Search Results (311,306)

The transition to renewable energy is a central objective of the European Union’s energy and climate policies, yet adoption rates differ significantly across Member States. This study analyses the economic, structural, and energy determinants of renewable energy adoption in the EU-27 over the period 2008–2023, using panel data models with country and year fixed effects and clustered standard errors. The results indicate that the relationship between renewable energy and its main determinants is limited and heterogeneous across countries. Most explanatory variables do not exhibit consistent and statistically significant effects across model specifications. In particular, research and development expenditure does not show a robust impact, while GDP per capita is associated with negative coefficients in several specifications, suggesting the presence of structural constraints and path dependency. Energy-related variables also display weak and unstable relationships. The findings suggest that renewable energy adoption is shaped by context-specific and heterogeneous dynamics rather than by uniform drivers. The study contributes by highlighting the limited explanatory power of standard macroeconomic indicators and supports the need for differentiated policy approaches across Member States. Full article

Background: Emerging evidence highlights the importance of the MIF–sCD74 axis in health and disease, including its role in regulating cell death. While studies in routine cardiac surgery suggest perioperative relevance, its role in end-stage heart failure (ESFH) patients undergoing left ventricular assist device (LVAD) implantation remains unexplored. Moreover, although MIF and sCD74 induce necroptosis in neonatal cardiac myofibroblasts, the effects of MIF, its paralog D-DT, and sCD74 on adult cardiac myofibroblasts (CMFs) are unknown. Methods: Plasma concentrations of sCD74, MIF and D-DT were measured perioperatively in a small cohort of patients with ESHF undergoing LVAD implantation (n = 20). As a preclinical model of ESHF, primary adult CMFs were treated with recombinant MIF, D-DT and sCD74 to evaluate their effects on cellular viability and health. Results: In LVAD patients, sCD74 and D-DT levels were significantly increased 24 h postoperatively, whereas MIF levels were reduced compared to baseline. ROC curve analysis demonstrated a good discriminatory power of 24 h post-OP sCD74 (AUC = 0.83), sCD74/MIF ratio (AUC = 0.82), and D-DT levels (AUC = 0.88) for acute kidney injury, composite outcome, and right heart failure (RHF), respectively. In adult CMFs, MIF and sCD74 synergistically reduced viable cell counts (p = 0.0083), whereas D-DT reduced cell counts in an sCD74-independent manner (p = 0.0004). Yet, measures of metabolism, proliferation, apoptosis and necrosis along with inflammatory gene expression remained unchanged. Conclusions: Our findings indicate that the balance of MIF, D-DT, and sCD74 during LVAD implantation may be clinically relevant. In particular, an imbalance characterized by elevated sCD74 or D-DT and reduced MIF levels 24 h post-surgery was associated with unfavorable clinical outcomes. Yet, the current findings are exploratory and hypothesis-generating because of a small sample size. Thus, the prognostic value of plasma levels for postoperative complications after LVAD implantation, and the effects of MIF/D-DT/sCD74 imbalance on cardiac myofibroblasts, need to be validated in larger cohorts and in advanced human experimental models. Full article

Fluoroquinolones are known for their antibacterial properties, but recent research has revealed their potential to inhibit the growth and proliferation of cancer cells. Thus, this study aimed to emphasize the repositioning and potential of fluoroquinolones as possible therapeutic tools in the fight against cancer, opening up new perspectives for the field of oncology. Thus, this paper consists of a descriptive literature review of recent studies published between 2013 and 2023 on the use of fluoroquinolones in anticancer therapy. The results indicate that fluoroquinolones can interfere with the cell cycle, induce apoptosis and oxidative stress, and impact factors associated with tumorigenesis, such as the transcription of ectopic expression of SNAI1 for epithelial–mesenchymal transition. In addition, studies show that combining fluoroquinolones with other antineoplastic agents can increase their efficacy, and the possibility of encapsulating these drugs in controlled-release systems is also emerging as a promising antitumor strategy. In conclusion, repositioning fluoroquinolones in antitumor therapy presents an expanding field of research, offering new perspectives for cancer treatment. However, more studies are needed to fully elucidate their potential and establish effective clinical use protocols. Full article

Scimitar syndrome is a rare congenital cardiopulmonary anomaly with marked anatomical and clinical heterogeneity, and long-term outcome data remain limited. We reviewed our single-center experience over a 33-year period. Patients evaluated between 1992 and 2025 were retrospectively analyzed. A total of 104 patients were included, with female predominance (63, 60.6%). The median age at first presentation was 0.4 years (IQR 0.0-16.7; range 1 day-68 years) with 59 patients (56.7%) presenting during infancy. At last follow-up, the median age was 18.5 years (IQR 8.7–30.6; range 60 days–70 years), with a median follow-up duration of 9.5 years (IQR 3.7–16.1). Dextrocardia was observed in 76 patients (73.1%). The most common associated defect was atrial septal defect (37 patients, 35.6%), while 23 patients (22.1%) had no additional cardiac defects. Respiratory manifestations predominated at presentation and follow-up. However, 18 patients (17.3%) were asymptomatic at diagnosis and 44 (42.3%) at follow-up. Partial anomalous pulmonary venous drainage was present in 87 patients (83.6 %), and aorto-pulmonary collaterals in 70 (67.3%). Cardiac catheterization was performed in 78 patients (75.0%), and 47 (45.2%) underwent surgery. At last documented follow-up, 101 of 104 patients (97.1%) were alive, with three deaths occurring during follow-up. Full article

Purpose: To evaluate the safety and feasibility of repeated subtenon administration of autologous platelet-rich plasma (PRP) in patients with degenerative retinal diseases and to explore preliminary, hypothesis-generating functional observations in retinitis pigmentosa (RP) and extensive macular atrophy with pseudodrusen-like appearance (EMAP). Methods: This prospective, open-label, uncontrolled pilot study included 13 patients (6 RP, 7 EMAP) who received three subtenon PRP injections (1.5 mL each) at baseline, Month 2, and Month 4, with follow-up through Month 6. The study was designed primarily to assess safety and feasibility and was not powered or intended to evaluate efficacy. The primary outcome was safety, including adverse events and intraocular pressure changes. Exploratory secondary outcomes included best-corrected visual acuity (BCVA, logMAR), visual field mean deviation (MD), and structural optical coherence tomography (OCT) parameters. Electrophysiological outcomes were analyzed descriptively due to incomplete paired data. Analyses were conducted within diagnostic groups, and no between-group comparisons were performed. Results: All 13 patients completed the study. No serious adverse events or permanent ocular morbidity were observed. Two transient and self-limited adverse events occurred (anterior uveitis and intraocular pressure elevation), both resolving without sequelae. In the overall cohort, BCVA remained stable without statistically significant change. In the RP subgroup, a small exploratory change in BCVA was observed (mean ΔlogMAR −0.09; nominal p = 0.048), corresponding to approximately 4–5 ETDRS letters; however, this finding was associated with wide confidence intervals and limited statistical power and should be interpreted cautiously. In the EMAP subgroup, functional stability was observed without evidence of consistent improvement. Visual field mean deviation and OCT findings were consistent with absence of short-term deterioration across available paired data. Electrophysiological outcomes showed no consistent directional change. Conclusions: Repeated subtenon PRP administration appeared feasible and well tolerated in this small, uncontrolled pilot cohort. Any observed functional changes are preliminary and hypothesis-generating only and do not establish efficacy. Larger, adequately powered controlled studies with standardized endpoints are required to determine the potential role of PRP in degenerative retinal diseases. Full article

Urban forest fragmentation can weaken ecological connectivity and reduce the spatial continuity of cooling benefits, highlighting the need for structure-function integrated planning. Using 2020 as the baseline year, this study combined the Markov Chain-Future Land Use Simulation model, Morphological Spatial Pattern Analysis, the Minimum Cumulative Resistance model, and Kernel Density Estimation to simulate the evolution of Hangzhou’s forest-dominated ecological network under Business-as-Usual, Economic Development, and Ecological Conservation scenarios for 2030. A Random Forest model with Shapley Additive Explanations was further used to quantify the nonlinear relationship between landscape spatial context and land surface temperature. The results show that the Economic Development and Business-as-Usual scenarios intensify forest fragmentation and weaken the structural integrity of potential ecological corridors, whereas the Ecological Conservation scenario improves network stability through patch amalgamation, core area expansion, and reduced breakpoint density. Land surface temperature was strongly associated with built-up land adjacency. Built-up areas near forest patches showed a maximum relative cooling benefit of 8.04 degrees Celsius, and corridor cooling effects were most pronounced within 300 m, remaining detectable up to about 900 m under the Ecological Conservation scenario. These findings support structure-oriented planning for urban forest conservation and heat mitigation. Full article

Antimicrobial resistance (AMR) has become a major concern in the treatment of bacterial infections, and bacteriophage therapy has emerged as a promising alternative to antibiotics. Bacteriophages are highly specific to their bacterial hosts; hence, isolating phages indigenous to a specific region offers a significant advantage against various pathogen strains. We have isolated a cocktail of bacteriophages against pathogenic E. coli from sewage water at a primary healthcare centre. Characterisation of the isolated phages demonstrated their stability across a broad pH and temperature range, strong lytic activity, and effective biofilm degradation, with no cross-reactivity with Staphylococcus aureus (S. aureus). Genomic analysis and phylogenetic studies indicated that the largest phage (by genome size) in the cocktail belongs to the genus Vequintavirus (myoviruses, rV5-like phages), and its genome sequence has been deposited in NCBI (Accession ID: PX741096). The phage genome was linear, with headful (PAC) packaging, encoded lysis proteins, and lacked antibiotic-resistant or major lysogeny-associated genes, collectively suggesting a lytic lifestyle. These findings emphasize the therapeutic potential of rV5-like phages and underscore the critical need to establish phage banks in India to improve disease management. Full article

Mining and metallurgical residues represent one of the largest untapped secondary raw-material resources in Europe; however, their critical raw material (CRM) potential remains insufficiently quantified. This study applies a comprehensive mineralogical, geochemical, and geostatistical framework to evaluate nine distinct waste types from the Cartagena–La Unión Mining District (SE Spain), a historically exploited polymetallic system. A total of 79 samples were analysed using X-ray diffraction, wavelength-dispersive X-ray fluorescence, and advanced multivariate statistical techniques (correlation analysis, principal component analysis and hierarchical clustering) to identify geochemical associations controlling CRM distribution. The results reveal strong geochemical heterogeneity, with systematic enrichment in Co, Ni, Cu, Ga, Nb, and rare-earth proxies. Three dominant geochemical controls were identified: (i) a lithogenic silicate association governing Al–Si–Ti–Nb patterns, (ii) a sulphide-derived metalliferous association characterized by Cu–As–Sb, and (iii) an oxidation–adsorption association responsible for Ga–Y affinity. Several CRM concentrations approach or exceed typical global ore grades for secondary resources, particularly in flotation-derived and oxidation-rich residues. Geostatistical modelling confirms spatially coherent CRM hotspots, with base-metal enrichment linked to sulphide relics and Ga–Nb–Y controlled by Fe–Mn oxyhydroxides. Environmental assessment indicates potential metal mobility under acidic conditions, while also highlighting significant remediation benefits associated with residue reprocessing. Taken together, this study provides a robust and reproducible methodology for CRM assessment in legacy mining wastes and identifies priority residue types within the district with the highest strategic recovery potential. Full article

Background: Postmenopausal osteoporosis is a common metabolic bone disorder characterized by decreased bone mass and microstructural deterioration, often accompanied by increased bone marrow adiposity and systemic fat accumulation. Kun-Ling Wan Formula (KLW) is a compound Chinese medicine clinically used for gynecological disorders, though its effects on postmenopausal osteoporosis and associated fat accumulation remain unclear. Distinct from previous herbal formulation studies that primarily focused on bone outcomes, our study uniquely integrates bone protection, marrow adiposity reduction, systemic metabolic improvement, and multi-omics mechanistic dissection in a high-fat diet-fed ovariectomized mouse model. Methods: KLW chemical composition was analyzed by UPLC-Q-TOF/MS. Ovariectomized (OVX) C57BL/6J mice fed high-fat or normal diet were treated with KLW at clinically equivalent or double doses, with estrogen and active compounds as controls. Bone microstructure was assessed by micro-CT, bone marrow fat by MRI-PDFF, and metabolism by OGTT, ITT, and metabolic cages. Network pharmacology, proteomics, molecular docking, and dynamics simulations identified core targets. C3H10T1/2 cells were used to assess osteogenic/adipogenic differentiation and mTOR pathway activation. Results: Twelve compounds were identified in KLW. In OVX mice, KLW significantly improved bone mineral density and trabecular microstructure, reduced adiposity and bone marrow fat, and enhanced glucose tolerance and insulin sensitivity. In vitro, KLW promoted osteogenesis and suppressed adipogenesis in C3H10T1/2 cells. Integrative analyses identified mTOR as a central target, with chrysophanol, pyrogallol, and apigenin showing high-affinity binding. KLW inhibited mTOR/S6K phosphorylation during differentiation, an effect reversible by leucine. Conclusions: KLW ameliorates osteoporosis and reduces fat accumulation in OVX mice by shifting mesenchymal stem cell differentiation toward osteogenesis via mTOR pathway modulation. Full article

Background: Long noncoding RNAs (lncRNAs) have emerged as critical regulators of hepatic metabolism and disease progression. The hepatocyte nuclear factor 1 alpha antisense 1 (HNF1A-AS1) lncRNA modulates liver-specific transcription factors; however, its physiological role in diet-dependent lipid homeostasis remains poorly defined. Methods: In this study, we investigated the mouse ortholog, Hnf1a opposite strand 1 (Hnf1aos1), using AAV-mediated knockdown in C57BL/6J mice fed either a chow diet (10% kcal from fat) or a high-fat diet (HFD; 60% kcal from fat) for 12 weeks. Metabolic phenotyping included hepatic lipid quantification, histological analysis, serum biochemistry, and quantitative gene expression profiling. Results: Loss of Hnf1aos1 produced distinct, diet-dependent alterations in hepatic lipid handling. Under chow conditions, knockdown mice exhibited selective hepatic cholesterol accumulation (6.10 ± 2.9 mg/g tissue vs. 3.51 ± 1.1 mg/g in controls), accompanied by dysregulation of cholesterol clearance pathways. In contrast, under HFD conditions, knockdown precipitated severe macrovesicular degeneration, with hepatic triglyceride levels approximately doubled relative to HFD-fed controls (51.72 ± 19.8 mg/g vs. 26.34 ± 11.9 mg/g) and a numerically elevated triglyceride-to-cholesterol ratio (TG:TC ≈ 6.1:1; p = 0.0621, trend). Chow/Kd mice gained significantly less weight than chow-fed controls, whereas HFD/Kd mice exhibited weight gain comparable to HFD controls despite severe hepatic steatosis. This paradoxical phenotype suggests impaired metabolic feedback at the post-transcriptional level, in which compensatory upregulation of Hnf1a mRNA is insufficient to suppress lipid-associated genes such as Cd36, despite profound lipid overload; however, HNF1A protein levels were not directly measured in this study. Conclusion: Collectively, these findings identify Hnf1aos1 as a regulator of hepatic lipid homeostasis whose loss produces a phenotype consistent with inappropriate lipid accumulation during nutrient excess, without defining the underlying molecular mechanism. Our results support a role for Hnf1aos1 in shaping hepatic metabolic plasticity and provide insight into lncRNA-associated MASLD phenotypes. Full article

Background: Quiescent cancer cells (QCCs) evade conventional therapies and contribute to minimal residual disease (MRD) and relapse, yet the signaling pathways governing their survival remain poorly understood. Methods: Here, we performed integrative proteomic and phosphoproteomic profiling of triple-negative breast cancer (TNBC) cells transitioning between proliferation and serum removal-induced quiescence, followed by re-stimulation. Results: We identified dynamic remodeling of both proteome and phosphoproteome, with quiescent cells showing downregulation of mitotic drivers and upregulation of extracellular matrix components. Notably, phosphorylation of CK2 substrates was increased during quiescence, and CK2 inhibition using CX-4945 impaired cell survival under nutrient and genotoxic stress, disrupted autophagy, microtubule dynamics, and protein synthesis. Phospho-enrichment and functional assays identified death-associated protein kinase 3 (DAPK3) as a CK2-regulated effector mediating stress-induced apoptosis. In silico analysis confirms a link between high CK2 expression and poor chemotherapy response in basal breast cancer. Conclusions: These findings establish CK2 as a critical survival kinase in QCCs and a potential therapeutic target for MRD eradication in breast cancer. Full article

This study investigates the environmental and energy performance of rice straw-based energy pathways in Egypt, combining life cycle assessment (LCA) with supply chain optimization to improve system efficiency. The analysis covers thirteen governorates producing over 4.45 million tons of rice straw annually. It examines the whole supply chain from paddy farming, straw collection, and transport to electricity generation and ash disposal. Total energy consumption was 11,287 TJ, dominated by farming (5673 TJ) and transport (5490 TJ). Greenhouse gas (GHG) emissions were estimated at 12,007.5 million kg CO₂-eq, with significant contributions from farming (5158 million), combustion (3630 million), and natural gas use (3039 million). Gross electricity output was 5525 GWh, yielding a net of 4973 GWh, equivalent to 1116.5 kWh per ton of straw. Scenario analysis highlighted that the optimized multi-hub system, prioritizing Cluster 1 in the Nile Delta, which contributes over 92% of straw production and 4607 GWh of net electricity, achieved a reduction of more than 25% in transport distances and an 18% decrease in diesel consumption and related emissions. Sensitivity analysis further indicated that delivered electricity and GHG intensity are more sensitive to conversion efficiency and transmission and distribution losses than to moderate changes in transport assumptions. In addition to environmental improvements, the optimized scenario indicates potential social co-benefits, including rural employment generation, additional income opportunities for farmers, and improved air quality associated with reduced open-field burning. These outcomes are presented as indicative qualitative insights. Findings confirm rice straw as a strategic, scalable, and sustainable energy resource aligned with Egypt’s Vision 2030 and the UN Sustainable Development Goals (SDGs). Full article

The high-precision, continuous monitoring of the surface water level is of great importance for water resource management and the conservation of ecological systems. This study proposes a GNSS-IR-based water-level estimation method using NMEA observations collected from low-cost GNSS receivers. First, the NMEA-recorded satellite elevation angle, azimuth angle, and signal-to-noise ratio (SNR) are processed using time-series characteristics for improving the resolution and applicability of these GNSS observations. Then, the multi-frequency GNSS signal-based reflector height inversion models are developed by making use of the Lomb–Scargle periodogram method. Finally, the Velocity Pausing Particle Swarm Optimization (VPPSO) algorithm is employed to calculate the reflector height estimation and thus the water level. Two experimental data sets collected in two different environments were used to test the proposed method. The experimental results show that the root mean square error (RMSE) of the water-level estimation error is less than 6 cm for the proposed method when the in situ ones are in the range of 196.4 cm to 296.1 cm. This study provides a theoretical and technical foundation for the development of the low-cost GNSS-IR water-level measuring instrument. Full article

Background/Objectives: Radon exposure has recently been associated with asthma morbidity, including increased airway inflammation and school absenteeism in children, though limited data on underlying biological mechanisms exist. Interleukin-6 (IL-6), a pleiotropic cytokine implicated in both Type 2-low airway inflammation and radon-related lung carcinogenesis, may represent a key mechanistic link between radon exposure and asthma morbidity. We aimed to evaluate the association between indoor radon exposure and plasma IL-6 levels in children with asthma and whether this relationship differs by allergic sensitization status. Methods: We analyzed baseline data from the School Inner-City Asthma Study, a prospective cohort of children aged 4–13 years with persistent asthma. Monthly indoor radon concentrations at each participant’s residential ZIP Code Tabulation Area were estimated using a validated spatiotemporal prediction model. Plasma IL-6 was measured from baseline blood samples. Multivariable linear mixed-effects models with random intercepts for school were used to assess the association between radon exposure and IL-6, adjusting for demographic, clinical, and socioeconomic covariates. Effect modification by allergic sensitization was evaluated using an interaction term. Results: Among 144 participants, 62.5% were allergen-sensitized. The median home radon concentration was 46.6 Bq/m³ (range 30.7–99.9), and the mean plasma IL-6 was 0.22 pg/mL (SD 0.41). A significant interaction was observed between radon exposure and allergic sensitization status (β-interaction = –0.012; p = 0.014), indicating differential effects by phenotype. Among non-sensitized children, higher radon exposure was associated with increased IL-6 levels (β = 0.0088; p = 0.044), corresponding to a 0.32 pg/mL rise in IL-6 per 37 Bq/m³ increase in radon. No significant association was observed among sensitized children. Conclusions: Indoor radon exposure is associated with higher plasma IL-6 levels in non-sensitized children with asthma, suggesting a potential IL-6–mediated pathway linking radon exposure to asthma morbidity in the Type 2-low phenotype. These findings highlight heterogeneity in environmental asthma responses and support further investigation into radon mitigation as a modifiable factor to improve asthma outcomes. IL-6 may serve as a biomarker to identify children most susceptible to radon-related airway inflammation, guiding personalized mitigation strategies and targeted interventions to improve asthma outcomes. Future studies should incorporate direct home radon measurements, comprehensive endotyping panels, and longitudinal biomarker sampling to validate these findings and elucidate whether IL-6 trans-signaling pathways mediate radon-induced airway injury in non-allergic asthma. Full article

Bias temperature instability (BTI) degradation is commonly described using empirical power-law kinetics; however, extraction of the time exponent and projection of lifetime remain highly sensitive to baseline definition and data representation. In conventional approaches, the threshold voltage shift is referenced to an initial value that cannot be measured simultaneously with stress, introducing uncertainty that can produce apparent curvature and variability in the extracted exponent. In this work, a baseline-independent linearization method is applied to representative published datasets spanning advanced silicon, SiC MOSFETs, and GaN power devices. By analyzing the measured degradation trajectories directly in a transformed time coordinate, the method removes curvature associated with baseline ambiguity and enables consistent extraction of the effective power-law exponent. Across all material systems examined, the extracted exponent exhibits systematic dependence on applied stress once baseline effects are reduced. This behavior challenges the commonly assumed constant-exponent formulation used in conventional lifetime projections and shows that even modest variations in the exponent can produce large differences in projected time-to-failure. A transformed lifetime representation based on is introduced, in which the influence of exponent variation is separated from the intrinsic voltage and temperature acceleration of the degradation rate. In this representation, the extracted acceleration parameters become more stable and physically interpretable. This formulation is consistent with standard reliability frameworks, including JEDEC JEP122G, in which the time exponent enters directly into the lifetime expression. These results demonstrate that baseline-independent analysis provides a unified framework for interpreting BTI degradation across disparate semiconductor technologies and suggest that explicit treatment of stress-dependent exponents is required for physically consistent lifetime modeling. Full article