Search Results (270,826)

Background: Hypothyroidism is one of the most common endocrine conditions during pregnancy and has been associated with poor obstetric and perinatal outcomes. There is still a lack of data from Middle Eastern populations, despite its clinical significance. This study aimed to evaluate thyroid management patterns during pregnancy and examine the association between thyroid function control and maternal and perinatal outcomes in women with hypothyroidism at a tertiary care center in Qatar. Methods: A retrospective cohort study including 379 pregnant women with hypothyroidism diagnosed between January 2019 and November 2022 was conducted at Sidra Medicine in Doha, Qatar. Based on trimester-specific Thyroid-stimulating hormone (TSH )reference values, participants were categorized as having adequately or inadequately controlled thyroid function. Data on obstetrics, biochemistry, and demographics were taken from electronic medical records (EMR). Statistical analyses were performed using chi-square tests for categorical variables and t-tests for continuous variables, with a significance threshold of p < 0.05. Results: Participants had a mean Body Mass Index (BMI) of 30.33 ± 6.14 kg/m² and an average age of 32.65 ± 4.99 years; 54% of them were Qataris. Of the patients, 58.5% had positive thyroid antibodies and 55.7% had pre-gestational hypothyroidism. Women with pre-gestational hypothyroidism required significantly higher levothyroxine doses compared with those with gestational hypothyroidism (93.2 ± 47.5 mcg/day vs. 67.6 ± 30.1 mcg/day; p < 0.001). Treatment adjustment was demonstrated by the improvement in TSH normalization from 51.3% in the first trimester to 64.2% in the third trimester (p = 0.041). No significant associations were observed with pre-eclampsia, preterm delivery, hypertension, or placental abruption. However, women with normal third-trimester TSH had a higher prevalence of gestational diabetes mellitus (GDM) compared with those with elevated TSH (51.6% vs. 36.8%; p = 0.013). Conclusions: Appropriate trimester-specific monitoring and timely levothyroxine titration was associated with improved biochemical control without adverse maternal outcomes. Greater levothyroxine requirements in women with pre-gestational hypothyroidism emphasize the importance of early intervention. These findings highlight the potential benefit of structured thyroid monitoring and multidisciplinary care approaches in pregnancy and may help inform future regional clinical practice guidelines. Full article

The 3-nitropropionic acid (NPA) promotes neurological alterations in the striatum, hippocampus and vicinal motor and pre-motor cortical areas, and in the cerebellum. The neurological alterations induced by systemic NPA administration resemble those found in Huntington’s disease. In previous works, we have shown that intraperitoneal (i.p.) administration of kaempferol can efficiently protect against striatum degeneration and against motor neurological dysfunctions induced by NPA. In this work, we show that i.p. administration of kaempferol also protects against the increase in pro-inflammatory cytokines that potentiate the activation of complement C3 protein (a biomarker of A1-type reactive astrocytes generation) and overproduction of neurotoxic amyloid β (Aβ) peptides in the cerebellum of rats treated with acute i.p. administration of NPA. In NPA-treated rats, large multipolar neurons of cerebellar nuclei and Purkinje neurons of the cerebellar cortex are the cells that are most intensely stained by anti-C3 and by anti-Aβ antibodies. In addition, we found that kaempferol also protects against the NPA-induced increase in phospho-tau 217 and phospho-tau 181 in the cerebellum, and our results pointed out that the NPA-induced phospho-tau 217 colocalizes with Aβ(1-42) more closely than phospho-tau 181, both in dentate nucleus and cerebellar cortex. Also, our results unveil another novel brain-protective action of i.p. kaempferol co-administration: namely, its ability to prevent microhemorrhages induced in the cerebellar nuclei area by acute NPA administration. In conclusion, the results of this work show a potent protection of kaempferol against the NPA-induced increase in degeneration biomarkers in the cerebellum. Full article

Background: Serous cystic neoplasm (SCN) is a common benign pancreatic lesion frequently encountered in practice. However, diagnostic confirmation by Endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) is often limited by inadequate tissue acquisition. Fine-needle biopsy (FNB) has been increasingly performed. We aimed to compare the diagnostic yield of SCN using FNB and FNA needles and to identify factors associated with successful diagnosis. Methods: We retrospectively analyzed 77 patients with pancreatic lesions suspected to be SCN who underwent either EUS-FNB (n = 47 procedures) or EUS-FNA (n = 50 procedures). The primary outcome was diagnostic yield. Secondary outcomes included predictors of diagnostic yield, which were evaluated using univariate and multivariate logistic regression analyses. Receiver operating characteristic (ROC) analyses were performed to identify the optimal biopsy strategy. Results: Diagnostic yield was significantly higher with EUS-FNB than with EUS-FNA (44.68% vs. 14.00%; OR 4.96, 95% CI 1.85–13.28, p < 0.01). From univariate and multivariate analysis, larger cyst size, use of the Franseen FNB needle, and a higher number of needle passes were independent factors associated with diagnostic yield. ROC analysis showed modest discrimination for cyst size (AUC 0.69), with an optimal cutoff of ≥17 mm (sensitivity 87.50%, specificity 41.51%). Conclusions: EUS-FNB provided superior diagnostic yield compared with EUS-FNA for pancreatic SCN. Lesion size, use of a Franseen needle, and the number of needle passes are key factors associated with successful tissue diagnosis. Full article

This study investigated the bioactive properties of fractions derived from Rhynchosia nulubilis cultivated with Ganoderma lucidum mycelium (RNGM), focusing on cytotoxic and apoptosis-related responses in cancer cells. Fractions obtained using n-hexane, chloroform, ethyl acetate, and water were evaluated for cytotoxic effects against A549, Hep3B, HeLa, and HeLa229 cells using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. The phenolic acid composition of each fraction was determined by high-performance liquid chromatography (HPLC). Among the fractions, the ethyl acetate fraction showed the highest total phenolic acid content and exhibited the strongest cytotoxic activity, particularly against HeLa cells. Apoptosis induction was supported by increased caspase-3/7 activity, apoptotic nuclear morphology observed by 4′,6-diamidino-2-phenylindole (DAPI) staining, and accumulation of cells in the sub-G1 phase. In addition, treatment with the ethyl acetate fraction upregulated p53 and Bax mRNA expression and increased the Bax/Bcl-2 ratio. These findings suggest that the ethyl acetate fraction of RNGM induces apoptosis-mediated growth inhibition in cervical cancer cells. Full article

Background/Objectives: Radiolabeled bevacizumab-based immuno-PET tracers enable a non-invasive quantification of VEGF-A expression in gynecologic malignancies. While the previously reported [⁵²Mn]Mn-DOTAGA-bevacizumab demonstrated selective VEGF-A-targeted uptake in a KB-3-1 cervix carcinoma mouse model, further improvements in chelator stability and tumor-to-background contrast remain desirable. The recently developed BPPA chelator exhibits exceptionally high Mn(II) complex stability and favorable radiolabeling characteristics. This study aimed to characterize the in vivo biodistribution of [⁵²Mn]Mn-BPPA-bevacizumab, and to compare the tumor-to-background ratios of [⁵²Mn]Mn-BPPA-bevacizumab with the previously published values of [⁵²Mn]Mn-DOTAGA-bevacizumab in VEGF-A-expressing cervix carcinoma. Methods: Female KB-3-1 tumor-bearing CB17 SCID mice underwent PET/MRI imaging following intravenous administration of [⁵²Mn]Mn-BPPA-bevacizumab. SUV_mean values were measured in various organs and in the subcutaneously injected tumor, and tumor-to-organ ratios were calculated at various time points up to 10 days post-injection. Results: [⁵²Mn]Mn-BPPA-bevacizumab demonstrated sustained tumor uptake, with tumor SUVmean values increasing from approximately 1.0 at 4 h to peak values of approximately 2.4–2.5 at 72 h post-injection. Tumor-to-background ratios increased progressively over time and were significantly higher for [⁵²Mn]Mn-BPPA-bevacizumab compared with previously reported [52Mn]Mn-DOTAGA-bevacizumab, particularly for tumor-to-blood, tumor-to-liver and tumor-to-lung ratios at later imaging time points (p < 0.0001). Conclusions: The novel [⁵²Mn]Mn-BPPA-bevacizumab tracer exhibits satisfactory in vitro and in vivo stability for PET imaging, high VEGF-A-specific tumor uptake, and markedly improved tumor-to-background ratios compared to the previously published DOTAGA-based probe. These results position [⁵²Mn]Mn-BPPA-bevacizumab as a highly promising next-generation immuno-PET agent for imaging VEGF-A-expressing gynecologic malignancies and for guiding anti-angiogenic therapies. Full article

Electromyographic (EMG) signals encode complex spatiotemporal dynamics reflecting neuromuscular coordination and pharmacological modulation. This study introduces a unified Hankel–topological framework for reconstructing and analyzing long-duration EMG recordings acquired from pigs under pharmacological influence, and for quantifying their bioelectrical organization. The method couples low-rank Hankel representations—capturing temporal redundancy and smoothness—with topological continuity constraints that stabilize activity packets defined by 5 s silence intervals. Six pigs were recorded across four experimental sessions (24 h each; four channels), and envelope reconstruction was performed using an ADMM-based solver. Quantitative analysis revealed consistent post-drug reductions in the packet rate ($-24.9\%$), the mean duration ($-2.3$ s), the amplitude ($-0.16$ a.u.), the effective Hankel rank ($-3.0$), and topological diversity ($\Delta {\beta }_0=-1.2$; all $p<0.01$). Deeper channels exhibited stronger suppression (interaction $p<0.02$), suggesting depth-dependent neuromuscular effects. The proposed framework unifies dynamical, statistical, and topological perspectives on EMG structure and yields interpretable biomarkers of neuromuscular inhibition and recovery. More broadly, it provides a generalizable signal processing methodology for analyzing structured, noisy physiological time series beyond EMG. Full article

This study was conducted in the Xinjiang region, China, along the Sino-Kazakh border, an area recognized as high-risk for locust outbreaks and characterized by ongoing shifts in dominant pest species. This study systematically examined the structural characteristics of locust communities across different grassland types and identified the underlying environmental driving mechanisms. Field surveys were conducted to assess the diversity characteristics, density variations, and niche width of the locust communities across the different grassland types. The locust community in the mountain meadows had a significantly lower Shannon diversity index compared with the other grassland types (p < 0.05). Although the Simpson dominance index and Pielou evenness index were also the lowest in the mountain meadows, these differences were not statistically significant (p > 0.05). Permutational multivariate analysis of variance (PermANOVA) revealed highly significant differences in locust density among the grassland types (p = 0.001). Ecological niche analysis revealed stronger interspecific competition in the lowland meadow, and weaker competition in the temperate steppe-enriched deserts and temperate desert grasslands. Structural equation modeling and random forest analysis identified soil organic, plant total potassium, and soil pH as the key factors driving locust community structure across grassland types. This study clarifies the diversity patterns of locust communities in the Xinjiang region along the Sino-Kazakh border and provides empirical data to better understand locust community structure and distribution. It also offers a scientific basis for developing sustainable locust management strategies. Full article

Candida albicans (C. albicans) is an opportunistic fungal pathogen and a major cause of nosocomial infections, especially in immunocompromised patients. Conventional diagnostic approaches such as blood culture and biochemical assays are accurate but require multi-step sample processing and prolonged turnaround times, limiting their applicability for rapid clinical screening. In the present study, we developed an electrochemical biosensor based on molecularly imprinted polymer (MIP) technology for the rapid and selective detection of intact C. albicans cells. The MIP layer was electropolymerized onto a screen-printed carbon electrode (SPCE), forming selective recognition cavities complementary to the fungal morphology. Electrochemical characterization and detection were performed using cyclic voltammetry in phosphate-buffered saline (PBS). The system demonstrated a wide linear detection range, enabling reliable quantification of C. albicans across concentrations spanning from 1 to 10⁴ CFU/mL and achieved an ultralow limit of detection (LOD) of 1.30 CFU/mL, demonstrating high sensitivity. High selectivity was confirmed against E. coli, S. aureus, and P. aeruginosa, demonstrating that the imprinted cavities effectively distinguish fungal cells from bacterial contaminants. These findings highlight the promise of MIP-based electrochemical biosensors as a simple, low-cost, and portable alternative for early fungal diagnostics. Full article

The long-term accumulation of phosphogypsum (PG) stacks has caused combined pollution of total phosphorus (TP), fluoride (F⁻), metals and metalloids (MMs), posing a severe threat to regional ecological security. To clarify the migration characteristics of pollutants in PG stacks, water leaching experiments and environmental risk assessment were conducted in 21 typical PG stacks in Southwest China. The spatial differentiation and vertical migration characteristics of pollutants under various coverage measures (high-density polyethylene (HDPE) film covering, soil covering, a composite of film–soil covering, and open-air storage) at different pH conditions were systematically analyzed. Results indicated that under open-air stockpiling conditions, the surface accumulation of TP and F⁻ was the most significant among all covering measures, corresponding to the highest environmental risk. In contrast, the membrane–soil composite covering exhibited the optimal inhibitory effect on the surface diffusion of TP and F⁻, but was less effective for metal and metalloid enrichment. Under acidic conditions (pH < 6), the vertical migration capacity of TP, F⁻, and MMs (Cu, Cd, Cr, Pb, and Zn) increased, leading to enrichment in the deep layers of the stack. With the increase in pH, the calcium-mediated precipitation–adsorption effect created a “geochemical barrier”, facilitating the solid-phase fixation of pollutants. A significant positive correlation among pollutants indicates synergistic release and fixation behaviors. In addition, a pH-controlled P-F-MM source-to-sink conceptual model was established, outlining the dissolution, precipitation, adsorption, fixation and re-enrichment pathway from fresh stock to leachate. This work provides insights for optimizing cover designs and pollution control strategies. Full article

Background/Objectives: Rotator cuff repair (RCR) is a common orthopedic procedure, with healing outcomes strongly influenced by patient-specific factors such as tissue quality, tear characteristics, and biological healing potential. Bioinductive collagen implants have shown great results in enhancing tendon healing and reducing retear rate. This study aimed to evaluate the clinical and imaging outcomes of RCR augmented with a xeno-derived collagen membrane over 24 months and to assess complications or implant failures. Methods: Patients underwent arthroscopic RCR using anchors (single or double-row) with additional xeno-derived matrix augmentation. The study included patients older than 40 years with full-thickness supraspinatus and/or infraspinatus tendon tears (DeOrio–Cofield grade 3–4) who were candidates for arthroscopic rotator cuff repair and provided informed consent. Clinical outcomes were assessed using the Constant–Murley Score (CMS), Disabilities of the Arm, Shoulder and Hand score (DASH), and Visual Analogue Score (VAS) at baseline, 3, 6, 12, and 24 months. MRI was performed preoperatively and at 24 months to assess tendon thickness. Results: All scores improved significantly. CMS increased from 16.3 ± 4.1 to 82.9 ± 5.8, VAS decreased from 7.8 ± 1.0 to 1.5 ± 0.8, and DASH improved from 70.3 ± 6.4 to 12.4 ± 4.5 (p < 0.05). Tendon thickness in the supraspinatus (T3) increased from 4.2 ± 0.9 mm to 6.8 ± 1.2 mm (p < 0.05). Retear rate was 7.55%, with no major complications. Conclusions: The bioinductive collagen implant showed notable results in improving tendon thickness, healing, and excellent clinical outcomes in RCR, without membrane-related complications. The study was designed as a prospective single-arm case series without a control group and that was the main limitation; The absence of adverse reactions in this cohort further supports the favorable safety profile of this implant in the present study population. Full article

Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease characterized by painful nodules, abscesses, and sinus tracts in apocrine gland-rich areas, leading to significant impairment in patients’ quality of life (QoL). Persistent symptoms affect physical functioning, psychological well-being, social interactions, and intimate relationships. Therefore, validated disease-specific instruments are essential for accurate QoL assessment in different populations. Objective: The aim of this study was to validate the Serbian version of the Hidradenitis Suppurativa Quality of Life Questionnaire (HSQoL-24). Methods: The validation process followed established methodological guidelines for psychometric evaluation. The Serbian HSQoL-24 version demonstrated satisfactory psychometric properties. Internal consistency was excellent, with a Cronbach α of 0.907. Test–retest reliability was confirmed using an intraclass correlation coefficient (ICC) of 0.986 for the total score, demonstrating satisfactory reproducibility over time. A strong positive correlation was observed between the HSQoL-24 and Dermatology Life Quality Index (DLQI) total scores (Spearman’s ρ = 0.806, p < 0.001), confirming good convergent validity, particularly in domains related to symptoms and feelings, occupational or educational functioning, and interpersonal relationships. Moreover, total HSQoL-24 scores increased significantly with disease severity, indicating the questionnaire’s ability to discriminate between patients with different Hurley stages and confirming its discriminant validity. Conclusions: The Serbian version of the HSQoL-24 questionnaire exhibits appropriate internal consistency, test–retest reliability, and convergent and discriminant validity. These results support its use as a reliable and valid disease-specific instrument for assessing QoL in Serbian-speaking patients with HS in both clinical practice and research settings. Full article

We introduce the one-parameter bounded p-exponential distribution on $(0,p+1)$, which includes the uniform model as a special case and converges pointwise to the exponential law as $p\to \infty$. Closed-form expressions are derived for the CDF and PDF, the survival function, an explicit increasing-failure-rate hazard function, the quantile function (enabling inversion-based simulation), moments, and entropy, along with a constructive scaled beta or Kumaraswamy representation. We also establish stochastic ordering with respect to p in stop-loss and increasing convex order, formalizing how dispersion varies with the parameter while preserving the mean scale. Inference is discussed under parameter-dependent support, a non-regular setting, and we develop and compare several estimation procedures, including a likelihood-based boundary MLE, a variance-matching method-of-moments estimator, and Bayesian estimation under a gamma prior implemented via numerical quadrature or MCMC. Monte Carlo simulation studies evaluate finite-sample performance and interval behavior, and two real-world applications in survival and reliability analysis illustrate competitive goodness-of-fit relative to standard benchmark models. Full article

Ionizing radiation (IR) causes severe vascular damage, yet the dynamic functional states and regulatory mechanisms of vascular endothelial cells (VECs) after irradiation remain poorly understood. To elucidate the underlying processes, we analyzed single-cell RNA sequencing data from mouse dorsal skin collected at multiple post-irradiation (p.i.) time points using trajectory inference, pathway enrichment, transcription factor activity inference, and cell–cell communication analyses. Our results showed that VECs exhibited marked temporal dynamics after irradiation, transitioning from early-stage stress responses to middle-stage angiogenic remodeling and late-stage restoration of homeostasis. A transient Gpihbp1⁺ capillary endothelial subpopulation (capVEC2) emerged predominantly during the middle stage (2–3 days p.i.) and was enriched for angiogenesis- and migration-related programs. Enhanced Sp1 regulatory activity was associated with its pro-angiogenic phenotype. At 2 days p.i., capVEC2 engaged in pro-angiogenic and pro-repair signaling with keratinocytes, whereas by 3 days p.i. these interactions shifted toward immune surveillance and tissue homeostasis, accompanied by increased pro-inflammatory and pro-apoptotic signaling and a decline in capVEC2 abundance. Collectively, our findings identify a radiation-induced, transient functional endothelial subpopulation that is associated with vascular–epidermal communication during skin repair post irradiation. Full article

Background: Red blood cell distribution width (RDW) is an accessible prognostic biomarker in cardiovascular disease, but its independent association with clinical outcomes in patients with acute myocardial infarction (AMI) undergoing percutaneous coronary intervention (PCI) remains incompletely characterized, particularly regarding its prognostic value independent of anemia status. Methods: Using the TriNetX US Collaborative Network (70 healthcare organizations; >105 million patients), we identified 84,811 adult AMI patients who underwent PCI between January 2019 and December 2023 and had RDW measured on the index date. Patients were stratified by RDW ≥ 13.5% (high) versus <13.5% (low) and matched 1:1 using propensity scores based on 38 baseline characteristics. The primary outcome was 1-year all-cause mortality, assessed using a 30-day landmark approach. Secondary outcomes included major adverse cardiovascular events (MACE), heart failure, cardiogenic shock, recurrent AMI, cerebrovascular accident, ventricular tachycardia/fibrillation, and cardiac arrhythmia. Results: After matching (32,010 pairs), high RDW was significantly associated with increased 1-year all-cause mortality (HR 1.77, 95% CI 1.62–1.93, p < 0.001). High RDW was also associated with greater risks of MACE (HR 1.12), heart failure (HR 1.24), cardiogenic shock (HR 1.26), recurrent AMI (HR 1.11), cerebrovascular accident (HR 1.16), and cardiac arrhythmia (HR 1.14; all p < 0.01). Findings remained consistent across serial sensitivity analyses and subgroup analyses. Among non-anemic patients, high RDW remained strongly associated with mortality (HR 1.67, 95% CI 1.50–1.85, p < 0.001). Conclusions: Elevated RDW at the time of AMI is independently associated with mortality and adverse cardiovascular outcomes after PCI, including among non-anemic patients. RDW may serve as a readily available tool to support early risk stratification in this population. Full article

Background: Ultimate Frisbee (UF) is an intermittent team sport with distinct positional roles (cutters and handlers), yet evidence integrating anthropometric, body composition, and physical performance profiles by playing position remains limited. This study aimed to examine positional differences in these variables among male UF players. Methods: Forty male players (age: 25.13 ± 3.76 years; 7.0 ± 2.5 years of training experience) participated in this cross-sectional design, including 20 cutters and 20 handlers. Anthropometry, body composition, and dynamic balance variables were analyzed using independent-samples t-tests or Mann–Whitney U tests, as appropriate. Positional differences in somatotype and physical performance were analyzed using a one-way multivariate analysis of variance (MANOVA). Results: No positional differences were observed in general anthropometric variables (p > 0.05). However, handlers exhibited higher body fat percentage (14.32 ± 2.37 vs. 11.95 ± 2.45; p = 0.028), fat mass (11.08 ± 2.51 vs. 8.95 ± 2.67 kg; p = 0.049), and endomorphy (4.15 ± 1.22 vs. 2.99 ± 1.30; p = 0.002) than cutters. In contrast, cutters demonstrated higher speed (20 m sprint: 3.11 ± 0.17 vs. 3.21 ± 0.15 s; p < 0.05), agility (10.16 ± 0.69 vs. 10.69 ± 0.61 s; p < 0.05), and vertical jump performance (Counter Movement Jump: 40.93 ± 6.54 vs. 36.38 ± 4.71 cm; p < 0.05; Abalakov: 46.39 ± 7.88 vs. 40.20 ± 4.68 cm; p < 0.01). No differences were found in intermittent endurance (Yo-Yo Intermitent Recovery Test1): 982 ± 354 vs. 940 ± 348 m), upper-limb power, or dynamic balance. Conclusions: These findings indicate that playing position in UF is characterized by distinct body composition and lower-limb neuromuscular performance profiles, whereas intermittent endurance, upper-limb power, and balance represent shared physical requirements across positions. Full article