Search Results (64)

This article examines social vulnerability (SV) as a necessary component of landslide risk assessment in the urban area of Quito, Ecuador. Landslide susceptibility identifies where slope instability is more likely, but it does not explain which populations have fewer resources to anticipate, cope with, or recover from such events. Using 2010 census-tract data, principal component analysis (PCA) was applied to derive interpretable factors of SV. The most robust factor—structural socioeconomic precariousness—combines precarious occupational conditions, lack of access to social security or private insurance, and limited access to new technologies. This factor was combined with a previously developed landslide susceptibility map (LSM) based on events recorded between 2005 and 2017 and aggregated to census tracts. The Comparative Environmental Risk Index (CERI) was then used to interpret whether socially vulnerable groups are disproportionately located in areas of higher landslide susceptibility. Results reveal a comparatively safer and socially advantaged populations axis from the center-north toward the eastern valleys, while high-risk and socially vulnerable areas concentrate in the south and selected peripheral zones. The study provides a historical and methodological baseline and contributes a quantitative, spatial, urban approach to landslide risk inequity in an Andean city. Full article

Acute aortic syndrome (AAS) comprises acute aortic dissection, intramural haematoma, penetrating atherosclerotic ulcer, and limited intimal tear, conditions that require rapid recognition because mortality and resource use are strongly influenced by time to diagnosis, anatomical extent, malperfusion, and the need for emergency surgical or endovascular intervention. This revised narrative review synthesizes contemporary evidence on clinical, genetic, environmental, and health-system determinants of prolonged hospitalisation, intensive care unit (ICU) utilisation, bed occupancy, and costs in patients with AAS. Beyond summarising established risk factors, the review adds a resource-oriented framework that links hypertension, advanced age, female sex, smoking-related comorbidity, hereditary aortopathies, haemodynamic instability, malperfusion, delayed diagnosis, operative complexity, and postoperative complications to measurable downstream outcomes such as ICU length of stay, total hospital length of stay, reoperation, readmission, and longitudinal imaging surveillance. We searched PubMed/MEDLINE, Scopus, Web of Science, and Google Scholar for relevant studies, registries, guideline documents, and cost analyses published between January 2000 and May 2026, with particular emphasis on studies from the last five years. The review was not designed as a meta-analysis; therefore, effect estimates are interpreted according to study design and generalisability. AAS imposes a disproportionate burden on hospital systems because high-risk patients often require advanced imaging, prolonged haemodynamic monitoring, complex open or endovascular repair, ICU care, and lifelong follow-up. Earlier diagnosis, structured risk stratification, targeted genetic evaluation, aggressive control of modifiable risk factors, and system-level pathways such as dedicated aortic networks may shorten hospital stay and reduce avoidable costs. Full article

Background/Objectives: Community-based drug rehabilitation is a key component of public health strategies in China, with anti-drug social workers playing a frontline role in relapse prevention, social reintegration, and long-term recovery. However, the sustainability and effectiveness of this workforce remain uncertain due to complex organisational and structural conditions. This study aims to examine the professional roles, work-related challenges, and coping strategies of anti-drug social workers within community-based rehabilitation systems. Methods: A systematic review was conducted in accordance with PRISMA 2020 guidelines and was registered in PROSPERO (Registration ID: 1381833). The literature published between 2009 and 2025 was identified through Google Scholar, PubMed, Web of Science, and the Electronic Library. A total of 35 Chinese and English-language studies met the inclusion criteria and were analysed to synthesise evidence on social work practice in drug rehabilitation contexts. Results: The findings identify three core professional roles: information provider, resource linker, and relationship repairer. These roles highlight the multifaceted contribution of social workers in bridging institutional systems and client needs. However, their effectiveness is constrained by fragmented governance structures, role conflict, professional identity ambiguity, administrative burden, limited training, and sustained emotional labour. These conditions contribute to occupational stress, burnout risk, and workforce instability, which weaken service continuity and client-centred care. Conclusions: Strengthening community-based drug rehabilitation requires addressing workforce and system-level constraints. Clearer role definition, targeted interdisciplinary training, reduced administrative demands, and structured organisational support are essential to enhance professional capacity, improve service delivery, and support long-term recovery outcomes. Full article

Accurate prediction of loan defaults is essential for financial institutions seeking to minimize credit losses and maintain portfolio stability. In the vehicle financing segment of emerging markets, real-world datasets frequently exhibit extreme class imbalance ratios that far exceed those encountered in standard benchmark corpora, posing severe challenges for conventional machine learning pipelines. This study introduces a gradient boosting framework integrating Weight of Evidence (WoE) transformation, Bayesian hyperparameter optimization, and three complementary classifiers—Extreme Gradient Boosting (XGBoost), Light Gradient Boosting Machine (LightGBM), and Categorical Boosting (CatBoost)—to predict vehicle loan default risk. The methodology is evaluated on a large-scale, fully anonymized Turkish vehicle loan dataset ($N=207,572$) with an extreme imbalance ratio of 1:1133 (183 defaults versus 207,389 non-defaults). A strict three-way data partition (60% training, 20% validation, 20% test) is adopted to ensure leakage-free model selection and unbiased performance estimation. A multi-stage experimental pipeline is developed encompassing: (i) statistical feature selection via Mann–Whitney U and chi-square tests with adaptive thresholding, (ii) a comparative analysis of seven resampling strategies including Synthetic Minority Oversampling Technique (SMOTE) variants, Adaptive Synthetic Sampling (ADASYN), and focal loss weighting, (iii) a greedy forward selection ensemble procedure for heterogeneous model fusion, and (iv) a systematic training-set size sensitivity analysis across eight majority undersampling ratios. Under the leakage-free evaluation protocol, the highest-AUC individual model (LightGBM with SMOTE-ENN) achieves an Area Under the Curve (AUC) Receiver Operating Characteristic (ROC) of 0.710 (95% bootstrap CI: 0.614–0.798), while CatBoost with cost-sensitive weighting exhibits superior operational metrics (KS $=0.389$, PR-AUC $=0.011$). The greedy ensemble procedure exhibits high selection instability with only 37 validation-set positives, providing a methodological finding on the minimum sample requirements for reliable ensemble construction under extreme scarcity. Ablation results confirm that WoE encoding contributes 3.1 percentage points to the overall AUC gain. Tree SHAP-based interpretability analysis identifies the financing-to-age ratio, WoE-encoded occupation group, and log financing amount as the primary predictive drivers, with cross-model stability confirmed via Spearman rank correlation. A decision support analysis provides precision–recall curves, a Brier score of 0.0082, reliability diagrams, and threshold-dependent performance at operationally plausible review rates. Fairness evaluation across gender and marital status subgroups demonstrates that threshold-dependent metrics such as Disparate Impact Ratio and Equalized Odds Gap are inherently compromised under extreme minority scarcity, whereas rank-based subgroup AUC analysis with bootstrap 95% confidence intervals preserves meaningful discriminative assessment. These findings provide an empirically validated framework for credit default prediction in highly imbalanced and data-scarce financial environments. Full article

Background: The nursing profession is recognized as a high-risk occupation, with the emotional toll on healthcare workers reaching a critical point. A complex interplay of anger and cynicism, often stemming from systemic pressures and chronic moral injury, seems to increasingly affect nurses’ professional and personal lives. This psychological strain does not end when the shift ends; rather, it often manifests as insomnia and nightmare distress, creating a vicious cycle of exhaustion and emotional instability. This article explores how anger, cynical distrust, nightmare distress and insomnia are interrelated and jeopardize the well-being of nursing staff and what these “invisible” symptoms reveal about the current state of healthcare by confirming their prevalence rates. Methods: This cross-sectional study was conducted online in October 2025 and included 441 hospital nurses who completed the Dimensions of Anger Reactions-5 (DAR-5), the 8-item Cynical Distrust scale (CDS-8), the Nightmare Distress Questionnaire (NDQ) and the Athens Insomnia Scale (AIS). Results: The prevalence rates of anger, nightmare distress and insomnia were 41.5%, 6.6%, and 62.1%, respectively. Based on the CDS-8 scores, a notable proportion (20.9%) of nurses fell within the highest quartile of CDS-8 scores (CDS-8 > 29), indicating relatively elevated cynical distrust within this sample; this threshold is sample-derived and does not correspond to a validated clinical cut-off. Hierarchical multiple regression analysis indicated that the DAR-5 explained 22.1% of the variance in AIS, while an additional 10.2% was explained by NDQ and another 1.5% by the CDS-8. Both cynical distrust and nightmare distress displayed a chain mediation pattern in the association between anger and insomnia; however, given the cross-sectional design, the temporal order of these variables cannot be confirmed. Conclusions: Anger exhibited significant direct and indirect associations with insomnia, with cynical distrust and nightmare distress acting as serial mediators in this cross-sectional model. Findings from this cross-sectional study tentatively suggest that future intervention efforts targeting insomnia in nurses might benefit from addressing anger alongside nightmare distress and cynical attitudes; however, experimental studies are needed to confirm whether such interventions would be effective. Full article

Camera-based 3D occupancy prediction commonly relies on bird’s-eye-view (BEV) representations, yet two limitations remain: optimization instability when inserting new modules into pre-trained BEV encoders, and height-agnostic BEV-to-voxel lifting that fails to preserve elevation-aware scene structure. We propose GSH-Occ (Gradient-Shielded and Height-Aware BEV Occupancy Network), a framework that tackles both issues through two complementary mechanisms. Gradient-Shielded Residual Dual Attention (GS-RDA) introduces a zero-initialized residual gate that preserves the identity mapping at initialization, allowing new attention modules to be grafted onto pre-trained encoders without disturbing learned features. Height-Aware Adaptive Lift (HAL) replaces naive channel replication with per-voxel adaptive fusion of BEV features and learnable height embeddings, followed by 3D convolutional refinement to capture vertical structure. On the Occ3D-nuScenes validation benchmark, GSH-Occ achieves 46.92 mIoU, outperforming FlashOcc by $+3.40$ mIoU. Ablation studies confirm that GS-RDA and HAL target distinct failure modes and yield complementary improvements. Full article

Arsenic pollution is a prevalent challenge worldwide due to extensive use dating back thousands of years, and the pentavalent species arsenate (As(V)) is of particular interest because it predominates in oxygenated groundwater. Metal–organic frameworks (MOFs), characterized by their high surface area and tunable surface chemistry, have emerged as promising adsorbents for its rapid and efficient removal. This study systematically evaluated the adsorption performance, physicochemical properties, and regeneration behavior of monometallic Fe-BTC MOF and bimetallic Fe/Cu-BTC for As(V) removal under application-relevant conditions. Fe-BTC exhibited the highest adsorption capacity of As(V) (117.5 mg g⁻¹), whereas Fe/Cu-BTC showed a lower capacity (74.6 mg g⁻¹). Adsorption in tap water decreased slightly for both materials (19–23%), indicating mild competition from coexisting ions. The adsorption behavior followed the Freundlich model, indicating competitive occupation of high-energy sites on Fe-BTC. In contrast, the surface heterogeneity of Fe/Cu-BTC remained unchanged, highlighting its robust characteristics. Adsorption was strongly pH-dependent, reaching a maximum at neutral pH, and regeneration experiments identified ethanol as the most effective desorption agent for Fe-BTC, enabling reuse. Metal-leaching analysis confirmed superior Fe-BTC MOF stability and minimal leaching, whereas Fe/Cu-BTC instability demonstrated risk of secondary Cu contamination. Overall, these findings establish that Fe-BTC and Fe/Cu-BTC MOF are effective for As(V) adsorption, but Fe-BTC outperforms Fe/Cu-BTC as a practical adsorbent. Significantly, Fe-BTC performance is strongly influenced by water matrix composition and regeneration solvent, highlighting considerations for real-world applications. Full article

Recently, CuBa₂Ca₃Cu₄O_10+δ (Cu1234) has garnered significant interest owing to its distinctive triple-high superconducting properties (118K high T_c, combined with high J_c and high H_irr at liquid nitrogen temperature at ambient pressure) and potential for practical applications. The Cu1234 is initially synthesized at high pressures and is stable at a room temperature range but tends to decompose upon heating above 300 °C at ambient. In this study, we investigate the thermal stability of Cu1234 through annealing at various temperatures and oxygen pressures. It is found that Cu1234 starts to decompose at approximately 350 °C, 550 °C, and 600 °C when annealed at 1 bar, 100 bar, and 150 bar oxygen pressure, respectively. Prior to decomposition, however, the superconducting properties remain largely unchanged. The decrease in oxygen occupancy within the BaO layer of the BaCuO_3−δ charge reservoir block is proposed to be the primary cause of the structural instability of Cu1234, while higher oxygen pressures retard oxygen loss from this block. Our result suggests that the decomposition temperature of Cu1234 will further increase with higher oxygen pressure, e.g., possibly to 800 °C at 260 bar if a linear extrapolation is adopted. This study offers important insights for fabricating Cu1234 tapes via the powder-in-tube method. Full article

Despite their significance as forensic targets, alkyl nitrites, classified as illegal drugs, have received little attention in forensic analysis due to their high volatility and chemical instability. Here, we present a high-performance analytical approach using a pulsed dc soft plasma ionization-quadrupole mass spectrometry (pulsed dc SPI-MS) system, uniquely designed to operate using ambient air as the discharge gas. In this system, the modulation of the duty ratio functions as a “structural probe” to identify reactive isomers. Unlike conventional dielectric barrier discharge (DBD) sources that typically operate at atmospheric pressure, our SPI system utilizes a controlled pressure regime of several kPa, where the nitrogen in the ambient air effectively functions as a third-body gas to suppress excessive internal energy. The control of the duty ratio in our pulsed dc SPI source allowed for the successful manipulation of ion–molecule reaction pathways for highly reactive analytes. By optimizing several parameters, including duty ratio and discharge pressure, we achieved a unique ionization regime where the molecular-related ion [2 M − 3 H]⁺ was predominantly detected as the base peak with minimal fragmentation. Notably, by reducing the duty ratio from 50% to 5%, both the target ion occupancy and signal intensity were significantly enhanced, achieving a limit of detection (LOD) as low as 0.16 parts per million by volume (ppmv). This sensitivity is several orders of magnitude higher than previously reported thresholds, enabling rapid identification of C4–C6 alkyl nitrite isomers. This method transforms the duty ratio into a powerful diagnostic tool for identifying reactive intermediates, providing a practical and efficient approach for the onsite identification of illegal alkyl nitrites in forensic and security fields. Full article

Personal protective equipment (PPE) is critical for defending against airborne biological hazards; however, current standard testing protocols often rely on “black-box” aggregate metrics or qualitative visual inspections that fail to pinpoint localized vulnerabilities. This study proposes a novel, spatially resolved quantitative methodology combining a whole-body fluorescent aerosol exposure chamber with an entropy-based image processing algorithm. By establishing a robust linear calibration mode, we accurately mapped and quantified localized aerosol ingress through protective clothing interfaces. Dynamic human-in-simulant tests were conducted using three suit models on two subjects with distinct body morphologies over 2- and 5-min exposure durations. Quantitative results revealed two distinct morphological failure mechanisms. A well-fitted suit resulted in steady “ Steady Accumulation,” where the total body leakage mass increased consistently (e.g., from 3.29 to 4.19 μg/cm²) while maintaining stable standard deviation, indicating preserved structural integrity. Conversely, an oversized fit induced “Structural Instability” and an erratic “Bellows Effect.” This mismatch was characterized by a dramatic inflation in aerosol leakage standard deviation during extended dynamic movements, rather than a simple increase in the mean leakage. Ultimately, this study empirically proves that protective clothing efficacy is highly morphology-dependent. The proposed quantitative methodology provides a rigorous scientific tool for diagnosing localized interface failures, thereby facilitating targeted improvements in PPE design and occupational safety. Full article

Background: Work-related stress represents a major challenge for nursing professionals and has significant implications for well-being, job satisfaction, and workforce stability. This study aimed to assess psychosocial working conditions and workplace stress among nurses in Slovenia and to identify organisational and occupational factors associated with stress exposure across different levels of care. Methods: A cross-sectional, non-experimental study was conducted using an online self-administered questionnaire. The sample included 736 nurses employed in outpatient settings, hospital wards, and high-intensity care units. Work-related stress was assessed using the Health and Safety Executive (HSE) Work-Related Stress Indicator Tool. Group differences were examined using the Kruskal–Wallis test with Bonferroni-adjusted post hoc comparisons. Associations between HSE dimensions and sociodemographic and work-related variables were analysed using Spearman’s correlation coefficients and multiple linear regression models. Results: Statistically significant differences between job positions by level of care were observed for all HSE domains except Demands. Differences in psychosocial working conditions were observed across levels of care, with several domains showing more favourable scores in outpatient and hospital ward settings compared with high-intensity care environments. Regression analyses identified job position by level of care, education level, income, workload indicators, continuous healthcare provision, and job mobility intentions as significant predictors across multiple HSE dimensions. Correlation analyses revealed consistent associations between adverse psychosocial working conditions, increased workload, and indicators of job mobility. Conclusions: This study shows that psychosocial working conditions among nurses in Slovenia differ by level of care, with several domains showing more favourable scores in outpatient and hospital ward settings than in high-intensity care environments. Work organisation—especially workload, role clarity, and managerial and peer support—was central to stress, linking adverse conditions to workforce instability and retention risks. Full article

In many densely populated towns and semi-urban areas, masonry buildings often stand close to busy roads, exposing them to blasts from improvised explosives or other localized sources. Such structures are rarely designed to resist sudden explosive forces, making severe damage or even progressive collapse likely. Even moderate-intensity blasts can weaken walls, endanger occupants, and cause significant property loss. Unlike reinforced concrete, masonry is highly susceptible to explosive impact. Therefore, understanding how these buildings behave under blast loads and developing affordable protection methods is crucial. Low-rise unreinforced masonry (URM) structures, usually up to about 13 m in height (roughly 2–4 stories), common in villages, semi-urban regions, and conflict-prone zones, are particularly at risk. In many areas, these poorly constructed buildings lack proper engineering design and are therefore highly vulnerable to blast damage. Non-load-bearing internal dividers and perimeter enclosures are especially prone to lateral displacement, which can initiate instability and, in severe cases, lead to overall structural failure. This research focuses on reducing catastrophic damage in URM walls when exposed to close-proximity blast forces using concrete-based protective coatings, both with and without embedded steel-welded wire mesh. The study references a previously tested laterally supported clay brick wall built with cement–sand mortar as the baseline model, with its behavior validated against experimental findings from existing literature. Two blast cases were considered corresponding to scaled stand-off distances of 2.19 m/kg^1/3 and 1.83 m/kg^1/3, representing moderate flexural-shear cracking and full structural failure, respectively. To replicate the observed behavior, a comprehensive 3D numerical simulation was developed using the ABAQUS/Explicit 2020 solver. The model’s predictions were benchmarked and verified through comparison with reported test data. While both blast intensities were used to confirm computational accuracy, the effectiveness of UHPC and UHPFRC protective coatings with and without embedded wire mesh was specifically evaluated under the more severe collapse scenario (Z = 1.83 m/kg^1/3). Results indicated that at a scaled distance of 1.83 m/kg^1/3, the uncoated URM wall could not withstand the blast because of poor tensile and bending capacity. In contrast, the UHPC- and UHPFRC-coatings provided improved confinement and better stress distribution. When welded wire mesh was embedded, crack control improved further, the interface bond strengthened, and a larger portion of blast energy was absorbed and dissipated. Full article

Oxidative alcohol metabolism in the liver relies on sequential enzymatic reactions involving alcohol dehydrogenase (ADH), cytochrome P450 2E1 (CYP2E1), and aldehyde dehydrogenase (ALDH) isozymes. However, the circadian regulation of these enzymes, their susceptibility to genetic, environmental, and metabolic disruption, and their functional implications toward alcohol-mediated tissue injury remain incompletely defined. To address this gap, we performed a comprehensive integrative analysis of the publicly available circadian transcriptome datasets spanning genetic clock disruption, acute sleep deprivation, chronic high-fat diet feeding, and occupational shift work to systematically characterize the temporal regulation and disruption vulnerability of the major alcohol-metabolizing enzymes. Mouse tissue-cycling analyses revealed pronounced gene- and tissue-specific diurnal regulation, with Adh1 oscillating primarily in adipose tissues; Cyp2e1 and mitochondrial Aldh2 cycling broadly across kidney, aorta, lung, adrenal gland, and liver; and cytosolic Aldh1b1 being uniformly arrhythmic. In the liver, Cyp2e1 and Aldh2 exhibited robust ~24 h oscillations that peaked during the light/resting phase, while Adh1 showed inconsistent rhythmicity and Aldh1b1 remained arrhythmic. Notably, Cyp2e1 and Aldh2 rhythms persisted in Bmal1 knockout and Clock mutant livers under light–dark conditions, despite complete loss of core clock gene oscillations, yet were abolished in constant darkness, revealing that systemic zeitgeber cues can mask the loss of intrinsic clock function to maintain apparent rhythmicity in these metabolic genes. Systematic cross-paradigm comparison established a novel gene-specific vulnerability hierarchy. Aldh2 was found to be most disrupted by environmental and metabolic perturbations, with acute sleep deprivation eliminating its rhythmicity and temporal expression pattern and a Western-style high-fat diet inducing pronounced phase delays and rhythm loss relative to low-fat diet controls. Both disruptions paralleled alterations in hepatocyte nuclear factor 4α (Hnf4a), newly implicating HNF4α as a potential mediator of ALDH2 circadian instability. In humans, ALDH2 and CYP2E1 exhibited conserved but phase-inverted circadian rhythms across multiple tissues relative to mice, and, importantly, night-shift workers showed markedly dampened and phase-shifted ALDH2 rhythms in peripheral blood mononuclear cells, providing the molecular link between occupational circadian misalignment and impaired acetaldehyde detoxification. Collectively, our detailed and innovative analytical approach reveals gene- and tissue-specific circadian regulation of alcohol-metabolizing enzymes, identifies ALDH2 as uniquely vulnerable to circadian misalignment, underscores the importance of circadian timing for optimal hepatic detoxification and resistance to tissue injury, and suggests that monitoring circadian rhythms could help tailor individualized advice on alcohol consumption for shift workers and populations with irregular sleep schedules, informing precision medicine approaches for alcohol-related disorders. Full article

Background and Clinical Significance: Radiocarpal fracture dislocations (RCFDs) are rare injuries of the wrist, while open RCFDs represent a small subgroup of these injuries. Limited data exists regarding the optimal method for their management. Our study’s objective is to present a rare case of an open (Gustilo–Anderson type II) dorsal radiocarpal dislocation in combination with fracture of the radial and ulnar styloid and neurologic deficits (superficial radial, median and ulnar nerve), which was treated with external fixation and Kirshner wire pinning. External fixation and Kirshner wire pinning could be a viable surgical option for complicated open RCFD. Case Presentation: Adequate reduction and ligamentotaxis using an external fixation were achieved, while the radial styloid fracture and the distal radioulnar joint (DRJ) were stabilized with Kirshner wires. Postoperative radiographs and clinical evaluation confirmed satisfactory reduction in the right wrist, without signs of intercarpal instability. Total nerve recovery was observed 6 months postoperatively and the patient was able to return to his previous occupation. At the final follow-up (4 years), the Visual Analogue Scale score was 1/10 and the Quick Dash score was 11/100 with good range of motion (flexion: 0–75°, extension: 0–70°, pronation: 0–80°, supination: 0–80°) of the affected wrist, although progressive wrist arthritis and ulnar migration was seen in the plain X-rays. Conclusions: Surgical treatment of RCFDs is required for complex or unstable fractures/dislocations to avoid possible complications, such as intercarpal instability. Full article

Limonene is one of the most abundant, natural, bio-based monoterpenes. In recent years, it has attracted growing attention in both industrial and scientific communities due to its versatile physicochemical properties and wide spectrum of biological activities, including antimicrobial, antioxidant, and anti-inflammatory effects. Its renewable origin and biodegradability make limonene an ideal candidate for sustainable development and as a key building block in green chemistry. The industrial relevance of limonene spans multiple sectors, ranging from its use as a solvent and flavoring agent to its application in pharmaceuticals, cosmetics, polymers, and renewable fuels. Nevertheless, despite its numerous advantages, certain limitations and safety concerns have emerged. Prolonged or high-level exposure may result in sensitization, irritant reactions, or secondary oxidation products that pose potential health risks. Moreover, its oxidative instability can lead to the formation of reactive compounds under specific environmental conditions that influence indoor air quality and may contribute to secondary organic aerosol formation. Current research focuses on several key challenges: improving extraction and purification yields through biotechnological and enzymatic pathways; enhancing oxidative stability via encapsulation or chemical modification; and standardizing toxicological assessment protocols for both occupational and clinical settings. In this review, we analyze and discuss studies published predominantly in the last five years that explore the dual nature of limonene, its valuable industrial applications and its potential environmental and health-related challenges. Full article