Search Results (38,883)

Background: Older adults are at elevated risk of falls, especially when prescribed AEDs (AEDs) for neuropathic pain. The sedative and neuropsychiatric effects of these agents contribute significantly to fall-related morbidity. However, existing studies often lack stratification by age and dose. Objective: To systematically evaluate the incidence and drug-specific risk of falls and fall-related adverse events (AEs) in older adults prescribed AEDs for neuropathic pain. Methods: A systematic search was performed across PubMed, Scopus, CINAHL, ScienceDirect, and Cochrane Library databases up to May 2025. Studies were selected using PICOS criteria and included RCTs and controlled cohort studies reporting on AED-related AEs among participants aged ≥60 years. The methodological quality was assessed using RoB 2, ROBINS-I, and GRADE frameworks. Meta-analyses were performed using logit event rates and fixed-effects modeling via Comprehensive Meta-Analysis v3.7. Publication bias was evaluated using Begg’s and Egger’s tests. Results: Twenty-three studies met the inclusion criteria. The pooled logit event rate for falls was −1.693 (95% CI: −1.993 to −1.393), corresponding to a 15.5% incidence. Gabapentin showed the lowest fall risk (~10%), while pregabalin and carbamazepine were associated with higher rates of dizziness (up to 21.6%), sedation (~15.5%), and ataxia (~17.8%). Heterogeneity was low (I² = 0–22.3%) across outcomes. Conclusions: AEDs carry a clinically significant fall risk in older adults, with dose-dependent patterns. Gabapentin may present a safer profile, while pregabalin and carbamazepine warrant cautious use and monitoring. These findings inform individualized prescribing and fall prevention strategies in geriatric neuropathic pain management. Full article

The traditional continuous, quantitative spraying technology ignores the severity of pests, diseases and grasses, spatial distribution and other differences, resulting in low effective utilization of pesticides, environmental pollution and other problems. Variable-rate spray technology has become an important development direction in the field of precision agriculture by dynamically sensing crop canopy morphology, pest and disease distribution, and environmental parameters, adjusting the application amount in real time, and significantly improving pesticide utilization. In this study, we systematically review the core progress of variable-rate spray technology; focus on the technical system of information detection, spray volume model, and control system; analyze the current bottlenecks; and propose an optimization path to adapt to the complex agricultural conditions. At the level of information perception, LiDAR, machine vision, and multi-source sensor fusion technology constitute the main perception architecture, and infrared and ultrasonic sensors assist target recognition in complex scenes. In the construction of the spray volume model, models based on canopy volume, leaf area density, etc., are used to realize dynamic application decision by fusing equipment operating parameters, pest and disease levels, meteorological conditions, and so on. The control system takes the solenoid valve + PID control as the core program, and improves the response speed through PWM regulation and closed-loop feedback. The current technical bottlenecks are mainly concentrated in the sensor dynamic detection accuracy, model environmental adaptability, and the reliability of the execution parts. In the future, it is necessary to further promote anti-jamming multi-source heterogeneous sensor data fusion, multi-factor adaptive spray model development, lightweight edge computing deployment, and solenoid valve structural parameter optimization and other technical research, with a view to promoting the application of variable-rate spray technology to the field on a large scale and providing a theoretical reference and technological support for the green transformation of agriculture. Full article

Buffer zones are essential for the protection of the Outstanding Universal Value (OUV) of World Heritage properties. In China, to address the limitations of the prevailing “two-line” delineation system for architectural heritage protection, this study introduces the concept of buffer zone as a new perspective on heritage management. Focusing on the Cao Family Compound—a representative residence of Shanxi Merchants—this research situates the site within a broader cultural network to fully articulate its historical and social values. The methodology unfolds in three phases: (1) comprehensive identification of 47 spatial elements contributing to the compound’s significance, through field investigation, literature review, analysis of historical imagery and architectural drawing, and oral history interview; (2) systematic evaluation of each element’s value contribution to the compound based on six criteria across two dimensions, employing the Analytic Hierarchy Process (AHP) and Weighted Sum Method (WSM); (3) spatial visualization and hierarchical buffer zone delineation conducted via ArcGIS-based data modeling and the Natural Breaks classification method. This integrated approach establishes a holistic and structured framework that bridges architectural heritage with its setting, providing practical guidance for policymakers and conservation practitioners. Full article

Obsessive–compulsive disorder (OCD) is a multifactorial condition, and interest in gut–brain interactions is increasing. We conducted a systematic two-step review, registered in PROSPERO (CRD420251083936). Step 1 mapped core OCD biology to gut-relevant pathways, including neuroimmune activation, epithelial barrier function, microbial metabolites, and stress circuitry, to clarify plausible mechanisms. Step 2 synthesized evidence from human and preclinical studies that measured or manipulated microbiota. Searches across PubMed, EMBASE, Web of Science, PsycINFO, and Cochrane (September 2025) yielded 357 biological and 20 microbiota-focused studies. Risk of bias was assessed using the Joanna Briggs Institute checklist for human studies and SYRCLE’s tool for animal studies. Although taxonomic findings in human cohorts were heterogeneous, functional patterns converged: reduced short-chain fatty acid capacity, enrichment of pro-inflammatory pathways, and host markers of barrier disruption and inflammation correlating with OCD severity. Transferring patient microbiota to mice induced OCD-like behaviors with neuroinflammatory changes, partly rescued by metabolites or barrier-supporting strains. Mendelian randomization suggested possible causal contributions at higher taxonomic levels. Diet, especially fiber intake, and psychotropic exposure were major sources of heterogeneity. Evidence supports the microbiota as a modifiable co-factor in a subset of OCD, motivating diet-controlled, stratified clinical trials with composite host–microbe endpoints. Full article

Isovaleric acidemia (IVA, OMIM 243500) is an inherited disorder of leucine metabolism caused by a deficiency of isovaleryl-CoA dehydrogenase (IVD), leading to an accumulation of isovaleric acid and its derivates 3-hydroxyisovaleric acid, isovaleryl (C5)-carnitine and isovalerylglycine in body fluids. The clinical presentation is highly variable, ranging from life-threatening metabolic crises with metabolic acidosis and hyperammonemia to a clinically asymptomatic only biochemical phenotype. Newborn screening for IVA has been established in many countries. Treatment consists of a protein-restricted diet combined with supplementation of carnitine and/or glycine and emergency treatment in catabolic episodes. Still, evidence-based recommendations for the diagnosis and management of IVA patients with various phenotypes are lacking. Therefore, a systematic search and review of the literature was conducted to make suggestions for the care of patients with IVA based on both the available scientific evidence and consensus-derived expert conclusions. Based on a comprehensive set of literature data published between 1966 and 2024, 15 statements were phrased on the presentation, diagnosis, management, and outcome of IVA involving clinical, biochemical, and nutrition expertise. These statements can serve as a basis for more standardized care for IVA. Full article

Oroxylum indicum is a traditional food in Asia rich in flavonoids and health-related effects. However, research into the use of O. indicum as a functional food ingredient is overlooked. This review synthesized literature from 2010 to 2025 using the PRISMA framework, bibliometric mapping, and the Antecedents–Decisions–Outcomes (ADO) model. In total, 185 articles were included, covering in vitro, in vivo, in silico, and limited human investigations. Bibliometric analysis shows a growing global interest, with recent focuses on molecular docking, cancer, and conservation. Phytochemical investigations consistently report key flavonoids, including baicalein, baicalin, oroxylin A, chrysin, oroxin A, and oroxin B. Studies have linked these compounds to different health benefits, including antioxidants, cardiovascular, and neurological protection. Application of the ADO framework organized research into motives, methods, and outcomes, and highlighted scientifically validated ethnomedicinal uses, such as diabetes and liver protection. Meanwhile, gaps, including obesity-related studies, long-term safety, and clinical trials, remain. More importantly, although young fruits are locally consumed as vegetables or beverages, translation into functional foods is limited by bitterness, lack of standardized preparations, and insufficient dose–response data at dietary intakes. This review discusses the bioactive potential of O. indicum and outlines research priorities for its development in functional food. Full article

The exponential growth of scientific literature has made it increasingly difficult for researchers to identify relevant and timely publications within vast academic digital libraries. Although academic search engines, reference management tools, and recommender systems have evolved, many still rely heavily on metadata and lack mechanisms to incorporate full-text content or time-awareness. This review systematically examines the landscape of scholarly publication recommender systems, employing the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodology for a comprehensive and transparent selection of relevant studies. We highlight the limitations of current systems and explore the potential of integrating fine-grained citation knowledge—such as citation proximity, context, section, graph, and intention—extracted from full-text documents. These elements have shown promise in enhancing both the contextual relevance and recency of recommendations. Our findings highlight the importance of moving beyond accuracy-focused metrics toward user-centric evaluations that emphasise novelty, diversity, and serendipity. This paper advocates for the development of more holistic and adaptive recommender systems that better align with the evolving needs of researchers. Full article

Introduction: Radon is a radioactive noble gas formed from uranium decay in the Earth’s crust. The most significant isotope, 222Rn, emits alpha particles capable of damaging lung tissue and inducing cancer. Radon exposure is affected by geophysical and building characteristics and is recognized as a Group 1 carcinogen by the IARC. Despite regulatory thresholds (e.g., EURATOM standards), health risks remain. Various mitigation methods aim to reduce indoor radon exposure and its impact. Materials and Methods: This systematic review followed PRISMA guidelines. PubMed, Scopus, and Web of Science were searched up to 28 February 2025, using a defined string. Studies with original data on radon exposure and lung cancer risk or mitigation efficacy were included. Independent screening and quality assessment (Newcastle–Ottawa Scale) were conducted by multiple reviewers. Results: Of the 457 studies identified, 14 met the inclusion criteria. Eleven of these investigated the link between indoor radon and lung cancer risk, and three evaluated mitigation strategies. Radon levels were commonly measured using passive alpha track detectors. Levels varied depending on geographical location, season, building design and ventilation, these were higher in rural homes and during the colder months. Case–control studies consistently found an increased lung cancer risk with elevated radon exposure, especially among smokers. Effective mitigation methods included sub-slab depressurisation and balanced ventilation systems, which significantly reduced indoor radon concentrations. Adenocarcinoma was the most common lung cancer subtype in non-smokers, whereas squamous and small cell carcinomas were more prevalent in smokers exposed to radon. Discussion and Conclusions: This review confirms the robust association between indoor radon exposure and lung cancer. Risks persist even below regulatory limits and are amplified by smoking. While mitigation techniques are effective, their application remains uneven across regions. Stronger public education, building codes, and targeted interventions are needed, particularly in high-risk areas. To inform future prevention and policy, further research should seek to clarify radon’s molecular role in lung carcinogenesis, especially among non-smokers. Full article

Multiple sclerosis (MS) is a chronic autoimmune neurodegenerative disorder characterized by progressive demyelination and axonal degeneration within the central nervous system, driven by complex genomic and epigenomic dysregulation. Its pathogenesis involves aberrant DNA methylation patterns at CpG islands of numbers of genes like OLIG1 and OLIG2 disrupting protein expression at myelin with compromised oligodendrocyte differentiation. Furthermore, histone modifications, particularly H3K4me3 and H3K27ac, alter the promoter regions of genes responsible for myelination, affecting myelin synthesis. MS exhibits chromosomal instability and copy number variations in immune-regulatory gene loci, contributing to the elevated expression of genes for pro-inflammatory cytokines (TNF-α, IL-6) and reductions in anti-inflammatory molecules (IL-10, TGF-β1). Vitamin D deficiency correlates with compromised immune regulation through hypermethylation and reduced chromatin accessibility of vitamin D receptor (VDR) dysfunction and is reported to be associated with dopaminergic neuronal loss. Vitamin D supplementation demonstrates therapeutic potential through binding with VDR, which facilitates nuclear translocation and subsequent transcriptional activation of target genes via vitamin D response elements (VDREs), resulting in suppression of NF-κB signalling, enhancement of regulatory T-cell (T_reg) responses due to upregulation of specific genes like FOXP3, downregulation of pro-inflammatory pathways, and potential restoration of the chromatin accessibility of oligodendrocyte-specific gene promoters, which normalizes oligodendrocyte activity. Identification of differentially methylated regions (DMRs) and differentially expressed genes (DEGs) that are in proximity to VDR-mediated gene regulation supports vitamin D supplementation as a promising, economically viable, and sustainable therapeutic strategy for MS. This systematic review integrates clinical evidence and eventual bioinformatical meta-analyses that reference transcriptome and methylome profiling and identify prospective molecular targets that represent potential genetic and epigenetic biomarkers for personalized therapeutic intervention. Full article

Background/Objectives: Schizophrenia is associated with cognitive deficits that may compromise everyday functioning, including driving. This review systematically examined recent original research (2015–2025) on driving performance in individuals with schizophrenia with a focus on neuropsychological factors, applying a narrative synthesis given the heterogeneity of designs and outcomes, while no quantitative meta-analysis was feasible. Methods: Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a structured search of PubMed and Scopus was conducted on 4 May 2025. The inclusion criteria were original studies involving individuals diagnosed with schizophrenia, published between 2015 and 2025. Studies on animals, other psychiatric or neurological conditions, and healthy populations were also excluded. Critical appraisal was performed using the Joanna Briggs Institute (JBI) tools. Extracted data included sample demographics, cognitive deficits, neuropsychological assessments, brain imaging, and the main findings. A narrative synthesis was then performed. Results: Six high-quality studies met the inclusion criteria. Findings were grouped into three categories: (1) driving behavior: fitness to drive varied widely across individuals, (2) cognitive deficits and brain activity: poorer driving-related performance was consistently associated with specific impairments in cognition and brain structure, and (3) medication effects: individuals taking certain atypical antipsychotics demonstrated better driving performance compared to those on other types of medication, while extrapyramidal symptoms negatively influenced driving fitness. Conclusions: Driving in schizophrenia is shaped by cognitive, clinical, and pharmacological factors. These findings highlight the clinical relevance of individualized evaluations, integration into personalized care and targeted rehabilitation to promote driving autonomy and community inclusion. This area remains under-researched, as only six studies met the inclusion criteria, which restricts the robustness and generalizability of the conclusions. Funding: This review received no funding from any external sources. Registration: The review protocol was submitted to PROSPERO (International Prospective Register of Systematic Reviews) under registration number CRD420251060580. Full article

To address the global challenge of sustainable energy transition in cities, there is a growing demand for innovative solutions to provide flexible, low-carbon, and socio-economically profitable energy systems. In this context, there is a need for holistic evaluation frameworks for the prioritization and economic optimization of interventions. This paper provides a literature review on sustainable planning and economic impact assessment of innovative urban areas, such as Positive Energy Districts (PEDs), to analyze research trends in terms of evaluation methods, impacts, system boundaries, and identify conceptual and methodological gaps. A dedicated search was conducted in the Scopus database using several query strings to conduct a systematic review. At the end, 57 documents were collected and categorized by analysis approach, indicators, project interventions, and other factors. The review shows that the Cost–Benefit Analysis (CBA) is the most frequently adopted method, while Life Cycle Costing and Multi-Criteria Analysis result in a more limited application. Only in a few cases is the reduction in GHG emissions and disposal costs a part of the economic model. Furthermore, cost assessments usually do not consider the integration of the district into the wider energy network, such as the interaction with energy markets. From a more holistic perspective, additional costs and benefits should be included in the analysis and monetized, such as the co-impact on the social and environmental dimensions (e.g., social well-being, thermal comfort improvement, and biodiversity preservation) and other operational benefits (e.g., increase in property value, revenues from Demand Response, and Peer-To-Peer schemes) and disposal costs, considering specific discount rates. By adopting this multi-criteria thinking, future research should also deepen the synergies between urban sectors by focusing more attention on mobility, urban waste and green management, and the integration of district heating networks. According to this vision, investments in PEDs can generate a better social return and favour the development of shared interdisciplinary solutions. Full article

The construction and maintenance of ecological corridors not only facilitate species migration and gene flow but also enhance ecosystem stability and resilience, providing critical support for achieving global carbon neutrality goals. Despite their importance, research on urban ecological corridors—specifically their role in carbon sequestration and emission reduction within urban environments—remains insufficiently explored. To address this gap, we employed bibliometric and network analysis methods, utilizing the CiteSpace6.3.1 visualization tool to systematically review existing literature from the Web of Science Core Collection database. This study examines the research progress and trends in urban ecological corridors from 2000 to 2023, focusing on their role and significance in the context of global carbon neutrality. The findings reveal the following: (1) Research attention has grown steadily from 2000 to 2023, with climate change, carbon emission dynamics, and biodiversity emerging as core themes, reflecting increasing global focus on the carbon neutrality functions of urban ecological corridors. (2) CiteSpace analysis identified key research hotspots through keywords including climate change, carbon cycle, ecosystem services, model simulation, and ecological network analysis, revealing the functional mechanisms and pathways of urban ecological corridors in carbon neutrality contexts. (3) Current scientific challenges focus on understanding three core aspects of urban ecological corridors, the compositional elements, spatial structural design, and functional capacity assessment, requiring systematic theoretical breakthroughs. (4) Future research should prioritize exploring mechanisms to enhance urban ecological corridor functions and constructing low-carbon urban ecological networks, providing theoretical guidance and practical pathways for achieving urban emission reduction and climate goals. This study contributes to integrating research on the effectiveness of urban ecological corridors and carbon sinks, offering theoretical insights and practical guidance for reducing urban emissions and achieving climate goals. Full article

Kalanchoe pinnata, commonly known as the “miracle plant” or “life plant”, is a succulent species traditionally used for various health conditions. Recent research investigations have intensified interest in this species due to its diverse repertoire of bioactive constituents, including flavonoids, alkaloids, triterpenes, and glycosides. These compounds have been associated with multiple therapeutic effects, notably antioxidant, anti-inflammatory, and antidiabetic activities. Although several studies have highlighted the positive effects of the extracts of K. pinnata on key factors contributing to the pathophysiology and complications of diabetes mellitus, a systematic overview focusing on the use of these extracts and their bioactive constituents in the management of the disease is lacking. This literature review summarizes the phytochemical composition, traditional uses, and recent scientific data supporting the antidiabetic potential of K. pinnata, with a particular focus on its effects on glycemic control, as well as inflammatory and oxidative homeostasis, toxicity, safety, and potential clinical implications. The phytochemical constituents discussed include quercetin, kaempferol, apigenin, epigallocatechin gallate (EGCG), avicularin, and bufadienolides, along with a presentation of representative structures. The review also covers the potential mechanisms of action in diabetes mellitus. The survey of available literature highlights the effects of K. pinnata on indices of diabetes mellitus, including enhancing insulin sensitivity, mitigating oxidative stress and inflammation, lowering blood glucose levels, and the potential adverse effects. These results point to the promising prospect for K. pinnata use in the management of diabetes mellitus and its associated complications, while underscoring the need for more rigorous investigations, including well-controlled clinical trials. Full article

Background: Postoperative atrial fibrillation (POAF) is the most frequent arrhythmic complication following cardiac surgery, affecting nearly 20–30% of patients. While conventional risk factors such as age, hypertension, and atrial enlargement are well known, emerging evidence suggests that cancer itself constitutes a significant, yet underrecognized, contributor to POAF risk. Objective: This review aims to systematically examine the association of cancer with POAF, explore underlying pathophysiological mechanisms, and discuss clinical implications for risk stratification and management in cardiac surgical patients with concurrent or historical malignancies. Methods: A comprehensive review of recent literature was conducted using PubMed and Scopus databases. Studies focusing on the epidemiology, mechanisms, and clinical management of POAF in patients with cancer were evaluated. AI-assisted tools (OpenAI’s ChatGPT) were used for formatting the graphical abstract. Results: Lung, breast, gastrointestinal, hematologic, and prostate cancers demonstrate the strongest association with POAF. The arrhythmogenic mechanisms include systemic inflammation, hypercoagulability, direct cardiotoxicity from cancer therapies, autonomic dysregulation, and paraneoplastic syndromes. Integration of oncologic variables into perioperative cardiovascular care is essential for precision risk assessment and outcome optimization. In a recent prospective cardiac surgery cohort, active or historical cancer independently conferred ~4-fold higher odds of POAF (adjusted OR: 3.85, 95% CI: 1.54–9.66), with cancer present in 15% of POAF cases versus 4% of non-POAF patients. Conclusions: Cancer represents a pivotal and multifactorial risk factor for POAF after cardiac surgery. Recognizing its role calls for a multidisciplinary approach that aligns oncologic and cardiovascular care to mitigate arrhythmic risk and improve surgical outcomes. Full article

To address the greenhouse effect and environmental pollution stemming from fossil fuels, the development of new energy sources is widely regarded as a critical pathway toward achieving carbon neutrality. Microalgae, as a feedstock for third-generation biofuels, have emerged as a research hotspot for producing biojet fuel due to their high photosynthetic efficiency, non-competition with food crops, and potential for carbon reduction. This paper provides a systematic review of technological advancements in the catalytic hydrogenation of microalgal oil for biojet fuel production. It specifically focuses on the reaction mechanisms and catalyst design involved in the hydrogenation–deoxygenation and cracking/isomerization processes within the Oil-to-Jet (OTJ) pathway. Furthermore, the paper compares the performance differences among various catalyst support materials and between precious and non-precious metal catalysts. Finally, it outlines the current landscape of policy support and progress in industrialization projects globally. Full article