Search Results (594)

Objective: We aimed to quantify multiple sclerosis (MS)-related work productivity and to illustrate the longitudinal trends for relapses, disease progression, and utilization of health care resources in a nationally representative cohort of working North Americans living with MS. Background: The North American Registry for Care and Research in Multiple Sclerosis (NARCRMS) is a multicentered physician-reported registry which prospectively collects clinical information including imaging data over a long period of time from people with MS from sites across the U.S. and Canada. The Health Economics Outcomes Research (HEOR) Advisory Group has also incorporated Health-Related Productivity and Health Resource Utilization questionnaires, which collect information about health care economics of people with MS and its effects on daily life. Design/Methods: This is a prospective observational study utilizing data from NARCRMS. Socio-demographic, clinical, and health economic outcome data were collected through previously validated and structured questionnaires. Logistic regression was used to calculate the relative odds of symptom impact, with a generalized logit link for number of relapses. Cox proportional hazards regression was used to calculate hazard ratios for time to first relapse. Results: Six hundred and eighty-two (682) people with MS were enrolled in NARCRMS and had completed the HEOR questionnaires at the time of the analysis. Among the participants, 61% were employed full-time and 11% were employed part time. Fatigue was the leading symptom reported to impact both work and household chores. Among the employed participants, 13% reported having missed work with a median of 6.8 (IQR: 3.0–9.0) missed hours due to MS symptoms (absenteeism), while 35% reported MS having impacted their work output (presenteeism). The odds of higher disease severity (EDSS 2.0–6.5 vs. 0.0–1.5) were 2.29 (95% CI = 1.08, 4.88; p = 0.011) times higher for participants who identified reduction of work output. Fatigue was the most identified symptom attributed to work output reduction. Among all participants, 33% reported having missed planned household work with a median of 3.0 (IQR: 2.0–5.0) hours. The odds of higher disease severity were 2.49 (95% CI = 1.37, 4.53; p = 0.006) times higher for participants who identified reduction in household work output, and 1.70 (CI = 1.27, 2.49; p = 0.006) times higher for those whose fatigue affected housework output as compared to other symptoms. Conclusions: A preliminary review of the first 682 patients showed that people with MS had reduced work and housework productivity even at an early disease state. Multiple sclerosis (MS) can significantly impair individuals’ ability to function fully at work and at home, with fatigue overwhelmingly identified as the primary contributing factor. The economic value of finding an effective treatment for MS-related fatigue is substantial, underscoring the importance of these findings for policy development, priority setting, and the strategic allocation of healthcare resources for this chronic and disabling condition. Full article

Influenza is a serious and global health issue, and it is a major cause of morbidity, fatality, and economic loss every year. Seasonal vaccines exist but are not very effective due to strain mismatches, delays in production, and antigenic drift. This comprehensive overview discusses the current situation of influenza vaccination, including the numerous types of vaccines—inactivated, live attenuated, and recombinant vaccines—and their effectiveness, efficacy, and associated challenges. It highlights the effects of the COVID-19 pandemic on the trends of influenza vaccination and the level to which innovation should be practiced. In the future universal influenza vaccines will be developed that target conserved viral antigens to provide long-term protection to people. In the meantime, novel vaccine delivery platforms, such as mRNA technology, virus-like particle (VLP), and nanoparticle-based systems, and less cumbersome and invasive administration routes, as well as immune responses are also under development to increase access and production capacity. Collectively, these innovations have the potential to not only reduce the global influenza epidemic but also to change the way influenza is prevented and prepare the world for a pandemic. Full article

Per- and polyfluoroalkyl substances (PFAS) are a global concern due to their persistence, ubiquity, and accumulation in living organisms. Found in soils, biosolids, water, and the food chain, they pose health risks such as hormone disruption, immune damage, reproductive issues, and cancer. Regulations mainly target older PFAS like PFOA and PFOS, while many newer PFAS, including breakdown products, are poorly understood in terms of distribution, behavior, and toxicity. To address this complex issue, this review offers a detailed overview of human exposure to PFAS and their toxic effects. It highlights biosolids as a key, understudied source of PFAS in the environment. The review also discusses limitations of testing, missing long-term cleanup data, and regulatory issues that neglect total exposure and vulnerable populations. Additionally, it evaluates, in the specific context of biosolids management, the effectiveness, scalability, benefits, and drawbacks of various treatment technologies, such as thermal processes (pyrolysis, incineration, smoldering combustion), advanced oxidation, adsorption, hydrothermal liquefaction, and biological degradation. This work combines environmental science, toxicology, and engineering to outline PFAS management in biosolids and proposes a research and policy plan. Focusing on regulating PFAS as a group, validating real-world results, and employing adaptable treatment strategies underscores the need for a coordinated, science-based effort to reduce PFAS risks worldwide. Full article

This field study describes the successful implementation and evaluation of a Polymer-free Delayed Acid System, a next-generation acid retarder system that is chemically superior to traditional emulsified acid systems with an amphoteric-based surfactant. It is a polymer-free system that stimulates ultra-tight carbonate reservoirs in extreme sour and high-temperature conditions. The candidate well, located in an onshore gulf region field, for a major oil and gas company demonstrated chronically unstable production behavior for over two years, with test volumes fluctuating unpredictably between 200 and 400 barrels of oil per day. This indicated severe near-wellbore damage, high skin, and limited matrix permeability (<0.3 mD). The well was chosen for a pilot trial of the Polymer-free Delayed Acid System technology after a thorough formation study, which included mineralogical characterization and capillary diagnostics. The innovative acid retarder formulation, designed for deep matrix penetration and controlled acid–rock reaction, uses intrinsic encapsulation kinetics to significantly increase the acid’s reactivity, allowing it to bypass damaged zones, minimize acid leak-off, and initiate dominant wormhole propagation into the tight formation. The stimulation procedure began with a custom pre-flush designed to change nanoscale wettability and interfacial tension, so increasing acid displacement and assuring effective contact with the formation rock. Real-time injectivity testing and operational data collecting were performed prior to, during, and following the acid job, with pre-stimulation injectivity peaking at 1.2 bpm, indicating poor formation conductivity. Treatment with the Polymer-free Delayed Acid System resulted in a 592% increase in post-stimulation injectivity, indicating significant increases in near-wellbore permeability and successful propagation. However, a substantial operational difficulty arose: the well remained shut down for more than two months following the acid stimulation work due to surface infrastructure delays, notably the scheduling and execution of a flowline cleanup campaign. This lengthy closure slowed immediate flowback analysis and impeded direct assessment of treatment performance because production could not be tracked in real time. Despite this, once the surface system was operational and the well was open to flow, a structured production testing program was carried out over four quarterly intervals. The well regularly produced at an average stable rate of 500 bbl/day, more than doubling pre-treatment performance and demonstrating the long-term effectiveness and mechanical durability of the acid-induced wormhole network. Despite the post-job shut-in, the Polymer-free Delayed Acid System maintained the stimulating impact even under non-ideal settings, demonstrating its robustness. The Polymer-free Delayed Acid System outperforms conventional emulsified acid systems, giving better control over acid placement and reactivity, especially under severe reservoir conditions with bottomhole temperatures reaching 200 °F. This project offers a field-proven methodology that combines advanced chemical engineering, formation-specific design, and live diagnostics, as well as a scalable blueprint for unlocking hydrocarbon potential in similarly complicated, low-permeability reservoirs. Full article

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by widespread immune dysregulation and the production of autoantibodies targeting nuclear, cytoplasmic, and cell surface antigens. These autoantibodies are central to disease pathogenesis, contribute to immune complex formation and organ damage, and serve as essential diagnostic and prognostic markers. Their detection supports disease classification, guides clinical decision-making, and offers insight into disease activity and therapeutic response. Traditional markers such as anti-nuclear antibodies (ANA), anti-dsDNA, and anti-Sm antibodies remain diagnostic cornerstones, but growing attention is given to anti-C1q, anti-nucleosome antibodies (ANuA), anti-ribosomal P, antiphospholipid, and anti-cytokine antibodies due to their associations with specific disease phenotypes and activity. These markers may reflect disease activity, specific organ involvement, or predict flares. The mechanisms underlying their persistence include B cell tolerance failure and long-lived plasma cell activity. The aim of this review is to summarize current knowledge on the major autoantibodies in SLE, appraise available detection methods, highlight their clinical utility and limitations and present evidence on the association between antibodies and disease phenotypes. Full article

Breeding performance encompasses offspring production, their survival rate, fertility, overall reproductive outcome, timing of reproduction, and breeding frequency. It varies in raptor species, being affected by different biotic, abiotic, and anthropogenic factors. The Lesser Spotted Eagle is a monogamous, long-lived, slowly reproducing raptor, characterized by site-fidelity and strongly territorial behavior. In this study, we examined data collected over a 10-year period, highlighting the eagles’ main breeding parameters, analyzing whether any of them demonstrated significant trends or spatial or temporal differences over the study period. We also searched for a strict correlation between species breeding density and breeding performance. We found out that the mean occupancy rate of the territories marginally decreased β² = −0.64 ± 0.27, p = 0.047, as this process was clearly visible in Sakar Mnt. (β² = −0.66 ± 0.27, p = 0.038), where in 2022, only 67% of the monitored territories were occupied. The overall mean productivity, breeding success, and breeding frequency did not indicate any trend over the years (p > 0.05). Of all tested breeding parameters, occupancy rate (β² = 0.29 ± 0.14, p = 0.04) and breeding success (β² = −0.12 ± 0.06, p = 0.04) varied yearly, while productivity (β² = 0.25 ± 0.12, p = 0.03) and breeding frequency (β² = 0.27 ± 0.12, p = 0.03) were influenced by density. None of the tested indicators demonstrated significant regional differences, which indicated a temporally determinate, but spatially consistent pattern of breeding performance of the species in this part of its distribution. Recently, the landscape pattern in the south-eastern part of the country was marked by spectacular habitat loss, driven by human activities and natural phenomena, with entire biodiversity facing an uncertain future. Prompt action and urgent decisions are needed to prevent the negative consequences of these imminent threats to the species. Conservation efforts should be focused on the restoration of breeding and foraging habitats. Further research on the response of eagles to the effect of natural (fires) and anthropogenic (habitat transformation) factors, as well as the relationship between breeding performance and different drivers of reproduction, such as diet, weather, habitat features, and presence of intra- and interspecific competitors, would be of crucial significance. Full article

There is an urgent need for new approaches and strategies for the introduction of antioxidant drugs in medicine. Despite hundreds of clinical trials with potential antioxidants, no antioxidant drugs have so far been developed for clinical use; this is mainly as a result of commercial reasons, but also due to insufficient data for regulatory authority approval. Antioxidant activity is a physiological process essential for healthy living. However, increased production of toxic free radicals and reactive oxygen species is observed in many clinical conditions, which are associated with serious and sometimes irreversible damage. Antioxidant drug strategies may involve short- to long-term therapeutic applications for the purpose of prevention, treatment, or post-treatment effects of a disease. These strategies are different for each disease and may include the design of protocols for the inhibition of oxidative damage through iron chelation, enhancing antioxidant defences by increasing the production of endogenous antioxidants, and activating antioxidant mechanisms, as well as the administration of synthetic and natural antioxidants. Both the improvement of antioxidant biomarkers and clinical improvement or disease remission are required to suggest effective therapeutic intervention. More concerted efforts, including new academic strategies, are required for the development of antioxidant drugs in clinical practice. Such efforts should be similar to the fulfilment of orphan or emergency drug regulatory requirements, which, in most cases, involve the treatment or clinical improvement of rare or severe diseases such as neurodegenerative diseases and cancer. Promising results of antioxidant therapeutic interventions include mainly the repurposing of the iron chelating/antioxidants drugs deferiprone (L1) and deferoxamine, and also the iron-binding drug N-acetylcysteine (NAC). In some clinical trials, the lack of pharmacodynamic and ferrikinetic data, wrong posology, and insufficient monitoring have resulted in inconclusive findings. Future strategies involving appropriate protocols and drug combinations, such as L1 and NAC, appear to improve the prospect of developing antioxidant drug therapies in different diseases, including those associated with ferroptosis. New strategies may also involve the use of pro-drugs such as aspirin, which is partly biotransformed into iron chelating/antioxidant metabolites with chemopreventive properties in cancer, and also in other therapeutic interventions. A consortium of expert academics on regulatory drug affairs and clinical trials could increase the prospects for antioxidant drug development in medicine. Full article

Biodegradable hydroretentive polymers, such as UPDT^®, have emerged as promising alternatives to synthetic hydrogels, particularly in pasture systems where sustainable water management is crucial. These materials enhance subsurface drip irrigation by maintaining soil moisture, which supports germination and early root development until roots access deeper water reserves. However, their degradation dynamics in tropical forage systems remain poorly characterized, posing a challenge to long-term application strategies. This study aimed to evaluate the effects of different UPDT^® doses (0, 7.5, 15, 22.5, and 30 kg ha⁻¹) on the morphological and agronomic traits of Mombaça grass under controlled conditions. After a uniformity cycle, treatments were evaluated across four cultivation cycles with monitored irrigation to avoid water deficits. Morphogenetic traits such as number of live leaves (NLL), final number of emerging leaves (NEmL), leaf appearance rate (LAR), and stem elongation rate (SER), as well as shoot dry mass (SDM), were analyzed. Results showed that morphological variables responded quadratically to polymer doses during the initial and intermediate cycles. In the final cycle, reductions in these traits and in water productivity suggested the onset of polymer degradation and loss of hydroretentive capacity. Agronomic traits were influenced throughout all cycles, with the fourth cycle showing the highest SDM due to elevated temperatures. These findings highlight the need to better understand the degradation kinetics of biodegradable hydrogels such as UPDT^® in tropical pastures. Field trials are recommended to define optimal reapplication intervals and integrate degradation monitoring into irrigation planning, ensuring long-term sustainability in pasture management. Full article

The treatment of straw biomass has always been a global issue. Although composting processes a large amount of straw biomass as a low-cost technology, its low efficiency has resulted in redundant stores of straw biomass. However, the humus in compost not only has an impact on soil fertility, but also has important effects on the functioning of microbial ecosystems. Meanwhile, the colloidal properties of humus can enhance the water and fertilizer retention capacity of compost, creating a suitable living environment for microorganisms. This study aimed to address the problems of the long composting periods and low maturity efficiency of corn straw by exploring the regulatory effect of exogenous compost humus on the composting process of corn straw and its promoting effect on plant growth. Composting treatment groups were set up with the addition of exogenous humus to systematically monitor the temperature changes, dynamic formation of humus, and change in microbial community during composting. The effects of compost products on corn growth were also analyzed through pot experiments. The results showed that the intervention of exogenous humus can significantly accelerate the composting process of corn straw, extend the traditional composting heating period by 8 days, and increase the humus content by 27.98 g/kg. It also increased the content of organic functional groups in the humus and significantly promoted the growth of corn, increasing its nitrogen content by 5.11 g/kg and increasing plant height and leaf length by 5 cm. This provides a new technical path for the efficient utilization of composting for corn straw. The treatment of agricultural waste and the production of high-quality organic fertilizers will promote the development of green agriculture. Full article

Sodium chloride is a chemical compound that has been encountered by people for thousands of years, and plays a significant role in their lives. The aim of this article is to provide a comprehensive review of table salt from the perspective of health, food technology, and cultural heritage. The article discusses salt extraction and production, its composition and consumption, and its effects on the human body. The authors draw attention to new trends, such as the use of micronized salt, microencapsulated salt, and salt with colors and shapes that differ from those of typical table salt. Scientific studies on the presence of undesirable substances and the use of salt additives were reviewed. The role of salt in dairy, meat, and bakery technology was illustrated. Gaps in research on salt were highlighted. In the last part, all types of salt with geographical indications are shown. The paper suggests that producers with a long tradition in the salt sector should apply for the European geographical indications to enhance their national and cultural heritage and promote their region. The review highlights the need for further research on all aspects discussed. Full article

Per- or polyfluoroalkyl substances (PFASs) are man-made compounds involved in compositions of many industrial processes and consumer products. The largest-volume man-made PFAS are made up of refrigerants and fluoropolymers. Major concerns for our society related to these substances are their contribution to global warming as greenhouse gasses and the potential for adverse effects on living organisms, particularly by long-chain perfluoroalkyl acid derivatives. Restrictions on manufacturing and applications will increase in the near future. The full remediation of historical and current contaminations of air, soil and water remains problematic, especially for ultra-short PFASs, such as trifluoroacetic acid. Future monitoring of PFAS levels and their impact on ecosystems remains important. PFASs have become integrated in the lifestyle and infrastructures of our modern worldwide society and are likely to be part of that society for years to come in essential applications by closing the fluorine loop. Full article

Background: During infection with the cytomegalovirus (CMV), the membrane system of the infected cell is remodelled into a megastructure called the assembly compartment (AC). These extensive changes may involve the manipulation of the host cell proteome by targeting a pleiotropic function of the cell such as ubiquitination (Ub). In this study, we investigate whether the Ub system is required for the establishment and maintenance of the AC in murine CMV (MCMV)-infected cells Methods: NIH3T3 cells were infected with wild-type and recombinant MCMVs and the Ub system was inhibited with PYR-41. The expression of viral and host cell proteins was analyzed by Western blot. AC formation was monitored by immunofluorescence with confocal imaging and long-term live imaging as the dislocation of the Golgi and expansion of Rab10-positive tubular membranes (Rab10 TMs). A cell line with inducible expression of hemagglutinin (HA)-Ub was constructed to monitor ubiquitination. siRNA was used to deplete host cell factors. Infectious virion production was monitored using the plaque assay. Results: The Ub system is required for the establishment of the infection, progression of the replication cycle, viral gene expression and production of infectious virions. The Ub system also regulates the establishment and maintenance of the AC, including the expansion of Rab10 TMs. Increased ubiquitination of WASHC1, which is recruited to the machinery that drives the growth of Rab10 TMs, is consistent with Ub-dependent rheostatic control of membrane tubulation and the continued expansion of Rab10 TMs. Conclusions: The Ub system is intensively utilized at all stages of the MCMV replication cycle, including the reorganization of the membrane system into the AC. Disruption of rheostatic control of the membrane tubulation by ubiquitination and expansion of Rab10 TREs within the AC may contribute to the development of a sufficient amount of tubular membranes for virion envelopment. Full article

Alpha-Synuclein (α-Syn) is a presynaptic neuronal protein implicated in the pathogenesis of Parkinson’s disease (PD) and other synucleinopathies, primarily through its aggregation into insoluble fibrils. The extended α-Syn half-life necessitates treatment durations that are incompatible with efficient high-throughput drug screening, can risk compound stability or cause cellular toxicity. To address this, we inserted a PEST sequence, a motif known to promote rapid protein degradation, at the C-terminus of the SNCA gene using CRISPR/Cas9 to create a novel cell line with reduced α-Syn half-life. This modification accelerates α-Syn turnover, providing a robust model for studying α-Syn dynamics and offering a platform that is applicable to other long-lived proteins. Our results demonstrate a six-fold reduction in α-Syn half-life, enabling the rapid detection of changes in protein levels and facilitating the identification of molecules that modulate α-Syn production and degradation pathways. Using inhibitors of the proteasome, transcription, and translation further validated the model’s utility in examining various mechanisms that impact protein levels. This novel cell line represents a significant advancement for studying α-Syn dynamics and offers promising avenues to develop therapeutics for α-synucleinopathies. Future research should focus on validating this model in diverse experimental settings and exploring its potential in high-throughput screening applications. Full article

China’s rapid urbanization has given rise to the phenomenon of “urban villages”, which are often regarded as chaotic fringe areas in traditional studies. With the rise of the concept of resilient cities, the value of urban villages as potential carriers of sustainable development has been re-examined. This study adopted research methods such as field investigations, in-depth interviews, and conceptual sampling. By analyzing the interlinked governance relationship between Xiamen City and the urban villages in the Bay Area, aspects such as rural housing improvement, environmental governance, residents’ feedback, geographical pattern, and spatial production were evaluated. A field investigation was conducted in six urban villages within the four bays of Xiamen. A total of 45 people in the urban villages were interviewed, and the spatial status of the urban villages was recorded. This research found that following: (1) Different types of urban villages have formed significantly differentiated role positionings under the framework of regional governance. Residential community types XA and WL provide long-term and stable living spaces for migrant workers in Xiamen; tourism development types DS, HX, BZ, and HT allow the undertaking of short-term stay tourists and provide tourism services. (2) These urban villages achieve the construction of their resilience through resisting risks, absorbing policy resources, catering to the expansion of urban needs, and co-construction in coordination with planning. The multi-cultural inclusiveness of urban villages and their transformation led by cultural shifts have become the driving force for their sustainable development. Through the above mechanisms, urban villages have become the source of resilience and sustainability of healthy cities and provide a model reference for high-density urban construction. Full article

Timber and other biobased materials store carbon that has been captured from the atmosphere during photosynthesis and plant growth. The estimation of these biogenic carbon stocks in the harvested wood products (HWP) pool has received increasing attention since its inclusion in greenhouse gas reporting by the IPCC. It is of particular interest for long service life products such as timber in buildings; however, some aspects require further thought—in particular the handling of service lives as opposed to half-lives. The most commonly used model for calculating changes in the HWP pool uses first order decay based on half-lives. However other approaches are based on average service lives and estimates of residence times in the product pool, enabling different mathematical functions to be used. This paper considers the evolution of the two concepts and draws together data from a wide range of sources to consider service life estimation, which can be either related to design life or practical observations such as local environmental conditions, decay risk or consumer behaviour. As an increasing number of methods emerge for calculating HWP pool dynamics, it is timely to consider how these numerical inputs from disparate sources vary in their assumptions, calculation types, accuracy and results. Two groups are considered: half-lives for first order decay models, and service life and residence time population distributions within models based on other functions. A selection of examples are drawn from the literature to highlight emerging trends and discuss numerical constraints, data availability and areas for further study. The review indicated that issues exist with inconsistent use of nomenclature for half-life, average service life and peak flow from the pool. To ensure better sharing of data between studies, greater clarity in reporting function types used is required. Full article