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Search Results (1,488)

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19 pages, 1102 KiB  
Article
Assessing the Adoption and Feasibility of Green Wall Systems in Construction Projects in Nigeria
by Oluwayinka Seun Oke, John Ogbeleakhu Aliu, Damilola Ekundayo, Ayodeji Emmanuel Oke and Nwabueze Kingsley Chukwuma
Sustainability 2025, 17(15), 7126; https://doi.org/10.3390/su17157126 - 6 Aug 2025
Abstract
This study aims to evaluate the level of awareness and practical adoption of green wall systems in the Nigerian construction industry. It seeks to examine the current state of green wall implementation and recommend strategies to enhance their integration into construction practices among [...] Read more.
This study aims to evaluate the level of awareness and practical adoption of green wall systems in the Nigerian construction industry. It seeks to examine the current state of green wall implementation and recommend strategies to enhance their integration into construction practices among Nigerian construction professionals. A thorough review of the existing literature was conducted to identify different types of green wall systems. Insights from this review informed the design of a structured questionnaire, which was distributed to construction professionals based in Lagos State. The data collected were analyzed using statistical tests. The study reveals that while there is generally high awareness of green wall systems among Nigerian construction professionals, the practical use remains low, with just 8 out of the 18 systems being actively implemented, eclipsing the mean value of 3.0. The findings underscore the need for targeted education, industry incentives, and increased advocacy to encourage the use of green wall systems in the Nigerian construction sector. The results have significant implications for the Nigerian construction industry. The limited awareness and adoption of green wall systems highlight the need for strategic actions from policymakers, industry leaders and educational institutions. Promoting the use of green walls could drive more sustainable building practices, improve environmental outcomes and support the broader goals of decarbonization and circularity in construction. This research adds to the body of knowledge on sustainable construction by offering a detailed evaluation of green wall awareness and adoption within the Nigerian context. While green wall systems have been studied globally, this research provides a regional perspective, which in this case focuses on Lagos State. The study’s recognition of the gap between awareness and implementation highlights an important area for future research and industry development. Full article
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24 pages, 3874 KiB  
Article
“Space Production” and “Place-Making”: A Study on the Regeneration Process of Zhongshan Road Historic District in Qingdao, China
by Xiaowen Ma, Bin Li and Kaihan Yang
Buildings 2025, 15(15), 2771; https://doi.org/10.3390/buildings15152771 - 6 Aug 2025
Abstract
Urban regeneration is an important issue in urban development, in which the regeneration of historic districts is a frontier and sensitive field. In this study, the regeneration process of Zhongshan Road Historic District in Qingdao, China, spanning over three decades from 1990 until [...] Read more.
Urban regeneration is an important issue in urban development, in which the regeneration of historic districts is a frontier and sensitive field. In this study, the regeneration process of Zhongshan Road Historic District in Qingdao, China, spanning over three decades from 1990 until the present, was investigated, and an analysis was performed using a longitudinal case study approach involving interviews, field visits, and the literature data within the analytical framework of the interaction between “space production” and “place-making”. The findings are as follows: (1) The regeneration of Zhongshan Road can be understood as “space production” dominated by power and capital seeking to maximize the benefits. This process can be divided into five stages, with the intensity of the “space production”, dominated by power and capital, becoming increasingly higher, and the means of achieving “space production” within “place-making” becoming progressively more covert. (2) “Place-making” consists of five stages: no place, symbolic place, imaginary place, declining place, and new place. (3) “Place-making” counteracts “space production”, making the subjects of “space production” constantly adjust their production strategies and methods. The main theoretical contribution of this study is the introduction of “place-making” into the analytical framework of “space production”, thereby deepening the empirical analytical capacity of “space production” theory and offering effective insights for the regeneration of historic districts. Full article
(This article belongs to the Section Architectural Design, Urban Science, and Real Estate)
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8 pages, 177 KiB  
Essay
Cancer and Humility: Moving from “Why” to Hope
by Ronald T. Michener
Religions 2025, 16(8), 1010; https://doi.org/10.3390/rel16081010 - 5 Aug 2025
Abstract
If God cares and is present, can God use pain and suffering in my life? Absolutely. Does this mean that God planned, ordained, or designed the pain (or cancer) to be instrumental in my life for some sort of higher spiritual purpose? If [...] Read more.
If God cares and is present, can God use pain and suffering in my life? Absolutely. Does this mean that God planned, ordained, or designed the pain (or cancer) to be instrumental in my life for some sort of higher spiritual purpose? If so, why? Why does God allow cancer to invade and interrupt one’s life? There are no theologically sound or definitive answers to these questions. Although asking such questions is basic to our humanity, as we will observe in various passages of Scripture, the answers will always remain elusive. Instead of seeking to answer the question “why?”, I will suggest two areas for theological and pastoral reflection with respect to those facing cancer: humility and hope. Enduring cancer, from diagnosis through treatment, requires humility in mind and body before our Creator and before our caregivers. Cancer also provides an opportunity for Christians to embed themselves in the hope of resurrection and new creation. Resurrection hope is also not reduced to hope beyond death but hope that is manifested now through embodied resurrection “signs” and actions of human sacrificial love, both received and practiced by the patient undergoing illness and by the patient’s caregivers, family, and friends. Full article
(This article belongs to the Special Issue Cancer and Theology: Personal and Pastoral Perspectives)
16 pages, 506 KiB  
Article
The Transition to Caregiver in Advanced Alzheimer’s Disease: From Emotional Connection to Care Responsibility—A Grounded Theory Approach
by Federica Dellafiore, Orejeta Diamanti, Luca Guardamagna, Gloria Modena, Pierpaolo Servi, Donato Antonio Rotondo, Tiziana Nania, Andreina Saba and Giovanna Artioli
Nurs. Rep. 2025, 15(8), 284; https://doi.org/10.3390/nursrep15080284 - 4 Aug 2025
Abstract
Background: The progression of Alzheimer’s Disease (AD) deeply affects not only the diagnosed person but also their close relatives, who are often called to take on the role of informal caregivers. This transition is frequently unplanned and emotionally complex, yet poorly understood in [...] Read more.
Background: The progression of Alzheimer’s Disease (AD) deeply affects not only the diagnosed person but also their close relatives, who are often called to take on the role of informal caregivers. This transition is frequently unplanned and emotionally complex, yet poorly understood in its deeper processual dimensions. This study aims to explore and theorize the transition experienced by a family member becoming the primary informal caregiver for a person with advanced AD. Methods: A qualitative study based on the Constructivist Grounded Theory according to Charmaz’s approach (2006) was conducted. In-depth interviews were carried out with 10 participants who had become informal caregivers for a loved one with advanced AD. Data were analyzed using initial coding, focused coding, the constant comparative method, and theoretical coding. Results: Ten caregivers (mean age 39 years, range 35–54; nine females) of patients with advanced AD participated in the study. The analysis revealed a complex, emotionally intense caregiving experience marked by sacrifice, feelings of powerlessness, identity loss, and the necessity of sharing caregiving responsibilities. A core category emerged: A Silent and Certain Willingness to Care, representing the caregivers’ deep, often unconscious commitment to prioritize the care of their loved ones above their own needs. Four interconnected phases characterized the caregiving process: (1) The Changing Daily Life—involving significant sacrifices in personal and social life; (2) Feeling Powerless—confronting the inevitable decline without means to alter the course; (3) Losing Oneself—experiencing physical and psychological exhaustion and a sense of identity loss; and (4) Sharing with Others—seeking external support to sustain caregiving. These findings highlight the evolving nature of becoming a caregiver and the enduring dedication that sustains this role despite the challenges. Conclusions: The progression of AD deeply transforms the lives of caregivers, who become co-sufferers and active participants in the disease’s management. The results underscore the urgency of designing integrative care strategies—including psychological, social, and potentially technological support—that can enhance both patient outcomes and caregiver resilience. Grounded in real-world experiences, this study contributes to the broader neurodegeneration discourse by emphasizing caregiving as a critical factor in long-term disease management and therapeutic success. Full article
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17 pages, 431 KiB  
Article
Climate Crisis and Mental Well-Being: Nature Relatedness, Meaning in Life, and Gender Differences in a Jewish Australian Study
by Orly Sarid
Behav. Sci. 2025, 15(8), 1045; https://doi.org/10.3390/bs15081045 - 1 Aug 2025
Viewed by 183
Abstract
Background: Amid growing concerns about climate crisis and its psychological toll, understanding how people find meaning through their connection to nature is increasingly important. The first aim of this study is to examine the association between Nature Relatedness (NR) and Meaning in Life [...] Read more.
Background: Amid growing concerns about climate crisis and its psychological toll, understanding how people find meaning through their connection to nature is increasingly important. The first aim of this study is to examine the association between Nature Relatedness (NR) and Meaning in Life (MIL). The second aim is to investigate if gender moderates this association and to explore how Jewish traditions influence gender differences in this relationship. Methods: A multi-methods design was employed. Participants were recruited through purposive sampling of prominent Jewish community figures, followed by snowball sampling via informant referrals. Thirty-five participants completed the Meaning in Life Questionnaire (MLQ) and the NR Scale. Two questions provided qualitative insights into participants’ personal interpretations and culturally grounded meanings of NR and MIL in the context of climate change and Jewish traditions. Results: Hierarchical multiple regression analyses assessed the main effects of NR and gender, as well as their interaction, on MLQ subscales. NR positively correlated with the MLQ Search dimension, indicating that individuals with stronger NR actively seek meaning in life. Gender moderated this relationship: NR did not correlate with MLQ Presence overall, but higher NR was linked to greater MIL presence among female participants. Thematic analysis of qualitative responses revealed gender-based variations and emphasized the role of Jewish teachings in connecting NR to cultural and religious practices. Conclusions: The findings point to the importance of cultural, religious, and gender factors in shaping the relationship between NR and MIL in a time of climate change crisis, offering implications for positive mental health research and culturally sensitive interventions. Full article
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18 pages, 392 KiB  
Article
Semantic Restoration of Snake-Slaying in Chan Buddhist Koan
by Yun Wang and Yulu Lv
Religions 2025, 16(8), 973; https://doi.org/10.3390/rel16080973 - 27 Jul 2025
Viewed by 321
Abstract
In the Chan Buddhism koan (gong’an 公案) tradition, the act of “slaying the snake” functions as a signature gesture imbued with complex, historically layered cultural meanings. Rather than merely examining its motivations, this paper emphasizes tracing the semantic transformations that this motif has [...] Read more.
In the Chan Buddhism koan (gong’an 公案) tradition, the act of “slaying the snake” functions as a signature gesture imbued with complex, historically layered cultural meanings. Rather than merely examining its motivations, this paper emphasizes tracing the semantic transformations that this motif has undergone across different historical contexts. It argues that “snake-slaying” operated variously as an imperial narrative strategy reinforcing ruling class ideology; as a form of popular resistance by commoners against flood-related disasters; as a dietary practice among aristocrats and literati seeking danyao (elixirs) 丹藥 for reclusion and transcendence; and ultimately, within the Chan tradition, as a method of spiritual cultivation whereby masters sever desires rooted in attachment to both selfhood and the Dharma. More specifically, first, as an imperial narrative logic, snake-slaying embodied exemplary power: both Liu Bang 劉邦 and Guizong 歸宗 enacted this discursive strategy, with Guizong’s legitimacy in slaying the snake deriving from the precedent set by Liu Bang. Second, as a folk strategy of demystification, snake-slaying acquired a moral aura—since the snake was perceived as malevolent force, their slaying appeared righteous and heroic. Finally, as a mode of self-cultivation among the aristocracy, snake-slaying laid the groundwork for its later internalization. In Daoism, slaying the snake was a means of cultivating the body; in Chan Buddhism, the act is elevated to a higher plane—becoming a way of cultivating the mind. This transformation unfolded naturally, as if predestined. In all cases, the internalization of the snake-slaying motif was not an overnight development: the cultural genes that preceded its appearance in the Chan tradition provided the fertile ground for its karmic maturation and discursive proliferation. Full article
34 pages, 3155 KiB  
Review
Suicide Prevention Measures at High-Risk Locations: A Goal-Directed Motivation Perspective
by Laura Joyner, Jay-Marie Mackenzie, Andy Willis, Penny Phillips, Bethany Cliffe, Ian Marsh, Elizabeth Pettersen, Keith Hawton and Lisa Marzano
Behav. Sci. 2025, 15(8), 1009; https://doi.org/10.3390/bs15081009 - 25 Jul 2025
Viewed by 397
Abstract
Understanding the effectiveness of suicide prevention measures for high-risk locations can often be challenging as many rely, at least to some degree, on psychological processes (e.g., engaging with help-seeking behaviours). Establishing how these measures may influence decision-making during a suicide attempt could be [...] Read more.
Understanding the effectiveness of suicide prevention measures for high-risk locations can often be challenging as many rely, at least to some degree, on psychological processes (e.g., engaging with help-seeking behaviours). Establishing how these measures may influence decision-making during a suicide attempt could be helpful for understanding how and when they may be most effective at preventing deaths. In the present work, we consider how suicide prevention measures may influence “goal pursuit” as it unfolds. Drawing on findings from across the suicide prevention literature, we apply the descriptive framework outlined in GOAL Architecture to consider how different measures may shape perceptions of “distance”, “time”, and “rate of progress” and, in turn, could influence levels of motivational drive associated with specific acts (e.g., “accessing means for suicide”). This is discussed in relation to real-time decisions around accessing means for suicide, avoiding intervention by a third party, and engaging in help-seeking behaviours. As well as the psychological processes that could encourage or prevent an individual from disengaging from a suicide attempt, we also consider potential risks and the influence of person-level factors. Full article
(This article belongs to the Special Issue Suicidal Behaviors: Prevention, Intervention and Postvention)
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14 pages, 285 KiB  
Article
Effects of Stretching and Resistance Training on Psychophysical Awareness: A Pilot Study
by Giovanni Esposito, Rosario Ceruso, Pietro Luigi Invernizzi, Vincenzo Manzi and Gaetano Raiola
Appl. Sci. 2025, 15(15), 8259; https://doi.org/10.3390/app15158259 - 24 Jul 2025
Viewed by 298
Abstract
Muscle–joint flexibility is defined as the ability of a muscle to stretch in a controlled manner, allowing a wide range of movement at the joints. While numerous methodologies exist for improving flexibility, few studies have investigated the role of athletes’ perceptual processes and [...] Read more.
Muscle–joint flexibility is defined as the ability of a muscle to stretch in a controlled manner, allowing a wide range of movement at the joints. While numerous methodologies exist for improving flexibility, few studies have investigated the role of athletes’ perceptual processes and awareness related to their own body and movement control during such training. In this pilot study, we explored how two different training protocols—static and dynamic stretching (control group, CON) and multi-joint resistance training (experimental group, EXP)—influence both flexibility and psychophysical awareness, understood as a multidimensional construct involving perceived flexibility improvements, self-assessed control over exercise execution, and cognitive-emotional responses such as engagement, motivation, and satisfaction during physical effort. The study involved 24 male amateur track-and-field athletes (mean age 23 ± 2.5 years), randomized into two equal groups. Over 12 weeks, both groups trained three times per week. Flexibility was assessed using the Sit and Reach Test at three time points (pre-, mid-, and post-intervention). A 2 × 3 mixed ANOVA revealed a significant group × time interaction (F = 20.17, p < 0.001), with the EXP group showing greater improvements than the CON group. In the EXP group, Sit and Reach scores increased from pre = 28.55 cm (SD = 4.91) to mid = 29.39 cm (SD = 4.67) and post = 29.48 cm (SD = 4.91), with a significant difference between pre and post (p = 0.01; d = 0.35). The CON group showed minimal changes, with scores of pre = 28.66 cm (SD = 4.92), mid = 28.76 cm (SD = 5.03), and post = 28.84 cm (SD = 5.10), and no significant difference between pre and post (p = 0.20; d = 0.04). Psychophysical awareness was assessed using a custom questionnaire structured on a 5-point Likert scale, with items addressing perception of flexibility, motor control, and exercise-related bodily sensations. The questionnaire showed excellent internal consistency (Cronbach’s α = 0.92). Within the EXP group, psychophysical awareness increased significantly (from 3.50 to 4.17; p = 0.01; d = 0.38), while no significant change occurred in the CON group (p = 0.16). Post-hoc power analysis confirmed small to moderate effect sizes within the EXP group, although between-group differences lacked sufficient statistical power. These results suggest that resistance training may improve flexibility and concurrently enhance athletes’ psychophysical self-awareness more effectively than traditional stretching. Such findings offer practical implications for coaches seeking to optimize flexibility training by integrating alternative methods that promote both physical and perceptual adaptations. Full article
(This article belongs to the Section Applied Biosciences and Bioengineering)
20 pages, 796 KiB  
Review
Do Adult Frogs Remember Their Lives as Tadpoles and Behave Accordingly? A Consideration of Memory and Personality in Anuran Amphibians
by Michael J. Lannoo and Rochelle M. Stiles
Diversity 2025, 17(8), 506; https://doi.org/10.3390/d17080506 - 23 Jul 2025
Viewed by 253
Abstract
Memory is a fundamental neurological function, essential for animal survival. Over the course of vertebrate evolution, elaborations in the forebrain telencephalon create new memory mechanisms, meaning basal vertebrates such as amphibians must have a less sophisticated system of memory acquisition, storage, and retrieval [...] Read more.
Memory is a fundamental neurological function, essential for animal survival. Over the course of vertebrate evolution, elaborations in the forebrain telencephalon create new memory mechanisms, meaning basal vertebrates such as amphibians must have a less sophisticated system of memory acquisition, storage, and retrieval than the well-known hippocampal-based circuitry of mammals. Personality also appears to be a fundamental vertebrate trait and is generally defined as consistent individual behavior over time and across life history stages. In anuran amphibians (frogs), personality studies generally ask whether adult frogs retain the personality of their tadpole stage or whether personality shifts with metamorphosis, an idea behavioral ecologists term adaptive decoupling. Using a multidisciplinary perspective and recognizing there are ~7843 species of frogs, each with some molecular, morphological, physiological, or behavioral feature that makes it unique, we review, clarify, and provide perspective on what we collectively know about memory and personality and their mechanisms in anuran amphibians. We propose four working hypotheses: (1) as tadpoles grow, new telencephalic neurons become integrated into functional networks, producing behaviors that become more sophisticated with age; (2) since carnivores tend to be more bold/aggressive than herbivores, carnivorous anuran adults will be more aggressive than herbivorous tadpoles; (3) each amphibian species, and perhaps life history stage, will have a set point on the Shy–Bold Continuum; and (4) around this set point there will be a range of individual responses. We also suggest that several factors are slowing our understanding of the variety and depth of memory and personality possibilities in anurans. These include the scala natura approach to comparative studies (i.e., the idea that one frog represents all frogs); the assumption that amphibians are no more than simple reflex machines; that study species tend to be chosen more for convenience than taxonomic representation; and that studies are designed to prove or disprove a construct. This latter factor is a particular hindrance because what we are really seeking as scientists is not the confirmation or refutation of ideas, but rather what those ideas are intended to produce, which is understanding. Full article
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30 pages, 5734 KiB  
Article
Evaluating Remote Sensing Products for Pasture Composition and Yield Prediction
by Karen Melissa Albacura-Campues, Izar Sinde-González, Javier Maiguashca, Myrian Herrera, Judith Zapata and Theofilos Toulkeridis
Remote Sens. 2025, 17(15), 2561; https://doi.org/10.3390/rs17152561 - 23 Jul 2025
Viewed by 342
Abstract
Vegetation and soil indices are able to indicate patterns of gradual plant growth. Therefore, productivity data may be used to predict performance in the development of pastures prior to grazing, since the morphology of the pasture follows repetitive cycles through the grazing of [...] Read more.
Vegetation and soil indices are able to indicate patterns of gradual plant growth. Therefore, productivity data may be used to predict performance in the development of pastures prior to grazing, since the morphology of the pasture follows repetitive cycles through the grazing of animals. Accordingly, in recent decades, much attention has been paid to the monitoring and development of vegetation by means of remote sensing using remote sensors. The current study seeks to determine the differences between three remote sensing products in the monitoring and development of white clover and perennial ryegrass ratios. Various grass and legume associations (perennial ryegrass, Lolium perenne, and white clover, Trifolium repens) were evaluated in different proportions to determine their yield and relationship through vegetation and soil indices. Four proportions (%) of perennial ryegrass and white clover were used, being 100:0; 90:10; 80:20 and 70:30. Likewise, to obtain spectral indices, a Spectral Evolution PSR-1100 spectroradiometer was used, and two UAVs with a MAPIR 3W RGNIR camera and a Parrot Sequoia multispectral camera, respectively, were employed. The data collection was performed before and after each cut or grazing period in each experimental unit, and post-processing and the generation of spectral indices were conducted. The results indicate that there were no significant differences between treatments for yield or for vegetation indices. However, there were significant differences in the index variables between sensors, with the spectroradiometer and Parrot obtaining similar values for the indices both pre- and post-grazing. The NDVI values were closely correlated with the yield of the forage proportions (R2 = 0.8948), constituting an optimal index for the prediction of pasture yield. Full article
(This article belongs to the Special Issue Application of Satellite and UAV Data in Precision Agriculture)
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31 pages, 7290 KiB  
Article
Freight Rate Decisions in Shipping Logistics Service Supply Chains Considering Blockchain Adoption Risk Preferences
by Yujing Chen, Jiao Mo and Bin Yang
Mathematics 2025, 13(15), 2339; https://doi.org/10.3390/math13152339 - 22 Jul 2025
Viewed by 230
Abstract
This paper explores the strategic implications of technological adoption within shipping logistics service supply chains, with a particular focus on blockchain technology (BCT). When integrating new technologies, supply chain stakeholders evaluate associated risks alongside complexity, profitability, and operational challenges, which influence their strategic [...] Read more.
This paper explores the strategic implications of technological adoption within shipping logistics service supply chains, with a particular focus on blockchain technology (BCT). When integrating new technologies, supply chain stakeholders evaluate associated risks alongside complexity, profitability, and operational challenges, which influence their strategic behaviors. Anchored in the concept of technology trust, this study examines how different risk preferences affect BCT adoption decisions and freight rate strategies. A game-theoretic model is constructed using a mean-variance utility framework to analyze interactions between shipping companies and freight forwarders under three adoption scenarios: no adoption (NN), partial adoption (BN), and full adoption (BB). The results indicate that risk-seeking agents are more likely to adopt BCT early but face greater freight rate volatility in the initial stages. As the technology matures, strategic variability declines and the influence of adaptability on pricing becomes less pronounced. In contrast, risk-neutral and risk-averse participants tend to adopt more conservatively, resulting in slower but more stable pricing dynamics. These findings offer new insights into how technology trust and risk attitudes shape strategic decisions in digitally transforming supply chains. The study also provides practical implications for differentiated pricing strategies, BCT adoption incentives, and collaborative policy design among logistics stakeholders. Full article
(This article belongs to the Special Issue Advances in Mathematical Optimization in Operational Research)
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16 pages, 283 KiB  
Article
Pre-Mastectomy Breast Reconstruction Intentions in Women with Breast Cancer: Psychosocial and Personality Predictors Informing Mental Health Promotion
by Valentini Bochtsou, Eleni I. Effraimidou, Maria Samakouri, Spyridon Plakias, Maria-Eleni Zachou and Aikaterini Arvaniti
Healthcare 2025, 13(14), 1761; https://doi.org/10.3390/healthcare13141761 - 21 Jul 2025
Viewed by 771
Abstract
Background/Objectives: Despite the psychological benefits of breast reconstruction (BR) after mastectomy, uptake remains limited among women with breast cancer. This study explores psychosocial and personality predictors of BR intentions in the pre-mastectomy phase, aiming to inform strategies for mental health promotion in oncology [...] Read more.
Background/Objectives: Despite the psychological benefits of breast reconstruction (BR) after mastectomy, uptake remains limited among women with breast cancer. This study explores psychosocial and personality predictors of BR intentions in the pre-mastectomy phase, aiming to inform strategies for mental health promotion in oncology care. Methods: This cross-sectional analysis used preoperative data from a longitudinal study at a university hospital in Greece. Women with primary breast cancer scheduled for mastectomy completed a battery of validated self-report measures, including the International Personality Item Big-Five Factor Markers (IPIP-BFFM), the Hospital Anxiety and Depression Scale (HADS), and the Short Form-36 Health Survey (SF-36). Demographic, clinical, and psychosocial data were also collected. Binary logistic regression was used to examine predictors of (a) BR information-seeking and (b) BR intention. Results: Seventy-four women participated (mean age = 61.1 years). Older age predicted lower BR intention (Exp(b) = 0.897, 95% CI: 0.829–0.970) and information-seeking (Exp(b) = 0.925, 95% CI: 0.859–0.997). Single/divorced status was associated with reduced BR information-seeking (Exp(b) = 0.053, 95% CI: 0.005–0.549). Openness to experience significantly predicted both outcomes (BR information-seeking: Exp(b) = 1.115, 95% CI: 1.028–1.209); BR intention: Exp(b) = 1.095, 95% CI: 1.016–1.181). Higher physical health-related QoL scores were associated with increased BR intention (Exp(b) = 1.039, 95% CI: 1.007–1.072), whereas higher mental health-related QoL (Exp(b) = 0.952, 95% CI: 0.912–0.994) and higher depression scores (Exp(b) = 0.797, 95% CI: 0.638–0.996) were linked to decreased BR intent. No psychological factor significantly predicted information-seeking. Conclusions: These findings underscore the value of psychosocial screening and personality-informed counseling prior to surgery. By identifying individuals less likely to seek information or consider BR, pre-mastectomy assessments can contribute to tailored, mental health-promoting interventions and support informed, patient-centered surgical decision-making. Full article
16 pages, 255 KiB  
Article
“A Light at the End of the Tunnel”—Post-COVID Condition and the Role of Rehabilitation and Recovery Intervention Delivered in a Football Club Community Trust: A Qualitative Study
by Steven Rimmer, Adam J. Herbert, Adam Leigh Kelly, Irfan Khawaja and Lewis A. Gough
Healthcare 2025, 13(14), 1733; https://doi.org/10.3390/healthcare13141733 - 18 Jul 2025
Viewed by 304
Abstract
Background and Objectives: This study explored the lived experiences of individuals with post-COVID condition (PCC) who participated in a 12-week exercise rehabilitation and recovery programme (PCCRRP) delivered by a professional football club community trust (FCCT). The aim was to understand the effects [...] Read more.
Background and Objectives: This study explored the lived experiences of individuals with post-COVID condition (PCC) who participated in a 12-week exercise rehabilitation and recovery programme (PCCRRP) delivered by a professional football club community trust (FCCT). The aim was to understand the effects of the programme on physical function and quality of life (QoL). This study aims to address the gap in the literature of a lack of qualitative research exploring the experiences and perspectives of individuals engaging in exercise and physical activity as part of their recovery from PCC. Furthermore, it seeks to provide in-depth participant accounts to better understand outcome-level data. Methods: A qualitative approach was employed, involving semi-structured interviews with seven participants (mean age of 52 ± 8.54 years, with ages ranging from 45 to 60 years) following the 12-week PCCRRP to explore perceived changes in physical function and QoL. Thematic analysis was used to analyse the interview data, including participants’ narratives on their QoL experiences. Results: Participants reported improvements in exercise capacity, fatigue, and breathlessness, leading to enhanced physical function and QoL. They also experienced improvements in emotional well-being, including increased confidence and reduced anxiety. The programme’s focus on tailored exercise plans empowered participants to manage their symptoms and regain control over their lives. Conclusions: The PCCRRP delivered by an FCCT had positive effects on the physical function and QoL of individuals with PCC. This highlights the potential of FCCTs in providing effective rehabilitation and support for individuals with PCC. Full article
12 pages, 467 KiB  
Review
Exophiala Bloodstream Infections in Humans—A Narrative Review
by Afroditi Ziogou, Alexios Giannakodimos, Ilias Giannakodimos, Stella Baliou, Andreas G. Tsantes and Petros Ioannou
Pathogens 2025, 14(7), 706; https://doi.org/10.3390/pathogens14070706 - 17 Jul 2025
Viewed by 361
Abstract
Background: Exophiala spp. are dematiaceous fungi with opportunistic pathogenic potential and a widespread environmental presence. Clinical cases of Exophiala spp. fungemia are uncommon. Although rarely encountered in the general population, these organisms are increasingly reported in immunocompromised individuals or those with complex [...] Read more.
Background: Exophiala spp. are dematiaceous fungi with opportunistic pathogenic potential and a widespread environmental presence. Clinical cases of Exophiala spp. fungemia are uncommon. Although rarely encountered in the general population, these organisms are increasingly reported in immunocompromised individuals or those with complex underlying health conditions. Objectives: This review seeks to examine all documented human cases of Exophiala spp. fungemia, with particular focus on aspects such as epidemiology, microbiological features, resistance patterns, therapeutic approaches and associated mortality rates. Methods: A narrative review was conducted using data sourced from the PubMed/MedLine and Scopus databases. Results: A total of 19 articles described infections in 32 patients involving Exophiala spp. fungemia. The mean patient age was 49.2 years, and 65.6% were male. Central venous catheters emerged as the leading predisposing factor (96.9%). Fever represented the most frequent clinical presentation (50%), followed by organ dysfunction (21.9%). The yeast generally demonstrated susceptibility to voriconazole and itraconazole. Voriconazole was also the most frequently administered antifungal (62.5%), followed by amphotericin (31.3%) and micafungin (28.1%). Overall mortality reached 34.4%, with 25% of deaths specifically caused by the infection. Conclusions: Given the potential of Exophiala spp. to cause severe fungemia, healthcare professionals, particularly clinicians and microbiologists, should consider this pathogen in the differential diagnosis when black yeast is detected in blood cultures, especially in patients with immunodeficiency or significant comorbidities, to ensure timely and accurate identification. Full article
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17 pages, 398 KiB  
Article
Turning Setbacks into Smiles: Exploring the Role of Self-Mocking Strategies in Consumers’ Recovery Satisfaction After E-Commerce Service Failures
by Yali Zhang, Jiale Huang and Qiwei Pang
J. Theor. Appl. Electron. Commer. Res. 2025, 20(3), 183; https://doi.org/10.3390/jtaer20030183 - 16 Jul 2025
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Abstract
In today’s competitive environment of online service industries, particularly e-commerce, meeting consumer expectations is essential for service providers to ensure service quality. However, service failures are unavoidable, leading to unfavorable consequences for businesses. Understanding the mechanisms for customer recovery after negative service experiences [...] Read more.
In today’s competitive environment of online service industries, particularly e-commerce, meeting consumer expectations is essential for service providers to ensure service quality. However, service failures are unavoidable, leading to unfavorable consequences for businesses. Understanding the mechanisms for customer recovery after negative service experiences is crucial. Using cognitive–emotional personality systems theory and benign violation theory, this study constructed a theoretical model. A total of 351 samples were collected through a situational simulation experiment for a linear regression analysis. A self-mocking response strategy positively influenced brand trust through perceived brand authenticity regarding the dimensions of credibility, integrity, and symbolism. Simultaneously, brand trust was identified as a key driver of post-recovery satisfaction. This study proposes a chain mediation model, which incorporates perceived authenticity and brand trust, to fully comprehend the mechanisms underlying consumers’ satisfaction after service recovery. Our findings provide empirical evidence for the effects of self-mockery on post-recovery satisfaction, as well as suggestions for marketers seeking efficient means to meet consumers’ emotional and cognitive demands during service recovery situations. Full article
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