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58 pages, 4299 KB  
Article
Optimisation of Cryptocurrency Trading Using the Fractal Market Hypothesis with Symbolic Regression
by Jonathan Blackledge and Anton Blackledge
Commodities 2025, 4(4), 22; https://doi.org/10.3390/commodities4040022 - 3 Oct 2025
Abstract
Cryptocurrencies such as Bitcoin can be classified as commodities under the Commodity Exchange Act (CEA), giving the Commodity Futures Trading Commission (CFTC) jurisdiction over those cryptocurrencies deemed commodities, particularly in the context of futures trading. This paper presents a method for predicting both [...] Read more.
Cryptocurrencies such as Bitcoin can be classified as commodities under the Commodity Exchange Act (CEA), giving the Commodity Futures Trading Commission (CFTC) jurisdiction over those cryptocurrencies deemed commodities, particularly in the context of futures trading. This paper presents a method for predicting both long- and short-term trends in selected cryptocurrencies based on the Fractal Market Hypothesis (FMH). The FMH applies the self-affine properties of fractal stochastic fields to model financial time series. After introducing the underlying theory and mathematical framework, a fundamental analysis of Bitcoin and Ethereum exchange rates against the U.S. dollar is conducted. The analysis focuses on changes in the polarity of the ‘Beta-to-Volatility’ and ‘Lyapunov-to-Volatility’ ratios as indicators of impending shifts in Bitcoin/Ethereum price trends. These signals are used to recommend long, short, or hold trading positions, with corresponding algorithms (implemented in Matlab R2023b) developed and back-tested. An optimisation of these algorithms identifies ideal parameter ranges that maximise both accuracy and profitability, thereby ensuring high confidence in the predictions. The resulting trading strategy provides actionable guidance for cryptocurrency investment and quantifies the likelihood of bull or bear market dominance. Under stable market conditions, machine learning (using the ‘TuringBot’ platform) is shown to produce reliable short-horizon estimates of future price movements and fluctuations. This reduces trading delays caused by data filtering and increases returns by identifying optimal positions within rapid ‘micro-trends’ that would otherwise remain undetected—yielding gains of up to approximately 10%. Empirical results confirm that Bitcoin and Ethereum exchanges behave as self-affine (fractal) stochastic fields with Lévy distributions, exhibiting a Hurst exponent of roughly 0.32, a fractal dimension of about 1.68, and a Lévy index near 1.22. These findings demonstrate that the Fractal Market Hypothesis and its associated indices provide a robust market model capable of generating investment returns that consistently outperform standard Buy-and-Hold strategies. Full article
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17 pages, 1935 KB  
Article
Analysis of Stratospheric Ozone and Nitrogen Dioxide over Mid-Brazil for a Period from 2005 to 2020
by Elvira Kovač-Andrić, Vlatka Gvozdić, Brunislav Matasović, Nikola Sakač and Amaury de Souza
Atmosphere 2025, 16(10), 1159; https://doi.org/10.3390/atmos16101159 - 3 Oct 2025
Abstract
This study analyses the stratospheric concentrations of ozone (O3) and nitrogen dioxide (NO2) over a 16-year period (2005 to 2020) over central Brazil using satellite data with the aim of determining the influence of NO2 on ozone distribution [...] Read more.
This study analyses the stratospheric concentrations of ozone (O3) and nitrogen dioxide (NO2) over a 16-year period (2005 to 2020) over central Brazil using satellite data with the aim of determining the influence of NO2 on ozone distribution and the impact of fires and volcanic eruptions on these gases. The analysis shows that ozone and NO2 follow seasonal patterns, with the highest concentrations occurring in September and October and the lowest from January to June. A positive correlation was found between the concentrations of ozone and NO2, and the results of the Fourier analysis indicate semi-annual and annual cycles in the concentrations of these gases. Although there was an increase in the number of fires in the last 11 years of the study, this increase did not lead to significant changes in ozone or NO2 concentrations, indicating the stability of these parameters in the observed area. It is presumed that the reason for the lack of changes is lower intensity of fires despite their increased number. Regarding wind patterns, it is observed that they do not differ much either which is in accordance with the fact that the monitored area is fairly close to the equator. Full article
(This article belongs to the Section Upper Atmosphere)
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21 pages, 365 KB  
Article
To Love and to Serve: Exploring the Strengths of Pacific Youth, and Mobilising Them for Community Wellbeing and Transformative Change
by Analosa Veukiso-Ulugia, Sarah McLean-Orsborn, Riki Nofo’akifolau and Terry Fleming
Youth 2025, 5(4), 105; https://doi.org/10.3390/youth5040105 - 3 Oct 2025
Abstract
Pacific youth in Aotearoa New Zealand are culturally diverse and deeply rooted in their families and communities. Despite facing socioeconomic inequities, systemic barriers, and limited decision-making opportunities, they maintain a positive perception of health and actively contribute to collective wellbeing. This paper explores [...] Read more.
Pacific youth in Aotearoa New Zealand are culturally diverse and deeply rooted in their families and communities. Despite facing socioeconomic inequities, systemic barriers, and limited decision-making opportunities, they maintain a positive perception of health and actively contribute to collective wellbeing. This paper explores the strengths of Pacific youth and how these can be harnessed to mobilise community wellbeing and transformative change. Using Pacific research methodologies—lalaga (weaving) and talanoa—we integrate findings from three key sources: the Talavou o le Moana Pacific Youth19 Report (quantitative data from 1130 Pacific youth), the Pacific Youth Home and Family Brief (open-text responses on family life), and insights from a panel of Pacific policy, research, and community experts presented in a webinar. These resources were reviewed and woven together by a team of three Pacific practitioners and one New Zealand European researcher, all with backgrounds in youth health, social work, and Pacific education. The lalaga reveals Pacific youth’s collective strength, cultural identity, and deep sense of responsibility. Their resilience and leadership, even amid adversity, highlight the urgent need for culturally grounded, youth-led, and community-responsive approaches. Empowering Pacific youth as agents of change is essential for fostering holistic wellbeing and transformative futures. Full article
15 pages, 482 KB  
Article
Environmental Certifications as Strategic Assets? Evidence from Italian Chemical and Pharmaceutical Firms
by Massimo Ruberti and Stefano Calciolari
J. Risk Financial Manag. 2025, 18(10), 562; https://doi.org/10.3390/jrfm18100562 - 3 Oct 2025
Abstract
Environmental sustainability reporting is increasingly adopted by firms, yet its actual impact on economic performance remains unclear, raising the question of whether such disclosures represent genuine strategic resources or merely symbolic practices. This study examines the relationship between environmental disclosure and economic performance, [...] Read more.
Environmental sustainability reporting is increasingly adopted by firms, yet its actual impact on economic performance remains unclear, raising the question of whether such disclosures represent genuine strategic resources or merely symbolic practices. This study examines the relationship between environmental disclosure and economic performance, in the Italian chemical and pharmaceutical industries. Adopting the Resource-Based View (RBV), we evaluate the effectiveness of certified environmental practices as strategic assets that can enhance firm performance. We utilized an AI-based content analysis of financial reports from non-listed, non-SME Italian chemical and pharmaceutical companies between 2012 and 2020 to determine the level of firms’ generic environmental disclosures (without third-party verification) and on specific environmental certifications. We then examine the relationship between economic performance and the type of environmental disclosure observed. Using financial data at the firm level as moderators, we found that generic environmental disclosures have no significant impact on economic performance. In contrast, disclosures on environmental certifications are positively associated with higher economic performance in the chemical sector. Certifications may provide a competitive advantage in environmentally intensive sectors but appear to be less relevant in innovation-driven sectors such as the pharmaceutical industry. Our findings emphasize the strategic value of reliable, externally validated environmental practices, and highlight the limitations of symbolic disclosure. Full article
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58 pages, 3568 KB  
Article
Investigation of Corporate Sustainability Performance Data and Developing an Innovation-Oriented Novel Analysis Method with Multi-Criteria Decision Making Approach
by Huseyin Haliloglu, Ahmet Feyzioglu, Leonardo Piccinetti, Trevor Omoruyi, Muzeyyen Burcu Hidimoglu and Akin Emrecan Gok
Sustainability 2025, 17(19), 8860; https://doi.org/10.3390/su17198860 - 3 Oct 2025
Abstract
This study addresses the growing importance of integrating innovation into corporate sustainability strategies by examining the financial and environmental performance of ten firms listed on the Borsa Istanbul Sustainability Index over a five-year period. The main objective is to develop and test a [...] Read more.
This study addresses the growing importance of integrating innovation into corporate sustainability strategies by examining the financial and environmental performance of ten firms listed on the Borsa Istanbul Sustainability Index over a five-year period. The main objective is to develop and test a novel, data-driven analytical framework that reduces reliance on subjective expert judgments while providing actionable insights for sustainability-oriented decision-making. Within this framework, the entropy method from the Multi-Criteria Decision Making (MCDM) approach is first applied to calculate the objective weights of sustainability criteria, ensuring that the analysis is grounded in real performance data. Building on these weights, an innovative reverse Decision-Making Trial and Evaluation Laboratory (DEMATEL) model, implemented through a custom artificial neural network-based software, is introduced to estimate direct influence matrices and reveal the causal relationships among criteria. This methodological advance makes it possible to explore how environmental and financial factors interact with R&D expenditures and to simulate their systemic interdependencies. The findings demonstrate that R&D serves as a central driver of both environmental and financial sustainability, highlighting its dual role in fostering corporate innovation and long-term resilience. By positioning R&D as both an enabler and outcome of sustainability dynamics, the proposed framework contributes a novel tool for aligning innovation with strategic sustainability goals, offering broader implications for corporate managers, policymakers, and researchers. Full article
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19 pages, 2480 KB  
Article
Evolutionary Dynamics of Oncosuppression Under Selection Pressure
by Mikhail Potievskiy, Peter A. Shatalov, Ilya Klabukov, Dmitrii Atiakshin, Anna Yakimova, Denis Baranovskii, Peter V. Shegai and Andrey D. Kaprin
Life 2025, 15(10), 1556; https://doi.org/10.3390/life15101556 - 3 Oct 2025
Abstract
Background and Objectives: Changes in the environment and physiology may be associated with an increased or decreased risk of cancer. Our study aims to evaluate the strength and the direction of the selection acting on oncosuppressor genes in association with phenotypic changes. Methods: [...] Read more.
Background and Objectives: Changes in the environment and physiology may be associated with an increased or decreased risk of cancer. Our study aims to evaluate the strength and the direction of the selection acting on oncosuppressor genes in association with phenotypic changes. Methods: We calculated the relative evolutionary rate (RER) using the converge method and linear regression on branches of phylogenetic trees. The association between changes in the evolutionary rate of oncosuppressors (DNA repair and cell cycle control genes) and trait selection was studied. The evolutionary rates of single oncosuppressor genes and pathways were evaluated. We studied two types of traits: those that are characteristic of vertebrates, such as homeothermy (the ability to maintain a constant body temperature), flight, and amnions; and those that are characteristic of mammals, such as high body mass and lifespan, an underground lifestyle, and hibernation. The analysis included 19,445 genes; 100 vertebrates and 46 mammalian species. We studied ancestral branches individually and all the clades having a trait. Results: Oncosuppressor genes accelerated in association with the ability to fly; p-value = 0.03 (positive or relaxed negative selection) and decelerated in homeothermic species; p-value = 0.04 (stabilizing selection). DNA repair genes were significantly accelerated in ancestral branches and in all clades of amniotic, homeothermic, and high-body-mass mammals (p-value < 0.05, FDR correction). Cell cycle control genes were under stabilizing selection in homeothermic animals, high-body-mass, long-lived, and underground mammals (p-value < 0.05, FDR correction). Data on the evolution of oncosuppressors are crucial for understanding the origin of cancer and will be important for future studies of tumor pathogenesis, pathomorphosis, and microevolution. Conclusions: The selection of traits associated with changes in cancer risk leads to positive/relaxed negative and stabilizing selection of oncosuppressor genes. Full article
(This article belongs to the Special Issue Advances in Integrative Omics Data Analysis for Cancer Research)
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27 pages, 2015 KB  
Review
The Neuro-Immune Axis in Cardiomyopathy: Molecular Mechanisms, Clinical Phenotypes, and Therapeutic Frontiers
by Dwaipayan Saha, Preyangsee Dutta and Abhijit Chakraborty
Immuno 2025, 5(4), 45; https://doi.org/10.3390/immuno5040045 - 3 Oct 2025
Abstract
Cardiomyopathies affect over 3 million individuals globally, with conventional treatments exhibiting up to 60% resistance and 25% 30-day readmission rates. This review synthesizes the current evidence on the role of neuro-immune interactions in the pathogenesis of cardiomyopathy and evaluates emerging therapies targeting this [...] Read more.
Cardiomyopathies affect over 3 million individuals globally, with conventional treatments exhibiting up to 60% resistance and 25% 30-day readmission rates. This review synthesizes the current evidence on the role of neuro-immune interactions in the pathogenesis of cardiomyopathy and evaluates emerging therapies targeting this axis. We systematically examined clinical trials and mechanistic and multi-omics data across cardiomyopathy phenotypes, focusing on autonomic-immune dysregulation. Sympathetic overactivation, present in approximately 85% of patients, correlates with elevated pro-inflammatory cytokines (TNF-α, IL-1β, and IL-6) and contributes significantly to therapeutic non-response. Concurrent parasympathetic withdrawal impairs cholinergic anti-inflammatory pathways, as reflected by reduced heart rate variability and baroreflex sensitivity. At the molecular level, shared mechanisms include inflammasome activation, neuroimmune synaptic signaling, and neurogenic inflammation. Emerging therapies targeting this axis are promising. Vagus nerve stimulation, as demonstrated in the INOVATE-HF trial, improves functional outcomes, whereas IL-1β antagonists reduce cardiovascular events by 15–20% in the context of inflammatory diseases. Bioelectronic interventions, such as transcutaneous vagal nerve stimulation and baroreflex activation therapy, offer noninvasive dual-modulatory strategies that address both neural and immune pathways, positioning the neuroimmune axis as a central driver of cardiomyopathy, regardless of etiology. The integration of genetic and metabolomic profiling may enable precision therapies targeting neuroimmune circuits, thereby overcoming the limitations of hemodynamic-focused care. This mechanistic framework shifts the therapeutic paradigm from symptomatic relief to targeted modulation of pathogenic pathways, with implications for millions of patients with cardiomyopathy and broader inflammatory cardiovascular disorders. Full article
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14 pages, 1350 KB  
Article
Advancing Non-Invasive Ophthalmic Imaging in Sturge–Weber Syndrome: Clinical Guidelines Towards Early Choroidal Hemangioma Detection
by Mariachiara Di Pippo, Daria Rullo, Chiara Ciancimino, Flaminia Grassi, Alessandro Ferretti, Pasquale Parisi, Giovanni Di Nardo, Alessandro Orsini, Marco Perulli, Domenica Immacolata Battaglia, Ezio Maria Nicodemi and Solmaz Abdolrahimzadeh
J. Clin. Med. 2025, 14(19), 7012; https://doi.org/10.3390/jcm14197012 - 3 Oct 2025
Abstract
Background/Objectives: Sturge–Weber syndrome (SWS) is a rare neuro-oculocutaneous disorder characterized by leptomeningeal angioma, naevus flammeus, and ocular manifestations, including diffuse choroidal hemangioma (DCH). This study compares the diagnostic performance of near-infrared reflectance (NIR) imaging and enhanced depth imaging spectral-domain optical coherence tomography [...] Read more.
Background/Objectives: Sturge–Weber syndrome (SWS) is a rare neuro-oculocutaneous disorder characterized by leptomeningeal angioma, naevus flammeus, and ocular manifestations, including diffuse choroidal hemangioma (DCH). This study compares the diagnostic performance of near-infrared reflectance (NIR) imaging and enhanced depth imaging spectral-domain optical coherence tomography (EDI-SDOCT) with fundus photography in detecting DCH. Methods: Seventeen patients with SWS underwent comprehensive ophthalmologic evaluation, including fundus photography, NIR, and EDI-SDOCT imaging. Sensitivity, specificity, and accuracy of fundus photography, NIR, and EDI-SDOCT were calculated. Results: Sixteen patients had evaluable data. DCH was identified by fundus photography in five (31%), NIR in three (18.75%), and EDI-SDOCT in fourteen patients (87.50%). EDI-SDOCT alone demonstrated 100% sensitivity and 100% accuracy, outperforming both NIR (21.4% sensitivity; 31.6% accuracy) and fundus photography (35.7% sensitivity; 43.8% accuracy). When positive findings on NIR and/or SDOCT were combined, sensitivity and accuracy reached 100%. EDI-SDOCT provided detailed morphologic visualization of the choroid, allowing for early diagnosis of DCH even in pediatric cases with limited patient cooperation. Conclusions: EDI-SDOCT significantly improves the detection of DCH in SWS compared with fundus photography and NIR. Given its superior sensitivity and accuracy, incorporating EDI-SDOCT into routine clinical assessment may enable earlier diagnosis and reduce retinal complications in SWS. Full article
(This article belongs to the Section Ophthalmology)
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23 pages, 365 KB  
Article
Analysis of Phubbing Among University Students: A Study of Its Prevalence, Incidence Factors and Predictors
by Pablo-César Muñoz-Carril, Inés M. Bargiela, Iris Estévez and Mónica Bonilla-del-Río
Eur. J. Investig. Health Psychol. Educ. 2025, 15(10), 201; https://doi.org/10.3390/ejihpe15100201 - 3 Oct 2025
Abstract
The ubiquitous presence of smartphones has led to new phenomenon such as “phubbing” (the act of ignoring one’s immediate surroundings in favor of using a mobile phone). This behavior has become increasingly common among university students, making it an important subject of study [...] Read more.
The ubiquitous presence of smartphones has led to new phenomenon such as “phubbing” (the act of ignoring one’s immediate surroundings in favor of using a mobile phone). This behavior has become increasingly common among university students, making it an important subject of study due to its potential negative impact on learning environments. The aim of the present study is to analyze the prevalence of phubbing among university students, the existence of significant differences as a function of specific sociodemographic variables (such as gender, age, academic performance, and connection frequency), and, lastly, the predictive capacity of these elements with the different levels of phubbing experienced. The sample was composed of 1121 Spanish university students, and the instrument selected for the collection of data was the Phubbing Scale, which was divided into three factors, “attachment to the mobile phone”, “communication disturbance”, and “smartphone obsession”, through different validity and reliability tests. The results indicated a moderately high prevalence of phubbing among the population studied. Likewise, statistically significant differences were identified at a multivariate level in the three dimensions. Lastly, it is notable that the frequency of smartphone usage significantly and positively predicted the three dimensions of phubbing. Full article
23 pages, 760 KB  
Article
The Impact of Computing Infrastructure Construction on Innovation in Manufacturing Enterprises: Evidence from a Quasi-Natural Experiment Based on the Establishment of China’s National Supercomputing Centers
by Meng Li and Yang Xu
Sustainability 2025, 17(19), 8858; https://doi.org/10.3390/su17198858 - 3 Oct 2025
Abstract
This study examines the establishment of China’s national supercomputing centers as an exogenous policy shock. Utilizing data from Chinese manufacturing enterprises listed between 2003 and 2023, it applies a multi-period difference-in-differences (DID) model to assess the impact of computing infrastructure on innovation within [...] Read more.
This study examines the establishment of China’s national supercomputing centers as an exogenous policy shock. Utilizing data from Chinese manufacturing enterprises listed between 2003 and 2023, it applies a multi-period difference-in-differences (DID) model to assess the impact of computing infrastructure on innovation within Chinese manufacturing enterprises. Results indicate that computing infrastructure significantly enhances manufacturing innovation, a finding that is robust across various tests. This effect is positively moderated by the internal R&D investment of enterprises and the external market share. Heterogeneity analysis reveals that the enhancement effect of computing infrastructure on innovation is more pronounced in non-state-owned enterprises, those located in the eastern region, and those with low ownership concentration. Furthermore, computing infrastructure not only boosts the quantity of innovation but also enhances its quality. This paper offers micro-level evidence for emerging countries to advance sustainable development, transformation, and upgrading of the manufacturing sector through computing infrastructure. Full article
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32 pages, 14159 KB  
Article
Microwave Breast Imaging System Modules, Enhancing Scan Quality and Reliability of Diagnostic Outputs During Clinical Testing
by Giannis Papatrechas, Angie Fasoula, Petros Arvanitis, Luc Duchesne, Alexis Raveneau, Julio Daniel Gil Cano, John O’ Donnell, Sami Abd Elwahab and Michael Kerin
Bioengineering 2025, 12(10), 1079; https://doi.org/10.3390/bioengineering12101079 - 3 Oct 2025
Abstract
Microwave Breast Imaging (MWBI) is an emerging imaging modality aiming to detect breast lesions, which are dielectrically contrasted against the background healthy tissue, in the microwave frequency spectrum. MWBI holds potential to outperform X-ray mammography’s low sensitivity in young and dense breasts, thus [...] Read more.
Microwave Breast Imaging (MWBI) is an emerging imaging modality aiming to detect breast lesions, which are dielectrically contrasted against the background healthy tissue, in the microwave frequency spectrum. MWBI holds potential to outperform X-ray mammography’s low sensitivity in young and dense breasts, thus supporting timelier detection of interval cancers, as a supplemental screening or diagnostic imaging method. The specificity of MWBI remains unknown, however, as management of false positives has not been systematically addressed yet. An earlier First-In-Human clinical investigation on 24 symptomatic patients provided proof-of-concept for the Wavelia MWBI sectorized multi-static radar imaging technology, which generates clinically meaningful 3D images of the breast, performs semi-automated detection of breast lesions and extracts diagnostic features to distinguish malignant from benign lesions. This paper focuses on a set of technological upgrades, accessories and data processing modules, designed and implemented in the 2nd generation prototype of Wavelia, to handle the diversity in breast geometry, tissue consistency and deformability, in a larger clinical investigation reporting on the bilateral MWBI scan of 62 patients. The presented add-on modules contribute to enhanced quality of scan and a more valid reference reporting space for the MWBI imaging outputs, with a direct positive impact on overall specificity. Full article
(This article belongs to the Special Issue Breast Cancer: From Precision Medicine to Diagnostics)
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15 pages, 3041 KB  
Article
Adsorption Characteristics of Praseodymium and Neodymium with Clay Minerals
by Zhuo Chen, Han Wang, Ruan Chi and Zhenyue Zhang
Minerals 2025, 15(10), 1051; https://doi.org/10.3390/min15101051 - 3 Oct 2025
Abstract
As the production of electric vehicles grows, the rare earth elements Pr and Nd become increasingly significant, as they are key in magnetic materials production. In order to achieve the green and efficient recovery of Pr and Nd from the rare earth leachate, [...] Read more.
As the production of electric vehicles grows, the rare earth elements Pr and Nd become increasingly significant, as they are key in magnetic materials production. In order to achieve the green and efficient recovery of Pr and Nd from the rare earth leachate, this paper selected kaolinite and halloysite as adsorbents to conduct rare earth solution adsorption experiments for exploring the effects of the initial leachate concentration, the solution pH, and the adsorption temperature on the adsorption process. The adsorption characteristics of Pr and Nd by clay minerals were analyzed by quantum chemical calculation. The results showed that the adsorption effects of clay minerals on Pr and Nd decreased with the rise of leachate concentration. When leachate pH increased, the adsorption efficiency of kaolinite and halloysite for Pr firstly increased and then decreased, and the optimal adsorption efficiency was 13.33% and 24.778% at pH 6, respectively. The adsorption effects of kaolinite and halloysite on Nd enhanced gradually with the increase in pH, which increased to 15.925% and 30.482% at pH 7, respectively. With temperature increased, the adsorption of Pr and Nd by kaolinite and halloysite was positively correlated. The isothermal adsorption model was fitted to the experimental data, and it was found that the adsorption of Pr and Nd by kaolinite and halloysite was consistent with the Langmuir model, with R2 above 0.96, indicating that the adsorption process was a single molecular layer adsorption. The results provide theoretical support for the effective recycling of Pr and Nd, which is of great significance for the utilization of rare earth resources in permanent magnets. Full article
(This article belongs to the Section Mineral Processing and Extractive Metallurgy)
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15 pages, 483 KB  
Article
Psychological, Symptom-Related, and Lifestyle Predictors of Health-Related Quality of Life in Hungarian Women with Endometriosis
by Zsófia Kovács-Szabó, Pongrác Ács, Viktória Prémusz, Alexandra Makai and Márta Hock
J. Clin. Med. 2025, 14(19), 7004; https://doi.org/10.3390/jcm14197004 - 3 Oct 2025
Abstract
Background: This study was a cross-sectional online survey aimed at examining health-related quality of life and the effect of different symptoms and lifestyle factors on health-related quality of life in a sample of women with endometriosis in Hungary. Methodology: A cross-sectional [...] Read more.
Background: This study was a cross-sectional online survey aimed at examining health-related quality of life and the effect of different symptoms and lifestyle factors on health-related quality of life in a sample of women with endometriosis in Hungary. Methodology: A cross-sectional online survey was carried out in a sample of women with endometriosis. Self-edited and Hungarian versions of validated questionnaires were used to assess health-related quality of life (Sf-36-Health Survey—SF-36), pain (Numeric Rating Scale-NRS), effect of pelvic pain on everyday life (Pelvic Pain Impact Questionnaire—PPIQ), perceived stress levels (Perceived Stress Scale—PSS), and physical activity (Global Physical Activity Questionnaire—GPAQ). Data analysis was conducted using IBM SPSS Statistics 28.0, and the level of significance was set at p < 0.05. Multivariate linear regression analysis was performed to examine the effect of different lifestyle factors, pain-related, and physical symptoms on the participants’ health-related quality of life (HrQoL). Results: The health-related quality of life of Hungarian women with endometriosis in our sample was significantly lower than the latest Hungarian normative values. Multiple linear regression analyses revealed that psychological, pain-related, and lifestyle factors significantly predicted HrQoL across SF-36 subscales in women with endometriosis (all models, p < 0.001; Adjusted R2 = 0.274–0.654). Pain self-efficacy (PSEQ) was a consistent positive predictor that was significantly associated with better scores in five SF-36 domains, including physical and social functioning. Perceived stress (PSS) is a strong negative predictor that particularly affects emotional well-being, energy/fatigue, and social functioning. Pain interference (PPIQ) was linked to poorer HrQoL in seven out of eight SF-36 domains, while average pain intensity (NRS) negatively predicted Physical Functioning and General Health. Vigorous physical activity was positively associated with Social Functioning, whereas moderate activity had no significant effect. Among the demographic factors, only age was negatively associated with Physical Functioning; BMI and education were not significant predictors. Conclusions: Psychological, lifestyle, and symptom-related factors play key roles in health-related quality of life among women with endometriosis. Self-efficacy was a strong positive predictor, whereas perceived stress and pain interference were linked to poorer outcomes. High-intensity physical activity supported better social functioning. These findings highlight the need for multidisciplinary interventions targeting psychological support, pain management, and physical activity to improve quality of life in this population. Full article
(This article belongs to the Section Obstetrics & Gynecology)
14 pages, 976 KB  
Article
Locoregional Treatment in De Novo Bone-Only Metastatic Breast Cancer: Prospective, Multi-Institutional Real-World Data, BOMETIN, Protocol MF14-1a
by Atilla Soran, Berk Göktepe, Berkay Demirors, Ozgur Aytac, Serdar Ozbas, Lutfi Dogan, Didem Can Trablus, Jamila Al-Azhri, Kazım Senol, Shruti Zaveri, Salyna Meas, Umut Demirci, Hasan Karanlik, Aykut Soyder, Ahmet Dag, Ahmet Bilici, Mutlu Dogan, Mehmet Ali Nahit Sendur, Hande Koksal, Mehmet Ali Gulcelik, Neslihan Cabioglu, Levent Yeniay, Zafer Utkan, Nuri Karadurmus, Gul Daglar, Turgay Simsek, Birol Yildiz, Cihan Uras, Mustafa Tukenmez, Cihangir Ozaslan, Niyazi Karaman, Arda Isik, Efe Sezgin, Vahit Ozmen and Anthony Lucciadd Show full author list remove Hide full author list
Curr. Oncol. 2025, 32(10), 556; https://doi.org/10.3390/curroncol32100556 - 3 Oct 2025
Abstract
Introduction: The impact of locoregional treatment (LRT) on survival in de novo bone-only metastatic breast cancer (dnBOMBC) is controversial. This study aims to assess the effect of LRT on survival, utilizing international, prospectively acquired data in this cohort of patients. Materials and [...] Read more.
Introduction: The impact of locoregional treatment (LRT) on survival in de novo bone-only metastatic breast cancer (dnBOMBC) is controversial. This study aims to assess the effect of LRT on survival, utilizing international, prospectively acquired data in this cohort of patients. Materials and Methods: Patients with dnBOMBC were divided into two groups: those receiving systemic therapy only (ST) and those undergoing LRT. Further, patients who received LRT were divided into two subgroups: those who received ST after LRT (LRT+ST group) and those who received ST prior to LRT (ST+LRT group). Factors associated with disease progression, including solitary or multiple bone metastases, were analyzed. Results: There was a total of 744 patients with dnBOMBC treated at each of the participating institutions between 2014 and 2022, with 372 (50%) participants in each arm. Median follow-up was 48 months (32–66, 25–75%). Patients in the LRT group were significantly younger than the ST group [50 (42, 60) vs. 55 (44, 66), p = 0.0001]. There were no significant differences in grade, HER2 status, triple-negative status, receipt of hormonal therapy, or intervention to metastatic sites. During follow-up, 58% (n = 217) of patients in the ST group and 32% (n = 120) of patients in the LRT group died (p < 0.001). Local progression was observed in 20% of the patients in the ST group, whereas 9% progressed in the LRT group (p = 0.0001). Systemic progression occurred more in the ST group; 66% (n = 244) compared to 41% (n = 152) of patients in the LRT group (p < 0.001). The hazard of death was 64% lower in the LRT group than in the ST group (HR: 0.36, 95% CI: 0.29–0.45, p < 0.0001). The burden of metastatic disease differed significantly between the two groups, with a higher rate of solitary bone metastases in the LRT group compared to the ST group (50% vs. 24%, p < 0.001). However, the LRT group had better overall survival (OS) for both solitary (HR: 0.38, 95% Cl: 0.26–0.55) and multiple (HR: 0.38, 95% Cl: 0.29–0.51) bone metastasis patients. Within the LRT group, survival rates were similar whether the breast surgery was performed before or after ST. Multivariate Cox analysis showed that LRT and ER/PR positivity significantly decrease the hazard of death (p < 0.05). Conclusions: Analysis of this large multi-institutional patient cohort provides further evidence that LRT is associated with longer OS and lower locoregional recurrence rates in patients with dnBOMBC. In breast cancer patients with bone-only metastases at presentation, the decision for LRT should be made through a multidisciplinary approach with consideration of surgical therapy at the primary tumor. Full article
(This article belongs to the Section Breast Cancer)
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Article
Two-Sided Matching with Bounded Rationality: A Stochastic Framework for Personnel Selection
by Saeed Najafi-Zangeneh, Naser Shams-Gharneh and Olivier Gossner
Mathematics 2025, 13(19), 3173; https://doi.org/10.3390/math13193173 - 3 Oct 2025
Abstract
Personnel selection represents a two-sided matching problem in which firms compete for qualified candidates by designing job-offer packages. While traditional models assume fully rational agents, real-world decision-makers often face bounded rationality due to limited information and cognitive constraints. This study develops a matching [...] Read more.
Personnel selection represents a two-sided matching problem in which firms compete for qualified candidates by designing job-offer packages. While traditional models assume fully rational agents, real-world decision-makers often face bounded rationality due to limited information and cognitive constraints. This study develops a matching framework that incorporates bounded rationality through the Quantal Response Equilibrium, where firms and candidates act as probabilistic rather than perfect optimizers under uncertainty. Using Maximum Likelihood Estimation and organizational hiring data, we validate that both sides display bounded rational behavior and that rationality increases as the selection process advances. Building on these findings, we propose a two-stage stochastic optimization approach to determine optimal job-offer packages that balance organizational policies with candidate competencies. The optimization problem is solved using particle swarm optimization, which efficiently explores the solution space under uncertainty. Data analysis reveals that only 23.10% of low-level hiring decisions align with rational choice predictions, compared to 64.32% for high-level positions. In our case study, bounded rationality increases package costs by 26%, while modular compensation packages can reduce costs by up to 25%. These findings highlight the cost implications of bounded rationality, the advantages of flexible offers, and the systematic behavioral differences across job levels. The framework provides theoretical contributions to matching under bounded rationality and offers practical insights to help organizations refine their personnel selection strategies and attract suitable candidates more effectively. Full article
(This article belongs to the Section D2: Operations Research and Fuzzy Decision Making)
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