Search Results (2,128)

Climate change constitutes a growing challenge for high-Andean communities worldwide, whose livelihoods depend directly on agriculture, livestock farming, and the stability of local ecosystems. In this context, the study seeks to understand the construction of social imaginaries among agricultural producers regarding the dynamics of climate variability, with the aim of analyzing both the vulnerabilities and adaptive capacities that emerge in their everyday practices. Based on a qualitative approach, supported by 32 interviews with key informants from 16 communities, 04 focus groups, and documentary analysis, field data were collected and processed using Atlas.ti software. The testimonies of community members from Cojata, Puno–Peru, revealed social imaginaries and collective responses linked to this phenomenon. The findings show feelings of concern and uncertainty, diverse interpretations of climate change dynamics, reconfiguration of cultural meanings, and the deployment of hybrid adaptation strategies that combine ancestral knowledge with contemporary resources. Overall, these findings show that social imaginaries play a central role in how communities face the climate crisis, revealing both the persistence of structural inequalities and the need to strengthen intercultural territorial policies that recognize local knowledge, promote communal cooperation, and foster a horizon of resilience and climate justice. Full article

Background: Role clarity is a persistent challenge among Patient Care Technicians (PCTs), contributing to inconsistent task performance and safety risks. In Saudi Arabia, little is known about PCTs’ understanding of their responsibilities. This study evaluated the impact of a targeted educational program designed to improve PCTs’ role clarity, safety practices, and communication. Methods: A quasi-experimental pre-post study was conducted in September 2025 with 35 PCTs from the Hail Health Cluster. The one-day intervention included lectures, discussions, role-play, and case scenarios. Outcomes were measured using a validated instrument across four domains: role clarity; core clinical tasks and safety; communication and ethics; and objective knowledge. Pre-post changes were analyzed using paired t-tests (Cohen’s d), and subgroup differences in change scores were examined using one-way ANOVA (η²) in SPSS v29. Results: Baseline scores were lowest in objective knowledge (41.4%) and role clarity (62.8%). Post-training, total composite scores improved significantly (+10.88%, p < 0.001, d = 1.63), with the most significant gain in objective knowledge (+19.8%, p < 0.001, d = 0.99). Role clarity showed only a modest, non-significant increase (+3.98%, p = 0.088, d = 0.30). No demographic differences were found. Conclusions: Targeted training was effective in reducing knowledge gaps; however, improving role clarity may require organizational reinforcement beyond brief training. Full article

Cardiovascular disease (CVD) remains a leading cause of global morbidity and mortality, and its initiation and progression are closely associated with multiple molecular mechanisms. Neutrophil extracellular traps (NETs) are mesh-like structures composed of DNA, histones, and antimicrobial proteins that are released by neutrophils during inflammation or infection. They play a crucial role in innate immune defense. However, when the dynamic balance of NETs is disrupted by excessive formation, persistent accumulation, or impaired clearance, NETs are no longer merely bystanders. Instead, they actively drive pathological processes in multiple CVDs and serve as a critical link between inflammation and cardiovascular injury. Given the central role of NETs in CVD pathogenesis, including atherosclerosis, myocardial ischemia–reperfusion injury, pulmonary arterial hypertension, atrial fibrillation, and heart failure, therapeutic strategies targeting NETs, such as inhibiting aberrant formation, enhancing clearance, or neutralizing toxic components, have emerged as promising approaches. In recent years, traditional Chinese medicine (TCM) and natural products have shown potential therapeutic value by modulating NET formation and promoting NET degradation, owing to their multitarget, multipathway regulatory effects. This article reviews the mechanisms by which NETs operate in CVDs and explores potential pathways through which TCM and natural active ingredients prevent and treat CVDs by regulating NETs. This review provides theoretical support for further research and clinical application. Full article

In an age in which the post-secular condition and digital capitalism are increasingly interwoven, the question of what role religion ought to play in the public sphere—and how it might regain critical and constructive force amid deepening crises of meaning—has become urgent. Contemporary digital capitalism, characterized by the pseudo-sacralization of algorithmic logic, generates a persistent absorptive power marked by ecstatic effects. This elevates technological rationality and market logic to a level of pseudo-sacral authority, exercising a form of symbolic and spiritual domination. Returning to Paul Tillich’s thought, this article reconstructs his vision of religious socialism not as a historical artifact, but as a critical public theology capable of resisting this form of demonic domination. Tillich’s central insight is that the crisis of capitalism is not merely economic but ontological: its culture of “autonomy” severs itself from its religious ground, allowing finite forms—now amplified by digital technology—to elevate themselves into ultimate meaning and thereby consolidate into self-absolutizing, demonic structures. Against this background, the article argues that Tillich’s religious socialism is not a proposal for institutional replacement, but a public theological practice rooted in “ultimate concern.” Its task is to expose the structures of usurpation operative within digital capitalism and to reconfigure the order of meaning through the symbolic vision of theonomy. Through this symbolic practice, religion is recovered as a deep dimension of culture capable of critically piercing the regimes of meaning-occlusion. Moreover, it is precisely the unfinished and open-ended characteristic of religious socialism that enables it to regain theoretical and symbolic vitality in the post-secular present. Full article

Chlorinated solvents such as vinyl chloride (VC) and trichloroethylene (TCE) represent a persistent threat to groundwater-derived drinking-water supplies, including riverbank filtration well fields in alluvial aquifers. This work presents a laboratory-scale evaluation of an electrochemical barrier concept for targeted VC and TCE removal performed using synthetic groundwater representative of a riverbank filtration setting in the Danube River basin. Experiments were conducted in a covered batch reactor equipped with Ti/IrO₂–RuO₂ mixed-metal-oxide anodes and Ti cathodes, systematically varying current intensity (10–60 mA), treatment time (0–60 min), active anode surface area (12–48 cm²), and inter-electrode distance (0.5–2.5 cm). At 60 mA, VC and TCE removals of 97% and 95%, respectively, were achieved within 20 min, while prolonged treatment to 60 min increased removal to about 99% for VC and 98.5% for TCE. Multivariate analysis (PCA) and correlation assessment identified applied current as the dominant control parameter, particularly for TCE removal, whereas electrode configuration and spacing played secondary roles within the investigated range. For the most cost-effective treatments meeting Serbian drinking-water criteria, estimated electricity costs were 0.39 €/m³ for VC and 0.10 €/m³ for TCE. Overall, the results demonstrate the technical feasibility and promising cost-effectiveness of electrochemical barriers as a proactive measure to protect riverbank filtration systems from future VC and TCE contamination n urban environments, while highlighting the need for follow-up studies on by-product formation and long-term performance. Full article

Women with intellectual disabilities (IDs) face persistent health inequities, particularly in preventive services such as breast cancer screening, where participation rates remain disproportionately low. These disparities contribute to higher mortality and poorer survivorship outcomes, often linked to later-stage diagnoses. To better understand these challenges and inform the development of inclusive screening programs, this qualitative study conducted in Austria explored barriers, facilitators, and needs related to breast cancer screening from the dual perspectives of 17 women with mild-to-moderate IDs aged 45 and older and 10 caregivers. Semi-structured focus groups and interviews were analyzed thematically within a constructivist framework, integrating perspectives from both groups. Barriers included social taboos around sexuality, psychological distress, exclusion through standardized procedures, and unclear responsibility among stakeholders. Facilitators involved person-centered communication, accessible information, emotional and practical support, and familiar healthcare environments. Women with IDs expressed a strong desire for education, autonomy, and inclusion, while caregivers played a pivotal role in enabling access. These findings demonstrate that low screening participation among women with IDs is driven by systemic and organizational barriers rather than lack of health awareness or willingness to participate. Without structurally inclusive design, organized screening programs risk perpetuating preventable inequities in early detection. Embedding accessibility, clear accountability, and person-centered communication as standard features of breast cancer screening is therefore a public health priority to reduce avoidable late-stage diagnoses and narrow survival disparities for women with IDs. Full article

Wildfires represent one of the most destructive natural disturbances, yet they play a fundamental ecological role in the regeneration and evolution of forest ecosystems. In Mediterranean regions, fire acts as a selective factor shaping plant adaptive strategies and the structure of vegetation mosaics. This study analyzes post-fire regeneration dynamics in Pinus radiata and P. pinaster plantations located in Roccaforte del Greco (Metropolitan City of Reggio Calabria, southern Italy), severely affected by the 2021 wildfires. Phytosociological surveys were conducted along permanent transects using the Braun-Blanquet method and analyzed through diversity indices (Shannon, Evenness), Non-Metric Multidimensional Scaling (NMDS), Indicator Species Analysis (IndVal), and hierarchical clustering. The results reveal a clear floristic differentiation among management conditions, with higher species diversity and variability, and a predominance of pioneer therophytes and hemicryptophytes in burned areas. The in situ retention of burned logs enhances structural and microenvironmental heterogeneity, facilitating the establishment of native species and supporting post-fire functional recovery. Overall, this preliminary study, focusing on early successional dynamics, suggests that the in situ retention of burned logs may positively contribute to ecosystem resilience and biodiversity in post-fire Mediterranean pine forests, while also highlighting the need for long-term monitoring to confirm the persistence of these effects. Full article

Grid-Scale Battery Energy Storage Systems (GS-BESS) play a crucial role in modern power grids, addressing challenges related to integrating renewable energy sources (RESs), load balancing, peak shaving, voltage support, load shifting, frequency regulation, emergency response, and enhancing system stability. However, harnessing their full potential and lifetime requires intelligent operational strategies that balance technological performance, economic viability, and environmental sustainability. This systematic review examines how artificial intelligence (AI)-based intelligent optimization enhances GS-BESS performance, focusing on its techno-economic, environmental impacts, and policy and regulatory implications. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we review the evolution of GS-BESS, analyze its advancements, and assess state-of-the-art applications and emerging AI techniques for GS-BESS optimization. AI techniques, including machine learning (ML), predictive modeling, optimization algorithms, deep learning (DL), and reinforcement learning (RL), are examined for their ability to improve operational efficiency and control precision in GS-BESSs. Furthermore, the review discusses the benefits of advanced dispatch strategies, including economic efficiency, emissions reduction, and improved grid resilience. Despite significant progress, challenges persist in data availability, model generalization, high computational requirements, scalability, and regulatory gaps. We conclude by identifying emerging opportunities to guide the next generation of intelligent energy storage systems. This work serves as a foundational resource for researchers, engineers, and policymakers seeking to advance the deployment of AI-enhanced GS-BESS for sustainable, resilient power systems. By analyzing the latest developments in AI applications and BESS technologies, this review provides a comprehensive perspective on their synergistic potential to drive sustainability, cost-effectiveness, and energy systems reliability. Full article

Kidney cells are exposed to a wide range of physiological and pathological stresses, including hormonal changes, mechanical forces, hypoxia, hyperglycemia, and inflammation. These insults can trigger adaptive responses, but when they persist, they can lead to organelle stress. Organelles such as mitochondria, the endoplasmic reticulum, and primary cilia sustain cellular metabolism and tissue homeostasis. When organelle stress occurs, it disrupts cellular processes and organelle communication, leading to metabolic dysfunction, inflammation, fibrosis, and progression of kidney disease. Sex and hormonal factors play a significant role in the development of renal disorders. Many glomerular diseases show distinct differences between the sexes. Chronic Kidney Disease is more common in women, while men often experience a faster decline in kidney function, partly due to the influence of androgens. Additionally, the loss of female hormonal protection after menopause highlights the importance of sex as a factor in renal susceptibility. This narrative review synthesizes preclinical evidence on how sexual dimorphism and sex hormones affect organelle stress in mitochondria, the endoplasmic reticulum, and primary cilia, from 33 studies identified through a non-systematic literature search of the PubMed database, to provide an overview of how these mechanisms contribute to sex-specific differences in kidney disease pathophysiology. Full article

For several years, Infantis was the most common Salmonella serovar circulating in the Belgian broiler sector and persisting on broiler farms. To gain insight into its prevalence and circulation on broiler farms in Belgium, five farms (14 flocks) with a S. Infantis contamination history were monitored during two consecutive production rounds. In total, ten sampling events were conducted using moist sponge sticks after cleaning and disinfection, during the delivery of the one-day-old chicks and during production until slaughter or until positive for S. Infantis. Salmonella presence on samples was determined based on the ISO 6579:2017 standard, and the isolated strains were typed using PFGE. The results showed that current cleaning and disinfection practices were unable to completely remove S. Infantis from the farms. Cleaning equipment (3 out of 9 sample times) and the floor (5 out of 10 sample times) were particularly contaminated. Furthermore, external environmental samples were also frequently contaminated (e.g., mortality containers, concrete driveway). During production, 12 of the 28 sampled flocks were colonized with S. Infantis after one week, indicating that S. Infantis quickly spreads throughout the broiler house, which raises the hypothesis that feeding and/or drinking water systems play a critical role in the circulation of the bacteria. This study gives insights into the circulation and difficulty of controlling S. Infantis in persistently contaminated broiler farms, highlighting the importance of thorough cleaning and disinfection and biosecurity. Full article

The debate over CEO compensation persists despite extensive efforts by academics and technocrats to understand its determinants. Most research has focused on how firm-specific characteristics and CEO-specific traits influence CEO compensation. However, the results have been contradictory, indicating that other factors may also play a role. This study examines the impact of macroeconomic factors on the compensation of CEOs. It examines how price variables such as interest rates, inflation, and exchange rates affect the fixed salaries and total compensation of CEOs at six South African banks listed on the Johannesburg Stock Exchange. Conducted over a 15-year period, this quantitative longitudinal study utilized secondary data from annual reports and the IRESS database. Panel data regression analysis was employed to interpret the data. The findings reveal a positive relationship between interest rates and fixed salaries, as well as between exchange rates and fixed salaries. Additionally, interest rates and total compensation are positively related, and exchange rates also have a positive relationship with fixed salaries. Understanding how macroeconomic conditions influence CEO pay helps Compensation Committees contextualize performance. It allows them to differentiate between achievement driven by a CEO’s abilities and that resulting from external factors, ensuring fair compensation and minimizing excessive rewards for “luck”. This knowledge supports the adjustment of incentive plans based on relative performance and economic-adjusted metrics, reducing the cyclical influence of macroeconomic variables on firm performance and, ultimately, CEO compensation. Full article

CLARA-A3 currently provides the longest temporal coverage among available albedo products, with improvements in both retrieval algorithms and product coverage compared to earlier versions. This study first evaluates the performance of the CLARA-A3-SAL product over Greenland Ice Sheet (GrIS) and subsequently applies it to investigate spatiotemporal trends in summer albedo from 1979 to 2024. Validation against 32 in situ observation sites indicates negligible bias in the interior regions, with RMSE values ranging from 0.01 to 0.07. Although larger errors exist in the coastal ablation zone due to unresolved sub-grid surface heterogeneity, the product successfully captures observed spatiotemporal variability and long-term trends, demonstrating that CLARA-A3-SAL provides a generally reliable representation of surface albedo. Since 1979, the summer surface albedo averaged over the entire ice sheet has decreased at a rate of −0.24% decade⁻¹. Albedo in the dry snow area has remained relatively stable and showed no significant correlation with most climate variables, except for the North Atlantic Oscillation (NAO) and the Greenland Blocking Index (GBI). Conversely, the marginal zone has undergone substantial darkening (−0.66% decade⁻¹), which is strongly correlated with temperature, snowfall and melt, with meltwater showing the highest correlation (r = −0.90, p < 0.01). This suggests that meltwater-driven grain growth and exposure of bare ice are the primary drivers of albedo reduction over the non-dry snow zone. Large-scale atmospheric circulation also plays a key role: the GBI exhibits the strongest association with albedo (r = −0.63, p < 0.05), underscoring the importance of persistent blocking in amplifying surface warming and darkening. Furthermore, decadal-scale variability associated with the Atlantic Multidecadal Oscillation (AMO) and the Pacific Decadal Oscillation (PDO) modulates both the magnitude and spatial pattern of albedo changes across GrIS, with AMO+ generally linked to reduced albedo and PDO+ tending to enhance it. Full article

Urban street greening structure plays a crucial role in promoting environmental justice and enhancing residents’ daily well-being, yet existing studies have primarily focused on vegetation quantity while neglecting how perception and governance interact to shape fairness. This study develops an integrated analytical framework that combines deep learning, machine learning, and spatial analysis to examine the impact of perceptual experience and socio-economic indicators on the equity of greening structure distribution in urban streets, and to reveal the underlying mechanisms driving this equity. Using DeepLabV3+ semantic segmentation, perception indices derived from street-view imagery, and population-weighted Gini coefficients, the study quantifies both the structural and perceptual dimensions of greening equity. XGBoost regression, SHAP interpretation, and Partial Dependence Plot analysis were applied to reveal the influence mechanism of the “Matthew effect” of perception and the Site governance responsiveness on the fairness of the green structure. The results identify two key findings: (1) perception has a positive driving effect and a negative vicious cycle effect on the formation of fairness, where positive perceptions such as beauty and safety gradually enhance fairness, while negative perceptions such as depression and boredom rapidly intensify inequality; (2) Site management with environmental sensitivity and dynamic mutual feedback to a certain extent determines whether the fairness of urban green structure can persist under pressure, as diverse Tree–Bush–Grass configurations reflect coordinated management and lead to more balanced outcomes. Policy strategies should therefore emphasize perceptual monitoring, flexible maintenance systems, and transparent public participation to achieve resilient and equitable urban street greening structures. Full article

Hypoxic eye diseases represent a pivotal yet often underappreciated contributor to the onset and progression of many retinal disorders. When hypoxia persists or exceeds the tissue’s compensatory capacity, it triggers pathological retinal neovascularization, blood–retinal barrier disruption, and neuronal apoptosis, ultimately resulting in irreversible visual impairment. Connexins (Cxs) form gap junction channels and hemichannels and regulate retinal cell proliferation, differentiation, and survival, thereby playing a central regulatory role in the pathogenesis of hypoxic ocular diseases. In addition to gap junctions, Cx hemichannels promote transmission of molecules between intra- and extracellular environments, further influencing retinal homeostasis under hypoxic stress. This review synthesizes recent progress in understanding connexins in localized and systemic hypoxic eye diseases. We focus on the molecular mechanisms underlying the development and progression of hypoxia-induced ocular pathology, with particular emphasis on the emerging potential of Cxs as novel therapeutic targets for hypoxic ocular diseases. Following a systematic literature search, the electronic databases PubMed and EMBASE were consulted, with the search deadline set at December 2025. The search terms employed were as follows: hypoxia, connexin, gap junctions, hemichannels. Full article

The impact of genetic variation in sickle cell patients plays a significant role in opioid therapy individual response and pain management. This review aims to provide a comprehensive overview of the importance of exploring genetic variability and its impact on pain management in patients with sickle cell disease. It also explores opioid therapy variability and opioid Safety. With respect to literature, the polymorphisms in the key metabolic enzymes CYP2D6, UGT2B7, and COMT, as well as variations in the OPRM1, are important modifiers of the pharmacokinetics and pharmacodynamics of opioids. Variations in the COMT gene can influence how the body manages certain brain chemicals and how pain is experienced, while changes in the OPRM1 gene can alter how well opioids bind to their receptors. They help determine how opioids are broken down in the body, how well they attach to pain receptors, and how pain is felt by someone with sickle cell disease. Patients with reduced-function and ultra-rapid CYP2D6 alleles have a modified metabolism of codeine and tramadol, which presents either a reduced analgesic response or a risk for increased toxicity. These observations support the case for the need for tailored opioid prescriptions in a population that is genetically diverse, as well as the risk of not having standardized pain measurement, and the absence of clinical implementation. There remains the risk of unrecognized pharmacogenomics, lack of data, and personalized opioid descriptions persist. Future research should focus on integrating genetic testing into clinical practice to optimize opioid selection, personalize medicine, minimize adverse effects, and ensure each patient receives treatment that is both effective and safe to enhance quality of life for individuals with sickle cell disease. Full article