Search Results (1,311)

Urban overheating poses major challenges in Mediterranean cities, affecting public health and well-being. This study comparatively evaluates how alternative greening configurations influence urban microclimate and outdoor thermal comfort in a brownfield regeneration site in Imola, Italy, using ENVI-met simulations under a representative extreme summer condition. Eight scenarios with varying vegetation density, structure, and spatial arrangement were modelled on the hottest day of the year, and the Physiological Equivalent Temperature (PET) was evaluated at representative times. Results show that greening reduces heat stress, though its effectiveness varies over time and across configurations. No meaningful cooling occurred at 5:00 a.m., confirming that vegetation has a limited impact during nocturnal radiative processes. At 9:00 a.m., the medium-density scenario (S2b) achieved the greatest PET reduction (~2 °C), suggesting favorable evapotranspiration conditions under moderate radiation. At 4:00 p.m., the distributed high-density scenario (S3.2b) provided the strongest mitigation (~1.8–2 °C). Distributed layouts outperformed clustered ones, highlighting the non-linear nature of vegetation cooling. Zonal analysis showed the largest cooling in public green areas, followed by parking, building, and path zones, demonstrating the influence of surface type and shading geometry. Greening also produced modest improvements in surrounding neighborhoods (up to 0.8 °C in the morning), although impacts remained localized. Overall, results highlight how vegetation quantity, structure, and spatial distribution influence cooling performance under critical summer conditions, supporting climate-responsive urban regeneration design. These findings contribute to sustainable urban planning by supporting nature-based strategies for climate adaptation and improved environmental quality in regenerating urban districts. Future work should consider seasonal vegetation dynamics and multi-objective design optimization. Full article

Objective: To evaluate Tc-99m-PSMA SPECT/CT detection of biochemical recurrence (BCR) of prostate cancer across serum PSA levels in patients treated with radical prostatectomy or radiation therapy, to explore clinical/pathologic predictors of scan positivity and metastatic disease, and to assess its potential role as a pragmatic alternative when PSMA PET/CT is unavailable in resource-limited settings. Materials and Methods: In this prospective single-center study, we included 132 men with biochemical recurrence who underwent Tc-99m-PSMA SPECT/CT between January 2024 and December 2025 after predefined inclusion and exclusion criteria were applied, and they were further stratified by primary treatment (radical prostatectomy or radiation therapy). Patients were followed up for up to 6 months after imaging to verify observed findings (histopathology, confirmatory imaging and PSA response) and a logistic regression was applied to identify predictors of scan positivity and metastatic disease. Results: In men initially treated with radical prostatectomy, detection increased from 38.9% at PSA 0.2 to <2 ng/mL to 63.2% at 2 to <4 ng/mL, 71.4% at 4 to <7 ng/mL, and 90% at PSA ≥ 7 ng/mL (overall 69.1%). In the radiation therapy cohort, detection was 58.3% at PSA 2 to <4 ng/mL, rising to 85.7% at 4 to <7 ng/mL and 96% at PSA ≥ 7 ng/mL (overall 84.3%). In the multivariable analysis, PSA doubling (log2[PSA]) independently predicted scan positivity and metastatic disease in both cohorts, while seminal vesicle invasion independently predicted metastatic spread in the post-prostatectomy group. Conclusions: Tc-99m-PSMA SPECT/CT is a useful tool for detecting prostate cancer BCR, with performance strongly dependent on PSA and higher detection in patients with higher PSA levels. Increasing PSA independently predicted scan positivity and metastatic disease, while seminal vesicle invasion was independently associated with metastatic spread. In settings where PSMA PET/CT is unavailable, Tc-99m-PSMA SPECT/CT may represent a practical alternative, particularly for patients with elevated PSA. Full article

The escalation of bacterial resistance to existing antibiotics represents a growing global health challenge, exacerbated by the widespread misuse of antimicrobial agents. As a result, alternative antibacterial strategies are increasingly being explored, including phage-derived lytic proteins. In this study, we report a preliminary characterisation of a novel phage-derived lytic protein identified through computational screening of bacteriophage genome sequences. A putative open reading frame, designated SM07 (1383 bp), was selected from bacteriophage sequences contributed by the University of KwaZulu-Natal to a global phage repository. The gene was synthesised, sub-cloned into the pET-30b(+) vector with an N-terminal histidine tag, and recombinantly expressed in Escherichia coli BL-21(AI) cells. The protein was purified using affinity and ion-exchange chromatography. Purified SM07 exhibited in vitro antimicrobial activity against Pseudomonas aeruginosa, with a minimum inhibitory concentration of 4 µg/mL, while no significant cytotoxic effects were observed in Vero kidney cells at concentrations substantially above the effective dose. Together, these findings provide initial evidence supporting the antimicrobial potential of SM07 and highlight phage-derived lytic proteins as candidates for further investigation as alternative agents against P. aeruginosa-associated infections. Full article

A 75-year-old man with newly diagnosed high-risk prostate cancer (cT3bN0M0) underwent ¹⁸F-PSMA PET/CT, which demonstrated intense tracer uptake in a left tracheal mass causing near-complete luminal obstruction, raising suspicion of a primary lung malignancy or metastatic disease. Endoscopic debulking was performed due to progressive respiratory symptoms with dyspnea. Histopathology and immunohistochemistry (p63, SMA, CK5/6 positive; PSA, NKX3.1, and AR negative, with downregulated PSMA-expression) established the diagnosis of low-grade epithelial–myoepithelial carcinoma of the trachea. Following debulking, the patient’s symptoms resolved, and a watchful-waiting strategy was adopted for the tracheal tumor, while curative-intent therapy for prostate cancer continued. This case highlights that ¹⁸F-PSMA PET/CT may reveal rare, intensely PSMA-avid non-prostatic neoplasms and underscores the importance of recognizing atypical uptake patterns to avoid misinterpretation during prostate cancer staging. 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

Dogs, especially as pets but also an increasing number of stray dogs, share environments with humans, facilitating the transfer of antibiotic resistance genes (ARGs) between genetic compartments, with zoonotic and public health implications that must be addressed within One Health. In this cross-sectional comparative study, we explored the distribution of seven selected clinically relevant ARGs in both genomic DNA (gDNA) and plasmid DNA (pDNA), and the phenotypic resistance profile of the cultivable microbiota, between pet dogs (PeDs, n = 12) and free-roaming dogs (FRDs, n = 10) in Mexico. Tetracycline resistance genes (tetQ, tetW, and tetM) predominated in both compartments (40% to 100%), suggesting the presence of a core tetracycline-associated resistome. In contrast, plasmid-associated differences were group-specific: in pDNA cfxA was enriched in FRDs (90%) and tetK in PeDs (42%), whereas blaTEM-1 and ermC were absent in two dog populations. Cultivable bacteria from both groups exhibited phenotypic multidrug resistance, particularly by β-lactams, macrolides, lincosamides, and tetracyclines. FRDs also harbored pathogenic–zoonotic bacteria such as Yersinia enterocolitica, Campylobacter jejuni, and Enterococcus faecalis. Our findings indicated that FRDs and PeDs harbor substantial resistomes, with differences in plasmid-associated ARGs, revealing a transfer potential related to environmental exposure. Full article

Ethylene glycol oxidation reaction (EGOR) is a promising anodic process to reduce the cell voltage compared with the oxygen evolution reaction (OER). Using ethylene glycol (EG) obtained from biomass-derived streams—such as cellulose, hemicellulose or lignocellulosic intermediates—and polyethylene terephthalate (PET) waste contributes to the development of circular-economy models. This study investigates EGOR on a non-noble NiCo bimetallic electrode, focusing on the effects of temperature and current density. The presence of EG reduces the initial potential by 240 mV at 25 °C, with a further 60 mV decrease at elevated temperatures, while the catalyst maintains high formate selectivity (>65%) across the tested conditions. Faradaic efficiency peaks at 100 mA cm⁻² due to the full oxidation of formate to CO₂ or the competing OER at higher current densities. There are no significant discrepancies between simulated and experimental faradaic efficiencies, although the presence of terephthalic acid (TPA) affects the shift in the electrode potential. Overall, these results highlight the relevance of EGOR for future applications in which EG derived from recycled plastics and renewable biomass can be electrochemically valorized within integrated biorefinery frameworks. Full article

This study investigated shelf-life prediction of a cold-stored mixed mango–passion fruit smoothie (60:40) using kinetic modeling to compare the effects of dimethyl dicarbonate (DMDC, 250 ppm), pasteurization (90 °C for 100 s), and packaging type (glass vs. polyethylene terephthalate (PET)) during six weeks at 4 °C. Physicochemical parameters, functional properties (total phenolic content, total flavonoid content, and antioxidant activity by 2,2-diphenyl-1-picrylhydrazyl (DPPH) and Ferric Reducing Antioxidant Power assay (FRAP), and microbial stability were monitored weekly. Zero- and first-order kinetic models were applied to describe quality changes, with the first-order model showing superior fit (average R² = 0.936). pH remained relatively stable (p > 0.05), while total soluble solids (TSS) gradually declined in all treatments from approximately 16–17 °Brix to 13–14 °Brix by week 6. PET packaging resulted in a significantly higher total color difference (ΔE) than glass by the end of storage (p ≤ 0.05), particularly in DMDC-treated samples. Pasteurization reduced initial polyphenol oxidase (PPO) activity by 44–56% compared with untreated and DMDC-treated samples (p ≤ 0.05), whereas PET generally exhibited higher residual PPO activity than glass. DMDC treatment better preserved antioxidant capacity, phenolics, and flavonoids, with significantly higher DPPH and FRAP values than controls at week 6 (p ≤ 0.05). Microbiologically, DMDC effectively suppressed total viable counts (<5 log CFU/mL) and yeast and mold (<3 log CFU/mL), outperforming pasteurization. Shelf-life was estimated at 27–29 days for pasteurization and 41–42 days for DMDC (250 ppm), particularly when combined with glass packaging. Overall, the DMDC–glass combination demonstrated strong potential as a non-thermal preservation approach for fruit beverages. Full article

Pancreatic neuroendocrine tumors (pNETs) are rare, clinically heterogeneous neoplasms with rising incidence linked to improved diagnostics. This review examines pNET management, addressing epidemiology, classification, diagnosis, treatment, and emerging therapies. Epidemiologically, pNETs show higher prevalence in Western populations, with emerging associations to metabolic disorders. The 2022 WHO classification highlights distinct prognoses for well-differentiated NETs versus poorly differentiated NECs, guided by Ki-67 and mitotic indices. Non-functional tumors often present late, while functional variants manifest hormonal syndromes, necessitating tailored approaches. Advanced imaging (contrast-enhanced CT/MRI, ⁶⁸Ga-DOTATATE PET) and endoscopic ultrasound-guided biopsy enable precise localization and grading. Surgical resection remains curative for localized disease, with minimally invasive techniques reducing morbidity. Active surveillance is favored for small (<2 cm), low-grade, non-functional tumors, while larger or aggressive lesions require resection. Systemic therapies, including mTOR inhibitors (everolimus), anti-angiogenics (surufatinib), and peptide receptor radionuclide therapy (PRRT), extend survival in advanced cases, though immunotherapy efficacy remains limited. Future strategies emphasize molecular profiling, biomarker development, and multidisciplinary integration to optimize outcomes. This evolving paradigm prioritizes precision medicine, balancing oncologic control with quality of life and functional preservation. Full article

Background: The PROSPET-BX trial compared [⁶⁸Ga]PSMA-11 PET/CT (PSMA-PET) with multiparametric MRI (mpMRI) in parallel in men with suspicion of prostate cancer (PCa) after at least one previously negative biopsy (ClinicalTrials.gov: NCT05297162; GR-2018-12366240). In this study, we performed the cost analysis of the two imaging modalities with respect to the detection of clinically significant PCa (csPCa). Methods: We analyzed the data from patients enrolled in the trial who met the inclusion criteria. For the cost analysis, we identified six competing triage strategies, each defined as a binary decision rule for referral to prostate biopsy: (1) biopsy-all; (2) elevated PSA-density (PSAD; biopsy if PSAD > 0.15 ng/mL/cc; (3) mpMRI positive (PIRADS 3–5); (4) PSMA-PET positive (PRIMARY 3–5); (5) mpMRI or PSMA-PET positive; (6) PSAD and mpMRI. For each strategy, we yielded sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy for csPCa. Direct hospital costs were modeled from a provider perspective, incorporating testing and procedural costs. Unit costs (in EUR) were sourced from our institutional accounting records. Pairwise cost-effectiveness comparisons were performed using incremental cost-effectiveness ratio (ICER) and incremental net benefit (INB). Results: Among the six triage strategies evaluated, the “biopsy-all” approach achieved perfect sensitivity, whereas the PSAD + mpMRI pathway was the most parsimonious strategy but missed 14 csPCa cases (53.8%). The combined “mpMRI or PSMA-PET” strategy maximized detection (22 cPCa, missing only 4) at an intermediate cost (EUR 81.991 total; EUR 3.727 per csPCa). The pairwise comparison of each strategy with mpMRI alone showed for the mpMRI or PSMA-PET pathway a low ICER (~EUR 2.900/extra csPCa), with consistently positive and increasing INB across higher WTP (willingness-to-pay). Therefore, this combination provided the most favorable cost-effectiveness profile, balancing detection, efficiency, and cost. Conclusions: To the best of our knowledge, this is the first cost analysis study to compare different strategies incorporating PSMA-PET in the re-biopsy setting, demonstrating that the combined “mpMRI or PSMA-PET” pathway is the most cost-effective diagnostic pathway for csPCa detection. Full article

Porcine epidemic diarrhea (PED), caused by the porcine epidemic diarrhea virus (PEDV), is an acute and highly contagious intestinal disease that inflicts substantial economic losses on the global swine industry. The nucleocapsid (N) protein of PEDV plays a critical role during viral infection and replication. In this study, the full-length N gene was cloned and expressed using the prokaryotic expression vector pET-32a (+). The purified recombinant N protein was used to immunize BALB/c mice. Subsequently, splenocytes from the immunized mice were fused with SP2/0 cells, and hybridoma cell lines secreting monoclonal antibodies (mAbs) against N protein were screened via indirect ELISA. The linear B-cell epitopes recognized by the mAbs were mapped using truncated N protein fragments. Results showed that three stable hybridoma cell lines (1A3, 1G1 and 1A10) secreting N protein-specific mAbs were obtained. Epitope mapping revealed that mAbs 1A3 and 1G1 recognized the epitope ⁷¹SNWHF⁷⁵, whereas mAb 1A10 recognized ⁶⁶RIEQP⁷⁰. Bioinformatics analysis indicated that these epitopes are highly conserved among the analyzed PEDV strains and show no cross-reactivity with the N proteins of other coronaviruses. These findings could provide valuable experimental materials for further investigation of the N protein’s structure and function and support the development of diagnostic assays and subunit antigen vaccine for PEDV. Full article

Poly(ethylene terephthalate) (PET) is a widely used commodity polymer owing to its low cost, excellent mechanical properties, and high processability. Chemical modification of PET surfaces to impart specific functionalities represents an effective strategy for transforming PET into high-value-added materials without altering its bulk properties. In this study, we investigated the surface functionalization of PET substrates using surface-initiated atom transfer radical polymerization (SI-ATRP). ATRP initiation sites were introduced onto PET surfaces through mild surface hydrolysis followed by polyethyleneimine coating. To further enhance the grafting density, an inimer-based strategy was employed, in which a bifunctional monomer containing both a polymerizable group and a latent initiation site was used to form hyperbranched polymer structures on the PET surface, thereby amplifying the number of active initiation sites. Using these modified PET substrates, SI-ATRP of functional methacrylate monomers was successfully carried out. Grafting of poly(2,2,2-trifluoroethyl methacrylate) imparted highly hydrophobic surface properties, yielding water contact angles above 120°, whereas grafting of poly([2-(methacryloyloxy)ethyl]trimethylammonium chloride) produced hydrophilic surfaces with contact angles below 20°. Surface characterization by X-ray photoelectron spectroscopy confirmed successful graft polymerization and effective surface coverage. While the macroscopic wettability was primarily governed by the chemical nature of the grafted polymers, the inimer-based initiation-site amplification significantly enhanced the surface electrostatic properties of the polycationic polymer–grafted surfaces, increasing the ζ-potential from approximately +20 mV to over +100 mV. Antibacterial tests using Escherichia coli K-12 as a model bacterium demonstrated that PET substrates grafted with poly([2-(methacryloyloxy)ethyl]trimethylammonium chloride) exhibited clear contact-active antibacterial activity, achieving up to 2-log reduction in viable bacterial counts after 3 h of contact incubation. These results highlight the importance of molecular-level control of grafting architecture and surface electrostatic properties in the design of functional antibacterial PET surfaces. Full article

Microplastic (MP) pollution poses a significant and emerging threat to global marine ecosystems; however, regional data for the Caribbean remain limited. This study presents a spatial and temporal characterization of MPs in surface and mid-waters of the Colombian Caribbean (Atlántico and Magdalena departments), which were analyzed as independent compartments due to methodological differences in sampling strategies. Sixteen sampling stations were established across two anthropogenic influence zones: Zone 1 (nearshore/bather zone) and Zone 2 (offshore). MPs were quantified and characterized according to shape, color, size, and polymer composition using attenuated total reflectance Fourier transform infrared microspectroscopy (µATR-FTIR) and multivariate techniques. MPs were detected in 100% of samples. Surface water MP abundance was higher in Magdalena (4.5 MPs m⁻³) than in Atlántico (1.7 MPs m⁻³). Mid-water MP concentrations reached maximum values during the high rainfall season in Atlántico, reflecting localized hydrological and anthropogenic influences rather than vertical gradients. Higher concentrations were generally observed in the nearshore Zone 1 compared to offshore Zone 2, although these differences were not consistently statistically significant. Fibers and fragments were the predominant shapes, and synthetic–natural polymer blends, polyethylene terephthalate (PET), polypropylene (PP), and polyacrylic acid (PAA) were the most prevalent. Generalized Additive Models (GAM) indicated that strong fluvial inputs and proximity to urban and riverine sources were factors driving MP distribution. Additionally, the detection of polymers reported in the literature as rare and high-risk, such as acrylonitrile butadiene styrene (ABS), acrylonitrile styrene acrylate (ASA), styrene–ethylene–butylene–styrene (SEBS), and polyvinyl stearate (PVS), highlights the complexity of MP sources in the region. Overall, these results provide the first spatial and temporal characterization of MPs in the surface and mid-water of the Colombian Caribbean and identify critical contamination hotspots that warrant targeted mitigation strategies. Full article

Printed electronics offer a scalable and sustainable route for integrating sensing systems into everyday environments; however, the use of flexography remains highly limited, and fully printed sensors fabricated exclusively with industrial flexographic technology have not been previously reported. This study evaluates the feasibility and practical limits of fabricating resistive humidity sensors for relative humidity (RH) measurements using flexography only, relying on commercial infrastructure, packaging-grade substrates, and low-temperature processing. Silver interdigitated electrodes and a carbon-based sensing layer were printed using solvent-based electronic inks, industrial aniloxes (12 and 20 cm³/m²), and standard flexographic conditions (10 m/min, ≤120 °C drying), without any post-processing. The sensing layer was optionally modified with adsorptive additives (≤5 wt% MgO; additionally, Al₂O₃ and Al) to enhance moisture interaction while maintaining rheological compatibility. Sensors were fabricated on recyclable paper substrates and PET for comparison. Under controlled conditions (10%–90% RH at 23 °C), devices exhibited a maximum relative resistance change of ~75% at 90% RH (referenced to 40% RH), low hysteresis (≤~5%), rapid visible response (<1 min), and stabilization within ~30 min. MgO increased relative response by 20%–233%, depending on humidity. Paper-based sensors showed higher responses but single-use behavior under flooding, while PET enabled repeatable cycling. Rather than targeting state-of-the-art performance, this work defines the functionality reliably achievable using flexography only, clarifying trade-offs among substrate choice, layer thickness, and additives for sustainable, humidity and disposable flood monitoring. Full article

Background: Pulmonary inflammation is a widely recognized characteristic of active tuberculosis (TB). Although standard TB treatment is effective, a substantial proportion of mycobacteriologically cured TB patients experience persistent pulmonary inflammation, which can lead to long-term lung impairment, post-tuberculosis lung disease (PTLD) and potentially TB recurrence. Methods: We conducted a case–control study to compare host serum biomarker profiles in individuals with minimal (TLG < 50 SUVbw*mL, n = 37) versus extensive (TLG ≥ 50 SUVbw*mL, n = 34) persistent lung inflammation following completion of standard drug-sensitive TB treatment. Lung inflammation was measured by 18F-FDG PET/CT scan using total lung glycolysis (TLG) as a surrogate marker. All participants had negative sputum cultures at four months of TB treatment, and blood samples were collected at treatment completion (month six). A Luminex^® multiplex assay performed on the Bio-Plex^® 200 platform was used to analyze 48 host serum biomarkers involved in cytokine/chemokine signaling. Results: Following multiple t-test analysis, fifteen biomarkers were significantly elevated (p < 0.05) in participants with extensive persistent lung inflammation compared to those with minimal inflammation. Among these, 14 demonstrated potential as discriminatory markers, with area under the curve (AUC) values ranging from 0.707 to 0.806, sensitivities ranging from 47.06% to 73.53%, and specificities ranging from 70.27% to 83.78%. Notably, 13 of these 16 candidate biomarkers significantly correlated with TLG values, further supporting their potential clinical utility. Conclusion: We report associations between serum inflammatory mediators and persistent pulmonary inflammation following mycobacterial clearance in TB patients, highlighting their potential as diagnostic biomarkers that could potentially meet the target product profile (TPP) criteria. Full article