Search Results (2,017)

Objectives: To evaluate dental students’ and recent graduates’ perceptions of the integration, effectiveness, quality, and clinical relevance of orofacial pain (OFP) and temporomandibular disorders (TMDs) education in the Oral Medicine (OM) course at Umm Al-Qura University’s Faculty of Dental Medicine (UQUDENT), and to identify educational gaps and opportunities for curriculum improvement. Methods: This cross-sectional study was conducted using a self-administered online questionnaire distributed via Google Forms to 117 participants, including fourth- to sixth-year students, interns, and recent (2022–2024) graduates. Respondents provided demographic information and assessed the effectiveness (10 items), quality (4 items), and value/relevance (4 items) of the OM course using a 5-point Likert scale. Results: Respondents provided moderate ratings for course effectiveness (mean = 35.2/50) and quality (mean = 13.5/20), and rated OFP/TMD content as having high clinical value (mean = 16.1/20). They had limited confidence in OFP/TMD diagnosis (mean = 3.09/5) and management (mean = 3.19/5). More than 80% believed the curriculum should include more OFP/TMD content. No significant differences were observed by gender, sector, study/work area, clinical exposure (all p > 0.05). Conclusions: Students recognize the importance of OFP/TMD education, but the current curriculum may be insufficiently structured to build competence. Improvement of curricular depth, teaching methods, and clinical exposure is recommended. Full article

Many common chemicals are known or suspected to harm brain development, and children are particularly vulnerable, yet research on their long-term effects on mental health is limited. This study investigated the associations of early childhood exposure to endocrine disrupting and neurotoxic chemicals with the development of internalizing, externalizing, and attention-deficit/hyperactivity disorder (ADHD) symptoms from early childhood through adolescence in 387 children from the Rhea cohort in Crete, Greece. At age 4, serum concentrations of 3 organochlorine pesticides and 14 polychlorinated biphenyls, and urinary concentrations of 7 phthalate metabolites and 6 dialkyl phosphate metabolites were measured. Children’s symptoms were assessed via maternal reports at ages 4, 6, 11 and 15 years. Using generalized estimating equation models, the study found that early exposure to hexachlorobenzene (HCB) and dichlorodiphenyldichloroethylene (DDE) was associated with increased externalizing symptoms across ages in girls [beta (95% CI): 0.20 (0.04, 0.37) and 0.11 (0.01, 0.21), respectively]. Among girls, low molecular weight (LMW) phthalates were also linked to elevated internalizing and externalizing symptoms, as well as ADHD-related difficulties [beta (95% CI): 0.15 (0.04, 0.26), 0.13 (0.01, 0.25), and 0.13 (0.02, 0.24), respectively]. Additionally, exposure to organophosphate pesticides was associated with increased externalizing and ADHD symptoms [beta (95% CI): 0.13 (0.04, 0.22) and 0.12 (0.04, 0.20), respectively]. The findings suggest that early childhood exposure to environmental chemicals may have long-term effects on emotional and behavioral development, with pronounced effects observed only in girls. Full article

Background: This study examined changes in psychological adjustment among patients with Anorexia Nervosa (AN) and Binge Eating Disorder (BED) following a 3-week inpatient multidisciplinary (disease-tailored) rehabilitation program. Methods: twenty consecutive Italian female adults with a diagnosis of AN (mean age ± SD: 25.9 ± 9.4 years; mean Body Mass Index: BMI: kg/m²: 15.8 ± 1.61) and fifteen consecutive Italian female adults with diagnosis of BED (mean age ± SD: 43.5 ± 15.3 years; mean Body Mass Index: BMI: kg/m²: 41.1 ± 7.82) were admitted to the study. Psychological functioning and well-being were assessed pre- and post-intervention using the Strengths and Difficulties Questionnaire and the Psychological General Well-Being Index. Results: Significant improvements in emotional symptoms [F(1, 31) = 21.1973, p < 0.001, ƞ²p = 0.406] and overall psychological functioning [F(1, 31) = 10.0062, p = 0.373, ƞ²p = 0.026] were observed in both groups, with the most pronounced changes in internalizing symptoms, such as anxiety and depression. Changes in BMI were significantly associated with emotional symptoms, vitality [F(1, 31) = 4.89, p = 0.035, ƞ²p = 0.136], and total well-being scores [F(1, 31) = 6.341, p = 0.017, ƞ²p = 0.170]. By contrast, no significant changes were observed in domains such as behavioral problems, hyperactivity/inattention, and peer relationships, probably indicating the need for more prolonged and targeted, domain-specific interventions. Conclusions: A 3-week inpatient multidisciplinary program was associated with improvements in internalizing symptoms and psychological well-being in women with AN and BED. Domains such as behavioral regulation and social functioning showed limited change, indicating the need for longer and targeted psychosocial components. Full article

Background/Objectives: This article aims to investigate the multifaceted effects of alcohol on neurophysiopathological development from gestational stages through adult life and the consequent dynamic-relational challenges in individuals with Fetal Alcohol Spectrum Disorder (FASD). FASD, resulting from prenatal alcohol exposure (PAE), is characterized by a range of neurological, cognitive, behavioral, and sometimes physical impairments. This article explores how alcohol and its toxic metabolites cross the placenta, inducing direct cellular toxicity and epigenetic alterations that disrupt critical neurodevelopmental processes such as neurogenesis and brain circuit formation. Clinically, individuals with FASD exhibit diverse deficits in executive functioning, learning, memory, social skills, and sensory-motor abilities, leading to significant lifelong disabilities. A central focus is the application of the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) criteria to comprehensively frame these disabilities. The ICF’s biopsychosocial model allows for a multidimensional assessment of impairments in body functions and structures, limitations in activities, and restrictions in participation, while also considering the crucial role of environmental factors. Methods: PubMed and Semantic Scholar databases were searched for relevant papers published in English. Results: This article highlights the utility of the ICF in creating individualized functioning profiles to guide interventions and support services, addressing the limitations of traditional assessment methods. Conclusions: While the ICF framework offers a robust approach for understanding and managing FASD, further research is essential to develop and validate FASD-specific ICF-based assessment tools to enhance support and social participation for affected individuals. Full article

There are many benign skin neoplasms encountered in dermatopathology practice that can be associated with underlying genetic disorders. Although benign themselves, these lesions can offer insight into the potential for development of internal malignancies in patients with these hereditary syndromes. An astute dermatopathologist will recognize clues that suggest a syndromic association of these lesions, such as the presence of multiple lesions, distinct histologic growth patterns, and the results of ancillary immunohistochemical testing. The dermatopathologist can then guide the referring clinician to obtain additional clinical and family history and, if appropriate, pursue further screening and genetic testing. This review article will provide an overview of the clinical and histologic features associated with select common and uncommon benign skin neoplasms with syndromic associations. Full article

Introduction: Unhealthy eating habits combined with low levels of physical activity and cardiorespiratory fitness pose a serious threat to the health of young people. The aim of this research was to determine the relationship between selected components of body composition, the occurrence of eating disorders, and cardiorespiratory fitness (CRF) and physical activity levels among university students. Material and Methods: This study was conducted among 254 students at a university in Poland. It included the measurements of body height, body composition analysis using bioelectrical impedance analysis (BIA), and assessment of cardiorespiratory fitness (CRF). This research also employed the My Eating Habits (MEH) questionnaire and the short version of the International Physical Activity Questionnaire (IPAQ-SF). Results: Based on body fat percentage (BF%), nearly one-fifth (19.69%) of participants were classified as obese. According to the body mass index (BMI), over one-third had excess body weight (overweight 24.02%, obesity 10.24%), while 6.7% were underweight. Eating disorders were significantly more prevalent in women (p = 0.0002). A significant relationship was observed between eating disorders and BMI, muscle mass (MM%), skeletal muscle mass (SMM%), body fat (BF%), and visceral fat (VFATL). Higher BMI, BF%, and VFATL were associated with a greater risk of developing eating disorders. Emotional overeating was significantly less common among individuals with normal body weight compared to those who were underweight or overweight. No statistically significant associations were found between students’ physical activity levels and eating habits. However, cardiorespiratory fitness (CRF) was significantly negatively correlated with the presence of eating disorders. Conclusions: Understanding the relationship between components of body composition, eating disorders, physical activity levels, and cardiorespiratory fitness is crucial for designing effective interventions that promote a healthier lifestyle and psychological well-being among university students. Full article

In recent years, increasing attention has been paid to the impact of air pollution on the neuropsychological development of children and adolescents. However, a comprehensive overview of global research trends and thematic structures in this field remains lacking. This study applies bibliometric methods to systematically analyze 1441 English-language publications from 2000 to 2024, retrieved from the Web of Science Core Collection and Scopus. Using CiteSpace 6.4.R1, VOSviewer 1.6.20, and RStudio Bibliometrix (RStudio version: 2025.05.1+496, R version: 4.5.0, Bibliometrix package version: 5.0.0), we conducted a multidimensional visualization of publication trends, contributing countries and institutions, interdisciplinary integration, author collaborations, and keyword clustering. Results show a marked increase in research output in recent years, with the United States, China, and Spain leading in publication number and international collaboration. Key research themes include particulate pollution, prenatal and early-life exposure, and neuropsychological disorders such as attention-deficit hyperactivity and autism, alongside mechanisms like oxidative stress and neuroinflammation. This study builds a knowledge framework for the field, offering insights for scholars and evidence-based guidance for policymakers to support interventions that protect the neuropsychological health of the younger population. Full article

Background: Multiple System Atrophy (MSA) is a rapidly progressing neurodegenerative movement disorder characterized by autonomic failure, parkinsonism, and cerebellar ataxia. While its non-motor symptoms are well-documented, personality features in MSA remain underexplored. This study characterizes the personality traits of non-demented patients with MSA and explores their association with clinical variables. Methods: Twenty-six patients with MSA were assessed using the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF). Dementia was excluded by Montreal Cognitive Assessment. Descriptive statistics and non-parametric analyses were conducted to examine clinical, demographic, and MMPI-2-RF variables. Results: Patients commonly showed elevated scores in somatic domains: Somatic Complaints (39%), Malaise (58%), and Neurological Complaints (85%), as well as in internalizing emotional traits: Low Positive Emotions (39%), Introversion (46%), Suicidal Ideation (46%), and Hopelessness (54%). Externalizing behavioral traits were absent, with only 4–8% of patients showing elevations in aggression or behavioral dysfunction. Strong correlations were found between somatic and emotional traits (r = 0.656, p < 0.001), and between Neurological Complaints and disease duration (r = 0.662, p < 0.001). Conclusions: This exploratory study reveals a distinct personality pattern in MSA, characterized by marked suicidal ideation, emotional vulnerability with internalizing coping, and absence of externalizing behaviors. These features highlight the need for suicide risk screening, interventions to alleviate psychological suffering, and tailored multidisciplinary care. Larger, longitudinal studies are warranted to confirm these preliminary results and clarify whether these traits reflect premorbid personality, early disease manifestations, or secondary responses, as well as their prognostic and clinical relevance. Full article

This study investigates the structural and magnetic properties of CoFe₂O₄ nanoparticles prepared by five different synthesis methods: coprecipitation, ultrasound-assisted coprecipitation, coprecipitation coupled with mechanochemical treatment, microemulsion and microwave-assisted hydrothermal synthesis. The produced powders were additionally functionalized with starch to improve biocompatibility and colloidal stability. The starch-coating procedure itself by sonication in starch solution, as well as its result, affects the structural and magnetic properties of functionalized nanoparticles. The resulting changes of properties in the process of ligand addition depend significantly on the starting nanoparticles, or rather, on the method of their synthesis. The structural, magnetic and spectroscopic properties of the resulting materials were systematically investigated using X-ray diffraction (XRD), Raman spectroscopy, Mössbauer spectroscopy and magnetic measurements. Taken together, XRD, Raman and Mössbauer spectroscopy show that starch deposition reduces structural disorder and internal stress, resulting in nanoparticles with a more uniform size distribution. These changes, in turn, affect all magnetic properties—magnetization, coercivity and magnetic anisotropy. Magnetic responses are preserved what is desirable for future biomedical applications. This work emphasizes the importance of surface modification for tailoring the properties of magnetic nanoparticles while maintaining their desired functionality. Full article

Background/Objectives: Ketone bodies are increasingly studied for their potential therapeutic effects, particularly through exogenous ketosis, in a variety of diseases. This systematic review aimed to rigorously assess the clinical efficacy of exogenous ketosis in adults with medical conditions. Methods: Following PRISMA guidelines, we systematically searched MEDLINE and Scopus databases. Our inclusion criteria were defined according to the PICOS framework, focusing on studies involving exogenous ketosis in adult patients with specific diseases. The study is registered in the International Prospective Register of Systematic Reviews (PROSPERO; CRD42023492846). Results: After a stringent selection process, fifty-one studies were analyzed. Twenty-two studies focused on neurological disorders, one on psychiatric disorders, twenty-two on metabolic disorders, five on cardiovascular disorders, and one on an inflammatory disorder. Exogenous ketosis demonstrated potential benefits across multiple conditions, including Alzheimer’s disease, mild cognitive impairment, McArdle’s disease, various forms of heart failure, cardiogenic shock, pulmonary hypertension, and COVID-19-related acute respiratory distress syndrome, although evidence is mostly limited to surrogate endpoints with insufficient hard outcome data. Subtherapeutic ketone concentrations induced by medium-chain triglycerides and limited follow-up periods often precluded firm conclusions regarding clinically meaningful outcomes. Conclusions: Exogenous ketosis shows potential in neurological, metabolic, and cardiovascular disorders, while evidence in psychiatric and inflammatory conditions remains scarce and preliminary. Ketone esters appear preferable for effective and tolerable ketosis. Future research should focus on identifying responsive patient populations, optimizing treatment regimens, and conducting long-term clinical trials with hard endpoints to validate these findings. Full article

Background/Objectives: Preterm birth is defined by the World Health Organization (WHO) as birth occurring before 37 weeks of gestation and represents one of the major public health concerns worldwide. Approximately 15 million newborns are affected annually. Following such a physically and emotionally traumatic event, most parents experience emotional distress and seek answers regarding the possible internal or external triggers. The main objective of this review is to analyze the current data regarding the impact of prematurity on parental mental health, as well as the types of interventions targeting parents. Methods: This narrative review was conducted based on extensive research of full-text scientific articles published in the past 15 years, investigating the relationship between prematurity, neonatal intensive care unit (NICU) hospitalization, parental mental health, and proposed intervention strategies aimed at supporting families. Results: Approximately 35% of mothers of preterm infants presented postpartum depression, 24% anxiety, and 15% PTSD. FCC interventions reduced stress levels and the intensity of depressive symptoms, while FICare showed stronger benefits, with additional improvements in parental mental health, parental self-efficacy, increased parental confidence, and amelioration of preterm infant parameters. Conclusions: Implementing FCC and FICare into daily neonatal care is essential for the prevention of parental mental health disorders and strengthening parenting capacity. Full article

Background/Objectives: Childhood eye disorders, including refractive errors, strabismus, and amblyopia, are prevalent yet often underdiagnosed in Saudi Arabia. Limited data on barriers to pediatric eye care hinder efforts to optimize service delivery. This study aimed to identify barriers to accessing pediatric eye care and to develop consensus-based strategies for improvement. Methods: A Delphi technique involving three iterative rounds of questionnaires was conducted with a panel of 22 eye care experts across Saudi Arabia. Consensus was defined as ≥80% agreement among participants. In total, 30 statements were developed from thematic analysis of open-ended responses and a supporting literature review. Panelists rated each statement on a five-point Likert scale, and descriptive statistics were applied. Internal consistency across rounds was assessed using Cronbach’s alpha. Results: Of the 30 proposed statements, 25 (83.3%) reached consensus, with a mean agreement score of 4.45 ± 0.59. Internal consistency was high (Cronbach’s alpha = 0.92). High-priority recommendations included implementing mandatory vision screening, integrating optometrists into primary healthcare, and establishing specialized pediatric eye care centers. Other recommendations emphasized expanding mobile clinics and increasing public awareness. Areas that did not reach consensus included referral inefficiencies, adequacy of the current workforce, and school accommodations for children with visual impairment. Conclusions: This study presents the first national consensus on pediatric eye care in Saudi Arabia and provides actionable recommendations to strengthen services. The findings offer a strategic framework to guide policy, enhance workforce development, and reduce childhood visual impairment through early detection and intervention. Full article

Background/Objectives: Unceasing exposure of skin and its microbiome to various external and internal factors influences its health. Any imbalance ensuing may result in dysbiosis and consequently skin diseases. Thus, it becomes critical to identify and recognize the influence of several factors on the skin microbiome and various disorders associated with it. Methods: In the current investigation, we studied the skin microbiomes of 37 subjects using the next-generation shotgun sequencing method and compared them with 48 healthy subjects from the Human Microbiome Project (HMP). This work focused on the analysis of the impact of different skin care routines—use of sunscreen and moisturizers—on the skin microbiome and related skin diseases. Results: Differences were observed between the microbiomes of subjects who were using only moisturizer (p = 3.1 × 10⁻⁵) or moisturizer with sunscreen (p = 3.2 × 10⁻¹³) and those who did not use these products at all. We also observed differences in the skin microbiomes of males vs. females with respect to the use of moisturizer. The composition of the skin microbiomes of female participants showed a higher difference in diversity in comparison to males. The current investigation also found that usage of sunscreen might help in retaining skin-protecting species in the skin microbiome. Conclusions: This work allowed us to understand the impact of moisturizer and sunscreen on skin health. The present evaluation shall pave the way for personalized skin care product development. Full article

The increasing integration of artificial intelligence agents (AIAs) based on large language models (LLMs) is transforming many spheres of society. These agents act as human assistants, forming Distributed Intelligent Systems (DISs) and engaging in opinion formation, consensus-building, and collective decision-making. However, complex DIS network topologies introduce significant uncertainty into these processes. We propose a quantum-inspired graph signal processing framework to model collective behavior in a DIS interacting with an external environment represented by an influence matrix (IM). System topology is captured using scale-free and Watts–Strogatz graphs. Two contrasting interaction regimes are considered. In the first case, the internal structure fully aligns with the external influence, as expressed by the commutativity between the adjacency matrix and the IM. Here, a renormalization-group-based scaling approach reveals minimal reservoir influence, characterized by full phase synchronization and coherent dynamics. In the second case, the IM includes heterogeneous negative (antagonistic) couplings that do not commute with the network, producing partial or complete spectral disorder. This disrupts phase coherence and may fragment opinions, except for the dominant collective (Perron) mode, which remains robust. Spectral entropy quantifies disorder and external influence. The proposed framework offers insights into designing LLM-participated DISs that can maintain coherence under environmental perturbations. Full article

China’s rural revitalization strategy has entered a new stage of development, in which optimizing the layout of rural settlements constitutes both a critical component and an urgent task for promoting integrated urban–rural development. Important ecological function areas play a vital role in maintaining ecological security; however, research focusing on the evaluation and optimization of rural settlement suitability within these regions remains limited, thereby constraining their sustainable development. Accordingly, this paper selects Shiyan City, situated within the core water source area of China’s South-to-North Water Diversion Project, as a case study. From an ecological perspective, a suitability evaluation system for rural settlements is developed, specifically tailored to important ecological function areas. This system integrates ecological factors including geological hazards, vegetation coverage, soil and water conservation, and soil erosion. Utilizing GIS spatial analysis and the minimum cumulative resistance model, the study assesses the suitability of rural settlements within these important ecological function areas. Furthermore, it proposes corresponding optimization types and strategies for rural settlements in such areas. The findings indicate the following: (1) The rural settlements in the study area demonstrate a “large dispersed settlements and small clustered settlements” distribution pattern, exhibiting an overall high-density agglomeration, though their internal layout remains fragmented and disordered due to geographical and ecological constraints. (2) The spatial comprehensive resistance values in the study area exhibit significant heterogeneity, with a general pattern of lower values in the north and higher values in the south. The region was categorized into five suitability levels: high yield, highly suitable, generally suitable, less suitable and unsuitable. The highly suitable areas, despite their limited spatial extent, support the highest density of rural settlements. In contrast, unsuitable areas occupy a substantially larger proportion of the territory, reaching 46.83%. These areas are strongly constrained by topographic and ecological factors, limiting their potential for development, and the spatial layout of villages requires further optimization, with emphasis placed on ecological conservation and adaptive sustainability. (3) Rural settlements are categorized into four optimized types: Urban–rural integration settlements, primarily located in high yield areas, are incorporated into urban development plans after optimization. Adjusted and improved settlements, mainly in highly suitable areas, enhance service quality and stimulate economic vitality post-optimization. Relocation and renovation settlements, including those in generally suitable and less suitable areas, achieve concentrated living and improved ecological livability after optimization. Restricted development settlements, predominantly in unsuitable areas, focus on ecological conservation and regional ecological security post-optimization. This study integrates ecological function protection factors with spatial optimization zoning for rural settlements in the study area, providing scientific reference for enhancing residential safety and ecological security for rural residents in important ecological function areas. Full article