Search Results (14,817)

Acromegaly is a rare endocrine disease characterized by multiple metabolic abnormalities and high cardiovascular risk. This cross-sectional study evaluated the lipidomic serum profile of 109 participants (59 acromegaly patients versus 50 healthy controls) via high-performance liquid chromatography combined with mass spectrometry (HPLC-MS). The lipidomic profile that differentiated acromegaly from controls included sphingomyelins (SMs), glycerophospholipids, glycerolipids, ceramides, fatty acids, wax esters (WEs), carnitines, and sterol (ST) lipids. SM 34:0;O2 and phosphorylcholine best distinguished acromegaly patients from controls (VIP > 2.49). SM 34:0;O2 levels were significantly elevated in treatment-naïve versus uncontrolled patients (p < 0.0001). Furthermore, SM 34:0;O2 positively correlated with random GH and IGF-1. Lack of therapy predicted SM 34:0;O2 serum titers in acromegaly. Profound alterations of glycerophospholipids and sphingolipids were detected in acromegaly patients with cardiovascular complications. ST 24:1;O3, ceramide (Cer) 38:0;O4, and WE 34:1 were significantly increased in both hypertensive acromegaly patients and those with heart failure in comparison to patients without cardiovascular impairment. In conclusion, SM 34:0;O2 and phosphorylcholine emerged as potential lipidomic biomarkers in acromegaly. Moreover, SM 34:0;O2 potentially reflects disease severity. Identifying lipidomic profile alterations in acromegaly patients with cardiac involvement may provide a basis for further insights into the cardiovascular pathogenesis of the disease. Full article

Climate change increasingly threatens the sustainability of regional water resources; therefore, robust station-scale precipitation projections are essential for basin-level planning. This study aims to develop and evaluate a hybrid, machine-learning-based statistical downscaling framework to generate monthly precipitation projections for the 21st century in the Büyük Menderes Basin, western Türkiye, using the HadGEM3-GC31-LL global climate model from the CMIP6. Monthly observations from 23 rainfall observation stations and ERA5 reanalysis predictors were employed to train station-specific Random Forest (RF) models, with optimal predictor sets identified through a multistage selection procedure (MPSP). Coarse-resolution general circulation model (GCM) fields were harmonized with ERA5 data using a three-stage inverse distance weighting (IDW), Delta, and Variance rescaling approach. The downscaled projections were bias-corrected using Quantile Delta Mapping (QDM) to maintain the climate-change signal. The RF models exhibited strong predictive skill across most stations, with test Nash–Sutcliffe Efficiency (NSE) values ranging from 0.45 to 0.81, RSR values from 0.43 to 0.74, and PBIAS values from −21.99% to +5.29%. Future projections indicate a basin-wide drying trend under both scenarios. Relative to the baseline, mean annual precipitation is projected to decrease by approximately 12.2, 19.6, and 33.7 mm in the near (2025–2050), mid (2051–2075), and late (2076–2099) periods under SSP2-4.5 (Shared Socioeconomic Pathway 2-4.5, a moderate greenhouse gas scenario). Under the high-emission SSP5-8.5 scenario, projected decreases are 25.2, 53.2, and 86.9 mm, respectively. Late-century reductions reach approximately 15–22% in several sub-basins. These findings indicate a substantial decline in future water availability and underscore the value of RF-based hybrid downscaling and trend-preserving bias correction for water resources planning in semi-arid Mediterranean basins. Full article

Background: China’s rapidly aging population demonstrates the importance of conducting an accurate resting metabolic rate (RMR, kcal/day) assessment to mitigate geriatric nutritional imbalances—amid concurrent undernutrition (e.g., ~1/3 with protein insufficiency) and overnutrition (e.g., high obesity and type 2 diabetes rates). While RMR prediction equations exist for other populations, none are specific to Chinese older adults. This study aimed to develop and validate population-specific RMR prediction equations for community-dwelling Chinese older adults. Methods: A total of 189 healthy participants (Aged 69.5 ± 6.3, range: 60–94 years; BMI: 24.0 ± 3.1 kg/m²) were recruited from the Shanghai, China, community. RMR was measured via indirect calorimetry, and body composition via dual-energy X-ray absorptiometry. Results: Two novel prediction equations were derived: Cai1 (fat-free mass [FFM] + age): RMR = 1393.019 − (11.112 × age) + (11.963 × FFM); R² = 0.572, and Cai2 (sex + age + weight [WT]): RMR = 1537.513 + (91.038 × sex) − (11.515 × age) + (5.436 × WT); R² = 0.528. Both novel prediction equations achieved 82.5% adequacy (predicted RMR within 90–110% of measured values), minimal systematic bias (%) (−0.72% and −1.08%) and strong positive correlations with measured RMR (r = 0.792 and 0.773, both p < 0.001). Bland–Altman analysis confirmed no systematic bias. In contrast, 11 widely used published prediction equations (e.g., Harris–Benedict, Mifflin–St. Jeor) exhibited significant overestimation (systematic bias +8.39% to +38.03%). Conclusion: The novel population-specific RMR equations outperform published ones, providing a clinically reliable tool for individualized energy prescription in nutritional interventions to support healthy aging in Chinese older adults. Full article

Spodoptera eridania (Cramer, 1792) is increasingly reported from potato (Solanum tuberosum L., Solanaceae) in the Brazilian Cerrado, where infestations can cause substantial yield losses. Insecticides may alter the behavioral ecology of agricultural pests. The adaptability of S. eridania mediated by insecticides, especially regarding oviposition behavior, remains poorly understood. This study aimed to evaluate the spatial distribution and oviposition traits of S. eridania on potato plants under chlorfenapyr spraying. Egg masses were collected weekly, day after planting (DAP), totaling 322 collections up to the 91st DAP. Evaluations included the vertical plant strata (upper, middle and lower thirds), leaf surface (adaxial vs. abaxial), and density of scales covering egg masses (high, low, or absent). Results showed that nearly 90% of egg masses were deposited in the upper and middle thirds of the plants. Insecticide spraying modulated oviposition behavior because females preferred the middle third in treated plants, whereas oviposition predominated in the upper third of untreated plants. Moreover, under chlorfenapyr, 93.0 ± 1.2% of egg masses were placed on the abaxial surface. These findings highlight the role of insecticide-mediated behavioral shifts in shaping host-pest interactions and provide relevant insights for integrated pest management of S. eridania in potato field systems. Full article

Listeria monocytogenes is a high-risk pathogenic bacterium associated with ready-to-eat foods and poses a potential threat to consumer health. This study aimed to investigate the prevalence, characterization and genetic diversity of L. monocytogenes in ready-to-eat raw salmon and trout products obtained from physical stores and online stores in China. Out of 150 samples analyzed, 23 (15.3%) were positive for L. monocytogenes. Among these positive samples, three (12%) were from Japanese restaurants, four (16%) from farmers markets, one (2.9%) from large supermarkets and fifteen (30%) from e-commerce platforms, and only one sample showed a contamination level exceeding 100 most probable number (MPN)/g. The isolates from positive samples demonstrated a concrete public health risk through several findings: twenty-three L. monocytogenes exhibited varying degrees of cytotoxicity, ranging from 7.6% to 71.8%. Compared with the reference strain ATCC 19115, five of these isolates were highly cytotoxic, a result that was validated by mouse survival rate experiment, which also confirmed their high virulence at tested dose. All isolates were resistant to cefuroxime sodium, ceftriaxone, cefepime and nalidixic acid, and 13% showed resistance to sulphamethoxazole-trimethoprim. Three serogroups were identified, with serogroup Ⅰ.1 (1/2a, 3a) being the most prevalent (65.2%). These isolates were grouped into eight sequence types, with ST8 (34.8%) and ST87 (30.4%) dominating. All isolates carried virulence genes associated with LIPI-1 andmultiple internalin genes (inlA, inlB, inlJ and inlK), confirming their potential pathogenicity. Additionally, the isolates harbored antimicrobial resistance genes lin and FosX. The five highly virulent isolates exhibited the highest genetic similarity to J2-031 (GCA_000438645.1) and C1-387 (GCA_000438605.1). The results provided valuable information for Chinese regulatory authorities to strengthen the risk monitoring of L. monocytogenes in ready-to-eat raw salmon and trout products. Full article

Objective: The objective was to evaluate the optimal timing of cervical cerclage insertion for perinatal outcomes, such as birthweight, gestational week, and pregnancy prolongation in women with diagnosed cervical insufficiency (CI). Methods: This retrospective study was conducted at the 1st Department of Obstetrics and Gynaecology of the Medical University of Warsaw, over a 10-year period. Maternal and perinatal outcomes were compared between 75 women divided into three groups based on the gestational week (GW) at cerclage insertion: (1) before 18 GW (n = 31), (2) 18–22 GW (n = 31), (3) after 22 GW (n = 13). Only single pregnancies were included in the final analysis in order to maintain the homogeneity of the population. The primary outcomes included the week of delivery and pregnancy prolongation following cervical cerclage insertion. Numerous secondary outcomes were also evaluated, including neonatal mortality, need for NICU hospitalization, Apgar score, birthweight, maternal white blood cell (WBC) count and C-reactive protein (CRP) levels. Results: Birth week was significantly associated with GW at insertion—35.8 ± 3.8 vs. 34.8 ± 5.2 vs. 32 ± 5.7, respectively, p = 0.016. Moreover, statistical difference was also found regarding birthweight of the analysed groups—2723.8 ± 951.6 g vs. 2518.5 ± 1167.9 g vs. 1886.7 ± 1011.2 g, respectively, p < 0.001, and pregnancy prolongation following cerclage insertion 20.4 ± 4.2 vs. 14.7 ± 5.5 vs. 7.3 ± 5.7 weeks, respectively, p < 0.001. Conclusions: Earlier cerclage placement (<18 weeks) is associated with significantly improved perinatal outcomes. However, this association largely reflects the benefit of prophylactic intervention over emergency ‘rescue’ procedures (common in the >22-week group). The sharp decline in outcomes after 22 weeks highlights the risks of advanced cervical dilation, suggesting that clinical management should prioritize risk assessment within the prophylactic window. Full article

Climate change is the greatest health threat of the 21st century, with healthcare contributing approximately 4–5% of global greenhouse gas emissions. Decarbonising healthcare, the deliberate reduction of emissions across all healthcare activities, is essential to reduce the health sector’s environmental impact while maintaining equitable, high-quality care. Preparing future health professionals for sustainable, low-carbon practice is increasingly recognised as critical; however, education on healthcare decarbonisation remains inconsistent and weakly embedded in curricula. This scoping review mapped existing educational resources for pre-registration health profession students. Following the JBI methodology, six databases (Scopus, Web of Science, MEDLINE, CINAHL, PsycINFO, and GreenFILE) were searched in April 2025 (updated in October 2025). Data were thematically analysed. In total, 32 studies met inclusion criteria, comprising 17 mixed-methods, 11 quantitative, and 4 qualitative designs. Most interventions were multimodal, addressing sustainability or climate change through simulation, digital, formal, or didactic methods. Knowledge and attitudes were the most frequently evaluated outcomes. Thematic analysis identified knowledge and awareness, attitudes and emotional responses, behavioural intent and action, identity formation through collaborative learning, and barriers to decarbonisation. Findings suggest that blended, interactive, and technology-enhanced education improves knowledge, attitudes, and identity, but sustained impact requires longitudinal, skills-based, and policy-aligned interventions to drive meaningful healthcare decarbonisation action. Full article

This study explores the potential for afforestation in Portugal that could balance wood and non-wood forest production under future climate change scenarios. The Climate Envelope Models (CEM) approach was employed with three main objectives: (1) to model the current distribution of key Portuguese forest species—eucalypts, maritime pine, umbrella pine, chestnut, and cork oak—based on their suitability for wood and non-wood production; (2) to project their potential distribution for the years 2070 and 2090 under two Shared Socioeconomic Pathway (SSP) scenarios: SSP2–4.5 (moderate) and SSP5–8.5 (high emissions); and (3) to generate integrated species distribution maps identifying both current and future high-suitability zones to support afforestation planning, reflecting climatic compatibility under fixed thresholds. Species’ current CMEs were produced using an additive Boolean model with a set of environmental variables (e.g., temperature-related and precipitation-related, elevation, and soil) specific to each species. Species’ current CEMs were validated using forest inventory data and the official Land Use and Land Cover (LULC) map of Portugal, and a good agreement was obtained (>99%). By the end of the 21st century, marked reductions in species suitability are projected, especially for chestnut (36%–44%) and maritime pine (25%–35%). Incorporating future suitability projections and preventive silvicultural practices into afforestation planning is therefore essential to ensure climate-resilient and ecologically friendly forest management. Full article

The territorial development of the city of Brno during the 19th–21st centuries meant not only the growth of built-up areas (residential, industrial, commercial), but also the absorbing of segments of the ancient rural agricultural landscape. Within the current borders of the city of Brno, a number of green areas have been preserved, which have spontaneously developed from the original agricultural landscape, without being the result of urban planning. In half of the cases (17 out of a total of 34), they have still preserved the traditional small-scale division of land. Among the 10 medium-sized Moravian cities (between 30,000 and 400,000 inhabitants) in the historical region of Moravia in the east of the Czech Republic, the presence of 34 remnants of the ancient rural landscape in the city of Brno is quite exceptional (in Ostrava only 1; in other cities 0). The subject of the research is the inventory of such segments within the city borders and an attempt to explain their location in the city, state, focusing on the role of natural factors, land ownership and personal and recreational interests of residents. Segments of the ancient rural cultural landscape were identified by comparing the current landscape on aerial photographs with the landscape image on cadastral maps from the 1820s–1830s. Additional data on their natural and cultural properties were obtained through archival and field research. The segments were classified according to their degree of preservation and forms of threat. The results show that the remains of the ancient rural cultural landscape in the city of Brno have generally been preserved in locations that, due to the slope of the slopes, unsuitable building subsoil and poor soil, but locally on warm southern slopes, were not suitable for construction for the time being. Urban gardening contributes to their preservation and these areas are part of the city’s greenery. However, urban gardening also contributes to the destruction of these remnants. In 17 cases, the land was completely re-divided, built up with recreational facilities and overgrown with trees due to poor care. Another 17 locations are threatened by this process due to ignorance of their historical value, although this is essentially a positive development in terms of benefits for the city’s residents—land users. Although the Master Plan of the city of Brno foresees the existence of garden colonies in the future, it does not address the importance of the best-preserved segments as historical heritage. Community agriculture can play a positive role in maintaining segments of rural heritage within the city. Full article

Improving city crossroads safety is a critical problem for modern smart transportation systems (STS). This article presents the results of developing, upgrading, and comprehensively experimentally testing an acoustic monitoring system prototype designed for rapid accident detection. Unlike conventional camera- or lidar-based approaches, the proposed solution uses passive sound source localization to operate effectively with no direct visibility and in adverse weather conditions, addressing a key limitation of camera- or lidar-based systems. Generalized Cross-Correlation with Phase Transform (GCC-PHAT) algorithms were used to develop a hardware–software complex featuring four microphones, a multichannel audio interface, and a computation module. This study focuses on the gradual upgrading of the algorithm to reduce the mean localization error in real-life urban conditions. Laboratory and complex field tests were conducted on an open-air testing ground of a university campus. During these tests, the system demonstrated that it can accurately determine the coordinates of a sound source imitating accidents (sirens, collisions). The analysis confirmed that the system satisfies the V2X infrastructure integration response time requirement (<200 ms). The results suggest that the system can be used as part of smart transportation systems. Full article

Escherichia coli is an important human pathogen that is able to cause a variety of infections, which can result in diarrhoea, urinary tract infections, sepsis, and even meningitis, depending on the pathotype of the infecting strain. Like many Gram-negative bacteria, E. coli is becoming increasingly resistant to many frontline antibiotics, including third-generation cephalosporins and carbapenems, which are often considered the antibiotics of last resort for these infections. This is particularly the case in Egypt, where multidrug-resistant (MDR) E. coli is highly prevalent. However, in spite of this, few Egyptian MDR E. coli strains have been fully characterised by genome sequencing. Here, we present the genome sequences of ten highly MDR E. coli strains, which were isolated from children who presented with diarrhoea at the Outpatients Clinic of Assiut University Children’s Hospital in Assiut, Egypt. We report that they carry multiple antimicrobial resistance genes, which includes extended spectrum β-lactamase genes, as well as bla_NDM and bla_OXA carbapenemase genes, likely encoded on IncX3 and IncF plasmids. Many of these strains were also found to be high-risk extra-intestinal pathogenic E. coli (ExPEC) clones belonging to sequence types ST167, ST410, and ST617. Thus, their presence in the Egyptian paediatric population is particularly worrying, and this highlights the need for increased surveillance of high-priority pathogens in this part of the world. Full article

Ovarian cancer is frequently diagnosed at an advanced stage due to non-specific symptoms, contributing to high mortality. The limited diagnostic performance of current serum assays in early disease underscores the need for complementary circulating biomarkers. Circulating microRNAs and inflammation-related markers are promising candidates. Although miRNAs are implicated in cancer diagnostics, the role of miRNA-29a in ovarian cancer remains underexplored. Given that sST2 is elevated in several malignancies and is a direct target of miRNA-29a, concurrent evaluation may be informative. This pilot study compared serum miRNA-29a and sST2 levels in 23 ovarian cancer patients and 22 healthy female controls. miRNA-29a expression was quantified by real-time PCR (2^−ΔΔCt), and sST2 was measured by ELISA; diagnostic performance was assessed using ROC analysis. miRNA-29a levels were significantly reduced (p < 0.05), whereas sST2 concentrations were significantly increased (p < 0.001) in patients versus controls. ROC analysis showed modest discrimination for miRNA-29a (AUC 0.678) and higher performance for sST2 (AUC 0.825). No significant correlation was observed between the two markers. These findings suggest that circulating miRNA-29a and sST2 may have biomarker potential in ovarian cancer; larger, well-designed studies are required to confirm clinical utility. Full article

Background: Chemokine CCL5 may drive inflammation and vascular risk in advanced liver disease, but its cardiovascular implications are unclear. Secreted by hepatic, endothelial, macrophage, and lymphocytic cells, CCL5 is involved in cytokine regulation. Its serum levels rise in acute liver injury and hepatocellular carcinoma (HCC), but decline with fibrosis progression in end-stage liver disease (ESLD). CCL5 has also been linked to atherosclerosis. This study aimed to evaluate serum CCL5 levels in ESLD patients listed for liver transplantation (LT) and to assess their potential role as markers of cardiovascular (CV) risk and portal hypertension. Methods: We conducted an observational cohort study. Between 2019 and 2022, patients with ESLD evaluated for LT were enrolled. Data on liver pathology, CV risk, and laboratory parameters were collected. Serum CCL5 concentrations were measured using Sigma Aldrich^® CCL5 ELISA kits (MilliporeSigma, St. Louis, MO, USA). The database was analyzed with IBM^® SPSS^® Statistics version 20 (Chicago, IL, USA). Results: Overall, 46 patients were included, 50% with viral hepatitis and 28.3% with alcohol-related liver disease. HCC was present in 37% of cases. The median CV risk scores (CAD_LT = 7, mCAD_LT = 7, CAR_OLT = 18) placed the population at moderate CV risk. Serum CCL5 levels did not vary significantly between viral vs. non-viral cirrhosis (5511.8 vs. 6272.5 pg/mL, p = 0.15) and were not influenced by the presence of HCC (6098.4 vs. 5771.3 pg/mL, p = 0.55). We did not detect a correlation with MELD score (p = 0.21) or CV risk scores (CAD_LT: p = 0.58; mCAD_LT: p = 0.70; CAR_OLT: p = 0.22). Patients with thrombocytopenia (<100,000/µL, 54.3%) or a history of esophageal variceal ligation had lower CCL5 levels (5170.9 vs. 6750.8 pg/mL, p = 0.002 and 4252.0 vs. 6237.5 pg/mL, p = 0.003, respectively). Similarly, patients with a history of previous variceal bleeding and spontaneous bacterial peritonitis (SBP) had lower levels of CCL5 (4373.8 vs. 6119.9 pg/mL, p = 0.02 and 3404.3 vs. 6606.7 pg/mL, p = 0.01, respectively). We found a negative correlation between CCL5 and QTc interval duration (τ = −0.216, p = 0.037), left ventricle size (LV: τ = −0.235, p = 0.027), and pulmonary artery pressure (RV/RA gradient: τ = −0.225, p = 0.03). CCL5 correlated positively with the inflammatory markers C-reactive protein (CRP) (τ = 0.246, p = 0.018) and fibrinogen (r = 0.216, p = 0.04). Conclusions: In liver transplant candidates, serum CCL5 is not associated with cardiovascular risk scores or coronary atherosclerotic burden, but is inversely associated with clinical markers of portal hypertension severity. These findings suggest that CCL5 may serve as a potential non-invasive surrogate marker of portal hypertension rather than a cardiovascular risk biomarker in ESLD. Full article

Coastal settlements worldwide face increasing threats from erosion, and the Monrovia coastline in Liberia is no exception. This study investigates shoreline dynamics along a 20.5 km stretch of Monrovia’s coast, which is characterized by low-lying elevations, gentle slopes, and sandy beaches. Using Landsat satellite imagery (1986–2025), supported by Sentinel-2 MSI and qualitative validation drone data, we analyzed historical shoreline change with remote sensing and GIS techniques. Shorelines were extracted using a band-ratio thresholding method and quantified with the Digital Shoreline Analysis System (DSAS 5.0), applying end-point rate (EPR), linear regression rate (LRR), and net shoreline movement (NSM). Exploratory projections for 2036 and 2046 were generated using a Kalman Filter model integrated into DSAS. Results show maximum historical erosion rates of up to 3.8 m/yr and accretion rates of up to 5.9 m/yr, with shoreline retreat reaching 150 m and advance up to 194 m. Erosion hotspots are projected for Hotel Africa, Westpoint, New Kru Town, and the JFK–ELWA corridor, while areas near the St. Paul and Mesurado estuaries are expected to accrete. These findings confirm historical trends and suggest that Monrovia will continue to face significant shoreline change, with implications for natural habitats, infrastructure, land loss, and population displacement. Full article

Pseudomonas aeruginosa is an opportunistic pathogen commonly associated with nosocomial infections and environmental dissemination. Among its high-risk clones, ST244 is notable for its global distribution and distinctive genomic traits. This study reports whole-genome sequencing of ten ST244 isolates from hospitalized patients and wastewater in a healthcare complex in Southeastern Brazil. Genomic comparisons revealed a highly conserved clonal group, with nine isolates forming a tight monophyletic cluster based on rMLST, SNP phylogeny, and average nucleotide identity (>99.5%). One isolate showed close phylogenetic proximity to strains from Asia and North America, suggesting international dissemination. Serotype analysis revealed both O5 and O12 variants, indicating intra-lineage antigenic diversity. Resistance profiling identified multidrug-resistant phenotypes carrying carbapenemase genes (bla_OXA-494, bla_OXA-396) and diverse insertion sequences (ISPa1, ISPa6, ISPa22, ISPa32, and ISPa37), facilitating horizontal gene transfer. Virulence gene analysis showed conserved elements related to adhesion, iron uptake, secretion systems, and quorum sensing, while the cytotoxin gene exoU was absent. These results highlight clonal persistence, possible intra-hospital transmission, and links to globally circulating ST244 sublineages. Our findings underscore the importance of genomic surveillance to track high-risk P. aeruginosa clones at the clinical–environmental interface. Full article