Search Results (447)

Background/Objectives: The present study aimed to examine how obesity and its distribution influence the relationship between healthy lifestyle habits and cardiometabolic health indicators in adolescents. Methods: This cross-sectional study included 340 adolescents (54.8% female; mean age, 16.6 ± 1.0 years) from Brazil. The cardiometabolic variables included systolic (SBP) and diastolic blood pressure (DBP), high-sensitivity C-reactive protein (CRP), and markers of lipid and glucose metabolism. Information on regular physical activity, healthy diet, reduced alcohol consumption, and non-smoking was collected via a self-reported questionnaire. Body mass index, waist circumference, and skinfold measurements were assessed to determine general obesity, abdominal obesity, and excess body fat, respectively. Multiple linear regression, adjusted for confounding factors, was employed for the analysis. Results: The adoption of ≥3 healthy lifestyle habits was directly associated with high-density lipoprotein cholesterol (up to 1.2 mg/dL) and inversely associated with triglycerides (up to −0.11 p.p.). Engaging in multiple healthy lifestyle habits was inversely associated with SBP among adolescents with general (p = 0.018) and central obesity (p = 0.004). Furthermore, the adoption of multiple healthy lifestyle habits was inversely associated with CRP in adolescents with central obesity (p = 0.037). Conclusions: Even in adolescents with obesity, it is speculated that the adoption of healthy habits may contribute to a reduction in cardiometabolic risk, given the inverse association with SBP in those with general and central obesity and the inverse association with CRP in adolescents with central obesity. Full article

Flame-retardant microcapsules were prepared using a urea–melamine–formaldehyde (UMF) shell and boric acid-crosslinked ammonium polyphosphate (APP) as the core to improve the dispersion stability and processing compatibility of phosphorus-based flame retardants. Thermal analysis showed that the microcapsules exhibited initial mass loss near 80 °C due to moisture evaporation and shell relaxation, while APP-related degradation occurred at higher temperatures, indicating delayed release of the core and enhanced thermal resistance through encapsulation. Scanning electron microscopy confirmed the formation of microcapsules, and morphological changes before and after combustion suggested the development of protective char layers. Boron-containing residues are expected to contribute to char stabilization through the formation of B–O–P structures during heating. The flame-retardant properties were evaluated using limiting oxygen index, smoke density, and vertical burning tests. Although the limiting oxygen index slightly decreased due to reduced accessible APP content, stable burning behavior was maintained, and characteristic char formation was observed after combustion. These results indicate that the UMF/APP microcapsules can improve thermal stability and handling of phosphorus-based flame retardants. The microencapsulation approach presented here may provide practical advantages for polymer processing and surface-coating applications. Full article

Background/Objectives: Type 2 diabetes (T2D) is a chronic metabolic disorder closely linked to cardiovascular disease and obesity and notably influenced by lifestyle and dietary patterns. The Mediterranean diet has well-established benefits across multiple cardiometabolic risk factors, including those relevant to diabetes. This study aimed to investigate the degree to which adults with T2D adhere to a Mediterranean dietary pattern and to examine how such adherence relates to glycemic and lipidemic regulation. Methods: This cross-sectional study included 100 adults with T2D (54 men and 46 women). Adherence to the Mediterranean diet was assessed using the Mediterranean Diet Score (MDS). Demographic, anthropometric, lifestyle, and clinical data were collected, and glycemic and lipid parameters were analyzed. Associations between Mediterranean diet adherence and metabolic outcomes were examined using correlation analyses and multivariable regression models adjusted for relevant confounders. Results: Most participants showed low adherence to the Mediterranean diet. A significant inverse association was observed between Mediterranean diet adherence and hemoglobin A1c (HbA1c) levels, with individuals scoring ≤35 on the MDS demonstrating higher HbA1c levels. Similar trends were observed in the lowest tertile of adherence. Notably, each one-point increase in MDS predicted a 0.13% reduction in HbA1c. In multivariable regression analyses, Mediterranean diet adherence remained the strongest predictor of glycemic control, independent of age, body mass index (BMI), sex, smoking status, physical activity and the number of antidiabetic treatments. Higher adherence was also significantly associated with lower low-density lipoprotein cholesterol (LDL-C) and triglyceride (TG) levels, as well as higher high-density lipoprotein cholesterol (HDL) concentrations. Conclusions: Greater adherence to the Mediterranean diet is independently associated with improved glycemic regulation and a more favorable lipid profile in adults with T2D. These findings support the Mediterranean diet as a valuable non-pharmacologic strategy for optimizing metabolic outcomes in people with T2D. Full article

This study examines the relationship between lung and bronchus cancer mortality, vertical urban density, and smoking prevalence across 48 U.S. states from 1999 to 2022. Using 2034 state-year observations, skyscraper counts are employed as a proxy for vertical urban density, together with sex-specific, age-adjusted mortality and smoking data. A fully interacted empirical model identifies a non-linear, inverted U-shaped relationship between vertical density and lung cancer mortality for both men and women: mortality initially increases with greater vertical density but declines at higher levels, consistent with offsetting effects of environmental exposure and improved access to healthcare in highly dense urban environments. Importantly, the shape and magnitude of this relationship differ by gender. While smoking prevalence is strongly associated with lung cancer mortality for both sexes, mortality rates are consistently higher among males, and the marginal effect of smoking on mortality is more pronounced for men than for women. These findings highlight the importance of accounting for both non-linearity and gender heterogeneity when assessing the public health implications of urban form. Full article

In the article we investigated the effectiveness of a synergistic system designed to reduce the fire hazard of flexible polyurethane (PUR) foams. The examined system consisted of a carbon-based filler graphene (G), carbon nanotubes (CNTs), or expanded graphite (EG) combined with melamine polyphosphate (MPP). The investigated polyurethane foams (PUR) were synthesized at room temperature via a polycondensation reaction between a polyol and an isocyanate, with an OH: NCO molar ratio of 2:1. Both the carbon fillers and melamine polyphosphate were homogeneously dispersed within the polyol component. Thermogravimetric analysis (TGA), cone calorimetry, and microcalorimetry were used to evaluate the influence of the fillers on the thermal stability and flammability of the PUR foams. The toxicity of the gaseous products was assessed using a coupled TG-gas analysis system, while the optical density of the evolved gases was determined using a Smoke Density Chamber (SDC). The obtained results demonstrated that the applied synergistic carbon-phosphorus filler system significantly reduced the fire hazard of the tested PUR foams. In particular, the EG5-MPP system enabled the formation of self-extinguishing materials. Full article

High-rise buildings present substantial challenges for firefighting and rescue operations owing to their considerable height. The stack effect, which becomes more pronounced with increasing building height, accelerates smoke propagation and significantly increases the likelihood of casualties. This study identifies and analyzes the risks associated with fire incidents in high-rise residential buildings. A 49-story building was selected as the reference model, and population density was applied to estimate occupant numbers for the risk assessment. For the damage scenario, one disaster-vulnerable individual per household was assumed. The simulation results revealed that firefighters and vulnerable occupants were exposed to smoke within 541 s. The findings of this study indicate that the stack effect, amplified by building height, exacerbates fire and smoke spread, thereby increasing firefighting risks and potential casualties. These results highlight fire incidents in high-rise structures as a critical category of urban disaster. Furthermore, the study underscores the limitations of existing firefighting facilities in addressing such scenarios and emphasizes the urgent need for new paradigms in firefighting strategies and smoke control technologies to mitigate the risks associated with the stack effect. Full article

In January 2025, multiple wildfires erupted across the Los Angeles region, fueled by prolonged dry conditions and intense Santa Ana winds. Southern California has faced increasingly frequent and severe wildfires in recent years, driven by prolonged drought, high temperatures, and the expanding wildland–urban interface. These fires have caused major loss of life, extensive property damage, mass evacuations, and severe air-quality decline in this densely populated, high-risk region. This study integrates passive and active satellite observations to characterize the spatiotemporal and vertical distribution of wildfire emissions and assesses their impact on air quality. TROPOMI (Sentinel-5P) and the recently launched TEMPO geostationary instrument provide hourly high temporal-resolution mapping of trace gases, including nitrogen dioxide (NO₂), carbon monoxide (CO), formaldehyde (HCHO), and aerosols. Vertical column densities of NO₂ and HCHO reached 40 and 25 Pmolec/cm², respectively, representing more than a 250% increase compared to background climatological levels in fire-affected zones. TEMPO’s unique high-frequency observations captured strong diurnal variability and secondary photochemical production, offering unprecedented insights into plume evolution on sub-daily scales. ATLID (EarthCARE) lidar profiling identified smoke layers concentrated between 1 and 3 km altitude, with optical properties characteristic of fresh biomass burning and depolarization ratios indicating mixed particle morphology. Vertical profiling capability was critical for distinguishing transported smoke from boundary-layer pollution and assessing radiative impacts. These findings highlight the value of combined passive–active satellite measurements in capturing wildfire plumes and the need for integrated monitoring as wildfire risk grows under climate change. Full article

Metabolic dysfunction-associated steatotic liver disease (MASLD) has become highly prevalent worldwide, and its pathogenesis and progression mechanisms remain incompletely understood. An increased activation of innate immune cells in the liver contributes to hepatic fibrogenesis via a chronic loop of inflammation and regeneration processes. Among them are mast cells (MCs), whose role in hepatic cirrhosis secondary to MASLD remains poorly studied. Our aim was to evaluate differences in MC density in cirrhotic liver tissue among patients with MASLD and other chronic liver disease etiologies. For this, a retrospective study of MC count was performed in cirrhotic liver explants obtained from MASLD, alcohol-related liver disease (ALD), and autoimmune hepatitis (AIH). We included a control group of subjects without liver damage. Tryptase-positive MCs were identified by indirect immunofluorescence and quantified as MC density per low-power field (MC/LPF). Group differences were analyzed using the Kruskal–Wallis test with Dunn’s multiple comparisons, considering p < 0.05 as statistically significant. A significantly higher MC density was observed in MASLD, ALD, and AIH patients compared with the control group. The group analysis showed that ALD patients exhibited higher MC density than AIH, with no observed difference between ALD and MASLD. MC density was correlated positively with tobacco smoking and alcohol use in the full analyzed group, suggesting them as risk factors of high MC liver infiltration. We conclude that MC density is augmented in MASLD-related cirrhosis, highlighting potential links between lifestyle factors and MC-mediated hepatic inflammation. Future studies should explore the mechanisms driving this association and evaluate whether targeting MCs could help mitigate fibrosis progression. Full article

The aim of this study was to examine associations involving serum proprotein convertase subtilisin/kexin type 9 (PCSK9) in metabolic disturbances observed in women with polycystic ovary syndrome (PCOS), with particular emphasis on the potential impact of tobacco smoke exposure. The study included 88 women: 60 with PCOS (23 smokers and 37 non-smokers) and 28 without PCOS. Selected biochemical and molecular biomarkers related to lipid metabolism, oxidative stress, and inflammation were assessed. No significant differences in PCSK9 levels were observed among non-smoking women with PCOS, smoking women with PCOS, and non-smoking women without PCOS. However, in women with PCOS, excess body weight and insulin resistance were associated with increased PCSK9 concentrations. Significant correlations between PCSK9, lipid profile parameters, and the Castelli and triglycerides-glucose indices suggest a potential role of PCSK9 as a biomarker of dyslipidemia and cardiometabolic risk. Elevated PCSK9 levels may contribute not only to increased low-density lipoprotein cholesterol but also to enhanced formation of oxidized low-density lipoprotein, which is particularly detrimental to cardiovascular and metabolic health. Vitamin D levels were more strongly associated with smoking status and insulin resistance than with excess body weight. Overall, these findings indicate that PCSK9 regulation in PCOS may be driven predominantly by metabolic factors rather than PCOS status or smoking per se, and that metabolic status and vitamin D deficiency should be considered when assessing cardiometabolic risk in this population. Full article

The growing demand for sustainable solutions stimulates the building sector to develop environmentally friendly building materials. However, innovative natural-based options used in residential buildings must also comply with safety standards. This study examines the thermal and fire performance of insulation boards produced from tree bark fibers of two hardwood species, Tilia spp. (Lime) and Robinia pseudoacacia (Black Locust). The samples were fabricated using a wet process without adhesives and fire retardants, achieving thermal conductivity coefficient values of 0.055–0.057 W/m·K at densities ranging from 218 to 231 kg/m³. Density profiling revealed a characteristic vertical gradient associated with wet processing, while wettability measurements indicated hydrophobic surface behavior. Fire tests showed species-dependent behavior: Black Locust panels exhibited smaller damaged zones and lower maximum temperatures, whereas Lime panels showed deeper thermal degradation. No board ignition was observed, and smoke release remained moderate and consistent. Overall, these findings highlight the potential of bark-based insulation boards as sustainable alternatives in building applications. However, further optimization with larger sample sets and the integration of natural flame retardants is recommended to improve performance and safety. Full article

Background: Glycated hemoglobin (HbA1c) is a parameter commonly used in clinical practice to assess glycemic control in patients with diagnosed diabetes. Hyperglycemia is a strong risk factor for developing cardiovascular (CV) disease. Although there is some evidence that this parameter could also help assess CV health in patients without known carbohydrate metabolism disorders, this is not entirely clear. The purpose of this study was to investigate the relationship between HbA1c and selected echocardiographic parameters in patients without diabetes. Methods: This study was a retrospective analysis of data from 59 patients (females: 72.88%) with a mean age of 54.82 ± 17.34 years without any features of acute illness or exacerbation of chronic diseases hospitalized in the Department of Internal Medicine, Angiology and Physical Medicine of the Medical University of Silesia in Katowice (Poland) in the period between June 2022 and May 2024. Only individuals with HbA1c levels and who have undergone transthoracic echocardiography were included in the analysis. Spearman’s rank correlation test was used for statistical analysis, and a multivariate analysis model was then constructed (adjusted for age, sex, body mass index, low-density lipoprotein cholesterol, systolic blood pressure, hypertension, and smoking). Results: In univariate analysis, HbA1c was found to be significantly correlated with selected parameters relating to left ventricular dimensions and mass, left atrial dimensions, right ventricular systolic function, mitral inflow profile parameters, and tissue Doppler echocardiography. Multivariate analysis did not confirm a significant association between HbA1c and the assessed echocardiographic parameters. Conclusions: Although HbA1c significantly correlates with some echocardiographic parameters, the observed relationships are entirely explained by confounding variables. Full article

Background and Objectives: Osteoporosis risk in real-world, outpatient settings is shaped by intersecting socio-demographic, environmental, and clinical factors. We evaluated predictors of fracture risk status among adults seeking care in community pharmacies in Lahore, Pakistan. Materials and Methods: We conducted a cross-sectional study across urban and suburban pharmacies using a validated questionnaire aligned with international guidelines. Participants were classified as lower risk (osteopenia/osteoporosis without fragility fracture) or high risk (≥1 fragility fracture with clinical osteoporosis). Associations between candidate factors and risk status were examined using univariate and multivariable logistic regression analyses. Results: Of 286 participants, 53.1% were classified as lower risk. After adjustment, most sociodemographic characteristics were not independently associated with fracture risk status, except monthly income. Strong associations were observed for diabetes (AOR = 0.005, 95% CI 0.0007–0.040; p < 0.001), short-term glucocorticoid use (AOR = 32.33; p = 0.004), current smoking (AOR = 14.23; p = 0.002), ex-smoking (AOR = 4.95; p = 0.042), and lack of sunlight exposure (AOR = 7.09; p = 0.019). CKD, rheumatoid arthritis, and vitamin D insufficiency demonstrated borderline non-significant trends. Multivariable modeling did not include “not tested” categories or sparse variables. Conclusions: In Lahore’s community pharmacies, diabetes, CKD, RA, glucocorticoid exposure, smoking, and sunlight/vitamin D-related factors were the dominant correlates of osteoporosis fracture risk status, whereas most socio-demographic factors exerted limited independent effects. Pharmacy-anchored screening and counseling focused on these high-yield clinical indicators alongside timely BMD referral and guideline-concordant therapy may help identify individuals at elevated fracture risk. Full article

Background: The lack of an accurate coronary artery spasm (CAS) risk prediction model highlights the failure to consider dynamic coronary health and reveals a gap in understanding CAS. Methods: A total of 913 Taiwanese patients (460 women and 453 men) with suspected ischemic heart disease but without angiographic obstructive coronary artery disease were subjected to intracoronary methylergonovine testing during the period 2008–2025. Results: The study included 645 CAS cases (70.6%) and 268 non-CAS controls (29.4%). The multivariable logistic regression model identified 10 variables significantly associated with CAS (p < 0.05): male sex, smoking, low systolic and diastolic blood pressure, reduced B-type natriuretic peptide levels, elevated low-density lipoprotein levels, increased relative wall thickness at end-systole, high left ventricular mass index, low e’(l) values, and high Tei index. Discrimination performance was moderate, with an AUC value of 73.8% that dropped to 72.4% after bootstrapped internal validation, suggesting the potential generalizability of the derived model. The total score ranged from 36 to 98, representing a predicted probability between 12% and 98%, respectively. Conclusions: While a total score of ≥58 with the probability of CAS exceeding 50% indicates a significant chance of undiagnosed CAS, for patients with a total score ≥ 69 and a high probability of CAS ≥ 75%, coronary catheterization with CAS provocation testing is strongly recommended for a definite diagnosis. The simple 10-variable scoring model allows ranking of at-risk populations and is designed to be used as a screening tool rather than a diagnostic adjunct, enabling more efficient diagnostic resource allocation. Full article

Antioxidant intake from natural sources may enhance defense systems against oxidative stress induced by environmental factors such as cigarette smoke. Watercress (Nasturtium officinale) is an abundant source of antioxidants. This study aimed to determine the antioxidant effects of watercress consumption in people exposed to cigarette smoke in Chiang Mai, Thailand. Forty-five participants (15 non-smokers, 15 non-smokers with self-reported exposure to secondhand smoke (SHS), and 15 smokers) aged 20–60 years consumed 60 g of fresh watercress with three meals daily for seven days. Clinical characteristics, lipid profiles, total antioxidant capacity, and oxidative stress markers were evaluated before and after the intervention. After 7 days of watercress consumption, body mass index (BMI) and hip circumference significantly decreased among non-smokers. Watercress consumption reduced total cholesterol and low-density lipoprotein cholesterol (LDL-C) levels in smokers and in SHS-exposed non-smokers; however, high-density lipoprotein cholesterol (HDL-C) significantly decreased in SHS-exposed non-smokers. Catalase activity increased, and malondialdehyde levels decreased in all groups. One of the measures of plasma total antioxidant capacity significantly improved in non-smokers. These findings suggest that watercress consumption may improve lipid profiles and mitigate oxidative stress, and that these beneficial effects differ across people with different levels of exposure to cigarette smoke. However, further studies are suggested to clarify these results. Full article

Background: While the 2024 ESC Guidelines provide guidance on utilising incidental CAC findings from non-gated CT scans to enhance risk stratification and guide treatment decisions, there remain gaps in detailed protocols for managing such incidental findings, particularly in inpatient settings. An incidental finding of CAC in a patient without known atherosclerosis provides an opportunity to assess cardiac risk, promote risk factor optimisation and evaluate need for further cardiac work up. The aim of this study was to assess the prevalence of incidental coronary artery calcification on non-cardiac dedicated gated CT thorax scans among general medical inpatients and to evaluate the subsequent management of these findings. Methods: This was a single-centre retrospective observational study of consecutive general medical inpatients aged 40–75, who had undergone a non-cardiac gated CT thorax during their admission, between February and March 2025. Data were collected using local electronic health records. Exclusion criteria were patients with known ischaemic heart disease (IHD). Risk factor assessment was noted by documentation of smoking status, hypertension, diabetes and low-density lipoprotein (LDL) values. Results: A total of 186 patients with thoracic CT scans were identified. On review of all CT reports, 53 (28.4%) patients had CAC reported, of whom 17 had known IHD. Therefore 36 (19.4%) patients were identified for further analysis. An exercise stress test was booked in none of the patients. A coronary angiogram was booked in 1 patient. Conclusions: One fifth of medical inpatients in our study had a new finding of CAC on thoracic imaging. Cardiovascular risk factors of LDL and HbA1c were checked in less than half of patients. None of these patients went on to have functional testing. There is a valuable opportunity to optimise cardiac risk factors and evaluate the need for functional testing in a subset of patients with CAC reported on non-cardiac CTs. This can be facilitated by raising awareness and implementing a flowchart tool for hospital physicians to reference. Full article