Search Results (97)

Background and Objectives: Ischemic stroke (IS) is a critical health issue, affecting individuals of all ages, sexes, and backgrounds. Mounting evidence suggests that sex indeed could play some distinct role in shaping the incidence, outcomes, and treatment of IS. In the context of the COVID-19 pandemic, contradictory findings from previous studies that also addressed sex differences in cerebrovascular diseases demonstrate the need for further focused research. This study aimed to evaluate the sex discrepancies in the clinical presentation of IS and its outcomes in patients admitted to Kaunas Hospital of the Lithuanian University of Health Sciences (LUHS), Lithuania. Materials and Methods: This is a retrospective record-based single-center study. All the study patients—727 men and 1082 women—enrolled between 1 January 2020, and 27 February 2022; suffered from acute IS; and had absolute contraindications against interventional IS treatment. These patients received a conservative non-interventional IS treatment at the neurological department of the LUHS’s Kaunas Hospital. The sociodemographic data; laboratory findings; comorbidities, including COVID-19; in-hospital complications; and outcome factors were obtained from the patients’ medical records and evaluated by deploying appropriate statistical tests. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated by the Cox proportional hazards regression for in-hospital lethality. Results: The mean age of IS patients was significantly higher in women compared to men (p < 0.001), as was the proportion of in-hospital deaths (19.10% and 15.36%, respectively; p < 0.05). The mean total number of in-hospital complications was again significantly higher in the group of women compared to men (p < 0.05). The prevalence of COVID-19 was higher in men compared to women (p < 0.05). COVID-19 diagnosis (HR = 1.53; p = 0.02) and acute in-hospital pulmonary complications (HR = 1.91; p = 0.008) significantly increased the risk of in-hospital lethality in men. The risk of in-hospital lethality was significantly higher in women with comorbid diabetes mellitus type 2 (DM) compared to those with comorbid isolated arterial hypertension (AH) (HR = 2.25, p = 0.007). Increased C-reactive protein elevated the risk of in-hospital lethality by more than twice in both men and women (HR = 2.46; p < 0.001 and HR = 2.28; p < 0.001, respectively). Conclusions: The following differences between men and women with IS were determined: Acute in-hospital pulmonary complications, including COVID-19, significantly increased the risk of in-hospital lethality in the male group, but not in women. However, women suffering from DM had a significantly increased risk of in-hospital lethality compared with those women IS patients with AH or chronic ischemic heart disease (IHD). Increased C-reactive protein was associated with an elevated risk of in-hospital lethality both in male and female groups. Full article

Background: Marburg virus disease (MVD) is a highly lethal filoviral infection, yet its long-term health consequences remain poorly understood. We present one of the most temporally distant evaluations of MVD survivors, conducted 13 years post-outbreak in Uganda, offering novel insights into chronic physiological, biochemical, haematological, and psychosocial outcomes. Methods: A cross-sectional, community-based study compared ten MVD survivors with nineteen age- and sex-matched unexposed controls. Clinical evaluations included vital signs, anthropometry, mental health screening, and symptom reporting. Laboratory analyses covered electrolytes, inflammatory markers, renal and liver function tests, haematology, and urinalysis. Standardised psychological assessments measured anxiety, depression, perceived stigma, and social support. Findings: Survivors exhibited an elevated body mass index (BMI), higher systolic and diastolic blood pressure, and lower respiratory rates compared to controls, indicating ongoing cardiometabolic and autonomic changes. These trends may reflect persistent cardiometabolic stress and potential alterations in autonomic regulation, warranting further investigation. Biochemically, survivors exhibited disruptions in serum chloride, bilirubin, and total protein levels, suggesting subclinical hepatic and renal stress. Haematological analysis revealed persistent reticulocytosis despite normal haemoglobin levels, indicating long-term erythropoietic modulation. Despite these physiological changes, survivors reported minimal psychological morbidity, sharply contrasting with the post-recovery profiles of other viral haemorrhagic fevers. Stigma was prevalent during the outbreak; however, strong family support alleviated long-term psychosocial distress. Interpretation: Thirteen years post-infection, MVD survivors demonstrate multisystem physiological perturbations without marked psychological sequelae. These findings challenge assumptions of universal post-viral trauma and highlight the necessity for tailored survivor care models. Future longitudinal studies should investigate the mechanistic pathways underlying cardiometabolic and haematological reprogramming to inform intervention strategies in resource-limited settings. Full article

Colorectal cancer (CRC) is ranked as the third most lethal of all cancers in the USA, following prostate and lung malignancy in men, and breast and lung malignancy in women, respectively. The risk factors for developing colorectal cancer fall into two categories: modifiable risk factors (obesity and physical inactivity, diet, smoking, alcohol, medications, diabetes, and insulin resistance) and non-modifiable risk factors (race and ethnicity, sex, age, and inflammatory bowel disease). The standard therapeutic approaches to the treatment of colorectal cancer have led to a reduction in the burden of colorectal cancer in the USA, with national statistics revealing a reduction in both the incidence and death rates. At the same time, five-year survival rates have also greatly improved. However, associated with these standard treatments are complications, which have become a burden (physical and emotional, financial, and economic burdens, and disability-adjusted life years), affecting the quality of life of CRC patients. This paper discusses the standard therapeutic approaches to managing colorectal cancer, the associated complications, and their management. In addition, a summary of the newly introduced therapeutic approaches for treating CRC, reported improvement in effectiveness over existing strategies and corresponding reduction in therapeutic complications will be discussed. Full article

Background: Lung cancer is the leading cause of cancer-related death in the male sex worldwide. Non-small cell lung cancer (NSCLC) is the most prevalent type, accounting for 80–85% of cases, and lung adenocarcinoma is the most common and lethal NSCLC subtype, being responsible for ca. 50% of deaths. Despite new therapeutic strategies, lung cancer mortality rates remain high, highlighting the need for the development of new drugs. Objectives: We investigated the pharmacological potential of a series of curcumin-like compounds using two lung adenocarcinoma cell lines as models. Methods and Results: Cell viability assay led to the identification of PQM-214 as the hit compound, and other methodologies were employed to investigate the mechanisms underlying its antitumor potential, including cell cycle analysis, mitotic index determination, assessment of clonogenic capacity, senescence-associated β-galactosidase and annexin V assays, quantitative PCR, and Western blot analyses. The mechanism of action of PQM-214 was investigated in A549 cells, revealing that it effectively inhibits cell proliferation by inducing cell cycle arrest, apoptosis, or senescence. Cell cycle key regulators were significantly modulated by PQM-214, with cyclin E2, MYC, and FOXM1 being downregulated, while senescence markers such as cyclin D1, CDKN1A (p21), IL-8, TIMP1, and TIMP2 were upregulated. Moreover, Western blot results revealed upregulation of cyclin D1 and p21 in PQM-214-treated samples, with a downregulation of cyclin B. Conclusions: PQM-214 seems to act on different molecular targets in lung adenocarcinoma cells, inhibiting cell proliferation and inducing apoptosis. Further studies will be conducted to explore whether PQM-214 can also act as a senolytic agent, which would reinforce its anticancer potential. Full article

Canine distemper virus (CDV) is a highly contagious disease with high morbidity and mortality rates in veterinary medicine. This retrospective study aimed to identify epidemiological characteristics and potential risk factors associated with CDV infection in dogs exhibiting neurological manifestations. The diagnosis was confirmed through immunochromatographic antigen testing, RT-PCR, or Lentz corpuscles identification. Dogs diagnosed with central nervous system (CNS) disorders unrelated to CDV served as the control group. Age, breed, weight, sex, and neuter status were compared between groups using logistic regression (p < 0.05), the log-likelihood method, and log odds ratio (LOR) calculations. Clinical signs, seasonality, and vaccination protocols were documented. Prevalence, mortality, lethality, and survival rates were determined. Younger dogs (p = 0.00690; LOR = −0.01438) and Shih Tzu (p = 0.00007; LOR = 1.53774) and Lhasa Apso (p = 0.000264; LOR = 1.76084) showed a significantly increased likelihood of developing neurological signs due to CDV infection. Most CDV-infected dogs exhibited multifocal CNS involvement and accompanying extra-neural signs. The highest occurrence of CDV-related neurological signs was recorded in autumn. Many infected dogs had an updated vaccination protocol. The prevalence of dogs with CDV was 4.72%. Mortality and lethality rates were 1.94% and 47.06%, respectively. The median survival time was 754 days. The identified epidemiological characteristics and risk factors provide essential insights for improving preventive strategies against CDV infection. Full article

Chlorantraniliprole, serving as a substitute for traditional insecticide, has been widely utilized in controlling lepidopteran pests. Loxostege sticticalis (Lepidoptera: Crambidae) is a polyphagous insect and poses a significant threat as a migratory insect. This study investigated the life history traits of a field-collected population in response to chlorantraniliprole exposure based on an age-stage, two-sex life table. After treating the third-instar larvae of L. sticticalis with three different doses of chlorantraniliprole, namely LC₁₀, LC₂₅, and LC₅₀, the survival, development, and fecundity of L. sticticalis were affected significantly in a dose-dependent manner. Chlorantraniliprole at doses of LC₁₀, LC₂₅, and LC₅₀ prolonged the average generation time (T) compared to the control group. The net reproductive rate (R₀) and intrinsic growth rate (r) were significantly higher in the LC₁₀ group but significantly lower in the LC₂₅ and LC₅₀ groups. Chlorantraniliprole used at a dose of LC₁₀ was shown to increase the finite growth rate (λ), while it decreased λ at doses of LC₂₅ and LC₅₀. These results suggested that chlorantraniliprole induces hormetic effects by enhancing fecundity and reproductive potential at lower sublethal concentration (LC₁₀), while reducing the reproductive output at higher doses (LC₂₅ and LC₅₀). Our results provide useful information for developing management strategies for L. sticticalis involving the use of chlorantraniliprole. Full article

Background: PC has become a significant global health challenge, with incidence and mortality rates rising over the past three decades. While traditionally associated with aging, recent data indicate an increasing burden among younger populations. This study aims to analyze global trends in PC incidence and mortality and to identify key contributing factors, particularly modifiable risk factors such as obesity, diabetes, and smoking. Methods: Using data from the Global Burden of Disease Study (GBD) 2021, population-based cancer registries globally and nationally, systematic reviews and analysis trends in PC incidence, mortality and survival were analyzed. To assess epidemiological shifts, we utilized previously published annual percentage change (AAPC) values stratified by region, age group, and sex, as reported in the cited literature. Additionally, the influence of modifiable risk factors was evaluated to determine their contribution to rising incidence rates. Results: Between 1990 and 2021, the global incidence of PC increased by 8.9%, from 5.47 to 5.96 per 100,000, with the highest rates observed in high-Sociodemographic-Index (SDI) regions (10.00 per 100,000) and the lowest in low-SDI regions (1.59 per 100,000). Significant increases in incidence were noted in several countries, particularly among men in Iceland (AAPC 8.85) and women in Malta (AAPC 6.04). Early-onset PC is becoming more prevalent, especially among younger women. Modifiable risk factors, including obesity, diabetes, and smoking, play a critical role, with excess body weight contributing to 17.9% of PC cases and smoking to 13.9% in the United States (U.S.). Conclusions: The rising burden of PC, particularly among younger populations, highlights the need for targeted prevention strategies, early detection efforts, and further research into the underlying mechanisms driving these trends. Addressing modifiable risk factors could be key to mitigating the increasing incidence of this highly lethal cancer. Full article

This study investigated the lethal and transgenerational effects of botanical and synthetic insecticides on the egg parasitoid Trichogramma atopovirilia, an important natural enemy of Spodoptera frugiperda in Brazil and beyond. The treatments were assessed for their impact on parasitism, emergence, sex ratio, and flight capacity of adults exposed to contaminated eggs. The botanical insecticide ESAM (ethanolic seed extract of Annona mucosa) significantly reduced the parasitism in the F₀ generation by 99.76%, categorizing it as toxic. Anosom^® [acetogenins (annonin as a major component)] and Azamax^® [limonoids (azadirachtin + 3-tigloilazadirachtol)] also caused substantial reductions (99.13% and 92.36%, respectively) in the parasitism rate. EFAMON (ethanolic leaf extract of Annona montana) reduced the parasitism by 62%, while the synthetic insecticide Premio^® (chlorantraniliprole) resulted in a 28.21% reduction. In the F₁ generation, emergence rates for EFAMON, Azamax^®, and Premio^® exceeded 70%, showing no significant differences from the negative control (82%), while Anosom^® resulted in a lower emergence rate of 61.39%. No significant effects were observed on sex ratio or parasitism in the F₁ and F₂ generations. Most adults reached high flight capacity (above 80%). These results indicate that while ESAM was toxic, the other treatments showed no transgenerational effects. Our findings contribute to understanding insecticide selectivity and highlight the importance of such studies for the sustainable management of S. frugiperda within integrated pest management programs. Full article

The globally increased severity and frequency of elevated temperatures are altering native species’ geographic distributions and local abundances while also increasing the invasion of new areas by exotic species. These distributional shifts have affected native species. Through two experiments, we investigated the effects of temperature on the survival and oviposition of the hairy maggot blow fly Chrysomya rufifacies (Macquart), a highly competitive and predatory invasive blow fly of ecological, economic, and forensic importance. In our first experiment, we exposed mixed-sex colonies of C. rufifacies to a given temperature (10–45.0 °C) for 24 h. High survival (≥90%) was observed from 10 to 40 °C, with moderate mortality at 42.5 °C (29.2%) and high mortality at 43.5 °C (75.4%). All flies died when exposed to 44.5 or 45.0 °C for 24 h. Oviposition occurred from 22.5 to 42.5 °C, with the greatest occurrences (100%) at 30 and 35 °C and the greatest number of eggs (2035) occurring at 30 °C. Although oviposition occurred from 22.5 to 42.5 °C, egg viability was only observed from 22.5 to 37.5 °C. Thus, C. rufifacies has distinct thermal limits for survival, and oviposition may exhibit a bet-hedging strategy in response to temperature exposure. In our second experiment, we assessed the effects of an acute heat shock on C. rufifacies oviposition performance. Adult virgins (males and females) were exposed to 25.0 °C, 42.0 °C, or 44.0 °C for 1 h, and then maintained at ~25 °C in mixed-sex colonies for 14 d. Pre-breeding heat exposure had no effect on male or female reproductive success, except for females exposed to 44.0 °C. Females exposed to this temperature before breeding oviposited sooner (2.5 ± 0.0 d, 37.5% decrease), more frequently (0.5 ± 0.4, 33.3% increase), and produced more eggs (10,772.9 ± 2258.6 eggs, 73.3% increase) than female flies exposed to 25 °C. The combined results show that C. rufifacies survives exposures up to 43.5 °C, successfully oviposits up to 37.5 °C, and accelerates both oviposition timing and intensity following brief exposure to near upper lethal temperatures (44.0 °C), potentially provides C. rufifacies a competitive advantage over native calliphorids in warming environments. Full article

Gas embolism is a rare but life-threatening process characterized by the presence of gas bubbles in the venous or arterial systems. These bubbles, if sufficiently large or numerous, can block the delivery of oxygen to critical organs, in particular the brain, and subsequently they can trigger a cascade of adverse biochemical reactions with severe medical outcomes. Despite its critical nature, gas embolism remains poorly understood, necessitating extensive investigation, particularly regarding its manifestations in the human body and its modulation by various biological conditions. However, given its elusive nature, as well as potential lethality, gas embolism is extremely difficult to study in vivo, and nearly impossible to be the subject of clinical trials. To this end, we developed a microfluidic device designed to study in vitro the impact of blood properties and vascular geometries on the formation and evolution of gas bubbles. The system features a biomimetic vascular channel surrounded by two pressure chambers, which induce the genesis of bubbles under varying circumstances. The bubble parameters were correlated with different input parameters, i.e., channel widths, wall thicknesses, viscosities of the artificial blood, and pressure levels. Smaller channel widths and higher equivalent hematocrit concentrations in synthetic blood solutions increased the nucleation density and bubble generation frequencies. Small channel widths were also more prone to bubble formation, with implications for the vulnerability of vascular walls, leading to increased risks of damage or compromise to the integrity of the blood vessels. Larger channel widths, along with higher equivalent hematocrit concentrations, translated into larger bubble volumes and decreased bubble velocities, leading to an increased risk of bubble immobilization within the blood vessels. This biomimetic approach provides insights into the impact of patient history and biological factors on the incidence and progression of gas embolism. Medical conditions, such as anemia, along with anatomical features related to age and sex—such as smaller blood vessels in women and children or larger vascular widths in adult men—affect the susceptibility to the initiation and progression of gas embolism, explored here in vitro through the development of a controlled, physiological-like environment. The analysis of the videos that recorded gas embolism events in vitro for systems where pressure is applied laterally on the microvasculature with thin walls, i.e., 50 μm or less, suggests that the mechanism of gas transfer for the pressure area to the blood is based on percolation, rather than diffusion. These findings highlight the importance of personalized approaches in the management and prevention of gas embolism. Full article

Background: Infective endocarditis (IE) is a serious public health concern due to its high morbidity and lethality. This study investigates epidemiological trends in aortic valve endocarditis, focusing on sex-related differences in microbial etiology and surgical outcomes over a 15-year period. Methods: From January 2010 to January 2024, 608 patients underwent cardiac surgery for IE at our center. Of these, 274 patients received isolated aortic valve replacement. This retrospective, single-center study analyzes these cases. Results: Despite a decline in overall aortic valve replacement surgeries, a significant increase in surgeries due to aortic valve endocarditis was observed (p < 0.001). Both sexes showed a rising incidence of aortic valve endocarditis, with females undergoing surgery at an older age, particularly in native valve cases (p = 0.008). In prosthetic valve cases, this age difference was less pronounced (p = 0.050). While sex did not influence microbial etiology in native valve endocarditis, females with prosthetic valves were more frequently infected by Streptococcus (p = 0.033). Staphylococcus aureus infections increased in native valves (p = 0.016). Conclusions: Over 15 years, surgical aortic valve endocarditis has risen in both sexes. Males are more often affected by native valve cases, while females develop it later. Neither gender nor microbial etiology independently predicts death. Full article

Tuta absoluta is a major pest, damaging tomato crops in many countries. Spinetoram, a novel insecticide, is increasingly used for the management of various insect pests. However, limited information is available on its lethal effects on T. absoluta. Therefore, this study was carried out to evaluate the toxicity of spinetoram concentrations in T. absoluta by exposing third-instar larvae to this insecticide through leaf-dipping bioassays under laboratory conditions. The results showed that sublethal spinetoram concentrations (LC₁₀ and LC₂₀) extended the developmental duration of the larval and pupal stage, as well as the oviposition period, and decreased the pupal weight, pupation and eclosion rates, fecundity, sex ratio, and egg-hatching rate compared to the control group. LC₁₀ and LC₂₀ treatments up-regulated the activity of superoxide dismutase and catalase antioxidant enzymes in T. absoluta larvae by 51.14–88.72% and 39.34–87.76% at 12 h, 62.71–96.68% and 37.38–39.92% at 24 h, and 41.78–53.34% and 19.44–48.39% at 48 h, respectively, compared to the control. Conversely, the LC₁₀ and LC₂₀ treatments inhibited the activities of detoxifying enzymes, i.e., carboxylesterase (14.72–34.95%), acetylcholinesterase (9.02–48.86%), glutathione S-transferase (19.40–43.19%), and mixed-function oxidase (18.18–25.93%). These findings indicate that lethal concentrations of spinetoram influence the population dynamics of T. absoluta by reducing their survival and developmental potential and inhibiting the activity of detoxifying enzymes. Full article

This study assessed environmental metal and metalloids (TE) levels using hair of Apodemus sylvaticus as a non-lethal biomonitor. TE decreased as follows: Zn > Al > Fe > Cu > Pb > Cr > Ni > Mn > Cd > Se > As > Hg; TE widely distributed in soils as Zn, Al, Fe, and Cu, are more abundant than those of ecotoxicological interest, such as Cd, Se, As and Hg. Cd, Pb, Cu, and Cr concentrations are highly variable, while Zn, Fe, and Mn are less variable. TE in hair are below the threshold levels in soil and decrease the same way in both sexes. Concentrations in soil and hair are significantly related, and their level can be modulated both by homeostatic control of essential metals and absorbance from the soil by keratin. Slight differences in Ni and Cr can be related to the differing behaviour of males and females during reproduction. A scarce tendency toward mercury bioaccumulation has been observed in both sex and age classes; from an ecological point of view, these data suggest that the species is a primary consumer, feeding more on the leaves and seeds than on small invertebrates. Full article

COVID-19 has generated a global impact due to its contagiousness and high lethality rates, with a large number of deaths occurring in intensive care units (ICUs). This study aimed to verify the occurrence of and understand the factors related to mortality in adult patients with COVID-19 admitted to the ICU in a tertiary hospital. This is a retrospective cohort study, which included COVID-19 patients admitted between March 2020 and December 2021. A total of 588 patients were included, of whom the majority (55.27%) did not survive. Invasive mechanical ventilation was the strongest predictor of the risk of death in the ICU with OR = 97.85 (95% CI = 39.10–244.86; p < 0.001), along with age and Simplified Acute Physiology Score 3 (SAPS3). The length of the ICU stay was protective. Evaluating patients on invasive mechanical ventilation in isolation, using an adjusted model, we found the following risk factors: use of vasopressin, renal replacement therapy, red cell distribution width > 15, use of hydrocortisone, and age in years. Protective factors included the days of mechanical ventilation use, being admitted from another service, and being of female sex. Identifying early predictors of mortality in patients with COVID-19 who require hospitalization is essential in the search for actions to prevent and manage complications, which can increase the survival of these patients and reduce the impact on health services. Full article

The etiology of Inflammatory Bowel Disease (IBD) is not fully understood but is believed to involve a dysregulated immune response to intestinal microbiota in genetically susceptible individuals. Individuals with IBD are at increased risk of infections due to immunosuppressive treatments, comorbidities, and advanced age. Current evidence indicates that IBD patients are not at higher risk of SARS-CoV-2 infection compared to the general population, though the risk of severe outcomes remains debated. A retrospective observational study was conducted using Apulian regional health data from 2020 to 2022. This study included 1029 IBD patients and 3075 controls, matched by age and sex. COVID-19 incidence, hospitalization, and case fatality rates were analyzed alongside vaccination coverage. No significant differences in COVID-19 incidence (IRR = 0.97), hospitalization (p = 0.218), or lethality (p = 0.271) were evidenced between IBD patients and the general population. Vaccination rates were high in both groups, with slightly higher uptake in IBD patients. Multivariate analysis identified age and male sex as risk factors for severe COVID-19 outcomes, while vaccination significantly reduced hospitalization and lethality risks. IBD patients in Apulia do not have an increased risk of COVID-19 infection or severe outcomes compared to the general population. Vaccination is crucial in protecting IBD patients, and ongoing efforts to promote vaccination within this population are essential. Future research should focus on the impact of specific IBD treatments on COVID-19 outcomes and the long-term effectiveness of vaccines. Full article