Search Results (90)

Background/Objectives: Since breast cancer (BC) survival rates have increased to 91% at 5 years and 80% at 15 years postdiagnosis, there is a growing awareness of the importance of addressing the long-term well-being of patients. Consequently, integrative oncology, which combines standard therapies with complementary approaches (nutrition, mind–body practices, and lifestyle modifications), has emerged as a patient-centred model aimed at improving symptom management, treatment adherence, and overall quality of life (QoL). This study aims to demonstrate how integrative therapies can benefit body composition, phase angle, and fluid and electrolyte balance through bioelectrical impedance analysis (BIA). Methods: This study considers a patient who underwent BC surgery and was enrolled in the AMICO clinic for anamnesis, as well as their oncological pathology data, assessment of QoL, and BIA. The breast surgeon specialising in integrative oncology therapies prescribed the patient curcumin and polydatin, moderate physical activity, a balanced diet, and Qigong sessions. The patient underwent monitoring through haematochemical analysis, BIA, and a QoL questionnaire, with follow-up every four months. Results: Between 4 and 12 months, fat mass (FM) and body mass index (BMI) markedly decreased, whereas fat-free mass (FFM), total body water (TBW), and skeletal muscle mass (SMM) increased progressively. Moreover, the improvements in the Na/K ratio and phase angle (PhA) suggest a shift toward better electrolyte and fluid balance and enhanced cellular integrity and membrane function. Equally outstanding were her psychological benefits in terms of mood, sleep, anxiety, and melancholy. Conclusions: Patient progress in body composition, metabolic function, pain management, and psychological status measured during the 12-month follow-up demonstrates the potential benefits of an integrative approach to supportive cancer care. Full article

Electrochemical water splitting represents a sustainable approach for hydrogen production, yet efficient hydrogen evolution reaction (HER) catalysts operating in alkaline environments remain critically needed. Herein, we report the fabrication of Co₃O₄–NiS₂ nanocomposites synthesized through a facile coprecipitation and subsequent thermal treatment method. Detailed characterization via physicochemical techniques confirmed the successful formation of a hybrid Co₃O₄–NiS₂ heterostructure with tunable compositional and morphological characteristics. Among the synthesized catalysts (Co–Ni–1, Co–Ni–2, and Co–Ni–3), the Co–Ni–2 sample demonstrated optimal structural integration, displaying interconnected nanosheet morphologies and balanced elemental distribution. Remarkably, Co–Ni–2 achieved exceptional HER performance in 1 M KOH electrolyte, requiring an ultralow overpotential of only 84 mV at 10 mA cm⁻² and exhibiting a favorable Tafel slope of 67.5 mV dec⁻¹. Electrochemical impedance spectroscopy and electrochemical surface area measurements further substantiated the superior electrocatalytic kinetics, rapid charge transport, and abundant active site accessibility in the optimized Co–Ni–2 composite. Additionally, Co–Ni–2 demonstrated outstanding durability with negligible activity decay over 5000 cycles. This study not only highlights the strategic synthesis of Co₃O₄–NiS₂ nanostructures but also provides valuable insights for designing advanced, stable, and efficient non-noble electrocatalysts for sustainable hydrogen generation. Full article

Chloride, long considered a passive extracellular anion, has emerged as a key determinant in the pathophysiology and management of heart failure (HF) and cardiorenal syndrome. In contrast to sodium, which primarily reflects water balance and vasopressin activity, chloride exerts broader effects on neurohormonal activation, acid–base regulation, renal tubular function, and diuretic responsiveness. Its interaction with With-no-Lysine (WNK) kinases and chloride-sensitive transporters underscores its pivotal role in electrolyte and volume homeostasis. Hypochloremia, frequently observed in HF patients treated with loop diuretics, is independently associated with adverse outcomes, diuretic resistance, and arrhythmic risk. Conversely, hyperchloremia—often iatrogenic—may contribute to renal vasoconstriction and hyperchloremic metabolic acidosis. Experimental data also implicate chloride dysregulation in myocardial electrical disturbances and an increased risk of sudden cardiac death. Despite mounting evidence of its clinical importance, serum chloride remains underappreciated in contemporary risk assessment models and treatment algorithms. This review synthesizes emerging evidence on chloride’s role in HF, explores its diagnostic and therapeutic implications, and advocates for its integration into individualized care strategies. Future studies should aim to prospectively validate these associations, evaluate chloride-guided therapeutic interventions, and assess whether incorporating chloride into prognostic models can improve risk stratification and outcomes in patients with heart failure and cardiorenal syndrome. Full article

The sustainable valorization of electrolytic manganese residue (EMR) and fly ash (FA) presents critical environmental challenges. This study systematically investigates the performance optimization of EMR-FA ceramic composites through the coordinated regulation of raw material ratios, sintering temperatures, and additive effects. While the composite with 85 g FA exhibits the highest mechanical strength, lowest porosity, and minimal water absorption, the formulation consisting of 45 wt% EMR, 40 wt% FA, and 15 wt% kaolin is identified as a balanced composition that achieves an effective compromise between mechanical performance and solid waste utilization efficiency. Sintering temperature studies revealed temperature-dependent property enhancement, with controlled sintering at 1150 °C preventing the over-firing phenomena observed at 1200 °C while promoting phase evolution. XRD-SEM analyses confirmed accelerated anorthite formation and the morphological transformations of FA spherical particles under thermal activation. Additive engineering demonstrated that 8 wt% CaO addition enhanced structural densification through hydrogrossular crystallization, whereas Na₂SiO₃ induced sodium-rich calcium silicate phases that suppressed anorthite development. Contrastingly, ZrO₂ facilitated zircon nucleation, while TiO₂ enabled progressive performance enhancement through amorphous phase modification. This work establishes fundamental phase–structure–property relationships and provides actionable engineering parameters for sustainable ceramic production from industrial solid wastes. Full article

Hydration is the body’s ability to absorb water and to maintain the correct balance of fluid and electrolytes and is essential to human health. Dehydration can adversely affect metabolism, thermoregulation, digestion, and neurological, kidney, and heart function. Aging as well as disease and medications affect water and electrolyte levels in the body and can lead to dehydration in older adults. In this review, we discuss factors contributing to dehydration in older adults, how hydration is measured, and strategies to improve hydration status. We close with a summary of the different areas of focus related to hydration research. Full article

Renal function refers to the combined actions of the glomerulus and tubular system to achieve homeostasis in bodily fluids. While the glomerulus is essential in the first step of urine formation through a coordinated filtration mechanism, the tubular system carries out active mechanisms of secretion and reabsorption of solutes and proteins using specific transporters in the epithelial cells. The assessment of renal function usually focuses on glomerular function, so the tubular function is often underestimated as a fundamental part of daily clinical practice. Therefore, it is essential to properly understand the tubular physiological mechanisms and their clinical association with prevalent human pathologies. This review discusses the primary solutes handled by the kidneys, including glucose, amino acids, sodium, potassium, calcium, phosphate, citrate, magnesium and uric acid. Additionally, it emphasizes the significance of physicochemical characteristics of urine, such as pH and osmolarity. The use of a concise methodology for the comprehensive assessment of urine should be strengthened in the basic training of nephrologists when dealing with problems such as water and electrolyte balance disorders, acid-base disorders, and harmful effects of commonly used drugs such as chemotherapy, antibiotics, or diuretics to avoid isolated replacement of the solute without carrying out comprehensive approaches, which can lead to potentially severe complications. Full article

Salt stress is a major constraint to crop productivity, negatively affecting plant physiology and fruit quality. This study hypothesized that seed priming with polyethylene glycol (PEG6000) might enhance antioxidant activity by mitigating oxidative stress in Solanum lycopersicum ‘Micro-Tom’ under salt stress. Seeds primed with –1.2 MPa PEG6000 were grown in Rockwool and treated with 0, 50, 100, 150, and 200 mM NaCl. Primed plants showed a 32% increase in leaf potassium (K⁺) and a 28% decrease in sodium (Na⁺) accumulation compared to non-primed plants under 150 mM NaCl. Glucose, fructose, and sucrose contents increased by 25%, 22%, and 19%, respectively, in primed fruits, while citric acid decreased by 15%. Malondialdehyde (MDA) and electrolyte leakage were reduced by 35% and 29%, respectively, in primed plants under moderate salinity. Antioxidant enzyme activities—SOD, POD, CAT, and APX were enhanced by 30–45% in primed plants under 100 and 150 mM NaCl, compared to non-primed controls. Abscisic acid (ABA) levels increased by 40% in primed roots under salt stress. Activities of polyamine-related enzymes (DAO, PAO, and ADC) also rose significantly. Priming improved protein content by 20% and relative water content by 18%. These results suggest that PEG6000 seed priming enhances salt tolerance by boosting antioxidant defense, regulating osmotic balance, and improving ion homeostasis, offering a viable strategy for sustaining tomato productivity under salinity. Full article

Background/Objectives: Different beverages may vary in their effectiveness at quenching thirst. This study aims to explore the impact of pre-exercise consumption of different types of beverages on thirst relief, providing scientific evidence to guide the selection of the most suitable beverage type. Methods: A randomized crossover design was used, recruiting 13 healthy male college students as participants. Each participant completed five exercise trials, with a 7-day interval between trials. In random order, participants consumed 6 mL/kg body weight of water, carbonated beverage, juice, electrolyte drink, or tea before exercise in each trial. Blood, saliva, and urine samples were collected before and after exercise; body weight was measured, and thirst sensation was recorded. Results: Body weight significantly decreased in all groups post-exercise (p < 0.05), with no significant differences between the beverage groups (p > 0.05). Post-exercise, serum Na⁺ concentrations significantly decreased in all beverage groups, with the electrolyte drink group showing a significantly different change compared to the other groups (p < 0.05). Serum K⁺ concentrations significantly increased post-exercise only in the electrolyte drink group (p < 0.05). No consistent trend was observed in the changes in serum Ca²⁺ concentrations before and after exercise. Serum Cl⁻ concentrations post-exercise were significantly lower than pre-exercise in all groups except the electrolyte drink group (Group E) (p < 0.05). All five hydration protocols resulted in a decrease in plasma volume. There was no consistent pattern in the changes in urine osmolality before and after exercise. Salivary osmolality significantly increased post-exercise in all groups (p < 0.05). In terms of subjective thirst, the water supplementation group had the highest score. Conclusions: This study indicates that electrolyte drinks are more effective in maintaining physiological balance, while water is most effective in alleviating subjective thirst. The impact of different beverages on subjective thirst did not fully align with changes in physiological markers, suggesting that future research should comprehensively evaluate the relationship between subjective sensations and physiological changes. Full article

Nano-hydroxyapatite (n-HAP) and Fe₃O₄ NPs (Fe₃O₄ NPs) offer effective and economical approaches for reducing Cd toxicity, which presents considerable risks to both environmental and human health. We examined the mechanisms through which these NPs mitigate Cd toxicity in bamboo, Pleioblastus pygmaeus. The plants were exposed to Cd (0, 50, 100, and 150 mg L⁻¹) and received foliar sprays of 100 mg L⁻¹ n-HAP, 100 mg L⁻¹ Fe₃O₄ NPs, and a combination of both treatments. The findings indicated that Cd exposure led to oxidized molecules in bamboo, as evidenced by elevated levels of reactive oxygen species (ROS) and lipoperoxidation. Foliar treatments utilizing n-HAP and Fe₃O₄ NPs markedly diminished these effects. H₂O₂, O₂•−, malondialdehyde (MDA), and electrolyte leakage (EL) levels decreased by 56%, 71%, 65%, and 72%, respectively, compared to the controls. The application of n-HAP and Fe₃O₄ NPs significantly enhanced the enzymes, including superoxide dismutase (SOD), peroxidase (POD), catalase (CAT), glutathione reductase (GR), and phenylalanine ammonia-lyase (PAL), with increases observed between 28% and 56%. Furthermore, there was an enhancement in proline accumulation, total phenolic content (TPC), flavonoids (TFC), nitric oxide levels, relative water content (RWC), chlorophyll concentration, and photosynthetic parameters. The combination of n-HAP and Fe₃O₄ NPs was most effective in improving bamboo tolerance to Cd, especially at moderate Cd concentrations of 50 and 80 mg L⁻¹. The results indicate that n-HAP and Fe₃O₄ NPs, particularly in combination, may mitigate Cd toxicity by decreasing Cd uptake, improving antioxidant capacity, and preserving plant water balance. Full article

Background: Home rehabilitation improves patient satisfaction and reduces the need for specialist consultations. Hemodialysis is a costly post-ICU service that requires frequent monitoring. Previous studies have demonstrated the feasibility and accuracy of patients self-scanning their lungs with an ultrasound device within the hospital. Methods: In this single-center, prospective pilot study, we compared the quality of high-risk elderly patient-generated lung ultrasound images against physician-generated images as our primary outcome. The secondary outcome assessed image quality and B-line quantification between a home device and a gold standard device, when operated by the same clinician. Results: We enrolled nine participants (66% male, median age 76 years [IQR 66,79]). Analysis included 402 ultrasound clips (163 patient-generated, 239 physician-generated, and 237 in-clinic gold standard clips). Patient-generated images demonstrated high reliability (92% highly reliable or reliable) and were non-inferior to physician-generated images (p < 0.001). There was substantial agreement in B-line classification (Kw = 0.64, 95% CI: 0.46–0.82). The home device, when operated by the same physician, showed non-inferiority to the gold standard device (p < 0.001) with substantial B-line classification agreement (Kw = 0.64, 95% CI: 0.51–0.78). Conclusions: High-risk elderly patients can successfully generate self-scanned lung ultrasound images comparable to those produced by physicians. These promising results warrant further investigation through larger-scale and long-term studies. Full article

In this study, in order to solve the problems of resource utilization of electrolytic manganese residue and the destruction of natural resources by the over-exploitation of raw materials of traditional ceramics, electrolytic manganese residue (EMR), red mud (RM), and waste soil (WS) were used to prepare self-foaming expanded ceramsite (SEC), and different firing temperatures and four groups with different mixing ratios of these three raw materials were considered. Water absorption, porosity, heavy metal ion leaching, and compressive strength in the cylinder of SEC were evaluated. The chemical composition and microscopic morphology of SEC were investigated by XRD and SEM. The mechanism behind the reaction among EMR, RM, and WS and self-foaming was discussed. The results showed that both the temperature and mixing ratio significantly influenced the basic performance of SEC. With the temperature lower than 1200 °C, sphere appearance could be maintained in all of these four groups; however, the density, porosity, and compressive strength in the cylinder seemed unacceptable. When the temperature rose up to 1220 °C, sphere appearance could be only found in the group whose mixing ratio of EMR, RM, and WS was 2:2.5:0.5. Under this condition, the excellent performance of SEC was observed, with a porosity of 46.7%, bulk density of 0.61 g/cm³, and 3 d compressive strength in a cylinder of 26.82 MPa. The mechanism behind the reaction among EMR, RM, and WS could be described: when the temperature is up to 1180 °C, an obvious chemical reaction took place, followed by the liquid phase being produced and the gas released by the decomposition of Fe₂O₃ in RM and gypsum in EMR. When the temperature is up to 1200 °C, the viscosity of the liquid phase and the rate of gas generation achieved the balance, and the liquid phase encapsulated the gas and anorthite (CaAl₂Si₂O₈) began to grow slowly. As time passed, self-foaming expanded ceramsite was prepared. The results of this study are of great significance in the field of artificial lightweight aggregate and industrial solid waste resource utilization. Full article

Drought stress significantly affects maize (Zea mays L.) growth by disrupting vital physiological and biochemical processes. This study investigates the potential of proline supplementation to alleviate drought-induced stress in maize plants. The results show that proline supplementation enhanced shoot and root growth under normal conditions and alleviated drought-induced reductions in growth parameters. Under drought stress, proline increased shoot length by 40%, root length by 36%, shoot fresh weight by 97%, root fresh weight by 247%, shoot dry weight by 77%, and root dry weight by 154% compared to the untreated plants. While drought stress induced electrolyte leakage and reduced the relative water content (RWC) and leaf area, proline treatment mitigated these effects by improving membrane stability, water retention, and chlorophyll content. Moreover, proline supplementation reduced hydrogen peroxide (H₂O₂) and malondialdehyde (MDA) levels by 38% and 67%, respectively, in the drought-stressed plants compared to the untreated controls. It also enhanced catalase (CAT), peroxidase (POD), and superoxide dismutase (SOD) activities by 14%, 69%, and 144%, respectively, under drought stress, indicating a strengthened antioxidative defense. Proline also increased the protein content and improved N, P, and K retention by 30%, 40%, and 28%, respectively, in the drought-stressed plants, supporting metabolic and osmotic balance. Additionally, proline improved endogenous proline and sugar levels, facilitating osmotic adjustment and providing energy reserves. These findings suggest that proline supplementation effectively enhances maize resilience under drought stress, improving growth, reducing oxidative stress, and enhancing osmoprotection. Full article

Borsec is one of the most important mineral water spa resorts in Romania and is also an important mineral water bottling facility. There are several public springs with significant mineral content. The present paper focuses on mineral powder extraction by the drying of water samples collected from springs no. 3, 5, 6, 10, and 11. These springs have a continuous flow being available for everyone who wants to fill a bottle; meanwhile, the rest of the water is discarded into the river. Thus, the dissolved ions such as Ca²⁺, Mg²⁺, Na⁺, and Cl⁻ are wasted. This study aims to investigate the possibility of mineral content extraction as crystalline powder by drying. The dissolved ions’ reaction with carbonic acid generates carbonates which crystallize progressively with the water evaporation. Mineralogical investigation including X-ray diffraction (XRD) and polarized light optical microscopy (POM) reveal that calcite (rhombohedral and pseudo-hexagonal crystals of about 5–25 µm) is the dominant mineral followed by pseudo-dolomite (columnar crystals of about 5–20 µm), aragonite (rhombic and granular crystals of 2.5–15 µm), and natron (prismatic crystals of about 5–20 µm), in addition to small amounts of halite. Scanning electron microscopy (SEM) investigation combined with energy dispersive (EDS) elemental analysis indicates that traces of K are uniformly distributed in the calcite mass and some S traces for springs 3 and 11 are distributed predominantly into the pseudo-dolomite crystals. The crystalline germs precipitate from the supersaturated solution via homogeneous germination and progressively grow. The latest stage is characterized by the formation of a dendritic crust of calcite mixed with halite that embeds the individually grown crystals. The amount of the formed crystals strongly depends on the water’s total dissolved solids (TDS) and salinity: the springs with high TDS and salinity form a large number of crystals and spectacular dendritic crusts such as spring 10 followed by springs 6 and 5. Lower mineralization was observed in springs 3 and 5, which was related with the S traces. Also, it is evident that mineralization is seasonally dependent: the mineral amount was lower in November 2023 than for the samples collected in March 2024. The obtained mineral powder might be used for spa baths or for the electrolytic balance regulation in dietary supplements due to the high calcium and magnesium content. Full article

Anion exchange membrane electrolysis, which combines the advantages of both alkaline electrolysis and proton-exchange membrane electrolysis, is a promising technology to reduce the cost of hydrogen production. The present work focused on the study of the electrochemical phenomena of AEM electrolysis and the investigation of the key factors of the AEM hydrogen production system. The numerical model is established according to electrochemical reactions, polarization phenomena, and the power consumption of the balance of plant components of the system. The effects of operation parameters, including the temperature and hydrogen pressure of the electrolyzer, electrolyte concentration, and hydrogen supply pressure on the energy efficiency are studied. The basic electrochemical phenomena of AEM water electrolysis cells are analyzed by simulations of reversible potential and activation, and ohmic and concentration polarizations. The results reveal that increasing the operating temperature and hydrogen production pressure of the AEM electrolyzer has positive effects on the system’s efficiency. By conducting an optimization analysis of the electrolyzer temperature—which uses the heat energy generated by the electrochemical reaction of the electrolyzer to minimize the power consumption of the electrolyte pump and heater—the AEM system with an electrolyzer operating at 328 K and 30 bar can deliver hydrogen of pressure up to 200 bar under an energy efficiency of 56.4%. Full article

Objectives: The purpose of this study was to examine the acute effects of branched-chain amino acids (BCAAs)-containing electrolyte beverage (AE) on water–electrolyte balance, muscle damage, time to finish the final 5 km, and muscle strength compared to a standard commercially available carbohydrate–electrolyte sports beverage (CE), pure water (W), and no rehydration (N). Methods: Fourteen trained male participants (20 ± 2 years old) completed four randomized 21 km running trials. The participants were instructed to consume their drink (150 mL W, 150 mL CE, or 150 mL AE) or no rehydration (N) at 5 km, 10 km, and 15 km. Body mass and muscle strength were assessed, and blood samples were collected before and after exercise. Perceptual scales were administered during and after running. Blood electrolyte levels (sodium, potassium, and chloride) and creatine kinase (CK) concentration were analyzed. Results: The change in plasma volume with AE was significantly smaller than that with N (p < 0.05). Consuming AE maintained the best potassium balance (p < 0.05). Twenty-four hours after exercise, serum CK concentrations significantly elevated in N, W, and CE (p < 0.05), but did not reach statistical significance in the AE group (p > 0.05). Compared to N, consuming AE resulted in significantly less soreness 24 h after exercise (p < 0.05). There was no difference in time to finish the final 5 km (p > 0.05). Maximal voluntary isometric force output was significantly lower after exercise with N and W (p < 0.05) but not with CE or AE (p > 0.05). Conclusions: Consuming a BCAAs-containing sports beverage during a 21 km run can help reduce dehydration, maintain potassium balance, lower muscle damage, and prevent the decline in lower limb strength after 21 km running. Full article