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Search Results (167)

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Keywords = risk reduction behaviour

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26 pages, 4789 KiB  
Article
Analytical Modelling of Arc Flash Consequences in High-Power Systems with Energy Storage for Electric Vehicle Charging
by Juan R. Cabello, David Bullejos and Alvaro Rodríguez-Prieto
World Electr. Veh. J. 2025, 16(8), 425; https://doi.org/10.3390/wevj16080425 - 29 Jul 2025
Viewed by 137
Abstract
The improvement of environmental conditions has become a priority for governments and legislators. New electrified mobility systems are increasingly present in our environment, as they enable the reduction of polluting emissions. Electric vehicles (EVs) are one of the fastest-growing alternatives to date, with [...] Read more.
The improvement of environmental conditions has become a priority for governments and legislators. New electrified mobility systems are increasingly present in our environment, as they enable the reduction of polluting emissions. Electric vehicles (EVs) are one of the fastest-growing alternatives to date, with exponential growth expected over the next few years. In this article, the various charging modes for EVs are explored, and the risks associated with charging technologies are analysed, particularly for charging systems in high-power DC with Lithium battery energy storage, given their long market deployment and characteristic behaviour. In particular, the Arc Flash (AF) risk present in high-power DC chargers will be studied, involving numerous simulations of the charging process. Subsequently, the Incident Energy (IE) analysis is carried out at different specific points of a commercial high-power ‘Mode 4’ charger. For this purpose, different analysis methods of recognised prestige, such as Doan, Paukert, or Stokes and Oppenlander, are applied, using the latest version of the ETAP® simulation tool version 22.5.0. This study focuses on quantifying the potential severity (consequences) of an AF event, assuming its occurrence, rather than performing a probabilistic risk assessment according to standard methodologies. The primary objective of this research is to comprehensively quantify the potential consequences for workers involved in the operation, maintenance, repair, and execution of tasks related to EV charging systems. This analysis makes it possible to provide safe working conditions and to choose the appropriate and necessary personal protective equipment (PPE) for each type of operation. It is essential to develop this novel process to quantify the consequences of AF and to protect the end users of EV charging systems. Full article
(This article belongs to the Special Issue Fast-Charging Station for Electric Vehicles: Challenges and Issues)
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15 pages, 1114 KiB  
Article
Listeria monocytogenes Under Acid and Antimicrobial Compounds Stress: Survival and Pathogenic Potential in Orange Juice
by Maria Belén Bainotti, Pilar Colás-Medà, Inmaculada Viñas and Isabel Alegre
Beverages 2025, 11(4), 96; https://doi.org/10.3390/beverages11040096 - 1 Jul 2025
Viewed by 404
Abstract
Listeria monocytogenes poses significant risks in acidic foods like unpasteurized fruit juices due to its capacity to survive under stressful conditions. This study evaluated L. monocytogenes survival in orange juice following acid adaptation and exposure to antimicrobial compounds. Acid adaptation was induced using [...] Read more.
Listeria monocytogenes poses significant risks in acidic foods like unpasteurized fruit juices due to its capacity to survive under stressful conditions. This study evaluated L. monocytogenes survival in orange juice following acid adaptation and exposure to antimicrobial compounds. Acid adaptation was induced using glucose-supplemented or citric acid-acidified media, followed by the evaluation of pathogen survival in orange juice stored at 4 °C, 15 °C, and 25 °C. While glucose adaptation reduced the medium pH to 4.5 and enabled bacterial growth (up to 7.5 total log CFU/mL), citric acid exposure caused around 1.4 log units of reduction. Contrary to expectations, the survival of acid-adapted cells was lower than that of non-acid-adapted cells, particularly in orange juice stored at 25 °C (around 4.8 vs. 1.4 log units of reduction after 6 days). The behaviour of non-acid-adapted cells was evaluated in response to different antimicrobial compounds (citral, coumaric acid, nisin, sinapic acid, and vanillin). Nisin was the most effective, achieving a reduction of about 3.5 log units with a dose of 2 mL/L. Nisin-treated cells also showed reduced survival during simulated gastrointestinal assays (around 1.5 log units of reduction). These results challenge the assumption that acid adaptation universally enhances survival in acidic matrices and highlight nisin’s dual role in microbial control and pathogenicity mitigation. This work underscores the need for tailored stress adaptation studies and natural antimicrobial applications to improve food safety in minimally processed fruit juices. Full article
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27 pages, 1470 KiB  
Review
Beyond Speed Reduction: A Systematic Literature Review of Traffic-Calming Effects on Public Health, Travel Behaviour, and Urban Liveability
by Fotios Magkafas, Grigorios Fountas, Panagiotis Ch. Anastasopoulos and Socrates Basbas
Infrastructures 2025, 10(6), 147; https://doi.org/10.3390/infrastructures10060147 - 16 Jun 2025
Viewed by 852
Abstract
Traffic calming has emerged as a key urban strategy to reduce vehicle speeds and mitigate road traffic risks, with increasing recognition of its broader implications for public health, human behaviour, and urban liveability. This systematic literature review examines the multifaceted impacts of traffic-calming [...] Read more.
Traffic calming has emerged as a key urban strategy to reduce vehicle speeds and mitigate road traffic risks, with increasing recognition of its broader implications for public health, human behaviour, and urban liveability. This systematic literature review examines the multifaceted impacts of traffic-calming measures—from speed limit reductions to physical infrastructure and enforcement-based interventions—by synthesising findings from 28 peer-reviewed studies. Guided by the PRISMA framework, the review compiles research exploring links between traffic calming and outcomes related to public health, behaviour, and urban quality of life. Research consistently indicates that such interventions reduce both the frequency and severity of collisions, improve air and noise quality, and promote active mobility. These effects are shaped by user perceptions: non-motorised users tend to report higher levels of safety and accessibility, whereas motorised users often express frustration or resistance. Beyond safety and environmental improvements, traffic calming has been associated with greater use of public space, stronger social connections, and enhanced environmental aesthetics. The findings also show that key challenges may affect the effectiveness of traffic calming and these include negative attitudes among drivers, mixed outcomes for air quality, and unintended consequences such as traffic displacement or increased noise when interventions are poorly implemented. Overall, the findings suggest that traffic calming can serve as both a public health initiative and a tool for enhancing urban liveability, provided that the measures are designed with contextual sensitivity and supported by inclusive communication strategies. Full article
(This article belongs to the Special Issue Sustainable Road Design and Traffic Management)
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30 pages, 6120 KiB  
Review
Review of Experimental Testing and Fire Performance of Mass Timber Structures
by Sumita Maharjan, Tharaka Gunawardena and Priyan Mendis
J. Compos. Sci. 2025, 9(6), 290; https://doi.org/10.3390/jcs9060290 - 5 Jun 2025
Viewed by 679
Abstract
Mass timber construction is gaining popularity in mid-rise and tall buildings due to its sustainability, aesthetics, versatile prefabrication, light weight, and faster construction time compared to conventional building materials such as concrete and steel. One of the challenges with timber construction is a [...] Read more.
Mass timber construction is gaining popularity in mid-rise and tall buildings due to its sustainability, aesthetics, versatile prefabrication, light weight, and faster construction time compared to conventional building materials such as concrete and steel. One of the challenges with timber construction is a potential fire hazard, and the risk is even aggravated in taller buildings due to the increased evacuation period. Several researchers have identified and reported important parameters that will have direct influence over mass timber fire performance behaviour. However, the current findings from the literature do not provide a correlation between the key parameters and the fire performance behaviour. This paper presents a review of experimental fire testing of mass timber structures and analyses the fire performance results output obtained from the experimental testing. This paper attempts to identify several key parameters that influence the fire performance behaviour of mass timber structures, such as peak temperature, charring rate and decay behaviour. The correlation between the key parameters and the fire performance behaviour of mass timber structures will enhance in developing a rational model to determine the time to reach the fire growth, peak temperature, charring behaviour, structural integrity (strength and stiffness reduction) and decay behaviour of the exposed timber. Full article
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16 pages, 1585 KiB  
Article
Processing Factors and Risk Assessment of Pesticide Residues in Wine
by Sandra Cermeño, José Manuel Veiga-del-Baño, Miguel Ángel Cámara, Pedro Andreo-Martínez and José Oliva
Fermentation 2025, 11(6), 318; https://doi.org/10.3390/fermentation11060318 - 3 Jun 2025
Viewed by 624
Abstract
The presence of pesticide residues in wine raises concerns about consumer health and regulatory compliance. This study evaluates the behaviour of seven pesticides (boscalid, penconazole, tebufenozide, kresoxim-methyl, trifloxystrobin, chlorpyrifos and lambda-cyhalothrin) during key stages of vinification, including clarification, fermentation, and racking, using liquid [...] Read more.
The presence of pesticide residues in wine raises concerns about consumer health and regulatory compliance. This study evaluates the behaviour of seven pesticides (boscalid, penconazole, tebufenozide, kresoxim-methyl, trifloxystrobin, chlorpyrifos and lambda-cyhalothrin) during key stages of vinification, including clarification, fermentation, and racking, using liquid chromatography–tandem mass spectrometry. Penconazole, kresoxim-methyl and trifloxystrobin were not detected at the beginning of the vinification stage. Boscalid, chlorpyrifos and lambda-cyalothrin showed a reduction of 100% whit, a concentration below the limit of quantification at the end of the vinification stage. However, tebufenozide showed the lower elimination rate (88.1%), presenting a concentration at the end of the vinification process of 21.71 µg/kg. Experimental data confirm that pesticide concentrations progressively decline due to a combination of physicochemical transformations, adsorption onto solids, and biochemical processes. The clarification and racking stages are particularly important for reducing residues, primarily by removing suspended solids that adsorb pesticides. Fermentation also contributes to this reduction through microbial metabolism and enzymatic hydrolysis. The effectiveness of these stages depends on the pesticide’s solubility, chemical stability, and interactions with components in the wine matrix. Additionally, a risk assessment based on Acceptable Daily Intake and Estimated Daily Intake was performed to evaluate potential consumer exposure, showing lower risk for all pesticides studied. The findings emphasise the importance of optimising clarification and racking procedures, selecting effective fining agents, and refining filtration techniques to further enhance pesticide removal. Full article
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22 pages, 7344 KiB  
Article
Mortars with Mining Tailings Aggregates: Implications for Additive Manufacturing
by Martina Inmaculada Álvarez-Fernández, Diego-José Guerrero-Miguel, Celestino González-Nicieza, María Belén Prendes-Gero, Juan Carlos Peñas-Espinosa and Román Fernández-Rodríguez
Buildings 2025, 15(11), 1912; https://doi.org/10.3390/buildings15111912 - 1 Jun 2025
Viewed by 432
Abstract
There is no doubt that additive manufacturing (AM) with mortars presents an opportunity within the framework of a circular economy that should not be overlooked. The concepts of reduce, reuse, and recycle are fully aligned with this technology. One of the less explored [...] Read more.
There is no doubt that additive manufacturing (AM) with mortars presents an opportunity within the framework of a circular economy that should not be overlooked. The concepts of reduce, reuse, and recycle are fully aligned with this technology. One of the less explored possibilities is the utilisation of mining tailings as aggregates in printing mortars. This idea not only incorporates the concept of recycling but also contributes to a reduction in the production of potentially hazardous waste that would otherwise require storage in dams, thereby decreasing long-term environmental risks and improving the management of mineral resources. We employed a mortar composed of 12.5% material derived from mining tailings to highlight aspects of AM that are typically not subject to analysis, such as the necessity of considering contact interfaces between layers in structural design, the stackability of layers during the construction process, and the behaviour under fire and seismic events, which must be taken into account during the operational phase. Without aiming for exhaustiveness, we conducted a series of tests and computational modelling to show the significance of these factors, with the intention of drawing the attention of different stakeholders—including construction companies, regulatory authorities, standardisation agencies, insurers, and end-users. Full article
(This article belongs to the Special Issue Advances in the Implementation of Circular Economy in Buildings)
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18 pages, 3073 KiB  
Review
Enhancing Flood Risk Management: A Review on Numerical Modelling of Past Flood Events
by José González-Cao, Helena Barreiro-Fonta, Diego Fernández-Nóvoa and Orlando García-Feal
Hydrology 2025, 12(6), 133; https://doi.org/10.3390/hydrology12060133 - 29 May 2025
Viewed by 907
Abstract
Recent scientific literature has consistently highlighted a significant increase in both the frequency and intensity of flood events, primarily attributed to the effects of climate change. Projections suggest that this trend will likely intensify in the coming decades. In this context, enhancing our [...] Read more.
Recent scientific literature has consistently highlighted a significant increase in both the frequency and intensity of flood events, primarily attributed to the effects of climate change. Projections suggest that this trend will likely intensify in the coming decades. In this context, enhancing our understanding of flooding dynamics becomes not only necessary but urgent. A critical component of this advancement lies in the numerical analysis of historical flood events, which provides valuable insights into flood behaviour across extended temporal and spatial scales. This approach enables two key outcomes: a significant improvement in conventional methods for estimating return periods and a reduction in the uncertainties associated with historical flood events by simulating multiple plausible scenarios to identify the most likely one. This paper presents a comprehensive review of the scientific literature focused on the numerical simulation and reconstruction of past flood events. Two main conclusions emerge from this review: First, the temporal scope of the studies is notably wide, covering events ranging from glacial periods to those occurring in the mid-20th century. Second, there exists a pronounced spatial imbalance in the geographical distribution of these studies, with certain regions significantly underrepresented. This review provides a valuable resource for researchers and practitioners working in flood risk assessment and hydrological modelling. By consolidating existing knowledge, it supports the development and refinement of decision-support tools aimed at improving mitigation strategies to reduce the impact of flooding on both populations and infrastructure. Full article
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14 pages, 3042 KiB  
Article
Application of LiDAR Differentiation and a Modified Savage–Hutter Model to Analyze Co-Seismic Landslides: A Case Study of the 2024 Noto Earthquake, Japan
by Christopher Gomez and Danang Sri Hadmoko
Geosciences 2025, 15(5), 180; https://doi.org/10.3390/geosciences15050180 - 15 May 2025
Viewed by 682
Abstract
This study investigates co-seismic landslides triggered by the 1 January 2024 Mw 7.6 Noto Peninsula earthquake in Japan using LiDAR differentiation and a modified Savage–Hutter model. By analyzing pre- and post-earthquake high-resolution topographic data from 13 landslides in a geologically homogeneous area of [...] Read more.
This study investigates co-seismic landslides triggered by the 1 January 2024 Mw 7.6 Noto Peninsula earthquake in Japan using LiDAR differentiation and a modified Savage–Hutter model. By analyzing pre- and post-earthquake high-resolution topographic data from 13 landslides in a geologically homogeneous area of the peninsula, we characterized distinct landslide morphologies and dynamic behaviours. Our approach combined static morphological analysis from LiDAR data with simulations of granular flow mechanics to evaluate landslide mobility. Results revealed two distinct landslide types: those with clear erosion-deposition zonation and complex landslides with discontinuous topographic changes. Landslide dimensions followed power-law relationships (H = 7.51L0.50, R2 = 0.765), while simulations demonstrated that internal deformation capability (represented by the μ parameter) significantly influenced runout distances for landslides terminating on low-angle surfaces but had minimal impact on slope-confined movements. These findings highlight the importance of integrating both static topographic parameters and dynamic flow mechanics when assessing co-seismic landslide hazards, particularly for predicting potential runout distances on gentle slopes where human settlements are often located. Our methodology provides a framework for improved landslide susceptibility assessment and disaster risk reduction in seismically active regions. Full article
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20 pages, 762 KiB  
Article
Perinatal Mother-to-Child Chikungunya Virus Infection: Screening of Cognitive and Learning Difficulties in a Follow-Up Study of the Chimere Cohort on Reunion Island
by Raphaëlle Sarton, Magali Carbonnier, Stéphanie Robin, Duksha Ramful, Sylvain Sampériz, Pascale Gauthier, Marc Bintner, Brahim Boumahni and Patrick Gérardin
Viruses 2025, 17(5), 704; https://doi.org/10.3390/v17050704 - 14 May 2025
Viewed by 626
Abstract
In this cohort study, we evaluated the cognitive and learning difficulties of school-age children perinatally infected with Chikungunya virus (CHIKV) on Reunion Island using the Evaluation of Cognitive Functions and Learning in Children (EDA) battery screening test compared to the healthy children cohort [...] Read more.
In this cohort study, we evaluated the cognitive and learning difficulties of school-age children perinatally infected with Chikungunya virus (CHIKV) on Reunion Island using the Evaluation of Cognitive Functions and Learning in Children (EDA) battery screening test compared to the healthy children cohort used for EDA development. Of the 19 infected children, 11 (57.9%) exhibited subnormal or abnormal scores, of whom 3 were classified as high risk, and 8 were classified as at risk for cognitive and learning difficulties. Children who had encephalopathy were at higher risk for displaying at least one difficulty than non-encephalopathic children (relative risk 2.13; 95% CI 1.05–4.33). The difficulties observed affected verbal functions, non-verbal functions, and learning abilities, such as phonology, lexical evocation and comprehension, graphism, selective visual attention, planning, visual–spatial reasoning, dictation and mathematics, as well as core executive functions, such as inhibitory control, shifting, and working memory. Neurocognitive dysfunctions could be linked to severe brain damage, as evidenced by severe white matter reduction mainly in the frontal lobes and corpus callosum and potentially in all functional networks involved in difficulties. These results should motivate further investigation of intellectual and adaptive functioning to diagnose intellectual deficiency and severe maladaptive behaviour in children perinatally infected with Chikungunya virus. Full article
(This article belongs to the Special Issue Long-Term Developmental Outcomes of Congenital Virus Infections)
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19 pages, 651 KiB  
Article
Depressive Symptoms Among South African Construction Workers: Associations with Demographic, Social and Work-Related Factors, and Substance Use
by Rita Peihua Zhang, Paul Bowen and Peter Edwards
Int. J. Environ. Res. Public Health 2025, 22(5), 694; https://doi.org/10.3390/ijerph22050694 - 27 Apr 2025
Viewed by 475
Abstract
The construction industry exhibits higher rates of depression in its workforce compared to other industries. This study investigates the association between the prevalence of depressive symptoms and various demographic (e.g., age, ethnicity, education), social, and work-related factors (e.g., relationship status, living environment, work [...] Read more.
The construction industry exhibits higher rates of depression in its workforce compared to other industries. This study investigates the association between the prevalence of depressive symptoms and various demographic (e.g., age, ethnicity, education), social, and work-related factors (e.g., relationship status, living environment, work situation) and behavioural factors (e.g., alcohol and drug use). Survey data collected from 496 male construction workers working in the Western Cape were analysed using binomial logistic regression to determine the associations. The results showed that ‘Black African’ construction workers exhibited lower levels of depressive symptoms than ‘Other’ ethnic groups, and workers with at least secondary education had the highest levels of depressive symptoms compared to workers with other levels of education. Workers who were single or living with other adults without children had a significantly higher risk of depression compared to those in other forms of family relationships. Substance use was found to be associated with lower levels of depressive symptoms, suggesting that construction workers use alcohol and drugs as a coping strategy for short-term depressive symptom reduction. Construction organisations should develop strategies to protect the mental health of construction workers, particularly those who are prone to depression. Full article
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19 pages, 1003 KiB  
Review
Decreasing Preoperative Anxiety in Patients with Newly Available Multimodal Approaches—A Narrative Review
by Weronika Kisielewska, Michał Kościółek, Weronika Kowalczyk, Bernard Mitura, Lidia Mitura, Sylwester Rogula, Piotr Konrad Leszczyński, Katarzyna Antosik and Kryspin Mitura
J. Clin. Med. 2025, 14(9), 2940; https://doi.org/10.3390/jcm14092940 - 24 Apr 2025
Viewed by 2378
Abstract
Preoperative anxiety affects approximately 80% of adult patients; thus, identifying patients with excessive anxiety and implementing appropriate interventions can significantly reduce the risk of deterioration during the perioperative period. This narrative review presents current knowledge about pharmacological and nonpharmacological methods for reducing preoperative [...] Read more.
Preoperative anxiety affects approximately 80% of adult patients; thus, identifying patients with excessive anxiety and implementing appropriate interventions can significantly reduce the risk of deterioration during the perioperative period. This narrative review presents current knowledge about pharmacological and nonpharmacological methods for reducing preoperative anxiety. Commonly used pharmacological options include benzodiazepines, ketamine, or fentanyl. Antidepressants have also been shown to be effective in alleviating symptoms, but they typically require four weeks to take effect. Establishment of supportive relationships with medical staff to help patients express their feelings have been shown to have a positive impact on anxiety reduction. Other nonpharmacological methods include the provision of information through informed consent forms, video materials, virtual reality, or the use of psychotherapeutic interventions such as breathing techniques, music therapy, or cognitive–behavioural therapy. Some studies suggest that essential oils may have a role in reducing perioperative anxiety. Nonpharmacological interventions can be used in patients of different ages. An increasing number of researchers advocate for a holistic approach that integrates less invasive and cost-effective interventions with conventional medicine. While various interventions have been proposed to manage preoperative anxiety, more research is needed to establish the most effective and feasible interventions for different patient populations. Full article
(This article belongs to the Section General Surgery)
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9 pages, 602 KiB  
Article
COVID-19 Lockdowns and Hospitalisations for Oro-Facial Trauma Among Adults in Australia and the United Kingdom
by Parmis Aminian, Marc Tennant and Estie Kruger
Healthcare 2025, 13(7), 789; https://doi.org/10.3390/healthcare13070789 - 1 Apr 2025
Viewed by 391
Abstract
Objectives: Oro-facial trauma affects physical, psychological, and social well-being. This study assesses changes in oro-facial trauma hospitalisation rates among adults during the pre-lockdown period, ‘lockdown year’, and post-lockdown period in Australia and the United Kingdom (UK). The findings provide insights into healthcare delivery [...] Read more.
Objectives: Oro-facial trauma affects physical, psychological, and social well-being. This study assesses changes in oro-facial trauma hospitalisation rates among adults during the pre-lockdown period, ‘lockdown year’, and post-lockdown period in Australia and the United Kingdom (UK). The findings provide insights into healthcare delivery and resource allocation during public health emergencies to inform future preventive strategies. Methods: Hospitalisation data for adults (aged 20+) with oro-facial trauma, classified using ICD-10 codes, were collected. Age-standardised rates (ASRs) per 100,000 population were calculated for each period. Comparative analyses evaluated hospitalisation rates during the ‘lockdown year’ relative to three years before and after. The 11 oro-facial trauma ICD codes were grouped into major and minor trauma to evaluate differential impacts. Results: This study highlighted a statistically significant reduction in oro-facial trauma hospitalisation rates during the ‘lockdown year’ in both Australia (38.8%) and the UK (35.7%) compared to the pre-lockdown period. Although rates increased post-lockdown, they remained lower than pre-lockdown levels, with a 35.5% reduction in Australia and a 25.1% reduction in the UK. Additionally, while the ASR significantly increased for major trauma in the post-lockdown years compared to the lockdown year, the increase for minor trauma was not statistically significant in both countries. Conclusions: COVID-19 lockdowns led to a significant reduction in oro-facial trauma hospitalisations. Post-lockdown rates increased as activities resumed but did not return to pre-lockdown levels, suggesting lasting behavioural shifts. These findings highlight the role of external factors (e.g., mobility and social behaviour) in oro-facial trauma rates and can inform targeted preventive strategies for high-risk periods. Full article
(This article belongs to the Special Issue Oral Health Care and Services for Patients)
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39 pages, 480 KiB  
Article
Exploring the Role of Psychedelic Experiences on Wellbeing and Symptoms of Disordered Eating
by Nadine Loh and David Luke
Psychoactives 2025, 4(1), 7; https://doi.org/10.3390/psychoactives4010007 - 4 Mar 2025
Cited by 1 | Viewed by 3310
Abstract
Accumulating psychedelic research has demonstrated a potential for improving mental health and wellbeing, yet studies in the context of eating disorders (EDs) are limited. This study aims to explore the subjective effects of psychedelic experiences to gain insight into the benefits and risks [...] Read more.
Accumulating psychedelic research has demonstrated a potential for improving mental health and wellbeing, yet studies in the context of eating disorders (EDs) are limited. This study aims to explore the subjective effects of psychedelic experiences to gain insight into the benefits and risks for people with EDs. Semi-structured interviews were conducted with eight adults aged 25–54 (mean age = 36.9), reporting to have had experiences with EDs and psychedelics in both naturalistic and clinical settings. Participants had multiple diagnoses and suffered chronic EDs, (mean age of onset = 13), diagnosed (N = 7) and undiagnosed (N = 1). Reports of cessation or the reduction of ED symptoms were unanimous and long-lasting for seven, with two participants reporting recovery attributed to psychedelic use. Two participants reported relapsing, attributed to environmental factors in the months following. Thematic analysis resulted in two superordinate themes, each comprising three subordinate themes. The first superordinate theme, ‘Exploring’ via the ‘gateway to healing’, illustrates mental, emotional, and transcendental elements of psychedelic experiences. The second superordinate theme, ‘Transformation’ and being ‘able to do the work’, illustrates cognitive and behavioural outcomes, with retrospective safety perceptions. These findings may provide more in-depth information on what benefits and experiences people with EDs can obtain from the use of psychedelic drugs and may inform more robust investigations of psychedelic-assisted therapy for the treatment of EDs. Full article
(This article belongs to the Special Issue Natural Hallucinogens in Mental Health)
15 pages, 1294 KiB  
Review
Smoking Cessation Strategies After Acute Coronary Syndrome
by Anum Nazir, Smrthi Shetty Ujjar, Moncef Oualid Seddiki, Mala Jheinga and Lampson Fan
J. Clin. Med. 2025, 14(4), 1388; https://doi.org/10.3390/jcm14041388 - 19 Feb 2025
Cited by 1 | Viewed by 2673
Abstract
Smoking is one of the strongest modifiable risk factors for coronary artery disease. It is the cause of approximately 10–30% of deaths due to cardiovascular disease around the world. There is a 50% reduction in the risk of myocardial infarction by one year [...] Read more.
Smoking is one of the strongest modifiable risk factors for coronary artery disease. It is the cause of approximately 10–30% of deaths due to cardiovascular disease around the world. There is a 50% reduction in the risk of myocardial infarction by one year for people who successfully quit smoking. Considering the risk associated with smoking and the benefits of smoking cessation, it is important to identify and implement effective smoking cessation strategies. There are pharmacological as well as non-pharmacological interventions to assist in smoking cessation. Pharmacological therapies including nicotine replacement therapy; bupropion and varenicline have generally been studied more in patients with cardiovascular disease than the non-pharmacological interventions. Non-pharmacological strategies for smoking cessation include behavioural interventions such as counselling sessions and cognitive behavioural therapy. Studies and randomised controlled trials have demonstrated the safety of most of the pharmacological interventions. Nonetheless, the success rates are variable for the different pharmacological options. Data suggest that greater success can be achieved in smoking cessation with a combination of pharmacological and non-pharmacological treatment. However, more studies are needed to explore the best therapeutic options to improve the success of smoking cessation. Full article
(This article belongs to the Section Cardiology)
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8 pages, 236 KiB  
Perspective
A Hope for Hope: Refocusing Health Promotion on Hopefulness to Reduce Alcohol Consumption and Breast Cancer
by Paul R. Ward, Kristen Foley, Megan Warin, Catherine Palmer, Sarah MacLean and Belinda Lunnay
Int. J. Environ. Res. Public Health 2025, 22(2), 188; https://doi.org/10.3390/ijerph22020188 - 29 Jan 2025
Cited by 1 | Viewed by 1235
Abstract
Our perspective paper focuses on the sociology of hope and is a call to action for health promotion policy makers to create the conditions for hopefulness in alcohol reduction policy, advocacy and programs for/with midlife women. Alcohol is a major risk factor for [...] Read more.
Our perspective paper focuses on the sociology of hope and is a call to action for health promotion policy makers to create the conditions for hopefulness in alcohol reduction policy, advocacy and programs for/with midlife women. Alcohol is a major risk factor for breast cancer, and high proportions of midlife women in most high-income countries drink at “risky” levels, increasing the chances of breast cancer (due to both age and alcohol consumption). At present, alcohol reduction approaches convey mostly individualised risk messages and imply personal responsibility for behaviour change, stripped from contexts, and heavy drinking persists among groups. New approaches that address the social norms, identities and practices that operate to sustain heavy drinking are necessary considering alcohol harms. We argue that focusing on changing these factors to support hopeful futures may create hope for midlife women to reduce alcohol consumption. We synthesise contemporary theories on the sociology of hope and analyse how these might help to refocus health promotion policy on hopefulness in the context of alcohol reduction and breast cancer prevention. We will draw on Freire’s notions of a Pedagogy of Oppression and a Pedagogy of Hope to show how enabling people to recognise and respond to the “oppressive forces” shaping their alcohol consumption might lead to more hopeful futures with reduced alcohol consumption for priority populations. Our focus on building hope into health-promoting alcohol reduction approaches intends to shift policy focus from the individual as the “problem” towards hope being a “solution”. Full article
(This article belongs to the Special Issue Perspectives in Global Health)
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