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Search Results (14,348)

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Keywords = health and safety

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15 pages, 2882 KB  
Article
Adopting Data-Driven Safety Management Strategy for Thermal Runaway Risks of Electric Vehicles: Insights from an Experimental Scenario
by Huxiao Shi, Yunli Xu, Jia Qiu, Yang Xu, Cuicui Zheng, Jie Geng, Davide Fissore and Micaela Demichela
Appl. Sci. 2026, 16(2), 996; https://doi.org/10.3390/app16020996 (registering DOI) - 19 Jan 2026
Abstract
Thermal runaway (TR) of lithium-ion batteries (LIBs) represents a critical safety challenge in EV applications. This study explores the potential of data-driven safety management strategies for mitigating TR risks in EVs. To minimize the impact of external environmental factors on the degradation of [...] Read more.
Thermal runaway (TR) of lithium-ion batteries (LIBs) represents a critical safety challenge in EV applications. This study explores the potential of data-driven safety management strategies for mitigating TR risks in EVs. To minimize the impact of external environmental factors on the degradation of LIBs, experiments were conducted using an accelerating rate calorimeter (ARC). The intrinsic thermal behavior of six nickel–cobalt–manganese (NCM) cells at different states of health (SOH) and operating temperatures has been captured in created adiabatic conditions. Multiple sensors were deployed to monitor the temperature and electrochemical and environmental parameters throughout the degradation process until TR occurred. The results show that both the thermal and electrochemical stability of LIBs have been affected, exhibiting consistent thermal patterns and early electrochemical instability. Furthermore, even under adiabatic conditions, the degradation of LIBs show synergistic effects with environmental parameters such as chamber temperature and pressure. Correlation analysis further revealed the coupling relationships between the monitored parameters. Through calculating their correlation coefficients, the results indicate advantages of combining thermal, electrochemical, and environmental parameters as being to characterize the degradation of LIBs and enhance the identification of TR precursors. These findings stress the importance of considering the battery-environment system as a whole in safety management of EVs. They also provide insights into the development of data-driven safety management strategies, highlighting the potential for achievement and integration of anomaly detection, diagnosis, and prognostics functions in current EV management frameworks. Full article
(This article belongs to the Special Issue Safety and Risk Assessment in Industrial Systems)
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20 pages, 319 KB  
Article
Detecting Heavy Metal Pollution in an Organized Industrial Zone: Soil–Plant Accumulation Patterns in a Medicinal Plant (Calamintha nepeta subsp. glandulosa) and Associated Health and Environmental Risk Implications
by Ibrahim Ilker Ozyigit, Belma Gjergjizi Nallbani, Ibrahim Ertugrul Yalcin, Goksel Demir, Gulten Kasoglu and Bertug Sakin
Toxics 2026, 14(1), 89; https://doi.org/10.3390/toxics14010089 (registering DOI) - 19 Jan 2026
Abstract
Dilovasi district of Kocaeli is one of the largest industrial regions, and due to its high production capacity and industrial waste, the soil heavy metal levels in this region are exceptionally high. Consequently, this study focuses on essential elements (B, Ca, Cr, Cu, [...] Read more.
Dilovasi district of Kocaeli is one of the largest industrial regions, and due to its high production capacity and industrial waste, the soil heavy metal levels in this region are exceptionally high. Consequently, this study focuses on essential elements (B, Ca, Cr, Cu, Fe, K, Mg, Mn, Na, Ni, Zn) and non-essential elements that are considered toxic to humans (Al, Cd, Pb), covering a total of thirteen elements. Accordingly, this study aims to highlight the degree of pollution in a Turkish Organized Industrial Zone located in the Dilovasi district of Kocaeli by quantifying the concentrations of the aforementioned elements in Calamintha nepeta subsp. glandulosa plants and soil samples, and by assessing their potential implications for human health. Significant accumulation of heavy metals in both soils and plant parts suggests that metal contamination, especially that of Fe (up to 1009.2 mg kg−1), is a matter of great concern in the Dilovasi district. The results revealed that the concentrations (mg kg−1) of Cr (23.0 ± 0.1), Fe (1292.5 ± 5.6), Pb (36.9 ± 0.1), Zn (151.2 ± 0.8), and Cd (3.6 ± 0.1) were considerably higher. However, the concentrations of Cu, Mn, and Ni were found to be within the permissible limits in accordance with the American Herbal Products Association and the World Health Organization referenced guideline values. Furthermore, heavy metal concentrations in C. nepeta subsp. glandulosa were generally higher in areas characterized by elevated soil metal levels, indicating a clear correspondence between soil contamination and plant metal content. Based on these findings, C. nepeta subsp. glandulosa, a plant with culinary and medicinal value, can be considered a useful bioindicator for assessing local heavy metal contamination. Full article
(This article belongs to the Section Ecotoxicology)
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13 pages, 1806 KB  
Article
Listeria monocytogenes in Jiaxing: Whole-Genome Sequencing Reveals New Threats to Public Health
by Lei Gao, Wenjie Gao, Ping Li, Miaomiao Jia, Xuejuan Liu, Peiyan He, Henghui Wang, Yong Yan and Guoying Zhu
Pathogens 2026, 15(1), 109; https://doi.org/10.3390/pathogens15010109 - 19 Jan 2026
Abstract
(1) Background: Listeria monocytogenes (Lm) is recognized by the World Health Organization (WHO) as one of the four principal foodborne pathogens. This study aimed to investigate the molecular characteristics of Lm isolates from Jiaxing, China, using whole-genome sequencing (WGS) to enhance our understanding [...] Read more.
(1) Background: Listeria monocytogenes (Lm) is recognized by the World Health Organization (WHO) as one of the four principal foodborne pathogens. This study aimed to investigate the molecular characteristics of Lm isolates from Jiaxing, China, using whole-genome sequencing (WGS) to enhance our understanding of their molecular epidemiology. (2) Methods: A total of 39 foodborne Lm isolates and 7 clinical Lm isolates were analyzed via WGS to identify resistance genes, virulence factors, lineage, sequence type (ST), and clonal complex (CC). Antibiotic susceptibility was assessed using Minimum Inhibitory Concentration (MIC) testing, and serotypes were confirmed via multiplex PCR. (3) Results: We found that 39 food isolates were mainly lineage II (66.67%), with 13 STs; ST8 was the dominant ST, and 2 new types, ST3210 and ST3405, were found. Among the seven clinical isolates, lineage I was dominant (57.14%), and ST87 was the dominant ST. Serotype 1/2a was dominant, accounting for 54.35%, followed by 1/2b, which accounted for 36.96%. The overall antimicrobial resistance rate was 13.04%, with a multidrug resistance rate of 2.17%. All strains harbored LIPI-1 and LIPI-2, and five strains carried LIPI-3 genes: one strain belonged to ST619 of lineage I, two strains belonged to ST224 of lineage I, and two strains belonged to ST11 of lineage II. (4) Conclusions: This study clarified the genotype and serotype characteristics of Listeria monocytogenes in Jiaxing, as well as their molecular characteristics relating to drug resistance and virulence, thus providing a technical basis for improving exposure risk assessment of Listeria monocytogenes. Continuous monitoring, prevention, and control are recommended to further improve regional public health and safety. Full article
(This article belongs to the Section Bacterial Pathogens)
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20 pages, 4401 KB  
Article
Assessing Potentially Toxic Element Contamination in Agricultural Soils of an Arid Region: A Multivariate and Geospatial Approach
by Mansour H. Al-Hashim, Abdelbaset S. El-Sorogy, Suhail S. Alhejji and Naji Rikan
Minerals 2026, 16(1), 93; https://doi.org/10.3390/min16010093 (registering DOI) - 19 Jan 2026
Abstract
Soil contamination by potentially toxic elements (PTEs) is a growing environmental concern, particularly in agricultural regions where soil quality directly affects crop safety and human health. This study evaluates PTE concentrations and ecological risks in agricultural soils of Hautat Sudair, central Saudi Arabia, [...] Read more.
Soil contamination by potentially toxic elements (PTEs) is a growing environmental concern, particularly in agricultural regions where soil quality directly affects crop safety and human health. This study evaluates PTE concentrations and ecological risks in agricultural soils of Hautat Sudair, central Saudi Arabia, using contamination indices, multivariate statistics, and GIS-based spatial modeling supported by RS-derived land use/land cover (LULC) mapping. The results show that the mean concentrations of Ni (35.97 mg/kg) and Mn (1230 mg/kg) exceed international thresholds in several locations, while Pb (8.34 mg/kg), Cr (33.00 mg/kg), Zn (60.09 mg/kg), and As (4.25 mg/kg) remain within permissible limits in most samples. Contamination indices, including the Enrichment Factor (EF), Contamination Factor (CF), and Geo-Accumulation Index (Igeo), highlight hotspot behavior, with isolated sites showing elevated concentrations approaching screening levels (e.g., Pb up to 32.0 mg/kg and Cr up to 52.0 mg/kg), whereas Ni and Mn exhibit the most pronounced local enrichment. The Pollution Load Index (PLI) varies from 0.24 to 0.80, indicating low to moderate contamination levels, while the Risk Index (RI) ranges from 10.43 to 41.38, signifying low ecological risk. Multivariate statistical analyses, including correlation matrices and principal component analysis (PCA), reveal that Ni, Cr, and Mn share a common source, possibly linked to anthropogenic inputs and natural geological background. Kaiser–Meyer–Olkin (KMO) and Bartlett’s test confirm the adequacy of the dataset for PCA (KMO = 0.797; χ2 = 563.845, p < 0.001). Spatial distribution maps generated using GIS and RS highlight contamination hotspots, reinforcing the necessity for periodic monitoring. By integrating indices, multivariate patterns, and spatial context, this study provides a replicable, research-driven framework for interpreting PTE controls in arid agricultural soils. Full article
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23 pages, 1032 KB  
Review
Effects of Cannabidiol on Bone Health: A Comprehensive Scoping Review
by Shabbir Adnan Shakir and Kok-Yong Chin
Biomedicines 2026, 14(1), 208; https://doi.org/10.3390/biomedicines14010208 - 18 Jan 2026
Abstract
Background/objectives: Cannabidiol (CBD) is a non-psychoactive constituent of Cannabis sativa, which has potential skeletal benefits through modulation of bone cell function and inflammatory signalling. However, evidence of its effects and mechanisms in bone health remains fragmented. This scoping review summarised the current [...] Read more.
Background/objectives: Cannabidiol (CBD) is a non-psychoactive constituent of Cannabis sativa, which has potential skeletal benefits through modulation of bone cell function and inflammatory signalling. However, evidence of its effects and mechanisms in bone health remains fragmented. This scoping review summarised the current findings on the impact of CBD on bone outcomes and its mechanisms of action. Methods: A systematic search of PubMed, Scopus, and Web of Science was conducted in October 2025 for original studies published in English, with the primary objective of examining the effects of CBD on bone health, regardless of study design. After applying inclusion and exclusion criteria, 24 primary studies were included. Data on model design, CBD formulation, treatment parameters, bone-related outcomes, and proposed mechanisms were extracted and analysed descriptively. Results: Among the studies included, eleven demonstrated beneficial effects of CBD on bone formation, mineralisation, callus quality, or strength; eleven showed mixed outcomes; and two demonstrated no apparent benefit. Previous studies have shown that CBD suppresses bone resorption by reducing osteoclast differentiation and activity while promoting osteoblast proliferation and matrix deposition. Mechanistically, CBD’s effects involve activation of cannabinoid receptor 2, modulation of the receptor activator of nuclear factor-κB ligand/osteoprotegerin pathway, and regulation of osteoblastogenic and osteoclastogenic signalling through bone morphogenetic protein, Wnt, mitogen-activated protein kinase, nuclear factor-κB, and peroxisome proliferator-activated receptor signalling. The anti-inflammatory and antioxidant actions of CBD further contribute to a favourable bone microenvironment. Conclusions: Preclinical evidence suggests that CBD has a bone-protective role through multifaceted pathways that enhance osteoblast function and suppress osteoclast activity. Nevertheless, robust human trials are necessary to confirm its efficacy, determine its optimal dosing, and clarify its long-term safety. Full article
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31 pages, 4193 KB  
Review
Challenges and Practices in Perishable Food Supply Chain Management in Remote Indigenous Communities: A Scoping Review and Conceptual Framework for Enhancing Food Access
by Behnaz Gharakhani Dehsorkhi, Karima Afif and Maurice Doyon
Int. J. Environ. Res. Public Health 2026, 23(1), 118; https://doi.org/10.3390/ijerph23010118 - 17 Jan 2026
Viewed by 59
Abstract
Remote Indigenous communities experience persistent inequities in access to fresh and nutritious foods due to the fragility of perishable food supply chains (PFSCs). Disruptions across procurement, transportation, storage, retail, and limited local production restrict access to perishable foods, contributing to food insecurity and [...] Read more.
Remote Indigenous communities experience persistent inequities in access to fresh and nutritious foods due to the fragility of perishable food supply chains (PFSCs). Disruptions across procurement, transportation, storage, retail, and limited local production restrict access to perishable foods, contributing to food insecurity and diet-related health risks. This scoping literature review synthesizes evidence from 84 peer-reviewed, grey, and unpublished sources across fourteen countries to map PFSC management (PFSCM) challenges affecting food access in remote Indigenous communities worldwide and to synthesize reported practices implemented to address these challenges. PFSCM challenges were identified across all supply chain levels, and five categories of reported practices emerged: PFSC redesign strategies, forecasting and decision-support models, technological innovations, collaboration and coordination mechanisms, and targeted investments. These findings informed the development of a multi-scalar conceptual framework comprising seven interconnected PFSCM clusters that organize how reported practices are associated with multiple food access dimensions, including quantity, affordability, quality, safety, variety, and cultural acceptability. This review contributes an integrative, system-oriented synthesis of PFSCM research and provides a conceptual basis to support future scholarly inquiry, comparative inquiry, and policy-relevant discussion of food access and health equity in remote Indigenous communities. Full article
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33 pages, 1398 KB  
Article
Dual Pathways to Relief: Local Environment Quality and External Connectivity in Rural Informal Care
by Zhongshi Jiang and Laize Liu
Sustainability 2026, 18(2), 968; https://doi.org/10.3390/su18020968 (registering DOI) - 17 Jan 2026
Viewed by 61
Abstract
As population aging accelerates, the mounting burden on informal family caregivers in areas lacking formal care systems threatens the sustainability of elder care. This study aims at evaluating how the rural living environment and external connectivity jointly alleviate caregiver burden and exploring whether [...] Read more.
As population aging accelerates, the mounting burden on informal family caregivers in areas lacking formal care systems threatens the sustainability of elder care. This study aims at evaluating how the rural living environment and external connectivity jointly alleviate caregiver burden and exploring whether regional accessibility serves as a substitute for local infrastructure deficits. Guided by Ecological Systems Theory, we analyzed a cross-sectional dataset of 327 matched caregiver-recipient dyads from rural China using multivariate regression and mediation models. Results indicate that a favorable local environment reduces burden both directly and indirectly through improved recipient health. Crucially, county-level accessibility moderates this relationship via a substitution effect, where the marginal relief from local environmental improvements is most potent in isolated areas but diminishes where external access is convenient. Dimension-specific analyses show that developmental and physical strains are particularly sensitive to these factors. We conclude that sustaining informal care requires a dual-pathway strategy: prioritizing local “soft” assets like community safety and cultural activities while enhancing regional connectivity to service hubs. Ultimately, this research provides empirical evidence and a theoretical framework for enhancing rural informal care sustainability through environmental optimization, thereby advancing Sustainable Development Goals regarding health, reduced inequalities, and sustainable communities. Full article
(This article belongs to the Section Health, Well-Being and Sustainability)
11 pages, 919 KB  
Systematic Review
Obstructive Sleep Apnea: The Expanding Role of Dental Sleep Medicine—A Systematic Review of Mandibular Advancement Devices, Treatment Efficacy, and Occlusal Complications
by Jędrzej Szmyt, Tymoteusz Szczapa, Maksymilian Chyła, Adam Bęben and Izabela Maciejewska
Dent. J. 2026, 14(1), 62; https://doi.org/10.3390/dj14010062 (registering DOI) - 17 Jan 2026
Viewed by 58
Abstract
Background: Obstructive sleep apnea is characterized by recurrent upper airway obstruction during sleep, leading to intermittent hypoxemia, sleep fragmentation, and excessive daytime sleepiness. Affecting up to 11% of the adult Polish population and more commonly diagnosed in men, OSA poses a major public [...] Read more.
Background: Obstructive sleep apnea is characterized by recurrent upper airway obstruction during sleep, leading to intermittent hypoxemia, sleep fragmentation, and excessive daytime sleepiness. Affecting up to 11% of the adult Polish population and more commonly diagnosed in men, OSA poses a major public health concern due to its association with cardiovascular, metabolic, and neurocognitive complications. This review summarizes the current evidence on diagnostic methods, risk factors, and therapeutic approaches, with particular emphasis on oral appliance therapy using mandibular advancement devices (MADs). Methods: A systematic literature review was conducted using the PubMed and Scopus databases, covering publications from 2020 to 2025, including clinical trials, meta-analyses, and systematic reviews evaluating the efficacy and safety of MAD therapy. Results: Findings demonstrate that MAD effectively reduces apnea–hypopnea index (AHI) values, improves oxygen saturation, and alleviates snoring and daytime fatigue, offering a patient-tolerable alternative for those intolerant to continuous positive airway pressure (CPAP). However, long-term use may cause occlusal or dental changes. Novel techniques, such as Er:YAG laser therapy, show potential in treating mild OSA. Moreover, epidemiological data suggest a correlation between tooth loss and an increased risk of OSA, particularly among men over 65. Conclusions: Dentists play a pivotal role in early detection, screening, and interdisciplinary management of OSA, underscoring the importance of collaboration between dental professionals and sleep medicine specialists for comprehensive care. Full article
(This article belongs to the Topic Oral Health Management and Disease Treatment)
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16 pages, 2458 KB  
Article
Reducing Aflatoxin Accumulation in Maize: Development and Performance of a Novel Biological Input
by Paloma Rhein, Marianela Bossa, María del Pilar Monge, Diego Giovanini, César Alfredo Barbero, Sofía Noemí Chulze, María Laura Chiotta and María Silvina Alaniz-Zanon
Toxins 2026, 18(1), 49; https://doi.org/10.3390/toxins18010049 (registering DOI) - 17 Jan 2026
Viewed by 59
Abstract
Aflatoxin contamination of maize by Aspergillus section Flavi constitutes a major health and economic concern. While biological control using non-toxigenic strains has proven effective, the increasing global food demand underscores the need for alternative carrier materials to replace seeds and grains. The aims [...] Read more.
Aflatoxin contamination of maize by Aspergillus section Flavi constitutes a major health and economic concern. While biological control using non-toxigenic strains has proven effective, the increasing global food demand underscores the need for alternative carrier materials to replace seeds and grains. The aims of the present study were (1) to develop an innovative macroporous starch polymer in which the biocontrol agent can grow and be transported to fields where the bioformulate is applied, and (2) to evaluate the effectiveness of this new formulate in reducing AF contamination in maize kernels in field trials, in comparison with the traditional formulate based on long-grain rice as a substrate. Several methods and different starch sources were tested, and the formulation consisting of 10% maize starch, 0.5% citric acid, 3% sucrose, 0.3% urea, and distilled water was the most effective. Furthermore, this bioformulate demonstrated a performance comparable to that of the traditional long-grain rice-based formulation, reducing AF accumulation by up to 81% in maize kernels under field conditions. The implementation of this macroporous starch polymer-based formulation, in combination with the biological control agent A. flavus AFCHG2, would not only reduce aflatoxin contamination in maize kernels but also minimise the use of food-grade seeds and grains for industrial purposes, thereby preserving their availability for human and animal nutrition. Consequently, this development could enhance the availability of these substrates for food and feed use, thereby contributing to improved safety and food security. Full article
(This article belongs to the Special Issue Mycotoxins in Food Safety: Challenges and Biocontrol Strategies)
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21 pages, 1690 KB  
Article
Hazardous Heritage: From CMP to Hazard-Aware Conservation—A Framework for Polluted Industrial Heritage
by Anna Orchowska and Jakub Szczepański
Sustainability 2026, 18(2), 957; https://doi.org/10.3390/su18020957 (registering DOI) - 17 Jan 2026
Viewed by 145
Abstract
Industrial heritage sites hold significant historical and architectural value and their attractive urban locations make them frequent targets for adaptive reuse. Yet decades of industrial activity have left hazardous residues embedded in building fabric, posing risks to public health. Current conservation practice rarely [...] Read more.
Industrial heritage sites hold significant historical and architectural value and their attractive urban locations make them frequent targets for adaptive reuse. Yet decades of industrial activity have left hazardous residues embedded in building fabric, posing risks to public health. Current conservation practice rarely incorporates systematic identification and mapping of such contamination, creating a critical gap that can undermine both safety and the authenticity and integrity of historical material layers. This article proposes an interdisciplinary methodological framework for identifying, analysing, and managing contamination in post-industrial heritage. The model extends the Conservation Management Plan (CMP) by integrating chemical and toxicological analyses, GIS-based diagnostics, and ontological data modelling (CIDOC CRM). It supports value-based decision-making by enabling the safe recognition and preservation of historical layers that may contain toxic residues. The framework is being tested at the former Gdańsk Shipyard through integrated historical research, conservation surveys, and laboratory analyses to assess its applicability and scalability. The proposed approach is intended as a transferable tool for managing polluted heritage environments, aligned with SDGs 11 and 12. Full article
(This article belongs to the Section Tourism, Culture, and Heritage)
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18 pages, 609 KB  
Article
Examining the Mediating Role of Eco-Anxiety in the Effect of Environmental Sensitivity on Sustainable Consumption Behavior
by Hacer Handan Demir and Fahri Oluk
Sustainability 2026, 18(2), 953; https://doi.org/10.3390/su18020953 (registering DOI) - 16 Jan 2026
Viewed by 99
Abstract
This study aims to examine the relationships among environmental sensitivity, eco-anxiety, and sustainable consumption behavior, thereby revealing how these variables interact within the framework of sustainability psychology. Conducted with a sample of 406 university students in Türkiye, the research employed a quantitative and [...] Read more.
This study aims to examine the relationships among environmental sensitivity, eco-anxiety, and sustainable consumption behavior, thereby revealing how these variables interact within the framework of sustainability psychology. Conducted with a sample of 406 university students in Türkiye, the research employed a quantitative and cross-sectional design, and the proposed relationships were tested using structural equation modeling (SEM). The findings indicate that environmental sensitivity significantly predicts sustainable consumption behavior both directly and indirectly through eco-anxiety. Eco-anxiety was found to play a partial mediating role in the relationship between environmental sensitivity and sustainable consumption. In addition, the moderating effect of gender was investigated, and no significant differences were observed between women and men regarding the structural paths of the model. Overall, the results demonstrate that sustainable consumption behaviors are shaped not only by cognitive processes but also by emotional mechanisms, suggesting that eco-anxiety, as a motivational emotional response, may strengthen sustainable behavior. This study contributes to the environmental psychology literature by theoretically and empirically highlighting the decisive role of emotional processes in shaping sustainable behavior. The findings also provide important practical implications for sustainability policies, environmental education, and communication strategies. Full article
(This article belongs to the Section Environmental Sustainability and Applications)
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18 pages, 1191 KB  
Article
Diabetic Kidney Disease Associated with Chronic Exposure to Low Doses of Environmental Cadmium
by Soisungwan Satarug, Tanaporn Khamphaya, Donrawee Waeyeng, David A. Vesey and Supabhorn Yimthiang
Stresses 2026, 6(1), 4; https://doi.org/10.3390/stresses6010004 (registering DOI) - 16 Jan 2026
Viewed by 63
Abstract
Accumulating evidence suggests that exposure to pollution from environmental cadmium (Cd) contributes to diabetic kidney disease as indicated by albuminuria and a progressive decrease in the estimated glomerular filtration rate (eGFR). This study examined the effects of Cd exposure on eGFR and the [...] Read more.
Accumulating evidence suggests that exposure to pollution from environmental cadmium (Cd) contributes to diabetic kidney disease as indicated by albuminuria and a progressive decrease in the estimated glomerular filtration rate (eGFR). This study examined the effects of Cd exposure on eGFR and the excretion rates of albumin (Ealb) and β2-microglobulin (Eβ2M) in 65 diabetics and 72 controls. Excretion of Cd (ECd) was a measure of exposure, while excretion of N-acetylglucosaminidase (ENAG) reflected the extent of kidney tubular cell injury. In participants with an elevated excretion of Eβ2M, the prevalence odds ratios (POR) for a reduced eGFR rose 6.4-fold, whereas the POR for albuminuria rose 4.3-fold, 4.1-fold, and 2.8-fold in those with a reduced eGFR, diabetes, and hypertension, respectively. Using covariance analysis, which adjusted for the interactions, 43% of the variation in Ealb among diabetics could be explained by female gender (η2 = 0.176), ENAG2 = 0.162), hypertension (η2 = 0.146), smoking (η2 = 0.107), and body mass index (η2 = 0.097), while the direct contribution of ECd to Ealb variability was minimal (η2 = 0.005). Results from a mediating-effect analysis imply that Cd could contribute to albuminuria and a falling eGFR through inducing tubular cell injury, leading to reduced reabsorption of albumin and β2M. Full article
(This article belongs to the Section Animal and Human Stresses)
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20 pages, 1051 KB  
Article
Nurses’ Clinical Reasoning Process: A Grounded Theory Study
by Susana Mendonça
Healthcare 2026, 14(2), 230; https://doi.org/10.3390/healthcare14020230 - 16 Jan 2026
Viewed by 69
Abstract
Background: Nurses’ clinical reasoning is increasingly being recognized as a core competence that enhances the quality and safety of care across diverse healthcare settings. Nurses with refined clinical reasoning skills contribute significantly to improved health outcomes and broader health gains. In emergency [...] Read more.
Background: Nurses’ clinical reasoning is increasingly being recognized as a core competence that enhances the quality and safety of care across diverse healthcare settings. Nurses with refined clinical reasoning skills contribute significantly to improved health outcomes and broader health gains. In emergency departments, this competence is essential to rapidly assessing complex problems, anticipating complications, and preventing the deterioration of patients’ clinical conditions. Such expertise enables nurses to discern the severity of clinical situations quickly and intervene effectively. Objectives: The aims of this study were to analyze the clinical reasoning process of nurses and develop a theory that explains this process in emergency care settings. Methodology: This qualitative study explored the following research question: “How do nurses enact the clinical reasoning process in emergency departments?” The Grounded Theory methodology was used, with a theoretical sample of 20 nurses. Data collection methods included in-depth interviews, participant observation, and field notes. Results: The theoretical analysis identified clinical reasoning as a substantive theory composed of two subprocesses: Diagnostic Nursing Assessment and Therapeutic Nursing Intervention. Nurses’ clinical reasoning determines two levels of patient severity—Level I, life-threatening situations (immediate risk), and Level II, non-life-threatening situations (expressed problems)—according to which nursing interventions are adjusted. Conclusions: The Nursing Clinical Reasoning Model is a dynamic and continuous process that involves both Diagnostic Nursing Assessment and Nursing Therapeutic Intervention. It is deeply rooted in the nurse–patient–family relationship and is shaped by the specific care context, which influences nurses’ assessments and interventions and patients’ responses and behaviors. Full article
(This article belongs to the Special Issue Clinical Reasoning in Primary Care)
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14 pages, 1350 KB  
Review
Current and Emerging Energy Sources for Atrial Fibrillation Ablation: A Comparative Analysis of Clinical Efficacy, Safety, and Procedural Implementation
by Cristian Martignani, Giulia Massaro, Alberto Spadotto, Jennifer Oppimitti, Maria Carelli, Andrea Angeletti, Alessandro Carecci, Igor Diemberger and Mauro Biffi
J. Clin. Med. 2026, 15(2), 751; https://doi.org/10.3390/jcm15020751 - 16 Jan 2026
Viewed by 78
Abstract
Atrial fibrillation (AF) management has historically relied on thermal ablation modalities—radiofrequency (RF) and cryoballoon—which have established a high benchmark for pulmonary vein isolation (PVI). However, the inherent risk of collateral thermal injury and lesion inconsistency has driven the search for alternative energy sources. [...] Read more.
Atrial fibrillation (AF) management has historically relied on thermal ablation modalities—radiofrequency (RF) and cryoballoon—which have established a high benchmark for pulmonary vein isolation (PVI). However, the inherent risk of collateral thermal injury and lesion inconsistency has driven the search for alternative energy sources. The recent clinical adoption of pulsed-field ablation (PFA), based on irreversible electroporation, represents a significant technological evolution. This narrative review provides a critical appraisal of the transition from thermal to pulsed-field technologies. We synthesized data from pivotal trials and recent health-economic analyses to evaluate the biophysical mechanisms, clinical efficacy, and safety profiles of contemporary devices. We conduct a head-to-head comparison of all modalities regarding critical safety endpoints (esophageal, neurological, and vascular), real-world procedural challenges (anesthesia, lesion assessment), and economic sustainability. While PFA offers distinct advantages in procedural speed and tissue selectivity, we highlight that thermal modalities—particularly cryoballoon and very-high-power RF—retain competitive profiles in terms of cost-effectiveness and established long-term durability. This review aims to provide a balanced roadmap for clinicians navigating the complex choice between established thermal efficacy and the promising, yet evolving, landscape of electroporation. Full article
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23 pages, 5058 KB  
Article
Research on State of Health Assessment of Lithium-Ion Batteries Using Actual Measurement Data Based on Hybrid LSTM–Transformer Model
by Hanyu Zhang and Jifei Wang
Symmetry 2026, 18(1), 169; https://doi.org/10.3390/sym18010169 - 16 Jan 2026
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Abstract
An accurate assessment of the state of health (SOH) of lithium-ion batteries (LIBs) is crucial for ensuring the safety and reliability of energy storage systems and electric vehicles. However, existing methods face challenges: physics-based models are computationally complex, traditional data-driven methods rely heavily [...] Read more.
An accurate assessment of the state of health (SOH) of lithium-ion batteries (LIBs) is crucial for ensuring the safety and reliability of energy storage systems and electric vehicles. However, existing methods face challenges: physics-based models are computationally complex, traditional data-driven methods rely heavily on manual feature engineering, and single models lack the ability to capture both local and global degradation patterns. To address these issues, this paper proposes a novel hybrid LSTM–Transformer model for LIB SOH estimation using actual measurement data. The model integrates Long Short-Term Memory (LSTM) networks to capture local temporal dependencies with the Trans-former architecture to model global degradation trends through self-attention mechanisms. Experimental validation was conducted using eight 18650 Nickel Cobalt Manganese (NCM) LIBs subjected to 750 charge–discharge cycles under room temperature conditions. Sixteen statistical features were extracted from voltage and current data during constant current–constant voltage (CC-CV) phases, with feature selection based on the Pearson correlation coefficient and maximum information coefficient analysis. The proposed LSTM–Transformer model demonstrated superior performance compared to the standalone LSTM and Transformer models, achieving a mean absolute error (MAE) as low as 0.001775, root mean square error (RMSE) of 0.002147, and mean absolute percentage error (MAPE) of 0.196% for individual batteries. Core features including cumulative charge (CC Q), charging time, and voltage slope during the constant current phase showed a strong correlation with the SOH (absolute PCC > 0.8). The hybrid model exhibited excellent generalization across different battery cells with consistent error distributions and nearly overlapping prediction curves with actual SOH trajectories. The symmetrical LSTM–Transformer hybrid architecture provides an accurate, robust, and generalizable solution for LIB SOH assessment, effectively overcoming the limitations of traditional methods while offering potential for real-time battery management system applications. This approach enables health feature learning without manual feature engineering, representing an advancement in data-driven battery health monitoring. Full article
(This article belongs to the Section Engineering and Materials)
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