Search Results (644)

Agricultural production in southern Angola faces challenges due to unsustainable practices, including inefficient use of water, fertilizers, and machinery, resulting in low yields and environmental degradation. Therefore, clear and measurable indicators are needed to guide farmers toward more sustainable practices. The scientific literature insufficiently addresses this issue, leaving a significant gap in the evaluation of key performance indicators (KPIs) that can guide good agricultural practices (GAPs) adapted to the context of southern Angola, with the goal of promoting a more resilient and sustainable agricultural sector. So, the objective of this study is to identify and assess KPIs capable of supporting the selection of GAPs suitable for maize, potato, and tomato cultivation in the context of southern Angolan agriculture. A systematic literature review (SLR) was conducted, screening 2720 articles and selecting 14 studies that met defined inclusion criteria. Five KPIs were identified as the most relevant: gross margin, net profit, water use efficiency, nitrogen use efficiency, and machine energy. These indicators were analyzed and standardized to evaluate their contribution to sustainability across different GAPs. Results show that organic fertilizers are the most sustainable option for maize, drip irrigation for potatoes, and crop rotation for tomatoes in southern Angola because of their efficiency in low-resource environments. A clear, simple, and effective representation of the KPIs was developed to be useful in communicating to farmers and policy makers on the selection of the best GAPs in the cultivation of different crops. The study proposes a validated KPI-based methodology for assessing sustainable agricultural practices in developing regions such as southern Angola, aiming to lead to greater self-sufficiency and economic stability in this sector. Full article

Background: The advances in cancer diagnosis and treatment have significantly improved survival rates in pediatric patients, with five-year survival now exceeding 80% in many high-income countries. However, these life-saving therapies often carry long-term consequences, including impaired fertility. The reproductive health of childhood cancer survivors has emerged as a key issue in survivorship care. Objective: This narrative review aims to examine the gonadotoxic effects of cancer treatments on pediatric patients, evaluate fertility preservation strategies in both males and females, and provide guidance on the long-term monitoring of reproductive function post treatment. Methods: A comprehensive literature review was conducted using PubMed, including randomized trials, cohort studies, and clinical guidelines published up to March 2024. The keywords focused on pediatric oncology, fertility, and reproductive endocrinology. Studies were selected based on relevance to treatment-related gonadotoxicity, fertility preservation options, and follow-up care. Results: Radiotherapy and alkylating agents pose the highest risk to fertility. Postpubertal patients have access to standardized preservation techniques, while prepubertal options remain experimental. Long-term effects include premature ovarian insufficiency, azoospermia, hypogonadism, and uterine dysfunction. The psychosocial impacts, especially in female survivors, are profound and often overlooked. Conclusions: Fertility preservation should be discussed at diagnosis and integrated into treatment planning in pediatric patients with cancer. While options for postpubertal patients are established, more research is needed to validate safe and effective strategies for younger populations. A multidisciplinary approach and long-term surveillance are essential for safeguarding future reproductive potential in childhood cancer survivors. Full article

Male-factor infertility accounts for approxiamately half of all infertility cases globally, yet therapeutic options remain limited for individuals with no retrievable spermatozoa, such as those with non-obstructive azoospermia (NOA). In recent years, artificial gametogenesis has emerged as a promising avenue for fertility restoration, driven by advances in two complementary strategies: organotypic in vitro spermatogenesis (IVS), which aims to complete spermatogenesis ex vivo using native testicular tissue, and in vitro gametogenesis (IVG), which seeks to generate male gametes de novo from pluripotent or reprogrammed somatic stem cells. To evaluate the current landscape and future potential of these approaches, a narrative, semi-systematic literature search was conducted in PubMed and Scopus for the period January 2010 to February 2025. Additionally, landmark studies published prior to 2010 that contributed foundational knowledge in spermatogenesis and testicular tissue modeling were reviewed to provide historical context. This narrative review synthesizes multidisciplinary evidence from cell biology, tissue engineering, and translational medicine to benchmark IVS and IVG technologies against species-specific developmental milestones, ranging from rodent models to non-human primates and emerging human systems. Key challenges—such as the reconstitution of the blood–testis barrier, stage-specific endocrine signaling, and epigenetic reprogramming—are discussed alongside critical performance metrics of various platforms, including air–liquid interface slice cultures, three-dimensional organoids, microfluidic “testis-on-chip” devices, and stem cell-derived gametogenic protocols. Particular attention is given to clinical applicability in contexts such as NOA, oncofertility preservation in prepubertal patients, genetic syndromes, and reprocutive scenarios involving same-sex or unpartnered individuals. Safety, regulatory, and ethical considerations are critically appraised, and a translational framework is outlined that emphasizes biomimetic scaffold design, multi-omics-guided media optimization, and rigorous genomic and epigenomic quality control. While the generation of functionally mature sperm in vitro remains unachieved, converging progress in animal models and early human systems suggests that clinically revelant IVS and IVG applications are approaching feasibility, offering a paradigm shift in reproductive medicine. Full article

Enhanced weathering of silicate rocks in agriculture is an option for atmospheric CO₂ removal and fertility improvement. The objective of our work is to characterise some of the agricultural consequences of a basaltic powder amendment on soil-crop systems. Two doses of basalt (80 and 160 t ha⁻¹) were applied to two types of slightly acid soils (sandy or silty clayey), derived from long-term trials at Bordeaux (INRAE, France) and Rothamsted Research (England), respectively. For each soil, half of the pots were planted with ryegrass; the other half were left bare. Thus, the experiment had twelve treatments with four replications per treatment. Soil pH increased with the addition of basalt (+0.8 unit), with a 5% equivalence of that of reactive chalk. The basalt contained macro- and micronutrients. Some cations extractable in the basalt before being mixed to the soil became more extractable with increased weathering, independent of plant cover. Plant uptake generally increased for macronutrients and decreased for micronutrients, due to increased stock (macro) and reduced availability (micronutrients and P), related to pH increases. K supplied in the basalt was responsible for a significant increase in plant yield on the sandy soil, linked to an average basalt K utilisation efficiency of 33%. Our general conclusion is that rock dust applications have to be re-evaluated at each site with differing soil characteristics. Full article

Foliar application of biostimulants can be a valid option to reach the goal of sustainable intensification in agriculture, especially in extensive crops such as durum wheat. However, due to the wide range of active ingredients and their mixtures available in the market, the need to select the most efficient product in a specific growing environment is of dramatic importance to achieve remarkable results in yield and grain quality. To analyze the potential of different active ingredients, a field trial was performed in two consecutive growing seasons (2023 and 2024) under Mediterranean climatic conditions. A randomized block design with three replicates was used. Durum wheat cultivar “Iride” was treated with the following five foliar biostimulants in comparison with the untreated control (T0): seaweed and plant extracts (T1); micronized vaterite (T2); culture broth of Pseudomonas protegens (T3); humic and fulvic acids (T4); organic nitrogen fertilizer (N 5%) containing glycine betaine (T5). Biostimulant treatment was applied at the end of tillering and at heading. Root length, chlorophyll content, grain yield, yield components and grain quality were measured and subjected to a one-way analysis of variance. As compared to the control, seaweed and plant extracts as well as micronized vaterite showed the best results in terms of grain yield (29% and 24% increase, respectively), root length (120% and 77% increase, respectively) and grain protein content (one percentage point increase, from approx. 12% to 13%). The results from this study can help Mediterranean farmers and researchers to develop new fertilization protocols to reach the goals of the “Farm to Fork” European strategy. Full article

In agricultural practice, in addition to determining the nitrogen (N_f) dose, it is necessary to effectively control its effect on currently grown crops. Meeting these conditions requires not only the use of phosphorus (P) and potassium (K), but also nutrients such as magnesium (Mg) and sulfur (S). This hypothesis was verified in a single-factor field experiment with winter wheat (WW) carried out in the 2015/2016, 2016/2017, and 2017/2018 growing seasons. The experiment consisted of seven variants: absolute control (AC), NP, NPK-MOP (K as Muriate of Potash), NPK-MOP+Ki (Kieserite), NPK-KK (K as Korn–Kali), NPK-KK+Ki, and NPK-KK+Ki+ES (Epsom Salt). The use of K as MOP increased grain yield (GY) by 6.3% compared to NP. In the NPK-KK variant, GY was 13% (+0.84 t ha⁻¹) higher compared to NP. Moreover, GYs in this fertilization variant (FV) were stable over the years (coefficient of variation, CV = 9.4%). In NPK-KK+Ki+ES, the yield increase was the highest and mounted to 17.2% compared to NP, but the variability over the years was also the highest (CV ≈ 20%). The amount of N in grain N (GN) increased progressively from 4% for NPK-MOP to 15% for NPK-KK and 25% for NPK-KK+Ki+ES in comparison to NP. The nitrogen harvest index was highly stable, achieving 72.6 ± 3.1%. All analyzed NUE indices showed a significant response to FVs. The PFP-N_f (partial factor productivity of N_f) indices increased on NPK-MOP by 5.8%, NPK-KK by 12.9%, and NPK-KK+Ki+ES by 17.9% compared to NP. The corresponding N_f recovery of N_f in wheat grain was 47.2%, 55.9%, and 64.4%, but its total recovery by wheat (grain + straw) was 67%, 74.5%, and 87.2%, respectively. In terms of the theoretical and practical value of the tested indexes, two indices, namely, NUP (nitrogen unit productivity) and NUA (nitrogen unit accumulation), proved to be the most useful. From the farmer’s production strategy, FV with K applied in the form of Korn–Kali proved to be the most stable option due to high and stable yield, regardless of weather conditions. The increase in the number of nutritional factors optimizing the action of nitrogen in winter wheat caused the phenomenon known as the “scissors effect”. This phenomenon manifested itself in a progressive increase in nitrogen unit productivity (NUP) combined with a regressive trend in unit nitrogen accumulation (NUA) in the grain versus the balance of soil available Mg (Mg_b). The studies clearly showed that obtaining grain that met the milling requirements was recorded only for NUA above 22 kg N t⁻¹ grain. This was possible only with the most intensive Mg treatment (NPK-KK+Ki and NPK-KK+Ki+ES). The study clearly showed that three of the six FVs fully met the three basic conditions for sustainable crop production: (i) stabilization and even an increase in grain yield; (ii) a decrease in the mass of inorganic N in the soil at harvest, potentially susceptible to leaching; and (iii) stabilization of the soil fertility of P, K, and Mg. Full article

Male infertility is a pathological condition that affects many subjects and for which a progressive increase in cases has been observed in recent years. The mechanisms underlying male reproductive system dysfunction are not fully understood and the specific drugs use has not produced optimal results. Therefore, the focus on developing new therapeutic options to prevent or treat this dysfunction is continuously growing. Defective sperm function has been associated with oxidative stress (OS) due to reactive oxygen species (ROS) excessive production. OS is related to mitochondrial dysfunction, lipid peroxidation, DNA damage and fragmentation, and ultimately sperm cell death. Many defense mechanisms to protect from ROS injuries have been developed; natural antioxidants, such as vitamin C and E are able to interact with oxidizing radicals, neutralizing them. Interestingly, resveratrol (RSV), a natural polyphenol with proven health-promoting actions, has been found to be an effective free radical scavenger in several in vitro and in vivo models, providing protection against OS. In this review, we discussed mechanisms related to the modulation of redox homeostasis in the testis and how the alteration of these processes can determine a damage in testicular function; particularly, we focused on the antioxidant properties of RSV that could give beneficial effects in preserving male fertility. Full article

Background: Endometrial cancer (EC) is the most common gynecological malignancy, increasingly affecting premenopausal women. While hysterectomy is the standard treatment, it eliminates reproductive potential, highlighting the need for effective fertility-sparing alternatives. Current ESHRE/ESGO/ESGE guidelines recommend progestin-based therapies, often with hysteroscopic resection. However, these are based on limited pharmacological options and moderate to low-quality evidence. Novel and combination therapies have shown promise but remain absent from current clinical guidelines. This review aims to evaluate the efficacy and safety of fertility-preserving treatments for early-stage EC, emphasizing the need to update current strategies based on emerging data. Methods: A systematic review and meta-analysis will follow PRISMA guidelines and the Cochrane Handbook. Eligible studies, including randomized and non-randomized designs, will assess fertility-preserving treatments for early-stage EC. Data will be extracted on complete response, recurrence, and long-term fertility outcomes. The GRADE system will assess evidence certainty. Risk of bias will be evaluated using RoB 2 for RCTs and ROBINS-I for non-randomized studies. Meta-analysis will be performed if sufficient data are available. Conclusions: This review will provide a comprehensive analysis of fertility-sparing treatments for early-stage EC, support personalized strategies, identify evidence gaps, and guide future research. Trial registration—Prospero: CRD420251032161. Full article

Cold knife hysteroscopic myomectomy (CKHM) is a minimally invasive surgical technique used to remove submucosal fibroids, commonly associated with infertility. Methods: A comprehensive literature search was conducted across databases including PubMed, Scopus, and Google Scholar, focusing on studies published from 2011 to 2024. The aim of this narrative review was to highlight the minimally invasive cold loop resectoscopic approach for the treatment of submucosal fibroids. Results: The review revealed that CKHM is associated with favorable fertility outcomes, with studies reporting increased pregnancy rates; most studies indicated that CKHM did not negatively affect endometrial function. Conclusions: Cold knife hysteroscopic myomectomy is a safe and effective option for women with submucosal fibroids who wish to preserve fertility due its minimal invasiveness and low complication rates. Full article

The recommended treatment for early-stage cervical cancer (FIGO 2018 stages IA–IB2 and selected IIA1) is surgery, followed by either observation or adjuvant therapy, based on individual risk factors. Surgical management has evolved from extensive radical procedures to more conservative strategies, allowing for fertility-preserving options in appropriately selected patients. In 2018, a landmark study (LACC trial) evaluated the surgical approach to radical hysterectomy, comparing open vs. minimally invasive surgery. The results demonstrated that minimally invasive surgery was associated with worse disease-free and overall survival, leading to guidelines changes that recommend the open radical hysterectomy as the new standard of care. More recently, results from the prospective randomized SHAPE trial demonstrated that in well-selected patients with low-risk early-stage cervical cancer, recurrence rates are comparable between simple hysterectomy and radical hysterectomy. An ongoing study, the CONTESSA trial, is evaluating the role of neoadjuvant chemotherapy in the setting of fertility preservation for lesions measuring 2–4 cm. In addition, ongoing studies are evaluating different surgical approaches for both simple hysterectomy (LASH trial) and radical hysterectomy (ROCC/GOG-3043 and RACC trials), with a focus on comparing oncologic outcomes. Attention has also turned to refining lymph node assessment. Sentinel lymph node biopsy has become a standard staging strategy with reduced morbidity. The SENTICOL I-II and SENTIX/ENGOT-Cx2 trials support its safety and diagnostic accuracy in early-stage disease. This article offers a comprehensive overview of recently published prospective trials that have shaped clinical practice in the management of early-stage cervical cancer. It focuses on surgical approaches and radicality, the role of sentinel lymph node mapping, and fertility-sparing treatments. The review further draws attention to ongoing investigations and novel studies that may influence future directions in the field. Full article

The increasing use of assisted reproductive technologies (ARTs) globally, such as intracytoplasmic sperm injection (ICSI) and in vitro fertilization (IVF), has highlighted the pressing need to determine the modifiable factors affecting the success of implantation and the outcomes of early pregnancy. Scientific interest in the role of nutrition in fertility is growing, but outside of celiac disease, little is known about gluten, a dietary protein with immunogenic and inflammatory properties. With an emphasis on ART results, this narrative review summarizes the most recent data regarding the possible effects of gluten consumption on reproductive health, focusing primarily on individuals with celiac disease (CD) and non-celiac gluten sensitivity (NCGS). In addition to discussing potential molecular processes connecting gluten-induced inflammation, increased gut permeability, autoimmune, and decreased endometrial receptivity, we further explore the documented link between CD and infertility and investigate new information on NCGS. These findings are tentative and based on scant low-quality evidence, although some case reports and small clinical studies have indicated that avoiding gluten may help some people undergoing ART, especially those with immune-mediated diseases or infertility that cannot be explained. There is currently no robust prospective evidence confirming that gluten restriction improves infertility outcomes. Therefore, before gluten elimination is advised in this situation, more carefully planned extensive research is required to generate reliable scientific proof. Beyond traditional celiac disease, we suggest that gluten sensitivity might be an underappreciated factor in ART failure that merits more research. A gluten-free diet may serve as a low-risk supplementary option for appropriately selected patients, pending the results of more extensive controlled studies. Full article

In China, agriculture is currently highly dependent on chemical nitrogen. This leads to low nitrogen use efficiency and high nitrogen losses. Considering the issues caused by excessive chemical fertilizer, integrated nutrient management using organic and chemical fertilizer sources is important. To clarify how partial substitution of chemical fertilizer by organic fertilizer affects rice yield, physiological traits, and nitrogen use efficiency, we conducted a two-year field trial in 2021 and 2022, and used two rice cultivars, Shendao47 (SD47) and Shendao505 (SD505), which were grown in the field with five fertilization treatments: (1) CK (zero N application); (2) CF (100% chemical fertilizer); (3) OR10 (10% organic fertilizer + 90% chemical fertilizer); (4) OR20 (20% organic fertilizer + 80% chemical fertilizer); and (5) OR30 (30% organic fertilizer + 70% chemical fertilizer). The results show that the partial organic substitution (OR) treatments improved the yield by 1–10% for two cultivars by increasing effective panicles and grain filling. The increase in grain filling was related to the photosynthetic parameters, including LAI, chlorophyll content, and net photosynthetic rate during the grain-filling stage. The photosynthetic parameters of OR treatments were higher than those of CF treatment. Additionally, with the increase in organic fertilizer application rates, the grain yield, agronomic N use efficiency, partial factor productivity of applied N, and physiological N use efficiency increased at first and then decreased, peaking in OR20 treatment. Conclusively, the 20% organic fertilizer with 80% chemical fertilizer is a promising option for higher yield and improved N utilization for both cultivars. This study provides a sustainable nutrient management strategy to improve crop yield with high nutrient use efficiency. Full article

Purpose: Cancer treatments can result in subfertility or infertility in female adult childhood cancer survivors (ACCSs). While ACCSs may utilize assisted reproductive technology (ART) or other family-building options, the limited evidence describing their experiences remains a hindrance to developing and implementing appropriate patient-centered supports. The study’s aim is to describe the challenges female ACCSs experienced while navigating ART and family-building options, to inform improvements in clinical practice in a western Canadian province. Methods: In this qualitative Interpretive Description study, interviews were conducted with 15 female ACCSs and data were analyzed using an interpretive thematic approach and constant comparative techniques. Results: ACCSs’ narratives suggest they experienced five prominent challenges while navigating ART and family-building options, including (1) confronting unexpected, impaired fertility, (2) grieving loss and redefining identity, (3) encountering unsupportive healthcare, (4) exploring alternative paths of adoption and international family-building, and (5) facing financial strain. Conclusions: This exploratory study provides initial insights into the significant and multifaceted challenges female ACCSs experience related to family building and highlights gaps in healthcare services. Further research is warranted to articulate these challenges across contexts and the development and implementation of mitigating approaches. Implications for Cancer Survivors: The integration of comprehensive informational, psychosocial, and financial supports into existing cancer survivor and family-building services is vital to meeting female ACCSs’ unmet needs. Full article

The most frequent form of ectopic pregnancy, known as tubal pregnancy, leads to a dangerous situation where the fertilized ovum implants inside a fallopian tube, which can result in tubal rupture and severe bleeding. The purpose of this narrative review is to evaluate all existing data regarding epidemiology, risk factors, pathophysiology, clinical presentation, diagnosis, and management of tubal ectopic pregnancy in order to provide a comprehensive understanding of this common yet difficult clinical condition. Prior ectopic pregnancy, together with tubal pathology and assisted reproduction, represent the main risk factors for this condition. The diagnosis relies on serial β-hCG tests combined with transvaginal ultrasonography, but laparoscopy serves as the diagnostic tool for cases with uncertain results. The treatment plan depends on the fallopian tube integrity, along with the patient’s hemodynamic condition. Patients with unruptured pregnancies who are hemodynamically stable receive methotrexate treatment as the preferred option, but surgical intervention with salpingectomy or salpingostomy becomes necessary in case of tubal rupture or when medical treatment fails. The development of laparoscopic procedures has led to better results and improved possibilities for fertility preservation. The psychological effects on patients require both counseling and follow-up care. Early detection, along with personalized management, helps decrease maternal complications and optimize reproductive outcomes. Full article

The objectives were to evaluate the energy potential of biomass and pellets produced from five underutilized herbaceous and woody plant species in México and Colombia; characterize pellet quality parameters; and calculate the preliminary production costs and energy requirement during the densification process. Harvest and sawmill residues were obtained for five non-timber and woody plant species. The volatile compounds, ash, and fixed carbon were evaluated, as well as the higher heating value (HHV) and pellet impact resistance (PIR); in addition, lignin, hemicellulose, and cellulose were quantified. The data were analyzed using descriptive statistics, including mean and standard deviation. The volatile compounds ranged from 65.9–77.5%, ash 2.5–17.2%, fixed carbon 5.4–19.9%, HHV 16.4–21.9 MJ kg⁻¹, and PIR (0.6–99.1%). Considerable intra- and inter-specific differences were observed for all the variables, which expanded the options for the selection of biomass sources used in bioenergy production. Biomass processing costs ranged from 675.9 to 679.3 EUR t⁻¹. Optimization of these processes is required to implement more efficient technologies that significantly reduce operating costs in biomass use in biofuel industry. The systematic study of different plant species, both introduced and native, will provide new sources of biomass to produce bioenergy, fertilizers, and other organic inputs. Full article