Search Results (37,094)

Background/Objectives: Nowadays, intravascular lithotripsy (IVL) has emerged as a novel technique for treatment of vascular calcifications, first in coronary and then in peripheral arteries. In the current literature there is little evidence that describes IVL as an effective and safe solution in treating severe aortic and aorto-iliac calcifications. The aim of this study is to report current available data about the use of IVL in treating aortic and aorto-iliac calcified lesions and its application in facilitating other endovascular procedures. Methods: the present review was conducted and reported in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) Guidelines. Preliminary searches were conducted on MEDLINE and Pubmed from January 2015 to February 2025. Studies were divided into 3 main categories depending on the location of calcifications and the type of treatment: IVL in visceral and infrarenal obstructive disease (group 1), IVL in aorto-iliac obstructive disease (group 2), IVL used to facilitate other endovascular procedures. Main primary outcomes in the perioperative period were technical and clinical successes and perioperative complications. Primary outcomes at 30 days and mid-term (2 years) were overall survival, limb salvage rate, primary patency, primary assisted patency, secondary patency, and residual stenosis. Results: Sixteen studies were identified for a total of 1674 patients. Technical and clinical successes were 100%, with low rates of perioperative complications. Dissection rate reaches up to 16.1% in some studies, without any differences compared to plain old balloon angioplasty (POBA) alone (22.8%; p = 0.47). At 30 days, limb salvage and survival rates were 100%. At 2 years, primary patency, assisted primary patency, and secondary patency were 95%, 98%, and 100%, respectively, with no difference compared to IVL + stenting. Conclusions: IVL has emerged as a novel approach to treat severe calcified lesions in visceral and aorto-iliac atherosclerotic disease and to facilitate other endovascular procedures. This technique seems to offer satisfactory early and mid-term outcomes in terms of primary, primary assisted patency, and secondary patency with low complication rates. Full article

Background: Current food systems contribute significantly to poor public health and environmental degradation. With increasing rates of chronic disease and undernutrition globally and in the United States of America (U.S.), transforming food systems toward sustainability is a critical public health priority. Objectives: This narrative review aimed to summarize U.S. policies from the past decade relevant to sustainable food systems, focusing on four domains—availability, accessibility, affordability, and desirability—proposed by the 22nd Annual Harvard Nutrition Obesity Symposium. Methods: Systematic searches were conducted using MEDLINE (PubMed), Scopus, U.S. Congress websites, and Google searches. Studies and policies published between 2013 and 2023 that addressed at least one of the four domains were included. Policies were reviewed according to their alignment with the policy lifecycle framework, encompassing formulation through implementation. Results: A review of the final 632 articles explained that, despite growing interest in sustainable food systems, there is a lack of comprehensive U.S. policies that address the four domains in an integrated manner. Most initiatives were limited in scope, often school-based, and not explicitly sustainability-focused. Food availability and accessibility policies exist but remain fragmented, while affordability and desirability domains are severely underrepresented. Few laws or bills have been enacted or evaluated for population-level or environmental outcomes. Conclusions: Transforming U.S. food systems requires more robust evidence-based policy development and evaluation. There is an urgent need for integrated multisectoral policy frameworks to ensure health, equity, and sustainability across all food system domains. Full article

As a typical grain base with a dense population and high-level urbanization, the North China Plain (NCP) faces a serious threat to its sustainable development due to water shortage. Surface water area (SWA) is a key indicator for continuously measuring the trends of regional water resources and assessing their current status. Therefore, a deep understanding of its changing patterns and driving forces is essential for achieving the sustainable management of water resources. In this study, we examined the interannual variability and trends of SWA in the NCP from 1990 to 2023 using annual 30 m water body maps generated from all available Landsat imagery, a robust water mapping algorithm, and the cloud computing platform Google Earth Engine (GEE). The results showed that the SWA in the NCP has significantly increased over the past three decades. The continuous emergence of artificial reservoirs and urban lakes, along with the booming aquaculture industry, are the main factors driving the growth of SWA. Consequently, the expansion of artificial water bodies resulted in a significant increase in water evaporation (0.16 km³/yr). Moreover, the proportion of water evaporation to regional evapotranspiration (ET) gradually increased (0–0.7%/yr), indicating that the contribution of water evaporation from artificial water bodies to ET is becoming increasingly prominent. Therefore, it can be concluded that the ever-expanding artificial water bodies have become a new hidden danger affecting the water security of the NCP through evaporative loss and deserve close attention. This study not only provides us with a new perspective for deeply understanding the current status of water resources security in the NCP but also provides a typical case with great reference value for the analysis of water resources changes in other similar regions. Full article

Willow stands (Salix spp.) are an essential part of riparian ecosystems, as they sustain biodiversity and provide bioenergy solutions. The present review synthesizes the global scientific literature about the management of willow stands. In order to achieve this goal, we used a dual approach combining bibliometric analysis with traditional literature review. As such, we consulted 416 publications published between 1978 and 2024. This allowed us to identify key species, ecosystem services, conservation strategies, and management issues. The results we have obtained show a diversity of approaches, with an increase in short-rotation coppice (SRC) systems and the multiple roles covered by willow stands (carbon sequestration, biomass production, riparian restoration, and habitat provision). The key trends we have identified show a shift toward topics such as climate resilience, ecological restoration, and precision forestry. This trend has become especially pronounced over the past decade (2014–2024), as reflected in the increasing use of these keywords in the literature. However, as willow systems expand in scale and function—from biomass production to ecological restoration—they also raise complex challenges, including invasive tendencies in non-native regions and uncertainties surrounding biodiversity impacts and soil carbon dynamics over the long term. The present review is a guide for forest policies and, more specifically, for future research, linking the need to integrate and use adaptive strategies in order to maintain the willow stands. Full article

As an important ecological barrier and animal husbandry resource base in arid and semi-arid areas, grassland degradation directly affects regional ecological security and sustainable development. Ili Prefecture is located in the western part of Xinjiang, China, and is a typical grassland resource-rich area. However, in recent years, driven by climate change and human activities, grassland degradation has become increasingly serious. In view of the lack of comprehensive evaluation indicators and the inconsistency of grassland evaluation grade standards in remote sensing monitoring of grassland resource degradation, this study takes the current situation of grassland degradation in Ili Prefecture in the past 20 years as the research object and constructs a comprehensive evaluation index system covering three criteria layers of vegetation characteristics, environmental characteristics, and utilization characteristics. Net primary productivity (NPP), vegetation coverage, temperature, precipitation, soil erosion modulus, and grazing intensity were selected as multi-source indicators. Combined with data sources such as remote sensing inversion, sample survey, meteorological data, and farmer survey, the factor weight coefficient was determined by analytic hierarchy process. The Grassland Degeneration Comprehensive Index (GDCI) model was constructed to carry out remote sensing monitoring and evaluation of grassland degradation in Yili Prefecture. With reference to the classification threshold of the national standard for grassland degradation, the GDCI grassland degradation evaluation grade threshold (GDCI reduction rate) was determined by the method of weighted average of coefficients: non-degradation (0–10%), mild degradation (10–20%), moderate degradation (20–37.66%) and severe degradation (more than 37.66%). According to the results, between 2000 and 2022, non-degraded grasslands in Ili Prefecture covered an area of 27,200 km², representing 90.19% of the total grassland area. Slight, moderate, and severe degradation accounted for 4.34%, 3.33%, and 2.15%, respectively. Moderately and severely degraded areas are primarily distributed in agro-pastoral transition zones and economically developed urban regions, respectively. The results revealed the spatial and temporal distribution characteristics of grassland degradation in Yili Prefecture and provided data basis and technical support for regional grassland resource management, degradation prevention and control and ecological restoration. Full article

Nuclear receptors are involved in multiple biological processes, among which RORγ can regulate the expression of inflammation-related genes and is thus frequently used as a therapeutic target for cancer. Canine mammary cancer is one of the most common tumor diseases in dogs, with a relative incidence rate of 46.71% for CMT in China over the past five years, severely threatening the life and health of dogs. Therefore, the search for novel drugs targeting canine mammary cancer is of great significance. This study aims to investigate how the RORγ inhibitors W6134 and XY018 affect the expression of inflammatory genes through histone modifications in CMT-N7 cells. These results show that W6134 and XY018 can upregulate signaling pathways related to inflammation and apoptosis and influence the expression of associated genes. The close link between RORγ and inflammation-related genes further confirms that RORγ may serve as a therapeutic target for canine cancer. Additionally, ChIP-qPCR was used to detect the enrichment of histone markers such as P300, H3K27ac, H3K4me1, H3K9la, and H3K9bhb at the target loci of CXCL10 and MECOM genes. Collectively, our findings provide molecular evidence for the protective role of RORγ in canine mammary cancer, potentially by regulating inflammatory pathways via histone modifications, offering new insights for improving the cure rate and survival of affected dogs. Full article

Conventional immunotherapy, including immune checkpoint blockade and chimeric antigen receptor (CAR)-T cells, has revolutionized cancer therapy over the past decade. Yet, the efficacy of these therapies is limited by tumor resistance, antigen escape mechanisms, poor persistence, and T-cell exhaustion, particularly in the treatment of solid tumors. The emergence of unconventional immunotherapies offers novel opportunities by leveraging diverse immune cell subsets and synthetic biologics. This review explores various immunotherapy platforms, including gamma delta T cells, invariant natural killer T cells, mucosal-associated invariant T cells, engineered regulatory T cells, and universal CAR platforms. Additionally, it expands on biologics, including bispecific and multispecific antibodies, cytokine fusions, agonists, and oncolytic viruses, showcasing their potential for modular engineering and off-the-shelf applicability. Distinct features of unconventional platforms include independence from the major histocompatibility complex (MHC), tissue-homing capabilities, stress ligand sensing, and the ability to bridge adaptive and innate immunity. Their compatibility with engineering approaches highlights their potential as scalable, efficient, and cost-effective therapies. To overcome translational challenges such as functional heterogeneity, immune exhaustion, tumor microenvironment-mediated suppression, and limited persistence, novel strategies will be discussed, including metabolic and epigenetic reprogramming, immune cloaking, gene editing, and the utilization of artificial intelligence for patient stratification. Ultimately, unconventional immunotherapies extend the therapeutic horizon of cancer immunotherapy by breaking barriers in solid tumor treatment and increasing accessibility. Continued investments in research for mechanistic insights and scalable manufacturing are key to unlocking their full clinical potential. Full article

Phosphogypsum, a byproduct of orthophosphoric acid production, is one of the large-tonnage wastes. Since phosphogypsum mainly consists of CaSO₄ 2H₂O, it can be considered as an alternative gypsum-bearing raw material in the production of gypsum binders. However, its features, such as particle morphology and the presence of impurities, can negatively affect the characteristics of phosphogypsum-based binders. Identification of these factors will allow us to develop methods for their minimization and increasing the efficiency of phosphogypsum use from the required source as a raw material for the production of phosphogypsum-based binders. In this regard, the manuscript contains a comprehensive and comparative analysis of phosphogypsum and natural gypsum, which makes it possible to establish their differences in chemical composition and structural and morphological features, which subsequently affect the properties of the phosphogypsum-based binder. It has been established that the key factor negatively affecting the strength of phosphogypsum-based paste (2.58 MPa) is its high water demand (0.89), which is due to the high values of the specific surface area of the particles and the presence of a large number of conglomerates with significant porosity in phosphogypsum. It has been suggested that preliminary grinding of phosphogypsum can help reduce the amount of water required to obtain fresh phosphogypsum-based paste with a standard consistency and improve its physical and mechanical properties. Full article

Background/Objectives: Pica, the compulsive ingestion of non-nutritive substances, has long been observed in patients with iron deficiency anemia (IDA). This behavior is particularly noted in adults, including pregnant women, and poses both diagnostic and management challenges. We conducted a review of studies from the past decade to evaluate the epidemiology and nature of pica in adult IDA patients and the outcome of various treatment strategies on anemia and pica behaviors. Methods: We searched PubMed, Scopus, and Cochrane Library for peer-reviewed articles (including observational studies, clinical trials, and reviews) published in English between 2015 and 2025. Inclusion criteria targeted studies of adult populations with IDA that reported on pica prevalence, characteristics, or treatment outcomes. We also reviewed clinical guidelines and meta-analyses on IDA treatment in adults for recommended management approaches. Results: Pica was found to be a prevalent symptom among individuals with IDA, but was readily treatable with appropriate iron deficiency treatment. Among treatment options, both oral and parenteral iron supplementation were found to be effective in resolving iron deficiency and pica. Choice of treatment depends on tolerance to oral iron, speed of resolution required, and comorbid conditions. Conclusions: Pica is closely intertwined with IDA; our review highlighted the prevalence of pica among individuals with IDA, which serves as both a clinical clue to underlying anemia and a potential source of complications. Crucially, the treatment of IDA is also effective for pica. We recommend oral iron therapy on alternate-day dosing as first-line therapy to minimize side effects, alongside dietary optimization. If IDA and pica are resistant to oral iron supplementation or oral iron cannot be tolerated, parenteral iron therapy can be considered. Full article

To ensure water source security and sustainability of the national major strategic project “South-to-North Water Diversion”, this study aims to evaluate the spatio-temporal evolution characteristics of the ecosystem service value (ESV) in its water source area from 2002 to 2022. This study reveals its changing trends and main influencing factors, and thereby provides scientific support for the ecological protection and management of the water source area. Quantitative assessment of the ESV of the region was carried out using the Equivalence Factor Method (EFM), aiming to provide scientific support for ecological protection and resource management decision-making. In the past 20 years, the ESV has shown an upward trend year by year, increasing by 96%. The regions with the highest ESV were Garzê Prefecture and Aba Prefecture, which increased by 130.3% and 60.6%, respectively. The ESV of Xinlong county, Danba county, Rangtang county, and Daofu county increased 4.8 times, 1.5 times, 12.5 times, and 8.9 times, respectively. In the last two decades, arable land has decreased by 91%, while the proportions of bare land and water have decreased by 84% and 91%, respectively. Grassland had the largest proportion. Forests and grasslands, vital for climate regulation, water cycle management, and biodiversity conservation, have expanded by 74% and 43%, respectively. It can be seen from Moran’s I index values that the dataset as a whole showed a slight positive spatial autocorrelation, which increased from −0.041396 to 0.046377. This study reveals the changing trends in ESV and the main influencing factors, and thereby provides scientific support for the ecological protection and management of the water source area. Full article

The high-proportion integration of renewable energy sources, represented by wind power and photovoltaics, into active distribution networks (ADNs) can effectively alleviate the pressure associated with advancing China’s dual-carbon goals. However, the high uncertainty in renewable energy output leads to increased system voltage fluctuations and localized voltage violations, posing safety challenges. Consequently, research on optimal dispatch for ADNs with a high penetration of renewable energy has become a current focal point. This paper provides a comprehensive review of research in this domain over the past decade. Initially, it analyzes the voltage impact patterns and control principles in distribution networks under varying levels of renewable energy penetration. Subsequently, it introduces optimization dispatch models for ADNs that focus on three key objectives: safety, economy, and low carbon emissions. Furthermore, addressing the challenge of solving non-convex and nonlinear models, the paper highlights model reformulation strategies such as semidefinite relaxation, second-order cone relaxation, and convex inner approximation methods, along with summarizing relevant intelligent solution algorithms. Additionally, in response to the high uncertainty of renewable energy output, it reviews stochastic optimization dispatch strategies for ADNs, encompassing single-stage, two-stage, and multi-stage approaches. Meanwhile, given the promising prospects of large-scale deep reinforcement learning models in the power sector, their applications in ADN optimization dispatch are also reviewed. Finally, the paper outlines potential future research directions for ADN optimization dispatch. Full article

Stomata, highly specialized structures that evolved on the aerial surfaces of plants, play a crucial role in regulating hydration, mitigating the effects of abiotic stress. Stomatal lineage development involves a series of coordinated events, such as initiation, stem cell proliferation, and cell fate determination, ultimately leading to the differentiation of guard cells. While core transcriptional regulators and signaling pathways controlling stomatal cell division and fate determination have been characterized over the past twenty years, the molecular mechanisms linking stomatal development to dynamic environmental cues remain poorly understood. Therefore, stomatal development is considered an active and compelling frontier in plant biology research. On the one hand, this review aims to provide an understanding of the molecular networks governing stomatal ontogenesis, which relies on the activation and function of the transcription factors SPEECHLESS (SPCH), MUTE, and FAMA; the EPF–TMM and ERECTA receptor systems; and downstream MAPK signaling. On the other hand, it synthesizes current discoveries of how hormonal signaling pathways regulate stomatal development in response to environmental changes. As the climate crisis intensifies, the understanding of the complex interplay between stress stimuli and key factors regulating stomatal development may reveal key mechanisms that enhance plant resilience under adverse environmental conditions. Full article

Background/Objectives: Growth prediction may be used by the clinical orthodontist in growing individuals for diagnostic purposes and for treatment planning. This process appraises chronological age and determines the degree of skeletal maturity to calculate residual growth. In developmental deviations, overlooking such diagnostic details might culminate in erroneous conclusions, unstable outcomes, recurrence, and treatment failure. The present review aims to systematically present and explain the available means for predicting growth in humans. Traditional, long-known, popular methods are discussed, and modern digital applications are described. Materials and methods: A search on PubMed and the gray literature up to May 2025 produced 69 eligible studies on future maxillofacial growth prediction without any orthodontic intervention. Results: Substantial variability exists in the studies on growth prediction. In young orthodontic patients, the study of the lateral cephalometric radiography and the subsequent calculation of planes and angles remain questionable for diagnosis and treatment planning. Skeletal age assessment is readily accomplished with X-rays of the cervical vertebrae and the hand–wrist region. Computer software is being implemented to improve the reliability of classic methodologies. Metal implants have been used in seminal growth studies. Biochemical methods and electromyography have been suggested for clinical prediction and for research purposes. Conclusions: In young patients, it would be of importance to reach conclusions on future growth with minimal distress to the individual and, also, reduced exposure to ionizing radiation. Nevertheless, the potential for comprehensive prediction is still largely lacking. It could be accomplished in the future by combining established methods with digital technology. Full article

The southern conifer Agathis australis (D.Don) Lindl. is a large and long-lived species endemic to Aotearoa New Zealand. It is threatened due to past logging activities, pathogen attack and potentially climate change, with increasing severity and frequency of drought and heatwaves across its distribution. Like many large tree species, little is known about the carbon dynamics of this ecologically and culturally significant species. We explored seasonal variations in non-structural carbohydrates (NSCs) and growth in trees ranging from 20 to 175 cm diameter at breast height (DBH). NSCs were seasonally stable with no measurable pattern across seasons. However, we found growth rates standardised to basal area and sapwood area (growth efficiency) declined with tree age and stem NSC concentrations (including total NSCs, sugars and starch) all increased as trees aged. Total NSC concentrations were 0.3%–0.6% dry mass for small trees and 0.8%–1.8% dry mass for larger trees, with strong relationships between DBH and total NSC, sugar and starch in stems but not roots. Cumulative growth efficiency across the two-year study period declined as tree size increased. Furthermore, there was an inverse relationship between growth efficiency across the two-year study period and NSC concentrations of stems. This relationship was driven by differences in carbon dynamics in trees of different sizes, with trees progressing to a more conservative carbon strategy as they aged. Simultaneously declining growth efficiency and increasing NSC concentrations as trees age could be evidence for active NSC accumulation to buffer against carbon starvation in larger trees. Our study provides new insights into changing carbon dynamics as trees age and may be evidence for active carbon accumulation in older trees. This may provide the key for understanding the role of carbon processes in tree longevity. Full article

The coastal developments in the Middle East put low priority on tsunami risk assessment due to the rare occurrence and absence of genuine tsunami track records on the coastline in the past. Tsunami-vulnerable coasts, including the east coast of the UAE, need to prepare for, and pay attention to, the impact of future tsunamis due to increased earthquake activity in the region. This study investigated the tsunami characteristics of the nearshore from hypothetical tsunami conditions by applications of numerical modeling and Artificial Neural Network (ANN) methods. The modeling results showed that the maximum tsunami depth at the shore was highest in Khor Fakkan and Mirbih for the given tsunami boundary conditions, while the tsunami withdrawal was greater on the southern bathymetry compared to that on the northern bathymetry when the tsunami period increased. ANN results confirmed that the still sea depth and seabed slope were more important than the tsunami period when predicting the maximum tsunami depth at the shore. Full article