Search Results (384)

Rice production is under increasing threat from adverse climatic trends that exacerbate water scarcity and compromise food safety. The need to transition toward water-saving irrigation is urgent, as is the requirement of addressing the dual burden of selenium (Se) deficiency and arsenic (As) toxicity. This 3-year field study (2020–2022) is the first to evaluate the effects of integrated water-saving irrigation. Permanent flood irrigation (Flood) or alternate wetting and drying was used, in which fields were reflooded when the soil matric potential reached −20 kPa (Reflood-20) and −70 kPa (Reflood-70); the effects of foliar Se biofortification at 15 g Se ha⁻¹ with sodium selenate (15-Se) or no Se (No-Se) on rice production and Se and As accumulation were also investigated. The results identified the Reflood-20 regime as the optimal strategy, achieving 36% water savings without significant grain yield penalties while enhancing grain quality. Foliar Se application successfully increased the dehulled grain Se content by 10.7-fold, effectively meeting human dietary requirements. The As contents were decreased by 27.6% due to water restriction, and an additional 10% loss was observed because of Se supplementation. Analysis of the straw also showed a 23.5% decrease in As and a 5.7-fold increase in Se. Consequently, the synergy between moderate deficit irrigation and Se biofortification provides a robust, cost-effective framework for the large-scale production of safer, nutrient-dense rice, reconciling resource efficiency with food security. Full article

Background and Objectives: Routine laboratory markers may support diagnostic risk stratification for osteoporosis, but their incremental value beyond the Osteoporosis Self-Assessment Tool for Asians (OSTA) remains uncertain in referral-based practice. We evaluated whether serum uric acid, albumin, alkaline phosphatase (ALP), and systemic inflammatory indices improve prediction of DXA-defined osteoporosis beyond OSTA in postmenopausal women. Materials and Methods: This retrospective cross-sectional study included 3504 postmenopausal women referred for DXA between January 2021 and May 2025. Osteoporosis was defined as the lowest T-score ≤ −2.5 at the lumbar spine, total hip, or femoral neck. Sequential exclusions removed patients with chronic hepatobiliary disease, chronic systemic inflammatory disease, bone-active medication exposure, systemic glucocorticoid use, abnormal liver biochemistry, or missing required variables. Multivariable logistic regression assessed associations, and OSTA-based prediction models were internally validated using stratified 10-fold cross-validation. Results: Osteoporosis was present in 1660 women (47.4%). Higher BMI, uric acid, and albumin were independently associated with lower odds of osteoporosis, whereas ALP and calcium were associated with higher odds. OSTA alone achieved an AUC of 0.679. Adding uric acid, albumin, and ALP increased AUC to 0.695 and slightly improved the Brier score, with good calibration. Adding the systemic immune-inflammation index did not materially improve performance. Conclusions: Routine laboratory variables provided only modest incremental value beyond OSTA. The model should be interpreted as an exploratory referral-pathway prioritization approach, not as a standalone population-screening tool. It should not be used as a diagnostic surrogate for DXA or as a fracture-risk model. Full article

Candida auris is a multidrug-resistant fungal pathogen associated with high mortality in healthcare settings. Although colonization is recognized as the harbinger of invasive infection, predicting which patients will develop bloodstream infection (BSI) and when this transition will occur remains a clinical challenge. In this study, patients aged ≥18 years with C. auris colonization identified at İzmir City Hospital between January 2023 and June 2025 were retrospectively analyzed. Colonization was confirmed by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS). Of 71 colonized patients (median age 65 years; 69.0% male; 93.0% intensive care unit (ICU)-admitted), 31 (43.7%) developed bloodstream infection (BSI). In-hospital mortality was 62.0%, rising to 74.2% in the BSI group, though this difference did not reach statistical significance (p = 0.105). Competing risks analysis using the Aalen–Johansen method showed a cumulative BSI incidence of 38.2% (95% confidence interval (CI): 28–50%) by day 10 and 43.0% (95% CI: 32–54%) by day 30 following colonization detection. On multivariate logistic regression, diabetes mellitus was the sole variable independently associated with a lower risk of BSI development (adjusted odds ratio (OR): 0.19; 95% CI: 0.06–0.68; p = 0.010); this finding was directionally consistent but did not reach statistical significance in the multivariable Fine–Gray competing risks model (subdistribution hazard ratio (SHR): 0.334; 95% CI: 0.108–1.040; p = 0.057). All 40 tested isolates had high fluconazole minimum inhibitory concentration (MIC) values; micafungin susceptibility was 92.5%, while anidulafungin resistance was observed in 32.5% of isolates. Our findings demonstrate that nearly half of colonized patients developed BSI, with no identifiable safe window for intervention, underscoring the necessity of sustained infection control measures and susceptibility-guided antifungal therapy. Full article

This study aimed to evaluate whey fermentation with Enterococcus faecium ABMC-05 to obtain a product with three functional ingredients: probiotic strains, selenium enrichment, and hydrolysates with antioxidant and antihypertensive properties. Whey, with and without sodium selenite (184 mg/mL), was fermented by Enterococcus faecium ABMC-05 and analyzed for 120 h. Free amino groups (TNBS), protein hydrolysis (Tris-Glycine-SDS-PAGE), lower molecular protein fractions (Tris-Tricine-SDS-PAGE and SEC-HPLC), antioxidant activity (DPPH and FRAP), and antihypertensive activity (ACE inhibition) were determined. The results showed that selenium accumulation in Enterococcus faecium ABMC-05 gradually increased during fermentation, reaching 2.21 µg Se/Log CFU. This was associated with a delay in the initial stage of bacterial growth and a greater release of free amino groups. Partial hydrolysis of serum β-lactoglobulin was observed by SDS-PAGE and confirmed by HPLC only in the fermentation without selenium. The levels of inhibition of the DPPH radical decreased during fermentation in both systems, while FRAP remained unchanged during the fermentation time in the selenium system. In contrast, ACE inhibitory activity increased to 53% at 120 h of fermentation in the selenium system. Therefore, the combination of the three functional ingredients may enhance bioactivity and serve as an alternative in functional dairy foods. Full article

Salinity stress severely inhibits crop growth and reduces yield. Exogenous selenium (Se) enhances plant abiotic stress tolerance, but how different selenium forms exert their impacts and pathways in mitigating salinity remains ambiguous. Under salt stress, this work compared two Se forms, selenate [Se(VI)] and selenite [Se(IV)], regarding their impacts on development, photosynthetic performance, antioxidative system, osmotic regulators, Se buildup, and stress-related gene expression in Nicotiana tabacum L. Both Se species significantly promoted tobacco growth. (1) Under 150 mmol/L NaCl stress, biomass, net photosynthetic rate and antioxidant enzyme activities decreased significantly, while soluble sugar, free proline, Na⁺/K⁺, Na⁺/Ca²⁺, H₂O₂, MDA contents and NtROS2a, NtLEA5 expression increased significantly. (2) Exogenous Se increased biomass, photosynthetic parameters; antioxidant enzyme activities and NtNAC2, NtCDPK12, NtROS2a expression; elevated Se deposition in roots and leaves; and reduced oxidative damage, ion imbalance and NtLEA5 expression in salt-stressed tobacco, suggesting that Se may improve salt tolerance by regulating these physiological processes and stress-related gene expression. (3) Compared with Se(IV), Se(VI) significantly increased root length, chlorophyll content, stomatal conductance, K⁺ content, SOD/CAT activities, leaf and root Se accumulation as well as and NtNAC2, NtCDPK12 expression, while Se(IV) resulted in higher root diameter, free proline content, Na⁺/K⁺ ratio and NtROS2a expression. In conclusion, both sodium selenate and sodium selenite effectively enhanced tobacco salt tolerance. The salt stress alleviation effect of Se(VI) may be associated with upregulating NtNAC2 and NtCDPK12 to improve antioxidant capacity and photosynthesis, thereby potentially maintaining cell membrane integrity and ion balance, while Se(IV) may exert its effect through upregulating NtROS2a to promote root thickening, reactive oxygen species scavenging and osmotic adjustment. At the tested concentrations, selenate was more effective. Full article

Plastic pollution has emerged as one of the most pervasive environmental challenges, with microplastics (MPs) widely distributed across marine ecosystems worldwide. This study aimed to assess the uptake of MPs by key fish and invertebrate species from different locations in the coastal zone of the Bulgarian Black Sea. Fish were collected during routine monitoring surveys in September–November 2024, while invertebrates were obtained via scuba diving. The presence of MPs in fish stomachs and invertebrate soft tissues, and their polymer composition, shape and size were analyzed using an Agilent 8700 LDIR Chemical Imaging System. Potential biological effects of ingested MPs were evaluated by an integrated Specific Oxidative Stress (SOS) index. The results revealed MP uptake levels comparable to those reported globally. Small-sized particles (<50 µm) with rounded shapes were most abundant across studied taxa. Polymer composition varied considerably depending on species and sampling region, indicating differences in exposure sources and environmental conditions. Oxidative stress levels in both fish and invertebrates showed substantial interspecific variation, and clear differences between the northern and southern region of the Bulgarian Black Sea. Overall, elevated uptake of MPs appears to contribute to oxidative stress in marine organisms, potentially affecting their health status, resilience, and adaptive capacity, as reflected by increased SOS index values. Full article

Selenium plays a crucial role in estuarine biogeochemistry, balancing essential nutrient functions with potential environmental toxicity. This study examines the seasonal distribution of dissolved Se species, including volatiles, in the Adour estuary in relation to anthropogenic influences. To characterize major Se inputs from upstream watersheds to downstream tributaries, water samples were collected at low tide during three different seasons in upstream freshwaters, industrial/urban effluents and downstream estuarine waters. A tidal-cycle sampling campaign was conducted under low discharge conditions to assess Se dynamics during downstream estuarine mixing. Total dissolved Se (TDSe) concentrations ranged from 71 (pristine river) to 656 ng L⁻¹ (industrial/urban-impacted tributaries). TDSe correlated strongly with nitrate (r = 0.84) in upstream waters, indicating significant agricultural and livestock contributions at the watershed scale. Selenate was the dominant species, followed by Se(-II+0) fraction and selenite. Volatile Se compound concentrations varied from 51 to 2757 pg L⁻¹. Seasonal changes suggest that Se speciation is mainly controlled by watershed inputs derived from land use (agricultural and livestock practices) rather than downstream estuarine inputs. This speciation study further indicates that Se reactivity/bio-availability in estuarine systems can be largely influenced by anthropogenic activities, although further characterization of the aqueous reduced Se fraction is still needed. Full article

Selenium (Se) biofortification is considered an effective approach to enhance the nutritional and functional properties of fungal polysaccharides. In this study, Pleurotus geesteranus was biofortified with different Se sources including sodium selenite [Se(IV)], sodium selenate [Se(VI)], potassium 2-selenocyanatoacetate (PSeCA), and selenium ore powder (SeOP) to obtain Se-enriched polysaccharides by ultrasound-assisted extraction (UAE). UAE parameters were optimized via a Box–Behnken design; the optimized UAE model exhibited high predictability (R² = 0.9886, CV = 1.71%), enabling reliable scale-up for industrial extraction, with the PSeCA group achieving the highest polysaccharide content (75.12 mg/g) and Se level (13.85 mg/kg) compared to the control and other Se-fortified groups. The monosaccharide composition analysis on polysaccharides revealed that Se(IV) and Se(VI) primarily increased mannose and fructose contents, whereas PSeCA and SeOP exhibited characteristic glucose-dominant profiles. Furthermore, the molecular weight (Mw) distribution of fungal polysaccharides could be altered under biofortification conditions. In addition, polysaccharides of each group revealed different antioxidant bioactivities among tested free radicals. The result indicated that PSeCA as an organic Se source, rarely studied, has promising potential in P. geesteranus biofortification for obtaining antioxidant Se-polysaccharides. Full article

Water pollution, caused by selenium contamination, is a significant global issue due to its toxic effects on humans and animals. Selenium occurs in several oxidation states, among which selenite and selenate are the most mobile and bioavailable forms. Traditional water treatment methods are often limited in efficiency, whereas adsorption offers a simple, cost-effective, and efficient solution. Various adsorbents, including metal and mineral oxides, carbon-based materials (activated carbon, graphene oxide), biosorbents, and nanocomposites, have shown high potential for Se removal. Adsorbent modifications—physical, chemical, or composite—significantly enhance adsorption capacity, selectivity, and material stability. Studies have demonstrated that nanomaterials and nanocomposites, such as MnFe₂O₄, PAA-MGO, magnetic MOFs, and magnetite-based biochars, enable rapid removal of Se(IV) and Se(VI) with high adsorption capacities. Se(IV) is primarily adsorbed through innersphere complexation, while Se(VI) forms weaker outer-sphere interactions, explaining differences in removal efficiency. Factors such as pH, the presence of surface hydroxyl and amino groups, surface charge, and competing ions strongly influence the adsorption process. Multivalent ions reduce Se adsorption efficiency, whereas monovalent ions (NO₃⁻ and Cl⁻) have minimal impact. Modified adsorbents, nanomaterials, and nanocomposites provide sustainable and practical solutions for selenium removal from water, combining high efficiency, selectivity, and reusability, making them suitable for real-world water treatment applications. Full article

Objective: This study aimed to identify clinically modifiable and readily accessible predictors of 30-day mortality in a 10-year candidemia cohort and to assess temporal changes in Candida species distribution. Methods: We retrospectively evaluated 391 hospitalized adults with positive blood cultures for Candida spp. between January 2015 and March 2025. Only the first candidemia episode was included. Demographic characteristics, comorbidities, risk factors, laboratory parameters, antifungal therapy, and outcomes were recorded. Species identification was performed using conventional methods and the VITEK 2 system. Factors associated with 30-day mortality were analyzed using univariate and multivariate logistic regression models. Results: The mean age was 64.5 ± 17.7 years, and 56.3% of patients were male. Most patients (68.8%) were managed in the intensive care unit, and the 30-day mortality rate was 54%. Non-albicans Candida species accounted for 62.7% of isolates, with an increasing trend over time, particularly for Candida glabrata. Fluconazole susceptibility was 79%. In univariate analysis, advanced age, solid tumors, invasive mechanical ventilation, leukocytosis, thrombocytopenia, septic shock, intensive care unit admission, and failure to remove the central venous catheter were associated with mortality. Multivariate analysis identified advanced age, intensive care unit admission, septic shock, failure to remove the central venous catheter, leukocytosis, and thrombocytopenia as independent predictors of 30-day mortality. Conclusions: Candidemia remains a life-threatening infection with high mortality. Central venous catheter management and simple hematological parameters, particularly white blood cell and platelet counts, provide practical tools for early risk stratification. Although the rising prevalence of non-albicans Candida species may require updates in empirical therapy, prompt source control remains essential to improve survival. Full article

Background/Objectives: Dysphagia leads to severe complications, but data on patient profiles are limited in Türkiye. In this study, we present swallowing characteristics across etiologies and examine the association between a history of pneumonia and videofluoroscopic swallowing study (VFSS) findings. Methods: This retrospective study included 1055 adults, comprising a large, heterogeneous outpatient population, referred for swallowing evaluation between 2015 and 2018. Clinical data (demographics, diagnoses, feeding status, etc.) and VFSS findings (Penetration–Aspiration Scale, PAS; pharyngeal residue) for liquid and semisolid consistencies were recorded from our electronic database. Associations were initially assessed using the chi-square test. A logistic regression analysis was performed to identify factors associated with pneumonia history. Results: Neurologic diseases (62.1%) were the most frequent diagnosis. VFSS identified liquid aspiration in 53.9% (61.8% silent) and semisolid aspiration in 20.1% (72.5% silent) of patients. Pharyngeal residue occurred in up to 10.6% of patients for liquids and 24.3% for semisolids. Diet recommendations were modified for 43.3% of patients (p < 0.05). Overall, 26.6% of patients had a history of pneumonia. In unadjusted, exploratory comparisons, pneumonia history was significantly associated with higher frequencies of aspiration and silent aspiration (p < 0.001), while pharyngeal residue was comparable between groups (p > 0.05). Multivariable logistic regression analysis showed that nonsilent aspiration (PAS 6–7) and silent aspiration (PAS 8) were associated with pneumonia history in both liquid (OR = 2.18 and 3.06) and semisolid consistencies (OR = 2.32 and 3.71), and that pharyngeal residue in semisolid consistency was also associated with pneumonia history (OR = 1.57). Conclusions: This study provides a comprehensive clinical profile of dysphagia in Türkiye, highlighting high rates of silent aspiration and the role of instrumental assessment in guiding safe feeding. While a significant association was observed between pneumonia history and impaired swallowing safety and efficiency, the retrospective nature of this study precludes causal interpretations. Full article

Although DNA-based data storage theoretically provides an information density of 2 bits per nucleotide, biochemical constraints transform sequence design into a high-dimensional constrained combinatorial optimization problem. The high computational cost and low encoding efficiency of conventional rule-based approaches make metaheuristic methods an effective alternative. This study proposes the TC-HUR hybrid algorithm to simultaneously optimize information density and conflicting biophysical constraints, including homopolymer (HP) length, GC content, melting temperature ($T_m$), and reverse-complement (RC) similarity. The method escapes local optima using Cauchy jump-enhanced Hunger Games Search (HGS), performs high-precision exploitation via Runge–Kutta (RUN) operators, and refines constraint violations at the nucleotide level through an adaptive intensive mutation mechanism. The algorithm is evaluated on a complex dataset of 1853 nucleotides under different noise regimes. TC-HUR outperforms RUN by 2.5% and HGS by 16.7% in average fitness. While maintaining homopolymer length near the ideal threshold, it reduces reverse-complement similarity to 19.10%, ensuring high sequence diversity. Under high-noise conditions, TC-HUR achieves a normalized edit distance of 0.1290, reducing insertion–deletion (indel) errors by approximately 14%. The results demonstrate that the proposed model effectively generates biophysically synthesizable and noise-resilient DNA codes. Full article

Background/Objectives: This study aimed to examine the prevalence of anatomical variations in the sacroiliac joints (SIJs) as observed through Magnetic Resonance Imaging (MRI), to characterize their manifestations, and to identify MRI features that may resemble inflammatory alterations. Methods: A retrospective review was conducted on consecutive MRI scans of the SIJ performed from January 2009 to January 2022. Eight anatomical variations, along with associated edematous and structural changes, were assessed. Results: The study encompassed 840 patients, with anatomical variations identified in 39.7% of the cohort, occurring more frequently among female participants. The most prevalent variations were accessory SIJ (36.2%) and the iliosacral complex (32.2%). Notably, isolated synostosis and persistent ossification center variations were absent. The increased frequency of variations in women, as well as their correlation with advancing age, was statistically significant (p = 0.034). Accessory SIJ and dysmorphic alterations were linked to bone marrow edema and structural modifications. In the iliosacral complex and semicircular defect variations, prominent vascular structures were observed extending along the bone surfaces. The number and depth of edema slices in sacroiliitis exceeded those observed in the variation (p < 0.001). Conclusions: Anatomical variations of the SIJ are prevalent among women and tend to increase with advancing age. Given that these variations, particularly accessory SIJ and dysmorphic alterations, may present with edematous and structural signal intensity changes that resemble sacroiliitis, it is crucial to recognize these variations. It is recommended to assess axial and coronal images concurrently and to exercise caution in the interpretation of SIJ MR images. Full article

Cu₂ZnSn(S,Se)₄ (CZTSSe) is a candidate thin-film photovoltaic material; however, its performance is restricted by innate defect-induced nonradiative recombination. Low-concentration Ge doping has been identified as an efficient way to mitigate these defects, but the selenization temperature remains an important process parameter that governs the structure and optoelectronic characteristics of CZTSSe absorbers. In the present work, low-concentration Ge-doped Cu₂ZnSn_0.95Ge_0.05S₄ (CZTGS) precursor films were synthesized through a green, n-butylammonium butyrate-based solution approach. The effects of the selenization temperature (530–570 °C) on the microstructure, composition, and photovoltaic performance of Cu₂ZnSn_0.95Ge_0.05(S,Se)₄ (CZTGSSe) films and devices were comprehensively investigated. X-ray diffraction (XRD), scanning electron microscopy (SEM), X-ray photoelectron spectroscopy (XPS), energy-dispersive X-ray spectrometer (EDS), atomic force microscopy (AFM) were performed to comprehensively characterize the synthesized samples, and the results suggested that the selenization temperature dramatically altered the film grain growth, crystallinity, elemental retention and surface roughness. Specifically, the film that underwent selenization at 550 °C presented the best crystallinity, which was accompanied by large-scale even grains, efficient Ge⁴⁺ addition to the kesterite lattice and the lowest surface roughness. These better properties in terms of structure and composition resulted in the lowest carrier transport resistance (R_s = 8.6 Ω∙cm²), improved recombination resistance (R_j = 5.9 kΩ∙cm²), inhibited nonradiative recombination, and prolonged carrier lifetime (τ_EIS = 35.8 μs). Therefore, the resulting CZTGSSe thin-film solar cell had an 8.69% better power conversion efficiency (PCE), while its open-circuit voltage (V_OC) was 0.42 V, the fill factor (FF) was 55.51%, and the short-circuit current density (J_SC) was 37.71 mA·cm⁻². Our results elucidate the mechanism by which the selenization temperature regulates low-concentration Ge-doped kesterite devices and provide more insights into the optimization of processes for cost-effective, high-performance, and green thin-film solar cells. Full article

Background/Objectives: Atherosclerotic cardiovascular disease (ASCVD) remains the leading cause of death worldwide. The 2023 American Heart Association PREVENT equations represent a contemporary approach to cardiovascular risk estimation, yet they rely on resting clinical and biochemical parameters. This study aimed to evaluate the association between PREVENT-estimated 10-year cardiovascular risk and treadmill exercise testing (TET)-derived physiological variables. Methods: We conducted a single-center observational study of 391 participants (mean age 42.9 ± 9.0 years, 56.8% male) who underwent symptom-limited treadmill testing. Ten-year cardiovascular risk was estimated using PREVENT for total cardiovascular disease (CVD), ASCVD, and heart failure (HF). Hierarchical multivariable regression was performed using log-transformed PREVENT risk estimates to quantify the incremental association of exercise capacity (METs), hemodynamic markers (double product), autonomic recovery (heart rate recovery), and the ST/HR index beyond demographic (age, sex, BMI) and extended clinical base models incorporating available PREVENT input covariates. Results: Beyond the demographic base model, treadmill parameters were significantly associated with log-transformed PREVENT-CVD risk (ΔR² = 0.026, p < 0.001; Cohen’s f² = 0.154). Double product (standardized β = 0.116), HRR at 1 min (standardized β = −0.081), and maximum METs (standardized β = −0.079) were independently associated with risk estimates. However, when the full set of available PREVENT input covariates was included in the base model, the incremental association was negligible (ΔR² = 0.0004, p = 0.386), indicating substantial overlap between exercise-derived physiology and PREVENT-embedded clinical information. The incremental association was greatest in participants with intermediate (1–5%) and higher (≥5%) estimated risk (ΔR² = 0.052 and 0.246, respectively). Approximately 14% of participants shifted to a different quartile of estimated risk after inclusion of treadmill data. Conclusions: Treadmill-derived physiological parameters are significantly associated with PREVENT-estimated cardiovascular risk, but this association largely reflects shared pathophysiology with PREVENT input variables rather than statistically independent incremental information. Exercise testing may serve as a physiological complement to static risk estimation, particularly in intermediate-risk populations, by providing a dynamic physiological assessment that complements resting clinical measurements. Prospective studies with adjudicated cardiovascular outcomes are needed before clinical implementation. Full article