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Keywords = positive family processes

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24 pages, 3629 KiB  
Article
Chlorography or Chlorotyping from the Decomposition of Chlorophyll and Natural Pigments in Leaves and Flowers as a Natural Alternative for Photographic Development
by Andrea D. Larrea Solórzano, Iván P. Álvarez Lizano, Pablo R. Morales Fiallos, Carolina E. Maldonado Cherrez and Carlos S. Suárez Naranjo
J. Zool. Bot. Gard. 2025, 6(3), 41; https://doi.org/10.3390/jzbg6030041 - 7 Aug 2025
Abstract
This study explores the use of chlorography as a natural photographic developing technique that utilizes the decomposition of chlorophyll and other plant pigments through the action of sunlight. The developed images corresponded to previous research on changes in the iconography of the indigenous [...] Read more.
This study explores the use of chlorography as a natural photographic developing technique that utilizes the decomposition of chlorophyll and other plant pigments through the action of sunlight. The developed images corresponded to previous research on changes in the iconography of the indigenous Salasaka people. In this context, this experimental project on natural photography is oriented toward the conservation of the ancestral knowledge of this community and the understanding of the native flora of Ecuador. We investigated the application of the contact image transfer technique with positive transparencies on leaves and flowers of 30 different species that grow in the Ecuadorian highlands, including leaves of vascular plants, as well as rose petals. The results showed that the clarity and contrast of chlorography depended on the plant species and exposure time. It was observed that fruit-bearing species produced more visible images than the leaves of other plants and rose petals, with species from the Passifloraceae family proving particularly effective. We interpreted these findings within the framework of plant photophysical mechanisms, proposing an inverse relationship between development efficiency and species’ non-photochemical quenching (NPQ) capacity. Furthermore, we interpreted the findings in relation to the photobleaching of pigments and compared chlorography with other natural photographic processes such as anthotypes. Key factors influencing the process were identified, such as the type of leaf, the intensity and duration of light, and the hydration of the plant material. It is concluded that chlorography is a viable, non-toxic, and environmentally friendly photographic alternative with potential applications in art, education, and research, although it presents challenges in terms of image permanence and reproducibility. Full article
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19 pages, 4925 KiB  
Article
Environmental Heterogeneity Drives Diversity Across Forest Strata in Hopea hainanensis Communities
by Shaocui He, Donghai Li, Xiaobo Yang, Dongling Qi, Naiyan Shang, Caiqun Liang, Rentong Liu and Chunyan Du
Diversity 2025, 17(8), 556; https://doi.org/10.3390/d17080556 - 7 Aug 2025
Abstract
Species and phylogenetic diversity play vital roles in sustaining the structure, function, and resilience of plant communities, particularly in tropical rainforests. However, the mechanisms according to which environmental filtering and competitive exclusion influence diversity across forest layers remain insufficiently understood. In this study, [...] Read more.
Species and phylogenetic diversity play vital roles in sustaining the structure, function, and resilience of plant communities, particularly in tropical rainforests. However, the mechanisms according to which environmental filtering and competitive exclusion influence diversity across forest layers remain insufficiently understood. In this study, we investigated the species and phylogenetic diversity patterns in two representative tropical rainforest sites—Bawangling and Jianfengling—within Hainan Tropical Rainforest National Park, China, focusing on communities associated with the endangered species Hopea hainanensis. We employed a one-way ANOVA and Pearson’s correlation analyses to examine the distribution characteristics and interrelationships among diversity indices and used Mantel tests to assess the correlations with environmental variables. Our results revealed that the plant community in Jianfengling exhibited a significantly higher species richness at the family, genus, and species levels (a total of 288 plant species have been recorded, belonging to 82 families and 183 genera) compared to that in Bawangling (a total of 212 plant species, belonging to 75 families and 162 genera). H. hainanensis held the highest importance value in the middle tree layer across both sites (IV(BWL) = 12.44; IV(JFL) = 5.73), while dominant species varied notably among other forest layers, indicating strong habitat specificity. Diversity indices, including the Simpson index, the Shannon–Wiener index, and Pielou’s evenness, were significantly higher in the large shrub layer of Jianfengling, whereas Bawangling showed a relatively higher Shannon–Wiener index in the middle shrub layer. Phylogenetic diversity (PD) and the phylogenetic structure indices (NRI and NTI) displayed distinct vertical stratification patterns between sites. Furthermore, the PD in Bawangling’s large shrub layer was positively correlated with total phosphorus in the soil, while community evenness was influenced by soil organic carbon and total nitrogen. In Jianfengling, species richness was significantly associated with soil bulk density, altitude, and pH. These findings enhance our understanding of the ecological and evolutionary processes shaping biodiversity in tropical rainforests and highlight the importance of incorporating both species and phylogenetic metrics into the conservation strategies for endangered species such as Hopea hainanensis. Full article
(This article belongs to the Special Issue Biodiversity Conservation Planning and Assessment—2nd Edition)
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19 pages, 1050 KiB  
Article
Fungal Communities in Soils Contaminated with Persistent Organic Pollutants: Adaptation and Potential for Mycoremediation
by Lazaro Alexis Pedroso Guzman, Lukáš Mach, Jiřina Marešová, Jan Wipler, Petr Doležal, Jiřina Száková and Pavel Tlustoš
Appl. Sci. 2025, 15(15), 8607; https://doi.org/10.3390/app15158607 - 4 Aug 2025
Viewed by 132
Abstract
The main objective of this study was to select indigenous fungal species suitable for the potential mycoremediation of the soils polluted by organic pollutants. As a sampling area, Litvínov City (North Bohemia, Czech Republic) was selected. The city is characterized by intensive coal [...] Read more.
The main objective of this study was to select indigenous fungal species suitable for the potential mycoremediation of the soils polluted by organic pollutants. As a sampling area, Litvínov City (North Bohemia, Czech Republic) was selected. The city is characterized by intensive coal mining, coal processing, and the chemical industry, predominantly petrochemistry. The elevated contents of persistent organic pollutants (POPs) such as polyaromatic hydrocarbons (PAHs), polychlorinated biphenyls (PCBs), and polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) were identified in urban soils due to the long-term industrial pollution. The results confirmed elevated contents of PAHs in all the analyzed soil samples with high variability ranging between 0.5 and 23.3 mg/kg regardless of the position of the sampling area on the city map. PCBs and PCDD/Fs exceeded the detection limits in the soil at the sampling points, and several hotspots were revealed at some locations. All the sampling points contained a diverse community of saprotrophic and mycorrhizal fungi, as determined according to abundant basidiomycetes. Fungal species with a confirmed ability to degrade organic pollutants were found, such as species representing the genera Agaricus from the Agaricaceae family, Coprinopsis from the Psathyrellaceae family, Hymenogaster from the Hymenogasteraceae family, and Pluteus from the Pluteaceae family. These species are accustomed to particular soil conditions as well as the elevated contents of the POPs in them. Therefore, these species could be taken into account when developing potential bioremediation measures to apply in the most polluted areas, and their biodegradation ability should be elucidated in further research. The results of this study contribute to the investigation of the potential use of fungal species for mycoremediation of the areas polluted by a wide spectrum of organic pollutants. Full article
(This article belongs to the Section Ecology Science and Engineering)
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21 pages, 3146 KiB  
Article
TnP as a Multifaceted Therapeutic Peptide with System-Wide Regulatory Capacity
by Geonildo Rodrigo Disner, Emma Wincent, Carla Lima and Monica Lopes-Ferreira
Pharmaceuticals 2025, 18(8), 1146; https://doi.org/10.3390/ph18081146 - 1 Aug 2025
Viewed by 196
Abstract
Background: The candidate therapeutic peptide TnP demonstrates broad, system-level regulatory capacity, revealed through integrated network analysis from transcriptomic data in zebrafish. Our study primarily identifies TnP as a multifaceted modulator of drug metabolism, wound healing, proteolytic activity, and pigmentation pathways. Results: Transcriptomic profiling [...] Read more.
Background: The candidate therapeutic peptide TnP demonstrates broad, system-level regulatory capacity, revealed through integrated network analysis from transcriptomic data in zebrafish. Our study primarily identifies TnP as a multifaceted modulator of drug metabolism, wound healing, proteolytic activity, and pigmentation pathways. Results: Transcriptomic profiling of TnP-treated larvae following tail fin amputation revealed 558 differentially expressed genes (DEGs), categorized into four functional networks: (1) drug-metabolizing enzymes (cyp3a65, cyp1a) and transporters (SLC/ABC families), where TnP alters xenobiotic processing through Phase I/II modulation; (2) cellular trafficking and immune regulation, with upregulated myosin genes (myhb/mylz3) enhancing wound repair and tlr5-cdc42 signaling fine-tuning inflammation; (3) proteolytic cascades (c6ast4, prss1) coupled to autophagy (ulk1a, atg2a) and metabolic rewiring (g6pca.1-tg axis); and (4) melanogenesis-circadian networks (pmela/dct-fbxl3l) linked to ubiquitin-mediated protein turnover. Key findings highlight TnP’s unique coordination of rapid (protease activation) and sustained (metabolic adaptation) responses, enabled by short network path lengths (1.6–2.1 edges). Hub genes, such as nr1i2 (pxr), ppara, and bcl6aa/b, mediate crosstalk between these systems, while potential risks—including muscle hypercontractility (myhb overexpression) or cardiovascular effects (ace2-ppp3ccb)—underscore the need for targeted delivery. The zebrafish model validated TnP-conserved mechanisms with human relevance, particularly in drug metabolism and tissue repair. TnP’s ability to synchronize extracellular matrix remodeling, immune resolution, and metabolic homeostasis supports its development for the treatment of fibrosis, metabolic disorders, and inflammatory conditions. Conclusions: Future work should focus on optimizing tissue-specific delivery and assessing genetic variability to advance clinical translation. This system-level analysis positions TnP as a model example for next-generation multi-pathway therapeutics. Full article
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9 pages, 999 KiB  
Article
Assessment of Long-Term Knowledge Retention in Children with Type 1 Diabetes and Their Families: A Pilot Study
by Lior Carmon, Eli Hershkovitz, David Shaki, Tzila Gratzya Chechik, Inna Uritzki, Itamar Gothelf, Dganit Walker, Neta Loewenthal, Majd Nassar and Alon Haim
Children 2025, 12(8), 1016; https://doi.org/10.3390/children12081016 - 1 Aug 2025
Viewed by 162
Abstract
Background: The education process for newly diagnosed Type 1 diabetes mellitus (T1D) patients and their families, primarily led by diabetes specialist nurses, is essential for gaining knowledge about the disease and its management. However, few assessment tools have been employed to evaluate long-term [...] Read more.
Background: The education process for newly diagnosed Type 1 diabetes mellitus (T1D) patients and their families, primarily led by diabetes specialist nurses, is essential for gaining knowledge about the disease and its management. However, few assessment tools have been employed to evaluate long-term knowledge retention among T1D patients years after diagnosis. Methods: We developed a 20-question test to assess the knowledge of patients and their families at the conclusion of the initial education process and again 6–12 months later. Demographic and clinical data were also collected. Statistical analyses included comparisons between the first and second test results, as well as evaluation of potential contributing factors. The internal consistency and construct validity of the questionnaire were evaluated. Results: Forty-four patients completed both assessments, with a median interval of 11.5 months between them. The average score on the first test was 88.6, which declined to 82.7 on the second assessment (p < 0.001). In univariate analysis, factors positively associated with higher scores included Jewish ethnicity, lower HbA1c levels, and shorter hospitalization duration. Multivariate analysis revealed that parents had lower odds of experiencing a significant score decline compared to patients. Cronbach’s alpha was 0.69, and Principal Component Analysis (PCA) identified eight components accounting for 67.1% of the total variance. Conclusions: Healthcare providers should consider offering re-education to patients and their families approximately one year after diagnosis, with particular attention to high-risk populations during the initial education phase. Further studies are needed to examine this tool’s performance in larger cohorts. Full article
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19 pages, 13626 KiB  
Article
Genome-Wide Identification and Co-Expression Analysis of WRKY Genes Unveil Their Role in Regulating Anthocyanin Accumulation During Euscaphis japonica Fruit Maturation
by Bobin Liu, Qingying Wang, Dongmei He, Xiaqin Wang, Guiliang Xin, Xiaoxing Zou, Daizhen Zhang, Shuangquan Zou and Jiakai Liao
Biology 2025, 14(8), 958; https://doi.org/10.3390/biology14080958 - 29 Jul 2025
Viewed by 269
Abstract
Anthocyanins, crucial water-soluble pigments in plants, determine coloration in floral and fruit tissues, while fulfilling essential physiological roles in terms of plant growth, development, and stress adaptation. The biosynthesis of anthocyanins is transcriptionally regulated by WRKY factors, one of the largest plant-specific transcription [...] Read more.
Anthocyanins, crucial water-soluble pigments in plants, determine coloration in floral and fruit tissues, while fulfilling essential physiological roles in terms of plant growth, development, and stress adaptation. The biosynthesis of anthocyanins is transcriptionally regulated by WRKY factors, one of the largest plant-specific transcription factor families. Euscaphis japonica is an East Asian species, prized for its exceptionally persistent butterfly-shaped fruits that undergo pericarp dehiscence, overturning, and a color transition to scarlet red. This species represents an ideal system for studying anthocyanin regulation. However, the mechanisms by which WRKY transcription factors orchestrate anthocyanin accumulation during this process remain unknown. In this study, we identified 87 WRKY genes (EjaWRKYs) from the E. japonica genome. Phylogenetic analysis was used to classify these genes into three primary groups, with five subgroups, revealing conserved gene structures and motif compositions, supported by collinearity and comparative synteny analyses. Crucially, ten EjaWRKYs exhibited peak expression during the mature fruit stages, showing positive correlations with key anthocyanin biosynthesis genes. Functional validation through the use of transient transactivation assays in Nicotiana benthamiana confirmed that the five selected EjaWRKYs bind W-box elements and strongly activate reporter gene expression. Our results reveal EjaWRKYs’ regulation of anthocyanin accumulation in E. japonica fruit, provide the first comprehensive WRKY family characterization of this species, and establish a foundation for manipulating ornamental traits in horticultural breeding. Full article
(This article belongs to the Special Issue Recent Advances in Biosynthesis and Degradation of Plant Anthocyanin)
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26 pages, 2261 KiB  
Article
Real-Time Fall Monitoring for Seniors via YOLO and Voice Interaction
by Eugenia Tîrziu, Ana-Mihaela Vasilevschi, Adriana Alexandru and Eleonora Tudora
Future Internet 2025, 17(8), 324; https://doi.org/10.3390/fi17080324 - 23 Jul 2025
Viewed by 269
Abstract
In the context of global demographic aging, falls among the elderly remain a major public health concern, often leading to injury, hospitalization, and loss of autonomy. This study proposes a real-time fall detection system that combines a modern computer vision model, YOLOv11 with [...] Read more.
In the context of global demographic aging, falls among the elderly remain a major public health concern, often leading to injury, hospitalization, and loss of autonomy. This study proposes a real-time fall detection system that combines a modern computer vision model, YOLOv11 with integrated pose estimation, and an Artificial Intelligence (AI)-based voice assistant designed to reduce false alarms and improve intervention efficiency and reliability. The system continuously monitors human posture via video input, detects fall events based on body dynamics and keypoint analysis, and initiates a voice-based interaction to assess the user’s condition. Depending on the user’s verbal response or the absence thereof, the system determines whether to trigger an emergency alert to caregivers or family members. All processing, including speech recognition and response generation, is performed locally to preserve user privacy and ensure low-latency performance. The approach is designed to support independent living for older adults. Evaluation of 200 simulated video sequences acquired by the development team demonstrated high precision and recall, along with a decrease in false positives when incorporating voice-based confirmation. In addition, the system was also evaluated on an external dataset to assess its robustness. Our results highlight the system’s reliability and scalability for real-world in-home elderly monitoring applications. Full article
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14 pages, 271 KiB  
Article
Children Involved in Child Protection: Hostile Attitudes as a Form of Agency
by Silvia Fargion and Diletta Mauri
Soc. Sci. 2025, 14(8), 449; https://doi.org/10.3390/socsci14080449 - 23 Jul 2025
Viewed by 1116
Abstract
Introduction: It is widely acknowledged that good quality relationships between social workers and children are essential to children’s non-formal inclusion in child protection processes. However, research exploring the perspective of children has shown this relationship to be highly complex, particularly when children are [...] Read more.
Introduction: It is widely acknowledged that good quality relationships between social workers and children are essential to children’s non-formal inclusion in child protection processes. However, research exploring the perspective of children has shown this relationship to be highly complex, particularly when children are taken into care. Methods: This paper combines insights from two qualitative participatory studies conducted in Italy, both developed out of a collaboration between university, professional social work associations, and the Italian association of care leavers. The two projects explored, respectively, the perspectives of social workers on the one hand and of children in care and care leavers on the other regarding their relationship. Outcomes: The data reveal the complexity of the relationship between children and social workers, showing how both share a mirrored perception of it. Social workers recognise children’s negative feelings toward them and see them as inevitable, especially in cases of tense family dynamics. A relationship marked by hostile attitudes, anger, and distrust not only fuels social workers’ emotional struggles but also makes it harder to engage children effectively. While hostile attitudes and mistrust are often seen as obstacles to positive engagement, we advocate for recognising them not as barriers to be overcome but as realities to be acknowledged and addressed openly. This approach can create space for both children and practitioners to explore alternative forms of agency, fostering more meaningful participation. Full article
(This article belongs to the Section Childhood and Youth Studies)
22 pages, 840 KiB  
Article
Relationship Between Family Support, C-Reactive Protein and Body Mass Index Among Outpatients with Schizophrenia
by Argyro Pachi, Athanasios Tselebis, Evgenia Kavourgia, Nikolaos Soultanis, Dimitrios Kasimis, Christos Sikaras, Spyros Baras and Ioannis Ilias
Healthcare 2025, 13(14), 1754; https://doi.org/10.3390/healthcare13141754 - 20 Jul 2025
Viewed by 453
Abstract
Background/Objectives: Schizophrenia has been associated with increased inflammatory and metabolic disturbances. Perceived family support potentially affects inflammatory and metabolic biomarkers. The aim of this study was to determine the interrelations between family support, C-reactive protein (CRP) and Body Mass Index (BMI) in a [...] Read more.
Background/Objectives: Schizophrenia has been associated with increased inflammatory and metabolic disturbances. Perceived family support potentially affects inflammatory and metabolic biomarkers. The aim of this study was to determine the interrelations between family support, C-reactive protein (CRP) and Body Mass Index (BMI) in a sample of outpatients with schizophrenia. Importantly, this study sought to elucidate the effect of perceived family support on inflammatory processes among patients with schizophrenia. Methods: In this cross-sectional correlation study, 206 outpatients with schizophrenia in clinical remission completed a standardized self-report questionnaire that assessed family support (Family Support Scale—FSS). Sociodemographic, clinical and laboratory data were also recorded. Results: Among the participants, 49.5% had detectable CRP values (≥0.11 mg/dL), whereas 14.6% had positive CRP levels (>0.6 mg/dL). There was a significant difference in CRP levels among the different BMI groups (normal weight/overweight vs. obese). For obese patients, the crude odds ratios (ORs) for detectable and positive CRP values were 1.980 (95% confidence interval (CI) [1.056, 3.713]) and 27.818 (95% CI [6.300, 122.838]), respectively. Significant positive correlations were observed among CRP, BMI and illness duration, while scores on the FSS were negatively associated with these variables. The results of binary logistic regression analysis indicated that both BMI and family support were significant factors in determining the likelihood of having positive CRP levels, with each unit increase in the BMI associated with a 17% (95% CI [0.025, 0.337]) increase in the odds, and with each unit increase in family support leading to an 8.6% (95% CI [0.018, 0.15]) decrease. A moderation analysis revealed that the association between family support and the probability of having positive CRP levels depends on the BMI value, but only for obese patients did the protective effect of family support significantly decrease the magnitude of the risk of having positive CRP (b = −0.1972, SE = 0.053, OR = 0.821, p = 0.000, 95% CI [−0.3010, −0.0934]). Conclusions: The effect of perceived family support on inflammatory responses becomes evident in cases where beyond metabolic complications, inflammatory processes have already been established. Increased perceived family support seems to protect against inflammation and, notably, the association between low perceived family support and increased inflammation is even stronger. Establishing the role of family involvement during the treatment of patients with schizophrenia through inflammatory processes is a novelty of this study, emphasizing the need to incorporate family therapy into psychiatric treatment plans. However, primary interventions are considered necessary for patients with schizophrenia in order to maintain their BMI within normal limits and avoid the subsequent nosological sequelae. Full article
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51 pages, 7255 KiB  
Article
Existence and Phase Structure of Random Inverse Limit Measures
by B. J. K. Kleijn
Mathematics 2025, 13(14), 2309; https://doi.org/10.3390/math13142309 - 19 Jul 2025
Viewed by 150
Abstract
Analogous to Kolmogorov’s theorem for the existence of stochastic processes describing random functions, we consider theorems for the existence of stochastic processes describing random measures as limits of inverse measure systems. Specifically, given a coherent inverse system of random (bounded/signed/positive/probability) histograms on refining [...] Read more.
Analogous to Kolmogorov’s theorem for the existence of stochastic processes describing random functions, we consider theorems for the existence of stochastic processes describing random measures as limits of inverse measure systems. Specifically, given a coherent inverse system of random (bounded/signed/positive/probability) histograms on refining partitions, we study conditions for the existence and uniqueness of a corresponding random inverse limit, a Radon probability measure on the space of (bounded/signed/positive/probability) measures. Depending on the topology (vague/tight/weak/total-variational) and Kingman’s notion of complete randomness, the limiting random measure is in one of four phases, distinguished by their degrees of concentration (support/domination/discreteness). The results are applied in the well-known Dirichlet and Polya tree families of random probability measures and a new Gaussian family of signed inverse limit measures. In these three families, examples of all four phases occur, and we describe the corresponding conditions of defining parameters. Full article
(This article belongs to the Section D1: Probability and Statistics)
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21 pages, 414 KiB  
Article
School Climate and Black Adolescents’ Psychological Functioning: The Roles of Parental Self-Efficacy and Parenting Practices
by Fatima A. Varner, Sophia J. Lamb, Hin Wing Tse, Ahniah R. Charles, Naila A. Smith and Sheretta T. Butler-Barnes
Behav. Sci. 2025, 15(7), 933; https://doi.org/10.3390/bs15070933 - 10 Jul 2025
Viewed by 332
Abstract
Based on ecological systems theory, adolescents’ school climates can influence family interactions. In this study, it was tested whether associations between adolescents’ and parents’ perceptions of school climate in 7th grade (Wave 1) and adolescents’ later psychological functioning in 11th grade (Wave 4) [...] Read more.
Based on ecological systems theory, adolescents’ school climates can influence family interactions. In this study, it was tested whether associations between adolescents’ and parents’ perceptions of school climate in 7th grade (Wave 1) and adolescents’ later psychological functioning in 11th grade (Wave 4) were partially mediated by parental self-efficacy and parenting practices when the adolescents were in 8th grade (Wave 3). Path analyses were conducted in MPlus v. 7.4. Among 660 Black American families from the Maryland Adolescent Development in Context Study, adolescents’ positive perceptions of school climate were directly related to fewer internalizing and externalizing symptoms, higher resourcefulness, and higher self-esteem. Adolescents’ perceptions of school climate were also indirectly related to their externalizing symptoms through parent–adolescent communication and conflict. Adolescents who reported more positive school climates reported higher parent–adolescent communication and lower parent–adolescent conflict. Adolescents’ reports of school climate were also indirectly associated with self-esteem. Parents’ perceptions of school climate were not directly related to adolescents’ psychological functioning but were directly related to parental self-efficacy and parent–adolescent communication. They were also indirectly related to adolescents’ externalizing symptoms through parental self-efficacy. Parental self-efficacy was positively related to parent–adolescent communication and parents’ home-based school involvement. Overall, the findings highlight the role of school context in adolescents’ psychological functioning and family processes. Full article
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26 pages, 641 KiB  
Systematic Review
Achieving Family-Integrated Care for Older Patients with Major Neurodegenerative and Mental Health Conditions: A Systematic Review of Intervention Characteristics and Outcomes
by Shruti Jindal, Mohammad Hamiduzzaman, Harry Gaffney, Noore Siddiquee and Helen McLaren
Int. J. Environ. Res. Public Health 2025, 22(7), 1096; https://doi.org/10.3390/ijerph22071096 - 10 Jul 2025
Viewed by 394
Abstract
National and international aged care frameworks recommend family-integrated care to enhance care quality and outcomes, supported by evidence demonstrating improvements in patient and clinician experiences. Yet uncertainty remains about how to integrate family carers effectively in diverse healthcare models and settings for neurodegenerative [...] Read more.
National and international aged care frameworks recommend family-integrated care to enhance care quality and outcomes, supported by evidence demonstrating improvements in patient and clinician experiences. Yet uncertainty remains about how to integrate family carers effectively in diverse healthcare models and settings for neurodegenerative and mental health conditions. A systematic integrative review was conducted to answer two research questions: how do the studies describe the integration of family carers in health services design and delivery for older patients with neurodegenerative and mental health conditions? And what is the evidence for family-integrated care models impacting the health and wellbeing of these older patients? Structured and iterative searches of five databases (CINAHL, Medline (Ovid), Web of Science, PsycINFO, and ProQuest) and the Google Scholar search engine identified 2271 records. A Covidence screening process resulted in 14 studies for review, comprising randomised controlled trials, mixed methods studies, qualitative studies, and quasi-experimental designs. The following four themes emerged from the evidence synthesis: (1) family participation in service delivery, (2) health and wellbeing outcomes, (3) satisfaction with care, and (4) service dynamics in enabling family-integrated care successfully. This review highlights that while family-integrated care models contribute to positive health and wellbeing outcomes for older patients with neurodegenerative and mental health conditions, challenges remain for implementation due to the extent and variability in integration strategies, a lack of rigorous evaluation, and an absence of standardised frameworks. Full article
(This article belongs to the Special Issue Family Caregiving of Older Adults)
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15 pages, 245 KiB  
Article
Truth-Telling to Palliative Care Patients from the Relatives’ Point of View: A Türkiye Sample
by İrem Kıraç Utku and Emre Şengür
Healthcare 2025, 13(14), 1644; https://doi.org/10.3390/healthcare13141644 - 8 Jul 2025
Viewed by 337
Abstract
Aim: This study aimed to explore the attitudes of family caregivers toward truth-telling practices in palliative care in Türkiye, a Muslim-majority context where disclosure is often mediated by relatives. Methods: Using a convergent parallel mixed-methods design, data were collected from 100 [...] Read more.
Aim: This study aimed to explore the attitudes of family caregivers toward truth-telling practices in palliative care in Türkiye, a Muslim-majority context where disclosure is often mediated by relatives. Methods: Using a convergent parallel mixed-methods design, data were collected from 100 unpaid family caregivers of terminally ill patients at a palliative care unit. Quantitative data were gathered via a structured questionnaire, and qualitative data through in-depth interviews with a purposively selected subsample of 10 participants. Chi-square tests were used to analyze associations, and p < 0.05 was considered statistically significant. Results: The mean age of caregivers was 47.4 ± 16.5 years, 67% were female. Notably, 67% of participants did not prefer that the patient be informed of irreversible deterioration, while 71% stated they would want to be informed if they were in the patient’s position (p < 0.05). Most preferred a multidisciplinary disclosure process involving physicians, psychologists, and spiritual counselors. Qualitative analysis revealed four themes: emotional conflict, protective family-centered decision-making, spiritual readiness for death, and preference for multidisciplinary communication approach. The participants expressed cultural concerns about psychological harm to the patient and emphasized the family’s role as emotional guardians. Conclusions: The findings highlight a gap between caregivers’ attitudes when acting as family members versus imagining themselves as patients. These results underscore the critical need for culturally sensitive and family-inclusive communication strategies in palliative care settings. Full article
59 pages, 1417 KiB  
Article
Symmetrized Neural Network Operators in Fractional Calculus: Caputo Derivatives, Asymptotic Analysis, and the Voronovskaya–Santos–Sales Theorem
by Rômulo Damasclin Chaves dos Santos, Jorge Henrique de Oliveira Sales and Gislan Silveira Santos
Axioms 2025, 14(7), 510; https://doi.org/10.3390/axioms14070510 - 30 Jun 2025
Viewed by 285
Abstract
This work presents a comprehensive mathematical framework for symmetrized neural network operators operating under the paradigm of fractional calculus. By introducing a perturbed hyperbolic tangent activation, we construct a family of localized, symmetric, and positive kernel-like densities, which form the analytical backbone for [...] Read more.
This work presents a comprehensive mathematical framework for symmetrized neural network operators operating under the paradigm of fractional calculus. By introducing a perturbed hyperbolic tangent activation, we construct a family of localized, symmetric, and positive kernel-like densities, which form the analytical backbone for three classes of multivariate operators: quasi-interpolation, Kantorovich-type, and quadrature-type. A central theoretical contribution is the derivation of the Voronovskaya–Santos–Sales Theorem, which extends classical asymptotic expansions to the fractional domain, providing rigorous error bounds and normalized remainder terms governed by Caputo derivatives. The operators exhibit key properties such as partition of unity, exponential decay, and scaling invariance, which are essential for stable and accurate approximations in high-dimensional settings and systems governed by nonlocal dynamics. The theoretical framework is thoroughly validated through applications in signal processing and fractional fluid dynamics, including the formulation of nonlocal viscous models and fractional Navier–Stokes equations with memory effects. Numerical experiments demonstrate a relative error reduction of up to 92.5% when compared to classical quasi-interpolation operators, with observed convergence rates reaching On1.5 under Caputo derivatives, using parameters λ=3.5, q=1.8, and n=100. This synergy between neural operator theory, asymptotic analysis, and fractional calculus not only advances the theoretical landscape of function approximation but also provides practical computational tools for addressing complex physical systems characterized by long-range interactions and anomalous diffusion. Full article
(This article belongs to the Special Issue Advances in Fuzzy Logic and Computational Intelligence)
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9 pages, 630 KiB  
Article
Survivin Expression in Placentas with Intrauterine Growth Restriction
by Pavo Perković, Sanja Štifter-Vretenar, Marina Perković, Marko Štefančić, Ena Holjević, Andrea Dekanić and Tea Štimac
Biomedicines 2025, 13(7), 1576; https://doi.org/10.3390/biomedicines13071576 - 27 Jun 2025
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Abstract
Background/Objectives: Intrauterine growth restriction (IUGR) is a pathological condition defined by a reduced fetal ability to achieve the genetically expected growth potential during gestation. It affects 5–10% of all pregnancies and it is a leading cause of perinatal morbidity and mortality. During the [...] Read more.
Background/Objectives: Intrauterine growth restriction (IUGR) is a pathological condition defined by a reduced fetal ability to achieve the genetically expected growth potential during gestation. It affects 5–10% of all pregnancies and it is a leading cause of perinatal morbidity and mortality. During the initial phases of placentation, complex interlinked processes including cell proliferation, differentiation, apoptosis and the invasion of trophoblasts occur. Alterations in the regulation of these processes lead to placental dysfunction. Survivin, a member of the inhibitor of apoptosis (IAP) family, plays an important role in cell proliferation balance and apoptosis, thus leading to proper placental development. This study aimed to evaluate survivin expression in placentas from IUGR and healthy pregnancies to explore its potential as a biomarker for the early diagnosis, prevention, and treatment of IUGR. Methods: Survivin presence was determined in 153 archival formalin-fixed and paraffin-embedded placental tissues from IUGR (N = 122) and uncomplicated (N = 31) term pregnancies. Tissue microarrays (TMAs) were constructed, and survivin expression was assessed using immunohistochemistry (IHC). Survivin levels were quantified using positive cell proportion (PCP) scores and immunoreactive scores (IRS), with statistical significance determined using mean values, standard deviation (SD), standard error, and Student’s t test in instances of normal distribution, and when this was not the case, the Mann–Whitney test. Chi-square tests, Fisher exact tests, and t-tests (p < 0.05) were used to compare categorical variables. Results: Our results suggested the significantly higher expression of survivin validated with PCP (p < 0.001) and IRS (p < 0.002) in placentas with IUGR compared to placentas from non-complicated term pregnancies. Conclusions: Increased survivin expression in IUGR placentas points to its potential role as a key indicator of placental dysfunction. By signaling early pathological changes, survivin may offer a valuable tool for the early detection of IUGR, potentially allowing for timely clinical interventions that could reduce the risk of serious outcomes, including stillbirth. To fully establish survivin’s clinical value, further research is needed to validate its diagnostic accuracy and to explore its involvement in molecular pathways that may be targeted for therapeutic benefit. Full article
(This article belongs to the Section Cell Biology and Pathology)
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