Search Results (41,085)

Hereditary spherocytosis (HS) is the most common inherited red blood cell (RBC) membrane disorder and has traditionally been attributed to defects in cytoskeletal proteins such as spectrin, ankyrin, band 3, and protein 4.2. Growing evidence, however, shows that disturbances in ion transport also contribute to HS pathophysiology. This review summarizes current understanding of HS by integrating membrane structural defects with abnormalities in ion homeostasis and highlights the diagnostic value of osmotic gradient ektacytometry (OGE). Beyond membrane instability, HS erythrocytes exhibit increased cation permeability with abnormal Na⁺ influx and K⁺ loss, leading to cellular dehydration, elevated mean corpuscular hemoglobin concentration (MCHC), and reduced deformability. Dysregulation of mechanosensitive and Ca²⁺-activated K⁺ channels (PIEZO1, KCNN4) may modulate disease expression. OGE—now the reference functional test for RBC deformability—identifies reproducible phenotypes reflecting hydration status, including dehydrated (HS1) and partially hydrated (HS2) HS profiles. When combined with next-generation sequencing (NGS), OGE improves differentiation between HS and overlapping membranopathies such as hereditary xerocytosis or stomatocytosis. In conclusion, HS is a multifactorial disorder resulting from the interplay between cytoskeletal fragility, oxidative stress, and dysregulated ion transport. Integrated diagnostic strategies that combine hematologic indices, OGE, and targeted NGS enhance diagnostic accuracy, support genotype–phenotype interpretation, and guide individualized clinical management. Future efforts should focus on ion-channel modulation and wider adoption of functional assays in precision hematology. Full article

Scaphoideus titanus Ball, 1932 (Hemiptera: Cicadellidae), the main vector of the phytoplasma (FDp) causing Flavescence dorée, is considered a challenging problem in European vineyards. Natural insecticides permitted for S. titanus control in Italian organic viticulture are generally considered of low-to-moderate efficacy. Morever, it should be mentioned that their optimal use requires a careful approach when preparing the insecticide solutions. Synthetic insecticides used in Italian viticulture are included in only two IRAC groups, indicating potential risks for resistance. Therefore, there is a need to identify alternatives or control tools complementary to synthetic insecticides. In this study, we summarize the results obtained in five field experiments (2021–2025) using the main alternatives to synthetic insecticides (i.e., pyrethrins, kaolin, azadirachtin, Beauveria bassiana, and potassium salts of fatty acids). In all seasons, pre-insecticide application populations did not differ significantly among treatments, whereas differences emerged after insecticide applications. The overall results showed that pyrethrin-based insecticides were the most effective in reducing S. titanus nymph densities. Kaolin provided intermediate but comparatively stable levels of control across the years, whereas B. bassiana showed moderate yet highly variable efficacy. The findings obtained here can be considered in designing management strategies for S. titanus in organic viticulture that require an integrated approach combining pyrethrins with complementary, lower-impact tools to achieve effective and sustainable control over time. At the same time, natural insecticides can be incorporated into IPM strategies in conventional vineyards to prevent resistance. Full article

This paper explores simulation application functions for the computer monitoring system of a hydro–wind–solar integrated control center, focusing on five core areas: platform management, operational training, performance optimization, exception handling, and emergency drills. Against the “dual carbon” backdrop, multi-energy complementary system simulation faces key challenges including multi-energy coupling, real-time response, and cybersecurity protection. Research shows that integrating digital twin, heterogeneous computing, and artificial intelligence technologies markedly improve simulation accuracy and intelligent decision-making. Dispatch strategies have shifted from single-energy optimization to system-level coordination, while cybersecurity frameworks now provide comprehensive safeguards covering algorithms, data, systems, user behavior, and architecture. Intelligent operation and maintenance with fault diagnosis—powered by big data and deep learning—enables equipment condition prediction, and emergency drill platforms boost response capacity via 3D visualization and scriptless modeling. Current hurdles include absent multi-energy modeling standards, poor extreme-condition adaptability, and inadequate knowledge transfer mechanisms. Future research should prioritize hybrid physical–data-driven approaches, multi-dimensional robust scheduling, federated learning-based diagnostics, and integrated digital twin, edge computing, and decentralized ledger technologies. These advances will drive simulation platforms toward greater intelligence, interoperability, and reliability, laying the technical foundation for unified hydro–wind–solar control centers. Full article

Under the influence of multiple factors such as climate change and human activities, the frequency, intensity, and destructiveness of forest fires are increasing, which may trigger multiple ecological crises. Forest fires can be scientifically prevented, and their risks can be mitigated through specific approaches, particularly by managing forest combustible materials. Common methods include mechanical clearance, prescribed burning, and the establishment of biological firebreak belts, along with the application of grazing to regulate forest fuels. This paper presents a review of studies on grazing and fire risk, both domestically and internationally. Research indicates that livestock grazing has complex effects on forest fire risk: appropriate grazing can manage fuels and modify ecosystem structure to reduce fire hazards—for instance, by decreasing the accumulation of surface flammable materials and promoting the regeneration of fire-resistant tree species. Conversely, overgrazing may disrupt ecological balance and increase fire risk, such as by exacerbating soil erosion and encouraging the invasion of flammable weed species. Case studies from different ecological regions worldwide demonstrate varied effects of grazing on fire prevention, though research in this area exhibits geographical disparities. Adaptive management should integrate targeted grazing, prescribed burning, and mechanical treatments in a synergistic manner. Future efforts should prioritize cross-scale studies, investigate the mechanisms of woody fuel modulation, and refine fire ecology models to enhance the precision and global applicability of grazing-based fire management. Full article

Background: Metabolic syndrome (MetS) is a multifactorial condition characterized by insulin resistance, dyslipidemia, hypertension, and central obesity, and is strongly influenced by lifestyle factors. Growing evidence highlights the gut microbiota as a key mediator linking diet and physical exercise to cardiometabolic health. Objective: This narrative review aims to qualitatively synthesize current evidence on the effects of physical exercise and major dietary patterns including the Mediterranean diet (MedDiet), Dietary Approaches to Stop Hypertension (DASH), and ketogenic/very-low-calorie ketogenic diets (KD/VLCKD) on gut microbiota composition and function, and their implications for metabolic health in MetS. Methods: A qualitative narrative synthesis of experimental, observational, and interventional human and animal studies was performed. The reviewed literature examined associations between structured physical exercise or dietary interventions and changes in gut microbiota diversity, key bacterial taxa, microbial metabolites, and cardiometabolic outcomes. Considerable heterogeneity across studies was noted, including differences in populations, intervention duration and intensity, dietary composition, and microbiota assessment methodologies. Results: Across human interventional studies, moderate-intensity physical exercise was most consistently associated with increased gut microbial diversity and enrichment of short-chain fatty acid (SCFA)-producing taxa, contributing to improved insulin sensitivity and reduced inflammation. MedDiet and DASH were generally linked to favorable microbiota profiles, including increased abundance of Faecalibacterium prausnitzii, Akkermansia muciniphila, and Bifidobacterium, alongside reductions in pro-inflammatory metabolites such as lipopolysaccharides and trimethylamine N-oxide. In contrast, KD and VLCKD were associated with rapid weight loss and glycemic improvements but frequently accompanied by reductions in SCFA-producing bacteria, depletion of Bifidobacterium, and markers of impaired gut barrier integrity, raising concerns regarding long-term microbiota resilience. Conclusions: Lifestyle-based interventions exert diet- and exercise-specific effects on the gut microbiota–metabolism axis. While MedDiet, DASH, and regular moderate physical activity appear to promote sustainable microbiota-mediated cardiometabolic benefits, ketogenic approaches require careful personalization, limited duration, and medical supervision. These findings support the integration of dietary quality, exercise prescription, and individual microbiota responsiveness into translational lifestyle strategies for MetS prevention and management. Full article

Fluidized bed combustion of biomass requires maintaining stable properties of the inert bed material, which plays a key role in heat transfer, temperature stabilization and uniform fuel distribution in circulating fluidized bed (CFB) boilers. During long-term operation, quartz sand, i.e., the most commonly used inert material, undergoes physical and chemical degradation processes such as attrition, sintering and coating with alkali-rich ash, leading to changes in particle size distribution (PSD), deterioration of fluidization quality, temperature non-uniformities and an increased risk of bed agglomeration. This study analyzes quality management strategies for inert bed materials in biomass-fired CFB systems, with particular emphasis on the influence of PSD on boiler hydrodynamics and thermal behavior. Based on industrial operating data, sieve analyses and CFD simulations performed under representative operating conditions, a recommended mean particle diameter range of approximately 150–200 μm is identified as critical for maintaining stable circulation and uniform temperature fields. Numerical results demonstrate that deviations toward coarser bed materials significantly reduce solids circulation, promote segregation in the lower furnace region and lead to local temperature increases, thereby increasing agglomeration risk. The study further discusses practical approaches to bed material monitoring, regeneration and make-up management in relation to biomass type and ash characteristics. The results confirm that systematic control of inert bed material quality is an essential prerequisite for reliable, efficient and low-emission operation of biomass-fired CFB boilers. Full article

Total hip arthroplasty (THA) is a widely performed procedure that significantly enhances patients’ quality of life. However, nerve injury remains a concerning complication, with an incidence ranging from 0.6% to 3.7%, depending on patient and surgical variables. This narrative review provides a comprehensive overview of nerve injuries associated with THA, focusing on etiology, risk factors, clinical manifestations, prevention, and treatment strategies. The most affected nerves include the sciatic, femoral, lateral femoral cutaneous (LFCN), superior gluteal, and obturator nerves. Anatomical factors such as developmental hip dysplasia (DDH), limb length discrepancy, and aberrant nerve courses, along with patient-specific conditions like female sex, obesity, and pre-existing spinal disorders, increase the risk of nerve damage. Surgical complexity, revision procedures, and surgeon experience also influence injury likelihood. Clinical manifestations range from sensory disturbances to motor deficits including foot drop, Trendelenburg gait, or impaired knee extension, depending on the nerve involved. Diagnosis is primarily clinical, supported by electrophysiological studies and imaging when needed. Prevention hinges on careful preoperative planning, appropriate surgical approach selection, meticulous intraoperative technique, and attention to limb positioning. Treatment is typically conservative, involving pain control, physical therapy, and neurostimulation. In refractory or severe cases, interventions such as nerve decompression, repair, or tendon transfer may be considered. Pharmacological agents including vitamin B12, tacrolimus, and melatonin show potential in promoting nerve regeneration. Although most nerve injuries resolve spontaneously or with conservative measures, some cases may result in long-term deficits. Understanding the mechanisms, risk factors, and management strategies is essential to mitigating complications and optimizing functional outcomes in patients undergoing THA. Full article

Habitat micromodification poses significant challenges to wildlife, necessitating adaptive responses. This study aimed to investigate how such habitat alterations affect the dietary intake and gut microbiota of Père David’s deer (Elaphurus davidianus). A total of 25 fresh fecal samples were collected from Père David’s deer through non-invasive sampling in Tianjin Qilihai Wetland across three distinct phases of habitat micromodification: pre-change (N = 10), under-change (N = 8), and post-change (N = 7). Dietary composition was analyzed via microscopic identification of plant residues, and gut microbiota structure was characterized using 16S rRNA high-throughput sequencing. Results showed that the diet shifted significantly across phases, with 33 plant species from 20 families identified. Meanwhile, the core gut microbiota remained structurally stable. The phyla Firmicutes and Bacteroidota consistently dominated, despite fluctuations in some specific bacterial genera. Functional prediction indicated minimal change in core microbial metabolic pathways. Correlation analysis suggested that key dietary plants were linked to the abundance of specific, functionally relevant microbial taxa. In conclusion, this study demonstrates that the gut microbiota of Père David’s deer exhibits marked resilience to dietary shifts induced by habitat micromodification. This stability is underpinned by functional redundancy within the microbial community and the consistent intake of fibrous plants, representing a key adaptive mechanism. Our findings highlight that integrating non-invasive monitoring of diet and microbiota can effectively assess the adaptive capacity of endangered ungulates to managed habitat change, thereby informing more resilient conservation strategies. Full article

Aquaculture faces environmental challenges from sediment contamination by potentially toxic elements. This study investigated how aquaculture patterns and seasons jointly affect the distribution and ecological risks of these potentially toxic elements in sediments. By analyzing and comparing sediment samples from different aquaculture systems across seasons, we found that Mn (mean = 435.42 mg/kg) was the most abundant, followed by Zn (mean = 172.69 mg/kg), Cr (mean = 106.79 mg/kg), and Cu (mean = 63.44 mg/kg). Aquaculture patterns were the primary factor determining the composition of potentially toxic elements, followed by season. Fish farming tended to promote their accumulation in sediments, whereas the rice–crayfish co-culture model effectively reduced the enrichment of potentially toxic elements and their associated ecological risks. Therefore, optimizing aquaculture practices proves more effective in controlling these risks than managing seasonal variations. Moreover, total phosphorus was identified as a key driver of potentially toxic element accumulation in sediments. The results from the rice–crayfish co-culture system indicate that enhanced phosphorus management is crucial for mitigating such risks. Accordingly, it is necessary to develop systematic monitoring and integrated remediation strategies focused on priority metals and their main drivers. Full article

Plant phenology is a sensitive indicator of ecosystem responses to climate change, yet its dynamics and drivers in subtropical montane forests remain poorly understood. Based on the continuous phenological monitoring of 12 dominant tree species from 2008 to 2022 in a mid-subtropical evergreen broad-leaved forest on Ailao Mountains, China, this study analyzed phenological shifts and their climatic drivers. The results show that, (1) unlike the widely reported trends in northern mid-to-high latitudes, spring phenophases (budburst and leaf-out) did not exhibit significant advancing trends, while autumn phenophases (leaf coloration and fall) remained stable; (2) water availability played a dominant role in regulating spring phenology, with both budburst and leaf-out showing significant negative correlations with winter-spring precipitation, and responses varied significantly across hydrological year types; and (3) the life form strongly influenced phenological strategies, with evergreen species exhibiting earlier spring phenology than deciduous species. This study highlights that in seasonally humid subtropical montane forests, water availability exerts a stronger control on phenology than temperature. Our findings underscore the necessity of incorporating precipitation variability and functional trait differences into assessments of forest phenology and ecosystem functioning under future climate change, providing a scientific basis for the conservation and adaptive management of subtropical forests. Full article

The production of essential oils generates substantial quantities of solid post-distillation residues, a largely unutilized waste stream rich in bioactive compounds (e.g., phenolics, flavonoids) as well as polysaccharides. Managing this organic waste presents both environmental and economic challenges. This review critically examines environmentally friendly green innovations and resource-efficient technologies within circular bio-economy strategies for valorizing these residues, focusing on four primary conversion pathways: physico-mechanical, thermochemical, biological, and chemical methods. We highlight their potential for practical applications, including the extraction of active compounds for food, cosmetic, and pharmaceutical industries, utilization in agriculture, incorporation into construction materials and wastewater treatment. Despite these opportunities, wider industrial adoption remains limited by high processing costs and the lack of scalable, cost-effective technologies. Key research gaps included the need for methods applicable at the farm level, optimization of the residue-specific conversion process, and life-cycle assessments to evaluate environmental and economic impacts. Addressing these gaps is crucial to fully exploit the economic and ecological potential of post-distillation solid residues and integrate them into sustainable circular bio-economy practices through various processes. Full article

The domestic donkey (Equus asinus) remains an essential component of agricultural systems worldwide, particularly in rural Tunisia. This study aims to conduct a comprehensive morphological characterization of the Tunisian donkey population, focusing on phaneroptic variation, sexual dimorphism and live weight prediction. A total of 556 clinically healthy donkeys, consisting of 207 males and 349 females, were sampled from various governorates in Tunisia. Descriptive statistics revealed significant variability in withers height (98–147 cm), thoracic circumference (100–165 cm) and body length (86–144 cm). Principal Component Analysis identified coat color and belly pigmentation as major contributors to phaneroptic variation, explaining 69.556% of the total variance. Hierarchical Ascendant Classification further classified the population into three distinct groups, with Group I exhibiting smaller body dimensions, Group II having medium sizes, and Group III consisting of larger donkeys. Sexual dimorphism was detected in neck circumference (females: 64.30 cm vs. males: 61.97 cm; FDR-adjusted p = 0.0468). Regression models for predicting live weight indicated that thoracic circumference was the most reliable single predictor (R² = 95.4%). Overall, the study documents a wide range of morpho-biometric variation within the Tunisian donkey population and provides practical tools for field-based weight estimation, offering valuable insights for future conservation strategies and management programs. Full article

Background: Acute coronary syndrome (ACS) continues to be a major contributor to morbidity and mortality worldwide. While percutaneous coronary interventions (PCIs) have significantly evolved, coronary artery bypass grafting (CABG) has retained a role in emergency revascularization. Nevertheless, ongoing debate persists about how to select candidates for surgery, when to operate, and which surgical techniques offer the greatest safety and efficacy. Methods: A comprehensive literature search was conducted, yielding 2302 records, of which 25 studies met predefined screening criteria and were included for detailed analysis. Given that timing remains one of the most controversial issues in the management of ACS, our primary aim was to determine the optimal timing for CABG in this patient population. Additionally, we examined how preoperative antiplatelet therapy and the presence of cardiogenic shock influence clinical outcomes, and what revascularization strategy may be most appropriate for these patients. Results: Of the 2302 initially identified studies, 25 were selected for a detailed analysis, supplemented by 28 additional key references. Among the included studies, 17 focused primarily on the effects of surgical timing and 8 on comparisons between the outcomes of CABG and PCI. The analysis comprised 15 database or multicentre retrospective cohort studies, 8 single-centre retrospective studies, and 2 prospective investigations. Conclusion and limitations: Although the topic of non-elective coronary surgery has been with us for several decades, a number of inherent biases hinder thorough statistical investigation in this complex population. Although a number of contradictory findings hinder drawing simple conclusions, being reluctant to perform early surgery solely based on poorer unfiltered outcomes might miss a point. Full article

Sewage sludge (SS) management and wastewater (WW) treatment remain among the most critical environmental challenges. The pyrolysis of sewage sludge to produce biochar (BC) represents a sustainable and circular strategy for waste valorization and pollution mitigation. This scoping review provides a comprehensive overview of BC derived from SS (BCxSS), with particular emphasis on how pyrolysis conditions affect key physicochemical characteristics such as yield, ash content, pH, surface area, and functional groups. Although substantial research has focused on the removal of heavy metals and organic pollutants using BCxSS, far less attention has been directed toward its potential for pathogen adsorption and inactivation, revealing a notable research gap. Recent studies highlight BCxSS as a versatile material with considerable promise in adsorption and catalysis. However, its application in pathogen removal remains insufficiently investigated, underscoring the need for further investigation into sorption mechanisms and biochar–microbe interactions. Full article

Waste valorisation has become a key strategy for applying circular economy principles in the agro-industrial field. This study investigated the territorial implementation of the waste composting on a territorial scale. The wastes considered were the post-processing orange waste, spent olive oil pomace, and spent wine grape pomace. Their potential use as soil amendments across the provinces of Sicily was assessed through a GIS-based analysis, taking into account nitrogen (N) application constraints. Moreover, a cascade valorisation scheme was also evaluated: post-processing orange waste was first used as animal feed, and the remaining fraction was directed to composting; olive pomace was first sent to pomace oil extraction mills, and the residual material was subsequently used for composting. Results indicate that N inputs derived from composted residues remain below legal thresholds in all provinces, with relative contributions ranging from 38% to 92% of the regulatory limits. Spatial variability in nitrogen availability reflects the territorial distribution of agro-industrial activities, highlighting the importance of localised management strategies. These findings demonstrate that composting, combined with cascade valorisation, is an effective pathway to close nutrient cycles, reduce waste generation, and support sustainable biomass management in regional agri-food systems. Full article