Search Results (571)

Background: Oxidative stress represents a key pathogenic factor in spondyloarthritis (SpA), yet its comprehensive assessment remains underutilized in routine clinical practice. Objectives: We evaluated oxidative stress biomarker profiles in SpA patients to determine associations with disease activity, systemic inflammation, structural damage, lifestyle factors, and therapeutic responses for practical clinical implementation. Methods: This cross-sectional study included 101 patients meeting the Assessment of SpondyloArthritis International Society (ASAS) 2009 criteria. Oxidative stress assessment utilized a validated biomarker panel: copper, zinc, glutathione peroxidase (GPx), ceruloplasmin (Cp), transferrin (TF), haptoglobin (Hp), bilirubin (BR), and uric acid (UA). Clinical, radiological, lifestyle, and therapeutic data underwent systematic analysis. Results: Glutathione peroxidase activity was elevated in 82.1% of patients, establishing it as the most sensitive oxidative stress marker. Copper levels increased in 30.7% and zinc deficiency occurred in 36.4% of cases. Oxidative stress markers correlated significantly with inflammatory parameters (erythrocyte sedimentation rate [ESR], C-reactive protein [CRP], neutrophil-to-lymphocyte ratio [NLR], platelet-to-lymphocyte ratio [PLR], neutrophil-to-monocyte ratio [NMR], systemic immune-inflammation index [SII]) and disease activity scores (Bath Ankylosing Spondylitis Disease Activity Index [BASDAI], Ankylosing Spondylitis Disease Activity Score based on CRP [ASDAS-CRP], Disease Activity Score 44 [DAS44-CRP]). Higher oxidative stress was associated with a poorer quality of life, as indicated by elevated Ankylosing Spondylitis Quality of Life (ASQoL) scores. Physical activity and adherence to a Mediterranean diet were independently associated with better antioxidant capacity. Smoking and nonsteroidal anti-inflammatory drug (NSAID) use correlated with increased oxidative burden. Anti-tumor necrosis factor alpha (anti-TNFα) therapy was associated with reduced levels of oxidative stress. Structural damage, particularly cervical spine involvement, correlated with heightened oxidative stress. Conclusions: This comprehensive evaluation reveals significant clinical correlations between oxidative stress and multiple disease domains in SpA. Modifiable lifestyle factors and therapeutic interventions have a significant impact on the redox balance. These findings establish practical targets for personalized management. The integration of oxidative stress assessment into routine practice could enhance disease monitoring and inform the development of antioxidant-based therapeutic strategies. Full article

The sea buckthorn has proven antioxidant properties. The aim of the study was to determine the effect of the addition of dry Hippophae rhamnoides extract on the functional and oxidative stability of traditional Kazakh molded smoked ham. Sea buckthorn extraction parameters were optimized by factorial experimental design and polynomial regression modelling. The optimal dosages of acid value, peroxide value, TBARS, and sensory-assessed cross-sectional surface were determined. The instrumental color, pH, texture profile, hydrolytic and oxidative changes in lipid and protein fractions, total phenolic content, antioxidant activity, and microbiological status of ham with 3% extract were evaluated over 30 d at 0–4 °C. An increase in total phenols (19.8%), radical scavenging activity against DPPH (33.6%), and FRAP (12.8%) was found. The addition of 3.0% sea buckthorn extract had a minor effect on the oxidative processes. Dry sea buckthorn extract can be successfully added to the production of traditional Kazakh molded smoked ham from horse and camel meat to stabilize the oxidative stability of the product. Full article

Early childhood caries (ECC) remains a significant global health challenge, disproportionately affecting marginalized populations. While traditional research emphasizes behavioral and biological risk factors, emerging evidence highlights the critical role of environmental determinants. This narrative synthesis aims to highlight the role of environmental determinants as a risk factor for ECC pathogenesis. Environmental toxins (e.g., lead, perfluoroalkyl acids, tobacco smoke, air pollution) disrupt enamel development, impair salivary function, and compromise immune responses, directly increasing caries susceptibility. Environmental degradation, including air pollution, reduces ultraviolet B radiation exposure, limiting endogenous vitamin D synthesis that is vital for enamel mineralization and immune regulation. These risks are compounded in low- and middle-income countries, where structural inequities, inadequate sanitation, and climate disruptions exacerbate ECC burdens. We introduce ecovitality—the resilience of ecosystems supporting human health—as a novel framework linking ecological vitality to oral health. Degraded environments limit access to fluoridated water and nutrient-dense foods while promoting sugary diets and endocrine disruptors. A One Health approach is advocated to address interconnected environmental, social, and biological determinants of the risk for ECC. Despite global reductions in tobacco use and lead exposure, the Global Burden of Disease 2021 analysis reports stagnation in ECC prevalence. This underscores the critical need for longitudinal and mechanistic studies to establish causality, quantify the contributions of environmental controls, and explore how mitigating these risks can reduce the global ECC burden. Such evidence may promote interdisciplinary action to align oral health promotion for children with the Sustainable Development Goals. Full article

Background/Objectives: The amino acid cysteine (Cys) plays an important role in the neuronal injury process in stroke. Cys is present in blood plasma in various forms. The relationship between Cys and its forms and the severity of acute stroke has not been sufficiently studied. We investigated the levels of total Cys and two of its forms (reduced Cys and its disulfide (cystine, CysS)) in blood plasma and their influence on stroke severity in patients at admission. Methods: A total of 210 patients (39–59 years old) with ischemic stroke and intracerebral or subarachnoid hemorrhage were examined. The contents of the different forms of Cys were determined in the first 10–72 h. Stroke severity was estimated using the National Institutes of Health Stroke Scale (NIHSS) and the modified Rankin Scale (mRs). Results: CysS levels < 54 μM were associated with severe (NIHSS > 13) neurological deficit (ischemic stroke: RR = 5.58 and p = 0.0021; hemorrhagic stroke: RR = 3.56 and p = 0.0003). Smoking and high levels of total Cys and other thiols (glutathione and homocysteine) appear to be factors determining this relationship. Conclusions: Low CysS levels may serve as a potential biomarker of acute stroke severity. Full article

Background/Objectives: Gestational Diabetes Mellitus (GDM) is a global health issue with immediate and long-term maternal–fetal complications. Current diagnostic approaches, such as the Oral Glucose Tolerance Test (OGTT), have limitations in accessibility, sensitivity, and timing. This study aimed to identify key nodes and structural interactions associated with GDM using graph theory and network analysis to improve early predictive strategies. Methods: A literature review inspired by PRISMA guidelines (2004–2025) identified 44 clinically relevant factors. A directed graph was constructed using Python (version 3.10.12), and centrality metrics (closeness, betweenness, eigenvector), k-core decomposition, and a Minimum Dominating Set (MDS) were computed. The MDS, derived using an integer linear programming model, was used to determine the smallest subset of nodes with systemic dominance across the network. Results: The MDS included 20 nodes, with seven showing a high out-degree (≥4), notably Apo A1, vitamin D, vitamin D deficiency, and sedentary lifestyle. Vitamin D exhibited 15 outgoing edges, connecting directly to protective factors like HDL and inversely to risk factors such as smoking and obesity. Sedentary behavior also showed high structural influence. Closeness centrality highlighted triglycerides, insulin resistance, uric acid, fasting plasma glucose, and HDL as nodes with strong predictive potential, based on their high closeness and multiple incoming connections. Conclusions: Vitamin D and sedentary behavior emerged as structurally dominant nodes in the GDM network. Alongside metabolically relevant nodes with high closeness centrality, these findings support the utility of graph-based network analysis for early detection and targeted clinical interventions in maternal health. Full article

Background: Given that insulin resistance and lower levels of high-density lipoprotein cholesterol are reportedly associated with the development of coronary vasospasm, metabolic disorders may play a significant role in the underlying mechanisms of vasospastic angina (VSA). In this context, however, the impact of serum uric acid (SUA) levels on the diagnosis of VSA remains unclear. Methods: From May 2012 to March 2025, a total of 947 patients undergoing intracoronary acetylcholine (ACh) provocation tests for diagnosing VSA were included. Positive diagnosis of ACh provocation testing was defined as angiographic coronary spasm accompanied by chest symptoms and/or ischemic electrocardiographic changes. The primary interest of this study was to evaluate the potential relationship between SUA levels and ACh provocation test results. Results: Of the 947 patients, 497 (52.5%) had positive ACh provocation testing (i.e., VSA). Patients with positive ACh tests had significantly higher SUA levels than their counterparts (5.4 ± 1.6 vs. 5.2 ± 1.5 mg/dL, p = 0.039). The receiver operating characteristics curve analysis showed that SUA levels were predictive of positive ACh test results (area under the curve 0.538, best cut-off value 5.4 mg/dL, p = 0.040). In the multivariable logistic regression analysis, male sex and current smoking were identified as predictors of positive ACh testing, while SUA levels were not. Conclusions: Patients diagnosed with VSA had a higher SUA level than patients without VSA. However, this association was confounded with other factors, such as male sex and current smoking. Full article

The escalating global challenge of waste production underscores the urgency for innovative waste management solutions. Sewage sludge, a byproduct derived from anaerobic digesters of wastewater treatment, was investigated as a flame-retardant synergist in Poly(Lactic Acid) (PLA). Micronized sludge was combined with ammonium polyphosphate (APP) at different ratios. The formulation containing (4:1) APP:Sludge exhibited enhanced flame retardancy compared to APP alone, achieving higher Limiting Oxygen Index (LOI) values and a V-0 rating in the UL-94 test. Cone calorimeter analysis further confirmed that the sludge contributed to reducing heat release and smoke generation. SEM–EDS analysis indicated that microcrystals, mainly composed of phosphorus and calcium oxides from APP and sludge, likely acted as protective barriers against heat transfer. In addition, filament extrusion demonstrated that sludge incorporation is compatible with 3D printing. This approach preserved structural integrity, sustainably utilized sewage sludge, and reduced reliance on commercial flame retardants. Integrating sludge as a synergist offers a promising solution for waste management and safer, more sustainable flame-retardant materials, supporting a circular economy. Full article

Objective: This study aimed to validate the clinical utility of a salivary molecular platform (Oral Predict^®) for periodontal pathogen detection across preventive, therapeutic, and maintenance settings. Methods: A longitudinal randomized study was conducted involving 78 adults who provided saliva samples at baseline, one month, and three months after professional dental hygiene. Participants were randomized into two groups: control group (n = 39) and probiotic group with Oral Predict^® probiotic supplementation (n = 39). Crude saliva was processed directly without nucleic acid extraction and analyzed by multiplex real-time PCR using either the compact Real-time PCR system or standard thermocyclers. Results: At baseline, Fusobacterium nucleatum was the most prevalent pathogen (84.6%), followed by Tannerella forsythia (53.8%) and Porphyromonas gingivalis (46.2%). The Total Pathogen Burden Score (TPBS) showed progressive increases with age, smoking, and poor oral hygiene, and was significantly higher in participants with gingival bleeding. Among individual pathogens, no significant associations were observed with periodontitis staging or grading. Professional hygiene induced mean reductions of 1–2 logs across all pathogens, with TPBS decreasing from 8.7 ± 3.2 to 4.1 ± 2.8 (p < 0.001). At three months, 69.2% of the control group experienced bacterial rebound, whereas 85% of probiotic users sustained or improved bacterial reductions. Conclusions: Salivary molecular testing provides a robust, non-invasive approach for periodontal pathogen detection, treatment monitoring, and long-term maintenance assessment. The flexibility of the Oral Predict^® platform across point-of-care and laboratory settings, combined with automated interpretation, supports integration into preventive protocols and personalized periodontal care. These findings demonstrate the potential of saliva-based molecular diagnostics to shift periodontal management from reactive to predictive and precision-based strategies. Full article

Background: The human gut microbiome—a diverse ecosystem of trillions of microorganisms—plays an essential role in metabolic, immune, and neurological regulation. However, modern lifestyle factors such as antibiotic overuse, cesarean delivery, reduced breastfeeding, processed and high-sodium diets, alcohol intake, smoking, and exposure to environmental toxins (e.g., glyphosate) significantly reduce microbial diversity. Loss of keystone species like Bifidobacterium infantis (B. infantis) and Lactobacillus reuteri (L. reuteri) contributes to gut dysbiosis, which has been implicated in chronic metabolic, autoimmune, cardiovascular, and neurodegenerative conditions. Materials and Methods: This Qualitative Systematic Review (QualSR) synthesized data from over 547 studies involving human participants and standardized microbiome analysis techniques, including 16S rRNA sequencing and metagenomics. Studies were reviewed for microbial composition, immune and metabolic biomarkers, and clinical outcomes related to microbiome restoration strategies. Results: Multiple cohort studies have consistently reported a 40–60% reduction in microbial diversity among Western populations compared to traditional societies, particularly affecting short-chain fatty acid (SCFA)-producing bacteria. Supplementation with B. infantis is associated with a significant reduction in systemic inflammation—including a 50% decrease in C-reactive protein (CRP) and reduced tumor necrosis factor-alpha (TNF-α) levels—alongside increases in regulatory T cells and anti-inflammatory cytokines interleukin-10 (IL-10) and transforming growth factor-beta 1 (TGF-β1). L. reuteri demonstrates immunomodulatory and neurobehavioral benefits in preclinical models, while both probiotics enhance epithelial barrier integrity in a strain- and context-specific manner. In murine colitis, B. infantis increases ZO-1 expression by ~35%, and L. reuteri improves occludin and claudin-1 localization, suggesting that keystone restoration strengthens barrier function through tight-junction modulation. Conclusions: Together, these findings support keystone species restoration with B. infantis and L. reuteri as a promising adjunctive strategy to reduce systemic inflammation, reinforce gut barrier integrity, and modulate gut–brain axis (GBA) signaling, indicating translational potential in metabolic and neuroimmune disorders. Future research should emphasize personalized microbiome profiling, long-term outcomes, and transgenerational effects of early-life microbial disruption. Full article

The growing dependence on fossil fuels has raised concerns over energy security, resource depletion, and environmental impacts, driving the need for renewable alternatives. Coffee husk, a widely available agro-industrial residue, represents an underutilized feedstock for biodiesel production. In this study, biodiesel was synthesized from coffee husk oil using a two-step transesterification process to address its high free fatty acid content (21%). Physicochemical analysis showed that Coffee Husk Oil Methyl Ester (CHOME) possessed a density of 863 kg m⁻³, viscosity of 4.85 cSt, and calorific value of 33.51 MJ kg⁻¹, compared to diesel with 812 kg m⁻³, 2.3 cSt, and 42.4 MJ kg⁻¹. FTIR analysis confirmed the presence of ester carbonyl and C–O functional groups characteristic of CHOME, influencing its combustion behavior. Engine tests were then conducted using B0, B10, B30, B50, and B100 blends under different loads, both with and without fuel preheating. Results showed that neat CHOME (B100) exhibited 11.8% lower brake thermal efficiency (BTE) than diesel, but preheating at 95 °C improved BTE by 5%, with preheated B10 slightly surpassing diesel by 0.5%. Preheating also reduced brake-specific fuel consumption by up to 7.75%. Emission analysis revealed that B100 achieved reductions of 6.4% CO, 8.3% HC, and 7.0% smoke opacity, while NOx increased only marginally (2.86%). Overall, fuel preheating effectively mitigated viscosity-related drawbacks, enabling coffee husk biodiesel to deliver competitive performance with lower emissions, highlighting its potential as a sustainable waste-to-energy fuel. Full article

Veneer-based wood composites are widely used for interior applications, yet their high flammability and smoke emission significantly limit their safe use in buildings. In this study, a multifunctional flame-retardant polyethylene adhesive film was developed via melt blending and hot pressing of a mixture of amino trimethylene phosphonic acid (ATMP), hydroxyethylidene diphosphonic acid (HDEP), melamine (MEL), and sodium alginate (SA). This film was laminated onto veneers to fabricate flame-retardant decorative plywood. Simultaneously, wood scrimber units for structural applications were prepared by impregnating wood with a flame-retardant system consisting of sodium silicate (Ss) and sodium tetraborate (St). These treated components were integrated to form a flame-retardant wood scrimber/plywood composite (AHM-S), with the wood scrimber as the core layer and the treated plywood as surface layers. Compared to the control, the AHM-S composite showed a 44.1% reduction in the second peak heat release rate (pk-HRR2), a 22.6% decrease in total heat release (THR), and a 12.7% reduction in maximum flame spread distance (MD_300°C). Moreover, the time to reach 275 °C on the unexposed side (T_275°C) was extended by 90.2%. These improvements are attributed to the synergistic flame-retardant effects of the surface film and impregnated core, which jointly suppress flame spread and delay thermal degradation. The composite demonstrates promising fire safety and mechanical performance for engineered wood applications. Full article

Background: While the importance of folic acid supplementation during pregnancy in the prevention of neural tube defects in offspring is well established, its potential role in pediatric asthma development remains unclear, with limited evidence to date. Objective: To identify perinatal and environmental factors that modify the association between maternal folic acid intake and pre-adolescent asthma. Methods: Cross-sectional analysis of the Healthy Growth Study that consisted of 2332 pre-adolescents (mean age 11 years; asthma n = 451); 50% boys attending elementary schools in Greece. Questionnaires were used to collect data on sociodemographic, perinatal, and environmental characteristics as well as asthma prevalence and maternal folic acid supplementation during pregnancy (trimesters 1, 2, and 3). Logistic regression models explored the association between maternal folic acid supplementation and pre-adolescent asthma, accounting for perinatal and environmental exposures. Results: Adjusted regression models showed that maternal folic acid supplementation during the third trimester was associated with 34% increased odds of pre-adolescent asthma. Stratified analyses per perinatal and environmental factors revealed significantly higher asthma odds with folic acid supplementation during the second and third trimesters among pre-adolescents born < 37 weeks; non-smoking mothers; in pre-adolescents attending schools of low socioeconomic level; and in neighborhoods having less traffic and more parks. Contrastingly, in appropriate for gestational age (AGA), an infant’s first-trimester supplementation increased asthma odds. Conclusions: Maternal folic acid supplementation, particularly in later trimesters, was modestly associated with increased odds of pre-adolescent asthma, modified by perinatal and environmental factors. Future research should explore whether continued folic acid supplementation beyond the first trimester carries differential risks or benefits in asthma. Full article

Background: The age at natural menopause (ANM) has a significant impact on women’s health later in life, although the contribution of changeable dietary and lifestyle factors remains uncertain. Methods: We examined data from 3566 participants in the UK Women’s Cohort Study, assessing their baseline use of dietary supplements and lifestyle habits. Associations with ANM were evaluated using multivariable Cox proportional hazards models and gradient boosting machine (GBM) analyses. We adjusted our models for factors such as BMI, smoking status, alcohol consumption, physical activity levels, and socioeconomic status. Results: The use of fish oil (HR 0.05; 95% CI 0.02–0.09), vitamin B-complex (HR 0.48; 0.38–0.62), antioxidant mixtures (HR 0.54; 0.38–0.69), and vitamin C (HR 0.75; 0.56–0.93) was linked to a delay in ANM, with all p-values less than 0.05. Folic acid showed near significance (HR 0.81; p = 0.059). GBM analyses highlighted red meat consumption, BMI, educational level, smoking duration, and fish consumption as important indicators. Conclusions: The regular consumption of certain supplements has a connection to later menopause onset, while smoking and red meat consumption tend to predict an earlier onset. These findings underline the potential of lifestyle changes in managing reproductive aging, although further interventional studies are necessary to confirm them. Full article

Idiopathic pulmonary fibrosis (IPF) is currently defined as a progressive fibrosing interstitial lung disease (ILD) associated with a histopathologic and radiologic pattern of usual interstitial pneumonia (UIP). The relationship between IPF and particles is described, and a pathogenesis for the disease is proposed based on an association with these exposures. In clinical studies and epidemiological investigations, the majority of IPF diagnoses are associated with particle exposures. Cigarette smoking presents the greatest particle challenge in any society, and a relationship with IPF has repeatedly been demonstrated. Environmental exposures to particles other than cigarette smoking, including biomass fuel smoke and ambient air pollution, as well as numerous occupational particle exposures, have also been associated with IPF. The pathogenesis of the disease includes a complexation and sequestration of cell iron at the particle surface, which results in a functional cell deficiency of the requisite metal. In response to the insufficiency of metal in cells, there is the synthesis of biopolymers, including exopolysaccharides (e.g., hyaluronic acid), which accumulate in the extracellular matrix. These biopolymers complex iron and, following depolymerization, facilitate the delivery of the metal intracellularly via receptor-mediated uptake. This process reverses the functional iron deficiency introduced by the particle. Pulmonary fibrosis after particle exposure reflects a response to the modification of a functional intracellular iron deficiency in the lower respiratory tract. The temporal and spatial heterogeneity of IPF results from a dose–response with retained particles and reversibility of the fibrosis. Full article

Benzene is a ubiquitous environmental pollutant that induces blood cancers via its complex metabolism. Since cancer risks to the general public involve toxic benzene metabolites derived from the inhalation of benzene at ppb air concentrations, questions remain regarding low-dose metabolism. Using previously published data from 389 Chinese workers, we fit Michaelis–Menten-like models to predict urinary concentrations of E,E-muconic acid (the most discriminating urinary metabolite) as functions of urinary benzene levels between 0.0001 μM and 54 μM, equivalent to benzene air concentrations between 0.1 ppb and more than 100 ppm. When we compared models having either one or two metabolic pathways, weights of evidence favoring two pathways were essentially 100 percent for nonsmoking males and females and 58 percent for smoking males. At ppb exposure levels, metabolic rates for the high-affinity pathway were 43-fold greater than those for the low-affinity pathway in nonsmoking males, 6.5-fold greater in nonsmoking females, and 4.9-fold greater in smoking males. Thus, the high-affinity pathway is most efficient in nonsmoking males and is inhibited by smoking. The characteristics of the two-pathway model implicate lung metabolism of benzene via CYP2A13 and/or CYP2F1 at ppb air levels and liver metabolism by CYP2E1 above one ppm. Since ambient benzene concentrations are typically less than 10 ppb, blood-cancer risks predicted from workers exposed to above 1 ppm likely underestimate risks to the general public by many fold, and these risks may be modulated by smoking. Also, since the lung is the site of initial metabolism upon inhalation, the respiratory bioactivation of benzene could contribute to lung-cancer incidence, including that for lung adenomas in never smokers. Full article