Search Results (59,139)

Management of ventricular tachycardia (VT) requires an integrated approach combining invasive therapy and cardiac imaging. This article reviews the principal imaging modalities and their integration with electroanatomical mapping systems to plan and guide procedures and to assess the success of VT ablation during follow-up. The central role of imaging in optimizing the efficacy and safety of VT ablation is emphasized. Studies demonstrating that imaging-supported workflows can improve substrate localization, reduce procedural times and radiation exposure, and lower recurrence rates are highlighted. Current limitations and future challenges are also discussed. Full article

Skin-whitening products (SWPs) are widely used, yet many contain prohibited or misdeclared depigmenting agents posing safety concerns. This study developed and validated a sensitive and reliable HPLC-DAD method for the simultaneous determination of hydroquinone (HQ), salicylic acid (SAL), and niacinamide (NIC) in commercial and homemade SWPs. Validation followed ICH Q2(R1), demonstrating good specificity, linearity (R² > 0.9999), method precision (%RSD < 2%), and LOD/LOQ values of 0.2 and 0.7 µg/mL for all analytes. Recoveries of 97.48–99.83% for HQ, 99.37–101.26% for NIC, and 83.04–95.38% for SAL were also obtained. Analysis of 51 products revealed major discrepancies between declared and measured contents. HQ was detected in 18.60% of commercial samples despite its prohibition in OTC cosmetic formulations; none of the SAL-containing products matched their labels, and NIC appeared in 25.58% of samples, with only one sample compliant with its declared content. Homemade products showed undeclared HQ in 62.50% of samples, 25% of samples exceeded the 2% permitted SAL limit, and unregulated multi-ingredient combinations. Risk assessment showed all HQ-containing commercial products and several homemade formulations posed unacceptable systemic exposure risks (MoS < 100). Overall, the proposed method provides a practical and accessible approach for routine quality control and market surveillance of cosmetic products. Full article

Background: Chronic cocaine exposure is increasingly associated with persistent brain alterations, yet it remains unclear whether these changes reflect reversible neuroadaptation, accelerated brain ageing, or a degeneration-like trajectory in a vulnerable subgroup. This Perspective proposes a neuroprogressive vulnerability framework—referred to as cocaine-specific encephalopathy/cerebropathy only in a heuristic sense—to organise heterogeneous evidence without implying a distinct neurodegenerative disease entity. Methods: We conducted a structured, critical synthesis of peer-reviewed human and preclinical literature (PubMed, Scopus, Web of Science; inception to December 2025), integrating neuroimaging (MRI/DTI/fMRI/PET/SPECT), neuropathology/post-mortem findings, neurochemical and molecular mechanisms, and neuropsychological outcomes, with explicit attention to confounders (polysubstance use, psychiatric and medical comorbidity, HIV, vascular risk, abstinence duration). Results: Convergent evidence supports a multi-hit vulnerability model in which chronic stimulant exposure may weaken neural resilience through dopaminergic dysregulation, oxidative stress, mitochondrial dysfunction, neuroinflammatory signalling, and putative α-synuclein–related mechanisms. Human imaging studies consistently implicate fronto–striato–limbic circuits and suggest possible cerebellar involvement, but findings are heterogeneous and often cross-sectional; direct evidence of progressive neuronal loss or disease-defining proteinopathies attributable to cocaine remains limited. Conclusions: Rather than asserting cocaine-induced classic neurodegeneration, we outline an exploratory framework in which chronic cocaine exposure may increase susceptibility to neuroprogressive impairment in a subset of biologically vulnerable individuals. Longitudinal multimodal studies combining advanced imaging, biomarkers, and phenotypic stratification are needed to clarify causality, temporal progression, and reversibility with sustained abstinence. Full article

Tornadoes pose growing threats to both communities and the built environment, yet few studies have quantified how spatial characteristics of the built environment interact with social and economic factors while influencing tornado impacts. This paper introduces an integrated metric that combines tornado risk and exposure to evaluate localized disaster impact. Focusing on Florida’s Panhandle, we examine how housing density and affordability, network connectivity, and urban form efficiency, together with demographic and socioeconomic attributes, shape tornado impacts at the U.S. census block group (CBG) level. To address spatial autocorrelation and non-stationarity, five statistical models were compared, including both global and local spatial regressions. The findings indicate that multiscale geographically weighted regression (MGWR) most effectively captures the spatial heterogeneity of tornado impacts. Built-environment and affordability factors show clear spatial heterogeneity— smart location indexand housing cost burden (h_ami) are positively associated with tornado impact in CBGs near Tallahassee and parts of Pensacola—suggesting amplified impacts in location-efficient urban areas where exposure is concentrated and affordability stress may limit preparedness and recovery. In contrast, network density is negatively associated with the impact of key clusters, consistent with the idea that denser, more redundant road networks can reduce canopy-weighted disruption by providing alternative routes for emergency access and restoration. Overall, these findings can inform our understanding of how the built environment influences tornado exposure, offering critical insights for planners and policymakers seeking to strengthen communities against tornadoes. Full article

Aircraft noise monitoring systems deployed at major airports typically rely on scalar energy-based indicators, which primarily describe integrated sound energy but provide limited representation of the spectral–temporal structure and perceptual attributes of aircraft noise. To address this limitation, this study proposes a sensor-based psychoacoustic feature extraction and spatiotemporal analysis framework for continuous aircraft noise monitoring under high-density operational conditions. An automatic noise monitoring system compliant with ISO 20906 was deployed to synchronously acquire acoustic waveforms and ADS-B trajectory data. A cascaded spatiotemporal fusion algorithm was developed to associate noise events with aircraft flight paths, followed by a model-stratified multidimensional IQR-based data cleaning strategy to suppress environmental interference and non-stationary outliers. Based on the cleaned dataset, a suite of psychoacoustic features—including loudness, sharpness, roughness, fluctuation strength, and tonality—was extracted to characterize the perceptual structure of aircraft noise beyond conventional energy metrics. Experimental results demonstrate that, under equivalent sound exposure levels, psychoacoustic features retain substantial discriminative information that is lost in scalar energy indicators. The coefficients of variation for fluctuation strength and tonality reach 43.2% and 22.1%, respectively, corresponding to 15–69 times higher sensitivity compared to traditional energy-based metrics. Furthermore, nonlinear manifold mapping using UMAP reveals clear topological separation between new-generation and legacy aircraft models in the psychoacoustic feature space, whereas severe overlap persists in energy-based representations. Correlation analysis further indicates decoupling between macro-level physical design parameters (e.g., bypass ratio, thrust) and perceptual feature dimensions, highlighting the limitations of energy-centric monitoring schemes. The proposed framework demonstrates the feasibility of integrating psychoacoustic feature extraction into continuous sensor-based aircraft noise monitoring systems. It provides a scalable signal processing pipeline for enhancing the resolution and interpretability of aircraft noise measurements in complex operational environments. Full article

Advanced glycation end products (AGEs) such as Nε-carboxymethyllysine (CML) and Nε-carboxyethyllysine (CEL) are implicated in chronic disease processes in humans and may serve as biomarkers of dietary exposure and metabolic health. Urinary measurement of AGEs is of interest due to its non-invasive nature and relevance to biobanking and field-based sample collection; however, AGE stability in urine under common handling conditions has been poorly characterized. This study evaluates the short-term stability of CML and CEL in canine urine stored at room temperature (20 °C) for up to 168 h prior to −80 °C storage. Midstream free-catch urine samples from eight healthy dogs were aliquoted, stored at defined intervals, and analyzed in duplicate using liquid chromatography–mass spectrometry (LC-MS) with isotope-labeled standards. Results demonstrate minimal detectable changes in CML and CEL concentrations, as well as in the CML/CEL ratio, over the ambient storage period. Inter-replicate agreement is high, and regression and non-parametric analyses show no association between storage duration and analyte concentration. These findings indicate that urinary CML and CEL measurements may remain reliable despite delayed processing, supporting field-based sampling and retrospective analyses. Evaluation of additional AGE species and storage conditions will further inform best practices for sample handling in veterinary and comparative biomedical research. Full article

Background/Objectives: The multifaceted concept of body image (BI) refers to an individual’s attitudes and impressions of their body. Negative BI is associated with a number of harmful health consequences, including obesity, eating disorders, and symptoms of sadness. The contemporary digital era, marked by the dominance of platforms, has brought about a considerable transformation in the landscape of BI issues. This study’s goal is to compile and assess the connections between social media (SM) use, body weight, and BI in adult populations. Methods: This is a narrative review that comprehensively searches across multiple academic databases, such as PubMed, Medline, Scopus, Web of Science, and Google Scholar. Studies that used SM (online blogs, microblogs, content communities, or social networking sites) for engagement (e.g., sharing, commenting, liking) or image-related activities (e.g., viewing, posting, or engaging with images) with healthy adults (aged 18–70 years) of any body mass index (BMI kg/m²) met the inclusion criteria. Included were observational and experimental studies that examined habitual SM use. Only peer-reviewed works published in English between 2015 and 2025 met the search criteria. Results: The currently available findings suggest that obese people are more dissatisfied with their bodies than people of normal weight, and obese women are more dissatisfied with their bodies than their peers of normal weight. Furthermore, experimental studies have demonstrated that immediate BI is adversely affected by acute exposure to idealized social media photographs. Conclusions: Policies should support specialized training that emphasizes a holistic approach to health and puts functionality and health above attractiveness. This training is crucial for dispelling weight-related stigmas and enabling healthcare providers to offer compassionate treatment that supports mental and physical health. Future research must concentrate on internalization and social pressure or reinforcement because these subjects have not gotten as much emphasis in prior studies. Such mechanism research could help better contextualize the role of recently introduced SM items. Full article

Background and Objectives: Male infertility has emerged as a growing global health concern, contributing to 20–30% of all infertility cases. It is a multifactorial condition, arising from genetic, endocrine, structural, environmental and lifestyle factors. This narrative review synthesizes current evidence on epidemiology, diagnostic advances and therapeutic strategies while highlighting emerging trends and research priorities. Materials and Methods: This review adheres to SANRA guidelines. Literature was sourced from PubMed, Saudi Digital Library, Google Scholar, and PsycINFO using MeSH terms including “Male Infertility,” “Diagnosis,” “Treatment,” and “Epidemiology.” Results: Diagnostic evaluation of male infertility includes clinical assessment, advanced semen analysis, imaging techniques, hormonal assays and molecular testing. Despite significant advances in the evaluation of male infertility, idiopathic causes (30–40%) remain challenging. Management strategies include lifestyle modifications, medical therapies including hormones and drugs, surgical interventions, and assisted reproductive technologies (ARTs). However, outcomes remain suboptimal in idiopathic and severe cases, particularly regarding sperm DNA fragmentation and environmental exposures. Conclusions: Substantial knowledge gaps exist in male infertility, particularly in idiopathic cases, molecular mechanisms of environmental pollutants, and long-term ART offspring outcomes. Future research priorities include: (1) molecular and epigenetic biomarkers for improved diagnosis and prognosis; (2) environmental exposure assessment and mitigation strategies; (3) metabolomics-guided personalized therapies; (4) regenerative medicine approaches including spermatogonial stem cell therapy; and (5) multidisciplinary integrative care models. Addressing these gaps through coordinated research and clinical innovation is essential for improving male reproductive health globally. Full article

Background/Objectives: The aim of this study was to assess NB CE-Chirps for diagnosing Superior Semicircular Canal Dehiscence Syndrome (SSCDS) with cervical and ocular vestibular evoked myogenic potentials (cVEMPs and oVEMPs), and to compare them with Tone Bursts (TBs). Methods: Nine subjects diagnosed with SSCDS were included (four men/five women, median = 61 years, range = 31–79 years). Intensity thresholds at 500 Hz were investigated with both stimuli. A response was also sought when NB CE-Chirps and TBs were delivered at 4000 Hz for c and oVEMPs. Results: Both 500 Hz TBs and 500 Hz NB CE-Chirps significantly differentiated affected ears from healthy ears for cVEMPs (p < 10⁻³ in both cases) and oVEMPs (p < 10⁻³ in both cases). Furthermore, we observed significantly lower intensity thresholds in SSCDS ears with 500 Hz NB CE-Chirps than with 500 Hz TBs for both cVEMPs (p < 10⁻³) and oVEMPs (p = 0.036). Regarding the response rate at 4000 Hz, only TBs consistently showed a response in 100% of cases for the affected ears, with no response in healthy ears for both cVEMPs and oVEMPs. However, there was no significant difference between the response rates obtained at 4000 Hz using TBs and NB CE-Chirps in affected ears (p = 1.000 for cVEMPs and p = 1.000 for oVEMPs). Conclusions: Searching for intensity thresholds with NB CE-Chirps 500 Hz in cVEMPs and oVEMPs is an effective method for diagnosing SSCDS, likely with better frequency specificity than with 500 Hz TBs. Stimulation at 4000 Hz with both TBs and NB CE-Chirps appears to be a promising test for easily screening this syndrome, reducing both sound exposure and the duration of the examination. The possibility to reduce rise time in 4000 Hz TBs may favor this stimulus over NB CE-Chirps at this frequency for this disease. These results should be confirmed in larger cohorts including patients with more severe forms. Full article

Background: High-energy diets enriched in simple sugars and saturated fatty acids alter metabolic homeostasis, yet how distinct nutrients are integrated at the transcriptional level remains incompletely understood. Methods: Here, we profiled the larval midgut transcriptome of Drosophila melanogaster following 24 h exposure to diets enriched with 5% fructose (FD), 1% palmitic acid (PD), or their combination (MD). RNA sequencing (Illumina NovaSeq) was performed on pooled third-instar larval midguts, and differential expression analyses were conducted to identify diet-associated transcriptional changes. Results: The results revealed extensive transcriptional remodeling, with most responses being diet-specific, alongside a conserved core of genes regulated across all treatments. Shared transcriptional signatures were associated with proteostasis and amino acid transport pathways. Comparative and pattern-based analyses further uncovered discordant gene sets and pathway enrichments that were unique to individual diets or to the combined exposure. Notably, the mixed diet induced distinct expression patterns with specific functional signatures that were not predictable from either nutrient alone. Conclusions: Together, these findings indicate that the larval midgut integrates carbohydrate and lipid inputs through coordinated and context-dependent transcriptional responses, highlighting the importance of nutrient combinations in shaping epithelial metabolic programs. Full article

Exposure to abiotic stresses commonly stimulates the production of secondary metabolites in plants, and flavonoids represent a major class of these bioactive compounds. NaCl effects on antioxidant system treatment and flavonoid production in buckwheat sprouts was examined in this study using buckwheat as the raw material. In order to clarify the regulatory function of NaCl in these physiological processes, the changes in pertinent indices of buckwheat sprouts exposed to the control and NaCl treatments were studied. The results indicated that at three days old, the sprouts subjected to 80 mM NaCl treatment exhibited the highest total flavonoid content. The significant increase in enzyme activity (cinnamate 4-hydroxylase and 4-coumaroyl-CoA ligase, etc.) responsible for flavonoid biosynthesis provides strong evidence for this conclusion. The antioxidant system in buckwheat was activated by NaCl treatment, as evidenced by the dramatically increased antioxidant enzyme activities and the relative levels of expression of their respective genes compared to the control group. Levels of malondialdehyde and hydrogen peroxide were markedly higher than those in the control group, indicating that NaCl treatment inhibited the growth of buckwheat sprouts. This study not only reveals the mechanisms underlying buckwheat’s response to NaCl stress but also lays a theoretical foundation for developing functional foods enriched with flavonoid-rich buckwheat sprouts. Full article

Resin-based dental composites are widely used in restorative dentistry; however, concerns persist regarding their potential release of Bisphenol-A (BPA), a compound with recognized endocrine-disrupting activity. This in vitro study evaluated the time-dependent release of BPA from four contemporary resin-based dental filling composites immersed in artificial saliva under different thermal conditions. Disk-shaped specimens (5.5 mm diameter and 2 mm thickness) of Estelite Sigma Quick, Clearfil Majesty ES-2, Omnichroma Flow, and Luna 2 were incubated in artificial saliva at physiological pH (6.8) at 37 °C and 44 °C. BPA concentrations were quantified after 1, 7, and 28 days using a validated UHPLC–MS/MS method. BPA release was observed for all materials except Luna 2, for which it remained below the limit of quantification (LOQ) at all time points and temperatures. Across all BPA-releasing composites, the highest concentrations were observed after 1 day of immersion, particularly at 44 °C. Estelite Sigma Quick exhibited the highest BPA release, followed by Clearfil Majesty ES-2 and Omnichroma Flow. BPA release decreased progressively over time for all materials. Statistical analysis confirmed significant effects of material type, temperature, and exposure duration on BPA release (p < 0.001). Within the limitations of this in vitro study, BPA release appears to be material-dependent and influenced by thermal conditions and immersion time. Although absolute BPA concentrations were low, these findings highlight the importance of material-specific evaluation and continued monitoring of potential sources of cumulative BPA exposure from restorative dental materials. Full article

Background: Childhood obesity is becoming an increasingly prevalent global health issue. Pesticides, which pose significant threats to human health and the environment are major risk factors for various diseases, including cancer, obesity, diabetes, autoimmune disorders, and food allergies. Paraoxonase 1 (PON1) is an enzyme found on high-density lipoproteins (HDL) in serum, which hydrolyzes toxic oxon metabolites of organophosphate pesticides, certain carbamates, aromatic and aliphatic lactones, aromatic esters, and oxidized lipids through its calcium-dependent glycoprotein structure. This study aimed to evaluate the relationship between environmental pesticide exposure, childhood obesity, and PON1 levels. Methods: The study included 58 obese children with a body mass index above the 95th percentile and 43 healthy children of the same age group. Serum PON1 levels were measured using the ELISA method. Levels of polychlorinated biphenyls (PCBs), organochlorine pesticides (OCPs), and organophosphorus pesticides (OPPs) in the blood were determined through LC/MS/MS and GC analysis methods. Results: According to ELISA analysis, the PON1 level was significantly lower in the obesity group (102.8 ± 12.49 ng/mL) compared to the control group (134.8 ± 14.29 ng/mL) (p < 0.001). LC/MS/MS and GC analyses showed significantly higher levels of Σ₄OPPs and Σ₄PCBs in obese children compared to the control group (p < 0.001). However, no significant difference was observed between the two groups in terms of Σ₄OCP levels (p > 0.05). Conclusions: Our findings highlight the presence of OPPs and PCBs in the blood of obese children. Although these factors are associated with PON1, further research is needed to evaluate their potential role as risk indicators for obesity. Full article

Introduction: Firefighters are exposed to toxic smoke and hazardous environmental conditions that place them at risk for pulmonary disorders. This study aimed to determine the prevalence of pulmonary symptoms and disorders among full-time firefighters in the City of Cape Town Fire and Rescue Service and to explore associations with sociodemographic, physical and behavioural risk factors. Methods: A cross-sectional, quantitative study was conducted among 278 full-time firefighters using convenience sampling. Data were collected using a researcher-generated questionnaire and spirometry measurements. Physical characteristics were assessed using bioelectrical impedance analysis. Descriptive and inferential statistics were applied (Kruskal–Wallis H, Chi-squared test, Pearson’s correlation), with p < 0.05 denoting statistical significance. Results: More than half (53.60%) of firefighters presented with at least one pulmonary symptom. Coughing (54.36%) and nasal congestion (40.94%) were the most common symptoms. Pulmonary symptoms were more frequent among firefighters aged 30–49 years. Significant differences were found in pulmonary function between age categories (p < 0.01) and obesity in firefighters (p < 0.01). Negative correlations were found between FVC and BMI (r =−0.35), BG% (r = −0.47) and years of experience (r =−0.21). Conclusions: Findings highlight the occupational burden of pulmonary health risks and the need for regular screening and preventive strategies within firefighting populations. Full article

Freshwater ecosystems play an important role in human survival, ecosystem functioning, and biodiversity conservation, yet industrialisation and urbanisation dump over 80% of untreated sewage into them. This inadequate wastewater management leads to enteric pathogens like Escherichia coli, Salmonella, Shigella, Campylobacter, Vibrio cholerae, Pseudomonas aeruginosa, and Legionella pneumophila that are responsible for a wide range of waterborne human diseases globally with extensive morbidity and mortality. The World Health Organization (WHO) estimates that at least 2 billion individuals drink water contaminated with pathogens, resulting in illnesses like cholera, dysentery, and diarrhoea, and approximately 50,000 diarrheal deaths annually. Classical epidemiology approaches are the basis for determining disease burden in public health, but they are limited in their capacity to predict future health risks. Quantitative microbial risk assessment (QMRA) addresses this by estimating the potential health risks of any exposure to microbial pathogens in any environment using four key elements, which include the identification of the microbial hazards, human exposure to the hazard through diverse activities, dose–response relationships, and the estimated risk of the infection. This review summarises information on freshwater pathogens, their occurrence, sources and health implications. The methodological approaches of QMRA in freshwater systems are reviewed with examples drawn from recreational activities, drinking water, and wastewater-impacted environments. Global QMRA studies indicate a wide range of infection risk estimates, reflecting differences in water sources, pathogens, and exposure conditions. Thus, QMRA is known to be a valuable public health tool for freshwater ecosystems, linking microbial contamination dynamics to health risk estimates that support proactive management and policy-relevant decision-making. Full article