Search Results (2,461)

Habitat and climate changes driven by human activities are altering the distribution of organisms globally. In South Korea, recent temperature increases have exceeded twice the global average, and habitats have markedly changed and shrunk due to urban development driven by population growth and economic expansion. Despite its high biodiversity and over 500 years of preservation, Gwangneung Forest in South Korea has experienced habitat alterations due to the urbanization of surrounding rural areas since the 1990s. In this study, we aimed to evaluate how butterfly communities respond to urbanization and climate change using long-term monitoring data (1998–2015) from the conserved Gwangneung Forest. We considered the thermal adaptation types (cold-, warm-, and moderately adapted species), habitat types (forest edge, forest inside, and grassland), diet breadth (monophagous, oligophagous, and polyphagous), and wingspan of butterflies. Linear regression analysis of the abundance trends for each species revealed that cold-adapted species experienced population declines, while warm-adapted species showed increases. Changes in butterfly abundance were associated with both thermal adaptation type and wingspan, with larger, more mobile species showing greater resistance to habitat loss in surrounding areas. To preserve butterfly diversity in Gwangneung Forest and across South Korea, it is crucial to conserve open green habitats—such as gardens, small arable lands, and grasslands—within urban areas, especially considering the impacts of climate change and habitat loss, which disproportionately affect smaller species with limited mobility. Full article

Understanding rural communities’ perceptions of the health impacts of extreme weather is vital for strengthening community resilience and adaptation strategies. This paper aimed to collate existing evidence on the perceptions of rural Australians regarding the health impacts of extreme weather events. A scoping review following PRISMA-ScR guidelines was conducted. Peer-reviewed empirical articles published up to 7 May 2025 were identified from Scopus, PubMed, and Web of Science. One author undertook two-step screening and data extraction, which was checked by another author, and data were analysed using a thematic approach. Of 242 non-duplicate articles screened, 34 were included, which discussed drought (n = 14), bushfire (n = 8), flood (n = 6), extreme heat (n = 4) or a combination of events (n = 2). Two main themes arose: (1) perceived severity, frequency and duration of extreme weather events; and (2) perceptions of health impacts. The second theme comprised six subthemes: mental health risks, social disconnectedness, disrupted connection to land, distress due to uncertainties, community resilience, and disproportionate effects on vulnerable groups. Evidence gaps included a lack of perspectives separated by gender and age and a shortage of voices of socio-economically disadvantaged groups. Future research should investigate how to understand rural communities’ resilience to develop targeted adaptation and mitigation strategies. Full article

This article investigates the connection between the process parameters of solid hydrogenation, disproportionation (HD), desorption, and recombination (DR) (HDDR) in sintered (Nd,Pr,Gd)-Fe-B magnets, as well as their phase composition and degree of texture (DoT). During HD, hydrogen pressures of 10–50 kPa were applied at temperatures ranging from 700 to 785 °C for reaction times ranging from 3 to 11 h. DR was performed at 750–850 °C. The HD reaction was observed across the full range of hydrogen pressure and temperature. The phase composition of the disproportionation products depends on the depth in the sample. Applying HDDR treatment at a pressure of 10 kPa is an effective way to increase the DoT of magnets. Magnets are anisotropic following the HDDR treatment across the parameter ranges. The dependence of the DoT value on HDDR treatment parameters is complicated, with the main trend being a decline in DoT with increasing hydrogen pressure. The DoT is determined by the disproportionation and recombination temperatures, as well as the depth at 50 kPa pressure. The recombined phase is isotropic near the sample surface and highly anisotropic within the sample after 50 kPa is applied. Full article

Periodontal disease is a widespread chronic condition linked to systemic illnesses such as cardiovascular disease, diabetes, and adverse pregnancy outcomes. Despite its global burden, population-specific studies on its risk factors remain limited, particularly in Central and Eastern Europe. The SANA-biome Project is a cross-sectional, community-based study designed to investigate the biological and social determinants of periodontal disease in Romania, a country with disproportionately high oral disease rates and minimal microbiome data. This protocol will integrate metagenomic, proteomic, and metabolomic data of the oral microbiome from saliva and dental calculus samples with detailed sociodemographic and lifestyle data collected through a structured 44-question survey. This study is grounded in two complementary frameworks: the IMPEDE model, which conceptualizes inflammation as both a driver and a consequence of microbial dysbiosis, and Ecosocial Theory, which situates disease within social and structural contexts. Our aims are as follows: (1) to identify lifestyle and behavioral predictors of periodontal disease; (2) to characterize the oral microbiome in individuals with and without periodontal disease; and (3) to evaluate the predictive value of combined microbial and sociodemographic features using statistical and machine learning approaches. Power calculations based on pilot data indicate a target enrollment of 120 participants. This integrative approach will help disentangle the complex interplay between microbiological and structural determinants of periodontal disease and inform culturally relevant prevention strategies. By focusing on an underrepresented population, this work contributes to a more equitable and interdisciplinary model of oral health research and supports the development of future precision public health interventions. Full article

Multi-energy systems (MES), or energy hubs, offer a technologically viable solution for maintaining resilient energy infrastructure in the face of increasingly frequent disasters, which disproportionately affect low-income and disadvantaged communities; however, their adoption for these purposes remains poorly understood. Following PRISMA 2020, this paper systematically reviews the MES literature from both resiliency and equity perspectives to identify synergies, disparities, and gaps in the context of climate change and long-term decarbonization goals. From 2420 records identified from Scopus (1997–2023), we included 211 original MES research publications for detailed review, with studies excluded based on their scale, scope, or technology. Risk of bias was minimized through dual-stage screening and statistical analysis across 18 physical system and research approach categories. The results found that papers including equity are statically more likely to involve fully renewable energy systems, while middle income countries tend to adopt renewable systems with biofuels more than high income countries. Sector coupling with two energy types improved the resiliency index the most (73% difference between baseline and proposed MES), suggesting two-type systems are optimal. Statistically significant differences in modeling formulations also emerged, such as equity-focused MES studies adopting deterministic design models, while resilience-focused studies favored stochastic control formulations and load-shedding objectives. While preliminary studies indicate low operational costs and high resilience can synergistically be achieved, further MES case studies are needed with low-income communities and extreme climates. Broadly, this review novelly applies structured statistical analysis for the MES domain, revealing key trends in technology adoption, modeling approaches, and equity-resilience integration. Full article

Multimorbidity, or the presence of two or more co-occurring chronic medical conditions, is extremely prevalent within the United States (US), with disproportionately high incidence rates in individuals with minoritized identities. Sleep disturbances are an empirically supported risk factor contributing to disease status and maintenance throughout the lifespan. Given this, this study examines the relationship between disturbed sleep and multiple chronic conditions (MCCs) in adults using cross-sectional data from (n = 1013) participants enrolled in the Survey of Midlife Development in the US Study (MIDUS-2). Participants within this study were predominantly female (54.9%), white (93.2%), middle-aged (M_AGE = 58 years old), and experienced multimorbidity (56.6%) by having two or more (M_CHRON = 2.25) chronic health conditions in the past year. A negative binomial regression indicated that sleep disturbances significantly predict the number of chronic health conditions, with sleep-disturbed individuals reporting a 41% increase in reported health conditions (IRR = 1.407, p < 0.001). Findings suggest that disturbed sleep is significantly related to disease presence in aging populations and should be addressed through early intervention to mitigate negative health consequences. Full article

Breast cancer remains a formidable global health challenge, with triple-negative breast cancer (TNBC) posing unique clinical complexities. Characterized by its aggressive nature and limited number of specific therapeutic targets, this breast cancer subtype disproportionately affects African American women, highlighting critical disparities in care. The tumor immune microenvironment (TIME) plays a critical role in breast cancer development and response to immunotherapy, and it is essential in fostering an immunosuppressive and pro-inflammatory niche. Inflammation, primarily mediated by the NF-κB signaling pathway and chemokine signaling, particularly involving CCL2, plays a pivotal role in TNBC progression and therapy resistance. This review describes some of the molecular mechanisms of polyphenols, which are naturally occurring compounds abundant in various dietary sources, and their potential use as therapeutic agents in the management of TNBC. Polyphenolic compounds have been described as modulating the TIME through the inhibition of tumor progression, immune evasion, and therapy resistance, due to their diverse bioactivities, including anti-inflammatory, antioxidant, and anticancer properties, making them attractive candidates for combating the aggressiveness of TNBC and addressing treatment disparities. Polyphenols, such as curcumin, gossypol, butein, epigallocatechin gallate, cardamonin, and resveratrol, have demonstrated efficacy in modulating several signaling pathways within the TIME, which are implicated in the progression of TNBC. This review highlights the potential effects of polyphenols on inflammatory cytokine release, programmed cell death ligand 1 (PD-L1) expression, which is associated with immune evasion by the host cell, and various intracellular signaling cascades, demonstrating their potential use in personalized therapeutic interventions for TNBC. This study also describes differential responses of TNBC cell lines to polyphenol treatment, highlighting the importance of considering genetic variability in therapeutic strategies, as well as the importance of the interaction of polyphenols with the gut microbiome, which may establish the bioavailability and effectiveness of these compounds toward therapeutic outcomes. Further preclinical and clinical studies are warranted to fully elucidate the therapeutic potential of polyphenols and translate these findings into clinical practice, thereby improving outcomes for patients with TNBC worldwide. Full article

Sickle cell disease (SCD) is a hereditary hemoglobin disorder characterized by chronic hemolysis and recurrent vaso-occlusive crises, leading to a wide spectrum of complications. While common SCD manifestations have well-established management protocols, rare and atypical complications pose significant diagnostic and therapeutic challenges. A critical barrier is diagnostic overshadowing, where common SCD symptoms (pain, fever, respiratory distress) mask infrequent but life-threatening conditions, resulting in delayed recognition and suboptimal outcomes. This narrative review synthesizes the literature from 2000–2025 on rare SCD complications, including atypical neurological events (e.g., spontaneous epidural or subdural hematoma, central retinal artery occlusion, cerebral arteriovenous malformations, posterior reversible encephalopathy syndrome), uncommon hematologic syndromes (acute leukemia, extramedullary hematopoiesis in unusual sites, hemophagocytic lymphohistiocytosis), severe cardiopulmonary emergencies (acute multiorgan failure and fat embolism syndromes), unusual hepatic crises (acute hepatic sequestration, intrahepatic cholestasis), and others (e.g., compartment syndrome). Key insights underscore the need for high clinical suspicion and prompt use of advanced diagnostics (e.g., MRI, specialized laboratory tests) when patients present with atypical or disproportionate symptoms. Clinical implications: Heightening clinician awareness of these rare complications and implementing structured diagnostic strategies can facilitate earlier intervention, improving outcomes and reducing the high morbidity and mortality associated with these infrequent but severe events. Full article

Background/Objectives: Fear of missing out (FOMO) refers to the pervasive experience of worrying that others may be having rewarding or meaningful experiences from which one is absent or excluded. FOMO has been linked with both sleep disturbances and poor mental health outcomes, particularly in emerging adults (ages 18–29). This study tested whether insomnia symptoms mediate the relationship between FOMO and depressive symptoms in emerging adults and whether gender moderates the links between FOMO, insomnia symptoms, and depression symptoms. Methods: We conducted a secondary analysis of cross-sectional survey data from 849 emerging adults in the United States. Participants completed validated measures of FOMO, insomnia symptoms, and depression symptoms. We tested our hypotheses using regression models in SPSS version 29 and mediation and moderation models via the PROCESS macro. Analyses included age, race/ethnicity, and education as covariates. Results: FOMO predicted greater insomnia severity and more depression symptoms, and insomnia severity partially mediated the link between FOMO and depression symptoms. The FOMO–insomnia association was moderated by gender, with a stronger link among men. Conclusions: These findings suggest that insomnia is a plausible mechanism linking FOMO to depression in emerging adults. Gender differences suggest that FOMO may disproportionately disrupt sleep in men and highlight the need for tailored prevention efforts to target both FOMO and sleep disruption among emerging adults. Full article

Vector-borne parasitic diseases (VBPDs), including malaria, schistosomiasis, leishmaniasis, Chagas disease, African trypanosomiasis, lymphatic filariasis, and onchocerciasis, impose a significant global health burden. This study analyzes the global disease burden of VBPDs from 1990 to 2021 using Global Burden of Disease (GBD) 2021 data and projects trends to 2036. Metrics include prevalence, deaths, disability-adjusted life years (DALYs), and age-standardized rates (ASRs) across regions, sexes, age groups, and Socio-demographic Index (SDI) levels. Key findings reveal persistent disparities: malaria dominated the burden (42% of cases, 96.5% of deaths), disproportionately affecting sub-Saharan Africa. Schistosomiasis ranked second in prevalence (36.5%). While African trypanosomiasis, Chagas disease, lymphatic filariasis, and onchocerciasis declined significantly, leishmaniasis showed rising prevalence (EAPC = 0.713). Low-SDI regions bore the highest burden, linked to environmental, socioeconomic, and healthcare access challenges. Males exhibited greater DALY burdens than females, attributed to occupational exposure. Age disparities were evident: children under five faced high malaria mortality and leishmaniasis DALY peaks, while older adults experienced complications from diseases like Chagas and schistosomiasis. ARIMA modeling forecasts divergent trends: lymphatic filariasis prevalence nears elimination by 2029, but leishmaniasis burden rises across all metrics. Despite overall progress, VBPDs remain critical public health threats, exacerbated by climate change, drug resistance, and uneven resource distribution. Targeted interventions are urgently needed, prioritizing vector control in endemic areas, enhanced surveillance for leishmaniasis, gender- and age-specific strategies, and optimized resource allocation in low-SDI regions. This analysis provides a foundation for evidence-based policy and precision public health efforts to achieve elimination targets and advance global health equity. Full article

Background: In the evolving landscape of localized prostate cancer management, focal therapies such as high-intensity focused ultrasound (HIFU) and prostate gland cryoablation (PGC) have emerged as organ-sparing alternatives for patients with low- to intermediate-risk disease. While these strategies aim to preserve functional outcomes, comparative data against robot-assisted radical prostatectomy (RARP) remain scarce and heterogeneous. Methods: We conducted a prospective, single-center study evaluating oncologic and functional outcomes in patients with organ-confined prostate cancer (Grade Group ≤ 2) treated with HIFU (n = 49), PGC (n = 114), or RARP (n = 109). Outcomes were assessed using standardized definitions at a median follow-up of 22 months. Treatment failure was defined according to EAU guidelines, and Kaplan–Meier analysis was applied to time-to-event outcomes. Results: Focal therapy patients were older, more comorbid, and had lower baseline erectile function (each p < 0.001). RARP was associated with the longest operative time but yielded the lowest complication rate (2.75% vs. 20.4% for HIFU and 31.5% for PGC; p < 0.001). Catheter-related morbidity was disproportionately higher in the PGC group. RARP conferred a longer time to treatment failure (p < 0.001), although continence and potency recovery at follow-up were comparable across groups. Notably, erectile function returned earlier among HIFU patients. Conclusions: While focal therapies offer promising early functional results with minimal perioperative risk, they are associated with earlier treatment failure and higher catheter-related morbidity, particularly after cryoablation. These findings underscore the need for individualized treatment strategies guided by standardized, comparative outcome frameworks. Full article

In socio-economically disadvantaged communities, the challenges faced by children with special needs are often overshadowed by more visible issues such as poverty, family instability, and substance abuse. Children, especially those with special needs, are particularly vulnerable in these settings as they are disproportionately impacted by intersecting adversities, including neglect, exploitation, and limited access to education and healthcare. These adversities create a vicious cycle, where disability exacerbates financial hardship, and in turn, economic deprivation negatively impacts early childhood development, further entrenching disability. Conventional models, which require physical presence and focus primarily on diagnosis and treatment within clinical settings, often fail to address the broader social, environmental, and contextual complexities of disability. We propose an Information Technology-based Exit Pathway as an innovative, scalable solution to disrupt this cycle. Anchored in the five pillars of the Community-Based Rehabilitation (CBR) matrix of Health, Education, Livelihood, Social, and Empowerment, the model envisions a multi-level digital platform that facilitates coordinated support across individual, familial, educational, community, regional, and national levels. By improving access to services, fostering inclusive networks, and enabling early intervention, the proposed approach aims to promote equity, social inclusion, and sustainable development for children with special needs in marginalized communities. Full article

Emissions from civil aviation not only degrade the environmental quality around airports but also have the significant effects on climate change. According to the flight schedules, aircraft/engine combination information and revised emission factors from the International Civil Aviation Organization (ICAO) Aircraft Engine Emission Databank (EEDB) based on meteorological data, the emissions of climate forcers (CFs: BC, CH₄, CO₂, H₂O, and N₂O), conventional air pollutants (CAPs: CO, HC, NO_X, OC, PM_2.5, and SO₂), and hazardous heavy metals (HMs: As, Cu, Ni, Se, Cr, Cd, Hg, Pb, and Zn) from flights of civil aviation of eight airports in Shandong in 2018 and 2020 are estimated in this study. Moreover, the study quantifies the impact of COVID-19 on civil aviation emissions (CFs, CAPs, and HMs) in Shandong, revealing reductions of 47.45%, 48.03%, and 47.45% in 2020 compared to 2018 due to flight cuts. By 2020, total emissions reach 9075.44 kt (CFs), 35.57 kt (CAPs), and 0.51 t (HMs), with top contributors being Qingdao Liuting International Airport (ZSQD) (39.60–40.37%), Shandong Airlines (26.56–28.92%), and B738 aircraft (42.98–46.70%). As byproducts of incomplete fuel combustion, the shares of CO (52.40%) and HC (47.76%) emissions during taxi/ground idle mode are significant. In contrast, emissions during cruise phase are the dominant contributor of other species with a share of 74.67–95.61% of the associated total emissions. The findings highlight the disproportionate role of specific airlines, aircraft, and operational phases in regional aviation pollution. By bridging gaps in localized emission inventories and flight-phase analyses, this research supports targeted mitigation strategies, such as fleet modernization and ground operation optimization, to improve air quality in Shandong. The study highlights how sudden shifts in demand, such as those caused by pandemics, can significantly alter emission profiles, providing insights for sustainable aviation planning. Full article

Background/Objectives: This systematic review addresses the disproportionate impact of the opioid epidemic on American Indian and Alaska Native (AI/AN) populations by examining the socio-ecological and social network factors that influence opioid use and misuse. While previous reviews have largely focused on treatment modalities or structural determinants such as socioeconomic status and rurality, few studies have explored the role of social networks as risk or protective factors, particularly within AI/AN communities. Methods: Applying the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, the review synthesized findings from three scholarly databases (PubMed, EBSCOhost, ProQuest), six institutional repositories (e.g., Indigenous Studies Portal), and one academic search engine (Google Scholar). Studies that examined the influence of social network domains on opioid misuse in AI/AN populations in the United States, reported quantitative or qualitative data, and were published between 2010 and 2022 were included in this review. Study quality was assessed with the JBI Checklists for Analytical Cross Sectional Studies and Qualitative Research. Of the 817 articles initially identified, 7 met the inclusion criteria, with most studies focusing on AI/AN adolescents and young adults, a demographic shown to be especially susceptible to opioid misuse. Results: The review identified several social network domains that significantly affect opioid use patterns, including familial relationships, peer associations, community dynamics, educational influences, cultural traditions, social media engagement and the effect of historical and intergenerational trauma. These domains can function either as protective buffers or as contributing factors to opioid misuse. Conclusions: The findings underscore the necessity for future longitudinal research to elucidate the causal pathways between these social network factors and opioid behaviors, particularly concerning trauma and digital media exposure. Furthermore, the study highlights the importance of culturally grounded, evidence-based prevention strategies that address the multifaceted social environments of AI/AN individuals. Such approaches are critical to fostering resilience and mitigating the opioid crisis within these historically marginalized populations. Full article

Despite numerous global initiatives, such as the Sustainable Development Goals (SDGs) and the implementation of environmental, social, and governance (ESG) metrics aimed at mitigating climate change, promoting social welfare, and addressing a variety of other causes, progress has been significantly slower than expected, particularly in developing economies. Thus, we attempted to link corporate ESG to sustainable development. It was also investigated whether ESG contributes to a reduction in corporate risk. Using panel data and the Generalized Method of Moments (GMM) technique, we examine the relationship between ESG scores and important financial risk indicators such as systematic risk (beta), stock price volatility, unsystematic risk, and the cost of capital (WACC). The findings show that corporations place a disproportionate emphasis on governance (G) rather than environmental (E) and social (S) characteristics. ESG and G governance were also found to be statistically significant predictors of financial risk. This disparity shows that companies may be using high governance scores to conceal underperformance in environmental and social issues, raising worries about greenwashing and superficial compliance. As a result, their contributions to SDGs such as affordable and clean energy (SDG 7), climate action (SDG 13), and reduced inequalities (SDG 10) are minimal. The findings highlight the need for a more open, balanced, and integrated ESG approach, one that not only promotes sustainable development but also improves long-term financial resilience. Full article