Search Results (3,728)

We evaluated global radiotherapy practices in the management of early-stage (AJCC/UICC 8th edition stages I-II) glottic cancer (ESGC). A cross-sectional online survey was conducted in March 2025 across centers worldwide. Data was collected on clinical practices, including staging, CT simulation, target volumes delineation, organs-at-risk contouring, radiotherapy techniques, dose and fractionation schedules, treatment delivery techniques, and image guidance practices. A total of 181 responses were received, primarily from Asia (41.4%) and Europe (24.3%). Most respondents were from non-academic public centers (44.2%), with multidisciplinary team involvement reported by 84.5%. Head and neck CT scan was the most used staging modality (80.1%). Intensity-Modulated Radiation Therapy was the most common planning technique (82.9%). Hypofractionated radiotherapy schedules predominated for T1 (84%) and T2 (72.4%) disease. T1a was typically treated with whole-larynx target volume (72.4%). Use of ipsilateral involved vocal cord irradiation varied by geographical region (p = 0.015), being most common in North America (44.8%) and Europe (38.6%). Accelerated fractionation for T2 also differed significantly (p < 0.001), with the highest use reported in North America (41.4%). Daily Cone-Beam Computed Tomography was acquired by (58.2%). In total, 70% of respondents expressed interest in the results of a future phase III randomized trial comparing stereotactic body radiation therapy to conventional radiotherapy. Significant global variations in radiotherapy practices for ESGC were observed, likely reflecting disparities in access and differences in institutional protocols. The development and implementation of standardized, evidence-based global guidelines are essential to harmonize care, minimize toxicity, and improve outcomes for patients with ESGC. Full article

Urban morphology, encompassing both horizontal landscape patterns and three-dimensional architectural structures, plays a pivotal role in modulating urban heat distribution. However, conventional models often fail to capture the intricate spatial nonstationarity and nonlinear coupling of these drivers at the block scale. Recognizing that land surface temperature (LST) exhibits distinct diurnal and nocturnal thermal cycles, this study explicitly incorporates spatial heterogeneity analysis to systematically evaluate the relative and local contributions, marginal effects, and interaction mechanisms of multidimensional urban morphology on diurnal LST variations. To achieve this objective, geographically weighted extreme gradient boosting and SHapley Additive exPlanations were employed to decipher these complex driving mechanisms from a morphological perspective. The results indicate the following: (1) Built environment variables predominate the spatial heterogeneity of LST in Xi’an, China, with their governing mechanisms shifting diurnally—characterized by a midday NDVI-induced evapotranspiration cooling effect and an atmospheric back-radiation warming effect associated with PM2.5 during the night and early morning. (2) The driving mechanisms exhibit pronounced spatial nonstationarity; while the northeastern and northern sectors are primarily influenced by the synergistic interaction between surface albedo and PM2.5, the central-western and southern regions are governed by population density and 3D architectural morphology. (3) Significant nonlinear interaction thresholds and non-monotonic response mechanisms were identified across the variables. By resolving localized thermal responses through the lens of spatial heterogeneity, this research provides a robust scientific framework for precision urban planning and the mitigation of the urban heat island effect. Full article

Analyzing the propagation dynamics from meteorological drought (MD) to hydrological drought (HD) is essential for sustainable water resource management, particularly under climate change. This study analyzed the multidimensional propagation characteristics and their driving factors from MD to HD in the Jialing River Basin from 1993 to 2020. The temporal characteristics of drought propagation were analyzed using monthly and daily drought indices, with a focus on variations in initiation lag times across seasons and drought grades. The attenuation and amplification effects during drought propagation were quantified using event propagation ratios, while examining the differential propagation patterns across different drought grades. Additionally, the Geographical Detector Model was employed to identify the main drivers of spatial heterogeneity in hydrological drought response rates. The main findings are as follows: (1) at the daily scale, the initiation stage had the shortest lag, while peak and termination stages showed longer lags. Seasonal and drought grade variations were observed in the initiation lag, with shorter lags in summer and autumn. (2) Drought propagation from MD to HD resulted in an attenuation of maximum intensity, while duration and severity were amplified. (3) Spatial heterogeneity in HD response rate was mainly influenced by evaporative conditions, vegetation cover, and topography. Full article

Background/Objectives: Birooted mandibular canines are a rare but clinically significant variation that is often underdiagnosed and may complicate dental treatment. The aim of this review was to conduct a comprehensive meta-analysis to estimate the prevalence of birooted and multirooted mandibular canines, and to address the research question of whether geographical region, sex, or side predilections significantly influence these anatomical variations. Methods: A systematic search was performed on 4 September 2025 across five databases: BASE, Scopus, PubMed, DOAJ, and Scielo. Studies on permanent mandibular canines with at least 10 cases, assessed radiologically or in vitro, were included. Reports without detailed root number data or based only on two-dimensional imaging were excluded. Meta-analysis estimated prevalence and odds ratios by sex and geographic region, with results shown in tables and graphs. Risk of bias was assessed using the Joanna Briggs Institute appraisal tools. Results: Eighteen studies met the inclusion criteria, of which seventeen were classified as population studies and one case as a series. The pooled prevalence of birooted mandibular canines was 2.71%. A female predilection was statistically significant in four modern cohorts. Only one case of a three-rooted mandibular canine was documented. No clinical outcome data were available regarding endodontic success or extraction complications. Conclusions: Birooted mandibular canines represent a relatively common anatomical variant, especially in females and on the right side of the jaw. However, clinical implications related to treatment outcomes remain underreported, emphasizing the need for future clinical and radiological investigations. Full article

Wild orchid populations are declining with intensified habitat fragmentation posing severe challenges to germplasm conservation. As an important ornamental Orchidaceae species, Cymbidium ensifolium has abundant germplasm resources and frequent natural and artificial hybridization. Long-term natural evolution and anthropogenic disturbance have led to complex genetic backgrounds and ambiguous phylogenetic relationships hindering accurate germplasm identification, elite resource excavation, and selective breeding. As a distinctive variety, Cymbidium ensifolium var. susin has great breeding potential. Clarifying its phenotypic and genetic characteristics is crucial for accelerating breeding progress. In this study, phenotypic determination, Hyper-seq reduced-representation genome sequencing, SNP/InDel genotyping, genetic diversity analysis, and core collection construction were used to evaluate the genetic diversity, population differentiation, and core germplasm screening of 13 Cymbidium ensifolium var. susin accessions. The results showed significant phenotypic differences and rich genetic variation among tested materials. Based on highly weighted floral traits, accessions were divided into three major phenotypic groups. At the molecular level, 963,239 SNP and 182,399 InDel loci were identified and mainly distributed in intergenic regions, followed by introns and exons. A phylogenetic tree was constructed from SNP loci combined with principal component and phenotypic clustering analyses. This study preliminarily clarified the genetic structure of pure-heart Cymbidium ensifolium var. susin, showing a distinct geographical pattern: “high consistency in Fujian and Guangdong; strong differentiation in Southwest China; and a transitional gradient in Central China”. Meanwhile, six core germplasm accessions were screened in this study, which provides a solid theoretical basis and material support for the conservation of pure-heart Cymbidium ensifolium var. susin accessions, variety improvement, hybrid parent selection, and molecular marker-assisted breeding. This is of great significance for promoting the innovation of Chinese orchid germplasm resources and the high-quality development of the industry. Full article

The global seafood industry faces persistent challenges related to product quality, safety, and authenticity, driven by complex supply chains, increasing demand, and the perishable nature of aquatic products. Traditional analytical methods often fall short in providing rapid, comprehensive, and non-destructive insights into the intricate biochemical changes occurring in seafood. ¹H Nuclear Magnetic Resonance (¹H NMR) spectroscopy has emerged as a powerful and versatile tool for metabolomics, offering a holistic view of the low-molecular-mass compounds (metabolites) present in biological samples. The present study applied ¹H NMR for chemical fingerprint identification in mullets (Mugil liza) from Brazil. Dorsal muscle samples were taken from the fish during summer, autumn, and winter. The procedure involved freeze-drying the muscle tissue, thereafter extracting polar metabolites using designated solvents (methanol, water, and chloroform), and analyzing them using a 600 MHz spectrometer. As a result, 23 metabolites related to degradation biomarkers, essential metabolites, energy expenditure, and muscle structure were identified. The statistical analysis demonstrated a distinct separation between the geographical origins (RJ vs. SC), mostly influenced by variations in the concentrations of lactate, histidine, threonine, phenylalanine, and ornithine. Factors like fish size and seasonal variations did not markedly affect the overall metabolic profile, underscoring the reliability of these chemicals as stable origin indicators. The Principal Component Analysis identified two distinct groups of metabolites, establishing a profile for each geographical origin. The developed protocol can be applied to the processes of geographical identification. Thus, the ¹H NMR tool was efficient in determining metabolites that can be considered biomarkers in analyses for seafood traceability. Full article

Husk tomato (Physalis ixocarpa Brot.) is a crop of major economic, cultural, and nutritional importance in Mexico and exhibits substantial genetic and morphological diversity. Characterizing this variability is essential for both germplasm conservation and breeding programs. During the spring–summer 2024 growing season, 28 husk tomato populations were evaluated at the Bajío Experimental Station (INIFAP), Guanajuato, Mexico, using a completely randomized design with 12 replications. Forty-one traits were assessed following UPOV and IPGRI descriptors. Cluster analysis, canonical discriminant analysis, and the ESIM selection index were applied. A total of 77 morphotypes were identified, exhibiting variation in 33 of the 41 evaluated traits, mainly related to growth habit, leaf morphology, fruit traits, and calyx attributes. Correspondence analysis revealed a close relationship between vegetative growth and fruit size. Cluster analysis clustered the morphotypes into six clusters with no clear geographic structure, suggesting extensive gene flow. Canonical discriminant analysis explained 94.65% of the total variation, identifying seed size, leaf dimensions, and number of anthers as key discriminant traits. The ESIM index highlighted six morphotypes with favorable agronomic and morphological combinations. These results provide a practical basis for the selection of parental materials in husk tomato breeding programs under diverse agroecological conditions. Full article

Background: Piper is one of the largest genera in the family Piperaceae, with approximately 2100 species. Most Piper species are used as spices or as medicinal plants. Piper methysticum G. Forst., popularly known as kava-kava (or kava), is widely used to treat anxiety disorders. Due to similar morphological features, P. auritum Kunth (known as “false kava”) is sometimes mistakenly or intentionally used as an alternative botanical source for “kava” extracts. The false kava extracts do not contain active kavalactones but contain safrole, which is hepatotoxic. It is important to verify the component botanical materials in order to evaluate the quality and safety attributes of a potential botanical drug. Some studies have evaluated genetic variation in Piper sp. using the chloroplast regions matK, rbcL, rpoC1 and trnH-psbA and the nuclear ITS2 markers. However, none has focused on the identification of P. methysticum using DNA barcodes. In the present investigation, the ITS2 DNA barcode region from the nuclear genome was tested to confirm the identification and authentication of kava-kava samples. Methods: Seven P. methysticum samples were collected from three different geographic lo-cations and two P. auritum samples were collected and the ITS2 region from the nuclear genome, was amplified, sequenced and aligned to determine their genetic distances. Results: The ITS2 locus showed high amplification and sequence output with a discriminating barcode gap. A distance-based phylogenetic tree and BLAST confirmation (using blastn) revealed the ITS2 locus as a diagnostic DNA barcode for the accurate identification of kava-kava species. Discussion: In conclusion, the ITS2 region proves to be an effective and reliable DNA barcode for distinguishing P. methysticum from closely related species such as P. auritum. Its application can significantly improve the safety, quality, and traceability of kava-containing products, addressing a critical need in the standardization of botanical drugs. Full article

Tamarindus indica L. is a species of tree with high economic value. However, research on its associated bacterial communities is limited, and no microbial fertilizer has yet been developed specifically for tamarind. In this study, we selected 20 geographical provenances of tamarind as experimental materials, evaluated their germplasm resources, and investigated the correlation between plant traits and associated bacterial communities under grafting conditions. Provenances YM2 and BS21 produced the largest fruits, while all physiological indices showed significant variability among the tested accessions. Microbial samples from the phyllosphere and rhizosphere were collected from these 20 provenances, and 16S rRNA gene sequencing was conducted to compare microbial communities. The differences in rhizosphere microbiota among different samples were more significant than those in phyllosphere microbiota; subsequently, an in-depth investigation was conducted on the relationships between rhizosphere bacterial communities and various traits under these grafting conditions. Through correlation analysis, significant correlations were identified between some microbial phyla and the traits of tamarind under these grafting conditions. Under the current grafting conditions, variations in the rhizosphere microbiome were associated with tamarind provenances. However, due to the constraints of the experimental design, the potential influences of rootstock genotypes and scion–rootstock signal transduction could not be excluded. Nevertheless, through the unification of rootstock sources and the design of correlation analysis, this study has initially verified the dominant association between scion provenances and microbial communities. Full article

This study presents a systematic bibliometric analysis and critical review of assessment indicators and multi-criteria decision-making methods for rural energy systems from 2010 to 2025. It examines the evolving definitions and regional variations in these indicators and methods. The research hotspots of rural energy systems have shifted from basic rural electrification to multi-dimensional assessment indicators and hybrid multi-criteria decision-making methods. The assessment indicators for rural energy systems demonstrate a marked imbalance, dominated by economic and technical dimensions. Specifically, economic evaluations for rural energy systems frequently utilize net present cost and levelized energy cost, shifting from static capital comparisons to comprehensive lifecycle assessments. Meanwhile, loss of power supply probability is identified as the primary inherent constraint among technical assessment indicators for rural energy systems. Geographically, assessment indicators for rural energy systems priorities exhibit significant divergence. Developing regions prioritize basic power supply and affordability, whereas developed regions focus on grid stability and market risk resilience. In addition, environmental evaluations for rural energy systems remain fixated on carbon emissions. Developed nations emphasize global climate benefits, while developing nations focus on localized dividends like indoor air quality improvement. Critically, despite an increasing focus on rural livelihoods, social indicators remain systematically marginalized in rural energy systems, leading to the neglect of local requirements and increasing technical risks. The field of rural energy system assessment is advancing toward multi-criteria decision-making indicators. Future methodologies must integrate robust, dynamic adaptive mechanisms that respond to evolving developmental priorities in order to effectively address inherent data scarcity and complex socio-economic uncertainties of rural energy systems. Full article

Quercus acorns have been part of animal or human diets; however, their nutritional potential depends on morphological and chemical characteristics highly influenced by genetic and geographical factors. Research on the Quercus genus has focused on Asian and European species overlooking the American taxa. Therefore, this study aimed to evaluate the morphological and nutritional characteristics, and the content and profile of bioactive compounds of acorns from four populations of the American species Quercus virginiana from the state of Chihuahua, Mexico. Discriminant function analysis showed a well-established group formed by the two southern populations (CH), while the two northern populations were separated into different groups (CJA and CJB). CH populations showed smaller seeds (1.4 g, 2.0 cm length) and higher starch (57–58%), oleic acid (65–70%), phenolic compounds (78–176 mg GAE/g), flavonoids (29–37 mg CE/g), and antioxidant activity (278–282 μmol TE/g). Acorns from the CJA population were the largest (2.3 g, 2.4 cm length) and displayed the highest protein content (7.0%). Acorns from the CJB population showed the highest values for ash (2.2%), sugars (13.8%), palmitic and linoleic acids (19.1%), and condensed tannins (0.26 CE/g). Fourteen polyphenolic compounds were identified: twelve hydrolysable tannins; one hydroxycinnamic acid, and one flavonol. These variations reflected the impact of local climatic and geographic conditions and may influence the potential use of Quercus acorns in sustainable agriculture and food development. Full article

Background/Objectives: Eleocharis ussuriensis Zinserl. is a perennial riparian sedge widely distributed in Northeast Asia and a dominant component of freshwater vegetation in South Korea. However, the intraspecific genetic structure of this species across contrasting hydrological habitats remains insufficiently understood. This study aimed to develop novel SSR markers from whole-genome data and investigate genetic variation and population structure among E. ussuriensis populations in South Korea. Methods: Twenty-one novel simple sequence repeat (SSR) markers were developed from whole-genome sequence data and applied to analyze genetic variation in 120 individuals from 6 populations. Genetic diversity, differentiation, and gene flow were estimated using allele-frequency-based metrics, and population genetic structure was further evaluated using spatial information derived from geographic coordinates. Results: A total of 201 alleles were detected, with a mean polymorphism information content (PIC) of 0.759, indicating high marker informativeness. Mean genetic diversity across populations showed observed heterozygosity (Ho = 0.360) and expected heterozygosity (He = 0.281), while multilocus genotype ratios (G/N) ranged from 0.30 to 1.00 among populations. Genetic differentiation was substantial (F_ST = 0.373–0.669; Jost’s D = 0.540–0.997). Mantel tests revealed that genetic differentiation was significantly correlated with geographic distance (r = 0.67, p < 0.001). Both allele-frequency-based and spatially explicit approaches suggested genetic structuring among populations. Conclusions: The results suggest spatial tendencies in genetic structure among populations, reflecting patterns of allele distribution across regions. These findings provide baseline information on genetic variation in E. ussuriensis and may contribute to a better understanding of its ecological dynamics. Full article

Background and Objectives: Stroke remains a major contributor to global morbidity and mortality, with substantial geographic variation in incidence and outcomes. Although declining trends in stroke incidence and mortality have been documented in several Western European populations, countries in Eastern Europe have historically experienced a disproportionately high cardiovascular disease burden. Comprehensive long-term evaluations assessing simultaneous trends in stroke attack rates, mortality, and case-fatality in Lithuania are limited. This study aimed to investigate 24-year trends (2000–2023) in stroke epidemiology among working-age residents of Kaunas city. Materials and Methods: Data were derived from the Kaunas population-based stroke registry and included individuals aged 25–64 years. Age-standardized attack rates, mortality rates, and case-fatality rates per 100,000 population were calculated using the World Health Organization standard population. Temporal trends were assessed using Joinpoint regression analysis to estimate annual percentage changes (APCs) with corresponding 95% confidence intervals (CIs). Analyses were stratified by sex, age group (25–54 and 55–64 years), and stroke subtype (ischemic and hemorrhagic). Results: During 2000–2023, overall stroke attack rates declined significantly in both sexes, with a more pronounced reduction observed among females. Stroke mortality decreased significantly among females over the entire study period, whereas no significant overall change was observed among males, largely due to increases during 2010–2021 that attenuated earlier and subsequent improvements. Case-fatality rates demonstrated no significant overall long-term trend in either sex but exhibited marked temporal variability, including significant increases during 2010–2021 followed by substantial declines after 2021. Age-stratified analyses confirmed significant reductions in attack rates across both age groups. Ischemic stroke incidence declined significantly in both sexes, while hemorrhagic stroke mortality decreased significantly among males and females. The period 2021–2023 was characterized by pronounced reductions in mortality and case-fatality across multiple subgroups. Conclusions: Over the past two decades, the stroke burden among working-age residents of Kaunas has declined substantially, particularly among females. Despite period-specific deteriorations, recent improvements underscore the impact of advances in stroke prevention and acute care. Sustained risk factor control and continued healthcare system development remain essential to maintain favourable trends. Full article

The global demand for Salvia miltiorrhiza Bunge in the botanical medicine market is steadily increasing. However, its production has long relied on asexual root propagation, making it highly susceptible to germplasm degradation. Transitioning to seed reproduction offers the advantage of genetic renewal, yet it is constrained by unstable seed vigor and slow seedling growth. In the present study, comprehensive physiological and microbiome analyses of S. miltiorrhiza seeds from 14 regions across 7 provinces in China were conducted to elucidate the association between the seed microbiome and vigor, and to identify plant growth-promoting (PGP) strains. The results demonstrated: (1) Seed physical traits and germination characteristics varied significantly across geographic origins. Seed vigor, exhibiting the highest coefficient of variation, served as a key parameter reflecting germination quality. (2) High-vigor seeds harbored distinct microbial communities characterized by higher diversity indices, greater network complexity, and the significant enrichment of potentially beneficial bacteria (e.g., Pseudomonas). (3) Through correlation-directed screening of isolated pure cultures, Pseudomonas mendocina P-6 and Enterobacter ludwigii BM-12 were identified as exhibiting robust, multi-trait PGP capacity. In planta validation showed that these two strains significantly promoted the growth of 1-month-old S. miltiorrhiza seedlings, increasing total fresh weight by 33.9–71.3%. This study reveals the microecological drivers of seed vigor and provides candidate strains for inoculant development, thereby supporting the sustainable, seed-based propagation of S. miltiorrhiza. Full article

Background/Objectives: Sosnowsky’s hogweed Heracleum sosnowskyi, which originated in the Greater Caucasus region and spread rapidly across Central and Eastern Europe after being introduced as cattle fodder in the 1950s, is an example of an extremely dangerous invasive species listed by the European Union. This study aimed to estimate the genetic diversity of 6 native populations of Sosnowsky’s hogweed from the Caucasus region of Russia and Georgia, as well as 15 invasive populations from Lithuania and Poland, and to assess the adaptability of hogweed in new environments. Methods: Genetic analyses of plant material were conducted, including DNA extraction, ISSR genotyping, PCR product separation, and subsequent molecular data mining and analysis. Results: A pairwise Mantel test revealed a positive correlation between geographical distance and the genetic diversity of the hogweed populations. The presence of three distinct allele pools was confirmed in the populations under study, with genotypes from Poland dominated by the first allele pool, which had the largest number of polymorphic and private loci. Analysis of molecular variance by origin showed that 99% of the variation was within the analysed hogweed populations, with only 1% being between them. Native populations from Russia were genetically distinct from those in Poland and Lithuania. Some of the Georgian population shows genetic similarities to Russians, while the rest shows similarities to the secondary invasive Lithuanians. Conclusions: Introduced populations of H. sosnowskyi are characterised by considerable genetic variation, likely resulting from multiple introductions and subsequent evolutionary processes, which may facilitate local adaptation and invasiveness, although overall large-scale genetic differentiation remains low. Full article