Search Results (1,813)

Background: Burnout syndrome (BS) is an occupational phenomenon resulting from chronic workplace stress that has not been successfully managed. Although there are underlying causes associated with personal attributes, it is generally linked to external factors within the work environment. The aim of the present study was to investigate the impact of lifestyle factors on BS and its dimensions, as well as on suicidal ideation among Spanish professionals dedicated to implant dentistry. Methods: A cross-sectional observational study was conducted in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. An electronic survey based on the Maslach Burnout Inventory—Human Services Survey (MBI–HSS) was distributed to members of the Spanish Society of Implants. The data were analysed using descriptive statistical methods. Results: A total of 305 participants (20.9%) responded to the questionnaire. Notably, 10.8% of the professionals reported experiencing suicidal thoughts, a factor significantly associated with the presence of BS. The lifestyle factors associated with BS included the following: not engaging in aerobic exercise for at least 30 min per day (p < 0.05), not having hobbies that facilitate mental disconnection from work (p < 0.001), not following a balanced diet (p < 0.0001), having an insufficient social life (p < 0.0001), and experiencing suicidal ideation (p < 0.01). Conclusions: The surveyed dentists generally reported having healthy lifestyle habits. Nevertheless, one in ten professionals acknowledged having experienced suicidal ideation at some point, highlighting a concerning association with BS. Full article

This paper analyzes the availability of lithium resources required to support a global decarbonized energy system featuring electrical energy storage based on lithium iron phosphate (LFP) batteries. A net-zero carbon grid consisting of existing nuclear and hydro capacity, with the balance being a 50/50 mix of wind and solar power generation, is assumed to satisfy projected world electrical demand in 2050, incorporating the electrification of transportation. The battery electrical storage capacity needed to support this grid is estimated and translated into the required number of nominal 10 MWh LFP storage plants similar to the ones currently in operation. The total lithium required for the global storage system is determined from the number of nominal plants and the inventory of lithium in each plant. The energy required to refine this amount of lithium is accounted for in the estimation of the total lithium requirement. Comparison of the estimated lithium requirements with known global lithium resources indicates that a global storage system consisting only of LFP plants would require only around 12.3% of currently known lithium reserves in a high-economic-growth scenario. The overall cost for a global LFP-based grid-scale energy storage system is estimated to be approximately USD 17 trillion. Full article

Background/Objectives: Neuromodulation is under investigation as a possibly effective add-on therapy in Alzheimer’s disease (AD). While transcranial pulse stimulation (TPS) has shown positive short-term effects, long-term effects have not yet been fully explored. This study aims to evaluate the long-term feasibility, safety, and potential cognitive benefits of TPS over one year in patients with Alzheimer’s disease, focusing on domains such as memory, speech, orientation, visuo-construction, and depressive symptoms. Methods: We analyzed preliminary data from the first ten out of thirty-five patients enrolled in a prospective TPS study who completed one year of follow-up and were included in a dedicated long-term database. The protocol consisted of six initial TPS sessions over two weeks, followed by monthly booster sessions delivering 6000 pulses each for twelve months. Patients underwent regular neuropsychological assessments using the Alzheimer Disease Assessment Scale (ADAS), Mini-Mental Status Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Beck Depression Inventory (BDI-II). All adverse events (AEs) were documented and monitored throughout the study. Results: Adverse events occurred in less than 1% of stimulation sessions and mainly included mild focal pain or transient unpleasant sensations, as well as some systemic behavioral or vigilance changes, particularly in patients with underlying medical conditions, with some potentially related to the device’s stimulation as adverse device reactions (ADRs). Cognitive test results showed significant improvement after the initial stimulation cycle (ADAS total improved significantly after the first stimulation cycle (M_pre = 28.44, M_post = 18.56; p = 0.001, d = 0.80, 95% CI (0.36, 1.25)), with stable scores across all domains over one year. Improvements were most notable in memory, speech, and mood. Conclusions: TPS appears to be a generally safe and feasible add-on treatment for AD, although careful patient selection and monitoring are advised. While a considerable number of participants were lost to follow-up for various reasons, adverse events and lack of treatment effect were unlikely primary causes. A multifocal stimulation approach (F-TOP2) is proposed to enhance effects across more cognitive domains. Full article

Water-ice occurs inside many minor bodies almost throughout the Solar System. To have an overview of the inventory of water-ice in asteroids, beside the general characteristics of their activity, examples are presented with details, including the Hilda zone and among the Trojans. There might be several extinct comets among the asteroids with only internal ice content, demonstrating the complex evolution of such bodies. To evaluate the formation of ice-hosting small objects, their migration and retention capacity by a surface covering dust layer are also overviewed to provide a complex picture of volatile occurrences. This review aims to support further work and search for sublimation-induced activity of asteroids by future missions and telescopic surveys. Based on the observed and hypothesized occurrence and characteristics of icy asteroids, future observation-related estimations were made regarding the low limiting magnitude future survey of LSST/Vera Rubin and also the infrared ice identification by the James Webb space telescope. According to these estimations, there is a high probability of mapping the distribution of ice in the asteroid belt over the next decade. Full article

Background/Objectives: Heart transplantation is a life-saving procedure for patients with end-stage heart failure, yet it involves significant psychological and emotional challenges throughout its various stages. International guidelines recommend a multi-professional approach to the care of these patients and a psycho-social assessment for listing. The recommendations focus on content aspects, but not on the psychometric measure to be administered to patients as part of the assessment. Therefore, the purpose of this study is to provide the preliminary results of administering the protocol used by our center, measuring coping strategies, cognitive functioning, quality of life, and psychological distress in a sample of patients who are candidates for and undergo cardiac transplantation, and to observe any variations after the procedure. Methods: We conducted a comprehensive psychological-clinical assessment involving 40 patients, focusing on psychosocial functioning, cognitive reserves, mental health, and coping strategies. Tools such as the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT), Beck Depression Inventory-II (BDI-II), Montreal Cognitive Assessment (MoCA), General Anxiety Disorder 7 (GAD-7), and Medical Outcomes Survey Short Form 36 (SF-36) were employed to evaluate readiness for transplantation and post-transplant adaptation. Results: Results showed high levels of clinical anxiety (52.5%) and low perceived physical health (98%) before the transplant, while post-operative evaluations indicated reduced anxiety (13.51%) and depressive symptoms (10.81%), along with improved psychological well-being and reintegration into daily life. Conclusions: These results show improvement in physical and cognitive levels, accompanied by a state of enhanced psychological well-being after transplantation. A longitudinal psychological approach, from pre-transplant screening to post-discharge follow-up, is needed to address distress, improve coping mechanisms, and promote treatment adherence. This integrative strategy is critical to improving the quality of life and long-term outcomes for heart transplant recipients. Full article

Demand for mental health support has exerted unprecedented pressure on statutory services. Innovative solutions such as Green or Nature-Based Social Prescribing (NBSP) programmes may help address unmet need, improve access to personalised treatment, and support the sustainable delivery of primary services within a prevention model of population health. We piloted an innovative health economics-informed Social Return on Investment (SROI) analysis and forecast of a ‘Making Well’ therapeutic craft and horticulture programme for mental health between October 2021 and March 2022. Quantitative and qualitative outcome data were collected from participants with mild-to-moderate mental health conditions at baseline and nine-weeks follow-up using a range of validated measures, including the Short Warwick–Edinburgh Mental Well-being Scale, ICEpop CAPability measure for Adults (ICECAP-A), General Self-Efficacy Scale (GSES), and a bespoke Client Service Receipt Inventory (CSRI). The acceptability and feasibility of these measures were explored. Results indicate that the Making Well programme generated well-being-related social value in the range of British Pound Sterling (GBP) GBP 3.30 to GBP 4.70 for every GBP 1 invested. Our initial pilot forecast suggests that the programme has the potential to generate GBP 5.40 to GBP 7.70 for every GBP 1 invested as the programme is developed and delivered over a 12-month period. Despite the small sample size and lack of a control group, our results contribute to the evidence-base for the effectiveness and social return on investment of NBSP as a therapeutic intervention for improving health and well-being and provides an example of the use of health economic well-being outcome measures such as ICECAP-A and CSRIs in social value analysis. Combining SROI evaluation and forecast methodologies with validated quantitative outcome measures used in the field of health economics can provide valuable social cost–benefit evidence to decision-makers. Full article

Forest mortality (FM) is influenced by several independent factors, including forest fragmentation (FF) at different spatial scales and multi-scales, site conditions, and stand characteristics. The aim of this study was to investigate the relationship and effect of FF at various spatial scales on the probability of Scots pine FM. The presented study also analyzed the relationship of the multi-scale fragmentation index effect on forest dieback. The relationship between multiple stressors emphasizes the distinct role of FF in influencing pine FM probability. Data on forest cover, deadwood volume of Scots pine forest, and environmental variables were obtained from the Forest Information System for Europe, the Polish National Forest Inventory, and existing databases, respectively. A generalized additive model approach was used to develop models. The results showed that, at small (50–600 m), large (800–3000 m), and multi spatial scales, the FF effect on Scots pine FM probabilities was statistically significant. There is a partial effect of multi-scale fragmentation on the probability of Scots pine FM, given a holistic view of the fragmentation effect that captures both small and large-scale effects. The study concludes that to calculate FF for a particular area, analyzing different scales and capturing multi-scale level fragmentation indices is crucial to studying the cumulative effect of fragmentation on the probability of Scots pine FM. Full article

The integration of unmanned aerial vehicle (UAV) remote sensing and deep learning has emerged as a highly effective strategy for inventorying forest resources. However, the spatiotemporal variability of forest environments and the scarcity of annotated data hinder the performance of conventional supervised deep-learning models. To overcome these challenges, this study has developed efficient tree (ET), a semi-supervised tree detector designed for forest scenes. ET employed an enhanced YOLO model (YOLO-Tree) as a base detector and incorporated a teacher–student semi-supervised learning (SSL) framework based on pseudo-labeling, effectively leveraging abundant unlabeled data to bolster model robustness. The results revealed that SSL significantly improved outcomes in scenarios with sparse labeled data, specifically when the annotation proportion was below 50%. Additionally, employing overlapping cropping as a data augmentation strategy mitigated instability during semi-supervised training under conditions of limited sample size. Notably, introducing unlabeled data from external sites enhances the accuracy and cross-site generalization of models trained on diverse datasets, achieving impressive results with F1, mAP50, and mAP50-95 scores of 0.979, 0.992, and 0.871, respectively. In conclusion, this study highlights the potential of combining UAV-based RGB imagery with SSL to advance tree species identification in heterogeneous forests. Full article

Background: Medical education is considered one of the most academically and emotionally demanding training programs. Throughout their education, medical students are exposed to various factors that can lead to psychological distress, depression, and anxiety. The aim of this longitudinal study was to examine the changes in psychological distress, depression, anxiety levels and internet addiction among medical students throughout their six-year education and to identify the contributing factors. Methods: The study cohort consisted of 282 students who enrolled in the medical faculty in the 2017–2018 academic year. A questionnaire including sociodemographic characteristics, the General Health Questionnaire-12 (GHQ-12), Beck Depression Inventory (BDI), State–Trait Anxiety Inventory (STAI), and Young Internet Addiction Test (IAT) was administered to the students during the first week of their education. The same questionnaire was readministered at the end of the third and sixth years. Friedman’s variance analysis was used to compare measurement data across the three time points, while Cochran’s Q Test was employed for categorical variables. Results: The median scores of the GHQ-12, BDI, S-Anxiety, and IAT significantly increased from the first to the sixth year (p < 0.05). The prevalence of depressive symptoms, S-Anxiety, and risky internet use significantly increased from the first to the final year, particularly between the third and sixth years. According to logistic regression analysis based on sixth-year data, students whose fathers were university graduates, who had been diagnosed with COVID-19, and who were dissatisfied with their social lives were found to be at increased risk for psychological distress and depression. Students with high parental expectations were found to be at risk of depression and S-anxiety. Those dissatisfied with their occupational choice were at risk for both psychological distress and S-anxiety. Conclusions: It was found that the mental health of medical students deteriorated during their education, especially during the clinical years. Given that these students will be responsible for protecting and improving public health in the future, it is essential to prioritize their own mental well-being. Interventions aimed at preserving the mental health of medical students should be planned. Full article

Current technological development has made the Internet and new technologies increasingly present in people’s lives, expanding their opportunities but also potentially posing risks for dysfunctional use. This study aims to identify psychopathological factors associated with dysfunctional ICT use, extending the evidence beyond the well-established relationships with mood disorders to include personality disorders (i.e., cluster C in particular). A total of 711 participants (75.70% female; Mage = 28.33 years, SD = 12.30) took part in the data collection. Firstly, the results showed positive correlations between higher levels of addictive patterns for the Internet, social networks, smartphones and applications, and video games and higher levels of borderline symptoms as assessed by the Borderline Symptom List 23—Short Version. Moreover, scores reflecting high addictive patterns also positively correlated with general narcissistic traits as indicated by the total score of the Narcissistic Personality Inventory 13—Short Version and those specifically described by its Entitlement/Exploitativeness dimension, as well as with higher levels of almost all the personality traits assessed by the Personality Inventory for DSM 5—Brief Form (i.e., negative affectivity, detachment, disinhibition, and psychoticism). These findings broaden the still scarce body of evidence on the relationship between personality disorders and dysfunctional ICT use, which, however, needs to be further explored. Full article

Active continental margins, generally characterized by narrow shelves incised by canyons, are pervasively shaped by submarine landslides that can occur near coastal areas. In this context, creating landslide susceptibility maps is the first step in landslide geohazard assessment. This paper focuses on shallow-water submarine landslides along the Capo d’Orlando continental margin and presents a related susceptibility map using the Weight of Evidence method. This method quantifies the strength of the association between a landslide inventory and predisposing factors. A geomorphological analysis of the continental shelf and upper slope yielded a landslide inventory of 450 initiation points, which were combined with five specifically selected preconditioning factors. The results revealed that the most favourable conditions for shallow-water landslides include slopes between 5° and 15°, proximity to faults (<1 km), proximity to river mouths (<2 km), the presence of consolidated lithologies and sandy terraces, and slopes facing NE and E. The landslide susceptibility map indicates that susceptible areas are in canyon heads and flanks, as well as in undisturbed slope portions near canyon heads where retrogressive landslides are likely. The model results are robust (AUC = 0.88), demonstrating that this method can be effectively applied in areas with limited geological data for preliminary susceptibility assessments. Full article

Ochrolechia is a diverse and charismatic lineage of both sexually and asexually reproducing lichens, with centers of species richness in northern temperate areas of the world, including North America. As part of recent work to comprehensively inventory the lichens of the Indian Peaks Wilderness (Arapaho–Roosevelt National Forest, Front Range Mountains, Colorado), we discovered material of a sorediate member of the genus to which no existing names could be applied. This material was collected in very remote, extremely difficult-to-access mid-montane forests of the west slope of the Indian Peaks Wilderness, in a steep and jagged off-trail drainage (Hell Canyon). Subsequent study of this material along with review of pre-existing collections at the COLO Herbarium revealed it to represent a new scientific species. We here formally describe Ochrolechia raynori, in honor of Seth Raynor who led the Indian Peaks Wilderness lichen inventory. We additionally document the occurrence of Dactylospora parasitica on this new lichen species. Ochrolechia raynori is distinctive for its continuous, smooth, shiny thallus that bears discrete soralia and coarse soredia, its occurrence on mosses and other lichens that overgrow rocks, and its chemistry. We generated a molecular phylogeny of this and other members of Ochrolechia using the nrITS locus and show O. raynori to be sister to the widespread, sexually reproducing species O. upsaliensis. This occurrence of an asexual species that is sister to a sexual species is consistent with the “species pair” hypothesis in lichenology, which suggests an intimate role of reproductive mode divergence in the process of speciation. Examination of the phylogeny yielded evidence of four additional pairs in Ochrolechia, for a total of five species pairs, which indicates that this phenomenon may be a common occurrence in this lineage. IUCN Conservation Assessment of Ochrolechia raynori revealed the species to be best considered as Critically Endangered. However, we expect that continued efforts to inventory the lichens of the southern Rocky Mountains, especially in some of its wildest, most remote regions in similar habitats, will likely result in the discovery of additional populations of this remarkable new species. Full article

The study aims to increase productivity in the cold room door manufacturing industry by addressing non-value-adding operations, identifying bottlenecks, and reducing processing time through digital twin (DT)-based simulation. The goal is to eliminate the need for supply chain outsourcing and increase overall efficiency. The research involves developing a DT of the existing production process for five distinct categories of cold room doors: flush door, single door, double door, face-mounted door, and sliding door. Simulation was used to uncover problems at multiple stations, encompassing curing, welding, and packing. Lean principles were used to identify the causes of inefficiency, and the process was improved using TRIZ principles. These changes produced a 42.90% improvement in productivity, a 20% dependence reduction on outsourcing and an increase of 10.5% added inventory to the shortage demand level. The approach presented is provided for a particular manufacturer of cold room doors, but the methods and techniques used are generally applicable to other manufacturing companies to support systematic innovation. Combining DT simulation, lean techniques and TRIZ principles, this study presents a strong approach to addressing the productivity challenges in manufacturing. The incorporation of these methods has brought considerable operational efficiency and has minimised dependency on external outsourcing. Full article

Food waste is a global sustainability issue, and in Japan, approximately half of all food waste is generated in households. This study focused on refrigerator management behaviors aimed at using up the food inventory in the home. An intervention study involving 119 households with two or more members across Japan, with a two-week baseline period and a two-week intervention, was conducted. Target behaviors were set as “search food that should be eaten quickly,” “move it to a visible place,” and “use the foods that should be eaten quickly,” and tools to support these behaviors were selected, including an organizer for the refrigerator, photos, and food management apps. Each tool was assigned to approximately 30 households, and a control group was established. Food waste was measured using a cloud-based automatic weighing system, and all participants were asked to separate avoidable food waste at home and dispose of it in the designated waste bin. During the intervention period, the average weekly food waste per household decreased by 29% to 51% in the intervention group, while there was little change in the control group. An analysis using a two-way mixed ANOVA revealed a marginally significant interaction (p < 0.10), indicating moderate effectiveness. Among the behaviors contributing to reduced food waste, three actions—“having trouble not being able to recall food inventory at home during shopping,” “moving foods that should be used sooner,” and “organizing refrigerator”—showed significant interaction effects (p < 0.05) in a two-way mixed ANOVA, indicating the effectiveness of the intervention. Full article

Background/Objectives: Ulcerative colitis (UC) and Crohn’s disease (CD) are two forms of inflammatory bowel disease (IBD), which, despite their shared inflammatory nature, differ markedly in clinical presentation and disease course. In this study, we aimed to explore whether these clinical differences are also reflected at the psychological level. Specifically, we sought to delineate the personality characteristics of a sample of patients with IBD and to investigate psychological and psychopathological differences between individuals with UC and CD. Methods: We enrolled 29 (44.61%) UC patients and 36 (55.39%) CD patients, all aged 18 years or older. Each participant completed the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), which was subsequently scored and interpreted by trained psychologists. The MMPI-2 is a 567-item inventory with dichotomous answers (true/false), providing measures of a wide range of symptoms, beliefs, attitudes, and personality traits. Results: The total sample showed clinically significant elevations on hypochondriasis (Hs), health concerns (HEA), general health concerns (HEA₃), and physical malfunctioning (D₃) scales. UC patients had statistically significant higher scores on hypomania (p = 0.043), lack of ego mastery—defective inhibition (p = 0.006), and fears (p = 0.038) scales than CD patients. On the other hand, CD patients showed statistically significant higher scores on the Overcontrolled Hostility scale (p = 0.043). Conclusions: Both groups of patients experience emotional difficulties related to their clinical conditions, leading to an increased preoccupation with bodily symptoms and illness. These aspects appear to be accompanied by shifts in mood towards a more depressive state. Notably, the UC group demonstrates a greater degree of impairment compared to the CD group, with experiences of anxiety, stress, difficulties in emotional control, and emerging relational challenges. Full article