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22 pages, 1697 KB  
Review
From Gut to Green: Cross-Kingdom Adaptation of Human Pathogens in Plant Hosts
by Jamial Hashin Himel, Y. S. Sumaiya, Mrinmoy Kundu, Mahabuba Mostafa and Md. Motaher Hossain
Stresses 2026, 6(2), 18; https://doi.org/10.3390/stresses6020018 - 5 Apr 2026
Viewed by 714
Abstract
Cross-kingdom pathogenesis—human and animal pathogens colonizing and persisting in plants—is transforming our understanding of microbial ecology, food safety, and public health. This review translates incoming research that demonstrates plants as more than mute carriers to dynamic ecological interfaces where human and zoonotic pathogens, [...] Read more.
Cross-kingdom pathogenesis—human and animal pathogens colonizing and persisting in plants—is transforming our understanding of microbial ecology, food safety, and public health. This review translates incoming research that demonstrates plants as more than mute carriers to dynamic ecological interfaces where human and zoonotic pathogens, such as Salmonella enterica, Escherichia coli O157:H7, and Listeria monocytogenes, will adhere, internalize, and, in some cases, potentially evade host defenses. Such pathogens exploit evolutionarily conserved molecular processes like Type III secretion system 1 (TTSS), biofilm formation, quorum sensing, and small RNA-mediated immune sabotage that have allowed them to cross biological kingdom boundaries. To provide an entry point for pathogens, environmental conditions (e.g., contaminated irrigation water, manure application, wildlife access, and mechanical wounding) promote pathogen transfer to and penetration into plant tissues through stomata hydathodes above ground or roots below ground. Once inside, pathogens confront a range of plant immune responses, indigenous microbiota, and abiotic stresses such as UV radiation exposure, nutrient starvation, and osmotic fluctuations. Nonetheless, biofilm production, metabolic versatility, and virulence gene expression contribute to their persistence. Interactions with plant pathogens and microbiomes additionally shape colonization dynamics, for example, through co-survival and niche manipulation. With the acceleration of these processes due to climate change, urbanization, and intensified agriculture, cross-kingdom pathogenesis becomes a rising concern for One Health. Critical knowledge gaps, including seedborne transmission, microbiome engineering, and predictive modeling, are pointed out in the review along with emerging mitigation strategies, including point-of-care diagnostics and microbial biocontrol. In conclusion, this review advocates for interdisciplinary collaboration from microbiology, plant science, and One Health perspectives to predict and mitigate cross-kingdom threats to global food production. Full article
(This article belongs to the Section Plant and Photoautotrophic Stresses)
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24 pages, 1154 KB  
Article
Towards Healthier Space: Assessing Public Awareness About Radon-Exposure Health Risk in Buildings/Passive Houses—The Case of Serbia
by Ranka Gajić, Svetlana Batarilo, Nataša Tomić-Petrović and Jelena Nešović-Ostojić
Environments 2026, 13(3), 165; https://doi.org/10.3390/environments13030165 - 16 Mar 2026
Viewed by 1119
Abstract
Radon is the most important of all sources of natural radiation, and it belongs to the main air pollutants in closed space. It is necessary to develop awareness of its harmful effects in buildings in order to take appropriate measures to reduce the [...] Read more.
Radon is the most important of all sources of natural radiation, and it belongs to the main air pollutants in closed space. It is necessary to develop awareness of its harmful effects in buildings in order to take appropriate measures to reduce the risk of exposure to it. This study assesses public awareness of radon-related risks in Serbia by analyzing four areas: general public, legislative framework, professional practices, and student knowledge. Data were collected from media sources, legal documents, conferences and scientific publications, and surveys among students of University of Belgrade. Student answers have shown that they are not aware of the danger of radon in buildings: there is a gap between knowledge about radon and about its effects in the interior space. The results also show low presence of this topic in the media and in professional circles in Serbia. This paper is a contribution to the overall efforts to spread awareness in Serbia about the problem of the presence of radon in closed spaces and the health problems it can cause. This is also important in the context of the search for energy-efficient building solutions, where the passive house is emerging as the most sustainable form. It is a relatively new concept in Serbia, so information about the harmful effects of radon in indoor spaces and about the implementation of certain strategies in passive construction for protection against radon is necessary in order to protect the health of the environment and the population. Full article
(This article belongs to the Special Issue Environmental Pollution Exposure and Its Human Health Risks)
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16 pages, 945 KB  
Article
Knowledge and Awareness of the General Public on Lung Cancer Screening Modalities and Lung Cancer Preventive Methods in Riyadh, Saudi Arabia
by Suha Kaaki, Khalid Alkhani, Omar Aldosari, Zyad Aldosari, Mohammed Alhuqbani, Khalid Nagshabandi, Ahmad W. Hajjar, Sami A. Al-Nassar and Waseem M. Hajjar
Curr. Oncol. 2026, 33(3), 169; https://doi.org/10.3390/curroncol33030169 - 16 Mar 2026
Viewed by 414
Abstract
Lung cancer remains the leading cause of cancer-related mortality globally and is often diagnosed at advanced stages in Saudi Arabia. This cross-sectional study aimed to quantify public awareness and knowledge of lung cancer screening (LCS) using LDCT and identify barriers to its implementation [...] Read more.
Lung cancer remains the leading cause of cancer-related mortality globally and is often diagnosed at advanced stages in Saudi Arabia. This cross-sectional study aimed to quantify public awareness and knowledge of lung cancer screening (LCS) using LDCT and identify barriers to its implementation in Riyadh. A validated 24-item questionnaire was administered to 452 participants to assess demographic factors, smoking history, and LCS knowledge. Results revealed that only 30.1% of participants had heard of LCS, and 50.2% demonstrated “poor” knowledge scores (mean score 11.0 ± 4.97). Higher knowledge scores were significantly associated with being female, having a bachelor’s degree or higher, and being a non-smoker. While 78.1% expressed willingness to undergo screening, the most significant barrier was a lack of knowledge about the test (44.1%), followed by concerns regarding radiation exposure (36.1%). Conversely, a healthcare provider’s recommendation was identified as the primary motivator for 53.3% of respondents. These findings highlight a critical “awareness–willingness” gap. While public willingness is high, this should not be misconstrued as systemic preparedness; substantial educational and structural gaps remain that must be bridged before national implementation can be considered feasible. We conclude that while public willingness is high, successful implementation requires a transition toward organized invitation systems and the use of multifactorial risk profiles. Integrating epidemiological evidence with proactive policy design is essential to ensure that the national program avoids systematic under- or over-inclusion and remains effective for all demographics. Full article
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25 pages, 3434 KB  
Article
Education Increases Solar Radiation Modification Literacy but Reinforces Caution: Evidence from a Pre–Post University Study
by Pengyao Gao, Amanda Sie, Lili Xia and Chaochao Gao
Sustainability 2026, 18(6), 2689; https://doi.org/10.3390/su18062689 - 10 Mar 2026
Viewed by 414
Abstract
Solar Radiation Modification (SRM) is increasingly discussed as a potential supplement to climate-change mitigation, yet public and stakeholder judgments remain sensitive to knowledge, framing, and perceived risks. We examined how a structured university classroom module on SRM reshaped student perceptions using a matched [...] Read more.
Solar Radiation Modification (SRM) is increasingly discussed as a potential supplement to climate-change mitigation, yet public and stakeholder judgments remain sensitive to knowledge, framing, and perceived risks. We examined how a structured university classroom module on SRM reshaped student perceptions using a matched pre–post survey design. Participants were students enrolled in an English-taught global climate change course (N = 106); 103 students provided valid matched responses after applying pre-specified exclusion rules. Self-rated SRM knowledge increased substantially after the module (mean change +0.47 on a 1–3 scale; Wilcoxon signed-rank p (Holm-adjusted) < 1 × 10−7; Cohen’s dz = 0.67). Support for SRM research remained moderately positive but did not increase (pre mean 3.76 to post mean 3.54 on a 1–5 scale). In contrast, support for stratospheric aerosol injection (SAI) deployment declined (pre mean 3.42 to post mean 2.95; p (Holm-adjusted) = 0.0084; dz = −0.33), and preferences shifted away from prioritizing climate intervention toward low-carbon development (mean change −0.68 on a 1–5 priority scale; p (Holm-adjusted) = 0.0001; dz = −0.45). Post-lecture models indicated that perceived benefits versus risks was the most consistent correlate of support across outcomes. Open-ended responses most frequently emphasized feasibility, unintended consequences, governance, and moral hazard. Overall, students largely endorsed SRM research as valuable while becoming more cautious about deployment and political prioritization, suggesting that balanced, structured instruction can sharpen sensitivity to evidence, uncertainty, and potential trade-offs that students also weighed in the survey. Full article
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21 pages, 2543 KB  
Review
Broadband and Intense Terahertz Time-Domain Spectroscopy for Investigating Liquid Solutions
by Domenico Paparo, Anna Martinez and Andrea Rubano
Liquids 2026, 6(1), 1; https://doi.org/10.3390/liquids6010001 - 23 Dec 2025
Viewed by 1830
Abstract
Over the past two decades, terahertz (THz) spectroscopy has demonstrated remarkable potential for the investigation of liquids, including studies of living organisms and biological components in their natural, aqueous environments. The main advantages of THz radiation lie in its ability to interact with [...] Read more.
Over the past two decades, terahertz (THz) spectroscopy has demonstrated remarkable potential for the investigation of liquids, including studies of living organisms and biological components in their natural, aqueous environments. The main advantages of THz radiation lie in its ability to interact with collective and low-energy vibrational modes of macromolecules and microorganisms, while being non-harmful due to the low photon energy involved. These characteristics make THz spectroscopy particularly valuable for research in liquids compared to other well-established techniques such as Raman and infrared spectroscopy. In this study, we offer a concise overview and comparison of two case studies from our earlier publications, highlighting how Ultrabroadband THz spectroscopy and Intense THz Spectroscopy serve as complementary methods for advancing research in liquids. Ultrabroadband THz spectroscopy enables simultaneous probing of both intermolecular and intramolecular interactions in a single experiment. On the other hand, intense THz spectroscopy greatly simplifies the determination of the optical constants of liquid solutions, eliminating the need for additional assumptions or prior knowledge. Moreover, it offers high sensitivity, allowing the detection of dilute solutions and subtle spectral variations. Currently, these two techniques typically rely on different THz sources, as achieving both broadband coverage and high intensity in a single setup remains challenging. In fact, the experimental results reviewed here were obtained at two different times and within two distinct scientific collaborations. In particular, the intense source was accessed through a collaboration with Prof. Novelli at Ruhr University in Bochum. Integrating both capabilities into a single apparatus would be highly desirable. Therefore, we also present a theoretical investigation of a novel experimental approach that could enable combined ultrabroadband and intense THz spectroscopy, merging the strengths of both methods. Full article
(This article belongs to the Collection Feature Papers in Solutions and Liquid Mixtures Research)
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16 pages, 456 KB  
Article
Sun Exposure and Behaviours in Saudi Arabia: A National Study of over Eleven Thousand Participants Utilising the Arabic Sun Exposure and Behaviour Inventory
by Abdullah Aleisa, Nasser M. AbuDujain, Qais A. Almuhaideb, Yazeed A. Alrodiman, Hadeel F. AlMajid, Turki N. AboSarhad, Omnia A. Alali, Anas M. Abudasir, Dana Alkhudair, Ibtihal Alshammari, Inge J. Veldhuizen, Khalid F. Alsadhan, Abdullah A. Alrasheed, Saad M. Alsaad and Turky H. Almigbal
Healthcare 2025, 13(23), 3078; https://doi.org/10.3390/healthcare13233078 - 26 Nov 2025
Viewed by 1531
Abstract
Background: Excessive sun exposure is a major modifiable risk factor for skin cancer, with ultraviolet (UV) radiation identified as a key contributor. Saudi Arabia’s high UV index and hot climate increase the risk of photo-induced skin damage among residents. Although awareness of [...] Read more.
Background: Excessive sun exposure is a major modifiable risk factor for skin cancer, with ultraviolet (UV) radiation identified as a key contributor. Saudi Arabia’s high UV index and hot climate increase the risk of photo-induced skin damage among residents. Although awareness of sun protection is growing, inconsistent use of preventive measures persists, often due to misconceptions and limited knowledge. This study aimed to assess patterns of current and prior sun exposure across demographic groups in Saudi Arabia using the validated Arabic version of the Sun Exposure and Behaviour Inventory (Ar-SEBI). Methods: An analytical cross-sectional study was conducted between August 2024 and January 2025 across all five Saudi regions using non-probability quota sampling to ensure geographic representation. Sun-exposure practices and protective behaviours were measured using the Ar-SEBI. Data were collected via an online questionnaire and analysed using IBM SPSS Statistics 26. Normality was assessed via Shapiro–Wilk and Levene’s tests. Depending on the distribution, data were analysed using the Mann–Whitney U test, the Kruskal–Wallis H test, unpaired t-tests, or ANOVA. A p-value < 0.05 was considered statistically significant. Results: A total of 11,491 adults participated. Significant demographic and regional differences in sun-related behaviours were observed. Overall, 72.7% of participants were unaware of the SPF level of their sunscreen. Males and individuals under 30 years of age had significantly higher sun exposure scores than females and older adults, respectively (p < 0.001). Residents of the Southern region had the highest exposure and behaviour scores (p < 0.001), despite also reporting higher engagement in some protective measures. Additionally, sun exposure scores increased progressively with darker Fitzpatrick skin types (IV–VI) (p < 0.001), suggesting a common belief that darker skin confers adequate protection. Conclusions: This study reveals notable disparities in sun-protection practices across Saudi Arabia. Younger adults, males, and individuals with darker skin types reported greater sun exposure and indicators of lower protective awareness. These findings support the need for targeted, culturally tailored public health campaigns and policy measures to enhance sun safety and reduce long-term dermatological risks. Full article
(This article belongs to the Section Public Health and Preventive Medicine)
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19 pages, 743 KB  
Article
Synergizing Nature-Inspired Adaptive Facades: Harnessing Plant Responses for Elevated Building Performance in Alignment with Saudi Green Initiatives
by Abeer S. Y. Mohamed and Jamil Binabid
Buildings 2025, 15(21), 3878; https://doi.org/10.3390/buildings15213878 - 27 Oct 2025
Cited by 1 | Viewed by 1460
Abstract
Saudi Arabia has a large part of the country’s power consumption in the building area, mainly operated by cooling demands under extreme climatic conditions, where the summer temperature is more than 45 °C and solar radiation peaks are more than 1200 W/MIC. Facing [...] Read more.
Saudi Arabia has a large part of the country’s power consumption in the building area, mainly operated by cooling demands under extreme climatic conditions, where the summer temperature is more than 45 °C and solar radiation peaks are more than 1200 W/MIC. Facing this challenge, this research examines the translation of biometric principles in the design of adaptive building construction for dry areas. We present a comprehensive, four-phase method structure: removing thermoregulatory and shading strategies from desert vegetation; computer display simulation using EnergyPlus 9.7.0 and CFD (ANSYS Fluent 2022 R2); and the development of an implementation guideline. Our findings achieve three central insights. First, the dynamic factor system, such as the electrochromic glazing tested in our student project, reduced the use of HVAC energy by 30%, while advanced materials, such as the polycarbonate panel, demonstrated notable thermal stability. Secondly, the synergy between cultural knowledge and technical performance proved to be decisive; vernacular-inspired Mushrabias improved generic louver not only in thermal efficiency but also in user acceptance, which increased the 97% approval rate in post-acquisition surveys. Finally, we demonstrate that scalability is economically viable, indicating a seven-year payback period for simulation, phase-transit material (PCM), which aligns with the budgetary realities of public and educational projects. By fusing the plant-induced strategies with rigorous computational modeling and real-world applications, the work provides actionable guidelines for permanent failure design in the warm-dry climate. It underlines that maximizing energy efficiency requires the cohesion of thermodynamic principles with the craft traditions of local architecture, an approach directly aligned with the Saudi Green Initiative and the ambitions of global carbon neutrality goals. Full article
(This article belongs to the Section Building Energy, Physics, Environment, and Systems)
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13 pages, 797 KB  
Article
An Exploratory Analysis of Public Perspectives and Attitudes Towards Radiation in Saudi Arabia
by Hanan M. Alzahrani, Fahad Alzahrani, Hala Aljohani, Shouq Albalawi, Shatha Aljurbua, Maisa Elzaki, Walaa Alsharif, Bashair Alhummiany, Awadia Gareeballah, Eman Abdurhman Altay, Tasneem S. A. Elmahdi, Amirah Alsaedi, Manal J. Abdallah, Lamia Ghazi Jamjoom and Bander S. Almutairi
Healthcare 2025, 13(19), 2538; https://doi.org/10.3390/healthcare13192538 - 8 Oct 2025
Viewed by 1180
Abstract
Aim: Radiation exposure is a growing public health concern; however, public understanding of its sources, risks, and protective measures remains limited. This study examined familiarity, misconceptions, and attitudes towards both ionising and nonionising radiation among residents of Saudi Arabia, an area that has [...] Read more.
Aim: Radiation exposure is a growing public health concern; however, public understanding of its sources, risks, and protective measures remains limited. This study examined familiarity, misconceptions, and attitudes towards both ionising and nonionising radiation among residents of Saudi Arabia, an area that has received limited attention in the literature. Methods: A cross-sectional survey was conducted among 888 Saudi residents aged 18 years and above by using a validated online questionnaire. The instrument comprised demographic items, 13 statements assessing radiation familiarity (including knowledge of sources and safety), and 21 items assessing attitudes (including safety practices and willingness to receive further education), all rated on a five-point Likert scale. Descriptive statistics and nonparametric inferential analyses were performed using SPSS v27. Results: Participants had a moderate mean familiarity score (3.34 ± 1.16), whereas attitude scores were high (3.56 ± 1.14). Demographic variables, including age, sex, region, and previous training, significantly affected familiarity and attitudes. A medical background and previous radiation education were associated with a higher familiarity level. Nonetheless, most participants expressed a strong interest in acquiring additional knowledge. Conclusion: Moderate familiarity with radiation and strong attitudes towards protection among the Saudi public highlight opportunities to strengthen practical safety knowledge. These findings indicate the need for targeted, accessible educational initiatives, particularly through digital platforms, to enhance radiation literacy and support the objectives of Saudi Vision 2030. Full article
(This article belongs to the Section Healthcare Organizations, Systems, and Providers)
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29 pages, 3351 KB  
Article
Machine Learning in Estimating Daily Global Radiation in the Brazilian Amazon for Agricultural and Environmental Applications
by Charles Campoe Martim, Rhavel Salviano Dias Paulista, Daniela Roberta Borella, Frederico Terra de Almeida, João Gabriel Ribeiro Damian, Érico Tadao Teramoto and Adilson Pacheco de Souza
AgriEngineering 2025, 7(7), 216; https://doi.org/10.3390/agriengineering7070216 - 3 Jul 2025
Viewed by 1375
Abstract
Knowledge of global radiation (Hg) is essential for regional economic development and can help guide public policies related to agricultural and energy potential. However, its availability in several Brazilian regions is still limited. This work evaluates the predictive capacity of two machine learning [...] Read more.
Knowledge of global radiation (Hg) is essential for regional economic development and can help guide public policies related to agricultural and energy potential. However, its availability in several Brazilian regions is still limited. This work evaluates the predictive capacity of two machine learning (ML) techniques, such as multi-layer perceptrons (MLPs) and support vector machines (SVMs), in the estimation of Hg in 20 meteorological stations with 40 different input combinations involving insolation, air temperature, air relative humidity, photoperiod, and extraterrestrial radiation. It is also compared with three empirical models based on insolation, temperature, and a hybrid combination. In general, the greater the number of input variables, the better the performance of ML techniques, especially in combinations involving insolation that reduced the dispersion of estimated Hg on days with high atmospheric transmissivity and air temperature on days with low atmospheric transmissivity. The performance of SVM was better when compared to MLP in all statistical indicators. ML techniques presented better results than empirical models, and in general, the ordering of the best models in the three locations is achieved using SVM, MLP, and empirical models. Therefore, due to their easy implementation and generation of good results, the use of SVM models is recommended to estimate daily global radiation in the Brazilian Amazon. Full article
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20 pages, 4838 KB  
Article
Assessment of RF Electromagnetic Exposure to Car Driver from Monopole Array Antennas in V2V Communications Considering Thermal Characteristics
by Shirun Wang and Mai Lu
Sensors 2025, 25(10), 3247; https://doi.org/10.3390/s25103247 - 21 May 2025
Cited by 1 | Viewed by 1717
Abstract
Vehicles are rapidly evolving into objects of intelligent interconnection. Vehicle-to-Vehicle (V2V) communications enable the interconnection between vehicles, while also leading to new electromagnetic exposure scenarios. This paper integrates a monopole array antenna into a shark-fin antenna on the car roof for V2V communications [...] Read more.
Vehicles are rapidly evolving into objects of intelligent interconnection. Vehicle-to-Vehicle (V2V) communications enable the interconnection between vehicles, while also leading to new electromagnetic exposure scenarios. This paper integrates a monopole array antenna into a shark-fin antenna on the car roof for V2V communications and evaluates the specific absorption rate (SAR) and temperature rise of a human body in a smart mobility communication scenario operating at 5.9 GHz. The V2V antenna is modeled and placed on a 3D vehicle model using COMSOL Multiphysics (v.6.2) to numerically estimate the SAR in the head and body regions of the human body model (adult male) inside the vehicle. Both the localized and whole-body 30 min average SAR are lower than the International Commission on Non-Ionizing Radiation Protection (ICNIRP) occupational restrictions for electromagnetic field exposure from 100 kHz to 6 GHz, being equal in the worst-case scenario to 0.981 W/kg (for the head), which is 9.81% of the ICNIRP limit (10 W/kg), and 0.008728 W/kg (for the whole-body average), which is 2.18% of the ICNIRP limit (0.4 W/kg). The 30 min average human core temperature rise is 0.055 °C, which is 5.5% of the ICNIRP limit. This indicates that, in typical automotive scenarios, the electromagnetic exposure from a monopole array antenna for V2V communications does not pose threat to the human body. This study provides knowledge related to emerging exposure scenarios in intelligent mobility communication, which is beneficial for evaluating possible health impacts and designing public health management policies. Full article
(This article belongs to the Section Vehicular Sensing)
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28 pages, 2465 KB  
Article
Consumer Perception of Irradiated Food Products in the Abai Region of Kazakhstan
by Duman Orynbekov, Zhanar Kalibekkyzy, Almagul Nurgazezova, Gulnur Nurymkhan, Amirzhan Kassenov and Yernaz Yermekov
Foods 2025, 14(9), 1625; https://doi.org/10.3390/foods14091625 - 4 May 2025
Cited by 5 | Viewed by 2641
Abstract
Food irradiation is a scientifically validated method for improving food safety and shelf life, yet public acceptance remains limited due to persistent misconceptions. This study investigates consumer perceptions of irradiated food in the Abai region of Kazakhstan, an area historically affected by radiation [...] Read more.
Food irradiation is a scientifically validated method for improving food safety and shelf life, yet public acceptance remains limited due to persistent misconceptions. This study investigates consumer perceptions of irradiated food in the Abai region of Kazakhstan, an area historically affected by radiation exposure, though this context is not explicitly addressed. A structured questionnaire was administered to 420 adult residents across urban and rural districts, collecting data on familiarity, knowledge, perceived risks and benefits, willingness to consume, and influencing factors such as trust in authorities and preference for natural foods. Descriptive and inferential statistical analyses, including Pearson correlation and Duncan’s test, were employed. Results reveal widespread knowledge gaps—only 20% correctly rejected the myth that irradiated food is radioactive—yet nearly half of respondents expressed willingness to purchase such products. Perceived health risk was high across all food categories, especially infant food, but this did not consistently predict avoidance. Demographic variables such as education and age influenced perceptions of necessity, while gender and trust in authorities had minimal impact. The study concludes that although consumer knowledge is low, moderate openness exists toward irradiated food, suggesting that public education and clear communication could play a pivotal role in building acceptance for this food safety intervention. Full article
(This article belongs to the Section Sensory and Consumer Sciences)
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31 pages, 860 KB  
Systematic Review
Radiofrequency Echographic Multi Spectrometry—A Novel Tool in the Diagnosis of Osteoporosis and Prediction of Fragility Fractures: A Systematic Review
by Elena Icătoiu, Andreea-Iulia Vlădulescu-Trandafir, Laura-Maria Groșeanu, Florian Berghea, Claudia-Oana Cobilinschi, Claudia-Gabriela Potcovaru, Andra-Rodica Bălănescu and Violeta-Claudia Bojincă
Diagnostics 2025, 15(5), 555; https://doi.org/10.3390/diagnostics15050555 - 25 Feb 2025
Cited by 9 | Viewed by 3326
Abstract
Background/Objectives: Given the significant economic and social burden of osteoporosis, there is growing interest in developing an efficient alternative to the traditional dual-energy X-ray absorptiometry (DXA). Radiofrequency Echographic Multi Spectrometry (REMS) is an innovative, non-ionizing imaging technique that recently emerged as a viable [...] Read more.
Background/Objectives: Given the significant economic and social burden of osteoporosis, there is growing interest in developing an efficient alternative to the traditional dual-energy X-ray absorptiometry (DXA). Radiofrequency Echographic Multi Spectrometry (REMS) is an innovative, non-ionizing imaging technique that recently emerged as a viable tool to diagnose osteoporosis and estimate the fragility fracture risk. Nevertheless, its clinical use is still limited due to its novelty and continuing uncertainty of long-term performance. Methods: In order to evaluate the accuracy of the REMS, a systematic review of the English-language literature was conducted. Three databases were searched for relevant publications from 1 January 2015 until 1 December 2024 using the keyword combinations “(radiofrequency echographic multi spectrometry OR REMS) AND (dual-energy X-ray absorptiometry OR DXA)”. The initial search yielded 602 candidate articles. After screening the titles and abstracts following the eligibility criteria, 17 publications remained for full-text evaluation. Results: The reviewed studies demonstrated strong diagnostic agreement between REMS and DXA. Additionally, REMS showed enhanced diagnostic capabilities in cases where lumbar bone mineral density measurements by DXA were impaired by artifacts such as vertebral fractures, deformities, osteoarthritis, or vascular calcifications. REMS exhibited excellent intra-operator repeatability and precision, comparable to or exceeding the reported performance of DXA. The fragility score (FS), a parameter reflecting bone quality and structural integrity, effectively discriminated between fractured and non-fractured patients. Moreover, REMS proved to be a radiation-free option for bone health monitoring in radiation-sensitive populations or patients requiring frequent imaging to assess fracture risk. Conclusions: This current study underscores the robustness of REMS as a reliable method for diagnosing and monitoring osteoporosis and evaluating bone fragility via the FS. It also identifies critical knowledge gaps and emphasizes the need for further prospective studies to validate and expand the clinical applications of REMS across diverse patient populations. Full article
(This article belongs to the Collection Biomedical Optics: From Technologies to Applications)
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14 pages, 208 KB  
Article
Factors Associated with Public Health Nurses’ Anxiety About Accepting Evacuees During Nuclear Disasters: A Cross-Sectional Study in Oita Prefecture, Japan
by Hiro Tsuchiya, Takumi Yamaguchi and Yuko Matsunari
Healthcare 2025, 13(1), 45; https://doi.org/10.3390/healthcare13010045 - 30 Dec 2024
Cited by 1 | Viewed by 1480
Abstract
Background/Objectives: The Fukushima Daiichi Nuclear Power Station accident underscored the critical role of public health nurses (PHNs) in managing evacuees during nuclear emergencies. Despite their importance, PHNs often lack sufficient knowledge and experience, which may make them anxious about this role. This study [...] Read more.
Background/Objectives: The Fukushima Daiichi Nuclear Power Station accident underscored the critical role of public health nurses (PHNs) in managing evacuees during nuclear emergencies. Despite their importance, PHNs often lack sufficient knowledge and experience, which may make them anxious about this role. This study aimed to investigate the factors associated with PHNs’ anxiety about accepting evacuees and identify strategies to alleviate this anxiety. Methods: A cross-sectional survey was conducted among 100 PHNs working in Oita Prefecture, Japan, a region designated to receive evacuees in the event of a nuclear disaster. Data were collected via an online questionnaire assessing radiation knowledge, workplace characteristics, and anxiety about accepting evacuees. Univariate and multivariate logistic regression analyses were performed to identify the predictors of anxiety. Results: PHNs working in prefectural offices were 3.4 times more likely to feel anxious about accepting evacuees than those in municipal offices (OR = 3.488, 95% CI = 1.236–10.963, p = 0.023). Awareness of evacuation site responsibilities significantly reduced anxiety (OR = 0.412, 95% CI = 0.134–1.211, p = 0.110). Overall, knowledge of radiation was low, with only 8% correctly identifying the differences between stochastic and deterministic effects. Online training was the preferred format for education. Conclusions: Workplace characteristics and knowledge of evacuation responsibilities significantly influence PHNs’ anxiety levels. Addressing knowledge gaps through tailored, accessible training programs, particularly in online formats, is essential. Strengthening preparedness among PHNs could enhance their confidence and ability to manage evacuees effectively during nuclear disasters. Full article
9 pages, 786 KB  
Article
Public Health Nurses’ Perceptions of Their Roles and Activities Throughout the Phases of the Fukushima Nuclear Disaster: A Qualitative Study
by Tamami Koyama, Takumi Yamaguchi and Yuko Matsunari
Nurs. Rep. 2024, 14(4), 3515-3523; https://doi.org/10.3390/nursrep14040256 - 15 Nov 2024
Cited by 1 | Viewed by 2054
Abstract
Background/Objectives: To explore how Public Health Nurses (PHNs) in Fukushima perceived their roles and activities as necessary or inadequate from the immediate aftermath through the long-term recovery of the nuclear disaster. Methods: We conducted a qualitative study using a self-administered questionnaire [...] Read more.
Background/Objectives: To explore how Public Health Nurses (PHNs) in Fukushima perceived their roles and activities as necessary or inadequate from the immediate aftermath through the long-term recovery of the nuclear disaster. Methods: We conducted a qualitative study using a self-administered questionnaire with open-ended questions to capture the perceptions of PHNs across three disaster phases: peacetime; nuclear emergency; and recovery. Responses were analyzed through qualitative content analysis. Results: PHNs’ needs and perceived inadequacies varied across the disaster phases. In peacetime, the emphasis was on education for disaster preparedness for both nurses and residents. During the nuclear emergency, the focus shifted to the need for PHN deployment and radiation screening systems, highlighting a significant gap in radiation knowledge. In the recovery phase, the importance of ongoing resident support, rumor management, and trust-building was emphasized, alongside an increased need for radiation education. Conclusions: This study highlights the critical need for phase-specific support systems and educational programs to enhance PHNs’ disaster response capabilities. It underscores the importance of preparedness plans and continuous training to improve PHNs’ effectiveness in addressing public health challenges during nuclear disasters. This study was not registered. Full article
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20 pages, 5783 KB  
Review
Bibliometric Analysis of Aerosol-Radiation Research from 1999 to 2023
by Shuai Wang and Bingqi Yi
Atmosphere 2024, 15(10), 1189; https://doi.org/10.3390/atmos15101189 - 4 Oct 2024
Cited by 2 | Viewed by 1996
Abstract
Aerosol and aerosol-cloud radiation interactions significantly influence Earth’s radiative balance, hydrological cycle, global monsoons, atmospheric circulation, and climate, attracting substantial scientific attention. This study employs bibliometric and quantitative trend analyses to evaluate the development, knowledge structure, and research trends in aerosol and aerosol-cloud [...] Read more.
Aerosol and aerosol-cloud radiation interactions significantly influence Earth’s radiative balance, hydrological cycle, global monsoons, atmospheric circulation, and climate, attracting substantial scientific attention. This study employs bibliometric and quantitative trend analyses to evaluate the development, knowledge structure, and research trends in aerosol and aerosol-cloud radiation interactions from 1999 to 2023 using Web of Science Core Collection data. Results reveal a consistent increase in publications and citations, indicating sustained attention in this field. The USA and China are identified as the most prolific countries, with significant contributions from institutions like the National Aeronautics and Space Administration and the Chinese Academy of Sciences. However, while the USA shows a recent decline in growth, China has demonstrated a significant upward trend in research contributions. Productive journals include Atmospheric Chemistry and Physics and the Journal of Geophysical Research-Atmospheres, with prolific authors such as Babu S. Suresh and Li Zhanqing. A co-occurrence analysis of keywords identifies research topics focused on aerosol optical properties, aerosol types, aerosol radiation interactions, and aerosol-cloud interactions. Emerging trends emphasize advanced methodologies such as remote sensing, model simulation, and artificial intelligence, with growing attention to regions like the Southern Ocean and the Arctic. This comprehensive analysis provides valuable insights for researchers, identifying knowledge gaps and guiding future research directions in aerosol and aerosol-cloud radiation interactions, which are crucial for understanding their climatic and atmospheric impacts. Full article
(This article belongs to the Section Aerosols)
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