Search Results (1,187)

Cervical cancer remains a significant global public health challenge, with human papillomavirus (HPV) as its primary cause. In response, the World Health Organization (WHO) launched a global strategy to eliminate cervical cancer by 2030 and, in its 2022 position paper, recommended a single-dose vaccination schedule. The objective of this review is to critically examine the current HPV vaccination landscape in China, including vaccination policies, immunization schedules, supply–demand dynamics, and the feasibility of transitioning to a single-dose regimen. By synthesizing recent developments in HPV virology, epidemiology, vaccine types, and immunization strategies, we identify both opportunities and barriers unique to the Chinese context. Results indicate that China primarily adheres to a three-dose vaccination schedule, with an optional two-dose schedule for girls aged 9–14, leaving a notable gap compared to the most recent WHO recommendation. The high prevalence of HPV types 52 and 58 contributes to a distinct regional infection pattern, underscoring the specific need for nine-valent vaccines tailored to China’s epidemiological profile. Despite the growing demand, vaccine supply remains inadequate, with an estimated annual shortfall of more than 15 million doses. This issue is further complicated by strong public preference for the nine-valent vaccine and the relatively high cost of vaccination. Emerging evidence supports the comparable efficacy and durable protection of a single-dose schedule, which could substantially reduce financial and logistical burdens while expanding coverage. This review advocates for the adoption of a simplified single-dose regimen, supported by catch-up strategies for older cohorts and the integration of HPV vaccination into China’s National Immunization Program (NIP). Sustained investment in domestic vaccine development and centralized procurement of imported vaccines may also possibly alleviate supply shortage. These coordinated efforts are critical for strengthening HPV-related disease prevention and accelerating China’s progress toward the WHO’s cervical cancer elimination targets. Full article

The transition towards a power system characterized by a reduced presence of synchronous generators (SGs) and an increased reliance on inverter-based resources (IBRs), including wind, solar photovoltaics (PV), and battery storage, presents new operational challenges, particularly when these sources exceed 50–60% of the system’s demand. While current grid-following (GFL) IBRs, which are equipped with fast and rigid control systems, continue to dominate the inverter landscape, there has been a notable surge in research focused on grid-forming (GFM) inverters in recent years. This study conducts a comparative analysis of the practicality and control methodologies of GFM inverters relative to traditional GFL inverters from a system planning perspective. A comprehensive framework aimed at assisting system developers and consulting engineers in the grid-integration of wide-scale renewable energy sources (RESs), incorporating strategies for the deployment of inverters, capacitor banks, and harmonic filters, is proposed in this paper. The discussion includes an examination of the reactive power capabilities of the plant’s inverters and the provision of additional reactive power to ensure compliance with grid interconnection standards. Furthermore, the paper outlines a practical approach to assess the necessity for enhanced filtering measures to mitigate potential resonant conditions and achieve harmonic compliance at the installation site. The objective of this work is to offer useful guidelines and insights for the effective addition of RES into contemporary power systems. Full article

This paper introduces a unified and systematic design methodology for robotic systems that is generalizable across a wide range of applications. It integrates rigorous mathematical formalisms such as kinematics, dynamics, control theory, and optimization with advanced simulation tools, ensuring that each design decision is grounded in provable theory. The approach defines clear phases, including mathematical modeling, virtual prototyping, parameter optimization, and theoretical validation. Each phase builds on the previous one to reduce unforeseen integration issues. Spanning from conceptualization to deployment, it offers a blueprint for developing mathematically valid and robust robotic solutions while streamlining the transition from design intent to functional prototype. By standardizing the design workflow, this framework reduces development time and cost, improves reproducibility across projects, and enhances collaboration among multidisciplinary teams. Such a generalized approach is essential in today’s fast-evolving robotics landscape where rapid innovation and cross-domain applicability demand flexible yet reliable methodologies. Moreover, it provides a common language and set of benchmarks that both novice and experienced engineers can use to evaluate performance, facilitate knowledge transfer, and future-proof systems against emerging application requirements. Full article

The spatial distribution of ephemeral and perennial dryland plant species is increasingly modified and restricted by ever-changing climates and development expansion. At the interface of biodiversity conservation and developmental planning in desert landscapes is the growing need for adaptable tools in identifying and monitoring these ecologically fragile plant assemblages, habitats, and, often, heritage sites. This study evaluates usage of Sentinel-2 time series composite imagery to discriminate vegetation assemblages in a hyper-arid landscape. Spatial predictor spaces were compared to classify different vegetation communities: spectral components (PCs), vegetation indices (VIs), and their combination. Further, the uncertainty in discriminating field-verified vegetation assemblages is assessed using Shannon entropy and intensity analysis. Lastly, the intensity analysis helped to decipher and quantify class transitions between maps from different spatial predictors. We mapped plant assemblages in 2022 from combined PCs and VIs at an overall accuracy of 82.71% (95% CI: 81.08, 84.28). A high overall accuracy did not directly translate to high class prediction probabilities. Prediction by spectral components, with comparably lower accuracy (80.32, 95% CI: 78.60, 81.96), showed lower class uncertainty. Class disagreement or transition between classification models was mainly contributed by class exchange (a component of spatial allocation) and less so from quantity disagreement. Different artefacts of vegetation classes are associated with the predictor space—spectral components versus vegetation indices. This study contributes insights into using feature extraction (VIs) versus feature selection (PCs) for pixel-based classification of plant assemblages. Emphasising the ecologically sensitive vegetation in desert landscapes, the study contributes uncertainty considerations in translating optical satellite imagery to vegetation maps of arid landscapes. These are perceived to inform and support vegetation map creation and interpretation for operational management and conservation of plant biodiversity and habitats in such landscapes. Full article

Under the continuous disturbance of ecosystems driven by urbanization, landscape fragmentation and the disruption of ecological processes and functions are key challenges in optimizing ecological networks (EN). This study aims to examine the spatiotemporal evolution of topological patterns, ecological processes, and ecosystem services (ES) in Wuhan from the “pattern–process–function” perspective. To overcome the lag in research concerning the coupling of ecological processes, functions, and spatial patterns, we explore the long-term dynamic evolution of ecosystem structure, process, and function by integrating multi-source data, including remote sensing, enabling comprehensive spatiotemporal analysis from 2000 to 2020. Addressing limitations in current EN optimization approaches, we integrate morphological spatial pattern analysis (MSPA), use circuit theory to identify EN components, and conduct spatial optimization accurately. We further assess the effectiveness of two scenario types: “pattern–function” and “pattern–process”. The results reveal a distinct “increase-then-decrease” trend in EN structural attributes: from 2000 to 2020, source areas declined from 39 (900 km²) to 37 (725 km²), while corridor numbers fluctuated before stabilizing at 89. Ecological processes and functions exhibited phased fluctuations. Among water-related indicators, water conservation (as a core function), and modified normalized difference water index (MNDWI, as a key process) predominantly drive positive correlations under the “pattern–function” and “pattern–process” scenarios, respectively. The “pattern–function” scenario strengthens core area connectivity (24% and 4% slower degradation under targeted/random attacks, respectively), enhancing resistance to general disturbances, whereas the “pattern–process” scenario increases redundancy in edge transition zones (21% slower degradation under targeted attacks), improving resilience to targeted disruptions. This complementary design results in a gradient EN structure characterized by core stability and peripheral resilience. This study pioneers an EN optimization framework that systematically integrates identification, assessment, optimization, and validation into a closed-loop workflow. Notably, it establishes a quantifiable, multi-objective decision basis for EN optimization, offering transferable guidance for green infrastructure planning and ecological restoration from a pattern–process–function perspective. Full article

Clarifying the coordination and impediments of social, economic, and spatial connection in rural areas is essential for advancing rural revitalization, urban-rural integration, and regional coordinated development. Utilizing the 24 counties and districts in western Hunan as case studies, we developed an evaluation index system for sustainable rural development across three dimensions: social, economic, and spatial. We employed the coupling model, coordination model, and obstacle factor model to investigate the comprehensive development level, coupling and coordination status, and obstacle factors of the villages in the study area at three temporal points: 2002, 2012, and 2022. The findings indicate the following: (1) The degree of rural development in western Hunan has escalated swiftly throughout the study period, transitioning from relative homogeneity to a heterogeneous developmental landscape, accompanied by issues such as inadequate development and regional polarization. (2) The overall rural social, economic, and spatial indices are low, and the degree of coupling has increased variably across different study periods; the average coordination degree has gradually improved over time, yet the level of coordination remains low, and spatial development is unbalanced. (3) The criterion-level impediments hindering the sustainable development of rural society, economy, and space are, in descending order, social factors, spatial factors, and economic factors. The urbanization rate, total fixed investment rate, and arable land change rate are the primary impediments in most counties and cities. The study’s findings will inform the planning of rural development in ethnic regions, promote sustainable social and spatial advancement in the countryside, and serve as a reference for rural revitalization efforts. Full article

Insect metamorphosis is a complex developmental process regulated by hormonal signaling and gene transcription. To elucidate its transcriptional regulatory mechanisms, we examined chromatin accessibility dynamics during metamorphosis in two holometabolous insects, Harmonia axyridis and Drosophila melanogaster, using ATAC-seq. Our analysis revealed distinct stage-specific chromatin accessibility patterns, with peak accessibility during the prepupal stage in H. axyridis and the wandering larval to prepupal transition in D. melanogaster. Through analysis of differential accessibility regions (DARs), we identified enrichment of metamorphosis-related processes including cell morphogenesis, tissue remodeling, and hormone signaling pathways via Gene Ontology and KEGG pathway analyses. Integration of chromatin accessibility with gene expression data revealed 608 conserved genes exhibiting coordinated accessibility and expression changes across both species. Additionally, we constructed a regulatory network centered around four key transcription factors (dsx, E93, REPTOR, and Sox14) that form core regulatory modules controlling metamorphosis. This study provides novel insights into the epigenetic landscape of insect metamorphosis and establishes a foundation for understanding the transcriptional regulatory mechanisms governing this critical developmental process. Full article

The preservation and protection of historic urban centers in climate-sensitive coastal areas contributes to the promotion of culture as a driver and enabler of achieving temporal and spatial sustainability, as it is recognized that urban heritage is an integral part of the urban landscape, culture, and economy. The aim of this study was to enhance the resilience and protection of cultural heritage and historic urban centers (HUCs) in the coastal area of Kaštela, Croatia, by providing recommendations and action guidelines in response to climate change impacts, including rising temperatures, sea levels, storms, droughts, and flooding. Preserving HUCs is essential to maintain their cultural values, original structures, and appearance. Many ancient coastal Roman HUCs lie partially or entirely below mean sea level, while low-lying medieval castles, urban areas, and modern developments are increasingly at risk. Based on vulnerability assessments, targeted mitigation and adaptation measures were proposed to address HUC vulnerability sources. The Historical Urban Landscape Approach tool was used to transition and manage HUCs, linking past, present, and future hazard contexts to enable rational, comprehensive, and sustainable solutions. The effective protection of HUCs requires a deeper understanding of the evolution of urban development, climate dynamics, and the natural environments, including both tangible and intangible urban heritage elements. The “hazard-specific” vulnerability assessment framework, which incorporates hazard-relevant indicators of sensitivity and adaptive capacity, was a practical tool for risk reduction. This method relies on analyzing the historical performance and physical characteristics of the system, without necessitating additional simulations of transformation processes. Full article

Background/Objectives: Tegoprazan (TPZ) is a potassium-competitive acid blocker (P-CAB) used to treat conditions such as gastroesophageal reflux disease, peptic ulcer, and Helicobacter pylori infection. It exists in three solid forms: amorphous, Polymorph A, and Polymorph B. This study investigates the molecular basis of polymorph selection, focusing on conformational bias and solvent-mediated phase transformations (SMPTs). Methods: The conformational energy landscapes of two TPZ tautomers were constructed using relaxed torsion scans with the OPLS4 force field and validated by nuclear Overhauser effect (NOE)-based nuclear magnetic resonance (NMR). Hydrogen-bonded dimers were analyzed using DFT-D. Powder X-ray diffraction (PXRD), differential scanning calorimetry (DSC), solubility, and slurry tests were conducted using methanol, acetone, and water. Kinetic profiles were modeled with the Kolmogorov–Johnson–Mehl–Avrami (KJMA) equation. Results: Polymorph A was thermodynamically stable across all analyses. Both amorphous TPZ and Polymorph B converted to A in a solvent-dependent manner. Methanol induced direct A formation, while acetone showed a B → A transition. Crystallization was guided by solution conformers and hydrogen bonding. Conclusions: TPZ polymorph selection is governed by solution-phase conformational preferences, tautomerism, and solvent-mediated hydrogen bonding. DFT-D and NMR analyses showed that protic solvents favor the direct crystallization of stable Polymorph A, while aprotic solvents promote the transient formation of metastable Polymorph B. Elevated temperatures and humidity accelerate polymorphic transitions. This crystal structure prediction (CSP)-independent strategy offers a practical framework for rational polymorph control and the mitigation of disappearing polymorph risks in tautomeric drugs. Full article

This study analyzes the evolution of Pakistan’s energy policies from 1990 to 2024, documenting their transition from a singular focus on generation capacity to an integrated approach prioritizing renewable energy and efficiency. Through a systematic literature review of 110 initially screened studies, with 50 meeting the inclusion criteria and 22 selected for in-depth analysis, we evaluated policy effectiveness and identified implementation barriers. Our methodology employed predefined criteria focusing on energy efficiency, environmental sustainability, and climate impact, utilizing the Web of Science and Scopus databases. Early policies like the National Energy Conservation Policy (1992) and the Energy Policy (1994) emphasized energy security through generation capacity expansion while largely neglecting renewable sources and efficiency improvements. The policy landscape evolved in the 2000s with the introduction of renewable energy incentives and efficiency initiatives. However, persistent challenges include short-term planning, inconsistent implementation, and fossil fuels dependence. Recent framework like the Alternative and Renewable Energy Policy (2019) and the National Energy Efficiency and Conservation Plan (2020–2025) demonstrate progress toward sustainable energy practices. However, institutional, financial, and regulatory barriers continue to constrain effectiveness. We recommend that Pakistan’s energy strategy prioritize the following: (1) long-term planning horizon; (2) enhanced fiscal incentives; and (3) strengthened institutional support to meet global energy security and climate resilience standards. These measures would advance Pakistan’s sustainable energy transition while supporting both energy security and environmental objectives. Full article

Atherosclerosis constitutes a pathological process underlying cardiovascular diseases. There is growing evidence that IGFBP5 is a causative factor, although the conclusions of different studies are inconsistent. The present study aims to confirm the role and mechanism of IGFBP5 in atherosclerosis. The expression of IGFBP5 was induced in the skeletal muscle of male ApoE^−/− mice, an atherosclerosis model, using adeno-associated virus, resulting in elevated circulating IGFBP5 levels. Changes in blood lipids were detected, and pathological changes in the aorta were observed. Analysis of IGFBP5 function using RNA sequencing and validation were performed in a mouse aortic smooth muscle cell line. The results demonstrated that IGFBP5 overexpression exacerbated the development of aortic lesions in this murine models without any discernible alterations in lipid profile parameters; the arterial transcriptomic landscape revealed that heightened IGFBP5 levels predominantly influenced pathways governing smooth muscle cell proliferation and motility. In vitro experimentation corroborated these findings, showcasing the stimulatory effect of IGFBP5 on VSMC (vascular smooth muscle cell) proliferation and migration, provoking a transition toward a proliferative phenotype. IGFBP5 promotes atherosclerosis in ApoE^−/− mice through the phenotypic transformation of VSMCs. This finding suggests that IGFBP5 has the potential to serve as an indicator of atherosclerosis diagnosis and a target for therapeutic interventions in the future. Full article

With the acceleration of global urbanization, cropland loss and fragmentation due to construction land expansion have become critical threats to food security and ecological sustainability, particularly in rapidly developing coastal regions. Understanding urban–rural differences in these processes is essential as divergent governance policies, socioeconomic pressures, and land use transition pathways may lead to uneven impacts on agricultural systems. However, past comparisons of urban–rural differences regarding this issue have been insufficient. Therefore, this study takes Jiangsu Province, China, as an example. Based on 30 m-resolution land use data, Geographic Information System (GIS) spatial analysis, and landscape pattern indices, it delves into the urban–rural differences in cropland loss and fragmentation caused by construction land expansion from 1990 to 2020. The results show that cropland in urban and rural areas decreased by 44.14% and 5.97%, respectively, while the area of construction land increased by 2.61 times and 90.14%, respectively. 94.36% of the newly added construction land originated from cropland, with the conversion of rural cropland to construction land being particularly prominent in northern Jiangsu, while the conversion of urban cropland to construction land is more pronounced in southern Jiangsu. The expansion of construction land has led to the continuous fragmentation of cropland, which is more severe in urban areas than in rural areas, while construction land is becoming increasingly agglomerated. There are significant differences in the degree of land use change between urban and rural areas, necessitating the formulation of differentiated land management policies to balance economic development with agricultural sustainability. Full article

Agroecological transitions in collective urban gardens in Toulouse region were studied through the prism of global health (2011–2022). The specific meaning of “global health” in the context of urban gardens concerns the health of gardeners (well-being and physical health), plants, soil, and animals, as well as the interactions between humans and non-humans, which are crucial for gardeners. A sociotechnical research project was developed on four different collective gardening sites, consisting of the following: 1. surveys issued to 100 garden stakeholders to highlight issues and practices, participation in meetings with the social centers in charge of events, and focus groups; 2. participative agronomic and environmental measurements and field observations, including soil quality analyses; and 3. analysis of the available documentary corpus. In order to produce the results, these three research methods (surveys, agronomy, document analysis) were combined through a transdisciplinary approach, in that both the field experimentation outcomes and retrieved scientific publications and technical documents informed the discussions with gardeners. Consideration of the four different sites enabled the exploration of various contextual factors—such as soil or air quality—affecting the production of vegetables. A rise in the concerns of gardeners about the impacts of their activities on global health was observed, including aspects such as creating and enjoying landscapes, taking care of the soil and biodiversity, developing social connections through the transmission of practices, and regular outside physical activity and healthier eating. The increased consideration for global health issues by all stakeholders promotes the implementation of agroecological practices in gardens to improve biodiversity and adherence to circular economy principles. Four concepts emerged from the interviews: health, production of vegetables, living soil, and social interactions. Notably, nuances between the studied sites were observed, according to their history, environment, and organization. These collective gardens can thus be considered as accessible laboratories for social and agroecological experimentation, being areas that can strongly contribute to urban ecosystem services. Full article

This study proposes a computational framework that transforms eye-tracking analysis from statistical description to cognitive structure modeling, aiming to reveal the organizational features embedded in the viewing process. Using the designers’ observation of a traditional Chinese landscape painting as an example, the study draws on the goal-oriented nature of design thinking to suggest that such visual exploration may exhibit latent structural tendencies, reflected in patterns of fixation and transition. Rather than focusing on traditional fixation hotspots, our four-dimensional framework (Region, Relation, Weight, Time) treats viewing behavior as structured cognitive networks. To operationalize this framework, we developed a data-driven computational approach that integrates fixation coordinate transformation, K-means clustering, extremum point detection, and linear interpolation. These techniques identify regions of concentrated visual attention and define their spatial boundaries, allowing for the modeling of inter-regional relationships and cognitive organization among visual areas. An adaptive buffer zone method is further employed to quantify the strength of connections between regions and to delineate potential visual nodes and transition pathways. Three design-trained participants were invited to observe the same painting while performing a think-aloud task, with one participant selected for the detailed demonstration of the analytical process. The framework’s applicability across different viewers was validated through consistent structural patterns observed across all three participants, while simultaneously revealing individual differences in their visual exploration strategies. These findings demonstrate that the proposed framework provides a replicable and generalizable method for systematically analyzing viewing behavior across individuals, enabling rapid identification of both common patterns and individual differences in visual exploration. This approach opens new possibilities for discovering structural organization within visual exploration data and analyzing goal-directed viewing behaviors. Although this study focuses on method demonstration, it proposes a preliminary hypothesis that designers’ gaze structures are significantly more clustered and hierarchically organized than those of novices, providing a foundation for future confirmatory testing. Full article

Evaluating performance is a necessary and specific process across all sectors and organizational levels, shaped by context, indicators, and purpose. Considering global sustainability transitions, understanding financial performance entails a deeper perspective on technical accuracy, conceptual clarity, and systemic integration. This study investigates how financial performance is assessed and interpreted in sustainability-focused research, drawing on a bibliometric analysis of 490 articles indexed in the Web of Science from 2007 to 2023. Using SciMAT, we traced thematic evolutions and revealed a fragmented research landscape marked by competing theoretical, methodological, and practical orientations. To address this conceptual dispersion, we applied the Analytic Hierarchy Process (AHP) to evaluate five key alternatives to financial-performance assessment (quantitative measurement, definition-oriented reasoning, theoretical frameworks, experiential comparison, and integration with sustainability and ethics) against three conceptual criteria (philosophical depth, holistic scope, and multidisciplinary relevance). The results highlight a strong preference for holistic and integrative models of financial performance, with quantitative measurement ranking highest in practical terms, followed by experiential and sustainability-driven approaches. These results underscore the need to align financial evaluation more closely with sustainability values, bridging short-term metrics with long-term societal impact. By combining diachronic thematic mapping with structured decision analysis, this study advances a more reflective and forward-looking framework for performance research. It contributes to sustainability research by identifying underexplored epistemological pathways and supporting the development of financial evaluation models that are inclusive, ethically grounded, and aligned with sustainable development goals. Full article