Search Results (3,749)

Crimean–Congo hemorrhagic fever (CCHF) is a zoonotic viral disease endemic to parts of Africa, Asia and southeastern Europe. Bulgaria is one of the few European countries with the consistent annual reporting of human CCHF cases. This study provides a descriptive overview of 24 confirmed CCHF cases in Bulgaria between 2015 and 2024. Laboratory confirmation was performed by an enzyme-linked immunosorbent assay (ELISA) and/or real-time reverse transcriptase polymerase chain reaction (RT-qPCR) testing. Common findings included fever, fatigue, gastrointestinal symptoms, thrombocytopenia, leukopenia, liver dysfunction and coagulopathy. Two fatal cases were recorded. Two samples collected in 2016 and 2024 were subjected to whole-genome sequencing. Phylogenetic analysis showed that both strains clustered within the Turkish branch of the Europe 1 genotype and shared high genetic similarity with previous Bulgarian strains, as well as strains from neighboring countries. These findings suggest the long-term persistence of a genetically stable viral lineage in the region. Continuous molecular and clinical surveillance is necessary to monitor the evolution and public health impact of CCHFV in endemic areas. Full article

Background/Objectives: Family caregivers of individuals with schizophrenia often face considerable psychological and physical strain due to the complexity of caregiving. Although psychoeducation has demonstrated benefits in alleviating this burden, its provision via telenursing remains underexplored in Saudi Arabia. This study evaluated the effect of a psychoeducational program delivered via telenursing on reducing caregiver burden. Methods: A quasi-experimental design was used with 60 caregivers from a tertiary mental health hospital in northern Saudi Arabia, who were divided equally into intervention and control groups. The intervention group participated in a structured four-week psychoeducational program via Zoom, while the control group received routine care. Caregiver burden was assessed using the Family Burden Interview Schedule (FBIS), a validated tool designed to measure the objective and subjective burden experienced by family members caring for individuals with mental illness. The FBIS was administered before and three months after the intervention. The statistical analysis included independent and paired t-tests and ANOVA. Results: The pre-intervention scores showed no significant differences, confirming baseline equivalence. The post-intervention scores showed a significant reduction in burden among the intervention group (p < 0.001), while no meaningful change occurred in the control group. Additionally, a lower burden was associated with higher education, sufficient income (i.e., the caregiver’s perception of being able to meet essential household expenses without financial strain), strong family support, and absence of caregiver illness. Conclusions: These findings suggest that psychoeducation through telenursing is an effective strategy for reducing caregiver burden and improving support accessibility, particularly for those in remote areas. Full article

Granite formations provide suitable geological conditions for building gravity dams. However, the presence of intruding granite creates a fractured zone. The interaction of this fractured zone with structural planes and faults can create geological conditions that are unfavorable for the anti-sliding stability of gravity dams. This paper identifies the dominant structural planes that affect the anti-sliding stability of dams by studying the three-dimensional intersection relationships between groups of structural planes, faults, and fracture zones. The three-dimensional distribution and occurrence of the dominant structural planes directly impact the anti-sliding stability and sliding failure mode of gravity dams. Through comprehensive field investigations and systematic analysis of engineering geological data, the spatial distribution characteristics of structural planes and fracture zones were quantitatively characterized. Subsequently, the potential for deep-seated sliding failure of the gravity dam was rigorously evaluated and conclusively dismissed through application of the rigid body limit equilibrium method. It was established that the sliding mode of the foundation of the dam under this combination of structural planes is primarily shallow sliding. Additionally, based on the engineering geological data of the area around the dam, a three-dimensional finite element numerical model was developed to analyze stress–strain calculations under seepage stress coupling conditions and compared with calculations made without considering seepage stress coupling. The importance of seepage in the anti-sliding stability of the foundation of the dam was determined. The research findings provide engineering insights into enhancing the anti-sliding stability of gravity dams in granite distribution areas by (1) identifying critical structural planes and fracture zones that control sliding behavior, (2) demonstrating the necessity of seepage-stress coupling analysis in stability assessments, and (3) guiding targeted reinforcement measures to mitigate shallow sliding risks. Full article

Papillomaviruses (PVs) are double-stranded DNA viruses known to induce a variety of epithelial lesions in dogs, ranging from benign hyperplasia to malignancies. In regions of rich biodiversity such as the Western Amazon, data on the circulation and genetic composition of canine papillomaviruses (CPVs) remain scarce. This study investigated CPV types present in oral and cutaneous papillomatous lesions in domiciled dogs from Acre and Rondônia States, Brazil. Sixty-one dogs with macroscopically consistent lesions were clinically evaluated, and tissue samples were collected for histopathological examination and PCR targeting the L1 gene. Among these, 37% were histologically diagnosed as squamous papillomas or fibropapillomas, and 49.2% (30/61) tested positive for papillomavirus DNA. Sequencing of the L1 gene revealed that most positive samples belonged to CPV1 (Lambdapapillomavirus 2), while one case was identified as CPV8 (Chipapillomavirus 3). Complete genomes of three CPV1 strains were obtained via high-throughput sequencing and showed high identity with CPV1 strains from other Brazilian regions. Phylogenetic analysis confirmed close genetic relationships among isolates across distinct geographic areas. These findings demonstrate the circulation of genetically conserved CPVs in the Amazon and reinforce the value of molecular and histopathological approaches for the accurate diagnosis and surveillance of viral diseases in domestic dogs, especially in ecologically complex regions. Full article

Biocatalysis is one of the oldest fields that has been used in industrial applications, with one of the earliest purposeful examples being the mass production of acetic acid from an immobilized Acinetobacter strain in the year 1815. Efficiency, specificity, reduced reaction times, lower overall costs, and environmental friendliness are some advantages biocatalysis has over conventional chemical synthesis, which has made biocatalysis increasingly used in industry. We highlight three necessary fields that are fundamental to advancing industrial biocatalysis, including biocatalyst engineering, solvent engineering, and mechanistic engineering. However, the fundamental mechanism of enzyme function is often overlooked or given less attention, which can limit the engineering process. In this review, we describe how mechanistic enzymology benefits industrial biocatalysis by elucidating key fundamental principles, including the k_cat and k_cat/K_m parameters. Mechanistic enzymology presents a unique field that provides in-depth insights into the molecular mechanisms of enzyme activity and includes areas such as reaction kinetics, catalytic mechanisms, structural analysis, substrate specificity, and protein dynamics. In line with the objective of protein engineering to optimize enzyme activity, we summarize a range of strategies reported in the literature aimed at improving the product release rate, the chemical step of catalysis, and the overall catalytic efficiency of enzymes. Further into this review, we delineate kinetic solvent viscosity effects (KSVEs) as a very efficient, cost-effective, and easy-to-perform method to probe different aspects of enzyme reaction mechanisms, including diffusion-dependent kinetic steps and rate-limiting steps. KSVEs are cost-effective because simple kinetic enzyme assays, such as the Michaelis–Menten kinetic approach, can be combined with them without the need for specialized and costly equipment. Other techniques in protein engineering and genetic engineering are also covered in this review. Additionally, we provide information on solvent systems in enzymatic reactions, details on immobilized biocatalysts, and common misconceptions that misguide enzyme design and optimization processes. Full article

Urban areas are facing increasing traffic congestion, pollution, and infrastructure strain. Traditional urban transportation systems are often fragmented. They require users to plan, pay, and travel across multiple disconnected services. Mobility-as-a-Service (MaaS) integrates these services into a single digital platform, simplifying access and improving the user experience. This review critically examines the role of MaaS in fostering sustainable mobility ecosystems. MaaS aims to enhance user-friendliness, service variety, and sustainability by adopting a customer-centric approach to transportation. The findings reveal that successful MaaS systems consistently align with multimodal transport infrastructure, equitable access policies, and strong public-private partnerships. MaaS enhances the management of routes and traffic, effectively mitigating delays and congestion while concurrently reducing energy consumption and fuel usage. In this study, the authors examine MaaS as a new mobility paradigm for a sustainable transportation system in smart cities, observing the challenges and opportunities associated with its implementation. To assess the environmental impact, a sustainability index is calculated based on the use of different modes of transportation. Significant findings indicate that MaaS systems are proliferating in both quantity and complexity, increasingly integrating capabilities such as real-time multimodal planning, dynamic pricing, and personalized user profiles. Full article

To address the freezing damage to tunnel lining caused by frost heaving of the surrounding rock in water-rich tunnels in cold regions, a numerical thermo-mechanical coupling model for tunnel-surrounding rock that considers the anisotropy of frost heave deformation was established by examining overall frost heaves in a freeze–thaw cycle. Using a COMSOL Multiphysics 6.0 platform and the sequential coupling method, the temperature field evolution of tunnel-surrounding rock, freezing cycle development, and distribution characteristics of the frost heaving force of a tunnel lining under different minimum temperatures, numbers of negative temperature days, frost heave ratios, and anisotropy coefficients of frost heave deformation were systematically simulated. The results revealed that the response of the temperature field of tunnel-surrounding rock to the external temperature varies spatially with time lags, the shallow surface temperatures and the area around the lining fluctuate with the climate, and the temperature of the deep surrounding rock is dominated by the geothermal gradient. The extent of the freezing cycle and the frost heaving force increase significantly when lowering the minimum temperature. The maximum frost heaving force usually occurs in the region of the side wall and the spring line, and tensile stress is prone to be generated at the spring line; the influence of slight fluctuations in the minimum temperature or the short shift in the coldest day on the frost heaving force is limited. A substantial increase in frost heaving force is observed with higher frost heave ratios; for example, an increase from 0.25% to 2.0% results in a 116% rise at the sidewall. Although the increase in the anisotropy coefficient of frost heave deformation does not change the overall distribution pattern of frost heaving force, it can exacerbate the directional concentration of frost heave strain, which can increase the frost heaving force at the periphery of the top arch of the lining. This study revealed the distribution pattern and key influencing factors of the freezing cycle and frost heaving force for tunnels, providing a theoretical basis and data reference for the frost resistance design of tunnels in cold regions. Full article

The increasing demand for electricity in multi-tenanted residential areas has placed unforeseen strain on sub-transformers, particularly in dense urban environments. This strain compromises overall grid performance and challenges utilities with shifting and rising peak demand periods. This study presents a novel approach to enhance the operation of a virtual power plant (VPP) comprising a microgrid (MG) integrated with renewable energy sources (RESs) and energy storage systems (ESSs). By employing an advanced monitoring and control system, the proposed topology enables efficient energy management and demand-side control within apartment complexes. The system supports controlled electricity distribution, reducing the likelihood of unpredictable demand spikes and alleviating stress on local infrastructure during peak periods. Additionally, the model capitalizes on the large number of tenancies to distribute electricity effectively, leveraging locally available RESs and ESSs behind the sub-transformer. The proposed research provides a systematic framework for managing electricity demand and optimizing resource utilization, contributing to grid reliability and a transition toward a more sustainable, decentralized energy system. Full article

The Qinghai–Xizang Plateau and its surrounding regions have experienced intense tectonic activity, resulting in complex geostress environments that cause frequent and distinctive rockburst disasters in plateau tunnel engineering. In this study, numerical simulations were conducted to investigate the distribution characteristics and patterns of tunnel rockbursts in high-altitude regions, using geostress orientation, lateral pressure coefficient, and tunnel depth as the primary independent variables. Secondary development of FLAC3D 7.00.126 was carried out using FISH language to enable the recording and visualization of tangential stress, the Russense rockburst criterion, and elastic strain energy. Based on this, the influence mechanisms of these key geostress parameters on the location, extent, and intensity of rockbursts within tunnel cross sections were analyzed. Results indicate that geostress orientation predominantly affects the location of rockbursts, with the surrounding rock in the direction of the minimum principal stress on the tunnel cross section being particularly prone to rockburst risks. The lateral pressure coefficient primarily influences the rockburst intensity and pit range within local stress concentration zones, with higher values leading to greater rockburst intensity. Notably, when structural stress is sufficiently large, rockbursts may occur even in tunnels with shallow burial depths. Tunnel depth determines the magnitude of geostress, mainly affecting the overall risk and potential extent of rockbursts within the cross section, with greater depths leading to higher rockburst intensities and a wider affected area. Full article

The illegal sale of mussels is a persistent problem for food safety and public health in the Campania region, where bivalve molluscs are often sold without traceability, evading regulatory controls. In this study, ten batches of mussels seized from unauthorized vendors were analyzed to evaluate their microbiological safety and trace their geographical origin. High loads of Escherichia coli, exceeding European regulatory limits (Regulation (EC) No 2073/2005), were detected in all samples. In addition, Salmonella Infantis strains resistant to trimethoprim-sulfamethoxazole and azithromycin were isolated, raising further concerns about antimicrobial resistance. Of the 93 Vibrio isolates, identified as V. alginolyticus and V. parahaemolyticus, 37.63% showed multidrug resistance. Approximately 68.57% of the isolates were resistant to tetracyclines and cephalosporins. The presence of resistance to last-resort antibiotics such as carbapenems (11.43%) is particularly alarming. Near-infrared spectroscopy, combined with chemometric models, was used to obtain traceability information, attributing a presumed origin to the seized mussel samples. Of the ten samples, seven were attributed to the Phlegraean area. These findings have provided valuable insights, reinforcing the need for continuous and rigorous surveillance and the integration of innovative tools to ensure seafood safety and support One Health approaches. Full article

In order to study how indigenous microorganisms can enhance the strength properties of granite residual soil in the Hanzhong area, two Bacillus species that produce urease were isolated from the local soil. The two Bacillus species are Bacillus subtilis and Bacillus tequilensis, and they were used for the solidification and improvement of the granite residual soil. Unconfined compressive strength tests, scanning electron microscope (SEM) and X-ray diffraction (XRD) analyses were systematically used to analyze the influence and mechanism of different cementation solution concentrations on the improvement effect. It has been found that with the growth of cementing fluid concentration, the unconfined compressive strength of improved soil specimens shows an increasing tendency, reaching its highest value when the cementing solution concentration is 2.0 mol/L. Among different bacterial species, curing results vary; Bacillus tequilensis demonstrates better performance across various cementing solution concentrations. The examination of failure strain in improved soil samples indicates that brittleness has been successfully alleviated, with optimal outcomes obtained at a cementing solution concentration of 1.0 mol/L. SEM and XRD analyses show that calcium carbonate precipitates (CaCO₃) are formed in soil samples treated by both strains. These precipitates effectively bond soil particles, verifying improvement effects on a microscopic level. The present study proposes an environmentally friendly and economical method for enhancing engineering applications of granite residual soil in Hanzhong area, which holds significant importance for projects such as artificial slope filling, subgrade filling, and foundation pit backfilling. Full article

The global rise in urban-related health issues poses significant challenges to public health, particularly in cities facing socio-economic crises. In Lebanon, 70% of the population is experiencing financial hardship, and healthcare costs have surged by 172%, exacerbating the strain on medical services. Given these conditions, improving the quality and accessibility of green spaces offers a promising avenue for alleviating mental health issues in urban areas. This study investigates the psychological impact of nine urban public spaces in Beirut through a comprehensive survey methodology, involving 297 participants (locals and tourists) who rated these spaces using Likert-scale measures. The findings reveal location-specific barriers, with Saanayeh Park rated highest in quality and Martyr’s Square rated lowest. The analysis identifies facility quality as the most significant factor influencing space quality, contributing 73.6% to the overall assessment, while activity factors have a lesser impact. The study further highlights a moderate positive association (Spearman’s rho = 0.30) between public space quality and mental well-being in Beirut. This study employs a hybrid methodology combining Research for Design (RfD) and Research Through Designing (RTD). Empirical data informed spatial strategies, while iterative design served as a tool for generating context-specific knowledge. Design enhancements—such as sensory plantings, shading systems, and social nodes—aim to improve well-being through better public space quality. The proposed interventions support mental health, life satisfaction, climate resilience, and urban inclusivity. The findings offer actionable insights for cities facing public health and spatial equity challenges in crisis contexts. Full article

Background/Objectives: Interstitial lung disease (ILD) is frequently complicated by pulmonary hypertension (PH), which is associated with reduced exercise capacity and poor prognosis. Early and accurate non-invasive detection of PH remains a clinical challenge. This study evaluated whether combining quantitative CT analysis of lung fibrosis with cardiac MRI-derived measures of right ventricular (RV) function improves the diagnostic accuracy of PH in patients with ILD. Methods: We retrospectively analyzed 72 ILD patients who underwent chest CT, cardiac MRI, and right heart catheterization (RHC). Lung fibrosis was quantified using a Gaussian Histogram Normalized Correlation (GHNC) software that computed the proportions of diseased lung, ground-glass opacity (GGO), honeycombing, reticulation, consolidation, and emphysema. MRI was used to assess RV end-systolic volume (RVESV), ejection fraction, and RV longitudinal strain. PH was defined as a mean pulmonary arterial pressure (mPAP) ≥ 20 mmHg and pulmonary vascular resistance ≥ 3 Wood units on RHC. Results: Compared to patients without PH, those with PH (n = 21) showed significantly reduced RV strain (−13.4 ± 5.1% vs. −16.4 ± 5.2%, p = 0.026) and elevated RVESV (74.2 ± 18.3 mL vs. 59.5 ± 14.2 mL, p = 0.003). CT-derived indices also differed significantly: diseased lung area (56.4 ± 17.2% vs. 38.4 ± 12.5%, p < 0.001), GGO (11.8 ± 3.6% vs. 8.65 ± 4.3%, p = 0.005), and honeycombing (17.7 ± 4.9% vs. 12.8 ± 6.4%, p = 0.0027) were all more prominent in the PH group. In receiver operating characteristic curve analysis, diseased lung area demonstrated an area under the curve of 0.778 for detecting PH. This increased to 0.847 with the addition of RVESV, and further to 0.854 when RV strain was included. Combined models showed significant improvement in risk reclassification: net reclassification improvement was 0.700 (p = 0.002) with RVESV and 0.684 (p = 0.004) with RV strain; corresponding IDI values were 0.0887 (p = 0.03) and 0.1222 (p = 0.01), respectively. Conclusions: Combining CT-based fibrosis quantification with cardiac MRI-derived RV functional assessment enhances the non-invasive diagnosis of PH in ILD patients. This integrated imaging approach significantly improves diagnostic precision and may facilitate earlier, more targeted interventions in the management of ILD-associated PH. Full article

The agents of prion diseases have the capacity to efficiently infect susceptible hosts by peripheral routes and to project to clinical target areas of the central nervous system (CNS) via peripheral nerves. Understanding the process of prion spread from the site of infection to the CNS may allow us to identify novel therapeutic strategies. To investigate the mechanism involved in the intranerval transit of 263K scrapie prions in golden Syrian hamsters (GSHs), we transected the sciatic nerve at increasing times post-footpad injection and recorded the incubation periods as estimates of the efficiency of infection. We calculated that intranerval transit of this strain of scrapie is at least 10 times faster than previously reported and may reach 50 mm/day, similar to other neurotropic viruses. By in vivo exposure/injection of sciatic nerves to 263K infectivity, we have also shown that prion entry likely occurs via nerve terminals rather than by direct contact with the sciatic nerve. Application of this experimental approach in other forms of prion diseases could allow verification of the timing of neuroinvasion, a relevant parameter for the definition of therapeutic interventions. Full article

Canine morbillivirus (CDV), the cause of canine distemper, is a pathogen affecting many hosts. While modified live virus (MLV) vaccines are crucial for controlling the disease in dogs, cases of vaccine-related infections have been found in both domestic and wild animals. Specifically, the America-1 and Rockborn-like vaccine genotypes are concerning due to their spread and ability to transmit between different species. This study conducted a review and analysis of molecular detections of these strains in various carnivores (domestic, captive, synanthropic, and wild species). This study used a conceptual model considering host ecology and the domestic–wild interface to evaluate plausible transmission connections over time using Linear Directional Mean (LDM) and Weighted Mean Centre (WMC) methods. Statistical analyses examined the relationship between how likely a strain is to spread and factors like host type and vaccination status. The findings showed that the America-1 genotype spread in a more organised way, with domestic dogs being the main source and recipient, bridging different environments. Synanthropic mesocarnivores also played this same role, with less intensity. America-1 was most concentrated in the North Atlantic and Western Europe. In contrast, the Rockborn-like strain showed a more unpredictable and restricted spread, residual circulation from past use rather than ongoing spread. Species involved in vaccine-related infections often share characteristics like generalist behaviour, social living, and a preference for areas where domestic animals and wildlife interact. We did not find a general link between a host vaccination status and the likelihood of the strain spreading. The study emphasised the ongoing risk of vaccine-derived strains moving from domestic and synanthropic animals to vulnerable wild species, supporting the need for improved vaccination approaches. Mapping these plausible transmission routes can serve as a basis for targeted surveillance, not only of vaccine-derived strains, but of any other circulating genotype. Full article