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18 pages, 778 KiB  
Article
The Effects of Handedness Consistency on the Identification of Own- and Cross-Race Faces
by Raymond P. Voss, Ryan Corser, Stephen Prunier and John D. Jasper
Brain Sci. 2025, 15(8), 828; https://doi.org/10.3390/brainsci15080828 (registering DOI) - 31 Jul 2025
Abstract
Background/Objectives: People are better at recognizing the faces of racial in-group members than out-group members. This own-race bias relies on pattern recognition and memory processes, which rely on hemispheric specialization. We hypothesized that handedness, a proxy for hemispheric specialization, would moderate own-race [...] Read more.
Background/Objectives: People are better at recognizing the faces of racial in-group members than out-group members. This own-race bias relies on pattern recognition and memory processes, which rely on hemispheric specialization. We hypothesized that handedness, a proxy for hemispheric specialization, would moderate own-race bias. Specifically, consistently handed individuals perform better on tasks that require the hemispheres to work independently, while inconsistently handed individuals perform better on tasks that require integration. This led to the hypothesis that inconsistently handed individuals would show less own-race bias, driven by an increase in accuracy. Methods: 281 participants completed the study in exchange for course credit. Of those, the sample was isolated to Caucasian (174) and African American individuals (41). Participants were shown two target faces (one Caucasian and one African American), given several distractor tasks, and then asked to identify the target faces during two sequential line-ups, each terminating when participants made an identification judgment. Results: Continuous handedness score and the match between participant race and target face race were entered into a binary logistic regression predicting correct/incorrect identifications. The overall model was statistically significant, Χ2 (3, N = 430) = 11.036, p = 0.012, Nagelkerke R2 = 0.038, culminating in 76% correct classifications. Analyses of the parameter estimates showed that the racial match, b = 0.53, SE = 0.23, Wald Χ2 (1) = 5.217, p = 0.022, OR = 1.703 and the interaction between handedness and the racial match, b = 0.51, SE = 0.23, Wald test = 4.813, p = 0.028, OR = 1.671 significantly contributed to the model. The model indicated that the probability of identification was similar for own- or cross-race targets amongst inconsistently handed individuals. Consistently handed individuals, by contrast, showed an increase in accuracy for the own-race target and a decrease in accuracy for cross-race targets. Conclusions: Results partially supported the hypotheses. Inconsistently handed individuals did show less own-race bias. This finding, however, seemed to be driven by differences in accuracy amongst consistently handed individuals rather than a hypothesized increase in accuracy amongst inconsistently handed individuals. Underlying hemispheric specialization, as measured by proxy with handedness, may impact the own-race bias in facial recognition. Future research is required to investigate the mechanisms, however, as the directional differences were different than hypothesized. Full article
(This article belongs to the Special Issue Advances in Face Perception and How Disorders Affect Face Perception)
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14 pages, 3364 KiB  
Article
Microbial Load and Diversity of Bacteria in Wild Animal Carcasses Sold as Bushmeat in Ghana
by Daniel Oduro, Winnifred Offih-Kyei, Joanita Asirifi Yeboah, Rhoda Yeboah, Caleb Danso-Coffie, Emmanuel Boafo, Vida Yirenkyiwaa Adjei, Isaac Frimpong Aboagye and Gloria Ivy Mensah
Pathogens 2025, 14(8), 754; https://doi.org/10.3390/pathogens14080754 (registering DOI) - 31 Jul 2025
Abstract
The demand for wild animal meat, popularly called “bushmeat”, serves as a driving force behind the emergence of infectious diseases, potentially transmitting a variety of pathogenic bacteria to humans through handling and consumption. This study investigated the microbial load and bacterial diversity in [...] Read more.
The demand for wild animal meat, popularly called “bushmeat”, serves as a driving force behind the emergence of infectious diseases, potentially transmitting a variety of pathogenic bacteria to humans through handling and consumption. This study investigated the microbial load and bacterial diversity in bushmeat sourced from a prominent bushmeat market in Kumasi, Ghana. Carcasses of 61 wild animals, including rodents (44), antelopes (14), and African civets (3), were sampled for microbiological analysis. These samples encompassed meat, intestines, and anal and oral swabs. The total aerobic bacteria plate count (TPC), Enterobacteriaceae count (EBC), and fungal counts were determined. Bacterial identification was conducted using MALDI-TOF biotyping. Fungal counts were the highest across all animal groups, with African civets having 11.8 ± 0.3 log10 CFU/g and 11.9 ± 0.2 log10 CFU/g in intestinal and meat samples, respectively. The highest total plate count (TPC) was observed in rodents, both in their intestines (10.9 ± 1.0 log10 CFU/g) and meat (10.9 ± 1.9 log10 CFU/g). In contrast, antelopes exhibited the lowest counts across all categories, particularly in EBC from intestinal samples (6.1 ± 1.5 log10 CFU/g) and meat samples (5.6 ± 1.2 log10 CFU/g). A comprehensive analysis yielded 524 bacterial isolates belonging to 20 genera, with Escherichia coli (18.1%) and Klebsiella spp. (15.5%) representing the most prevalent species. Notably, the detection of substantial microbial contamination in bushmeat underscores the imperative for a holistic One Health approach to enhance product quality and mitigate risks associated with its handling and consumption. Full article
(This article belongs to the Section Bacterial Pathogens)
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16 pages, 2677 KiB  
Article
The Initial Impact of a Hydroelectric Reservoir on the Floristics, Structure, and Dynamics of Adjacent Forests in the Southern Amazon
by Jesulino Alves da Rocha-Filho, Marco Antônio Camillo de Carvalho, Fabiana Ferreira Cabral Gomes, José Hypolito Piva, Beatriz Schwantes Marimon, Oscar Mitsuo Yamashita and Ben Hur Marimon-Junior
Forests 2025, 16(8), 1236; https://doi.org/10.3390/f16081236 - 27 Jul 2025
Viewed by 130
Abstract
This study assesses whether the rise in water level—following three years of reservoir filling at the Teles Pires Hydroelectric Plant (135.6 km2 water surface) in Southern Amazonia—has affected the floristic composition, structure, and dynamics of adjacent forests. We established 62 permanent plots [...] Read more.
This study assesses whether the rise in water level—following three years of reservoir filling at the Teles Pires Hydroelectric Plant (135.6 km2 water surface) in Southern Amazonia—has affected the floristic composition, structure, and dynamics of adjacent forests. We established 62 permanent plots (2000 m2 each) across a topographic gradient from the reservoir margin and conducted annual tree inventories for individuals with DBH ≥ 10 cm from 2014 to 2017. A total of 6322 individuals were recorded, representing 322 species, 210 genera, and 61 families. Fabaceae was the most abundant family, and the ten species with the highest importance value index (IVI) before reservoir filling remained dominant afterward. The forests exhibited high species richness and were characterized by a few common and many rare species. Mortality rates were highest within 10 m of elevation from the maximum reservoir level, indicating possible hydrological impacts, although no abnormal dieback or sharp shifts in floristic structure were observed. These results suggest limited short-term effects on species composition, but subtle changes in vegetation dynamics underscore the importance of long-term monitoring. Full article
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20 pages, 3657 KiB  
Article
Bioaccumulation and Tolerance of Metals in Floristic Species of the High Andean Wetlands of the Ichubamba Yasepan Protected Area: Identification of Groups and Discriminant Markers
by Diego Francisco Cushquicullma-Colcha, María Verónica González-Cabrera, Cristian Santiago Tapia-Ramírez, Marcela Yolanda Brito-Mancero, Edmundo Danilo Guilcapi-Pacheco, Guicela Margoth Ati-Cutiupala, Pedro Vicente Vaca-Cárdenas, Eduardo Antonio Muñoz-Jácome and Maritza Lucía Vaca-Cárdenas
Sustainability 2025, 17(15), 6805; https://doi.org/10.3390/su17156805 - 26 Jul 2025
Viewed by 319
Abstract
The Ichubamba Yasepan wetlands, in the Andean páramos of Ecuador, suffer heavy metal contamination due to anthropogenic activities and volcanic ash from Sangay, impacting biodiversity and ecosystem services. This quasi-experimental study evaluated the bioaccumulation and tolerance of metals in high Andean species through [...] Read more.
The Ichubamba Yasepan wetlands, in the Andean páramos of Ecuador, suffer heavy metal contamination due to anthropogenic activities and volcanic ash from Sangay, impacting biodiversity and ecosystem services. This quasi-experimental study evaluated the bioaccumulation and tolerance of metals in high Andean species through stratified random sampling and linear transects in two altitudinal ranges. Concentrations of Cr, Pb, Hg, As, and Fe in water and the tissues of eight dominant plant species were analyzed using atomic absorption spectrophotometry, calculating bioaccumulation indices (BAIs) and applying principal component analysis (PCA), clustering, and linear discriminant analysis (LDA). Twenty-five species from 14 families were identified, predominantly Poaceae and Cyperaceae, with Calamagrostis intermedia as the most relevant (IVI = 12.74). The water exceeded regulatory limits for As, Cr, Fe, and Pb, indicating severe contamination. Carex bonplandii showed a high BAI for Cr (47.8), Taraxacum officinale and Plantago australis for Pb, and Lachemilla orbiculata for Hg, while Fe was widely accumulated. The LDA highlighted differences based on As and Pb, suggesting physiological adaptations. Pollution threatens biodiversity and human health, but C. bonplandii and L. orbiculata have phytoremediation potential. Full article
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16 pages, 330 KiB  
Article
The Role of Age in Shaping Cognitive, Physical, and Psychosocial Outcomes in Hemodialysis Patients: A Cross-Sectional Study
by Leszek Sułkowski, Andrzej Matyja and Maciej Matyja
Medicina 2025, 61(7), 1295; https://doi.org/10.3390/medicina61071295 - 18 Jul 2025
Viewed by 226
Abstract
Background and Objectives: Chronic kidney disease frequently progresses to end-stage renal disease, requiring dialysis, which imposes significant physical, psychological, and social burdens. Age is a key factor influencing symptom experience and quality of life in dialysis patients, yet findings on its impact remain [...] Read more.
Background and Objectives: Chronic kidney disease frequently progresses to end-stage renal disease, requiring dialysis, which imposes significant physical, psychological, and social burdens. Age is a key factor influencing symptom experience and quality of life in dialysis patients, yet findings on its impact remain mixed. This study aimed to examine how age relates to a broad range of health domains—including fatigue, pain, cognition, mental health, sexual satisfaction, bowel control, visual impairment, social support, and quality of life—among hemodialysis patients. Materials and Methods: A cross-sectional study was conducted at a single dialysis center in Poland, involving 79 adult patients undergoing maintenance hemodialysis. Standardized, validated psychometric instruments were used, including the Modified Fatigue Impact Scale (MFIS), Perceived Deficits Questionnaire (PDQ), Pain Effects Scale (PES), Mental Health Inventory (MHI), Modified Social Support Survey (MSSS), Sexual Satisfaction Scale (SSS), Bowel Control Scale (BWCS), Impact of Visual Impairment Scale (IVIS), and WHOQOL-BREF for quality of life. Spearman’s or Pearson’s correlation coefficients were used to evaluate relationships between age and scale scores. Full and abbreviated versions of scales were also compared. Results: Age showed moderate positive correlations with fatigue (ρ = 0.44–0.53), cognitive deficits (ρ = 0.37–0.45), pain (r = 0.41), bowel control issues (ρ = 0.32), and visual impairment (ρ = 0.37), all statistically significant (p < 0.01). No significant associations were observed between age and mental health (MHI), perceived social support (MSSS), or quality of life (WHOQOL-BREF). Abbreviated versions of the scales showed strong correlations with their full versions (ρ > 0.9). Conclusions: While age is linked to increased symptom burden in select domains such as cognition, fatigue, and pain, it does not significantly affect mental health, perceived social support, or overall quality of life in hemodialysis patients. These findings support the use of age-sensitive, multidimensional assessments to inform individualized care strategies. Full article
(This article belongs to the Section Urology & Nephrology)
49 pages, 7424 KiB  
Article
ACIVY: An Enhanced IVY Optimization Algorithm with Adaptive Cross Strategies for Complex Engineering Design and UAV Navigation
by Heming Jia, Mahmoud Abdel-salam and Gang Hu
Biomimetics 2025, 10(7), 471; https://doi.org/10.3390/biomimetics10070471 - 17 Jul 2025
Viewed by 259
Abstract
The Adaptive Cross Ivy (ACIVY) algorithm is a novel bio-inspired metaheuristic that emulates ivy plant growth behaviors for complex optimization problems. While the original Ivy Optimization Algorithm (IVYA) demonstrates a competitive performance, it suffers from limited inter-individual information exchange, inadequate directional guidance for [...] Read more.
The Adaptive Cross Ivy (ACIVY) algorithm is a novel bio-inspired metaheuristic that emulates ivy plant growth behaviors for complex optimization problems. While the original Ivy Optimization Algorithm (IVYA) demonstrates a competitive performance, it suffers from limited inter-individual information exchange, inadequate directional guidance for local optima escape, and abrupt exploration–exploitation transitions. To address these limitations, ACIVY integrates three strategic enhancements: the crisscross strategy, enabling horizontal and vertical crossover operations for improved population diversity; the LightTrack strategy, incorporating positional memory and repulsion mechanisms for effective local optima escape; and the Top-Guided Adaptive Mutation strategy, implementing ranking-based mutation with dynamic selection pools for smooth exploration–exploitation balance. Comprehensive evaluations on the CEC2017 and CEC2022 benchmark suites demonstrate ACIVY’s superior performance against state-of-the-art algorithms across unimodal, multimodal, hybrid, and composite functions. ACIVY achieved outstanding average rankings of 1.25 (CEC2022) and 1.41 (CEC2017 50D), with statistical significance confirmed through Wilcoxon tests. Practical applications in engineering design optimization and UAV path planning further validate ACIVY’s robust performance, consistently delivering optimal solutions across diverse real-world scenarios. The algorithm’s exceptional convergence precision, solution reliability, and computational efficiency establish it as a powerful tool for challenging optimization problems requiring both accuracy and consistency. Full article
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24 pages, 1481 KiB  
Article
Sources of Environmental Exposure to the Naturally Occurring Anabolic Steroid Ecdysterone in Horses
by Martin N. Sillence, Kathi Holt, Fang Ivy Li, Patricia A. Harris, Mitchell Coyle and Danielle M. Fitzgerald
Animals 2025, 15(14), 2120; https://doi.org/10.3390/ani15142120 - 17 Jul 2025
Viewed by 282
Abstract
Ecdysterone controls moulting and reproduction in insects, crustaceans, and helminths. It is also produced by many plants, probably as an insect deterrent. The steroid is not made by vertebrates but has anabolic effects in mammals and could be useful for treating sarcopenia in [...] Read more.
Ecdysterone controls moulting and reproduction in insects, crustaceans, and helminths. It is also produced by many plants, probably as an insect deterrent. The steroid is not made by vertebrates but has anabolic effects in mammals and could be useful for treating sarcopenia in aged horses. However, ecdysterone is banned in horseracing and equestrian sports, and with no limit of reporting, the risk of unintended exposure to this naturally occurring prohibited substance is a concern. To explore this risk, pasture plants and hay samples were analysed for ecdysterone content, as well as samples of blood, faeces, and intestinal mucosa from horses (euthanized for non-research purposes) with varying degrees of endo-parasite infestation. The variability in serum ecdysterone concentrations between different horses after administering a fixed dose was also examined. Ecdysterone was detected in 24 hay samples (0.09 to 3.74 µg/g) and several weeds, with particularly high concentrations in Chenopodium album (244 µg/g) and Solanum nigrum (233 µg/g). There was a positive correlation between faecal ecdysterone and faecal egg counts, but no effect of anthelmintic treatment and no relation to the number of encysted cyathostome larvae in the large intestine mucosa. Certain horses maintained an unusually high serum ecdysterone concentration over several weeks and/or displayed an abnormally large response to oral ecdysterone administration. Thus, the risk of environmental exposure to ecdysterone is apparent, and several factors must be considered when determining an appropriate dosage for clinical studies or setting a reporting threshold for equine sports. Full article
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21 pages, 965 KiB  
Article
Emotional Responses to Racial Violence: Analyzing Sentiments and Emotions Among Black Women in Missouri
by Ivy Smith and Sheretta T. Butler-Barnes
Information 2025, 16(7), 598; https://doi.org/10.3390/info16070598 - 12 Jul 2025
Viewed by 313
Abstract
This study examines the emotional responses of Black women in Missouri regarding incidents of racial violence in the United States. Grounded in an analysis of self-reported emotions, this study explores how Black women (n = 384, Mage = 37) express their [...] Read more.
This study examines the emotional responses of Black women in Missouri regarding incidents of racial violence in the United States. Grounded in an analysis of self-reported emotions, this study explores how Black women (n = 384, Mage = 37) express their emotional experiences in response to racial violence. Utilizing the Multiple Affect Adjective Checklist-Revised (MAACL-R), sentiment analysis was used to assess the overall emotional tone of participants’ responses, while emotion analysis was used to identify specific emotions expressed. The findings highlight the complexities of Black women’s emotional responses, considering factors such as coping mechanisms, racial identity beliefs, spirituality and religiosity, and resilience and strength. By applying computational methods to analyze these emotions, this study reveals how racial violence shapes sentiment and emotional expression patterns. Furthermore, it highlights the significance of acknowledging the complex ways Black women navigate and process racial violence. Full article
(This article belongs to the Special Issue Feature Papers in Information in 2024–2025)
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10 pages, 235 KiB  
Article
Developing a Maternal Health Education and Research Training Program for High School, Pharmacy, and Health Sciences Students
by Grace Olorunyomi, Cecilia Torres, Kennedi Norwood, Lashondra Taylor, Jazmyne Jones, Kimberly Pounds, Kehinde Idowu, Dominique Guinn, Denae King, Veronica Ajewole-Mwema, Ivy Poon and Esther Olaleye
Int. J. Environ. Res. Public Health 2025, 22(7), 1092; https://doi.org/10.3390/ijerph22071092 - 9 Jul 2025
Viewed by 226
Abstract
Maternal mortality and morbidity are critical health challenges in the U.S., and building the perinatal workforce is a key to providing high-quality maternal medical care and services. Texas Southern University (TSU), home to a Doctor of Pharmacy program, launched the first Maternal Health [...] Read more.
Maternal mortality and morbidity are critical health challenges in the U.S., and building the perinatal workforce is a key to providing high-quality maternal medical care and services. Texas Southern University (TSU), home to a Doctor of Pharmacy program, launched the first Maternal Health Education and Research Training (MHERT) program to educate a cohort of high school, pharmacy, and health sciences students. Aiming to raise awareness of maternal health issues, build research skills, and promote action-based solutions. MHERT integrated online self-paced interactive lessons with hands-on research or community projects. Topics included maternal health epidemiology, causes of morbidity and mortality, research methods, literature reviews, and the development of action plans addressing maternal health challenges. Assessment tools included quizzes, open-ended reflection responses, training surveys, and course evaluations. Running from 3 June to 26 July 2024, the program enrolled 22 students. All participants completed both course components. Course evaluations showed strong and consistent satisfaction with the program, with teaching effectiveness rated at 95% and 96% for mid-program and final evaluations, respectively. MHERT enhanced participants’ understanding of maternal health, improved research skills, and encouraged community engagement and interdisciplinary collaboration. It offers a scalable model to strengthen public health education among high school, pharmacy, and health sciences students. Full article
14 pages, 1519 KiB  
Article
Efficacy of EA575 as an Antitussive and Mucoactive Agent in Preclinical In Vivo Models
by Matthias Hufnagel, André Rademaekers, Anika Weisert, Hanns Häberlein and Sebastian Franken
Biomedicines 2025, 13(7), 1673; https://doi.org/10.3390/biomedicines13071673 - 8 Jul 2025
Viewed by 433
Abstract
Background: The efficacy of EA575 in the treatment of respiratory diseases is described in various clinical studies, improving patients’ disease-related symptoms. However, mechanistic in vivo data proving its beneficial effects are limited. Methods: Focusing on the treatment of acute airway inflammation and accompanying [...] Read more.
Background: The efficacy of EA575 in the treatment of respiratory diseases is described in various clinical studies, improving patients’ disease-related symptoms. However, mechanistic in vivo data proving its beneficial effects are limited. Methods: Focusing on the treatment of acute airway inflammation and accompanying cough, this study aimed to elucidate antitussive and mucoactive properties of EA575, applying two animal models. Animals were treated orally twice daily for 7 days, resulting in 43, 215.2, or 430.5 mg/kg bw/d of EA575. Antitussive effects were investigated within an acute lung inflammation model of bleomycin-treated guinea pigs after citric acid exposure. Hereby, the number of coughs, enhanced pause (penH), and bronchoalveolar lavage fluid (BALF) were investigated. Mucoactivity of EA575 was assessed within a murine model, determining phenol red concentration in BALF. Results: EA575 treatment within the acute lung inflammation model reduced cough events up to 56% while reducing inflammatory cell influx in BALF dose-dependently, e.g., reducing neutrophils in BALF up to 70.9%. This suggests a strong connection between anti-inflammatory and antitussive properties of EA575. Furthermore, penH decreased in a dose-dependent manner, suggesting an ease in respiration. Mucoactivity was shown by a dose-dependent increase in phenol red concentration in BALF up to 38.9%. Notably, EA575/salbutamol co-administration resulted in enhanced phenol red secretion compared to respective single administrations. Conclusions: These data highlight the benefits of EA575 in treating cough-related respiratory diseases, particularly when accompanied by sputum, as EA575 has been shown to obtain mucoactivity. Furthermore, the combinatory effect of EA575/salbutamol treatment provides a foundation for future research in the treatment of chronic respiratory diseases. Full article
(This article belongs to the Section Drug Discovery, Development and Delivery)
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12 pages, 985 KiB  
Article
Immediate and Short-Term Intraocular Pressure Changes Following Intravitreal Injection and Associated Factors
by Manabu Yamamoto, Kumiko Hirayama, Akika Kyo, Gen Kinari, Yuki Kojima, Takeya Kohno and Shigeru Honda
J. Clin. Med. 2025, 14(14), 4821; https://doi.org/10.3390/jcm14144821 - 8 Jul 2025
Viewed by 293
Abstract
Objectives: To evaluate the immediate and short-term changes in intraocular pressure (IOP) following intravitreal injection (IVI) of anti-vascular endothelial growth factor (VEGF) agents and to identify the clinical and procedural factors associated with IOP elevation after treatment. Methods: This retrospective study [...] Read more.
Objectives: To evaluate the immediate and short-term changes in intraocular pressure (IOP) following intravitreal injection (IVI) of anti-vascular endothelial growth factor (VEGF) agents and to identify the clinical and procedural factors associated with IOP elevation after treatment. Methods: This retrospective study included 118 eyes from 115 patients who underwent IVI with anti-VEGF agents at Osaka Metropolitan University Hospital between September 2024 and January 2025. IOP was measured at three time points, namely before injection, within 1 min after injection, and at 30 min, in selected eyes with a post-injection IOP ≥ 25 mmHg. Differences in IOP elevation were analyzed according to the disease type and anti-VEGF agent. Univariate and multivariate linear regression analyses were performed to identify clinical factors associated with IOP elevation. Results: Mean IOP significantly increased from 13.9 ± 3.3 mmHg at baseline to 39.2 ± 12.4 mmHg immediately after injection (p < 0.001), with 79.7% of eyes showing an IOP ≥ 25 mmHg. Among those remeasured, IOP decreased to 17.7 ± 6.5 mmHg at 30 min. Significant differences in IOP elevation were observed among anti-VEGF agents (p < 0.001), with aflibercept at 2 mg and 8 mg showing greater increases than other agents. Multivariate analysis identified higher baseline IOP, history of glaucoma, absence of prior vitrectomy, and use of aflibercept (2 mg or 8 mg) as significant risk factors for greater post-injection IOP elevation. Conclusions: Transient IOP elevation ≥ 25 mmHg was observed in the majority of eyes after IVI but typically resolved within 30 min. Aflibercept use, high baseline IOP, glaucoma history, and absence of prior vitrectomy were associated with greater IOP elevation. Careful monitoring and attention to injection volume may be warranted, particularly in high-risk patients. Full article
(This article belongs to the Special Issue An Update on Retinal Diseases: From Diagnosis to Treatment)
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16 pages, 461 KiB  
Review
Latest Evidence on Intravascular Imaging: A Literature Review
by Rafail Koros, Antonios Karanasos, Michail I. Papafaklis, Georgia Xygka, Georgios Vasilagkos, Anastasios Apostolos, Fotios Kallinikos, Maria Papageorgiou, Nikoletta-Maria Tampaki, Charikleia-Maria Fotopoulou, Eleni Lolou, Georgia Gkioni, Periklis Davlouros and Grigorios Tsigkas
J. Clin. Med. 2025, 14(13), 4714; https://doi.org/10.3390/jcm14134714 - 3 Jul 2025
Viewed by 421
Abstract
Intravascular imaging (IVI) has emerged as a pivotal tool in percutaneous coronary intervention (PCI), offering superior visualization of coronary anatomy compared with conventional angiography. This literature review synthesizes the latest evidence from randomized trials and meta-analyses published since 2022, assessing the comparative efficacy [...] Read more.
Intravascular imaging (IVI) has emerged as a pivotal tool in percutaneous coronary intervention (PCI), offering superior visualization of coronary anatomy compared with conventional angiography. This literature review synthesizes the latest evidence from randomized trials and meta-analyses published since 2022, assessing the comparative efficacy of IVI modalities—including intravascular ultrasound (IVUS) and optical coherence tomography (OCT)—in complex coronary lesions. Multiple landmark trials, such as RENOVATE-COMPLEX PCI, ILUMIEN IV, OCTOBER, and OCTIVUS, demonstrated that IVI-guided PCI significantly improves procedural outcomes, stent optimization, and clinical endpoints such as target-vessel failure, myocardial infarction, and stent thrombosis. OCT was shown to be particularly beneficial in bifurcation and left main interventions, while IVUS consistently improved outcomes in long lesions and complex anatomies. Despite some trials not meeting their primary clinical endpoints, substudy findings and pooled analyses support a shift toward routine IVI use in anatomically complex cases. Consequently, updated guidelines now recommend IVI as a Class I indication in select patient populations. These findings underscore the need for broader clinical adoption and training in IVI techniques to enhance PCI outcomes. Full article
(This article belongs to the Section Cardiovascular Medicine)
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20 pages, 2585 KiB  
Article
Real-World Retrospective Study of Clinical and Economic Outcomes Among Patients with Locally Advanced or Metastatic Urothelial Carcinoma Treated with First-Line Systemic Anti-Cancer Therapies in the United States: Results from the IMPACT UC-III Study
by Helen H. Moon, Chiemeka Ike, Ruth W. Dixon, Christopher L. Crowe, Malvika Venkataraman, Valerie Morris, Mairead Kearney, Ivy Tonnu-Mihara and John Barron
Curr. Oncol. 2025, 32(7), 384; https://doi.org/10.3390/curroncol32070384 - 2 Jul 2025
Viewed by 490
Abstract
This retrospective cohort study evaluated characteristics, treatment patterns, and clinical outcomes in adults with locally advanced/metastatic urothelial carcinoma (la/mUC) receiving first-line (1L) systemic treatment with or without avelumab 1L maintenance (1LM) between January 2020 and July 2023. The index date was the first [...] Read more.
This retrospective cohort study evaluated characteristics, treatment patterns, and clinical outcomes in adults with locally advanced/metastatic urothelial carcinoma (la/mUC) receiving first-line (1L) systemic treatment with or without avelumab 1L maintenance (1LM) between January 2020 and July 2023. The index date was the first date with a claim for 1L systemic therapy after a la/mUC diagnosis. Patients with continuous health plan enrollment for ≥6 months before and ≥1 month after the index date were identified from Carelon Research’s Healthcare Integrated Research Database. Of 2820 patients receiving 1L treatment, 37.0% received platinum-based chemotherapy (PBC); 39.0%, immuno-oncology (IO) monotherapy; and 24.0%, other therapies. Renal disease and other comorbidities influenced 1L regimen choice. Healthcare resource utilization (HCRU) and costs were reported for patients receiving second-line (2L) treatment. HCRU was high in 32.8% of patients (926 of 2820) who received 2L treatment. Median all-cause direct medical costs per patient per month were USD 15,859, USD 19,781, USD 11,346, and USD 9516 for 1L PBC, 1L PBC + avelumab 1LM, 1L IO monotherapy, and 1L other therapies, respectively. Most direct healthcare costs were attributed to all-cause outpatient visits. Full article
(This article belongs to the Section Genitourinary Oncology)
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18 pages, 8943 KiB  
Article
Nanotoxicological Assessment of Green-Synthesized Silver Nanoparticles from Brazilian Cerrado Plant in a Murine Model
by Cínthia Caetano Bonatto, Ivy Garcez Reis, Dalila Juliana Silva Ribeiro, Raquel das Neves Almeida, Rafael Corrêa, Livia Pimentel Sant’Ana Dourado, Gabriel Pasquarelli-do-Nascimento, Kelly Grace Magalhães and Luciano Paulino Silva
Pharmaceuticals 2025, 18(7), 993; https://doi.org/10.3390/ph18070993 - 2 Jul 2025
Viewed by 403
Abstract
Background/Objectives: In recent years, silver nanoparticles (AgNPs) have garnered significant attention due to their potent antimicrobial properties, which hold promise for various applications. However, concerns about their potential toxicity have also emerged, particularly regarding their impact on human and animal health. This study [...] Read more.
Background/Objectives: In recent years, silver nanoparticles (AgNPs) have garnered significant attention due to their potent antimicrobial properties, which hold promise for various applications. However, concerns about their potential toxicity have also emerged, particularly regarding their impact on human and animal health. This study investigates the acute toxicological effects of AgNPs synthesized using a green route with an aqueous extract of a native Cerrado plant (AgNPs-Cb) in mice. Methods: The AgNPs-Cb were intravenously administered at a concentration of 64 µM, and the mice were euthanized after 24 h for the collection of blood and organ samples (liver, spleen, kidneys, and lungs) for hematological, biochemical, and histological analyses. Results: Hematological analysis, including complete blood count (CBC) and differential leukocyte count, showed no statistically significant alterations in the groups treated with AgNPs-Cb, Cb extract, and Ag+, compared with the control group (p < 0.05). Notably, only the Ag+ group exhibited a significant increase in red blood cell count and hematocrit levels, suggesting that the nanoformulation of silver might mitigate the hematological impact seen with free silver ions. Biochemical analyses of liver and kidney function markers also revealed no significant differences across the treatment groups. Conclusions: These findings indicate that AgNPs-Cb may offer a safer alternative for antimicrobial applications, reducing the risk of acute toxicity in mammals while maintaining efficacy against pathogens. Further studies are needed to explore the underlying mechanisms and long-term effects of AgNPs-Cb exposure. Full article
(This article belongs to the Special Issue Therapeutic Potential of Silver Nanoparticles (AgNPs), 2nd Edition)
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21 pages, 6305 KiB  
Article
Use of BOIvy Optimization Algorithm-Based Machine Learning Models in Predicting the Compressive Strength of Bentonite Plastic Concrete
by Shuai Huang, Chuanqi Li, Jian Zhou, Xiancheng Mei and Jiamin Zhang
Materials 2025, 18(13), 3123; https://doi.org/10.3390/ma18133123 - 1 Jul 2025
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Abstract
The combination of bentonite and conventional plastic concrete is an effective method for projecting structures and adsorbing heavy metals. Determining the compressive strength (CS) is a crucial step in the design of bentonite plastic concrete (BPC). Traditional experimental analyses are resource-intensive, time-consuming, and [...] Read more.
The combination of bentonite and conventional plastic concrete is an effective method for projecting structures and adsorbing heavy metals. Determining the compressive strength (CS) is a crucial step in the design of bentonite plastic concrete (BPC). Traditional experimental analyses are resource-intensive, time-consuming, and prone to high uncertainties. To address these challenges, several machine learning (ML) models, including support vector regression (SVR), artificial neural network (ANN), and random forest (RF), are generated to forecast the CS of BPC materials. To improve the prediction accuracy, a meta-heuristic optimization, called the Ivy algorithm, is integrated with Bayesian optimization (BOIvy) to optimize the ML models. Several statistical indices, including the coefficient of determination (R2), root mean square error (RMSE), prediction accuracy (U1), prediction quality (U2), and variance accounted for (VAF), are adopted to evaluate the predictive performance of all models. Additionally, Shapley additive explanation (SHAP) and sensitivity analysis are conducted to enhance model interpretability. The results indicate that the best model is the BOIvy-ANN model, which achieves the optimal indices during the testing. Moreover, water, curing time, and cement are found to be more influential on the prediction of the CS of BPC than other features. This paper provides a strong example of applying artificial intelligence (AI) techniques to estimate the performance of BPC materials. Full article
(This article belongs to the Section Construction and Building Materials)
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