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18 pages, 4685 KB  
Article
Hydrothermal Versus Physical Mixing: Superior Photocatalytic Activity of TiO2/WO3 Nanocomposites for Water Treatment Applications
by Mabrouka Ghiloufi, Tobias Schnabel, Christian Springer, Simon Mehling, Axel Wolfram, Fathi Touati and Salah Kouass
Environments 2025, 12(10), 359; https://doi.org/10.3390/environments12100359 (registering DOI) - 5 Oct 2025
Abstract
The photocatalytic efficiency of TiO2 was significantly enhanced by coupling with WO3 to form a TiO2/WO3 heterostructure, designed to operate effectively under UV-LED irradiation. The nanocomposites were synthesized via a hydrothermal route, and their activity was evaluated through [...] Read more.
The photocatalytic efficiency of TiO2 was significantly enhanced by coupling with WO3 to form a TiO2/WO3 heterostructure, designed to operate effectively under UV-LED irradiation. The nanocomposites were synthesized via a hydrothermal route, and their activity was evaluated through the degradation of the pharmaceutical pollutant venlafaxine. Contaminants are rarely addressed in photocatalytic studies. Unlike a simple physical mixture of commercial TiO2 and WO3 powders, the hydrothermally synthesized TiO2/WO3 photocatalyst exhibited superior efficiency, attributable to its nanoscale dimensions achieved via the hydrothermal route, which promoted improved charge carrier separation, enhanced surface homogeneity, and the formation of an effective heterojunction interface. An optimization study varying the WO3 content (5, 10, 20, and 30 wt.%) within the TiO2 revealed that the 10 wt.% WO3 composition achieved the highest performance, with ~52% venlafaxine degradation within 60 min. SEM, TEM, FTIR, Raman spectroscopy, XRD, and UV-Vis DRS revealed the successful incorporation of WO3 into the TiO2 matrix, confirming phase purity and composition-dependent structural evolution of the nanocomposite, and evidencing extended light absorption and superior charge-transfer properties. Importantly, the optimized photocatalyst thin film retained excellent stability and reusability, maintaining high degradation efficiency over three consecutive cycles with negligible activity loss, which avoids slurry separation. These findings establish hydrothermally synthesized TiO2/10%WO3 thin film heterostructures as effective and sustainable photocatalytic platforms for the removal of pharmaceutical pollutants in wastewater under UV-LED irradiation. Full article
(This article belongs to the Special Issue Research Progress in Groundwater Contamination and Treatment)
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15 pages, 764 KB  
Article
The Combined Effect of Acute Interval and Cognitive Training on Visual-Spatial Abilities in Women: Preliminary Insights for Health Promotion
by Christel Galvani, Sabrina Demarie, Ester Tommasini, Alessandro Antonietti, Thomas Zandonai and Paolo Bruseghini
Int. J. Environ. Res. Public Health 2025, 22(10), 1524; https://doi.org/10.3390/ijerph22101524 - 5 Oct 2025
Abstract
Different sports require elevated visual-spatial and related cognitive abilities, which are increasingly recognized as crucial not only for athletic performance but also for broader public health implications. Sex-related differences in these abilities have often been explained through both biological and sociocultural factors, with [...] Read more.
Different sports require elevated visual-spatial and related cognitive abilities, which are increasingly recognized as crucial not only for athletic performance but also for broader public health implications. Sex-related differences in these abilities have often been explained through both biological and sociocultural factors, with males traditionally described as having superior visual-spatial skills. However, fewer studies have investigated how targeted physical training can enhance these abilities in women. This study aimed to analyze the influence of two different cycling interval training exercises on visual-spatial ability in women. Seventy-two healthy, active, and young women engaged in (1) a High-Intensity Interval Training (HIIT) session followed by a cognitive training (CT); or (2) a Low-Volume Interval Training (LVIT) session followed by a CT; or (3) a cognitive (COG) session, consisting of listening to music followed by a CT; or (4) a control (CTRL) session, consisting of solely listening to music. Cognitive performance was assessed at baseline and after the training sessions using the Metzler and Shepard Test (MS), the Paper Folding and Cutting Test (PFC), and the Mental Rotation Test (MRT). No significant between-group differences were observed. However, in all groups the time to complete the PFC and MRT tests was significantly lower and the number of errors was significantly smaller for the PFC test in the post-test compared with the pre-test. These findings expand the current literature by demonstrating that interval training, whether high intensity or low volume, when combined with cognitive training, may improve certain aspects of visual-spatial cognitive performance in healthy, active, young women. These findings highlight the potential of combining structured exercise with cognitive challenges. Such interventions may promote cognitive health in women and contribute to long-term public health outcomes. Full article
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15 pages, 643 KB  
Article
Determinants of Atherogenic Dyslipidemia and Lipid Ratios: Associations with Sociodemographic Profile, Lifestyle, and Social Isolation in Spanish Workers
by Pere Riutord-Sbert, Pedro Juan Tárraga López, Ángel Arturo López-González, Irene Coll Campayo, Carla Busquets-Cortés and José Ignacio Ramírez Manent
J. Clin. Med. 2025, 14(19), 7039; https://doi.org/10.3390/jcm14197039 (registering DOI) - 5 Oct 2025
Abstract
Background: Atherogenic dyslipidemia is defined by the coexistence of high triglyceride concentrations, low levels of high-density lipoprotein cholesterol (HDL-C), and an excess of small, dense particles of low-density lipoprotein cholesterol (LDL-C). This lipid profile is strongly associated with an increased burden of cardiovascular [...] Read more.
Background: Atherogenic dyslipidemia is defined by the coexistence of high triglyceride concentrations, low levels of high-density lipoprotein cholesterol (HDL-C), and an excess of small, dense particles of low-density lipoprotein cholesterol (LDL-C). This lipid profile is strongly associated with an increased burden of cardiovascular disease and represents a leading cause of global morbidity and mortality. To better capture this risk, composite lipid ratios—including total cholesterol to HDL-C (TC/HDL-C), LDL-C to HDL-C (LDL-C/HDL-C), triglycerides to HDL-C (TG/HDL-C), and the atherogenic dyslipidemia index (AD)—have emerged as robust markers of cardiometabolic health, frequently demonstrating superior predictive capacity compared with isolated lipid measures. Despite extensive evidence linking these ratios to cardiovascular disease, few large-scale studies have examined their association with sociodemographic characteristics, lifestyle behaviors, and social isolation in working populations. Methods: We conducted a cross-sectional analysis of a large occupational cohort of Spanish workers evaluated between January 2021 and December 2024. Anthropometric, biochemical, and sociodemographic data were collected through standardized clinical protocols. Indices of atherogenic risk—namely the ratios TC/HDL-C, LDL-C/HDL-C, TG/HDL-C, and the atherogenic dyslipidemia index (AD)—were derived from fasting lipid measurements. The assessment of lifestyle factors included tobacco use, physical activity evaluated through the International Physical Activity Questionnaire (IPAQ), adherence to the Mediterranean dietary pattern using the MEDAS questionnaire, and perceived social isolation measured by the Lubben Social Network Scale. Socioeconomic classification was established following the criteria proposed by the Spanish Society of Epidemiology. Logistic regression models were fitted to identify factors independently associated with moderate-to-high risk for each lipid indicator, adjusting for potential confounders. Results: A total of 117,298 workers (71,384 men and 45,914 women) were included. Men showed significantly higher odds of elevated TG/HDL-C (OR 4.22, 95% CI 3.70–4.75) and AD (OR 2.95, 95% CI 2.70–3.21) compared with women, whereas LDL-C/HDL-C ratios were lower (OR 0.86, 95% CI 0.83–0.89). Advancing age was positively associated with all lipid ratios, with the highest risk observed in participants aged 60–69 years. Lower social class, smoking, physical inactivity, poor adherence to the Mediterranean diet, and low social isolation scores were consistently linked to higher atherogenic risk. Physical inactivity showed the strongest associations across all indicators, with ORs ranging from 3.54 for TC/HDL-C to 7.12 for AD. Conclusions: Atherogenic dyslipidemia and elevated lipid ratios are strongly associated with male sex, older age, lower socioeconomic status, unhealthy lifestyle behaviors, and reduced social integration among Spanish workers. These findings highlight the importance of workplace-based cardiovascular risk screening and targeted prevention strategies, particularly in high-risk subgroups. Interventions to promote physical activity, healthy dietary patterns, and social connectedness may contribute to lowering atherogenic risk in occupational settings. Full article
(This article belongs to the Section Cardiovascular Medicine)
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19 pages, 366 KB  
Article
A Quasi-Experimental Hip-Hop-Based Program to Improve Motor Competence and Physical Activity in Preschoolers in Portugal: The “Grow+” Program
by Cristiana Mercê, Sofia Bernardino, Neuza Saramago, Marco Branco and David Catela
Healthcare 2025, 13(19), 2518; https://doi.org/10.3390/healthcare13192518 (registering DOI) - 4 Oct 2025
Abstract
Background/Objectives: Dance, particularly hip-hop, offers a dynamic means of fostering physical activity (PA) and encouraging movement in health-related initiatives among children and youth in educational environments. Hip-hop offers benefits across motor, physical, social, and mental domains. Given the importance of PA in [...] Read more.
Background/Objectives: Dance, particularly hip-hop, offers a dynamic means of fostering physical activity (PA) and encouraging movement in health-related initiatives among children and youth in educational environments. Hip-hop offers benefits across motor, physical, social, and mental domains. Given the importance of PA in early development, and the preschool period as a sensitive phase for acquiring motor skills, this study aimed to examine the effects of the “Grow+” hip-hop program on motor competence (MC), perceived motor coordination (PMCoor), and PA levels in preschoolers. Methods: A quasi-experimental within-subjects design was used, including 37 children aged 3 to 4 (M = 4.29 ± 0.58). The intervention included two 4-week hip-hop periods, separated by a 4-week break. Four assessments were conducted using the MCA battery (MC), PA’s pictorial scales, and questionnaires completed by caregivers and educators (PMCoor). Data were analyzed using repeated measures ANOVA and Spearman correlations. Results: MC and PA levels showed a nonsignificant but positive trend across the study. Significant improvements in MC were observed during intervention periods, while no significant changes occurred during the break. Educators’ perceptions of PMCoor remained unchanged, despite improvements in MC. Conclusions: The findings suggest that the “Grow+” hip-hop program contributed meaningfully to improvements in MC and PA levels among children in early childhood. These findings accentuate the potential efficacy of structured rhythmic movement interventions in promoting motor development throughout early childhood, thereby supporting their integration into early childhood education curricula. Full article
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31 pages, 3755 KB  
Article
Perception Evaluation and Optimization Strategies of Pedestrian Space in Beijing Fayuan Temple Historic and Cultural District
by Qin Li, Yanwei Li, Qiuyu Li, Shaomin Peng, Yijun Liu and Wenlong Li
Buildings 2025, 15(19), 3574; https://doi.org/10.3390/buildings15193574 - 3 Oct 2025
Abstract
With the rapid development of urbanization and tourism in China, increasing attention has been paid to the protection and utilization of historical and cultural heritage, while tourists’ demands for travel experiences have gradually shifted towards in-depth cultural perception. This paper selects Beijing Fayuan [...] Read more.
With the rapid development of urbanization and tourism in China, increasing attention has been paid to the protection and utilization of historical and cultural heritage, while tourists’ demands for travel experiences have gradually shifted towards in-depth cultural perception. This paper selects Beijing Fayuan Temple Historic and Cultural District as the research case, and adopts methods such as the LDA (Latent Dirichlet Allocation) topic model, collection and analysis of online text data, and field research to explore the current situation of pedestrian space in Fayuan Temple District and its optimization strategies from the perspective of tourists’ perception. The study found that the dimensions of tourists’ perception of the pedestrian space in Fayuan Temple District mainly include six aspects: historical buildings and relics, tour modes and transportation, natural landscapes and environment, historical figures and culture, residents’ life and activities, and tourists’ experiences and visits. By integrating online text data, questionnaire surveys, and on-site behavioral observations, the study constructed a “physical environment-cultural experience-behavioral network” three-dimensional IPA (Importance–Possession Analysis) evaluation model, and analyzed and evaluated the high-frequency perception elements in tourists’ spontaneous evaluations. Based on the current situation evaluation of the pedestrian space in Fayuan Temple District, this paper puts forward optimization strategies for the perception of pedestrian space from the aspects of block space, transportation usage, landscape ecology, digital technology, and cultural symbol translation. It aims to promote the high-quality development of historical blocks by improving and optimizing the pedestrian space, and achieve the dual goals of cultural inheritance and utilization of tourism resources. Full article
(This article belongs to the Section Architectural Design, Urban Science, and Real Estate)
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18 pages, 615 KB  
Article
Examining Associations Between Individual Exercise, Parent–Child Exercise, and Children’s Mental Health: A Structural Equation Modeling Approach
by Shengsheng Li, Xuanxuan Zhou, Shan Lu, Zhen Xie, Yijuan Lu and Sinuo Wang
Behav. Sci. 2025, 15(10), 1353; https://doi.org/10.3390/bs15101353 - 3 Oct 2025
Abstract
Objective: This study explores the associations between parent–child exercise and children’s mental health from the perspective of family physical education. Methods: In total, 527 valid questionnaires were collected from students in grades four to six of three primary schools in Yuhang [...] Read more.
Objective: This study explores the associations between parent–child exercise and children’s mental health from the perspective of family physical education. Methods: In total, 527 valid questionnaires were collected from students in grades four to six of three primary schools in Yuhang District, Hangzhou City, including a survey of the status of children’s exercise and family sports and the SCL-90 symptom self-measurement scale. Based on an analysis of practical challenges in family sports engagement and children’s mental health status, the data were analyzed and modeled using structural equation modeling to obtain a model of children’s mental health promotion, with individual children’s exercise as the primary factor and parent–child exercise as the mediator. Results: Both individual children’s exercise and parent–child exercise were significant predictors of children’s mental health promotion. Parent–child activities show a more significant negative correlation with symptoms of anxiety and depression than individual exercise alone. They also partially mediated the relationship between individual exercise and depression/anxiety symptoms. The indirect effects had confidence intervals of [−0.008, −0.001] for depression and [−0.007, −0.001] for anxiety. The direct effects of individual exercise on mental health (depression: β = −0.115; anxiety: β = −0.127) were stronger than the indirect effects and significantly positively correlated with parent–child exercise (β = 0.444, p < 0.05), suggesting that individual exercise may encourage more parent–child exercise. Conclusions: We propose a relational pathways model incorporating parent–child exercise as a mediating variable and individual exercise as the primary activity. This model is more closely aligned with real-life conditions and practical feasibility than approaches lacking such a family-based component. Full article
25 pages, 4589 KB  
Review
Soil Properties, Processes, Ecological Services and Management Practices of Mediterranean Riparian Systems
by Pasquale Napoletano, Noureddine Guezgouz, Lorenza Parato, Rosa Maisto, Imen Benradia, Sarra Benredjem, Teresa Rosaria Verde and Anna De Marco
Sustainability 2025, 17(19), 8843; https://doi.org/10.3390/su17198843 - 2 Oct 2025
Abstract
Riparian zones, located at the interface between terrestrial and aquatic systems, are among the most dynamic and ecologically valuable landscapes. These transitional areas play a pivotal role in maintaining environmental health by supporting biodiversity, regulating hydrological processes, filtering pollutants, and stabilizing streambanks. At [...] Read more.
Riparian zones, located at the interface between terrestrial and aquatic systems, are among the most dynamic and ecologically valuable landscapes. These transitional areas play a pivotal role in maintaining environmental health by supporting biodiversity, regulating hydrological processes, filtering pollutants, and stabilizing streambanks. At the core of these functions lie the unique characteristics of riparian soils, which result from complex interactions between water dynamics, sedimentation, vegetation, and microbial activity. This paper provides a comprehensive overview of the origin, structure, and functioning of riparian soils, with particular attention being paid to their physical, chemical, and biological properties and how these properties are shaped by periodic flooding and vegetation patterns. Special emphasis is placed on Mediterranean riparian environments, where marked seasonality, alternating wet–dry cycles, and increasing climate variability enhance both the importance and fragility of riparian systems. A bibliographic study, covering 25 years (2000–2025), was carried out through Scopus and Web of Science. The results highlight that riparian areas are key for carbon sequestration, nutrient retention, and ecosystem connectivity in water-limited regions, yet they are increasingly threatened by land use change, water abstraction, pollution, and biological invasions. Climate change exacerbates these pressures, altering hydrological regimes and reducing soil resilience. Conservation requires integrated strategies that maintain hydrological connectivity, promote native vegetation, and limit anthropogenic impacts. Preserving riparian soils is therefore fundamental to sustain ecosystem services, improve water quality, and enhance landscape resilience in vulnerable Mediterranean contexts. Full article
(This article belongs to the Section Sustainability, Biodiversity and Conservation)
23 pages, 904 KB  
Article
Association of Maternal Sociodemographic, Anthropometric, and Lifestyle Factors with Childhood Anthropometric Measures and Anxiety Symptoms: A Nationally Representative Cross-Sectional Study of Preschool-Aged Children in Greece
by Exakousti-Petroula Angelakou, Athina Spyrilioti, Maria Tsiakara, Maria Vasilakaki and Constantinos Giaginis
Diseases 2025, 13(10), 327; https://doi.org/10.3390/diseases13100327 - 2 Oct 2025
Abstract
Background/Objective: Childhood obesity and mental health disorders in preschool-aged children represent critical public health challenges with a rising global prevalence, closely linked to lifestyle behaviors and the family environment. This cross-sectional study aims to investigate the combined influence of maternal sociodemographic, socioeconomic, anthropometric [...] Read more.
Background/Objective: Childhood obesity and mental health disorders in preschool-aged children represent critical public health challenges with a rising global prevalence, closely linked to lifestyle behaviors and the family environment. This cross-sectional study aims to investigate the combined influence of maternal sociodemographic, socioeconomic, anthropometric characteristics, and lifestyle factors on the physical and mental health status of preschool-aged children. Methods: Validated questionnaires were administered to assess dietary habits, psychosocial parameters (depression, anxiety, stress), and sociodemographic, socioeconomic, and anthropometric variables among 200 preschool-aged children and their mothers, who served as the primary informants. Results: Maternal obesity was associated with a higher prevalence of childhood overweight/obesity (36.7% vs. 18.5% in children of non-obese mothers, p = 0.009). Maternal psychological factors, specifically depressive symptoms (B = 0.998, OR = 2.712, 95% CI: 1.222–6.020, p = 0.014) and anxiety (B = 1.676, OR = 5.346, 95% CI: 2.471–11.565, p < 0.001), were independently associated with an increased likelihood of child anxiety. Anthropometric measures, including waist circumference (p = 0.032) and hip circumference (p = 0.031), primarily influenced children’s physical health, whereas maternal psychological factors predominantly affected their emotional well-being. Conclusions: The findings underscore the necessity for targeted interventions focusing on enhancing maternal nutrition and mental health literacy, aiming to promote healthy dietary patterns, physical activity, and lifestyle behaviors. Such interventions are pivotal for preventing childhood obesity and fostering overall well-being at the population level. Full article
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23 pages, 1102 KB  
Review
Therapeutic Alliances for Optimizing the Management of Patients with Prostate Cancer: SOGUG Multidisciplinary Expert Panel Recommendations
by Aránzazu González-del-Alba, Claudio Martínez Ballesteros, José Ángel Arranz, Enrique Gallardo, Regina Gironés Sarrió, Fernando López Campos, Jesús Muñoz-Rodríguez, María José Méndez-Vidal and Alfonso Gómez de Iturriaga
Cancers 2025, 17(19), 3208; https://doi.org/10.3390/cancers17193208 - 1 Oct 2025
Abstract
A group of Spanish experts of different specialties participated in the ENFOCA2 project, promoted by the Spanish Oncology Genitourinary Group (SOGUG), which was designed to provide updated information on current and novel aspects contributing to the optimal care of prostate cancer (PCa) patients. [...] Read more.
A group of Spanish experts of different specialties participated in the ENFOCA2 project, promoted by the Spanish Oncology Genitourinary Group (SOGUG), which was designed to provide updated information on current and novel aspects contributing to the optimal care of prostate cancer (PCa) patients. In localized disease, it is important to implement strategic alliances with other institutions for improving adherence to active surveillance in low-risk groups and to explore genetic testing for a better indication of focal therapy. Local control of the disease should be maximized to prevent local failure and biochemical recurrence. In patients with locally advanced disease, with PSMA PET/CT-positive lesions in M0 staging on conventional imaging techniques, therapeutic decisions should be carefully evaluated due to insufficient evidence regarding the gold standard in this setting. In patients with metastatic castration-resistant PCa (mCRPC), assessment of BRCA somatic and germline mutations provides prognostic information and familial cancer risk and informs treatment decisions. Combinations of androgen receptor signaling inhibitor (ARSi) agents and poly-ADP ribose polymerase inhibitors (PARPi) are emerging alternatives for advanced PCa. The oldest segment of PCa patients (>70 years of age) may require geriatric assessment to evaluate physical and functional reserves, tailoring treatment to their individual characteristics and circumstances. The concept of a comprehensive multidisciplinary approach together with inter-center and/or inter-specialty therapeutic alliances should be implemented in the routine care of patients with PCa. Full article
(This article belongs to the Special Issue Advances in the Management of Pelvic Tumors)
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24 pages, 340 KB  
Article
Mental Resilience and Mindfulness in Athletes: A Preliminary Study Across Sports and Experience Levels
by Stanislava Stoyanova, Nikolay Ivantchev, Teodor Gergov and Bilyana Yordanova
Sports 2025, 13(10), 334; https://doi.org/10.3390/sports13100334 - 1 Oct 2025
Abstract
It is important to study if and how athletes’ mental resilience and mindfulness are connected, because both could promote mental health, as well as facilitate coping with stress and successful athletic performance. It was hypothesized that mental resilience and mindfulness would correlate, and [...] Read more.
It is important to study if and how athletes’ mental resilience and mindfulness are connected, because both could promote mental health, as well as facilitate coping with stress and successful athletic performance. It was hypothesized that mental resilience and mindfulness would correlate, and also that mental resilience and mindfulness would differ in both means and correlation strength according to the type of sport. The possible nexus of mental resilience and mindfulness with the longevity of sports practice was also examined. The sample consisted of 177 athletes whose mean age was 21 years old and whose average sports practice lasted 8.7 years. Most of them were professional athletes (N = 121, 68.4%). They practiced individual sports (N = 85, 48.0%), combat sports (N = 47, 26.6%), and team sports (N = 45, 25.4%). The Bulgarian adaptations of the Mindful Attention Awareness Scale and the Brief Resilience Scale were used. The athletes’ mental resilience and mindfulness correlated significantly and positively. The athletes’ mental resilience correlated positively with the years of sports practice among the amateur athletes and among the athletes practicing team sports. The athletes’ mindfulness increased with age for the athletes practicing combat sports and team sports. Mindfulness diminished with more years of sports practice for the amateur athletes and for those practicing individual sports. The athletes practicing combat sports had higher mental resilience than those practicing individual sports and those practicing team sports. The male athletes had higher mental resilience than the female athletes. The established positive nexus between the athletes’ mental resilience and mindfulness means that training mindfulness could be a mechanism for strengthening mental resilience, as well as higher mental resilience could facilitate mindful awareness of the present moment and focus attention on what is happening now. The athletes practicing individual sports are those who need more training for enhancing mindfulness and mental resilience. Physical activity and sports participation may contribute to mental health improvement by strengthening mindfulness and mental resilience. Full article
10 pages, 422 KB  
Article
Effectiveness of Nola Pender’s Health Promotion Model: A Comprehensive Approach for Enhancing Healthy Behaviors and Quality of Life in Adults
by Indiana L. Rojas-Torres, Claudia M. Garizábalo Dávila, Keidis S. Ruidíaz Gómez, Shirley P. Fernández Aragón, Diana M. Perea-Rojas, Greys M. Rodelo Olmos and Norma I. Liñán Meléndez
Int. J. Environ. Res. Public Health 2025, 22(10), 1506; https://doi.org/10.3390/ijerph22101506 - 30 Sep 2025
Abstract
Health behavior encompasses the attitudes, decisions, and actions that individuals adopt in their daily lives and that directly influence their well-being. The objective of this study was to evaluate the effectiveness of a nursing intervention based on Nola Pender’s Health Promotion Model in [...] Read more.
Health behavior encompasses the attitudes, decisions, and actions that individuals adopt in their daily lives and that directly influence their well-being. The objective of this study was to evaluate the effectiveness of a nursing intervention based on Nola Pender’s Health Promotion Model in promoting healthy behaviors among adults over 20 years of age. A quasi-experimental design was used with a sample of adults from a Colombian community. In 2022, sociodemographic data were collected, and the Health-Promoting Lifestyle Profile II (HPLP-II), developed by Nola Pender to measure healthy lifestyles, was administered. In 2023, the intervention was carried out in 24 group sessions of 40 min each, supported by printed educational material and focused on the dimensions of Pender’s theory. Statistical analysis using nonparametric tests such as the Mann–Whitney U and Kruskal–Wallis tests showed significant improvements: the overall score increased from 22.92 in the pre-test to 27.30 in the post-test. The physical activity dimension received the lowest score, while the spiritual growth dimension showed the highest improvement. The results indicate that nursing interventions based on Pender’s model led to statistically significant improvements in multiple dimensions of healthy behavior, with the greatest impact on spiritual growth and health responsibility. Full article
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24 pages, 3234 KB  
Systematic Review
Methodological Strategies to Enhance Motivation and Academic Performance in Natural Sciences Didactics: A Systematic and Meta-Analytic Review
by José Gabriel Soriano-Sánchez, Rocío Quijano-López and Manuel Salvador Saavedra Regalado
Educ. Sci. 2025, 15(10), 1289; https://doi.org/10.3390/educsci15101289 - 30 Sep 2025
Abstract
Learning Natural Sciences represents a key opportunity to spark scientific interest and foster fundamental skills across different educational stages. This study aimed to analyze the influence of motivation on academic performance in the learning of Natural Sciences at various educational levels. To this [...] Read more.
Learning Natural Sciences represents a key opportunity to spark scientific interest and foster fundamental skills across different educational stages. This study aimed to analyze the influence of motivation on academic performance in the learning of Natural Sciences at various educational levels. To this end, a systematic review method was employed following PRISMA guidelines, consulting the Web of Science and Scopus databases, identifying four relevant studies. The results showed that high levels of motivation were associated with a more positive classroom attitude and better conceptual understanding, which enhanced academic performance. The use of innovative methodological strategies, such as implementing immersive virtual reality in the classroom, PhET simulations (Physics Educational Technology), and the use of hypertext, significantly increased both student motivation and academic performance. The meta-analysis revealed a favorable effect in experimental groups, showing moderate heterogeneity (I2 = 49) and significance of p = 0.0001. The concurrence analysis reported that current pedagogical practices should focus on strengthening student autonomy and active engagement, integrating critical reflection, the use of innovative methodological strategies, and technological resources that enhance meaningful learning in scientific literacy. Among the instruments used to measure motivation, the Motivation to Learn Science Questionnaire was identified, and for academic performance, the Motivated Strategies for Learning Questionnaire. In conclusion, the importance of implementing the identified methodological strategies across different educational stages is emphasized, in order to promote competency-based learning through meaningful and innovative acquisition of content in Natural Sciences. Full article
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23 pages, 4225 KB  
Article
Physical Therapists’ Use of Behavior Change Strategies to Promote Physical Activity for Individuals with Neurological Conditions
by Amber LaMarca, Gwendolyn Larsen, Kathleen D. Lyons and Julie Keysor
Healthcare 2025, 13(19), 2485; https://doi.org/10.3390/healthcare13192485 - 30 Sep 2025
Abstract
Background/Objectives: People living with neurological conditions are inactive despite widespread literature showing physical activity (PA) is beneficial for this population. To impact long term changes in PA behavior, physical therapists treating individuals with neurological conditions need to provide effective PA promotion in [...] Read more.
Background/Objectives: People living with neurological conditions are inactive despite widespread literature showing physical activity (PA) is beneficial for this population. To impact long term changes in PA behavior, physical therapists treating individuals with neurological conditions need to provide effective PA promotion in combination with behavior change techniques (BCTs). The purpose of this study is to (1) characterize the use of BCTs during neurorehabilitation, and (2) to gain an understanding of considerations related to PA promotion. Methods: Observations of outpatient physical therapy encounters with subsequent semi-structured interviews were conducted. Observations were transcribed with detailed field notes and analyzed with descriptive analysis and deductive coding. Interviews were analyzed with thematic analysis. Results: Observations indicated that PA promotion in neurorehabilitation practice emphasizes home exercise programs, with less focus on aerobic activity. The most common BCTs used were instruction on how to perform the behavior, behavioral practice and rehearsal, and social support. Primary themes that impacted physical therapist use of BCTS for PA promotion included knowledge, decision processes, perceived role, beliefs, environmental context, and social influences. Conclusions: PA promotion from physical therapists in neurorehabilitation is not targeting activity guidelines and there is uncertainty about using behavior change strategies and PA guidelines for PA promotion. Full article
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25 pages, 8087 KB  
Review
Biochar-Based Remediation of Heavy Metal-Contaminated Soils: Mechanisms, Synergies, and Sustainable Prospects
by Yuxin Wei, Jingjing Ma, Kuankuan Liu, Shuai Zhang and Junqi Wang
Nanomaterials 2025, 15(19), 1487; https://doi.org/10.3390/nano15191487 - 29 Sep 2025
Abstract
This study systematically explores the mechanisms and application potential of biochar in remediating heavy metal-contaminated soils. Particular emphasis is placed on the role of raw materials and pyrolysis conditions in modulating key physicochemical properties of biochar, including its aromatic structure, porosity, cation exchange [...] Read more.
This study systematically explores the mechanisms and application potential of biochar in remediating heavy metal-contaminated soils. Particular emphasis is placed on the role of raw materials and pyrolysis conditions in modulating key physicochemical properties of biochar, including its aromatic structure, porosity, cation exchange capacity, and ash content, which collectively enhance heavy metal immobilization. The direct remediation mechanisms are categorized into six pathways: physical adsorption, electrostatic interactions, precipitation, ion exchange, organic functional group complexation, and redox reactions, with particular emphasis on the reduction in toxic Cr6+ and the oxidation of mobile As3+. In addition to direct interactions, biochar indirectly facilitates remediation by enhancing soil carbon sequestration, improving soil physicochemical characteristics, stimulating microbial activity, and promoting plant growth, thereby generating synergistic effects. The study evaluates combined remediation strategies integrating biochar with phytoremediation and microbial remediation, highlighting their enhanced efficiency. Moreover, practical challenges related to the long-term stability, ecological risks, and economic feasibility in field applications are critically analyzed. By synthesizing recent theoretical advancements and practical findings, this research provides a scientific foundation for optimizing biochar-based soil remediation technologies. Full article
(This article belongs to the Section Environmental Nanoscience and Nanotechnology)
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17 pages, 916 KB  
Article
Medical Nutrition Therapy Adherence and Lifestyle in Stage 5 CKD: Challenges and Insights
by Patrizia Palumbo, Gaetano Alfano, Francesca Cavani, Rossella Giannini, Roberto Angelo Pulizzi, Silvia Gabriele, Niccolò Morisi, Floriana Cannito, Renata Menozzi and Gabriele Donati
Nutrients 2025, 17(19), 3091; https://doi.org/10.3390/nu17193091 - 28 Sep 2025
Abstract
Background: Adherence to Medical Nutrition Therapy (MNT) is a key determinant of therapy success, particularly in chronic diseases like chronic kidney disease (CKD). MNT in CKD requires significant changes in patient’s dietary habits, which can affect long-term adherence. This study aims to evaluate [...] Read more.
Background: Adherence to Medical Nutrition Therapy (MNT) is a key determinant of therapy success, particularly in chronic diseases like chronic kidney disease (CKD). MNT in CKD requires significant changes in patient’s dietary habits, which can affect long-term adherence. This study aims to evaluate the adherence to MNT in stage 5 CKD patients undergoing conservative kidney management (CKM), identifying potential challenges and strengths of nutritional intervention. Methods: We enrolled in 94 stage 5 CKD patients undergoing CKM at the University Hospital of Modena, Italy. We collect clinical data from medical and nutrition records. The inclusion criteria comprised patients of all genders, ages, and ethnicity with stage 5 chronic kidney disease (CKD), in pre-dialysis, enrolled in the nephrology and dietetics program, who had access to 24-h urine tests, anthropometric measurements, and dietary history records. Exclusion criteria included patients with CKD stages lower than 5, those who had not undergone at least one nutritional assessment, or lacked accessible 24-h urine data. The study utilized medical and dietary records from September 2017 to March 2025. The primary outcome was the assessment of adherence to medical nutrition therapy (MNT), comparing prescribed protein intake with actual intake, estimated from dietary history (DH). Protein intake was compared with normalized protein nitrogen appearance (nPNA) as stated by recent guidelines. Additional factors influencing adherence, such as age, gender, comorbidities, physical activity, and prior dietary interventions, were also evaluated. Anthropometric measurements and biochemical tests were collected, and dietary intake was assessed using a seven-day DH. Results: Data were analyzed using descriptive statistics, linear correlation models, univariate logistic regression, t-tests, paired t-tests, and chi-square tests, with significance set at p < 0.05. Most of the patients follow suggested energy and protein intakes limits; however, substantial individual variability emerged Bland–Altman analysis indicated a moderate bias and wide limits of agreement for energy intake (+116 kcal; limits of agreement –518.8 to +751.3 kcal), revealing frequent overestimation in self-reports. Protein intake showed less systematic error, but discrepancies between dietary recall and biochemical markers persisted. Protein intake decreased significantly over time (p < 0.001), while correlation with nPNA did not reach statistical significance (ρ = 0.224, p = 0.051). No significant associations were identified between adherence and most clinical or lifestyle factors, although diabetes was significantly associated with lower adherence to protein intake (p = 0.042) and a predominantly sedentary lifestyle showed a borderline association with energy intake adherence (p = 0.076), warranting further investigation. Longitudinal analysis found stable BMI and body weight, alongside notable reductions in sodium (p = 0.018), potassium (p = 0.045), and phosphorus intake (p < 0.001) over time. Conclusions: Assessing dietary adherence in CKD remains complex due to inconsistencies between self-reported and biochemical estimates. These findings highlight the need for more objective dietary assessment tools and ongoing, tailored nutritional support. Multifaceted interventions—combining education, personalized planning, regular monitoring, and promotion of physical activity—are recommended to enhance adherence and improve clinical outcomes in this vulnerable population. Full article
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