Search Results (79)

Background and Objectives: Blood shortages are a national crisis, creating dangerous scenarios for patients requiring the use of a massive transfusion protocol (MTP). A judicious use of blood products is critical to rescue salvageable patients while refraining from unnecessary MTP to save precious resources. This study examines effect of trauma characteristics, socioeconomic variables and markers of futility on the likelihood of activating and receiving MTP in the trauma setting. Materials and Methods: In this retrospective study, emergency department (ED) trauma activations from a database of an urban Level I trauma center were analyzed from 1 January 2017 to 30 June 2022, inclusive. In-ED mortality, RBC transfusion volumes during initial resuscitation, patient sociodemographic data, and trauma event factors were analyzed. The primary outcomes were the dichotomous outcomes of MTP activation and MTP transfusion. Univariable analyses and logistic regressions were conducted, with class balancing sensitivities applied to the multivariable regressions to adjust for imbalance in the data. p < 0.05 was considered statistically significant. Results: Among the 8670 trauma activations, there was a 0.3% in-ED mortality rate. MTP activation and MTP transfusion were associated with higher in-ED mortality rates (3.8% and 15.4%, respectively, compared to 0.2% without MTP). Younger patients, male patients, and Medicaid recipients were more likely to undergo MTP activation; Medicare patients were less likely. Penetrating trauma substantially increased the likelihood of both MTP activation (odds ratio (OR) 5.81) and transfusion (OR 3.63). The logistic regression models identified the presence of penetrating trauma, lower probability of survival, and age as the most important covariates. Models demonstrated high discriminatory value (area under the curve (AUC) of the receiver operating characteristic curve (ROC) of 0.876 for MTP activation, 0.935 for MTP transfusion) and precision (0.974 for activation, 0.994 for transfusion), with class balancing further improving model performance and precision scores. Conclusions: These results are significant as assessing the futility of MTP should be equitable, and future transfusion guidelines should consider salvageability in cases with a low probability of survival despite age and mechanism. Full article

Emerging evidence links ferroptosis–mitochondrial dysregulation to depression pathogenesis through an oxidative stress–energy deficit–neuroinflammation cycle driven by iron overload. This study demonstrates that iron accumulation initiates ferroptosis via Fenton reaction-mediated lipid peroxidation, compromising neuronal membrane integrity and disabling the GPx4 antioxidant system. Concurrent mitochondrial complex I/IV dysfunction impairs ATP synthesis, creating an AMPK/mTOR signaling imbalance and calcium dyshomeostasis that synergistically impair synaptic plasticity. Bidirectional crosstalk emerges: lipid peroxidation derivatives oxidize mitochondrial cardiolipin, while mitochondrial ROS overproduction activates ACSL4 to amplify ferroptotic susceptibility, forming a self-reinforcing neurodegenerative loop. Prefrontal–hippocampal metabolomics reveal paradoxical metabolic reprogramming with glycolytic compensation suppressing mitochondrial biogenesis (via PGC-1α/TFAM downregulation), trapping neurons in bioenergetic crisis. Clinical data further show that microglial M1 polarization through cGAS-STING activation sustains neuroinflammation via IL-6/TNF-α release. We propose a “ferroptosis–mitochondrial fragmentation–metabolic maladaptation” triad as mechanistic subtyping criteria for depression. Preclinical validation shows that combinatorial therapy (iron chelators + SIRT3 agonists) rescues neuronal viability by restoring mitochondrial integrity and energy flux. This work shifts therapeutic paradigms from monoaminergic targets toward multimodal strategies addressing iron homeostasis, organelle dynamics, and metabolic vulnerability—a framework with significant implications for developing neuroprotective antidepressants. Full article

The national prevalence of HIV among adults in Zimbabwe was 10.4% in 2023, while the HIV prevalence in Bulawayo Metropolitan Province was 11.7%. The country achieved the UNAIDS Fast Track goals of 95-95-95 ahead of the 2030 target, by reporting an ART coverage of 97.0% and a viral suppression rate of 95.0%. As the number of people on ART continues to grow, it is expected that the number of patients failing current first-line non-nucleoside treatment will increase. However, access to second-line treatment regimens remains very limited in resource-poor settings such as Zimbabwe. It is therefore imperative to review treatment success for persons on second-line treatment. A retrospective cohort analysis was conducted using routinely collected clinical and demographic data from 315 participants who had been on a second-line ART regimen in Bulawayo for at least six months between 2015 and 2020. Statistical analyses were conducted to identify risk factors for viral suppression using SPSS version 28. Viral suppression (68.6%) for adults was far below the target of 95%. After accounting for all other variables, baseline CD4 count (>200 c/µL) [AOR = 1.94 (1.05–3.61)], having no history of non-adherence on first-line ART [AOR = 3.88 (1.91–7.85)], drug switch within 12 months of failure [AOR = 4.13 (1.98–8.60)] and retention in care at 5 years [AOR = 6.35 (2.56–15.76)] predicted viral re-suppression. The second-line (rescue) regimen has not achieved the expected success in reversing initial viral non-suppression (due to late presentation and poor adherence), despite enhanced adherence counselling. Timely switching is effective when done within 12 months and coupled with persistent engagement in care. We recommend improved methods, such as enhanced adherence counselling for behaviour change to improve viral re-suppression rates, especially for those on with a history of poor adherence and virologic non-suppression. Full article

To improve the global search efficiency and dynamic adaptability of the Sand Cat Swarm Optimization (SCSO) algorithm for UAV path planning in complex 3D environments, this study proposes a Modified Sand Cat Swarm Optimization (MSCSO) algorithm by integrating chaotic mapping initialization, Lévy flight–Metropolis hybrid exploration mechanisms, simulated annealing–particle swarm hybrid exploitation strategies, and elite mutation techniques. These strategies not only significantly enhance the convergence speed while ensuring algorithmic precision but also provide effective avenues for enhancing the performance of SCSO. We successfully apply these modifications to UAV path planning scenarios in complex environments. Experimental results on 18 benchmark functions demonstrate the enhanced convergence speed and stability of MSCSO. The proposed method has a superior performance in multimodal optimization tasks. The performance of MSCSO in eight complex scenarios that derived from real-world terrain data by comparing MSCSO with three state-of-the-art algorithms, MSCSO generates shorter average path lengths, reduces collision risks by 21–35%, and achieves higher computational efficiency. Its robustness in obstacle-dense and multi-waypoint environments confirms its practicality in engineering contexts. Overall, MSCSO demonstrates substantial potential in low-altitude resource exploration and emergency rescue operations. These innovative strategies offer theoretical and technical foundations for autonomous decision-making in intelligent unmanned systems. Full article

The leakage signal of the hydraulic valve is a weak, nonlinear, and non-periodic signal that is easily overpowered by background noise from the surroundings. To address this issue, the Search and Rescue Team (SaRT) algorithm was introduced to adaptive coupled stochastic resonance, and a new signal-enhancement method based on SaRT for coupled multi-stable stochastic resonance (CMSR) was proposed for enhancing valve-leakage vibration signals. Initially, the method employs the rescaling technique to preprocess the signal, thereby transforming the fault signal into a small-parameter signal. Subsequently, the mutual correlation gain is utilized as an adaptive measure function of the SaRT algorithm to optimize the parameters of the coupled multi-stable stochastic resonance system. Ultimately, the output signal is solved by the fourth-order Runge–Kutta method. This study validated the method using sinusoidal signals and leakage signals of the check valve. The results demonstrate that all CMSR parameters require optimization. Furthermore, the noise reduction was effective for three different leakage signals of faulty check valves, in which the highest in the number of interrelationships increased by 6.9569 times and the highest amplitude ratio of the peak frequency increased by 11.7004 times. The data quality was significantly improved. Full article

Background/Objectives: The inhibitor of growth family member 3 (ING3) acts as an epigenetic reader through physical interactions with histone-modifying enzymes and subsequent chromatin remodelling processes. It is involved in various cellular functions, such as cell cycle control, cell growth, and apoptosis. Although ING3 was assigned tumour suppressor candidate status in some types of cancers, including prostate cancer, some studies suggest it acts to promote growth. To address these contradictory reports regarding its role in the initiation and progression of prostate cancer, we specifically addressed the question of whether ablation of ING3 in the mouse prostate is sufficient to initiate malignant transformation of the prostate and support its (candidate) tumour suppressor status. Methods: To generate the prostate-specific Ing3 knockout mouse, paternal inheritance of the PB-Cre4 transgene was used, while for the generation of a global knockout control, a female mouse harbouring the PB-Cre4 transgene was utilized. To determine the recombination efficiency of the Cre-LoxP system in the prostate at the Ing3 locus, a duplex probe-based digital PCR assay capable of counting undisrupted Ing3 copies was designed. The impact of DNA recombination on the protein level was investigated by immunohistochemical staining of prostate tissue samples. Results: In the prostate-specific knockout, digital PCR analysis revealed mosaic gene deletion. We found recombination efficiencies in the anterior, dorsolateral, and ventral prostate lobes ranging from approximately 15 to 30%. ING3 staining in the prostate was faint with no detectable differences in signal intensity between the knockout specimen and wild-type controls. This low ING3 expression in the prostate is consistent with observations of X-gal staining of an Ing3-LacZ reporter allele. Immunohistochemistry showed increased expression of DNA-damage-associated markers γH2AX and 53BP1. However, no gross anatomical abnormalities or prostate intraepithelial neoplasia (PIN) lesions in the prostate of tissue-specific knockout animals compared to wild-type controls were observed. Conclusions: Altogether, our data provide evidence that disruption of ING3 expression in prostate cells does not lead to malignant transformation and challenges the idea that ING3 acts primarily in a tumour-suppressive manner. Furthermore, this work supports the crucial role of ING3 in maintaining genomic stability, and we confirmed the embryonic lethal phenotype of homozygous Ing3 null mice that is rescued by ectopic expression of ING3. Full article

Food waste poses a substantial global challenge, with intricate environmental, economic, and ethical ramifications. This study examines household food waste behaviors, emphasizing the interplay of personal responsibility, awareness of consequences, personal norms, and systemic barriers. Employing a thematic analysis of in-depth interviews with 60 households across Hungary’s Central and Western Transdanubian regions, this research explores factors influencing waste-reduction strategies across the pre-, mid-, and post-consumption phases. The thematic analysis of the interview data yielded key themes, including ascription of responsibility (AR), awareness of consequences (AC), personal norms (PN), demographic characteristics (DC), behavioral intentions (FWBI), and barriers (B). Participants identified barriers to waste reduction, such as impulse buying, poor storage practices, and limited knowledge of food rescue initiatives. Incorporating these barriers as a core variable deepens the understanding of systemic challenges, while stage-specific analysis illuminates the evolution of waste-reduction behaviors. These insights will inform targeted interventions, such as community programs, educational campaigns, and technology-driven solutions, including food rescue apps, to foster sustainable consumption. This study’s integration of behavioral theories with actionable strategies provides valuable guidance for policymakers and stakeholders seeking to reduce household food waste on a global scale. Full article

Intensive aerobic exercise slows the progression of movement disorders in Parkinson’s disease (PD) and is therefore recommended as an important component of treatment for PD patients. Studies in animal models of PD have shown that vigorous exercise has neuroprotective effects, and emerging evidence suggests that it may be a disease-modifying treatment in humans. However, many people with PD may not be able to participate in vigorous exercise because of multiple medical conditions that severely limit their physical activity. In this study, we have shown that chronic MPTP treatment in sedentary mice resulted in loss of dopaminergic neurons in the SNpc, decreased levels of neurotrophins, BDNF and GDNF, and increased levels of inflammatory markers and pro-inflammatory changes in immunocompetent cells. Moderate exercise, initiated both before and after chronic MPTP treatment, significantly attenuated the loss of dopaminergic neurons and increased BDNF and GDNF levels even above those in sedentary control mice. No signs of inflammation were observed in MPTP-treated mice, either when training began before or after MPTP treatment. Training induced beneficial changes in the dopaminergic system, increased levels of neurotrophins and suppression of inflammation were similar for both steady moderate (present data) and intense training (our previously published data). This suggests that there is a kind of saturation when the percentage of rescued dopaminergic neurons reaches the highest possible value, and therefore further increases in exercise intensity do not enhance neuroprotection. In conclusion, our present results compared with the previous data show that increasing exercise intensity beyond the level used in this study does not increase the neuroprotective effect of aerobic training in a mouse model of Parkinson’s disease. Full article

Introduction: To report the role of prostaglandin-associated periorbitopathy (PAP) severity on the surgical efficacy of Ahmed Glaucoma Valve (AGV) implantation. Subjects and Methods: Retrospective observational case series. Participants were the consecutive 102 eyes from 102 Japanese subjects (55 males, 47 females; mean age ± standard deviation, 74.9 ± 7.8 years) who underwent AGV implantation for primary open-angle glaucoma (POAG), completed full postoperative visits for 12 months, and had information on PAP severity graded by the Shimane University PAP Grading System (SU-PAP). Data were collected via medical chart review. Comparison of surgical success rates among groups stratified by SU-PAP grades (grades 0–3) using survival curve analysis. Failure was defined based on additional glaucoma surgery, IOP reduction in less than 20%, postoperative IOP exceeding 18 mmHg (definition A) or 15 mmHg (definition B), or postoperative visual acuity reduced to no light perception. Results: At 12 months postoperatively, the success rates for grades 0, 1, 2, and 3 were 47%, 43%, 42%, and 73%, respectively, for definition A (p = 0.35) and 35%, 26%, 19%, and 27%, respectively, for definition B (p = 0.64, log-rank test). For definition A, younger age was associated with surgical failure (Hazard ratio = 0.97/year, p = 0.049, Wald test), while no other factors, including gender, preoperative IOP, medications, refractive error, history of conjunctival manipulation procedures, or SU-PAP grade, were associated with surgical failure. For definition B, no factors were found to influence surgical outcomes. Conclusions: The preoperative severity of PAP might not affect the postoperative outcomes of AGV. Given that the success rate of trabeculectomy is influenced by PAP severity, in cases with severe PAP, physicians are advised to consider long-tube shunt surgery as an initial filtration procedure or as a rescue procedure when filtration surgery is unsuccessful. Full article

The administration of lidocaine as part of multimodal analgesia in dogs undergoing ovariohysterectomies demonstrates variable analgesic efficacy. The aim of this prospective, double–blinded clinical study was to evaluate the effectiveness of lidocaine 2% irrigation on the ovarian suspensory ligament, followed by localised massage, in achieving sufficient intraoperative analgesia. Thirty-eight female dogs were randomly divided to two groups and received either a splash block of 0.5 ml lidocaine 2% on each ovarian suspensory ligament (GL) or an equal volume of saline (GNS). All dogs were premedicated with dexmedetomidine (5 μg·kg⁻¹) and buprenorphine (20 μg·kg⁻¹) intramuscularly and meloxicam (0.2 mg·kg⁻¹) subcutaneously. Anaesthesia was induced with propofol and maintained with isoflurane. The surgical procedure was initiated after an adequate depth of anaesthesia was achieved. Heart rate (HR), respiratory rate (f_R) and mean arterial pressure (MAP) were continuously monitored. Fentanyl (2 μg·kg⁻¹) was administered as rescue analgesia in case of a 30% increase in HR, f_R, or MAP, compared to their values before manipulation of the ovaries. Data were analysed using a mixed model for repeated measures ANOVA and Pearson’s Chi-Square test. The need for rescue analgesia differed significantly between the two groups (p < 0.0005). In GNS, 89.47% (17/19) of the dogs required rescue analgesia, compared to 10.53% (2/19) of the dogs in GL. The relative risk of rescue for the GNS compared to the GL was approximately 8.5. In conclusion, intraoperative analgesia during ovariohysterectomies in dogs can be enhanced using a lidocaine 2% splash block combined with massage of the ovarian suspensory ligament. Full article

Small mammals play important roles as ecological indicators, dispersers of seeds, food for various species, and contributors to a stable and healthy ecosystem. However, the lack of ecological data to inform their conservation remains a significant challenge in the protection of many rare and threatened species in their natural environments. Among the various small mammals at risk is the Madras hedgehog (Paraechinus nudiventris), endemic to a few districts in South India. To inform conservation initiatives for this species, distribution data and thorough investigations of the threats that the species is facing are of upmost importance. In this study, we focused on finding new distribution records for P. nudiventris through field visits and community interviews. Further, we compiled and analysed rescue data for P. nudiventris from the years 2012 to 2022 and used this information to further map the species’ presence in selected districts. To supplement our findings, we gathered information from previously published sources, newspaper reports, and roadkill data. We conducted a questionnaire survey interviewing village residents between January 2021 and May 2022 to collect primary data on the presence of hedgehogs. Our efforts resulted in the recording of 230 sightings of P. nudiventris in a total of 19 districts in the state of Tamil Nadu, India. These discoveries contribute to a better understanding of the distribution of this species and will be useful in conservation planning and management at local and national levels. Full article

The reasonable and efficient prediction of dam failure events is of great significance to the emergency rescue operations and the reduction in dam failure losses. This work presents a model that is based on the physical mechanism. It is coupled with a multi-architecture (multi-CPU and GPU) open-source two-dimensional flood model, which is based on high-precision terrain and land use data. The aim is to enhance the accuracy of dam break flood process simulations. The model uses DEM data as a computational grid and updates it at each time step to reflect breach evolution. Simultaneously, the breach evolution model incorporates an analysis of stress on sediment particles, establishing the initial erosion state and lateral expansion model while accounting for seepage. The determination of the overflow of the breach is resolved through the application of a two-dimensional hydrodynamic model. This approach achieves a robust connection between the upstream reservoir, the dam structure, and the downstream inundation area. The coupled model is utilized to calculate the failure of earth-rock dams and landslide dams, and a sensitivity analysis is conducted. Taum Sauk Dam and Tangjiashan landslide dam were selected to represent earth dam break and barrier lake break, respectively, which are the main types of dam breaks. The obtained results demonstrate strong concurrence with the measured data, the relative errors of the four important parameters of the application case, the peak discharge of the breach, the top width of the final breach, the depth of the breach and the arrival time of the maximum peak discharge are all within ±10%. Although the relative error of the completion time of the final breach is greater than 10%, it is about 30% less than the relative error of the physical model. Full article

Data and reports indicate an increasing frequency and intensity of natural disasters worldwide. Buildings play a crucial role in disaster responses and damage assessments, aiding in planning rescue efforts and evaluating losses. Despite advances in applying deep learning to building extraction, challenges remain in handling complex natural disaster scenes and reducing reliance on labeled datasets. Recent advances in satellite video are opening a new avenue for efficient and accurate building extraction research. By thoroughly mining the characteristics of disaster video data, this work provides a new semantic segmentation model for accurate and efficient building extraction based on a limited number of training data, which consists of two parts: the prediction module and the automatic correction module. The prediction module, based on a base encoder–decoder structure, initially extracts buildings using a limited amount of training data that are obtained instantly. Then, the automatic correction module takes the output of the prediction module as input, constructs a criterion for identifying pixels with erroneous semantic information, and uses optical flow values to extract the accurate corresponding semantic information on the corrected frame. The experimental results demonstrate that the proposed method outperforms other methods in accuracy and computational complexity in complicated natural disaster scenes. Full article

The subject of this article is material research carried out on the ruins of a medieval castle located in west-central Poland. This facility was built at the beginning of the 15th century by the Order of St. John, and during its long life, it was subjected to many reconstructions. Unfortunately, in 1975, it was destroyed by fire. Since then, it has been left in a state of advanced ruin, exposed to climatic influences without any protection. The subject of the research was to assess the possibility of maintaining such buildings in a severely degraded condition while ensuring their technical efficiency. The article discusses a particular instance of “consolidation” applied to a structure in a state of historical, architectural, and structural ruin. After the diagnosis, it was determined that the structure should be safeguarded using a minimally invasive method. The purpose of these activities was to answer the question of whether the structure could be left to continue operating despite failing to meet the requirements of current standards and regulations while posing an additional danger to itself and the environment,. This goal was achieved by obtaining a considerable amount of data on the condition of the materials embedded in the masonry structure, thanks to which the initial parameters for conducting an assessment of the technical condition of the damaged masonry structure and evaluating the degree of its danger were developed. The results of the research and analysis carried out and described in this article can be used in other similar situations where saving national heritage objects through “artificial modern” strengthening will be unsafe and will lead to a loss of their authenticity. We still have a long way to go to develop a comprehensive method for “in situ” diagnosis of heterogeneous masonry structures, so we should use possible techniques and knowledge to conduct such assessments and propose rescue methods for historically valuable objects in a way that could minimize the damage and that can “easily” disappear from our surroundings. Each study should have a specific purpose, not only research but also a long-term perspective, making it possible to leave material for further research and analysis, including testing new research methods in real conditions of its installation. Full article

The present study was performed to investigate the negative impact of salinity on the growth of Chinese flowering cabbage (Brassica rapa ssp. chinensis var. parachinensis) and the ameliorative effects of quercetin dihydrate on the plant along with the elucidation of underlying mechanisms. The tolerable NaCl stress level was initially screened for the Chinese flowering cabbage plants during a preliminary pot trial by exposing the plants to salinity levels (0, 50, 100, 150, 200, 250, 300, 350, and 400 mM) and 250 mM was adopted for further experimentation based on the findings. The greenhouse experiment was performed by adopting a completely randomized design using three different doses of quercetin dihydrate (50, 100, 150 µM) applied as a foliar treatment. The findings showed that the exposure salinity significantly reduced shoot length (46.5%), root length (21.2%), and dry biomass (32.1%) of Chinese flowering cabbage plants. Whereas, quercetin dihydrate applied at concentrations of 100, and 150 µM significantly diminished the effect of salinity stress by increasing shoot length (36.8- and 71.3%), root length (36.57- and 56.19%), dry biomass production (51.4- and 78.6%), Chl a (69.8- and 95.7%), Chl b (35.2- and 87.2%), and carotenoid contents (21.4- and 40.3%), respectively, compared to the plants cultivated in salinized conditions. The data of physiological parameters showed a significant effect of quercetin dihydrate on the activities of peroxidase, superoxide dismutase, and catalase enzymes. Interestingly, quercetin dihydrate increased the production of medicinally important glucosinolate compounds in Chinese flowering cabbage plants. Molecular docking analysis showed a strong affinity of quercetin dihydrate with three different stress-related proteins of B. rapa plants. Based on the findings, it could be concluded that quercetin dihydrate can increase the growth of Chinese flowering cabbage under both salinity and normal conditions, along with an increase in the medicinal quality of the plants. Further investigations are recommended as future perspectives using other abiotic stresses to declare quercetin dihydrate as an effective remedy to rescue plant growth under prevailing stress conditions. Full article