Search Results (1,283)

Background/Objective: Sleep is a vital determinant of human health, where both its quantity and quality directly impact physical and mental well-being. Thermoregulation plays a pivotal role in sleep quality, as the body’s ability to regulate temperature varies across different sleep stages. This study examines the effects of a novel real-time temperature adjustment (RTA) mattress, which dynamically modulates temperature to align with sleep stage transitions, compared to constant temperature control (CTC). Through polysomnographic (PSG) assessments, this study evaluates how adaptive thermal regulation influences sleep architecture, aiming to identify its potential for optimizing restorative sleep. Methods: A prospective longitudinal cohort study involving 25 participants (13 males and 12 females; mean age: 39.7 years) evaluated sleep quality across three conditions: natural sleep (Control), CTC (33 °C constant mattress temperature), and RTA (temperature dynamically adjusted: 30 °C during REM sleep; 33 °C during non-REM sleep). Each participant completed three polysomnography (PSG) sessions. Sleep metrics, including total sleep time (TST), sleep efficiency, wake after sleep onset (WASO), and sleep stage percentages, were assessed. Repeated-measures ANOVA and post hoc analyses were performed. Results: RTA significantly improved sleep quality metrics compared to Control and CTC. TST increased from 356.2 min (Control) to 383.2 min (RTA, p = 0.030), with sleep efficiency rising from 82.8% to 87.3% (p = 0.030). WASO decreased from 58.2 min (Control) and 64.6 min (CTC) to 49.0 min (RTA, p = 0.067). REM latency was notably reduced under RTA (110.4 min) compared to Control (141.8 min, p = 0.002). The REM sleep percentage increased under RTA (20.8%, p = 0.006), with significant subgroup-specific enhancements in males (p = 0.010). Females showed significant increases in deep sleep percentage under RTA (12.3%, p = 0.011). Conclusions: Adaptive thermal regulation enhances sleep quality by aligning mattress temperature with physiological needs during different sleep stages. These findings highlight the potential of RTA as a non-invasive intervention to optimize restorative sleep and promote overall well-being. Further research could explore long-term health benefits and broader applications. Full article

This paper introduces the Gesture-Based Physical Stability Classification and Rehabilitation System (GPSCRS), a low-cost, non-invasive solution for evaluating physical stability using an Arduino microcontroller and the DFRobot Gesture and Touch sensor. The system quantifies movement smoothness, consistency, and speed by analyzing “up” and “down” hand gestures over a fixed period, generating a Physical Stability Index (PSI) as a single metric to represent an individual’s stability. The system focuses on a temporal analysis of gesture patterns while incorporating placeholders for speed scores to demonstrate its potential for a comprehensive stability assessment. The performance of various machine learning and deep learning models for gesture-based classification is evaluated, with neural network architectures such as Transformer, CNN, and KAN achieving perfect scores in recall, accuracy, precision, and F1-score. Traditional machine learning models such as XGBoost show strong results, offering a balance between computational efficiency and accuracy. The choice of model depends on specific application requirements, including real-time constraints and available resources. The preliminary experimental results indicate that the proposed GPSCRS can effectively detect changes in stability under real-time conditions, highlighting its potential for use in remote health monitoring, fall prevention, and rehabilitation scenarios. By providing a quantitative measure of stability, the system enables early risk identification and supports tailored interventions for improved mobility and quality of life. Full article

Riparian zones, located at the interface between terrestrial and aquatic systems, are among the most dynamic and ecologically valuable landscapes. These transitional areas play a pivotal role in maintaining environmental health by supporting biodiversity, regulating hydrological processes, filtering pollutants, and stabilizing streambanks. At the core of these functions lie the unique characteristics of riparian soils, which result from complex interactions between water dynamics, sedimentation, vegetation, and microbial activity. This paper provides a comprehensive overview of the origin, structure, and functioning of riparian soils, with particular attention being paid to their physical, chemical, and biological properties and how these properties are shaped by periodic flooding and vegetation patterns. Special emphasis is placed on Mediterranean riparian environments, where marked seasonality, alternating wet–dry cycles, and increasing climate variability enhance both the importance and fragility of riparian systems. A bibliographic study, covering 25 years (2000–2025), was carried out through Scopus and Web of Science. The results highlight that riparian areas are key for carbon sequestration, nutrient retention, and ecosystem connectivity in water-limited regions, yet they are increasingly threatened by land use change, water abstraction, pollution, and biological invasions. Climate change exacerbates these pressures, altering hydrological regimes and reducing soil resilience. Conservation requires integrated strategies that maintain hydrological connectivity, promote native vegetation, and limit anthropogenic impacts. Preserving riparian soils is therefore fundamental to sustain ecosystem services, improve water quality, and enhance landscape resilience in vulnerable Mediterranean contexts. Full article

Background: Type 2 diabetes mellitus (T2DM) is a global health concern driven by aging, lifestyle, and socio-economic disparities. Early detection is key, with tools like FINDRISC, QDScore, and CANRISK providing non-invasive screening. Yet, the combined effects of sociodemographic factors, healthy habits, and perceived quality of life on diabetes risk remain insufficiently studied in working populations. Objectives: To evaluate the association between sociodemographic variables, lifestyle habits (smoking, physical activity, adherence to the Mediterranean diet), and health-related quality of life (HRQoL) with the risk of developing type 2 diabetes, using three validated screening tools in a large cohort of Spanish workers. Methods: A cross-sectional study was conducted among 100,014 Spanish workers aged 18 to 69 years who underwent standardized medical evaluations between January 2021 and December 2023. Diabetes risk was assessed using the FINDRISC, QDScore, and CANRISK tools. Lifestyle variables and HRQoL (measured via the SF-12 questionnaire) were evaluated through validated instruments. Multivariate logistic regression models were used to examine the association of independent variables with moderate-to-high diabetes risk according to each score. Results: Among the strongest predictors, poor adherence to a Mediterranean diet (OR = 1.45, 95% CI: 1.32–1.58) and low physical activity (OR = 1.39, 95% CI: 1.27–1.52) were independently associated with higher diabetes risk. Poor HRQoL was also significant (OR = 1.33, 95% CI: 1.22–1.47). Conclusions: Sociodemographic factors, lifestyle behaviors, and perceived health status are independently associated with increased type 2 diabetes risk in Spanish workers. The integration of HRQoL assessments into occupational health surveillance may enhance early identification of at-risk individuals and guide tailored prevention strategies. Full article

Flexible and wearable sensors have emerged as transformative technologies in the field of real-time health monitoring, offering non-invasive, continuous, and personalized healthcare solutions. These devices are designed to conform intimately to the human body, enabling seamless detection of vital physiological and biochemical signals under dynamic conditions. Recent advancements in material science and device engineering have led to the development of sensors with enhanced sensitivity, biocompatibility, and wearability, addressing the growing demand for preventive healthcare and remote patient monitoring. This review provides a comprehensive overview of the progress in flexible wearable sensors, including novel materials, sensor designs, and system integration strategies. It begins by surveying the latest advances in substrate and functional materials and hybrid structures that enable mechanical flexibility, skin conformability, and high sensitivity. The review then examines various sensor mechanisms and their implementation in monitoring vital signs, physical activity, and chronic diseases. Real-world applications are explored in depth, covering scenarios from cardiovascular and respiratory monitoring to motion tracking and rehabilitation support. Despite the significant strides made, challenges related to material robustness, sensor accuracy, and multi-modal integration remain, and this review discusses these challenges alongside potential future directions for enhancing the functionality and adoption of flexible wearable sensor systems. Full article

Background and Objectives: The prognostic immune and nutritional index (PINI), derived from serum albumin levels and absolute monocyte counts, has demonstrated prognostic value in gastrointestinal cancers. However, its role in non-small cell lung cancer (NSCLC) remains unclear. This study assessed the prognostic utility of the PINI for overall survival (OS) in patients with stage I–IIIA NSCLC undergoing curative-intent resection. Methods: This was a retrospective cohort study that included 522 patients. Cox proportional hazards models were used to evaluate the association between PINI and OS along with clinical and hematologic variables. Model performance was assessed using the concordance index (C-index), integrated area under the curve (iAUC), continuous net reclassification improvement (cNRI), integrated discrimination improvement (IDI), nomogram construction, and calibration curves. Results: In the multivariate analysis, the PINI remained an independent predictor of OS, along with age, American Society of Anesthesiologists physical status, stage, pleural invasion, and the modified Shine–Lal index. The full model (FM), incorporating all these variables, outperformed the baseline model (BM) that was based solely on stage (C-index: 0.841 vs. 0.692; iAUC: 0.804 vs. 0.663; both p < 0.001). Compared with the intermediate model (IM), which included all FM variables except the PINI, the FM demonstrated modest but statistically significant improvements (C-index: 0.841 vs. 0.820, p = 0.012; iAUC: 0.804 vs. 0.793, p = 0.001). At 3- and 5-year time points, the FM still yielded superior risk reclassification over the BM and IM, as indicated by improvements in IDI and cNRI. A nomogram based on the FM showed good calibration with the observed survival outcomes. Conclusions: The PINI is an independent and clinically meaningful prognostic biomarker in patients with stage I–IIIA NSCLC undergoing curative surgery. Incorporating the PINI into the BM or IM improved risk discrimination and reclassification, supporting its potential use in personalized prognostic assessment. However, external validation is warranted. Full article

Using the biometric differences (i.e., plant physical characteristics) between the C. pallida populations previously treated with herbicide and those of the untreated populations, we tested the prediction that herbicidal treatment suppresses C. pallida plant growth in South Africa, where invasive cacti display high resilience to herbicide treatment. We also determined whether the surrounding communities knew of C. pallida invasion and whether they experienced any negative impacts. Overall, biometric analyses supported the study’s prediction because C. pallida plant height in treated populations was significantly lower than in untreated populations and before treatment. The average plant height of populations not treated with herbicide (i.e., experimental control) and those measured before treatment were not significantly different, but both were significantly greater than the heights of populations previously treated with herbicide. Similarly, the mean number of fruits, cladodes and juveniles per C. pallida plant treated with herbicide was significantly lower than in the untreated populations. We found a significant positive correlation between all measured parameters and C. pallida plant height. Out of 39 participants, 16 (41.0%) confirmed C. pallida presence in and around their properties, with 21 (53.9%) participants having experienced negative impacts directly and indirectly through fatal injuries on pets and livestock in the sampled sites. We confirmed the effectiveness of herbicide in suppressing the invasion of C. pallida and that people experience substantial negative impacts in areas where the species has established. Full article

Background/Objectives: Chronic constipation is a prevalent gastrointestinal (GI) disorder among individuals with diabetes mellitus (DM), occurring more often than in healthy subjects. This review provides a systematic overview of this often-underestimated clinical condition in people with DM. Methods: A narrative review of literature up to 30 May 2025 was conducted, focusing on studies regarding the pathogenesis of constipation in DM, the correlation with GLP-1 RAs treatment, and the diagnostic-therapeutic framework. Results: The mechanisms underlying constipation in DM remain largely unclear; however, a multifactorial etiology has been proposed, involving structural changes in various tissues within the GI tract wall, as well as functional abnormalities, often secondary to hyperglycemia. It is noteworthy that the use of GLP-1 RAs, a class of medications crucial for managing glycemic control and reducing cardiovascular and renal risk in type 2 DM, is another cause of constipation. The diagnosis of constipation is typically based on clinical evaluation, as validated methods for assessing colonic transit are invasive and available only in specialized centers. Treatment objectives include alleviating symptoms and restoring bowel function. The primary strategy for management involves dietary changes and physical activity. If the clinical response is inadequate, the use of laxatives is recommended. Finally, newer agents and mechanical methods may be considered for scenarios that are particularly severe. Conclusions: Given the increasing global prevalence of DM, healthcare professionals must recognize the clinical problem constituted by the occurrence of chronic constipation, especially considering the use of medications such as GLP-1 RAs that may induce this clinical condition. Full article

Host physical, chemical, and immune responses constitute well-established defences against bacterial invasion. Recent studies have highlighted the critical role of cellular mechanisms, particularly the production of reactive oxygen species (ROS) in antibacterial defence. This review focuses on ROS generation by mammalian intestinal epithelial cells (IECs) and investigates whether ROS production is host-driven to eliminate bacteria or manipulated by bacteria to suppress or exploit ROS for enhanced internalisation. We examine the activation mechanisms of the NADPH oxidase (NOX) enzyme complex and the resulting ROS production in IECs, which, unlike professional phagocytes, lack the ability to engulf bacteria. The downstream effects of NOX-mediated ROS signalling are discussed in detail. Additionally, we explore the dynamic interplay between host and pathogen, with particular attention to how bacterial infection may disrupt or hijack host NOX-mediated ROS responses. The review concludes with key experimental considerations and outlines future directions in this evolving field. Overall, we present ROS as a double-edged sword, an essential antimicrobial effector that is also susceptible to bacterial subversion, highlighting its potential as a target in novel antimicrobial strategies. Full article

Decades of research and applications have demonstrated that low-intensity pulsed ultrasound (LIPUS) has a certain therapeutic effect on diseases involving bone remodeling. LIPUS operates in a pulsed-wave mode at low intensity, ensuring efficient transmission of acoustic energy to target tissues, thereby providing non-invasive physical stimulation for therapeutic purposes. Bone remodeling refers to the dynamic renewal process of bone tissue that is jointly completed by multiple cells in the bone metabolic microenvironment. LIPUS influences the basic biological processes of bone remodeling in the skeletal system through mechanical, piezoelectric, and thermal effects on bone tissue, triggering a series of biochemical reactions. This article begins with the discovery of ultrasound and research on bone remodeling, introduces the basic parameters and application devices of LIPUS, and reviews the clinical applications of and basic research on LIPUS in bone remodeling disorders. Focusing on the intersection and integration of biomedical fundamentals and ultrasound science, it analyzes the biological and physical mechanisms of LIPUS in research on and applications of bone remodeling disorders and investigates the basic research questions and clinical transformation application scenarios in this field. Full article

Tissue repair is a significant challenge in biomedical research. Traditional treatments face limitations such as donor shortage, high costs, and immune rejection. Recently, magnetic-responsive materials, particularly magnetic nanoparticles have been introduced into tissue engineering due to their ability to respond to external magnetic fields, generating electrical, thermal, and mechanical effects. These effects enable precise regulation of cellular behavior and promote tissue regeneration. Compared to traditional physical stimulation, magnetic-responsive material-mediated stimulation offers advantages such as non-invasiveness, deep tissue penetration, and high spatiotemporal precision. This review summarizes the classification, fabrication, magnetic effects and applications of magnetic-responsive materials, focusing on their mechanisms and therapeutic effects in neural and bone tissue engineering, and discusses future directions. Full article

Cancer metastasis is responsible for most cancer-related deaths. Migration and invasion, key steps in the metastatic cascade, require nuclear pliability to traverse the physical barriers of the extracellular matrix and cell–cell junctions. The nuclear envelope (NE) contains LINC complex proteins, including nesprin-4, which regulate nuclear integrity, stiffness, and cell movement. We report that nesprin-4 expression is generally upregulated in breast cancer samples but is reduced in triple-negative breast cancer (TNBC) samples compared to other subtypes. A nesprin-4 expression analysis in 62 breast cancer cell lines showed that nesprin-4 expression correlates positively with cell lines representing less aggressive tumors, while TNBC cell lines have low or no nesprin-4 expression. To determine the role of nesprin-4, we modulated nesprin-4 expression levels in three breast cancer cell lines: MCF7, T47D (luminal A and nesprin-4-positive), and MDA-MB-231 (TNBC and nesprin-4-negative). We found that nesprin-4 promotes migration and invasion by driving cell polarization. However, we also found that nesprin-4 impedes intravasation into endothelial microvessels. Thus, we propose that nesprin-4 plays a dual role in breast cancer, promoting efficient migration and invasion, but blocking intravasation. Full article

(1) Background: Physical Education sessions subject students to various physical and physiological demands that teachers must understand to design interventions aimed at improving health and fitness. This study aimed to quantify and compare external and internal load before and after implementing two intervention programs: one based on the Game-Centered Model and another Hybrid Model that combines the Game-Centered Model with the Sport Education Model. (2) Methods: A total of 47 first-year secondary school students participated, divided into two naturally formed groups. Pre- and post-intervention assessments involved 4 vs. 4 matches monitored using WIMU Pro™ inertial measurement units and heart rate monitors to collect kinematic, neuromuscular, and physiological data. The combined use of inertial sensors and heart rate monitors enabled the objective quantification of students’ physical demands. (3) Results: No significant improvements were observed between pre- and post-tests, possibly due to the short duration of the interventions. However, the Hybrid Model generated higher levels of external load, both kinematic and neuromuscular, in the post-test. (4) Conclusions: The Hybrid Model appears more effective in increasing students’ physical engagement. Inertial sensors represent a valid and practical tool for monitoring and adjusting instructional strategies in school-based Physical Education. Full article

Background: Deep gluteal syndrome (DGS) is an underdiagnosed cause of sciatica-like pain, involving the entrapment of the sciatic nerve by various structures within the subgluteal space. While cases of ossification or calcification in the context of severe pelvic imbalance have been rarely reported, isolated SSL calcification as a primary cause of DGS remains largely unexplored and undocumented. This case report presents the first documented instance of sacrospinous ligament (SSL) calcification identified as the primary cause of DGS and its successful management with ultrasound-guided prolotherapy. Case Presentation: A 51-year-old female presented with severe, worsening left-sided sciatica of several months’ duration. Physical examination revealed an antalgic gait, positive sacroiliac joint tests, and multiple positive DGS-specific provocative tests (FAIR, Pace sign, Seated Piriformis Stretch). Radiographs and musculoskeletal ultrasound (MSK-US) confirmed calcification within the left sacrospinous ligament, with associated sciatic nerve swelling. The patient underwent three sessions of ultrasound-guided prolotherapy (dextrose 10% with lidocaine) targeting the calcification site, followed by a structured rehabilitation program. Results: The patient reported a significant reduction in pain, from a Visual Analog Scale (VAS) score of 10/10 to 1/10 within one month. All previously positive provocative tests converted to negative, indicating a resolution of the nerve entrapment. Functional mobility was fully restored. Conclusions: This case highlights isolated sacrospinous ligament calcification as a potential and previously overlooked pathological entity responsible for deep gluteal syndrome. To our knowledge, this is the first report to implicate ligamentous calcification as a primary etiological factor in DGS. Musculoskeletal ultrasound proved indispensable for both diagnosis and treatment guidance. Furthermore, ultrasound-guided prolotherapy emerged as a successful and minimally invasive therapeutic option in this case, potentially by stabilizing the ligament and reducing neurogenic inflammation. This case expands the differential diagnosis of sciatica, introduces a new target for intervention in refractory cases, and underscores the need for future studies in larger patient cohorts to validate these findings. Full article

Background: Cervical artery dissection (CAD) is a leading cause of acute ischemic stroke among young and middle-aged patients. Currently, the growing availability of high-resolution magnetic resonance imaging (MRI), particularly fat-saturated T1-weighted black-blood SPACE sequences, allows the non-invasive, rapid, and reliable diagnosis of multiple arterial dissections. Methods: We reported our experience from two tertiary stroke centers of patients diagnosed with spontaneous multiple cervical artery dissections, detected with high-resolution MRI, during a three-year period (2022–2025). Results: Among 95 consecutive patients with CAD, 11 patients (mean age: 48 ± 9 years, 6 (55%) females) were diagnosed with multiple symptomatic or asymptomatic CADs, whereas in 84 patients (mean age: 49 ± 11 years, 32 (38%) females) a single CAD was detected. In all patients, high-resolution MRI and MR-angiography were performed, whereas digital subtraction angiography (DSA) with simultaneous evaluation of renal arteries was conducted in nine patients. A history of trauma or chiropractic manipulations, intense physical exercise prior to symptom onset, recent influenza-like illness, and recent childbirth in a young female patient were reported as predisposing risk factors. Cervicocranial pain, cerebral infarctions leading to focal neurological signs, and Horner’s syndrome were among the most commonly documented symptoms. Characteristic findings in the high-resolution 3D T1 SPACE sequence were detected in all patients. Fibromuscular dysplasia and Eagle syndrome were detected in four patients and one patient, respectively. Eight patients were treated with antiplatelets, whereas three patients received anticoagulation with low-molecular-weight heparin. There was only one case of stroke recurrence during a mean follow-up period of 9 ± 4 months. Conclusions: This case series highlights the utility of specific high-resolution MRI sequences as a very promising method for detecting multiple CADs in young patients. The systematic use of these sequences could enhance the sensitivity of detecting multiple cervical CADs, affecting also the thorough investigation for underlying connective tissue vasculopathies, stratifying the risk for first-ever or recurrent ischemic stroke, and influencing acute reperfusion and secondary prevention therapeutic strategies. Full article