To solve the problem that zinc oxide nanorods (ZnO NRs)-based self-powered ultraviolet (UV) photodetectors cannot obtain both higher responsiveness and shorter response time, P(EDOS-TTh) was prepared using 3,4-ethylenedioxyselenphene (EDOS) and terthiophene (TTh) as copolymers, which modify the ZnO NRs surface, and the ZnO/P(EDOS-TTh) P-N junction self-powered UV device is assembled. The effect of the number of electrochemical polymerization cycles on the UV photodetection performance of ZnO/P(EDOS-TTh) P-N heterojunction was studied by adjusting the number of electrochemical polymerization cycles at the monomer molar ratio of 1:1. Benefiting from the enhanced built-in electric field of the ZnO/P(EDOS-TTh) interface, balancing photogenerated carriers, and charge separation and transport. The results show that the contact between N-type ZnO NRs and P-type P(EDOS-TTh) is best when the number of polymerization cycles is 3, due to the fact that EDOS-TTh and ZnO NRs form excellent P-N heterojunctions with strong internal electric fields, and the devices show good pyroelectric effect and UV photodetection performance. Under 0 V bias and 0.32 mW/cm² UV irradiation, the responsivity (R) of ZnO/P(EDOS-TTh) reaches 3.31 mA/W, the detectivity (D*) is 7.25 × 10¹⁰ Jones, and the response time is significantly shortened. The rise time is 0.086 s, which exhibited excellent photoelectric properties and stability. UV photodetection performance with high sensitivity and fast response time is achieved. Full article

Background: climate change is a reality, and more and more people are becoming aware of this global problem, which has generated anxiety in some populations. To validate a short survey to assess eco-anxiety in adults in South America. Methods: It is an instrumental study, and the validation was based on a previous survey, which had six questions and was generated by 217 respondents in the USA in 2021. These questions were subjected to a validation process with expert judgment, pilot and application, and then statistics were obtained. It was validated with 1907 people in six countries in South America, where the mean, standard deviation, skewness and kurtosis were adequate. Results: The initial confirmatory factorial model obtained unsatisfactory goodness-of-fit indices, so the indices were modified through a re-specification, where two items were eliminated, after which adequate values were obtained (χ² = 22.34, df = 2, p = 0.00; RMR = 0.020; GFI = 0.990; CFI = 0.990; TLI = 0.990; and RMSEA = 0.070). Finally, the overall Cronbach’s α was calculated to be 0.88 (95% CI = 0.86–0.89). Conclusions: The test was validated in a large South American population and found that only four questions can efficiently measure anxiety about the effects of climate change. The instrument can be used with other tests to screen different age groups, ethnicities and realities. Full article

Because of their stochastic nature, the high penetration of electric vehicles (EVs) places demands on the power system that may strain network reliability. Along with increasing network voltage deviations, this can also lower the quality of the power provided. By placing EV fast charging stations (FCSs) in strategic grid locations, this issue can be resolved. Thus, this work suggests a new methodology incorporating an effective and straightforward Red-Tailed Hawk Algorithm (RTH) to identify the optimal locations and capacities for FCSs in a real Aljouf Transmission Network located in northern Saudi Arabia. Using a fitness function, this work’s objective is to minimize voltage violations over a 24 h period. The merits of the suggested RTH are its high convergence rate and ability to eschew local solutions. The results obtained via the suggested RTH are contrasted with those of other approaches such as the use of a Kepler optimization algorithm (KOA), gold rush optimizer (GRO), grey wolf optimizer (GWO), and spider wasp optimizer (SWO). Annual substation demand, solar irradiance, and photovoltaic (PV) temperature datasets are utilized in this study to describe the demand as well as the generation profiles in the proposed real network. A principal component analysis (PCA) is employed to reduce the complexity of each dataset and to prepare them for the k-means algorithm. Then, k-means clustering is used to partition each dataset into k distinct clusters evaluated using internal and external validity indices. The values of these indices are weighted to select the best number of clusters. Moreover, a Monte Carlo simulation (MCS) is applied to probabilistically determine the daily profile of each data set. According to the obtained results, the proposed RTH outperformed the others, achieving the lowest fitness value of 0.134346 pu, while the GRO came in second place with a voltage deviation of 0.135646 pu. Conversely, the KOA was the worst method, achieving a fitness value of 0.148358 pu. The outcomes attained validate the suggested approach’s competency in integrating FCSs into a real transmission grid by selecting their best locations and sizes. Full article

In this paper, we present the design of a fractional-order sliding mode observer (FO-SMO) for actuator fault estimation in a quadrotor unmanned aerial vehicle (QUAV) system. Actuator faults can significantly compromise the stability and performance of QUAV systems; therefore, early detection and compensation are crucial. Sliding mode observers (SMOs) have recently demonstrated their accuracy in estimating faults in QUAV systems under matched uncertainties. However, existing SMOs encounter difficulties associated with chattering and sensitivity to initial conditions and noise. These challenges significantly impact the precision of fault estimation and may even render fault estimation impossible depending on the magnitude of the fault. To address these challenges, we propose a new fractional-order SMO structure based on the Caputo derivative definition. To demonstrate the effectiveness of the proposed FO-SMO in overcoming the limitations associated with classical SMOs, we assess the robustness of the FO-SMO under three distinct scenarios. First, we examined its performance in estimating actuator faults under varying initial conditions. Second, we evaluated its ability to handle significant chattering phenomena during fault estimation. Finally, we analyzed its performance in fault estimation under noisy conditions. For comparison purposes, we assess the performance of both observers using the Normalized Root-Mean-Square Error (NRMSE) criterion. The results demonstrate that our approach enables more accurate actuator fault estimation, particularly in scenarios involving chattering phenomena and noise. In contrast, the performance of classical (non-fractional) SMO suffers significantly under these conditions. We concluded that our FO-SMO is more robust to initial conditions, chattering phenomena, and noise than the classical SMO. Full article

Currently, two significant problems involve the government, population, and environment: the accelerated increase in organic waste and the need to replace conventional energy with environmentally sustainable energy. The sustainable use of organic waste is being intensely investigated to generate energy plants that produce alternative sustainable electrical energy beneficial to the population at a low cost. The novelty of this research is given by the use of pepper waste as fuel in the generation of bioelectricity, giving added value to these types of waste, benefiting farmers and companies dedicated to the export and import of these fruits, because they will be able to generate their own electrical energy using their own waste at a lower cost. For this reason, this research uses pepper waste as fuel in single-chamber microbial fuel cells manufactured at a low cost as its primary objective. The maximum values of the electric current (5.118 ± 0.065 mA) and electric potential (1.018 ± 0.101 V) were shown on the fourteenth day, with an optimal operating pH of 7.141 ± 0.134 and electrical conductivity of 112.846 ± 4.888 mS/cm. Likewise, a reduction in the COD was observed from 1210.15 ± 0.89 mg/L to 190.36 ± 16.58 mg/L in the 35 days of monitoring and with a maximum ORP of 426.995 ± 8.615 mV, whose internal resistance was 33.541 ± 2.471 Ω. The peak power density was 154.142 ± 8.151 mW/cm² at a current density of 4.834 A/cm², and the Rossellomorea marisflavi strain was identified with 99.57% identity. Full article

This work assessed the influence of the amount of dentifrice and fluoride (F) concentration in the product on the pH and inorganic components of Streptococcus mutans and Candida albicans dual-species biofilms. The biofilms were treated with suspensions of fluoride dentifrices containing 550 or 1100 ppm of F (550 F or 1100 F, respectively) administered at comparable intensities: (i-1) 550 F/0.08 g or 1100 F/0.04 g; (i-2) 550 F/0.16 g or 1100 F/0.08 g; and (i-3) 550 F/0.32 g or 1100 F/0.16 g. A placebo dentifrice (without NaF, 0.32 g) was used as a negative control. After the last treatment, the biofilm pH was measured and the F, calcium (Ca), and phosphorus (P) concentrations were determined. Data were subjected to an ANOVA/Kruskal–Wallis test, and a Student–Newman–Keuls test. The highest biofilm pH and F concentrations (biomass and fluid) were observed for 1100 F at i-3. Overall, 1100 F resulted in F levels similar to 550 F for i-1 and i-2. In addition, 550 F applied at i-2 and i-3 led to higher F in the biomass/fluid compared to 1100 F applied at i-1 and i-2, respectively. In biomass, the lowest Ca concentrations were observed for 1100 F at i-3. The conclusion drawn is that the treatment intensity holds greater significance as a parameter compared to the concentration of F or the amount of dentifrice when considered individually. Full article

Interest in bacterial nanocellulose (BNC) has grown due to its purity, mechanical properties, and biological compatibility. To address the need for alternative carbon sources in the industrial production of BNC, this study focuses on banana leaves, discarded during harvesting, as a valuable source. Banana midrib juice, rich in nutrients and reducing sugars, is identified as a potential carbon source. An optimal culture medium was designed using a simplex-centroid mixing design and evaluated in a 10 L bioreactor. Techniques such as Fourier transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM), X-ray diffraction (XRD), and thermogravimetric analysis (TGA) were used to characterize the structural, thermal, and morphological properties of BNC. Banana midrib juice exhibited specific properties, such as pH (5.64), reducing sugars (15.97 g/L), Trolox (45.07 µM), °Brix (4.00), and antioxidant activity (71% DPPH). The model achieved a 99.97% R-adjusted yield of 6.82 g BNC/L. Physicochemical analyses revealed distinctive attributes associated with BNC. This approach optimizes BNC production and emphasizes the banana midrib as a circular solution for BNC production, promoting sustainability in banana farming and contributing to the sustainable development goals. Full article

The extent to which early weight loss in behavioral weight control interventions predicts long-term success remains unclear. In this study, we developed an algorithm aimed at classifying weight change trajectories and examined its ability to predict long-term weight loss based on weight early change. We utilized data from 667 de-identified individuals who participated in a commercial weight loss program (Instinct Health Science), comprising 69,363 weight records. Sequential polynomial regression models were employed to classify participants into distinct weight trajectory patterns based on key model parameters. Next, we applied multinomial logistic models to evaluate if early weight loss in the first 14 days and prolonged duration of participation were significantly associated with long-term weight loss patterns. The mean percentage of weight loss was 7.9 ± 5.1% over 133 ± 69 days. Our analysis revealed four main weight loss trajectory patterns: a steady decrease over time (30.6%), a decrease to a plateau with subsequent decline (15.8%), a decrease to a plateau with subsequent increase (46.9%), and no substantial decrease (6.7%). Early weight change rate and total participating duration emerged as significant factors in differentiating long-term weight loss patterns. These findings contribute to support the provision of tailored advice in the early phase of behavioral interventions for weight loss. Full article

The crucial role of urban industrial land redevelopment in sustainable urban renewal has garnered widespread attention. While some scholars have explored the interest game among stakeholders in industrial land redevelopment, they primarily focus on the government-led model. Moreover, there remains a research gap concerning the impact of government intervention on the redevelopment of industrial land. This article utilizes evolutionary game theory to investigate the interest game between local governments and original land users in the model of urban industrial land redevelopment dominated by original land users. We establish evolutionary game models considering incentives and the combination of incentives and regulations, explore the interest balance strategy, and examine the impact of positive incentives and mandatory regulations on industrial land redevelopment. Furthermore, we employ a numerical simulation to unveil the impact of initial strategies and parameter adjustments on game strategy. The research results are as follows: (1) Under the original land user-led redevelopment model, only two evolutionary stability strategies exist: either the original land users implement industrial land redevelopment with positive responses from local governments, or neither party advances the process. (2) Government intervention is pivotal in facilitating the redevelopment of inefficient industrial land as economic subsidies and punitive measures motivate more participants to adopt proactive strategies. (3) The increase in government support positively correlates with the likelihood of industrial land redevelopment implementation by original land users. (4) The interests and costs of original land users emerge as crucial parameters influencing strategic decisions. This study enriches the understanding of the interests of core participants in industrial land redevelopment and provides valuable insights for sustainable urban renewal. Full article

Most patients with non-alcoholic steatohepatitis (NASH) have insulin resistance, and there is a near-universal association between NASH and insulin resistance. Insulin resistance induces lipid accumulation in the liver, leading to the development of metabolic syndrome. However, most NASH rodent models fail to develop metabolic syndrome. LEW.1WR1 rats that are 23 weeks old showed increased body mass, epididymal fat, and liver mass, suggesting obesity-driven metabolic dysfunction. We have characterized steatosis, inflammation, Mallory–Denk body formation with hematoxylin and eosin (H&E), and fibrosis with Trichome blue staining. The presence of hepatic fibrosis with other features of NASH described above is one of the major strengths of this model since most of the currently available NASH models do not develop microvesicular steatosis or fibrosis. Together with the other important features of NASH described above, we confirm that male LEW.1WR1 rats develop NASH and insulin resistance with a standard diet. Full article

This article describes a part of the POTENTIALS project promoted by the Research Fund for Coal and Steel (RFCS) of the EU, which, in general, has aimed to develop business models for the reuse of former industrial and mining sites in different European regions. The goal of this project focused on the creation of so-called eco-industrial parks to enable sustainable energy production and reduce waste and pollution on coal sites in transition. A key aspect was the development of a suitable territorial impact assessment (TIA), a new and complex policy tool for the assessment of the territorial impacts of EU policies and projects on territorial cohesion. Therefore, the special TEQUILA (Territorial Efficiency, Quality and Identity Layer Assessment) approach is used to describe the TIA for this case and emphasizes its application in assessing ex ante the impacts of the transition from a coal site to an eco-industrial park. It underlines the need for a differentiated understanding of the regional characteristics and potential impacts of transition policies or projects. Furthermore, the process and results of applying the TEQUILA methodology, a multicriteria analysis, in the context of regionalized impact models has shown how important it is to select well-defined, expert-based criteria, but at the same time, to establish a system that is flexible and adaptable to the needs of political decision makers and stakeholders considering the normative weights of the criteria. This has been illustrated by some examples. Full article

Anterior cruciate ligament reconstruction (ACLR) may affect movement even years after surgery. The purpose of this study was to determine possible interlimb asymmetries due to ACLR when running on a treadmill and in field conditions, with the aim of contributing to the establishment of objective movement assessment in real-world settings; moreover, we aimed to gain knowledge on recovered ACLR as a biomechanical risk factor. Eight subjects with a history of unilateral ACLR 5.4 ± 2.8 years after surgery and eight healthy subjects ran 1 km on a treadmill and 1 km on a concrete track. The ground contact time and triaxial peak tibial accelerations were recorded using inertial measurement units. Interlimb differences within subjects were tested and compared between conditions. There were no significant differences between limbs in the ACLR subjects or in healthy runners for any of the chosen parameters on both running surfaces. However, peak tibial accelerations were higher during field running (p-values < 0.01; Cohen’s d effect sizes > 0.8), independent of health status. To minimize limb loading due to higher impacts during field running, this should be considered when choosing a running surface, especially in rehabilitation or when running with a minor injury or health issues. Full article

With the rapidly aging population, Aging in Place (AIP) assumes an increasingly pivotal role, as it aligns with SDG 3 (Good Health and Well-being) and Environmental, Social, and Governance (ESG) principles. Despite the contributions of AIP, there is a dearth of studies investigating the corresponding needs and well-being of older adults from psychological and sociocultural perspectives. This study aimed to investigate older adults’ needs, beliefs, behaviors, well-being, as well as perceived challenges and opportunities pertaining to AIP. Adopting a qualitative design, in-depth semi-structured interviews were conducted with 41 older adults on an individual basis. Through thematic analysis, a theoretical framework with reference to Self-Determination Theory (SDT) and Social Cognitive Theory (SCT) was established. Findings reveal that the psychological needs of autonomy, competence, relatedness, and dignity are conducive to well-being and decision making. Fear of being a burden to others emerges as a dominant sociocultural construct. This research extends SDT by incorporating the need for dignity as an overarching factor intersecting with SDT needs. Fulfilling psychological needs, honoring cultural beliefs, and aligning with SDG3 and ESG principles are crucial to the successful implementation of AIP. AIP policies should not only consider older adults’ practical needs but also their psychological needs, thereby fostering an age-friendly environment through sustainable development. Full article

We demonstrate a proof of principle of a simple all-solid-state post-compression setup for low-energy, high-repetition-rate laser pulses, where spectral broadening was performed using a combination of highly nonlinear bulk materials in a simple single-pass geometry. The 75 fs, 210 nJ pulses from an amplified 76 MHz, 15.7 W Yb:KGW oscillator after sequential spectral broadening in ZnS and YAG samples of 2 mm and 15 mm thickness, respectively, were compressed to 37 fs by means of Gires–Tournois interferometric mirrors. The post-compressed pulses with an average power of 11.47 W demonstrated reasonable spatial-spectral homogeneity of the beam with the spectral overlap parameter $V>83\%$ and good beam quality with $M_x^2=1.28$ and $M_y^2=1.14$. Full article

Individuals with obstructive sleep apnea (OSA) face increased accident risks due to excessive daytime sleepiness. PERCLOS, a recognized drowsiness detection method, encounters challenges from image quality, eyewear interference, and lighting variations, impacting its performance, and requiring validation through physiological signals. We propose visual-based scoring using adaptive thresholding for eye aspect ratio with OpenCV for face detection and Dlib for eye detection from video recordings. This technique identified 453 drowsiness (PERCLOS ≥ 0.3 || CLOSDUR ≥ 2 s) and 474 wakefulness episodes (PERCLOS < 0.3 and CLOSDUR < 2 s) among fifty OSA drivers in a 50 min driving simulation while wearing six-channel EEG electrodes. Applying discrete wavelet transform, we derived ten EEG features, correlated them with visual-based episodes using various criteria, and assessed the sensitivity of brain regions and individual EEG channels. Among these features, theta–alpha-ratio exhibited robust mapping (94.7%) with visual-based scoring, followed by delta–alpha-ratio (87.2%) and delta–theta-ratio (86.7%). Frontal area (86.4%) and channel F4 (75.4%) aligned most episodes with theta–alpha-ratio, while frontal, and occipital regions, particularly channels F4 and O2, displayed superior alignment across multiple features. Adding frontal or occipital channels could correlate all episodes with EEG patterns, reducing hardware needs. Our work could potentially enhance real-time drowsiness detection reliability and assess fitness to drive in OSA drivers. Full article

Peatlands are major natural carbon pool in terrestrial ecosystems globally and are essential to a variety of fields, including global ecology, hydrology, and ecosystem services. Under the context of climate change, the management and conservation of peatlands has become a topic of international concern. Nevertheless, few studies have yet systematized the overall international dynamics of existing peatland research. In this study, based on an approach integrating bibliometrics and a literature review, we systematically analyzed peatland research from a literature perspective. Alongside traditional bibliometric analyses (e.g., number of publications, research impact, and hot areas), recent top keywords in peatland research were found, including ‘oil palm’, ‘tropical peatland’, ‘permafrost’, and so on. Furthermore, six hot topics of peatland research were identified: (1) peatland development and the impacts and degradations, (2) the history of peatland development and factors of formation, (3) chemical element contaminants in peatlands, (4) tropical peatlands, (5) peat adsorption and its humic acids, and (6) the influence of peatland conservation on the ecosystem. In addition, this review found that the adverse consequences of peatland degradation in the context of climate change merit greater attention, that peatland-mapping techniques suitable for all regions are lacking, that a unified global assessment of carbon stocks in peatlands urgently needs to be established, spanning all countries, and that a reliable system for assessing peatland-ecosystem services needs to be implemented expeditiously. In this study, we argued that enhanced integration in research will bridge knowledge gaps and facilitate the systematic synthesis of peatlands as complex systems, which is an imperative need. Full article

Alarmins are immune-activating factors released after cellular injury or death. By secreting alarmins, cells can interact with immune cells and induce a variety of inflammatory responses. The broad family of alarmins involves several members, such as high-mobility group box 1, S100 proteins, interleukin-33, and heat shock proteins, among others. Studies have found that the concentrations and expression profiles of alarmins are altered in immune-mediated diseases. Furthermore, they are involved in the pathogenesis of inflammatory conditions. The aim of this narrative review is to present the current evidence on the role of alarmins in rheumatoid arthritis, osteoarthritis, and psoriasis. We discuss their potential involvement in mechanisms underlying the progression of these diseases and whether they could become therapeutic targets. Moreover, we summarize the impact of pharmacological agents used in the treatment of these diseases on the expression of alarmins. Full article

We undertook a retrospective study to compare the quality of care delivered to a cohort of newly diagnosed adults with colon, rectal or anal cancer during the early phase of COVID-19 (02/20–12/20) relative to the same period in the year prior (the comparator cohort), and examine the impact of the pandemic on 2-year disease progression and all-cause mortality. We observed poorer performance on a number of quality measures, such as approximately three times as many patients in the COVID-19 cohort experienced 30-day post-surgical readmission (10.5% vs. 3.6%; SD:0.27). Despite these differences, we observed no statistically significant adjusted associations between COVID-19 and time to either all-cause mortality (HR: 0.88, 95% CI: 0.61–1.27, p = 0.50) or disease progression (HR: 1.16, 95% CI: 0.82–1.64, p = 0.41). However, there was a substantial reduction in new patient consults during the early phase of COVID-19 (12.2% decrease), which appeared to disproportionally impact patients who traditionally experience sociodemographic disparities in access to care, given that the COVID-19 cohort skewed younger and there were fewer patients from neighborhoods with the highest Housing and Dwelling, ands Age and Labour Force marginalization quintiles. Future work is needed to understand the more downstream effects of COVID-19 related changes on cancer care to inform planning for future disruptions in care. Full article

Advance care planning (ACP) has attracted increasing research attention in recent years. In Japan, extensive training has been conducted to improve communication through workshops, such as role-playing. In training, including trainee-centered work, the facilitator who assists trainee learning plays an important role. However, only a few studies have focused on the training of facilitators. Therefore, we exploratorily analyzed by the mixed method the differences in the approaches of experienced and inexperienced facilitators during workshops and conducted a study that could contribute to facilitator training in the future. We recorded the comments and attitudes of 12 facilitators who participated in ACP training conducted in 2022. Based on analysis of the obtained data, a distinct difference was confirmed in the progression of trainee-based learning, encouragement to deepen learning among trainees, and trainees’ responses to questions. Thus, this study indicated the importance of having the opportunity for fellow facilitators to learn through facilitation with experienced facilitators and involvement in issue awareness. Full article

Specimens belonging to a new species in the genus Protocirrineris have been found during surveys along the southwestern coasts of the Netherlands. Protocirrineris stormae sp. nov, as described herein, were collected from the muddy bottom sediments in enclosed marine waterbodies and estuaries. This species is characterized by branchiae commencing from the first chaetiger and tentacular filaments arranged in two groups arising from chaetigers 2–3 that present one/two pairs of lobes, each bearing a single dorsal tentacle. From the current records of this species, it seems that P. stormae has an affinity for enclosed marine environments or parts of estuaries with minimal variability in salinity, higher transparency, and normal temperature regime. The discovery and study of this species contributes to a comprehensive characterization of benthic fauna in locations subjected to particular environmental stresses. Considering the extensive dataset available from the Southwestern Netherlands due to many years of sampling, it is plausible that P. stormae is a pseudo-indigenous species as there seem to be no records of similar or unknown Protocirrineris before 2013. Full article

A major global health concern, male infertility affects 8–12% of couples globally. Leukocytospermia is a complicated illness that is distinguished from other reasons causing male infertility by having high white blood cell counts in semen. The complex mechanisms behind leukocytospermia’s effects on sperm function and fertility are examined in this review. Leukocytospermia induces oxidative stress and reactive oxygen species (ROS) that impair DNA integrity, mitochondrial function, cytoplasmic extrusion, and sperm quality overall. Leukocytospermia is exacerbated by non-infectious factors, such as substance abuse and varicocele, even though genital tract infections are a common cause. The usefulness and dependability of diagnostic techniques range from immunochemistry to direct counting. Although there is still disagreement on the most effective course of action, clinical-care techniques, such as antioxidant supplementation and antibiotic therapy, attempt to address underlying causes and reduce ROS-induced damage. Prospectively, the combination of artificial intelligence with the latest developments in artificial reproductive technologies presents opportunities for more precise diagnosis and customized treatments. Full article

Background and Objectives: The goal of this study is to determine the prevalence of knee osteoarthritis (OA) and risk factors for the disease in Korean adults over the age of 50, as well as to provide basic data for OA prevention through management. Materials and Methods: Based on 2010–2013 data from the Korean National Health and Nutrition Survey, 7962 adults over the age of 50 who participated in radiological tests and health surveys for the diagnosis of osteoarthritis were chosen as participants. Results: The risk factors for OA occurrence were investigated using complex sample multiple logistic regression analysis. According to the findings, the prevalence of knee OA in Korea was 33.3% in this study, with the risk of OA being higher in women, the elderly, people with a lower education level, and people with obesity. Conclusions: To reduce the incidence of OA, interventions and lifestyle changes are needed to prevent the onset of disease in participants with risk factors for OA, such as older women, low education levels, and obesity. Full article