Search Results (5,174)

Background/Objective: Oral lichen planus (OLP) is a chronic inflammatory disorder of the oral mucosa with unclear etiology. Increasing evidence implicates oral microbial dysbiosis in its pathogenesis, but little is known about supragingival plaque communities in relation to clinical subtypes. This cross-sectional case–control study aimed to characterize the supragingival plaque microbiota and microbial interaction networks in erosive OLP (E-OLP), non-erosive OLP (NE-OLP), and healthy controls (HCs), to elucidate microbial patterns associated with disease severity. Methods: Supragingival plaque samples were collected from 90 participants (30 per group) and analyzed using 16S rRNA gene sequencing. Alpha and beta diversity metrics, differential abundance, and co-occurrence network analyses were performed. Results: E-OLP exhibited pronounced dysbiosis, including the enrichment of pro-inflammatory taxa (e.g., Prevotella, Parvimonas) and depletion of health-associated commensals (e.g., Rothia, Capnocytophaga). Network analysis revealed the stepwise disintegration of microbial community structure from HC to NE-OLP to E-OLP, with reduced connectivity and increased dominance of pathogenic clusters in E-OLP. These microbial alterations aligned with clinical findings, as E-OLP patients showed significantly higher Reticulation/keratosis, Erythema, and Ulceration (REU) scores for erythema and ulceration compared to NE-OLP. Conclusions: Supragingival plaque dysbiosis and ecological disruption are strongly associated with OLP severity and subtype. This study highlights the utility of plaque-based microbial profiling in capturing lesion-proximal dysbiotic signals, which may complement mucosal and salivary analyses in future diagnostic frameworks. Multi-omics approaches incorporating fungal, viral, and metabolic profiling are warranted to fully elucidate host–microbe interactions in OLP. Full article

This study aims to reveal the impact mechanisms of five typical topographic habitats in the Sanjiangyuan region (sunny slope, depression, shady slope, mountain pass, and transitional zone) on the characteristics and functions of rhizosphere soil fungal communities of Kengyilia thoroldiana, and to elucidate the association patterns between these communities and soil physicochemical factors. The species composition, diversity, molecular co-occurrence network, and FUNGuild function of microbial communities were investigated based on high-throughput sequencing technology. By combining the Mantel test and RDA analysis, the key habitat factors affecting the structure of the soil fungal community in the rhizosphere zone of Kengyilia thoroldiana were explored. The results showed that: ① The composition of the soil fungal community in the rhizosphere of Kengyilia thoroldiana in five topographical habitats showed significant differentiation characteristics: the number of OTUs in H2 (depression) and H5 (transitional zone) habitats was the highest (336 and 326, respectively). Habitats H2 showed a significant increase in the abundance of Ascomycota and Mortierellomycota and a significant decrease in the abundance of Basidiomycota compared to the other topographical habitats. ② The diversity and aggregation degree of the soil fungal community in the rhizosphere of Kengyilia thoroldiana in five topographical habitats showed differences. ③ Cluster analysis showed that the rhizosphere soil fungi in five topographical habitats of Kengyilia thoroldiana could be divided into two groups, with H2, H4 (mountain pass), and H5 habitats as one group (group 1) and H1 and H3 (shady slope) as one group (group 2). ④ The characteristics of the Kengyilia thoroldiana community and the physical and chemical properties of rhizosphere soil in five topographical habitats were significantly different, and the height, coverage, biomass, and soil nutrient content were the highest in H2 and H5 habitats, while lower in H1 and H3 habitats, with significant differences (p < 0.05). ⑤ Redundancy analysis showed that soil water content was the main driving factor to change the structure and function of the soil fungal community in the rhizosphere of Kengyilia thoroldiana in five topographic habitats in the Sanjiangyuan region. This study demonstrated that topographic habitats affected the species composition, functional pattern, and ecosystem service efficiency of the Kengyilia thoroldiana rhizosphere fungal community by mediating soil environmental heterogeneity, which provides microbial mechanistic insights for alpine meadow ecosystem protection. Full article

Background/Objectives: Grief in cancer patients represents a multidimensional psychological response encompassing anticipatory, existential, and identity-related distress. While the recent literature has examined grief in caregivers, family members, and even healthcare professionals, the psychological grief experienced by patients themselves following a cancer diagnosis remains comparatively understudied and insufficiently characterized in empirical research. This systematic review aims to evaluate observational studies that used validated psychometric instruments to measure grief in adult cancer patients and to synthesize findings on the significance of grief in this population. Methods: Following PRISMA 2020 guidelines, a systematic search of PubMed, CINAHL, and PsycINFO was conducted to identify observational studies that employed validated tools to assess grief among adult cancer patients. The inclusion criteria required the use of psychometrically validated grief instruments and the collection of quantitative data. Fifteen studies met eligibility criteria and were included in the final analysis. Results: Grief symptoms were consistently present at moderate to high levels across diverse cancer types, care settings, and geographic regions. Preparatory Grief in Advanced Cancer (PGAC) scores often exceeded thresholds associated with clinical concern, with correlations observed between grief and psychological variables such as anxiety (r = 0.63), depression (r = 0.637), hopelessness (r = 0.63), and dignity (r = 0.654). Demographic factors (e.g., younger age, female gender) and illness perceptions (e.g., identity centrality, stigma) further intensified grief. Grief was a predominant psychological concern even when general distress measures failed to capture its presence. Conclusions: Future research is essential to identify an effective public health strategy for addressing grief through structured screening conducted in primary care and outpatient medical settings, coupled with accessible referral pathways to community-based support groups and coordinated follow-up services to facilitate grief management. Full article

Odors from pet cats can negatively affect the quality of life of cat owners. The diverse bioactive compounds in plant extracts make them a promising candidate for effective odor reduction. This study evaluated twelve plant extracts for deodorizing efficacy via in vitro fermentation tests. Rosemary extract and licorice extract exhibited better deodorizing effects, with fractions of rosemary extract below 100 Da demonstrating the most effective deodorizing performance. Based on these findings, subsequent feeding trials were conducted using rosemary extract and its fractions below 100 Da. In the feeding trial, adult British Shorthair cats were divided into three groups (Control Check, RE, and RE100) and housed in a controlled-environment respiration chamber for 30 days. Measurements included odor emissions, fecal and blood physicochemical parameters, immune parameters, microbiota composition based on 16S rRNA sequencing, and metabolome analysis. The results of the feeding trial indicated that rosemary extract significantly reduced ammonia and hydrogen sulfide emissions (46.84%, 41.64%), while fractions below 100 Da of rosemary extract achieved even greater reductions (55.62%, 53.87%). Rosemary extract regulated the intestinal microbial community, significantly increasing the relative abundance of the intestinal probiotic Bifidobacterium (p < 0.05) and reducing the population of sulfate-reducing bacteria (p < 0.05). It also significantly reduced urease and uricase activities (p < 0.05) to reduce ammonia production and inhibited the degradation of sulfur-containing proteins and sulfate reduction to reduce hydrogen sulfide emissions. Furthermore, rosemary extract significantly enhanced the immune function of British Shorthair cats (p < 0.05). This study suggests that rosemary extract, particularly its fractions below 100 Da, is a highly promising pet deodorizer. Full article

This study presents community-specific modeling approaches for simulating power injection from photovoltaic and wind energy systems in a German metropolitan region. Developed within the EMN_SIM project and based on openly accessible datasets, the methods are broadly transferable across Germany. For PV, a cluster-based model groups systems by geographic and technical characteristics, using real weather data to reduce computational effort. Validation against measured specific yields shows strong agreement, confirming energetic accuracy. The wind model operates on a per-turbine basis, integrating technical specifications, land use, and high-resolution wind data. Energetic validation indicates good consistency with Bavarian reference values, while power-based comparisons with selected turbines show reasonable correlation, subject to expected limitations in wind data resolution. The resulting high-resolution generation profiles reveal spatial and temporal patterns valuable for grid planning and targeted policy design. While further validation with additional measurement data could enhance model precision, the current results already offer a robust foundation for urban energy system analyses and future grid integration studies. Full article

Nature-based Solutions (NbS) are increasingly adopted in urban settings to restore ecological functions and enhance biodiversity. This study evaluates the effects of NbS interventions on bird, insect, and plant communities in the Cavalum Valley urban green area, Penafiel (northern Portugal). Over a three-year period, systematic field surveys assessed changes in species richness, abundance, and ecological indicators following actions such as riparian restoration, afforestation, habitat diversification, and invasive species removal. Results revealed a marked increase in bird overall abundance from 538 to 941 individuals and in average pollinator population size from 9.25 to 12.20. Plant diversity also improved, with a rise in native and RELAPE-listed species (5.23%). Functional group analyses underscored the importance of vegetative structure in supporting varied foraging and nesting behaviours. These findings highlight the effectiveness of integrated NbS in enhancing biodiversity and ecological resilience in urban landscapes while reinforcing the need for long-term monitoring to guide adaptive management and conservation planning. Future work could evaluate ecological resilience thresholds and community participation in citizen science monitoring. Full article

This study examines how students perceive factors contributing to their sense of belonging (SoB) in an online project-based master’s course in social innovation, incorporating collaboration with external stakeholders and structured around real-world challenges from external partners. SoB has been shown to impact academic outcomes positively, but online teamwork and collaboration outside the institution walls present unique challenges. The study adopts a qualitative approach and an interpretivist standpoint to find meaningful aspects and generate an understanding of positions among the students. Data was gathered through interviews, allowing students to express their unique experiences and perspectives on SoB in the context of a master’s course, with participants from several countries. Thematic analysis of the interview data identified the following seven categories related to students’ perceived belonging: team formation and trust, personal introductions, group continuity, access to teachers, use of informal communication channels, shared tools, and digital fluency. Furthermore, working towards a common challenge or goal seems to promote SoB among team members. The results indicate that SoB was shaped by multiple interrelated factors, with team-based collaboration and structured group dynamics playing a central role. The study contributes to ongoing research on student belonging by identifying specific practices that may support SoB in digitally supported, team-oriented learning environments. Full article

Background: Pneumococcal vaccination rates in the United States (US) remain suboptimal, especially for adults aged 19 to 64 with high-risk medical conditions. Community-pharmacy-based immunization services increase vaccine access, particularly in rural areas. This study describes the provision of pneumococcal immunization services, assesses the processes used to identify and confirm patient eligibility, and determines barriers to immunization services in rural community pharmacies. Methods: A cross-sectional survey was emailed to members of the Rural Research Alliance of Community Pharmacies, located in the southeastern US. The survey assessed which pneumococcal vaccines were offered, age groups, prescription requirements, and how patient eligibility was determined. In addition, participants were asked to rate a series of patient-related and organizational barriers to pneumococcal vaccination. Results: Ninety-four pharmacies completed the survey, with most (96.8%) offering pneumococcal vaccines, most commonly PCV20 (95.6%). Most pharmacies vaccinated patients upon request (98.9%) or when patients presented with a prescription (82.4%), but few proactively contacted patients to schedule the vaccination (17.6%). Pharmacists most often administered pneumococcal vaccines to patients aged 65 and older and used patient age and immunization information systems to identify eligible patients. The most common patient-related barrier was the patient’s belief that they do not need the vaccine. The most common organizational barriers were inadequate reimbursements for vaccine administration and vaccine products. Conclusions: Pneumococcal vaccinations are commonly offered in rural community pharmacies, which play an important role in immunization access. With recent guideline changes to the age-based recommendation, there is an opportunity to optimize strategies to increase vaccine uptake. Full article

Monsoon evergreen broad-leaved forests (MEBFs) represent one of the most species-rich and structurally complex vegetation types, and one of the most widely distributed forests in Yunnan Province, Southwest China. However, they have yet to undergo a comprehensive analysis on their community diversity, spatial differentiation patterns, and underlying drivers across Yunnan. Based on extensive field surveys during 2021–2024 with 548 MEBF plots, this study employed the Unweighted Pair Group Method for forest community classification and Non-metric Multidimensional Scaling for ordination and interpretation of community–environment association. A total of 3517 vascular plant species were recorded in the plots, including 1137 tree species, 1161 shrubs, and 1219 herbs. Numerical classification divided the plots into 3 alliance groups and 24 alliances: (1) Castanopsis–Schima (Lithocarpus) Forest Alliance Group (16 alliances), predominantly distributed west of 102°E in central-south and southwest Yunnan; (2) Castanopsis–Machilus (Beilschmiedia) Forest Alliance Group (6 alliances), concentrated east of 101°E in southeast Yunnan with limited latitudinal range; (3) Castanopsis–Camellia Forest Alliance Group (2 alliances), restricted to higher-elevation mountainous areas within 103–104° E and 22.5–23° N. Climatic variation accounted for 81.1% of the species compositional variation among alliance groups, with contributions of 83.5%, 57.6%, and 62.1% to alliance-level differentiation within alliance groups 1, 2, and 3, respectively. Precipitation days in the driest quarter (PDDQ) and precipitation seasonality (PS) emerged as the strongest predictors of community differentiation at both alliance group and alliance levels. Topography and soil features significantly influenced alliance differentiation in Groups 2 and 3. Collectively, the interaction between the monsoon climate and topography dominate the spatial differentiation of MEBF communities in Yunnan. Full article

In this paper, unmanned aerial vehicle (UAV)-assisted vehicular communications are investigated to minimize latency and maximize the utilization of available UAV battery power. As communication and cooperation among UAV and vehicles is frequently required, a viable approach is to reduce the transmission of redundant messages. However, when the sensor data captured by the varying number of vehicles is not independent and identically distributed (non-i.i.d.), this becomes challenging. Hence, in order to group the vehicles with similar data distributions in a cluster, we utilize federated learning (FL) based on an attention mechanism. We jointly maximize the UAV’s available battery power in each transmission window and minimize communication latency. The simulation experiments reveal that the proposed personalized FL approach achieves performance improvement compared with baseline FL approaches. Our model, trained on the V2X-Sim dataset, outperforms existing methods on key performance indicators. The proposed FL approach with an attention mechanism offers a reduction in communication latency by up to 35% and a significant reduction in computational complexity without degradation in performance. Specifically, we achieve an improvement of approximately 40% in UAV energy efficiency, 20% reduction in the communication overhead, and 15% minimization in sojourn time. Full article

Background: After an older person moves into a nursing home, the next of kin often continues to participate in the care provided there. This participation in care may contribute valuable knowledge of the preferences and wishes of the older person, thereby helping nursing staff deliver personalised care. Objectives: The aim of this study was to explore how next of kin experience their participation in the care of older persons residing in nursing homes after educating nursing staff about participation in palliative care. Methods: This follow-up study used a qualitative design based on semi-structured interviews with 37 next of kin. A thematic analysis was applied. Results: Participation of the next of kin involved active communication and collaboration with nursing staff, expressed in three themes: striving to achieve co-created care, navigating involvement through presence, and building commitment through communication and information. The dual role of being an emotionally close next of kin and a participant in the relative’s care was challenging and became increasingly burdensome and often overwhelming when the older person’s health deteriorated. Conclusions: This study reveals the need to develop and implement a policy for the participation of next of kin in the care of older people living in nursing homes. In addition, support groups can increase well-being through dialogue with other next of kin, thereby alleviating emotional strain. Increased implementation of life stories and the use of digital communication would keep the next of kin informed about the older person’s condition, especially when they cannot be present in person. Life story is a valuable tool for person-centred care and strengthens the relationships between the next of kin, the older person, and the nursing staff. Full article

The analysis of soil nematode communities provides information on their impact on soil quality and the health of different agricultural cropping systems and soil management practices, which is necessary to evaluate their sustainability. Here, we evaluated the status of nematode communities and trophic groups’ abundance in fifteen fields hosting different cropping systems and managed according to organic or conventional practices. The nematode population densities differed significantly across cropping systems and management types covering various European climatic zones (spanning 121 to 799 individuals per sample). Population density was affected by the duration of the cropping system, with the lowest value in the vegetable cropping system (on average about 300 individuals) and the highest in the long-term fruiting system (on average more than 500 individuals). The occurrence and abundance of the different trophic groups was partly dependent on the cropping system or the management method, particularly for the bacteria, fungal and plant feeders. The taxonomical classification of a subset of samples allowed us to identify 22 genera and one family (Dorylaimidae) within the five trophic groups. Few taxa were observed in all fields and samples (i.e., Rhabditis and Cephalobus), while Aphelenchoides or Pratylenchus were present in the majority of samples. Phosphorus content was the only soil chemical parameter showing a positive correlation with total nematode population and bacterial feeders’ absolute abundance. Based on the nematological ecological indices, all three cropping systems were characterized by disturbed soil conditions, conductive and dominated by bacterivorous nematodes. This knowledge could lead to a choice of soil management practices that sustain a transition toward healthy soils. Full article

The Harry Potter fandom community around the world prefers a universe of wizards and witches that includes all people, but also has concerns about the author’s perspective regarding gender identity. This disjunction paralyzes the cultural reader with moral confusion, which is a danger to their emotional investment in the text. Although scholars have analyzed this phenomenon using fragmented prisms, such as social media activism, cognitive engagement, translation, pedagogy, and fan creativity, there is no unifying model that can be used to understand why reading pleasure endures. This article aims to fill this gap by examining these strands of research in a divergent manner, adopting a convergent mixed-methods study approach. Based on neurocognitive (EEG) values, cross-cultural focus groups, social media analysis, and corpus linguistics, we outline the terrain of reader coping mechanisms. We identify separate fan fractions and examine the corresponding practices. The results are summarized by proposing a model called the MDRL (Moral dissonance repair loop) which is a theoretical model that shows how translation smoothing, pedagogical reframing and fan-based re-moralization interact with one another in creating a system that enables the reader to be collectively able to obtain their relations with the text back to a manageable point and continue being engaged. This model makes a theoretical contribution to new areas in the study of fans, moral psychology, and cognitive literature. Full article

Background and Objectives: Early detection of cognitive decline (CD) is crucial for managing dementia risk factors and preventing disease progression. This study pursues two main objectives: (1) to review existing cognitive screening practices implemented in community pharmacy settings and (2) to characterize the cognitive profile of individuals eligible for screening in this context. Materials and Methods: This study was conducted in two phases. First, a scoping review of cognitive screening tools used in community pharmacies was carried out following PRISMA-ScR guidelines. Second, a cross-sectional study was performed to design and implement a CD screening protocol, assessing cognitive function. Data collection included demographic and clinical variables commonly associated with dementia risk. Decision tree analysis was applied to identify key variables contributing to the cognitive profile of patients eligible for screening. Results: The scoping review revealed that screening approaches differed by country and population, with limited pharmacy involvement suggesting implementation barriers. Cognitive screening was conducted in 18 pharmacies in Valencia, Spain (1.45%), involving 286 regular users reporting Subjective Memory Complaints (SMC). The average age of participants was 71 years, and 74.8% were women. According to the unbiased Gini impurity index, the most relevant predictors of CD—based on the corrected mean decrease in corrected impurity (MDcI), a bias-adjusted measure of variable importance—were age (MDcI: 2.60), internet and social media use (MDcI: 2.43), sleep patterns (MDcI: 1.83), and educational attainment (MDcI: 0.96). Simple decision trees can reduce the need for full screening by 53.6% while maintaining an average sensitivity of 0.707. These factors are essential for defining the profile of individuals who would benefit most from CD screening services. Conclusions: Community pharmacy-based detection of CD shows potential, though its implementation remains limited by issues of consistency and feasibility. Enhancing early dementia detection in primary care settings may be achieved by prioritizing individuals with limited internet and social media use, irregular sleep patterns, and lower education levels. Targeting these groups could significantly improve the effectiveness of CD screening programs. Full article

Objective: There is growing interest in analyzing whether ethical climates influence the emotional states of organizational members. For this reason, the main objective of this study is to evaluate the relationship between a benevolent ethical climate, emotional exhaustion, and depersonalization, taking into account the mediating effect of job autonomy. Methodology: To evaluate the research hypotheses, data were collected from 448 people belonging to six organizations in the Colombian electricity sector. Statistical analysis was performed using two structural equation models (SEMs). Results: The results show that a benevolent climate and its three dimensions (friendship, group interest, and corporate social responsibility) mitigate the negative effect of emotional exhaustion and depersonalization. A work environment focused on people and society triggers positive moods that prevent the loss of valuable psychological resources. On the other hand, job autonomy is a mechanism that has a direct impact on the emotional well-being of employees. Therefore, being able to intentionally direct one’s own sources of energy and motivation prevents an imbalance between resources and demands that blocks the potential effect of emotional exhaustion and depersonalization. Practical implications: This study has important practical implications. First, an ethical climate that seeks to build a caring environment needs to strengthen emotional communication among employees through a high perception of support. Second, organizations need to grow and achieve strategic objectives from a perspective of solidarity. Third, a benevolent ethical climate needs to be nurtured by professionals with a clear vocation for service and a preference for interacting with people. Finally, job autonomy must be accompanied by the necessary time management skills. Social implications: This study highlights the importance to society of an ethical climate based on friendship, group interest, and corporate social responsibility. In a society with a marked tendency to disengage from collective problems, it is essential to make decisions that take into account the well-being of others. Originality/value: This research responds to recent calls for more studies to identify organizational contexts capable of mitigating the negative effects of emotional exhaustion and depersonalization. Full article