Search Results (11,622)

Semi-coking wastewater generated during coal pyrolysis contains extremely high concentrations of refractory organic pollutants, resulting in elevated chemical oxygen demand (COD) and posing significant environmental risks, making efficient COD removal a critical challenge for sustainable wastewater treatment in the coal chemical industry. In this study, a porous carbon-based resin (XDA-1G) was investigated as an adsorbent for COD removal from semi-coking wastewater. The adsorption performance and underlying mechanisms were systematically evaluated through adsorption isotherm, kinetic, and thermodynamic analyses, combined with structural characterization using FTIR, XPS, BET, XRD, and SEM–EDS. The resin exhibited a high COD removal efficiency of up to 91% with a maximum adsorption capacity of 2182 mg g⁻¹. Kinetic analysis followed the pseudo-second-order model, while the Freundlich isotherm best described the equilibrium behavior, indicating heterogeneous adsorption. Thermodynamic parameters confirmed that the adsorption process is spontaneous and endothermic. Spectroscopic and structural analyses revealed that COD removal is mainly governed by synergistic mechanisms including π–π interactions between aromatic pollutants and the carbon framework, hydrogen bonding with oxygen-containing functional groups, and pore filling within the hierarchical porous structure. These findings demonstrate the strong potential of porous carbon-based resins as efficient adsorbents for treating high-strength industrial wastewater. Full article

Toxoplasmosis is a widely distributed zoonosis caused by the protozoan parasite Toxoplasma gondii. Infection during pregnancy is a major public health concern due to its potential impact on both maternal health and fetal development. Early detection of maternal infection is critical to prevent adverse outcomes; however, maternal signs are often subtle, non-specific or absent, complicating timely diagnosis. This scoping review aimed to map and synthesise existing evidence on early maternal signs, pregnancy and foetal outcomes, frequently assessed risk factors, and diagnostic approaches of toxoplasmosis in expectant mothers in Africa. The review was done in accordance with the PRISMA-ScR guidelines. A literature search of PubMed, Scopus, ResearchGate, and Google Scholar was performed to identify studies published between 2000 and 2025. Retrieved records were managed using Zotero (version 8.0.4) for deduplication and screening. Only English-language studies conducted in Africa and reporting relevant maternal or clinical data were included. A total of 28 cross-sectional studies were included. Lymphadenopathy (25.0%) was the most frequently reported maternal early sign, followed by flu-like illness, asymptomatic infection, low-grade or mild fever, and fatigue or malaise (each 10.7%). Congenital anomalies (50.0%) and miscarriage or spontaneous abortion (42.9%) were the most commonly reported foetal and pregnancy outcomes. Frequently reported risk factors were exposure to cat faeces (57.1%) and ingestion of undercooked or raw meat (42.9%). Diagnostic approaches were commonly enzyme-based immunoassays (78.6%), with limited use of RDTs and molecular methods. These findings suggest the need for improved early detection and prevention strategies in high-risk, low-resource African settings. Enhancing routine screening, health education, and access to appropriate diagnostics are considered. Future studies should consider adopting standardised reporting and integrating sensitive, affordable, rapid diagnostic approaches to enhance early detection and reduce the burden of congenital toxoplasmosis. Full article

Background: Frequent nocturnal arousals are a core feature of comorbid insomnia and obstructive sleep apnea (COMISA), yet the underlying central mechanisms remain unclear. Identifying brain functional correlates of nocturnal awakenings may help clarify arousal-related mechanisms and inform potential interventional targets. Methods: A total of 99 participants (COMISA, insomnia alone, OSA alone, and healthy controls) underwent clinical assessments, polysomnography, and brain magnetic resonance imaging (MRI). MRI metrics were compared across groups, followed by correlation and regression analyses with the arousal index, adjusting for respiratory events and insomnia-related factors. Results: Patients with COMISA exhibited more severe insomnia symptoms, greater daytime dysfunction, and more frequent nocturnal awakenings than those with insomnia alone, although their arousal index did not differ from that of the OSA group. Patients with COMISA exhibited altered activity in the right cerebellar lobule VIII (Cerebelum_8_R), left middle temporal gyrus, and right inferior frontal gyrus, opercular part. Lower fractional amplitude of low-frequency fluctuations (fALFF) in the Cerebelum_8_R was associated with a higher arousal index. This association remained significant after controlling for insomnia severity and sleep efficiency but was attenuated after adjustment for AHI. Conclusions: Reduced functional activity in the Cerebelum_8_R was independently associated with sleep fragmentation in COMISA, independent of insomnia severity but potentially mediated by respiratory events. These findings suggest this region may be involved in arousal-related neural regulation and could represent a therapeutic target for the complex symptoms of COMISA. Trial Registration: Chinese Clinical Trial Registry, ChiCTR2500095809. Full article

Background/Objectives: Patient-derived mesenchymal stem cells (MSCs) represent a promising avenue for myocardial regeneration, yet therapeutic application remains limited by inconsistent differentiation capacity and the absence of standardized cardiogenic induction protocols. This study demonstrates a proof-of-concept for guiding patient-specific bone marrow MSCs toward a functional cardiomyocyte phenotype using paracrine signals from differentiating iPSC-derived cardiomyocytes (iPSC-CMs). Materials and Methods: MSCs were maintained in conditioned medium from a concurrent, validated iPSC-CM differentiation protocol, with evaluation via immunocytochemistry, optical mapping, and whole-cell patch-clamp recordings. Results: Differentiated MSCs acquired organized sarcomeric architecture with cross-striations and displayed spontaneous calcium oscillations with decay kinetics matching source iPSC-CMs (CaT50 ≈ 283 ms vs. 301 ms). In co-culture, MSC-derived cells exhibited synchronized calcium dynamics with iPSC-CMs, confirming functional coupling, while patch-clamp detected hallmark cardiac ion currents (INa, ICa,L, and IKv). Morphologically, MSC-CMs displayed more mature, elongated rod-like shapes. Conclusions: Although current densities indicate partial immaturity, their reproducible detection validates successful cardiomyogenic commitment. This “parallel differentiation” platform eliminates donor-specific protocol tuning, providing a streamlined, paracrine-mediated approach to generate autologous cardiomyocyte-like cells for disease modeling, pharmacological testing, and future regenerative applications. Full article

The burgeoning scale of Pre-trained Large Models (PLMs) has intensified the demand for efficient inference without compromising performance, while existing large model collaborative frameworks have shown promise, they often suffer from functional redundancy among experts and limited robustness in complex cross-domain scenarios. In this paper, we propose Tri-gate Routing for Inference via Decoupled Efficient Network Technologies (TRIDENT), a highly efficient and robust heterogeneous collaborative inference framework. TRIDENT leverages the complementary inductive biases of MLP (for statistical patterns) and KAN (for symbolic logic) to maximize reasoning potential with minimal parametric overhead. To address feature homogenization in traditional distillation, we introduce Orthogonal Feature Decoupling Distillation, utilizing an orthogonality loss ${\mathcal{L}}_{orth}$ for functional decoupling and a reconstruction loss ${\mathcal{L}}_{recon}$ to anchor decoupled features to the PLM knowledge manifold. During inference, a Dual-Threshold Arbiter effectively detects expert hallucinations by integrating individual confidence ${\tau }_{con}$ and heterogeneous consistency ${\tau }_{agree}$. Extensive experiments on CIFAR-100-LT, XNLI, and GSM8K demonstrate that TRIDENT significantly reduces the Invocation Rate (IR) of PLMs while maintaining high accuracy. Our findings reveal a distinct Pareto optimal balance and validate the spontaneous division of labor between heterogeneous experts. By transcending the limitations of single-architecture systems, TRIDENT provides a robust and interpretable pathway for efficient collaborative intelligence. Full article

Diseases of the nasal cavity have a diverse etiology and cause severe disorders in animals. Conidiobolomycosis is a type of zygomycosis caused by the fungus Conidiobolus spp., occurring more frequently in sheep. The objective of this study is to describe the clinical and epidemiological characteristics, as well as microbiological and histopathological findings, of an outbreak of conidiobolomycosis in sheep. A total of 12 animals out of a herd of 70 were affected, representing a morbidity of 17.1%; mortality and lethality were 11.4% (8/70) and 66.6% (8/12), respectively, of which 4 sheep died spontaneously and 4 were euthanized for diagnostic purposes due to the severity of the clinical condition. Necropsy was performed on 4 (33.3%) of the 12 affected animals, and after opening the skull in the sagittal section, a friable mass with coloration ranging from whitish-yellow to gray-green, as well as areas of necrosis, were evident in regions such as the nasal meatus, conchae, nasopharynx, hard palate, cribriform plate, meninges, and frontal lobe of the brain. Conidiobolus lamprauges was isolated from samples collected from 6 animals from nasal discharge, fungal granuloma, and intranasal swab. Reproductive structures consistent as kind of zygospores with C. lamprauges and C. incongruus were also identified. Regarding the clinical form, animals 1, 2, 3, and 4 presented manifestations of the nasopharyngeal form, with the first three progressing to the rhinocerebral form; in animal 5, the clinical form found was rhinofacial. It is concluded that clinical signs may vary with the presentation of the disease as well as the involved agent. Early diagnostic alternatives such as fungal isolation from material collected from intranasal swabs can be useful and employed in affected herds, enabling earlier intervention. Full article

Obesity is a major global health concern, and functional fermented foods have attracted increasing attention for their potential metabolic benefits. Grain–oolong tea fermented beverage (GOFB), produced through a two-step spontaneous fermentation process, is rich in fermentation-derived bioactive compounds; however, its effects on adipogenesis remain unclear. In this study, we investigated the effects of GOFB on adipogenesis-related phenotypes in 3T3-L1 adipocytes. The results showed that GOFB exhibited antioxidant activity in vitro and significantly reduced intracellular reactive oxygen species and lipid peroxidation in MDI-induced adipocytes. GOFB treatment was associated with reduced cell proliferation, lipid accumulation, and triacylglycerol content in 3T3-L1 adipocytes. In addition, GOFB was associated with attenuated adipogenic responses, accompanied by reduced expression of genes related to RAS, ERK, c-Myc, cyclin D1, SREBP-1c, PPAR-γ, C/EBP-α, NCoR1, and FAS. Collectively, these findings suggest that GOFB is associated with attenuated adipogenic responses in 3T3-L1 adipocytes and support its potential application as a functional fermented beverage. Full article

Fire incidents in municipal waste management facilities remain a persistent safety issue, complicated by high variability and limited reliability of available data. This study presents a process-oriented evaluation of 86 fire incidents recorded between 2013 and 2022 in the South Moravian Region of the Czech Republic, based on a verified non-public database of the Fire Rescue Service. Most incidents (approximately 76%) were associated with municipal solid waste landfills, confirming their dominant role within the sector. Spontaneous combustion was identified as the most frequent ignition mechanism; however, in nearly 78% of cases, the exact cause could not be conclusively determined, indicating a high level of uncertainty in incident reporting. Key quantitative indicators, including extinguishing water consumption (mean 32 m³, median 10 m³) and affected fire area, exhibited substantial variability, limiting their direct use for quantitative evaluation. To address these limitations, representative fire scenarios were systematically identified and analysed using the ARIA 3 framework in combination with the Bow-Tie methodology. This approach enables the interpretation of fire incidents as disturbances in operational processes and supports the identification of scenario-specific preventive and mitigation barriers. The results show that, despite data uncertainty, incident records provide a robust basis for identifying recurring fire patterns and facility-specific vulnerabilities, supporting scenario-based risk management and informed decision-making in municipal waste management systems. Full article

Articular cartilage has a limited capacity for self-repair, and effective strategies for its regeneration remain a major clinical challenge. Full-thickness cartilage defects extending to the subchondral bone induce an enhanced inflammatory response and impair spontaneous healing. This study aimed to evaluate the regenerative potential of autologous chondrocyte transplantation using an insoluble polyethersulfone (PES) scaffold in a rabbit model of grade III articular cartilage lesions. Chondrocytes were isolated and expanded in vitro and subsequently seeded onto PES membranes. Sixty-two rabbit knees with defects extending to the subchondral bone were divided into three groups: group I received chondrocyte-seeded PES scaffolds (n = 25), group II received cell-free PES scaffolds (n = 25), and group III served as an untreated control (n = 12). Cartilage regeneration was evaluated macroscopically and histologically over 52 weeks. In addition, the chondrogenic differentiation potential of cells cultured on PES scaffolds was assessed. This study extends our previous investigations of PES scaffolds in grade IV cartilage defects to a clinically relevant grade III lesion model, enabling evaluation of regenerative outcomes at an earlier stage of cartilage degeneration. The results demonstrated superior tissue regeneration in defects treated with chondrocyte-seeded PES scaffolds compared to both control groups. These findings indicate that synthetic PES scaffolds support cartilage repair and represent a promising biomaterial for the development of cell-based therapies in articular cartilage regeneration. Full article

We utilized molecular dynamics (MD) simulations to explore the interaction of the RGD peptide with the αvβ3 integrin receptor, a key process for targeted drug delivery to tumors. The goal of these simulations was to model the transport of boron atoms by the RGD peptide and to characterize the binding event between this vector and its receptor. The study focused on the interaction processes and spatial arrangements of the solvated RGD–integrin system. Simulations were run for 100 ns to achieve relaxed-state configurations. Our model featured two RGD peptides: one pre-localized within the integrin’s binding site and another initially positioned externally. The external peptide was observed to diffuse freely and subsequently bind to the αvβ3 integrin. This spontaneous binding event provides valuable insights into the pharmacological specificity and mechanisms of the RGD–integrin interaction, informing the design of effective drug delivery systems. Full article

Background: We evaluated whether adding S100B to NSE improved discrimination or high-specificity rule-in of poor neurological outcome after out-of-hospital cardiac arrest (OHCA). Methods: In this single-center retrospective cohort study, comatose adult OHCA survivors treated with targeted temperature management had NSE and S100B measured at 0, 24, 48, and 72 h after return of spontaneous circulation. At each time point, we assessed NSE alone, S100B alone, and a logistic model combining both biomarkers in paired complete cases. Discrimination was assessed using the area under the receiver operating characteristic curve (AUC). Rule-in performance was evaluated using a timepoint-specific threshold that achieved 100% specificity in our cohort. Poor neurological outcome was defined as cerebral performance category 3–5 at 6 months. Results: Among 124 patients, 66 (53.2%) had poor outcomes. AUCs were similar between NSE alone and the combination across all time points (all p > 0.3). At 48 h, the combination ruled in 46/65 (70.8%) patients with poor outcome versus 36/65 (55.4%) with NSE alone, identifying 10 additional patients and a 15.4-percentage-point difference (95% confidence interval, −5.6 to 23.6). Conclusions: Adding S100B to NSE did not improve overall discrimination. The higher 48 h rule-in yield was estimated imprecisely and should be interpreted cautiously. Our findings require external validation before they can be translated to clinical settings. Full article

The dynamic properties of spread and adsorbed layers of amyloid-like silk fibroin fibrils (ALF) differ significantly from the properties of native protein layers (RSF). In the former case, the dynamic dilational surface elasticity and the steady-state adsorbed amount are considerably lower than in the latter case. This high dynamic elasticity of RSF layers is close to that of the layers of solid nanoparticles and is provided by the spontaneous formation of various interconnected supramolecular structures at the interface. The ALF produced at elevated temperatures is also intertwined at the interface but does not form a continuous network. In this case, the layer properties are close to those of the layers of amyloid fibrils of globular proteins. If the ALF dispersion is purified from admixtures of unreacted protein molecules, the dynamic surface elasticity reaches about 140 mN/m, similar to the results for dispersions of amyloid fibrils of globular proteins. The admixtures of unreacted protein molecules of high surface activity significantly influence the dynamic surface properties participating in the self-assembly, thereby leading to a slight increase in the surface elasticity. At the same time, the ALF acts as an effective inhibitor of the formation of supramolecular structures in the surface layer for mixed systems. Under the influence of amyloid fibrils, neither the impurities nor the addition of native RSF lead to mechanical surface properties close to those of native fibroin systems. Full article

Background: Pediatric out-of-hospital cardiac arrest (OHCA) is rare and associated with poor outcomes. Evidence from physician-staffed EMS systems remains limited. This study aimed to describe the incidence, presenting rhythms, EMS response intervals, and outcomes of pediatric OHCA, and to describe incidence, presenting rhythms, EMS response intervals, and prehospital outcomes in a local physician-staffed EMS system. Methods: We conducted a retrospective study of all pediatric (0–17 years) OHCA cases managed by the ASL Lecce physician-staffed EMS (southern Italy) between 2013 and 2025. Data were abstracted from standardized records. Variables included demographics, initial rhythm, EMS response intervals, temporal patterns, and return of spontaneous circulation (ROSC). The primary outcome was ROSC during prehospital care. Results: Twenty-seven cases were identified, corresponding to a cumulative incidence of 22.9 per 100,000 children over the study period (annualized incidence 1.73 per 100,000 children-year). Mean age was 11.9 ± 5.5 years (median 15); 59% were male. Initial rhythms were asystole in 81% and ventricular fibrillation (VF) in 19%; no pulseless ventricular tachycardia (pVT) or pulseless electrical activity (PEA) were recorded. Five patients had shockable rhythms, with seven shocks delivered overall. Mean time intervals were: event-to-call 1.0 ± 0.6 min, call-to-arrival 10.3 ± 4.1 min, event-to-arrival 11.3 ± 4.4 min. Arrests clustered during daytime (63%) and summer (41%). ROSC occurred in three patients (11%), two with VF and one with asystole; all arrests with ROSC were daytime events. In descriptive comparisons, ROSC cases showed a shorter call-to-arrival interval (T1–T2), whereas no consistent pattern was observed across all prehospital time intervals. Conclusions: Pediatric OHCA in this Italian physician-staffed EMS was infrequent, usually presented with asystole, and rarely achieved ROSC. Shockable rhythms were associated with better outcomes. Given the small sample size, findings related to response times should be interpreted with caution. System preparedness should include pediatric-specific training, early defibrillation access, and multicenter registries to improve care and track outcomes. Full article

Introduction: Peanut oral immunotherapy (P-OIT) is an emerging treatment strategy for peanut allergy (PA). Although a standardized pharmaceutical product, Peanut (Arachis hypogaea) Allergen Powder-dnfp, has been approved in several countries, it is not universally available. In such contexts, real-world protocols using readily utilizable peanut products may represent an alternative approach. This study aimed to describe the feasibility, safety, and clinical outcomes of P-OIT using toasted peanuts in a real-world effort in a pediatric population. Methods: This single-center retrospective cohort study enrolled children who initiated P-OIT at our tertiary pediatric hospital Allergy Unit between April 2015 and December 2024. Demographic and clinical features, allergy test results, and information about P-OIT were recorded. Desensitization was defined as tolerance of 630 mg of peanut protein (PP). Results: Sixty patients (51.7% male; median age 8.2 years) were included. 22/60 (36.7%) achieved desensitization within a median time of 22.7 months. 21/60 (35%) were still undergoing P-OIT at a median tolerated dose of 100 mg of PP, and 17/60 (28.3%) discontinued treatment, most commonly due to loss to follow-up (44%). At least one adverse reaction occurred in 43/60 (71.7%) patients, predominantly mild and self-limiting (68.3% resolved spontaneously, 39.5% occurred at home). However, 11/60 (18.3%) showed anaphylaxis, and 3/60 (5%) received adrenaline. A reduction in Ara h 2 serum-specific IgE levels compared to the baseline was observed in patients completing escalation (p = 0.03). Conclusions: In this real-world single-center cohort, P-OIT using toasted peanuts was feasible in a subset of patients and was associated predominantly with mild adverse reactions, although systemic reactions were also recorded. Treatment discontinuation and adherence remain relevant challenges. These findings highlight the need for prospective, controlled studies to better define the role, safety profile, and patient selection criteria for food-based P-OIT protocols in settings where standardized products are not available. Full article

Objectives: The aim of this study was to determine differences in injury types and frequencies between piston-based and band-based automated chest compression devices in patients with non-traumatic out-of-hospital cardiac arrest (OHCA) at a German cardiac arrest center. Methods: This retrospective single-center study assessed resuscitation-related injuries in OHCA patients using protocol-based early whole-body CT scans at hospital admission. CT scans were reviewed independently by two reviewers blinded to the compression device used. Between May 2015 and September 2021, all patients resuscitated from non-traumatic OHCA, treated with a mechanical chest compression device, and showing stable return of spontaneous circulation (ROSC) until CT examination according to the institutional standard operating procedure for all OHCA patients were included. Patients were categorized by compression device type, and group differences were analyzed using the Chi-square test and Mann–Whitney U test. In addition, patient-level incidences of rib fracture types were calculated, and risk ratios with corresponding 95% confidence intervals were used to compare rib fracture patterns between groups. A p-value of <0.05 was considered statistically significant. Results: Among 71 patients, 32 received band-based and 39 piston-based treatment. Both groups were comparable in resuscitation duration, body constitution, and gender ratio, although the band-based group was older. Thoracic injuries predominated, with rib fractures representing the most frequent injury pattern (64/71, 90.1%). The median number of rib fractures per patient was 10 (IQR 8–12) in the band-based group and 9 (IQR 7–12) in the piston-based group. The band-based group had significantly more liver lacerations (5/32, 15.6% vs. 0/39, 0%; p = 0.01) and displaced rib fractures (117 vs. 87; p = 0.046; patient-level RR = 1.43, 95% CI 1.06–1.93). Conclusions: In this observational study of a CT-based cohort of OHCA patients with stable ROSC, the band-based device was associated with significantly higher frequencies of liver lacerations and displaced rib fractures than the piston-based device. These findings should be interpreted as hypothesis-generating and may support further evaluation of device-specific injury profiles in future studies. Full article