Search Results (136)

The objective of this study was to analyze social perception, trust, and vaccine hesitancy through a combined approach of bibliometric analysis and qualitative synthesis, based on the most cited articles in the recent scientific literature. A systematic search was conducted in indexed databases, identifying patterns of production, collaboration, citation, thematic networks, and conceptual trends associated with the study of public trust in vaccines. The results reveal a marked geographic concentration of scientific production, dominated by the United States and the United Kingdom, as well as a strong articulation of thematic clusters linked to digital disinformation, health communication, risk perception, and psychosocial determinants of vaccine acceptance. The qualitative synthesis of the most influential studies reveals that vaccine hesitancy is a multidimensional phenomenon, determined by sociocultural, cognitive, emotional, and structural factors that interact dynamically according to each context. Disinformation, institutional trust, community narratives, and the credibility of sources emerge as central components in individual decision-making. Together, the integrated results enable a deeper understanding of vaccine hesitancy beyond traditional cognitive models, highlighting the need for contextualized communication strategies, intercultural approaches, and health policies based on trust and social participation. This study provides an integral view of the scientific landscape and establishes priority lines for future research and the design of effective public health interventions. Full article

This study investigated the effects of chronic MC-LR exposure (0 μg/L [Control], 1 μg/L [M1], 3 μg/L [M3], 10 μg/L [M10], and 30 μg/L [M30]) on the muscle nutrient composition, meat quality, and muscle proteomic profile of Nile tilapia (Oreochromis niloticus). In the high-dose group (M30), MC-LR exposure compromised the muscle antioxidant status of Nile tilapia, resulting in reduced meat quality, as evidenced by decreased pH value and water-holding capacity, elevated lipid/protein oxidation, and altered texture parameters (shear force and fragmentation index). Proteomic analysis further revealed a downregulation of proteins associated with ribosomes, suggesting an impairment of muscle protein synthesis in the M30 group. Moreover, despite chronic exposure, only low levels of MC-LR accumulated in the muscle tissue, indicating a negligible health risk to consumers. Collectively, these findings offered valuable insights into the impact of environmental MC-LR contamination on fish muscle quality and nutritional value. Full article

Infestations of Dendrolimus punctatus Walker (D. punctatus) pose significant threats to forest ecosystem health, necessitating accurate and efficient monitoring for sustainable forest management. A monthly monitoring framework integrating spectral bands, vegetation indices, time-series features, meteorological variables, and topographic characteristics was developed. First, cloud-free Sentinel-2 composites were generated via median synthesis, and training samples were selected by integrating GF-1/2 data. Subsequently, a Weighted Composite Index (WCI) was constructed through logistic regression to quantitatively classify infestation severity levels. Meanwhile, time-series features extracted from vegetation indices were incorporated to characterize temporal damage dynamics. Finally, Random Forest (RF) models were then trained for monthly monitoring, achieving overall accuracies exceeding 86.9% with Kappa coefficients ranging from 0.825 to 0.858. The Inverted Red Edge Chlorophyll Index (IRECI), Enhanced Vegetation Index (EVI), and Normalized Difference Vegetation Index (NDVI) exhibited the highest sensitivity to D. punctatus damage and thus received the greatest weights in the WCI. Time-series features ranked second in importance after vegetation indices, substantially enhancing model performance. Monitoring results from 2019 to 2024 revealed that D. punctatus infestation in Qianshan City exhibited an occurrence pattern progressing from mild to severe and from scattered to aggregated distributions, with major outbreak periods in 2019, 2021, and 2023 reflecting characteristic cyclical dynamics. This study advances existing quantitative monitoring methodologies for D. punctatus and provides technical support and a scientific foundation for precision pest monitoring and forest health management. Full article

Type 2 diabetes mellitus (T2DM) is a global health burden characterized by hyperglycemia, oxidative stress, and systemic inflammation, which leads to complications that remain insufficiently managed by standard therapies. Photobiomodulation therapy (PBMT) has been proposed to be a complementary approach, but its effects in T2DM are unclear. We conducted a systematic review and meta-analysis of randomized controlled trials to evaluate the effects of PBMT on metabolic, inflammatory, and neurological outcomes in adults with T2DM. Five databases were searched until June 2025 (PROSPERO CRD420251083550) for relevant studies. Metabolic, inflammatory, and neurological outcomes were defined a priori as primary outcomes and were synthesized narratively due to substantial heterogeneity and incomplete reporting that precluded valid quantitative pooling. Although periodontal outcomes were not predefined as primary outcomes, they were reported in multiple trials; thus, these were analyzed quantitatively as secondary outcomes where sufficient homogeneity enabled meta-analysis. The narrative synthesis of primary outcomes showed inconsistent and largely short-term effects on glycemic control, systemic inflammation, and neurological function. In contrast, meta-analysis of secondary periodontal outcomes demonstrated modest but statistically significant improvements in clinical attachment level (−0.21 mm) and probing depth (−0.25 mm), with no effect on plaque index. Overall, the certainty of the evidence was low. PBMT may offer statistically significant but small adjunctive periodontal effects in adults with T2DM. However, the certainty of evidence is low, and these effects are unlikely to be clinically meaningful in isolation. Evidence for systemic metabolic, inflammatory, and neurological outcomes is preliminary and requires confirmation in larger, standardized RCTs. Full article

Background/Objectives: High-density lipoprotein cholesterol (HDL-C) regulates muscle energy metabolism and function, enhancing glucose uptake and promoting glycogen synthesis. However, studies on the association between HDL-C levels and sarcopenia remain controversial. We therefore investigated the association between HDL-C levels and sarcopenia in elderly Koreans. Methods: This cross-sectional study was based on previously collected, anonymous health checkup data. Participants included 3776 individuals aged 65 years and older who underwent body composition analysis using a bioelectrical impedance meter during a health checkup in 2024. Sarcopenia was defined as an appendicular skeletal muscle index of <7.0 kg/m² for males and <5.7 kg/m² for females. Logistic regression analyses were performed for each variable, including HDL-C levels, to identify sarcopenia association expressed as odds ratios (ORs). Participants were further divided into four quartiles according to HDL-C levels, and comparative multivariable analyses were performed, with the quartile with the lowest HDL-C level serving as the reference. Results: Of the 3776 Koreans with a mean age of 70.5 years, sarcopenia was diagnosed in 23.1% (n = 872) of participants. Sarcopenia prevalence showed a steadily increasing trend from the lowest quartile group (Q1, n = 977) with HDL-C levels ≤48 mg/dL to the highest quartile group (Q4, n = 974) at ≥67 mg/dL (p < 0.001). After adjusting for sarcopenia-associated risk factors, a significant association was found between the condition and HDL-C levels (OR 1.01, 95% CI 1.00–1.02; p = 0.008). Q4 showed a consistent sarcopenia association compared with Q1, even after adjusting for all variables (OR 1.36, 95% CI 1.05–1.75; p = 0.018). Conclusions: In Koreans aged 65 years and older, we found an association between high HDL-C levels and sarcopenia. Full article

Thanks to both endogenous and exogenous antioxidants (AOs), the antioxidant defense system ensures redox homeostasis, which is crucial for protecting the body from oxidative stress and maintaining overall health. The food industry also exploits the antioxidant properties to prevent or delay the oxidation of other molecules during processing and storage. There are many classical methods for assessing antioxidant capacity/activity, which are based on mechanisms such as hydrogen atom transfer (HAT), single electron transfer (SET), electron transfer with proton conjugation (HAT/SET mixed mode assays) or the chelation of selected transition metal ions (e.g., Fe²⁺ or Cu¹⁺). The antioxidant capacity (AOxC) index value can be expressed in terms of standard AOs (e.g., Trolox or ascorbic acid) equivalents, enabling different products to be compared. However, there is currently no standardized method for measuring AOxC. Nanoparticle sensors offer a new approach to assessing antioxidant status and can be used to analyze environmental samples, plant extracts, foodstuffs, dietary supplements and clinical samples. This review summarizes the available information on nanoparticle sensors as tools for assessing antioxidant status. Particular attention has been paid to nanoparticles (with a size of less than 100 nm), including silver (AgNPs), gold (AuNPs), cerium oxide (CeONPs) and other metal oxide nanoparticles, as well as nanozymes. Nanozymes belong to an advanced class of nanomaterials that mimic natural enzymes due to their catalytic properties and constitute a novel signal transduction strategy in colorimetric and absorption sensors based on the localized surface plasmon resonance (LSPR) band. Other potential AOxC sensors include quantum dots (QDs, <10 nm), which are particularly useful for the sensitive detection of specific antioxidants (e.g., GSH, AA and baicalein) and can achieve very good limits of detection (LOD). QDs and metallic nanoparticles (MNPs) operate on different principles to evaluate AOxC. MNPs rely on optical changes resulting from LSPR, which are monitored as changes in color or absorbance during synthesis, growth or aggregation. QDs, on the other hand, primarily utilize changes in fluorescence. This review aims to demonstrate that, thanks to its simplicity, speed, small sample volumes and relatively inexpensive instrumentation, nanoparticle-based AOxC assessment is a useful alternative to classical approaches and can be tailored to the desired aim and analytes. Full article

Brassica vegetables are in high demand because they are an essential nutrient source for humans. Glucosinolates (GSLs), a major bioactive compound found in Brassicaceae, are amino acid derivatives that contribute to the health benefits of these crops. Light quality plays a significant role in plant growth and metabolite synthesis, and light-emitting diodes (LEDs) as artificial light sources offer many benefits. This study examined three cultivars of leafy cabbage B. oleracea. var. acephala (Kale), B. oleracea var. viridis (collard), and B. oleracea var. capitata (cabbage) grown under different LED conditions (red, blue, and blue–red) in the growing chamber. The primary objective of this study was to identify the most effective LED light spectrum for promoting GSLs accumulation and enhancing the overall plant quality. The findings of this study demonstrate that LED lights can have varying impacts on the cultivars of leafy cabbage. The different light spectra had varying impacts on the parameters examined in this study. GSLs compounds, particularly glucobrassicin, showed the most significant increase under the blue light treatment, with a 61% increase compared to the control. The R&B (red and blue) light treatment was the most effective in improving the growth traits of the shoot and root in the Kale cultivar. For the collard cultivar, the R&B light increased the leaf length and width, whereas for the cabbage cultivar, it led to an increase in the number of leaves and chlorophyll index. These findings demonstrate that the specific light quality can have different effects on the phytochemical composition and morphological characteristics of the different leafy cabbage cultivars. The blue light spectrum was particularly effective in enhancing GSLs accumulation, while the combination of red and blue light provided the most beneficial effects on overall plant growth and development across the three cultivars studied. These results suggest that the metabolism and phytochemical properties of leafy cabbage cultivars depend on exposure to multiple factors, such as cultivar type and light quality. Therefore, R&B light was the most effective light for most traits and can be suggested for performance. Full article

Purpose: Remote work continues to transform both organizational structures and individual work experiences, introducing new dynamics that can simultaneously enhance or undermine employees’ mental health and overall well-being. These evolving conditions influence levels of stress, resilience and burnout within increasingly digital and flexible work environments. The present study aimed to provide a comprehensive understanding of how remote work affects occupational stress, mental health, burnout and employee well-being through a bibliometric analysis of Scopus-indexed literature complemented by a narrative synthesis of emerging research themes. Methods: A total of 185 peer-reviewed documents were retrieved from the Scopus database and analyzed using the VOSviewer software, version 1.6.20 (0) (Leiden University, Leiden, The Netherlands). The study employed performance analysis techniques to assess annual publication trends, identify the most influential authors and sources and evaluate citation impact. Furthermore, science mapping methods, including co-authorship, bibliographic coupling, co-citation, and co-occurrence analyses, were used to visualize the intellectual structure and thematic evolution of the field. Results: The co-occurrence analysis identified three major thematic clusters. We first explored how the abrupt shift to teleworking redefined employee well-being, the second examined the psychological consequences of evolving work environments on mental health and occupational stress and the third investigated the prevalence, determinants and contextual factors of occupational burnout across professional domains. Conclusions: The findings demonstrated complex interrelations among remote work, occupational stress, mental health, and burnout, highlighting that the accelerated adoption of remote work—especially during and after the COVID-19 pandemic—has substantially reshaped employees’ psychological health and work experiences. Thus, remote work emerges as a double-edged phenomenon that can either foster resilience and well-being or heighten stress and burnout, depending on the availability of supportive organizational structures, psychosocial resources, and adaptive coping mechanisms. Full article

The COVID-19 pandemic and its associated economic stressors have profoundly reshaped consumer eating behaviors, presenting an urgent and underexplored challenge for the academic community. This interdisciplinary review critically examines how these disruptions have influenced both food approach and food avoidance patterns, offering a structured analysis of eight key behavioral parameters: Hunger (H), Food Responsiveness (FR), Emotional Overeating (EOE), Enjoyment of Food (EF), Satiety Responsiveness (SR), Emotional Under Eating (EUE), Food Fussiness (FF), and Slowness in Eating (SE). Drawing on recent literature, we highlight significant shifts in these traits—such as heightened hedonic hunger, age-related changes in food preferences, and gender-specific emotional-satiety dynamics—underscoring the complex interplay between emotional states, physiological cues, and behavioral tendencies. Grounded in the systematic examination of peer-reviewed studies in the post-COVID period, this review offers a robust and comprehensive synthesis of current evidence. The novelty of this work lies in its integration of findings into targeted proposition statements for each parameter, visually supported by original flow charts. These culminate in the development of a “Consumers’ Eating Behavior Index”—a conceptual tool designed to guide researchers, healthcare professionals, and policymakers in understanding and responding to post-pandemic dietary transformations. By emphasizing the emotional and psychological dimensions of eating, this index offers a timely framework for designing tailored public health interventions that promote sustainable nutritional habits. This study calls for renewed academic attention to the behavioral consequences of global crises, positioning eating behavior research as a critical frontier in post-COVID recovery and resilience. Full article

Background: The radial artery (RA) is one of the terminal branches of the brachial artery, extending along the lateral forearm, crossing the anatomical snuffbox, and contributing to the palmar arches. Anatomical variations in the RA are of great clinical relevance due to their implications in procedures such as transradial catheterization, arterial cannulation, and bypass grafting. These variants may alter the course, branching pattern, or origin of the vessel, potentially increasing procedural complexity and the risk of iatrogenic injury. In critically ill patients and in surgical or interventional settings, accurate identification of RA anatomy is essential. The objective of this study was to systematically identify and describe RA variants reported in the scientific literature and to analyze their clinical relevance. Methods: A systematic search was conducted across six electronic databases: Medline, Scopus, Web of Science, Google Scholar, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Latin American and Caribbean Literature in Health Sciences (LILACS), covering publications up to July 2025. Eligible studies included anatomical, radiological, and surgical investigations reporting RA variants. Study quality was evaluated using the Assessment of Quality in Anatomical Studies (AQUA) tool. Quantitative synthesis was performed using a random-effects model to estimate the pooled prevalence of RA variants and subgroup differences. Twenty-three studies met the inclusion criteria, and eleven were included in the meta-analysis, encompassing a total of 6320 participants. Results: Radial artery variants were categorized into three main types: variations in origin, course, and branching pattern. The pooled global prevalence of RA variants was 12% (95% CI: 6–18%), with substantial heterogeneity (I² = 97.7%). Higher prevalence was found in imaging-based studies (14%) compared with donor-based studies (12%). Sex-based subgroup analysis revealed a higher prevalence in females (18%; CI: 9–28%) compared with males (3%; CI: 3–4%), with moderate heterogeneity (I² = 61.3%). Regionally, European populations demonstrated a higher prevalence (20%) than Asian populations (11%), both showing high heterogeneity (I² > 98%). Notably, only one study from the Americas and none from Africa or Oceania were identified, representing a major geographical limitation in the available data. The findings of this study highlight the considerable variability in RA anatomy across populations. Such variations hold significant clinical importance, particularly in the context of transradial interventions, arterial cannulation, and reconstructive procedures where vascular integrity is critical. The high degree of heterogeneity observed may reflect differences in population genetics, sample size, and imaging or dissection methodologies. The limited representation of certain regions underscores the need for further anatomical and radiological studies to obtain a more comprehensive understanding of global RA variability. Preoperative or pre-procedural imaging using Doppler ultrasonography or computed tomography angiography is recommended to identify anomalous patterns and minimize iatrogenic complications. Conclusions: Radial artery variants are frequent and diverse. Their recognition is fundamental for the safety and success of invasive and surgical procedures in the upper limb. A standardized approach to vascular evaluation, particularly through preoperative imaging, is essential to improve procedural outcomes and reduce the risk of arterial injury in clinical practice. Full article

Racialised minority populations were disproportionately affected by COVID-19 and saw the highest rate of COVID-19 infections and mortality. Low socioeconomic status, working as frontline workers, temporary employment, precarious immigration status and pre-existing medical conditions were factors that contributed to disadvantaged experiences. This systematic review looked at the impact of COVID-19 on racialised minority populations globally, recognising their experiences, perspectives and the effects on their physical and mental health. Eight electronic databases were searched (MEDLINE, PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Social Sciences Citation Index (SSCI), Social Policy and Practice (SPP), Applied Social Sciences Index and Abstracts (ASSIA), MedRxiv and Research Square) for English language qualitative studies. Reference lists of relevant literature reviews and reference lists of articles were hand-searched for additional potentially relevant articles. Duplicates were removed, and articles were screened for titles and abstracts, followed by full-text screening. The Mixed Methods Appraisal Tool (MMAT) was used to assess the quality of the included studies (n = 70). Data were synthesised using thematic synthesis. Seven major and three minor themes were identified. The major themes related to (i) children and young people’s experiences of COVID-19; (ii) exacerbated pre-existing disparities relating to income, employment and housing security, health insurance and immigration status; (iii) lack of knowledge and information about COVID-19 and COVID-19 misinformation; (iv) racial history of medicine and treatment of racialised populations; (v) contemporary experiences of racism; (vi) impact on physical and mental health and wellbeing; (vii) concerns about safety at work. Minor themes related to (a) experiences of intercommunity mutual aid; (b) adherence to preventative guidance/COVID-19 restrictions; (c) the role of faith. Research needs to focus on developing and testing interventions that support transformation of social, cultural and economic systems towards equity of access to healthcare and healthcare knowledge. Research should be cognisant of interventions that have worked in shifting the equity dial in the past, implement these and use them to inform new approaches. Policy and practice should be mechanisms for enabling the implementation of interventions. Full article

Background/Objectives: Oman Vision 2040, the national blueprint for socio-economic transformation, aims to elevate the Sultanate to developed nation status, with the “Health” priority committed to building a “Leading Healthcare System with International Standards” via a Health in All Policies (HiAP) approach. This paper critically reviews Oman’s strategic health directions and implementation frameworks under Vision 2040, assessing their alignment with global Sustainable Development Goals (SDGs) and serving as a case model for health system transformation. Methods: This study employs a critical narrative synthesis based on a comprehensive literature search that included academic, official government reports, and international organization sources. The analysis is guided by the World Health Organization’s (WHO) Health Systems Framework, providing a structured interpretation of progress across its six building blocks. Results: Key interventions implemented include integrated governance (e.g., Committee for Managing and Regulating Healthcare), diversified health financing (e.g., public private partnership (PPPs), Health Endowment Foundation), and strategic digital transformation (e.g., Al-Shifa system, AI diagnostics). Performance metrics show progress, with a rise in the Legatum Prosperity Index ranking and an increase in the Community Satisfaction Rate. However, critical challenges persist, including resistance to change during governance restructuring, cybersecurity risks from digital adoption, and system fragmentation that complicates a unified Non-Communicable Disease (NCD) response. Conclusions: Oman’s integrated approach, emphasizing decentralization, quality improvement, and investment in preventive health and human capital, positions it for sustained progress. The transformation offers generalizable insights. Successfully realizing Vision 2040 demands rigorous, evidence-informed policymaking to effectively address equity implications and optimize resource allocation. Full article

Active transport (AT) offers an effective and sustainable strategy to address physical inactivity, reduce traffic congestion, and mitigate environmental challenges. However, participation in AT among young adults (YA) aged 18–25 remains low, leading to public health issues. This review synthesises evidence on how traffic stress (TS), built environment (BE) features, and socioecological factors interact to shape AT behaviour among YA, a relationship that remains insufficiently understood. We systematically reviewed 173 peer-reviewed studies (2015–2025) from Web of Science (WoS), PubMed, and Scopus, following the PRISMA 2020 guidelines. Thematic analysis, bibliometric mapping, and meta-synthesis informed the impact of TS, the Level of Traffic Stress (LTS), the 5Ds of BE, and the Socioecological Model (SEM) on AT among YA. The findings show that high TS, characterised by unsafe road conditions, high-speed motor traffic, and inadequate walking or cycling facilities, consistently reduces AT participation. In contrast, supportive BE features, including street connectivity, land-use diversity, and destination accessibility, increase AT by reducing TS while enhancing safety and comfort. Socioecological factors, including self-efficacy, social norms, and peer support, further mediate these effects. This review introduces two novel metrics: Daily Traffic Stress (DTS), a time-sensitive measure of cumulative daily TS exposure, and the Stress-to-Step Ratio (SSR), a step-based index that standardises how stress exposures translate into AT behaviour. By integrating environmental and psychosocial domains, it offers a theoretical contribution as well as a practical foundation for targeted, multilevel policies to increase AT among YA and foster healthier, more equitable urban mobility. Full article

Dental plaque, if not regularly removed through proper oral hygiene, can lead to tooth decay, gingivitis, and more severe periodontal disease. Effective plaque removal is essential in preventing gingivitis, the precursor to periodontitis. Propolis, a bee product known for its antibacterial, anti-inflammatory, and antioxidant properties, has shown potential in dental applications. This systematic review and meta-analysis was conducted to evaluate the efficacy of propolis-containing mouthwashes and toothpastes in reducing dental plaque and gingival inflammation. Materials and Methods: The study protocol was registered in PROSPERO (CRD42023467573), and the review was conducted in accordance with PRISMA guidelines. A comprehensive search of PubMed, PubMed Central, Embase, Scopus, and Web of Science was performed up to 10 May 2025 to identify randomized controlled trials and observational studies assessing propolis-based mouthwashes or toothpastes. Data synthesis used random-effects meta-analysis due to anticipated heterogeneity among studies. Results: Seven randomized controlled trials were included in the meta-analysis, evaluating the efficacy of propolis alcohol-free mouthwash on plaque index (PI) and gingival index (GI). For PI, the pooled standardized mean difference (SMD) was 1.74 (95% CI: 0.19–3.29; p = 0.036), with low between-study heterogeneity (I² = 13.7%). For GI, the pooled SMD was 2.19 (95% CI: 1.10–3.29; p = 0.005), with no observed heterogeneity (I² = 0.0%). Propolis mouthwashes demonstrated large effect sizes, significantly reducing plaque accumulation and gingival inflammation compared to baseline. Conclusions: The evidence supports the potential of propolis-containing mouthwashes and toothpastes in managing dental plaque and gingival health. Propolis-based oral care products could be a valuable addition to preventive strategies in dental hygiene, offering an alternative for reducing dental plaque and gingival inflammation. Full article

The increasing prevalence of nanoplastics (NPs) in food and their potential implications for human health have become a growing concern in scientific and public health discourse. Using the Scopus database, this bibliometric analysis provides a comprehensive overview of global research trends on NPs in food from 2015 to 2024. Results show a significant increase in publications and citations post-2019. China is the top-ranked country in terms of the number of publications, citations, collaborations, affiliations, and funding sponsors. The most impactful documents were review articles, indicating that this research field is currently in a synthesis stage. The most productive source was Science of the Total Environment, with 21 articles, while 9 of the top 10 most productive journals were published by Elsevier, highlighting the field’s concentration in high-impact outlets. The most prolific authors were Wang, J., and Li, Y; Li, Y. was also the author with the most citation influence, with a h-index of 9. Keyword co-occurrence analysis showed seven thematic clusters formed from 50 individual keywords; the dominant terms were microplastics, NPs, and human health. These findings illustrate an evolving and interdisciplinary research field centered on evaluating the risks and detection of NPs in food and their implications for public health. Full article