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Search Results (1,346)

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13 pages, 20217 KiB  
Article
Damage Limit Velocity and Fracture Patterns in Single Glass Plates Impacted by Steel Balls of Varying Diameters
by Sanghee Kim, Ju-Hyun Mun, Saehan Park, Changho Choi and Seongwon Hong
Appl. Sci. 2025, 15(1), 386; https://doi.org/10.3390/app15010386 - 3 Jan 2025
Viewed by 293
Abstract
Slingshots, traditionally viewed as children’s toys, have recently been modified for malicious purposes, including firing steel balls at building windows, causing significant damage. This misuse necessitates the development of methods to estimate impact velocity and launch point based on glass damage patterns at [...] Read more.
Slingshots, traditionally viewed as children’s toys, have recently been modified for malicious purposes, including firing steel balls at building windows, causing significant damage. This misuse necessitates the development of methods to estimate impact velocity and launch point based on glass damage patterns at incident scenes. To achieve this, a comprehensive database correlating glass damage shapes with steel ball diameters is essential. This study conducted experiments to investigate the damage patterns of 5 mm thick glass upon impact with 8 mm and 10 mm steel balls. The damage limit velocities for 8 mm and 10 mm steel balls to cause damage to 5 mm glass were approximately 40 m/s and 21 m/s, respectively. Glass damage was categorized into two types: cone cracks and perforated holes. While cone crack patterns were similar for both 8 mm and 10 mm steel balls, perforation patterns exhibited distinct tendencies. Consequently, the impact velocity of each steel ball can be estimated based on the size of the perforated hole. However, determining the steel ball diameter solely from the size of the cone crack and perforated hole remains challenging. Full article
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<p>Cases of modified slingshots and glass damage by slingshots. (<b>a</b>) Enhanced slingshot (Republic of Korea, 2023); (<b>b</b>) semi-automatic slingshot (Republic of Korea, 2024); (<b>c</b>) criminal case (Republic of Korea, 2023). (Source: photographed by the authors.).</p>
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<p>Cone crack and perforated hole of damage.</p>
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<p>Experimental apparatus.</p>
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<p>Selected damage pattern of glass under impact load with 8 mm steel ball.</p>
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<p>Selected damage pattern of glass under impact load with 10 mm steel ball.</p>
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<p>Relation of <span class="html-italic">ARC</span> and kinetic energy.</p>
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<p>Relation of <span class="html-italic">C<sub>avg</sub></span> and kinetic energy.</p>
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<p>Relation of <span class="html-italic">CE<sub>avg</sub></span> and kinetic energy.</p>
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<p>Relation of <span class="html-italic">ARP</span> and kinetic energy.</p>
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<p>Relation of <span class="html-italic">P<sub>avg</sub></span> and kinetic energy.</p>
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<p>Relation of <span class="html-italic">PE<sub>avg</sub></span> and kinetic energy.</p>
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17 pages, 834 KiB  
Review
Health Associations of Positive Childhood Experiences: A Scoping Review of the Literature
by Joachim Hero, Laura Gallant, Dina Burstein, Sydne Newberry, Nabeel Qureshi, Katie Feistel, Kayla N. Anderson, Kelsey Hannan and Robert Sege
Int. J. Environ. Res. Public Health 2025, 22(1), 59; https://doi.org/10.3390/ijerph22010059 - 3 Jan 2025
Viewed by 221
Abstract
We report the results of a scoping review of the literature investigating associations between positive childhood experiences (PCEs) and selected health outcomes to identify which have the highest level of research activity based on the indexed academic literature. Yielded articles underwent title/abstract (Ti/Ab) [...] Read more.
We report the results of a scoping review of the literature investigating associations between positive childhood experiences (PCEs) and selected health outcomes to identify which have the highest level of research activity based on the indexed academic literature. Yielded articles underwent title/abstract (Ti/Ab) and full text screening utilizing inclusion/exclusion criteria. The review was guided by PCE categories from the Healthy Outcomes from Positive Experiences framework: relationships, environment, engagement, and emotional growth. The initial search yielded 8,919 unduplicated articles, 759 were retained following Ti/Ab review and 220 articles were retained after full text screening describing 795 tested associations across 23 PCE types in ten outcome categories. The outcomes most commonly examined were substance misuse (305 tested associations across 93 studies), suicidal behaviors (195 tested associations across 56 studies), and depression (112 tested associations across 55 studies). Physical health outcomes were less common (14 tested associations across six studies). Of the PCE exposures, relationships represented 415 of tested associations, 236 with environment, and 114 with social engagement. A significant body of research demonstrated associations between PCEs and health outcomes. While further research is needed, available research suggests that public health efforts to promote PCEs may have impact across multiple domains. Full article
(This article belongs to the Special Issue Mental Health and Wellbeing of Children and Adolescents)
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<p>The four building blocks of HOPE. SOURCE: HOPE—Healthy Outcomes from Positive Experiences. Available online: <a href="https://positiveexperience.org/" target="_blank">https://positiveexperience.org/</a> (accessed on 1 November 2024).</p>
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<p>PRISMA Chart for Positive Childhood Experiences and Outcomes Search. SOURCE: RAND analysis of search results and screening data. NOTE: This PRISMA diagram shows the number of articles identified in our search by database, the number of articles that remained after automated de-duplication, and the number of articles excluded at each screening stage. Articles screened by full text include those excluded upon further review during abstraction. Systematic reviews and meta-analyses were excluded from scoping review results but retained for future analysis.</p>
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2 pages, 123 KiB  
Editorial
2025: A Bright Year Ahead for Future Pharmacology
by Fabrizio Schifano
Future Pharmacol. 2025, 5(1), 2; https://doi.org/10.3390/futurepharmacol5010002 - 1 Jan 2025
Viewed by 242
Abstract
As 2024 is coming to an end, let us reflect on Future Pharmacology’s achievements to better understand what is promising to be a bright year ahead [...] Full article
35 pages, 5469 KiB  
Article
Regulatory Compliance of Health Claims on Omega-3 Fatty Acid Food Supplements
by Jelena Banović Fuentes, Ivana Beara and Ljilja Torović
Foods 2025, 14(1), 67; https://doi.org/10.3390/foods14010067 - 29 Dec 2024
Viewed by 727
Abstract
Unlike the mandatory information that must be provided on a food supplement label, health claims are voluntary. This study assesses the regulatory compliance of omega-3 fatty acid (ω-3-FA) supplement label claims. Of the 97 supplements, 76 (78.4%) carried verbal claims referring to active [...] Read more.
Unlike the mandatory information that must be provided on a food supplement label, health claims are voluntary. This study assesses the regulatory compliance of omega-3 fatty acid (ω-3-FA) supplement label claims. Of the 97 supplements, 76 (78.4%) carried verbal claims referring to active substance, of which 68 (89.5%) were claims specific to ω-3-FA. According to the European Union Health Claims Registry, 107 claims listed on 59 supplements were authorized, as opposed to nine unauthorized claims on nine supplements. The degree to which claims aligned with regulatory standards, expressed in terms of scores scaled from 0 to 1, was the highest for supplements intended for pregnant women (1), while, in the case of adults, the mean score was 0.76 ± 0.35, and, in case of children, was 0.85 ± 0.27. Statistical analysis revealed a minor tendency for higher health claim scores to be associated with lower product prices. Furthermore, differences in compliance levels across groups of supplements formed according to the country of origin/sources of ω-3-FA/target populations were explored. The main differences were associated with products from Sweden and Italy/fish oil/supplements for pregnant women. A comparison of the daily intake of ω-3-FA provided by the supplement (based on labeled information) with the intake requirements for supplements with claims referring to ω-3-FA, supported 91 claims, five were unsubstantiated, and 11 were missing required data. Supplements also contained mineral- (19 approved) and vitamin-related claims (73, of which 9 were unauthorized). This study’s findings reveal the extent of misuse of labelled information in markets that require pre-market supplement registration. Importantly, the non-compliance of health claims can significantly undermine consumer trust. Full article
(This article belongs to the Section Food Quality and Safety)
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Graphical abstract

Graphical abstract
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<p>Number of omega-3 fatty acid supplements with: (<b>A</b>) marked number of verbal (in form of a sentence) health claims referring to the active substances; (<b>B</b>) health claims in form of pictures, one-word claims, claims referring to the supplement as a whole, or no health claims.</p>
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<p>Distribution of supplements in relation to omega-3 fatty acid highlighted by the health claim (claims referring to EPA/DHA are represented in details in the small circle).</p>
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<p>Authorized health claims referring to omega-3 fatty acids (EFA—essential FA, ALA—alpha-linolenic FA, EPA—eicosapentaenoic FA, DHA—docosahexaenoic FA) listed on supplements’ labels, categorized by the type of fatty acid and the regulation article to which the claim pertains (Article 13 (1)—general claims, Article 14 (1) (b)—claims related to children’s health) [<a href="#B43-foods-14-00067" class="html-bibr">43</a>], displayed by the target population groups. <sup>(a)</sup> Usage restriction: The statement will not be used for food intended for children [<a href="#B43-foods-14-00067" class="html-bibr">43</a>].</p>
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<p>Health claim scores of omega-3 fatty acids supplements, displayed by the target population groups.</p>
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<p>Classification of health claim scores of omega-3 fatty acids supplements, displayed by the target population groups (<b>A</b>) number and (<b>B</b>) percentage of supplements in a category.</p>
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<p>Classification of health claim scores of omega-3 fatty acids supplements, displayed by the target population groups (<b>A</b>) number and (<b>B</b>) percentage of supplements in a category.</p>
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<p>Validity assessment of health claims based on ω-3-FA intake from supplements in relation to the intake requirements for supplements bearing omega-3-FA health claims [<a href="#B43-foods-14-00067" class="html-bibr">43</a>]. Notes: <sup>(a)</sup> A food that is at least a source of omega-3 fatty acids. A claim that a food is a source of omega-3 fatty acids, or any statement likely to have the same meaning for consumers, can only be made if the product contains at least 0.3 g of ALA per 100 g and per 100 kcal, or at least 40 mg of the combined EPA and DHA per 100 g and per 100 kcal. <sup>(b)</sup> A food that provides a daily intake of 2 g of EPA and DHA. <sup>(c)</sup> A food that provides a daily intake of 3 g of EPA and DHA. <sup>(d)</sup> Food that contains at least 40 mg of DHA per 100 g and per 100 kcal. <sup>(e)</sup> Food that provides a daily intake of 2 g of DHA and contains DHA in combination with EPA. <sup>(f)</sup> Food must contain at least 0.3% of its total fatty acids as DHA. <sup>(g)</sup> Food that provides a daily intake of at least 200 mg of DHA.</p>
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<p>Percentage contribution of omega-3 fatty acid supplements relative to EFSA recommendations for EPA and/or DHA by age groups [<a href="#B9-foods-14-00067" class="html-bibr">9</a>]. Note: <sup>(a)</sup>—dosage of the supplement not labeled.</p>
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<p>Information provided on supplement labels: (<b>A</b>) mandatory statements/warnings/restrictions; (<b>B</b>) reasons for consulting with a doctor or pharmacist.</p>
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<p>Distribution of omega-3 fatty acid supplements based on (<b>A</b>) pharmaceutical form (different types of capsules are represented in details in the small circle), (<b>B</b>) source of omega-3 fatty acids (combined sources are represented in details in the small circle), and (<b>C</b>) target population (combined target groups are represented in details in the small circle).</p>
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<p>Distribution of omega-3 fatty acid supplements based on (<b>A</b>) pharmaceutical form (different types of capsules are represented in details in the small circle), (<b>B</b>) source of omega-3 fatty acids (combined sources are represented in details in the small circle), and (<b>C</b>) target population (combined target groups are represented in details in the small circle).</p>
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<p>Distribution of omega-3 fatty acid supplements by country of production: (<b>A</b>) finished product, (<b>B</b>) raw material.</p>
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<p>Distribution of omega-3 fatty acid supplements according to their prices per daily dose, displayed by the population groups: (<b>A</b>) Box–Whisker plot (whiskers extend from min to max, □ interquartile range, − median, × mean, ° outliers) and (<b>B</b>) range and mean.</p>
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<p>Classification of omega-3 fatty acid supplements according to their price per daily dose, displayed by the population groups: (<b>A</b>) number and (<b>B</b>) percentage of the supplements in a price category.</p>
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<p>Authorized health claims listed on ω-3-FA supplements related to (<b>A</b>) minerals and (<b>B</b>) vitamins as active substances (distribution by the target population groups) [<a href="#B43-foods-14-00067" class="html-bibr">43</a>]. <sup>(a)</sup> -In women of reproductive age, a beneficial effect is achieved with an additional daily intake of at least 400 µg. <sup>(b)</sup> The statement appears once for each of the listed vitamins individually. The number next to the name of the active substance indicates how many supplements feature the claim.</p>
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<p>Authorized health claims listed on ω-3-FA supplements related to (<b>A</b>) minerals and (<b>B</b>) vitamins as active substances (distribution by the target population groups) [<a href="#B43-foods-14-00067" class="html-bibr">43</a>]. <sup>(a)</sup> -In women of reproductive age, a beneficial effect is achieved with an additional daily intake of at least 400 µg. <sup>(b)</sup> The statement appears once for each of the listed vitamins individually. The number next to the name of the active substance indicates how many supplements feature the claim.</p>
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<p>Distribution of omega-3 fatty acid supplements based on the authorization status of the claims they carry, shown by target population groups: (<b>A</b>) all health claims on the supplement, (<b>B</b>) health claims related to omega-3 fatty acids.</p>
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<p>Distribution of authorized health claims referring to omega-3 fatty acids, in relation to the target population groups.</p>
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27 pages, 310 KiB  
Article
Data Security in Autonomous Driving: Multifaceted Challenges of Technology, Law, and Social Ethics
by Yao Xu, Jixin Wei, Ting Mi and Zhihua Chen
World Electr. Veh. J. 2025, 16(1), 6; https://doi.org/10.3390/wevj16010006 - 27 Dec 2024
Viewed by 493
Abstract
The widespread adoption of autonomous driving technology heavily relies on data acquisition and processing, which, while providing an intelligent experience for users, also raises concerns about data security, personal privacy, and data exploitation. The data security of autonomous driving faces challenges from three [...] Read more.
The widespread adoption of autonomous driving technology heavily relies on data acquisition and processing, which, while providing an intelligent experience for users, also raises concerns about data security, personal privacy, and data exploitation. The data security of autonomous driving faces challenges from three aspects: technology, law, and social ethics. Thus, this article adopts interdisciplinary research methods to identify these challenges and provide solutions from diverse disciplinary perspectives. (a) Technologically, issues such as data leakage, storage vulnerabilities, and the risk of re-identifying anonymous data persist; (b) legally, there is an urgent need to clarify the responsible parties and address issues related to outdated data security legislation and legal conflicts arising from cross-border data flows; (c) socially and ethically, the risks of data misuse and the emergence of exploitative contracts have triggered public concerns about data privacy. To address these challenges, this article proposes technical countermeasures such as utilizing diverse Privacy Enhancing Technologies (PETs) to enhance data anonymity, optimizing data encryption techniques, and reinforcing data monitoring and access control management. Legal measures should include establishing a comprehensive data security protection framework, clarifying accountability, and developing standards for the classification and grading of autonomous vehicle data. In the field of social ethics, emphasis is placed on safeguarding the public’s right to know, establishing a transparent system for data use, offering an alternative “data security” solution that allows users to choose between heightened privacy protection and enhanced personalized services, and also advocating ethical data utilization and technological development. By implementing these comprehensive strategies, we aim to establish a secure and barrier-free data protection system for autonomous driving, thereby laying a solid foundation for the widespread adoption of autonomous driving technology. Full article
34 pages, 1416 KiB  
Article
CRP-RAG: A Retrieval-Augmented Generation Framework for Supporting Complex Logical Reasoning and Knowledge Planning
by Kehan Xu, Kun Zhang, Jingyuan Li, Wei Huang and Yuanzhuo Wang
Electronics 2025, 14(1), 47; https://doi.org/10.3390/electronics14010047 - 26 Dec 2024
Viewed by 418
Abstract
The Retrieval-Augmented Generation (RAG) framework enhances Large Language Models (LLMs) by retrieving relevant knowledge to broaden their knowledge boundaries and mitigate factual hallucinations stemming from knowledge gaps. However, the RAG Framework faces challenges in effective knowledge retrieval and utilization; invalid or misused knowledge [...] Read more.
The Retrieval-Augmented Generation (RAG) framework enhances Large Language Models (LLMs) by retrieving relevant knowledge to broaden their knowledge boundaries and mitigate factual hallucinations stemming from knowledge gaps. However, the RAG Framework faces challenges in effective knowledge retrieval and utilization; invalid or misused knowledge will interfere with LLM generation, reducing reasoning efficiency and answer quality. Existing RAG methods address these issues by decomposing and expanding queries, introducing special knowledge structures, and using reasoning process evaluation and feedback. However, the linear reasoning structures limit complex thought transformations and reasoning based on intricate queries. Additionally, knowledge retrieval and utilization are decoupled from reasoning and answer generation, hindering effective knowledge support during answer generation. To address these limitations, we propose the CRP-RAG framework, which employs reasoning graphs to model complex query reasoning processes more comprehensively and accurately. CRP-RAG guides knowledge retrieval, aggregation, and evaluation through reasoning graphs, dynamically adjusting the reasoning path based on evaluation results and selecting knowledge-sufficiency paths for answer generation. CRP-RAG outperforms the best LLM and RAG baselines by 2.46 in open-domain QA, 7.43 in multi-hop reasoning, and 4.2 in factual verification. Experiments also show the superior factual consistency and robustness of CRP-RAG over existing RAG methods. Extensive analyses confirm its accurate and fact-faithful reasoning and answer generation for complex queries. Full article
(This article belongs to the Section Computer Science & Engineering)
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<p>Two challenges faced by the RAG Framework: (i) <b>Left</b>: The inference process is disturbed by irrelevant knowledge in the retrieved results. (ii) <b>Right</b>: The complex associations among the knowledge in the retrieved results cannot be analyzed and understood.</p>
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<p>Overview of CRP-RAG framework. The CRP-RAG consists of three modules: (i) The GC module constructs the reasoning graph based on the query. (ii) The KRA module performs knowledge retrieval and aggregation based on the nodes of the reasoning graph. (iii) The AG module generates a query-based answer leveraging the reasoning graph and the relevant knowledge.</p>
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<p>Robustness analysis of CRP-RAG. <span style="color: #87CEFA">The blue line</span> represents the experimental results of introducing false reasoning graph nodes into CRP-RAG, while <span style="color: #FF0000">the red line</span> indicates the experimental results of introducing knowledge-irrelevant reasoning graph nodes into CRP-RAG.</p>
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<p>CRP-RAG discards distracted reasoning paths and abstains from answering when no valid reasoning path is available.</p>
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<p>Impact of different reasoning structures on CRP-RAG behavior.</p>
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<p>Average time consumption of CRP-RAG under different levels of reasoning complexity.</p>
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12 pages, 1551 KiB  
Article
Prevalence of High Frequency Noise-Induced Hearing Loss Among Medical Students Using Personalized Listening Devices
by Aishwarya Gajendran, Gayathri Devi Rajendiran, Aishwarya Prateep, Harshith Satindra and Rashmika Rajendran
J. Clin. Med. 2025, 14(1), 49; https://doi.org/10.3390/jcm14010049 - 26 Dec 2024
Viewed by 243
Abstract
The misuse of personalized listening devices (PLDs) resulting in noise-induced hearing loss (NIHL) has become a public health concern, especially among youths, including medical students. The occupational use of PLDs that produce high-intensity sounds amplifies the danger of cochlear deterioration and high-frequency NIHL [...] Read more.
The misuse of personalized listening devices (PLDs) resulting in noise-induced hearing loss (NIHL) has become a public health concern, especially among youths, including medical students. The occupational use of PLDs that produce high-intensity sounds amplifies the danger of cochlear deterioration and high-frequency NIHL especially when used in noisy environments. This study aims to evaluate the incidence and trends of NIHL among medical students using PLDs. Background/Objectives: The purpose of this study is to assess the prevalence of high-frequency NIHL among PLD-using medical students. Methods: A semi-structured questionnaire covering details on PLD usage, exposure to noisy environments, and hearing difficulties was used to gather the data required. Conventional pure-tone audiometry with extended high-frequency audiometry was preceded by routine clinical evaluation using tuning fork tests and otoscopic examination for hearing loss assessment and to rule out middle-ear pathology. Hearing impairment was determined and categorized according to the Goodman and Clark classification system (250 Hz to 8000 kHz). SPSS version 21 was used in the analysis of the frequency data collected. Results: Out of 100 participants, using conventional PTA, 33% were found to have hearing loss, with 42.9% of males and 23.5% of females affected. Bilateral hearing loss was seen in 36.4% of the cases. Left-sided hearing loss was found to be more common (28%). The duration of usage of PLD had a significant correlation with hearing loss with a p-value < 0.0001. Hearing thresholds were significantly elevated at 16 kHz and 18 kHz in both the right and left ear. Conclusions: The high prevalence of PLD misuse among medical students is a major risk factor for NIHL. To help combat chronic hearing loss, students need to be educated about safe listening levels that can prevent further damage to the cochlea and auditory system. Full article
(This article belongs to the Section Otolaryngology)
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<p>Hearing loss among medical graduates: frequency-specific analysis.</p>
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<p>Hearing loss among medical graduates: frequency-specific analysis.</p>
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<p>Mean hearing threshold—extended high frequency.</p>
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<p>PLD usage and hearing loss.</p>
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33 pages, 3827 KiB  
Review
Distinguishing Reality from AI: Approaches for Detecting Synthetic Content
by David Ghiurău and Daniela Elena Popescu
Computers 2025, 14(1), 1; https://doi.org/10.3390/computers14010001 - 24 Dec 2024
Viewed by 396
Abstract
The advancement of artificial intelligence (AI) technologies, including generative pre-trained transformers (GPTs) and generative models for text, image, audio, and video creation, has revolutionized content generation, creating unprecedented opportunities and critical challenges. This paper systematically examines the characteristics, methodologies, and challenges associated with [...] Read more.
The advancement of artificial intelligence (AI) technologies, including generative pre-trained transformers (GPTs) and generative models for text, image, audio, and video creation, has revolutionized content generation, creating unprecedented opportunities and critical challenges. This paper systematically examines the characteristics, methodologies, and challenges associated with detecting the synthetic content across multiple modalities, to safeguard digital authenticity and integrity. Key detection approaches reviewed include stylometric analysis, watermarking, pixel prediction techniques, dual-stream networks, machine learning models, blockchain, and hybrid approaches, highlighting their strengths and limitations, as well as their detection accuracy, independent accuracy of 80% for stylometric analysis and up to 92% using multiple modalities in hybrid approaches. The effectiveness of these techniques is explored in diverse contexts, from identifying deepfakes and synthetic media to detecting AI-generated scientific texts. Ethical concerns, such as privacy violations, algorithmic bias, false positives, and overreliance on automated systems, are also critically discussed. Furthermore, the paper addresses legal and regulatory frameworks, including intellectual property challenges and emerging legislation, emphasizing the need for robust governance to mitigate misuse. Real-world examples of detection systems are analyzed to provide practical insights into implementation challenges. Future directions include developing generalizable and adaptive detection models, hybrid approaches, fostering collaboration between stakeholders, and integrating ethical safeguards. By presenting a comprehensive overview of AIGC detection, this paper aims to inform stakeholders, researchers, policymakers, and practitioners on addressing the dual-edged implications of AI-driven content creation. Full article
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<p>Interest over time for artificial intelligence according to search engines [<a href="#B6-computers-14-00001" class="html-bibr">6</a>].</p>
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<p>Prisma flow chart with the total number of studies and reports included.</p>
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<p>Audio waveform analyzed for specific mismatches in tonality, rhythm, and fluency.</p>
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<p>Dall-E generated image of an apple.</p>
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<p>Analyzed AIGC image using Sight Engine.</p>
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<p>Video frame extraction for authenticity analysis.</p>
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<p>Accuracy of identifying generated and manipulated content [<a href="#B30-computers-14-00001" class="html-bibr">30</a>,<a href="#B31-computers-14-00001" class="html-bibr">31</a>].</p>
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<p>The process of watermarking an image [<a href="#B35-computers-14-00001" class="html-bibr">35</a>].</p>
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<p>Regularization technique flow with specific components.</p>
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<p>News submission on a blockchain ledger with crowdsourcing consensus.</p>
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19 pages, 445 KiB  
Article
A Qualitative Exploration of the Process and Experience of Change in Moving on in My Recovery: An Acceptance and Commitment Therapy Based Recovery Group for Substance Use Disorder
by Emma L. Shepley, Mike C. Jackson and Lee M. Hogan
Behav. Sci. 2024, 14(12), 1237; https://doi.org/10.3390/bs14121237 - 23 Dec 2024
Viewed by 708
Abstract
Moving on in my recovery (MOIMR) is a new, acceptance and commitment therapy (ACT) based group intervention to support recovery from substance use disorder. It was co-developed by, and is co-facilitated with, people in recovery. This study used a grounded theory model to [...] Read more.
Moving on in my recovery (MOIMR) is a new, acceptance and commitment therapy (ACT) based group intervention to support recovery from substance use disorder. It was co-developed by, and is co-facilitated with, people in recovery. This study used a grounded theory model to understand the process of change experienced by individuals who completed the group programme. Ten individuals who were abstinent from substances following their participation in MOIMR were interviewed. The model that emerged depicted a chronological series of processes that centred around a core category of gains derived from approaching their emotional vulnerability by leaning in to discomfort (e.g., difficult internal experiences like thoughts, emotions, and physical sensations) whilst pursuing activities that aligned to what mattered to them. Initial key processes indicated that participants experienced a degree of suffering from substance use prior to engagement. Group safety was a key element in fostering connection, normalisation, and cohesion, combined with psychological understanding being significantly derived from those with a lived experience of substance misuse and addiction. Later processes reflecting core ACT mechanisms such as letting go, value-guided action, and acceptance of difficult internal experiences took time to develop; many participants reported completing MOIMR more than once as a means of understanding these components. Limitations, along with implications for clinical practice and future research are discussed. Full article
(This article belongs to the Special Issue Promoting Behavioral Change to Improve Health Outcomes)
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<p>Model of the process of change through MOIMR.</p>
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21 pages, 1849 KiB  
Review
Endemic Yucatan Peninsula Plants with Pesticidal Potential: Herbarium-Based Literature Review
by Nancy Alonso-Hernández, Carlos Granados-Echegoyen, Baldomero H. Zárate-Nicolás, Demian Hinojosa-Garro, Esperanza Loera-Alvarado, Nadia Landero-Valenzuela, Beatriz Quiroz-González, Fidel Diego-Nava, Salvador Ordaz-Silva, Imelda Virginia López-Sánchez and Laura Dennisse Carrazco-Peña
Plants 2024, 13(24), 3583; https://doi.org/10.3390/plants13243583 - 22 Dec 2024
Viewed by 514
Abstract
Agricultural pests present a significant challenge to humanity, often managed through synthetic chemicals that, when misused, can cause irreversible harm to both the environment and human health. This study focuses on endemic plants from the Yucatán Peninsula in Mexico, particularly from the state [...] Read more.
Agricultural pests present a significant challenge to humanity, often managed through synthetic chemicals that, when misused, can cause irreversible harm to both the environment and human health. This study focuses on endemic plants from the Yucatán Peninsula in Mexico, particularly from the state of Campeche, to identify their historical uses and propose an updated list of species with pesticide potential in the region. We systematically reviewed specimens from the Center for Sustainable Development and Wildlife Management (CEDESU) herbarium and local databases. Of the 3084 specimens collected, 2524 (81.84%) were from Campeche. The collection encompasses 106 botanical families, 459 genera, and 747 species. The study identified 201 plant species from 48 taxonomic families that are endemic to the Yucatán Peninsula Biotic Province (YPBP), of which 123 species are exclusive to the Mexican Yucatán Peninsula (MYP), representing 61.19% of the endemic species. Campeche contains 134 species (66.66%), distributed across 96 genera and 43 families. Notably, 46.26% of the species (62 species) belong to the Mexican region, with 8 species (12.90%) exclusive to Campeche. The research revealed that 27.90% of the families and 19.79% of the genera present in the state have been the subject of previous scientific studies regarding their use as pesticides. The most extensively studied families were Euphorbiaceae and Fabaceae. However, there is a notable lack of research on endemic plants from the Yucatán Peninsula, underscoring the need for increased attention to these species. The identified genera and families contain chemical compounds with activity against significant pests, demonstrating substantial potential for the development of natural pesticides. Full article
(This article belongs to the Section Plant Systematics, Taxonomy, Nomenclature and Classification)
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<p>Distribution of botanical families among the specimens in the Herbarium of the Scientific Collection at CEDESU-UACAM, highlighting the proportion of species collected from the state of Campeche.</p>
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15 pages, 934 KiB  
Article
Factors Associated with the Prolonged Use of Donor Human Milk at the Da Nang Hospital for Women and Children in Vietnam
by Hoang Thi Tran, Tuan Thanh Nguyen, Oanh Thi Xuan Nguyen, Le Thi Huynh and Roger Mathisen
Nutrients 2024, 16(24), 4402; https://doi.org/10.3390/nu16244402 - 22 Dec 2024
Viewed by 675
Abstract
Background and Objectives: Donor human milk (DHM) from a human milk bank (HMB) is used to feed low-birthweight (LBW) and preterm infants when mothers cannot provide their own breastmilk. The misuse of DHM could interfere with mothers’ breastmilk and weaken breastfeeding efforts. This [...] Read more.
Background and Objectives: Donor human milk (DHM) from a human milk bank (HMB) is used to feed low-birthweight (LBW) and preterm infants when mothers cannot provide their own breastmilk. The misuse of DHM could interfere with mothers’ breastmilk and weaken breastfeeding efforts. This study aimed to identify factors behind prolonged DHM usage during the first six years of Vietnam’s first HMB. Methods: Data were extracted from the Da Nang HMB’s digital monitoring system. We defined prolonged DHM use as four or more days in the neonatal unit and two or more days in postnatal wards. Results: Over six years, 25,420 infants received DHM, with 45.3% of the infants being female, 54.7% being male, 70.0% being born via cesarean section, and 77.2% being full-term. In the neonatal unit (n = 7001), 38.0% of infants used DHM for ≥4 days. Adjusted odds ratios (aORs) for prolonged use were 0.14 for infants weighing <1000 g, 0.78 for infants weighing 1000–<1500 g, and 0.67 for infants weighing ≥2000 g (p < 0.01), compared to those weighing 1500–<2000 g. Compared to gestational ages of 32–<34 weeks, the aORs were 0.26 for <28 weeks, 0.71 for 34–<37 weeks, and 0.35 for ≥37 weeks (p < 0.01). In postnatal wards (n = 18,419), 53.1% of infants used DHM for ≥2 days. Compared to term, normal-weight infants, the aORs were 1.25 for LBW–preterm, 1.17 for LBW–term, and 1.21 for normal-weight–preterm infants (p < 0.05). Prolonged DHM use was associated with cesarean births in neonatal units (aOR 2.24, p < 0.01) and postnatal wards (aOR 1.44, p < 0.01). Conclusions: DHM is used briefly to bridge nutritional gaps and transition to mothers’ breastmilk, but LBW, preterm births, and cesarean births are linked to prolonged use. Healthcare providers should support those at risk of prolonged DHM use and prioritize reducing unnecessary cesarean births. Full article
(This article belongs to the Special Issue Own or Donated Human Milk: Its Role in Today's Society)
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<p>Distribution (%) of duration of use of DHM (days) in neonatal units (<b>A</b>) and postnatal wards (<b>B</b>) by year.</p>
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<p>Adjusted ORs of prolonged DHM use in neonatal unit for birth weight categories (<b>A</b>) and gestation age (<b>B</b>) and postnatal wards for birth weight and gestational age categories (<b>C</b>). All models controlled for child sex, mothers from other provinces, cesarean births, and births before 2020; the model in panel A controlled for gestational age in a continuous form; and the model in panel A controlled for birth weight in a continuous form.</p>
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22 pages, 3022 KiB  
Article
Development and Evaluation of Non-Antibiotic Growth Promoters for Food Animals
by Hanfei Wang, Hengji Zhao, Bocheng Tai, Simeng Wang, Awais Ihsan, Haihong Hao, Guyue Cheng, Yanfei Tao and Xu Wang
Vet. Sci. 2024, 11(12), 672; https://doi.org/10.3390/vetsci11120672 - 21 Dec 2024
Viewed by 622
Abstract
The widespread utilization of antibiotic growth promoters (AGPs) boosts the growth rate of food animals and enhances human living standards. Nevertheless, it is accompanied by escalating antibiotic resistance. Consequently, there is an urgent demand to develop novel alternatives to growth promoters. The objective [...] Read more.
The widespread utilization of antibiotic growth promoters (AGPs) boosts the growth rate of food animals and enhances human living standards. Nevertheless, it is accompanied by escalating antibiotic resistance. Consequently, there is an urgent demand to develop novel alternatives to growth promoters. The objective of this study was to develop a non-antibiotic growth promoter (NAGP) for augmenting the growth rate of food animals. The growth-promoting effect of plant-derived NAGPs was assessed in mice and broiler chickens, and its growth-promoting mechanism was initially investigated. The results reveal that a combination of hawthorn (also known as shanzha) and astragalus (also known as huangqi) extracts (SQ) enhanced the growth rate of mice both in vivo and in vitro, attributed to their significant capacity to promote muscle growth and improve immunity (p < 0.05). The composite super energy extract M (CSEE-M), further optimized on the basis of SQ, significantly improved growth performance and feed conversion ratio, and elevated the activity of intestinal digestive enzymes (p < 0.05) in both mice and broilers and reshaped the gut microbiota of broilers. The addition of 0.5% CSEE-M to broiler drinking water significantly increased muscle content and improved carcass quality (p < 0.05). In conclusion, both SQ and CSEE-M hold great promise as NAGPs and serve as effective substitutes to AGPs. This research not only furnishes new solutions for the misuse of antibiotics but presents a fresh perspective for the development of growth promoters. Full article
(This article belongs to the Section Veterinary Physiology, Pharmacology, and Toxicology)
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<p>SQ promotes muscle growth and improves immunity in mice. (<b>a</b>) Effect of SQ on the viability of C2C12 cells. n = 6; (<b>b</b>) EdU assay. EdU binds to dividing nucleus and shows red fluorescence. Hoechst binds to all nuclei and shows blue fluorescence. Six fields of view were randomly selected to capture images for each experiment. Magnification: 400×. Scale bar: 100 μm; (<b>c</b>) Tissue sections of mouse leg muscles. Left leg muscles of mice were harvested for H&amp;E staining. There were six mice from each group and one section was prepared for each mouse. Magnification: 40×. Scale bar: 400 μm; (<b>d</b>) mRNA expression of myogenic regulators in mouse muscle. n = 6; (<b>e</b>) Macrophage phagocytosis experiment. Macrophage phagocytosis is an epiphenomenon of innate immunity; the stronger macrophage phagocytosis can phagocytose, the more neutral red dye, the redder the cells. Magnification: 100×. Scale bar: 1000 μm; (<b>f</b>) mRNA expression of mesangial innate immunity factors in mouse spleen. n = 6; (<b>g</b>) Mouse spleen and thymus weights and spleen index and thymus index. n = 6. All cellular experiments as well as qPCR experiments were independently repeated three times. For all image data, six fields of view were randomly selected to capture images and show representative data. Analysis by <span class="html-italic">t</span> tests, ****: <span class="html-italic">p</span> &lt; 0.0001; ***: <span class="html-italic">p</span> &lt; 0.001; **: <span class="html-italic">p</span> &lt; 0.01; *: <span class="html-italic">p</span> &lt; 0.05; ns: not significant.</p>
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<p>Growth performance of mice. (<b>a</b>) Changes in body weight of mice over fourteen days; (<b>b</b>) Body weight of mice in each group on day 0; (<b>c</b>) Body weight gain of mice in each group on day 14; (<b>d</b>) Changes in food consumption of mice over fourteen days; (<b>e</b>) Changes in daily gain of mice over fourteen days; (<b>f</b>) Changes in feed to gain ratio of mice over fourteen days. Blank, blank control; SQ, SQ group (orally administered at a dose of 3 g/kg); CNS, CNS group; CSEE-H, SQ:CNS = 1:5 (<span class="html-italic">v</span>/<span class="html-italic">v</span>); CSEE-M, SQ:CNS = 1:8 (<span class="html-italic">v</span>/<span class="html-italic">v</span>); CSEE, SQ:CNS = 1:10 (<span class="html-italic">v</span>/<span class="html-italic">v</span>). n = 10. Analysis via one-way ANOVA, ****: <span class="html-italic">p</span> &lt; 0.0001; ***: <span class="html-italic">p</span> &lt; 0.001; **: <span class="html-italic">p</span> &lt; 0.01; *: <span class="html-italic">p</span> &lt; 0.05; ns: not significant.</p>
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<p>Serum biochemistry of mice 14 days after administration (<b>a</b>) Glu, blood glucose; (<b>b</b>) TG, triglycerides; (<b>c</b>) TC, total cholesterol; (<b>d</b>) LDL-C, Low-density lipoprotein cholesterol; (<b>e</b>) HDL-C, High-density lipoprotein cholesterol; (<b>f</b>) TBA, bile acids. blank, blank control; SQ, SQ group (dose administered at 3 g/kg); CNS, CNS group; CSEE-H, SQ:CNS = 1:5 (<span class="html-italic">v</span>/<span class="html-italic">v</span>); CSEE-M, SQ:CNS = 1:8 (<span class="html-italic">v</span>/<span class="html-italic">v</span>); CSEE-L, SQ:CNS = 1:10 (<span class="html-italic">v</span>/<span class="html-italic">v</span>). n = 10. Analysis via one-way ANOVA, ****: <span class="html-italic">p</span> &lt; 0.0001; ***: <span class="html-italic">p</span> &lt; 0.001; **: <span class="html-italic">p</span> &lt; 0.01; *: <span class="html-italic">p</span> &lt; 0.05. No column markers indicate no significant difference between the two groups.</p>
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<p>Changes in intestinal digestive enzymes in mice 14 days after administration. (<b>a</b>–<b>d</b>) The activity of α-amylase in the stomach, duodenum, jejunum and ileum; (<b>e</b>–<b>h</b>) Lipase activity in the stomach, duodenum, jejunum and ileum; (<b>i</b>–<b>l</b>) Protease activity in stomach, duodenum, jejunum and ileum. blank, blank control; SQ, SQ group (administered at 3 g/kg); CNS, CNS group; CSEE-H, SQ:CNS = 1:5 (<span class="html-italic">v</span>/<span class="html-italic">v</span>); CSEE-M, SQ:CNS = 1:8 (<span class="html-italic">v</span>/<span class="html-italic">v</span>); CSEE-L, SQ:CNS = 1:10 (<span class="html-italic">v</span>/<span class="html-italic">v</span>). n = 10. Analysis via one-way ANOVA, **: <span class="html-italic">p</span> &lt; 0.01; *: <span class="html-italic">p</span> &lt; 0.05; ns: not significant.</p>
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<p>Growth and slaughter performance of broilers (<b>a</b>–<b>c</b>) Survival rate, average body weight and feed to gain ratio of broilers at 14 days; (<b>d</b>–<b>f</b>) Survival rate, average body weight and feed to gain ratio of broilers at 28 days; (<b>g</b>–<b>i</b>) Survival rate, average body weight and feed to gain ratio of broilers at 28 days; (<b>j</b>) Dressing percentage of broilers at 42 days of age; (<b>k</b>) Leg muscle content of broilers after 42 days of rearing. A, blank control; B, positive control (broiler diet supplemented with guanidinoacetic acid at 600 mg/kg); C, 0.5% CSEE-M; D, 1% CSEE-M; E, 2% CSEE-M. n = 10. Analysis via one-way ANOVA, ****: <span class="html-italic">p</span> &lt; 0.0001; ***: <span class="html-italic">p</span> &lt; 0.001; **: <span class="html-italic">p</span> &lt; 0.01; *: <span class="html-italic">p</span> &lt; 0.05; ns: not significant.</p>
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<p>Species richness of broiler gut microbiota in different treatment groups. (<b>a</b>) Principal component analysis (PCA) plots; (<b>b</b>) Ternary phase diagram of the broiler gut microbiota at the phylum level for the three different treatment groups. The three vertices in the plot represent the three sample groups, the circles represent the species, and the size of circle is proportional to the relative abundance, the closer the circle is to a vertex, the more abundant the species is in that group of sample group; (<b>c</b>) The chao1 algorithm estimates the index of the number of OTU-containing elements in a community; (<b>d</b>) Shannon index; (<b>e</b>) Simpson’s index; (<b>f</b>) Uniformity index. n = 5. Abbreviations: Blank, blank control; PC, positive control (broiler diets supplemented with guanidinoacetic acid at 600 mg/kg); Treat, 0.5% CSEE-M group; (<b>g</b>) Differences in broiler gut microbiota at the genus level in each group; (<b>h</b>) Differences in broiler gut microbiota at the species level of in each group.</p>
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<p>Species richness of broiler gut microbiota in different treatment groups. (<b>a</b>) Principal component analysis (PCA) plots; (<b>b</b>) Ternary phase diagram of the broiler gut microbiota at the phylum level for the three different treatment groups. The three vertices in the plot represent the three sample groups, the circles represent the species, and the size of circle is proportional to the relative abundance, the closer the circle is to a vertex, the more abundant the species is in that group of sample group; (<b>c</b>) The chao1 algorithm estimates the index of the number of OTU-containing elements in a community; (<b>d</b>) Shannon index; (<b>e</b>) Simpson’s index; (<b>f</b>) Uniformity index. n = 5. Abbreviations: Blank, blank control; PC, positive control (broiler diets supplemented with guanidinoacetic acid at 600 mg/kg); Treat, 0.5% CSEE-M group; (<b>g</b>) Differences in broiler gut microbiota at the genus level in each group; (<b>h</b>) Differences in broiler gut microbiota at the species level of in each group.</p>
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32 pages, 5167 KiB  
Article
Empowering Privacy Through Peer-Supervised Self-Sovereign Identity: Integrating Zero-Knowledge Proofs, Blockchain Oversight, and Peer Review Mechanism
by Junliang Liu, Zhiyao Liang and Qiuyun Lyu
Sensors 2024, 24(24), 8136; https://doi.org/10.3390/s24248136 - 20 Dec 2024
Viewed by 363
Abstract
Frequent user data breaches and misuse incidents highlight the flaws in current identity management systems. This study proposes a blockchain-based, peer-supervised self-sovereign identity (SSI) generation and privacy protection technology. Our approach creates unique digital identities on the blockchain, enabling secure cross-domain recognition and [...] Read more.
Frequent user data breaches and misuse incidents highlight the flaws in current identity management systems. This study proposes a blockchain-based, peer-supervised self-sovereign identity (SSI) generation and privacy protection technology. Our approach creates unique digital identities on the blockchain, enabling secure cross-domain recognition and data sharing and satisfying the essential users’ requirements for SSI. Compared to existing SSI solutions, our approach has the practical advantages of less implementation cost, ease of users’ understanding and agreement, and better possibility of being soon adopted by current society and legal systems. The key innovative technical features include (1) using a zero-knowledge proof technology to ensure data remain “usable but invisible”, mitigating data breach risks; (2) introducing a peer review mechanism among service providers to prevent excessive data requests and misuse; and (3) implementing a comprehensive multi-party supervision system to audit all involved parties and prevent misconduct. Full article
(This article belongs to the Special Issue Advances in Security for Emerging Intelligent Systems)
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<p>Interaction steps of digital identity registration stage.</p>
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<p>User’s association with their digital identity (idealized view).</p>
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<p>The digital identity usage in the sharing-UID-only scenario.</p>
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<p>The digital identity usage in sharing UID and specific personal identity category information scenario.</p>
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<p>Examples of the advantages of data sharing using zero-knowledge proof technology.</p>
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<p>The digital identity update is requesting to add a specific personal identity category information scenario.</p>
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<p>Example of practical application of the peer review mechanism.</p>
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<p>Scenario of updating the validation count for a specific category of personal information by the user in the digital identity update stage.</p>
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<p>Digital identity deletion stage.</p>
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<p>Comparison of innovations with existing work. √ represents full compliance, × represents non-compliance, and P represents partial compliance.</p>
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<p>(<b>a</b>) Protocol security verification results for digital identity usage stage, analyzed using Scyther; (<b>b</b>) protocol security verification results for digital identity update stage, analyzed using Scyther.</p>
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<p>(<b>a</b>) Steps with cryptographic operations and their execution time in scenario 1 of the digital identity usage stage; (<b>b</b>) steps with cryptographic operations and their execution time in scenario 2 of the digital identity usage stage; (<b>c</b>) steps with cryptographic operations and their execution time in scenario 1 of the digital identity update stage. All time units in this Figure are in seconds.</p>
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35 pages, 1091 KiB  
Review
Antimicrobial Resistance in the Context of Animal Production and Meat Products in Poland—A Critical Review and Future Perspective
by Patryk Wiśniewski, Miłosz Trymers, Wioleta Chajęcka-Wierzchowska, Katarzyna Tkacz, Anna Zadernowska and Monika Modzelewska-Kapituła
Pathogens 2024, 13(12), 1123; https://doi.org/10.3390/pathogens13121123 - 19 Dec 2024
Viewed by 891
Abstract
The prevalence of antimicrobial-resistant bacteria in meat and meat products is a significant public health challenge, largely driven by the excessive and inappropriate use of antimicrobials in animal husbandry. In Poland, a key meat producer in Europe, antibiotic-resistant pathogens such as Campylobacter spp., [...] Read more.
The prevalence of antimicrobial-resistant bacteria in meat and meat products is a significant public health challenge, largely driven by the excessive and inappropriate use of antimicrobials in animal husbandry. In Poland, a key meat producer in Europe, antibiotic-resistant pathogens such as Campylobacter spp., Staphylococcus spp., Enterococcus spp., Listeria monocytogenes, and Enterobacterales have been detected in meat, posing serious risks to consumers. This review examines the use of antimicrobial agents in meat production and the resulting antimicrobial resistance (AMR) in microorganisms isolated from meat products in Poland. The mechanisms of AMR, genetic factors, and prevalence in Poland are presented. It highlights key factors contributing to AMR, such as antibiotic misuse in livestock farming, and discusses the legal regulations governing veterinary drug residues in food. This review emphasizes the importance of monitoring and enforcement to safeguard public health and calls for further research on AMR in the meat industry. Antimicrobial resistance in meat and meat products in Poland is a huge challenge, requiring stricter antibiotic controls in animal husbandry and improved surveillance systems. Additionally, the impact of husbandry practices on the environment and food requires further research. Future efforts should focus on nationwide monitoring, alternative strategies to reduce antibiotic use, and stronger enforcement to combat antimicrobial resistance and protect public health. Full article
(This article belongs to the Special Issue Microbial Resistance, a Worldwide Concern a Global Sight)
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<p>The problem of antibiotic resistance.</p>
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<p>Alternatives to antibiotic therapy in agriculture and animal husbandry.</p>
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17 pages, 1222 KiB  
Systematic Review
Pharmacological Strategies to Decrease Long-Term Prescription Opioid Use: A Systematic Review
by Hannah Ellerbroek, Gerard A. Kalkman, Cornelis Kramers, Arnt F. A. Schellekens and Bart J. F. van den Bemt
J. Clin. Med. 2024, 13(24), 7770; https://doi.org/10.3390/jcm13247770 - 19 Dec 2024
Viewed by 394
Abstract
Background/Objectives: As long-term prescription opioid use is associated with increased morbidity and mortality, timely dose reduction of prescription opioids should be considered. However, most research has been conducted on patients using heroin. Given the differences between prescription and illicit opioid use, the [...] Read more.
Background/Objectives: As long-term prescription opioid use is associated with increased morbidity and mortality, timely dose reduction of prescription opioids should be considered. However, most research has been conducted on patients using heroin. Given the differences between prescription and illicit opioid use, the aim of this review was to provide an overview of pharmacological strategies to reduce prescription opioid use or improve clinical outcomes for people who experience long-term prescription opioid use, including those with opioid use disorder. Methods: We conducted a systematic database search of PubMed, Embase, CINAHL, and the Cochrane Library. Outcomes included dose reduction, treatment dropout, pain, addiction, and outcomes relating to quality of life (depression, functioning, quality of life). Results: We identified thirteen studies (eight randomized controlled trials and five observational studies). Pharmacological strategies were categorized into two categories: (1) deprescribing (tapering) opioids or (2) opioid agonist treatment (OAT) with long-acting opioids. Tapering strategies decreased opioid dosage and had mixed effects on pain and addiction. OAT with buprenorphine or methadone led to improvements in pain relief and quality of life, with a slight (non-significant) preference for methadone in terms of treatment retention (RR = 1.10 [CI: 0.89–1.37]) but not for other outcomes. Most studies had high dropout rates and a serious risk of bias. Conclusions: Tapering reduced prescription opioid doses had mixed effects on pain. OAT improved clinical outcomes without dose reduction. Based on our review findings, there is no clear preference for either tapering or OAT. Tapering may be considered first as it reduces dependency, tolerance, and side effects, but is associated with adverse events and not always feasible. OAT can be a suitable alternative. Non-pharmacological interventions may facilitate tapering. Further research is needed to identify novel pharmacological strategies to facilitate opioid tapering. Registration: PROSPERO 2022 CRD42022323468. Full article
(This article belongs to the Section Mental Health)
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<p>PRISMA flowchart.</p>
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<p>Risk for dropout with stable dosing compared to tapering doses after rotation [<a href="#B45-jcm-13-07770" class="html-bibr">45</a>,<a href="#B49-jcm-13-07770" class="html-bibr">49</a>,<a href="#B54-jcm-13-07770" class="html-bibr">54</a>]. Each ‘event’ is a dropout. The squares are the point estimate for each study, and square sizes corresponds to the weight they contribute to the pooled estimate. Rhomboid represents the pooled estimate.</p>
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<p>Risk for dropout after rotation to maintenance doses of buprenorphine and methadone [<a href="#B28-jcm-13-07770" class="html-bibr">28</a>,<a href="#B51-jcm-13-07770" class="html-bibr">51</a>,<a href="#B52-jcm-13-07770" class="html-bibr">52</a>]. Each ‘event’ is a dropout. The squares are the point estimate for each study, and square sizes corresponds to the weight they contribute to the pooled estimate. Rhomboid represents the pooled estimate.</p>
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