Search Results (1,647)

As veganism becomes more popular, the number of vegan pregnant women and children is steadily increasing. During vegan pregnancy and early childhood, there is a high risk for nutrient deficiencies that may impair child development. External factors, such as healthcare advice, social networks, and social environments, that affect the diet of vegan pregnant women, parents, and their children, as well as their approach towards dietary supplementation, have not yet been investigated. Various sources of information, combined with a lack of expertise, sparse food and nutritional health literacy, and qualitatively heterogeneous information provision by medical experts, unsettle vegan pregnant women and parents and affect their dietary choices and potentially the health of their children. The VedieS study aims to investigate potential connections between external influences and associated impacts on a vegan diet and the intake of dietary supplements (DS) of pregnant women and children. Two surveys are being conducted within the study: one targeting 1000 vegan pregnant women and parents, and another targeting 60 experts in each of five healthcare groups: gynecologists, pediatricians, general practitioners, pharmacists, and dietitians. This study is the first to examine how socio-economic, social, and further informational factors influence dietary practices during vegan pregnancy and childhood. It highlights the need for reliable, expert-led guidance, as current information sources are often inconsistent and may put these vulnerable groups at risk. Full article

Introduction: Nurses are the largest group of healthcare workers, and healthcare managers should pay attention to the quality of work life and the health and working capacity of nurses in order to ensure a sufficient number of nurses and a stable workforce. Aim: The present study aimed to determine nurses’ quality of work life, work ability index and intention to leave the nursing profession and to examine the associations between nurses’ quality of work life, work ability index and intention to leave the nursing profession. Methods: An online cross-sectional study was conducted. A total of 498 nurses completed the instrument, consisting of demographic data, Brooks’ Quality of Nursing Work Life Survey (BQNWL), Work Ability Index Questionnaire (WAIQ) and questions on their intention to leave their current job or the nursing profession. Results: Most nurses had a moderate quality of work life (QWL) (73.7%) and a good work ability index (WAI) (43.78%). Men (p = 0.047), nurses who study (p = 0.021), nurses who do not have children (p = 0.000) and nurses who do not take care of their parents (p = 0.000) have a statistically significantly higher total WAIQ score. Most nurses (61.1%) had considered changing jobs in the last 12 months, and 36.9% had considered leaving the nursing profession. A statistically significant positive correlation was found between the total BQNWL and the total WAI. The study found no correlation between QWL, WAI and intention to change jobs or leave the profession, which was unexpected. Conclusions: To ensure the provision of necessary nursing care and a healthy working environment for nurses, it is necessary to regularly monitor QWL and WAI and take measures to ensure the highest quality of working life. Further longitudinal and mixed-methods research is needed to understand the relationship between QWL, WAI and intention to leave. Full article

Background: Parents of children with type 1 diabetes play a key role in managing their child’s self-management, which can be stressful and burdensome. High involvement can lead to reactions such as emotional, cognitive, and physical exhaustion in parents. Understanding parents’ psychosocial impact due to their child’s disease is crucial for the family’s overall well-being. The purpose of this study was to describe stress and burden experienced by parents in families with children living with type 1 diabetes. Methods: This study utilized a qualitative approach, analyzing interviews with 16 parents of children aged 10 to 17 years living with T1D through qualitative content analysis. The data collection occurred between January and February 2025. Results: Managing a child’s Type 1 diabetes can be tough on family relationships, affecting how partners interact, intimacy, and sibling relationships. The constant stress and worry might leave parents feeling exhausted, unable to sleep, and struggling to think clearly, on top of the pain of losing a normal everyday life. The delicate balance between allowing a child with type 1 diabetes to be independent and maintaining control over their self-management renders these challenges even more demanding for the parents. Conclusions: Parents’ experiences highlight the need for robust support systems, including dependable school environments, trustworthy technical devices, reliable family and friends, and accessible healthcare guidance. These elements are essential not only for the child’s health and well-being but also for alleviating the emotional and practical burdens parents face. Full article

Background: Considering the critical role of physical activity (PA) beginning in early childhood education and the demonstrated validity and reliability of contemporary technological measurement tools, this paper aimed to systematically review and analyze studies comparing PA levels in preschool-aged children during weekdays versus weekend days, using objective technological devices, and highlight what factors correlate with children’s PA. Methods: The search strategy was designed based on the PICOS framework. A systematic review was conducted using two databases (PubMed and Web of Science) to identify studies that included preschool children doing PA during weekdays, measured through technological devices, and compared to PA during weekend days. Study quality was evaluated using the MINORS scale. Results: From 1959 articles, 30 documents met the inclusion criteria, encompassing 32,251 preschool children. Conclusions: The results suggest that preschoolers were generally more active on weekdays than weekends, although it could depend more on contextual or individual factors than on the day of the week. In this sense, parental/maternal behavior (sedentary behavior, shared activities during weekend days, parents’ educational level, and parental/maternal screen time) influences children’s PA level, as well as other factors such as gender, morphology, motor competence level, the type of activity (indoor vs. outdoor), age, meeting PA guidelines, and the community transportation environment. Considering these factors, professionals working in preschools or kindergartens, as well as parents/mothers, should consider these factors to foster children’s PA level from early childhood, which could influence children’s lifespan. Full article

Algal and cyanobacterial blooms are anticipated to increase in frequency, duration, and geographic extent as a result of environmental changes, including climate warming, elevated nutrient concentrations, and increased runoff in both marine and freshwater ecosystems. The eutrophication of aquatic environments represents a substantial threat to human health. As eutrophication progresses, airborne algae and cyanobacteria, particularly harmful genera originating from aquatic environments, are released into the atmosphere and may pose potential risks to human health. Furthermore, respiratory distress has been documented in individuals exposed to aerosols containing harmful algal bloom (HAB) toxins. This review investigates the generation of aerosolised harmful algal blooms, their responses to environmental factors, and their associated health risks. Evidence suggests that airborne algae, cyanobacteria, and their toxins are widespread. When these are aerosolised into micrometre-sized particles, they become susceptible to atmospheric processing, which may degrade the HAB toxins and produce byproducts with differing potencies compared to the parent compounds. Inhalation of aerosolised HAB toxins, especially when combined with co-morbid factors such as exposure to air pollutants, could present a significant health risk to a considerable proportion of the global population. A more comprehensive understanding of the chemical transformations of these toxins and the composition of harmful algal and cyanobacterial communities can improve public safety. Full article

Based on attachment theory and the McMaster family functioning model, this study explores the protective role and mechanisms of a caring parenting style in protecting adolescents from bullying, from the perspective of the family environment. Study 1, conducted in Southwest China with middle school students (n = 4582), investigates the relationship between a caring parenting style and adolescent bullying victimization through a large-scale cross-sectional survey. The results show that both parents’ caring parenting styles are significantly negatively correlated with adolescent bullying victimization. Study 2, a two-wave study (n = 302), explores the protective mechanisms of a caring parenting style in adolescent bullying victimization. We not only observed again that a caring parenting style significantly negatively predicts bullying victimization but also found that family functioning and constructive conflict resolution play a chain-mediating role in this relationship. This finding not only supports the core hypothesis of attachment theory regarding the role of a secure base but also expands the theoretical model of bullying protection from a family ecological perspective by revealing a three-level transmission mechanism of parenting style–family system–individual capability, providing a theoretical anchor for the construction of a “family–school” collaborative intervention framework. Full article

Extended reality (XR)-based rehabilitation is an emerging therapeutic approach that combines real and virtual environments to enhance patient engagement and promote motor and cognitive recovery. Its clinical utility in children with cerebral palsy (CP), particularly regarding gross motor skills, balance, and psychosocial well-being, remains underexplored. This preliminary study aimed to evaluate the potential effects of XR-based rehabilitation on gross motor function, balance, parental stress, and quality of life in children with cerebral palsy. Thirty children with cerebral palsy were randomly assigned to an extended reality training group (XRT, n = 15) or a conventional physical therapy group (CPT, n = 15). Both groups received 30 min sessions, three times per week for 6 weeks. Outcome measures included the Gross Motor Function Measure-88 (GMFM-88), Pediatric Balance Scale (PBS), Functional Independence Measure (FIM), Parenting Stress Index (PSI), and Pediatric Quality of Life Inventory (PedsQL), assessed pre- and post-intervention. A 2 (group) × 2 (time) mixed ANOVA was conducted. The XR group demonstrated improvements in GMFM-88, PBS, and FIM scores, with decreased PSI and increased PedsQL scores. Although most interaction effects were not statistically significant (GMFM-88: η² = 0.035, p = 0.329; PBS: η² = 0.043, p = 0.274), a marginal interaction effect was observed for PSI (p = 0.065, η² = 0.059), suggesting a potential benefit of XR-based rehabilitation in reducing parental stress. This preliminary study indicates that XR-based rehabilitation may provide beneficial trends in motor function and psychosocial health in children with CP, particularly in reducing parental stress. Further studies with larger sample sizes are needed to confirm these findings. Full article

Background: Understanding the determinants of children’s outdoor play is an important element for child development and broader public health outcomes. There is growing evidence that children’s opportunities for play, particularly outdoor risky play, are diminishing. Parents are concerned with keeping their child safe while affording them independence to play. This study explored parents’ attitudes to risky play and practices around children’s independent mobility in Ireland with the aim of informing public health strategies promoting healthy childhood environments. Methods: An online survey comprising validated scales and standardised questions was completed by a nationally represented sample of 376 parents of children up to 16 years. Data was analysed via descriptive statistics, chi-square tests, and regression analysis. Results: A total of 376 participants accessed the survey, of which 349 completed it. A total of 84% of participants were female. A total of 74% agreed that children need regular exposure to actual risk to develop risk management skills, and 71% trusted their children to play safely. Chi-square tests reveal significant associations between outdoor play in the rain and school travel (p < 0.01), and appropriate age to begin activities at home and in educational settings (p < 0.05). A moderate association was found between the method of school travel and children’s permission to play in the rain (Cramer’s V = 0.51). Respondents considered supervision to be a necessity to ensure their children’s safety. Overall, the results indicate that parents were risk-averse in three of the six categories of risky play, namely, play near dangerous elements, play with adult tools, and out-of-sight play. Conclusions: This study presents a descriptive analysis of findings from the Ireland State of Play Survey. Findings indicate that although parents recognise the benefits of risky play, there is some contradiction between parental attitudes and actual practices, with a lack of willingness or confidence in permitting their children to participate in all such activities. Full article

Background: Attention-Deficit/Hyperactivity Disorder (ADHD) is a complex neurodevelopmental condition typically requiring information from multiple informants for accurate diagnosis. However, the consistency and diagnostic value of reports from teachers, parents, primary care providers (PCPs), and other professionals remain debated. This study aimed to examine the role and diagnostic accuracy of different informants in the referral and diagnostic process for ADHD in children aged 3–11. Methods: This retrospective study analyzed data from 120 children referred for suspected ADHD. Initial reports were obtained from teachers, parents, PCPs, and other professionals, and final diagnoses were determined through comprehensive neuropsychiatric evaluations. Diagnostic concordance and informant-specific contributions were assessed. Results: Of the 120 children, 64 (53.3%) received an ADHD diagnosis. Teachers were the most frequent informants, followed by parents, with fewer referrals from PCPs and other professionals. No significant differences in diagnostic accuracy were found among informants, aligning with previous studies suggesting that no single informant is superior in identifying ADHD. Notably, over 93% of referred children were diagnosed with a neuropsychiatric disorder, though not necessarily ADHD. Conclusions: The findings underscore the importance of combining reports from parents and teachers to capture symptom expression across different environments, which is essential for accurate ADHD diagnosis. Enhanced training for informants and a multidisciplinary approach is recommended to improve diagnostic accuracy and support early identification and intervention efforts. These results support nuanced evaluation strategies that account for informant variability and help mitigate potential misinterpretations of ADHD symptoms. Full article

With the natural evolution of the Arctic route and advancements in related technologies, the development of new green ice-class ships is becoming a key technological breakthrough for the global shipbuilding industry. As a special vessel form that must perform icebreaking operations and undertake long-distance ocean voyages, an ice-class ship requires sufficient icebreaking capacity to navigate ice-covered water areas. However, since such ships operate for most of their time under open water conditions, it is also crucial to consider their resistance characteristics in these environments. Firstly, this paper employs linear interpolation to extract wind, wave, and sea ice data along the route and calculates the proportion of ice-covered and open water area in the overall voyage. This provides data support for hull form optimization based on real sea state conditions. Then, a resistance optimization platform for ice-class ships is established by integrating hull surface mixed deformation control within a scenario analysis framework. Based on the optimization results, comparative analysis is conducted between the parent hull and the optimized hull under various environmental resistance scenarios. Finally, the optimization results are evaluated in terms of energy consumption using a fuel consumption model of the ship’s main engine. The optimized hull achieves a 16.921% reduction in total resistance, with calm water resistance and wave-added resistance reduced by 5.92% and 27.6%, respectively. Additionally, the optimized hull shows significant resistance reductions under multiple wave and floating ice conditions. At the design speed, calm water power and hourly fuel consumption are reduced by 7.1% and 7.02%, respectively. The experimental results show that the hull form optimization process in this paper can take into account both ice-region navigation and ice-free navigation. The design ideas and solution methods can provide a reference for the design of ice-class ships. Full article

Soybeans are a primary source of plant-based protein, with seeds containing approximately 40% protein—a key quality trait. Selecting superior hybrid combinations and managing progeny effectively are crucial for developing high-protein soybean varieties. Using a recombinant inbred line population (RIL3613) derived from Dongnong L13 × Heihe 36 and its previously constructed high-density genetic linkage map, QTLs and QTL × environment interactions (QEIs) associated with seed protein content (SPC) were identified through the bi-parental population (BIP) model and multi-environment trials (MET) model in QTL IciMapping v4.2. Candidate genes were then predicted via sequence alignment and haplotype analysis between the parents. Finally, simulated breeding was conducted using the B4L function in the In Silico Breeding (ISB) module of the Blib platform to determine optimal breeding strategies across diverse environments. The analysis identified 19 QTLs associated with SPC and 97 QEIs linked to SPC. These QTLs collectively explained 84.442% of the phenotypic variance, with four QTLs exhibiting significant contributions. A key candidate gene, Glyma.12G231400, associated with soybean SPC, was predicted within the 38,995,090–39,293,825 bp interval on chromosome 12. Across 11 environments, three to six optimal breeding schemes were selected, all employing modified pedigree selection. These findings enhance our understanding of the genetic basis of soybean protein formation and provide technological support for molecular breeding for seed quality improvement. Full article

Background: Youth tobacco use remains a significant public health concern, particularly in urban communities disproportionately burdened by health disparities. In Baltimore City, where tobacco-related harms are elevated, understanding the relationship between tobacco use—including e-cigarettes—and mental health among high school students is essential for guiding equitable prevention and cessation strategies. The CEASE (Communities Engaged and Advocating for a Smoke-free Environment) program, in collaboration with the American Lung Association’s Not On Tobacco (N-O-T) initiative, developed an online school-based survey to inform community-responsive interventions. Aims: This study aimed to examine the associations between cigarette use, including conventional cigarette use, and self-rated mental health among high school students in Baltimore City. Methods: High school students in Baltimore City completed an anonymous online survey that assessed demographic characteristics, tobacco knowledge and use, mental health, and related behaviors. Self-rated mental health was dichotomized as poor versus fair/good. Tobacco use categories included current use of e-cigarettes and conventional cigarettes. Logistic regression models were used to examine associations between tobacco use and self-rated mental health, adjusting for age, gender, race, and parental education. Odds ratios (ORs) with 95% confidence intervals (CIs) were reported. Results: No statistically significant associations were found between self-rated mental health and e-cigarette use and conventional tobacco use after adjusting for covariates. Conclusions: The absence of a significant association may reflect unique aspects of the social context in Baltimore City, where youth may not use tobacco products as a coping mechanism for mental health challenges. Alternatively, it may be due to limitations in measurement, particularly the use of a single-item mental health assessment. These findings should be considered preliminary. Future research using more comprehensive mental health measures and larger samples is warranted to further explore these complex relationships. Full article

Quantum neural networks (QNNs) represent an emerging technology that uses a quantum computer for neural network computations. The QNNs have demonstrated potential advantages over classical neural networks in certain tasks. As a core component of a QNN, the parameterized quantum circuit (PQC) plays a crucial role in determining the QNN’s overall performance. However, quantum circuit architectures designed manually based on experience or using specific hardware structures can suffer from inefficiency due to the introduction of redundant quantum gates, which amplifies the impact of noise on system performance. Recent studies have suggested that the advantages of quantum evolutionary algorithms (QEAs) in terms of precision and convergence speed can provide an effective solution to quantum circuit architecture-related problems. Currently, most QEAs adopt a fixed rotation mode in the evolution process, and a lack of an adaptive updating mode can cause the QEAs to fall into a local optimum and make it difficult for them to converge. To address these problems, this study proposes an adaptive quantum evolution algorithm (AQEA). First, an adaptive mechanism is introduced to the evolution process, and the strategy of combining two dynamic rotation angles is adopted. Second, to prevent the fluctuations of the population’s offspring, the elite retention of the parents is used to ensure the inheritance of good genes. Finally, when the population falls into a local optimum, a quantum catastrophe mechanism is employed to break the current population state. The experimental results show that compared with the QNN structure based on manual design and QEA search, the proposed AQEA can reduce the number of network parameters by up to 20% and increase the accuracy by 7.21%. Moreover, in noisy environments, the AQEA-optimized circuit outperforms traditional circuits in maintaining high fidelity, and its excellent noise resistance provides strong support for the reliability of quantum computing. Full article

Non-Native Tree Species (NNTs) play crucial roles in global and European forests. However, in the Czech Republic, NNTs represent a tiny fraction of the forested areas due to limited research on their potential use. The country is actively afforesting abandoned agricultural lands; NNTs which are already tested and certified could enhance the country’s forestry system. This study aimed to evaluate the initial growth of Castanea sativa, Platanus acerifolia, and Corylus colurna under three soil treatments on abandoned agricultural soil, evaluate the survival and mortality of the tree species, and further compare the soil dynamics among the three ecosystems to describe the initial state and short-term changes in the soil environment. The research plot was set in the Doubek area, 20 km East of Prague. Moreover, soil-improving materials, Humac (1.0 t·ha⁻¹) and Alginite (1.5 t·ha⁻¹), were established on the side of the control plot at the afforested part. The heights of plantations of tree species were measured from 2020 to 2024. Furthermore, 47 soil samples were collected at varying depths from three ecosystems (afforested soil, arable land, and old forest) in 2022. A single-factor ANOVA was run, followed by a post hoc test. The result shows that the Control-C plot (Castanea Sativa + Platanus acerifolia + Corylus colurna + agricultural soil without amendment) had the highest total growth (mean annual increment in the year 2024) for Castanea sativa (KS = 40.90 ± a21.61) and Corylus colurna (LS = 55.62 ± 59.68); Alginite-A (Castanea Sativa + Platanus acerifolia + Corylus colurna + Alginite) did best for Platanus acerifolia (PT = 39.85 ± 31.52); and Humac-B (Castanea Sativa + Platanus acerifolia + Corylus colurna + Humac) had the lowest growth. Soil dynamics among the three ecosystems showed that the old forest (plot two) significantly differs from arable soil (plot one), Humac and Platanus on afforested land (plot three), Platanus and Alginite on afforested land (plot four), and Platanus without amendment (plot five) in horizon three (the subsoil or horizon B) and in horizon four (the parent material horizon or horizon C). Results document the minor response of plantations to soil-improving matters at relatively rich sites, good growth of plantations, and initial changes in the soil characteristics in the control C plot. We recommend both sparing old forests and the afforestation of abandoned agricultural soils using a control treatment for improved tree growth and sustained soil quality. Further studies on the species’ invasiveness are needed to understand them better. Full article

Climatic variability, particularly fluctuating precipitation and rising temperatures, poses a significant threat to crop productivity and stability. Forage sorghum hybrids are a promising alternative for fodder and bioenergy due to their high level of drought tolerance. This study evaluated genotypic variation and environmental adaptability of 60 forage sorghum genotypes: 13 parental lines, their 40 crosses and seven commercial hybrids, to identify high-yielding, stable hybrids for biomass production under changing agroecological conditions. Field trials conducted over two contrasting years revealed significant genotype-by-environment interactions (p < 0.05), highlighting the need for multi-year evaluations. While favorable rainfall in 2020 enhanced vegetative traits (plant height, stem diameter, leaf area), biomass yield variability increased, emphasizing that favorable vegetative development does not necessarily correlate with yield stability. Principal component analysis indicated that plant height, stem diameter and leaf-related traits contributed most to genotypic differentiation. However, no single trait emerged as a reliable predictor of yield, suggesting complex trait interaction. These findings underscore the importance of integrative breeding strategies that combine phenotypic trait assessment with environmental adaptability to ensure sustainable biomass production. Sorghum’s drought tolerance and resilience make it a promising crop for future food and feed security in regions prone to climatic stress. Full article