Search Results (542)

Background: Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder with significant racial and ethnic disparities in prevalence, disease severity, and outcomes. Cardiovascular complications, including pericarditis, myocarditis, valvular disease, and conduction abnormalities, contribute to increased morbidity and mortality in SLE patients. This study examines racial and ethnic disparities in cardiovascular outcomes among hospitalized SLE patients in the United States. Methods: This retrospective study utilized the National Inpatient Sample (NIS) database from 2016 to 2021 to analyze hospitalizations of adult patients (≥18 years) with a primary or secondary diagnosis of SLE. Patients were stratified into racial/ethnic groups: White, Black, Hispanic, Asian, Native American, and Other. Primary outcomes include major adverse cardiovascular events (MACEs), which are a composite of in-hospital mortality, myocardial infarction (MI), sudden cardiac death, and other SLE-related outcomes including cardiac, pulmonary, and renal involvement. Statistical analyses included multivariable logistic regression models adjusted for demographic, socioeconomic, and hospital-related factors to assess racial disparities. Results: The study included 514,750 White, 321,395 Black, and 146,600 Hispanic patients, with smaller proportions of Asian, Native American, and Other racial groups. Black patients had significantly higher odds of in-hospital mortality (OR = 1.17, 95% CI = 1.08–1.26, p < 0.001) and sudden cardiac death (OR = 1.64, 95% CI = 1.46–1.85, p < 0.001) compared to White patients. Asian patients also exhibited increased mortality risk (OR = 1.37, 95% CI = 1.14–1.63, p = 0.001) as compared to Whites. Conversely, Black (OR = 0.90, 95% CI = 0.85–0.96, p = 0.01) and Hispanic (OR = 0.87, 95% CI = 0.80–0.96, p = 0.03) patients had lower odds of MI. Racial disparities in access to care, socioeconomic status, and comorbidity burden may contribute to these differences. Conclusion: Significant racial and ethnic disparities exist in cardiovascular outcomes among hospitalized SLE patients. Black and Asian individuals face higher in-hospital all-causes mortality and sudden cardiac death risks, while Black and Hispanic patients exhibit lower MI rates. Addressing social determinants of health, improving access to specialized care, and implementing targeted interventions may reduce disparities and improve outcomes in minority populations with SLE. Full article

Problems with primary food production (food insecurity, malnutrition, and socioeconomic problems) persist throughout the world, especially in rural areas. Despite these problems, the available natural food resources are underutilized; residents are no longer interested in growing and consuming foods native to their region. In this regard, this study carries out the morphological and nutritional characterization of a native sunflower (Helianthus annuus) grown in the Sierra Gorda, Querétaro, Mexico, known as “Maíz de teja”, to implement a sustainable monoculture production system. The results were compared with some other sunflower varieties and other oilseeds grown and consumed in the country. This study determined that this native sunflower seed is a good source of linoleic acid (84.98%) and zinc (17.2 mg/100 g). It is an alternative protein source (18.6 g/100 g), comparable to foods of animal origin. It also provides a good amount of fiber (22.6 g/100 g) and bioactive compounds (total phenolic compounds (TPC) 3.434 ± 0.03 mg/g and total flavonoids (TFC) 0.67 ± 0.02 mg/g), and seed yield 341.13 kg/ha. This study demonstrated a valuable nutritional profile of this native seed and its potential for cultivation. Further research is needed to improve agricultural management to contribute to food security and improve the socioeconomic status of the community. Full article

Over 40% of freshwater fish species in Europe are currently at risk of extinction, highlighting the need for improved conservation planning. This study examines whether the threat status is associated with life-history and ecological traits across 580 autochthonous (native and endemic) freshwater fish species in European inland waters. Using data from FishBase and the IUCN Red List, we assessed associations between threat level and both categorical (e.g., migratory behavior, commercial importance, reproductive guild, and body shape) and numerical traits (e.g., maximum length, weight, age, growth parameters, and maturity traits). Significant, though modest, associations were identified between species threat level and migratory behavior and reproductive guild. Non-migratory species exhibited higher median threat levels, while amphidromous species showed a non-significant trend toward higher threat, suggesting that limited dispersal ability and dependence on fragmented freshwater networks may increase extinction vulnerability. Species with unclassified reproductive strategies also showed elevated threat levels, possibly reflecting both actual risk and underlying data gaps. In contrast, body shape and trophic level were not significantly associated with threat status. Critically Endangered species tend to be larger, heavier, and mature later—traits characteristic of slow life history strategies that limit population recovery. Although length at maturity and maximum age did not differ significantly among IUCN categories, age at maturity was significantly higher in more threatened species, and growth rate (K) was negatively correlated with threat level. Together, these patterns suggest that slower-growing, later-maturing species face elevated extinction risk. Overall, the findings underscore that the threat level in European freshwater fish is shaped by complex interactions between intrinsic biological traits and external pressures. Trait-based approaches can enhance extinction risk assessments and conservation prioritization, especially in data-deficient freshwater ecosystems facing multifaceted environmental challenges. Full article

This study examines the relationship between learning environments and learning outcomes in acquiring Korean as a language target. We compare two learner groups residing in the United States: English-speaking learners of Korean in foreign language contexts versus Korean heritage speakers. Both groups share English as their dominant language and receive similar tertiary-level instruction, yet differ in their language-learning profiles. We measure two groups’ comprehension behaviour involving Korean subject−predicate honorific agreement, focusing on two conditions manifesting a mismatch between the honorifiable status of a subject and the realisation of the honorific suffix in a predicate. Results from the acceptability judgement task revealed that (1) both learner groups rated the ungrammatical condition as more acceptable than native speakers did, (2) Korean heritage speakers rated the ungrammatical condition significantly lower than English-speaking learners, and (3) overall proficiency in Korean modulated learners’ evaluations of the ungrammatical condition in opposite directions between the groups. No between-group difference was found in the infelicitous-yet-grammatical condition. Results from reaction time measurement further showed that Korean heritage speakers responded considerably faster than English-speaking learners of Korean. These results underscore the critical role of broad usage experience—whether through home language exposure for heritage language speakers or formal instruction for foreign language learners—in shaping non-dominant language activities. Full article

This study presents an integrative investigation of four rare and threatened plant species—Taraxacum kok-saghyz L.E. Rodin, Astragalus rubtzovii Boriss., Schmalhausenia nidulans (Regel) Petr., and Rheum wittrockii Lundstr.—native to the Ile Alatau and Ketmen ridges of the Northern Tian Shan in Kazakhstan. Combining chloroplast genome sequencing, geobotanical surveys, and anatomical and population structure analyses, we aimed to assess the ecological adaptation, genetic distinctiveness, and conservation status of these species. Field surveys revealed that population structures varied across species, with T. kok-saghyz and S. nidulans dominated by mature vegetative and generative individuals, while A. rubtzovii and R. wittrockii exhibited stable age spectra marked by reproductive maturity and ongoing recruitment. Chloroplast genome assemblies revealed characteristic patterns of plastid evolution, including structural conservation in S. nidulans and R. wittrockii, and a reduced inverted repeat region in A. rubtzovii, consistent with its placement in the IR-lacking clade of Fabaceae. Morphological and anatomical traits reflected habitat-specific adaptations such as tomentose surfaces, thickened epidermis, and efficient vascular systems. Despite these adaptations, anthropogenic pressures including overgrazing and habitat degradation pose significant risks to population viability. Our findings underscore the need for targeted conservation measures, continuous monitoring, and habitat management to ensure the long-term survival of these ecologically and genetically valuable endemic species. Full article

Background/Objectives: The rapid emergence of antibiotic-resistant Escherichia coli in food and clinical environments necessitates new, clean-label antimicrobials. This study assessed eight Greek native essential oils—oregano, thyme, dittany, rosemary, peppermint, lavender, cistus and helichrysum—for activity against six genetically and phenotypically diverse E. coli strains (reference, pNorm, mecA, mcr-1, blaOXA and O157:H7). We aimed to identify oils with broad-spectrum efficacy and clarify the chemical constituents responsible. Methods: Disk-diffusion assays measured inhibition zones at dilutions from 50% to 1.56% (v/v). MIC and MBC values were determined by broth microdilution. GC–MS profiling identified dominant components, and Spearman rank-order correlations (ρ) linked composition to activity. Shapiro–Wilk tests (W = 0.706–0.913, p ≤ 0.002) indicated non-normal data, so strain comparisons used Kruskal–Wallis one-way ANOVA with Dunn’s post hoc and Bonferroni correction. Results: Oregano, thyme and dittany oils—rich in carvacrol and thymol—exhibited the strongest activity, with MIC/MBC ≤ 0.0625% (v/v) against all strains and inhibition zones > 25 mm at 50%. No strain-specific differences were detected (H = 0.30–3.85; p = 0.998–0.571; p_adj = 1.000). Spearman correlations confirmed that carvacrol and thymol content strongly predicted efficacy (ρ = 0.527–0.881, p < 0.001). Oils dominated by non-phenolic terpenes (rosemary, peppermint, lavender, cistus, helichrysum) showed minimal or no activity. Conclusions: Phenolic-rich EOs maintain potent, strain-independent antimicrobial effects—including against multidrug-resistant and O157:H7 strains—via a multi-target mode that overcomes classical resistance. Their low-dose efficacy and GRAS status support their use as clean-label food preservatives or adjuncts to antibiotics or bacteriophages to combat antimicrobial resistance. Full article

Cyclodextrins (CDs) are cyclic oligosaccharides capable of forming inclusion complexes with various guest molecules, enhancing solubility, stability, and bioavailability. This review outlines the structural features of native CDs and their chemically modified derivatives, emphasizing the influence of functionalization on host–guest interactions. Synthetic approaches for CD derivatization are summarized, with attention to recent developments in stimuli-responsive systems and targeted drug delivery. Analytical techniques commonly employed for characterizing CD complexes, such as spectroscopy, thermal analysis, and molecular modeling, are briefly reviewed. Applications in pharmaceutical formulations are discussed, including inclusion complexes, CD-based conjugates, and nanocarriers designed for solubility enhancement, controlled release, and site-specific delivery. Special consideration is given to emerging multifunctional platforms with biomedical relevance. The regulatory status of CDs is addressed, with reference to FDA- and EMA-approved formulations. Safety profiles and toxicological considerations associated with chemically modified CDs, particularly for parenteral use, are highlighted. This review presents an integrative perspective on the design, characterization, and application of CD-based systems, with a focus on translational potential and current challenges in pharmaceutical development. Full article

Objectives: Scarce data are available regarding preventive medicine in forcibly displaced populations especially regarding non-communicable diseases like neoplasia, while even more limited data are available on Ukrainian refugees in Romania. To address this research gap, the present analysis was performed to investigate Ukrainian refugee women’s beliefs, attitudes, and opinions towards the Romanian and Ukrainian healthcare system in a comparison model while focusing on the HPV immunization rates and factors influencing the uptake for themselves and their children. Methods: Participants were recruited using the snowball sampling method through their General Practitioner (GP) and a health mediator. Results: In total, 105 women completed the online or physical survey. The mean age was 50 years. In total, 40% of women had not been to a gynecological check-up in 3 or more years, and more than 56% had never been screened. Only four were vaccinated against HPV, and none remembered which type of vaccine was dispensed or how many doses were utilized. The primary hindrances to accessing health services or immunization programs were language barriers, financial burdens, and a lack of information. Respondents’ general distrust of health systems and healthcare workforces were recurrent themes. Relationship status, living arrangements, and previous engagement in screening practices influenced immunization rates. Perceiving the healthcare officials as proactive concerning optional vaccination programs such as HPV immunization and actively receiving recommendations drove respondents to pursue vaccination. Conclusions: This analysis offers a foundational insight into the specific needs of refugee women. It can guide the development of effective public health interventions to improve health outcomes and vaccination rates among Ukrainian refugees in Romania. Tailored preventive campaigns with adequate native language information and prompts from medical experts in designated centers should be deployed to ensure inclusive tactics for vulnerable populations. Full article

This article focuses on how rising nativism, manifested through immigrants’ experiences of everyday discrimination, and Florida’s legal context (ascertained through immigrants’ fears of deportation), are related to immigrants’ hesitation when seeking healthcare services. Hesitation to seek healthcare, or healthcare hesitancy, is examined in the context of Florida’s SB1718, a law passed in 2023 that criminalized many aspects of being an immigrant. Based on a survey of 466 Florida immigrants and U.S. citizen adult children of immigrants, logistic regression analysis reveals that everyday experiences with discrimination are associated with a reluctance to seek healthcare services among this population. In particular, those with insecure legal immigrant status (i.e., undocumented and temporary statuses), those with financial hardship, and women demonstrate reluctance to engage with healthcare systems when controlling for other sociodemographic factors. Findings from this study exemplify how immigration policies that restrict access to healthcare and social services not only create logistical barriers to seeking care but also foster a climate of fear and exclusion that deters even those with legal status from seeking medical attention. Full article

Addressing environmental challenges requires the inclusion of local communities with relevant knowledge of the social–ecological system in which they are embedded, in addition to using transdisciplinary approaches that are critical to the co-production of successful and sustainable environmental solutions. A qualitative methodology was used to examine stakeholders’ views of decadal changes in Ria de Aveiro, a coastal lagoon on Portugal’s Atlantic coast. Seven focus groups were conducted, which included 42 stakeholders from coastal parishes, in order to obtain identical geographical representation with a study conducted a decade ago. Participants represented a diverse sample of groups interested in or affected by management options and activities in the lagoon system and were asked to reflect on the main changes that occurred over the last decade. Positive changes reflected an increase in the levels of environmental awareness, a positive trajectory of the environmental status of Ria de Aveiro, and a decrease in illegal fishing activities. Persisting concerns referred to the lack of an efficient management body for Ria de Aveiro, pressures related to changes in the hydrodynamic regime of the lagoon, the disappearance of native species and increase in invasive alien species, the abandonment of traditional activities (e.g., harvesting of seagrass and seaweed, salt production, agriculture in lagoon margins, and artisanal fishing), and the degradation and lack of maintenance of salt pans. Our findings highlight the importance of longer-term transdisciplinary and social–ecological research and illustrate how stakeholder views regarding the shortfalls of the movement towards the integrated management of ecosystems remain. Full article

We examined three decades of changes in the mammal fauna of Estonia, Latvia, and Lithuania in the context of climate variability, land use transformation, and anthropogenic pressures. We compiled distributional, abundance, and status data from publications, atlases, official game statistics, and long-term monitoring programs, and we evaluated trends using compound annual growth rates or temporal indices. Our review identified losses such as regional extinctions of garden dormice and European mink, declines in small insectivores (e.g., pond bats and shrews) and herbivores (e.g., Microtus voles), and the contraction of boreal specialists (e.g., Siberian flying squirrels). However, we also identified gains, including increases in ungulate numbers (e.g., roe deer, red deer, fallow deer, moose, and wild boars before African swine fewer outbreak) and the recovery of large carnivores (e.g., wolves and lynxes). Invasions by non-native species (e.g., American mink, raccoon dog, and raccoon) and episodic disturbances, such as African swine fever and the “anthropause” caused by the SARS-CoV-2 pandemic, have further reshaped community composition. The drivers encompass climatic warming, post-socialist forest succession, intensified hunting management, and rewilding policies, with dispersal capacity mediating the responses of species. Our results underscore the dual legacy of historical land use and contemporary climate forcing in structuring the fauna dynamics of Baltic mammal communities in the face of declining specialists and invasive taxa. Full article

Studies that have examined /s/ weakening as a social practice have found that L1 Spanish speakers perceive this cue as an indicator of lower status, region of origin, and greater friendliness, and even L2 Spanish learners have been found to associate /s/ weakening with lower status. The question remains, however, whether L2 learners who use /s/ weakening are perceived as having these same social attributes or whether their nonnative status interrupts said assessment. The present study examines the attitudes of 30 beginning and intermediate-level L2 learners of Spanish towards L1 and L2 speech that was digitally modified to contain /s/ deletion in coda positions, a regionally and stylistically variable sociophonetic cue in Spanish that is often not adopted by L2 learners. Participants rated the speech samples on Likert scales of perceived status, solidarity, and nativeness. Results revealed that learners rated L1 speech with /s/ deletion significantly lower for status and L2 speech with /s/ deletion significantly higher for nativeness. Full article

The number of Fritillaria species native to the Alps has long been debated, and observational biases due to the short flowering periods and the scattered distributions of endemic Fritillaria populations along the mountain range have probably made the task of botanists more complicated. Moreover, previous phylogenetic studies in Fritillaria have considered alpine taxa only marginally. To test species boundaries within the F. tubaeformis species complex and to study their phylogenetic relationships, intra- and inter-specific genetic variability of sixteen samples belonging to four Fritillaria species was carried out in different localities of the Maritime and Ligurian Alps, with extensions to the rest of the Alpine arc. The combined use of five plastid DNA markers (matK, ndhF, rpl16, rpoC1, and petA-psbJ) and nrITS showed that F. tubaeformis and F. burnatii are phylogenetically independent taxa, fully confirming morphological and morphometric divergences and, that F. burnatii is not related phylogenetically to the central European F. meleagris. Our phylogenetic study also supports the separation of F. tubaeformis from F. moggridgei, pointing to environment/ecological constraints or reproductive barriers as possible causes of their distinct evolutionary status. Our analysis also showed that the mountain endemic F. involucrata is not closely related to F. tubaeformis, contrasting with previous studies. The phylogenetic analysis of the nrITS region supports a close relationship between F. burnatii and F. moggridgei, but with low statistical support. Full article

Human corneal endothelial cell therapy has recently emerged as a novel solution to treat corneal endothelial diseases. We previously demonstrated the potential of utilizing non-cultured primary corneal endothelial cells (CEnCs) isolated from donor corneas with low endothelial cell density for simple non-cultured endothelial cell injection (SNEC-I) therapy. This study aimed to develop a robust and semi-automated approach for cell counting, characterize the extent of cellular manipulation, and evaluate the translational workflow. To address this, we evaluated manual and automated cell counting approaches and characterized the extent of manipulation of CEnCs through the analysis of cell cycle status, gene expressions, and transcriptomic profiles with single-cell RNA-sequencing. The translational feasibility and functionality of SNEC-I therapy were examined using an established rabbit model of bullous keratopathy. Manual hemocytometry and automated cell-counters exhibited comparable accuracy and reproducibility. Analysis of cell cycle status, cell cycle genes (n = 11), and transcriptomic profiles revealed close resemblance between the native corneal endothelium and its donor-matched SNEC-I-harvested cells. Successful resolution of bullous keratoplasty in the pre-clinical model supports the feasibility, efficacy, and safety of SNEC-I therapy. In conclusion, SNEC-I therapy serves as an attractive corneal endothelial therapeutic approach (from a regulatory standpoint) in view of the minimal extent of cellular manipulation. Full article

The Tigris-Euphrates basin hosts a diverse assemblage of native aquatic plants vital to the region’s ecological and cultural heritage. However, decades of hydrological alterations, pollution, salinity intrusion, habitat destruction, and climate change have caused significant declines in aquatic plant species diversity. This review compiles historical and contemporary information on key native aquatic plant species, assesses their current conservation status, identifies major threats, and provides recommendations for their protection. Sensitive submerged and floating species, including Vallisneria spiralis, Najas marina, and Potamogeton spp., have been particularly affected, with many now being rare or locally extinct. Although restoration efforts in the Mesopotamian Marshes have partially restored some wetlands, aquatic plant conservation remains largely overlooked. We propose targeted recovery plans, integration of aquatic plants into wetland management, enhancement of water quality measures, and increased cross-border hydrological cooperation. Protecting native aquatic flora is essential for maintaining the ecological integrity and resilience of the Tigris-Euphrates basin. Full article