Search Results (367)

Crimean–Congo hemorrhagic fever (CCHF) is a zoonotic viral disease endemic to parts of Africa, Asia and southeastern Europe. Bulgaria is one of the few European countries with the consistent annual reporting of human CCHF cases. This study provides a descriptive overview of 24 confirmed CCHF cases in Bulgaria between 2015 and 2024. Laboratory confirmation was performed by an enzyme-linked immunosorbent assay (ELISA) and/or real-time reverse transcriptase polymerase chain reaction (RT-qPCR) testing. Common findings included fever, fatigue, gastrointestinal symptoms, thrombocytopenia, leukopenia, liver dysfunction and coagulopathy. Two fatal cases were recorded. Two samples collected in 2016 and 2024 were subjected to whole-genome sequencing. Phylogenetic analysis showed that both strains clustered within the Turkish branch of the Europe 1 genotype and shared high genetic similarity with previous Bulgarian strains, as well as strains from neighboring countries. These findings suggest the long-term persistence of a genetically stable viral lineage in the region. Continuous molecular and clinical surveillance is necessary to monitor the evolution and public health impact of CCHFV in endemic areas. Full article

The pepper weevil Anthonomus eugenii is a devastating pest native to Central America that can cause severe damage to over 35 pepper varieties. Global trade in peppers has significantly increased the risk of its spread and expansion. Moreover, future climate change may add more uncertainty to its distribution, resulting in considerable ecological and economic damage globally. Therefore, we employed an ensemble model combining Random Forests and CLIMEX to predict the potential global distribution of A. eugenii in historical and future climate scenarios. The results indicated that the maximum temperature of the warmest month is an important variable affecting global A. eugenii distribution. Under the historical climate scenario, the potential global distribution of A. eugenii is concentrated in the Midwestern and Southern United States, Central America, the La Plata Plain, parts of the Brazilian Plateau, the Mediterranean and Black Sea coasts, sub-Saharan Africa, Northern and Southern China, Southern India, Indochina Peninsula, and coastal area in Eastern Australia. Under future climate scenarios, suitable areas in the Northern Hemisphere, including North America, Europe, and China, are projected to expand toward higher latitudes. In China, the number of highly suitable areas is expected to increase significantly, mainly in the south and north. Contrastingly, suitable areas in Central America, northern South America, the Brazilian Plateau, India, and the Indochina Peninsula will become less suitable. The total land area suitable for A. eugenii under historical and future low- and high-emission climate scenarios accounted for 73.12, 66.82, and 75.97% of the global land area (except for Antarctica), respectively. The high-suitability areas identified by both models decreased by 19.05 and 35.02% under low- and high-emission scenarios, respectively. Building on these findings, we inferred the future expansion trends of A. eugenii globally. Furthermore, we provide early warning of A. eugenii invasion and a scientific basis for its spread and outbreak, facilitating the development of effective quarantine and control measures. Full article

The common bed bug, Cimex lectularius L., is a pervasive pest of humans throughout the world. Insecticide resistance, cryptic habits, and proclivity for harborage on human belongings have contributed to its global status as a difficult pest to control. Leaves from common bean plants, Phaseolus vulgaris L., which include numerous trichomes, have traditionally been used to capture wandering bed bugs in southeastern Europe. However, fresh leaves rapidly desiccate once removed from plants, losing their trapping ability. A leaf-derived trapping material was developed that does not desiccate as rapidly as fresh leaves and retains the potential to trap bed bugs. In this study, we tested the efficacy of the leaf-derived material in capturing bed bugs. We tested the leaf-derived material in both horizontal and vertical orientations, using fresh bean leaves as positive controls. When deployed horizontally, the leaf-derived material captured bed bugs of all life stages and both sexes (adults). Leaf-derived material was also found to capture bed bugs in a vertical orientation (only evaluated for adult male bed bugs). Because this experimental leaf-derived material was effective in both horizontal and vertical orientations and against all life stages, it may have great potential for development into bed bug monitoring or exclusion devices. Full article

Common ragweed, Ambrosia artemisiifolia (Asteraceae), is an invasive weed that causes problems in cropping systems and to human health both in its native range in North and Central America and the introduced range in Europe, Asia, Africa, and Australia. Ophraella communa, an herbivorous chrysomelid beetle from North America, was accidentally introduced into East Asia and Europe, where it significantly reduces weed populations and pollen production. Despite extensive research on its host specificity and risk assessment, the potential environmental risk of this biological control agent in southeastern Central Europe, one of the most heavily invaded areas by A. artemisiifolia, remains to be determined. This literature review attempts to summarize the results of host-range testing conducted so far and identifies plant taxa native to southeastern Central Europe that have not been tested yet. The results suggest that the host range of O. communa is not yet entirely clear, but may include some plant species from the tribes Heliantheae, Inuleae, Anthemideae, Cardueae, Astereae, and/or Coreopsideae. So far, only some of the 21 genera from those tribes with species in southeastern Central Europe have been tested. We therefore suggest further host specificity studies with representatives of these plant genera to fully assess the potential non-target risks by O. communa in agricultural and natural habitats. Full article

Dutch elm disease is one of the most devastating plant diseases, primarily spread through bark beetles. Scolytus scolytus is a key vector of this disease. In this study, distribution data of S. scolytus were collected and filtered. Combined with environmental and climatic variables, an ensemble model was developed using the Biomod2 platform to predict its potential geographical distribution in China. The selection of climate variables was critical for accurate prediction. Eight bioclimatic factors with high importance were selected from 19 candidate variables. Among these, the three most important factors are the minimum temperature of the coldest month (bio6), precipitation seasonality (bio15), and precipitation in the driest quarter (bio17). Under current climate conditions, suitable habitats for S. scolytus are mainly located in the temperate regions between 30° and 60° N latitude. These include parts of Europe, East Asia, eastern and northwestern North America, and southern and northeastern South America. In China, the low-suitability area was estimated at 37,883.39 km², and the medium-suitability area at 251.14 km². No high-suitability regions were identified. However, low-suitability zones were widespread across multiple provinces. Under future climate scenarios, low-suitability areas are still projected across China. Medium-suitability areas are expected to increase under SSP370 and SSP585, particularly along the eastern coastal regions, peaking between 2041 and 2060. High-suitability zones may also emerge under these two scenarios, again concentrated in coastal areas. These findings provide a theoretical basis for entry quarantine measures and early warning systems aimed at controlling the spread of S. scolytus in China. Full article

This study examines the complex interactions among soil moisture, evaporation, extreme weather events, and lightning, and their influence on fire activity across the extratropical and Pan-Arctic regions. Leveraging reanalysis and remote-sensing datasets from 2000 to 2020, we applied cross-correlation analysis, a modified Mann–Kendall trend test, and assessments of interannual variability to key variables including soil moisture, fire frequency and risk, evaporation, and lightning. Results indicate a significant increase in dry days (up to 40%) and heatwave events across Central Eurasia and Siberia (up to 50%) and Alaska (25%), when compared to the 1980–2000 baseline. Upward trends have been detected in evaporation across most of North America, consistent with soil moisture trends, while much of Eurasia exhibits declining soil moisture. Fire danger shows a strong positive correlation with evaporation north of 60° N (r ≈ 0.7, p ≤ 0.005), but a negative correlation in regions south of this latitude. These findings suggest that in mid-latitude ecosystems, fire activity is not solely driven by water stress or atmospheric dryness, highlighting the importance of region-specific surface–atmosphere interactions in shaping fire regimes. In North America, most fires occur in temperate grasslands, savannas, and shrublands (47%), whereas in Eurasia, approximately 55% of fires are concentrated in forests/taiga and temperate open biomes. The analysis also highlights that lightning-related fires are more prevalent in Eastern Europe and Southeastern Asia. In contrast, Western North America exhibits high fire incidence in temperate conifer forests despite relatively low lightning activity, indicating a dominant role of anthropogenic ignition. These findings underscore the importance of understanding land–atmosphere interactions in assessing fire risk. Integrating surface conditions, climate extremes, and ignition sources into fire prediction models is crucial for developing more effective wildfire prevention and management strategies. Full article

Community-engaged learning (CEL) is a popular educational approach for sociology teaching across Canada and globally. Students in sociology courses with this experiential component can opt in to enhance their learning by working with community members and organizations in structured, low-stakes ways that forward community priorities. Evidence shows that CEL in sociology courses supports students in developing a wide variety of skills. However, little is known about how international students in sociology courses engage with this pedagogy. Drawing on 20 semi-structured interviews with international students from Asia, South America, and Eastern Europe who completed CEL programming as part of their sociology course curriculum at a large Canadian university, I show how these students engaged in unique learning practices. The findings indicate that international students draw upon their life experiences from diverse national contexts to navigate and reflect upon their CEL placement in sociological ways. These students’ voices offer rich insights for sociology educators designing course-based CEL opportunities with a multinational student body. Full article

Anoplocephala spp. are common equine tapeworm species in Europe, frequently found in grazing horses. Anoplocephala perfoliata is the most pathogenic, clinically significant species associated with gastrointestinal disorders, particularly colic, and can have a fatal outcome in some horses. The aim of this study was to determine the infection prevalence of Anoplocephala spp. in Serbia and to identify relevant risk factors. A total of 173 horses from various regions were tested using a combination of diagnostic methods: coprological analysis via combined sedimentation–flotation and the Mini-FLOTAC technique, as well as serological testing using a commercial ELISA test. The overall prevalence was 38.7%, with a higher number of positive cases being identified by serology. It was demonstrated that coprology and serology are complementary approaches for prevalence studies. Infection risk factors included high stocking density, free-roaming status and co-infection with nematodes, while lower rainfall and temperate climate were associated with reduced risk of tapeworm infection. These findings highlight the challenges of Anoplocephala spp. detection and provide insight into the epidemiology of equine tapeworm infection in Southeastern Europe. Full article

Ixodiphagus hookeri (Howard, 1907) (Hymenoptera: Encyrtidae), a hyperparasitic wasp that parasitizes hard ticks, has been documented in various parts of Europe; however, data on its presence in southeastern regions has been lacking. This study provides the first molecular evidence of I. hookeri in ticks from the coastal areas of the Balkan Peninsula, specifically Croatia and Bulgaria. A total of 1043 questing ticks were collected between 2011 and 2013 across 15 locations. Molecular screening revealed I. hookeri DNA in Ixodes ricinus (Linnaeus, 1758) (Acari: Ixodidae) nymphs from inland Croatia (overall prevalence: 18.72%) and in Haemaphysalis concinna (Koch, 1844) (Acari: Ixodidae) nymphs and larvae from coastal Bulgaria (prevalence: 17.2%). All I. hookeri-positive samples were co-infected with Wolbachia spp. (Rickettsiales: Anaplasmataceae). This detection marks the southernmost record of I. hookeri in Central Europe, expanding its known range to the Balkan Peninsula and supporting its relevance as a potential natural enemy in integrated tick management strategies. Full article

Introduction: Elderly patients with metastatic non-small-cell lung cancer (NSCLC) are underrepresented in clinical trials evaluating immune checkpoint inhibitors (ICIs). This study assesses the efficacy of first-line pembrolizumab monotherapy in patients with metastatic NSCLC aged ≥70 years with a programmed death-ligand 1 (PD-L1) tumor proportion score (TPS) ≥ 50%. Materials and Methods: We retrospectively analyzed 381 patients with metastatic NSCLC without oncogenic driver mutations treated with pembrolizumab monotherapy between 2017 and 2023 at three academic centers in Central and Southeastern Europe. Clinical outcomes, including median time on treatment (mToT) and overall survival (mOS), were compared between patients aged ≥70 and <70 years. Results: Of 381 patients, 149 (39.1%) were aged ≥70. No significant differences in mToT (12.7 vs. 14.3 months; p = 0.125) or mOS (18.2 vs. 27.4 months; p = 0.124) were observed between older and younger groups. Good ECOG PS (0–1) was independently associated with longer mToT and mOS in older patients. Additionally, a history of smoking was linked to improved outcomes compared to never-smokers, suggesting potential immunogenic effects. Older patients were significantly less likely to receive second-line therapy after progression (p = 0.04). Conclusions: First-line pembrolizumab monotherapy is effective across all age groups and provides similar treatment efficacy in patients with metastatic NSCLC and a PD-L1 TPS ≥ 50%. Patients older than 70 with a smoking history and ECOG PS 0–1 derive the most benefit from this treatment modality. The adaptation of this treatment strategy for elderly patients is especially important, since only a minority of them are capable of receiving second-line therapy. Full article

Highly pathogenic avian influenza (HPAI) H5N1 continues to pose a major threat to animal and public health. Since its emergence, clade 2.3.4.4b has become the dominant global lineage, associated with widespread outbreaks in Europe. This study aimed to characterise the H5N1 strains detected in backyard chickens in Serbia and investigate their phylogenetic and phylogeographic relationships with historical and currently circulating strains in Serbia and the broader region. Samples collected in 2024 were tested by qRT-PCR, and positive samples were propagated in MDCK cells. Whole genome sequencing of isolated virus was performed using the MinION Mk1C platform (ONT, Oxford, UK). Bayesian phylogenetic and phylogeographic analyses were conducted using BEAST X and SPREAD3 v.9.6. The results revealed three independent introductions of H5N1 into Serbia between 2020 and 2024. The spatiotemporal diffusion patterns confirmed both north–south and west–east viral spread from Northern and Central Europe into the Balkans. Additionally, Serbia was identified as a critical transit and divergence point in the regional transmission network, highlighting its role in the spread of H5N1 between Western and Eastern Europe. These findings underscore the importance of continued genomic surveillance in both domestic and wild bird populations to better understand and reduce HPAI spread. Full article

The Southeastern European territory is under severe climatic pressure owing to accelerating dry–thermal trends. The present survey illustrates the spatial and temporal evolution of the climate regime over the natural and agricultural landcover of South-eastern Europe and individual countries (Albania, Bosnia Herzegovina, Bulgaria, Croatia, Greece, N. Macedonia, Montenegro, Romania, Serbia, and Slovenia). For this purpose, a high spatial resolution of the Johansson Continentality index, the Kerner Oceanity index and the Pinna Combinative index was first estimated over two climatic periods (1964–1993; 1994–2023). The Johansson index depicts increasing continentality over the southern and eastern regions, majorly by the spatiotemporal expansion of the Continental climate over the agricultural and natural areas of Bulgaria (respectively, from 49.9% to 73.7% and from 13.3% to 36.8%) followed by Serbia, Romania, and Greece. The Kerner index illustrates increasing continentality over most of the study area owing to the spatiotemporal increase in the Sub-Continental climate type over the agricultural and the natural regions of Bosnia Herzegovina (from 68.6% to 84% and from 41.4% to 63.2%), N. Macedonia, Slovenia and the natural areas of Croatia and Serbia. The extension of the Continental over the agricultural and natural areas of Romania is also shown. The Pinna index exhibits an increasing aridity trend, which is more intense in the central and eastern regions. This trend is demonstrated by the higher distribution of the Semi-Dry in the second period mostly over the agricultural and natural areas of Bulgaria (2.4% to 23.1% and 0.7% to 5.8%), and a remarkable expansion of the Moderate Wet climate over both area types of Romania (from 3.3% to 44.8% and from 5.6% to 15.2%) and Bosnia Herzegovina (from 13.7% to 33.5% and from 3.5% to 13.2%). This study’s results highlight the necessity for intensifying adaptation plans and actions aiming at the feasibility of agricultural practices and the conservation of natural areas. Full article

The objective of this study was to analyse the influence of two large-scale climate indices on precipitation in the Danube basin, both separately and in combination. The evolution of the hydroclimatic regime in this area is of particular importance but has received limited attention. One of the indices for these data is the well-known the North Atlantic Oscillation (NAOI) climate index, which has been used in numerous investigations; the aim of using this index is to determine its influence on various hydroclimatic variables in many regions of the globe. The other index, the Greenland–Balkan Oscillation index (GBOI), has been demonstrated to have a greater influence on various hydroclimatic variables in Southeastern Europe compared to the NAOI. First, through different bivariate methods, such as estimating wavelet total coherence (WTC) in the time–frequency domain and applying partial wavelet coherence (PWC), the performance of the GBOI contributing to precipitation in the Danube basin was compared with that of the NAOI in the winter season. Then, by using relatively simple multivariate methods such as multiple linear regression (MLR) and a variant thereof called ridge regression (RR), notable results were obtained regarding the prediction of overall precipitation in the Danube basin in the winter season. The training period was 90 years (1901–1990), and the testing period was 30 years (1991–2020). The used Nash–Sutcliffe (NS) performance criterion varied between 0.65 and 0.94, depending on the preprocessing approach applied for the input data, proving that statistical modelling for the winter season is both simple and powerful compared to modern deep learning methods. Full article

Canine circovirus (CanineCV) is an emerging virus of interest in both domestic and wild carnivores that is scarcely reported in southeastern Europe. This study examined the presence, genetic diversity, and evolutionary characteristics of CanineCV in red foxes (Vulpes vulpes) and golden jackals (Canis aureus) from northwestern Serbia, a region marked by expanding mesopredator populations overlapping with human habitats. Out of 98 sampled animals, circoviral DNA was detected in 31.6%. Jackals were mostly positive for CanineCV genotype 4, while genotype 5, associated with wild carnivores, was dominant in foxes. Mixed genotype 4/genotype 5 infections were only found in jackals. Phylogenetic and haplotype analyses indicated that most jackal-derived CanineCV strains clustered along sequences from Europe, Africa, and the Americas, while genotype 5 sequences grouped separately from other genotype representatives. A recombinant strain was identified as a divergent lineage, and several sequences showed evidence of recombination between Rep and Cap genes. Despite Cap protein amino acid differences, purifying selection dominated, suggesting functional constraints on viral evolution. The results indicate that jackals may act as recombination hotspots and bridging hosts between viral lineages. This study provides insight into the molecular epidemiology of CanineCV in the Balkans, highlighting the importance of ongoing surveillance. Full article

Cardiovascular disease remains the leading cause of morbidity and mortality worldwide, especially in regions like Eastern Europe, South Asia, and Latin America. A significant portion of these cases (80%) is linked to atherosclerosis, which can lead to severe conditions like ischemic heart disease and stroke, with atherosclerosis (ATS) responsible for the majority of cases. This review explores the multifaceted relationship between insulin resistance (IR) and ATS, highlighting their roles as both independent and interrelated contributors to cardiovascular risk. ATS is characterized by lipid accumulation and chronic inflammation within arterial walls, driven by factors such as hypertension, dyslipidemia, and genetic predisposition, with endothelial dysfunction as a key early event. The early detection of subclinical ATS is critical and can be achieved through a combination of non-invasive imaging techniques—such as coronary artery calcium scoring and carotid ultrasound—and comprehensive risk profiling. IR, marked by impaired glucose uptake in liver, muscle, and adipose tissue, often precedes early diabetes and is associated with metabolic disturbances, including dyslipidemia and chronic inflammation. The diagnosis of IR relies on surrogate indices such as HOMA-IR, the QUICKI, and the TyG index, which facilitate screening in clinical practice. Compelling evidence indicates that IR independently predicts the progression of atherosclerotic plaques, even in non-diabetic individuals, and operates through both traditional risk factors and direct vascular effects. Understanding and targeting the IR–ATS axis is essential for the effective prevention and management of cardiovascular disease. Full article