Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Article Types

Countries / Regions

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Search Results (12,732)

Search Parameters:
Keywords = influencing factors determination

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
26 pages, 423 KiB  
Article
Pro-Environmental Behavior and Attitudes Towards Recycling in Slovak Republic
by Silvia Lorincová and Mária Osvaldová
Recycling 2025, 10(4), 159; https://doi.org/10.3390/recycling10040159 (registering DOI) - 7 Aug 2025
Abstract
Climate changes have increased interest in the circular economy, an alternative model that seeks to minimize environmental impact and maximize resource reuse. A key element of this model is individuals’ behaviors and attitudes, which determine the overall efficiency of recycling processes. The study [...] Read more.
Climate changes have increased interest in the circular economy, an alternative model that seeks to minimize environmental impact and maximize resource reuse. A key element of this model is individuals’ behaviors and attitudes, which determine the overall efficiency of recycling processes. The study fills the gap by investigating how selected socio-demographic factors affect attitudes and intentions toward recycling and material reuse in the Slovak Republic, by using the Perceived Characteristics of Innovating (PCI) framework. Through a two-way ANOVA, we tested the hypotheses that higher education correlates with stronger recycling attitudes and that women are more willing than men to engage in circular practices. The results show that gender differences in consumer attitudes towards the circular economy do occur, but their magnitude is often conditioned by education level. Education proved to be the strongest predictor of ecological behavior: respondents with higher education reported stronger beliefs in the importance of recycling and a greater willingness to act sustainably. The interaction between gender and education revealed that university-educated women hold the most pronounced pro-environmental attitudes, underscoring the importance of gender-sensitive educational strategies. It is recommended that environmental education and outreach focus on less-educated groups, particularly women, who have high potential to influence their communities. Full article
45 pages, 3787 KiB  
Review
Electromigration Failures in Integrated Circuits: A Review of Physics-Based Models and Analytical Methods
by Ping Cheng, Ling-Feng Mao, Wen-Hao Shen and Yu-Ling Yan
Electronics 2025, 14(15), 3151; https://doi.org/10.3390/electronics14153151 (registering DOI) - 7 Aug 2025
Abstract
Electromigration (EM), current-driven atomic diffusion in interconnect metals, critically threatens integrated circuit (IC) reliability via void-induced open circuits and hillock-induced short circuits. This review examines EM’s physical mechanisms, influencing factors, and advanced models, synthesizing seven primary determinants: current density, temperature, material properties, microstructure, [...] Read more.
Electromigration (EM), current-driven atomic diffusion in interconnect metals, critically threatens integrated circuit (IC) reliability via void-induced open circuits and hillock-induced short circuits. This review examines EM’s physical mechanisms, influencing factors, and advanced models, synthesizing seven primary determinants: current density, temperature, material properties, microstructure, geometry, pulsed current, and mechanical stress. It dissects the coupled contributions of electron wind force (dominant EM driver), thermomigration (TM), and stress migration (SM). The review assesses four foundational modeling frameworks: Black’s model, Blech’s criterion, atomic flux divergence (AFD), and Korhonen’s theory. Despite advances in multi-physics simulation and statistical EM analysis, achieving predictive full-chip assessment remains computationally challenging. Emerging research prioritizes the following: (i) model order reduction methods and machine-learning solvers for verification of EM in billion-scale interconnect networks; and (ii) physics-informed routing optimization to inherently eliminate EM violations during physical design. Both are crucial for addressing reliability barriers in IC technologies and 3D heterogeneous integration. Full article
(This article belongs to the Section Electronic Materials, Devices and Applications)
Show Figures

Figure 1

49 pages, 2481 KiB  
Review
A Comprehensive Review of Numerical and Machine Learning Approaches for Predicting Concrete Properties: From Fresh to Long-Term
by Nilam Adsul, Yongho Choi and Su-Tae Kang
Materials 2025, 18(15), 3718; https://doi.org/10.3390/ma18153718 (registering DOI) - 7 Aug 2025
Abstract
The growing demand for innovation and the use of diverse materials in cementitious composites necessitate predictive models that account for material variability. Numerical, code-based, and machine learning (ML) models have been developed to predict various concrete properties. However, their accuracy is significantly influenced [...] Read more.
The growing demand for innovation and the use of diverse materials in cementitious composites necessitate predictive models that account for material variability. Numerical, code-based, and machine learning (ML) models have been developed to predict various concrete properties. However, their accuracy is significantly influenced by factors such as mix design, composition, intrinsic properties, and external conditions. Developing robust models that integrate these variables is essential for improving predictive accuracy and optimizing material performance. This paper presents a comprehensive review of numerical, code-based, and ML modelling techniques for predicting both fresh and long-term concrete properties. Since both numerical and ML models rely on experimental data—either to determine coefficients in numerical approaches or to train ML models—data gathering, preprocessing, and handling are crucial for model performance. Previous studies indicated that data variability significantly impacts accuracy, emphasizing the importance of effective preprocessing. While larger datasets generally improve reliability, some models achieve high accuracy even with very limited data. This review not only demonstrates the superior performance of ML models over traditional numerical approaches but also highlights the relative effectiveness of different ML algorithms based on reported accuracy metrics. ML-based approaches, including both ensemble and non-ensemble models, have exhibited strong predictive capabilities across a wide range of concrete property categories. In contrast, traditional numerical models often yield lower accuracy, although modified versions that incorporate additional parameters have shown improved performance. Furthermore, the integration of optimization algorithms and interpretability tools enhances both predictive reliability and model transparency—critical aspects that are often overlooked. Full article
Show Figures

Figure 1

11 pages, 746 KiB  
Article
Hyperglycemia as the Most Important Risk Factor for Serum Hypomagnesemia in Metabolic Syndrome
by Szymon Suwała and Roman Junik
Diabetology 2025, 6(8), 82; https://doi.org/10.3390/diabetology6080082 - 7 Aug 2025
Abstract
Metabolic syndrome comprises a constellation of comorbidities, including obesity, hypertension, and disorders in carbohydrate and lipid metabolism, associated with an elevated risk of cardiovascular mortality. Obesity is regarded as the principal cause of metabolic syndrome (both collectively and in relation to its components), [...] Read more.
Metabolic syndrome comprises a constellation of comorbidities, including obesity, hypertension, and disorders in carbohydrate and lipid metabolism, associated with an elevated risk of cardiovascular mortality. Obesity is regarded as the principal cause of metabolic syndrome (both collectively and in relation to its components), frequently linked in previous scientific studies with a deficiency of magnesium, one of the most important cations found in the human body. Objectives: The objective of this study was to assess the prevalence of hypomagnesemia in patients with metabolic syndrome and to determine the most significant risk factor among its components for this nutritional deficiency. Methods: Retrospective medical data from 403 patients admitted to the hospital for conditions unrelated to magnesium levels from 2015 to 2019 were evaluated, encompassing serum magnesemia and specific data about components of metabolic syndrome. Data underwent statistical analysis, including linear and logistic regression, to assess the principal risk variables of hypomagnesemia. Results: Hypomagnesemia was observed in 14.89% of the patients with metabolic syndrome, exhibiting a 2.42-fold greater risk of this deficiency (95%CI: 1.40–3.40). Among the components of metabolic syndrome, hyperglycemia emerged as the most significant determinant affecting both the incidence and severity of hypomagnesemia, elevating the risk by a ratio of 2.72 (95%CI: 1.52–4.87). In the multivariate regression model, hyperglycemia was the sole factor independently influencing magnesium concentration (β = −0.145; p < 0.001). Conclusions: Patients presenting signs of metabolic syndrome are at heightened risk for hypomagnesemia. Hyperglycemia appears to be the most important variable affecting the risk of magnesium insufficiency; however, additional research is needed in this area. Full article
(This article belongs to the Special Issue Obesity and Diabetes: Healthy Lifestyle Choices)
Show Figures

Graphical abstract

18 pages, 971 KiB  
Article
Optimization of Activated Rubber Asphalt Production Parameters Based on Rheological Properties and Multi-Index Evaluation
by Jing Zhao, Xiangqing Zhao, Bo Li, Yongning Wang, Huan Zhao and Kai Kang
Materials 2025, 18(15), 3712; https://doi.org/10.3390/ma18153712 - 7 Aug 2025
Abstract
This study presents a method to more reasonably control the quality performance of activated rubber asphalt by microwave activation. Different activated rubber asphalt preparation process parameters (reaction temperature, stirring rate, and reaction time) were selected to explore the influence of different process parameters [...] Read more.
This study presents a method to more reasonably control the quality performance of activated rubber asphalt by microwave activation. Different activated rubber asphalt preparation process parameters (reaction temperature, stirring rate, and reaction time) were selected to explore the influence of different process parameters on the macroscopic properties of rubber asphalt, and a multi-indicator evaluation model was set up using the theoretical method of the RSR model to determine the optimal production process parameters. The results showed that reaction temperature had the strongest influence (gray correlation > 0.85) among production parameters, followed by stirring rate and reaction time. The optimal parameters identified were a reaction temperature of 220 °C, a stirring rate of 1000 rpm, and a reaction time of 120 min, under which the viscosity–temperature sensitivity decreased by approximately 18%, and the rutting factor (G*/sinδ) increased by over 20%, indicating significant improvements in rheological stability and high-temperature performance. The integrated evaluation approach provided reliable and practical guidance for producing high-performance activated rubber asphalt. Full article
(This article belongs to the Special Issue Development of Sustainable Asphalt Materials)
Show Figures

Figure 1

24 pages, 10858 KiB  
Article
The Distribution Characteristics and Influencing Factors of Global Armed Conflict Clusters
by Mengmeng Hao, Shijia Ma, Dong Jiang, Fangyu Ding, Shuai Chen, Jun Zhuo, Genan Wu, Jiping Dong and Jiajie Wu
Systems 2025, 13(8), 670; https://doi.org/10.3390/systems13080670 - 7 Aug 2025
Abstract
Understanding the spatial dynamics and drivers of armed conflict is crucial for anticipating risk and informing targeted interventions. However, current research rarely considers the spatio-temporal clustering characteristics of armed conflicts. Here, we assess the distribution dynamics and driving factors of armed conflict from [...] Read more.
Understanding the spatial dynamics and drivers of armed conflict is crucial for anticipating risk and informing targeted interventions. However, current research rarely considers the spatio-temporal clustering characteristics of armed conflicts. Here, we assess the distribution dynamics and driving factors of armed conflict from the perspective of armed conflict clusters, employing complex network dynamic community detection methods and interpretable machine learning approaches. The results show that conflict clusters vary in terms of regional distribution. Sub-Saharan Africa boasts the highest number of conflict clusters, accounting for 37.9% of the global total and covering 40.4% of the total cluster area. In contrast, South Asia and Afghanistan, despite having a smaller proportion of clusters at 12.1%, hold the second-largest cluster area, which is 18.1% of the total. The characteristics of different conflict networks are influenced by different factors. Historical exposure, socio-economic deprivation, and spatial structure are the primary determinants of conflict patterns, while climatic variables contribute less prominently as part of a broader system of environmental vulnerability. Moreover, the influence of driving factors shows spatial heterogeneity. By integrating cluster-level analysis with interpretable machine learning, this study offers a novel perspective for understanding the multidimensional characteristics of armed conflicts. Full article
Show Figures

Figure 1

21 pages, 3287 KiB  
Article
Experimental and Quantum Mechanical Studies of Efficient Re(VII)/Mo(VI) Separation by a Magnetic Amino-Functionalized Polymer
by Bojana Marković, Goran Janjić, Antonije Onjia, Tamara Tadić, Plamen Stefanov and Aleksandra Nastasović
Separations 2025, 12(8), 206; https://doi.org/10.3390/separations12080206 - 7 Aug 2025
Abstract
A previously synthesized and functionalized magnetic glycidyl methacrylate-based nanocomposite, mPGMT-deta, was tested as a sorbent for Re(VII) oxoanions in Mo(VI)-containing solutions. The effect of pH on the removal efficiency and the separation factor was examined in the range of 2 to 9. A [...] Read more.
A previously synthesized and functionalized magnetic glycidyl methacrylate-based nanocomposite, mPGMT-deta, was tested as a sorbent for Re(VII) oxoanions in Mo(VI)-containing solutions. The effect of pH on the removal efficiency and the separation factor was examined in the range of 2 to 9. A maximum separation factor (βRe/Mo) of 8.85 was observed at pH 6. The nature of rhenium oxoanions binding to the active sites of mPGMT-deta was analyzed using density functional theory (DFT). The calculations indicated that the formation of MoO42−//hedetaH22+ adduct is electrostatically favored at pH 6, while the inclusion of solvation effects makes the formation of ReO4//hedetaH22+ adduct thermodynamically more favorable. Solvation played a dominant role in determining the selectivity of oxoanion sorption to the nanocomposite. The adsorption isotherm, kinetics, and thermodynamics of Re(VII) onto mPGMT-deta were determined. The equilibrium data were best-fitted using the Langmuir adsorption model (R2 = 0.999), with a maximum sorption capacity for Re(VII) of 0.43 mmol/g. The uptake kinetics of the sorption process obeyed the pseudo-second-order model, with the influence of diffusion and external mass transfer. Based on the thermodynamic parameters, Re(VII) sorption was spontaneous and endothermic. Full article
Show Figures

Figure 1

19 pages, 371 KiB  
Review
Human Breast Milk as a Biological Matrix for Assessing Maternal and Environmental Exposure to Dioxins and Dioxin-like Polychlorinated Biphenyls: A Narrative Review of Determinants
by Artemisia Kokkinari, Evangelia Antoniou, Kleanthi Gourounti, Maria Dagla, Aikaterini Lykeridou, Stefanos Zervoudis, Eirini Tomara and Georgios Iatrakis
Pollutants 2025, 5(3), 25; https://doi.org/10.3390/pollutants5030025 - 7 Aug 2025
Abstract
(1) Background: Dioxins and dioxin-like polychlorinated biphenyls (dl-PCBs) are persistent organic pollutants (POPs), characterized by high toxicity and strong lipophilicity, which promote their bioaccumulation in human tissues. Their detection in breast milk raises concerns about early-life exposure during lactation. Although dietary intake is [...] Read more.
(1) Background: Dioxins and dioxin-like polychlorinated biphenyls (dl-PCBs) are persistent organic pollutants (POPs), characterized by high toxicity and strong lipophilicity, which promote their bioaccumulation in human tissues. Their detection in breast milk raises concerns about early-life exposure during lactation. Although dietary intake is the primary route of maternal exposure, environmental pathways—including inhalation, dermal absorption, and residential proximity to contaminated sites—may also significantly contribute to the maternal body burden. (2) Methods: This narrative review examined peer-reviewed studies investigating maternal and environmental determinants of dioxin and dl-PCB concentrations in human breast milk. A comprehensive literature search was conducted in PubMed, Scopus, and Web of Science (2000–2024), identifying a total of 325 records. Following eligibility screening and full-text assessment, 20 studies met the inclusion criteria. (3) Results: The included studies consistently identified key exposure determinants, such as high consumption of animal-based foods (e.g., meat, fish, dairy), living near industrial facilities or waste sites, and maternal characteristics including age, parity, and body mass index (BMI). Substantial geographic variability was observed, with higher concentrations reported in regions affected by industrial activity, military pollution, or inadequate waste management. One longitudinal study from Japan demonstrated a declining trend in dioxin levels in breast milk, suggesting the potential effectiveness of regulatory interventions. (4) Conclusions: These findings highlight that maternal exposure to dioxins is influenced by identifiable environmental and behavioral factors, which can be mitigated through public health policies, targeted dietary guidance, and environmental remediation. Breast milk remains a critical bioindicator of human exposure. Harmonized, long-term research is needed to clarify health implications and minimize contaminant transfer to infants, particularly among vulnerable populations. Full article
Show Figures

Figure 1

28 pages, 7766 KiB  
Article
Feature Importance Analysis for Compressive Bearing Capacity of HSCM Piles Based on GA-BPNN
by Fangzhou Chu, Jiakuan Ma, Yang Luan and Shilin Chen
Buildings 2025, 15(15), 2790; https://doi.org/10.3390/buildings15152790 - 7 Aug 2025
Abstract
To address the complex pile–soil interaction mechanisms in predicting the compressive bearing capacity of HSCM piles (Helix Stiffened Cement Mixing piles) in marine soft soil regions, this study proposes an intelligent prediction method based on a GA-BPNN (Genetic Algorithm-Optimized Back Propagation Neural Network). [...] Read more.
To address the complex pile–soil interaction mechanisms in predicting the compressive bearing capacity of HSCM piles (Helix Stiffened Cement Mixing piles) in marine soft soil regions, this study proposes an intelligent prediction method based on a GA-BPNN (Genetic Algorithm-Optimized Back Propagation Neural Network). A high-quality database comprising 1243 data points was established through finite element numerical simulations. By integrating data preprocessing techniques and the GA-BPNN model, the study systematically investigated the influence of helical blade spacing H1 and H2, strength ratio Cref/Su, and diameter ratio Dsc/DH on bearing capacity. The results demonstrate that the GA-BPNN model achieves a prediction accuracy of 99.07%, with a mean squared error (MSE) of 7.20 × 10−3 and a coefficient of determination R2 of 0.990. SHAP value analysis reveals that the strength ratio and diameter ratio are the dominant factors, exhibiting nonlinear relationships with bearing capacity characterized by saturation effects and threshold-dependent behavior. Laboratory tests further confirm strong correlations between cement–soil strength Cref, formed pile diameter Dsc, and bearing capacity. The findings indicate that the GA-BPNN model provides an efficient and accurate approach for predicting the bearing capacity of HSCM piles, offering a reliable basis for engineering parameter optimization. Full article
(This article belongs to the Section Building Structures)
Show Figures

Figure 1

14 pages, 359 KiB  
Article
Determinants of High-Speed Train Demand: Insights from the Jakarta—Bandung Corridor in Indonesia
by Mohammed Ali Berawi, Samidjan Samidjan, Perdana Miraj, Andyka Kusuma and Mustika Sari
Urban Sci. 2025, 9(8), 308; https://doi.org/10.3390/urbansci9080308 - 7 Aug 2025
Abstract
For the last few decades, the use of High-Speed Trains (HSTs) has been growing rapidly in various parts of the world. Despite rapid global expansion, many HST projects fail due to demand overestimation and cost overruns. This study analyzes factors influencing HST demand [...] Read more.
For the last few decades, the use of High-Speed Trains (HSTs) has been growing rapidly in various parts of the world. Despite rapid global expansion, many HST projects fail due to demand overestimation and cost overruns. This study analyzes factors influencing HST demand in Indonesia, aiming to identify impactful determinants from user perspectives. Employing a quantitative cross-sectional approach, this research utilized questionnaires distributed to users of different modes of transportation in the Jakarta–Bandung area, including trains, buses, travel services, and private cars. Structural Equation Modeling (SEM) via Lisrel software was used to analyze the data. The results indicate that Transit-Oriented Developments (TOD) and new urban areas significantly increase HST demand by facilitating urban growth and development. Additionally, supporting infrastructure and external factors such as road accessibility, parking availability, shuttle services, and environmental integration are pivotal in shaping commuter preferences. Although factors such as safety, comfort, and reliability are important, they alone may not be adequate to persuade consumers to use high-speed trains for their travel. Full article
Show Figures

Figure 1

28 pages, 15106 KiB  
Article
A Spatially Aware Machine Learning Method for Locating Electric Vehicle Charging Stations
by Yanyan Huang, Hangyi Ren, Xudong Jia, Xianyu Yu, Dong Xie, You Zou, Daoyuan Chen and Yi Yang
World Electr. Veh. J. 2025, 16(8), 445; https://doi.org/10.3390/wevj16080445 - 6 Aug 2025
Abstract
The rapid adoption of electric vehicles (EVs) has driven a strong need for optimizing locations of electric vehicle charging stations (EVCSs). Previous methods for locating EVCSs rely on statistical and optimization models, but these methods have limitations in capturing complex nonlinear relationships and [...] Read more.
The rapid adoption of electric vehicles (EVs) has driven a strong need for optimizing locations of electric vehicle charging stations (EVCSs). Previous methods for locating EVCSs rely on statistical and optimization models, but these methods have limitations in capturing complex nonlinear relationships and spatial dependencies among factors influencing EVCS locations. To address this research gap and better understand the spatial impacts of urban activities on EVCS placement, this study presents a spatially aware machine learning (SAML) method that combines a multi-layer perceptron (MLP) model with a spatial loss function to optimize EVCS sites. Additionally, the method uses the Shapley additive explanation (SHAP) technique to investigate nonlinear relationships embedded in EVCS placement. Using the city of Wuhan as a case study, the SAML method reveals that parking site (PS), road density (RD), population density (PD), and commercial residential (CR) areas are key factors in determining optimal EVCS sites. The SAML model classifies these grid cells into no EVCS demand (0 EVCS), low EVCS demand (from 1 to 3 EVCSs), and high EVCS demand (4+ EVCSs) classes. The model performs well in predicting EVCS demand. Findings from ablation tests also indicate that the inclusion of spatial correlations in the model’s loss function significantly enhances the model’s performance. Additionally, results from case studies validate that the model is effective in predicting EVCSs in other metropolitan cities. Full article
(This article belongs to the Special Issue Fast-Charging Station for Electric Vehicles: Challenges and Issues)
Show Figures

Figure 1

19 pages, 3586 KiB  
Article
Multi-Objective Optimization Design of Foamed Cement Mix Proportion Based on Response Surface Methodology
by Kailu Liu, Wanying Qu and Haoyang Zeng
Buildings 2025, 15(15), 2782; https://doi.org/10.3390/buildings15152782 - 6 Aug 2025
Abstract
Foam cement, as a building insulation material, encounters a major problem in practical application, which is the difficulty in achieving a balance between its strength and insulation performance. To achieve multi-objective optimization of foamed cement mix design, this study first determined the optimal [...] Read more.
Foam cement, as a building insulation material, encounters a major problem in practical application, which is the difficulty in achieving a balance between its strength and insulation performance. To achieve multi-objective optimization of foamed cement mix design, this study first determined the optimal ranges of nano-silica aerogel (NSA), foaming agent, and polypropylene (PP) fiber dosage through single-factor experiments. Then, response surface methodology (RSM) was employed to construct a quadratic polynomial regression model, systematically investigating the influence of different NSA contents, foaming agent contents, and PP fibers contents on the thermal conductivity and compressive strength of foamed cement. Finally, the optimal mix ratio was further predicted and experimentally validated. The results demonstrate that the regression model developed using RSM exhibits high accuracy and reliability. The correlation coefficients R2 of the regression models established by the response surface method are 0.9756 and 0.9684, respectively, indicating good prediction accuracy. The optimized mix ratio was determined as follows: NSA content, 9.548%; foaming agent content, 0.533%; and PP fiber content, 0.1%. Under this mix, the model predicted a thermal conductivity of 0.123 W/(m·K) and a 28-day compressive strength of 1.081 MPa. Experimental verification confirmed that the errors between predicted and measured values for all performance indicators were within 5%, demonstrating the high reliability of the predictive model. This study provides support for the practical application of foam cement as a thermal insulation material in construction projects and offers guidance for optimizing its mixture composition. Full article
(This article belongs to the Section Building Materials, and Repair & Renovation)
Show Figures

Figure 1

20 pages, 1414 KiB  
Article
Awareness, Preference, and Acceptance of HPV Vaccine and Related Influencing Factors Among Guardians of Adolescent Girls in China: A Health Belief Model-Based Cross-Sectional Study
by Shuhan Zheng, Xuan Deng, Li Li, Feng Luo, Hanqing He, Ying Wang, Xiaoping Xu, Shenyu Wang and Yingping Chen
Vaccines 2025, 13(8), 840; https://doi.org/10.3390/vaccines13080840 - 6 Aug 2025
Abstract
Background: Cervical cancer poses a threat to the health of women globally. Adolescent girls are the primary target population for HPV vaccination, and guardians’ attitude towards the HPV vaccine plays a significant role in determining the vaccination status among adolescent girls. Objectives: This [...] Read more.
Background: Cervical cancer poses a threat to the health of women globally. Adolescent girls are the primary target population for HPV vaccination, and guardians’ attitude towards the HPV vaccine plays a significant role in determining the vaccination status among adolescent girls. Objectives: This study aimed to explore the factors influencing guardians’ HPV vaccine acceptance for their girls and provide clues for the development of health intervention strategies. Methods: Combining the health belief model as a theoretical framework, a questionnaire-based survey was conducted. A total of 2157 adolescent girls and their guardians were recruited. The multivariable logistic model was applied to explore associated factors. Results: The guardians had a high HPV vaccine acceptance rate (86.7%) for their girls, and they demonstrated a relatively good level of awareness regarding HPV and HPV vaccines. Factors influencing guardians’ HPV vaccine acceptance for girls included guardians’ education background (OR = 0.57, 95%CI = 0.37–0.87), family income (OR = 1.94, 95%CI = 1.14–3.32), risk of HPV infection (OR = 3.15, 95%CI = 1.40–7.10) or importance of the HPV vaccine for their girls (OR = 6.70, 95%CI = 1.61–27.83), vaccination status surrounding them (OR = 2.03, 95%CI = 1.41–2.92), awareness of negative information about HPV vaccines (OR = 0.59, 95%CI = 0.43–0.82), and recommendations from medical staff (OR = 2.32, 95%CI = 1.65–3.25). Also, guardians preferred to get digital information on vaccines via government or CDC platforms, WeChat platforms, and medical knowledge platforms. Conclusions: Though HPV vaccine willingness was high among Chinese guardians, they preferred to vaccinate their daughters at the age of 17–18 years, later than WHO’s recommended optimal age period (9–14 years old), coupled with safety concerns. Future work should be conducted based on these findings to explore digital intervention effects on girls’ vaccination compliance. Full article
(This article belongs to the Special Issue Prevention of Human Papillomavirus (HPV) and Vaccination)
Show Figures

Figure 1

12 pages, 1850 KiB  
Article
Pancreatic Cancer with Liver Oligometastases—Different Patterns of Disease Progression May Suggest Benefits of Surgical Resection
by Nedaa Mahamid, Arielle Jacover, Angam Zabeda, Tamar Beller, Havi Murad, Yoav Elizur, Ron Pery, Rony Eshkenazy, Talia Golan, Ido Nachmany and Niv Pencovich
J. Clin. Med. 2025, 14(15), 5538; https://doi.org/10.3390/jcm14155538 - 6 Aug 2025
Abstract
Background: Pancreatic adenocarcinoma (PDAC) with liver oligometastases (LOM) presents a therapeutic challenge, with optimal management strategies remaining uncertain. This study evaluates the long-term outcomes, patterns of disease progression, and potential factors influencing prognosis in this patient subset. Methods: Patients diagnosed with PDAC and [...] Read more.
Background: Pancreatic adenocarcinoma (PDAC) with liver oligometastases (LOM) presents a therapeutic challenge, with optimal management strategies remaining uncertain. This study evaluates the long-term outcomes, patterns of disease progression, and potential factors influencing prognosis in this patient subset. Methods: Patients diagnosed with PDAC and LOM were retrospectively analyzed. Disease progression patterns, causes of death, and predictors of long-term outcomes were assessed. Results: Among 1442 patients diagnosed with metastatic PDAC between November 2009 and July 2024, 129 (9%) presented with LOM, defined as ≤3 liver lesions each measuring <2 cm. Patients with LOM had significantly improved overall survival (OS) compared to those with high-burden disease (p = 0.026). The cause of death (local regional disease vs. systemic disease) could be determined in 74 patients (57%), among whom age at diagnosis, history of smoking, and white blood cell (WBC) count differed significantly between groups. However, no significant difference in OS was observed between the two groups (p = 0.64). Sixteen patients (22%) died from local complications of the primary tumor, including 6 patients (7%) who showed no evidence of new or progressive metastases. In competing risk and multivariable analysis, a history of smoking remained the only factor significantly associated with death due to local complications. Conclusions: Approximately one in five patients with PDAC-LOM died from local tumor-related complications—some without metastatic progression—highlighting a potential role for surgical intervention. Further multicenter studies are warranted to refine diagnostic criteria and better identify patients who may benefit from surgery. Full article
(This article belongs to the Section General Surgery)
Show Figures

Figure 1

21 pages, 5063 KiB  
Article
Flood Susceptibility Assessment Based on the Analytical Hierarchy Process (AHP) and Geographic Information Systems (GIS): A Case Study of the Broader Area of Megala Kalyvia, Thessaly, Greece
by Nikolaos Alafostergios, Niki Evelpidou and Evangelos Spyrou
Information 2025, 16(8), 671; https://doi.org/10.3390/info16080671 - 6 Aug 2025
Abstract
Floods are considered one of the most devastating natural hazards, frequently resulting in substantial loss of lives and widespread damage to infrastructure. In the period of 4–7 September 2023, the region of Thessaly experienced unprecedented rainfall rates due to Storm Daniel, which caused [...] Read more.
Floods are considered one of the most devastating natural hazards, frequently resulting in substantial loss of lives and widespread damage to infrastructure. In the period of 4–7 September 2023, the region of Thessaly experienced unprecedented rainfall rates due to Storm Daniel, which caused significant flooding and many damages and fatalities. The southeastern areas of Trikala were among the many areas of Thessaly that suffered the effects of these rainfalls. In this research, a flood susceptibility assessment (FSA) of the broader area surrounding the settlement of Megala Kalyvia is carried out through the analytical hierarchy process (AHP) as a multicriteria analysis method, using Geographic Information Systems (GIS). The purpose of this study is to evaluate the prolonged flood susceptibility indicated within the area due to the past floods of 2018, 2020, and 2023. To determine the flood-prone areas, seven factors were used to determine the influence of flood susceptibility, namely distance from rivers and channels, drainage density, distance from confluences of rivers or channels, distance from intersections between channels and roads, land use–land cover, slope, and elevation. The flood susceptibility was classified as very high and high across most parts of the study area. Finally, a comparison was made between the modeled flood susceptibility and the maximum extent of past flood events, focusing on that of 2023. The results confirmed the effectiveness of the flood susceptibility assessment map and highlighted the need to adapt to the changing climate patterns observed in September 2023. Full article
(This article belongs to the Special Issue New Applications in Multiple Criteria Decision Analysis, 3rd Edition)
Show Figures

Figure 1

Back to TopTop