Search Results (8,814)

Grassland productivity and precise monitoring of animal herbage intake are key requirements for sustainable grazing management in Mediterranean upland systems. This study aimed to evaluate the potential of uncrewed aerial vehicle (UAV)-based multispectral vegetation indices (VIs) combined with machine learning (ML) algorithms to estimate forage biomass, quality parameters and daily herbage dry matter intake (HDMI) of grazing ewes at the paddock scale. The experiment was conducted in a managed ryegrass–white clover meadow–pasture in southern Italy, where four plots were grazed sequentially by lactating Sarda ewes during spring–summer 2025. Ground measurements included pre- and post-grazing biomass inside and outside exclusion cages, botanical composition and forage quality. Concurrently, UAV multispectral imagery has been acquired, from which several VIs were computed. Pearson’s correlations were used to explore relationships between VIs and forage variables, and five ML algorithms. Indices such as MCARI2, MTVI2, MTVI, MSAVI and OSAVI showed the strongest associations with biomass and quality traits, while support vector machine and neural networks provided the best prediction accuracies, particularly for HDMI (R² up to 0.91). The integrated UAV–ML approach proved effective in simultaneously capturing spatial variability of pasture productivity and animal intake, supporting the development of operational precision grazing tools for heterogeneous Mediterranean grasslands. Full article

Pyruvate dehydrogenase complex deficiency (PDCD) is a heterogenous mitochondrial inborn error in carbohydrate oxidation manifesting as congenital lactic acidosis. PDCD presents diagnostic and therapeutic challenges. While no curative treatment exists for PDCD, certain therapeutic modalities may improve prognosis and ameliorate symptom severity. This article examines the effectiveness of treatments for PDCD and presents a case series of three patients with PDCD. A scoping literature review was conducted for treatments of PDCD. Patient data for case reports was extracted retrospectively from electronic medical records from a large tertiary hospital. We reviewed and summarized findings from seven preclinical studies and ten human studies, which showed that dichloroacetate and the ketogenic diet were the most frequently studied treatments. Therapeutic approaches observed select positive outcomes such as reduced lactate levels, improved neuropathological manifestations, and increased longevity. However, most interventions have yet to be rigorously investigated. Early diagnosis of PDCD is integral, as treatment methods may offer improved clinical and biochemical outcomes. Clinical trials of existing and novel treatments are necessary to improve management and further understand the prognostic potential of this metabolic disorder. Full article

Body weight (BW) is an important trait in dairy cows; however, large-scale direct measurements are challenging. Heart girth (HG) has been proposed as a practical indicator of BW, but limited information is available for lactating cows, especially for locally adapted breeds. This study aimed to develop equations to estimate BW from HG in lactating Holstein, Simmental, and Rendena cows. A total of 293 cows (94 Holstein, 52 Simmental, and 147 Rendena) were selected from 6 farms equipped with an automatic milking system located in northern Italy. Both HG and BW were recorded on the same day, with HG measured using a tape and BW using a scale integrated into the automatic milking system. For each breed, linear, quadratic, and cubic regressions of BW on HG were tested, adjusting for days in milk and parity effects. The coefficient of determination and the root mean square error were reported. The best predictive performance was obtained with models adjusted for both days in milk and parity, with the highest accuracy achieved for Holstein and Simmental cows. These results corroborate that HG is a reliable predictor of BW in lactating cows of these breeds. Full article

Enteropathogenic Escherichia coli (EPEC) disrupts intestinal barrier integrity, induces inflammation, and alters gut microbial balance, leading to diarrhea and growth impairment. Probiotics are considered promising alternatives to antibiotics for managing enteric infections, yet the functional properties and underlying mechanisms of feline-derived strains remain unclear. This study evaluated the protective effects of Ligilactobacillus (L.) agilis ZY25 and L. salivarius ZY35, isolated from healthy cats, against EPEC-induced intestinal injury in C57BL/6 mice, with a focus on barrier function, immune modulation, and microbial homeostasis. In this 21-day experiment, 48 mice were assigned to six groups (n = 8/group): control, EPEC model (MOD), chlortetracycline treatment (CTC), probiotic treatment (PRO-T; post-infection only), probiotic pre-treatment (PRO-P; pre-infection only), and continuous probiotic supplementation (PRO; pre- and post-infection). EPEC challenge (0.2 mL; 1 × 10⁹ CFU/mL) was performed daily during experimental days 8–14. EPEC challenge resulted in weight loss (p < 0.05), increased (p < 0.05) diarrhea incidence, elevated (p < 0.05) serum D-lactate, diamine oxidase, and lipopolysaccharide levels, impaired intestinal morphology, immune imbalance, and microbial dysbiosis. Probiotic administration alleviated these alterations, as evidenced by restored intestinal morphology, reduced serum markers of barrier permeability (D-lactate, DAO, LPS), enhanced systemic immunoglobulins (IgA, IgG, IgM), a balanced cytokine profile (increased IL-4, IL-10; decreased TNF-α, IL-6, IL-1β, IFN-γ, CRP), and modulation of the gut microbiota (enrichment of beneficial taxa such as Lachnospiraceae_NK4A136_group and suppression of pro-inflammatory Desulfovibrio). The continuous supplementation regimen (PRO) produced the most consistent improvements among the three intervention strategies tested. These findings suggest that feline-derived probiotics mitigate EPEC-induced intestinal dysfunction, accompanied by improved barrier-related indices, immune rebalancing, and microbial stabilization, thereby providing proof-of-concept evidence for their further evaluation in feline gastrointestinal health. Full article

Intravascular lymphoma (IVL) is an uncommon subtype of non-Hodgkin’s extranodal lymphoma, distinguished by the proliferation of neoplastic cells within the lumen of small- to medium-sized arteries, with various organs recorded as impacted. The objective of this study was to evaluate the current literature about IVL and its involvement in the female genital tract, including an overview of diagnostic methods, imaging, and pathological features, selected therapy modalities, and outcomes in patients afflicted by this malignancy. We performed a narrative review with a systematic identification and presentation of published cases of IVL affecting the female genital tract. A literature search was carried out across PubMed, Scopus, and Web of Science for relevant studies presenting data on IVL affecting the female genital tract. Case reports and series that met predefined inclusion and exclusion criteria specified by the modified PECOS (“Population,” “Exposure,” “Comparison,” “Outcomes,” and “Study design”) framework were included. Patients most commonly presented with abnormal vaginal bleeding, pelvic pain, and B symptoms. Fluorodeoxyglucose positron emission tomography computed tomography (FDG PET/CT), often performed alongside abnormal laboratory findings such as elevated lactate dehydrogenase (LDH), played a key role in raising suspicion for hematologic involvement of the female genital tract and guiding biopsy. Most cases represented B-cell intravascular lymphoma and were treated with Rituximab plus (CHOPR-CHOP) based chemotherapy, frequently combined with hysterectomy. Full article

This study evaluated key reproductive and productive parameters of the Romanian buffalo reared under temperate-continental conditions. Data collected over a 30-year period (1990–2020) from 310 female buffaloes raised at the Şercaia Buffalo Research and Development Station (Brașov County, Romania) were analyzed. Only animals that completed their first gestation and calving within the herd and had complete lifetime records were included. Buffaloes were monitored longitudinally from first calving until the end of their productive life, regardless of the reason for exit. The evaluated traits included age at first calving, number of lactations, milk yield, milk fat content, and the effect of calf sex on milk production. Data were analyzed using descriptive statistics, group comparisons, and linear regression. Mean age at first calving was 51.6 ± 14.0 months, and females completed an average of 7.8 ± 3.0 lactations, indicating good reproductive longevity. Buffaloes calving male offspring produced significantly more milk per lactation (1272 ± 267 L) than those calving female offspring (1099 ± 244 L; p < 0.01). Milk fat content averaged approximately 7% and did not differ significantly between females giving birth to female offspring and those giving birth to male offspring (p > 0.05). Overall, the results indicate good productive stability and reproductive durability of the Romanian buffalo under semi-intensive management and confirm its adaptability to temperate environments. Full article

Background: Antimicrobial resistance (AMR) is a global healthcare threat. Traditional largely non-selective antibiotics produce side effects due to the natural host microbiome being modified creating a loss in homeostasis. In women, AMR is a cause of acute generational impact. For example, bacterial vaginosis (BV), the most common gynecological infection in reproductive-age women, is a serious public health concern due to its high rates of recurrence, secondary infections, and reproductive issues; and two currently prescribed antibiotics for BV do not fully resolve the symptoms. Objective: The strong need for innovative, potent, safe, and selective therapeutics has prompted a search for such bioactive molecules in milk. Resulting from 200 million years of evolutionary pressure, mammalian lactation not only nourishes infants, but it has also been under relentless Darwinian selective pressure to provide protection from a variety of infections. Methods: Computationally designed human-milk-inspired peptides (AMPs) were tested in standard microbicidal assays for activity against BV pathogens, and evaluated for stability and safety. Results: Several AMPs are bactericidal towards Gardnerella vaginalis, a major BV-associated pathogen, and other BV-associated pathogens. Some novel AMPs do not impact the viability of key lactobacilli linked to a healthy vaginal microbiome. These stable, membrane-acting cationic AMPs reduce inflammation during an infection assay and are safe in EpiVag organoid tissues. Conclusions: AMPs can address concerns like non-selectivity and antibiotic resistance—thereby addressing AMR. Lead AMPs from this study offer a promising solution for the development of novel therapeutics for the treatment of BV, which may reduce the burden of AMR. Full article

Background: Ice hockey is characterized by repeated short-duration, high-intensity efforts interspersed with brief recovery periods, requiring a complex interaction of aerobic and anaerobic energy systems. The aim of this study was to determine the energetic structure of repeated high-intensity on-ice sprint exercise in ice hockey players by quantifying the relative contributions of the oxidative, glycolytic and ATP–PCr energy systems. Methods: 14 male semi-professional ice hockey players performed the 30–15_IIT followed by the Repeated High-Intensity Effort (RHIE) on-ice. Oxygen uptake was measured breath-by-breath, blood lactate concentration and energy system contributions were estimated using a three-component PCr–La–O₂ model. Results: The RHIE on-ice was characterized by a dominant aerobic contribution (63.1 ± 2.6%), followed by phosphagen metabolism (29.8 ± 2.9%), with a relatively small glycolytic contribution (7.4 ± 1.5%). Conclusions: No significant relationships were observed between maximal oxygen uptake (VO_2max) and the RHIE performance parameters, energy system contributions or lactate responses, except for a moderate relationship between absolute VO_2max and absolute aerobic work. In contrast, parameters determined at the anaerobic threshold showed more consistent relationships with absolute metabolic work. These findings indicate that repeated high-intensity on-ice performance in ice hockey is largely independent of VO_2max and is more closely related to individual energetic profiles and metabolic tolerance. Full article

Sepsis is a leading cause of morbidity and mortality worldwide, and its outcomes depend on early recognition and timely intervention. Conventional clinical scores and biomarkers provide prognostic value but often lack accuracy for individualized prediction. Machine learning (ML) offers the ability to integrate multidimensional data to improve risk stratification. We analyzed 477 patients admitted to our hospital, including 251 with sepsis, 100 with septic shock, and 126 controls. Demographic, clinical, and laboratory data were collected. Univariate correlation analyses explored associations with sepsis severity and mortality (in-hospital, 30-day, and 90-day). Several ML models were tested, with performance assessed by area under the receiver operating characteristic curve (AUC-ROC) and Matthews’s correlation coefficient (MCC). Model interpretability was evaluated using SHAP (SHapley Additive exPlanations). Sepsis severity and mortality correlated with biomarkers (procalcitonin, mid-regional pro-adrenomedullin, lactate) and clinical scores (SOFA, qSOFA). In-hospital mortality was associated with ADM, catecholamine use, and SOFA, while 90-day mortality involved smoking and Gram-negative or polymicrobial infections. Different machine learning models were evaluated, and the model achieving the highest performance on the validation set was selected. The selected model either outperformed or demonstrated comparable performance to logistic regression, depending on the specific prediction task (AUC 0.99 for sepsis, 0.96 for septic shock, 0.70 for ICU admission; 0.90, 0.72, and 0.87 for in-hospital, 30-day, and 90-day mortality). SHAP confirmed the clinical relevance of these predictors. ML models integrating clinical and biochemical data outperform conventional methods in predicting sepsis progression and mortality, while maintaining interpretability. These findings support the use of ML-based tools for early diagnosis and personalized risk stratification in sepsis, though external validation is required before clinical application. Full article

Background/Objectives: To determine and validate the cluster trajectory model by dynamic subphenotypes of vital signs in infecti ons and prediction of 30-day mortality. Methods: We conducted a prospective study in the emergency department of Clínica Colombia with patients with suspected infection. Clinical data, vital signs, and 30-day mortality were collected. Vital signs were measured within the first 24 h of admission, and patients were classified according to a vital signs trajectory model into four groups: A, B, C, and D. Results: The final cohort consisted of 625 patients, and the subphenotypes, according to the vital signs, were as follows: A—2.66% (all vital signs altered), B—9.2% (at least one alteration, predominantly hypertension), C—19% (minimal or no alteration, control), D—69.2% (only arterial hypotension). The primary outcome was mortality. Overall mortality was 8.6%, being higher in group A followed by D, B and C (p = 0.009). The risk increased progressively in groups B (OR = 2.87, CI 95%: 0.62–13.25), D (OR = 4.77, CI 95%: 1.46–15.58), and A (OR = 8.33, CI 95%: 1.54–45.05). Group A presented more frequently with pneumonia (p = 0.002), CNS infections (p = 0.021), mechanical ventilation (p < 0.001), and vasopressor support (p < 0.001). Significant differences among groups were found in leukocytosis (B vs. C p = 0.026), neutrophilia (B vs. C p = 0.001 and B vs. D p = 0.042), lymphocytosis (B vs. D p = 0.002), neutrophil/lymphocyte ratio (A vs. C p = 0. 010), lactate (C vs. D p = 0.044), anemia (B vs. D p = 0.013 and C vs. D p = 0.001), and CRP (A vs. C p = 0.004, B vs. C p < 0.001 and C vs. D p < 0.001). Conclusions: Patients with suspected infection and more altered vital signs have higher mortality (group A) and benefit from earlier interventions by sepsis teams in the emergency department. Full article

The study aimed to determine the effect of newly developed multi-strain synbiotics on the hygienic quality of feed for pigs and pork edible raw materials originating from animals supplemented with synbiotics. The trial was conducted on 54 feed samples and 54 pigs. Animals were divided into six groups corresponding to three synbiotic preparations (A, B, C), two positive controls with probiotics (D, E), and a negative control (K) with no feed additive. The supplementation of the sow’s basal diet with the feed additive started 10 days before farrowing and continued for 38 days, covering the lactation period. The diet of piglets from groups A-E was supplemented with the feed additive starting from two weeks of age until slaughter at 24 weeks of age. Feed and animal raw materials were tested for the presence of Salmonella spp., Campylobacter spp., L. monocytogenes, Clostridium spp., C. perfringens, C. botulinum, and the count of AMB, TPC, fungi, ASFB, C. perfringens, Enterobacteriaceae family, E. coli, presumptive B. cereus, CoPS, HS, LAB, yeast probiotic strains, and Enterococcus spp. Statistically significant differences were found between individual groups in the count of C. perfringens, AMB, TPC, Enterococcus spp., and LAB in all feeds tested. Moreover, synbiotics A, B, and C lowered the count of AMB, TPC, and LAB, and synbiotics A and C decreased Enterobacteriaceae family contamination in both total raw materials as well as raw materials of fatteners. The higher effectiveness of synbiotics was associated with a higher number of probiotic strains in one preparation. Our study found that dietary supplementation of synbiotics alters the occurrence of C. perfringens in feed and enhances the hygienic quality of edible pork raw materials. Full article

Backround and Objectives: Basketball performance is shaped by repeated high-intensity actions interspersed with brief recovery. Conventional continuous or strictly incremental testing may not fully capture short active-recovery dynamics relevant to stop-and-go sports. Material and Methods: This study applied a VT₂-referenced progressive–intermittent treadmill protocol and focused on 60-s active-recovery kinetics to describe effort tolerance in an applied basketball setting. Basketball players from Mureș County completed anthropometry (24 h pre-test, fasted) and a single laboratory visit. Pre-test training and diet were standardized for 48 h (submaximal training; predominantly carbohydrate intake). CPET was performed in 3-min stages (6.5 km·h⁻¹ start; +0.7 km·h⁻¹ per stage) and stopped at RER = 1.00 and/or blood lactate = 4.0 mmol·L⁻¹ (operational VT2). After 3 min active recovery, participants completed six 60-s high-speed bouts separated by 60-s active recovery intervals (AR1–AR6), with intensities prescribed at 120–180% of VT2-derived speed, followed by an 8-min active recovery. For each AR interval, linear regression over 0–60 s yielded slopes for VO₂, VO₂/HR, VCO₂, V̇E, VE/VO₂, VE/VCO₂, and PetCO₂. Results: VT₁ was determined at 2.29 m·s⁻¹ (VO₂ 32 mL·min⁻¹·kg⁻¹) and VT2 at 3.07 m·s⁻¹ (VO₂ 42 mL·min⁻¹·kg⁻¹). Maximal intermittent speed was 5.33 m·s⁻¹ (VO₂ 45.5 mL·min⁻¹·kg⁻¹; RER 1.06; PetCO₂ 38 mmHg). VO₂ differed across successive bouts (p = 0.0001), while PetCO₂ showed a small downward drift across repetitions. Peak indices (max speed, VE/VCO₂max, PetCO₂max, VEmax) were associated with phase-specific recovery slopes across early, mid, and late recovery periods (false discovery rate–adjusted correlations). Lactate decreased over 8 min, but lactate change rates were not associated with peak indices. Conclusions: The VT₂-referenced progressive–intermittent protocol appears feasible in basketball players and provides phase-dependent recovery information that complements conventional peak CPET outcomes, with potential relevance for applied team settings. Full article

Objective: This study aims to investigate the correlation between blood leukocyte, CRP, LDH, and cytokine levels and the severity of illness in children with adenovirus pneumonia. Methods: A total of 100 children with adenovirus pneumonia (55 mild cases and 45 severe cases) who were treated at Guangzhou Women and Children’s Medical Center from January 2022 to January 2024, and 40 healthy children as a control group, were selected. Clinical data, some laboratory test data, and serum cytokine levels detected by flow cytometry were collected, and statistical methods were used to analyze the correlation between relevant indicators and the severity of the illness. Results: The research showed that among general clinical manifestations, the proportions of children with fever, dyspnea, pleural effusion, and moist rales in the severe group were all higher than those in the mild group (p < 0.05). Among the collected laboratory test data, indicators such as WBC, neutrophils, and LDH were significantly higher than in the mild group and the control group (p < 0.05) and were positively correlated with the severity of the disease. Regarding the tested cytokines, most children with adenovirus pneumonia showed elevated levels, and cytokines such as IL-6, IL-2, and IL-8 were significantly positively correlated with the disease. In the ROC curve analysis, NEU 6.03 × 10⁹/L (sensitivity 82.2%, specificity 72.7%, AUC 0.830) and IL-6 41.823 pg/mL (sensitivity 75.6%, specificity 81.8%, AUC 0.833) demonstrated certain value in the early identification of children with severe disease. Conclusion: In this study, laboratory indicators (C-reactive protein, lactate dehydrogenase, neutrophils, etc.) and changes in the levels of specific cytokines (TNF-β, IL-2, IL-6, IL-8, etc.) in children with adenovirus pneumonia were closely related to the severity of the disease. Notably, neutrophil count and interleukin-6 were significantly positively correlated with disease severity and had high AUC values, suggesting they may be important parameters for early prediction of the progression of mild adenovirus infection to severe disease. Full article

Colorectal cancer (CRC) is still a leading cause of cancer-related death worldwide, and often, conventional chemotherapeutics exhibit limited efficacy. The hydroalcoholic leaf extract of Cynara cardunculus subsp. cardunculus (wild artichoke) was investigated for its anticancer potential in CRC and effects on enteric pathogens. Nine phenolic compounds were identified by high-performance liquid chromatography with diode-array detection (HPLC-DAD), and spectrophotometric analyses were applied for total phenolic (TPC: 178.33 mg GAE/g) and total flavonoid (TFC: 52.21 mg CE/g) content quantification. The extract exhibited good antioxidant activity on DPPH (IC₅₀: 21.35 μg/mL), ^−•O₂ (IC₅₀: 1.56 μg/mL), and H₂O₂ (IC₅₀: 314.73 μg/mL) and was found to inhibit the growth of pathogenic enteric bacteria, with Enterococcus faecalis and Staphylococcus aureus being the most sensitive. In CaCo-2 CRC cells, the extract induced a concentration-dependent cytotoxicity (IC₅₀: 13.07 μg/mL at 24 h) through increased production of reactive oxygen species (ROS), upregulation of Nrf2, and induction of apoptosis, as evidenced by elevated p53, Bax, cytochrome c, and caspase-3 levels. No necrosis, measured by lactate dehydrogenase (LDH) release, or toxicity to HFF-1 normal fibroblasts was observed at concentrations up to 50 μg/mL. Additionally, CCE demonstrated synergistic effects with 5-FU (combination index < 0.8). This evidence suggests that CCE exhibits selective antitumor activity and chemosensitizing properties, supporting its possible development as an adjunctive agent in CRC therapy. Full article

Background: Valproic acid (VPA) poisoning has a dynamic clinical course and may require extracorporeal toxin removal (ECTR) in severe cases. Intermittent hemodialysis is the preferred ECTR technique; however, clinical experience with expanded hemodialysis (HDx) using medium cut-off (MCO) membranes in acute VPA intoxication is scarce. We describe a case of severe VPA poisoning managed with intermittent HDx and outline the clinical rationale and kinetic response. Case Report: A 54-year-old woman presented to the emergency department after accidental presumably ingesting approximately 4 g of VPA, with depressed consciousness (Glasgow Coma Scale 7) and metabolic acidosis (pH 7.10, HCO₃⁻ 13 mmol/L, PCO₂ 50 mmHg, lactate 2.8 mmol/L, ionized calcium 0.8 mmol/L, elevated anion gap). Initial plasma VPA was 262.99 µg/mL, ammonia was 14 µmol/L, and cranial computed tomography showed no acute abnormalities. ECTR was initiated in the intensive care unit as intermittent HDx using an MCO dialyzer for 4 h. Serial VPA concentrations were obtained before treatment, at 2 h, and at the end of the session to guide real-time prescription adjustment, with an increase in blood flow from 200 to 230 mL/min. Results: VPA decreased from 262.99 µg/mL pre-HD to 141.48 µg/mL at 2 h (46.2% reduction) and 97.81 µg/mL at 4 h (62.8% reduction), with clear improvement in the level of consciousness. A mild post-dialysis rebound was observed (100.07 µg/mL at 14 h). The patient recovered without additional ECTR and was discharged with normalized VPA levels on follow-up. Conclusions: In this patient, intermittent HDx with an MCO membrane was feasible, well tolerated, and associated with rapid VPA clearance and neurological recovery. Serial drug monitoring enabled bedside optimization of the dialysis prescription and post-treatment evaluation. A single HDx session was sufficient, and VPA therapy was safely reintroduced under close monitoring. Full article