Search Results (27,098)

The nucleoid-associated protein Fis functions as a global regulator that influences various cellular processes in Gram-negative bacteria. In this study, we examined the role of Fis in the transcriptional regulation of type 3 fimbriae in Klebsiella pneumoniae, a notable opportunistic pathogen associated with hospital-acquired infections. Our transcriptional analyses revealed that deleting the fis gene caused a significant upregulation of mrkA and mrkH, the genes responsible for the structure and regulation of type 3 fimbriae, respectively. Additionally, phenotypic assays demonstrated that the Δfis mutant exhibited enhanced biofilm formation and greater adherence to A549 lung epithelial cells compared to the wild-type strain. These effects were restored to wild-type levels in the cis-complemented strain. Electrophoretic mobility shift assays confirmed that Fis directly binds to the regulatory regions upstream of both mrkA and mrkH, indicating that repression occurs through direct interaction with the promoter. In summary, our findings show that Fis acts as a transcriptional repressor of mrkA and mrkH, thereby negatively regulating the expression of type 3 fimbriae, biofilm formation, and adherence. This study highlights Fis as a direct regulator of fimbrial expression and biofilm development in K. pneumoniae, deepening our understanding of its virulence regulatory network. Full article

This study establishes a structured framework to identify and evaluate risk factors that may hinder the achievement of sustainable development goals in green buildings and sustainable infrastructure projects. Fifty-six risk factors are identified and categorized into four risk groups, including stakeholder and management, financial and economic, technological and resource, and process and regulatory risks. The risk factors are evaluated across four risk indices related to probability of occurrence, manageability, impact on building performance, and project cost. Further, the severity of risks based on combining the four indices’ effects is quantified using a new Green Risk Index (GRI), while the relationships among all risk indices are determined. The strongest positive correlation is observed between the probability and the impact on cost, whereas a negative relationship is found between the probability and manageability. The analysis demonstrates that a risk factor related to the lack of knowledge about energy-saving procedures and environmental concerns during the design phase is the most critical, as it has the highest severity based on the GRI. “Non-compliance with environmental standards in project design” is also identified as a critical risk factor due to its high effect on building performance. Additionally, the risk factor associated with unstable funds from investors shows the highest effect on manageability. Process and regulatory is identified as the most critical risk group, encompassing the maximum number of key risk factors, and has the highest average weight related to the GRI. These findings reveal crucial vulnerabilities and underline the importance of targeted strategies to strengthen the use of nature-based solution frameworks for mitigating the risk effects in green buildings and sustainable infrastructures. Full article

Background/Objectives: Short bowel syndrome (SBS) is the leading cause of intestinal failure (IF) that often requires long-term parenteral nutrition (PN). Extended PN results in severe complications and reduced quality of life (QoL). This study aimed to evaluate the QoL utility weights associated with PN duration using vignettes. Methods: We developed detailed scenarios and descriptions to represent eight hypothetical health states, reflecting variations in PN frequency in both pediatric and adult patients. A cross-sectional survey was conducted among 359 Korean adults (aged 19–59 years) from the general population, assigned to evaluate adult (n = 179) or pediatric (n = 180) vignette groups. Health utility was measured using the EuroQol 5-Dimension (EQ-5D), visual analog scale (VAS), and time trade-off (TTO) methods. Multivariable regression analysis using a mixed-effects model was employed to manage repeated measures and control for sociodemographic variables. Results: Utility scores measured using the EQ-5D, VAS, and TTO were negatively correlated with increasing PN days in both adult and pediatric patients with SBS-IF. The highest mean utility values were “0 days on PN” (adults: EQ-5D 0.808, VAS 0.689, TTO 0.874; pediatric: EQ-5D 0.804, VAS 0.680, TTO 0.883), while the lowest were “7 days on PN” (adults: EQ-5D 0.117, VAS 0.180, TTO 0.272; pediatric: EQ-5D 0.070, VAS 0.178, TTO 0.291). These trends remained significant after covariate adjustment (p < 0.001). Conclusions: The study revealed a steady decline in utility values with an increasing number of PN days. These findings highlight the importance of enhancing the QoL in patients with SBS-IF by supporting intestinal adaptation and reducing PN dependency. Full article

Human herpesvirus 6 (HHV-6) is a common virus that can reactivate in immunocompromised patients, including lung transplant (LT) recipients. This study aimed to evaluate the clinical and functional implications of HHV-6 infection in LT patients through a retrospective analysis of 175 individuals who underwent lung transplantation at the City of Health and Sciences of Turin between 2014 and 2023. Surveillance bronchoscopies—including bronchoalveolar lavage (BAL) and transbronchial biopsies—were performed at scheduled intervals over a two-year period to detect HHV-6 and other pathogens, and to assess acute rejection. Spirometries were performed to evaluate graft function. Among the cohort, 33% of 822 BAL samples tested were positive for HHV-6, with a notable association between high viral load (≥500 copies/mL) and the development of post-transplant lymphoproliferative disorder (PTLD) (13% vs. 1%, p = 0.02) at 1 month and (9% vs. 1%, p = 0.026) at 12 months. Co-infection with CMV (78% in positives vs. 55% in negatives; p = 0.006), Epstein–Barr virus (EBV) (35% vs. 16%; p = 0.010), and bacterial and fungal infection (specifically, a higher rate of isolation of Achromobacter xylosoxidans (13%), p = 0.010) was frequently observed in conjunction with HHV-6 positivity. Notably, patients with at least one HHV-6 positive BAL exhibited a significant reduction in forced vital capacity (FVC) at multiple follow-up points, FVC 82% in positives vs. 92% in negatives (p = 0.038) at 4 months and 87% vs. 98% p = 0.033 at 8 months and 87% vs. 99% p = 0.038 at 24 months. No direct associations with acute rejection or overall survival were found. By means of this study, we provide a wide overview of HHV-6 in lung transplant recipients, filling in a gap of evidence in the field. We report a remarkable incidence and a significant association with acknowledged clinically relevant viral infections, PTLD, and functional tests decline, with no association with mortality. Full article

The contemporary healthcare environment is characterized by high stress and emotional burden, contributing to increasing rates of professional burnout among clinicians. Exposure to patient death represents one of the most emotionally taxing experiences in medicine, particularly in obstetrics and gynecology (OB/GYN), where loss of life stands in stark contrast to the life-giving nature of the field. Despite extensive research on burnout in oncology and intensive care, the impact of patient death and death perception on OB/GYN clinicians remains underexplored. Objective: This study aimed to examine the relationships between exposure to patient death, perceptions of death, professional burnout, and professional fulfillment among OB/GYN clinicians. A secondary aim was to explore whether participation in emotional regulation training was associated with these variables. Methods: A cross-sectional study was conducted among 138 OB/GYN clinicians. An author-developed questionnaire was used, comprising scales measuring professional burnout, positive and negative death perception, professional fulfillment, professional development, and a global death-impact index. Statistical analyses included Pearson’s correlation and the Mann–Whitney U test to compare clinicians who had attended emotional regulation training with those who had not. Results: Significant positive correlations were observed between burnout and the death-impact index (r = 0.90, p < 0.001) and between burnout and negative death perception (r = 0.23, p = 0.007). Professional fulfillment strongly correlated with professional development (r = 0.94, p < 0.001) and positively with positive death perception (r = 0.30, p < 0.001). No significant group differences were found regarding emotional regulation training participation. Conclusions: Exposure to patient death in OB/GYN is strongly associated with professional burnout and negative perceptions of death. Conversely, professional fulfillment and development function as factors promoting resilience and meaning. Further research should validate the applied measurement tools and examine the effectiveness of emotional regulation interventions in reducing occupational distress. Full article

Background/Objectives: Vitamin D deficiency is highly prevalent worldwide and is associated with multiple comorbidities and pharmacological treatments that may interfere with its metabolism. Evidence on the effect of supplementation across different drug user groups remains limited. Methods: A prospective study was conducted across community pharmacies over twelve months. Baseline socio-demographic, serum 25(OH)D concentration, quality of life (QoL), lifestyle habits, and medication use were collected. Participants received vitamin D supplementation for 12 months. Changes in vitamin D status and QoL were analyzed according to medication use. Logistic regression identified predictors of achieving adequate serum vitamin D levels (>30 ng/mL). Statistical significance was set at p < 0.05. Results: At baseline, 87.2% of 210 participants had insufficient or deficient vitamin D levels. After supplementation, mean serum vitamin D increased significantly from 21.3 ± 8.2 to 32.1 ± 12.6 ng/mL (p < 0.001), and QoL scores improved from 68.6 ± 18.7 to 77.8 ± 18.5 (p < 0.001). Dietary intake of vitamin D–rich foods and outdoor activity also increased. Supplementation improved vitamin D status among users of benzodiazepines, proton pump inhibitors, beta-blockers, statins, levothyroxine, metformin, and angiotensin-converting enzyme inhibitors, but not among corticosteroid, nonsteroidal anti-inflammatory drugs, or vitamin K antagonist. Multivariate analysis confirmed adherence as a strongest predictor of vitamin D adequacy (OR = 15.31, 95% CI = 2.90–80.75), while corticosteroid therapy, diabetes, and hypercholesterolemia were negatively associated. Conclusions: Vitamin D supplementation effectively corrected deficiency and improved QoL, but its efficacy varied according to comorbidities and medication use. Personalized supplementation strategies, emphasizing adherence and considering pharmacological profiles, may optimize outcomes. Further studies should explore mechanistic drug–nutrient interactions and long-term clinical implications. Full article

Essential oils (EOs) have gained recognition as promising alternatives to antibiotics due to their positive effects on bird growth performance, enhanced meat quality, and improved overall health, without producing the negative consequences associated with antibiotics. This study evaluated the effects of dietary supplementation of tea tree (TTEO) and thyme (TEO) EOs, individually or in combination with the probiotic BioPlus 2b (Bacillus subtilis and Bacillus licheniformis), on poultry broiler performance, including the meat quality. A total of 240 ROSS 308 broilers were assigned to eight dietary treatments over a 35-day trial. Parameters such as body weight (BW), feed conversion ratio (FCR), carcass portion, drip loss, and meat pH were evaluated. TTEO had a significant (p ≤ 0.05) impact on final carcass and breast portion, while in combination with probiotics, specifically TTEO with BioPlus significantly (p ≤ 0.05) reduced meat drip loss. GC-MS analysis identified terpinen-4-ol and γ-terpinene as the major constituents of TTEO, and thymol and carvacrol as the major constituents of TEO. In conclusion, combinations of TTEO, TEO, and probiotics can have beneficial effects on chicken raw meat quality, providing a complementary benefit to the industry and representing a viable alternative to conventional agents. Full article

Coriandrum sativum L. (coriander) seeds have long been used as a traditional medicine and a spice worldwide. Despite its abundant use, bioactive properties of coriander seeds, correlated with the antioxidant and phenolic data, have not been fully studied systematically. This study evaluated the phenolic data, antioxidant capacity, and antibacterial activity of coriander seed extracts obtained using solvents of differing polarity. Higher total phenolic content (TPC) and antioxidant activity were observed in the polar extracts, while moderate and non-polar extracts possessed higher antibacterial activity. Acetone extract (Ace) had the highest antibacterial activity, with an inhibition zone diameter (IZD) of 16.2 ± 0.2 mm against B. subtilis, and a minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of 1 and 2% (w/v), respectively. The MBC/MIC ratio between 1 and 4 was observed for the active extracts of coriander seeds, indicating their bactericidal behavior. The liquid chromatography and tandem mass spectroscopy (LC–MS/MS) system using multiple reaction monitoring (MRM) targeted analysis identified 13 phenolic compounds: gallic acid, ellagic acid, gentisic acid, caffeic acid, vanillic acid, o-coumaric acid, sinapinic acid, chlorogenic acid, salicylic acid, ferulic acid, rutin, trans-cinnamic acid, and quercetin. Quantitative differences were observed in the phenolic compounds across the different coriander seed extracts. The TPC was significantly (p ≤ 0.01) and positively correlated with cupric-reducing antioxidant capacity (CUPRAC) (r = 0.92), as well as with ferric-reducing antioxidant power (FRAP) (r = 0.98); furthermore, it showed that the higher level of antioxidant capacity of the coriander seed extracts was significantly (p ≤ 0.05) associated with phenolic compounds such as gallic acid, chlorogenic acid, gentisic acid, ferulic acid, and rutin. However, antibacterial activity and phenolic/antioxidant content were negatively correlated, suggesting that non-polar compounds may impact antibacterial activity. Full article

This study investigated the combined effects of lactic acid bacteria (LAB) fermentation and different milling methods (wet, semi-dry, and dry) on the physicochemical properties of glutinous rice flour (GRF) and the texture of the final product. A systematic analysis of rice samples treated with three LAB strains (Lactiplantibacillus plantarum CGMCC 1.12974, Limosilactobacillus fermentum CICC 22704, and Lactobacillus acidophilus CICC 22162) revealed that fermentation pretreatment created favorable conditions for subsequent physical milling by degrading the protein network and modifying the starch structure. The results demonstrated that fermentation combined with dry or semi-dry milling significantly improved the whiteness of GRF and the contents of γ-aminobutyric acid (GABA), total phenols, and total flavonoids, while reducing the contents of damaged starch (except in samples fermented with Lb. acidophilus) and protein by 2.91–12.43% and 17.80–32.09%, respectively. The functional properties of the GRF were also optimized: fermented flour exhibited higher peak viscosity, lower gelatinization temperature, and higher gelatinization enthalpy. Texture profile analysis revealed that glutinous dumplings prepared from fermented dry/semi-dry milled GRF, particularly those fermented with Lp. plantarum, showed significantly reduced hardness and chewiness, along with significantly improved cohesiveness and resilience. Consequently, their texture approximated that of high-standard wet-milled products. Correlation analysis based on the top ten discriminative features selected by random forest identified peak viscosity and breakdown viscosity as the most important positive factors associated with superior texture (high resilience, high cohesiveness, and low hardness), whereas damaged starch content and protein content were key negative correlates. In summary, this study confirms that the combination of fermentation and milling exerts a beneficial influence on the functional quality of GRF. Full article

Estimated climate change scenarios demand robust coffee cultivars tolerant to supra-optimal temperatures, water deficit, diseases, and other stresses. Wild Coffea species represent important genetic resources for resilience. The study of variations in morphological structures associated with transpiration control, such as stomata, represents an important approach for identifying genotypes with greater stress tolerance. This study evaluated stomatal density and morphology in 48 wild accessions, 24 of Coffea racemosa and 24 of C. zanguebariae, from provinces of Mozambique. Leaf samples provided microscopic images to assess stomatal traits: density (SD), polar diameter (PD), equatorial diameter (ED), stomatal functionality (SF), and leaf dry mass. Principal components were analyzed for all 48 accessions and separately by species. Mean distribution independence was tested with the Mann–Whitney test (p < 0.05). Results revealed inter- and intraspecific variation. The ability to distinguish accessions varies with the set of traits and species. A significant negative correlation between ED and SF was shared by both species, suggesting a conserved functional pattern. This study discusses the differences in stomatal traits between wild and commercial coffee species and aspects related to possible alterations of stomatal structures during their adaptation to climate change. Additionally, it points to accessions with potential use in genetic breeding programs to increase stomatal function and the possible adaptation of new cultivars. Full article

Objectives: Latinx Americans represent the largest ethnic minority group (nearly 19% of the U.S. population). Their behavioral health has received increasing attention as they exhibit elevated prevalence rates of anxiety (ANX), depression (DEP), and substance use disorders (SUDs). The National Latino and Asian American Study (NLAAS) is the first national population-based mental health study of Latinx Americans and is the most comprehensive resource for understanding their behavioral health. This systematic review aims to synthesize peer-reviewed publications using the NLAAS dataset to identify psychosocial determinants of the three key outcomes. Method: We followed PRISMA to search for English peer-reviewed articles published in EBSCO, Embase, PsycINFO, Web of Science, and PubMed. Inclusion criteria were as follows: (1) Latinx in the NLAAS database; (2) ANX, DEP, or SUD; (3) risk or protective factors; and (4) peer-reviewed publications in English. Search terms such as Latino, Latina, anxiety, depressive symptoms, substance abuse, and NLAAS were used to search for relevant articles. Two authors screened the articles independently and extracted data from each study. Results: Thirty-two studies published between 2007 and 2024 were included in our final review. Among them, 12 studies investigated ANX, and 17 studies examined DEP and SUD, respectively. Sixteen studies assessed protective factors. Thirteen articles assessed multiple key outcomes. All risk factors were grouped into three categories: Trauma and negative relationships (e.g., childhood maltreatment, negative family relationship, traumatic life experience), acculturation- and immigration-related factors (e.g., nativity, acculturation experience, English proficiency, discrimination), and sociodemographic and social participation factors (e.g., gender, education, income level). Protective factors such as family cohesion, religious activity, gender, and education were also identified. Conclusion: This first systematic review provided comprehensive NLAAS findings on multifaceted cultural, social, and intrapersonal factors that were either negatively or positively associated with three behavioral health outcomes within the U.S. Latinx population. Potential mechanisms by which risk and protective factors influence their mental health, as well as limitations of this review, were discussed. Findings of this review can inform culturally responsive prevention strategies and interventions to reduce behavioral health disparities and to improve mental health outcomes among Latinx Americans. Full article

Objective: This study aimed to examine the associations between malnutrition and circulating blood markers in older adults. Methods: We conducted a prospective cohort study on octogenarians residing in the mountain community of the Sirente geographic area in Central Italy. Data collection was conducted from December 2023 to September 2024. Malnutrition was defined based on the Global Leadership Initiative on Malnutrition (GLIM) criteria. A panel of blood markers was examined, and principal component analysis (PCA) was used to identify clusters of related molecules. Both unadjusted and adjusted binary logistic regression models were applied to investigate the associations between malnutrition and these molecular clusters. Results: Data from 196 older adults (mean age: 86.2 years) were analyzed. Malnutrition was positively associated with PC 2 (i.e., urea, c-terminal agrin fragment, and potassium) (odds ratio [OR] = 1.647, p-value: 0.039) and negatively associated with PC 3 (i.e., hemoglobin, hematocrit, and red blood cell count) (OR = 0.567, p-value: 0.022) and PC 4 (i.e., calcium, albumin, total protein levels, and HDL cholesterol) (OR = 0.607, p-value: 0.035). Conclusions: Findings of the present study suggest that different clusters of blood markers are associated with malnutrition in older adults. Specifically, malnutrition is associated with clusters related to kidney function, anemia, neuromuscular function, and nutrient availability. These associations likely reflect the underlying biological mechanisms contributing to the development of malnutrition in this population. Full article

Steatotic liver diseases are increasing globally, with metabolic dysfunction-associated steatohepatitis potentially causing irreversible fibrosis progression. This study focuses on an ultrasonic diagnostic method for steatotic liver disease based on temperature dependence of sound velocity for tissue characterization. Since the temperature coefficient of sound velocity in liver is expected to decrease with increasing lipid accumulation, the temperature coefficient of sound velocity in tissue-mimicking material as a function of glycerol concentration was measured. It decreased as glycerol concentration increased, changing from positive to negative value at 37.5% glycerol concentration. Change rates in sound velocity by ultrasonic heating were then measured in vitro on liver left lobes of mice with steatotic liver induced by choline-deficient, L-amino acid-defined, and high-fat diet. There were positive values in the control group, whereas there were negative values in the steatotic liver group. In vivo measurements of mouse livers using an electrocardiogram-synchronized system showed similar results, with positive values in the control group and negative values in the steatotic liver group. Thermophysical properties can determine whether the liver is normal or steatotic. However, to estimate the lipid accumulation rate from the change rate in sound velocity, it is necessary to reduce the measurement variation. Full article

Although trauma exposure (TE) has been shown to be a robust predictor of youth involvement in the juvenile justice system, evidence regarding the role of TE amongst youth who recidivate has been more mixed. Recidivist youth are a population of particular concern, given evidence of declining mental health and diminished likelihood of returning to an adaptive developmental course. One way in which TE may contribute to these negative outcomes over time is through potentiating or “driving” mental health problems, which are especially prevalent among trauma-exposed youth in the justice system. To examine this hypothesis, longitudinal data were obtained over a 10-year period from a sample of 5615 juvenile justice-involved youth (1499 girls and 4116 boys) who completed a mental health screening at each admission to detention. Results of analyses assessing the associations among trauma exposure, linear and quadratic time, and mental health problems were consistent with the hypothesis that increases in TE were associated with increasing anger/irritability, depression/anxiety, somatic complaints, and suicidal ideation across repeat admissions. With the exception of alcohol/drug use, all mental health outcomes followed a quadratic trajectory over the course of multiple admissions. Rates of mental health problems were consistently highest for girls and White youth across all waves. These results add to our understanding of the role of trauma in mental health problems among persistent offenders and may help to inform interventions designed to reduce youth contact with the potentially iatrogenic effects of justice system involvement. Full article

In the context of sustainable banking, this study examines the relationships between customers’ perceptions of corporate social responsibility (CSR), their evaluations of a bank’s financial performance, and the positive and negative emotions they associate with a bank, underscoring the importance of managing customer psychology. The dataset consists of 426 completed questionnaires collected from private bank customers in Ankara, the capital of Turkey. SPSS 24.0 was used for data entry, and SPSS and AMOS 24.0 were employed for statistical analyses. The analytical procedures included preliminary analyses, confirmatory factor analysis, Harman’s single-factor test, common latent factor analysis, internal consistency, composite reliability, convergent and discriminant validity, Pearson correlation analysis, structural equation modeling, the Sobel test, and a bootstrap method with 5000 resamples. The findings indicate that customers’ perceptions of CSR have a significant and positive direct effect on their perceptions of a bank’s financial performance. In turn, perceived financial performance positively influences customers’ positive emotions and negatively influences their negative emotions. Moreover, perceptions of CSR affect emotional responses both directly and indirectly through perceived financial performance, enhancing positive emotions and reducing negative ones. In conclusion, within the proposed model, perceived financial performance functions as a partial mediating variable between CSR perceptions and customer emotions. These findings advance CSR scholarship by mapping its financial and emotional impact pathways in banking, yielding strategic insights for practitioners. Full article