Search Results (113)

Background: Patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) or depression both frequently report debilitating exhaustion, yet the two conditions differ in their etiological and diagnostic clarity, and clinical management. This study aimed to examine differences in the use and perceived helpfulness of a broad range of conventional treatments and complementary interventions, including nutritional approaches, between patients with ME/CFS and depression. Methods: A cross-sectional online survey was conducted in 2024. A total of 819 participants self-identified as having either ME/CFS (n = 576) or depression (n = 243). Participants (80% female) reported their use and perceived helpfulness of 52 treatments and interventions, encompassing behavioral therapies, medications, and dietary supplements. Group differences were examined using multivariate analyses of variance and covariance (MANOVA/MANCOVA). Open-ended responses were analyzed descriptively using thematic grouping and frequency counts. Results: Participants with depression most commonly reported the use of psychotherapy (M = 2.49, SD = 1.00) and antidepressant medication (M = 2.44, SD = 2.30), and they rated fewer interventions as helpful compared to participants with ME/CFS. In contrast, participants with ME/CFS reported a significantly broader engagement with diverse intervention modalities, particularly pacing (M = 2.73, SD = 0.80) and dietary supplements (M = 2.43, SD = 1.09), and perceived many of them as helpful. Group differences remained significant after controlling for age, gender, and whether treatment was medically recommended. Supplements targeting energy metabolism (e.g., CoQ10, NADH) were especially favored among ME/CFS participants. Conclusions: Findings suggest that participants with ME/CFS tend to adopt an exploratory and expansive intervention approach, potentially reflecting the lack of standardized guidelines and limited effectiveness of available treatment options. Participants with depression, in contrast, appeared to follow more guideline-concordant, evidence-based treatment pathways. Taken together, the findings point to a need for further development and evaluation of empirically supported, patient-centered treatment and intervention strategies for ME/CFS and suggest differences in clinical care structures between ME/CFS and depression. Full article

A strategy for constructing trifluoromethylated spiroisoxazolones has been developed. This approach relies on the 1,3-dipolar cycloaddition of CF₃-substituted nitrile imines, generated in situ from trifluoroacetyl hydrazonoyl bromides and K₂CO₃, with the exocyclic double bond of 4-benzylidene-3-methylisoxazol-5(4H)-ones. The reaction provides a series of trifluoromethylated spiro(isoxazolone-pyrazoline) derivatives in moderate to high yields (up to 93%). The protocol exhibits broad substrate compatibility with respect to aromatic substituents on both reaction partners. To the best of our knowledge, the introduction of a trifluoromethyl group at the 3-position of the pyrazoline ring via nitrile imine cycloaddition chemistry has not been previously reported. The resulting products incorporate a valuable CF₃-substituted pyrazoline pharmacophore spiro-fused to an isoxazolone core and may be of interest for medicinal chemistry programs. Full article

Straw returning is a common agricultural practice that can enhance rice (Oryza sativa L.) yield in paddy systems. However, it also leads to a significant increase in greenhouse gas emissions (GHG). Fortunately, this negative impact can be mitigated by implementing enhanced oxygenation strategies during rice cultivation. This study explored the effects of various oxygenation measures on GHG under straw-returning conditions through controlled pot experiments. Six distinct treatments were applied. These included straw not returned (NR, no straw applied), straw returned (SR), controlled irrigation (CI), oxygenation irrigation (OI), application of oxygenated fertilizer (OF, CaO₂), and use of biochar-based fertilizer (CF). All treatment groups, with the exception of the NR group, involved the return of straw to the field. Creating rice production methods that increase yield and decrease emissions is of great importance to agricultural ecology. We postulated that using aeration methods under straw return conditions would stabilize rice yield and reduce GHG. The experimental results were consistent with our hypothesis. The experiment evaluated multiple parameters, including rice yield, leaf photosynthetic performance, soil ammonium and nitrate nitrogen (N) levels, and greenhouse gas emissions. The findings revealed that different oxygenation approaches significantly promoted rice tillering. Oxygenation measures have been shown to enhance rice yield by 19% to 65%. The highest tiller numbers were observed in the SR (22.75) and CF (21.6) treatments. Among all treatments, the CF achieved the highest seed setting rate at 0.94, which was notably greater than that of the other treatments. Total plant biomass was also significantly higher in the straw returning treatment (109.36 g), surpassing all other treatments. In terms of soil nitrogen dynamics, the OF treatment resulted in the highest nitrate nitrogen content. Meanwhile, the ammonium nitrogen concentrations across the four oxygenation treatments (CI, OI, OF, CF) ranged from approximately 7 to 8.9 mg kg⁻¹. Regarding GHG, the CF treatment exhibited the lowest methane emissions, which were 33% lower compared to the straw returning treatment. The OF led to a 22% reduction in carbon dioxide emissions (CO₂) relative to straw returning. Most notably, the CF reduced nitrous oxide emissions by 37% compared to the straw returning treatment. Overall, SR was found to substantially increase GHG. In contrast, all tested oxygenation measures—CI, OI, OF, and CF—were effective in suppressing GHG to varying degrees. Among these, the CF and OF demonstrated the most balanced and outstanding effects, both in reducing emissions and maintaining stable rice yields. Full article

Background: Chronic Fatigue Syndrome (CFS), also known as Myalgic Encephalomyelitis (ME), is a debilitating condition characterized by persistent fatigue and multisystemic symptoms, such as cognitive impairment, musculoskeletal pain, and post-exertional malaise. Recently, parallels have been drawn between ME/CFS and Long COVID, a post-viral syndrome following infection with SARS-CoV-2, which shares many clinical features with CFS. Both conditions involve chronic immune activation, raising questions about their immunopathological overlap. Objectives: This study aimed to compare immune biomarkers between patients with ME/CFS or Long COVID and healthy controls to explore shared immune dysfunction. Methods: We analyzed lymphocyte subsets, cytokine profiles, psychological status and their correlations in 190 participants, 65 with CFS, 54 with Long COVID, and 70 healthy controls. Results: When compared to healthy subjects, results in both conditions were marked by lower levels of lymphocytes (CFS—2.472 × 10⁹/L, p = 0.006, LC—2.051 × 10⁹/L, p = 0.009), CD8⁺ T cells (CFS—0.394 × 10⁹/L, p = 0.001, LC—0.404 × 10⁹/L, p = 0.001), and NK cells (CFS—0.205 × 10⁹/L, p = 0.001, LC—0.180 × 10⁹/L, p = 0.001), and higher levels of proinflammatory cytokines such as IL-6 (CFS—3.35 pg/mL, p = 0.050 LC—4.04 pg/mL, p = 0.001), TNF (CFS—2.64 pg/mL, p = 0.023, LC—2.50 pg/mL, p = 0.025), IL-4 (CFS—3.72 pg/mL, p = 0.041, LC—3.45 pg/mL, p = 0.048), and IL-10 (CFS—2.29 pg/mL, p = 0.039, LC—2.25 pg/mL, p = 0.018). Conclusions: Notably, there were no significant differences between CFS and Long COVID patients in the tested biomarkers. These results demonstrate that ME/CFS and Long COVID display comparable immune and inflammatory profiles, with no significant biomarker differences observed between the two groups. Full article

Background/Objectives: We aimed to determine sex and racial/ethnic disparities in associations between Acute Ischaemic stroke (AIS) with co-morbid heart failure (HF) and in-hospital outcomes, using the US National Inpatient Sample (NIS) in this retrospective observational study based on administrative data. Methods: AIS admissions from January 2016 to December 2019 were extracted from the NIS. Logistic regressions analysed relationships between HF and in-hospital mortality, length of stay >4 days, thrombectomy, thrombolysis, and complications at discharge adjusted for age and comorbidities. Additional models examined interactions between HF and sex, and HF and race/ethnicity. Results: Among 1,744,390 AIS hospitalizations, 16.36% had HF. 69.00% were White, 17.86% Black, 7.42% Hispanic, 2.79% Asian. No significant sex or racial/ethnic differences were found for in-hospital mortality. Patients with co-morbid HF had increased odds of complications at discharge in both sexes (odds ratio (95% confidence interval) 1.32 (1.27–1.37) in women and 1.21 (1.17–1.25) in men). HF (cf. no HF) showed stronger associations with increased complications at discharge in White (1.36 (1.32–1.40)) patients, compared to other racial/ethnic groups (Black 1.08 (1.03–1.13), Hispanic 1.10 (1.01–1.20), and Asian 1.13 (0.97–1.32)). HF was not significantly associated with thrombolysis in White patients (0.98 (0.95–1.02)) but was in Black (1.20 (1.13–1.28)), Hispanic (1.27 (1.14–1.40)), and Asian (1.36 (1.14–1.62)). Additionally controlling socioeconomic variables did not change the relationships except in Hispanic patients for complications, which has become insignificant (1.07 (0.98–1.17)). Conclusions: The association between HF and post-stroke outcomes differs by race/ethnicity and sex, even when adjusting for key predictors of outcomes. Further research is required to identify the drivers of these disparities. Full article

Soil samples from the urban area of Novi Sad were analyzed to determine the total concentrations of heavy metals including Cr, Pb, Cu, Zn, As, Mn, Ni, Co, Cd and Fe. In addition, leaching tests according to CEN 12457-2—Milli-Q deionized leaching procedure and ISO/TS 21268-2—CaCl₂ solution leaching procedure were conducted to assess the mobility of these metals. Multivariate statistical methods, including Pearson’s correlation, Principal Component Analysis (PCA) and Cluster Analysis, were applied to identify pollution sources and grouping patterns among elements. The results revealed a distinct clustering of Pb and Zn, separate from other metals, indicating their predominant origin from anthropogenic activities. Contamination Factor (CF), Pollution Load Index (PLI), and Geoaccumulation Index (Igeo) were calculated to evaluate the degree of pollution. Combining total concentration, mobility, and multivariate analyses offers a more comprehensive insight into the extent and origin of pollution in the urban area of Novi Sad. The results obtained are valuable for evaluating the soil conditions in the Western Balkans, which have been recognized as a necessity by the EU. Full article

Due to its high content of lignocellulose, cotton stalk is difficult to degrade naturally and utilize effectively, so it is often regarded as waste. In this study, the effects of Pleurotus ostreatus XH005, Lactiplantibacillus plantarum LP-2, and cellulase enzyme on the cotton stalk substrate under aerobic solid-state fermentation (SSF) conditions were investigated, and the metabolites were analyzed to identify potential functional compounds in the cotton-stalk-fermented feed. Preliminary optimization results obtained through single-factor experiments were as follows: fermentation time 14 days, XH005 inoculum size 8.00% (v/m), material-to-water ratio 1:0.50 (v/m), LP-2 inoculum size 2.00% (v/m), and cellulase addition 0.60% (m/m). Based on these single-factor experimental results, XH005 inoculum size, LP-2 inoculum size, material-to-water ratio, and cellulase addition were selected as independent variables. Through response surface methodology (RSM) optimization experiments, 29 experimental groups were designed. Subsequently, based on Box–Behnken analysis of variance (ANOVA) of lignin and cellulose content, along with contour and response surface plots, the optimal aerobic solid-state fermentation parameters were determined as follows: fermentation time 14 days, XH005 inoculum: 7.00% (v/m), material-to-water ratio: 1:0.55 (v/m), LP-2 inoculum: 2.00% (v/m), and cellulase enzyme addition: 0.65% (m/m). Results showed that compared with the control group (CK), the optimized group exhibited a 27.65% increase in lignin degradation rate and a 47.14% increase in cellulose degradation rate. Crude protein (CP) content increased significantly, while crude fiber (CF), detergent fiber and mycotoxin contents decreased significantly. Non-targeted metabolic analysis indicated that adding cellulase and inoculating Pleurotus ostreatus XH005 and Lactiplantibacillus plantarum LP-2 in aerobic SSF of cotton straw feed produced functionally active substances such as kaempferol (C343), carvone (C709) and trilobatin (C604). Therefore, this study demonstrates that microbial-enzyme co-action SSF significantly enhances the nutritional composition of cotton stalk hydrolysate. Furthermore, this hydrolysate is suitable for the production of functional compounds, endowing the fermented feed with health-promoting properties and enhancing the utilization of cotton processing byproducts in the feed industry. Full article

Although Gulf War Illness (GWI), fibromyalgia (FM), myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and long COVID have distinct origins, in this article we have reviewed evidence that these disorders comprise a group of so-called low-energy associated disorders with overlapping common symptoms underlying pathology. In particular, evidence for mitochondrial dysfunction, oxidative stress, inflammation, immune dysregulation, neuroendocrine dysfunction, disrupted brain–gut-microbiome axis, apoptosis/ferroptosis and telomere shortening as common features in the pathogenesis of these disorders has been identified. Given the role of coenzyme Q10 (CoQ10) in promoting normal mitochondrial function, as an antioxidant, antiinflammatory and antiapoptotic and antiferroptotic agent, there is a rationale for supplementary CoQ10 in the management of these disorders. The reported benefits of supplementary CoQ10 administration in GWI, FM, ME/CFS and long COVID have been reviewed; the potential benefit of supplementary CoQ10 in reducing telomere shortening and improving the efficiency of stem cell transfer relevant has also been identified as promising therapeutic strategies in these disorders. This review advances beyond previous systematic reviews and consensus statements on overlapping similar symptoms and underlying biological pathomechanisms in these complex disorders. Full article

Soil quality assessment plays a critical role in promoting sustainable land management, particularly in fragile steppe ecosystems. This study provides a comprehensive geoecological evaluation of heavy metal contamination (Pb, Cd, Zn, Cu, Co, Ni, Fe, and Mn) in soils across five districts of the Akmola region, Kazakhstan. The assessment incorporates multiple integrated pollution indices, including the geochemical pollution index (Igeo), pollution coefficient (CF), ecological risk index (Er), pollution load index (PLI), and integrated pollution index (Zc). Spatial analysis combined with multivariate statistical techniques (PCA and clustering analysis) was used to identify pollutant distribution patterns and differentiate areas by risk levels. The findings reveal generally low to moderate contamination, with cadmium (Cd) posing the highest environmental risk due to its elevated toxic response coefficient, despite its low concentration. The study also explores the connection between current soil conditions and historical land-use changes, particularly those associated with the Virgin Lands Campaign of the mid-20th century. The highest PLI values were recorded in the Yesil and Atbasar districts (7.88 and 7.54, respectively), likely driven by intensive agricultural activity and lithological factors. PCA and cluster analysis revealed distinct spatial groupings, reflecting heterogeneity in both the sources and distribution of soil pollutants. Full article

The present study investigates the extent and spatial distribution of metal concentration in stream sediments that flow into Keban Dam Lake, Turkey. Sediment samples were analysed for trace and potentially toxic elements (PTEs), including V, Cr, Co, Ni, Cu, Zn, Pb, Tl, Th, and U. Enrichment Factor (EF), Contamination Factor (CF), Geo-accumulation Index (Igeo), and Pollution Load Index (PLI) were employed to assess contamination levels. Results reveal that Cr exhibited very high enrichment (EF = 15.95) in downstream urban samples, while Cu and Zn showed high enrichment in samples collected from the middle to lower reaches of the stream, probably indicating anthropogenic contributions. Most other elements, such as Pb, Tl, Th, and U, were within natural background levels. Sediment Quality Guidelines (SQGs) indicate that Cr, Ni, and Cu may pose potential ecological risks, especially in samples from urban-influenced and downstream areas where concentrations exceed the Probable Effect Levels (PEL; Cr: 160 mg/kg, Ni: 42.8 mg/kg, Cu: 108 mg/kg). Multivariate statistical analyses, including Pearson correlation and hierarchical clustering, reveal three distinct geochemical groupings. Among these, the most contaminated cluster—corresponding to midstream and downstream regions—is characterized by elevated Cu and Zn concentrations. Strong correlations among Cu–Zn, Ni–Cu, and Th–U suggest there is a combination of anthropogenic and lithogenic sources for most metals. While most sites showed low to moderate pollution, urban downstream locations exhibited significant metal accumulation, necessitating the region’s continued environmental monitoring and management strategies. Full article

Background/Objectives: Kiperin Postbiotics, defined as non-viable metabolic products derived from probiotics, have gained attention as potential modulators of cellular responses involved in tissue repair. This study aimed to evaluate the effects of a postbiotic supplement (PS)—composed of inactivated strains of Escherichia coli, Lacticaseibacillus rhamnosus, and Lactiplantibacillus plantarum—on fibroblast function, particularly in the context of bacterial secretomes from common pathogenic strains. Methods: Human fibroblast cell lines (HFF-1 and CCD-18Co) were treated with cell-free supernatants (CFS) from E. coli ATCC 25922, Staphylococcus aureus ATCC 29213, and Enterococcus faecalis ATCC 29212, either alone or in combination with the PS. Assessments included cell count, migration (via scratch assay), oxidative stress levels, and expression of immune-related genes (IL-6, IL-10, TNF-α, DRD4). Results: CFS from E. faecalis significantly increased fibroblast counts, whereas E. coli and S. aureus CFS reduced cell counts and elevated oxidative stress. Co-treatment with PS reversed these effects in a strain-dependent manner by lowering oxidative stress and partially restoring cell proliferation. Scratch assays demonstrated enhanced migration in PS-treated fibroblasts. Gene expression analyses revealed no statistically significant changes, though variable trends were observed across treatment groups. Conclusions: PS may mitigate the harmful effects of certain bacterial secretomes while preserving or enhancing beneficial ones. Its ability to reduce oxidative stress and promote fibroblast proliferation and migration suggests a potential pro-regenerative role in vitro. Although gene expression changes were limited, the results offer initial insights into the underlying molecular responses influenced by postbiotic supplementation. Full article

Additive manufacturing (AM) is one of the most frequently used technologies to produce complex configuration products. Moreover, AM is very well known as a technology which is characterized by a low amount of generated waste and the potential to be called zero-waste technology. As is known, there are seven main groups of technologies described in the ISO/ASTM 52900 standard that allow the use of very different materials from polymers to metals, ceramics, and composites. However, the increased utilization of additively manufactured composites for different applications requires a deeper analysis of production processes and materials’ characteristics. Various AM technologies can be used to produce complex composite structures reinforced with short fibers; however, only material extrusion (MEX)-based technology is used for the production of composites reinforced with continuous fibers (CFs). At this time, five different methods exist to produce CF-reinforced composite structures. This study focuses on co-extrusion with the towpreg method. Because of the complexity and layer-by-layer nature of the process, defects can occur during production, such as poor interlayer adhesion, increased porosity, insufficient impregnation, and others. To eliminate or minimize defects’ influence on mechanical properties and structural integrity of additively manufactured structures, a hypothesis was proposed involving heat treatment. Carbon fiber’s conductive properties can be used to heal the composite structures, by heating them up through the application of electric current. In this research article, an experimental evaluation of conditions for additively manufactured composites with continuous carbon fiber reinforcement for self-healing processes is presented. Mechanical testing was conducted to check the influence of heat treatment on the flexural properties of the composite samples. Full article

The choice of carbon inequality metrics can significantly influence demand-side mitigation policies and their equity outcomes. We propose integrated carbon inequality metrics, including juxtaposing carbon inequality with economic inequality, disparity ratios across income and age groups, and structural income–urbanization inequality patterns. We then apply these new metrics and use the household expenditure survey data from China Family Panel Studies as a case study to examine household consumption-based carbon emissions in China. We assess the extent to which household consumption patterns, household expenditure, age, and urbanization contribute to the gap in per-capita household carbon footprints (CF) across income groups. We find that in relative terms, the top 20% income group accounts for 38% of total emissions, whereas the bottom 20% emit about 8% in China. Per-capita CFs vary slightly widely in their inequality than expenditure. The CF disparity ratios of all eight consumption categories across provinces concentrate around 4.5. CF disparity ratios of households with elderly members range from 1 to 3 and decrease with increasing household size. Rural CF-Gini exhibit a slightly wider range (0.15 to 0.52) than urban CF-Gini (0.16 to 0.42). Per capita CF of urban inhabitants was substantially larger than that of the rural ones, with 8.83 tCO₂ per capita in urban regions vs. 2.68 tCO₂ in rural regions. This study provides a nuanced understanding of within-country disparities to inform equitable demand-side mitigation solutions. Full article

Background/Objectives: Orthostatic intolerance is prevalent in patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and is caused by an abnormal reduction in cerebral blood flow (CBF). In healthy controls (HCs), CBF is regulated complexly, and cardiac output (CO) is an important determinant of CBF. A review in HC showed that a 30% reduction in CO results in a 10% reduction in CBF. In contrast, we showed in ME/CFS patients with a normal HR (HR) and blood pressure response during a tilt test that CO and CBF decreased to a similar extent. The relation between CO and CBF in ME/CFS patients with postural orthostatic tachycardia syndrome (POTS) is unknown. Therefore, the aim of this study is to assess the relation between CBF and CO, in ME/CFS patients with POTS. The methods used in this retrospective study analyze this relation in a large group of patients. We also analyzed the influence of clinical data. A total of 260 ME/CFS patients with POTS underwent tilt testing with measurements of HR, BP, CBF, CO, and end-tidal PCO₂. We measured CBF using extracranial Doppler flow velocity and vessel diameters obtained with a General Electric echo system, and suprasternal aortic flow velocities were measured using the same device. We recorded end-tidal PCO₂ using a Nonin Lifesense device. Results: End-tilt HR and the HR increase were significantly higher in the patients with a %CO reduction ≥ −15% than in the other group. End-tilt CO was higher and the %CO reduction was lower in patients with %CO reduction ≥ −15% than in the other group. CBF data (supine, end-tilt and the %CBF reduction) were not different between the two patient groups. The use of HR increases and %SV reductions were not as discriminative as the %CO reduction. Conclusions: In ME/CFS patients with POTS during tilt testing with measurements of both the CO and the CBF, two different patterns were observed: (1) appr. two-thirds of patients had an almost 1:1 relation between the %CBF reduction and the %CO reduction. (2) Appr. one-third of patients showed a limited reduction in CO together with a substantial increase in HR. In these patients, there was no relation between the CO and CBF reduction. These data suggest the presence of a hyperadrenergic response. Full article

The urban zone around the city of Volos, a Greek city with a historically industrialized profile, faces threats arising from Potential Toxic Element (PTE) contamination. The scope of this study is to determine the contamination levels of 10 PTEs in three urban areas which are located near the industrial zone in the city of Volos. For this purpose, a total of 30 soil samples from parks, playgrounds and roadsides were collected from the Agios Georgios, Velestino and Rizomilos areas (Magnesia, Central Greece). The sampling was conducted in June 2022 and the concentrations of chromium (Cr), nickel (Ni), copper (Cu), arsenic (As), cadmium (Cd), lead (Pb), iron (Fe), manganese (Mn), cobalt (Co) and zinc (Zn) were measured through inductively coupled plasma mass spectrometry (ICP-MS). The Contamination Factor (CF), Pollution Load Index (PLI) and Geo-accumulation Index (Igeo) revealed moderate pollution in most cases, whereas in some sites the contamination was significant for Ni or for As. Principal Component Analysis showed concomitant changes for some PTEs in Component 1 and for others in Component 2, explaining approximately 67% of the variation. K-means Cluster Analysis showed two distinct groups of PTE-impacted sites within these urban areas. It can be postulated that industrial activities may have a carry-over effect on the soil in residential areas. Frequent monitoring of areas deemed as “contaminated” and time-series data are needed to examine in depth the soil pollution in cities and its possible shifts in relation to the changes in industrialization status in the extended urban areas. Full article