Search Results (3,239)

Understanding the components of the diet, food groups, and nutritional strategies that help prevent MASLD (Metabolic Dysfunction-Associated Steatotic Liver Disease) is essential for identifying dietary behaviors that can stop the progression of this condition, which currently affects over one-quarter of the global population. This review highlights the importance of including antioxidant nutrients in the diet, such as vitamins C and E, CoQ10, and polyphenolic compounds. It also emphasizes substances that support lipid metabolism, including choline, alpha-lipoic acid, and berberine. Among food groups, it is crucial to choose those that help prevent metabolic disturbances. Among carbohydrate-rich foods, vegetables, fruits, and high-fiber products are recommended. For protein sources, eggs, fish, and white meat are preferred. Among fat sources, plant oils and fatty fish are advised due to their content of omega-3 and omega-6 fatty acids. Various dietary strategies aimed at preventing MASLD should include elements of the Mediterranean diet or be personalized to provide anti-inflammatory compounds and substances that inhibit fat accumulation in liver cells. Other recommended dietary models include the DASH diet, the flexitarian diet, intermittent fasting, and diets that limit fructose and simple sugars. Additionally, supplementing the diet with spirulina or chlorella, berberine, probiotics, or omega-3 fatty acids, as well as drinking several cups of coffee per day, may be beneficial. Full article

Background/Objectives: Vitamin D testing has increased significantly in developed countries in recent decades. We aimed to describe trends in vitamin D testing rates and factors associated with testing and vitamin D deficiency in Queensland, Australia (2011–2019). Methods: We used data from the QSkin Sun and Health Study (n = 40,417), a prospective population-based cohort study with linkage to the Medicare Benefits Schedule, Pharmaceutical Benefits Scheme, and pathology laboratories. Main outcomes included age-standardized incidence rate of vitamin D testing; having ≥1 vitamin D test during follow-up; vitamin D deficiency (25-hydroxyvitamin D concentration <50 nmol/L) in the first vitamin D test; and repeat vitamin D tests. Results: The age-standardized incidence rate of testing increased by 2% per quarter during follow-up. Of the 35,250 participants analyzed for associations with testing (median age of 57 years, 52% female), 45% had ≥1 vitamin D test. Among those tested, 56% had no apparent clinical indication for their initial vitamin D test, 21% were vitamin D deficient in their initial test, and 58% had a repeat test. Repeat testing occurred in 56% who were not deficient in their prior test, while only two-thirds of those deficient received a follow-up assessment. Participants who visited a general practitioner ≥2 times in the year prior to follow-up were 60% more likely to have ≥1 vitamin D test compared with those with no visit, but general practitioner (GP) visits were not associated with risk of vitamin D deficiency. Conclusions: These results suggest that initiatives are needed to help clinicians target vitamin D testing in alignment with clinical guidelines. Full article

Trachypteris picta (Pallas, 1773) is a significant pest that can cause serious damage to poplars and willows. To assess the impact of climate change on the suitable habitats of T. picta, this study conducted a comparative analysis of its global suitable habitats using climatic factors, global land use type, and global vegetation from different periods, in combination with the maximum entropy (MaxEnt) model. The results indicate that the annual mean temperature (Bio01), mean temperature of the coldest quarter (Bio11), precipitation of the coldest quarter (Bio19), and isothermality (Bio03) are the four most important climate variables determining the distribution of T. picta. Under the current climate conditions, the highly suitable areas are primarily located in southern Europe, covering an area of 2.22 × 10⁶ km². Under future climate scenarios, the suitable habitat for T. picta is expected to expand and shift towards higher latitudes. In the 2050s, the SSP5-8.5 scenario has the largest suitable area compared to other scenarios, while the SSP2-4.5 scenario has the largest suitable area in the 2090s. In addition, the centroids of the total suitable areas are expected to shift toward higher latitudes under future climate conditions. The results of this study provide valuable data for the monitoring, control, and management of this pest. Full article

Understanding alpine plants’ survival and reproduction is crucial for their conservation in climate change. Based on 423 valid distribution points, this study utilizes the MaxEnt model to predict the potential habitat and distribution dynamics of Leontopodium nanum under both current and future climate scenarios, while clarifying the key factors that influence its distribution. The primary ecological drivers of distribution are altitude (2886.08 m–5576.14 m) and the mean temperature of the driest quarter (−6.60–1.55 °C). Currently, the suitable habitat area is approximately 520.28 × 10⁴ km², covering about 3.5% of the global land area, concentrated mainly in the Tibetan Plateau, with smaller regions across East and South Asia. Under future climate scenarios, low-emission (SSP126), suitable areas are projected to expand during the 2050s and 2070s. High-emission (SSP585), suitable areas may decrease by 50%, with a 66.07% reduction in highly suitable areas by the 2070s. The greatest losses are expected in the south-eastern Tibetan Plateau. Regarding dynamic habitat changes, by the 2050s, newly suitable areas will account for 51.09% of the current habitat, while 68.26% of existing habitat will become unsuitable. By the 2070s, newly suitable areas will rise to 71.86% of the current total, but the loss of existing areas will exceed these gains, particularly under the high-emission scenario. The centroid of suitable habitats is expected to shift northward, with migration distances ranging from 23.94 km to 342.42 km. The most significant shift is anticipated under the SSP126 scenario by the 2070s. This study offers valuable insights into the distribution dynamics of L. nanum and other alpine species under the context of climate change. From a conservation perspective, it is recommended to prioritize the protection and restoration of vegetation in key habitat patches or potential migration corridors, restrict overgrazing and infrastructure development, and maintain genetic diversity and dispersal capacity through assisted migration and population genetic monitoring when necessary. These measures aim to provide a robust scientific foundation for the comprehensive conservation and sustainable management of the grassland ecosystem on the Qinghai–Tibet Plateau. Full article

Corydalis yanhusuo W. T. Wang, commonly known as Yanhusuo, is an important and rare medicinal plant resource in China. Its habitat integrity is facing severe challenges due to climate change and human activities. Establishing an integrative quality zoning system for this species is of significant practical importance for resource conservation and adaptive management. This study integrates multiple data sources, including 121 valid distribution points, 37 environmental factors, future climate scenarios (SSP126 and SSP585 pathways for the 2050s and 2090s), and measured content of tetrahydropalmatine (THP) from 22 sampling sites. A predictive framework for habitat suitability and spatial distribution of effective components was constructed using a multi-model coupling approach (MaxEnt, ArcGIS spatial analysis, and co-kriging method). The results indicate that the MaxEnt model exhibits high prediction accuracy (AUC > 0.9), with the dominant environmental factors being the precipitation of the wettest quarter (404.8~654.5 mm) and the annual average temperature (11.8~17.4 °C). Under current climatic conditions, areas of high suitability are concentrated in parts of Central and Eastern China, including the Sichuan Basin, the middle–lower Yangtze plains, and coastal areas of Shandong and Liaoning. In future climate scenarios, the center of suitable areas is predicted to shift northwestward. The content of THP is significantly correlated with the mean diurnal temperature range, temperature seasonality, and the mean temperature of the wettest quarter (p < 0.01). A comprehensive assessment identifies the Yangtze River Delta region, Central China, and parts of the Loess Plateau as the optimal integrative quality zones. This research provides a scientific basis and decision-making support for the sustainable utilization of C. yanhusuo and other rare medicinal plants in China. Full article

Background/Objectives: Gastroesophageal reflux disease (GERD) seems to be a common complaint which persists or develops after metabolic bariatric surgery (MBS). Endoscopic evaluation is vital in both the preoperative and postoperative phases to ensure optimal patient outcomes. The aim of this study was to evaluate the prevalence of GERD after MBS in a 10-year follow-up and analyze the endoscopic outcomes. Methods: This retrospective, multicenter study included 368 patients who underwent single bariatric procedure. The data came from five bariatric centers in Poland, part of the BARI-10-POL project. Data on symptoms of GERD, endoscopic findings, demographics, and surgical outcomes were collected for a 10-year follow-up period. Surgical procedures included SG, Roux-en-Y gastric bypass (RYGB), and one anastomosis gastric bypass (OAGB). Results: Of the 305 patients without symptoms of GERD, 12.3% developed de novo GERD postoperatively. There was no statistical significance regarding the new-onset symptoms and the type of MBS (p = 0.074) and the presence of symptoms of GERD and the type of MBS (p = 0.208). However, SG was associated with a significantly lower likelihood of GERD remission after MBS (p = 0.005). Endoscopic evaluation showed abnormal findings in asymptomatic patients in both preoperative (35.8%) and postoperative (14.1%) examinations (p < 0.001). Conclusions: GERD may be a common issue after MBS. One-quarter of patients after MBS may experience symptoms of GERD, regardless of the type of MBS. SG appears to be associated with a higher risk of persistent symptoms of GERD and a lower likelihood of GERD remission after MBS. Asymptomatic patients both before and after MBS may have abnormal findings in gastroscopy. Full article

The Chinese red panda (Ailurus styani) is a rare and endangered animal in China; the increase in global temperature and the interference of human activities have caused irreversible effects on the suitable habitat of wild red pandas and threatened their survival. Therefore, it is necessary to carry out scientific research and protection for Chinese red pandas. In this study, the MaxEnt model was used to predict and analyze the suitable habitats of Chinese red pandas in the large and small Xiangling Mountains. The results showed that the main ecological factors affecting the suitable habitat distribution of Chinese red pandas in the Daxiangling Mountains are the average slope (45.6%, slope), the distance from the main road (24.2%, road), and the average temperature in the coldest quarter (11%, bio11). The main ecological factors affecting the suitable habitat distribution of Chinese red pandas in the Xiaoxiangling Mountains are bamboo distribution (67.4%, bamboo), annual temperature range (20.7%, bio7), and the average intensity of human activities (8.7%, Human Footprint). The predicted suitable habitat area of the Daxiangling Mountains is 123.835 km², and the predicted suitable habitat area of the Xiaoxiangling Mountains is 341.873 km². The predicted suitable habitat area of the Daxiangling Mountains accounts for 43.45% of the total mountain area, and the predicted suitable habitat area of the Xiaoxiangling Mountains accounts for 71.38%. The suitable habitat area of the Xiaoxiangling Mountains is nearly three times that of the Daxiangling Mountains, and the proportion of suitable habitat area of the Xiaoxiangling Mountains is much higher than that of the Daxiangling Mountains. The suitable habitat of Chinese red pandas in the Daxiangling Mountains is mainly distributed in the southeast, and the habitat is coherent but fragmented. The suitable habitat of Chinese red panda in Xiaoxiangling Mountains is mainly distributed in the east, and the habitat is more coherent. The results of this study can provide a scientific basis for the protection of the population and habitat of Chinese red pandas in Sichuan. Full article

Introduction: The World Health Organization has declared carbapenem-resistant organisms a research and development priority. Although ceftazidime–avibactam was approved around a decade ago, there is still a lack of prospective data on the treatment of resistant pathogens with this agent. Methods: We conducted a prospective, observational, single-center, investigator-initiated study of patients treated with ceftazidime–avibactam for infections caused by carbapenem-resistant organisms. The primary outcome was clinical cure 14 days after the initiation of ceftazidime-avibactam treatment. Secondary outcomes, which were assessed on day 30, included microbiological failure, development of resistance, all-cause mortality, and length of stay in the intensive care unit. Results: A total of 50 patients were included in the study. At baseline, the median Charlson Comorbidity Index and Sequential Organ Failure Assessment Score were 5.5 and 7. Approximately three-quarters of the patients were treated in an intensive care unit and had undergone mechanical ventilation within the previous 7 days prior to the commencement of ceftazidime–avibactam treatment. Half of the patients were diagnosed with nosocomial pneumonia. Most infections were caused by Pseudomonas aeruginosa (48%) and Klebsiella pneumonia (28%). Clinical cure at day 14 was achieved in 59% of patients. Four deaths (9%) and two cases of microbiological failure (4%) were observed. The median length of stay in the intensive care unit was 14 days. There was no emergence of resistance to ceftazidime–avibactam. Discussion: Our study contributes to the growing body of evidence supporting the effectiveness of ceftazidime–avibactam in treating infections caused by carbapenem-resistant organisms. In this cohort of critically ill patients, our results in terms of both clinical success and survival are in the upper range compared to those from mainly retrospective and some prospective studies. Although the benefits of ceftazidime–avibactam have been demonstrated in this and other studies, it must be prescribed cautiously to ensure it remains effective. Full article

Sugar beet (Beta vulgaris ssp. vulgaris) is a vital crop, contributing to nearly a quarter of global sugar production, but faces significant challenges from biotic stressors, particularly aphids, which transmit damaging yellowing viruses such as Beet Yellow Virus (BYV) and Beet Mild Yellowing Virus (BMYV). Following the partial ban of neonicotinoids in Europe, viral infections in sugar beet have surged, highlighting the need for a deeper understanding of aphid-mediated virus transmission mechanisms. This study aims to evaluate the transmission efficiency of BYV and BMYV through different clones of the aphid vector Myzus persicae from sugar beet seed companies across Europe, and to analyze the feeding behaviors of efficient clones to identify factors influencing virus transmission. The transmission rates of yellowing viruses by M. persicae clones ranged from 52% to 79% for BMYV (mean 65%) and 7% to 96% for BYV (mean 47%). While no significant differences in BMYV transmission efficiency were observed among clones, a significant difference was detected between two BYV-carrying clones. Moreover, the BYV-carrying clone exhibited prolonged penetration activities during its feeding phase compared to the BMYV-carrying clone, suggesting a potential behavioral influence on transmission efficiency. This study highlights the importance of considering aphid clone influence in the development of sugar beet resistance. Full article

Introduction: Despite the key role of healthcare workers (HCWs) in tuberculosis (TB) prevention and control, there is a lack of regional data on their knowledge, attitudes, and practices (KAPs) regarding the disease in Atlantic Canada. Objectives: To assess the KAPs of HCWs and identify targets for educational interventions to enhance TB care and control. Methods: A cross-sectional study was conducted among HCWs in Atlantic Canada aged $\ge$19 years from October 2023 to February 2024. Participants were recruited via multiple channels such as social media, collegiate email lists, and snowball sampling. Survey data were collected using an online platform and analyzed using IBM SPSS Statistics v29. KAPs were assessed using Likert-type scales and internal consistency was evaluated using Cronbach’s alpha. Results: A total of 157 HCWs participated in this study (age range: 19 to 69 years); most were women (n = 145, 92%), born in Canada (n = 134, 85.4%), with nearly three-quarters (n = 115, 73.2%) who had never lived outside of Canada. Study participants demonstrated moderately high knowledge (M = 29.32, SD = 3.25) and positive attitudes (M = 3.87, SD = 0.37) towards TB and strong practices (M = 4.24, SD = 0.69) in TB care; however, gaps were identified in HCW abilities to recognize less common TB symptoms (e.g., rash and nausea), as well as inconsistent practices in ventilation and pre-treatment initiation. Internal consistency analysis indicated suboptimal reliability across all three KAP domains, with Cronbach’s alpha values falling below 0.7, thwarting further planned analyses. Conclusions: This study found overall moderate-to-strong TB-related KAPs among HCWs in Atlantic Canada; however, critical gaps in knowledge and practice were noted. This new information can now guide future educational initiatives and targeted training to enhance TB preparedness and ensure equitable care for patients in the region. Full article

Rangelands form the ecological and economic backbone of Namibia, yet the woody plant dynamics that sustain these landscapes remain sporadically quantified across the semi-arid interior. We investigated the characteristics (stand structure, regeneration, richness, diversity, composition, ecological importance, and indicator species) of woody communities along a pronounced south-to-north rainfall gradient (85–346 mm yr⁻¹) at five representative sites: Warmbad, Gibeon, Otjimbingwe, Ovitoto, and Sesfontein. Field sampling combined point-centered quarter surveys (10 points site⁻¹) and belt transects (15 plots site⁻¹). The basal area increased almost ten-fold along the gradient (0.4–3.4 m² ha⁻¹). Principal Coordinates Analysis (PCoA) arranged plots in near-perfect rainfall order, and Permutational Multivariate Analysis of Variance (PERMANOVA) confirmed significant site differences (F_3,56 = 9.1, p < 0.001). Nanophanerophytes dominated hyper-arid zones, while microphanerophytes appeared progressively with increasing rainfall. Mean annual precipitation explained 45% of the variance in mean height and 34% of Shannon diversity but only 5% of stem density. Indicator value analysis highlighted Montinia caryophyllacea for Warmbad (IndVal = 100), Rhigozum trichotomum (75.8) for Gibeon, Senegalia senegal (72.6) for Otjimbingwe, and Senegalia mellifera (97.3) for Ovitoto. Rainfall significantly influences woody structure and diversity; however, other factors also modulate density and regeneration dynamics. This quantitative baseline can serve as a practical toolkit for designing site-specific management strategies across Namibia’s aridity gradient. Full article

Since the end of the Civil War, Cambodia has pursued economic development to enhance livelihoods, particularly in rural areas, where land is a critical resource. Previous studies have indicated that the country has changed land use and land cover. However, they have not explained how these changes can improve the livelihoods of local communities, thereby mitigating their negative impacts through an asset-based approach. Battambang Province, in the northwestern region, was the battleground until political integration in 1996. Since then, the province has been home to immigrants exploring the lands for livelihood. Thus, this study aims to examine agricultural livelihoods in the villages of Dei Kraham and Ou Toek Thla, located west of Battambang Town. These were selected because of their common characteristics. Adopting a quantitative approach and a sustainable livelihood framework, this study employed stratified random sampling to select 123 families for interviews across three population subgroups: old settlers, new settlers, and young settlers. In situ information was collected using structured questionnaires and analyzed using Kruskal–Wallis tests to assess the livelihood assets underlying the physical, natural, human, financial, and social capital. The statistical analysis results reveal no significant differences (p-value = 0.079) in livelihood assets between the strata at the village level. Meanwhile, significant differences were observed in physical, human, and financial capital between old and young settlers when examining the subgroups (p-value 0.000). The extent of the land resources held by old settlers was associated with household income and livelihoods related to agriculture. Based on livelihood asset scores, nearly half of the new settlers (0.49–0.5) and a quarter of the young settlers (0.47) are vulnerable groups requiring support. The youth will soon face an uncertain future if they do not prioritize education. Full article

High-titanium steel contains an elevated titanium content, which promotes the formation of abundant non-metallic inclusions in molten steel at high temperatures, including titanium oxides, sulfides, and nitrides. These inclusions adversely affect continuous casting operations and generate substantial internal/surface defects in cast slabs, ultimately compromising product performance and service reliability. Therefore, stringent control over the size, distribution, and population density of inclusions is imperative during the smelting of high-titanium steel to minimize their detrimental effects. In this paper, samples of high titanium steel (0.4% Ti, 0.004% N) casting billets were analyzed by industrial test sampling and full section comparative analysis of the samples at the center and quarter position. Using the Particle X inclusions, as well as automatic scanning and analyzing equipment, the number, size, location distribution, type and morphology of inclusions in different positions were systematically and comprehensively investigated. The results revealed that the primary inclusions in the steel consisted of TiN, TiS, TiC and their composite forms. TiN inclusions exhibited a size range of 1–5 µm on the slab surface, while larger particles of 2–10 μm were predominantly observed in the interior regions. Large-sized TiN inclusions (5–10 μm) are particularly detrimental, and this problematic type of inclusion predominantly concentrates in the interior regions of the steel slab. A gradual decrease in TiN inclusion number density was identified from the surface toward the core of the slab. Thermodynamic and kinetic calculations incorporating solute segregation effects demonstrated that TiN precipitates primarily in the liquid phase. The computational results showed excellent agreement with experimental data regarding the relationship between TiN size and solidification rate under different cooling conditions, confirming that increased cooling rates lead to reduced TiN particle sizes. Both enhanced cooling rates and reduced titanium content were found to effectively delay TiN precipitation, thereby suppressing the formation of large-sized TiN inclusions in high-titanium steels. Full article

The automotive suspension must perform competently to support comfort and safety when driving. Traditionally, car suspension control tuning is performed through trial and error or with classical techniques that cannot guarantee optimal performance under varying road conditions. The study aims at designing a Linear Quadratic Regulator-based Bacterial Memetic Algorithm (LQR-BMA) for suspension systems of automobiles. BMA combines the bacterial foraging optimization algorithm (BFOA) and the memetic algorithm (MA) to enhance the effectiveness of its search process. An LQR control system adjusts the suspension’s behavior by determining the optimal feedback gains using BMA. The control objective is to significantly reduce the random vibration and oscillation of both the vehicle and the suspension system while driving, thereby making the ride smoother and enhancing road handling. The BMA adopts control parameters that support biological attraction, reproduction, and elimination-dispersal processes to accelerate the search and enhance the program’s stability. By using an algorithm, it explores several parts of space and improves its value to determine the optimal setting for the control gains. MATLAB 2024b software is used to run simulations with a randomly generated road profile that has a power spectral density (PSD) value obtained using the Fast Fourier Transform (FFT) method. The results of the LQR-BMA are compared with those of the optimized LQR based on the genetic algorithm (LQR-GA) and the Virus Evolutionary Genetic Algorithm (LQR-VEGA) to substantiate the potency of the proposed model. The outcomes reveal that the LQR-BMA effectuates efficient and highly stable control system performance compared to the LQR-GA and LQR-VEGA methods. From the results, the BMA-optimized model achieves reductions of 77.78%, 60.96%, 70.37%, and 73.81% in the sprung mass displacement, unsprung mass displacement, sprung mass velocity, and unsprung mass velocity responses, respectively, compared to the GA-optimized model. Moreover, the BMA-optimized model achieved a −59.57%, 38.76%, 94.67%, and 95.49% reduction in the sprung mass displacement, unsprung mass displacement, sprung mass velocity, and unsprung mass velocity responses, respectively, compared to the VEGA-optimized model. Full article

We present a theoretical study of various designs for arbitrary polarization retarders, created using sequences of half-wave and quarter-wave plates arranged at specific rotation angles. When combined with arbitrary polarization rotators, these retarders form a flexible device capable of implementing transformations between any pair of polarization states. Some configurations discussed are known from existing literature, while others appear to be new and, to the best of our knowledge, have not been reported before. The devices allow for continuous tuning of both retardance and rotation by adjusting the relative angles between the wave plates in the sequence. Full article