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  • Open Access

    REVIEW

    Understanding Endoplasmic Reticulum Stress as a Central Driver of Atherosclerosis

    Alessio L. Ravani1, Michael I. Bukrinsky2, Anastasia V. Poznyak3,*

    BIOCELL, Vol.50, No.3, 2026, DOI:10.32604/biocell.2025.074266 - 23 March 2026

    Abstract Atherosclerosis (AS) remains a major contributor to cardiovascular disease (CVD) mortality worldwide. Its development involves dysregulated lipid handling, persistent vascular inflammation, and endothelial cell (EC) dysfunction, influenced by genetic, environmental, and lifestyle factors. Increasing evidence highlights a pivotal role of endoplasmic reticulum (ER) stress as a molecular link between lipid dysregulation and inflammatory signaling in AS pathogenesis. ER stress is triggered by modified LDL, oxidized lipids, hyperhomocysteinemia, oxidative stress (OS), and disrupted calcium (Ca2+) homeostasis, leading to activation of the unfolded protein response (UPR). Core UPR mediators—inositol-requiring enzyme 1 (IRE1), protein kinase RNA-like ER kinase (PERK),… More >

  • Open Access

    ARTICLE

    Uretero-enteric strictures after cystectomy: revealing the modifiable risk factors

    Abdelkader Akkad, Franck Bruyere, Ali Bourgi*

    Canadian Journal of Urology, Vol.33, No.1, pp. 155-163, 2026, DOI:10.32604/cju.2025.069546 - 28 February 2026

    Abstract Objectives: Uretero-enteric strictures are feared complications following cystectomy. Despite surgical advancements, particularly the rise of robot-assisted approaches, the risk factors associated with these strictures remain poorly defined. This study aimed to identify the risk factors associated with uretero-enteric anastomotic strictures after cystectomy, according to the surgical approach and type of urinary diversion (extracorporeal vs. intracorporeal). Methods: We conducted a single-center retrospective study including 340 patients who underwent cystectomy between 2016 and 2024 at Tours University Hospital. Clinical, biological, perioperative, and postoperative data were analyzed. The occurrence of a uretero-ileal anastomotic stricture was defined radiologically by… More >

  • Open Access

    ARTICLE

    Prolonged survival and risk factors for reintervention after inflatable penile prosthesis implantation

    Skander Zouari1,*, Flora Barthe1, Arnoult Morrone1, Lionel Mendel2, Imad Bentellis2, Louis Vignot1, Romain Haider1, Younes Ahallal1, Daniel Chevallier1, Matthieu Durand1,3

    Canadian Journal of Urology, Vol.33, No.1, pp. 173-184, 2026, DOI:10.32604/cju.2025.064281 - 28 February 2026

    Abstract Background: Inflatable Penile Prosthesis (IPP) is the treatment for erectile dysfunction (ED) refractory to pharmacological therapies. Long-term data on factors associated with prosthesis survival remain unclear. This study aimed to analyze the long-term survival of penile prostheses and identify risk factors associated with survival without reintervention. Methods: This is a retrospective, single-center study of patients who underwent IPP implantation between January 2014 and December 2022. Preoperative data related to the patient and the etiology of ED, as well as perioperative data, were collected. The primary outcome was survival without reintervention, defined as prosthesis revision or… More >

  • Open Access

    REVIEW

    External risk factors for smartphone addiction in adolescents: A systematic literature review

    Wanqing Lin1,2,*, Mohd Azrin Mohd Nasir1, Suzila Binti Ismail1

    Journal of Psychology in Africa, Vol.36, No.1, pp. 143-152, 2026, DOI:10.32604/jpa.2026.073231 - 26 February 2026

    Abstract This systematic review synthesizes empirical research on external risk factors for adolescent smartphone addiction. Scopus and Web of Science were searched for English peer-reviewed empirical articles from 2008 onward; 28 met inclusion criteria (excluding non-adolescents, generic internet addiction, non-empirical work, or non-English). Thematic synthesis organized findings into three external risk domains—family, school, and peers—considering cultural/contextual mechanisms. Family dynamics (parental phubbing, harsh parenting, dysfunction), school stressors, and adverse peer relationships were identified as accumulating, direct and indirect contributors to smartphone addiction. These operate within a techno-ecological framework, where digital technologies amplify vulnerabilities and create new pathways More >

  • Open Access

    REVIEW

    Understanding Adolescent Social Media Use: A Narrative Review of Motivations, Risk Factors, and Mental Health Implications

    Kyung-Hyun Suh1,*, Sung-Jin Chung1, Goo-Churl Jeong1, Kunho Lee1, Ji-Hyun Ryu2

    International Journal of Mental Health Promotion, Vol.27, No.12, pp. 1829-1845, 2025, DOI:10.32604/ijmhp.2025.071879 - 31 December 2025

    Abstract Background: Adolescents increasingly engage with social media for connection, self-expression, and identity exploration. This growing digital engagement has raised concerns about its potential risks and mental health implications. Methods: This narrative review examines literature on adolescent social media use by exploring underlying motivations, risk and protective factors across personal, environmental, and digital domains, with a focus on mental health outcomes. Results: Individual vulnerabilities—such as low self-esteem, impulsivity, and poor sleep—interact with contextual factors like peer pressure and family conflict to elevate risks. Digital environments shaped by algorithmic feeds, feedback mechanisms, and curated content promote social comparison and More >

  • Open Access

    ARTICLE

    Artificial Neural Network-Based Risk Assessment for Cardiac Implantable Electronic Device Complications

    Chih-Yin Chien1,2, Tsae-Jyy Wang1, Pei-Hung Liao1, Ying-Hsiang Lee3,4,5,*, Wei-Sho Ho6,7,*

    Congenital Heart Disease, Vol.20, No.5, pp. 601-612, 2025, DOI:10.32604/chd.2025.072431 - 30 November 2025

    Abstract Background: Cardiac implantable electronic devices (CIEDs) are essential for preventing sudden cardiac death in patients with cardiovascular diseases, but implantation procedures carry risks of complications such as infection, hematoma, and bleeding, with incidence rates of 3–4%. Previous studies have examined individual risk factors separately, but integrated predictive models are lacking. We compared the predictive performance and interpretability of artificial neural network (ANN) and logistic regression models to evaluate their respective strengths in clinical risk assessment. Methods: This retrospective study analyzed data from 180 patients who underwent cardiac implantable electronic device (CIED) implantation in Taiwan between 2017… More >

  • Open Access

    ARTICLE

    Identification of Cardiac Risk Factors from ECG Signals Using Residual Neural Networks

    Divya Arivalagan, Vignesh Ochathevan*, Rubankumar Dhanasekaran

    Congenital Heart Disease, Vol.20, No.4, pp. 477-501, 2025, DOI:10.32604/chd.2025.070372 - 18 September 2025

    Abstract Background: The accurate identification of cardiac abnormalities is essential for proper diagnosis and effective treatment of cardiovascular diseases. Method: This work introduces an advanced methodology for detecting cardiac abnormalities and estimating electrocardiographic age (ECG Age) using sophisticated signal processing and deep learning techniques. This study looks at six main heart conditions found in 12-lead electrocardiogram (ECG) data. It addresses important issues like class imbalances, missing lead scenarios, and model generalizations. A modified residual neural network (ResNet) architecture was developed to enhance the detection of cardiac abnormalities. Results: The proposed ResNet demonst rated superior performance when compared with… More > Graphic Abstract

    Identification of Cardiac Risk Factors from ECG Signals Using Residual Neural Networks

  • Open Access

    ARTICLE

    Generalized Anxiety Disorder Prevalence and Related Risk Factors among Females with Polycystic Ovarian Syndrome in Jazan Region, Saudi Arabia

    Abdullah A. Alharbi1, Ahmad Y. Alqassim1,*, Mohammad A. Jareebi1, Ahmad A. Alharbi2, Nada M. Makein1, Fatimah H. Al Ghazwi3, Seba Y. Muzaiiadi3, Joud N. Refaei3, Revan A. Arishi3, Bashaer A. Al Rajhi3, Fatima A. Aqili3, Saleha M. Ayoub3, Mohammed A. Muaddi1

    International Journal of Mental Health Promotion, Vol.27, No.5, pp. 701-716, 2025, DOI:10.32604/ijmhp.2025.062924 - 05 June 2025

    Abstract Background: Polycystic ovarian syndrome (PCOS), a common endocrine disorder in reproductive-aged women, has substantial physical and psychological impacts. While the physical manifestations of PCOS are well established, the psychological burden, especially anxiety, is understudied in Saudi Arabia. This study aimed to assess the prevalence of generalized anxiety disorder among females with PCOS compared to those without PCOS, and to identify the clinical and sociodemographic factors associated with anxiety in the Jazan region of Saudi Arabia. Methods: A cross-sectional study was conducted between January and March 2023 using an Arabic self-administered online questionnaire distributed via social… More >

  • Open Access

    ARTICLE

    Predicting Factors of Physical Activity among Children with Congenital Heart Disease after Corrective Surgery

    Nuttanicha Sriboonyawattana*, Thitima Suklerttrakul

    Congenital Heart Disease, Vol.20, No.2, pp. 231-244, 2025, DOI:10.32604/chd.2025.064662 - 30 April 2025

    Abstract Objective: Many children with fully corrected congenital heart disease (CHD) avoid physical activity (PA). This descriptive study sought to determine child and parental factors that could predict PA levels in Thai children after corrective surgery. Methods: Ninety school-aged children with fully corrected CHD were recruited from a cardiology clinic at a university hospital in northern Thailand. Data collection involved five validated questionnaires: (1) the Modified Thai Adolescent’s Physical Activity Questionnaire, (2) the Child Health Status Questionnaire-Forms I and II, (3) the Parental Knowledge on School-aged Children’s Physical Activity Scale, (4) the Perceived Self-efficacy to Physical Activity… More >

  • Open Access

    REVIEW

    Empowering Underground Utility Tunnel Operation and Maintenance with Data Intelligence: Risk Factors, Prospects, and Challenges

    Jie Zou1,2, Ping Wu2,*, Jianwei Chen3, Weijie Fan2, Yidong Xu2

    Structural Durability & Health Monitoring, Vol.19, No.3, pp. 441-471, 2025, DOI:10.32604/sdhm.2024.058864 - 03 April 2025

    Abstract As an essential part of the urban infrastructure, underground utility tunnels have a long service life, complex structural performance evolution and dynamic changes both inside and outside the tunnel. These combined factors result in a wide variety of disaster risks during the operation and maintenance phase, which make risk management and control particularly challenging. This work first reviews three common representative disaster factors during the operation and maintenance period: settlement, earthquakes, and explosions. It summarizes the causes of disasters, key technologies, and research methods. Then, it delves into the research on the intelligent operation and More >

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