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Search Results (1,246)

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Keywords = quantitative risk management

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28 pages, 1146 KiB  
Article
Uncovering Hidden Risks: Non-Targeted Screening and Health Risk Assessment of Aromatic Compounds in Summer Metro Carriages
by Han Wang, Guangming Li, Cuifen Dong, Youyan Chi, Kwok Wai Tham, Mengsi Deng and Chunhui Li
Buildings 2025, 15(15), 2761; https://doi.org/10.3390/buildings15152761 - 5 Aug 2025
Abstract
Metro carriages, as enclosed transport microenvironments, have been understudied regarding pollution characteristics and health risks from ACs, especially during high-temperature summers that amplify exposure. This study applied NTS techniques for the first time across three major Chengdu metro lines, systematically identifying sixteen ACs, [...] Read more.
Metro carriages, as enclosed transport microenvironments, have been understudied regarding pollution characteristics and health risks from ACs, especially during high-temperature summers that amplify exposure. This study applied NTS techniques for the first time across three major Chengdu metro lines, systematically identifying sixteen ACs, including hazardous species such as acetophenone, benzonitrile, and benzoic acid that are often overlooked in conventional BTEX-focused monitoring. The TAC concentration reached 41.40 ± 5.20 µg/m3, with half of the compounds exhibiting significant increases during peak commuting periods. Source apportionment using diagnostic ratios and PMF identified five major contributors: carriage material emissions (36.62%), human sources (22.50%), traffic exhaust infiltration (16.67%), organic solvents (16.55%), and industrial emissions (7.66%). Although both non-cancer (HI) and cancer (TCR) risks for all population groups were below international thresholds, summer tourists experienced higher exposure than daily commuters. Notably, child tourists showed the greatest vulnerability, with a TCR of 5.83 × 10−7, far exceeding that of commuting children (1.88 × 10−7). Benzene was the dominant contributor, accounting for over 50% of HI and 70% of TCR. This study presents the first integrated NTS and quantitative risk assessment to characterise ACs in summer metro environments, revealing a broader range of hazardous compounds beyond BTEX. It quantifies population-specific risks, highlights children’s heightened vulnerability. The findings fill critical gaps in ACs exposure and provide a scientific basis for improved air quality management and pollution mitigation strategies in urban rail transit systems. Full article
(This article belongs to the Section Building Energy, Physics, Environment, and Systems)
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17 pages, 4589 KiB  
Article
Evaluation of Slope Stability and Landslide Prevention in a Closed Open-Pit Mine Used for Water Storage
by Pengjiao Zhang, Yuan Gao, Yachao Liu and Tianhong Yang
Appl. Sci. 2025, 15(15), 8659; https://doi.org/10.3390/app15158659 (registering DOI) - 5 Aug 2025
Abstract
To study and quantify the impact of water storage on lake slope stability after the closure of an open-pit mine, we targeted slope control measures by large-scale parallel computing methods and strength reduction theory. This was based on a three-dimensional refined numerical model [...] Read more.
To study and quantify the impact of water storage on lake slope stability after the closure of an open-pit mine, we targeted slope control measures by large-scale parallel computing methods and strength reduction theory. This was based on a three-dimensional refined numerical model to simulate the evolution of slope stability under different water storage levels and backfilling management conditions, and to quantitatively assess the risk of slope instability through the spatial distribution of stability coefficients. This study shows that during the impoundment process, the slope stability has a nonlinear decreasing trend due to the decrease in effective stress caused by the increase in pore water pressure. When the water storage was at 0 m, the instability range is the largest, and the surface range is nearly 200 m from the edge of the pit; when the water level continued to rise to 50 m, the hydrostatic pressure of the pit lake water on the slope support effect began to appear, and the stability was improved, but there is still a wide range of unstable areas at the bottom. In view of the unstable area of the steep slope with soft rock in the north slope during the process of water storage, the management scheme of backfilling the whole bottom to −150 m was proposed, and the slope protection and pressure footing were formed by discharging the soil to −40 m in steps to improve the anti-slip ability of the slope. Full article
(This article belongs to the Special Issue Advances in Slope Stability and Rock Fracture Mechanisms)
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24 pages, 3518 KiB  
Article
Assessing Community Perception, Preparedness, and Adaptation to Urban Flood Risks in Malaysia
by Maniyammai Kumaresen, Fang Yenn Teo, Anurita Selvarajoo, Subarna Sivapalan and Roger A. Falconer
Water 2025, 17(15), 2323; https://doi.org/10.3390/w17152323 - 5 Aug 2025
Abstract
Urban flooding has significantly impacted the livelihoods of households and communities worldwide. It highlights the urgency of focusing on both flood preparedness and adaptation strategies to understand the community’s perception and adaptive capacity. This study investigates the levels of risk perception, flood preparedness, [...] Read more.
Urban flooding has significantly impacted the livelihoods of households and communities worldwide. It highlights the urgency of focusing on both flood preparedness and adaptation strategies to understand the community’s perception and adaptive capacity. This study investigates the levels of risk perception, flood preparedness, and adaptive capacity, while also exploring the inter-relationships among these factors within the context of urban flooding in Malaysia. A quantitative approach was employed, involving a structured questionnaire administered to residents in flood-prone urban areas across Greater Kuala Lumpur, Malaysia. A total of 212 responses were analysed using descriptive statistics, categorical index classification, and Spearman correlation analysis. The findings indicate that residents generally reported high levels of risk perception and preparedness, although adaptive capacity exhibited greater variability, with a mean score of 3.97 (SD = 0.64). Positive associations were found among risk perception, flood preparedness, and adaptive capacity. This study contributes to the existing knowledge by providing evidence on community resilience and highlighting key factors that can guide flood management policies and encourage adaptive planning at the community level. Full article
(This article belongs to the Section Water Resources Management, Policy and Governance)
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12 pages, 677 KiB  
Review
Prognostic Utility of Arterial Spin Labeling in Traumatic Brain Injury: From Pathophysiology to Precision Imaging
by Silvia De Rosa, Flavia Carton, Alessandro Grecucci and Paola Feraco
NeuroSci 2025, 6(3), 73; https://doi.org/10.3390/neurosci6030073 - 4 Aug 2025
Abstract
Background: Traumatic brain injury (TBI) remains a significant contributor to global mortality and long-term neurological disability. Accurate prognostic biomarkers are crucial for enhancing prognostic accuracy and guiding personalized clinical management. Objective: This review assesses the prognostic value of arterial spin labeling (ASL), a [...] Read more.
Background: Traumatic brain injury (TBI) remains a significant contributor to global mortality and long-term neurological disability. Accurate prognostic biomarkers are crucial for enhancing prognostic accuracy and guiding personalized clinical management. Objective: This review assesses the prognostic value of arterial spin labeling (ASL), a non-invasive MRI technique, in adult and pediatric TBI, with a focus on quantitative cerebral blood flow (CBF) and arterial transit time (ATT) measures. A comprehensive literature search was conducted across PubMed, Embase, Scopus, and IEEE databases, including observational studies and clinical trials that applied ASL techniques (pCASL, PASL, VSASL, multi-PLD) in TBI patients with functional or cognitive outcomes, with outcome assessments conducted at least 3 months post-injury. Results: ASL-derived CBF and ATT parameters demonstrate potential as prognostic indicators across both acute and chronic stages of TBI. Hypoperfusion patterns correlate with worse neurocognitive outcomes, while region-specific perfusion alterations are associated with affective symptoms. Multi-delay and velocity-selective ASL sequences enhance diagnostic sensitivity in TBI with heterogeneous perfusion dynamics. Compared to conventional perfusion imaging, ASL provides absolute quantification without contrast agents, making it suitable for repeated monitoring in vulnerable populations. ASL emerges as a promising prognostic biomarker for clinical use in TBI. Conclusion: Integrating ASL into multiparametric models may improve risk stratification and guide individualized therapeutic strategies. Full article
(This article belongs to the Topic Neurological Updates in Neurocritical Care)
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18 pages, 1365 KiB  
Article
Marker- and Microbiome-Based Microbial Source Tracking and Evaluation of Bather Health Risk from Fecal Contamination in Galveston, Texas
by Karalee A. Corbeil, Anna Gitter, Valeria Ruvalcaba, Nicole C. Powers, Md Shakhawat Hossain, Gabriele Bonaiti, Lucy Flores, Jason Pinchback, Anish Jantrania and Terry Gentry
Water 2025, 17(15), 2310; https://doi.org/10.3390/w17152310 - 3 Aug 2025
Abstract
(1) The beach areas of Galveston, Texas, USA are heavily used for recreational activities and often experience elevated fecal indicator bacteria levels, representing a potential threat to ecosystem services, human health, and tourism-based economies that rely on suitable water quality. (2) During the [...] Read more.
(1) The beach areas of Galveston, Texas, USA are heavily used for recreational activities and often experience elevated fecal indicator bacteria levels, representing a potential threat to ecosystem services, human health, and tourism-based economies that rely on suitable water quality. (2) During the span of 15 months (March 2022–May 2023), water samples that exceeded the U.S. Environmental Protection Agency-accepted alternative Beach Action Value (BAV) for enterococci of 104 MPN/100 mL were analyzed via microbial source tracking (MST) through quantitative polymerase chain reaction (qPCR) assays. The Bacteroides HF183 and DogBact as well as the Catellicoccus LeeSeaGull markers were used to detect human, dog, and gull fecal sources, respectively. The qPCR MST data were then utilized in a quantitative microbial risk assessment (QMRA) to assess human health risks. Additionally, samples collected in July and August 2022 were sequenced for 16S rRNA and matched with fecal sources through the Bayesian SourceTracker2 program. (3) Overall, 26% of the 110 samples with enterococci exceedances were positive for at least one of the MST markers. Gull was revealed to be the primary source of identified fecal contamination through qPCR and SourceTracker2. Human contamination was detected at very low levels (<1%), whereas dog contamination was found to co-occur with human contamination through qPCR. QMRA identified Campylobacter from canine sources as being the primary driver for human health risks for contact recreation for both adults and children. (4) These MST results coupled with QMRA provide important insight into water quality in Galveston that can inform future water quality and beach management decisions that prioritize public health risks. Full article
(This article belongs to the Section Water Quality and Contamination)
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22 pages, 4943 KiB  
Article
Predicting De-Handing Point in Bananas Using Crown Morphology and Interpretable Machine Learning
by Lei Zhao, Zhou Yang, Chunxia Wang, Mohui Jin and Jieli Duan
Agronomy 2025, 15(8), 1880; https://doi.org/10.3390/agronomy15081880 - 3 Aug 2025
Viewed by 57
Abstract
Banana de-handing is a critical yet labor-intensive step in postharvest processing, with current manual methods resulting in high costs and occupational risks. This study addresses the automation of de-handing point localization by integrating high-resolution 3D scanning and morphometric analysis of banana crowns with [...] Read more.
Banana de-handing is a critical yet labor-intensive step in postharvest processing, with current manual methods resulting in high costs and occupational risks. This study addresses the automation of de-handing point localization by integrating high-resolution 3D scanning and morphometric analysis of banana crowns with machine learning techniques. A total of 210 crown samples were analyzed to extract key morphological features, including inner arc length (Li), inner arc radius (Ri), outer arc radius (Ro), and the distance between inner and outer arcs (Doi), among others. Four machine learning algorithms, namely, Multi-Layer Perceptron (MLP), Gradient Boosted Decision Trees (GBDT), Extreme Gradient Boosting (XGBoost), and Random Forest (RF), were developed to predict the target radius (Rt) and target distance (Dti) of the de-handing point. The RF models achieved the optimal predictive performance on the testing set, with the following results: for Rt, R2 = 0.95, MAE = 1.50, and RMSE = 1.94; for Dti, R2 = 0.91, MAE = 1.33, and RMSE = 1.66. A Shapley Additive Explanations (SHAP) analysis revealed that Li, Ri, and Ro were the most influential features for Rt, while Doi was the most important for Dti. Notably, feature threshold effects were observed, with limited gains in prediction accuracy beyond specific morphological values. These results provide a quantitative foundation for vision-guided automated de-handing systems, advancing intelligent and efficient banana postharvest management. Full article
(This article belongs to the Section Precision and Digital Agriculture)
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21 pages, 2077 KiB  
Article
Quantitative Risk Assessment of Liquefied Natural Gas Bunkering Hoses in Maritime Operations: A Case of Shenzhen Port
by Yimiao Gu, Yanmin Zeng and Hui Shan Loh
J. Mar. Sci. Eng. 2025, 13(8), 1494; https://doi.org/10.3390/jmse13081494 - 2 Aug 2025
Viewed by 215
Abstract
The widespread adoption of liquefied natural gas (LNG) as a marine fuel has driven the development of LNG bunkering operations in global ports. Major international hubs, such as Shenzhen Port, have implemented ship-to-ship (STS) bunkering practices. However, this process entails unique safety risks, [...] Read more.
The widespread adoption of liquefied natural gas (LNG) as a marine fuel has driven the development of LNG bunkering operations in global ports. Major international hubs, such as Shenzhen Port, have implemented ship-to-ship (STS) bunkering practices. However, this process entails unique safety risks, particularly hazards associated with vapor cloud dispersion caused by bunkering hose releases. This study employs the Phast software developed by DNV to systematically simulate LNG release scenarios during STS operations, integrating real-world meteorological data and storage conditions. The dynamic effects of transfer flow rates, release heights, and release directions on vapor cloud dispersion are quantitatively analyzed under daytime and nighttime conditions. The results demonstrate that transfer flow rate significantly regulates dispersion range, with recommendations to limit the rate below 1500 m3/h and prioritize daytime operations to mitigate risks. Release heights exceeding 10 m significantly amplify dispersion effects, particularly at night (nighttime dispersion area at a height of 20 m is 3.5 times larger than during the daytime). Optimizing release direction effectively suppresses dispersion, with vertically downward releases exhibiting minimal impact. Horizontal releases require avoidance of downwind alignment, and daytime operations are prioritized to reduce lateral dispersion risks. Full article
(This article belongs to the Section Ocean Engineering)
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24 pages, 936 KiB  
Article
Anti-Ku Antibodies: Clinical Associations, Organ Damage, and Prognostic Implications in Connective Tissue Diseases
by Céline La, Julie Smet, Carole Nagant and Muhammad Soyfoo
Int. J. Mol. Sci. 2025, 26(15), 7433; https://doi.org/10.3390/ijms26157433 - 1 Aug 2025
Viewed by 127
Abstract
Anti-Ku antibodies are rare autoantibodies associated with connective tissue diseases (CTDs), but their clinical significance remains poorly understood due to limited studies. Semi-quantitative immunodot assays yield positive, negative, or borderline results, with the clinical relevance of borderline findings remaining unclear. The purpose of [...] Read more.
Anti-Ku antibodies are rare autoantibodies associated with connective tissue diseases (CTDs), but their clinical significance remains poorly understood due to limited studies. Semi-quantitative immunodot assays yield positive, negative, or borderline results, with the clinical relevance of borderline findings remaining unclear. The purpose of this study is to characterize the clinical spectrum of anti-Ku-positive patients and evaluate the clinical significance of anti-Ku-borderline results in CTD management. A retrospective cohort study was conducted at Hôpital Erasme, including all patients with anti-Ku-positive or borderline results, over a 10-year period. Clinical and biological data were collected from medical records and analyzed for disease associations, organ involvement, and outcomes. Among 47 anti-Ku-positive patients, systemic lupus erythematosus (SLE) and Sjögren’s syndrome (SS) were the most common diagnoses. Interstitial lung disease (ILD) occurred in 23.4% and renal involvement in 12.8% of patients. Cytopenia was significantly associated with glomerulonephritis. Organ damage, particularly pulmonary and renal involvement, correlated with increased mortality. In the borderline group (n = 33), SLE and SS remained the predominant diagnoses. During follow-up, three patients died (all with isolated ILD without associated CTD), one required chronic dialysis, and one underwent lung transplantation. ILD was present in 7/22 (31.8%) borderline patients, and renal involvement in 7/32 (21.9%). This study demonstrates significant associations between anti-Ku antibodies and organ damage, with increased mortality risk. The high prevalence of pulmonary and renal involvement in anti-Ku-borderline patients suggests that these results carry substantial clinical significance and should prompt comprehensive CTD evaluation. These findings support treating borderline anti-Ku results with the same clinical vigilance as positive results, given their similar association with severe organ involvement and adverse outcomes. Full article
(This article belongs to the Section Molecular Immunology)
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27 pages, 525 KiB  
Article
An Analytical Review of Cyber Risk Management by Insurance Companies: A Mathematical Perspective
by Maria Carannante and Alessandro Mazzoccoli
Risks 2025, 13(8), 144; https://doi.org/10.3390/risks13080144 - 31 Jul 2025
Viewed by 127
Abstract
This article provides an overview of the current state-of-the-art in cyber risk and cyber risk management, focusing on the mathematical models that have been created to help with risk quantification and insurance pricing. We discuss the main ways that cyber risk is measured, [...] Read more.
This article provides an overview of the current state-of-the-art in cyber risk and cyber risk management, focusing on the mathematical models that have been created to help with risk quantification and insurance pricing. We discuss the main ways that cyber risk is measured, starting with vulnerability functions that show how systems react to threats and going all the way up to more complex stochastic and dynamic models that show how cyber attacks change over time. Next, we examine cyber insurance, including the structure and main features of the cyber insurance market, as well as the growing role of cyber reinsurance in strategies for transferring risk. Finally, we review the mathematical models that have been proposed in the literature for setting the prices of cyber insurance premiums and structuring reinsurance contracts, analysing their advantages, limitations, and potential applications for more effective risk management. The aim of this article is to provide researchers and professionals with a clear picture of the main quantitative tools available and to point out areas that need further research by summarising these contributions. Full article
14 pages, 355 KiB  
Article
Driver Behavior-Driven Evacuation Strategy with Dynamic Risk Propagation Modeling for Road Disruption Incidents
by Yanbin Hu, Wenhui Zhou and Hongzhi Miao
Eng 2025, 6(8), 173; https://doi.org/10.3390/eng6080173 - 31 Jul 2025
Viewed by 145
Abstract
When emergency incidents, such as bridge damage, abruptly occur on highways and lead to traffic disruptions, the multidimensionality and complexity of driver behaviors present significant challenges to the design of effective emergency response mechanisms. This study introduces a multi-level collaborative emergency mechanism grounded [...] Read more.
When emergency incidents, such as bridge damage, abruptly occur on highways and lead to traffic disruptions, the multidimensionality and complexity of driver behaviors present significant challenges to the design of effective emergency response mechanisms. This study introduces a multi-level collaborative emergency mechanism grounded in driver behavior characteristics, aiming to enhance both traffic safety and emergency response efficiency through hierarchical collaboration and dynamic optimization strategies. By capitalizing on human drivers’ perception and decision-making attributes, a driver behavior classification model is developed to quantitatively assess the risk response capabilities of distinct behavioral patterns (conservative, risk-taking, and conformist) under emergency scenarios. A multi-tiered collaborative framework, comprising an early warning layer, a guidance layer, and an interception layer, is devised to implement tailored emergency strategies. Additionally, a rear-end collision risk propagation model is constructed by integrating the risk field model with probabilistic risk assessment, enabling dynamic adjustments to interception range thresholds for precise and real-time emergency management. The efficacy of this mechanism is substantiated through empirical case studies, which underscore its capacity to substantially reduce the occurrence of secondary accidents and furnish scientific evidence and technical underpinnings for emergency management pertaining to highway bridge damage. Full article
(This article belongs to the Special Issue Interdisciplinary Insights in Engineering Research)
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17 pages, 1620 KiB  
Article
Practices and Awareness of Disinformation for a Sustainable Education in European Secondary Education
by Ana Pérez-Escoda and Manuel Carabias-Herrero
Sustainability 2025, 17(15), 6923; https://doi.org/10.3390/su17156923 - 30 Jul 2025
Viewed by 171
Abstract
The growing integration of technology in education has heightened awareness of global risks, such as the spread of disinformation. This awareness is vital for fostering the well-being of individuals, especially teenagers, by promoting critical thinking and responsible digital practices. By cultivating these skills, [...] Read more.
The growing integration of technology in education has heightened awareness of global risks, such as the spread of disinformation. This awareness is vital for fostering the well-being of individuals, especially teenagers, by promoting critical thinking and responsible digital practices. By cultivating these skills, sustainable education empowers individuals to identify potential threats, protect themselves, and advocate for informed, positive change. As part of a European project, this study aims to analyze the current level of awareness among secondary school students (12 to 17) and their teachers. Differences between both are analyzed in how they deal with disinformation in terms of (1) perceptions, (2) feelings and practices, and (3) knowledge and management. A quantitative approach was adopted for this study, which surveyed 1186 minors and 166 teachers. The analysis was based on non-parametric statistics; the Mann–Whitney U statistic was applied as the appropriate measure for comparing independent samples (teachers and students) with a non-normal distribution (p < 0.05). The results were surprising in that they highlighted that minors were more expert than expected in their use of technology and their awareness of the risks of disinformation. These conclusions make it clear that technological tools have the potential to raise awareness of the dangers of disinformation and improve the sustainability of education. Full article
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21 pages, 4059 KiB  
Systematic Review
The Impact of Vitamin D Supplementation on Fasting Plasma Glucose, Insulin Sensitivity, and Inflammation in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis
by Enny Probosari, Hertanto W. Subagio, Heri-Nugroho, Banundari Rachmawati, Siti F. Muis, Kevin C. Tjandra, Dwi Adiningsih and Tri I. Winarni
Nutrients 2025, 17(15), 2489; https://doi.org/10.3390/nu17152489 - 30 Jul 2025
Viewed by 354
Abstract
Background/Objectives: Vitamin D supplementation has shown promise in managing type 2 diabetes mellitus (T2DM), while the simultaneous impact on glycemic control and inflammation in T2DM remains poorly understood. This study aimed to investigate the potential role of vitamin D supplementation in managing [...] Read more.
Background/Objectives: Vitamin D supplementation has shown promise in managing type 2 diabetes mellitus (T2DM), while the simultaneous impact on glycemic control and inflammation in T2DM remains poorly understood. This study aimed to investigate the potential role of vitamin D supplementation in managing T2DM using fasting plasma glucose (FPG), insulin levels, HOMA-IR, HOMA-B, HbA1c, and Hs-CRP as the biomarkers. Methods: Original articles from Scopus, Pubmed, Cochrane Library, Epistemonikos, and ScienceDirect published between 2014 and 2024 were the sources. Inclusion criteria included studies conducted as clinical trials or randomized controlled trials involving adult patients diagnosed with T2DM undergoing treatment with vitamin D. The risk of bias was evaluated using the ROB-2 tool and meta-analysis was conducted to quantitatively synthesize the results across the studies using pooled effect sizes and confidence intervals. Results: Nine studies were included in the meta-analysis. Significant differences were found at 12-week follow-up in insulin level (MD(−3.59) [95% CI: −6.93, −0.25]), HOMA-B (MD(−50.35) [95% CI: −92.29, −8.41]), hs-CRP (−2.51 [95% CI: −3.45, −1.57]), and HbA1c level (MD(−0.30) [95% CI: −0.54, −0.06]) and at 24-week follow-up in HOMA-IR (MD(−0.38) [CI: −0.53, −0.24]). The quality of the included studies was generally moderate, with three showing a potential risk of bias. Conclusions: The observed trends in FPG, insulin levels, HOMA-IR, HOMA-B, HbA1c, and hs-CRP indicate that vitamin D may influence glycemic control, insulin sensitivity, and inflammation, but these effects are often modest and may diminish over time. Future studies should explore longer duration randomized trials with standardized dosing and baseline vitamin D status stratification. Full article
(This article belongs to the Section Micronutrients and Human Health)
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27 pages, 2593 KiB  
Review
Mobile Health Interventions for Individuals with Type 2 Diabetes and Overweight or Obesity—A Systematic Review and Meta-Analysis
by Carlos Gomez-Garcia, Carol A. Maher, Borja Sañudo and Jose Manuel Jurado-Castro
J. Funct. Morphol. Kinesiol. 2025, 10(3), 292; https://doi.org/10.3390/jfmk10030292 - 29 Jul 2025
Viewed by 392
Abstract
Background: Type 2 diabetes (T2D) and overweight or obesity are strongly associated, with a high prevalence of these concomitant conditions contributing significantly to global healthcare costs. Given this burden, there is an urgent need for effective interventions. Mobile health (mHealth) technologies represent [...] Read more.
Background: Type 2 diabetes (T2D) and overweight or obesity are strongly associated, with a high prevalence of these concomitant conditions contributing significantly to global healthcare costs. Given this burden, there is an urgent need for effective interventions. Mobile health (mHealth) technologies represent a promising strategy to address both conditions simultaneously. Objectives: This systematic review and meta-analysis aimed to evaluate the effectiveness of mHealth-based interventions for the management of adults with T2D and overweight/obesity. Specifically, it assessed the quantitative impact of these interventions on glycosylated hemoglobin (HbA1c), body weight, triglycerides, total cholesterol, low-density lipoprotein (LDL), and high-density lipoprotein (HDL) levels. Methods: A systematic search was conducted in PubMed, Web of Science, and Scopus databases from inception to 9 July 2025. The inclusion criteria focused on randomized controlled trials (RCTs) using mHealth interventions in adults with T2D and overweight/obesity, reporting HbA1c or weight as primary or secondary outcomes. The risk of bias was assessed using the Cochrane Risk of Bias tool 2. A total of 13 RCTs met the inclusion criteria. Results: Meta-analysis indicated significant improvements after 6–12 months of intervention in HbA1c (MD −0.23; 95% CI −0.36 to −0.10; p < 0.001; I2 = 72%), body weight (MD −2.47 kg; 95% CI −3.69 to −1.24; p < 0.001; I2 = 79%), total cholesterol (MD −0.23; 95% CI −0.39 to −0.07; p = 0.004; I2 = 0%), and LDL (MD −0.27; 95% CI −0.42 to −0.12; p < 0.001; I2 = 0%). Conclusions: mHealth interventions are effective and scalable for managing T2D and obesity, particularly when incorporating wearable technologies to improve adherence. Future research should focus on optimizing personalization, engagement strategies, and long-term implementation. Full article
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14 pages, 1906 KiB  
Article
Integrating CT-Based Lung Fibrosis and MRI-Derived Right Ventricular Function for the Detection of Pulmonary Hypertension in Interstitial Lung Disease
by Kenichi Ito, Shingo Kato, Naofumi Yasuda, Shungo Sawamura, Kazuki Fukui, Tae Iwasawa, Takashi Ogura and Daisuke Utsunomiya
J. Clin. Med. 2025, 14(15), 5329; https://doi.org/10.3390/jcm14155329 - 28 Jul 2025
Viewed by 360
Abstract
Background/Objectives: Interstitial lung disease (ILD) is frequently complicated by pulmonary hypertension (PH), which is associated with reduced exercise capacity and poor prognosis. Early and accurate non-invasive detection of PH remains a clinical challenge. This study evaluated whether combining quantitative CT analysis of [...] Read more.
Background/Objectives: Interstitial lung disease (ILD) is frequently complicated by pulmonary hypertension (PH), which is associated with reduced exercise capacity and poor prognosis. Early and accurate non-invasive detection of PH remains a clinical challenge. This study evaluated whether combining quantitative CT analysis of lung fibrosis with cardiac MRI-derived measures of right ventricular (RV) function improves the diagnostic accuracy of PH in patients with ILD. Methods: We retrospectively analyzed 72 ILD patients who underwent chest CT, cardiac MRI, and right heart catheterization (RHC). Lung fibrosis was quantified using a Gaussian Histogram Normalized Correlation (GHNC) software that computed the proportions of diseased lung, ground-glass opacity (GGO), honeycombing, reticulation, consolidation, and emphysema. MRI was used to assess RV end-systolic volume (RVESV), ejection fraction, and RV longitudinal strain. PH was defined as a mean pulmonary arterial pressure (mPAP) ≥ 20 mmHg and pulmonary vascular resistance ≥ 3 Wood units on RHC. Results: Compared to patients without PH, those with PH (n = 21) showed significantly reduced RV strain (−13.4 ± 5.1% vs. −16.4 ± 5.2%, p = 0.026) and elevated RVESV (74.2 ± 18.3 mL vs. 59.5 ± 14.2 mL, p = 0.003). CT-derived indices also differed significantly: diseased lung area (56.4 ± 17.2% vs. 38.4 ± 12.5%, p < 0.001), GGO (11.8 ± 3.6% vs. 8.65 ± 4.3%, p = 0.005), and honeycombing (17.7 ± 4.9% vs. 12.8 ± 6.4%, p = 0.0027) were all more prominent in the PH group. In receiver operating characteristic curve analysis, diseased lung area demonstrated an area under the curve of 0.778 for detecting PH. This increased to 0.847 with the addition of RVESV, and further to 0.854 when RV strain was included. Combined models showed significant improvement in risk reclassification: net reclassification improvement was 0.700 (p = 0.002) with RVESV and 0.684 (p = 0.004) with RV strain; corresponding IDI values were 0.0887 (p = 0.03) and 0.1222 (p = 0.01), respectively. Conclusions: Combining CT-based fibrosis quantification with cardiac MRI-derived RV functional assessment enhances the non-invasive diagnosis of PH in ILD patients. This integrated imaging approach significantly improves diagnostic precision and may facilitate earlier, more targeted interventions in the management of ILD-associated PH. Full article
(This article belongs to the Section Nuclear Medicine & Radiology)
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40 pages, 6652 KiB  
Systematic Review
How Architectural Heritage Is Moving to Smart: A Systematic Review of HBIM
by Huachun Cui and Jiawei Wu
Buildings 2025, 15(15), 2664; https://doi.org/10.3390/buildings15152664 - 28 Jul 2025
Viewed by 359
Abstract
Heritage Building Information Modeling (HBIM) has emerged as a key tool in advancing heritage conservation and sustainable management. Preceding reviews had typically concentrated on specific technical aspects but did not provide sufficient bibliometric analysis. This study aims to integrate existing HBIM research to [...] Read more.
Heritage Building Information Modeling (HBIM) has emerged as a key tool in advancing heritage conservation and sustainable management. Preceding reviews had typically concentrated on specific technical aspects but did not provide sufficient bibliometric analysis. This study aims to integrate existing HBIM research to identify key research patterns, emerging trends, and forecast future directions. A total of 1516 documents were initially retrieved from the Web of Science Core Collection using targeted search terms. Following a relevance screening, 1175 documents were related to the topic. CiteSpace 6.4.R1, VOSviewer 1.6.20, and Bibliometrix 4.1, three bibliometric tools, were employed to conduct both quantitative and qualitative assessments. The results show three historical phases of HBIM, identify core journals, influential authors, and leading regions, and extract six major keyword clusters: risk assessment, data acquisition, semantic annotation, digital twins, and energy and equipment management. Nine co-citation clusters further outline the foundational literature in the field. The results highlight growing scholarly interest in workflow integration and digital twin applications. Future projections emphasize the transformative potential of artificial intelligence in HBIM, while also recognizing critical implementation barriers, particularly in developing countries and resource-constrained contexts. This study provides a comprehensive and systematic framework for HBIM research, offering valuable insights for scholars, practitioners, and policymakers involved in heritage preservation and digital management. Full article
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