standardised treatment protocols and enhanced government policy support to facilitate sustainable AMD management. The study emphasises the necessity of data-driven approaches, sustainable technology and interdisciplinary cooperation to address AMD’s socioeconomic and environmental effects in the ensuing decades. Full article
13 pages, 403 KiB  
Article
“It All Starts by Listening:” Medical Racism in Black Birthing Narratives and Community-Identified Suggestions for Building Trust in Healthcare
by Jasmine Y. Zapata, Laura E. T. Swan, Morgan S. White, Baillie Frizell-Thomas and Obiageli Oniah
Int. J. Environ. Res. Public Health 2025, 22(8), 1203; https://doi.org/10.3390/ijerph22081203 (registering DOI) - 31 Jul 2025
Abstract
This study documents Black Wisconsinites’ birthing experiences and their proposed solutions to improve Black birthing people’s trust in healthcare. Between 2019 and 2022, we conducted semi-structured, longitudinal interviews (both individual and focus group interviews) with those enrolled in a local perinatal support group [...] Read more.
This study documents Black Wisconsinites’ birthing experiences and their proposed solutions to improve Black birthing people’s trust in healthcare. Between 2019 and 2022, we conducted semi-structured, longitudinal interviews (both individual and focus group interviews) with those enrolled in a local perinatal support group program for Black birthing people (N = 25), asking about their pregnancy, birthing, and postpartum experiences and their ideas for building trust in healthcare. Using the Daughtering Method and Braun and Clarke’s method of reflexive thematic analysis, we coded the interview data and then iteratively collated the codes into themes and subthemes. Participants described experiencing medical racism, including healthcare trauma and provider bias, during pregnancy and delivery. They drew connections between those experiences and the distrust they felt toward healthcare providers and the healthcare system. They provided actionable strategies that individual providers and the healthcare system can take to build the trust of Black birthing people: employ more Black providers, listen to Black birthing people, exhibit cultural humility, engage in shared decision-making, build personal connections with patients, and spend more time with patients. This study connects Black birthing people’s experiences of medical racism to feelings of medical distrust and provides community-identified actionable suggestions to build trust and shape how we combat racial disparities in healthcare provision and health outcomes. Full article
(This article belongs to the Special Issue Understanding and Addressing Factors Related to Health Inequalities)
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14 pages, 372 KiB  
Article
Submaximal Oxygen Deficit During Incremental Treadmill Exercise in Elite Youth Female Handball Players
by Bettina Béres, István Györe, Annamária Zsákai, Tamas Dobronyi, Peter Bakonyi and Tamás Szabó
Sports 2025, 13(8), 252; https://doi.org/10.3390/sports13080252 (registering DOI) - 31 Jul 2025
Abstract
Laboratory-based assessment of cardiorespiratory function is a widely applied method in sports science. Most performance evaluations focus on oxygen uptake parameters. Despite the well-established concept of oxygen deficit introduced by Hill in the 1920s, relatively few studies have examined its behavior during submaximal [...] Read more.
Laboratory-based assessment of cardiorespiratory function is a widely applied method in sports science. Most performance evaluations focus on oxygen uptake parameters. Despite the well-established concept of oxygen deficit introduced by Hill in the 1920s, relatively few studies have examined its behavior during submaximal exercise, with limited exploration of deficit dynamics. The present study aimed to analyze the behavior of oxygen deficit in young female handball players (N = 42, age: 15.4 ± 1.3 years) during graded exercise. Oxygen deficit was estimated using the American College of Sports Medicine (ACSM) algorithm, restricted to subanaerobic threshold segments of a quasi-ramp exercise protocol. Cardiorespiratory parameters were measured with the spiroergometry test on treadmills, and body composition was assessed via Dual Energy X-ray Absorptiometry (DEXA). Cluster and principal component analyzes revealed two distinct athlete profiles with statistically significant differences in both morphological and physiological traits. Cluster 2 showed significantly higher relative VO2 peak (51.43 ± 3.70 vs. 45.70 ± 2.87 mL·kg−1·min−1; p < 0.001; Cohen’s d = 1.76), yet also exhibited a greater oxygen deficit per kilogram (39.03 ± 16.71 vs. 32.56 ± 14.33 mL·kg−1; p = 0.018; d = 0.80). Cluster 1 had higher absolute body mass (69.67 ± 8.13 vs. 59.66 ± 6.81 kg; p < 0.001), skeletal muscle mass (p < 0.001), and fat mass (p < 0.001), indicating that body composition strongly influenced oxygen deficit values. The observed differences in oxygen deficit profiles suggest a strong influence of genetic predispositions, particularly in cardiovascular and muscular oxygen utilization capacity. Age also emerged as a critical factor in determining the potential for adaptation. Oxygen deficit during submaximal exercise appears to be a multifactorial phenomenon shaped by structural and physiological traits. While certain influencing factors can be modified through training, others especially those of genetic origin pose inherent limitations. Early development of cardiorespiratory capacity may offer the most effective strategy for long-term optimization. Full article
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52 pages, 2383 KiB  
Review
Enhancing Human Health Through Nutrient and Bioactive Compound Recovery from Agri-Food By-Products: A Decade of Progress
by Cinzia Ingallina, Mattia Spano, Sabrina Antonia Prencipe, Giuliana Vinci, Antonella Di Sotto, Donatella Ambroselli, Valeria Vergine, Maria Elisa Crestoni, Chiara Di Meo, Nicole Zoratto, Luana Izzo, Abel Navarré, Giuseppina Adiletta, Paola Russo, Giacomo Di Matteo, Luisa Mannina and Anna Maria Giusti
Nutrients 2025, 17(15), 2528; https://doi.org/10.3390/nu17152528 (registering DOI) - 31 Jul 2025
Abstract
In light of pressing global nutritional needs, the valorization of agri-food waste constitutes a vital strategy for enhancing human health and nutrition, while simultaneously supporting planetary health. This integrated approach is increasingly indispensable within sustainable and equitable food systems. Recently, a sustainability-driven focus [...] Read more.
In light of pressing global nutritional needs, the valorization of agri-food waste constitutes a vital strategy for enhancing human health and nutrition, while simultaneously supporting planetary health. This integrated approach is increasingly indispensable within sustainable and equitable food systems. Recently, a sustainability-driven focus has shifted attention toward the valorization of the agri-food by-products as rich sources of bioactive compounds useful in preventing or treating chronic diseases. Agri-food by-products, often regarded as waste, actually hold great potential as they are rich in bioactive components, dietary fiber, and other beneficial nutrients from which innovative food ingredients, functional foods, and even therapeutic products are developed. This review aims to provide a comprehensive analysis of the current advances in recovering and applying such compounds from agri-food waste, with a particular focus on their roles in human health, sustainable packaging, and circular economy strategies. Methods: This review critically synthesizes recent scientific literature on the extraction, characterization, and utilization of bioactive molecules from agri-food by-products. After careful analysis of the PubMed and Scopus databases, only English-language articles from the last 10 years were included in the final narrative review. The analysis also encompasses applications in the nutraceutical, pharmaceutical, and food packaging sectors. Results: Emerging technologies have enabled the efficient and eco-friendly recovery of compounds such as polyphenols, carotenoids, and dietary fibers that demonstrate antioxidant, antimicrobial, and anti-inflammatory properties. These bioactive compounds support the development of functional foods and biodegradable packaging materials. Furthermore, these valorization strategies align with global health trends by promoting dietary supplements that counteract the effects of the Western diet and chronic diseases. Conclusions: Valorization of agri-food by-products offers a promising path toward sustainable development by reducing waste, enhancing public health, and driving innovation. This strategy not only minimizes waste and supports sustainability, but also promotes a more nutritious and resilient food system. Full article
(This article belongs to the Special Issue Nutrition 3.0: Between Tradition and Innovation)
26 pages, 5192 KiB  
Review
Application of Multi-Omics Techniques in Aquatic Ecotoxicology: A Review
by Boyang Li, Yizhang Zhang, Jinzhe Du, Chen Liu, Guorui Zhou, Mingrui Li and Zhenguang Yan
Toxics 2025, 13(8), 653; https://doi.org/10.3390/toxics13080653 (registering DOI) - 31 Jul 2025
Abstract
Traditional ecotoxicology primarily investigates pollutant toxicity through physiological, biochemical, and single-molecular indicators. However, the limited data obtained through this approach constrain its application in the mechanistic analysis of pollutant toxicity. Omics technologies have emerged as a major research focus in recent years, enabling [...] Read more.
Traditional ecotoxicology primarily investigates pollutant toxicity through physiological, biochemical, and single-molecular indicators. However, the limited data obtained through this approach constrain its application in the mechanistic analysis of pollutant toxicity. Omics technologies have emerged as a major research focus in recent years, enabling the comprehensive and accurate analysis of biomolecular-level changes. The integration of multi-omics technologies can holistically reveal the molecular toxicity mechanisms of pollutants, representing a primary emphasis in current toxicological research. This paper introduces the fundamental concepts of genomics, transcriptomics, proteomics, and metabolomics, while reviewing recent advancements in integrated omics approaches within aquatic toxicology. Furthermore, it provides a reference framework for the implementation of multi-omics strategies in ecotoxicological investigations. While multi-omics integration enables the unprecedented reconstruction of pollutant-induced molecular cascades and earlier biomarker discovery (notably through microbiome–metabolome linkages), its full potential requires experimental designs, machine learning-enhanced data integration, and validation against traditional toxicological endpoints within environmentally relevant models. Full article
(This article belongs to the Section Ecotoxicology)
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23 pages, 1447 KiB  
Article
Heat Risk Perception and Vulnerability in Puerto Rico: Insights for Climate Adaptation in the Caribbean
by Brenda Guzman-Colon, Zack Guido, Claudia P. Amaya-Ardila, Laura T. Cabrera-Rivera and Pablo A. Méndez-Lázaro
Int. J. Environ. Res. Public Health 2025, 22(8), 1197; https://doi.org/10.3390/ijerph22081197 - 31 Jul 2025
Abstract
Extreme heat poses growing health risks in tropical regions, yet public perception of this threat remains understudied in the Caribbean. This study examines how residents in Puerto Rico perceived heat-related health risks and how these perceptions relate to vulnerability and protective behaviors during [...] Read more.
Extreme heat poses growing health risks in tropical regions, yet public perception of this threat remains understudied in the Caribbean. This study examines how residents in Puerto Rico perceived heat-related health risks and how these perceptions relate to vulnerability and protective behaviors during the extreme heat events of the summer of 2020. We conducted a cross-sectional telephone survey of 500 adults across metropolitan and non-metropolitan areas of Puerto Rico, using stratified probability sampling. The questionnaire assessed heat risk perception, sociodemographic characteristics, health status, prior heat exposure, and heat-related behaviors. While most participants expressed concern about climate change and high temperatures, fewer than half perceived heat as a high level of personal health risk. Higher levels of risk perception were significantly associated with being male, aged 50–64, unemployed, and in fair health, having multiple chronic conditions, and prior experience with heat-related symptoms. Those with symptoms were nearly five times more likely to report high levels of risk perception (OR = 4.94, 95% CI: 2.93–8.34). In contrast, older adults (65+), despite their higher level of vulnerability, reported lower levels of risk perception and fewer symptoms. Nighttime heat exposure was widespread and strongly associated with heat-related symptoms. Common coping strategies included the use of fans and air conditioning, though economic constraints and infrastructure instability limited access. The findings highlight the disparity between actual and perceived vulnerability, particularly among older adults. Public health strategies should focus on risk communication tailored to vulnerable groups and address barriers to heat adaptation. Strengthening heat resilience in Puerto Rico requires improved infrastructure, equitable access to cooling, and targeted outreach. Full article
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24 pages, 1821 KiB  
Review
An Overview on LCA Integration in BIM: Tools, Applications, and Future Trends
by Cecilia Bolognesi, Deida Bassorizzi, Simone Balin and Vasili Manfredi
Digital 2025, 5(3), 31; https://doi.org/10.3390/digital5030031 (registering DOI) - 31 Jul 2025
Abstract
The integration of Life Cycle Assessment (LCA) into Building Information Modeling (BIM) processes is becoming increasingly important for enhancing the environmental performance of construction projects. This scoping review examines how LCA methods and environmental data are currently integrated into BIM workflows, focusing on [...] Read more.
The integration of Life Cycle Assessment (LCA) into Building Information Modeling (BIM) processes is becoming increasingly important for enhancing the environmental performance of construction projects. This scoping review examines how LCA methods and environmental data are currently integrated into BIM workflows, focusing on automation, data standardization, and visualization strategies. We selected 43 peer-reviewed studies (January 2010–May 2025) via structured searches in five major academic databases. The review identifies five main types of BIM–LCA integration workflows; the most common approach involves exporting quantity data from BIM models to external LCA tools. More recent studies explore the use of artificial intelligence for improving automation and accuracy in data mapping between BIM objects and LCA databases. Key challenges include inconsistent levels of data granularity, a lack of harmonized EPD formats, and limited interoperability between BIM and LCA software environments. Visualization methods such as color-coded 3D models are used to support early-stage decision-making, although uncertainty representation remains limited. To address these issues, future research should focus on standardizing EPD data structures, enriching BIM objects with validated environmental information, and developing explainable AI solutions for automated classification and matching. These advancements would improve the reliability and usability of LCA in BIM-based design, contributing to more informed decisions in sustainable construction. Full article
(This article belongs to the Special Issue Advances in Data Management)
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