Search Results (113)

Curcuminoids from Curcuma longa L. (curcumin, demethoxycurcumin, bisdemethoxycurcumin) are attractive bioactives yet constrained by low water solubility and chemical instability. Herein, we introduce a Supramolecular Deep Eutectic Solvent (SupraDES) as a “Janus” green platform, combining extraction and stabilization with a subsequent solvent-to-material strategy. Eight NaDES/SupraDES formulations based on choline chloride (ChCl) or betaine with glycerol (Gly) or citric acid (CitA), with/without β-cyclodextrin (βCD), were assessed. The extinction coefficients of the most promising solvents were extrapolated at 425 nm for the UV–vis quantification of curcuminoids, to determine extraction performance. The SupraDES ChCl:Gly:βCD gave the best performance during the first solvent screening, improving at the same time the bioactive stability (after 30-day, 47.5% loss vs. 62.8% of ChCl:Gly alone). Subsequent microwave-assisted extraction (MAE) optimization identified 80 °C as the optimal process temperature, with near-equilibrium reached within 15 min (3139.4 µgCurc/gEXT). Peleg modelling (R² = 0.997) indicated a fast extraction rate and limited benefit from longer residence times. Finally, the curcuminoid-loaded SupraDES was incorporated into polyvinyl alcohol (PVA) networks crosslinked with CitA and 2,5-bis(hydroxymethyl)furan (BHMF); thermal analysis confirmed the formation of a stable crosslinked structure. To the best of our knowledge, this is the first report of a βCD-based SupraDES acting as a Janus platform that couples supramolecular extraction of lipophilic bioactives with their direct incorporation into bio-based polymeric materials, exemplifying an integrated green chemistry approach aligned with circular bioeconomy principles. Full article

Background: Recreational half-marathon participation is increasing, particularly among middle-aged amateur runners, yet the interpretation of early post-race cardiac findings remains challenging in exercise-based cardiovascular health evaluation. This exploratory study assessed early post-race changes in left ventricular diastolic indices and circulating biomarkers in 20 healthy amateur runners (80% male; mean age 50.7 ± 12.3 years) after the 11th PELLA HALF MARATHON (21.1 km). Methods: Participants underwent transthoracic echocardiography and venous blood sampling within 30 days before the race and within 30 min after finishing. Diastolic assessment included the E/A ratio, tissue Doppler early diastolic myocardial velocity (e′), the E/e′ ratio, isovolumic relaxation time (IVRT), and left atrial area. Biomarkers included C-reactive protein (CRP), creatine phosphokinase (CPK), creatine kinase-MB (CK-MB), and high-sensitivity cardiac troponin I (hs-cTnI). Results: Post-race assessment showed a consistent pattern of lower early diastolic filling/relaxation indices, higher IVRT and left atrial area, and significant increases in all measured biomarkers. hs-cTnI exceeded the sex-specific 99th percentile upper reference limit in 7/20 participants (35%). Conclusions: Half-marathon completion was associated with early echocardiographic and biomarker changes in this cohort of amateur runners. These findings are consistent with acute physiological cardiac stress and may help clinicians contextualise early post-race abnormalities when advising on vigorous endurance exercise participation. However, subclinical myocardial injury cannot be excluded without serial biomarker assessment and advanced imaging, and the findings should be interpreted as exploratory because of the small convenience sample, absence of a control group, lack of hydration assessment, and single early post-race timepoint. Full article

Background: Understanding how demographic and clinical factors influence SARS-CoV-2 infection patterns, vaccination uptake and disease outcomes in community settings is essential for effective primary care-based public health planning. Objectives: This study aimed to investigate the distribution of SARS-CoV-2 infections among adults attending Primary Healthcare (PHC) facilities in Giannitsa, Greece, from 2020 to 2024, and to examine associations between demographic and clinical characteristics, vaccination category and disease outcomes. Methods: A retrospective analysis was conducted using data from the National Registry of Patients with COVID-19. The study included 1144 adults diagnosed with SARS-CoV-2 at PHC facilities from 19 November 2020 to 3 October 2024; all cases included in the present analysis had been confirmed by rapid antigen testing. Variables included age, gender, residence, registry-recorded underlying medical conditions, vaccination category, seasonality and clinical outcome. Results: Significant shifts in case distribution were observed across time, with younger adults predominating in 2020–2022 and older adults (61–90 years) in 2023–2024 (p < 0.001). Winter months showed higher case incidence overall (p < 0.001). Vaccination coverage increased annually, reaching 84.8% in 2024 (p < 0.001). Hospitalization/death occurred in 1.7% of patients and was strongly associated with age ≥61 years (6.0% vs. 0.3%), the presence of at least one registry-recorded underlying medical condition (9.2% vs. 0.9%) and vaccination category; specifically, hospitalization/death occurred in 10.4% of individuals diagnosed during the pre-vaccine period, 2.3% of unvaccinated individuals during the vaccination era and 0.9% of vaccinated individuals (all p < 0.001). Conclusions: Older age, underlying medical conditions and a lack of vaccination were key predictors of worse outcomes. The findings underscore the importance of strengthening vaccination outreach and targeted PHC interventions, particularly for high-risk and rural populations. Full article

Background: The relationship between testosterone and coronary artery disease (CAD) remains a subject of debate. Most studies suggest an inverse association—lower testosterone, higher risk. However, data from Central European populations undergoing coronary angiography are limited. Objectives: To investigate the association between serum testosterone levels and angiographically confirmed coronary artery stenosis in a Slovak population. Methods: This cross-sectional study included 129 consecutive stable patients (84 men, 45 women; mean age 64.3 ± 9.7 years) undergoing elective coronary angiography for suspected stable coronary artery disease. Significant coronary stenosis was defined as ≥50% luminal narrowing in any major epicardial vessel. Serum testosterone, lipid profile, and traditional risk factors were assessed. Univariate and multivariate logistic regression models were constructed to evaluate independent associations of coronary stenosis. Results: Coronary stenosis ≥ 50% was present in 74 patients (57.4%). Notably, patients with stenosis had significantly higher testosterone levels (6.62 ± 2.79 vs. 4.85 ± 3.50 ng/mL, p = 0.002). In univariate analysis, testosterone showed a significant association (OR 1.197 per ng/mL, OR 1.784 per SD, p = 0.003). In multivariate analysis adjusted for age, sex, diabetes mellitus, and LDL (low-density lipoprotein) cholesterol, testosterone remained independently associated (adjusted OR 2.043 per SD, 95% CI 1.221–3.420, p = 0.007), as did diabetes mellitus (OR 2.60, p = 0.032). Conclusions: Elevated serum testosterone is paradoxically associated with increased prevalence of coronary stenosis in our cohort. These findings from stable, chronic CAD patients may work fundamentally differently from what is observed in acute coronary syndromes, where stress-induced testosterone suppression may confound observed associations. Full article

The textile industries mostly rely on synthetic dyes, which contain nonbiodegradable components and high toxicity, making their use environmentally hazardous. The present research delves into the unique application of proteins extracted from the Black Soldier Fly (BSF) as a natural dye for wool fabrics. The hydrolyzates extracted from each insect material (larvae, cocoons and flies) using superheated water at 170 °C for 1 h were used as natural dyes for dyeing wool fabrics with and without mordant (ferrous sulfate, 5% o.w.f.). Fabrics treated with mordant-free hydrolyzate derived from cocoons showed the best results, with an increase in color strength (K/S value) from 0.43 to 2.78 with an increasing dye concentration from 2% to 50% o.w.f. Color fastness to washing shows that dyed fabrics undergo variable color changes (from grade 4 to grade 1) but release little dye onto other fabrics, especially wool and synthetic fibers. Dry and wet rubbing color fastness tests showed overall variable color fastness, with little color loss on the abraded reference fabric. Overall, this work emphasizes the possible use of hydrolyzate from BSFs as a natural and environmentally friendly dye, which may represent a promising alternative to synthetic dyes in the textile industry. Full article

This paper aims to analyze the biodegradation behavior of a common synthetic fiber, well-known for its environmental recalcitrance: polyamide 6.6. In particular, polyamide 6.6 fabrics finished with chitosan to impart antibacterial properties and the natural red dye carmine were studied. Fabrics of standard polyamide 6.6 served as references. Some specimens were buried in compost-enriched soil for 1, 2 and 3 months and kept in the laboratory; simultaneously, others were placed in an outdoor house garden to simulate landfill conditions. After each sample withdrawal, various characterization techniques were employed to assess the status of the fibers. The first evidence was that, in general, there were no weight changes or significant macroscopic damage within three months, except for white stains as an index of microorganism colonization, which was confirmed by microscopic analyses, where bacteria and fungi could be clearly seen. On the one hand, some effects were revealed during the burial in the house garden that impacted the fabrics’ surface characteristics in terms of interaction with soil derivatives (susceptibility to adsorption of water and soil-derived substances). On the other hand, the samples buried under laboratory conditions showed a weak antibacterial efficacy, leading to the hypothesis that more aggressive degradation may have occurred at the expense of chitosan. Still, three months of burial led to mild surface deterioration, opening possibilities for further research. Full article

The textile industry is facing increasing pressure to improve its sustainability performance across environmental, economic, and social dimensions. A substantial share of textile production relies on polymer-based fibers, such as polyester, polyamide, and acrylics, whose production, use, and end-of-life management raise significant sustainability challenges. In this context, life cycle-based assessment tools have become essential for supporting informed decision-making and guiding the transition toward more circular textile systems. This review critically examines the application of Life Cycle Assessment (LCA), Life Cycle Costing (LCC), and Social Life Cycle Assessment (S-LCA) within the textile sector, with a specific focus on polymeric textile materials and circular economy strategies. The analysis highlights the strengths and limitations of each methodology, emphasizing persistent challenges related to system boundary definition, data availability and quality, methodological heterogeneity, and limited comparability across studies. Particular attention is given to how methodological choices influence the robustness and interpretability of sustainability outcomes, especially when assessing circular solutions for polymer-based textiles. The review reveals that, despite their conceptual complementarity, LCA, LCC, and S-LCA are often applied in a fragmented manner, limiting their integration into holistic sustainability assessments. Overall, this work underscores the need for greater methodological alignment and integrated frameworks to enhance the decision-making relevance of life cycle-based tools and to effectively support sustainable and circular transitions in the textile industry. Full article

Microplastics spread through the environment in various ways. Inland waters are an ideal medium for their dispersal, as they collect pollutants from various sources and transport them over long distances. From there, microplastics can enter the marine environment, break down into smaller particles or end up in drinking water treatment plants. However, the fate, transport and potential health effects of microplastics after ingestion of drinking water and water in food are not yet fully understood. It is therefore necessary to evaluate the quantification and identification of microplastics in drinking water by analysing real samples in order to assess the potential impact on human health. To this end, microplastic contamination in 32 treated drinking water samples from a surface water treatment plant in north-eastern Italy were analysed using micro-Fourier transform infrared spectroscopy (µ-FT-IR). The results indicated low levels of contamination, with all the samples containing less than 170 microplastics per litre, which is in line with European drinking water levels. Polyolefins with size 50–500 µm, such as polypropylene and polyethylene, were the predominant polymers detected (50.2%), while surprisingly polyethylene terephthalate was scarcely present (0.1%, size range 10–50 µm). Statistical analysis revealed a significant negative correlation between microplastic concentration and sampling volume, with larger volumes yielding fewer particles. This inconsistency likely results from the lack of bottle rinsing when only a fraction of the sampling volume is filtered. It was also found that rinsing the sampling bottles with ethanol alone prior to analysis was sufficient to ensure accurate quantification. These results highlight the challenges in standardising the detection of microplastics in drinking water and underline the need for optimised sampling protocols. Full article

This study explores the development potential of thematic tourism in the Municipality of Pella, Northern Greece. It examines local residents’ perceptions regarding tourism as a growth strategy, evaluates current informational and promotional efforts by the local government, and assesses the public’s willingness to participate in tourism activities. A structured questionnaire was distributed to a representative sample of residents that was given both in person and via the internet. Quantitative analysis revealed that while respondents generally support the idea of tourism development and feel moderately informed, there is a strong perception that the municipality’s efforts to promote tourism are insufficient. Key factors influencing residents’ attitudes include age, level of education, and personal involvement with tourism. The findings suggest that thematic tourism could serve as a viable development path, provided that local authorities implement targeted education, infrastructure, and promotion strategies. This study recommends enhanced cooperation between public institutions and local stakeholders to support sustainable tourism growth. It is suggested, therefore, to increase the depth of focus given in the development of an innovative agricultural area development model that will combine traditional agriculture with agritourism and the remaining types according to each place’s capabilities. Full article

Background/Objectives: Cardiovascular (CV) diseases remain the leading cause of morbidity and mortality across Europe. Despite substantial progress in prevention, diagnostics, and therapeutics, outpatient cardiology care continues to face systemic challenges, including limited consultation time, workforce constraints, and incomplete clinical information at the point of care. The primary objective of this study is threefold. First, to evaluate whether AI-enhanced telemedicine improves clinical control of hypertension, dyslipidemia, and heart failure compared to standard ambulatory care. Second, to assess the impact on physician workflow efficiency and documentation burden through AI-assisted clinical documentation. Third, to determine patient satisfaction and safety profiles of integrated telemedicine–AI systems. Clinical control will be measured by a composite endpoint of disease-specific targets assessed at the 12-month follow-up visit. Methods: The TeleAI-CVD Concept Study aims to evaluate the integration of telemedicine and artificial intelligence (AI) to enhance the efficiency, quality, and individualization of cardiovascular disease management in the ambulatory setting. Within this framework, AI-driven tools will be employed to collect structured clinical histories and current symptomatology from patients prior to outpatient visits using digital questionnaires and conversational interfaces. Results: Obtained data, combined with telemonitoring metrics, laboratory parameters, and existing clinical records, will be synthesized to support clinical decision-making. Conclusions: This approach is expected to streamline consultations, increase diagnostic accuracy, and enable personalized, data-driven care through continuous evaluation of patient trajectories. The anticipated outcomes of the TeleAI-CVD study include the development of optimized, AI-assisted management protocols for cardiology patients, a reduction in unnecessary in-person visits through effective telemedicine-based follow-up, and accelerated attainment of therapeutic targets. Ultimately, this concept seeks to redefine the paradigm of outpatient cardiovascular care by embedding advanced digital technologies within routine clinical workflows. Full article

Context: Efforts to understand sustainability behavior have developed significantly over the past few decades. To date, this research has primarily focused on directly observable behaviors (e.g., littering, recycling, and energy use). However, a more theoretical understanding of sustainability behavior needs to include its unobservable or latent antecedents. Problem: As a result, valid and reliable measures of these latent constructs are required to build a theoretical foundation for the development of relevant sustainability social science. We discuss the need for such a targeted, attitudinal measure, given its connection to observable behavior. Objective: We aimed to develop such a measure through a series of studies. Results: We present an 11-item measure of a general sustainability attitude that includes ecological, economic, and social elements. We conclude with a discussion of the utility of the Sustainability Attitude Scale. Full article

Background: Childhood obesity demonstrates substantial metabolic heterogeneity. We determined insulin resistance prevalence in Slovak children with obesity using multiple validated markers and identified high-risk phenotypes. Methods: Cross-sectional study of 54 obese children (BMI 29.5 ± 4.7 kg/m²) and 33 controls (BMI 20.6 ± 1.9 kg/m²). All underwent bioelectrical impedance analysis and fasting metabolic profiling, including HOMA-IR and triglyceride-to-HDL cholesterol (TG/HDL-C) ratio. Insulin resistance was defined as HOMA-IR > 3.42 (obese) or >1.68 (controls), and TG/HDL-C > 0.99 mmol/L. Age-matched sensitivity analysis was performed on 28 pairs. Results: Among obese children, 44.4% demonstrated HOMA-IR-defined insulin resistance versus 45.5% of controls using respective cut-offs, with significantly higher mean HOMA-IR (3.66 ± 2.09 vs. 2.53 ± 2.59, p = 0.034). Age-matched analysis (n = 28 pairs, mean age difference 0.22 years) confirmed these findings with HOMA-IR 3.46 ± 2.18 vs. 2.27 ± 2.22 (p = 0.0271). The TG/HDL-C ratio identified insulin resistance in 38.9% of obese versus 12.1% of controls. Critically, 22.2% of obese children showed concordant elevation of both markers (vs. 6.1% controls; OR 4.43); in age-matched analysis, this difference was even more pronounced (17.9% vs. 3.6%). Low skeletal muscle mass (<25th percentile for age and sex) with high body fat (>40%) characterized 22.6% of obese children, demonstrating 91.7% insulin resistance prevalence versus 31.0% without low muscle mass (p < 0.001), with HOMA-IR 1.9 points higher (95% CI: 0.31–2.73). Remarkably, 50% of children with low muscle mass showed concordant elevation of both metabolic markers versus 14.3% without (OR 6.0). Conclusions: Low skeletal muscle mass in obese Slovak children represents a very-high-risk phenotype with 91.7% insulin resistance prevalence and 6-fold increased odds of severe metabolic dysfunction. Age-matched analysis confirmed that metabolic differences are independent of age effects. Body composition-based risk stratification enables personalized interventions targeting the highest-risk children. Full article

Cardiogenic shock (CS) is a complex, life-threatening syndrome characterized by inadequate tissue perfusion due to impaired cardiac function. Acute myocardial infarction (AMI) and acute decompensated heart failure are the leading causes, with mortality remaining high despite advances in revascularization and supportive care. The Society for Cardiovascular Angiography and Interventions (SCAI) classification allows risk stratification and guides clinical decision making by capturing the spectrum of shock severity. Percutaneous mechanical circulatory support (pMCS) devices, such as the intra-aortic balloon pump (IABP) and Impella, aim to stabilize hemodynamics by augmenting cardiac output and unloading the left ventricle. However, randomized trials and meta-analyses have not demonstrated a consistent survival advantage of Impella over IABP, while reporting higher rates of bleeding and vascular complications. Landmark trials, including ECLS-SHOCK and DanGer, have provided conflicting results, likely reflecting differences in baseline severity and timing of device implantation. Veno-arterial extracorporeal membrane oxygenator (VA-ECMO) offers full cardiopulmonary support but increases left ventricular afterload, potentially worsening myocardial injury. Combined strategies such as ECPELLA (Impella + VA-ECMO) or ECMO + IABP may mitigate left ventricle (LV) overload and improve bridging to recovery or advanced therapies, although evidence remains largely observational and complication rates are considerable. In right-sided or biventricular failure, tailored options (e.g., Impella RP, Bi-Pella) guided by invasive hemodynamics may be required. Current evidence suggests that pMCS benefits are limited to carefully selected subgroups, underscoring the importance of early diagnosis, prompt referral, and individualized intervention. Robust randomized data are still needed to define the optimal role of pMCS in AMI-related CS. Full article

Background/Objectives: This study aimed to investigate the association between right ventricular (RV) structure and function and established markers of alcohol septal ablation (ASA) efficacy in patients with hypertrophic cardiomyopathy (HCM). We hypothesized that RV characteristics may serve as predictors of left ventricular outflow tract gradient (LVOT_G) in the early period following ASA. Methods: A retrospective analysis was performed in 50 HCM patients who underwent ASA. Correlations between echocardiographic RV parameters and standard indicators of ASA success were assessed at 3 months, 1 year, 3 years, and 5 years post-procedure. Results: Echocardiographic measurements of RV wall thickness (RVWT) at 3 months and 1 year after ASA showed significant correlations with maximum LVOT_G (p < 0.001), NYHA functional class, and left ventricular end-diastolic dimension (LV_D) (both p < 0.01). At 3 and 5 years, these correlations were no longer statistically significant (p = ns). No associations were observed for other parameters. Conclusions: Echocardiographic assessment of RVWT may serve as an early predictor of subsequent LVOT_G development as soon as 3 months after ASA. RVWT could therefore provide an estimate of long-term treatment effects. Further studies are needed to confirm these findings. Full article

Objective: This study sought to examine the relationships between right ventricular (RV) parameters and function, and body composition in adolescents and young adult individuals with overweight and obesity. We hypothesized that abnormal body composition is linked to RV dysfunction and subclinical changes in the ventricle. Methods: The study prospectively included 80 young adult individuals, with 55 being overweight or obese and 25 having a normal body weight. We examined differences in RV echocardiographic parameters between these groups and their relationship with body composition parameters. Results: Adolescents and young adults with overweight or obesity had greater RV pressure load, and larger RV diameter. Significant differences in RV size and strain were noted between groups. Across the cohort, lean body mass positively correlated with RV strain, while fat mass and total serum protein negatively correlated with RV strain (both p < 0.01 or lower). Conclusions: This study found that RV function and body composition are often linked and improving body composition could prevent RV dysfunction, while addressing wasting might enhance RV function. Overweight or obese young adults show decreased RV strain in the absolute value compared to those with normal body weight. Full article