Search Results (218,816)

Wind fields on tropical islands are among the most complex systems in atmospheric science, simultaneously influenced by large-scale monsoons, tropical cyclones, local sea-land circulation, and island topography. These interactions result in extremely complex responses to climate change, posing significant challenges for detailed assessment. This study examines how multi-scale processes have shaped the long-term evolution of the near-surface wind speed over Hainan, China’s largest tropical island. We developed a new high-resolution (5 km, hourly) regional climate reanalysis spanning 1961–2022, based on the WRF model and ERA5 data. Our analysis reveals three key findings: First, the long-term trend of wind speed over Hainan exhibits significant spatial heterogeneity, characterized by “coastal stilling and inland strengthening.” Wind speeds in coastal areas have decreased by −0.03 to −0.09 m/s per decade, while those in the mountainous interior have paradoxically increased by up to +0.06 m/s per decade. This pattern arises from the interaction between the weakening East Asian Winter Monsoon and the island’s complex terrain. Second, the frequency of extreme wind events has undergone seasonal reorganization: days with strong winds linked to the winter monsoon have significantly decreased (−0.214 days per decade), whereas days linked to warm-season tropical cyclones have increased (+0.097 days per decade), indicating asynchronous evolution of climate extremes. Third, the risk from 100-year extreme wind events is undergoing geographical redistribution, shifting from the coast to the mountainous interior (with an increase of 0.4–0.7 m/s in inland areas), posing a direct challenge to existing engineering design standards. Taken together, these findings demonstrate that local topography can significantly influence large-scale climate change signals, underscoring the critical role of high-resolution modeling in understanding the climate response of such complex systems. Full article

Loneliness is an unavoidable facet of human existence. When chronic and intense, adolescent loneliness is associated with maladjustment over time. A prospective multiple-cohort study examined the links between child-reported loneliness and coping skills and parent-rated child mental health in early adolescence (aged 11.9 years at Time 1; 12.9 years at Time 2), with a total of 266 students from 75 primary and 152 secondary schools. Results indicated that (i) boys and girls did not differ in their levels of loneliness; (ii) boys reported poorer coping, fewer emotional problems, and more externalizing problems than girls; (iii) loneliness in primary school predicted increases in emotional and externalizing problems over time; (iv) problem-solving and non-productive coping mediated the associations between loneliness and emotional problems and externalizing problems; and (v) reference to others’ coping moderated the association between loneliness and emotional problems. Findings suggest that loneliness may potentially erode positive coping mechanisms over time. This study emphasizes the importance of understanding and addressing the impact of loneliness on early-adolescent mental health. Full article

Introduction: Cytoreductive surgery (CRS) with hyperthermic intraperitoneal early chemotherapy (HIPEC) has gained traction as a viable treatment option for patients with colorectal cancer peritoneal metastases (CRC-PM). Refinements have been made to patient selection and choice of HIPEC agent. We report outcomes with respect to peritoneal disease volume (peritoneal cancer index, PCI) and HIPEC agent for patients treated at the Western Australian Peritonectomy Service (WAPS) in the ten years from December 2013. Methods: A retrospective statistical analysis assessing the factors affecting survival outcomes of patients with CRC-PM who received CRS with HIPEC was performed, with particular focus on disease volume and HIPEC agent (Mitomycin C and Oxaliplatin). Results: 89 patients with CRC-PM were treated with CRS-HIPEC with a median overall survival (OS) of 58 months, 5-year OS of 48% and disease-free survival (DFS) of 20%. PCI <10 (n = 57) had OS and DFS of 60% and 29%, compared to 23% and 0% for PCI ≥ 10 (n = 32); HR = 2.9, p = 0.002. Three-year OS and DFS for treatment with Oxaliplatin HIPEC (n = 40) were 61% and 41%, which was not significantly different from 71% and 34% with Mitomycin C HIPEC (n = 49); HR = 1.5, p = 0.3. Conclusions: CRS/HIPEC should continue to evolve into the standard of care for carefully selected patients with CRC-PM as almost half of all selected patients survive to at least five years; in particular patients with low-volume disease (PCI < 10) can benefit greatly with a 60% five-year OS and 29% five-year DFS with low morbidity. The choice of HIPEC agent, Oxaliplatin or Mitomycin C, remains uncertain. Full article

Background and Objectives: Dyslipidemia, a modifiable cardiovascular risk factor, is associated with chronic low-grade inflammation. While leukocyte-derived indices have been investigated in this context, eosinophil-related inflammatory markers remain underexplored. This study examined patterns of eosinophil-to-lymphocyte ratio (ELR) and eosinophil-adjusted systemic inflammation response index (EA-SIRI) across dyslipidemia phenotypes. Materials and Methods: In this retrospective study, adult subjects were classified into six dyslipidemia phenotypes. Leukocyte-derived indices were evaluated across groups, and analyses included comparisons of medians, prevalence rates, tertile distributions, odds ratios, and risk estimates. Results: Both ELR and EA-SIRI were significantly higher in individuals with atherogenic dyslipidemia (ELR: 0.18; EA-SIRI: 1.53) and combined dyslipidemia (ELR: 0.17; EA-SIRI: 1.49) compared to the normolipidemic group (ELR: 0.11; EA-SIRI: 0.92). Notably, these patterns were more pronounced in males aged <40 years and younger females (<40), suggesting sex- and age-related variations in eosinophil-related inflammatory responses to dyslipidemia. Moreover, the highest tertiles of both ELR and EA-SIRI exhibited higher triglycerides and lower HDL-C compared to the lowest tertiles (p < 0.001). The odds of atherogenic dyslipidemia were more than doubled in individuals with elevated ELR (OR = 2.02; p < 0.001) and EA-SIRI (OR = 2.19; p < 0.001). ROC curve analysis indicated modest discriminative power for identifying atherogenic dyslipidemia, with ELR and EA-SIRI yielding AUC of 0.60 (p < 0.001) and 0.62 (p < 0.001), respectively. Conclusions: Our findings suggest eosinophil-related inflammation contributes to immunometabolic dysregulation underlying dyslipidemia. ELR and EA-SIRI may offer insights into inflammation-driven lipid disturbances and help detect subclinical inflammatory activity associated with atherogenic lipid profiles. Full article

Background: Trace elements and heavy metals can provide valuable forensic information for individual identification, lifestyle reconstruction, and association with the scene or time of death and may also assist in linking objects to criminal activities. However, the lack of standardized guidelines and post-mortem reference values represents a significant limitation in forensic investigations. Methods: This review was conducted in accordance with the PRISMA statement. We performed a comprehensive literature study over the last ten years focusing on the analysis of trace elements and heavy metals in post-mortem tissues. Results: The search results from the databases yielded 247 records. The screening, according to PRISMA criteria, allowed us to select and include 19 articles. The results showed the need for standardized guidelines and reference values. Although post-mortem trace element analysis shows high potential for forensic applications, substantial methodological heterogeneity persists. Some studies have proposed preliminary reference values for cadmium (Cd) in kidneys and mercury (Hg) in hair but validated post-mortem reference ranges remain largely unavailable. Conclusions: The current literature demonstrates the forensic potential of trace element and heavy metals analysis including Cd, Hg, lead (Pb), Manganese (Mn), Aluminum (Al), Copper (Cu), Zinc (Zn), Iron (Fe), Thallium (Tl), Polonium (²¹⁰Po) but also underlines the urgent need for standardized protocols and validated post-mortem reference values to improve interpretability and reliability in forensic contexts. Full article

The iron and steel industries globally have a high prevalence of occupational injuries, which need to be reduced. Obtaining safety climate information from workers assists in understanding the safety status at the workplace. This study aimed to assess the safety climate in the iron and steel industries and its association with occupational injuries. A cross-sectional study was conducted in four iron and steel industrial sites in Tanzania. Three hundred and twenty-one workers from the production lines and 50 managers/supervisors participated. The data were collected by interviews using the Kiswahili version of the Nordic Safety Climate Questionnaire (NOSACQ-50) and the modified International Labor Organization (ILO) manual on methods for occupational injuries. The managers/supervisors scored higher than the workers in five of the NOSACQ-50 dimensions. Most workers with low scores on safety climate had experienced occupational injuries. Analyses of the workers who had been injured at work showed that the dimensions ‘management safety priority and ability’, and ‘management safety justice’ were significant predictors of occupational injuries in the iron and steel industries, when adjusting for working years and working hours per day. This indicates that safety climate is a predictor of occupational injuries, and it is important to improve the safety priorities and commitments among the employees. Full article

Background: There is considerable evidence that breast feeding has a beneficial effect on the neurocognition of a child. However, most studies have confined their attention to the Intelligence Quotient (IQ), tending to ignore other aspects of neurodevelopment. Methodology: Here we present the relationship between breast feeding for at least 6 months with 373 neurocognitive outcomes measured from infancy through to late adolescence using data collected in the Avon Longitudinal Study of Parents and Children (ALSPAC). We first examined unadjusted regression associations with breast feeding at age 6 months. Where the unadjusted p-value was < 0.0001 (n = 152 outcomes), we adjusted for social and other factors. Results: This resulted in 42 outcomes with adjusted associations at p < 0.001. Specifically, these included associations with full-scale IQ at ages 8 and 15 years (adjusted mean differences [95% confidence interval (CI)] +4.11 [95% CI 2.83, 5.39] and +5.12 [95% CI 3.57, 6.67] IQ points, respectively, compared to not breastfeeding for 6 months). As well as the components of IQ, the other phenotypes that were strongly related to breast feeding for at least 6 months were measures of academic ability (reading, use of the English language and mathematics). In accordance with the literature, we show that children who are breast fed are more likely to be right-handed. The one association that has not been recorded before concerned aspects of pragmatic speech at 9 years where the children who had been breast fed were shown to perform more appropriately. Conclusions: We conclude that breast feeding for at least 6 months has beneficial effects on a number of neurocognitive outcomes that are likely to play a major part in the offspring’s future life course. We point out, however, the possibility that by using such stringent p-value criteria, other valid associations may have been ignored. Full article

Plants grow, develop, and reproduce within a rhythmic environment. Environmental cues—such as light, temperature, nutrition, water—initiate, sustain, or terminate basic physiological processes within the plant, such as photosynthesis, respiration, nutrient uptake, water management, transpiration, growth, and hormone regulation. Simultaneously, inside the plant, internal “living clocks” are ticking and helping plants to synchronize internal processes with environmental cues and defend themselves against stressful conditions. These clock-regulated processes underlie a variety of plant traits, such as germination capability, growth and development rate, time of flowering, fruiting and yielding, development of plant shape, and size and biomass production. Most of these physiological traits are important attributes of crop plants. In recent years, the growing understanding of environmental rhythms as environmental cues and the mechanisms underlying plant internal clocks has begun to play an increasingly important role in agricultural practices. This is an emerging area of research that integrates insights from chronobiology with practices in plant agriculture. In this review, this new research area is studied and mapped using Scopus, Web of Science, Google Scholar, Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA protocol), and VOSviewer1.6.20 software. The analyses were carried out on 18 July–27 August 2025. For the VOSviewer author keywords co-occurrence analysis, all 1022 documents covering the time range of the last 7.5–2.5 years (2018–July 2025) were included and three maps were generated. Additionally, 59 review documents covering the last 27 years (1988–July 2025) were extracted by relevance using Google Scholar. In this review, recent advances and topics in plant chronobiology were examined. The issue of how these advances respond to key challenges in plant agriculture was explored. The bidirectional influence between chronobiology and practices in plant agriculture were also considered. Full article

In recent years, a type of biochip known as a Digital Microfluidic Biochip (DMFB) has been actively researched in the field of life sciences. DMFBs perform dilution operations by mixing reagent solutions and buffer solutions at a 1:1 ratio to generate droplets with the desired concentration. One of the challenges of DMFBs is that droplets may not always be evenly split during the droplet division process. To address this issue, an error correction method utilizing error cancellation has been proposed. This method modifies the dilution graph to minimize the impact of division errors on the target node. However, this approach has a significant drawback: when large division errors occur in nodes close to the target node, they can introduce substantial concentration errors at the target node. Full article

Background: This study was aimed to comprehensively investigate the clinical and molecular characteristics, treatments, and outcomes of young patients with lung cancer in the new era of cancer treatment. Methods: Clinical data from patients aged 18 to 45 with lung cancer, treated at our hospital from January 2014 through January 2024, were systematically collected and analyzed. Results: This study enrolled a total of 343 patients, with a predominance of females, never-smokers, and those diagnosed at an advanced stage. Adenocarcinoma was the most common histology (72.0%), and rare tumors could also be seen in young patients, such as pulmonary sarcomatoid carcinoma and pulmonary mucoepidermoid carcinoma. The mutation rate of the epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) in NSCLC patients were 35.9% (111/309) and 14.2% (44/309), respectively. PD-L1 expression was assessed in 55 patients, with 14 showing high expression (≥50%) and 24 showing negative expression (<1%). The median overall survival (mOS) for the entire cohort was 80.2 months, with a 5-year survival rate of 55.7%. For patients with stage I, II, and III disease, the mOS had not yet been reached, whereas the mOS for stage IV patients was 39.7 months. Targeted therapy, particularly second-generation ALK tyrosine kinase inhibitors (TKIs), significantly improved the prognosis of patients with driver gene mutations. Chemotherapy combined with immunotherapy was beneficial for patients with progressive disease or driver gene negativity in NSCLC and was associated with improved OS in small cell lung cancer (SCLC). Female, family history of lung cancer, positive driver genes, and first-line use of second-generation ALK-TKIs are independent prognostic factors in young patients with advanced NSCLC. Conclusions: Our findings highlight the importance of early diagnosis, targeted therapy, and immunotherapy in improving outcomes for young patients with lung cancer. Full article

Objectives: Connective tissue diseases (CTDs) include a diverse group of systemic autoimmune conditions, among which interstitial lung disease (ILD) is acknowledged as a major determinant of prognosis. High-resolution computed tomography (HRCT) is the gold standard for ILD assessment. The distribution of HRCT patterns across CTDs remain incompletely defined. The objective of this systematic review is to synthesize available evidence regarding the prevalence of specific radiological patterns within CTD-ILDs and to assess whether specific patterns occur at different frequencies among individual CTDs. Methods: The inclusion criteria encompassed original human studies published in English between 2015 and 2024, involving adult participants (≥18 years) with CTD-ILDs assessed primarily by HRCT and designed as retrospective, prospective, or cross-sectional trials with extractable data. We systematically searched PubMed, Scopus, and Web of Science (January 2025). Risk of bias was evaluated using the Newcastle–Ottawa Scale (NOS) for cohort and case–control studies, and the JBI Critical Appraisal Checklist for cross-sectional studies. Data were extracted and categorized by HRCT pattern for each CTD, and then summarized descriptively and statistically. Results: We analyzed 23 studies published between 2015 and 2024, which included 2020 patients with CTD-ILDs. The analysis revealed non-specific interstitial pneumonia (NSIP) as the most prevalent pattern overall (36.5%), followed by definite usual interstitial pneumonia (UIP) (24.8%), organizing pneumonia (OP) (9.8%) and lymphoid interstitial pneumonia (LIP) (1.25%). HRCT distribution varied by CTD: NSIP predominated in systemic sclerosis, idiopathic inflammatory myopathies, and mixed connective tissue disease; UIP was most frequent in rheumatoid arthritis; LIP was more common in Sjögren’s syndrome. While global differences were statistically significant, pairwise comparisons often lacked significance, likely due to sample size constraints. Discussion: Limitations include varying risk of bias across study designs, heterogeneity in HRCT reporting, small sample sizes, and inconsistent follow-up, which may reduce precision and generalizability. In addition to the quantitative synthesis, this review offers a detailed description of each radiologic pattern mentioned above, illustrated by representative examples to support the recognition in clinical settings. Furthermore, it includes a brief overview of the major CTDs associated with ILD, summarizing their epidemiological data, risk factors for ILD and clinical presentation and diagnostic recommendations. Conclusions: NSIP emerged as the most common HRCT pattern across CTD-ILDs, with UIP predominating in RA. Although inter-disease differences were observed, statistical significance was limited, likely reflecting sample size constraints. These findings emphasize the diagnostic and prognostic relevance of HRCT pattern recognition and highlight the need for larger, standardized studies. Full article

Wind gustiness at airports, which is generally determined using gust factors, is impactful across a range of considerations from piloting to airport planning. Yet advisory materials to help assess their quality and representativeness, particularly for aviators, are limited. To address this, a climatological analysis of both gust factors is conducted using Automated Surface Observing System (ASOS) wind observations. Data for multi-year periods at selected airports in the United States are used to assess their site representativeness and for turbulence attribution purposes. Both gust factors vary by direction in response to local terrain features and nearby obstructions and are generally not well correlated with each other. The meteorological gust factor is shown to be more responsive to local obstructions in proximity to the ASOS systems. Excluding lower gusts leads to a marked improvement in the correlation between the two gust factors. Due to ASOS’s siting limitations, attributing observed gustiness to turbulence from nearby terrain or structures is difficult. The gustiness is often localized and may not represent conditions across the full airport. Excluding lower gusts increases the aviation gust factor’s sensitivity to local obstructions. This suggests that obstructions may play a meaningful role in shaping the higher observed gust factors. The potential exists to provide pilots and other users of this data with site- and direction-specific metadata regarding observed gustiness, thereby improving situational awareness. Full article

After heavy snowfall in the Uinta Basin, Utah, elevated surface ozone occurs if a cold-air pool persists and traps emissions from oil and gas industry operations. Sunlight and actinic flux from a high-albedo snowpack drive ozone buildup via photolysis. Snow coverage is paramount in initiating the cold pool and driving ozone generation. Its depth is critical for predicting ozone concentrations. The Basin’s location leeward of the Wasatch Mountains provides conditions for a precipitation shadow, where sinking air suppresses snowfall. We analyzed multiple years of ground-based snow depth measurements, surface ozone data, and meteorological observations; we found that ozone levels track with snow coverage, but diagnosing a shadow effect (and any impact on ozone levels) was difficult due to sparse, noisy data. The uncertainty in linking snowfall variation to ozone levels hinders forecast quality in, e.g., machine-learning training. We highlight the importance of a better understanding of regional variation when issuing outlooks to protect the local economy and health. A wider sampling of snow depth across the Basin would benefit operational forecasters and, likely, predictive skill. Full article

Spontaneous intramuscular hematomas (SMHs) are rare but potentially serious complications of oral anticoagulation therapy. Although often attributed solely to anticoagulant use, such lesions may mask underlying soft tissue sarcomas or paraneoplastic conditions. We report the case of an 80-year-old man on warfarin who presented with a painful thigh mass initially interpreted as a hematoma but ultimately diagnosed as a malignant fibrous histiocytoma (MFH). In addition, we provide a narrative review of published cases, focusing on clinical presentation, diagnostic challenges, imaging strategies, and outcomes. Key pitfalls leading to delayed diagnosis include attribution bias, inadequate imaging, and premature management decisions. Epidemiological data show that while the incidence of SMHs is estimated at 0.5–1.5% among patients on vitamin K antagonists, clinically significant cases are increasingly reported with direct oral anticoagulants (DOACs). Suggested measures include clinical algorithms to prompt imaging and biopsy in persistent masses, validation of magnetic resonance imaging (MRI) criteria, and the establishment of prospective registries, aimed at facilitating earlier recognition of malignant lesions and improving patient outcomes. These strategies may improve early detection of malignancy and optimize care in anticoagulated patients presenting with soft tissue lesions. Full article

With rapid urbanization, rooftop photovoltaic (PV) systems play an important role in mitigating the energy crisis and reducing emissions, yet achieving scientific and cost-effective deployment at the urban block scale remains challenging. This study proposes a transferable framework that integrates spatial morphology quantification, clustering, and numerical simulation to evaluate PV potential in residential blocks of Jinan, China. Six key morphological indicators were extracted through principal component analysis (PCA), and blocks were classified into five typical types, followed by simulations under different PV material scenarios. The main findings are: (1) Block type differences: Cluster 1 achieved the highest annual generation, 61.76% above average, but with a 75.08% cost increase and a 3.54-year payback. Clusters 4 and 5 showed moderate generation and the shortest payback of 2.91–2.97 years, reflecting better energy–economic balance. (2) PV materials: monocrystalline silicon (m-Si) yielded the highest generation, suitable for maximizing output; polycrystalline silicon (p-Si) produced slightly less but reduced costs by 32.43% and shortened payback by 19.58%, favoring cost-sensitive scenarios. (3) Seasonal variation: PV output peaked in February–March and September–December, requiring priority in grid operation and maintenance. The proposed framework can serve as a useful reference for planners in developing PV deployment strategies, with good transferability and potential for wider application, thereby contributing to urban energy transition and low-carbon sustainable development. Full article