Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Article Types

Countries / Regions

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Search Results (224,741)

Search Parameters:
Keywords = impact

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
23 pages, 18735 KiB  
Article
Study on the Influence Mechanism of Surface Morphology on Wear and Thermal Fatigue Performance of Laser-Treated Bionic Brake Drum
by Wei Liu, Haiyang Yang, Yuqing Zhou, Ti Zhou and Huijun Xie
Metals 2025, 15(2), 124; https://doi.org/10.3390/met15020124 (registering DOI) - 26 Jan 2025
Abstract
This study explores the mechanisms underlying the enhanced anti-wear and thermal fatigue performance of laser-treated bionic brake drums, aiming to extend their service life and improve design quality. Bionic brake drums treated with laser patterns—point, stripe, and grid—were tested with semi-metallic, non-asbestos organic [...] Read more.
This study explores the mechanisms underlying the enhanced anti-wear and thermal fatigue performance of laser-treated bionic brake drums, aiming to extend their service life and improve design quality. Bionic brake drums treated with laser patterns—point, stripe, and grid—were tested with semi-metallic, non-asbestos organic (NAO), and ceramic brake pads. A mechanical model was developed to analyze wear performance, and bench tests were conducted to assess wear patterns. Thermal fatigue tests examined the impact of thermal cycling on the treated drums’ wear behavior. The results reveal that laser-treated bionic brake drums significantly outperformed untreated ones in both wear resistance and thermal fatigue. Among the treatments, the grid pattern showed the best wear performance, and thermal fatigue life was improved by 27% for the striped pattern and 38% for the grid pattern. The study concludes that laser treatment effectively enhances both wear resistance and thermal fatigue performance in bionic brake drums, especially for the grid pattern, offering valuable insights for future brake drum design. Full article
Show Figures

Figure 1

39 pages, 2094 KiB  
Review
Red Beetroot and Its By-Products: A Comprehensive Review of Phytochemicals, Extraction Methods, Health Benefits, and Applications
by Florina Stoica, Gabriela Râpeanu, Roxana Nicoleta Rațu, Nicoleta Stănciuc, Constantin Croitoru, Denis Țopa and Gerard Jităreanu
Agriculture 2025, 15(3), 270; https://doi.org/10.3390/agriculture15030270 (registering DOI) - 26 Jan 2025
Abstract
Beetroot (Beta vulgaris), a root vegetable known for its vivid natural color and nutritional profile, is a source of a wide range of bioactive compounds, including betalains, phenolics, vitamins, and antioxidants. These bioactive compounds are associated with many health-promoting properties, including [...] Read more.
Beetroot (Beta vulgaris), a root vegetable known for its vivid natural color and nutritional profile, is a source of a wide range of bioactive compounds, including betalains, phenolics, vitamins, and antioxidants. These bioactive compounds are associated with many health-promoting properties, including antihypertensive, antioxidant, anti-inflammatory, and anticancer effects. The beetroot processing industry produces substantial by-products abundant in phytochemicals and betalains, presenting valuable opportunities for utilization. Therefore, it can replace synthetic additives and enhance the nutritional value of foods. By reducing waste and supporting a circular economy, beetroot by-products improve resource efficiency, cut production costs, and lessen the food industry’s environmental impact. Beetroot and its by-products are rich in phytochemicals that provide various wellness advantages. They support cardiovascular health, inhibit microbe-induced food spoiling, aid liver function, and reduce inflammation and oxidative stress. This paper presents a detailed review of current knowledge on beetroot and its by-products, focusing on their biochemical components, extraction and stabilization techniques, health benefits, and potential applications in the food industry. It underscores the versatility and importance of red beetroot and its derivatives, advocating for further research into optimized processing methods and innovative uses to enhance their industrial and nutritional value. By providing valuable insights, this review aims to inspire food scientists, nutritionists, and the agricultural sector to integrate beetroot and its by-products into more sustainable and health-oriented food systems. Full article
(This article belongs to the Section Agricultural Product Quality and Safety)
15 pages, 2176 KiB  
Article
A Bibliometric Analysis of Neonatal Condition Research in Africa: Volume, Impact, Themes, and Collaboration
by Elizabeth de Sousa Vieira
Metrics 2025, 2(1), 2; https://doi.org/10.3390/metrics2010002 (registering DOI) - 26 Jan 2025
Abstract
Background: The literature has addressed the negative impact of poor neonatal conditions (NCs) across regions. This has drawn attention to the need to improve NCs, particularly in Africa. NCs research can make an important contribution. However, there is no study dedicated to this [...] Read more.
Background: The literature has addressed the negative impact of poor neonatal conditions (NCs) across regions. This has drawn attention to the need to improve NCs, particularly in Africa. NCs research can make an important contribution. However, there is no study dedicated to this topic in Africa. A bibliometric analysis of NCs research can assist scientists in planning ongoing and new NCs research and support those involved in developing and implementing strategies to combat poor NCs. Methods: This study used discipline-specific terms to identify articles on NCs published between 2000 and 2019 and indexed in the Web of Science Core Collection (WoS) with at least one African author. A bibliometric analysis was applied to determine the volume, visibility, topics, and collaboration activities related to NCs research. Results: The results show that knowledge on NCs increased between 2000 and 2019; NCs research is concentrated in a few African countries (Egypt, South Africa, Nigeria, Tanzania, and Kenya), and its visibility is below the world average. In general, maternal mortality is the most researched topic and collaborative activities are frequent, mainly international research collaboration (IRC), with the United States of America (USA) and the United Kingdom (UK) being the main partners (they participated in 57% and 28% of all articles with IRC). The collaboration networks are fragile as 43–67% of all links represent one article in 20 years. Conclusions: Ongoing and new NCs research in Africa should consider the main African players and their partners as important sources of knowledge. There is a need to implement strategies to increase NC knowledge in other African countries, expand and strengthen collaboration networks, and diversify the sources of knowledge. Full article
Show Figures

Figure 1

36 pages, 839 KiB  
Review
Current Evidence on the Impact of Diet, Food, and Supplement Intake on Breast Cancer Health Outcomes in Patients Undergoing Endocrine Therapy
by Milena Žuža Praštalo, Biljana Pokimica, Aleksandra Arsić, Jasminka Z. Ilich and Vesna Vučić
Nutrients 2025, 17(3), 456; https://doi.org/10.3390/nu17030456 (registering DOI) - 26 Jan 2025
Abstract
Background/Objectives: The most common type of breast cancer (BRC) in women is estrogen/progesterone receptor positive. First-line treatment includes endocrine therapy, either with aromatase inhibitors or tamoxifen to reduce estrogen levels. Among the side effects produced by this treatment, aromatase inhibitor-induced arthralgia is the [...] Read more.
Background/Objectives: The most common type of breast cancer (BRC) in women is estrogen/progesterone receptor positive. First-line treatment includes endocrine therapy, either with aromatase inhibitors or tamoxifen to reduce estrogen levels. Among the side effects produced by this treatment, aromatase inhibitor-induced arthralgia is the most common, affecting the patients’ overall health and quality of life (QoL). The objectives here were to evaluate interventions examining the impact of modified diets, supplements, and/or some food components on health outcomes in BRC patients undergoing endocrine therapy. Methods: The literature search was performed in PubMed, Scopus, and Web of Science from June 2024, as well as manually, through the end of November 2024. The search was limited to studies of women diagnosed with estrogen/progesterone-receptor-positive BRC with selected articles reporting interventions with diet, food, or supplement intake and examining the relevant health outcomes. Studies not focusing on BRC patients undergoing endocrine therapy or not including specific health outcomes were excluded. Results: The search uncovered 1028 studies; after the removal of duplicates, abstracts, and irrelevant studies, 53 were closely examined, with 26 evaluated and presented here. The outcomes were changes in bone and body composition, cardiovascular disease risks, inflammation, and QoL. Conclusions: The examined evidence suggests that adherence to dietary patterns such as the Mediterranean or a low-fat diet, and a higher intake of fruits and vegetables were beneficial for various outcomes. Additionally, supplementation with some foods/components (dried plum, red clover) contributed to improving/maintaining bone and body composition, especially in overweight/obese patients. Supplementation with vitamin D or omega-3 improved lipid and angiogenic parameters and QoL. Although these results are promising, the effects of each supplement/food cannot be summarized due to the diverse nature of study designs, patients, and supplement dosages. Further studies are needed to explore the effects of specific nutritional interventions (including the newest, like fasting-mimicking diets and whole-grain cereal diets) on various health outcomes in BRC survivors during endocrine therapy, and to derive universal recommendations. Full article
(This article belongs to the Section Nutrition in Women)
24 pages, 1807 KiB  
Review
Biomechanical Behavior of Female Breast—A Review
by Sheila Galbreath and Tarun Goswami
BioMed 2025, 5(1), 5; https://doi.org/10.3390/biomed5010005 (registering DOI) - 26 Jan 2025
Abstract
Introduction: Women wear exterior breast support for most of the day. A female’s breast tissue and skin affect the comfort of the ADLs, exercise, health, and work environments. Understanding the breast tissue’s normal anatomy and mechanical and material properties is related to a [...] Read more.
Introduction: Women wear exterior breast support for most of the day. A female’s breast tissue and skin affect the comfort of the ADLs, exercise, health, and work environments. Understanding the breast tissue’s normal anatomy and mechanical and material properties is related to a woman’s daily health and quality of life outcomes. Considering the importance and impact of female breasts throughout one’s lifespan, additional research is needed to address the research gaps to provide solutions to improve daily lives and clinical interventions. Breast stability and behavior are dependent on its internal mechanical properties and applied external forces. Objective: To evaluate the current knowledge and research gaps on the adult female breast tissue’s anatomy, the factors that impact its growth and development, variations among racial populations, the internal and external mechanical properties of the tissue, and the factors employed to evaluate the pathology risk. Review sections: The review sections are as follows: 3. Anatomy of Breast, 4. Effects of Age and Stages of Breast Development, 5. Breast Skin, and 6. Breast Tissue Mechanics. Conclusions: Numerous research gaps have been identified within the field of female breasts. Full article
Show Figures

Figure 1

20 pages, 4181 KiB  
Article
Impact of Urban Expansion on School Quality in Compulsory Education: A Spatio-Temporal Study of Dalian, China
by Zhenchao Zhang, Weixin Luan, Chuang Tian and Min Su
Land 2025, 14(2), 265; https://doi.org/10.3390/land14020265 (registering DOI) - 26 Jan 2025
Abstract
With rapid urbanization, improving school quality in compulsory education is critical for optimal educational resource allocation. This study integrates a random forest machine learning model, GIS spatial analysis, and a spatial econometric model to examine the spatiotemporal differentiation of school quality in Dalian, [...] Read more.
With rapid urbanization, improving school quality in compulsory education is critical for optimal educational resource allocation. This study integrates a random forest machine learning model, GIS spatial analysis, and a spatial econometric model to examine the spatiotemporal differentiation of school quality in Dalian, China, in 2016 and 2020, as well as its relationships with the construction land development cycle, population density, and housing prices. The findings reveal a core–periphery structure, with overall school quality on the rise and basic facility configuration exerting a stronger impact than teacher strength. Among internal resources, per capita sports venue area (PCSFA) and per capita teaching equipment value (PCTRE) contribute most significantly to school quality, while high-quality clusters in traditional educational hubs, university-covered areas, and transitional zones spur improvements in surrounding schools. The population density, housing prices, and the construction land development cycle all positively correlate with school quality, highlighting the need for coordinated action among urban planners, education authorities, and housing regulators to ensure that land development, housing affordability, and school facility investments advance equitable access to quality education. These results provide a novel perspective on compulsory education quality assessment and offer a valuable foundation for guiding education policies and urban development strategies. Full article
Show Figures

Figure 1

18 pages, 9037 KiB  
Article
Surveying Community Environmental Justice: Urban Runoff Patterns in Eastern Tijuana, México
by Carolina Prado, Guillermo Douglass-Jaimes and Colectivo Salud y Justicia Ambiental
Soc. Sci. 2025, 14(2), 63; https://doi.org/10.3390/socsci14020063 (registering DOI) - 26 Jan 2025
Abstract
In an urban region of eastern Tijuana, there are long-standing water runoff sites which community members have identified as having an impact on residents, including contributing to flooding. This community-based participatory research (CBPR) project in collaboration with the Colectivo Salud y Justicia Ambiental [...] Read more.
In an urban region of eastern Tijuana, there are long-standing water runoff sites which community members have identified as having an impact on residents, including contributing to flooding. This community-based participatory research (CBPR) project in collaboration with the Colectivo Salud y Justicia Ambiental (CSJA) used the geospatial surveying tool Survey 123 to conduct community-based monitoring of five runoff sites. Results from 170 completed surveys showed that water runoff was present at these sites on forty-five percent of the days surveyed, although there was no significant relationship between the temporal factors studied and the water quality characteristics surveyed. These findings contribute to the field of border environmental justice by focusing on the understudied issues of runoff and urban flooding as environmental exposures that some communities experience disproportionately. Moreover, while there was a significant relationship between water runoff volume and precipitation events at the water runoff sites, there were sixty-five surveys collected that showed water present when there had been no precipitation event at the site. This finding supports the CSJA members’ assertions that the runoff experienced in the study area is not always connected to precipitation events or pluvial flooding. This project’s results contribute to policy advocacy by countering the policy narrative that this issue is simply a stormwater issue, and by identifying the specific runoff sites to be prioritized in this region. Full article
(This article belongs to the Special Issue Community-Engaged Research for Environmental Justice)
13 pages, 722 KiB  
Article
Reels to Remembrance: Attention Partially Mediates the Relationship Between Short-Form Video Addiction and Memory Function Among Youth
by Obada Al-Leimon, Wei Pan, Abdul-Raheem Jaber, Ahmad Al-Leimon, Abdel Rahman Jaber, Mohammad Aljahalin and Latefa Ali Dardas
Healthcare 2025, 13(3), 252; https://doi.org/10.3390/healthcare13030252 (registering DOI) - 26 Jan 2025
Abstract
Abstract: Background and Purpose: The proliferation of short-form video content on social media platforms has led to increased user engagement but also raised concerns about potential addictive behaviors and cognitive consequences, particularly among youth. This study explored the prevalence of short-form video [...] Read more.
Abstract: Background and Purpose: The proliferation of short-form video content on social media platforms has led to increased user engagement but also raised concerns about potential addictive behaviors and cognitive consequences, particularly among youth. This study explored the prevalence of short-form video addiction (SVA) among Jordanian youth, its correlates, and its impact on attention and memory function, with an emphasis on understanding the mediating and moderating role of attention in the relationship between SVA and memory. Methods: Utilizing a cross-sectional survey design, data were collected from 1029 university students across 25 higher-education institutions in Jordan. Results: Half of the participants exhibited moderate to high levels of SVA. The findings indicated a significant increase in SVA scores among female students (p = 0.003), those of a younger age (p = 0.045), those with lower GPAs (p = 0.013), and those who dedicated fewer hours to study (p = 0.006). Notably, there was a significant and large correlation between SVA scores and students’ perceptions of user-generated content (p < 0.001). Attention partially mediated the relationship between SVA and memory function with excellent model fit indices (χ2(12) = 14.11, p = 0.05, RMSEA = 0.03, GFI = 0.99, IFI = 0.99, TLI = 0.98, CFI = 0.99). However, attention did not moderate this relationship, suggesting that the impact of SVA on memory is consistent across varying levels of attention. Discussion: The findings underscore the significant engagement of Jordanian youth with short-form video content and the potential cognitive risks associated with SVA. Interventions to manage attention could mitigate the adverse effects of SVA on cognitive functions. This study calls for a comprehensive approach to address SVA among youth, including the development of digital literacy programs, mental health support services, and policy interventions that promote a balanced digital ecosystem and responsible media consumption. Full article
16 pages, 726 KiB  
Review
Application of Raman Spectroscopy in Non-Invasive Analysis of the Gut Microbiota and Its Impact on Gastrointestinal Health
by Patrycja Krynicka, George Koulaouzidis, Karolina Skonieczna-Żydecka, Wojciech Marlicz and Anastasios Koulaouzidis
Diagnostics 2025, 15(3), 292; https://doi.org/10.3390/diagnostics15030292 (registering DOI) - 26 Jan 2025
Abstract
The gut microbiota, a complex community of microorganisms, plays a crucial role in gastrointestinal (GI) health, influencing digestion, metabolism, immune function, and the gut–brain axis. Dysbiosis, or an imbalance in microbiota composition, is associated with GI disorders, including irritable bowel syndrome (IBS), inflammatory [...] Read more.
The gut microbiota, a complex community of microorganisms, plays a crucial role in gastrointestinal (GI) health, influencing digestion, metabolism, immune function, and the gut–brain axis. Dysbiosis, or an imbalance in microbiota composition, is associated with GI disorders, including irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and colorectal cancer (CRC). Conventional microbiota analysis methods, such as next-generation sequencing (NGS) and nuclear magnetic resonance (NMR), provide valuable insights but are often expensive, time-consuming, and destructive. Raman spectroscopy (RS) is a non-invasive, cost-effective, and highly sensitive alternative. This analytical technique relies on inelastic light scattering to generate molecular “fingerprints,” enabling real-time, marker-free analysis of microbiota composition and metabolic activity. This review explores the principles, sample preparation techniques, and advancements in RS, including surface-enhanced Raman spectroscopy (SERS), for microbiota research. RS facilitates identifying microbial species, analysing key metabolites like short-chain fatty acids (SCFA), and monitoring microbiota responses to dietary and therapeutic interventions. The comparative analysis highlights RS’s advantages over conventional techniques, such as the minimal sample preparation, real-time capabilities, and non-destructive nature. The integration of RS with machine learning enhances its diagnostic potential, enabling biomarker discovery and personalised treatment strategies for GI disorders. Challenges, including weak Raman signals and spectral complexity, are discussed alongside emerging solutions. As RS technology advances, mainly through portable spectrometers and AI integration, its clinical application in microbiota diagnostics and personalised medicine is poised to transform GI healthcare, bridging microbiota research with practical therapeutic strategies. Full article
22 pages, 11018 KiB  
Article
Quantitative Simulation and Planning for the Heat Island Mitigation Effect in Sponge City Planning: A Case Study of Chengdu, China
by Qingjuan Yang, Ziqi Lin and Qiaozi Li
Land 2025, 14(2), 264; https://doi.org/10.3390/land14020264 (registering DOI) - 26 Jan 2025
Abstract
The implementation of sponge cities in China modifies the hydrological conditions of the underlying surface, effectively alleviating the urban heat island effect. However, in planning and construction, heat island mitigation targets are difficult to quantify and lack quantitative design and evaluation methods. To [...] Read more.
The implementation of sponge cities in China modifies the hydrological conditions of the underlying surface, effectively alleviating the urban heat island effect. However, in planning and construction, heat island mitigation targets are difficult to quantify and lack quantitative design and evaluation methods. To address this issue, two planning schemes were proposed based on sponge city management and control indicators. The WRF-UCM model was used to conduct numerical simulations of the current conditions (case 1) and the sponge city planning schemes (cases 2 and 3), analyzing the impact of sponge city initiatives on the mitigation of the heat island effect. The results indicated that by changing the structure of the underlying surface and increasing the water content of the underlying surface, the sponge city affects the urban energy distribution process and regional horizontal advection pattern. This not only reduces heat accumulation within the urban area but also suppresses regional convection during high-temperature periods, thereby mitigating the urban heat island effect. Moreover, different schemes following the same sponge city design requirements have varying impacts on urban microclimate elements and heat island distributions. Notably, a higher subsurface water content yields a more pronounced inhibition of the heat island effect. Finally, a sponge city planning method with the consideration of heat island mitigation was proposed, facilitating pre-simulation optimization and decision-making in sponge city planning. Full article
(This article belongs to the Special Issue Land Use Planning, Sustainability and Disaster Risk Reduction)
13 pages, 1740 KiB  
Article
Effects of Illuminance Level of Light Source on White Appearance of a Tablet Display
by Hsin-Pou Huang, Hung-Chung Li, Yu-Ming Fei and Minchen Wei
Appl. Sci. 2025, 15(3), 1288; https://doi.org/10.3390/app15031288 (registering DOI) - 26 Jan 2025
Abstract
The appearance of white significantly impacts display image quality, requiring a neutral white point for optimal performance. This study explores how perceived whiteness changes under ambient illumination levels (150, 300, 600, and 1200 lx) and correlated color temperatures (3500 K and 6500 K). [...] Read more.
The appearance of white significantly impacts display image quality, requiring a neutral white point for optimal performance. This study explores how perceived whiteness changes under ambient illumination levels (150, 300, 600, and 1200 lx) and correlated color temperatures (3500 K and 6500 K). As a result, the adapted white points of light sources with different correlated color temperatures are similar at lower ambient illuminance levels. In comparison, their adaptation trends exhibit significant differences at higher illuminance levels. At 150 lx, adapted white points for 3500 K and 6500 K light sources shift toward higher color temperatures and converge. With increased illumination, the 3500 K white point shifts toward its light source, while the 6500 K white point shifts to a higher correlated color temperature. The neural network-based prediction model developed in this study accurately forecasts perceived whiteness across conditions, offering valuable design guidance for the display and lighting industries. Full article
17 pages, 2692 KiB  
Article
The Predictability of the Dental Practitioner in a Volatile Healthcare System: A 25-Year Study of Dental Care Policies in Romania (1999–2023)
by Ana Cernega, Dana Galieta Mincă, Florentina Ligia Furtunescu, Ciprian-Paul Radu, Simona Pârvu and Silviu-Mirel Pițuru
Healthcare 2025, 13(3), 249; https://doi.org/10.3390/healthcare13030249 (registering DOI) - 26 Jan 2025
Abstract
Background/Objectives: This paper brings to light the results of extensive research on the dimension of dental care in Romania in terms of priorities and policies defined at the governmental level for a 25-year period (1999–2023). This research aims to present both individual and [...] Read more.
Background/Objectives: This paper brings to light the results of extensive research on the dimension of dental care in Romania in terms of priorities and policies defined at the governmental level for a 25-year period (1999–2023). This research aims to present both individual and ecosystem perspectives on the influence of the way oral health strategies are shaped in Romania. Methods: The data collected are analyzed through the prism of the “iron triangle of healthcare”, focusing on the evolution of dental care from the perspective of the interrelationship of three important components: cost, quality, and access to healthcare services. Results: The paper provides insight and clarity into the context in which the doctor–patient relationship is constructed and developed, as well as a vision of how oral health policies should be designed to meet the individual needs of the patient, which will have an impact on the health and quality of life of the whole community. Conclusions: This study emphasizes the need to reconfigure oral health policies in Romania. Despite some input achievements like a considerable number of dentists, the systemic challenges that developed over these 25 years (such as insufficient funding, the reduced reimbursed procedures, and the limited dentists contracting with NHIH) have significantly contributed to a stagnation or decline of the oral health outcomes at the societal level. Full article
(This article belongs to the Special Issue Implications for Healthcare Policy and Management)
Show Figures

Figure 1

15 pages, 1171 KiB  
Review
Telemedicine for Personalized Nutritional Intervention of Rare Diseases: A Narrative Review on Approaches, Impact, and Future Perspectives
by Francesca Eletti, Veronica Maria Tagi, Ilenia Pia Greco, Eliana Stucchi, Giulia Fiore, Eleonora Bonaventura, Fabio Bruschi, Davide Tonduti, Elvira Verduci and Gianvincenzo Zuccotti
Nutrients 2025, 17(3), 455; https://doi.org/10.3390/nu17030455 (registering DOI) - 26 Jan 2025
Abstract
Background: Telemedicine represents a growing opportunity to improve access to personalized care for patients with rare diseases, addressing the challenges of specialized healthcare that is often limited by geographical barriers. The aim of this narrative review is to explore how telemedicine can facilitate [...] Read more.
Background: Telemedicine represents a growing opportunity to improve access to personalized care for patients with rare diseases, addressing the challenges of specialized healthcare that is often limited by geographical barriers. The aim of this narrative review is to explore how telemedicine can facilitate tailored nutritional interventions for rare diseases, focusing on inherited metabolic diseases, rare neurological disorders, such as leukodystrophies, and neuromuscular disorders, including spinal muscular atrophies. Methods: This narrative review is based on a systematic search of the published literature over the past 20 years, and includes systematic reviews, meta-analysis, retrospective studies, and original articles. References were selected through searches in databases such as PubMed and Scopus, applying predefined inclusion and exclusion criteria. Among the inclusion criteria, studies focusing on pediatric patients aged 0 to 18 years, diagnosed with rare neurological diseases or inherited metabolic disorders, and using telemedicine in addition to in-person visits at their reference center were considered. Among the exclusion criteria, studies involving patients with other pathologies or comorbidities and those involving patients older than 18 years were excluded. Results: A total of 66 documents were analyzed to examine the challenges and specific needs of patients with rare diseases, highlighting the advantages and limitations of telemedicine compared to traditional care. The use of telemedicine has revolutionized the medical approach, facilitating integrated care by multidisciplinary teams. Conclusions: Telemedicine still faces several technical, organizational, and security challenges, as well as disparities in access across different geographical areas. Emerging technologies such as artificial intelligence could positively transform the monitoring and management of patients with rare diseases. Telemedicine has great potential ahead of it in the development of increasingly personalized and effective care, in fact, emerging technologies are important to provide remote care, especially for patients with rare diseases. Full article
(This article belongs to the Section Pediatric Nutrition)
Show Figures

Figure 1

16 pages, 1962 KiB  
Article
Effect of Seabed Type on Image Segmentation of an Underwater Object Obtained from a Side Scan Sonar Using a Deep Learning Approach
by Jungyong Park and Ho Seuk Bae
J. Mar. Sci. Eng. 2025, 13(2), 242; https://doi.org/10.3390/jmse13020242 (registering DOI) - 26 Jan 2025
Abstract
This study examines the impact of seabed conditions on image segmentation for seabed target images acquired via side-scan sonar during sea experiments. The dataset comprised cylindrical target images overlying on two seabed types, mud and sand, categorized accordingly. The deep learning algorithm (U-NET) [...] Read more.
This study examines the impact of seabed conditions on image segmentation for seabed target images acquired via side-scan sonar during sea experiments. The dataset comprised cylindrical target images overlying on two seabed types, mud and sand, categorized accordingly. The deep learning algorithm (U-NET) was utilized for image segmentation. The analysis focused on two key factors influencing segmentation performance: the weighting method of the cross-entropy loss function and the combination of datasets categorized by seabed type for training, validation, and testing. The results revealed three key findings. First, applying equal weights to the loss function yielded better segmentation performance compared to pixel-frequency-based weighting. This improvement is indicated by Intersection over Union (IoU) for the highlight class in dataset 2 (0.41 compared to 0.37). Second, images from the mud area were easier to segment than those from the sand area. This was due to the clearer intensity contrast between the target highlight and background. This difference is indicated by the IoU for the highlight class (0.63 compared to 0.41). Finally, a network trained on a combined dataset from both seabed types improved segmentation performance. This improvement was observed in challenging conditions, such as sand areas. In comparison, a network trained on a single-seabed dataset showed lower performance. The IoU values for the highlight class in sand area images are as follows: 0.34 for training on mud, 0.41 for training on sand, and 0.45 for training on both. Full article
(This article belongs to the Section Ocean Engineering)
12 pages, 286 KiB  
Article
Fatigue in Hemodialysis Patients: A Comparative Analysis with Healthy Controls
by Leszek Sułkowski, Andrzej Matyja and Maciej Matyja
Eur. J. Investig. Health Psychol. Educ. 2025, 15(2), 12; https://doi.org/10.3390/ejihpe15020012 (registering DOI) - 26 Jan 2025
Abstract
This study investigates fatigue and quality of life in hemodialysis patients, examining the influence of demographic and clinical factors on these outcomes. A cohort of 115 hemodialysis patients and 112 healthy controls completed the Modified Fatigue Impact Scale (MFIS), the shorter MFIS-5, and [...] Read more.
This study investigates fatigue and quality of life in hemodialysis patients, examining the influence of demographic and clinical factors on these outcomes. A cohort of 115 hemodialysis patients and 112 healthy controls completed the Modified Fatigue Impact Scale (MFIS), the shorter MFIS-5, and the WHOQOL-BREF quality of life assessment. The findings indicate that hemodialysis patients experience significantly higher levels of fatigue, which correspond with lower quality of life, particularly in the physical and psychological domains, compared to healthy controls. Male patients reported significantly higher levels of fatigue and lower quality of life scores, whereas younger patients demonstrated relatively better outcomes. Extended dialysis sessions exceeding four hours were associated with poorer social well-being, and educational attainment was positively linked with physical and environmental quality of life domains. However, marital status did not show a significant effect. The study validates the consistency between MFIS and MFIS-5 scores, recommending MFIS-5 for time-sensitive clinical use without compromising accuracy. These results underscore the need for individualized, multi-dimensional approaches to fatigue management in hemodialysis patients, emphasizing interventions that address physical, psychological, and social well-being to enhance overall quality of life. The findings highlight specific factors that may guide tailored support strategies to improve patient outcomes in this population. Full article
Back to TopTop