Search Results (389)

The current study presents a multi-class, image-based classification of eight morphologically similar macroscopic Earthstar fungal species (Astraeus hygrometricus, Geastrum coronatum, G. elegans, G. fimbriatum, G. quadrifidum, G. rufescens, G. triplex, and Myriostoma coliforme) using deep learning and explainable artificial intelligence (XAI) techniques. For the first time in the literature, these species are evaluated together, providing a highly challenging dataset due to significant visual overlap. Eight different convolutional neural network (CNN) and transformer-based architectures were employed, including EfficientNetV2-M, DenseNet121, MaxViT-S, DeiT, RegNetY-8GF, MobileNetV3, EfficientNet-B3, and MnasNet. The accuracy scores of these models ranged from 86.16% to 96.23%, with EfficientNet-B3 achieving the best individual performance. To enhance interpretability, Grad-CAM and Score-CAM methods were utilised to visualise the rationale behind each classification decision. A key novelty of this study is the design of two hybrid ensemble models: EfficientNet-B3 + DeiT and DenseNet121 + MaxViT-S. These ensembles further improved classification stability, reaching 93.71% and 93.08% accuracy, respectively. Based on metric-based evaluation, the EfficientNet-B3 + DeiT model delivered the most balanced performance, with 93.83% precision, 93.72% recall, 93.73% F1-score, 99.10% specificity, a log loss of 0.2292, and an MCC of 0.9282. Moreover, this modeling approach holds potential for monitoring symbiotic fungal species in agricultural ecosystems and supporting sustainable production strategies. This research contributes to the literature by introducing a novel framework that simultaneously emphasises classification accuracy and model interpretability in fungal taxonomy. The proposed method successfully classified morphologically similar puffball species with high accuracy, while explainable AI techniques revealed biologically meaningful insights. All evaluation metrics were computed exclusively on a 10% independent test set that was entirely separate from the training and validation phases. Future work will focus on expanding the dataset with samples from diverse ecological regions and testing the method under field conditions. Full article

High-throughput biological and chemical assays increasingly require parallel sample manipulation using arrays of micronozzle apertures. Liquid-to-liquid ejection avoids air–liquid interfaces, thereby reducing sample evaporation and mechanical stress while simplifying device operation. However, existing microfluidic platforms for parallel handling suffer from high dead volume, limited optical access, and poor scalability due to thick structural layers. Here, we present a transparent three-layer 4 × 4 micronozzle array with 40 μm diameter openings and a photolithographically fabricated SU-8 membrane. Our sacrificial layer process yields a 30 µm SU-8 membrane—approximately a 70% reduction in thickness—thereby lowering vertical channel dead volume and eliminating the need for costly glass etching. The resulting architecture enables parallel particle and nanoliter liquid manipulation with real-time optical clarity and enables water-to-water ejection, avoiding air–liquid interfaces. This work demonstrates the water-to-water ejection of 0.5–10 µm microparticles using a transparent, low-dead volume SU-8/PDMS micronozzle array and provides a basis for future studies on substrate deposition and cell handling workflows. Full article

Water pollution by heavy metals, dyes, and antibiotics is a serious environmental problem. Efficient and recyclable adsorbents are needed. Magnetic nanocomposite adsorbents (MNAs) offer a promising solution. They combine magnetic nanoparticles with various carriers. This gives them high adsorption capacity and easy magnetic separation. This review covers recent progress in MNAs. We focus on three carrier types: carbon-based materials, inorganic minerals, and natural polymers. We analyze common synthesis methods like co-precipitation and hydrothermal synthesis. The synergy between components enhances pollutant removal, however, challenges remain. These include poor selectivity in mixed pollutants and difficult large-scale production. Stability during reuse is also a concern. Future work should aim for greener synthesis and better stability. This review provides useful insights for designing high-performance MNAs for water treatment. Full article

Background and objectives: Nutritional disorders are common in patients with heart failure (HF) and are associated with reduced functional capacity and poor prognosis. In this study, we evaluated the prognostic, nutritional and functional impact of a structured nutritional intervention in patients with chronic HF at risk of malnutrition. Methods: This is a prespecified subanalysis of the randomized controlled trial Prognostic And Clinical iMpAct of a Nutritional intervention in patients with chronic HF (PACMAN-HF). Ambulatory patients with chronic HF at risk of malnutrition were identified using the Mini Nutritional Assessment (MNA) questionnaire and randomized to receive either an individualised nutritional intervention (intervention group) or standard care (control group). We evaluated the frequency of malnutrition risk and the impact of the intervention on clinical outcomes, defined as a composite of all-cause mortality or time to first HF hospitalisation, as well as nutritional status and functional capacity at 3- and 12-month follow-ups. Results: A total of 225 patients were screened. Of these, 72 (32%) were identified as being at risk of malnutrition and 64 (28.4%) met the inclusion criteria and were randomized (31 in the intervention group and 33 in the control group). There were no significant differences between the groups in terms of all-cause mortality or time to first HF hospitalisation (HR = 0.34 [0.11–1.09]; p = 0.072). At 12 months, the intervention group demonstrated a significant improvement in functional capacity, with an increase of 31.3 metres in the 6-minute walk test (6MWT) (p = 0.002), whereas no significant change was observed in the control group. Nutritional status improved significantly in the intervention group (MNA score +4.12, p < 0.001) and declined in the control group (−1.15, p = 0.029). At 12 months, body mass index, tricipital skinfold thickness, arm circumference, and serum albumin levels increased in the intervention group. Conclusions: A structured and individualised nutritional intervention significantly improved nutritional status and functional capacity over 12 months, although it did not impact major clinical outcomes. 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: This study examined the relationship between nutritional status and muscle strength in the upper and lower large muscles, with a specific focus on shoulder, hip, and knee muscle strength in community-dwelling older adults. It also investigated the relationship between nutritional status and functional performance as measured by the Timed Up and Go (TUG) test. Methods: A secondary analysis of a cross-sectional study involving 2045 older adults (aged 60 years or older) from 15 randomly selected primary health care centers in Riyadh was conducted between January 2015 and April 2017. After excluding participants with specific medical conditions, 1741 individuals were included in the analysis. Nutritional status was assessed using the Arabic version of the Mini-Nutritional Assessment (MNA). Handgrip strength (HGS) and large muscle strength (shoulder, hip, knee) were measured using a hydraulic hand dynamometer and the Nicholas Manual Muscle Tester, respectively. The TUG test was also assessed to evaluate physical performance. Results: The study revealed that well-nourished older adults had significantly greater upper and lower muscle strength than those who were malnourished or at risk (p ≤ 0.001), with males generally exhibiting stronger muscle strength than females. Furthermore, in both genders, older adults showed significant positive correlations between MNA scores and upper and lower muscle strength. Additionally, longer times on the TUG test indicated a higher risk of malnutrition (OR: 1.135, CI: 1.087–1.186; p ≤ 0.001). Conclusions: this study breaks new ground by being the first to explore the relationship between nutritional status and the muscular strength in the shoulder and hip regions. Findings indicate that muscle strength and physical performance were associated with malnutrition. Full article

Background/Objectives: Anorexia–Cachexia Syndrome (ACS) is a multifactorial condition common in advanced chronic illnesses, leading to significant impacts on prognosis and quality of life. This retrospective cohort study aimed to evaluate the prevalence, management strategies, and clinical and patient-centered outcomes of ACS in a home-based palliative care team. Methods: Clinical records of 128 adult patients followed between 2021 and 2024 were analyzed. Data collected included sociodemographic variables, clinical diagnosis, nutritional parameters (Palliative Performance Scale (PPS), Mini Nutritional Assessment (MNA)), symptoms (anorexia, fatigue), interventions (enteral nutrition, psychological and rehabilitative support), and relevant medications. Statistical analysis included descriptive, inferential, and multivariable proportional hazard regression analysis to identify independent predictors of weight loss and anorexia. Results: Manifestations of ACS were observed across both oncologic and non-oncologic conditions. The prevalence of weight loss and anorexia were interrelated and were not different between diagnostic groups. Using multivariable analysis, higher baseline MNA scores (HR = 3.797, p = 0.006) and the use of enteral nutrition (HR = 7.418, p = 0.014) were independently associated with an increased risk of significant weight loss. Lower baseline PPS scores (HR = 0.069), use of enteral nutrition (HR = −0.890), and the presence of psychological support were protective for subsequent anorexia. Dexamethasone use was associated with greater nutritional decline in univariate models. Conclusions: The management of ACS in home palliative care requires the early identification of symptoms, multidisciplinary intervention, and personalized strategies beyond disease etiology. Risk of weight loss is associated with higher MNA scores, and these are best managed in the first week. In anorexia cases, psychological support is protective. Full article

For monitoring animal adaptation when facing environmental challenges, and more specifically when addressing the impacts of global warming—particularly responses to heat stress and short-term fluctuations in osmotic regulations in the different organs influencing animal physiology—there is an increasing demand for digital tools to understand and monitor a range of biomarkers. Microneedle arrays (MNAs) have recently emerged as promising devices minimally invasively penetrating human skin to access dermal interstitial fluid (ISF) to monitor deviations in physiology and consequences on health. The ISF is a blood filtrate where the concentrations of ions, low molecular weight metabolites (<70 kDa), hormones, and drugs, often closely correlate with those in blood. However, anatomical skin differences between human and farm animals, especially large animals, as well as divergent tolerances of such devices among species with behavior specificities, motivate new MNA designs. We addressed technological challenges to design higher microneedles for farm animal (pigs and cattle) measurements. We designed microneedle arrays composed of 37 microneedles, each 2.8 mm in height, using dextran-methacrylate, a photo-crosslinked biocompatible biopolymer-based hydrogel. The arrays were characterized geometrically and mechanically. Their abilities to perforate pig and cow skin were demonstrated through histological analysis. The MNAs successfully absorbed approximately 10 µL of fluid within 3 h of application. Full article

Background/Objectives: The continued evolution and cross-species transmission of clade 2.3.4.4b H5Nx highly pathogenic avian influenza (HPAI) viruses underscores the need for broadly protective vaccines in swine, a key intermediary host. This study aimed to evaluate systemic and mucosal immune responses elicited by adenoviral-vectored (Ad) vaccines encoding a centralized consensus hemagglutinin antigen (H5CC) in mice and swine. Methods: We constructed H5CC-based vaccines that were delivered using replication-defective (Ad5 and Ad6) and replication-competent (Ad28 and Ad48) human adenoviral vectors. Using a serotype-switched prime-boost strategy, vaccines were delivered intramuscularly (IM) or intranasally (IN) in mice and swine. We determined humoral, mucosal, and cell-mediated immune responses by hemagglutination inhibition (HI), microneutralization assay (MNA), ELISA, and IFN-γ ELISpot. Protective efficacy was evaluated by lethal H5N1 challenge in mice. Results: All vaccine strategies and routes induced significant levels of anti-H5 immunity. Ad5/Ad6 IM immunization elicited strong systemic IgG and MNA titers and robust T cell responses. IN delivery with Ad5/Ad6 induced superior mucosal IgA levels in lungs and nasal secretion. In swine, Ad5/Ad6 IM conferred the highest MNA titer and T cell responses, while the IN route enhanced mucosal IgA. The Ad28/Ad48 vaccines induced immunity in a similar pattern as compared to the Ad5/Ad6 strategy, but to a slightly lesser degree, in general. The commercial H1/H3 swine influenza vaccine failed to elicit cross-protective immunity. All H5CC vaccinated mice survived lethal H5N1 challenge without weight loss. Conclusions: Adenoviral-vectored H5CC vaccines elicit broad, cross-clade immunity with route-dependent immune profiles. IM vaccination is optimal for systemic and cellular responses, while IN delivery enhances mucosal immunity. These findings support the advancement of adenoviral platforms for influenza control in swine and pandemic preparedness. Full article

This work proposes a methodology for the automated sizing of transistors in analog integrated circuits, based on a modular and hierarchical representation of the circuit. The methodology combines structured design techniques and systematic design flow to generate a hierarchy of simplified macromodels that define their specifications locally and are interconnected with other macromodels or transistor-level primitive blocks. These primitive blocks can be described using symbolic models or pre-characterized data from look-up tables (LUTs). The symbolic representation of the system is obtained using Modified Nodal Analysis (MNA), and the exploration of each block is performed using local design spaces constrained by top-level specifications. The methodology is validated through the design of low dropout voltage regulators (LDOs) for DC-DC integrated power systems using open-source tools and three process design kits: Sky130A, GF180MCU, and IHP-SG13G2. Results show that the methodology allows the exploration of several topologies and technologies, demonstrating its versatility and modularity, which are key aspects in analog design. Full article

Largemouth bass (LMB; Micropterus nigricans) are popular both as a sportfish and an aquaculture species. At present, six described viruses are associated with LMB, of which two are typically considered in cases of LMB mortality events. Advances in discovery and diagnostic capabilities using next-generation sequencing have augmented surveillance efforts and subsequently led to the discovery of novel cryptogenic viruses. Here, we present evidence of three novel viruses from a single skin sample collected from a hyperpigmented melanistic lesion of an LMB with blotchy bass syndrome associated with MnA-1 co-infection. These viruses represent recently described groups of viruses (adomaviruses and nackednaviruses) that infect fish. Both are markedly understudied and of unknown significance to fish health. This work highlights the diversity of viruses associated with LMB and further advances our understanding of the LMB virome. Application of de novo sequencing approaches presents an opportunity to explore a new frontier of host–pathogen relationships and microbes associated with changing environments. Full article

Background: Frailty syndrome significantly worsens the prognosis of elderly people. Sarcopenia and malnutrition are integral parts of aging, but there is a lack of knowledge about the overlap of these states, as well as their diagnostic methods and treatments. This study aimed to assess the malnutrition and sarcopenia scale in patients with frailty syndrome and the viability of evaluating the concentrations of the following potential biomarkers: albumin, total protein, and fibrinogen. Methods: A total of 170 patients >65 years were assessed for frailty using the Fried frailty scale. The risk of sarcopenia was measured using the SARC-F scale, and the risk of malnutrition was measured using the Mini Nutritional Assessment (MNA) scale. Serum albumin, protein, and fibrinogen levels were measured. The following fat-free body mass and respiratory parameters were measured: peak expiratory flow (PEF) and forced expiratory volume-one second (FEV1). Results: A total of 53 patients were classified as robust (31%), 96 as prefrail (57%), and 21 as frail (12%) according to Fried frailty criteria. Frail patients had significantly reduced serum albumin and increased fibrinogen compared to the prefrail and robust groups (p < 0.05). A total of 38% of frail patients were at risk of sarcopenia, and 52% were at risk of malnutrition. Frail patients had lower PEF and FEV1 values, with decreases in respiratory parameters correlating with fat-free body mass and muscle strength. Conclusions: Frail patients are at substantial risk of malnutrition and sarcopenia. The MNA and SARC-F scales, combined with routine screening of elderly patients with frailty, may effectively identify patients with the highest risk. Full article

Background: Malnutrition is a prevalent but underrecognized condition in cardiovascular disease (CVD) patients, associated with adverse outcomes including longer hospitalizations, higher readmission rates, and increased mortality. Traditional measures such as body mass index (BMI) often fail to detect malnutrition, especially in patients with fluid retention, sarcopenia, or obesity. Methods: This review critically examines current tools used to assess nutritional status in CVD populations. Screening instruments such as Nutritional Risk Screening 2002 (NRS 2002), Mini Nutritional Assessment (MNA, MNA-SF), Malnutrition Universal Screening Tool (MUST), Subjective Global Assessment (SGA), and the Controlling Nutritional Status (CONUT) score are discussed, alongside diagnostic frameworks including the Global Leadership Initiative on Malnutrition (GLIM) criteria. The role of body composition assessment, particularly bioelectrical impedance analysis (BIA) and phase angle (PA), is also highlighted. Results: These tools differ in diagnostic performance and applicability, with many influenced by the pathophysiological features of CVD, such as inflammation, altered fluid balance, and pharmacotherapy. GLIM criteria provide a standardized two-step approach, combining phenotypic and etiologic factors, but require further validation in cardiology settings. Conclusions: A tailored, multimodal approach could be recommended: initial screening followed by confirmatory assessment using GLIM criteria and objective measures of muscle mass or cellular integrity. Clinicians should be aware of tool-specific limitations and interpret findings in the context of CVD-specific challenges. Full article

Different composites of manganese oxides (Mn_xO_y) containing sodium (Na) and silver (Ag) were synthesized by the molten salt method with various MnSO₄·H₂O/NaNO₃ (M/N) molar ratios (between 0.3 and 1), and different AgNO₃ and NaOH amounts, obtaining two groups of materials: without the addition of AgNO₃ (labeled as M/N) and with AgNO₃ (labeled as M/N-A). As for the M/N group, the system with the lowest M/N ratio yielded the highest specific capacitance (160.5 F ${\mathrm{g}}^{-1}$), attributed to the formation of Mn₃O₄ and sodium birnessite. In the M/N-A group, the 1 M/N-0.5A system, produced with M/N ratio of 1 and addition of 0.5 g of AgNO₃, exhibited the highest specific capacitance (229.1 F ${\mathrm{g}}^{-1}$), associated with the presence of Mn₂O₃, silver hollandite, and metallic Ag. This enhancement is attributed to the synergistic effects of Na⁺ and Ag⁺ ions, which improve charge transfer kinetics and electrochemical performance. It was demonstrated that decreasing the MnSO₄·H₂O/NaNO₃ ratio in the M/N group and increasing AgNO₃ content in the M/N-A group enhances the electrochemically active surface area. Galvanostatic charge–discharge (GCD) and electrochemical impedance spectroscopy (EIS) techniques confirmed that the 1 M/N-0.5A system exhibited the best performance, characterized by high energy retention, stable cycling behavior, and low capacitance dispersion, indicating its strong potential as an active material for pseudocapacitor applications. Full article

Background/Objectives: The concentration of uric acid in the body of older adults may have various effects. Due to the multidirectional influence on metabolism, its significance in the daily functioning of older persons remains unclear. The present investigation explored whether serum uric acid levels are associated with scores on standard geriatric assessment scales in hospitalized older adults. Methods: In total, 77 patients admitted to the hospital for the Comprehensive Geriatric Assessment were recruited and classified into three groups: successfully treated for hyperuricemia, untreated or unsuccessfully treated with elevated uric acid levels, and untreated controls having normal uric acid levels. The analysis considered the relationship between the concentration of uric acid in patients from different study groups and the assigned classes defined by the ranges of the questionnaires used for the study. Results: Significant differences were shown in the distribution of classes defined by Addenbrooke’s Cognitive Examination III (ACE-III) and the MNA questionnaires concerning the study groups. Moreover, significant differences were confirmed when using compartmentalization based only on the screening test results for the ACE-III, the Mini Nutritional Assessment (MNA), and the Mini-Mental State Examination (MMSE). For ACE-III, a lower percentage of people with probable dementia was observed in the control group (34.5%) than in the group with elevated uric acid values (78.3%). Conclusions: Although the mechanisms related to uric acid’s influence on older people’s functioning require further research, the available evidence indicates a negative impact of elevated uric acid levels on cognitive functions and the nutritional status of older individuals. Full article