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Search Results (222)

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51 pages, 4543 KB  
Article
Ripple Evolution Optimizer: A Novel Nature-Inspired Metaheuristic
by Hussam N. Fakhouri, Hasan Rashaideh, Riyad Alrousan, Faten Hamad and Zaid Khrisat
Computers 2025, 14(11), 486; https://doi.org/10.3390/computers14110486 - 7 Nov 2025
Viewed by 148
Abstract
This paper presents a novel Ripple Evolution Optimizer (REO) that incorporates adaptive and diversified movement—a population-based metaheuristic that turns a coastal-dynamics metaphor into principled search operators. REO augments a JADE-style current-to-p-best/1 core with jDE self-adaptation and three complementary motions: (i) a [...] Read more.
This paper presents a novel Ripple Evolution Optimizer (REO) that incorporates adaptive and diversified movement—a population-based metaheuristic that turns a coastal-dynamics metaphor into principled search operators. REO augments a JADE-style current-to-p-best/1 core with jDE self-adaptation and three complementary motions: (i) a rank-aware that pulls candidates toward the best, (ii) a time-increasing that aligns agents with an elite mean, and (iii) a scale-aware sinusoidal that lead solutions with a decaying envelope; rare Lévy-flight kicks enable long escapes. A reflection/clamp rule preserves step direction while enforcing bound feasibility. On the CEC2022 single-objective suite (12 functions spanning unimodal, rotated multimodal, hybrid, and composition categories), REO attains 10 wins and 2 ties, never ranking below first among 34 state-of-the-art compared optimizers, with rapid early descent and stable late refinement. Population-size studies reveal predictable robustness gains for larger N. On constrained engineering designs, REO achieves outperforming results on Welded Beam, Spring Design, Three-Bar Truss, Cantilever Stepped Beam, and 10-Bar Planar Truss. Altogether, REO couples adaptive guidance with diversified perturbations in a compact, transparent optimizer that is competitive on rugged benchmarks and transfers effectively to real engineering problems. Full article
(This article belongs to the Topic Artificial Intelligence Models, Tools and Applications)
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11 pages, 1133 KB  
Article
High Burden of Hepatitis B Virus and Occult Infection Among HIV-Positive Adults and Pregnant Women in Southwest Cameroon
by Macqueen Ngum Mbencho, Le Chi Cao, Eric A. Achidi, Stephen Mbigha Ghogomu and Thirumalaisamy P. Velavan
Pathogens 2025, 14(11), 1128; https://doi.org/10.3390/pathogens14111128 - 5 Nov 2025
Viewed by 186
Abstract
Chronic hepatitis B virus (HBV) and Occult HBV infection (OBI) remain a health burden in sub-Saharan Africa. This study investigated HBV prevalence, circulating genotypes, and associated risk factors with HBV exposure among HIV-positive adults on antiretroviral therapy and pregnant women in southwestern Cameroon. [...] Read more.
Chronic hepatitis B virus (HBV) and Occult HBV infection (OBI) remain a health burden in sub-Saharan Africa. This study investigated HBV prevalence, circulating genotypes, and associated risk factors with HBV exposure among HIV-positive adults on antiretroviral therapy and pregnant women in southwestern Cameroon. A total of 233 HIV patients and 190 third-trimester pregnant women were screened for HBV DNA, viral load, serological markers (HBsAg, anti-HBc, and anti-HBs), and HBV genotypes were determined by partial sequencing of the S gene. HBV DNA was detected in 10% of HIV-positive patients and 4% of pregnant women, with an overall prevalence of 7%. OBI accounted for 9% and 3%, respectively. Anti-HBc seroprevalence was high (75% in HIV, 46% in pregnant women), while self-reported vaccination coverage was low (1% and 11%). Genotypes A, B, D, and E were identified, with genotype B reported for the first time in Cameroon. Immune escape mutations and the adefovir resistance mutation rtA181V were detected. Self-reported alcohol use was associated with HBV exposure in HIV patients (aOR = 2.08; p = 0.028) and inversely associated with tertiary education in pregnant women (aOR = 0.18; p = 0.038). This study highlights a significant burden of HBV and OBI among vulnerable populations in Cameroon. Full article
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18 pages, 1338 KB  
Article
Biogas from Zoo Animal Waste: ATEX Safety Distance Modelling at Madrid Zoo Aquarium
by Jesús Manuel Ballesteros-Álvarez, Álvaro Romero-Barriuso, Blasa María Villena-Escribano and Ángel Rodríguez-Sáiz
Sustainability 2025, 17(21), 9629; https://doi.org/10.3390/su17219629 - 29 Oct 2025
Viewed by 227
Abstract
The rising cost of traditional energy sources is forcing us to seek alternatives that enable energy self-sufficiency. At the Madrid Zoo Aquarium (Spain), the production of biomethane through the anaerobic digestion of organic waste is being considered, improving environmental management and achieving a [...] Read more.
The rising cost of traditional energy sources is forcing us to seek alternatives that enable energy self-sufficiency. At the Madrid Zoo Aquarium (Spain), the production of biomethane through the anaerobic digestion of organic waste is being considered, improving environmental management and achieving a competitive advantage in the energy management process. This opportunity also carries with it the possibility of explosions, fires or polluting environments, which requires the establishment of preventive measures to minimize these risks. To respond to this type of contingency, this study develops both empirical equation and charts that allow the establishment of dangerous distances that must be considered due to the presence of flammable gases escaping into the atmosphere and the duration of the danger, taking into account the influence of environmental conditions and dilution. Different risk situations are considered, both during the operation of the facility and during the cleaning and maintenance of tanks and equipment, as well as in the management of waste generated at the end of treatment. Full article
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14 pages, 799 KB  
Review
Extracellular Vesicle microRNAs in the Crosstalk Between Cancer Cells and Natural Killer (NK) Cells
by Nicolo Toldo, Yunjie Wu and Muller Fabbri
Cells 2025, 14(21), 1697; https://doi.org/10.3390/cells14211697 - 29 Oct 2025
Viewed by 1033
Abstract
The term extracellular vesicles (EVs) includes a variety of anucleated, non-self-replicative particles released by cells, whose cargo content is compartmentalized by a lipidic bilayer membrane and includes proteins, DNA, and RNA (both coding and non-coding) molecules. MicroRNAs (miRs) are small non-coding RNA involved [...] Read more.
The term extracellular vesicles (EVs) includes a variety of anucleated, non-self-replicative particles released by cells, whose cargo content is compartmentalized by a lipidic bilayer membrane and includes proteins, DNA, and RNA (both coding and non-coding) molecules. MicroRNAs (miRs) are small non-coding RNA involved in gene expression regulation that functionally participate in inter-cellular communication as EV cargo. Natural Killer (NK) cells are innate immunity lymphocytes specialized in the killing of cancer cells and virally infected cells. Increasing evidence shows that NK cell-derived EVs contribute to the anti-tumoral activity of NK cells and that such effects are, at least in part, mediated by the miR cargo of these EVs. Conversely, cancer cells release EVs whose cargo includes proteins and miRs that impair NK cell function. These interactions highlight a central role for EV miRs both in the NK-mediated cytotoxicity and as a major immune-escape mechanism for cancer cells, ultimately contributing to the overall success or failure of NK cells in eliciting their anti-tumoral activity. Full article
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26 pages, 725 KB  
Article
Narcissism in Action: Perceptions, Team Dynamics, and Performance in Naturalistic Escape Room Settings
by Reece D. Bush-Evans, Claire M. Hart, Sylwia Z. Cisek, Liam P. Satchell and Constantine Sedikides
Behav. Sci. 2025, 15(11), 1461; https://doi.org/10.3390/bs15111461 - 27 Oct 2025
Viewed by 1373
Abstract
We investigated narcissism in a naturalistic social context. Specifically, we examined how individuals high in admirative and rivalrous narcissism are perceived in team dynamics. Participants (n = 101) worked in small teams (k = 23 teams) during escape room-based tasks. Using [...] Read more.
We investigated narcissism in a naturalistic social context. Specifically, we examined how individuals high in admirative and rivalrous narcissism are perceived in team dynamics. Participants (n = 101) worked in small teams (k = 23 teams) during escape room-based tasks. Using a round-robin design, we observed alignment between self- and peer-ratings on interpersonal traits. Those high on admirative narcissism were perceived as confident but overestimated their likeability, whereas those high on rivalrous narcissism were perceived as aggressive and lazy. Teams characterized by high levels of rivalry exhibited reduced team cohesion, which in turn was associated with poorer team performance. There were no team-level effects for narcissistic admiration. The research advances understanding of admirative and rivalrous narcissism by simulating real-time teamwork in escape rooms. Full article
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12 pages, 244 KB  
Article
In a Flash of Lightning: Conversion and the Non-Object Through Kierkegaard and Eliot
by Jesse D. Goodman
Religions 2025, 16(11), 1345; https://doi.org/10.3390/rel16111345 - 24 Oct 2025
Viewed by 296
Abstract
In both T.S Eliot’s poetry and the writings of Søren Kierkegaard, conversion serves as an escape from the noise and din of social life. Similarly, both writers implicitly respond to Hegelian Absolute Idealism’s placement of poetry and religious practice within “picture-thinking,” outside of [...] Read more.
In both T.S Eliot’s poetry and the writings of Søren Kierkegaard, conversion serves as an escape from the noise and din of social life. Similarly, both writers implicitly respond to Hegelian Absolute Idealism’s placement of poetry and religious practice within “picture-thinking,” outside of real knowledge. Conversion appears in both thinkers as a response to the pressures of social life, and as a breakdown in communication between religious adherents and their society. Kierkegaard especially articulates the impossible space of Christians within “Christendom.” This paper takes as its point of comparison Eliot’s “The Waste Land,” reading it through a lens from Kierkegaard’s pseudonymous works. First, I work through the development of anxiety as a social phenomenon in both, before turning to Eliot and Kierkegaard’s depiction of the conversion event as self-obliterative. I then explore the silence after conversion, with a particular interest in the cessation of metaphysical speculation. Full article
(This article belongs to the Special Issue Experience and Non-Objects: The Limits of Intuition)
20 pages, 3186 KB  
Article
Stochastic Modeling of Electromagnetic Wave Propagation Through Extreme Dust Conditions in Underground Mines Using Vector Parabolic Approach
by Emmanuel Atta Antwi, Samuel Frimpong, Muhammad Azeem Raza and Sanjay Madria
Information 2025, 16(10), 891; https://doi.org/10.3390/info16100891 - 13 Oct 2025
Viewed by 382
Abstract
Post-disaster underground (UG) mine environments are characterized by complex and rapidly changing conditions, adding extra attenuation to propagating electromagnetic (EM) waves. One such complex condition is the extreme generation of dust and sudden rise in humidity contributing to extra attenuation effects to propagating [...] Read more.
Post-disaster underground (UG) mine environments are characterized by complex and rapidly changing conditions, adding extra attenuation to propagating electromagnetic (EM) waves. One such complex condition is the extreme generation of dust and sudden rise in humidity contributing to extra attenuation effects to propagating waves, especially under varying airborne humidity and dust levels. The existing wave propagation prediction models, especially those that factor in the effect of dust particles, are deterministic in nature, limiting their ability to account for uncertainties, especially during emergency conditions. In this work, the vector parabolic equation (VPE) model is modified to include dust attenuation effects. Using the complex permittivity of dust as a random variable, the Karhunen–Loève (KL) expansion is used to generate random samples of permittivity along the drifts for which each realization is solved using deterministic VPE method. The model is validated using a modified Friis method and experimentally obtained data from literature. The findings show that accounting for dust and humidity effects stochastically captures the extra losses that would have otherwise been lost using deterministic methods. The proposed framework offers key insights for designing resilient underground wireless systems, strengthening miner tracking, and improving safety during emergencies. Full article
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37 pages, 1326 KB  
Review
Mitochondrial DNA Dysfunction in Cardiovascular Diseases: A Novel Therapeutic Target
by Mi Xiang, Mengling Yang, Lijuan Zhang, Xiaohu Ouyang, Alexey Sarapultsev, Shanshan Luo and Desheng Hu
Antioxidants 2025, 14(9), 1138; https://doi.org/10.3390/antiox14091138 - 21 Sep 2025
Cited by 1 | Viewed by 1601
Abstract
Cardiovascular diseases hinge on a vicious, self-amplifying cycle in which mitochondrial deoxyribonucleic acid (mtDNA) dysfunction undermines cardiac bioenergetics and unleashes sterile inflammation. The heart’s reliance on oxidative phosphorylation (OXPHOS) makes it exquisitely sensitive to mtDNA insults—mutations, oxidative lesions, copy-number shifts, or aberrant methylation—that [...] Read more.
Cardiovascular diseases hinge on a vicious, self-amplifying cycle in which mitochondrial deoxyribonucleic acid (mtDNA) dysfunction undermines cardiac bioenergetics and unleashes sterile inflammation. The heart’s reliance on oxidative phosphorylation (OXPHOS) makes it exquisitely sensitive to mtDNA insults—mutations, oxidative lesions, copy-number shifts, or aberrant methylation—that impair ATP production, elevate reactive oxygen species (ROS), and further damage the mitochondrial genome. Damaged mtDNA fragments then escape into the cytosol, where they aberrantly engage cGAS–STING, TLR9, and NLRP3 pathways, driving cytokine storms, pyroptosis, and tissue injury. We propose that this cycle represents an almost unifying pathogenic mechanism in a spectrum of mtDNA-driven cardiovascular disorders. In this review, we aim to synthesize the pathophysiological roles of mtDNA in this cycle and its implications for cardiovascular diseases. Furthermore, we seek to evaluate preclinical and clinical strategies aimed at interrupting this cycle—bolstering mtDNA repair and copy-number maintenance, reversing pathogenic methylation, and blocking mtDNA-triggered innate immune activation—and discuss critical gaps that must be bridged to translate these approaches into precision mitochondrial genome medicine for cardiovascular disease. Full article
(This article belongs to the Section Health Outcomes of Antioxidants and Oxidative Stress)
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19 pages, 1294 KB  
Article
The Psychological Impact of Dealing with Death and the Risk of Dying Among Nurses Working in ICU and NICU: Specificities in Mediating and Moderating Variables
by Federica Vallone, Carmine Vincenzo Lambiase and Maria Clelia Zurlo
Healthcare 2025, 13(18), 2265; https://doi.org/10.3390/healthcare13182265 - 10 Sep 2025
Viewed by 822
Abstract
Background/Objectives. This study applied the Demands-Resources-and-Individual-Effects(DRIVE)-Nurses-Model to explore and compare the experiences of nurses working in Intensive Care Units (ICUs) and in Neonatal Intensive Care Units (NICUs), by investigating the effects of the interplay (main/mediating/moderating effects) of perceived stress related to dealing [...] Read more.
Background/Objectives. This study applied the Demands-Resources-and-Individual-Effects(DRIVE)-Nurses-Model to explore and compare the experiences of nurses working in Intensive Care Units (ICUs) and in Neonatal Intensive Care Units (NICUs), by investigating the effects of the interplay (main/mediating/moderating effects) of perceived stress related to dealing with death/critically ill patients (Death-and-Dying-Stressor)—which unavoidably features in the daily life of nurses working in ICU/NICU—with further potential Stressors in Nursing (Conflicts-with-Physicians, Peers, Supervisors, Patients/their families, Uncertainty-Concerning-Treatment, Inadequate-Emotional-Preparation, Discrimination, Workload), Work-Resources (Job-Control, Social-Support, Rewards), and Coping-Strategies (Problem-focused, Seek-Advice, Self-Blame, Wishful Thinking, Escape/Avoidance) on nurses’ psychological health conditions according to the working unit (ICU/NICU). Methods. Overall, 62 critical care nurses (ICU = 35; NICU = 27) completed self-report questionnaires. Main/mediating/moderating effects were tested by using Correlational-Analyses and Hayes-PROCESS-tool by working unit. Results. Nurses working in NICU reported higher Psychological Disease than nurses working in ICU. The detrimental psychological impact of Death-and-Dying-Stressor was mediated by Conflicts-with-Supervisors-Stressor among ICU nurses and by Uncertainty-Concerning-Treatment and Conflicts-with-Physicians stressors among NICU nurses. The recourse to Self-Blame and Escape/Avoidance coping strategies exacerbated the psychological risk among ICU nurses, while perceived Work-Resources (Job-Control/Social-Support) played a protective moderating role among NICU nurses. Conclusions. The application of the DRIVE-Nurses-Model to deepen the experience of nurses working in ICU/NICU could advance the understanding of the mechanisms underlying the relationship between Death-and-Dying-Stressor and nurses’ psychological health, suggesting tailored risk profiles and accounting for key protective factors, to provide nurses with the necessary resources for adjusting to their challenging and emotionally demanding work-related duties and experiences. Full article
(This article belongs to the Special Issue Mental Health of Healthcare Professionals)
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13 pages, 4343 KB  
Article
Phyllosphere Arthropods Facilitate Secondary Dispersal of Putative Mycoparasite Simplicillium: A Potential Biocontrol Strategy for Soybean Rust
by Takuma Nada, Yasuhiro Ishiga and Izumi Okane
Microorganisms 2025, 13(9), 2035; https://doi.org/10.3390/microorganisms13092035 - 31 Aug 2025
Viewed by 681
Abstract
Soybean rust, caused by Phakopsora pachyrhizi, is a major foliar disease that often escapes fungicide control, necessitating alternative strategies. We investigated whether phyllosphere arthropods, such as mites and thrips, facilitate the secondary dispersal of the mycoparasitic fungus Simplicillium under controlled conditions. Detached [...] Read more.
Soybean rust, caused by Phakopsora pachyrhizi, is a major foliar disease that often escapes fungicide control, necessitating alternative strategies. We investigated whether phyllosphere arthropods, such as mites and thrips, facilitate the secondary dispersal of the mycoparasitic fungus Simplicillium under controlled conditions. Detached soybean leaves inoculated with P. pachyrhizi were subjected to either arthropod-exposed or arthropod-excluded treatments. Simplicillium isolates were significantly more abundant in the presence of arthropods. Molecular identification revealed identical ITS genotypes of S. lamellicola from both infected pustules and thrips, indicating vector-mediated fungal transmission. While some Simplicillium strains persisted epiphytically without vectors, their spread was minimal. These results highlight a promising approach to enhance the effectiveness of Simplicillium-based biocontrol through natural arthropod-mediated dissemination, warranting field validation of this self-disseminating strategy. Full article
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22 pages, 3089 KB  
Article
Predicting Miner Localization in Underground Mine Emergencies Using a Hybrid CNN-LSTM Model with Data from Delay-Tolerant Network Databases
by Patrick Nonguin, Samuel Frimpong and Sanjay Madria
Appl. Sci. 2025, 15(16), 9133; https://doi.org/10.3390/app15169133 - 19 Aug 2025
Viewed by 714
Abstract
Underground mining environments are highly hazardous, often prone to gas explosions, cave-ins, and fires that may trap miners during emergencies. The accurate, real-time localization of miners is vital for effective self-escape and rescue operations. Although the Mine Improvement and New Emergency Response (MINER) [...] Read more.
Underground mining environments are highly hazardous, often prone to gas explosions, cave-ins, and fires that may trap miners during emergencies. The accurate, real-time localization of miners is vital for effective self-escape and rescue operations. Although the Mine Improvement and New Emergency Response (MINER) Act of 2006 mandates communication and tracking systems, most current solutions rely on low-power devices and line-of-sight methods that are ineffective in GPS-denied, dynamic subsurface conditions. Delay-Tolerant Networking (DTN) has emerged as a promising alternative by supporting message relay through intermittent links. In this work, we propose a deep learning framework that combines Convolutional Neural Networks (CNNs) and Long Short-Term Memory (LSTM) networks to predict miner locations using simulated DTN-based movement data. The model was trained on a simulated dataset of 1,048,575 miner movement entries, predicting miner locations across 26 pillar classes. It achieved an 89% accuracy, an 89% recall, and an 83% F1-score, demonstrating strong performance for real-time underground miner localization. These results demonstrate the model’s potential for the real-time localization of trapped miners in GPS-denied environments, supporting enhanced self-escape and rescue operations. Future work will focus on validating the model with real-world data and deploying it for operational use in mines. Full article
(This article belongs to the Special Issue Computer Vision and Machine Learning in Mining Technology)
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29 pages, 1604 KB  
Review
Engineering Targeted Gene Delivery Systems for Primary Hereditary Skeletal Myopathies: Current Strategies and Future Perspectives
by Jiahao Wu, Yimin Hua, Yanjiang Zheng, Xu Liu and Yifei Li
Biomedicines 2025, 13(8), 1994; https://doi.org/10.3390/biomedicines13081994 - 16 Aug 2025
Viewed by 1498
Abstract
Skeletal muscle, constituting ~40% of body mass, serves as a primary effector for movement and a key metabolic regulator through myokine secretion. Hereditary myopathies, including dystrophinopathies (DMD/BMD), limb–girdle muscular dystrophies (LGMD), and metabolic disorders like Pompe disease, arise from pathogenic mutations in structural, [...] Read more.
Skeletal muscle, constituting ~40% of body mass, serves as a primary effector for movement and a key metabolic regulator through myokine secretion. Hereditary myopathies, including dystrophinopathies (DMD/BMD), limb–girdle muscular dystrophies (LGMD), and metabolic disorders like Pompe disease, arise from pathogenic mutations in structural, metabolic, or ion channel genes, leading to progressive weakness and multi-organ dysfunction. Gene therapy has emerged as a transformative strategy, leveraging viral and non-viral vectors to deliver therapeutic nucleic acids. Adeno-associated virus (AAV) vectors dominate clinical applications due to their efficient transduction of post-mitotic myofibers and sustained transgene expression. Innovations in AAV engineering, such as capsid modification (chemical conjugation, rational design, directed evolution), self-complementary genomes, and tissue-specific promoters (e.g., MHCK7), enhance muscle tropism while mitigating immunogenicity and off-target effects. Non-viral vectors (liposomes, polymers, exosomes) offer advantages in cargo capacity (delivering full-length dystrophin), biocompatibility, and scalable production but face challenges in transduction efficiency and endosomal escape. Clinically, AAV-based therapies (e.g., Elevidys® for DMD, Zolgensma® for SMA) demonstrate functional improvements, though immune responses and hepatotoxicity remain concerns. Future directions focus on AI-driven vector design, hybrid systems (AAV–exosomes), and standardized manufacturing to achieve “single-dose, lifelong cure” paradigms for muscular disorders. Full article
(This article belongs to the Collection Feature Papers in Gene and Cell Therapy)
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17 pages, 331 KB  
Article
Extensive and Intensive Aspects of Astrophysical Systems and Fine-Tuning
by Meir Shimon
Universe 2025, 11(8), 269; https://doi.org/10.3390/universe11080269 - 15 Aug 2025
Viewed by 394
Abstract
Most astrophysical systems (except for very compact objects such as, e.g., black holes and neutron stars) in our Universe are characterized by shallow gravitational potentials, with dimensionless compactness |Φ|rs/R1, where rs and [...] Read more.
Most astrophysical systems (except for very compact objects such as, e.g., black holes and neutron stars) in our Universe are characterized by shallow gravitational potentials, with dimensionless compactness |Φ|rs/R1, where rs and R are their Schwarzschild radius and typical size, respectively. While the existence and characteristic scales of such virialized systems depend on gravity, we demonstrate that the value of |Φ|—and thus the non-relativistic nature of most astrophysical objects—arises from microphysical parameters, specifically the fine structure constant and the electron-to-proton mass ratio, and is fundamentally independent of the gravitational constant, G. In fact, the (generally extensive) gravitational potential becomes ‘locally’ intensive at the system boundary; the compactness parameter corresponds to the binding energy (or degeneracy energy, in the case of quantum degeneracy pressure-supported systems) per proton, representing the amount of work that needs to be done in order to allow proton extraction from the system. More generally, extensive properties of gravitating systems depend on G, whereas intensive properties do not. It then follows that peak rms values of large-scale astrophysical velocities and escape velocities associated with naturally formed astrophysical systems are determined by electromagnetic and atomic physics, not by gravitation, and that the compactness, |Φ|, is always set by microphysical scales—even for the most compact objects, such as neutron stars, where |Φ| is determined by quantities like the pion-to-proton mass ratio. This observation, largely overlooked in the literature, explains why the Universe is not dominated by relativistic, compact objects and connects the relatively low entropy of the observable Universe to underlying basic microphysics. Our results emphasize the central but underappreciated role played by dimensionless microphysical constants in shaping the macroscopic gravitational landscape of the Universe. In particular, we clarify that this independence of the compactness, |Φ|, from G applies specifically to entire, virialized, or degeneracy pressure-supported systems, naturally formed astrophysical systems—such as stars, galaxies, and planets—that have reached equilibrium between self-gravity and microphysical processes. In contrast, arbitrary subsystems (e.g., a piece cut from a planet) do not exhibit this property; well within/outside the gravitating object, the rms velocity is suppressed and G reappears. Finally, we point out that a clear distinction between intensive and extensive astrophysical/cosmological properties could potentially shed new light on the mass hierarchy and the cosmological constant problems; both may be related to the large complexity of our Universe. Full article
(This article belongs to the Section Gravitation)
13 pages, 2113 KB  
Article
Daptomycin-Loaded Nano-Drug Delivery System Based on Biomimetic Cell Membrane Coating Technology: Preparation, Characterization, and Evaluation
by Yuqin Zhou, Shihan Du, Kailun He, Beilei Zhou, Zixuan Chen, Cheng Zheng, Minghao Zhou, Jue Li, Yue Chen, Hu Zhang, Hong Yuan, Yinghong Li, Yan Chen and Fuqiang Hu
Pharmaceuticals 2025, 18(8), 1169; https://doi.org/10.3390/ph18081169 - 6 Aug 2025
Cited by 1 | Viewed by 842
Abstract
Background/Objective: Staphylococcus aureus (S. aureus) is a clinically significant pathogenic bacterium. Daptomycin (DAP) is a cyclic lipopeptide antibiotic used to treat infections caused by multidrug-resistant Gram-positive bacteria, including S. aureus. However, DAP currently faces clinical limitations due to its short [...] Read more.
Background/Objective: Staphylococcus aureus (S. aureus) is a clinically significant pathogenic bacterium. Daptomycin (DAP) is a cyclic lipopeptide antibiotic used to treat infections caused by multidrug-resistant Gram-positive bacteria, including S. aureus. However, DAP currently faces clinical limitations due to its short half-life, toxic side effects, and increasingly severe drug resistance issues. This study aimed to develop a biomimetic nano-drug delivery system to enhance targeting ability, prolong blood circulation, and mitigate resistance of DAP. Methods: DAP-loaded chitosan nanocomposite particles (DAP-CS) were prepared by electrostatic self-assembly. Macrophage membrane vesicles (MM) were prepared by fusion of M1-type macrophage membranes with 1,2-dimyristoyl-sn-glycero-3-phosphocholine (DMPC). A biomimetic nano-drug delivery system (DAP-CS@MM) was constructed by the coextrusion process of DAP-CS and MM. Key physicochemical parameters, including particle diameter, zeta potential, encapsulation efficiency, and membrane protein retention, were systematically characterized. In vitro immune escape studies and in vivo zebrafish infection models were employed to assess the ability of immune escape and antibacterial performance, respectively. Results: The particle size of DAP-CS@MM was 110.9 ± 13.72 nm, with zeta potential +11.90 ± 1.90 mV, and encapsulation efficiency 70.43 ± 1.29%. DAP-CS@MM retained macrophage membrane proteins, including functional TLR2 receptors. In vitro immune escape assays, DAP-CS@MM demonstrated significantly enhanced immune escape compared with DAP-CS (p < 0.05). In the zebrafish infection model, DAP-CS@MM showed superior antibacterial efficacy over both DAP and DAP-CS (p < 0.05). Conclusions: The DAP-CS@MM biomimetic nano-drug delivery system exhibits excellent immune evasion and antibacterial performance, offering a novel strategy to overcome the clinical limitations of DAP. Full article
(This article belongs to the Section Pharmaceutical Technology)
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12 pages, 277 KB  
Article
Exploring the Implementation of Gamification as a Treatment Modality for Adults with Depression in Malaysia
by Muhammad Akmal bin Zakaria, Koh Ong Hui, Hema Subramaniam, Maziah Binti Mat Rosly, Jesjeet Singh Gill, Lim Yee En, Yong Zhi Sheng, Julian Wong Joon Ip, Hemavathi Shanmugam, Chow Soon Ken and Benedict Francis
Medicina 2025, 61(8), 1404; https://doi.org/10.3390/medicina61081404 - 1 Aug 2025
Viewed by 909
Abstract
Background and Objectives: Depression is a leading cause of disability globally, with treatment challenges including limited access, stigma, and poor adherence. Gamification, which applies game elements such as points, levels, and storytelling into non-game contexts, offers a promising strategy to enhance engagement [...] Read more.
Background and Objectives: Depression is a leading cause of disability globally, with treatment challenges including limited access, stigma, and poor adherence. Gamification, which applies game elements such as points, levels, and storytelling into non-game contexts, offers a promising strategy to enhance engagement and augment traditional treatments. Our research is the first study designed to explore the implementation of gamification within the Malaysian context. The objective was to explore the feasibility of implementation of gamification as an adjunctive treatment for adults with depression. Materials and Methods: Focus group discussions were held with five mental health professionals and ten patients diagnosed with moderate depression. The qualitative component assessed perceptions of gamified interventions, while quantitative measures evaluated participants’ depressive and anxiety symptomatology. Results: Three key themes were identified: (1) understanding of gamification as a treatment option, (2) factors influencing its acceptance, and (3) characteristics of a practical and feasible intervention. Clinicians saw potential in gamification to boost motivation, support psychoeducation, and encourage self-paced learning, but they expressed concerns about possible addiction, stigma, and the complexity of gameplay for some patients. Patients spoke of gaming as a source of comfort, escapism, and social connection. Acceptance was shaped by engaging storylines, intuitive design, balanced difficulty, therapist guidance, and clear safety measures. Both groups agreed that gamification should be used in conjunction with standard treatments, be culturally sensitive, and be presented as a meaningful therapeutic approach rather than merely as entertainment. Conclusions: Gamification emerges as an acceptable and feasible supplementary approach for managing depression in Malaysia. Its success depends on culturally sensitive design, robust clinical oversight, and seamless integration with existing care pathways. Future studies should investigate long-term outcomes and establish guidelines for the safe and effective implementation of this approach. We recommend targeted investment into culturally adapted gamified tools, including training, policy development, and collaboration with key stakeholders to realistically implement gamification as a mental health intervention in Malaysia. Full article
(This article belongs to the Section Psychiatry)
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