Search Results (54)

Background: Pityriasis versicolor (PV) is a common superficial mycosis caused by Malassezia species. To describe the clinical and epidemiological characteristics of PV in Acapulco, Mexico, and to identify the associated Malassezia species using polymerase chain reaction–restriction fragment length polymorphism (PCR-RFLP). Methods: A cross-sectional study was conducted in 2024 at Acapulco General Hospital and a private dermatology clinic. Patients with clinically suspected PV and no recent antifungal or immunosuppressive treatment were enrolled. Skin scales were examined microscopically and cultured on modified Dixon agar. Isolates were identified using conventional methods and PCR-RFLP with HhaI and BstCI enzymes. Results: Sixty-nine patients were included; 68.1% were male, and the most affected age group was 11–20 years (34.8%). The hypochromic variant predominated (63.8%). PCR-RFLP identified M. globosa (33.3%) and M. furfur (31.9%) as the most frequent species, followed by M. restricta, M. sympodialis, and M. slooffiae. Species identification was unsuccessful in 11.6% of isolates. No statistically significant associations were found between clinical variants, gender, or species distribution. Conclusions: M. globosa and M. furfur were the predominant species in this tropical Mexican cohort. PCR-RFLP is a practical option for species-level identification, highlighting the diversity of Malassezia in PV. Full article

Diurnal birds of prey (Falconiformes and Accipitriformes) often display karyotypes that diverge markedly from the putative ancestral avian condition (2n = 80), with reduced diploid numbers and fewer microchromosome pairs driven by extensive chromosomal rearrangements. The harpy eagle (Harpia harpyja) was the first raptor analyzed by chromosome painting, revealing a karyotype (2n = 58) shaped by both microchromosome fusions and macrochromosome fissions followed by secondary fusions. However, these earlier analyses were limited in probe coverage. Here, we present a comprehensive chromosomal map of H. harpyja using multidirectional chromosome painting combined with chromosome-level genome assembly data. We integrated cross-species probes from Gallus gallus and Leucopternis albicollis with high-resolution genomic data to refine syntenic relationships and identify fission–fusion hotspots. G. gallus probes confirmed most previously described and genomically inferred associations but revealed novel features, including a new GGA1/GGA3 association and an increased number of GGA1-derived segments (five to six). Genomic data did not support previously suggested fusions involving GGA20–HHA1 or GGA12–Z. Dual-probe FISH further uncovered lineage-specific rearrangements, indicating rapid chromosomal evolution within Accipitriformes. This integrative approach clarifies harpy eagle genome organization and highlights dynamic evolutionary restructuring in raptor chromosomes. Full article

Background/Objectives: Hip hemiarthroplasty (HHA) for femoral neck fractures (FNFs) can be performed via the posterolateral approach (PLA), straight lateral approach (SLA) or direct anterior approach (DAA). However, the optimal approach remains unclear. This study evaluated mortality and return-to-home rates following an institutional transition from SLA to DAA. Methods: This retrospective observational cohort study included patients who underwent primary cemented unipolar hip hemiarthroplasty for FNF during a period of transition in surgical approach (2015–2023). Clinical outcomes between the straight lateral and direct anterior approach were compared. Primary outcomes were the mortality and return-to-home rates. Secondary outcomes included perioperative parameters and complications. A subgroup analysis was performed using Fracture Mobility Score (FMS) and Katz activities of daily living (ADL) index to compare functional outcomes. Results: Over a 9-year period, a total of 762 HHA were performed, of which 411 SLA and 333 DAA. Mortality at 90 days (14.1% vs. 8.7%, p = 0.029) and 1 year (26.5% vs. 17.7%, p = 0.005) were significantly higher in the SLA group. Among patients living at home preoperatively, return-to-home after surgery was lower for SLA compared to DAA (23.2% vs. 41.4%, p < 0.001). In terms of complications, SLA had significantly lower rates of periprosthetic joint infections (SLA n = 6 (1.5%) vs. DAA n = 15 (4.6%), p = 0.024). The decline in Katz ADL score at three months was significantly greater in the SLA group than in the DAA group (ΔKatz ADL −0.73 ± 1.57 vs. −0.11 ± 1.60, p = 0.036). Conclusions: Transitioning from SLA to DAA in HHA was associated with improved preservation of independent living, higher return-to-home rates and lower 90-day and 1-year mortality. However, DAA was also associated with higher rates of PJI. Full article

Acute respiratory distress syndrome (ARDS) is a fatal inflammatory lung disorder with few effective treatments. Hyaluronan (HA), a major extracellular matrix component, exhibits diverse biological activities depending on its molecular weight. This study aimed to evaluate the therapeutic potential of HA of various molecular weights in a rat model of ARDS. ARDS was induced in rats via the intratracheal instillation of 5 mg of bleomycin. Seven days later, when ARDS symptoms developed, low (LHA), medium (MHA), high (HHA), and mixed (MIX HA) hyaluronan were intratracheally administered seven times from Days 7 to 28. On Day 7, arterial oxygen saturation (SpO₂) and the partial pressure of oxygen (PaO₂) decreased, carbon dioxide levels increased, the respiratory rate increased, and extensive lung cell infiltration was observed, confirming successful ARDS induction. LHA and MIX HA improved the SpO₂ and PaO₂, and the latter increased lung and alveolar volume, reduced infiltration, and normalized breathing. All HA types attenuated collagen deposition and M1 macrophage activity, while MIX HA enhanced M2 polarization and upregulated MMP-2, MMP-9, and TLR-4. LHA increased VEGF and EGF expression. These findings demonstrate that different-weight HAs provide partial ARDS protection via distinct mechanisms. MIX HA shows synergistic effects, restoring and improving lung structure and function, respectively, representing a promising ARDS therapy. Full article

Background: Brain tumors present a significant clinical problem due to high mortality and strong heterogeneity in size, shape, location, and tissue characteristics, complicating reliable MRI analysis. Existing automated methods are limited by non-selective skip connections that propagate noise, axis-separable attention modules that poorly integrate channel and spatial cues, shallow encoders with insufficiently discriminative features, and isolated optimization of segmentation or classification tasks. Methods: We propose a model using an EfficientNetV2S backbone with a Hierarchical Hybrid Attention (HHA) mechanism. The HHA couples a global-context pathway with a local-spatial pathway, employing a correlation-driven, per-pixel fusion gate to explicitly model interactions between them. Multi-scale dilated blocks are incorporated to enlarge the effective receptive field. The model is applied to a multiclass brain tumor MRI dataset, leveraging shared representation learning for joint segmentation and classification. Results: The design attains a Dice score of 92.25% and a Jaccard index of 86% for segmentation. For classification, it achieves an accuracy of 99.53%, with precision, recall, and F1 scores all close to 99%. These results indicate sharper tumor boundaries, stronger noise suppression in segmentation, and more robust discrimination in classification. Conclusions: The proposed framework effectively overcomes key limitations in brain tumor MRI analysis. The integrated HHA mechanism and shared representation learning yield superior segmentation quality with enhanced boundary delineation and noise suppression, alongside highly accurate tumor classification, demonstrating strong clinical utility. Full article

As a global staple ensuring food security, maize incurs 15–20% annual yield loss from pests/diseases. Conventional manual detection is inefficient (>7.5 h/ha) and subjective, while existing YOLO models suffer from >8% missed detections of small targets (e.g., corn armyworm larva) in complex fields due to feature loss and poor multi-scale fusion. We propose YOLO-FDLU, a YOLO11s-based framework: LAD (Light Attention-Downsampling)-Conv preserves small-target features; C3k2_DDC (DilatedReparam–DilatedReparam–Conv) enhances cross-scale fusion; Detect_FCFQ (Feature-Corner Fusion and Quality Estimation) optimizes bounding box localization; UIoU (Unified-IoU) loss reduces high-IoU regression bias. Evaluated on a 25,419-sample dataset (6 categories, 3 public sources + 1200 compliant web images), it achieves 91.12% Precision, 92.70% mAP@0.5, 78.5% mAP@0.5–0.95, and 20.2 GFLOPs/15.3 MB. It outperforms YOLOv5-s to YOLO12-s, supporting precision maize pest/disease monitoring. Full article

Background: The growing demand for minimally invasive aesthetic procedures highlights the need for innovative injectable solutions that target skin aging beyond volumization. Hyaluronic acid (HA)-based fillers remain a cornerstone of aesthetic treatments, but traditional formulations often offer limited benefits in improving skin quality parameters such as elasticity. This study evaluated the efficacy and safety of an injectable formulation composed of 2.6% high molecular weight hyaluronic acid (H-HA) and 3.2% sorbitol, designed to improve skin biomechanical properties through subcutaneous administration. Methods: In this single-center, open-label, single-arm clinical trial, 86 participants aged 35 to 70 years received a single injection in the facial region. Clinical outcomes were assessed at baseline (day 0), one month (M1), and four months (M4) post-injection using the Global Aesthetic Improvement Scale (GAIS), instrumental Cutometer^® measurements of skin elasticity and recovery, and patient satisfaction questionnaires. Results: Significant improvements in skin elasticity and recovery were observed at M4 following a single administration. The product was well tolerated, with only mild and transient injection site reactions observed. Conclusions: These exploratory findings support the clinical benefit of combining high-concentration H-HA with sorbitol to enhance skin quality in a safe and minimally invasive manner. These preliminary results position this formulation as a promising option for facial rejuvenation, targeting biomechanical improvement through a single-session injectable protocol. Full article

Considering the lightweight requirement of modular multilevel converter (MMC), the implementation of arm multiplexing significantly improves submodule utilization and achieves remarkable lightweight performance. However, the challenges of overvoltage and energy imbalance during pole-to-ground fault still exist. To address these issues, this paper proposes a hybrid half-wave alternating MMC (HHA-MMC) and presents its fault ride-through strategy. First, a transient equivalent model based on topology and operation principles is established to analyze fault characteristics. Depending on the arm’s alternative multiplexing feature, the half-wave shift non-blocking fault ride-through strategy is proposed to eliminate system overvoltage and fault current. Furthermore, to eliminate energy imbalance caused by asymmetric operation during non-blocking transients, dual-modulation energy balancing control based on the third-harmonic current and the phase-shifted angle is introduced. This strategy ensures capacitor voltage balance while maintaining 50% rated power transmission during the fault period. Finally, simulations and experiments demonstrate that the lightweight HHA-MMC successfully accomplishes non-blocking pole-to-ground fault ride-through with balanced arm energy distribution, effectively enhancing power supply reliability. Full article

Access to hand hygiene (HH) resources in clinical settings is important to prevent healthcare-associated infections, including COVID-19. However, many countries, including Belize, have limited national data on the availability of HH resources and healthcare worker (HCW) hand hygiene adherence (HHA) in healthcare facilities (HCFs). We conducted a study in the 11 largest public HCFs across Belize to evaluate access to HH resources and HHA before and after an intervention (provision of alcohol-based hand rub (ABHR) wall mounts and HH training). Descriptive statistics and multilevel logistic regressions were used to assess changes in HH resources and HHA from baseline to follow-up and explore factors associated with HHA. There was a 19 percent increase in rooms with functional wall-mounted ABHR dispensers (44% to 63%) post-intervention. HHA did not improve from baseline (52%) to follow-up (50%). Combining baseline and follow-up data, HHA was higher when ABHR and soap and water were present (aOR = 4.19, 95% CI = 2.11, 8.32) and when only ABHR was present (aOR = 3.85, 95% CI = 1.92, 7.72) compared with when soap and water were present alone. The decreased perceived risk of COVID-19 at follow-up may explain the null HHA findings. However, our assessment of HH resources and practices provides a useful foundation for future HH programs in HCFs. Full article

Background: Nasopharyngeal carcinoma (NPC) is a malignant tumor with high prevalence in southern China. Aberrant DNA methylation, as a hallmark of cancer, is extensively present in NPC, the detection of which facilitates early diagnosis and prognostic improvement of NPC. Conventional methylation detection methods relying on bisulfite conversion have limitations such as time-consuming, complex processes and sample degradation; thus, a more rapid and efficient method is needed. Methods: We propose a novel DNA methylation assay based on methylation-sensitive restriction endonuclease (MSRE) HhaI digestion and Glycerol-enhanced recombinase polymerase amplification (RPA)-CRISPR/Cas12a detection (HGRC). MSRE has a fast digestion rate, and HhaI specifically cleaves unmethylated DNA at a specific locus, leaving the methylated target intact to trigger the downstream RPA-Cas12a detection step, generating a fluorescence signal. Moreover, the detection step was supplemented with glycerol for the separation of Cas12a-containing components and RPA- and template-containing components, which avoids over-consumption of the template and, thus, enhances the amplification efficiency and detection sensitivity. Results: The HGRC method exhibits excellent performance in the detection of a CNE2-specific methylation locus with a (limit of detection) LOD of 100 aM and a linear range of 100 aM to 100 fM. It also responds well to different methylation levels and is capable of distinguishing methylation levels as low as 0.1%. Moreover, this method can distinguish NPC cells from normal cells by detecting methylation in cellular genomes. This method provides a rapid and sensitive approach for NPC detection and also holds good application prospects for other cancers and diseases featuring DNA methylation as a biomarker. Full article

(1) Background: This study evaluated the effects of BiotiQuest^® Sugar Shift^®, a novel probiotic formulation, for its impact on gut microbiome composition and metabolic health in type 2 diabetes mellitus (T2D). T2D is characterized by chronic inflammation and gut microbiome imbalances, yet the therapeutic potential of targeted probiotics remains underexplored. (2) Methods: In a 12-week randomized, double-blind, placebo-controlled trial, 64 adults with T2D received either Sugar Shift or placebo capsules twice daily. Each dose provided 18 billion CFU of eight GRAS-certified bacterial strains and prebiotics. Clinical samples were analyzed for metabolic markers, and microbiome changes were assessed using 16S rRNA sequencing and metagenomics. (3) Results: Sugar Shift significantly reduced serum lipopolysaccharide (LPS) levels, improved insulin sensitivity (lower HOMA-IR scores), and increased short-chain fatty acid (SCFA)-producing genera, including Bifidobacterium, Faecalibacterium, Fusicatenibacter, and Roseburia. Pro-inflammatory taxa like Enterobacteriaceae decreased, with reduced LPS biosynthesis genes and increased SCFA production genes. The Lachnospiraceae:Enterobactericeae ratio emerged as a biomarker of reduced inflammation. (4) Conclusions: These findings demonstrate the potential of Sugar Shift to restore gut homeostasis, reduce inflammation, and improve metabolic health in T2D. Further studies are warranted to explore its long-term efficacy and broader application in metabolic disease management. Full article

Depth cameras can provide an effective, noncontact, and privacy-preserving means to monitor patients in the Neonatal Intensive Care Unit (NICU). Clinical interventions and routine care events can disrupt video-based patient monitoring. Automatically detecting these periods can decrease the time required for hand-annotating recordings, which is needed for system development. Moreover, the automatic detection can be used in the future for real-time or retrospective intervention event classification. An intervention detection method based solely on depth data was developed using a vision transformer (ViT) model utilizing real-world data from patients in the NICU. Multiple design parameters were investigated, including encoding of depth data and perspective transform to account for nonoptimal camera placement. The best-performing model utilized ∼85 M trainable parameters, leveraged both perspective transform and HHA (Horizontal disparity, Height above ground, and Angle with gravity) encoding, and achieved a sensitivity of 85.6%, a precision of 89.8%, and an F1-Score of 87.6%. Full article

Liquid-core nanocapsules (NCs) coated with amphiphilic hyaluronic acid (AmHA) have been proposed for the preparation of drug and food formulations. Herein, we focused on the use of ultrasound techniques to (i) optimize the polysaccharide chain length with respect to the properties of NCs stabilized with AmHAs and (ii) form oil-core nanocapsules with a coating composed of AmHAs. The results indicate that sonication is a convenient and effective method that allows for a controlled reduction in HA molecular weight. The initial (H-HA) and degraded (L-HA) polysaccharides were then reacted with dodecylamine to obtain hydrophobic HA derivatives (HA-C12s). Then, NCs were prepared based on HA-C12s using ultrasound-assisted emulsification of glyceryl triacetate oil. The nanocapsules coated with L-HA-C12 showed greater stability compared to the longer-chain polysaccharide. Molecular dynamics (MD) simulations revealed that HA-C12 readily adsorbs at the water–oil interphase, adopting a more compact conformation compared to that in the aqueous phase. The dodecyl groups are immersed in the oil droplet, while the main polysaccharide chain remaining in the aqueous phase forms hydrogen bonds or water bridges with the polar part of the triglycerides, thus increasing the stability of the NC. Our research underscores the usefulness of ultrasound technology in preparing suitable formulations of bioactive substances. Full article

Lead nitrate (LN) is frequently employed as an activator in the flotation of cassiterite using hydroxamic acids as the collectors. This study investigated the effect of LN on the hydrophobic aggregation of cassiterite when benzohydroxamic acid (BHA), hexyl hydroxamate (HHA), and octyl hydroxamate (OHA) were used as the collectors through micro-flotation, focused beam reflectance measurement (FBRM) and a particle video microscope (PVM), zeta potential, and the extended DLVO theory. Micro-flotation tests confirmed that LN activated the flotation of cassiterite using the hydroxamic acids as collectors. Focused beam reflectance measurement (FBRM) and a particle video microscope (PVM) were used to capture in situ data on the changes in size distribution and morphology of cassiterite aggregates during stirring. The FBRM and PVM image results indicated that the addition of LN could promote the formation of hydrophobic aggregates of fine cassiterite, when BHA or HHA was used as the collector, and reduce the dosage of OHA needed to induce the formation of hydrophobic aggregates of cassiterite. The extended DLVO theory interaction energies indicated that the presence of LN could decrease the electrostatic interaction energies (V_edl) and increase the hydrophobic interaction energies (V_hy) between cassiterite particles, resulting in the disappearance of the high energy barriers that existed between the particles in the absence of LN. Thus, cassiterite particles could aggregate in the presence of LN when BHA, HHA, or a low concentration of OHA was used as the collector. Full article

Mycobacterium tuberculosis (Mtb), as a typical intracellular pathogen, possesses several putative restriction–modification (R-M) systems, which restrict exogenous DNA’s entry, such as bacterial phage infection. Here, we investigate Rv2528c, a putative Mrr-like type IV restriction endonuclease (REase) from Mtb H37Rv, which is predicted to degrade methylated DNA that contains m6A, m5C, etc. Rv2528c shows significant cytotoxicity after being expressed in Escherichia coli BL21(DE3)pLysS strain. The Terminal deoxynucleotidyl transferase dUTP Nick-End Labeling (TUNEL) assay indicates that Rv2528c cleaves genomic DNA in vivo. The plasmid transformation efficiency of BL21(DE3)pLysS strain harboring Rv2528c gene was obviously decreased after plasmids were in vitro methylated by commercial DNA methyltransferases such as M.EcoGII, M.HhaI, etc. These results are consistent with the characteristics of type IV REases. The in vitro DNA cleavage condition and the consensus cleavage/recognition site of Rv2528c still remain unclear, similar to that of most Mrr-family proteins. The possible reasons mentioned above and the potential role of Rv2528c for Mtb were discussed. Full article