Search Results (41,160)

Background: Type 2 diabetes (T2D) increases cardiovascular disease (CVD) risk and predisposes individuals to heart failure with preserved ejection fraction. Metabolic dysfunction-associated steatotic liver disease (MASLD), prevalent in T2D, may worsen cardiac remodelling and haemodynamics. This secondary analysis of the DIASTOLIC trial examined the relationship of liver fat to cardiac remodelling in T2D at baseline and after a 12-week intervention or standard care. Methods: Adults with obesity and T2D and matched controls underwent hepatic MRI, cardiac MRI, echocardiography, and adipokine profiling as part of the DIASTOLIC study (NCT02590822). Participants with T2D were randomised to supervised exercise, a low-calorie meal-replacement plan (MRP), or routine care for 12 weeks. A baseline case–control and then pre- and post-analyses in those with T2D were performed. Associations between changes in liver fat and cardiovascular measures were assessed using correlation and adjusted generalised linear models. Results: At baseline, 81 T2D and 35 healthy controls were compared, and 76 subjects with T2D completed the trial. Participants with T2D had ~4× higher hepatic fat and adverse haemodynamics. The MRP arm achieved the greatest reductions in BMI, blood pressure, dysglycaemia, insulin resistance, and hepatic fat (−8.9%), with favourable adipokine changes. Overall, hepatic fat loss was associated with reductions in cardiac index and stroke volume and with additional reductions in end-diastolic volume in the MRP arm, independent of BMI. Conclusions: In T2D, hepatic fat is strongly linked to pathological haemodynamic profiles. Intensive caloric restriction achieves substantial hepatic fat loss and normalisation of hyperdynamic cardiovascular physiology independent of weight loss, identifying hepatic steatosis as a potential therapeutic target for early cardiovascular risk reduction. Full article

Growth differentiation factor-15 (GDF-15) is an established marker of oxidative stress and a general stress-response mitokines. In this study, we aim to investigate the association of GDF-15 with the metabolic signature of gut and mitochondrial activity in HF and ageing population. A total of 25 HF (67.9 ± 10.0 years) and 29 age-matched healthy participants (HPs) (67.8 ± 11.1 years) were recruited and underwent detailed body composition assessment via dual X-ray absorptiometry; total fat mass and appendicular lean soft tissue index (ALSTI/body mass index (BMI)) were calculated. Utilizing semi-targeted Gas Chromatography–Mass Spectrometry on fasting plasma, a panel of gut microbial-derived (e.g., hippuric acid, indole derivatives, and sarcosine) and tricarboxylic acid cycle metabolites was identified. Results showed higher GDF-15 tertiles were associated with greater HF prevalence, fat mass, NT-proBNP, and TNF-α (p < 0.05). Gut-derived metabolites exhibited phenotype-specific patterns; 3-hydroxyindole predicted higher fat mass in HP; hippuric acid was inversely related in HF; and sarcosine correlated with GDF-15 only in HP. In HF, GDF-15 was strongly driven by pyruvic and fumaric acid, indicating disease-specific mitochondrial stress. In conclusion, these observed associations could be evaluated in future mechanistic studies as sensitive biomarkers of systemic oxidative stress markers, informing potential microbiome-targeted therapeutic avenues. Full article

Soil-transmitted helminthiases (STH) represent the most prevalent helminth infections worldwide and are closely associated with inadequate sanitation and poverty. During 2020 and 2021, a significant information gap emerged as a consequence of the SARS-CoV-2 pandemic. Therefore, the objective of this study was to provide an updated post-pandemic overview by estimating the prevalence of STH, identifying the etiological agents involved, and analyzing the risk factors associated with these infections. The study was conducted in Ilaló, Pichincha, Ecuador, where a total of 320 individuals were examined using three diagnostic methods: Kato-Katz, McMaster, and Mini-FLOTAC. Of these, 73 participants tested positive (22.81%, 95% CI: 22.3–23.4). The most frequently identified parasite was Ascaris lumbricoides (74.73%, 95% CI: 73.7–75.8). The main risk factors identified were pig farming (OR: 4.16; 95% CI: 2.34–7.42) and vegetable and fruit cultivation (OR: 11.66; 95% CI: 4.32–41.08). These findings provide relevant epidemiological data on STH in the region, demonstrating a reduction in infection prevalence likely associated with improved prevention and control measures implemented during the COVID-19 pandemic. Full article

In nature, a significant number of plant species form symbiotic associations with microorganisms, with arbuscular mycorrhizal fungi (AMF) and endophytic fungi being two prevalent groups of these partners. However, the ability to establish such symbioses with AMF and endophytic fungi is limited to a small fraction of native grass species. Nitrogen is a crucial nutrient for plant growth, yet it is often a limiting factor, underscoring the importance of understanding how plants acquire it. AMF enhance plant growth by improving nitrogen uptake efficiency, but the combined effects of endophytic fungi and AMF on plant physiology and ecology remain underexplored. To address this knowledge gap, in the present study, we conducted an indoor randomized block experiment to investigate the influence of endophytic fungi and AMF infection on the physiological and ecological attributes of Festuca rubra under various nitrogen regimes. The findings indicated that AMF inoculation significantly affected the total carbon content of F. rubra and the total sulfur concentration in its underground tissues across different nitrogen conditions. Additionally, dual colonization by AMF and endophytic fungi had a significant impact on the underground total nitrogen content of the plants. Furthermore, the complex interactions among AMF, endophytic fungi, and nitrogen availability emerged as critical determinants influencing underground total carbon content, transpiration rates, intercellular carbon dioxide concentrations, and the activity of soil extracellular enzymes in F. rubra. The activity of soil extracellular enzymes and pH significantly affected the structure and diversity of rhizosphere bacterial, fungal, and archaeal communities. AMF enhanced the richness of rhizosphere bacterial communities under low-nitrogen conditions, whereas endophytic fungi infection increased bacterial diversity. Soil extracellular enzyme activity and pH were closely related to the community structures and diversities of rhizosphere bacteria, fungi, and archaea. This study clarifies the effects of AMF and endophytic fungi infection on the physiological and ecological characteristics of F. rubra, significantly contributing to our understanding of the synergistic mechanisms governing the interactions among AMF, endophytic fungi, and their host plants. Full article

Past research has consistently demonstrated the negative effects of interpersonal mistreatment on student experiences by employing retrospective studies; however, little is known about the daily effects that could lead to career derailment. The present study advances evidence of the consequences of experiencing multiple forms of interpersonal mistreatment, including sexual harassment, racial harassment and microaggressions, and incivility (collectively labeled HARM) by employing an experience sampling methodology (ESM) to estimate the immediate impact of HARM on career-relevant attitudes among a sample of 202 biomedical health trainees (mentees) funded by a National Institutes of Health fellowship. Grounded in Affective Events Theory, we found that mentees’ daily experiences of HARM were associated with an immediate degradation of their attitudes toward their training program mediated by negative affect. Being racially isolated in a lab or having a racially different mentor increased the prevalence of HARM; moreover, accounting for negative affect, experiences of HARM were positively associated with program attitudes for mentees who were racially well-represented, suggesting that majority status may buffer the negative impact of HARM on attitudes. Understanding these dynamics provides insight into the importance of assessing and addressing daily experiences of mistreatment among graduate and postdoctoral trainees. Full article

Antimicrobial Resistance (AMR) is a critical public health challenge requiring a coordinated One Health approach. Escherichia coli is a key indicator of AMR and fecal contamination, as well as a zoonotic pathogen transmissible from animals to humans, often through contaminated products like meat and eggs. This study assessed the presence of antibiotic-resistant E. coli and associated resistance genes in 248 cloacal/eggshell samples collected from four autochthonous Portuguese laying hen breeds (Preta Lusitânica, Amarela, Branca, and Pedrês Portuguesa) raised under low antibiotic exposure. A total of 81 E. coli isolates were analyzed for phenotypic antibiotic susceptibility (EUCAST/CLSI) and genotypic resistance, using PCR. Resistance to at least one antibiotic was observed in 98.0% of the isolates. Gentamicin resistance was particularly high (97.1% cloacal; 95.7% eggshell isolates), followed by tetracycline (31.0% cloacal; 41.0% eggshell) and ampicillin (14.0% cloacal; 24.0% eggshell). Multidrug resistance (MDR) was observed in 14.3% of cloacal and 17.4% of eggshell isolates. Notably, no resistance was found against critically important antibiotics. The most prevalent resistance genes were sul2 (45.0% cloacal; 48.0% eggshell) and bla_TEM (45.0% cloacal; 36.0% eggshell). Detection of resistant and MDR E. coli in low input systems suggests environmental acquisition, with chickens as reservoirs, highlighting the need for One Health surveillance. Full article

Gravity currents constrained by bottom walls are prevalent in engineering applications such as industrial discharges and deep-sea mining, and will pose significant environmental risks. In this study, the influence of jet source parameters on the dynamics and diffusion characteristics of particle-driven bottom currents was investigated through physical experiments using Digital Image Processing (DIP). This non-invasive technology is cost-effective and exhibits broad applicability. The results demonstrated that the downstream plume front $d_{\mathrm{L}\mathrm{m}\mathrm{a}\mathrm{x}}$, the maximum lift height $h_{\mathrm{L}\mathrm{m}\mathrm{a}\mathrm{x}}$ and the average lift height $h_{\mathrm{a}\mathrm{v}\mathrm{e}}$ all exhibit a decreasing trend with increasing Richardson number (Ri) after impingement, and show a linear increase with rising Reynolds number (Re). The plume diffusion scale S follows a two-stage evolution: during the inertia-dominated stage, S evolves exponentially over time t as $S=a{e}^{bt}$, while in the equilibrium stage of negative buoyancy and turbulent dissipation, S follows a power-law relationship $S=a{t}^b$ (b < 1). The rate of change of S increases with smaller jet angles α, and the variations with dimensionless bottom clearance H/D remain within 10%. The dimensionless average longitudinal expansion rate ${\displaystyle \frac{\overline{E}}{\sqrt{g\prime /D}}}$ reaches minimum values at α = 75°, peaks at H/D = 10, and exhibits a linear decreasing trend with Ri. As Re increases, ${\displaystyle \frac{\overline{E}}{\sqrt{g\prime /D}}}$ displays a three-stage fluctuating behavior. This study provides valuable experimental data that improve the understanding of gravity current behavior under wall confinement and support the predictive modelling of gravity current. Full article

Objective: This study aimed to evaluate the association between mitral annular calcification (MAC) and ventricular tachycardia (VT) in patients with reduced and mildly reduced ejection fraction and to identify independent predictors of VT. Materials and Methods: A total of 143 patients with heart failure and left ventricular ejection fraction (LVEF) under 50% were included in this retrospective cross-sectional study. Patients were classified into two groups according to the presence of VT. Clinical, biochemical, and echocardiographic variables were compared between groups. Independent predictors of VT were identified using multivariable logistic regression analysis. Results: MAC was significantly more prevalent in the VT group compared with controls (43.6% vs. 17.4%, p < 0.001) and was the strongest independent predictor of VT (OR: 2.74; 95% CI: 1.13–6.65; p = 0.026). Higher inflammatory activity, lower serum albumin levels, increased left atrial volume, renal dysfunction, and elevated diastolic filling pressures were also associated with VT. Conclusion: MAC is a strong and independent predictor of ventricular tachycardia in patients with reduced and mildly reduced ejection fraction. Incorporating MAC into the overall arrhythmic risk profile alongside inflammatory, metabolic, and structural parameters may improve risk stratification in this population. Full article

Background/Objectives: This study evaluated the diagnostic accuracy of cervical cytology, CINtec^® (p16/Ki-67 dual staining), and PD-L1 immunohistochemistry, individually and in combination with high-risk HPV (HR-HPV) testing, for identifying histologically confirmed cervical lesions ranging from CIN1 to invasive carcinoma. Methods: We conducted a prospective cross-sectional study including 114 patients who underwent cervical cytology, CINtec^®, PD-L1 staining, HPV genotyping, and histopathologic confirmation at a tertiary clinical center between September 2024 and September 2025. Sensitivity, specificity, PPV, NPV, and ROC performance were calculated for each test across lesion categories. Multivariable logistic regression models incorporating HR-HPV status were used to assess added predictive value. Results: All tests showed poor performance for CIN1 (cytology AUC 0.488; CINtec^® 0.374; PD-L1 0.366). Diagnostic accuracy improved markedly with lesion severity. For CIN3, CINtec^® demonstrated the highest discriminative ability (AUC 0.826), with cytology and PD-L1 also performing well (AUC 0.820 and 0.753). Cytology achieved the strongest ROC performance for CIN2+ (AUC 0.937), CIN3+ (0.913), and invasive carcinoma (0.887). PD-L1 consistently showed lower accuracy across categories. Cytology + HR-HPV demonstrated the highest AUC across all lesion categories. Conclusions: Cytology and CINtec^® exhibited strong diagnostic accuracy for high-grade lesions, while PD-L1 showed limited utility as an independent screening marker. Combining cytology with HR-HPV testing enhanced predictive performance across all lesion categories. These findings support the continued use of cytology-based triage and highlight CINtec^® as a valuable adjunct for high-grade disease detection. Because this study used a high-prevalence referral cohort, specificity may be overestimated and not representative of population-based screening. Full article

Background: Obesity substantially increases cardiovascular risk and contributes to the accumulation of cardiometabolic risk factors. Achieving optimal control of body weight and guideline-recommended targets is essential in high-risk patients, particularly in secondary prevention following acute coronary events. This study aimed to evaluate treatment strategies and lifestyle modifications undertaken by patients with obesity during long-term follow-up. Methods: This analysis included patients enrolled 6–18 months after acute coronary syndrome or coronary revascularization within the multicentre POLASPIRE II study. Standardized EUROASPIRE methodology was applied to collect clinical, anthropometric, and lifestyle-related data. Results: A total of 788 patients (mean age 65.4 ± 8.9 years; 25.8% women) were included, of whom 40.6% had obesity. No significant association between sex and BMI was observed (β = −0.48; 95% CI −1.30 to 0.31; p = 0.20). Increasing age was associated with lower BMI (β = −0.05; 95% CI −0.09 to −0.0001; p = 0.044), and higher education correlated with lower BMI (β = −1.10; 95% CI −2.00 to −0.22; p = 0.015). With advancing age (OR 1.02; 95% CI 1.002–1.033; p = 0.023) and increasing BMI (OR 1.11; 95% CI 1.076–1.138; p = 0.001), the number of risk factors and comorbidities increased. Higher BMI was associated with poorer control of medical risk factors (OR 1.06; 95% CI 1.03–1.10; p < 0.001), whereas patients with higher BMI demonstrated better control of lifestyle-related risk factors (OR 0.95; 95% CI 0.919–0.983; p = 0.003). Conclusions: Obesity is highly prevalent among high-risk cardiovascular patients and is associated with a greater burden of comorbidities and poorer control of medical risk factors. These findings support the need for strengthened, risk-stratified secondary prevention strategies and more personalized therapeutic approaches in patients with obesity. Full article

Microplastics (MPs) represent pervasive contaminants in aquatic ecosystems, acting as carriers for persistent organic pollutants like polycyclic aromatic hydrocarbons (PAHs). This study systematically investigated the occurrence, composition, and ecological risks of MPs and adsorbed polycyclic aromatic hydrocarbons in urban drainage sediments from three Yangtze River cities: Chongqing (Yongchuan), Changzhou (Jintan), and Shanghai (Tongji University campus). The key findings revealed MPs’ abundances ranging from 130 to 564 items/100 g (mean: 346 items/100 g), with peak concentrations in campus commercial areas (498.4 items/100 g) and academic zones (420 items/100 g). Predominant polymers included polypropylene (PP, 15.29%), polyethylene terephthalate (PET, 15.88%), and chlorinated polyethylene (CPE, 14.98%). Granular MPs (75–300 μm) dominated particle size (50.09%), while colored MPs (66.54%)—particularly red (32.84%) and black (27.92%)—were most prevalent. Polycyclic aromatic hydrocarbons adsorbed on MPs ranged from 0.88 to 120.59 ng/g (mean: 5.76–67.66 ng/g), dominated by four-ring compounds (44.59%). Sediment-associated polycyclic aromatic hydrocarbons ranged from 0.63 to 60.09 ng/g (mean: 2.12–36.96 ng/g), with 5–6-ring polycyclic aromatic hydrocarbons (42%) as primary constituents. Significant correlations emerged between four-ring polycyclic aromatic hydrocarbons and fibrous MPs (r = 0.33, p = 0.021) and black MPs (r = 0.23, p = 0.04). This study underscores urban drainage sediments as critical reservoirs and transport pathways for MPs and polycyclic aromatic hydrocarbons, which is crucial for sustainable management for urban drainage systems. We advocate for implementing targeted management strategies that prioritize three interconnected approaches: enhanced monitoring of high-risk zones (particularly commercial areas), focused control of small-sized MPs (<300 μm) due to their elevated ecological threats, and systematic mitigation of PAH-MP co-contamination in densely populated catchments to disrupt pollutant transmission pathways. Full article

Spodoptera frugiperda is a highly destructive migratory pest of global concern that infests a wide range of crops, particularly maize, as well as rice and sugarcane, causing substantial economic losses in China. Since its invasion of China, S. frugiperda has experienced prolonged insecticide selection pressure, resulting in the accelerated evolution and increasing prevalence of resistance to specific insecticides. This study aimed to elucidate the role of cytochrome P450 monooxygenase (CYP) gene families in mediating resistance to chlorantraniliprole and to evaluate the efficacy of nanoparticle-mediated delivery systems combined with P450-specific synergists for controlling S. frugiperda. Toxicity bioassays conducted on field populations demonstrated that chlorantraniliprole still retained considerable insecticidal activity. Analyses of three detoxification enzyme activities revealed a significant elevation in cytochrome P450 activity, and expression profiling of candidate CYP genes was performed using quantitative real-time PCR (qPCR). Exposure to chlorantraniliprole resulted in a 2.53-fold upregulation of CYP4G75 expression. Furthermore, nano-agrochemical formulation assays showed that the combined application of LDHs-dsCYP4G75 and chlorantraniliprole exerted a significant synergistic effect, increasing mortality by 21.99% compared with either treatment applied alone. Overall, this study provides mechanistic insights into P450-mediated resistance and offers a promising strategy to reduce reliance on chemical insecticides, thereby contributing to the development of sustainable integrated pest management (IPM) programs. Full article

Background: Cardiac computed tomographic angiography (CTA) detects patent foramen ovale (PFO) with variable accuracy. This study investigated factors affecting CTA detectability for PFO in patients with suspected PFO-associated stroke. Methods: Consecutive patients with cryptogenic stroke and positive findings on contrast transcranial Doppler (cTCD) examinations were enrolled between November 2020 and April 2023 in this retrospective study. Each participant underwent transesophageal echocardiography (TEE) and cardiac CTA. Patients with confirmed PFO on TEE were categorized into two groups based on CTA detectability: the CTA-positive group (PFO identified by CTA) and the CTA-negative group (PFO missed by CTA). Univariate and multivariate logistic regression analyses were performed to identify predictors of CTA false-negative results. Results: Among 108 patients (mean age 46.7 ± 14.9 years, 47.2% male), the prevalence of PFO by TEE was 94.4% (102/108). Compared to TEE, cardiac CTA had a sensitivity of 70% (95%CI 61–79%), a specificity of 100% (95%CI 54–100%), a positive predictive value of 100% (95%CI 95–100%), and a negative predictive value of 16% (95%CI 6–32%). Among patients with PFO confirmed by TEE (n = 102), the incidence of moderate to large right-to-left shunts (RLS) was significantly higher in the CTA-positive group than in the CTA-negative (77.5% vs. 22.5%, p < 0.001). After adjusting for confounders, patients with moderate to large shunts showed a significantly lower likelihood of a CTA false-negative result compared to those with small shunts (OR 0.113, 95%CI 0.035–0.365, p < 0.001). In patients with moderate to large RLS, the sensitivity of cardiac CTA for diagnosing PFO increased to 90.16% (95% CI 82.69–97.64%). Conclusion: Cardiac CTA could be an effective complementary modality for selected patients with suspected PFO-associated stroke. Its diagnostic performance appears more reliable for identifying PFO in patients with moderate-to-large RLS than in those with small RLS. Full article

Background/Objectives: Rural communities in Guatemala face a growing double-burden of malnutrition. Women of reproductive age are a key population to address, as their health and nutritional status influence not only their own well-being but also that of their children and families. However, they often experience greater exposure to nutritional risks due to gendered inequalities in access to resources, education, and health care. This small-scale observational study aimed to describe the dietary habits and nutritional status of a sub-group of women living in a rural area of Bárcena Villa Nueva, Guatemala. Methods: An observational study was conducted between March and April 2025 among women aged ≥18 years from two rural communities. Dietary data were collected through structured interviews, 24 h dietary recall (24-hR), and a validated food frequency questionnaire (FFQ). Anthropometric and biochemical measurements were also collected. Results: A total of 22 women were included (mean age: 41.3 ± 16.3 years). The prevalence of obesity and central obesity was 45.5% and 86.0%, respectively. Quantitative dietary assessment based on the 24 h recall showed a mean energy intake approximately 35% higher than the recommended values, with a high contribution from fats and carbohydrates and an excessive sodium intake. In contrast, intakes of potassium, zinc, and folic acid were below the recommended levels. The qualitative analysis of the food frequency questionnaire indicated a dietary pattern characterized by high consumption of carbohydrates, animal-based protein sources, traditional energy-dense foods, and ultra-processed products, alongside a limited intake of vegetables and fruits. Datary diversity was low (4.9, SD: 1.1). Conclusions: This small-scale observational scale study provides a preliminary overview of dietary patterns and nutritional status among women living in a rural community in Guatemala. Although the findings are not generalizable, they suggest the coexistence of excessive energy intake, suboptimal micronutrient intake, and low dietary diversity. These results underscore the need for further research using larger and more representative samples and may help inform the development of context-specific nutrition education initiatives in similar underserved settings. Full article

Background: This study aimed to assess the presence of thermotolerant Campylobacter resistant to ciprofloxacin and erythromycin in poultry slaughterhouses and retail markets, as well as to characterize their multidrug resistance profiles, genetic determinants, and clonal relationships. Methods: Samples were collected at slaughterhouses from cecal content (n = 270), neck skin (n = 270), and wastewater (n = 9), and at retail markets from breast skin (n = 241). Isolates were obtained from mCCDA agar supplemented with ciprofloxacin (2 μg/mL) and identified as C. jejuni or C. coli by PCR. The agar microdilution test was used to determine the minimum inhibitory concentration for ciprofloxacin and erythromycin, and other critical antibiotics. Point mutations in gyrA (Thr86Ile) and 23S rRNA (A2075G), virulence genes (flaA, flhA, cadF, and cdt), and clonal relationships were assessed by PCR and PFGE. Results: At the slaughterhouses, thermotolerant Campylobacter spp. resistant to erythromycin and ciprofloxacin were detected in 48.55% (107/549) of the samples, whereas 4.56% (11/241) of retail samples were positive. The Thr86Ile substitution in gyrA and the A2075G mutation in the 23S rRNA gene were detected in 92.97% and 89.84% of the isolates, respectively. Most isolates (>80%) were multidrug resistant and harbored key virulence genes (flaA, flhA, and cadF). C. jejuni exhibited the highest prevalence of cdt genes (76.19%). There was substantial genotypic diversity among isolates, with broad distribution across the sampled matrices and sites. Conclusions: These findings highlight the circulation of multidrug-resistant and potentially virulent thermotolerant Campylobacter spp. in the later stages of the poultry meat supply chain. Full article