Search Results (21,580)

In this paper, using the leaching models, we quantified the leaching content of Cd, Pb, Cu, and Zn, and estimated the ecological risk changes in farmland soil caused by leaching and the ecological risk in leachate in China. Jiangxi, Guangxi, Guizhou, Hainan, Hunan, Zhejiang, Guangdong, and Chongqing are hotspot areas. The leaching of Cd in these regions exceed reported mean values in Europe (2.56 g ha⁻¹ year⁻¹). Although the total ecological risk of heavy metals in the soil of various provinces (ranged from 20 to 130) was generally low, Cd was the most important contributor to ecological risks, while 9 provinces exhibited considerable ecological risk from Cd. The calculated Cd, Pb, and Zn in leachate exceed drinking water standards (GB 5749-2022) in five provinces. Overall, the leaching of heavy metals in Chinese agricultural soils, particularly in the southern regions, is a critical issue that warrants attention. Soil pH is the most prominent factor influencing heavy metal leaching. A 5% increase in pH reduces leaching by 31.2% for Cd, 25.42% for Pb, 22.07% for Cu, and 38.37% for Zn. Adjusting the pH to 6 can effectively solve the problem of excessive heavy metal content in leachate in most areas. The study recommends prioritizing groundwater monitoring in critical provinces such as Jiangxi and adjusting the soil pH of farmland in key regions. Full article

Phenol and its derivatives in water and wastewater are highly toxic and challenging to degrade, posing serious environmental and health risks. Therefore, this research focuses on the removal of phenol from aqueous solutions using activated carbon made from Catha edulis stems. The activation process involved impregnating the Catha edulis stems with phosphoric acid followed by thermal treatment at 500 °C for 2 h. The resulting adsorbent was extensively characterized using various techniques, including Scanning Electron Microscopy (SEM), Fourier Transform Infrared Spectroscopy (FTIR), Brunauer–Emmett–Teller (BET) surface area analysis, and proximate analysis. Batch adsorption experiments were designed using a full factorial approach with four factors at two levels, resulting in 16 different experimental conditions. The characterization results showed that the activated carbon has a high surface area of 1323 m²/g, a porous and heterogeneous structure, and an amorphous surface with multiple functional groups. Under optimal conditions of pH 2, a contact time of 60 min, an adsorbent dosage of 0.1 g/100 mL, and an initial phenol concentration of 100 mg/L, the adsorbent achieved a phenol removal efficiency of 99.9%. Isotherm and kinetics analyses revealed that phenol adsorption fits the Langmuir model and pseudo-second-order kinetics, indicating a uniform interaction and chemisorptive process. This study highlights the effectiveness of Catha edulis stem-based activated carbon as a promising material for phenol removal in water treatment applications. Full article

Background/Objectives: Children with Down syndrome (DS) present unique and multifaceted nutritional challenges arising from genetic, metabolic, and developmental factors. Despite growing interest in the health of individuals with DS, dedicated nutritional guidelines tailored to their specific needs remain lacking. This narrative review aims to summarize current scientific evidence on nutritional status, challenges, and therapeutic strategies in children with DS, with an emphasis on clinical implications and practical recommendations for healthcare professionals. Methods: A literature search was conducted across four databases (PubMed, Scopus, Web of Science, and Google Scholar) for English-language publications from 1993 to June 2025. Thirty-five peer-reviewed articles were included, comprising original studies, narrative reviews, and expert guidelines (e.g., the American Academy of Pediatrics [AAP], the European Society for Paediatric Gastroenterology, Hepatology and Nutrition [ESPGHAN], and the European Federation of Associations of Dietitians [EFAD]). The selection process followed the PRISMA protocol. Studies were categorized according to key themes: energy requirements, comorbidities, feeding difficulties, nutrient needs, and therapeutic interventions. Results: Children with DS typically exhibit lower basal metabolic rates and altered body composition (i.e., higher fat mass and reduced lean mass), which increase their risk of both obesity and nutrient deficiencies. Common comorbidities—such as hypothyroidism, celiac disease, and gastrointestinal or immune disorders—further complicate dietary management. Feeding difficulties, including sucking/swallowing impairments, food selectivity, neophobia, and delayed independence in eating, are prevalent and significantly affect diet quality. Key nutrients of concern include protein, omega-3 fatty acids, fiber, vitamins B12 and D, iron, and antioxidants. Although no official nutrition guidelines currently exist for this population, existing recommendations from pediatric and dietetic organizations provide partial guidance that can be adapted to clinical practice. Conclusions: There is an urgent need to develop evidence-based, population-specific dietary guidelines for children with Down syndrome. Clinical nutrition care should be individualized, multidisciplinary, and proactive, integrating regular assessments of growth, feeding abilities, and biochemical markers. Dietitians must play a central role in both early intervention and long-term management. Further research, particularly interventional studies, is essential to optimize dietary strategies and improve health outcomes in this vulnerable population. Full article

Background/Objectives: Nutritional status affects postoperative outcomes, but the effect of standardized preoperative nutritional preparation on morbidity in malnourished patients undergoing pancreatoduodenectomy (PD) remains unclear. This study evaluated preoperative nutritional parameters following the standardization of nutritional screening and intervention in patients undergoing PD. The influence of nutritional parameters on postoperative morbidity was also assessed. Methods: This prospective cohort study was conducted from 2019 to 2021 at the Department of Surgery, University Hospital, Olomouc. A total of 133 patients were categorized nutritionally as “high risk” (weight loss or reduced appetite with restricted intake) or “low risk” (no weight or appetite loss). High-risk patients received enteral supplementation of 600 kcal/day. A multivariate logistic regression model was used to evaluate the association between major postoperative complications and risk factors, including sex, age, ASA score, BMI, weight and appetite loss, malignancy, duct diameter, pancreatic texture, serum albumin, prealbumin, MUST, and NRS2002 scores. Results: Eighty patients (60.2%) were “high risk,” and 53 (39.8%) were “low risk.” Major morbidity and 90-day mortality occurred in 24 (18.0%) and 4 (3.0%) patients, respectively. No significant differences were observed between high- and low-risk groups in CD morbidity grade, 90-day mortality, POPF, PPH, DGE, or hospital stay. Major morbidity was associated with prealbumin < 0.2 g/L, duct diameter ≤ 3 mm, soft texture, and male sex, with respective odds ratios of 3.307, 3.288, 4.814, and 2.374. Conclusions: High-risk patients receiving preoperative nutrition had comparable rates of major complications and POPF as low-risk patients. Low serum prealbumin predicts major postoperative complications after PD. Full article

Climate change and injudicious nitrogen addition alter the soil physico-chemical properties and microbial activity in oligotrophic forest soil, which disrupts the nitrogen cycle balance. Nevertheless, recommended fertilizer forms and levels are considered to be crucial for stable nitrogen application. We established a short-term field trial for the first time using a randomized complete block design under the yellow larch forest, with six treatments applied, including urea CO(NH₂)₂, ammonium chloride NH₄Cl, and sodium nitrate NaNO₃ at concentrations of 10 and 20 kg N hm⁻² yr⁻¹, each extended by three replicates. The gene abundances were measured using quantitative PCR (qPCR), in which the abundance levels of AOA (amoA) and nirS were higher under high CO(NH₂)₂ 2.87 × 10¹⁰ copies g⁻¹ dry soil and low NO₃⁻ 8.82 × 10⁹ copies g⁻¹ dry soil, compared to CK, representing 2.8-fold and 1.5-fold increases, respectively. We found niche partitioning as revealed despite AOA (amoA) increasing in number, AOB (amoA) contributing more to ammonia oxidation while nirS proved opportunistic under stress conditions. This was supported by distinct significant correlations among factors, in which soil urease enzymatic activity (S-UE) was associated with AOA (amoA) and nirK, while AOB (amoA) and nirS positively correlated with NH₄⁺ content and soil potential of hydrogen (pH), respectively. Among the applied treatments, high-level NO₃⁻ increased total nitrogen content and had a significant effect on soil N-acetyl-β-d-glucosaminidase (S-NAG) and soil acid protease (S-ACPT) activity. In summary, we observed an increase in Larix olgensis growth with high nitrogen retention. Full article

Afatinib and osimertinib are current treatment options for non-small cell lung cancer (NSCLC) patients with uncommon epidermal growth factor receptor (EGFR) mutations, although their efficacy is limited. To explore potentially effective drugs for these patients, we evaluated the efficacy of conventional EGFR tyrosine kinase inhibitors (TKIs) and novel third-generation (3G) TKIs using in vitro models. Ba/F3 cells transformed with each of the five most frequent uncommon EGFR mutations, Del18 (delE709_T710insD), E709K, G719A, S768I, and L861Q, were used. The growth inhibitory effects of five novel 3G-TKIs, almonertinib, lazertinib, furmonertinib, rezivertinib, and befotertinib, in addition to currently available TKIs, were evaluated. We also explored for secondary resistant mutations to afatinib or osimertinib and TKIs that can overcome these resistances. Afatinib was active against all uncommon EGFR mutations tested. The 3G-TKIs were all active against the L861Q mutation and were inactive against the S768I mutation. Furmonertinib and befotertinib showed efficacy against exon 18 mutations (Del18, E709K, and G719A). In the acquired resistance models to afatinib or osimertinib, we found T790M or a novel T725M secondary mutation, respectively, both of which could be overcome by lazertinib. However, some afatinib-resistant cells acquired V769L/M secondary mutations that were refractory to all EGFR-TKIs tested. In conclusion, afatinib exhibited broad activity and some 3G-TKIs showed promising efficacy in the front-line setting. Lazertinib is a potential second-line option after acquisition of resistance to afatinib or osimertinib. Full article

Cardiovascular disease (CVD) remains a leading cause of morbidity and mortality worldwide, arising from complex interactions among metabolic, genetic, and environmental factors. Nicotinamide N-methyltransferase (NNMT) has recently emerged as a key metabolic regulator in CVD pathogenesis. By consuming nicotinamide and methyl groups, NNMT perturbs epigenetic, metabolic, and redox pathways that are critical for cardiovascular health. NNMT-mediated NAD⁺ depletion impairs mitochondrial function, sirtuin (SIRT) activity, redox balance, and energy metabolism, thereby creating a pro-atherogenic environment. NNMT and its product 1-methylnicotinamide (1-MNA) show a complex duality: they modulate SIRT activity—particularly SIRT1 and SIRT3—to influence gluconeogenesis, cholesterol synthesis, lipogenesis, and mitochondrial antioxidant defenses. NNMT upregulation also elevates homocysteine levels, activating pro-inflammatory and pro-oxidative cascades (e.g., TLR4–NF-κB and STAT3–IL-1β). Growing evidence links NNMT to major CVD risk factors, including hyperlipidemia, hypertension, diabetes mellitus, and obesity. Thus, NNMT has a multifaceted role in cardiovascular health: while its enzymatic activity is often pathogenic (via NAD⁺/SAM consumption and homocysteine production), its metabolite 1-MNA can exert protective effects (via NRF2 activation and anti-thrombotic mechanisms). This duality highlights the need to delineate the molecular processes that balance these opposing actions. Experimental studies using small-molecule NNMT inhibitors and RNA interference have shown promising cardiometabolic benefits in preclinical models, including improved insulin sensitivity, reduced atherosclerosis, and attenuated cardiac dysfunction. However, no clinical trials have yet targeted NNMT specifically in CVD. Future research should clarify the tissue-specific functions of NNMT and translate these insights into novel therapeutic strategies. Full article

Background/Objectives: Some patients undergoing vitreoretinal surgery (VRS) require general anesthesia (GA), despite the possibility of developing intolerable postoperative pain perception (IPPP). Intraoperative rescue opioid analgesia (IROA) administration during GA poses a risk of perioperative nausea and vomiting (PONV), which may result in suprachoroidal hemorrhage with permanent visual impairment. Adequacy of Anesthesia (AoA) optimizes intraoperative IROA titration. Intravenous preemptive analgesia (IPA) with cyclooxygenase-3 (COX-3) inhibitors is added to GA to reduce the IROA dose. In this additional analysis, we assessed the impact of preemptive analgesia with COX-3 inhibitors, administered alongside GA with AoA-guided IROA, on the incidence of PONV, oculocardiac reflex (OCR), and oculoemetic reflex (OER) in patients undergoing VRS as secondary outcomes. Methods: A total of 165 patients scheduled for VRS were randomly assigned to receive AoA-guided GA combined with IPA at a single dose of 1 g of paracetamol (acetaminophen) or 2.5 g of metamizole or both. A total of nine patients were excluded due to technical problems with the intraoperative surgical pleth index (SPI) measurement, inability to report postoperative pain, and postoperative arousal resulting in a loss of follow-up in Stage 5. Results: Regardless of the group assignment, AoA guidance of GA resulted in PONV in 4%, OCR in 10%, and OER in 0% of the 153 analyzed patients undergoing VRS. No significant differences were observed between the groups regarding the type of IPA. PONV was observed in 2.11% (3/142) of patients with zero, one, or two risk factors of PONV, as compared to 27% (3/11) of patients with at least three PONV risk factors, assessed using the Apfel score. Conclusions: IPA with both paracetamol and metamizole did not demonstrate a benefit in reducing the analyzed adverse events compared with their single use in patients undergoing VRS under AoA guidance during GA. Surprisingly, PONV was hardly observed in patients with zero, one, or two PONV risk factors assessed by the Apfel score who underwent AoA-guided VRS during GA with IPA using one or two COX-3 inhibitors. Full article

Hepatitis E virus (HEV) is a significant yet understudied cause of viral hepatitis among liver transplant (LT) recipients in Central and South-eastern Europe. We conducted a combined cross-sectional and prospective cohort study to determine the seroprevalence, incidence, and risk factors of HEV infection in Croatian LT recipients. A total of 766 adult LT recipients were analyzed for anti-HEV IgG and HEV RNA. Additionally, 152 patients listed for LT were followed prospectively with sampling before and up to 12 months after transplantation. Anti-HEV IgG seroprevalence in the cross-sectional cohort was 19.8%, with no active infections detected via HEV RNA. In the prospective cohort, baseline seroprevalence was 20.4%, declining post-transplant, while 3.9% of initially seronegative patients seroconverted without detectable HEV RNA. Older age and non-tertiary level of education were associated with seropositivity, while dietary and animal contact factors were not. These findings indicate a moderately high level of prior HEV exposure among Croatian LT recipients, comparable to some European regions, but a low incidence of post-transplant infection and no evidence of chronic HEV infection. Our results suggest that despite frequent exposure, clinically significant HEV infection is uncommon in this immunosuppressed population. Full article

Non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH) encompasses a spectrum of liver conditions and involves gut–liver axis crosstalk. We aimed to evaluate whether oral vancomycin modifies liver injury and the cecal microbiota in a methionine–choline-deficient (MCD) diet model of NASH. Male C57BL/6J mice (n = 28) were block-randomized to four groups (n = 7 each) for 10 weeks: standard diet (STD); MCD diet; STD + vancomycin (VANC); and MCD + VANC (2 mg/mouse ≈ 50 mg/kg, every 72 h). After 10 weeks, liver tissues were analyzed for histological changes, cytokine levels [interleukin-6 (IL-6), interleukin-8 (IL-8), transforming growth factor beta 1 (TGF-β1)], and immunohistochemical markers [ubiquitin and cytokeratin 18 (CK18)]. Cecal microbiota composition was evaluated with 16S ribosomal RNA (rRNA) sequencing. The MCD reproduced key NASH features (macrovesicular steatosis, lobular inflammation). Vancomycin shifted steatosis toward a microvesicular pattern and reduced hepatocyte injury: CK18 and ubiquitin immunoreactivity were decreased in MCD + VANC vs. MCD, and hepatic IL-8 and TGF-β1 levels were lower in MCD + VANC vs. STD. Taxonomically, STD mice had Lactobacillus-rich microbiota. The MCD diet alone reduced alpha diversity (α-diversity), modestly lowered Firmicutes and increased Desulfobacterota/Fusobacteriota. Vancomycin alone caused a much larger collapse in richness, depleting Gram-positive commensals and promoting blooms of Escherichia–Shigella, Klebsiella, Parabacteroides, and Akkermansia. In the MCD + VANC group, vancomycin profoundly remodeled the microbiota, eliminating key commensals (e.g., Lactobacillus) and enriching Desulfobacterota, Fusobacteriota, and Campylobacterota. Oral vancomycin in the MCD model of NASH improved liver injury markers and altered steatosis morphology, but concurrently reprogrammed the gut into a low-diversity, pathobiont-enriched ecosystem with near-loss of Lactobacillus. These findings highlight a therapeutic trade-off—hepatic benefit accompanied by microbiome cost—that should guide microbiota-targeted strategies for NAFLD/NASH. Full article

Organic fertilization management for vegetable transplant production is challenging to growers due to the slow and unpredictable release nature of organic fertilizers. Nutrients in organic fertilizers, particularly nitrogen (N), often fail to meet the demands of rapidly growing transplants in soilless substrate. This study aimed to develop fertilization guidelines for organic bell pepper (Capsicum annuum L.) transplants by evaluating the performance of one conventional fertilizer, two organic fertilizers (Drammatic, Pre-Empt), and one naturally derived fertilizer (Bio-Matrix) at a range of N rates in supporting transplant growth. Bell pepper transplants were grown in an indoor growing chamber for 28 days with weekly fertilizer application. We found that the initial nitrate-N concentration in the fertilizer solution was the sole predictor of shoot dry weight (R² = 0.62), confirming that N availability was the primary limiting factor for transplant growth. The conventional fertilizer produced the largest transplants (370.9 mg/plant in shoot dry weight) while Drammatic resulted in the lowest maximum shoot growth (196.6 mg/plant), likely due to its high salinity and the accumulation of ammonium in the substrate. Bell pepper transplants exhibited low nutrient uptake capability and resulted in low N recovery efficiency, especially with the two organic fertilizers, Drammatic and Pre-Empt (15.6% and 23.8%, respectively). Furthermore, we found no carryover effects of the fertilizer treatments during the transplant stage on bell pepper growth after being transplanted to the greenhouse for 18 days. The final shoot dry weight only correlated with transplant shoot dry weight at the time of transplanting (R² = 0.87) but not with fertilizer type (p = 0.2849). Overall, Pre-Empt emerged as the most effective fertilizer for organic bell pepper transplant production. It is cost-effective, has low electrical conductivity, and is associated with low ammonium accumulation in the substrate. Therefore, it can be applied at high N rates to meet the N demand of bell pepper transplants. Based on our growing conditions, we recommend 23.1 g/L substrate of Pre-Empt for organic bell pepper transplant production. Full article

Background: Metabolic diseases, like type 2 diabetes mellitus and obesity, show a growing public health concern in Sri Lanka. Genetic predisposition and diet contribute to metabolic disease risk, but there are limited investigations into the impact of gene–diet interactions on metabolic disease risk in the Sri Lankan population. In this study, we examined whether a metabolic genetic risk score (GRS), constructed from 10 single nucleotide polymorphisms (SNPs), interacts with dietary factors to influence metabolic health indicators in Sri Lankan adults. Methods: This cross-sectional study included 105 generally healthy adults aged 25–50 years from the GOOD (Genetics of Obesity and Diabetes) study. Anthropometric, biochemical, and dietary data using food frequency questionnaires were collected using validated methods. Genotyping was performed using the KASP^® assay. The unweighted GRS was calculated by summing risk alleles across 10 SNPs in the TCF7L2, CAPN10, FTO KCNJ11, and MC4R genes. Gene–diet interaction analysis was conducted using regression models adjusted for confounders. Results: A statistically significant interaction was identified between the 10-SNP metabolic GRS and polyunsaturated fatty acid (PUFA) intake on waist circumference (P_{(interaction)} = 0.00009). Participants with a high GRS (≥6 risk alleles) and higher PUFA intake (≥3.1 g/day) exhibited significantly lower waist circumference (p = 0.047). Conclusions: This study provides novel insights to understand gene–diet interactions affecting metabolic traits in Sri Lankans. The findings suggest that higher PUFA intake may mitigate genetic susceptibility to central obesity, highlighting the importance of personalized dietary recommendations for metabolic disease prevention. Further studies in larger cohorts are warranted to confirm this finding. Full article

Gear transmission error (GTE) is a critical factor influencing the performance and service life of gear systems, as it directly contributes to vibration, noise generation, and premature wear. The present study introduces a combined theoretical and experimental approach to characterizing GTE in a single-stage spur gear system. A six-degree-of-freedom nonlinear dynamic model was formulated to capture coupled lateral–torsional vibrations, accounting for gear mesh stiffness, bearing and coupling characteristics, and a harmonic transmission error component representing manufacturing and assembly imperfections. Simulations and experiments were conducted under healthy and eccentricity-faulted conditions, where a controlled 890 g eccentric mass induced misalignment. Frequency domain inspection of faulty gear data showed pronounced sidebands flanking the gear mesh frequency near 200 Hz, as well as harmonics extending from 500 Hz up to 1200 Hz, in contrast with the healthy case dominated by peaks confined to 50–100 Hz. STFT analysis revealed dispersed spectral energy and localized high-intensity regions, reinforcing its role as an effective fault diagnostic tool. Experimental findings aligned with theoretical predictions, demonstrating that the integrated modelling and time–frequency framework is effective for early fault detection and performance evaluation of spur gear systems. Full article

Osteoarthritis (OA) is a multifactorial chronic musculoskeletal disorder characterised by cartilage degradation, synovial inflammation, and subchondral bone remodelling. Conventional diagnostic modalities, including radiographic imaging and symptom-based assessments, primarily detect disease in its later stages, limiting the potential for timely intervention. Inflammatory biomarkers, particularly Interleukin-6 (IL-6), Tumour Necrosis Factor-alpha (TNF-α), and Myeloperoxidase (MPO), have emerged as biologically relevant indicators of disease activity, with potential applications as companion diagnostics in precision medicine. This review examines the diagnostic and prognostic relevance of IL-6, TNF-α, and MPO in OA, focusing on their mechanistic roles in inflammation and joint degeneration, particularly through the activity of fibroblast-like synoviocytes (FLSs). The influence of sample type (serum, plasma, synovial fluid) and analytical performance, including enzyme-linked immunosorbent assay (ELISA), is discussed in the context of biomarker detectability. Advanced statistical and computational methodologies, including rank-based analysis of covariance (ANCOVA), discriminant function analysis (DFA), and Cox proportional hazards modelling, are explored for their capacity to validate biomarker associations, adjust for demographic variability, and stratify patient risk. Further, the utility of synthetic data generation, hierarchical clustering, and dimensionality reduction techniques (e.g., t-distributed stochastic neighbour embedding) in addressing inter-individual variability and enhancing model generalisability is also examined. Collectively, this synthesis supports the integration of biomarker profiling with advanced analytical modelling to improve early OA detection, enable patient-specific classification, and inform the development of targeted therapeutic strategies. Full article

Background/Objectives: Hematopoietic stem cell (HSCs) mobilization from the bone marrow to the peripheral blood (PB) is a critical step in stem cell transplantation. Although some experimental studies have suggested that cholesterol levels may affect this process, the clinical relevance of lipid profiles in healthy donors remains unclear. This study aimed to investigate whether serum cholesterol parameters are associated with peripheral blood CD34+ HSC mobilization in healthy stem cell donors. Methods: A total of 251 healthy donors who underwent granulocyte colony-stimulating factor (G-CSF)-based mobilization were retrospectively analyzed. Peripheral blood CD34+ cell counts and yields (×106/kg) were recorded. Laboratory parameters, including total cholesterol, HDL-C, LDL-C, and triglyceride levels were evaluated. Correlations between mobilization outcomes and donor characteristics or laboratory findings were also assessed. Results: No significant association was found between serum lipid parameters (total cholesterol, LDL-C, HDL-C, triglycerides) and CD34+ cell mobilization or yield. However, white blood cell count, hemoglobin level, platelet count, absolute neutrophil count, and lymphocyte count showed significant positive associations with mobilization efficacy. In contrast, body mass index (BMI) was inversely correlated with CD34+ cell yield. Conclusions: Serum cholesterol levels do not appear to influence stem cell mobilization outcomes in healthy donors. Classical hematologic parameters remain reliable predictors of CD34+ cell yield. These findings suggest that cholesterol is not a suitable biomarker for predicting mobilization efficiency in this population group. Full article