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14 pages, 375 KiB  
Article
The Use of Humic Substances as an Additive to Feed Mixtures in Pheasant Breeding
by Alena Hreško Šamudovská, Stanislav Hreško, Iveta Maskaľová, Alica Tvrdá and Lukáš Bujňák
Animals 2025, 15(15), 2321; https://doi.org/10.3390/ani15152321 - 7 Aug 2025
Abstract
The effect of humic substances on growth performance, excretion, and the digestive organs was studied in pheasant chickens. Three hundred 1-day-old pheasant chicks were assigned to two equal groups. Chicks in the experimental group were fed diets supplemented with humic substances (5 g/kg). [...] Read more.
The effect of humic substances on growth performance, excretion, and the digestive organs was studied in pheasant chickens. Three hundred 1-day-old pheasant chicks were assigned to two equal groups. Chicks in the experimental group were fed diets supplemented with humic substances (5 g/kg). Chickens in the experimental group reached significantly higher average daily weight gains (p ˂ 0.05) in the second phase of rearing (29–49 d) at a significantly better feed conversion ratio (p ˂ 0.05). The supplementation of humic substances led to a significant increase in the average body weight of pheasants at the end of the experiment (p ˂ 0.05), and to a significant increase in average daily weight gains for the entire monitored period (p ˂ 0.05). In the experimental group, significantly higher relative weights of the gizzard (p ˂ 0.05), small intestine (p ˂ 0.05), and jejunum (p ˂ 0.05), along with a significantly larger relative length of the duodenum (p ˂ 0.05), were recorded. A significantly higher concentration of dry matter in the droppings of pheasants was found in the experimental group than in the control group (p ˂ 0.05). According to our results, feeding humic substances had the most beneficial effect on pheasant growth performance during the growing phase. Humic substances can also have a positive effect on the microclimate within the breeding facility. Reductions in the water content of droppings contribute to a reduction in the humidity of the litter, thus limiting the activity of nitrogenic bacteria. Full article
(This article belongs to the Section Poultry)
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20 pages, 6835 KiB  
Article
Spatiotemporal Changes in Extreme Temperature and Associated Large-Scale Climate Driving Forces in Chongqing
by Chujing Wang, Yuefeng Wang, Chaogui Lei, Sitong Wei, Xingying Huang, Zhenghui Zhu and Shuqiong Zhou
Hydrology 2025, 12(8), 208; https://doi.org/10.3390/hydrology12080208 - 7 Aug 2025
Abstract
Due to global warming, extreme temperature events have become increasingly prevalent, posing significant threats to both socioeconomic development and human safety. While previous studies have extensively examined the influence of individual climatic circulation systems on extreme temperature, the combined effects of multiple concurrent [...] Read more.
Due to global warming, extreme temperature events have become increasingly prevalent, posing significant threats to both socioeconomic development and human safety. While previous studies have extensively examined the influence of individual climatic circulation systems on extreme temperature, the combined effects of multiple concurrent circulation patterns remain poorly understood. Using daily temperature data from 29 meteorological stations in Chongqing (1960–2019), this study employs linear trend analysis, correlation analysis, and random forest (RF) models to analyze spatiotemporal variations in the intensity and frequency of extreme temperature. We selected 21 climate indicators from three categories—atmospheric circulation, sea surface temperature (SST), and sea-level pressure (SLP)—to identify the primary drivers of extreme temperatures and quantify their respective contributions. The key findings are as follows: (1) All extreme intensity indices exhibited an increasing trend, with the TXx (annual maximum daily maximum temperature) showing the higher trend (0.03 °C/year). The northeastern region experienced the most pronounced increases. (2) Frequency indices also displayed an upward trend. This was particularly evident for the TD35 (number of days with maximum temperature ≥35 °C), which increased at an average rate of 0.16 days/year, most notably in the northeast. (3) The Western Pacific Subtropical High Ridge Position Index (GX) and Asia Polar Vortex Area Index (APV) were the dominant climate factors driving intensity indices, with cumulative contributions of 26.0% to 33.4%, while the Western Pacific Warm Pool Strength Index (WPWPS), Asia Polar Vortex Area Index (APV), North Atlantic Subtropical High Intensity Index (NASH), and Indian Ocean Warm Pool Strength Index (IOWP) were the dominant climate factors influencing frequency indices, with cumulative contributions of 46.4 to 49.5%. The explanatory power of these indices varies spatially across stations, and the RF model effectively identifies key circulation factors at each station. In the future, more attention should be paid to urban planning adaptations, particularly green infrastructure and land use optimization, along with targeted heat mitigation strategies, such as early warning systems and public health interventions, to strengthen urban resilience against escalating extreme temperatures. Full article
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23 pages, 8610 KiB  
Article
Healthcare AI for Physician-Centered Decision-Making: Case Study of Applying Deep Learning to Aid Medical Professionals
by Aleksandar Milenkovic, Andjelija Djordjevic, Dragan Jankovic, Petar Rajkovic, Kofi Edee and Tatjana Gric
Computers 2025, 14(8), 320; https://doi.org/10.3390/computers14080320 - 7 Aug 2025
Abstract
This paper aims to leverage artificial intelligence (AI) to assist physicians in utilizing advanced deep learning techniques integrated into developed models within electronic health records (EHRs) in medical information systems (MISes), which have been in use for over 15 years in health centers [...] Read more.
This paper aims to leverage artificial intelligence (AI) to assist physicians in utilizing advanced deep learning techniques integrated into developed models within electronic health records (EHRs) in medical information systems (MISes), which have been in use for over 15 years in health centers across the Republic of Serbia. This paper presents a human-centered AI approach that emphasizes physician decision-making supported by AI models. This study presents two developed and implemented deep neural network (DNN) models in the EHR. Both models were based on data that were collected during the COVID-19 outbreak. The models were evaluated using five-fold cross-validation. The convolutional neural network (CNN), based on the pre-trained VGG19 architecture for classifying chest X-ray images, was trained on a publicly available smaller dataset containing 196 entries, and achieved an average classification accuracy of 91.83 ± 2.82%. The DNN model for optimizing patient appointment scheduling was trained on a large dataset (341,569 entries) and a rich feature design extracted from the MIS, which is daily used in Serbia, achieving an average classification accuracy of 77.51 ± 0.70%. Both models have consistent performance and good generalization. The architecture of a realized MIS, incorporating the positioning of developed AI tools that encompass both developed models, is also presented in this study. Full article
(This article belongs to the Special Issue AI in Its Ecosystem)
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19 pages, 4425 KiB  
Article
Multidimensional Phenotypic and Microbiome Studies Uncover an Association Between Reduced Feed Efficiency in Sheep During Mycoplasmal Pneumonia and Microbial Crosstalk Within the Rumen-Lung Axis
by Lianjun Feng, Yukun Zhang, Xiaoxue Zhang, Fadi Li, Kai Huang, Deyin Zhang, Zongwu Ma, Chengqi Yan, Qi Zhang, Mengru Pu, Ziyue Xiao, Lei Gao, Changchun Lin, Weiwei Wu, Weimin Wang and Huibin Tian
Vet. Sci. 2025, 12(8), 741; https://doi.org/10.3390/vetsci12080741 - 7 Aug 2025
Abstract
Mycoplasmal pneumonia of sheep (MPS), caused by Mesomycoplasma (Mycoplasma) ovipneumoniae, profoundly impacts ovine productivity and survival. Although gut–lung microbiota interactions are increasingly recognized in respiratory diseases, whether similar crosstalk occurs between the lung and rumen microbiota in MPS-affected sheep remains unknown. To [...] Read more.
Mycoplasmal pneumonia of sheep (MPS), caused by Mesomycoplasma (Mycoplasma) ovipneumoniae, profoundly impacts ovine productivity and survival. Although gut–lung microbiota interactions are increasingly recognized in respiratory diseases, whether similar crosstalk occurs between the lung and rumen microbiota in MPS-affected sheep remains unknown. To investigate alterations in the lung and rumen microbiota of sheep with MPS, the crosstalk between these microbial communities, and their impacts on growth phenotypes. From a cohort of 414 naturally infected six-month-old male Hu sheep, we selected 10 individuals with severe pulmonary pathology and 10 healthy controls for detailed phenotypic and microbiome analyses. Assessment of 359 phenotypic traits revealed that MPS significantly impairs feed efficiency and growth rate (p < 0.05). Through 16S rRNA gene sequencing, we found that MPS significantly altered the pulmonary microbiota community structure (p < 0.01), with a noticeable impact on the rumen microbiota composition (p = 0.059). Succinivibrionaceae_UCG-001 was significantly depleted in both the rumen and lungs of diseased sheep (p < 0.05) and strongly associated with reduced average daily feed intake (p < 0.05). In addition, pulmonary Pasteurella and ruminal Succinivibrionaceae_UCG-002 were significantly enriched in MPS-affected sheep, showed a strong positive correlation (p < 0.05), and were both negatively associated with feed efficiency (p < 0.05). Notably, Pasteurella multocida subsp. gallicida may act as a keystone species influencing feed efficiency. These findings point to a previously unrecognized rumen-lung microbial axis that may modulate host productivity in sheep affected by MPS. This work provides new insights into the pathogenesis of MPS and offers potential targets for therapeutic intervention and management. Full article
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12 pages, 861 KiB  
Article
Prevalence and Risk Factors of Bovine Viral Diarrhea Virus Antibodies in Dairy Herds of Bangladesh
by Md. Saifullah Mahmud Sajeeb, Md. Shaffiul Alam, Md. Nazmul Islam, Md. Monirul Islam, Bishwo Jyoti Adhikari, Shanta Islam, Md. Siddiqur Rahman and A. K. M. Anisur Rahman
Vet. Sci. 2025, 12(8), 739; https://doi.org/10.3390/vetsci12080739 - 7 Aug 2025
Abstract
A cross-sectional study was conducted in Bangladesh from January 2023 to December 2024 to assess the prevalence of BVDV antibodies and associated risk factors in dairy herds. Initially, 138 bulk milk samples were collected from herds across 14 districts and screened using a [...] Read more.
A cross-sectional study was conducted in Bangladesh from January 2023 to December 2024 to assess the prevalence of BVDV antibodies and associated risk factors in dairy herds. Initially, 138 bulk milk samples were collected from herds across 14 districts and screened using a commercial ELISA for BVDV antibodies. Subsequently, 767 individual milk samples were tested from cows in herds that screened positive. The overall herd-level seroprevalence was 72.5% (95% CI: 64.1–79.6), while the cow-level seroprevalence was 93.3% (95% CI: 91.3–94.9%). Within-herd seroprevalence varied from 81.8% to 100%. Herds with more than 70 cows had 31.95 times higher odds of BVDV seropositivity than those with 13–23 cows. BVD seroprevalence was significantly higher in the third, fifth, and eighth semen sources compared to the reference source. Cows older than 8 years had 4.53 times higher odds of seropositivity than those aged up to 4 years. Cows in thin physical condition had 13.02 times higher odds of seropositivity than those in normal condition. Conversely, cows producing over 8.8 kg of milk daily had a significantly lower seroprevalence of BVDV compared to those producing less than 8.8 kg, with an odds ratio of 0.41 (95% CI: 0.17–0.98). These findings suggest that BVDV exposure is widespread in dairy herds in Bangladesh. Regular serological screening, the use of semen from BVD-free bulls, and prioritizing surveillance for thin cows and low milk producers are essential. Improving nutrition, herd management, and targeted monitoring may help reduce BVDV transmission and improve herd productivity. Full article
(This article belongs to the Section Veterinary Microbiology, Parasitology and Immunology)
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19 pages, 1651 KiB  
Article
Genetic Evaluation of Growth Traits in Black-Boned and Thai Native Synthetic Chickens Under Heat Stress
by Wootichai Kenchaiwong, Doungnapa Promket, Vatsana Sirisan, Vibuntita Chankitisakul, Srinuan Kananit and Wuttigrai Boonkum
Animals 2025, 15(15), 2314; https://doi.org/10.3390/ani15152314 - 7 Aug 2025
Abstract
Heat stress is a critical constraint to poultry production in tropical regions, where the temperature–humidity index (THI) frequently exceeds thermoneutral thresholds. Despite growing interest in climate-resilient livestock, limited research has explored the genetic sensitivity of local chicken breeds to increasing THI levels. This [...] Read more.
Heat stress is a critical constraint to poultry production in tropical regions, where the temperature–humidity index (THI) frequently exceeds thermoneutral thresholds. Despite growing interest in climate-resilient livestock, limited research has explored the genetic sensitivity of local chicken breeds to increasing THI levels. This study aimed to evaluate the genetic effects of increasing THI on growth performance traits in two tropical chicken breeds. The data included body weight (BW), average daily gain (ADG), and absolute growth rate (AGR) from 4,745 black-boned and 3,001 Thai native synthetic chickens across five generations. Growth data were collected from hatching to 12 weeks of age, whereas temperature and humidity were continuously recorded to calculate daily THI values. A reaction norm model was used to estimate genetic parameters and rate of decline of BW, ADG, and AGR traits under varying THI thresholds (THI70 to THI80). Results indicated that the onset of heat stress occurred at THI72 for black-boned chickens and at THI76 for Thai native synthetic chickens. Heritability estimates for BW, ADG, and AGR decreased as the THI increased in both chicken breeds. However, the Thai native synthetic chickens consistently exhibited higher genetic potential across all THI levels (average heritability: BW = 0.28, ADG = 0.25, AGR = 0.36) compared to the black-boned chickens (average heritability: BW = 0.21, ADG = 0.15, AGR = 0.23). Under mild heat stress (THI72), black-boned chickens showed sharp declines in all traits (average reduction in BW = −10.9 g, ADG = −0.87 g/day, AGR = −3.20 g/week), whereas Thai native synthetic chickens maintained stable performance. At THI76, both breeds experienced significant reductions, particularly in males. Estimated breeding values (EBVs) for AGR decreased linearly with THI, though Thai native synthetic chickens showed greater individual variability, with some birds maintaining stable or positive EBVs up to THI80—suggesting the presence of heat-resilient genotypes. In conclusion, Thai native synthetic chickens demonstrated superior thermotolerance and genetic robustness under increasing THI conditions. The identification of breed-specific THI thresholds and resilient individuals provides novel insights for climate-smart poultry breeding. These findings offer valuable tools for genetic selection, environmental management, and long-term adaptation strategies in response to global climate change. Full article
(This article belongs to the Section Poultry)
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19 pages, 427 KiB  
Article
The Role of Fear of Negative Evaluation and Loneliness in Linking Insecure Attachment to Social Media Addiction: Evidence from Chinese University Students
by Di Xu and Ruoxi He
Brain Sci. 2025, 15(8), 843; https://doi.org/10.3390/brainsci15080843 - 7 Aug 2025
Abstract
Background and Objectives: With the widespread integration of digital media into daily life, social media addiction (SMA) has become a growing concern for university students’ mental health. Based on attachment theory, this study examined how attachment anxiety and avoidance influence SMA through fear [...] Read more.
Background and Objectives: With the widespread integration of digital media into daily life, social media addiction (SMA) has become a growing concern for university students’ mental health. Based on attachment theory, this study examined how attachment anxiety and avoidance influence SMA through fear of negative evaluation (FNE) and loneliness. Methods: A sample of 400 Chinese university students completed the 16-item short version of the Experiences in Close Relationships Scale (ECR), the 8-item Brief Fear of Negative Evaluation Scale (BFNE), the 6-item Revised UCLA Loneliness Scale–Short Form (RULS-6), and the 6-item Bergen Social Media Addiction Scale (BSMAS). Using the PROCESS macro (Model 6), a chained mediation model was tested. Results: Attachment anxiety positively predicts SMA (β = 0.42); the chained mediation pathway through FNE and loneliness accounts for ab = 0.06 of this effect, alongside additional single-mediator paths. In contrast, attachment avoidance shows a weaker total effect (β = −0.08) and a small negative chained mediation effect (ab = −0.02), offset by opposing single-mediator paths via FNE (negative) and loneliness (positive), resulting in a nonsignificant total indirect effect. Discussion: These findings suggest that in the Chinese cultural context, where social evaluation and belonging are emphasized, insecure attachment may heighten emotional reliance on social media. This study elucidates the socio-emotional mechanisms underlying SMA and extends the application of attachment theory to the digital media environment. Full article
(This article belongs to the Special Issue The Perils of Social Media Addiction)
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24 pages, 3149 KiB  
Article
Evaluation of Aggregate Oral Fluid Sampling for Early Detection of African Swine Fever Virus Infection
by Bonto Faburay, Kathleen O’Hara, Marta Remmenga, Theophilus Odoom, Sherry Johnson, William Tasiame, Matilda Ayim-Akonor, Benita Anderson, Kingsley Kwabena Amoako, Diane Holder, Wu Ping, Michelle Zajac, Vivian O’Donnell, Lizhe Xu, Robin Holland, Corrie Brown, Randall Levings and Suelee Robbe-Austerman
Viruses 2025, 17(8), 1089; https://doi.org/10.3390/v17081089 - 6 Aug 2025
Abstract
African swine fever (ASF) needs to be controlled, and prevention of the spread of African swine fever virus (ASFV) is dependent on enhanced surveillance and early disease detection. Commercial swine operations, especially in North America, Europe, and Asia, are characterized by comparatively large [...] Read more.
African swine fever (ASF) needs to be controlled, and prevention of the spread of African swine fever virus (ASFV) is dependent on enhanced surveillance and early disease detection. Commercial swine operations, especially in North America, Europe, and Asia, are characterized by comparatively large numbers of pigs, and sampling individual pigs, which represents the main strategy for current ASF surveillance, can be both costly and labor intensive. A study performed in Ghana was designed to estimate the diagnostic sensitivity of pen-based aggregate oral fluid testing for ASFV in infected pigs in a pen of 30 animals and to evaluate its utility as a tool to support surveillance of ASF in the US. This study was performed in three phases: (i) virus (Ghana ASFV24) amplification in a target host species to generate the challenge inoculum; (ii) titration of the inoculum (10% spleen homogenate) in target host species to determine the minimum dose inducing acute ASF in pigs with survival up to 5–6 days post-inoculation (dpi); and (iii) the main study, involving 186 pigs, consisting of 6 replicates of 30 pigs per pen and one seeder pig inoculated with wildtype ASFV (highly virulent genotype II) per pen. Daily sampling of aggregate oral fluids, uncoagulated blood, oropharyngeal swabs, fecal and water nipple swabs, and recording of rectal temperatures and clinical observations was carried out. The seeder pigs were each inoculated intramuscularly with 0.5 mL of the 10% spleen homogenate, which induced the desired clinical course of ASF in the pigs, with survival of up to 6 dpi. ASFV DNA was detected in the seeder pigs as early as 1 dpi and 2 dpi in the blood and oropharyngeal swabs, respectively. Transmission of ASFV from the seeder pigs to the contact pig population was detected via positive amplification of ASFV DNA in aggregate oral fluid samples at 3 days post-contact (dpc) in 4 out of 6 pens, and in all 6 pens, at 4 dpc. Testing of oropharyngeal swabs and blood samples from individual pigs revealed a variable number of ASFV-positive pigs between 3 and 5 dpc, with detection of 100% positivity between 6 and 18 dpc, the study endpoint. These findings demonstrate the potential utility of aggregate oral fluid sampling for sensitive and early detection of ASFV incursion into naïve swine herds. It also demonstrates that testing of environmental samples from the premises could further enhance overall ASF early detection and surveillance strategies. Full article
(This article belongs to the Collection African Swine Fever Virus (ASFV))
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16 pages, 2576 KiB  
Article
Modeling and Spatiotemporal Analysis of Actual Evapotranspiration in a Desert Steppe Based on SEBS
by Yanlin Feng, Lixia Wang, Chunwei Liu, Baozhong Zhang, Jun Wang, Pei Zhang and Ranghui Wang
Hydrology 2025, 12(8), 205; https://doi.org/10.3390/hydrology12080205 - 6 Aug 2025
Abstract
Accurate estimation of actual evapotranspiration (ET) is critical for understanding hydrothermal cycles and ecosystem functioning in arid regions, where water scarcity governs ecological resilience. To address persistent gaps in ET quantification, this study integrates multi-source remote sensing data, energy balance modeling, and ground-based [...] Read more.
Accurate estimation of actual evapotranspiration (ET) is critical for understanding hydrothermal cycles and ecosystem functioning in arid regions, where water scarcity governs ecological resilience. To address persistent gaps in ET quantification, this study integrates multi-source remote sensing data, energy balance modeling, and ground-based validation that significantly enhances spatiotemporal ET accuracy in the vulnerable desert steppe ecosystems. The study utilized meteorological data from several national stations and Landsat-8 imagery to process monthly remote sensing images in 2019. The Surface Energy Balance System (SEBS) model, chosen for its ability to estimate ET over large areas, was applied to derive modeled daily ET values, which were validated by a large-weighted lysimeter. It was shown that ET varied seasonally, peaking in July at 6.40 mm/day, and reaching a minimum value in winter with 1.83 mm/day in December. ET was significantly higher in southern regions compared to central and northern areas. SEBS-derived ET showed strong agreement with lysimeter measurements, with a mean relative error of 4.30%, which also consistently outperformed MOD16A2 ET products in accuracy. This spatial heterogeneity was driven by greater vegetation coverage and enhanced precipitation in the southeast. The steppe ET showed a strong positive correlation with surface temperatures and vegetation density. Moreover, the precipitation gradients and land use were primary controllers of spatial ET patterns. The process-based SEBS frameworks demonstrate dual functionality as resource-optimized computational platforms while enabling multi-scale quantification of ET spatiotemporal heterogeneity; it was therefore a reliable tool for ecohydrological assessments in an arid steppe, providing critical insights for water resource management and drought monitoring. Full article
(This article belongs to the Section Hydrological and Hydrodynamic Processes and Modelling)
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17 pages, 294 KiB  
Review
Coffee’s Impact on Health and Well-Being
by Ryan C. Emadi and Farin Kamangar
Nutrients 2025, 17(15), 2558; https://doi.org/10.3390/nu17152558 - 5 Aug 2025
Abstract
Coffee is one of the most widely consumed beverages globally, with over 60% of Americans drinking it daily. This review examines coffee’s multifaceted impact on health and well-being, drawing on decades of research. Overall, the consensus is that moderate coffee intake is more [...] Read more.
Coffee is one of the most widely consumed beverages globally, with over 60% of Americans drinking it daily. This review examines coffee’s multifaceted impact on health and well-being, drawing on decades of research. Overall, the consensus is that moderate coffee intake is more beneficial than harmful across a wide range of health outcomes. Numerous large-scale, prospective cohort studies from around the world have consistently shown that moderate coffee consumption—typically three to five cups per day—is associated with reduced overall mortality and lower risk of major diseases such as cardiovascular diseases, diabetes, stroke, respiratory conditions, cognitive decline, and potentially several types of cancer, including liver and uterine cancers. Both caffeinated and decaffeinated coffee have shown benefits. The addition of sugar and cream to coffee may attenuate coffee’s positive health effects. Despite historical concerns, coffee consumption is not linked to increased risks of cancer, hypertension, or arrhythmia. However, some concerns remain. For pregnant women, coffee consumption should be limited to lower amounts, such that the daily intake of caffeine does not exceed 200 mg/day. Also, excessive caffeinated coffee intake may cause anxiety or sleep disturbances. Coffee’s health-promoting mechanisms include improved glucose balancing, increased physical activity, increased fat oxidation, improved lung function, and reduced inflammation. Beyond mortality and chronic diseases, coffee consumption affects many aspects of well-being: it supports hydration, boosts mental acuity, enhances physical performance, and may aid bowel recovery after surgery. While the field is well-studied via long-term observational cohorts, future research should focus on randomized controlled trials, Mendelian randomization studies, and granular analyses of coffee types and additives. Full article
(This article belongs to the Section Nutritional Epidemiology)
9 pages, 204 KiB  
Article
Mitotane-Induced Endocrine Alterations in Children with Adrenocortical Carcinoma: Clinical Implications from a 20-Year Retrospective Study
by Gerdi Tuli, Jessica Munarin, Stefano Gabriele Vallero, Matilde Piglione, Eleonora Biasin, Luisa De Sanctis and Franca Fagioli
Children 2025, 12(8), 1031; https://doi.org/10.3390/children12081031 - 5 Aug 2025
Abstract
Background/Objectives: Mitotane is a key component in the treatment of adrenocortical carcinoma (ACC), but its endocrine side effects in children remain under-characterized. Methods: We conducted a retrospective analysis of 11 pediatric patients (6 males, 5 females) diagnosed with ACC and followed between 2000 [...] Read more.
Background/Objectives: Mitotane is a key component in the treatment of adrenocortical carcinoma (ACC), but its endocrine side effects in children remain under-characterized. Methods: We conducted a retrospective analysis of 11 pediatric patients (6 males, 5 females) diagnosed with ACC and followed between 2000 and 2025. Seven received mitotane therapy. Data included age at diagnosis, treatment duration and dosage, serum mitotane levels, and endocrine complications. Results: The mean age at diagnosis was 6.6 ± 1.45 years, with a mean follow-up of 10.05 ± 2.45 years. Patients received mitotane for an average of 2.5 ± 0.54 years, with a mean daily dose of 2805.5 ± 145.82 mg and a mean serum level of 16.1 ± 5.92 mg/mL. All mitotane-treated patients developed adrenal insufficiency, requiring supraphysiological hydrocortisone replacement. Four also required mineralocorticoid therapy. Five developed precocious puberty; two males presented with prepubertal gynecomastia; three females were managed with GnRH analogs or aromatase inhibitors followed by estrogen receptor antagonists. Four patients developed central hypothyroidism, treated with levothyroxine. A positive correlation was found between mean serum mitotane levels and the onset of precocious puberty (p = 0.04), while mitotane levels correlated negatively with the development of central hypothyroidism (p = 0.001). Conclusions: Mitotane therapy in pediatric ACC is strongly associated with significant endocrine dysfunction. These findings emphasize the need for proactive, multidisciplinary endocrine management throughout treatment. Full article
(This article belongs to the Section Pediatric Endocrinology & Diabetes)
15 pages, 5909 KiB  
Article
Test–Retest Reliability of Task-Oriented Strength and Object Position in a Box Lifting Task Using the Activities of Daily Living Test and Training Device (ADL-TTD) in Children with Unilateral Spastic Cerebral Palsy
by Haowei Guo, Inge Heus, Bart Snijders, Nanne E. Land, Menno van der Holst, Rob. J. E. M. Smeets, Caroline H. G. Bastiaenen and Eugene A. A. Rameckers
Children 2025, 12(8), 1030; https://doi.org/10.3390/children12081030 - 5 Aug 2025
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Abstract
Purpose: This study investigates the test–retest reliability of maximal voluntary contraction (MVC) and integrated object positioning during bimanual box lifting tasks in children with unilateral spastic cerebral palsy (USCP), using the Activities of Daily Living Test and Training Device (ADL-TTD). Materials and [...] Read more.
Purpose: This study investigates the test–retest reliability of maximal voluntary contraction (MVC) and integrated object positioning during bimanual box lifting tasks in children with unilateral spastic cerebral palsy (USCP), using the Activities of Daily Living Test and Training Device (ADL-TTD). Materials and Methods: Utilizing an explorative cross-sectional design, the study recruited 47 children with USCP. The ADL-TTD, equipped with an Inertial Measurement Unit (IMU) for precise object positioning, measured MVC, and object position in 3D space in a cross-sectional measurement containing two measurements in a fixed time period. Results: The findings demonstrated good test–retest reliability for MVC, with an ICCagreement of 0.95 for the mean MVC value. Additionally, good reliability was observed for object positioning in different directions measured with an IMU, with ICCagreement ranging from 0.82 to 0.86 degrees. Regarding the standard error of measurement (SEM), the SEMagreement for the mean MVC value was 5.94 kg, while the SEMagreement for object positioning was 1.48, 5.39, and 3.43 degrees, respectively. Conclusions: These results indicate that the ADL-TTD demonstrates good test–retest reliability for both MVC and object positioning, making it a valuable tool for analyzing this population in cross-sectional research by providing reliable measures of task-oriented strength and object manipulation. However, the relatively high SEMagreement, particularly in MVC, suggests that caution is needed when using this tool for repeated testing over time. This pioneering approach could significantly contribute to tailored assessment and training for children with USCP, highlighting the importance of integrating task-specific strength and positional accuracy into therapeutic interventions. Full article
(This article belongs to the Section Pediatric Orthopedics & Sports Medicine)
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11 pages, 217 KiB  
Article
Assessing Canine Parvovirus Vaccine Performance in Puppies with Maternally Derived Antibody: An Improved Study Design
by Jacqueline Pearce, Ellen Versmissen, David Sutton, Qi Cao and Ian Tarpey
Vaccines 2025, 13(8), 832; https://doi.org/10.3390/vaccines13080832 - 4 Aug 2025
Viewed by 201
Abstract
Background/Objectives: Typically, studies aiming to assess the ability of canine parvovirus (CPV) vaccines to immunise puppies with maternally derived antibody (MDA) are undertaken using group-housed puppies. Since live attenuated vaccine virus is invariably shed in the faeces, this can result in repeated [...] Read more.
Background/Objectives: Typically, studies aiming to assess the ability of canine parvovirus (CPV) vaccines to immunise puppies with maternally derived antibody (MDA) are undertaken using group-housed puppies. Since live attenuated vaccine virus is invariably shed in the faeces, this can result in repeated oral re-exposure and puppies which failed to respond to the initial vaccination may respond instead to shed vaccine virus in the environment, thus artificially enhancing the efficacy of the vaccine. This problem can be avoided by adopting a pair-housed study design where one vaccinated pup is housed with one unvaccinated sentinel. Using this design, we examine the capability of four commercially available canine parvovirus vaccines to immunise MDA-positive pups. Methods: Thirty-four 6-week-old puppies born to vaccinated dams were divided into four vaccine groups with similar MDA ranges. Within each group puppies were paired based on matching MDA titres, and each pair was housed in separate biocontainment accommodation. In each pair, the pup with the highest MDA was vaccinated and the other left as an unvaccinated sentinel. All vaccinates were given a single dose of one of the vaccines. Vaccinates and sentinels were then bled every 2–4 days and CPV antibody was measured. Daily rectal swabs were also collected from all pups to identify any shed vaccinal CPV. Results: All the pups vaccinated with Nobivac DP PLUS seroconverted, with significantly higher antibody titres compared to the pups in other vaccine groups, all shed vaccine virus, and all bar one of the sentinel pups seroconverted. In the other groups, only vaccinated pups with lower levels of MDA seroconverted and shed vaccine virus but none of the sentinel pups seroconverted. Conclusions: Different canine parvovirus vaccines differ in their ability to replicate in and immunise puppies with MDA, the levels of which may vary widely between individuals. The shedding of vaccinal CPV is an important consideration when designing studies to demonstrate efficacy in MDA-positive puppies. Full article
(This article belongs to the Section Veterinary Vaccines)
14 pages, 397 KiB  
Article
Combination of Continuous Use of Oral Clomiphene Citrate with Injectable Gonadotropins for Ovarian Stimulation: A Single-Center Study
by Adamantia Kontogeorgi, Gkalia Tsangkalova, Panagiota Ambatzi, Ioannis Boutas, Eleftherios Meridis, Ioannis Gryparis, Dimitrios Kalaitzis, Angeliki Fenga, Melpomeni Peppa, Sophia Kalantaridou, Antonios Makrigiannakis and Minas Paschopoulos
Life 2025, 15(8), 1235; https://doi.org/10.3390/life15081235 - 4 Aug 2025
Viewed by 241
Abstract
Objective: This retrospective observational study evaluated the efficacy and safety of an ovarian stimulation protocol for embryo banking that involves continuous administration of clomiphene citrate (CC) in combination with gonadotropins, without the use of GnRH antagonists. Methods: Conducted at the Serum [...] Read more.
Objective: This retrospective observational study evaluated the efficacy and safety of an ovarian stimulation protocol for embryo banking that involves continuous administration of clomiphene citrate (CC) in combination with gonadotropins, without the use of GnRH antagonists. Methods: Conducted at the Serum IVF Clinic in Athens, Greece, the study included 250 women aged 25–45 who underwent IVF for embryo banking. The protocol involved administering 150 mg of CC daily from day 2 of the menstrual cycle until the day before hCG trigger, alongside 150 IU/day of Meriofert. Outcomes assessed included oocyte yield, fertilization rates, incidence of ovarian hyperstimulation syndrome (OHSS), and hormonal correlations. Comparative and regression analyses explored differences between age groups and predictors of success. Results: The protocol demonstrated a favorable safety profile with no cases of OHSS and yielded a mean of 10.25 oocytes per patient. Group analysis showed significantly more oocytes retrieved in women under 40 (mean: 12.5) versus those over 40 (mean: 8.43), while fertilization rates were paradoxically higher in the older cohort (59.16% vs. 30.68%, p < 0.0001). Regression models revealed basal FSH to be a significant inverse predictor of oocyte yield, but it was positively associated with fertilization rate. Continuous CC use effectively suppressed premature LH surges without compromising oocyte or embryo quality, allowing flexible and cost-effective stimulation with minimal monitoring. Conclusions: Continuous administration of clomiphene citrate in combination with gonadotropins presents a promising, antagonist-free ovarian stimulation protocol for embryo banking. The approach is economically efficient, reduces monitoring requirements, and maintains safety and effectiveness and is particularly notable in women over 40. Further studies are warranted to validate these findings and refine protocol mechanisms. Full article
(This article belongs to the Section Reproductive and Developmental Biology)
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11 pages, 229 KiB  
Article
The Impact of Obesity on Clostridioides difficile Infection Outcomes: A Retrospective Cohort Study
by Alaa Atamna, Manar Khalaila, Tanya Babich, Anan Zriek, Haim Ben Zvi, Gida Ayada, Avishay Elis, Jihad Bishara and Amir Nutman
J. Clin. Med. 2025, 14(15), 5459; https://doi.org/10.3390/jcm14155459 - 3 Aug 2025
Viewed by 175
Abstract
Background: Studies have demonstrated a positive correlation between high body mass index (BMI) and an increased risk of Clostridioides difficile infection (CDI), independent of antibiotic usage or healthcare exposures. Aim: To compare the outcomes of obese (BMI ≥ 30 kg/m2) and [...] Read more.
Background: Studies have demonstrated a positive correlation between high body mass index (BMI) and an increased risk of Clostridioides difficile infection (CDI), independent of antibiotic usage or healthcare exposures. Aim: To compare the outcomes of obese (BMI ≥ 30 kg/m2) and non-obese (BMI < 30 kg/m2) hospitalized patients with CDI. Methods: This retrospective cohort study included patients with CDI hospitalized in Beilinson hospital between January 2013 and January 2020. The primary outcome was 90-day all-cause mortality. Secondary outcomes included 30-day mortality, colectomy, intensive care unit (ICU) admission and length of hospital stay (LOS). Multivariate analysis was performed to identify the risk factors independently associated with 90-day mortality. Results: The study included 889 patients: 131 (15%) obese and 758 (85%) non-obese. The obese group was younger (median age 65 years vs. 73 years (p < 0.01)) and with a higher rate of diabetes mellitus (57/131 (44%) vs. 180/758 (24%) (p < 0.01)). The 90-day mortality was lower in the obese group: 19/131 (15%) vs. 170/752 (23%) (p = 0.04). The 30-day mortality was 8/131 (6%) vs. 96/757 (13%) (p = 0.03). ICU admission was 9/131 (7%) vs. 23/758 (3%) (p = 0.03), and median LOS was 19 vs. 12 days (p < 0.01) in obese and non-obese groups, respectively. In the multivariable analysis, after adjustment for age, Charlson’s comorbidity index ≥3, assistance in activities of daily living, treatment with proton pump inhibitors and severity of illness, obesity was not a significant risk factor for 90-day mortality (OR = 0.65, 95% CI: 0.38–1.01; p = 0.1). Conclusions: In this study, obesity was not significantly associated with 90-day mortality after adjustment for other risk factors; however, ICU admission was higher and LOS longer in this group. Full article
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