Search Results (5,620)

Recent studies in the Romanian Western Carpathians have revealed increasing socio-demographic fragility in rural areas and small towns, driven by depopulation, population aging, and declining living standards. These trends stem from the legacy of forced collectivization and industrialization (1950–1990) and the post-1990 transition, which triggered extensive out-migration and the erosion of local socio-economic structures. This study examines the fragility of human communities in the Trascău Mountains in order to evaluate spatial, demographic, and economic recovery dynamics and to assess settlement vulnerability as a major obstacle to sustainable regional development. Fragility was measured using indicators of population density and change, age structure, accessibility, and socio-demographic dynamics, based on comparative data for the interval of 1977–2021. These variables were integrated into a composite development index (Id), derived from twelve indicators covering demography, economy, infrastructure, and living standards, enabling the hierarchical classification of settlements by degree of vulnerability. The methodological framework combines empirical and analytical methods, statistical, cartographic, bibliographic, and field-based analyses within evolutionary, structural–functional, and typological perspectives. The results identify the main drivers of decline, quantify their impacts, and outline development prospects and policy directions for reducing territorial disparities. Overall, fragile settlements emerge as critical pressure points that undermine sustainability, intensify regional instability, and increase risks related to migration and social cohesion. Full article

Background: Population aging increases susceptibility to cognitive decline, anxiety, and metabolic dysregulation, yet safe and effective interventions remain limited. Saffron (Crocus sativus L.) has been traditionally used to enhance mood and cognition, and its main metabolites, crocins and safranal, exert neuroprotective, anxiolytic, and metabolic effects. However, variability in extract composition and frequent adulteration hinder reproducibility. Objectives: To clarify the efficacy of genuine saffron preparations in aging, we investigated a saffron extract standardized for safranal and crocin content (SSE). Methods: Safranal bioavailability was first characterized in rats, followed by an evaluation of behavioral, neuroendocrine, and metabolic outcomes after 35 days of oral SSE administration (25 or 200 mg/kg/day) in 25-month-old male C57BL/6 mice. Behavioral performance was assessed using open field and novel object recognition tests, while molecular analyses targeted neuropeptides in the hypothalamus and amygdala, hippocampal plasticity markers, cortical inflammatory proteins, and hepatic lipid metabolism genes. Results: SSE administration induced a rapid but transient increase in the plasma’s safranal, confirming its bioavailability. In aged mice, the low dose prevented age-related weight loss and modulated hepatic lipid metabolism, whereas the high dose reduced anxiety-like behavior and improved recognition memory. The anxiolytic effects are consistent with elevated hypothalamic Npy, an anxiolytic peptide, reduced amygdalar Crh, a key mediator of stress and anxiety, and decreased hypothalamic Hcrt, an arousal modulator. The improvement in memory is associated with modulation of the cortical and hippocampal inflammatory and endocannabinoid proteins involved in neural plasticity. Conclusions: These findings highlight content-standardized saffron extracts as a promising multi-target nutraceuticals for healthy aging. Full article

Body mass index (BMI) has shown inconsistent associations with outcomes after transcatheter aortic valve replacement (TAVR), and evidence from the Middle Eastern population is limited. This study evaluated whether BMI independently predicts early complications, mortality, or infection following TAVR in a Saudi Arabian cohort. We conducted a retrospective analysis of 197 patients who underwent TAVR between 2015 and 2024, stratified by BMI < 25, 25–29.9, and ≥30 kg/m². The primary endpoint was the in-hospital Valve Academic Research Consortium-3 (VARC-3) composite safety outcome, with secondary outcomes including individual complications, infection, length of stay, and 30-day mortality or readmission. Overall, patients had a mean age of 74.9 ± 8.8 years and 52.3% were female; in-hospital mortality was 2.0%, technical success 99%, and 30-day readmission 12.7%. BMI category was not independently associated with in-hospital complications or mortality, while advanced age ≥ 75 years (adjusted OR 2.52, p = 0.009), moderate Society of Thoracic Surgeons (STS) risk (adjusted OR 3.75, p = 0.008), and high STS risk (adjusted OR 2.26, p = 0.033) independently predicted complications. Overweight patients had higher in-hospital infection rates (14.1% vs. ~3%, p = 0.020). These findings suggest that physiologic vulnerability and operative risk, rather than BMI alone, should guide early TAVR risk assessment. Full article

Background/Objectives: Comprehensive knowledge of body composition and bone status across the lifespan is critical for clinical evaluation and public health initiatives. This study aimed to develop age- and sex-specific reference curves for body composition and bone status in a physically active Greek population aged 18–80 using dual-energy X-ray absorptiometry (DXA). A secondary objective was to examine age- and sex-related trends in fat distribution, lean mass (LM), and bone status. Methods: A cross-sectional analysis was conducted on 637 participants (275 men and 362 women). Physical activity was assessed through structured interviews evaluating type, frequency, and intensity, categorized using established guidelines from organizations such as the American Heart Association and World Health Organization. Anthropometric data and DXA scans were utilized to measure parameters including fat mass (FM), LM, and BMD. Participants were stratified into age categories, and percentile curves were generated using generalized additive models for location, scale, and shape (GAMLSS). Results: Among women, body mass increased by 20.9% and body fat percentage rose by 38.3% from the youngest to the oldest age group, accompanied by a 5.7% reduction in bone mineral density (BMD) and an 11.5% decline in bone mineral content (BMC). Men exhibited a 49.1% increase in body fat percentage, with LM remaining stable across age groups. In men, BMD decreased by 1.7%, while BMC showed minimal variation. Notable sex differences were observed in fat redistribution, with android fat (AF) increasing significantly in older individuals, particularly among women, highlighting distinct age-related patterns. Conclusions: This study provides essential reference data on body composition and bone status, emphasizing the need for tailored interventions to address sex- and age-related changes, particularly in fat distribution and bone density, to support improved health outcomes in aging populations. Full article

Background/Objectives: Coronary artery disease (CAD) is highly prevalent in patients undergoing vascular surgery and is a major determinant of postoperative morbidity and mortality. Preoperative anemia is a well-recognized risk factor for adverse outcomes, including major adverse cardiac events (MACEs), but its independent impact in patients with CAD undergoing abdominal aortic aneurysm (AAA) repair remains unclear. Methods: We conducted a retrospective cohort study of 410 consecutive patients undergoing open AAA repair at a tertiary vascular center between 2023 and 2025. Preoperative anemia was defined as hemoglobin < 130 g/L and significant CAD as ≥70% luminal narrowing for non-left main disease or ≥50% for left main disease. The primary outcome was MACE (cardiovascular death, myocardial infarction, or stroke) during hospitalization. Baseline covariates included age, sex, diabetes mellitus (DM), chronic kidney disease (CKD), congestive heart failure (CHF), peripheral artery disease (PAD), and other relevant comorbidities. Multivariable logistic regression models were used to evaluate associations of anemia, CAD, and their interaction with MACE. Additionally, a composite risk group was created to examine MACE rates across mutually exclusive subgroups. Results: Among 410 patients, 314 (76.6%) had CAD and 116 (28.3%) had preoperative anemia. Overall, 67 patients (16.3%) experienced MACE. In the reduced model including only anemia and CAD, anemia remained a strong independent predictor of a MACE (OR 4.46, 95% CI 2.57–7.72, p < 0.001), and CAD was also independently associated (OR 2.20, 95% CI 1.00–4.72, p = 0.044). In the full multivariable model adjusting for DM, CHF, CKD, PAD, and age, anemia was the strongest predictor (OR 4.53, 95% CI 2.49–8.26, p < 0.001), while CAD showed a borderline association (OR 2.07, 95% CI 0.94–4.57, p = 0.071). Interaction analysis indicated no statistically significant modification in risk by the combination of anemia and CAD. The composite risk group variable was omitted due to collinearity with its components. Conclusions: Preoperative anemia, particularly in patients with CAD, is a significant and independent predictor of major adverse cardiac events following open AAA repair. These findings support the importance of early identification and correction of anemia before surgery to improve perioperative cardiac outcomes in this high-risk population. Full article

Crabronid wasps (Hymenoptera: Crabronidae) are ecologically important predators that provide various ecological services by regulating the arthropod populations, enhancing soil processes through nesting, serving as sensitive indicators of habitat condition, and providing pollen transfer for plants. However, as other invertebrates face biodiversity threats, these wasps might be under threat from environmental changes, and we need to assess the biodiversity patterns of these wasps in Yunnan Province. Unfortunately, no information is currently available about the pattern and factors responsible for the assemblages of these wasps within our study region. This study provides the first province-level assessment of habitat suitability, species richness, assemblage structure, and environmental determinants for Crabronidae in Yunnan by integrating species distribution modeling (SDM), multivariate clustering, and ordination analyses. More than 50 species were studied to assess habitat suitability in Yunnan using MaxEnt. Model performance was robust (AUC > 0.7). Suitability patterns varied distinctly among regions. Species richness peaked in southern Yunnan, particularly in the counties of Jinghong, Mengla, Menghai, and Jiangcheng Hani & Yi. Land use/land cover (LULC) variables were the dominant predictors for 90% of species, whereas precipitation-related variables contributed most strongly to the remaining 10%. Ward’s hierarchical clustering grouped the 125 counties into three community assemblage zones, with Zone III comprising the most significant area. A unique species composition was found within a particular zone, and clear separation among zones based on environmental variation was supported by Principal Component Analysis (PCA), which explained more than 70% variability among zones. Furthermore, Canonical Correspondence Analysis (CCA) indicated that both LULC and climatic factors shaped community structure assemblages, with axes 1 and 2 explaining 70% of variance (p = 0.001). The most relevant key factors in each zone were precipitation variables (bio12, bio14, bio17), which were dominant in Zone I; for Zone II, temperature and vegetation variables were most important; and urban, wetland, and water variables were most important in Zone III. Full article

Cattle breeds are optimized either for milk or meat production and secrete consumed nutrients in the form of milk or accrete nutrients as skeletal muscle tissue, respectively. Surplus energy is usually stored in the form of fat in adipose tissues. To gain more insight into the physiological and genetic background of nutrient accretion as either protein or fat, an experimental F₂ population was generated crossing Charolais (CH) bulls and German Holstein (GH) cows. Mutations in two genes with known, profound effects on growth were segregating in this population: the I442M mutation in the non-SMC condensin I complex, subunit G (NCAPG) gene, and the Q204X mutation in the myostatin (MSTN) gene. The major aim of this study was to close the gap between the described effects of the NCAPG/LCORL region and MSTN SNPs on carcass and meat quality traits, as well as on the structure and composition of the underlying tissues. Whole carcass data, meat quality traits, composition of major cuts and their dominating muscles, including muscle and fat cell structure, were analyzed as well as chemical and fatty acid composition. Mutant alleles of both loci were associated with higher weights, increased muscularity, and reduced fatness, e.g., each explaining about 15% of the observed variance. However, both loci apparently affect traits in a specific manner, influencing either dimensional traits or mass accretion. Full article

Plantations of the valuable Chinese timber species, Chamaecyparis hodginsii, established by planting, primarily rely on seed orchards for propagation. Therefore, effective management of the genetic composition of these orchards is essential to ensure a sustainable supply of high-quality seeds. However, the mating system and pollen dispersal mechanisms in its high-generation seed orchards remain unclear, limiting precise genetic management. To address this, we analyzed 30 parental clones and 75 of their open-pollinated progeny from a second-generation seed orchard using 15 polymorphic EST-SSR markers. Compared to reported natural populations of C. hodginsii, both parental and progeny populations maintained high genetic diversity (mean uHe = 0.438 and 0.449, respectively), with a significant excess of heterozygotes (mean Fis = −0.084 and −0.066, respectively). Population genetic structure analysis indicated weak genetic differentiation among the parental genetic groups (mean Fst = 0.012), which was further reduced in the progeny population (mean Fst = 0.003) due to open pollination, reflecting a trend toward genetic homogenization. The mating system was characterized exclusively by outcrossing (tm = 1.000). However, paternity analysis revealed highly skewed paternal contributions, a low effective number of pollen donors (Nep = 8.13), and contributions of S5, S11, and S17 as dominant pollen parents, with 17.33% external pollen flow. These findings elucidate the mechanisms underlying sustained genetic diversity despite unequal paternal contributions and provide a theoretical basis for optimizing parental configuration and pollen management. Full article

Background: Transcatheter aortic valve replacement (TAVR) is widely used in patients with severe aortic stenosis. The HALP (hemoglobin, albumin, lymphocyte, and platelet) score is an easily obtainable composite index that reflects nutritional status and systemic inflammation. Methods: In this single-center retrospective study, 140 patients who underwent TAVR between 1 April 2021, and 31 October 2024, were included. Patients were stratified according to the median HALP score (32.65) into low (<32.65)- and high (≥32.65)-HALP groups. In-hospital outcomes were mortality, bleeding requiring transfusion of >5 units of red blood cells, acute kidney injury (AKI), need for mechanical ventilation >24 h, and length of hospital stay. Associations between the HALP score and clinical outcomes were evaluated using multivariable regression analyses, and the discriminatory performance of HALP was assessed using receiver operating characteristic (ROC) curves. Results: Patients with low HALP scores had higher rates of in-hospital mortality (11.4% vs. 4.2%; p = 0.002), bleeding (28.6% vs. 5.7%; p < 0.001), AKI (11.4% vs. 2.9%; p < 0.001), and need for mechanical ventilation >24 h (25.7% vs. 14.4%; p = 0.002), as well as longer hospital stay (4.82 ± 1.50 vs. 3.62 ± 1.94 days; p = 0.001) compared with the high-HALP group. In multivariable models, a lower HALP score remained independently associated with all adverse in-hospital outcomes. ROC analysis showed good discriminatory ability of the HALP score for mortality (area under the curve [AUC] = 0.816; cut-off = 20.16), bleeding (AUC = 0.798; cut-off = 24.94), AKI (AUC = 0.737; cut-off = 26.21), and need for mechanical ventilation (AUC = 0.735; cut-off = 27.36). Conclusions: The HALP score is independently associated with adverse in-hospital clinical outcomes in patients undergoing TAVR and may serve as a simple and practical tool for early risk stratification in this population. Full article

Background/Objectives: Modifiable lifestyle factors, particularly diet, are important for preventing type 2 diabetes (T2D); however, the evidence regarding this from prospective studies is limited in the Asian population. We therefore evaluated whether a diet-inclusive healthy lifestyle score (HLS) predicts incident T2D in a community-based cohort. Methods: We analyzed 7185 T2D-free adults from the KoGES Ansan–Ansung cohort, constructing the HLS (range: 0–5) based on five lifestyle factors: non-smoking, ≥30 min/day of moderate-to-vigorous physical activity, low-risk alcohol consumption (≤40 g/day for men; ≤20 g/day for women), BMI of 18.5–24.9 kg/m², and a healthy diet, defined as a healthy plant-based diet index within the top 40th percentile. Cox proportional hazards regression models were employed to examine the association between HLS and incident T2D risk. Results: During a median follow-up of 17.5 years, 1223 cases of T2D were identified. Compared to individuals with a score of 0 or 1, those with a score of 5 had a 56% lower risk of T2D after adjustment for potential confounders (HR: 0.44, 95% CI: 0.32–0.62), and these associations remained consistent across subgroups stratified by age, sex, family history of T2D, hypertension, and residential area. However, the association was stronger among non-users of anti-diabetic medication than among users. Conclusions: Adherence to a healthier lifestyle, as indicated by a higher HLS, was significantly associated with a reduced risk of developing T2D among Korean adults. These findings underscore the importance of promoting integrated healthy lifestyle behaviors to prevent T2D. Full article

Invasions by alien plants are major global drivers of ecosystem changes and loss of biodiversity. Guangxi is an ecological barrier in southern China that is increasingly being affected by invasive alien plant species. We comprehensively reviewed the literature, compiling and analyzing the long-term changes in species composition, native range, life forms, municipal-scale patterns, and correlates of invasive alien plant richness in Guangxi at three time points (1973, 2010, and 2023). Over the 50-year period, the number of invasive alien plant species markedly increased from 31 species in 1973 to 84 in 2010 and 158 in 2023; the number of families, genera, and species increased 2.05-, 3.75-, and 5.10-fold, respectively. Species native to North America consistently dominated the invasive flora, followed by those native to Africa. The number of species native to South America and Asia increased in the records from 2010 to 2023. Annual herbaceous plants accounted for the largest proportion of invasive species throughout the study period and showed the largest absolute increase in species number. However, no substantial temporal shifts in the overall life-form composition were detected. At the municipal scale, the invasive alien plant richness exhibited pronounced spatial heterogeneity. The invasive alien plant richness was highest in Guilin and Baise in 1973, in Guilin in 2023, followed by Nanning and Baise. Correlation analyses based on 2023 data revealed a significant positive association between invasive alien plant richness and tourism intensity, whereas relationships between population size, gross domestic product, and climatic variables were weak or nonsignificant. Overall, our results document the continued expansion and the spatial differentiation of invasive alien plants in Guangxi over the 50-year period of 1973–2023. These patterns primarily reflect the accumulation in the number of recorded invasive species under a consistent classification framework and should be interpreted with caution given the potential variation in survey effort among periods and cities. The results provide a descriptive baseline for the provincial-scale monitoring, risk assessment, and management of invasive alien plants. Full article

Nitrogen dioxide (NO₂) remains one of the most relevant traffic-related air pollutants in urban environments, despite decades of regulatory efforts and advances in vehicle emission control technologies. This review synthesizes current knowledge on ambient NO₂ concentrations associated with road transport, identifies key determinants of spatial and temporal variability, and evaluates the effectiveness of mitigation approaches under increasingly stringent air quality standards. The study is based on a comprehensive review of peer-reviewed literature reporting NO₂ measurements in urban, traffic, and background environments worldwide, complemented by an assessment of regulatory frameworks and mitigation strategies. The evidence confirms that road transport is the dominant contributor to elevated NO₂ concentrations, particularly at traffic sites, with traffic intensity, fleet composition, driving behavior, cold-start emissions, and street geometry emerging as primary controlling factors. Meteorological conditions influence dispersion but generally play a secondary role compared with emission-related drivers. Urban infrastructure, especially street canyons and tunnels, amplifies near-road NO₂ levels and population exposure. Mitigation measures such as Low Emission Zones, vehicle fleet modernization, and infrastructural interventions can reduce NO₂ concentrations, but their effectiveness is moderate and highly context-dependent. Sustained compliance with EU limit values and World Health Organization guideline levels requires integrated, multi-scale mitigation strategies. Full article

Background/Objectives: Penile squamous cell carcinoma (PSCC) is a rare malignancy with poor prognosis in advanced and recurrent disease, and therapeutic options remain limited. Increasing evidence suggests that the tumor immune microenvironment (TIME), including immune cell composition and spatial organization, plays a critical role in tumor progression and survival outcomes. This study aimed to characterize immune cell density and geospatial clustering patterns within the TIME of PSCC and to evaluate their associations with clinical outcomes. Methods: Multiplex immunofluorescence (mIF) was performed on tumor samples from 57 patients with PSCC using a panel of immune markers to identify lymphoid and myeloid cell populations. Immune cell densities were quantified within tumoral and stromal compartments. Spatial relationships among immune cells and between immune cells and tumor cells were analyzed using point pattern analysis. Survival outcomes, including overall survival (OS), recurrence-free survival (RFS), and cancer-specific survival (CSS), were assessed using Kaplan–Meier methods and Cox proportional hazards models, with analyses stratified by nodal and human papillomavirus (HPV) status. Results: Higher intratumoral and stromal densities of pro-immunogenic M1 macrophages were associated with improved OS. Increased densities of CD3⁺CD4⁺ helper T cells in both compartments were also associated with favorable survival outcomes. In contrast, close clustering of pro-tumorigenic M2 macrophages with tumor cells and with one another was associated with worse OS, RFS, and CSS. Bivariate clustering of helper T cells with tumor cells was associated with improved OS, including among patients with node-positive disease. Survival outcomes did not differ significantly by HPV status in patients with high helper T cell clustering. Conclusions: Immune cell density and spatial organization within the TIME are associated with survival outcomes in PSCC. Favorable patterns involving helper T cells and M1 macrophages correlate with improved survival, whereas clustering of M2 macrophages is associated with poorer outcomes, supporting the relevance of spatial immune profiling in this disease. Full article

Gut microbes play a crucial role in regulating physiological processes such as host energy metabolism, nutrient absorption, and environmental adaptation. The predicted functions of gut microbes can be influenced by many factors, both extrinsic and intrinsic to the hosts. The plateau pika is a key species in the alpine ecosystem of the Qinghai–Tibet Plateau. Previous research on the plateau pika primarily examined how extrinsic factors affected its gut microbiota. However, studies on intrinsic factors are scarce. Here, we used live-trapping to capture plateau pikas and collect cecum contents. Using metagenomic sequencing of cecum content samples, we characterized and compared the gut microbial composition and predicted function of plateau pika in adult (n = 9) and juvenile (n = 9) populations. The results indicated that Bacillota and Bacteroidete were the major bacterial phyla. The core gut microbial genera were the same, but the relative abundance of Oscillospira in juveniles was significantly lower than that in adults. The changes in the proportion of cellulose-degradation-related bacterial communities in juveniles suggest that they tend to choose low-fiber diets. In this study, we found no significant differences in the gut microbial composition and diversity, KEGG level 1 metabolic pathways, or CAZy class level between adult and juvenile plateau pikas. In total, the composition and predicted functions of cecal microorganisms in juvenile and adult male plateau pikas were not different. Regarding KEGG level 2 metabolic pathways, the juvenile group had a higher relative abundance of metabolic pathways for cofactors and vitamins, terpenoids, and polyketides, whereas the adult group had a higher relative abundance of energy metabolism. However, the resulting differences remain unclear. Therefore, future research should validate the above findings on a broader spatio-temporal scale and conduct cross-species comparisons to construct a microbial ecological framework for the health management of plateau wild animals. Full article

Background: Several studies have investigated the importance of physical exercise (PE) in overweight and obese populations; however, to date, no bibliometric study has analyzed research trends in high-intensity interval training (HIIT) in overweight and obese populations across the entire life course. Objective: To analyze the scientific output of HIIT trends in overweight and obese populations. Method: Theoretical study using bibliometrics as a research technique. A total of 282 studies were identified in the Web of Science and PubMed databases for analysis with VOSViewer software 1.6.20. The equation used was (“High-intensity interval training” OR HIIT) AND (overweight OR obesity OR “risk factors” OR “obesity risk”). Results: The year 2022 was the most productive year (n = 46). Most of the documents are research articles (81%), followed by review articles (15%). Most studies do not specify the characteristics of the sample, only mentioning the application of a HIIT program in overweight or obese individuals in (65.6%) of the total articles found. There is low scientific output in research focused on women (23.4%). The most frequently occurring words were “exercise” (n = 145), “obesity” (n = 131), “high-intensity interval training” (n = 81), “overweight” (n = 78), “physical activity” (n = 73), “body composition” (n = 46), “weight loss” (n = 45), “health” (n = 42), and “cardiorespiratory fitness” (n = 40). Conclusions: Scientific research has advanced the understanding of the impact of HIIT in relation to excess weight, with total fat reduction being one of the most frequently reported variables and no differences observed between sexes. HIIT has shown benefits in populations with overweight and obesity when compared with low-intensity training programs. Full article