Search Results (296)

Background/Objectives: Cognitive impairment in older adults has emerged as a growing public health concern, particularly in relation to COVID-19 infection and its associated neuropsychiatric symptoms. The identification of modifiable risk factors may contribute to the development of targeted preventive strategies. This study aimed to assess predictors of cognitive impairment in older adults with and without recent SARS-CoV-2 infection. Methods: A prospective cohort study was conducted from June 2023 to March 2024 at a tertiary hospital in western Mexico. Adults aged 65 years or older with confirmed SARS-CoV-2 infection within the previous six months, along with uninfected controls, were enrolled. Cognitive function (Mini-Mental State Examination), depression (PHQ-9), anxiety (Geriatric Anxiety Inventory), insomnia (Insomnia Severity Index), functional status (Katz Index and Lawton–Brody Scale), and laboratory markers were evaluated at baseline, three months, and six months. The primary outcome was cognitive impairment at six months. Independent predictors were identified using a multivariable generalized linear mixed-effects model. Results: Among the 111 participants, 20 (18.8%) developed cognitive impairment within six months. Low serum magnesium (adjusted risk ratio [aRR] 2.73; 95% CI 1.04–7.17; p = 0.041) and depression (aRR 5.57; 95% CI 1.88–16.48; p = 0.002) were independently associated with a higher risk. A significant synergistic among COVID-19, depression, and hypomagnesemia was observed (RR 44.30; 95% CI 9.52–206.21; p < 0.001), corresponding to the group with simultaneous presence of all three factors compared to the group with none. Conclusions: Depression and hypomagnesemia appear to be independent predictors of cognitive impairment in older adults with recent COVID-19 infection. These findings suggest potential targets for prevention and support the implementation of routine neuropsychiatric and biochemical assessments in this population. Full article

Background/Objectives: Cancer is a complex disease that affects patients’ nutritional and psychological status. This study aimed to assess the nutritional status of patients diagnosed with lung and gastrointestinal system cancers and evaluate its association with anthropometric measurements, nutrient intake, and psychological symptoms. Methods: This cross-sectional study was conducted with 180 patients with lung and gastrointestinal system cancers. Data were collected face-to-face by a questionnaire that included the Subjective Global Assessment-(SGA), Cachexia Assessment Criteria, 24 h Food Consumption Record, and Symptom Checklist-90-Revised-(SCL-90-R). Some anthropometric measurements were collected. Results: Body Mass Index (BMI) was found to be significantly lower (p < 0.001) in SGA-B (moderately malnourished) and SGA-C (severely malnourished) compared to those in SGA-A (well-nourished). The calf circumference was significantly lower (p = 0.002) in SGA-C compared to those in SGA-A and SGA-B. The mean SGA scores were found to be higher in cachexia-diagnosed participants (p < 0.001). The energy intake of SGA-C was significantly lower than SGA-A and SGA-B (p < 0.001). In addition, the energy intake of SGA-B was lower than SGA-A (p < 0.001). The protein intake of SGA-C was lower than SGA-A and SGA-B (p < 0.001). The protein intake of SGA-B was lower than SGA-A (p < 0.001). Regarding the intake of vitamins A, C, E, B1, and B6 and carotene, folate, potassium, magnesium, phosphorus, iron, and zinc, SGA-B and SGA-C were significantly lower than SGA-A (p < 0.001). Additionally, only phobic anxiety was found to be significantly higher in SGA-B than in SGA-A (p: 0.024). Conclusions: As the level of malnutrition increased, a reduction in some nutrient intake and anthropometric measurements was observed. No significant difference was found in any psychological symptoms except phobic anxiety. With this in mind, it is important that every cancer patient, regardless of the stage of the disease, is referred to a dietitian from the time of diagnosis. Full article

The paper presents the results of investigations into the relationship between selected water quality parameters and hydrological streamflow drought in a small river situated in the Mazovian Lowlands in Poland. As hydrological streamflow drought periods become more frequent in Poland, investigations about the relationship between flow and water quality parameters can be an essential contribution to a better understanding of the impact of low flow on the status of water rivers. Data from a three-year study of a small lowland river along with significant agricultural land management was used to analyze the connection between low flows and specific water quality indicators. The separation of low-flow data from water discharge records was achieved using two criteria: Q90% (the discharge value from a flow duration curve) and a minimum low-flow duration of 10 days. During these periods, the concentration of water quality indicators was determined based on collected water samples. In total, 30 samples were gathered and examined for pH, suspended sediments, dissolved substances, hardness, ammonium, nitrates, nitrites, phosphates, total phosphorus, chloride, sulfate, calcium, magnesium, and water temperature during sampling. The study’s main aim was to describe the relation between hydrological streamflow droughts and chosen water quality parameters. The analysis results demonstrate an inverse statistically significant relationship between concentration and low-flow values for total hardness and sulfate. In contrast, there was a direct relationship between nutrient indicators, suspended sediment concentration, and river hydrological streamflow drought. Statistical tests were applied to compare the datasets between years, revealing statistical differences only for nutrient indicators. Full article

Mineral imbalances in livestock can critically impair growth, immunity, and productivity. Yaks inhabiting the Qinghai–Tibetan Plateau face unique environmental challenges, including high-altitude-induced nutrient variability. This study investigated the status of mineral elements and their correlations with altitude in healthy yak calves across five regions in Ganzi Prefecture, located at elevations ranging from 3100 to 4100 m. Hair and serum samples from 35 calves were analyzed for 11 essential elements (Na, K, Ca, Mg, S, Cu, Fe, Mn, Zn, Co, and Se). The results revealed widespread deficiencies. Key deficiencies were identified: hair Na and Co were significantly below references value (p < 0.05), and Se was consistently deficient across all regions, with deficiency rates ranging from 35.73% to 56.57%. Serum Mg and Cu were generally deficient (Mg deficiency > 26% above 3800 m). S, Mn (low detection), and Co were also suboptimal. Serum selenium deficiency was notably severe in lower-altitude areas (≤59.07%). Significant correlations with altitude were observed: hair sodium levels decreased with increasing altitude (r = −0.72), while hair manganese (r = 0.88) and cobalt (r = 0.65) levels increased. Serum magnesium deficiency became more pronounced at higher elevations (r = 0.58), whereas selenium deficiency in serum was more severe at lower altitudes (r = −0.61). These findings indicate prevalent multi-element deficiencies in yak calves that are closely linked to altitude and are potentially influenced by soil mineral composition and feeding practices, as suggested by previous studies. The study underscores the urgent need for region-specific nutritional standards and altitude-adapted mineral supplementation strategies to support optimal yak health and development. Full article

Background/Objectives: Pediatric allogeneic hematopoietic stem cell transplantation (allo-HSCT) is complicated by iron overload and hypomagnesemia, both contributing to immune dysfunction and post-transplant morbidity. The combined impact of these metabolic disturbances on pediatric allo-HSCT outcomes remains unexplored. This study aims to determine whether hypomagnesemia can serve as a prognostic biomarker for delayed immune reconstitution and explores its interplay with iron overload in predicting post-transplant complications and survival outcomes. Methods: A retrospective analysis was conducted on 163 pediatric allo-HSCT recipients. Serum magnesium levels were measured at defined intervals post-transplant, and outcomes were correlated with CD4+ T cell recovery, time to engraftment, incidence of graft-versus-host disease (GVHD), and survival within 12 months. Iron status, including siderosis severity, was evaluated using imaging and laboratory parameters obtained from clinical records. Results: Patients who died within 12 months post-transplant exhibited significantly lower magnesium levels. Hypomagnesemia was associated with delayed CD4+ T cell recovery, prolonged engraftment, and an increased risk of acute GVHD. A strong inverse correlation was observed between magnesium levels and the severity of siderosis. Iron overload appeared to exacerbate magnesium deficiency. Additionally, the coexistence of hypomagnesemia and siderosis significantly increased the risk of immune dysfunction and early mortality. No significant association was found with chronic GVHD. Conclusions: Hypomagnesemia is a significant, early predictor of poor outcomes in pediatric allo-HSCT, particularly in the context of iron overload, underscoring the need for early intervention, including iron chelation and MRI, to improve outcomes. Full article

Milk lactose concentration has been proposed as a noninvasive indicator of metabolic health in dairy cows, particularly during early lactation when metabolic demands are elevated. This study aimed to investigate the relationship between milk lactose levels and physiological, biochemical, and behavioral parameters in early-lactation Holstein cows. Twenty-eight clinically healthy cows were divided into two groups: Group 1 (milk lactose < 4.70%, n = 14) and Group 2 (milk lactose ≥ 4.70%, n = 14). Both groups were monitored over a 21-day period using the Brolis HerdLine in-line milk analyzer (Brolis Sensor Technology, Vilnius, Lithuania) and SmaXtec intraruminal boluses (SmaXtec Animal Care Technology^®, Graz, Austria). Parameters including milk yield, milk composition (lactose, fat, protein, and fat-to-protein ratio), blood biomarkers, and behavior were recorded. Cows with higher milk lactose concentrations (≥4.70%) produced significantly more milk (+12.76%) and showed increased water intake (+15.44%), as well as elevated levels of urea (+21.63%), alanine aminotransferase (ALT) (+22.96%), glucose (+4.75%), magnesium (+8.25%), and iron (+13.41%) compared to cows with lower lactose concentrations (<4.70%). A moderate positive correlation was found between milk lactose and urea levels (r = 0.429, p < 0.01), and low but significant correlations were observed with other indicators. These findings support the use of milk lactose concentration as a practical biomarker for assessing metabolic and physiological status in dairy cows, and highlight the value of integrating real-time monitoring technologies in precision livestock management. Full article

This study represents a first step toward improving the repeatability, reproducibility, and accuracy of a process designed to enhance dynamic water structuring. We aim is to investigate the optical reflectivity of a watery magnesium chloride solution treated with electromagnetic waves, we employ a novel methodology derived from human plethysmography (PPG) with three wavelengths spanning the visible and infrared spectra. We measured the reflectance of 17 flasks at 536 nm, 660 nm, and 940 nm before and after treatment, first using the succussion method (control) and second using a 50 Hz signal. The observed variability was acceptable, with repeatability errors below 0.15% and reproducibility errors below 3.5% across all wavelengths before and after treatment. Out of 51 samples dynamically structured using the succussion method, we obtained two false negatives, while one false negative was recorded out of 51 samples dynamically structured using the electromagnetic (EM) method. PPG appears to be a relevant sensor, as it correctly detected dynamically structured water in 99 out of 102 cases, using either the succussion or electromagnetic method. Our results show significant differences in reflectance (supposedly correlated with water’s structured status) at 536 nm between dynamically structured and dynamic non-structured samples (p < 0.001). Future improvements will include a validation protocol against gold-standard spectrophotometry with a larger sample size. Full article

Background: Micronutrient deficiencies, particularly among pregnant women and children under five years old, remain a significant public health challenge in Nigeria. Despite existing policies and programmes, national data on prevalence and risk factors are fragmented. Objective: To synthesise the current evidence on the prevalence of key micronutrient deficiencies and associated risk factors among pregnant women and children under five years old in Nigeria. Methods: A systematic review and meta-analysis were conducted using peer-reviewed studies that were published between 2008 and 2024. The databases searched included PubMed, Scopus, and African Journals Online. After screening 1207 studies, 37 studies were included: 27 were conducted among pregnant women and 10 were among children. A meta-analysis was conducted to estimate the anaemia prevalence using a random-effects model. A narrative synthesis was conducted to synthesise evidence on other micronutrients (i.e., magnesium, copper, and vitamins C and E) due to the limited data and risk factors. Results: The pooled prevalence of anaemia was 56% among children and 54% among pregnant women. The prevalence of other micronutrient deficiencies varied widely, with a high prevalence of zinc (86.4%), magnesium (94%), and vitamin D (73.3%) deficiencies in certain regions. The identified risk factors included poor dietary diversity, lower socioeconomic status, low maternal education, infection burden, and early or high parity. Most studies were facility-based and sub-national, limiting the generalisability. Conclusions: This review highlights a high prevalence of anaemia and micronutrient deficiencies among pregnant women and children in Nigeria. Key risk factors included a poor diet, low maternal education, infections, and reproductive health challenges. Targeted, multisectoral policies are urgently needed to address these gaps and improve health outcomes. Full article

[Background] Brasenia schreberi is a perennial floating leaf aquatic plant with high ecological protection value and potential for economic development, and thus, its endangered mechanisms are of great concern. The rapid endangerment of this species in modern times may be primarily attributed to the deterioration of water and soil environmental conditions, as its growth relies on high-quality water and soil. [Objective] Exploring the responses of B. schreberi to water and soil conditions from the perspective of functional traits is of great significance for understanding its endangered mechanisms and implementing effective conservation strategies. [Methods] This study was conducted in the Tengchong Beihai Wetland, which has the largest natural habitat of B. schreberi in China. By measuring the key functional traits of B. schreberi and detecting the water and soil parameters at the collecting sites, the responses of these functional traits to the water and soil conditions have been investigated. [Results] (1) The growth status of B. schreberi affects the expression of its functional traits. Compared with sporadic distribution, B. schreberi in continuous patches have significantly higher stomatal conductance, intercellular CO₂ concentration, transpiration rate, and vein density, while these plants have significantly smaller leaf area and perimeter. (2) Good water quality directly promotes photosynthetic, morphological, and structural traits. However, high soil carbon, nitrogen, and phosphorus contents can inhibit the photosynthetic rate. The net photosynthetic rate is significantly positively correlated with dissolved oxygen content, pH value, ammonia nitrogen, and nitrate nitrogen contents in the water, as well as the magnesium, zinc, and silicon contents in the soil. In contrast, the net photosynthetic rate is significantly negatively correlated with the total phosphorus content in water and the total carbon, total nitrogen, and total phosphorus content in the soil. (3) Leaf area and perimeter show positive correlations with various water parameters, including the depth, temperature, pH value, dissolved oxygen content, ammonium nitrogen, and nitrate nitrogen content, yet they are negatively correlated with total phosphorus content, chemical oxygen demand, biological oxygen demand, and permanganate index of water. [Conclusions] This study supports the idea that B. schreberi thrives in oligotrophic water environments, while the notion that fertile soil is required for its growth still needs to be investigated more thoroughly. Full article

Background and Objectives: Irritable bowel syndrome (IBS) is a prevalent functional gastrointestinal disorder with diverse subtypes. Recent evidence has suggested a link between vitamin D deficiency and IBS; however, the associations between vitamin D levels, IBS subtypes, and hematological–biochemical parameters remain unclear. The aim of this research was to investigate the associations between vitamin D status, IBS subtypes, and sex, along with their relationships with biochemical and hematological parameters. Materials and Methods: This retrospective study included 240 patients diagnosed with IBS according to the Rome IV criteria at Van Yüzüncü Yıl University Medical Faculty Hospital. The patients were classified as diarrhea-predominant (IBS-D), constipation-predominant (IBS-C), or mixed-type (IBS-M). The patients’ serum vitamin D levels and hematological (hemoglobin, white blood cell and platelet counts, and mean corpuscular volume) and biochemical (ferritin, iron, calcium, magnesium, and vitamin B12 levels) parameters were evaluated at baseline and after vitamin D supplementation. Sex-related differences were assessed. Results: Baseline vitamin D levels were low in all IBS subtypes, with no significant differences between the groups. Vitamin D supplementation resulted in a significant increase in serum vitamin D levels across all subtypes (p = 0.001). No significant correlations were identified between vitamin D levels and hematological or biochemical parameters. Sex differences in vitamin D levels were only significant in the IBS-M group, both at baseline and post-treatment (p < 0.05). Conclusions: Vitamin D deficiency is prevalent among all IBS subtypes and significantly improves with supplementation, independently of the subtype. Although no associations were found between vitamin D levels and laboratory parameters, the observed sex differences in patients with IBS-M highlight the need for further research into potential sex-related pathophysiological mechanisms. These findings support the integration of routine vitamin D assessment and supplementation into the clinical management of IBS, especially in patients with the IBS-M subtype and female sex, to potentially improve patient outcomes. Full article

The efficient production of high-quality bedding plants is essential for greenhouse growers aiming to meet market demands while minimising costs. This study investigated the effects of supplemental lighting (prolonged photoperiod) and retardant treatments on the growth, development, mineral composition, and flowering of vegetatively propagated Petunia × atkinsiana (Surfinia^® ‘Lime’ and ‘Purple’) and Calibrachoa × hybrida (Superbells^® ‘Unique Red’ and ‘Unique Golden Yellow’) cultivars. The plants were subjected to extended lighting for up to 16 h during the rooting phase and treated with or without a growth retardant. The supplemental light significantly accelerated the flowering, improved the shoot branching, and enhanced the mineral nutrient accumulation, particularly of calcium, sulphur, and magnesium. The illuminated plants also exhibited higher chlorophyll content and more favourable dry-mass accumulation. The growth retardants reduced the plant height and concentrations of nitrogen, phosphorus, and potassium but increased the calcium and magnesium contents. The combination of lighting and growth regulation optimised the plant morphology and nutritional status, producing compact, well-branched plants with enhanced visual appeal. Earlier flowering of illuminated plants is valuable from a commercial perspective, allowing earlier selling and improved product marketability. These findings confirm the synergistic benefits of early photoperiod control and chemical growth regulation in enhancing the commercial quality and sustainability of bedding plant production. Full article

Background: Magnesium (Mg²⁺) plays a fundamental role in various physiological processes, including neuromuscular function, glucose metabolism, cardiovascular regulation, and bone health. Despite its significance, the influence of sex on magnesium metabolism, requirements, and health outcomes remains unexplored. The aim of this review is to analyze sex-based differences in magnesium homeostasis, with a particular focus on hormonal regulation, body composition, and disease susceptibility. Methods: This narrative review, based on a non-systematic MEDLINE search conducted in January 2025, prioritized clinical trials from the past 15 years on human subjects and explored gender-specific aspects of magnesium intake, status, metabolism, and supplementation. Results: Hormonal fluctuations, particularly variations in estrogen levels, affect magnesium absorption, distribution, and retention, thereby influencing magnesium balance across different life stages such as puberty, pregnancy, and menopause. Additionally, dietary intake and lifestyle factors often differ between men and women, further impacting magnesium status. Emerging evidence suggests that suboptimal magnesium levels may differentially contribute to conditions such as osteoporosis, cardiovascular disease, and metabolic disorders in each sex. Conclusions: In conclusion, acknowledging sex-specific differences in magnesium metabolism is essential for developing personalized dietary guidelines and therapeutic strategies. Tailored nutritional approaches could significantly improve magnesium status, enhance overall health, and reduce the burden of chronic diseases linked to magnesium imbalance. Full article

This study assesses the current status of selected soil properties of an expanding equatorial agricultural region (Arauca, Colombia) across six landscapes, with the final focus being on evaluating overall soil quality. Field surveys, morphological descriptions, and laboratory analyses of 133 soil profiles were investigated. The landscapes include mountains (25 profiles), foothills (17), hills (11), alluvial plains (43), alluvial plains with dunes (21), and alluvial valleys (16). Soils are classified into six Reference Soil Groups (WRB FAO): Gleysols, Acrisols, Arenosols, Ferralsols, Leptosols, and Cambisols. The findings indicate high acidity, low fertility, and deficient exchangeable bases. Indeed, pH ranges from extremely acid to slightly acid (3.5–6.4), and exchangeable acidity saturation percentage (%SAI) values reach 100% in some areas. Soil textures vary from clay loam to sandy loam and clay. Nutrient contents are ranked in the order Cambisols > Gleysols > Arenosols > Ferralsols > Acrisols > Leptosols. Correlation analysis reveals that clay content positively influences the exchangeable basis percentage, while organic matter (OM) negatively correlates with the nutrients phosphorus, calcium, and magnesium. This study highlights that landscape position influences soil quality, with lower landscape positions having better quality than upper ones. These results provide insights into soil fertility and nutrient availability, which helps to predict suitable plant cultivation areas when increasing areas for agricultural use versus forestry in Arauca. The inclusion or maintenance of diverse tree species is a key element in maintaining the production of organic matter and, consequently, generating better soil quality. Full article

Background/Objectives: The association between magnesium and metabolic syndrome has not been comprehensively examined. We conducted a meta-analysis to quantitatively evaluate the association between intake and blood levels of magnesium and metabolic syndrome. Methods: We searched PubMed, Scopus, and ISI Web of Science databases to identify studies reporting an association between magnesium and metabolic syndrome up to April 2025. To pool the effect sizes on metabolic syndrome according to intake and blood levels of magnesium, a random effects model was used. Results: Twenty-seven publications including 95,933 participants were included in the meta-analysis. The relative risk summary of metabolic syndrome for highest versus lowest intake of magnesium was 0.79 (95% confidence interval [CI]: 0.71–0.88) for prospective cohort studies. In the meta-analysis of cross-sectional studies, magnesium intake was inversely associated with metabolic syndrome (odds ratio = 0.61; 95% CI: 0.39–0.94). High blood levels of magnesium were inversely associated with metabolic syndrome (effect estimate = 0.53; 95% CI: 0.37–0.76). Conclusions: The present meta-analysis indicated that magnesium intake was inversely associated with a risk of metabolic syndrome. Regarding the association between blood levels of magnesium and metabolic syndrome, a significant inverse association was found, but the interpretation was cautious due to the observed high heterogeneity. The association between magnesium status and metabolic syndrome needs to be confirmed with further prospective studies. Full article

Background: Hyperbaric oxygen therapy (HBOT) is the standard treatment for moderate to severe carbon monoxide (CO) poisoning, but middle ear barotrauma (MEB) remains a common complication. This study identified risk factors associated with MEB in patients undergoing monoplace HBOT. Methods: This retrospective cohort study included patients treated for CO poisoning with monoplace HBOT at a tertiary academic hospital between May 2021 and December 2023. MEB severity was assessed before and after treatment using video otoscopy and graded according to the modified O’Neill Grading System. Results: MEB occurred predominantly at lower severity grades according to the O’Neill scale. In univariate analysis, significant risk factors for MEB included altered mental status at presentation (OR: 3.16, 95% CI: 1.35–7.40, p = 0.008), serum albumin > 4.3 g/dL (OR: 0.22, 95% CI: 0.10–0.65, p = 0.004), and magnesium levels (OR: 0.21, 95% CI: 0.05–0.98, p = 0.046). Multivariate analysis confirmed altered mental status (OR: 3.16, 95% CI: 1.05–9.52, p = 0.041), albumin > 4.3 g/dL (OR: 0.26, 95% CI: 0.10–0.65, p = 0.004), and magnesium level (OR: 0.21, 95% CI: 0.05–0.88, p = 0.033) as independent predictors of MEB. Patients with higher albumin and magnesium levels showed lower risk. Conclusions: Altered mental status, lower albumin, and lower magnesium levels predicted middle ear barotrauma in patients undergoing monoplace HBOT for CO poisoning. These findings highlight the importance of careful pre-treatment evaluation and close monitoring during therapy to reduce the incidence of MEB. Full article