Search Results (4,643)

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder frequently associated with impairments in executive functions (EF). These deficits have been linked to difficulties across various cognitive domains, including metaphonological skills (MS), essential for phonological awareness and processing abilities. Background/Objectives: This pilot study examines the correlations between EF and MS in ADHD children. Methods: A total of 84 children aged 6–14 years, diagnosed with ADHD and an IQ ≥ 70, were assessed using the NEPSY-II test to evaluate executive functions and the Assessment of Metaphonological Skills Test to assess phonological processing abilities. Results: Correlational analyses and multiple regression models were employed to explore the relationships between EF and MS, focusing on attention, cognitive flexibility, and response inhibition. Rhyme was positively correlated with processing speed and negatively correlated with response inhibition. Phonemic segmentation was significantly related to auditory attention and response inhibition. Age emerged as a significant predictor of phonemic synthesis and final syllable deletion, consistent with the developmental maturation of executive and phonological abilities. Conclusions: The findings suggest that deficits in executive functioning in ADHD children are closely linked to metaphonological abilities, which play a crucial role in the acquisition of reading and writing skills. Integrating EF training into phonological interventions can help reduce learning difficulties and improve cognitive and language outcomes. Full article

Prostate cancer (PCa) is the most common malignancy in men worldwide. Multiparametric MRI (mpMRI) improves the detection of clinically significant PCa (csPCa); however, it remains limited by false-positive findings and inter-observer variability. Time-dependent diffusion (TDD) MRI provides microstructural information that may enhance csPCa characterization beyond standard mpMRI. This prospective observational diagnostic accuracy study protocol describes the evaluation of PROS-TD-AI, an in-house developed AI workflow integrating TDD-derived metrics for zone-aware csPCa risk prediction. PROS-TD-AI will be compared with PI-RADS v2.1 in routine clinical imaging using MRI-targeted prostate biopsy as the reference standard. Full article

A sustainable future is possible by educating children about the climate crisis and environmental issues. In this context, this study aims to examine the views of primary school teachers on integrating climate crisis awareness and nature-based learning into curricula. The sample of the study consisted of 15 primary school teachers working in the province of Adıyaman in the Southeastern Anatolia Region of Türkiye. Data were collected using a personal information form and a semi-structured interview form. The data were analyzed using the content analysis method. The results of the study revealed the perspectives of teachers on climate crisis awareness and the integration of nature-based learning into curricula. It is concluded that curricula are found inadequate in both quantitative and qualitative terms, while the integration of climate crisis awareness and nature-based teaching into curricula is viewed positively. Teachers criticize the lack of materials, low public awareness, and insufficient physical infrastructure in schools. In the educational process, whether conducted face-to-face or through digital tools, the aim is to present children with hopeful scenarios rather than fear and anxiety. It is observed that local, cultural, and ecological contexts guide the teaching process, and teachers require in-service training. Full article

Objectives: The purpose of the current research is to examine and analyze the attitudes of healthcare service users towards the integration of remote medical services into ophthalmology in Bulgaria, including teleglaucoma. Methods: A cross-sectional survey study was conducted among 902 healthcare users during the period from May 2023 until December 2024. Descriptive statistics, parametric, and non-parametric tests for hypothesis testing were used. Results: The present study outlined predominantly positive attitudes towards the use of telemedicine services in ophthalmology, with 69.6% of respondents reporting a positive overall opinion in the final assessment. The greatest support was observed during remote consultations with a familiar doctor (77.4%) and during continuous follow-up of eye conditions (55.2%). Willingness to use such services was lower in emergencies or when contacting an unfamiliar specialist. A significant correlation was established between socio-demographic characteristics and attitudes—respondents with greater education levels (p = 0.006), men, and younger participants were more positive towards telemedicine (p < 0.05). The high level of awareness about glaucoma, particularly among those with university-level education, served as a positive prerequisite for the implementation of teleophthalmology services related to its monitoring. Mobile applications and digital solutions were evaluated as beneficial means of facilitating communication and increasing adherence to treatment. Regarding the use of artificial intelligence, certain skepticism and insufficient awareness levels were observed, which required additional efforts to increase trust and digital literacy among users. Conclusions: The implementation of telemedicine services into ophthalmology has potential but outlines the necessity of considering the individual attitudes of applying coherent quality and safety standards and of directed awareness campaigns, especially towards the groups of lower technological and healthcare literacy. Full article

The purpose of this study is to examine how employees’ artificial intelligence awareness (AIA) influences adaptive performance in the workplace through the mediating roles of eustress and task crafting within the Job Demands–Resources (JD-R) Theory. Data were collected from 372 full-time employees working in five-star hotels and analyzed using PLS-SEM with WarpPLS. The findings reveal that employees’ AI awareness significantly enhances adaptive performance both directly and indirectly. AI awareness also positively predicts eustress and task crafting, suggesting that informed employees experience motivating stress and actively reshape their tasks to optimize work processes. Moreover, both eustress and task crafting serve as significant mediators, amplifying the effect of AI awareness on adaptive performance. These results underscore the value of cultivating AI knowledge among employees to foster proactive behaviors and positive stress responses, ultimately supporting adaptability in dynamic work environments. The study contributes to JD-R Theory by integrating AI-related awareness as a personal resource driving employee adaptation. Full article

In this article, the authors address the Serbian media narrative about the EU’s communication on lithium mining in Serbia. In an effort to answer the question of how this narrative can influence the positioning of the EU on Serbia as a candidate country for EU membership, the authors have made a research based on a quantitative–qualitative analysis of media coverage, drawing on a sample of 192 articles (N = 192) published by four Serbian online news portals (RTS, N1, B92, and Blic). The analysis leads to two main conclusions: (1) It indicates an inversion in the general approach to foreign policy orientation across the analyzed media platforms. The customary discourses on Serbia’s foreign policy trajectory temporarily diverged from established patterns—specifically, the fervently pro-Western orientation characteristic of anti-government platforms and the ostensibly West-sceptical orientation typical of pro-government media. This reinforces the argument that the primary structuring line of media discourse in Serbia lies in the division between pro-regime and anti-regime orientations. (2) Media repositioning has exerted a pronounced negative effect on pro-European segments of the Serbian public, reactivating the thesis of “stabilocracy”, conceptualized as the dynamic relationship between authoritarian regimes in the Balkans and their external supporters. According to the authors, the EU’s inability to anticipate the drastic negative shift in public sentiment toward it—particularly among those segments of Serbian society that had been most supportive—or, alternatively, its decision to continue pursuing its own economic interests despite such awareness, underscores the profound flaws in the political communication it employed in this case. Full article

Background and Objectives: This study aimed to examine the severity of misophonia symptoms in individuals diagnosed with obsessive–compulsive disorder (OCD) and to evaluate the pattern of the relationship between misophonia and OCD symptom severity in relation to anxiety sensitivity and mindfulness. Materials and Methods: This comparative and cross-sectional study included 108 patients diagnosed with OCD according to DSM-5 criteria and 81 healthy control subjects without any psychiatric diagnosis. Participants completed the Misophonia Symptom List (MSL), Anxiety Sensitivity Index-3 (ASI-3), Mindful Attention Awareness Scale (MAAS), Yale–Brown Obsessive Compulsive Scale (Y-BOCS), and Beck Anxiety Inventory (BAI). Statistical analyses included group comparisons, Pearson correlations, multiple linear regression, and mediation analyses using the PROCESS macro. Results: MSL scores were significantly higher in the OCD group compared to the control group (104.10 ± 33.00 vs. 87.56 ± 20.07, p < 0.001). ASI-3 (33.53 ± 18.72 vs. 18.12 ± 11.55, p < 0.001) and BAI scores (20.74 ± 13.14 vs. 11.04 ± 8.47, p < 0.001) were higher; MAAS scores were lower (53.23 ± 14.92 vs. 60.72 ± 12.70, p < 0.001). In the OCD group, MSL scores were positively correlated with anxiety sensitivity (r = 0.626, p < 0.001) and Beck anxiety (r = 0.515, p < 0.001) and negatively correlated with MAAS (r = −0.357, p < 0.001). In multiple regression analysis, anxiety sensitivity was identified as the only variable significantly predicting misophonia severity (β = 0.523, p < 0.001). Mediation analyses showed that anxiety sensitivity emerged as the dominant indirect pathway between OCD symptom severity and misophonia, whereas the contribution of mindfulness was not independent of anxiety sensitivity in the serial mediation model. Conclusions: The findings indicate that misophonia symptoms are significantly elevated in individuals diagnosed with OCD and that these symptoms are particularly associated with cognitive-emotional variables such as anxiety sensitivity and mindfulness. Given the cross-sectional design, the mediation findings should be interpreted as indirect associations rather than evidence of causal pathways. Considering these variables may be useful in assessing misophonia symptoms accompanying OCD and planning clinical approaches. Full article

The increasing momentum of agricultural digital transformation and green development necessitates investigations into how farmers’ digital literacy influences their engagement in green production behaviours, which is critical for achieving the high-quality development of modern agriculture. Utilising primary survey data collected from farmers in rural areas of Guizhou Province, China, this study investigated how digital literacy affects farmers’ green production behaviours. The findings are as follows: (1) Digital literacy exerts a significant positive impact on farmers’ adoption of green production behaviours. Regarding the hierarchical effect, the order of influence is as follows: digital security awareness > basic digital skills > digital application and innovation. (2) The facilitating effect of digital literacy is primarily achieved through two pathways: the peer effect and the guidance effect. (3) Farmers with higher education levels are more impacted by digital literacy than farmers with lower education levels. (4) The impact of digital literacy is more positively significant for young and older farmers than for middle-aged groups. Based on these research findings, it is recommended that future policy formulation and technology extension efforts should prioritise support for specific regions and groups, such as mountainous areas, small-scale operations, low-education backgrounds, and the elderly. Such targeted approaches are crucial for encouraging wider adoption of green production behaviours among farmers. Full article

Background: Vaccination against human papillomaviruses (HPVs) and cervical cancer screening represent effective tools for preventing this neoplasia, but access to health services is limited for vulnerable women. We investigated prevalence of high-risk HPV and abnormal cervical cytology, as well as knowledge about HPV and the HPV vaccine, among homeless and migrant women in Rome, Italy. Methods: Cytologic samples in PreservCyt (Hologic) were employed for liquid-based cytology (ThinPrep Processor 5000, Hologic) and high-risk HPV DNA testing (Xpert HPV assay, Cepheid). Socio-demographic data, anamnestic, and behavioral data were retrieved from electronic archives. A questionnaire was employed to assess knowledge about HPV and HPV vaccination. Results: A total of 134 women were included (median age: 43 years; interquartile range, IQR: 34–50), mostly coming from Central–South America (69, 51.5%). Of the 127 cytologic specimens collected, one (0.8%) was invalid for the HPV test and five (3.9%) were unsatisfactory for the morphological evaluation. High-risk HPV positivity was found in 18 women of the 126 women with a valid HPV test (14.3%). A total of 10 women of the 122 women with an adequate cytology (8.2%) had abnormal cytology. Overall, 57/134 women (42.6%) had never heard of HPV or were unsure about it. Only 29 of the 77 women who had heard of HPV (37.7%) knew of the HPV vaccine, and only 2 had been vaccinated in the entire study group (1.5%). Conclusions: Tailored preventive strategies and comprehensive information campaigns should be developed and implemented to enhance awareness of HPV infection and actively promote vaccination among women in vulnerable groups. Full article

Upcycled foods (UFs) are foods that are produced from ingredients that would otherwise be wasted and are considered a sustainable solution to the issue of food waste. However, since consumers’ responses to these foods will ultimately determine their success, there is a need to identify the factors that affect such responses. This systematic review is intended to contribute to fulfilling this need. A literature search was conducted in Scopus on 10 July 2025. Following the PRISMA protocol and setting selected inclusion criteria (scientific papers on consumer evaluation of UFs published since 2010 in English), 54 research articles (83 studies) were analyzed. The findings are discussed through the lens of the Total Food Quality model, where product cues, combined with consumers’ characteristics and perceptions, develop consumers’ ultimate responses, such as general attitude (analyzed in 91.7% of the reviewed studies), purchase intention (77.4%), sensory evaluation (69.2%), and willingness to pay (66.7%). Despite the general positive consumer attitudes toward UFs, translation into actual purchasing behavior is not immediate, and consumer awareness appears to be a major obstacle. However, the analysis of the literature suggests promising strategies to widen the acceptance and consumption of UFs. These entail the use, for example, of informational tools (e.g., claims and certifications), which can be differentiated to target consumers with different levels of knowledge and appreciation of UFs. In addition, targeting specific consumer segments (e.g., environmentalists) can promote a faster acceptance and spread of UFs, while providing information about the nature of UFs will likely help to reduce relevant barriers, such as price sensitivity, risk aversion, and food and technology neophobia. Full article

In robot motion planning in a space with obstacles, the goal is to find a collision-free path for robots from the start to the target position. Numerous fundamentally different approaches, and their many variants, address this problem depending on the types of obstacles, the dimensionality of the space and the restrictions on robot movements. We present a hierarchical motion planning framework for snake-like robots navigating cluttered environments. At the global level, a bounded Generalized Voronoi Diagram (GVD) generates a maximal-clearance path through complex terrain. To overcome the limitations of pure avoidance strategies, we incorporate a local trajectory optimization layer that enables Obstacle-Aided Locomotion (OAL). This is realized through a simulation-in-the-loop system in CoppeliaSim, where gait parameters are optimized using Particle Swarm Optimization (PSO) based on contact forces and energy efficiency. By coupling high-level deliberative planning with low-level contact-aware control, our approach enhances both adaptability and locomotion efficiency. Experimental results demonstrate improved motion performance compared to conventional planners that neglect environmental contact. Full article

Obesity hypoventilation syndrome (OHS) is a severe and underrecognized respiratory disorder characterized by the coexistence of obesity, daytime hypercapnia, and sleep-disordered breathing. Although well described in adults, pediatric OHS remains poorly defined despite the rising prevalence of childhood obesity. Its pathophysiology is multifactorial, involving obesity-related mechanical constraints, impaired ventilatory control, altered chemosensitivity, and frequent overlap with obstructive sleep apnea. Clinical manifestations in children are often subtle and nonspecific, including snoring, sleep fragmentation, daytime sleepiness, and neurocognitive impairment, frequently leading to delayed diagnosis and, in some cases, acute cardiopulmonary decompensation. Management of pediatric OHS is challenging and largely extrapolated from adult data. Positive airway pressure therapy remains the cornerstone of treatment, while weight reduction is essential but difficult to achieve in pediatric populations. Pharmacological approaches such as medroxyprogesterone or acetazolamide remain experimental, with limited pediatric evidence. This review synthesizes current knowledge on pediatric OHS, focusing on epidemiology, pathophysiology, clinical presentation, diagnostic challenges, and therapeutic strategies. Increased awareness and earlier recognition are essential to prevent progression to chronic respiratory failure and long-term cardiovascular complications. Full article

The consumption of clothes creates paradoxes in which values, motives, and emotions interact to generate consumption experiences. To test some of these interactions, we conducted three correlational studies, studies 1, 2, and 3, one experiment, study 4, and one qualitative study, study 5. Study 1 found negative relationships between sustainability values and materialism and positive relationships between sustainable values and the preference for experiential purchases. Study 2 found positive relationships between two components of the slow-fashion movement, equity and exclusiveness, and guilt, and a negative relationship with functionality, another component of slow fashion. Study 3 found an indirect relationship between sustainable values and guilt through their positive and significant relationship with increased awareness of the environmental impact of the fast-fashion industry, supporting a mediation model. Study 4 found that participants were was more likely, regardless of whether the purchase of clothing was labeled as fast fashion or not, to experience pride than guilt when recalling recent past purchases. Last, in study 5, we found that consumers buy clothes to look good and pay attention to quality and value without significant concerns for environmental issues. The implications for consumer behavior were discussed. Full article

This paper presents an Artificial Intelligence (AI)-driven framework for high-precision indoor localization using single-link Wi-Fi channel state information (CSI), targeting real-time deployment in complex multipath environments. To overcome challenges such as signal distortion and environmental dynamics, the proposed system integrates adaptive and unsupervised intelligence modules into the localization pipeline. A refined two-stage time-of-flight (TOF) estimation method is introduced, combining a minimum-norm algorithm with a probability-weighted refinement mechanism that improves ranging accuracy under non-line-of-sight (NLOS) conditions. Simultaneously, an adaptive parameter-tuned DBSCAN algorithm is applied to angle-of-arrival (AOA) sequences, enabling unsupervised spatio-temporal clustering for stable direction estimation without requiring prior labels or environmental calibration. These AI-enabled components allow the system to dynamically suppress multipath interference, eliminate positioning ambiguity, and maintain robustness across diverse indoor layouts. Comprehensive experiments conducted on the Widar2.0 dataset demonstrate that the proposed method achieves decimeter-level accuracy with an average localization error of 0.63 m, outperforming existing methods such as “Widar2.0” and “Dynamic-MUSIC” in both accuracy and efficiency. This intelligent and lightweight architecture is fully compatible with commodity Wi-Fi hardware and offers significant potential for real-time human tracking, smart building navigation, and other location-aware AI applications. Full article

Universities must prepare future professionals with critical thinking skills to effectively address complex social and environmental challenges. In engineering degrees, while technical competences are strongly developed, the acquisition of ethical and social skills remains challenging within the framework of traditional subjects. This paper explores how the integration of the Sustainable Development Goals (SDGs), following a competence-based educational model, can contribute to the development of ethical, social, and sustainability-related competences in an engineering degree. A set of activities, exercises, and tasks grounded in real professional contexts was designed to encourage students to explore sustainable solutions to social and environmental problems, supported by experiential learning and visible thinking routines. These activities were coherently aligned through interdisciplinary coordination among professors teaching in the degree. The results indicate that the proposed approach was positively received by both professors and students, who valued its contribution to personal and professional development. Students demonstrated enhanced critical thinking and greater awareness of the social and environmental implications of engineering decisions. This work aims to support and inspire educators seeking to integrate SDGs into their teaching by offering a feasible, transferable, and easy-to-implement framework for embedding ethical, social and sustainability-related competences in engineering teaching. Full article