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Exploring ESG Dimensions in the Urban Context
Hannan Vilchis Zubizarreta
,Delfor Tito Aquino
This article provides a critical and thematically structured literature review of Environmental, Social, and Governance (ESG) urbanism as it intersects with the right to the city, green gentrification, affordable housing, public-private partnerships, and participatory governance. Drawing from over 100 peer-reviewed sources published between 2020 and 2025, the study examines how ESG frameworks are adopted, contested, and operationalized across diverse urban contexts. While ESG has emerged as a dominant paradigm in urban planning and real estate, the review reveals its frequent co-optation by market-driven agendas, which risk reproducing socio-spatial inequalities under the guise of sustainability. At the same time, the literature highlights promising alternatives rooted in environmental justice, multispecies ethics, legal reform, and community-led planning. The review advances the argument that ESG must be reframed not as a universal compliance model, but as a situated, justice-oriented framework capable of responding to the complex ecological and social realities of contemporary urbanization. By foregrounding relational governance, inclusive design, and equitable urban futures, the article contributes to an emerging research agenda that challenges technocratic sustainability and reclaims ESG as a transformative tool for spatial and environmental justice.
This article provides a critical and thematically structured literature review of Environmental, Social, and Governance (ESG) urbanism as it intersects with the right to the city, green gentrification, affordable housing, public-private partnerships, and participatory governance. Drawing from over 100 peer-reviewed sources published between 2020 and 2025, the study examines how ESG frameworks are adopted, contested, and operationalized across diverse urban contexts. While ESG has emerged as a dominant paradigm in urban planning and real estate, the review reveals its frequent co-optation by market-driven agendas, which risk reproducing socio-spatial inequalities under the guise of sustainability. At the same time, the literature highlights promising alternatives rooted in environmental justice, multispecies ethics, legal reform, and community-led planning. The review advances the argument that ESG must be reframed not as a universal compliance model, but as a situated, justice-oriented framework capable of responding to the complex ecological and social realities of contemporary urbanization. By foregrounding relational governance, inclusive design, and equitable urban futures, the article contributes to an emerging research agenda that challenges technocratic sustainability and reclaims ESG as a transformative tool for spatial and environmental justice.
Posted: 05 January 2026
Comparison of Resting-State EEG and Synchronization Between Young Adults with Down Syndrome and Controls in Bipolar Montage
Jesús Pastor
,Lorena Vega-Zelaya
,Diego Real de Asúa
The qEEG findings of subjects with Down syndrome (DS) have not been described in the context of bipolar montage. Resting-state EEG (rsEEG) with a bipolar montage was performed in 22 young adults (26.0 ± 1.2 years) with DS but without psychiatric or neurological pathology and matched control subjects of the same sex and age, and the results were conventionally and numerically analysed. Channels were grouped into frontal, parieto-occipital, and temporal lobes. For every channel, the power spectrum was calculated and used to compute the area for the delta, theta, alpha and beta bands and was log-transformed. Shannon’s spectral entropy (SSE) and coherence by bands were computed. Finally, we also calculated the peak frequency distribution of the alpha band. qEEG revealed alterations in the rsEEG that were not detected visually. Subjects with DS showed a significant generalized increase in the power of the delta and theta bands, along with a decrease in the power of the alpha band in the posterior half of the scalp. This alpha activity also exhibited features corresponding to older euploid subjects, showing interhemispheric asynchrony in one-third of the individuals. The beta band power was significantly increased in the frontal lobes and adjacent regions, such as the parietal and mid-temporal regions. Individuals with DS showed a generalized decrease in parieto-occipital synchronization. Left temporal synchronization was also lower. The synchronization of specific channel pairs was greater in subjects with DS in the frontal lobe and much lower in the occipital and temporal regions. These results indicate that alterations in band structure and synchronization in subjects with DS are highly specific and can aid in the clinical evaluation of these individuals.
The qEEG findings of subjects with Down syndrome (DS) have not been described in the context of bipolar montage. Resting-state EEG (rsEEG) with a bipolar montage was performed in 22 young adults (26.0 ± 1.2 years) with DS but without psychiatric or neurological pathology and matched control subjects of the same sex and age, and the results were conventionally and numerically analysed. Channels were grouped into frontal, parieto-occipital, and temporal lobes. For every channel, the power spectrum was calculated and used to compute the area for the delta, theta, alpha and beta bands and was log-transformed. Shannon’s spectral entropy (SSE) and coherence by bands were computed. Finally, we also calculated the peak frequency distribution of the alpha band. qEEG revealed alterations in the rsEEG that were not detected visually. Subjects with DS showed a significant generalized increase in the power of the delta and theta bands, along with a decrease in the power of the alpha band in the posterior half of the scalp. This alpha activity also exhibited features corresponding to older euploid subjects, showing interhemispheric asynchrony in one-third of the individuals. The beta band power was significantly increased in the frontal lobes and adjacent regions, such as the parietal and mid-temporal regions. Individuals with DS showed a generalized decrease in parieto-occipital synchronization. Left temporal synchronization was also lower. The synchronization of specific channel pairs was greater in subjects with DS in the frontal lobe and much lower in the occipital and temporal regions. These results indicate that alterations in band structure and synchronization in subjects with DS are highly specific and can aid in the clinical evaluation of these individuals.
Posted: 05 January 2026
Across the Social Network of the Gut: Bacterial, Fungal, and Viral Determinants of Checkpoint Inhibitor Efficacy and Toxicity
Andreea Laura Antohi
,Andreea Daria Gheorghiță
,Octavian Andronic
,Gratiela Gradisteanu Pircalabioru
,Andreea-Ramona Treteanu
Posted: 05 January 2026
Liquid Biopsy for Early Pancreatic Cancer Detection: Why Has It Not Yet Worked?
Kenji Takahashi
,Yusuke Ono
,Kenzui Taniue
,Krushna Patra
,Takuya Yamamoto
,Mikihiro Fujiya
,Yusuke Mizukami
Despite extensive technological advances and an ever-growing body of literature, liquid biopsy has yet to achieve reliable early detection of pancreatic ductal adenocarcinoma (PDA). Numerous studies have investigated circulating tumor-derived components, including cell-free DNA (cfDNA), cell-free RNA (cfRNA), extracellular vesicles (EVs), and circulating tumor cells (CTCs), primarily using peripheral blood samples; however, their clinical utility for early-stage disease remains limited. The fundamental obstacles are biological rather than purely technical: early PDA and its precursor lesions, such as pancreatic intraepithelial neoplasia (PanIN) and intraductal papillary mucinous neoplasms (IPMN), are characterized by minimal tumor burden, low levels of nucleic acid shedding, and substantial background signals from non-neoplastic tissues. Increasing analytical complexity through multilayered liquid biopsy approaches, including analyses from pancreas-associated fluid, has not consistently translated into improved diagnostic performance and, in some cases, has amplified issues related to specificity, reproducibility, and interpretability. Moreover, molecular alterations detected in body fluids may reflect clonal expansion without inevitable malignant progression, raising concerns regarding overdiagnosis and clinical decision-making. Pre-analytical variability, lack of standardization, and limited access to tumor-adjacent fluids further hinder clinical implementation. Liquid biopsy should therefore be regarded as a complementary modality rather than a substitute for histopathological diagnosis, with its precise clinical role in early detection still ill-defined. In this review, we critically examine why liquid biopsy has not yet succeeded in early PDA detection, highlighting the key biological, technical, and clinical barriers that must be addressed to move the field beyond exploratory research toward meaningful clinical application.
Despite extensive technological advances and an ever-growing body of literature, liquid biopsy has yet to achieve reliable early detection of pancreatic ductal adenocarcinoma (PDA). Numerous studies have investigated circulating tumor-derived components, including cell-free DNA (cfDNA), cell-free RNA (cfRNA), extracellular vesicles (EVs), and circulating tumor cells (CTCs), primarily using peripheral blood samples; however, their clinical utility for early-stage disease remains limited. The fundamental obstacles are biological rather than purely technical: early PDA and its precursor lesions, such as pancreatic intraepithelial neoplasia (PanIN) and intraductal papillary mucinous neoplasms (IPMN), are characterized by minimal tumor burden, low levels of nucleic acid shedding, and substantial background signals from non-neoplastic tissues. Increasing analytical complexity through multilayered liquid biopsy approaches, including analyses from pancreas-associated fluid, has not consistently translated into improved diagnostic performance and, in some cases, has amplified issues related to specificity, reproducibility, and interpretability. Moreover, molecular alterations detected in body fluids may reflect clonal expansion without inevitable malignant progression, raising concerns regarding overdiagnosis and clinical decision-making. Pre-analytical variability, lack of standardization, and limited access to tumor-adjacent fluids further hinder clinical implementation. Liquid biopsy should therefore be regarded as a complementary modality rather than a substitute for histopathological diagnosis, with its precise clinical role in early detection still ill-defined. In this review, we critically examine why liquid biopsy has not yet succeeded in early PDA detection, highlighting the key biological, technical, and clinical barriers that must be addressed to move the field beyond exploratory research toward meaningful clinical application.
Posted: 05 January 2026
Potential and Feasibility Study of Sewer Based Heat Recovery Energy Systems for Urban University Campus in Cold Climates
Conrad Kwiatek
,Alan S. Fung
,Rakesh Kumar
,Darko Joksimovic
Posted: 05 January 2026
A Review of Floating-Point Arithmetic Algorithms Using Taylor Series Expansion and Mantissa Region Division Techniques
Jianglin Wei
,Haruo Kobayashi
Posted: 05 January 2026
Equation of State Under External Stress from Crystals to Non-Crystals
Gang Liu
Posted: 05 January 2026
Prospective Multicenter External Validation of the BIDIAP Index for the Diagnosis of Pediatric Acute Appendicitis
Javier Arredondo Montero
,Andrea Herreras Martínez
,Luis Rello Varas
,Alicia Escudero Villafañe
,Marina Iglesias Oricheta
,Maria del Mar Larrea Ortiz-Quintana
,Lucía Fernández Rodríguez
,Pablo Aguado Roncero
,Maria Carmen Campos Calleja
,Ricardo Díez
+4 authors
Introduction: Pediatric acute appendicitis (PAA) remains challenging to diagnose despite existing diagnostic scores. The BIDIAP index is a three-item diagnostic tool with very high discriminative performance in a derivation cohort. This study aimed to prospectively and externally validate the BIDIAP index in a multicenter pediatric population. Material and Methods: We conducted a prospective, multicenter observational study across four tertiary pediatric centers, enrolling children presenting with suspected PAA. Two groups were analyzed: patients with histopathologically confirmed PAA and patients in whom appendicitis was confidently excluded after diagnostic work-up, classified as non-surgical abdominal pain (NSAP). The BIDIAP index was applied using a predefined cutoff (≥ 4 points), and diagnostic performance was assessed using ROC analysis, calibration metrics, and decision curve analysis (DCA). Results: A total of 644 patients meeting the prespecified analytical criteria were included in the primary analysis. The BIDIAP index demonstrated excellent diagnostic performance, with an area under the ROC curve of 0.93 (95% CI, 0.92–0.95). The calibration slope was 1.00, and the intercept was close to zero, indicating close agreement between predicted and observed risks. At the prespecified cutoff value of ≥ 4 points, the BIDIAP index achieved a sensitivity of 89.89% and a specificity of 83.21%. DCA showed a positive net clinical benefit of the BIDIAP index over treat-all and treat-none strategies across the full range of clinically relevant threshold probabilities. Conclusions: The BIDIAP index demonstrated excellent diagnostic performance for PAA. Its simplicity, based on only three items, and its potential applicability even when the appendix is not visualized on ultrasonography make the BIDIAP index a promising tool for supporting clinical decision-making in routine pediatric emergency practice.
Introduction: Pediatric acute appendicitis (PAA) remains challenging to diagnose despite existing diagnostic scores. The BIDIAP index is a three-item diagnostic tool with very high discriminative performance in a derivation cohort. This study aimed to prospectively and externally validate the BIDIAP index in a multicenter pediatric population. Material and Methods: We conducted a prospective, multicenter observational study across four tertiary pediatric centers, enrolling children presenting with suspected PAA. Two groups were analyzed: patients with histopathologically confirmed PAA and patients in whom appendicitis was confidently excluded after diagnostic work-up, classified as non-surgical abdominal pain (NSAP). The BIDIAP index was applied using a predefined cutoff (≥ 4 points), and diagnostic performance was assessed using ROC analysis, calibration metrics, and decision curve analysis (DCA). Results: A total of 644 patients meeting the prespecified analytical criteria were included in the primary analysis. The BIDIAP index demonstrated excellent diagnostic performance, with an area under the ROC curve of 0.93 (95% CI, 0.92–0.95). The calibration slope was 1.00, and the intercept was close to zero, indicating close agreement between predicted and observed risks. At the prespecified cutoff value of ≥ 4 points, the BIDIAP index achieved a sensitivity of 89.89% and a specificity of 83.21%. DCA showed a positive net clinical benefit of the BIDIAP index over treat-all and treat-none strategies across the full range of clinically relevant threshold probabilities. Conclusions: The BIDIAP index demonstrated excellent diagnostic performance for PAA. Its simplicity, based on only three items, and its potential applicability even when the appendix is not visualized on ultrasonography make the BIDIAP index a promising tool for supporting clinical decision-making in routine pediatric emergency practice.
Posted: 05 January 2026
From Crisis to Recovery: Mental Health Service Demand in Alberta, Canada — A Policy Analysis with Illustrative Supply–Demand Modeling (2023–2024)
Kola Adegoke
,Abimbola Adegoke
,Deborah Dawodu
,Ayoola Bayowa
,Akorede Adekoya
,Temitope KAyode
,Mallika Singh
,Olajide Alfred Durojaye
,Abiodun Isola Aluko
,Adeyinka Adegoke
Posted: 05 January 2026
Smell, Memory, and Heritage: A Sensory Approach to Adaptive Reuse in the Aya Payana Church
Mehmet Fatih Aydın
The conservation of culturally stratified heritage structures requires a holistic approach that balances the protection of historical integrity with the integration of contemporary functions. This study focuses on the Aya Payana Church, a late Ottoman rural ecclesiastical structure located in Isparta, Türkiye, as a case study to explore sustainable conservation and adaptive reuse strategies. Although the building retains much of its original physical fabric, its evolving uses—from sacred space to military storage and eventual abandonment—reflect a layered cultural narrative. In line with international conservation charters, intervention strategies were developed based on principles of minimal intervention, reversibility, and respect for historical authenticity. The adaptive reuse strategy involved transforming the site into a sensory-focused cultural facility, featuring a “Kokuhane” (scent museum) and a botanical garden cultivating local aromatic plants. This integration promotes active visitor engagement through laboratory workshops and enhances cultural continuity by linking traditional knowledge with contemporary experience. A transparent cafeteria structure was added with minimal visual impact, ensuring the preservation of the historical silhouette while improving visitor services. The proposed model demonstrates that sustainable conservation of culturally layered sites can be achieved through adaptive reuse strategies that prioritize historical integrity, cultural sustainability, and community engagement. The findings offer a replicable framework for future conservation projects aiming to revitalize underused rural heritage buildings while maintaining their cultural significance.
The conservation of culturally stratified heritage structures requires a holistic approach that balances the protection of historical integrity with the integration of contemporary functions. This study focuses on the Aya Payana Church, a late Ottoman rural ecclesiastical structure located in Isparta, Türkiye, as a case study to explore sustainable conservation and adaptive reuse strategies. Although the building retains much of its original physical fabric, its evolving uses—from sacred space to military storage and eventual abandonment—reflect a layered cultural narrative. In line with international conservation charters, intervention strategies were developed based on principles of minimal intervention, reversibility, and respect for historical authenticity. The adaptive reuse strategy involved transforming the site into a sensory-focused cultural facility, featuring a “Kokuhane” (scent museum) and a botanical garden cultivating local aromatic plants. This integration promotes active visitor engagement through laboratory workshops and enhances cultural continuity by linking traditional knowledge with contemporary experience. A transparent cafeteria structure was added with minimal visual impact, ensuring the preservation of the historical silhouette while improving visitor services. The proposed model demonstrates that sustainable conservation of culturally layered sites can be achieved through adaptive reuse strategies that prioritize historical integrity, cultural sustainability, and community engagement. The findings offer a replicable framework for future conservation projects aiming to revitalize underused rural heritage buildings while maintaining their cultural significance.
Posted: 05 January 2026
The Minimal-Dose Paradigm in IUI Stimulation for Unexplained Infertility: Letrozole-Initiated Late Gonadotropin Protocol
Evren Yeşildağer
,Ufuk Yeşildağer
,Sefa Arlıer
Posted: 05 January 2026
Fiducia Supplicans: Eulogeo or Makarizo: St Luke Explains – A Treatise on Protean Blessings of the Blessed Virgin Mary
Chika Edward Uzoigwe
Posted: 05 January 2026
Damage Tolerance of Longitudinal Cracks and Circular Holes in Wooden Beams: In load-Bearing Capacity Perspective
Xiaoyi Hu
,Le Zhou
,Dalie Liu
,Yujing Nie
,Lingrong Liu
Posted: 05 January 2026
Concurrent Application of Fibrin-Laminin Hydrogel and Electrically Stimulated Eccentric Training Hinders Recovery in Volumetric Muscle Loss
Natalia Ziemkiewicz
,Jeffrey Au
,Hannah Chauvin
,Preston Shake
,Manvee Vuppala
,Koyal Garg
Posted: 05 January 2026
When Privacy Concerns Don’t Deter: How Brand Trust Enables Data Sharing in AI-Driven Green Marketing.
Yasir Fallatah
,Abdulaziz Fatani
,Talal Ameen Ali
Posted: 05 January 2026
Successful Treatment of Severe Laryngomalacia by Correction of Glosso-Larynx (CGL): A Case Report
Toshiro Yamanishi
Laryngomalacia is the most common cause of inspiratory stridor in infancy. While most mild cases resolve spontaneously, severe cases may require surgical intervention. We report a case of severe laryngomalacia successfully treated with correction of glosso-larynx (CGL), a surgical procedure originally developed for ankyloglossia with deviation of the epiglottis and larynx (ADEL). The patient showed rapid and sustained improvement without major complications. This case suggests that CGL may represent a simple and minimally invasive therapeutic option for selected cases of severe laryngomalacia.
Laryngomalacia is the most common cause of inspiratory stridor in infancy. While most mild cases resolve spontaneously, severe cases may require surgical intervention. We report a case of severe laryngomalacia successfully treated with correction of glosso-larynx (CGL), a surgical procedure originally developed for ankyloglossia with deviation of the epiglottis and larynx (ADEL). The patient showed rapid and sustained improvement without major complications. This case suggests that CGL may represent a simple and minimally invasive therapeutic option for selected cases of severe laryngomalacia.
Posted: 05 January 2026
Cantrell Syndrome and the One Health Perspective: A Unified Review of Human and Comparative Cases
Nieves Martín-Alguacil
,Luis Avedillo
Posted: 05 January 2026
Subjectica: Sensory Circulation and Pre-Motor Readiness in Embodied Decision-Making
Deyan Shopin
Posted: 05 January 2026
Delivery Drone Dilemmas: Prioritising the Sustainability Concerns of Citizens and Practitioners
Greg Marsden
,Morgan Campbell
,Angela Smith
,Tom Cherrett
The introduction of drones as part of a future logistics systems could enhance the efficiency of some goods movements but brings with it the prospect of a change to the environment and society. This paper reports on a study which seeks to identify how varied the concerns are amongst both practitioners and citizens and also how different the concerns of the public are from those of practice. The research uses Q-Sort methods to understand the critical variables and clusters of opinions which underlie policy controversies. A Q-Sort was first conducted with 53 professional stakeholders before a common, but reduced size Q-Sort was undertaken with a representative sample across three different local geographies (N = 610) in the UK. The findings suggest many common clusters of viewpoints across the expert and citizen samples, with the key interactions being between the degree of in principle support for drones for delivery and the degree of practical control over their introduction. However, the citizen group was dominated by drone sceptics worried about privacy, terrorism and environmental impacts in a way which was not manifested in the experts. Few differences occurred between places suggesting that simple urban-rural dichotomies do not define groups of opinions.
The introduction of drones as part of a future logistics systems could enhance the efficiency of some goods movements but brings with it the prospect of a change to the environment and society. This paper reports on a study which seeks to identify how varied the concerns are amongst both practitioners and citizens and also how different the concerns of the public are from those of practice. The research uses Q-Sort methods to understand the critical variables and clusters of opinions which underlie policy controversies. A Q-Sort was first conducted with 53 professional stakeholders before a common, but reduced size Q-Sort was undertaken with a representative sample across three different local geographies (N = 610) in the UK. The findings suggest many common clusters of viewpoints across the expert and citizen samples, with the key interactions being between the degree of in principle support for drones for delivery and the degree of practical control over their introduction. However, the citizen group was dominated by drone sceptics worried about privacy, terrorism and environmental impacts in a way which was not manifested in the experts. Few differences occurred between places suggesting that simple urban-rural dichotomies do not define groups of opinions.
Posted: 05 January 2026
Research on Dynamic Contagion of Banking Risks and Identification of Systemically Important Institutions—Based on the HD-TVP-VAR-DY Model
Cuicui Liu
,Huizi Ma
,Xiangrong Wang
,Shengnan Zhao
,Zhenyan Qin
Posted: 05 January 2026
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