Search Results (383)

Seafood contamination by heavy metals is a growing public health concern, particularly in regions like Tunisia where seafood is a major dietary component. This study assessed concentrations of cadmium (Cd), copper (Cu), lead (Pb), and zinc (Zn) in the muscle tissue of the red shrimp Parapenaeus longirostris, collected in 2023 from four coastal regions: Bizerte, Monastir, Kerkennah, and Gabes. Metal analysis was conducted using flame atomic absorption spectroscopy. This species was chosen due to its ecological and economic importance. The study sites were chosen based on their differing levels of industrial, urban, and agricultural influence, providing a representative overview of regional contamination patterns. Mean concentrations were 1.04 µg/g for Zn, 0.59 µg/g for Cu, 1.56 µg/g for Pb, and 0.21 µg/g for Cd (dry weight). Pb was the most prevalent metal across sites. Statistically significant variation was observed only for Cu (p = 0.0334). All metal concentrations were below international safety limits set by FAO/WHO and the European Union. Compared to similar studies, the levels reported were similar or slightly lower. Human health risk was evaluated using target hazard quotient (THQ), hazard index (HI), and cancer risk (CR) values. For adults, THQ ranged from 5.44 × 10⁻⁶ to 8.43 × 10⁻⁴, while for children it ranged from 2.40 × 10⁻⁵ to 3.72 × 10⁻³. HI values were also well below 1, indicating negligible non-carcinogenic risk. CR values for Cd and Pb in both adults and children fell within the acceptable risk range (10⁻⁶ to <10⁻⁴), suggesting no significant carcinogenic concern. This study provides the first field-based dataset on metal contamination in P. longirostris from Tunisia, contributing valuable insights for seafood safety monitoring and public health protection. Full article

Objectives: To assess the role of a real-time therapeutic drug monitoring (TDM)-guided expert clinical pharmacological advice (ECPA) program of isavuconazole in preventing under- or overexposure with the intent of improving efficacy and safety outcomes in the critically ill patients. Methods: This retrospective study included critical patients receiving intravenous isavuconazole for prophylaxis or treatment of invasive fungal infections (IFI) and undergoing at least one TDM-guided ECPA in the period 1 March 2021–31 March 2025. Desired isavuconazole exposure was defined as trough concentrations (C_min) of 1.0–5.1 mg/L. Efficacy outcome was assessed by means of bronchoalveolar (BAL) galactomannan (GM) index, breakthrough IFI, and 30-day mortality rate, whereas safety was assessed by means of hepatic test disturbances (HTD). Univariate analysis was carried out for assessing potential variables associated with isavuconazole under- or overexposure and for comparing features of solid organ transplant (SOT) recipients vs. non-SOT patients. Proportions of isavuconazole C_min underexposure, desired exposure, and overexposure were assessed at different timepoints from starting therapy. Trends over time of HTD in relation to isavuconazole exposure were assessed separately in patients having HTD or not at baseline. Results: Overall, 32 critical patients were included. A total of 166 TDM-guided ECPAs were provided. Median (IQR) average isavuconazole C_min was 3.5 mg/L (2.1–4.6 mg/L). Proportions of ECPAs with isavuconazole C_min under- and overexposure were 4.2% (7/166) and 16.3% (27/166), respectively. Patients experiencing underexposure had higher body mass index (30.1 vs. 25.5 kg/m²; p < 0.001). Trends of isavuconazole C_min under- and overexposure changed over time, significantly decreasing the former (10.5% <7 days vs. 4.3% 7–28 days vs. 0.0% >28 days; p < 0.001) and increasing the latter (5.3% <7 days vs. 12.8% 7–28 days vs. 29.3% >28 days; p < 0.001). HTD occurred in 15/32 patients, most of whom (10/15) were affected just at baseline. Patients with transient or persistent overexposure trended toward a higher risk of HTD compared to those without (33.3% vs. 8.3%; p = 0.11). Conclusions: A real-time TDM-guided approach could be a valuable tool for optimizing isavuconazole exposure, especially whenever dealing with obese patients or with prolonged treatment. Full article

Thermal resilience is critical for building safety in cold climates during heating outages. This study presents full-scale experimental data from two residential buildings in Poland, tested during the winter of 2024–2025 under both typical and extreme outdoor conditions. The buildings—a lightweight timber-frame structure and a mediumweight masonry structure with ground coupling—were exposed to multi-day heating blackouts, and their thermal responses were monitored at a high temporal resolution. Several resilience indicators were used, including the resistance time (RT), degree of disruption (DoD), and hours of safety threshold (HST). Additionally, two time-based metrics—the time to threshold (T_x) and temperature at X-hours (T(t_x))—were introduced to improve classification in long-duration scenarios. The weighted unmet thermal performance (WUMTP) index was also implemented and validated using experimental data. The results show that thermal mass and ground coupling significantly improved passive resilience, enabling the mediumweight building to maintain temperatures above 15 °C for over 60 h without heating. This study provides new empirical evidence of passive survivability in blackout conditions and supports the development of time-sensitive assessment tools for cold climates. The findings may inform future updates to building codes and retrofit guidelines. Full article

Food safety concerns related to pesticide residues in fruits and vegetables have increased globally, particularly in regions where monitoring programs are scarce or inconsistent. This study provides the first multi-year evaluation of pesticide contamination and associated dietary risks in Cape Verde, an African island nation increasingly reliant on imported produce. A total of 570 samples of fruits and vegetables—both locally produced and imported—were collected from major markets across the country between 2017 and 2020 and analyzed using validated multiresidue methods based on gas chromatography coupled to Ion Trap mass spectrometry (GC-IT-MS/MS), and both gas and liquid chromatography coupled to triple quadrupole tandem mass spectrometry (GC-QqQ-MS/MS and LC-QqQ-MS/MS). Residues were detected in 63.9% of fruits and 13.2% of vegetables, with imported fruits showing the highest contamination levels and diversity of compounds. Although only one sample exceeded the maximum residue limits (MRLs) set by the European Union, 80 different active substances were quantified—many of them not authorized under the current EU pesticide residue legislation. Dietary exposure was estimated using median residue levels and real consumption data from the national nutrition survey (ENCAVE 2019), enabling a refined risk assessment based on actual consumption patterns. The cumulative hazard index for the adult population was 0.416, below the toxicological threshold of concern. However, when adjusted for children aged 6–11 years—taking into account body weight and relative consumption—the cumulative index approached 1.0, suggesting a potential health risk for this vulnerable group. A limited number of compounds, including omethoate, oxamyl, imazalil, and dithiocarbamates, accounted for most of the risk. Many are banned or heavily restricted in the EU, highlighting regulatory asymmetries in global food trade. These findings underscore the urgent need for strengthened residue monitoring in Cape Verde, particularly for imported products, and support the adoption of risk-based food safety policies that consider population-specific vulnerabilities and mixture effects. The methodological framework used here can serve as a model for other low-resource countries seeking to integrate analytical data with dietary exposure in a One Health context. Full article

Background/Objectives: Paclitaxel (PTX) is widely used in the treatment of a variety of solid tumours due to its broad-spectrum anti-tumour activity, but its use in brain gliomas is limited by insufficient blood–brain tumour barrier (BBTB) penetration and systemic toxicity. The aim of this study was to develop a Solutol HS-15-based micellar nanoparticle (PSM) to enhance the brain glioma targeting of PTX and reduce toxicity. Methods: PSMs were prepared by solvent injection and characterised for particle size, encapsulation rate, haemolysis rate and in vitro release properties. A C6 in situ glioma mouse model was used to assess the brain targeting and anti-tumour effects of the PSM by in vivo imaging, tissue homogenate fluorescence analysis and bioluminescence monitoring. Meanwhile, its safety was evaluated by weight monitoring, serum biochemical indexes and histopathological analysis. Results: The particle size of PSMs was 13.45 ± 0.70 nm, with an encapsulation rate of 96.39%, and it demonstrated excellent cellular uptake. In tumour-bearing mice, PSMs significantly enhanced brain tumour targeting with a brain drug concentration 5.94 times higher than that of free PTX. Compared with Taxol, PSMs significantly inhibited tumour growth (terminal luminescence intensity <1 × 10⁶ p/s/cm²/Sr) and did not cause significant liver or kidney toxicity or body weight loss. Conclusions: PSMs achieve an efficient accumulation of brain gliomas through passive targeting and EPR effects while significantly reducing the systemic toxicity of PTX. Its simple preparation process and excellent therapeutic efficacy support its use as a potential clinically translational candidate for glioma treatment. Full article

Terahertz (THz) communications and simultaneous wireless information and power transfer (SWIPT) hold the potential to energize battery-less Internet-of-Things (IoT) devices while enabling multi-gigabit data transmission. However, severe path loss, blockages, and rectifier nonlinearity significantly hinder both throughput and harvested energy. Additionally, high-power THz beams pose safety concerns by potentially exceeding specific absorption rate (SAR) limits. We propose a sensing-adaptive power-focusing (APF) framework in which a reconfigurable intelligent surface (RIS) embeds low-rate THz sensors. Real-time backscatter measurements construct a spatial map used for the joint optimisation of (i) RIS phase configurations, (ii) multi-tone SWIPT waveforms, and (iii) nonlinear power-splitting ratios. A weighted MMSE inner loop maximizes the data rate, while an outer alternating optimisation applies semidefinite relaxation to enforce passive-element constraints and SAR compliance. Full-stack simulations at 0.3 THz with 20 GHz bandwidth and up to 256 RIS elements show that APF (i) improves the rate–energy Pareto frontier by 30–75% over recent adaptive baselines; (ii) achieves a 150% gain in harvested energy and a 440 Mbps peak per-user rate; (iii) reduces energy-efficiency variance by half while maintaining a Jain fairness index of 0.999;; and (iv) caps SAR at 1.6 W/kg, which is 20% below the IEEE C95.1 safety threshold. The algorithm converges in seven iterations and executes within <3 ms on a Cortex-A78 processor, ensuring compliance with real-time 6G control budgets. The proposed architecture supports sustainable THz-powered networks for smart factories, digital-twin logistics, wire-free extended reality (XR), and low-maintenance structural health monitors, combining high-capacity communication, safe wireless power transfer, and carbon-aware operation for future 6G cyber–physical systems. Full article

Background: Secukinumab is a fully human monoclonal antibody that targets interleukin (IL)-17A and is used to treat axial spondyloarthritis (axSpA) and psoriatic arthritis (PsA). Treating axSpA and PsA can be challenging in patients with comorbidities. In this multicenter retrospective study, we aimed to evaluate the efficacy and safety of secukinumab treatment in patients with axSpA and PsA who had a history of tuberculosis, multiple sclerosis (MS), or congestive heart failure (CHF). Methods: The study included 44 patients with a diagnosis of axSpA and PsA and a history of tuberculosis, MS, or CHF who received secukinumab treatment at 13 centers in our country. Erythrocyte sedimentation rate, C-reactive protein (CRP), Bath Ankylosing Spondylitis Disease Activity Index, Ankylosing Spondylitis Disease Activity Score CRP, visual analog scale, and Disease Activity Score-28 CRP markers at months 0, 3, and 12 of secukinumab treatment were analyzed. Alongside this, tuberculosis, MS, and CHF were evaluated at follow-up using clinical assessments and imaging methods such as chest radiographs, brain magnetic resonance, and echocardiography. Results: A statistically significant improvement in inflammatory markers and disease activity scores was observed in patients treated with secukinumab. There was no reactivation in patients with a history of tuberculosis. In most MS patients, the disease was stable, while clinical and radiological improvement was observed in one patient. No worsening of CHF stage was observed in patients with a history of CHF. Conclusions: With regular clinical monitoring, secukinumab may be an effective and safe treatment option for axSpA and PsA patients with a history of tuberculosis, MS, or CHF. Full article

Vegetables and fruits grown in urban areas pose a potential threat to human health due to contamination with heavy metals (HMs). This study aimed to identify and quantify the concentrations of heavy metals (Fe, Mn, Zn, Cu, Pb, Cd) in tomatoes, leafy vegetables, and fruits collected from 16 allotment gardens (AGs) located in Warsaw. A total of 112 samples were analyzed (72 vegetable and 40 fruit samples). Vegetables from AGs accumulated significantly higher levels of HMs than fruits. Leafy vegetables, particularly those cultivated near high-traffic roads, exhibited markedly elevated levels of Pb, Cd, and Zn compared to those grown in peripheral areas. Lead concentrations exceeded permissible limits by six to twelve times, cadmium by one to thirteen times, and zinc by 0.7 to 2.4 times. Due to high levels of Pb and Cd, tomatoes should not be cultivated in urban environments. Regardless of location, only trace amounts of HMs were detected in fruits. The greatest health risk is associated with the consumption of leafy vegetables. Lettuce should be considered an indicator plant for assessing environmental contamination. The obtained Hazard Index (HI) values indicate that only the tested fruits are safe for consumption. Meanwhile, the values of the Hazard Quotient (HQ) indicate no health risk associated with the consumption of lettuce, cherries, and red currants. Among the analyzed elements, Pb showed a higher potential health risk than other metals. This study emphasizes the need for continuous monitoring of HM levels in urban soils and the establishment of baseline values for public health purposes. Remediation of contaminated soils and the implementation of safer agricultural practices are recommended to reduce the exposure of urban populations to the risks associated with the consumption of contaminated produce. In addition, the safety of fruits and vegetables grown in urban areas is influenced by the location of the AGs and the level of industrialization of the agglomeration. Therefore, the safety assessment of plant products derived from AGs should be monitored on a continuous basis, especially in vegetables. Full article

Assessing a city’s level of smartness according to global indices is a relatively new area of investigation. It is useful in encouraging a rethinking of urban digital strategies, although the different approaches to global smart city rankings have been subject to criticism. This paper highlights the methodological features of constructing the Smart City Index (SCI) from the IMD (International Institute for Management Development) based on residents’ assessments, their satisfaction with electronic services, and their perception of the priority of urban infrastructure areas. The Central European cities of the Visegrad region (Prague/Czech Republic, Budapest/Hungary, Bratislava/Slovakia, Warsaw and Krakow/Poland) were chosen as the basis for an in-depth analysis. The architectonics, i.e., the internal system of constructing and calculating city rankings by SCI, is analyzed. A comparative analysis of the technology indicators (e-services) in five cities of the Visegrad region, presented in the SCI, showed the smart features of each city. The progressive and regressive trends in the dynamics of smartness in the cities in the Visegrad region were identified in five urban spheres indicated in the Index: Government, Activity, Health and Safety, Mobility, and Opportunities. This also made it possible to identify certain methodological gaps in the SCI in establishing interdependencies between the data on the residents’ perception of the priority of areas of life in a particular city and the residents’ level of satisfaction with electronic services. In particular, the structural indicators “Affordable housing” and “Green spaces” are not supported by e-services. This research aims to bridge this methodological gap by proposing a model for evaluating the e-service according to the degree of coverage of different spheres of life in the city. The application of the project, as well as cross-sectoral and systemic approaches, made it possible to develop basic models for assessing the value of e-services. These models can be implemented by municipalities to assess and monitor e-services, as well as to select IT projects and elaborate strategies for smart sustainable city development. Full article

Background: Computed Tomography (CT) imaging is widely recognised for its high capability in assessing multiple organs. However, concerns about patient radiation exposure, particularly in children, pose significant challenges. Objective: This study aimed to establish diagnostic reference levels (DRLs) for paediatric patients in the most common CT examinations to monitor and better control radiation doses. Methods: Dosimetry records from 5956 patients’ scans for the four most common CT imaging examinations—Head, Chest, Abdomen Pelvis (AP), and Chest Abdomen Pelvis (CAP)—were considered. The CT dosimetric quantities (CT dose-index volume (CTDI_vol) and dose-length product (DLP)), along with patient demographics (age and weight), were collected from radiology data storage systems. DRLs for CTDI_vol and DLP were determined for each imaging examination, stratified by patient age and weight groups, in accordance with ICRP recommendations. Results: The derived DRLs are presented as [median CTDI_vol (mGy): median DLP (mGy·cm)]. For (<1 yr): Head: 13:187, Chest: 0.4:7, AP: 0.9:19, CAP: 0.4:10. For (1–5 yrs): Head: 16:276, Chest: 1:22, AP: 1.5:58, CAP: 1.6:63. For (6–10 yrs): Head: 19:332, Chest: 1.4:35, AP: 1.9:74, CAP: 2:121. For (11–15 yrs): Head: 21:391, Chest: 3:86, AP: 4.1:191, CAP: 3:165. We observed that both the CTDI_vol and DLP DRL values increase with patient age. Weight-based DRLs follow similar trends for CTDI_vol, while DLP values show noticeable variations in Chest and AP examinations. Conclusions: The study findings highlight the need for review and optimisation of certain scanning protocols, particularly for chest and AP examinations. The derived DRLs are consistent with findings from other studies. The study recommends establishing national paediatric DRLs to enhance radiology practice across the country and ensure adherence to international safety standards. Full article

With the growth of international trade, concerns over the safety of imported agricultural products in South Korea have intensified due to factors such as the COVID-19 pandemic, radiation contamination risks, and the prevalence of GMOs. In response, this study develops two composite indices—the Agricultural Product Safety Index (APSI) and the Imported Food Safety Index (IFSI)—to quantitatively assess food safety risks across major exporting countries and apply them to Korea’s import structure. The indices integrate production and distribution risk indicators based on publicly available data and adhere to five key principles, including applicability, reliability, boundedness, independence, and representativeness. Empirical results from 2014 to 2021 indicate that Australia consistently demonstrates the highest food safety level, followed by the United States, Argentina, Ukraine, and Brazil. While the indices provide a structured and transparent framework for monitoring import-related safety, their scope is limited to selected countries and excludes biological hazards due to data limitations. Future research should expand the geographical coverage and incorporate empirical validation techniques. These findings contribute to the development of evidence-based policy instruments aimed at enhancing food safety governance in global supply chains. Full article

Capsella bursa-pastoris (L.) Medik (C. bursa-pastoris) is an underexplored medicinal herb and bioindicator of potentially toxic elements (PTEs). Its broad traditional utilization combined with its high capacity for PTE accumulation may endanger human health. Herein, we investigated the concentrations and mobility of PTEs (Ba, Co, Cr, Cu, Fe, Mn, Ni, Sr, and Zn) in the urban soil–C. bursa-pastoris system and comprehensively assessed potential health risks associated with exposure to contaminated soils, plant and herbal extracts. Cu, Zn, Sr, and Mn were the most abundant in soils and predominantly phytoavailable. The calculated values of the geo-accumulation index (I_geo) indicated moderate to heavy Cu, Zn, and Sr contamination in the soil. C. bursa-pastoris demonstrated two strategies for PTEs—the exclusion of Ba, Cr, Mn, and Sr, and the accumulation of Cu, Ni, Co, and Fe. Principal Component Analysis (PCA) classified samples from four cities based on the PTE levels in soils, plants, and herbal extracts. Although plant tissues contained elevated levels of PTEs, the estimated daily intake (EDI), target hazard quotient (THQ), and lifetime carcinogenic risk (LCR) demonstrated no significant health risks from consuming C. bursa-pastoris and its extracts. The obtained results indicated the higher sensitivity of children to the hazardous effects of PTEs compared to adults. Extensive risk assessments of polluted soils and inhabiting plants are crucial in PTE monitoring. This study underscored its importance and delivered new insights into the contamination of medicinal herbs, aiming to contribute to implementing safety policies in public health protection. Full article

In recent years, heavy metal pollution in farmland soil has become a crisis due to human activities or natural impacts, with particular emphasis on cases from China, where this issue is prominent, greatly affecting crop production and food safety. In the context of a low heavy metal (HM) content in farmland soil, which is difficult to monitor in real time, effective and rapid monitoring of soil plays a decisive role in subsequent targeted protection measures. To this end, this paper provides a narrative review of the application of spectral sensing technology on the basis of the quantitative inversion of heavy metal content in farmland soil using different platforms (ground, airborne, and spaceborne). The sensing process evaluates the mechanism by which soil produces different weak spectral features from the perspective of the heterogeneity of farmland soil. Different methods used for the quantitative inversion of heavy metals (by studying the correlation between soil heavy metals and organic matter, clay minerals, metal oxides, crop vegetation index, etc.) and their feasibility were clarified. At the same time, relevant research on key technologies used in various processes—such as follow-up pretreatment, spectral feature extraction, and the establishment of inversion models for spectral data of different farmland soil types—was summarized, with a primary focus on cases in China. Finally, the challenges, applications, and research directions related to heavy metal spectral inversion in farmland soil were discussed. Full article

Purpose: We aimed to evaluate the safety and feasibility of a remote electrocardiogram (ECG) monitoring-based cardiac rehabilitation (CR) program during an early postoperative period in patients who underwent cardiac surgery. Methods: Five days after cardiac surgery, patients were referred to a CR department and participated in a low-intensity inpatient CR program while wearing an ECG monitoring device. Prior to discharge, the patients underwent a cardiopulmonary exercise test (CPET) and squat endurance test to determine the suitable intensity and target heart rate (HR) for home-based CR (HBCR). During 2 weeks of the HBCR period after discharge, patients participated in aerobic and resistance exercises. Electrocardiogram data were transmitted to a cloud, where researchers closely monitored them through a website and provided feedback to the patients via telephone calls. Grip strength (GS), 6 min walk distance (6 MWD), EuroQol-5 dimension (EQ-5D), short-form 36-item health survey (SF-36), and Korean Activity Scale/Index (KASI) were measured at three different time points: 5 d post-surgery (T1), pre-discharge (T2), and 2 weeks after discharge (T3). Squat endurance tests and CPET were performed only at T2 and T3. Result: Sixteen patients completed the study, seven (44%) of whom underwent coronary artery bypass graft surgery (CABG). During the study period between T2 and T3, peak VO₂ improved from 12.39 ± 0.57 to 17.93 ± 1.25 mL/kg/min (p < 0.01). The squat endurance test improved from 16.69 ± 2.31 to 21.81 ± 2.31 (p < 0.01). In a comparison of values of time points between T1 and T3, the GS improved from 28.30 ± 1.66 to 30.40 ± 1.70 kg (p = 0.02) and 6 MWD increased from 249.33 ± 20.92 to 387.02 ± 22.77 m (p < 0.01). The EQ-5D and SF-36 improved from 0.59 ± 0.03 to 0.82 ± 0.03 (p < 0.01) and from 83.99 ± 3.40 to 122.82 ± 6.06 (p < 0.01), and KASI improved from 5.44 ± 0.58 to 26.11 ± 2.70 (p < 0.01). In a subgroup analysis, the CABG group demonstrated a greater increase in 6 MWD (102.29 m, p < 0.01) than the non-CABG group. At the end of the study, 75% of the patients expressed satisfaction with the early CR program guided by remote ECG monitoring. Conclusions: Our findings suggest that early remote ECG monitoring-based CR programs are safe and feasible for patients who have undergone cardiac surgery. Additionally, the program improved aerobic capacity, functional status, and quality of life. Full article

It is vital to stabilize pillar dams in underground reservoirs in coal mine goafs to protect groundwater resources and quarry safety, practice green mining, and protect the ecological environment. Considering the actual occurrence of coal pillar dams in underground reservoirs, acoustic emission (AE) mechanical tests were performed on dry, naturally absorbed, and soaked coal samples. According to the mechanical analysis, Quantitative analysis revealed that dry samples exhibited the highest mechanical parameters (peak strength: 12.3 ± 0.8 MPa; elastic modulus: 1.45 ± 0.12 GPa), followed by natural absorption (peak strength: 9.7 ± 0.6 MPa; elastic modulus: 1.02 ± 0.09 GPa), and soaked absorption showed the lowest values (peak strength: 7.2 ± 0.5 MPa; elastic modulus: 0.78 ± 0.07 GPa). The rate of mechanical deterioration increased by ~25% per 1% increase in moisture content. It was identified that the internal crack development presented a macrofracture surface initiating at the sample center and expanding radially outward, and gradually expanding to the edges by adopting AE seismic source localization and the K-means clustering algorithm. Soaked absorption was easier to produce shear cracks than natural absorption, and a higher water content increased the likelihood. The b-value of the AE damage evaluation index based on crack development was negatively correlated with the rock damage state, and the S-value was positively correlated, and both effectively characterized it. The research results can offer reference and guidance for the support design, monitoring, and warning of coal pillar dams in underground reservoirs. (The samples were tested under two moisture conditions: (1) ‘Soaked absorption’—samples fully saturated by immersion in water for 24 h, and (2) ‘Natural absorption’—samples equilibrated at 50% relative humidity and 25 °C for 7 days). Full article