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24 pages, 3629 KiB  
Article
Chlorography or Chlorotyping from the Decomposition of Chlorophyll and Natural Pigments in Leaves and Flowers as a Natural Alternative for Photographic Development
by Andrea D. Larrea Solórzano, Iván P. Álvarez Lizano, Pablo R. Morales Fiallos, Carolina E. Maldonado Cherrez and Carlos S. Suárez Naranjo
J. Zool. Bot. Gard. 2025, 6(3), 41; https://doi.org/10.3390/jzbg6030041 - 7 Aug 2025
Abstract
This study explores the use of chlorography as a natural photographic developing technique that utilizes the decomposition of chlorophyll and other plant pigments through the action of sunlight. The developed images corresponded to previous research on changes in the iconography of the indigenous [...] Read more.
This study explores the use of chlorography as a natural photographic developing technique that utilizes the decomposition of chlorophyll and other plant pigments through the action of sunlight. The developed images corresponded to previous research on changes in the iconography of the indigenous Salasaka people. In this context, this experimental project on natural photography is oriented toward the conservation of the ancestral knowledge of this community and the understanding of the native flora of Ecuador. We investigated the application of the contact image transfer technique with positive transparencies on leaves and flowers of 30 different species that grow in the Ecuadorian highlands, including leaves of vascular plants, as well as rose petals. The results showed that the clarity and contrast of chlorography depended on the plant species and exposure time. It was observed that fruit-bearing species produced more visible images than the leaves of other plants and rose petals, with species from the Passifloraceae family proving particularly effective. We interpreted these findings within the framework of plant photophysical mechanisms, proposing an inverse relationship between development efficiency and species’ non-photochemical quenching (NPQ) capacity. Furthermore, we interpreted the findings in relation to the photobleaching of pigments and compared chlorography with other natural photographic processes such as anthotypes. Key factors influencing the process were identified, such as the type of leaf, the intensity and duration of light, and the hydration of the plant material. It is concluded that chlorography is a viable, non-toxic, and environmentally friendly photographic alternative with potential applications in art, education, and research, although it presents challenges in terms of image permanence and reproducibility. Full article
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14 pages, 614 KiB  
Article
Development of Cut Scores for Feigning Spectrum Behavior on the Orebro Musculoskeletal Pain Screening Questionnaire and the Perceived Stress Scale: A Simulation Study
by John Edward McMahon, Ashley Craig and Ian Douglas Cameron
J. Clin. Med. 2025, 14(15), 5504; https://doi.org/10.3390/jcm14155504 - 5 Aug 2025
Abstract
Background/Objectives: Feigning spectrum behavior (FSB) is the exaggeration, fabrication, or false imputation of symptoms. It occurs in compensable injury with great cost to society by way of loss of productivity and excessive costs. The aim of this study is to identify feigning [...] Read more.
Background/Objectives: Feigning spectrum behavior (FSB) is the exaggeration, fabrication, or false imputation of symptoms. It occurs in compensable injury with great cost to society by way of loss of productivity and excessive costs. The aim of this study is to identify feigning by developing cut scores on the long and short forms (SF) of the Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ and OMPSQ-SF) and the Perceived Stress Scale (PSS and PSS-4). Methods: As part of pre-screening for a support program, 40 injured workers who had been certified unfit for work for more than 2 weeks were screened once with the OMPSQ and PSS by telephone by a mental health professional. A control sample comprised of 40 non-injured community members were screened by a mental health professional on four occasions under different aliases, twice responding genuinely and twice simulating an injury. Results: Differences between the workplace injured people and the community sample were compared using ANCOVA with age and gender as covariates, and then receiver operator characteristics (ROCs) were calculated. The OMPSQ and OMPSQ-SF discriminated (ρ < 0.001) between all conditions. All measures discriminated between the simulation condition and workplace injured people (ρ < 0.001). Intraclass correlation demonstrated the PSS, PSS-4, OMPSQ, and OMPSQ-SF were reliable (ρ < 0.001). Area Under the Curve (AUC) was 0.750 for OMPSQ and 0.835 for OMPSQ-SF for work-injured versus simulators. Conclusions: The measures discriminated between injured and non-injured people and non-injured people instructed to simulate injury. Non-injured simulators produced similar scores when they had multiple exposures to the test materials, showing the uniformity of feigning spectrum behavior on these measures. The OMPSQ-SF has adequate discriminant validity and sensitivity to feigning spectrum behavior, making it optimal for telephone screening in clinical practice. Full article
(This article belongs to the Section Clinical Rehabilitation)
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22 pages, 2376 KiB  
Review
Hypertension in People Exposed to Environmental Cadmium: Roles for 20-Hydroxyeicosatetraenoic Acid in the Kidney
by Soisungwan Satarug
J. Xenobiot. 2025, 15(4), 122; https://doi.org/10.3390/jox15040122 - 1 Aug 2025
Viewed by 301
Abstract
Chronic kidney disease (CKD) has now reached epidemic proportions in many parts of the world, primarily due to the high incidence of diabetes and hypertension. By 2040, CKD is predicted to be the fifth-leading cause of years of life lost. Developing strategies to [...] Read more.
Chronic kidney disease (CKD) has now reached epidemic proportions in many parts of the world, primarily due to the high incidence of diabetes and hypertension. By 2040, CKD is predicted to be the fifth-leading cause of years of life lost. Developing strategies to prevent CKD and to reduce its progression to kidney failure is thus of great public health significance. Hypertension is known to be both a cause and a consequence of kidney damage and an eminently modifiable risk factor. An increased risk of hypertension, especially among women, has been linked to chronic exposure to the ubiquitous food contaminant cadmium (Cd). The mechanism is unclear but is likely to involve its action on the proximal tubular cells (PTCs) of the kidney, where Cd accumulates. Here, it leads to chronic tubular injury and a sustained drop in the estimated glomerular filtration rate (eGFR), a common sequela of ischemic acute tubular necrosis and acute and chronic tubulointerstitial inflammation, all of which hinder glomerular filtration. The present review discusses exposure levels of Cd that have been associated with an increased risk of hypertension, albuminuria, and eGFR ≤ 60 mL/min/1.73 m2 (low eGFR) in environmentally exposed people. It highlights the potential role of 20-hydroxyeicosatetraenoic acid (20-HETE), the second messenger produced in the kidneys, as the contributing factor to gender-differentiated effects of Cd-induced hypertension. Use of GFR loss and albumin excretion in toxicological risk calculation, and derivation of Cd exposure limits, instead of β2-microglobulin (β2M) excretion at a rate of 300 µg/g creatinine, are recommended. Full article
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30 pages, 924 KiB  
Review
Wood-Based Panels and Volatile Organic Compounds (VOCs): An Overview on Production, Emission Sources and Analysis
by Fátima Daniela Gonçalves, Luísa Hora Carvalho, José António Rodrigues and Rui Miguel Ramos
Molecules 2025, 30(15), 3195; https://doi.org/10.3390/molecules30153195 - 30 Jul 2025
Viewed by 347
Abstract
The emission and presence of volatile organic compounds (VOCs) in the indoor air of houses and factories has been a growing topic of debate in the industry and related research fields. Given the extended times people in modern society spend indoors, monitoring VOCs [...] Read more.
The emission and presence of volatile organic compounds (VOCs) in the indoor air of houses and factories has been a growing topic of debate in the industry and related research fields. Given the extended times people in modern society spend indoors, monitoring VOCs is crucial due to the associated potential health hazards, with formaldehyde being particularly noteworthy. Wood and wood-based panels (WBPs) (the latter constituting a significant segment of the wood-transforming industry, being widely used in furniture, construction, and other applications) are known sources for the emission of VOCs to indoor air. In the case of the WBPs, the emission of VOCs depends on the type and species of wood, together with industrial processing and addition of additives. This review integrates perspectives on the production processes associated with WBPs, together with the evolving global regulations, and thoroughly examines VOC sources associated with WBPs, health risks from exposure, and current analytical methods utilized for VOC detection. It comprises an overview of the WBP industry, providing relevant definitions, descriptions of manufacturing processes and adhesive use, analysis of legal constraints, and explanations of VOC source identification and describing analysis techniques utilized for VOCs in WBPs. Full article
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29 pages, 6179 KiB  
Article
Assessing the Provision of Ecosystem Services Using Forest Site Classification as a Basis for the Forest Bioeconomy in the Czech Republic
by Kateřina Holušová and Otakar Holuša
Forests 2025, 16(8), 1242; https://doi.org/10.3390/f16081242 - 28 Jul 2025
Viewed by 232
Abstract
The ecosystem services (ESs) of forests are the benefits that people derive from forest ecosystems. Their precise recognition is important for differentiating and determining the optimal principles of multifunctional forest management. The aim of this study is to identify some important ESs based [...] Read more.
The ecosystem services (ESs) of forests are the benefits that people derive from forest ecosystems. Their precise recognition is important for differentiating and determining the optimal principles of multifunctional forest management. The aim of this study is to identify some important ESs based on a site classification system at the lowest level—i.e., forest stands, at the forest owner level—as a tool for differentiated management. ESs were assessed within the Czech Republic and are expressed in units in accordance with the very sophisticated Forest Site Classification System. (1) Biomass production: The vertical differentiation of ecological conditions given by vegetation tiers, which reflect the influence of altitude, exposure, and climate, provides a basic overview of biomass production; the highest value is in the fourth vegetation tier, i.e., the Fageta abietis community. Forest stands are able to reach a stock of up to 900–1200 m3·ha−1. The lowest production is found in the eighth vegetation tier, i.e., the Piceeta community, with a wood volume of 150–280 m3·ha−1. (2) Soil conservation function: Geological bedrock, soil characteristics, and the geomorphological shape of the terrain determine which habitats serve a soil conservation function according to forest type sets. (3) The hydricity of the site, depending on the soil type, determines the hydric-water protection function of forest stands. Currently, protective forests occupy 53,629 ha in the Czech Republic; however, two subcategories of protective forests—exceptionally unfavorable locations and natural alpine spruce communities below the forest line—potentially account for 87,578 ha and 15,277 ha, respectively. Forests with an increased soil protection function—a subcategory of special-purpose forests—occupy 133,699 ha. The potential area of soil protection forests could be up to 188,997 ha. Water resource protection zones of the first degree—another subcategory of special-purpose forests—occupy 8092 ha, and there is potentially 289,973 ha of forests serving a water protection function (specifically, a water management function) in the Czech Republic. A separate subcategory of water protection with a bank protection function accounts for 80,529 ha. A completely new approach is presented for practical use by forest owners: based on the characteristics of the habitat, they can obtain information about the fulfillment of the habitat’s ecosystem services and, thus, have basic information for the determination of forest categories and the principles of differentiated management. Full article
(This article belongs to the Section Forest Economics, Policy, and Social Science)
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23 pages, 276 KiB  
Article
The Relationship of Grandparents and LGBT (Lesbian, Gay, Bisexual, Transgender) Grandchildren, as Perceived by the Grandparents
by Ahuva Even-Zohar, Tal Abargel, Ofel Mualem and Almog Shaibi
Soc. Sci. 2025, 14(8), 468; https://doi.org/10.3390/socsci14080468 - 28 Jul 2025
Viewed by 454
Abstract
There has been a growing trend of young people coming out as Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ) in recent years. Research on the relationship between LGBTQ grandchildren and their grandparents is limited and primarily focuses on the grandchildren’s perspective. This pilot study [...] Read more.
There has been a growing trend of young people coming out as Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ) in recent years. Research on the relationship between LGBTQ grandchildren and their grandparents is limited and primarily focuses on the grandchildren’s perspective. This pilot study seeks to understand the relationship between grandparents and their LGBT grandchildren, from the grandparents’ perspective. Six Israeli grandparents were interviewed using a qualitative methodology, guided by a semi-structured interview protocol. Analysis of the interviews revealed three main themes: grandparents’ exposure to the grandchildren’s sexual orientation and their gender identity; the shattering of the grandparents’ dream and concern for the grandchild; and the relations between the grandparents and their LGBT grandchildren. The research findings in this pilot study indicate that the relations remained close and did not change following disclosure of the sexual orientation. However, some grandparents needed time to resume their regular relationship. The insights learned from the research findings regarding the process undergone by the grandparents upon discovering their grandchildren’s sexual orientation can help professionals treat and counsel family members, when necessary, how to bridge the gaps, and rebuild the relations between the grandparent and the grandchild, as these relations are important for the well-being of both. Full article
(This article belongs to the Section Family Studies)
25 pages, 3545 KiB  
Article
Combined Effects of PFAS, Social, and Behavioral Factors on Liver Health
by Akua Marfo and Emmanuel Obeng-Gyasi
Med. Sci. 2025, 13(3), 99; https://doi.org/10.3390/medsci13030099 - 28 Jul 2025
Viewed by 292
Abstract
Background: Environmental exposures, such as per- and polyfluoroalkyl substances (PFAS), in conjunction with social and behavioral factors, can significantly impact liver health. This research investigates the combined effects of PFAS (perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS), alcohol consumption, smoking, income, and education [...] Read more.
Background: Environmental exposures, such as per- and polyfluoroalkyl substances (PFAS), in conjunction with social and behavioral factors, can significantly impact liver health. This research investigates the combined effects of PFAS (perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS), alcohol consumption, smoking, income, and education on liver function among the U.S. population, utilizing data from the 2017–2018 National Health and Nutrition Examination Survey (NHANES). Methods: PFAS concentrations in blood samples were analyzed using online solid-phase extraction combined with liquid chromatography–tandem mass spectrometry (LC-MS/MS), a highly sensitive and specific method for detecting levels of PFAS. Liver function was evaluated using biomarkers such as alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), gamma-glutamyltransferase (GGT), total bilirubin, and the fatty liver index (FLI). Descriptive statistics and multivariable linear regression analyses were employed to assess the associations between exposures and liver outcomes. Bayesian Kernel Machine Regression (BKMR) was utilized to explore the nonlinear and interactive effects of these exposures. To determine the relative influence of each factor on liver health, Posterior Inclusion Probabilities (PIPs) were calculated. Results: Linear regression analyses indicated that income and education were inversely associated with several liver injury biomarkers, while alcohol use and smoking demonstrated stronger and more consistent associations. Bayesian Kernel Machine Regression (BKMR) further highlighted alcohol and smoking as the most influential predictors, particularly for GGT and total bilirubin, with posterior inclusion probabilities (PIPs) close to 1.0. In contrast, PFAS showed weaker associations. Regression coefficients were small and largely non-significant, and PIPs were comparatively lower across most liver outcomes. Notably, education had a higher PIP for ALT and GGT than PFAS, suggesting a more protective role in liver health. People with higher education levels tend to live healthier lifestyles, have better access to healthcare, and are generally more aware of health risks. These factors can all help reduce the risk of liver problems. Overall mixture effects demonstrated nonlinear trends, including U-shaped relationships for ALT and GGT, and inverse associations for AST, FLI, and ALP. Conclusion: These findings underscore the importance of considering both environmental and social–behavioral determinants in liver health. While PFAS exposures remain a long-term concern, modifiable lifestyle and structural factors, particularly alcohol, smoking, income, and education, exert more immediate and pronounced effects on hepatic biomarkers in the general population. Full article
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22 pages, 6926 KiB  
Article
Exploring Heavy Metals Exposure in Urban Green Zones of Thessaloniki (Northern Greece): Risks to Soil and People’s Health
by Ioannis Papadopoulos, Evangelia E. Golia, Ourania-Despoina Kantzou, Sotiria G. Papadimou and Anna Bourliva
Toxics 2025, 13(8), 632; https://doi.org/10.3390/toxics13080632 - 27 Jul 2025
Viewed by 1050
Abstract
This study investigates the heavy metal contamination in urban and peri-urban soils of Thessaloniki, Greece, over a two-year period (2023–2024). A total of 208 composite soil samples were systematically collected from 52 sites representing diverse land uses, including high-traffic roadsides, industrial zones, residential [...] Read more.
This study investigates the heavy metal contamination in urban and peri-urban soils of Thessaloniki, Greece, over a two-year period (2023–2024). A total of 208 composite soil samples were systematically collected from 52 sites representing diverse land uses, including high-traffic roadsides, industrial zones, residential neighborhoods, parks, and mixed-use areas, with sampling conducted both after the wet (winter) and dry (summer) seasons. Soil physicochemical properties (pH, electrical conductivity, texture, organic matter, and calcium carbonate content) were analyzed alongside the concentrations of heavy metals such as Cd, Co, Cr, Cu, Mn, Ni, Pb, and Zn. A pollution assessment employed the Geoaccumulation Index (Igeo), Contamination Factor (Cf), Pollution Load Index (PLI), and Potential Ecological Risk Index (RI), revealing variable contamination levels across the city, with certain hotspots exhibiting a considerable to very high ecological risk. Multivariate statistical analyses (PCA and HCA) identified distinct anthropogenic and geogenic sources of heavy metals. Health risk assessments, based on USEPA models, evaluated non-carcinogenic and carcinogenic risks for both adults and children via ingestion and dermal contact pathways. The results indicate that while most sites present low to moderate health risks, specific locations, particularly near major transport and industrial areas, pose elevated risks, especially for children. The findings underscore the need for targeted monitoring and remediation strategies to mitigate the ecological and human health risks associated with urban soil pollution in Thessaloniki. Full article
(This article belongs to the Special Issue Distribution and Behavior of Trace Metals in the Environment)
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17 pages, 2909 KiB  
Article
T Cell Dynamics in COVID-19, Long COVID and Successful Recovery
by Zoia R. Korobova, Natalia A. Arsentieva, Anastasia A. Butenko, Igor V. Kudryavtsev, Artem A. Rubinstein, Anastasia S. Turenko, Yulia V. Ostankova, Ekaterina V. Boeva, Anastasia A. Knizhnikova, Anna O. Norka, Vadim V. Rassokhin, Nikolay A. Belyakov and Areg A. Totolian
Int. J. Mol. Sci. 2025, 26(15), 7258; https://doi.org/10.3390/ijms26157258 - 27 Jul 2025
Viewed by 1619
Abstract
Despite targeting mainly the respiratory tract, SARS-CoV-2 disrupts T cell homeostasis in ways that may explain both acute lethality and long-term immunological consequences. In this study, we aimed to evaluate the T-cell-mediated chain of immunity and formation of TCR via TREC assessment in [...] Read more.
Despite targeting mainly the respiratory tract, SARS-CoV-2 disrupts T cell homeostasis in ways that may explain both acute lethality and long-term immunological consequences. In this study, we aimed to evaluate the T-cell-mediated chain of immunity and formation of TCR via TREC assessment in COVID-19 and long COVID (LC). For this study, we collected 231 blood samples taken from patients with acute COVID-19 (n = 71), convalescents (n = 51), people diagnosed with LC (n = 63), and healthy volunteers (n = 46). With flow cytometry, we assessed levels of CD4+ and CD8+ minor T cell subpopulations (i.e., naïve, central and effector memory cells (CM and EM), Th1, Th2, Th17, Tfh, Tc1, Tc2, Tc17, Tc17.1, and subpopulations of effector cells (pE1, pE2, effector cells)). Additionally, we measured TREC levels. We found distinct changes in immune cell distribution—whilst distribution of major subpopulations of T cells was similar between cohorts, we noted that COVID-19 was associated with a decrease in naïve Th and CTLs, an increase in Th2/Tc2 lymphocyte polarization, an increase in CM cells, and a decrease in effector memory cells 1,3, and TEMRA cells. LC was associated with naïve CTL increase, polarization towards Th2 population, and a decrease in Tc1, Tc2, Em2, 3, 4 cells. We also noted TREC correlating with naïve cells subpopulations. Our findings suggest ongoing immune dysregulation, possibly driven by persistent antigen exposure or tissue migration of effector cells. The positive correlation between TREC levels and naïve T cells in LC patients points to residual thymic activity. The observed Th2/Th17 bias supports the hypothesis that LC involves autoimmune mechanisms, potentially driven by molecular mimicry or loss of immune tolerance. Full article
(This article belongs to the Special Issue Long-COVID and Its Complications)
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20 pages, 2341 KiB  
Article
Magnetic Field Measurement of Various Types of Vehicles, Including Electric Vehicles
by Hiromichi Fukui, Norihiro Minami, Masatoshi Tanezaki, Shinichi Muroya and Chiyoji Ohkubo
Electronics 2025, 14(15), 2936; https://doi.org/10.3390/electronics14152936 - 23 Jul 2025
Viewed by 632
Abstract
Since around the year 2000, following the introduction of electric vehicles (EVs) to the market, some people have expressed concerns about the level of magnetic flux density (MFD) inside vehicles. In 2013, we reported the results of MFD measurements for electric vehicles (EVs), [...] Read more.
Since around the year 2000, following the introduction of electric vehicles (EVs) to the market, some people have expressed concerns about the level of magnetic flux density (MFD) inside vehicles. In 2013, we reported the results of MFD measurements for electric vehicles (EVs), hybrid electric vehicles (HEVs), and internal combustion engine vehicles (ICEVs). However, those 2013 measurements were conducted using a chassis dynamometer, and no measurements were taken during actual driving. In recent years, with the rapid global spread of EVs and plug-in hybrid electric vehicles (PHEVs), the international standard IEC 62764-1:2022, which defines methods for measuring magnetic fields (MF) in vehicles, has been issued. In response, and for the first time, we conducted new MF measurements on current Japanese vehicle models in accordance with the international standard IEC 62764-1:2022, identifying the MFD levels and their sources at various positions within EVs, PHEVs, and ICEVs. The measured MFD values in all vehicle types were below the reference levels recommended by the International Commission on Non-Ionizing Radiation Protection (ICNIRP) for public exposure. Furthermore, we performed comparative measurements with the MF data obtained in 2013 and confirmed that the MF levels remained similar. These findings are expected to provide valuable insights for risk communication with the public regarding electromagnetic fields, particularly for those concerned about MF exposure inside electrified vehicles. Full article
(This article belongs to the Special Issue Innovations in Electromagnetic Field Measurements and Applications)
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18 pages, 1044 KiB  
Review
Mercury Exposure and Health Effects in Indigenous People from the Brazilian Amazon—Literature-Scoping Review
by Maria da Conceição Nascimento Pinheiro, Fabiana Costa Cardoso, Leonardo Breno do Nascimento de Aviz, José Aglair Barbosa de Freitas Junior, Márcia Cristina Freitas da Silva, Margareth Tavares Silva, Dirce Nascimento Pinheiro, Saul Rassy Carneiro, Elaine Rodrigues Pinheiro and Tereza Cristina Oliveira Corvelo
Int. J. Environ. Res. Public Health 2025, 22(8), 1159; https://doi.org/10.3390/ijerph22081159 - 22 Jul 2025
Viewed by 538
Abstract
Background and purpose: Indigenous people in the Brazilian Amazon are exposed to mercury by eating methylmercury-contaminated fish. The lack of information on the health effects of prolonged exposure to mercury hinders the implementation of mitigation programs offered by the Brazilian government. This article [...] Read more.
Background and purpose: Indigenous people in the Brazilian Amazon are exposed to mercury by eating methylmercury-contaminated fish. The lack of information on the health effects of prolonged exposure to mercury hinders the implementation of mitigation programs offered by the Brazilian government. This article aims to evaluate the studies that have investigated mercury exposure in indigenous people living in the Brazilian Amazon. Methods: A scoping review of the literature was conducted from studies published between 1995 and 2024 in Portuguese, English, and Spanish that evaluated mercury (Hg) concentrations in hair samples in indigenous people from the Brazilian Amazon. Results: Using total mercury (TotalHg) values in hair samples, we analyzed exposure levels, prevalence, and toxic effects. We found 15 epidemiological studies with a cross-sectional design and sample sizes ranging from 31 to 910 participants. Four studies involved children and mothers, four of which were associated with clinical outcomes and three of which analyzed genetic polymorphism. Most of the communities evaluated had a high prevalence of mercury exposure, showing levels ranging from 0.8 to 83.89 µg/g, and the highest average TotalHg concentration was found among the Kayabi. Mercury was associated with hypertension, cognitive disorders, worse mental health indicators and central and peripheral neurological disorders. Conclusions: It is concluded that indigenous people in the Brazilian Amazon experience exposure levels that are causing damage to their health, and control measures must be adopted to prevent the situation from worsening. Full article
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16 pages, 851 KiB  
Article
Impact of Combined Hypertension and Diabetes on the Prevalence of Disability in Brazilian Older People—Evidence from Population Studies in 2013 and 2019
by Rafaela Gonçalves Ribeiro-Lucas, Barbara Niegia Garcia de Goulart and Patricia Klarmann Ziegelmann
Int. J. Environ. Res. Public Health 2025, 22(7), 1157; https://doi.org/10.3390/ijerph22071157 - 21 Jul 2025
Viewed by 521
Abstract
Disability in basic and instrumental activities of daily living (BADL and IADL) reflects functional decline in older adults and can be associated with chronic conditions like type 2 diabetes (T2DM) and hypertension (SAH). This cross-sectional study utilized data from the 2013 and 2019 [...] Read more.
Disability in basic and instrumental activities of daily living (BADL and IADL) reflects functional decline in older adults and can be associated with chronic conditions like type 2 diabetes (T2DM) and hypertension (SAH). This cross-sectional study utilized data from the 2013 and 2019 Brazilian National Health Surveys to investigate the associations between T2DM, SAH, and disability levels. Exposures were self-reported diagnoses and outcomes were classified as independent, moderate, or severe. Multivariable Poisson regression models, with robust variance estimates, estimated adjusted prevalence ratios (PRa), accounting for sociodemographic variables and the survey design. In 2013, the absence of diabetes and hypertension was associated with a lower prevalence (PRa = 0.70; 95% CI: 0.58–0.85) of moderate disability in BADL when compared with the presence of only one of the conditions. On the other hand, the coexistence of T2DM and SAH was associated with a higher prevalence (PRa = 1.39; 95% CI: 1.01–1.91). A similar result was found in 2019 with the addition that coexistence was also associated with a higher prevalence of severe disability in BADLs (PRa = 1.82; 95% CI: 1.59–2.07). For IADL, the absence of T2DM and SAH was associated with a lower prevalence of severe disability in 2013 and 2019 and a lower prevalence of moderate disability only in 2019. However, coexistence showed a higher prevalence in both degrees of disability and both years of the survey. These findings highlight the impact of T2DM and SAH on disability in older people. Therefore, it is crucial to develop targeted strategies for vulnerable subgroups to enhance functional independence in aging populations. Full article
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18 pages, 3357 KiB  
Article
Evaluation of Antiepileptic Drugs’ Stability in Oral Fluid Samples
by João Martinho, Ana Y. Simão, Tiago Rosado and Eugenia Gallardo
Pharmaceuticals 2025, 18(7), 1049; https://doi.org/10.3390/ph18071049 - 17 Jul 2025
Viewed by 301
Abstract
Background/Objectives: Epilepsy affects approximately 50 million people worldwide, with antiepileptic drugs (AEDs) remaining the cornerstone of treatment. Due to their narrow therapeutic windows, AEDs are ideal candidates for therapeutic drug monitoring (TDM). Oral fluid is increasingly considered a viable alternative to blood and [...] Read more.
Background/Objectives: Epilepsy affects approximately 50 million people worldwide, with antiepileptic drugs (AEDs) remaining the cornerstone of treatment. Due to their narrow therapeutic windows, AEDs are ideal candidates for therapeutic drug monitoring (TDM). Oral fluid is increasingly considered a viable alternative to blood and urine, as it reflects the free (active) concentration of many AEDs. Its non-invasive collection, which does not require trained personnel, makes it particularly suitable for TDM in paediatric and geriatric populations. However, as samples are often stored for extended periods before analysis, analyte stability becomes a critical concern. This study aimed to evaluate the stability of four commonly used AEDs in dried saliva spot (DSS) samples. Methods: Phenobarbital, phenytoin, carbamazepine, and carbamazepine-10,11-epoxide were analysed in oral fluid samples collected via spitting and stored as DSSs. Quantification was performed using high-performance liquid chromatography with diode array detection (HPLC-DAD). Design of experiments tools were used to assess the effects of preservatives, storage temperatures, light exposure, and storage durations on analyte stability. Results: Optimal conditions were refrigeration in the dark, with a low concentration of ascorbic acid as preservative. Samples at 10 µg/mL remained stable for 14 days longer than those without preservative or reported in previous studies. Unexpectedly, at 0.5 µg/mL, analytes in samples without preservative showed greater stability. Conclusions: To our knowledge, this is the first study combining DSS and HPLC-DAD to assess the stability of these AEDs in oral fluid, providing valuable insights for non-invasive TDM strategies and supporting the feasibility of saliva-based monitoring in clinical settings. Full article
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22 pages, 1875 KiB  
Article
Biochemical Identification and Clinical Description of Medetomidine Exposure in People Who Use Fentanyl in Philadelphia, PA
by Phil Durney, Jennifer L. Kahoud, TaReva Warrick-Stone, Maeve Montesi, Meg Carter, Sabrina Butt, Alberto Martinez Mencia, Louisa Omoregie, Monali Shah, Mariah Bloomfield, Nicholas Tomasko, Rebecca Jaffe, Allison Herens, Warren R. Korn, Karen Alexander, Douglas Stickle, Dennis Goodstein, Lara Carson Weinstein and Kory S. London
Int. J. Mol. Sci. 2025, 26(14), 6715; https://doi.org/10.3390/ijms26146715 - 13 Jul 2025
Cited by 1 | Viewed by 479
Abstract
Medetomidine, a veterinary α2-adrenergic agonist, has recently emerged as an adulterant in the non-medical opioid supply, yet human exposure has remained poorly characterized. We conducted a pragmatic retrospective cohort analysis utilizing chart review and liquid chromatography–tandem mass spectrometry (LC-MS/MS) toxicology testing on available [...] Read more.
Medetomidine, a veterinary α2-adrenergic agonist, has recently emerged as an adulterant in the non-medical opioid supply, yet human exposure has remained poorly characterized. We conducted a pragmatic retrospective cohort analysis utilizing chart review and liquid chromatography–tandem mass spectrometry (LC-MS/MS) toxicology testing on available urine samples from patients presenting to two hospitals in Philadelphia, PA, who fit two clinical phenotypes, intoxication or withdrawal. Samples also underwent glucuronidase pre-treatment to assess impact on the yield of medetomidine and xylazine metabolite detection. Testing identified universal exposure to medetomidine (58/58 samples) via the 3-hydroxy-medetomidine (3-OH-M) metabolite, post glucuronidase treatment and variable xylazine exposure (40/58 samples). Importantly, 32% of medetomidine exposures would have been missed without enzymatic pre-treatment. Patients exhibited two distinct clinical phenotypes: intoxication, characterized primarily by sedation; bradycardia; and often hypotension, and withdrawal, presenting with life-threatening tachycardia; hypertension and often encephalopathy. Notably, clinical phenotype correlated with urinary concentrations of 3-OH-M but not xylazine. These findings underscore the critical need for heightened clinical awareness and need for contemporaneous toxicologic screening mechanisms for medetomidine exposure, emphasizing its distinct clinical presentations and the potential public health implications posed by its widespread adulteration in illicit opioids. Full article
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20 pages, 275 KiB  
Article
“My Future”: A Qualitative Examination of Hope in the Lives of Black Emerging Adults
by William Terrell Danley, Benson Cooke and Nathalie Mizelle
Soc. Sci. 2025, 14(7), 428; https://doi.org/10.3390/socsci14070428 - 11 Jul 2025
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Abstract
The presence of hope significantly influences how youth interpret possibilities and commit to future-oriented action. This qualitative study investigates how fifteen Black emerging adults, ages eighteen to twenty-five, living in a major United States urban city on the East Coast, describe their aspirations, [...] Read more.
The presence of hope significantly influences how youth interpret possibilities and commit to future-oriented action. This qualitative study investigates how fifteen Black emerging adults, ages eighteen to twenty-five, living in a major United States urban city on the East Coast, describe their aspirations, goal-setting strategies, and responses to personal and structural challenges. Participants were categorized as connected or disconnected based on their engagement in school, work, or training programs. Using Reflexive Thematic Analysis of interviews, the research identified key differences in agency, emotional orientation, and access to guidance between the two groups. Connected participants often described clear, structured goals supported by networks of mentorship and opportunity. Disconnected participants expressed meaningful hope, yet described fewer supports and greater uncertainty in achieving their goals. These findings highlight how consistent exposure to guidance and structured environments strengthens future orientation and internal motivation. These results deepen our understanding of how young people experience hope across diverse contexts and show that mentorship, intentional goal setting, and greater access to opportunity play a vital role in sustaining hopeful thinking during the transition to adulthood. Full article
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