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14 pages, 263 KiB  
Essay
The TV Series Severance as Speculative Organizational Critique: Control, Consent, and Identity at Work
by Dag Øivind Madsen and Marisa Alise Madsen
Adm. Sci. 2025, 15(8), 305; https://doi.org/10.3390/admsci15080305 - 5 Aug 2025
Abstract
The Apple TV+ series Severance (2022–present) offers a dystopian portrayal of workplace life that intensifies real-world dynamics of control, boundary management, and identity regulation. This paper analyzes Severance as a speculative case study in organizational theory, treating the show’s fictional world as a [...] Read more.
The Apple TV+ series Severance (2022–present) offers a dystopian portrayal of workplace life that intensifies real-world dynamics of control, boundary management, and identity regulation. This paper analyzes Severance as a speculative case study in organizational theory, treating the show’s fictional world as a site for conceptual reflection. Drawing on critical management studies and labor process theory, we examine how mechanisms of control, the regulation of work–life boundaries, and the fragmentation of autonomy and subjectivity are depicted in extreme form. We argue that fiction—particularly speculative satire—can serve as a tool of theoretical production, not merely illustration. Rather than restating familiar critiques, Severance allows us to see workplace norms with renewed clarity, surfacing the moral and psychological consequences of surveillance, coercion, and instrumentalized consent. A methodological note outlines our interpretive approach to narrative fiction, and a discussion of implications situates the analysis within broader debates about organizational ethics, resilience, and critique. Full article
23 pages, 1804 KiB  
Review
Recent Progress on Underwater Wireless Communication Methods and Applications
by Zhe Li, Weikun Li, Kai Sun, Dixia Fan and Weicheng Cui
J. Mar. Sci. Eng. 2025, 13(8), 1505; https://doi.org/10.3390/jmse13081505 - 5 Aug 2025
Abstract
The rapid advancement of underwater wireless communication technologies is critical to unlocking the full potential of marine resource exploration and environmental monitoring. This paper reviews recent progress in three primary modalities: underwater acoustic communication, radio frequency (RF) communication, and underwater optical wireless communication [...] Read more.
The rapid advancement of underwater wireless communication technologies is critical to unlocking the full potential of marine resource exploration and environmental monitoring. This paper reviews recent progress in three primary modalities: underwater acoustic communication, radio frequency (RF) communication, and underwater optical wireless communication (UWOC), each designed to address specific challenges posed by complex underwater environments. Acoustic communication, while effective for long-range transmission, is constrained by ambient noise and high latency; recent innovations in noise reduction and data rate enhancement have notably improved its reliability. RF communication offers high-speed, short-range capabilities in shallow waters, but still faces challenges in hardware miniaturization and accurate channel modeling. UWOC has emerged as a promising solution, enabling multi-gigabit data rates over medium distances through advanced modulation techniques and turbulence mitigation. Additionally, bio-inspired approaches such as electric field communication provide energy-efficient and robust alternatives under turbid conditions. This paper further examines the practical integration of these technologies in underwater platforms, including autonomous underwater vehicles (AUVs), highlighting trade-offs between energy efficiency, system complexity, and communication performance. By synthesizing recent advancements, this review outlines the advantages and limitations of current underwater communication methods and their real-world applications, offering insights to guide the future development of underwater communication systems for robotic and vehicular platforms. Full article
(This article belongs to the Section Ocean Engineering)
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24 pages, 3788 KiB  
Review
Advances in Photoacoustic Imaging of Breast Cancer
by Yang Wu, Keer Huang, Guoxiong Chen and Li Lin
Sensors 2025, 25(15), 4812; https://doi.org/10.3390/s25154812 - 5 Aug 2025
Abstract
Breast cancer is the leading cause of cancer-related mortality among women world-wide, and early screening is critical for improving patient survival. Medical imaging plays a central role in breast cancer screening, diagnosis, and treatment monitoring. However, conventional imaging modalities—including mammography, ultrasound, and magnetic [...] Read more.
Breast cancer is the leading cause of cancer-related mortality among women world-wide, and early screening is critical for improving patient survival. Medical imaging plays a central role in breast cancer screening, diagnosis, and treatment monitoring. However, conventional imaging modalities—including mammography, ultrasound, and magnetic resonance imaging—face limitations such as low diagnostic specificity, relatively slow imaging speed, ionizing radiation exposure, and dependence on exogenous contrast agents. Photoacoustic imaging (PAI), a novel hybrid imaging technique that combines optical contrast with ultrasonic spatial resolution, has shown great promise in addressing these challenges. By revealing anatomical, functional, and molecular features of the breast tumor microenvironment, PAI offers high spatial resolution, rapid imaging, and minimal operator dependence. This review outlines the fundamental principles of PAI and systematically examines recent advances in its application to breast cancer screening, diagnosis, and therapeutic evaluation. Furthermore, we discuss the translational potential of PAI as an emerging breast imaging modality, complementing existing clinical techniques. Full article
(This article belongs to the Special Issue Optical Imaging for Medical Applications)
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88 pages, 9998 KiB  
Review
Research and Developments of Heterogeneous Catalytic Technologies
by Milan Králik, Peter Koóš, Martin Markovič and Pavol Lopatka
Molecules 2025, 30(15), 3279; https://doi.org/10.3390/molecules30153279 - 5 Aug 2025
Abstract
This review outlines a comprehensive methodology for the research and development of heterogeneous catalytic technologies (R&D_HeCaTe). Emphasis is placed on the fundamental interactions between reactants, solvents, and heterogeneous catalysts—specifically the roles of catalytic centers and support materials (e.g., functional groups) in modulating activation [...] Read more.
This review outlines a comprehensive methodology for the research and development of heterogeneous catalytic technologies (R&D_HeCaTe). Emphasis is placed on the fundamental interactions between reactants, solvents, and heterogeneous catalysts—specifically the roles of catalytic centers and support materials (e.g., functional groups) in modulating activation energies and stabilizing catalytic functionality. Particular attention is given to catalyst deactivation mechanisms and potential regeneration strategies. The application of molecular modeling and chemical engineering analyses, including reaction kinetics, thermal effects, and mass and heat transport phenomena, is identified as essential for R&D_HeCaTe. Reactor configuration is discussed in relation to key physicochemical parameters such as molecular diffusivity, reaction exothermicity, operating temperature and pressure, and the phase and “aggressiveness” of the reaction system. Suitable reactor types—such as suspension reactors, fixed-bed reactors, and flow microreactors—are evaluated accordingly. Economic and environmental considerations are also addressed, with a focus on the complexity of reactions, selectivity versus conversion trade-offs, catalyst disposal, and separation challenges. To illustrate the breadth and applicability of the proposed framework, representative industrial processes are discussed, including ammonia synthesis, fluid catalytic cracking, methanol production, alkyl tert-butyl ethers, and aniline. Full article
(This article belongs to the Special Issue Heterogeneous Catalysts: From Synthesis to Application)
10 pages, 1240 KiB  
Perspective
Designing for Equity: An Evaluation Framework to Assess Zero-Dose Reduction Efforts in Southern Madagascar
by Guillaume Demare, Elgiraud Ramarosaiky, Zavaniarivo Rampanjato, Nadine Muller, Beate Kampmann and Hanna-Tina Fischer
Vaccines 2025, 13(8), 834; https://doi.org/10.3390/vaccines13080834 (registering DOI) - 5 Aug 2025
Abstract
Despite growing global momentum to reduce the number of children who never received a dose of any vaccine, i.e., zero-dose (ZD) children, persistent geographic and social inequities continue to undermine progress toward universal immunization coverage. In Madagascar, where routine vaccination coverage remains below [...] Read more.
Despite growing global momentum to reduce the number of children who never received a dose of any vaccine, i.e., zero-dose (ZD) children, persistent geographic and social inequities continue to undermine progress toward universal immunization coverage. In Madagascar, where routine vaccination coverage remains below 50% in most regions, the non-governmental organization Doctors for Madagascar and public sector partners are implementing the SOAMEVA program: a targeted community-based initiative to identify and reach ZD children in sixteen underserved districts in the country’s south. This paper outlines the equity-sensitive evaluation design developed to assess the implementation and impact of SOAMEVA. It presents a forward-looking evaluation framework that integrates both quantitative program monitoring and qualitative community insights. By focusing at the fokontany level—the smallest administrative unit in Madagascar—the evaluation captures small-scale variation in ZD prevalence and program reach, allowing for a detailed analysis of disparities often masked in aggregated data. Importantly, the evaluation includes structured feedback loops with community health workers and caregivers, surfacing local knowledge on barriers to immunization access and program adoption. It also tracks real-time adaptations to implementation strategy across diverse contexts, offering insight into how routine immunization programs can be made more responsive, sustainable, and equitable. We propose eight design principles for conducting equity-sensitive evaluation of immunization programs in similar fragile settings. Full article
(This article belongs to the Special Issue Inequality in Immunization 2025)
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25 pages, 1951 KiB  
Review
Antioxidant Capacity and Therapeutic Applications of Honey: Health Benefits, Antimicrobial Activity and Food Processing Roles
by Ivana Tlak Gajger, Showket Ahmad Dar, Mohamed Morsi M. Ahmed, Magda M. Aly and Josipa Vlainić
Antioxidants 2025, 14(8), 959; https://doi.org/10.3390/antiox14080959 (registering DOI) - 4 Aug 2025
Abstract
Honey is a natural product of honeybees that has been consumed for centuries due to its nutritional value and potential health benefits. Recent scientific research has focused on its antioxidant capacity, which is linked to a variety of bioactive compounds such as phenolic [...] Read more.
Honey is a natural product of honeybees that has been consumed for centuries due to its nutritional value and potential health benefits. Recent scientific research has focused on its antioxidant capacity, which is linked to a variety of bioactive compounds such as phenolic acids, enzymes (e.g., glucose oxidase, catalase), flavonoids, ascorbic acid, carotenoids, amino acids, and proteins. Together, these components work synergistically to neutralize free radicals, regulate antioxidant enzyme activity, and reduce oxidative stress. This review decisively outlines the antioxidant effects of honey and presents compelling clinical and experimental evidence supporting its critical role in preventing diseases associated with oxidative stress. Honey stands out for its extensive health benefits, which include robust protection against cardiovascular issues, notable anticancer and anti-inflammatory effects, enhanced glycemic control in diabetes, immune modulation, neuroprotection, and effective wound healing. As a recognized functional food and dietary supplement, honey is essential for the prevention and adjunct treatment of chronic diseases. However, it faces challenges due to variations in composition linked to climatic conditions, geographical and floral sources, as well as hive management practices. The limited number of large-scale clinical trials further underscores the need for more research. Future studies must focus on elucidating honey’s antioxidant mechanisms, standardizing its bioactive compounds, and examining its synergistic effects with other natural antioxidants to fully harness its potential. Full article
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20 pages, 1801 KiB  
Article
Territorially Stratified Modeling for Sustainable Management of Free-Roaming Cat Populations in Spain: A National Approach to Urban and Rural Environmental Planning
by Octavio P. Luzardo, Ruth Manzanares-Fernández, José Ramón Becerra-Carollo and María del Mar Travieso-Aja
Animals 2025, 15(15), 2278; https://doi.org/10.3390/ani15152278 - 4 Aug 2025
Abstract
This study presents the scientific and methodological foundation of Spain’s first national framework for the ethical management of community cat populations: the Action Plan for the Management of Community Cat Colonies (PACF), launched in 2025 under the mandate of Law 7/2023. This pioneering [...] Read more.
This study presents the scientific and methodological foundation of Spain’s first national framework for the ethical management of community cat populations: the Action Plan for the Management of Community Cat Colonies (PACF), launched in 2025 under the mandate of Law 7/2023. This pioneering legislation introduces a standardized, nationwide obligation for trap–neuter–return (TNR)-based management of free-roaming cats, defined as animals living freely, territorially attached, and with limited socialization toward humans. The PACF aims to support municipalities in implementing this mandate through evidence-based strategies that integrate animal welfare, biodiversity protection, and public health objectives. Using standardized data submitted by 1128 municipalities (13.9% of Spain’s total), we estimated a baseline population of 1.81 million community cats distributed across 125,000 colonies. These data were stratified by municipal population size and applied to national census figures to generate a model-ready demographic structure. We then implemented a stochastic simulation using Vortex software to project long-term population dynamics over a 25-year horizon. The model integrated eight demographic–environmental scenarios defined by a combination of urban–rural classification and ecological reproductive potential based on photoperiod and winter temperature. Parameters included reproductive output, mortality, sterilization coverage, abandonment and adoption rates, stochastic catastrophic events, and territorial carrying capacity. Under current sterilization rates (~20%), our projections indicate that Spain’s community cat population could surpass 5 million individuals by 2050, saturating ecological and social thresholds within a decade. In contrast, a differentiated sterilization strategy aligned with territorial reproductive intensity (50% in most areas, 60–70% in high-pressure zones) achieves population stabilization by 2030 at approximately 1.5 million cats, followed by a gradual long-term decline. This scenario prioritizes feasibility while substantially reducing reproductive output, particularly in rural and high-intensity contexts. The PACF combines stratified demographic modeling with spatial sensitivity, offering a flexible framework adaptable to local conditions. It incorporates One Health principles and introduces tools for adaptive management, including digital monitoring platforms and standardized welfare protocols. While ecological impacts were not directly assessed, the proposed demographic stabilization is designed to mitigate population-driven risks to biodiversity and public health without relying on lethal control. By integrating legal mandates, stratified modeling, and realistic intervention goals, this study outlines a replicable and scalable framework for coordinated action across administrative levels. It exemplifies how national policy can be operationalized through data-driven, territorially sensitive planning tools. The findings support the strategic deployment of TNR-based programs across diverse municipal contexts, providing a model for other countries seeking to align animal welfare policy with ecological planning under a multi-level governance perspective. Full article
(This article belongs to the Section Animal System and Management)
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32 pages, 1986 KiB  
Article
Machine Learning-Based Blockchain Technology for Secure V2X Communication: Open Challenges and Solutions
by Yonas Teweldemedhin Gebrezgiher, Sekione Reward Jeremiah, Xianjun Deng and Jong Hyuk Park
Sensors 2025, 25(15), 4793; https://doi.org/10.3390/s25154793 - 4 Aug 2025
Abstract
Vehicle-to-everything (V2X) communication is a fundamental technology in the development of intelligent transportation systems, encompassing vehicle-to-vehicle (V2V), infrastructure (V2I), and pedestrian (V2P) communications. This technology enables connected and autonomous vehicles (CAVs) to interact with their surroundings, significantly enhancing road safety, traffic efficiency, and [...] Read more.
Vehicle-to-everything (V2X) communication is a fundamental technology in the development of intelligent transportation systems, encompassing vehicle-to-vehicle (V2V), infrastructure (V2I), and pedestrian (V2P) communications. This technology enables connected and autonomous vehicles (CAVs) to interact with their surroundings, significantly enhancing road safety, traffic efficiency, and driving comfort. However, as V2X communication becomes more widespread, it becomes a prime target for adversarial and persistent cyberattacks, posing significant threats to the security and privacy of CAVs. These challenges are compounded by the dynamic nature of vehicular networks and the stringent requirements for real-time data processing and decision-making. Much research is on using novel technologies such as machine learning, blockchain, and cryptography to secure V2X communications. Our survey highlights the security challenges faced by V2X communications and assesses current ML and blockchain-based solutions, revealing significant gaps and opportunities for improvement. Specifically, our survey focuses on studies integrating ML, blockchain, and multi-access edge computing (MEC) for low latency, robust, and dynamic security in V2X networks. Based on our findings, we outline a conceptual framework that synergizes ML, blockchain, and MEC to address some of the identified security challenges. This integrated framework demonstrates the potential for real-time anomaly detection, decentralized data sharing, and enhanced system scalability. The survey concludes by identifying future research directions and outlining the remaining challenges for securing V2X communications in the face of evolving threats. Full article
(This article belongs to the Section Vehicular Sensing)
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25 pages, 2418 KiB  
Review
Contactless Vital Sign Monitoring: A Review Towards Multi-Modal Multi-Task Approaches
by Ahmad Hassanpour and Bian Yang
Sensors 2025, 25(15), 4792; https://doi.org/10.3390/s25154792 - 4 Aug 2025
Abstract
Contactless vital sign monitoring has emerged as a transformative healthcare technology, enabling the assessment of vital signs without physical contact with the human body. This review comprehensively reviews the rapidly evolving landscape of this field, with particular emphasis on multi-modal sensing approaches and [...] Read more.
Contactless vital sign monitoring has emerged as a transformative healthcare technology, enabling the assessment of vital signs without physical contact with the human body. This review comprehensively reviews the rapidly evolving landscape of this field, with particular emphasis on multi-modal sensing approaches and multi-task learning paradigms. We systematically categorize and analyze existing technologies based on sensing modalities (vision-based, radar-based, thermal imaging, and ambient sensing), integration strategies, and application domains. The paper examines how artificial intelligence has revolutionized this domain, transitioning from early single-modality, single-parameter approaches to sophisticated systems that combine complementary sensing technologies and simultaneously extract multiple vital sign parameters. We discuss the theoretical foundations and practical implementations of multi-modal fusion, analyzing signal-level, feature-level, decision-level, and deep learning approaches to sensor integration. Similarly, we explore multi-task learning frameworks that leverage the inherent relationships between vital sign parameters to enhance measurement accuracy and efficiency. The review also critically addresses persisting technical challenges, clinical limitations, and ethical considerations, including environmental robustness, cross-subject variability, sensor fusion complexities, and privacy concerns. Finally, we outline promising future directions, from emerging sensing technologies and advanced fusion architectures to novel application domains and privacy-preserving methodologies. This review provides a holistic perspective on contactless vital sign monitoring, serving as a reference for researchers and practitioners in this rapidly advancing field. Full article
(This article belongs to the Section Biomedical Sensors)
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12 pages, 469 KiB  
Communication
The Certificate of Advanced Studies in Brain Health of the University of Bern
by Simon Jung, David Tanner, Jacques Reis and Claudio Lino A. Bassetti
Clin. Transl. Neurosci. 2025, 9(3), 35; https://doi.org/10.3390/ctn9030035 - 4 Aug 2025
Abstract
Background: Brain health is a growing public health priority due to the high global burden of neurological and mental disorders. Promoting brain health across the lifespan supports individual and societal well-being, creativity, and productivity. Objective: To address the need for specialized education in [...] Read more.
Background: Brain health is a growing public health priority due to the high global burden of neurological and mental disorders. Promoting brain health across the lifespan supports individual and societal well-being, creativity, and productivity. Objective: To address the need for specialized education in this field, the University of Bern developed a Certificate of Advanced Studies (CAS) in Brain Health. This article outlines the program’s rationale, structure, and goals. Program Description: The one-year, 15 ECTS-credit program is primarily online and consists of four modules: (1) Introduction to Brain Health, (2) Brain Disorders, (3) Risk Factors, Protective Factors and Interventions, and (4) Brain Health Implementation. It offers a multidisciplinary, interprofessional, life-course approach, integrating theory with practice through case studies and interactive sessions. Designed for healthcare and allied professionals, the CAS equips participants with skills to promote brain health in clinical, research, and public health contexts. Given the shortage of trained professionals in Europe and globally, the program seeks to build a new generation of brain health advocates. It aims to inspire action and initiatives that support the prevention, early detection, and management of brain disorders. Conclusions: The CAS in Brain Health is an innovative educational response to a pressing global need. By fostering interdisciplinary expertise and practical skills, it enhances professional development and supports improved brain health outcomes at individual and population levels. Full article
(This article belongs to the Special Issue Brain Health)
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15 pages, 2179 KiB  
Review
From Nutrition to Innovation: Biomedical Applications of Egg Components
by Amin Mohseni Ghalehghazi and Wen Zhong
Molecules 2025, 30(15), 3260; https://doi.org/10.3390/molecules30153260 - 4 Aug 2025
Abstract
Valued for their nutritional content, eggs have recently gained attention as a versatile biomaterial owing to their biocompatibility, biodegradability, and unique structural and biochemical composition. This review highlights the biomedical potential of various egg components—eggshell, eggshell membrane, egg white, and egg yolk—and their [...] Read more.
Valued for their nutritional content, eggs have recently gained attention as a versatile biomaterial owing to their biocompatibility, biodegradability, and unique structural and biochemical composition. This review highlights the biomedical potential of various egg components—eggshell, eggshell membrane, egg white, and egg yolk—and their applications in bone grafting, tissue engineering, wound healing, drug delivery, and biosensors. Eggshells serve as a natural, calcium-rich source for bone tissue engineering and regenerative medicine. The eggshell membrane, with its antimicrobial and structural properties, offers promise as a wound healing scaffold. Egg white, known for its gelation and film-forming capabilities, is utilized in hydrogel-based systems for drug delivery and biosensing. Egg yolk, rich in lipids and immunoglobulin Y (IgY) antibodies, is being explored for diagnostic and therapeutic applications. This review critically examines the advantages and limitations of each egg-derived component and outlines current research gaps, offering insights into future directions for the development of egg-based biomaterials in biomedical engineering. Full article
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38 pages, 2159 KiB  
Review
Leveraging Big Data and AI for Sustainable Urban Mobility Solutions
by Oluwaleke Yusuf, Adil Rasheed and Frank Lindseth
Urban Sci. 2025, 9(8), 301; https://doi.org/10.3390/urbansci9080301 - 4 Aug 2025
Abstract
Urban population growth is intensifying pressure on mobility systems, with road transportation contributing to environmental and sustainability challenges. Policymakers must navigate complex uncertainties in addressing rising mobility demand while pursuing sustainability goals. Advanced technologies offer promise, but their real-world effectiveness in urban contexts [...] Read more.
Urban population growth is intensifying pressure on mobility systems, with road transportation contributing to environmental and sustainability challenges. Policymakers must navigate complex uncertainties in addressing rising mobility demand while pursuing sustainability goals. Advanced technologies offer promise, but their real-world effectiveness in urban contexts remains underexplored. This meta-review comprised three complementary studies: a broad analysis of sustainable mobility with Norwegian case studies, and systematic literature reviews on digital twins and Big Data/AI applications in urban mobility, covering the period of 2019–2024. Using structured criteria, we synthesised findings from 72 relevant articles to identify major trends, limitations, and opportunities. The findings show that mobility policies often prioritise technocentric solutions that unintentionally hinder sustainability goals. Digital twins show potential for traffic simulation, urban planning, and public engagement, while machine learning techniques support traffic forecasting and multimodal integration. However, persistent challenges include data interoperability, model validation, and insufficient stakeholder engagement. We identify a hierarchy of mobility modes where public transit and active mobility outperform private vehicles in sustainability and user satisfaction. Integrating electrification and automation and sharing models with data-informed governance can enhance urban liveability. We propose actionable pathways leveraging Big Data and AI, outlining the roles of various stakeholders in advancing sustainable urban mobility futures. Full article
(This article belongs to the Special Issue Sustainable Urbanization, Regional Planning and Development)
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13 pages, 269 KiB  
Review
From Genotype to Guidelines: Rethinking Neutropenia Risk in Clozapine Use
by Amir Agustin Estil-las, William C. Sultan, Carla Sultan, Martena Grace, Mark Elias and Kristal Arraut
Psychiatry Int. 2025, 6(3), 93; https://doi.org/10.3390/psychiatryint6030093 (registering DOI) - 4 Aug 2025
Abstract
Clozapine, a second-generation antipsychotic known for its effectiveness in treating resistant schizophrenia, is often linked with serious hematological side effects, particularly neutropenia and agranulocytosis. This review investigates the underlying pathophysiological mechanisms of clozapine-induced neutropenia (CIN) and agranulocytosis (CIA), outlines associated risk factors, and [...] Read more.
Clozapine, a second-generation antipsychotic known for its effectiveness in treating resistant schizophrenia, is often linked with serious hematological side effects, particularly neutropenia and agranulocytosis. This review investigates the underlying pathophysiological mechanisms of clozapine-induced neutropenia (CIN) and agranulocytosis (CIA), outlines associated risk factors, and evaluates current clinical management strategies. Clozapine’s pharmacological profile, marked by its antagonism of dopamine D4 and serotonin receptors, contributes to both its therapeutic advantages and hematological toxicity. Epidemiological data show a prevalence of CIN and CIA at approximately 3.8% and 0.9%, respectively, with onset typically occurring within the first six months of treatment. Key risk factors include older age, Asian and African American ethnicity, female sex, and certain genetic predispositions. The development of CIN and CIA may involve bone marrow suppression and autoimmune mechanisms, although the exact processes remain partially understood. Clinical presentation often includes nonspecific symptoms such as fever and signs of infection, necessitating regular hematological monitoring in accordance with established guidelines. Management strategies include dosage adjustments, cessation of clozapine, and the administration of granulocyte colony-stimulating factors (G-CSF). Advances in pharmacogenomics show promise for predicting susceptibility to CIN and CIA, potentially improving patient safety. This review emphasizes the importance of vigilant monitoring and personalized treatment approaches to reduce the risks associated with clozapine therapy. Full article
16 pages, 1247 KiB  
Review
When Bone Forms Where It Shouldn’t: Heterotopic Ossification in Muscle Injury and Disease
by Anthony Facchin, Sophie Lemaire, Li Gang Toner, Anteneh Argaw and Jérôme Frenette
Int. J. Mol. Sci. 2025, 26(15), 7516; https://doi.org/10.3390/ijms26157516 (registering DOI) - 4 Aug 2025
Abstract
Heterotopic ossification (HO) refers to the pathological formation of bone in soft tissues, typically following trauma, surgical procedures, or as a result of genetic disorders. Notably, injuries to the central nervous system significantly increase the risk of HO, a condition referred to as [...] Read more.
Heterotopic ossification (HO) refers to the pathological formation of bone in soft tissues, typically following trauma, surgical procedures, or as a result of genetic disorders. Notably, injuries to the central nervous system significantly increase the risk of HO, a condition referred to as neurogenic HO (NHO). This review outlines the cellular and molecular mechanisms driving HO, focusing on the inflammatory response, progenitor cell reprogramming, and current treatment strategies. HO is primarily fuelled by a prolonged and dysregulated inflammatory response, characterized by sustained expression of osteoinductive cytokines secreted by M1 macrophages. These cytokines promote the aberrant differentiation of fibro-adipogenic progenitor cells (FAPs) into osteoblasts, leading to ectopic mineralization. Additional factors such as hypoxia, BMP signalling, and mechanotransduction pathways further contribute to extracellular matrix (ECM) remodelling and osteogenic reprogramming of FAPs. In the context of NHO, neuroendocrine mediators enhance ectopic bone formation by influencing both local inflammation and progenitor cell fate decisions. Current treatment options such as nonsteroidal anti-inflammatory drugs (NSAIDs), radiation therapy, and surgical excision offer limited efficacy and are associated with significant risks. Novel therapeutic strategies targeting inflammation, neuropeptide signalling, and calcium metabolism may offer more effective approaches to preventing or mitigating HO progression. Full article
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18 pages, 914 KiB  
Review
Advances in Surgical Management of Malignant Gastric Outlet Obstruction
by Sang-Ho Jeong, Miyeong Park, Kyung Won Seo and Jae-Seok Min
Cancers 2025, 17(15), 2567; https://doi.org/10.3390/cancers17152567 - 4 Aug 2025
Abstract
Malignant gastric outlet obstruction (MGOO) is a serious complication arising from advanced gastric or pancreatic head cancer, significantly impairing patients’ quality of life by disrupting oral intake and inducing severe gastrointestinal symptoms. With benign causes such as peptic ulcer disease on the decline, [...] Read more.
Malignant gastric outlet obstruction (MGOO) is a serious complication arising from advanced gastric or pancreatic head cancer, significantly impairing patients’ quality of life by disrupting oral intake and inducing severe gastrointestinal symptoms. With benign causes such as peptic ulcer disease on the decline, malignancies now account for 50–80% of gastric outlet obstruction (GOO) cases globally. This review outlines the pathophysiology, evolving epidemiology, and treatment modalities for MGOO. Therapeutic approaches include conservative management, endoscopic stenting, surgical gastrojejunostomy (GJ), stomach partitioning gastrojejunostomy (SPGJ), and endoscopic ultrasound-guided gastroenterostomy (EUS-GE). While endoscopic stenting offers rapid symptom relief with minimal invasiveness, it has higher rates of re-obstruction. Surgical options like GJ and SPGJ provide more durable palliation, especially for patients with longer expected survival. SPGJ, a modified surgical technique, demonstrates reduced incidence of delayed gastric emptying and may improve postoperative oral intake and survival compared to conventional GJ. EUS-GE represents a promising, minimally invasive alternative that combines surgical durability with endoscopic efficiency, although long-term data remain limited. Treatment selection should consider patient performance status, tumor characteristics, prognosis, and institutional resources. This comprehensive review underscores the need for individualized, multidisciplinary decision-making to optimize symptom relief, nutritional status, and overall outcomes in patients with MGOO. Full article
(This article belongs to the Special Issue Advances in the Treatment of Upper Gastrointestinal Cancer)
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