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36 pages, 22348 KB  
Article
Fire Evacuation Performance Simulation of Staircases Under Two Renovation Strategies for Early Modern Brick–Timber Buildings: A Case Study of a Hui-Shaped Chinese Baroque Architecture in Harbin
by Yongze Li, Jianmei Wu, Lei Zhang, Jiajia Teng, Xiaodan Liu, Conrong Wang, Kai Kan and Jianlin Mao
Buildings 2026, 16(3), 548; https://doi.org/10.3390/buildings16030548 - 28 Jan 2026
Abstract
It is a common phenomenon that the stairs of modern historical brick–timber buildings cannot meet existing fire protection specifications, something which has become a difficulty in their renovation. In response, this study proposes two different renovation strategies for the Hui-shaped Chinese Baroque brick–timber [...] Read more.
It is a common phenomenon that the stairs of modern historical brick–timber buildings cannot meet existing fire protection specifications, something which has become a difficulty in their renovation. In response, this study proposes two different renovation strategies for the Hui-shaped Chinese Baroque brick–timber building in Harbin and constructs multiple fire scenarios. Using a coupled PyroSim–Pathfinder (version 2023.2.0816) simulation approach, a finite element model of the building under fire and a corresponding evacuation model are established. The aim is to investigate how variations in stair width, number, position, and overall building scale under the two renovation strategies influence evacuation movement time and the number of evacuation failures, and to compare the effectiveness of common fire protection measures. The results show that, for the same stair configuration and building mass, the fire development patterns of the two renovation strategies are similar. Increasing the stair width from the original 0.9 m to 1.1 m produces no significant improvement in evacuation performance. When the number of indoor existing stairways increases from one to two, the proportion of occupants evacuated safely rises from 68% to 91%. External corridor staircases provide the best evacuation performance, and a single such stair can satisfy the safe evacuation of all occupants. When the same additional floor area is provided, increasing the number of storeys extends the evacuation movement time by approximately twice that caused by increasing the building footprint. Automatic sprinkler systems and mechanical smoke exhaust systems exhibit more pronounced fire protection effects. Full article
(This article belongs to the Section Architectural Design, Urban Science, and Real Estate)
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21 pages, 13770 KB  
Article
Investigation of Audio Feature Application for CO2 Sensor-Based Occupancy Detection Enhancement
by Marija Skromule, Rainers Kozlovskis, Deniss Tiscenko and Janis Judvaitis
Buildings 2026, 16(3), 545; https://doi.org/10.3390/buildings16030545 - 28 Jan 2026
Abstract
This study investigates the integration of audio features with CO2 sensor data to enhance occupancy detection accuracy in naturally ventilated office environments. Accurate occupancy detection is pivotal for smart building energy management, yet CO2-based methods cannot provide fast enough response times and are [...] Read more.
This study investigates the integration of audio features with CO2 sensor data to enhance occupancy detection accuracy in naturally ventilated office environments. Accurate occupancy detection is pivotal for smart building energy management, yet CO2-based methods cannot provide fast enough response times and are sensitive to air circulation changes due to internal convection. In this article we propose a combination of CO2 sensors and audio features from MEMS microphones to improve the occupancy detection accuracy and improve the response times. We use a Random Forest classifier and evaluate the results across two scenarios: CO2-only and CO2 combined with audio features. Results show that incorporating the audio features into the occupancy detection algorithms yields a significant increase in detection accuracy and speed, especially when the environment is subject to frequent air circulation changes due to internal convection, like the opening and closing of windows and doors. Combining the CO2 and audio sensing offers a promising, cost-effective approach to occupancy detection in smart buildings, yet more research on advanced audio processing and feature selection is necessary. Full article
(This article belongs to the Section Building Energy, Physics, Environment, and Systems)
24 pages, 5682 KB  
Article
An Ontology-Driven Digital Twin for Hotel Front Desk: Real-Time Integration of Wearables and OCC Camera Events via a Property-Defined REST API
by Moises Segura-Cedres, Desiree Manzano-Farray, Carmen Lidia Aguiar-Castillo, Rafael Perez-Jimenez, Vicente Matus Icaza, Eleni Niarchou and Victor Guerra-Yanez
Electronics 2026, 15(3), 567; https://doi.org/10.3390/electronics15030567 - 28 Jan 2026
Abstract
This article presents an ontology-driven Digital Twin (DT) for hotel front-desk operations that fuses two real-time data streams: (i) physiological and activity signals from wrist-worn wearables assigned to staff, and (ii) 3D people-positioning and occupancy events captured by reception-area cameras using a proprietary [...] Read more.
This article presents an ontology-driven Digital Twin (DT) for hotel front-desk operations that fuses two real-time data streams: (i) physiological and activity signals from wrist-worn wearables assigned to staff, and (ii) 3D people-positioning and occupancy events captured by reception-area cameras using a proprietary implementation of Optical Camera Communication (OCC). Building on a previously proposed front-desk ontology, the semantic model is extended with positional events, zone semantics, and wearable-derived workload indices to estimate queue state, staff workload, and service demand in real time. A vendor-agnostic, property-based REST API specifies the DT interface in terms of observable properties, including authentication and authorization, idempotent ingestion, timestamp conventions, version negotiation, integrity protection for signed webhooks, rate limiting and backoff, pagination and filtering, and privacy-preserving identifiers, enabling any compliant backend to implement the specification. The proposed layered architecture connects ingestion, spatial reasoning, and decision services to dashboards and key performance indicators (KPIs). This article details the positioning pipeline (calibration, normalized 3D coordinates, zone mapping, and confidence handling), the wearable workload pipeline, and an evaluation protocol covering localization error, zone classification, queue-length estimation, and workload accuracy. The results indicate that a spatially aware, ontology-based DT can support more balanced staff allocation and improved guest experience while remaining technology-agnostic and privacy-conscious. Full article
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22 pages, 656 KB  
Systematic Review
Emotional Well-Being in Journalists: Conceptualization, Experiences, and Strategies in the Literature (2010–2025)
by Susana Herrera Damas and José M. Valero-Pastor
Journal. Media 2026, 7(1), 21; https://doi.org/10.3390/journalmedia7010021 - 28 Jan 2026
Abstract
This systematic review examines how emotional well-being in journalism has been de-fined, experienced, and supported between 2010 and 2025. It draws on 15 peer-reviewed empirical studies identified in Web of Science and Scopus and evaluated using PRISMA 2020 and the MMAT. The review [...] Read more.
This systematic review examines how emotional well-being in journalism has been de-fined, experienced, and supported between 2010 and 2025. It draws on 15 peer-reviewed empirical studies identified in Web of Science and Scopus and evaluated using PRISMA 2020 and the MMAT. The review addresses three main gaps in the field: unclear definitions, limited synthesis of risk and protective factors, and scarce assessment of support interventions. Across studies, emotional distress emerges from structural pressures, such as overwork, trauma exposure, online harassment, job precarity, and the erosion of collegial networks. These pressures, rather than inherent traits of journalistic work, shape vulnerability. Protective factors include social support, editorial autonomy, professional experience, purpose-driven motivation, and practices like mindfulness or digital disconnection. Yet their impact is often limited by weak organizational infrastructures. Vulnerability is higher among women, freelancers, and early career journalists, although intersectional analyses remain rare. Sectoral and organizational responses—peer networks, resilience programs, trauma-informed training, and emerging digital safety policies—show promise but remain fragmented. The review concludes that emotional well-being should be framed as an ethical and structural responsibility within journalism, and that sustainable progress requires systemic measures that foster psychological safety and professional dignity. Full article
(This article belongs to the Special Issue Mental Health in the Headlines)
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12 pages, 997 KB  
Article
The Stress Management and Resiliency Training (SMART) Program Is Associated with Sustained Improvement in Clinician Well-Being: Results from an Observational Cohort Study
by Brittany L. Garcia, Maureen A. Craig, Nicole Adams, Elyse R. Park and Michelle L. Dossett
Int. J. Environ. Res. Public Health 2026, 23(2), 161; https://doi.org/10.3390/ijerph23020161 - 28 Jan 2026
Abstract
Background: Burnout negatively impacts clinicians, patients, and healthcare systems. We examined the immediate and sustained effects of an evidence-based, multi-modal Stress Management and Resiliency Training (SMART) Program on clinician well-being. Methods: Clinicians who registered to participate in the SMART Program were invited to [...] Read more.
Background: Burnout negatively impacts clinicians, patients, and healthcare systems. We examined the immediate and sustained effects of an evidence-based, multi-modal Stress Management and Resiliency Training (SMART) Program on clinician well-being. Methods: Clinicians who registered to participate in the SMART Program were invited to join an observational study and complete questionnaires before the program started, at two months (post-program), and at eight months (six months following program completion). Results: We found significant improvements in well-being, burnout, perceived stress, stress coping, resilience, and self-compassion at 2 months (all p < 0.001), with moderate-to-large effect sizes (d = 0.57 to 1.0). Significant benefits were maintained at 8 months, with small-to-moderate effect sizes (d = 0.41 to 0.65). Exploratory analyses found significant correlations between improvements in well-being from baseline to 8 months and the number of stress-management techniques used at 8 months (r = 0.53, p < 0.0001) and the number of days on which participants practiced meditation for at least 10 min (r = 0.28, p = 0.049). Conclusion: Participation in the SMART Program was associated with significant improvements in clinician well-being that persisted six months following program completion and was positively associated with the number of stress-management tools used and meditation practice. Full article
(This article belongs to the Special Issue Occupational Health and Wellbeing for Healthcare Providers)
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18 pages, 393 KB  
Article
Association Between Workday Sleep Deprivation, Weekend Catch-Up Sleep, and Abdominal Adiposity Indicators: A Cross-Sectional Study Among Brazilian Female Fixed-Shift Workers
by Anderson Garcez, Sofia Vilela, Janaína Cristina da Silva, Ingrid Stähler Kohl, Harrison Canabarro de Arruda and Maria Teresa Anselmo Olinto
Diseases 2026, 14(2), 43; https://doi.org/10.3390/diseases14020043 - 28 Jan 2026
Abstract
Background: Sleep deprivation may contribute to increased abdominal adiposity. Although weekend catch-up sleep is associated with various health outcomes, its role in abdominal adiposity remains unclear, particularly among female fixed-shift workers. Therefore, this study aimed to explore the association of workday sleep deprivation [...] Read more.
Background: Sleep deprivation may contribute to increased abdominal adiposity. Although weekend catch-up sleep is associated with various health outcomes, its role in abdominal adiposity remains unclear, particularly among female fixed-shift workers. Therefore, this study aimed to explore the association of workday sleep deprivation and weekend catch-up sleep with abdominal adiposity indicators in Brazilian female fixed-shift workers. Methods: A cross-sectional study was conducted on 450 female fixed-shift workers aged ≥ 18 years from a large industrial group in Southern Brazil. Abdominal adiposity indicators linked to cardiovascular risk were assessed: waist circumference (WC ≥ 88 cm), waist-to-height ratio (WHtR > 0.5), weight-to-waist index (WWI ≥ 11), conicity index (C-Index ≥ 1.27), and WC & Body Mass Index (combined WC ≥ 88 cm and BMI ≥ 30 kg/m2). Workday sleep deprivation was defined as <6 h (h) of sleep on workdays, and weekend catch-up sleep (absolute difference between weekend and workday sleep duration) was defined as >2 h longer sleep on weekends vs. workdays. Associations were estimated using a Poisson regression with robust variance adjusted for demographic, socioeconomic, behavioral, reproductive, and occupational confounders. Results: The mean age was 34.9 ± 9.9 years. The prevalence rates of abdominal adiposity were 45.3% for WC, 47.6% for WHtR, 26.2% for WWI and C-Index, and 28.7% for WC&BMI. Workday sleep deprivation and weekend catch-up sleep were reported by 27.1% and 43.3% of the participants, respectively. After adjustment for confounders, workday sleep deprivation was consistently associated with higher abdominal adiposity: Prevalence Ratio (PR) = 1.37 (95% CI: 1.10–1.69) for WC; 1.25 (95% CI: 1.02–1.53) for WHtR; 1.48 (95% CI: 1.07–2.04) for WWI; 1.43 (95% CI: 1.03–1.99) for C-Index, and 1.59 (95% CI: 1.17–2.16) for WC&BMI. Longer weekend catch-up sleep was positively associated with WHtR (PR = 1.24; 95% CI: 1.03–1.49) and WC&BMI (PR = 1.39; 95% CI: 1.04–1.85). Conclusions: Workday sleep deprivation was consistently linked to increased abdominal adiposity, whereas associations with longer weekend catch-up sleep were less consistent. These findings underscore the potential metabolic risk of insufficient sleep among female shift workers. Full article
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14 pages, 547 KB  
Article
How Stress Mindset Mitigates Burnout: The Role of Hope in Work–Family Conflict Among Chinese Teachers
by Qianfeng Li, Bohan Li, Caner Zhao and Shaobei Xiao
Behav. Sci. 2026, 16(2), 186; https://doi.org/10.3390/bs16020186 - 27 Jan 2026
Abstract
Teacher burnout is a pressing global issue with significant implications for educational quality. Although work–family conflict (WFC) is a well-documented cause of teacher burnout, the psychological mechanisms underlying this relationship remain insufficiently understood and warrant examination through the lens of individual resources and [...] Read more.
Teacher burnout is a pressing global issue with significant implications for educational quality. Although work–family conflict (WFC) is a well-documented cause of teacher burnout, the psychological mechanisms underlying this relationship remain insufficiently understood and warrant examination through the lens of individual resources and positive psychology. This study investigated the relationship between work–family conflict (WFC) and burnout among Chinese elementary and middle school teachers, with a specific focus on the mediating and moderating roles of hope and a stress-is-enhancing mindset. Data were collected from 452 teachers (including 355 females) using well-validated scales. The results revealed that: (1) WFC was found to be directly and positively associated with burnout, as well as indirectly associated through the mediating role of hope. (2) A stress-is-enhancing mindset moderates the negative association between WFC and hope. Specifically, the negative association between WFC and hope was significantly weaker among teachers with a high level of this mindset compared to those with a low level. These findings suggest that fostering hope and cultivating a stress-is-enhancing mindset can mitigate burnout risk, pointing to a viable pathway for promoting occupational well-being by developing teachers’ psychological resources. Full article
16 pages, 295 KB  
Article
Subclinical Respiratory Impairment and Quality of Life Among Non-Smoking Adults in Rural Chiang Mai, Thailand
by Muhammad Samar, Tipsuda Pintakham, Muhammad Naeem Rashid, Nan Ei Moh Moh Kyi, Natthapol Kosashunhanan, Teetawat Santijitpakdee, Sawaeng Kawichai, Tippawan Prapamontol and Anurak Wongta
J. Clin. Med. 2026, 15(3), 1019; https://doi.org/10.3390/jcm15031019 - 27 Jan 2026
Abstract
Background: Subclinical respiratory impairment among non-smokers in regions with haze-affected regions is still under-recognized, particularly in low- and middle-income countries (LMICs). This study assessed the prevalence of subclinical respiratory impairment among non-smoking adults and examined its determinants and associations with health-related quality [...] Read more.
Background: Subclinical respiratory impairment among non-smokers in regions with haze-affected regions is still under-recognized, particularly in low- and middle-income countries (LMICs). This study assessed the prevalence of subclinical respiratory impairment among non-smoking adults and examined its determinants and associations with health-related quality of life (HRQoL) in Chiang Mai, Thailand. Methods: In this cross-sectional study, 244 non-smoking adults (18–65 years) from three rural districts underwent standardized spirometry and completed the Thai WHOQOL-BREF-26. Subclinical impairment was defined as an FEV1/FVC < 0.70 or FVC < 80% predicted in the absence of symptoms. Demographic, occupational, and environmental information was obtained through structured questionnaires. Statistical analyses included non-parametric tests, univariate linear regression, and logistic regression. Results: A total of 37 participants (15.2%) had subclinical respiratory impairment. No demographic, occupational, or environmental factors such as sex, age, BMI category, agricultural work, marital status, and self-reported pollution exposure were found to be independently linked to impaired lung function. There was no correlation between spirometry indices and any WHOQOL-BREF domain. Elderly participants (>50 years) reported a higher level of physical and psychological HRQoL. Those with a higher Body Mass Index (BMI) were more likely to have a lower environmental quality of life. Farmers reported a better QoL, while women reported a lower QoL than men. Conclusions: Subclinical respiratory impairment occurs frequently in non-smoking rural adults exposed to haze pollution in Chiang Mai, and isn’t presently assessed by general HRQoL instruments. These findings support early spirometry screening for asymptomatic adults in polluted regions, as well as more stringent air cleanliness strategies to prevent the evolution towards overt respiratory pathology. Full article
(This article belongs to the Section Respiratory Medicine)
42 pages, 2400 KB  
Review
Advancing Greenhouse Air Filtration: Biodegradable Nanofiber Filters with Sustained Antimicrobial Performance
by Amirali Bajgholi, Reza Jafari and Alireza Saidi
Textiles 2026, 6(1), 15; https://doi.org/10.3390/textiles6010015 - 27 Jan 2026
Abstract
Air quality management in greenhouses is critical to safeguarding plant health and occupational safety, yet conventional filtration methods often fall short in performance and sustainability. These enclosed environments are prone to the accumulation of bioaerosols, including fungi, bacteria, pollen, and dust particles, which [...] Read more.
Air quality management in greenhouses is critical to safeguarding plant health and occupational safety, yet conventional filtration methods often fall short in performance and sustainability. These enclosed environments are prone to the accumulation of bioaerosols, including fungi, bacteria, pollen, and dust particles, which can compromise crop productivity and pose health risks to workers. This review explores recent advancements in air filtration technologies for controlled environments such as greenhouses, where airborne particulate matter, bioaerosols, and volatile organic compounds (VOCs) present ongoing challenges. Special focus is given to the development of filtration media based on electrospun nanofibers, which offer high surface area, tunable porosity, and low airflow resistance. The use of biodegradable polymers in these systems to support environmental sustainability is examined, along with electrospinning techniques that enable precise control over fiber morphology and functionalization. Antimicrobial enhancements are discussed, including inorganic agents such as metal nanoparticles and bio-based options like essential oils. Essential oils, known for their broad-spectrum antimicrobial properties, are assessed for their potential in long-term, controlled-release applications through nanofiber encapsulation. Overall, this paper highlights the potential of integrating sustainable materials, innovative fiber fabrication techniques, and nature-derived antimicrobials to advance air filtration performance while meeting ecological and health-related standards. Full article
(This article belongs to the Special Issue Advances in Technical Textiles)
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15 pages, 1858 KB  
Article
Leptospirosis in Central Romania: A 17-Year Single-Center Cohort Study of Hospitalized Adults
by Victoria Birlutiu and Rares-Mircea Birlutiu
Microorganisms 2026, 14(2), 298; https://doi.org/10.3390/microorganisms14020298 - 27 Jan 2026
Abstract
Background: Leptospirosis is an important zoonosis that can present as a self-limited influenza-like illness or progress to severe, including life-threatening multiorgan dysfunction. We report the epidemiology, clinical profile, and correlates of severity among adults hospitalized patients with leptospirosis diagnosed in central Romania over [...] Read more.
Background: Leptospirosis is an important zoonosis that can present as a self-limited influenza-like illness or progress to severe, including life-threatening multiorgan dysfunction. We report the epidemiology, clinical profile, and correlates of severity among adults hospitalized patients with leptospirosis diagnosed in central Romania over a period of 17 years. Methods: We conducted a retrospective, single-center cohort study of adults admitted between 1 January 2008 and 1 December 2025 with laboratory-confirmed leptospirosis. Confirmation was based on positive anti-Leptospira IgM serology, with repeat testing when the initial result was equivocal and confirmation with a microscopic agglutination test. We extracted demographic, exposure, clinical, laboratory, treatment, and outcome data from medical records. The modified Faine score was also calculated using admission data. Results: Sixty-four patients were included in this analysis, of which 53 (82.8%) were male patients. Admissions peaked in 2023–2025 (34/64, 53.1%) and in the August–September months. Reported exposures were predominantly peri-domestic (46.9%), followed by rural/animal-related occupations (20.3%) and freshwater contact (17.2%). Severe disease occurred in 26/64 (40.6%), was more frequent in men (p = 0.021), and was more common pre-pandemic than during/after the pandemic (p < 0.001). Severe cases were associated with oliguria/anuria, hematuria, and jaundice, alongside higher urea/creatinine and bilirubin, lower hemoglobin and lymphocyte percentages, and a longer hospitalization period. One in-hospital death occurred (1.6%). Serogroup identification was available for 10 patients (15.6%) (pre-pandemic only). The mean modified Faine score was 27.5 ± 6.0. Conclusions: In this temperate-region cohort study, hospitalized leptospirosis showed a marked male predominance, a late-summer peak, and a substantial burden of severe disease. Early renal and hepatobiliary manifestations with concordant laboratory abnormalities may support timely risk stratification and escalation of care, while expanded molecular diagnostics and systematic typing are needed to clarify temporal trends and guide prevention. Full article
(This article belongs to the Special Issue Infectious Disease Surveillance in Romania: Second Edition)
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13 pages, 245 KB  
Article
Factors Influencing Retention at Their First Hospital Among New Graduate Nurses in South Korea
by Yujin Jeong and Hyo-Jeong Yoon
Healthcare 2026, 14(3), 314; https://doi.org/10.3390/healthcare14030314 - 27 Jan 2026
Abstract
Background/Objectives: Early turnover among new graduate nurses remains challenging in South Korea. This study examined how socialisation factors—based on Scott et al.’s transition model and Herzberg’s motivation-hygiene theory—are associated with early retention at the first hospital of employment among new graduate nurses. Methods: [...] Read more.
Background/Objectives: Early turnover among new graduate nurses remains challenging in South Korea. This study examined how socialisation factors—based on Scott et al.’s transition model and Herzberg’s motivation-hygiene theory—are associated with early retention at the first hospital of employment among new graduate nurses. Methods: This retrospective cross-sectional study analysed secondary data from the Graduate Occupational Mobility Survey (GOMS), a nationally representative dataset of college and university graduates in Korea, collected using a stratified multi-stage sampling method. The study included 602 new graduate nurses from the 2017–2019 datasets who had worked as nurses at their first hospital of employment. Anticipatory socialisation factors included personal and educational characteristics. Organisational socialisation factors referred to workplace-related characteristics of the first hospital, including motivational factors and hygiene factors. The outcome variable was early retention. Multiple logistic regression analyses were performed to identify factors associated with early retention. Results: A total of 68.6% of nurses remained in their first hospital employment. Retention was more likely among nurses whose high school, nursing school, and first hospital were in the same region (p = 0.019), those employed in Seoul (p < 0.001), and those working in larger hospitals (p < 0.001). Retention was also associated with satisfaction with autonomy and authority (p = 0.013). Conversely, lower retention was observed among nurses who were dissatisfied with interpersonal relationships (p < 0.001) and those who reported satisfaction with growth opportunities (p < 0.001). Conclusions: Targeted strategies that support new graduate nurses during their transition are essential. Aligning education-to-employment regions and strengthening workplace conditions may enhance early retention. Full article
(This article belongs to the Section Healthcare Organizations, Systems, and Providers)
14 pages, 1243 KB  
Article
Effects of a 6-Month Minimal-Equipment Exercise Program on the Physical Fitness Profile of Portuguese Firefighter Recruits
by José Augusto Rodrigues dos Santos, Domingos José Lopes da Silva and Andreia Nogueira Pizarro
Fire 2026, 9(2), 57; https://doi.org/10.3390/fire9020057 - 27 Jan 2026
Abstract
Firefighting requires high and multidimensional fitness to ensure operational readiness and public safety. In Portugal, there is limited data regarding firefighters’ fitness and exercise programs to improve readiness are lacking. This study evaluated the effects of a 6-month minimal-equipment exercise program on the [...] Read more.
Firefighting requires high and multidimensional fitness to ensure operational readiness and public safety. In Portugal, there is limited data regarding firefighters’ fitness and exercise programs to improve readiness are lacking. This study evaluated the effects of a 6-month minimal-equipment exercise program on the physical fitness of firefighter recruits. Thirty-five male subjects (23.0 ± 2.72 years) were assessed at baseline,3 and 6 months for body composition, handgrip strength, running speed, cardiovascular endurance, anaerobic power, and upper- and lower-body strength. The intervention entailed daily sessions with 15 min of continuous running (50–65% HRmax) and active stretching, followed by alternating routines, including endurance running, free weights, interval sprints, calisthenics, and drills. A repeated-measures ANOVA and Bonferroni adjusted post hoc comparisons identified time-based changes. Significant improvements occurred across all fitness variables. Body fat fell by 8.4% and VO2max increased (p < 0.001), surpassing occupational thresholds required for extended suppression tasks. Bench press and sit-up performance improved by 88% and 81%, respectively, while countermovement jump showed double-digit gains (13%), all of which can translate directly to hose advancement, victim rescue, and forcible entry. These results highlight that resource-constrained departments can implement effective, low-cost exercise programs for enhancing pivotal fitness components, supporting policy initiatives to include structured training throughout firefighters’ careers. Full article
10 pages, 555 KB  
Article
Prevalence of Musculoskeletal Disorders Among Perfusion Staff in Germany
by Andreas Richard Greßler, Maximilian Kehmann, Claus Backhaus and Niels Hinricher
Int. J. Environ. Res. Public Health 2026, 23(2), 156; https://doi.org/10.3390/ijerph23020156 - 27 Jan 2026
Abstract
Background: Musculoskeletal disorders (MSDs) are highly prevalent among healthcare workers, particularly nurses, with reported prevalence rates ranging from 57% to 93%. Perfusionists are highly specialized healthcare professionals responsible for operating heart–lung machines during cardiac surgery. To date, the prevalence of MSDs in this [...] Read more.
Background: Musculoskeletal disorders (MSDs) are highly prevalent among healthcare workers, particularly nurses, with reported prevalence rates ranging from 57% to 93%. Perfusionists are highly specialized healthcare professionals responsible for operating heart–lung machines during cardiac surgery. To date, the prevalence of MSDs in this professional group has not been systematically investigated. To address this gap, perfusionists in Germany were surveyed regarding MSDs. Methods: The German version of the Nordic Musculoskeletal Questionnaire (NMQ) was administered. Pearson’s correlation and chi-square tests were applied. Results: A total of 287 perfusionists (72 female, 215 male; age 42.6 ± 11.9 years, professional experience 13.5 ± 10.9 years) from 45 German cardiac centers participated. Overall, 86% reported MSDs, with the lower back (65.5%) and neck (58.9%) being the most frequently affected regions, and 4.5% to 36.6% in other body regions. Increasing age was significantly associated with a higher prevalence in six body regions, and greater professional experience was associated in five regions. Occupational risk factors previously identified in nursing are assumed to apply to perfusion practice. Conclusions: This study demonstrates a high prevalence of MSDs among perfusionists in Germany. These findings underscore the need for preventive measures, coping strategies, and further research to reduce work-related musculoskeletal strain among perfusionists. Full article
(This article belongs to the Special Issue Occupational Health and Wellbeing for Healthcare Providers)
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25 pages, 4862 KB  
Article
Including Eye Movement in the Assessment of Physical Fatigue Under Different Loading Types and Road Slopes
by Yixuan Wei, Xueli Wen, Shu Wang, Lanyun Zhang, Jianwu Chen and Longzhe Jin
J. Eye Mov. Res. 2026, 19(1), 13; https://doi.org/10.3390/jemr19010013 - 27 Jan 2026
Abstract
Background: Emergency rescuers frequently carry heavy equipment for extended periods, making musculoskeletal disorders a major occupational concern. Loading type and road slope play important roles in inducing physical fatigue; however, the assessment of physical fatigue under these conditions remains limited. Aim: [...] Read more.
Background: Emergency rescuers frequently carry heavy equipment for extended periods, making musculoskeletal disorders a major occupational concern. Loading type and road slope play important roles in inducing physical fatigue; however, the assessment of physical fatigue under these conditions remains limited. Aim: This study aims to investigate physical fatigue under different loading types and road slope conditions using both electromyography (EMG) and eye movement metrics. In particular, this work focuses on eye movement metrics as a non-contact data source in comparison with EMG, which remains largely unexplored for physical fatigue assessment. Method: Prolonged load-bearing walking was simulated to replicate the physical demands experienced by emergency rescuers. Eighteen male participants completed experimental trials incorporating four loading types and three road slope conditions. Results: (1) Loading type and road slope significantly affected EMG activity, eye movement metrics, and perceptual responses. (2) Saccade time (ST), saccade speed (SS), and saccade amplitude (SA) exhibited significant differences in their rates of change across three stages defined by perceptual fatigue. ST, SS, and SA showed strong correlations with subjective fatigue throughout the entire load-bearing walking process, whereas pupil diameter demonstrated only a moderate correlation with subjective ratings. (3) Eye movement metrics were incorporated into multivariate quadratic regression models to quantify physical fatigue under different loading types and road slope conditions. Conclusions: These findings enhance the understanding of physical fatigue mechanisms by demonstrating the potential of eye movement metrics as non-invasive indicators for multidimensional fatigue monitoring in work environments involving varying loading types and road slopes. Full article
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19 pages, 608 KB  
Article
Parents’ Perceptions of Children’s Use of Apps on Mobile Devices and Development in Primary School-Aged Children
by Paolo Bozzato, Nicolas Leanza and Mauro Croce
Educ. Sci. 2026, 16(2), 191; https://doi.org/10.3390/educsci16020191 - 26 Jan 2026
Abstract
Mobile devices are increasingly embedded in primary school-aged children’s daily lives, yet parents’ views of their developmental impact remain mixed. This study examined Italian parents’ perceived benefits and concerns about children’s use of apps on mobile devices and whether these perceptions vary by [...] Read more.
Mobile devices are increasingly embedded in primary school-aged children’s daily lives, yet parents’ views of their developmental impact remain mixed. This study examined Italian parents’ perceived benefits and concerns about children’s use of apps on mobile devices and whether these perceptions vary by sociodemographic factors. The final analytic sample comprised 969 parents of children (6–10 years) who completed an online questionnaire assessing perceived impacts of children’s use of apps on mobile devices across motor, cognitive, language and communication, interpersonal, and emotional development domains, collecting sociodemographic information. Overall, parents reported moderate benefits alongside concerns. Benefits exceeded concerns for motor, cognitive, language and communication, and emotional domains, with the largest gap for the interpersonal domain alone, suggesting perceived support for social connection. Higher parental education levels and occupational status were associated with both higher perceived positive effects and higher concerns, suggesting a more engaged and reflective appraisal. Co-residing older siblings predicted higher perceived benefits and lower concerns, whereas higher perceived social status and living in a two-parent household predicted greater concerns. Overall, perceptions varied by social position and family composition, underscoring the need for guidance that helps families balance app-related opportunities and risks in coordination with schools. Full article
(This article belongs to the Section Education and Psychology)
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