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17 pages, 2538 KB  
Article
Contrasting Roles of Archaeal Core Clusters in Soil Nitrification of Northeast China’s Black Soil Region
by Feng Wang, Lingzhi Liu, Weijun Zhang, Keren Wu, Bingqing Guo, Tingting An, Shuangyi Li, Xiaodan Gao and Jingkuan Wang
Agronomy 2025, 15(9), 2064; https://doi.org/10.3390/agronomy15092064 - 27 Aug 2025
Viewed by 439
Abstract
The black soil region of Northeast China is crucial for agricultural productivity. Ammonia-oxidizing archaea (AOA) are key indicators of soil nitrification in this region, yet it remains unclear whether this process is driven by the entire community or by specific clusters. Here, we [...] Read more.
The black soil region of Northeast China is crucial for agricultural productivity. Ammonia-oxidizing archaea (AOA) are key indicators of soil nitrification in this region, yet it remains unclear whether this process is driven by the entire community or by specific clusters. Here, we investigated the AOA community across a long-term fertilization Brown Soil Experimental Station and 15 sites in the Typical Black Soil Zone. Using Illumina MiSeq sequencing of the AOA amoA gene and cluster-specific primers, 14 OTUs were selected as core clusters based on relative abundance >0.1% and strong correlations (r > 0.7) with soil properties or PNR, and were further grouped into five distinct clusters according to phylogenetic analysis. Compared to the overall AOA community, core clusters responded more precisely to fertilization, straw addition, and spatial variation, with contrasting environmental responses reflected in their relationships with soil nitrification dynamics. Clusters G1 and G2 had positive correlations with soil PNR, while Clusters G4 and G5 had negative correlations. Moreover, AOA core clusters demonstrated stronger correlations with soil properties, including pH, C/N ratio, and NH4+/NO3 ratio. These findings demonstrate that AOA core clusters are reliable microbial indicators of soil nitrification, and monitoring their abundance changes under nitrogen input can provide early insights into potential inhibition, informing predictive models and guiding more precise nitrogen management to support sustainable agricultural practices. Full article
(This article belongs to the Section Soil and Plant Nutrition)
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14 pages, 4291 KB  
Article
Prediction of Daily River Discharge to Estuaries Based on Meteorological Data
by Teodor Stoichev, Cristina Marisa R. Almeida, Tsonyo Slavov and Petia Georgieva
Water 2025, 17(17), 2499; https://doi.org/10.3390/w17172499 - 22 Aug 2025
Viewed by 534
Abstract
A methodology is proposed to predict the daily river discharge (RD) to estuaries from rivers draining in similar temperate zones. Multiple regression models are proposed to estimate RD using only available meteorological data. The models are based on monthly air temperature (T) and [...] Read more.
A methodology is proposed to predict the daily river discharge (RD) to estuaries from rivers draining in similar temperate zones. Multiple regression models are proposed to estimate RD using only available meteorological data. The models are based on monthly air temperature (T) and recent (PR) and non-recent (PNR) atmospheric precipitation (rainfall). They consist of the linear and nonlinear terms of T, PR, and PNR, without interaction terms between them. Four rivers located in the north and centre of Portugal (flowing to the Atlantic Ocean) are used in this study—Vouga, Antuã, Neiva, and Mondego. The optimal period used to compute the recent precipitation history is between 4 and 7 days for Vouga, Antuã, and Mondego and is 11 days for Neiva. The recommended lag to compute the non-recent precipitation history is between 50 and 90 days. The optimisation of the lengths of recent and non-recent periods improved the model performance, compared with previously proposed models with interaction terms between the meteorological variables. The obtained models provide a clear interpretation of the impact that meteorology has on RD. All rivers showed similar responses, but the flows of bigger rivers (Vouga, Mondego) were more significantly affected by precipitation and temperature. The proposed models are useful for analysing biogeochemical processes in rivers and estuaries, as well as for assessing flood and drought risks in sensitive areas. Full article
(This article belongs to the Section Hydrology)
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12 pages, 1185 KB  
Article
Clostridioides difficile Infections: Epidemiological and Laboratory Data from the Internal Medicine Departments of a Tertiary Care Hospital in Athens, Greece, During the Past Decade
by Dimitris Kounatidis, Edison Jahaj, Eleni V. Geladari, Kyriaki Papachristodoulou, Fotis Panagopoulos, Georgios Marakomichelakis, Vasileios Papastamopoulos, Vasilios Sevastianos and Natalia G. Vallianou
Medicina 2025, 61(8), 1416; https://doi.org/10.3390/medicina61081416 - 5 Aug 2025
Viewed by 322
Abstract
Background and Objectives: Clostridioides difficile infection (CDI) poses a major public health problem worldwide. Materials and Methods: In this retrospective study, we included 274 patients with CDI, who were hospitalized in Internal Medicine Departments in Evangelismos General Hospital in Athens, Greece, [...] Read more.
Background and Objectives: Clostridioides difficile infection (CDI) poses a major public health problem worldwide. Materials and Methods: In this retrospective study, we included 274 patients with CDI, who were hospitalized in Internal Medicine Departments in Evangelismos General Hospital in Athens, Greece, during the past decade. Demographic, clinical and laboratory parameters of the patients were recorded. Statistical analysis revealed an association between older age and mortality as well as heart failure and mortality among patients with CDI. Results: Notably, WBC (white blood count), neutrophils, NLR (neutrophil-to-lymphocyte ratio), dNLR (derived NLR), SII (systemic immune–inflammation index) and hs-CRP (high-sensitivity C-reactive protein) demonstrated a positive association with mortality, whereas serum albumin levels and PNR (platelet-to-neutrophil ratio) exhibited an inverse relationship with mortality. We propose that the aforementioned biomarkers may be used as prognostic parameters regarding mortality from CDI. Conclusions: Large scale studies among patients with CDI with the advent of AI (artificial intelligence) may incorporate demographic, clinical and laboratory features into prognostic scores to further characterize the global CDI threat. Full article
(This article belongs to the Section Infectious Disease)
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18 pages, 3604 KB  
Article
The Effects of Neuronal Fyn Knockdown in the Hippocampus in the Rat Kainate Model of Temporal Lobe Epilepsy
by Nikhil S. Rao, Marson Putra, Christina Meyer, Sirisha Parameswaran and Thimmasettappa Thippeswamy
Cells 2025, 14(10), 743; https://doi.org/10.3390/cells14100743 - 19 May 2025
Cited by 1 | Viewed by 786
Abstract
Previous studies have demonstrated neuronal and microglial Fyn, a Src family kinase (SFK), and how its interactions with tau contribute to epileptogenesis. Saracatinib, a Fyn/SFK inhibitor, modifies disease progression in rat kainate (KA) epilepsy models. In this study, we investigated neuronal-specific fyn knockdown [...] Read more.
Previous studies have demonstrated neuronal and microglial Fyn, a Src family kinase (SFK), and how its interactions with tau contribute to epileptogenesis. Saracatinib, a Fyn/SFK inhibitor, modifies disease progression in rat kainate (KA) epilepsy models. In this study, we investigated neuronal-specific fyn knockdown effects on Fyn–tau signaling, neurodegeneration, and gliosis using a calcium/calmodulin-dependent protein kinase II (CaMKII)-promoter-driven adeno-associated viral vector (AAV9)-mediated fyn-shRNA injection in the rat hippocampus. Eight days following AAV administration, rats received repeated low-dose KA injections intraperitoneally to induce status epilepticus (SE). Both fyn-shRNA and control groups showed comparable SE severity, indicating inadequate neuronal fyn knockdown at this timepoint. Two weeks post fyn-shRNA injection, hippocampal Fyn significantly decreased, alongside reductions in NR2B, pNR2BY1472, PSD95, and total tau. There was also a compensatory activation of SFK (pSFKY416:Fyn) and tau hyperphosphorylation (AT8:total tau), negatively correlating with NeuN expression. Proximity ligation assay indicated unchanged Fyn–tau interactions, suggesting tau interactions with alternative SH3 domain proteins. Persistent neuronal loss, astrogliosis, and microgliosis suggested limited effectiveness of neuronal-specific fyn knockdown at this timepoint. An extended-duration fyn knockdown study, or using broad SFK inhibitors such as saracatinib or tau-SH3 blocking peptides, may effectively prevent SE-induced epileptogenesis. Full article
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12 pages, 4423 KB  
Article
Enhanced Energy Storage Properties of the Relaxor and Antiferroelectric Crossover Ceramic Enabled by a High Entropy Design
by Yinghao Li, Wei Xiong, Xuefan Zhou, Hang Luo, Ru Guo and Dou Zhang
Materials 2025, 18(9), 1937; https://doi.org/10.3390/ma18091937 - 24 Apr 2025
Cited by 1 | Viewed by 572
Abstract
In this work, we introduce a high entropy effect in designing a relaxor ferroelectric (RFE)–antiferroelectric (AFE) crossover ceramic by incorporating a high entropy relaxor-like oxide (Pb0.25Ba0.25Sr0.25Ca0.25)TiO3 with antiferroelectric NaNbO3. The results show [...] Read more.
In this work, we introduce a high entropy effect in designing a relaxor ferroelectric (RFE)–antiferroelectric (AFE) crossover ceramic by incorporating a high entropy relaxor-like oxide (Pb0.25Ba0.25Sr0.25Ca0.25)TiO3 with antiferroelectric NaNbO3. The results show that the relaxor ferroelectricity of the system is enhanced with increasing NaNbO3, and when the new composition reaches the highest configurational entropy, stable energy storage properties can be achieved. This is enabled by a high breakdown strength due to the small grain size and stable slim ferroelectric hysteresis loop with high efficiency due to entropy-stabilized short-range ordered polar nanoregions (PNRs). These findings showcase the potential of this strategy for exploiting new compositions of high-performance electrostatic capacitors. Full article
(This article belongs to the Special Issue Advanced Science and Technology of High Entropy Materials)
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14 pages, 6304 KB  
Article
Insight into the Structure Evolution and Performance Optimization of Bi0.5Na0.5TiO3-Based Ceramics for Energy Storage Application
by Qian Wang, Lin Zhang, Rui Li, Hui Yang, Chuanhui Wang, Zhao Xiong and Chunwu Liu
Materials 2025, 18(8), 1801; https://doi.org/10.3390/ma18081801 - 15 Apr 2025
Viewed by 487
Abstract
The excellent temperature stability and high saturation polarization of Bi0.5Na0.5TiO3 (BNT) make it a promising candidate for energy storage capacitors. However, its disadvantages, such as low breakdown strength, high remnant polarization, and a complex sintering process, limit its [...] Read more.
The excellent temperature stability and high saturation polarization of Bi0.5Na0.5TiO3 (BNT) make it a promising candidate for energy storage capacitors. However, its disadvantages, such as low breakdown strength, high remnant polarization, and a complex sintering process, limit its further development. To address this, (1 − x) Bi0.5Na0.5TiO3−x Sr(Mg1/3Nb2/3)O3 ceramics were fabricated, where ion doping was employed to modify the domain structure, reduce the grain size, and improve the energy storage performance. With the increase in dopant concentration, the evolution from long-range-ordered ferroelectric micro-domains into short-range-ordered randomly oriented polar nanoregions (PNRs) was revealed, as demonstrated by XRD and Raman spectroscopy. This resulted in a diffuse phase transition peak and a significant reduction in remnant polarization. However, the saturation polarization also decreased. Finally, the optimal energy storage performance was achieved at a medium dopant concentration (x = 0.10), accompanied by reduced grain size and a dense microstructure. This composition exhibited a discharged energy density of 1.64 J/cm3 at a low electric field of 150 kV/cm, representing a notable improvement over pure BNT, which showed a highly lossy P-E loop and a discharged energy density of only 0.14 J/cm3 at the same electric field. Full article
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10 pages, 38813 KB  
Article
A Dual-Tech Approach to Measuring Defensive Physical Demands in Basketball Pick-and-Rolls During Official Games: Inertial Sensors and Video Analysis
by Abdelaziz Qarouach, Daniele Conte, Pierpaolo Sansone and Marco Pernigoni
Appl. Sci. 2025, 15(7), 3860; https://doi.org/10.3390/app15073860 - 1 Apr 2025
Cited by 2 | Viewed by 636
Abstract
This study aimed to quantify the physical load of defensive pick-and-roll (PnR) actions according to court location (middle or side), defensive option employed (switch, drop/ice, or trap), and effectiveness (successful or unsuccessful) during official basketball games. Twenty-four male basketball players (age: 20.5 ± [...] Read more.
This study aimed to quantify the physical load of defensive pick-and-roll (PnR) actions according to court location (middle or side), defensive option employed (switch, drop/ice, or trap), and effectiveness (successful or unsuccessful) during official basketball games. Twenty-four male basketball players (age: 20.5 ± 1.1 years; stature: 191.5 ± 8.7 cm; body mass: 86.5 ± 11.3 kg; playing experience: 8.5 ± 2.4 years) from two teams competing in the Lithuanian third division were recruited, with data collected across six official games. Participants were monitored using a combination of video-based time–motion analysis (TMA) and inertial measurement units (IMUs), allowing the calculation of duration, PlayerLoad (PL), and PL·min−1 for each of the 364 defensive PnR actions identified. No significant differences were found based on court location or defensive option employed (p > 0.05). By contrast, unsuccessful plays resulted in significantly higher physical loads than successful ones (duration: p < 0.001, ES = 0.46; PL: p < 0.001, ES = 0.41; PL·min−1: p = 0.047, ES = 0.24). Overall, these findings highlight a consistent physical load based on court location and defensive option adopted and an increased physical load when the defensive effort failed. Therefore, basketball coaches are suggested to consider the physical load of different defensive PnR scenarios when planning training drills, defining performance profiles of defensive strategies, and managing team rotations during games. Full article
(This article belongs to the Special Issue Technologies in Sports and Physical Activity)
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12 pages, 799 KB  
Article
Effectiveness of Tralokinumab Across Atopic Dermatitis Phenotypes
by Francesca Barei, Paolo Calzari, Elena Pezzolo, Maddalena Napolitano, Mariateresa Rossi, Mario Bruno Guanti, Francesca Caroppo, Anna Belloni Fortina, Cataldo Patruno, Anna Campanati, Tommaso Bianchelli, Giovanni Marco D’Agostino, Eustachio Nettis, Francesco Pugliese, Francesca di Vico, Ilaria Trave, Emanuele Cozzani, Luca Stingeni, Katharina Hansel, Matilde Dall’Olio, Laura Grigolato, Rosa Coppola, Vincenzo Panasiti, Martina Maurelli, Giampiero Girolomoni, Michela Ortoncelli, Simone Ribero, Angelo Valerio Marzano and Silvia Mariel Ferrucciadd Show full author list remove Hide full author list
J. Clin. Med. 2025, 14(6), 2077; https://doi.org/10.3390/jcm14062077 - 18 Mar 2025
Viewed by 1052
Abstract
Background/Objectives: Tralokinumab, a fully human monoclonal antibody targeting IL-13, has shown efficacy and safety in clinical trials and real-life studies for atopic dermatitis (AD). However, data on its effectiveness across AD phenotypes are limited. Methods: A multicentric study evaluated tralokinumab’s efficacy [...] Read more.
Background/Objectives: Tralokinumab, a fully human monoclonal antibody targeting IL-13, has shown efficacy and safety in clinical trials and real-life studies for atopic dermatitis (AD). However, data on its effectiveness across AD phenotypes are limited. Methods: A multicentric study evaluated tralokinumab’s efficacy over 52 weeks in 416 severe AD patients. EASI (Eczema Area and Severity Index), P-NRS (Pruritus Numerical Rating Scale), DLQI (Dermatology Life Quality Index), and ADCT (Atopic Dermatitis Control Tool) were recorded up to 52 weeks of treatment. Results: The EASI, P-NRS, DLQI, and ADCT trends across phenotypes showed significant improvement in all phenotype subgroups. By week 16, classical and generalized lichenoid phenotypes showed the highest EASI improvements compared to the generalized inflammatory (75.0 vs. 45.5 [p < 0.001] and 79.3 vs. 45.5 [p < 0.001]), with most achieving EASI-75 (p < 0.001, χ2 = 25.96). By week 24, generalized lichenoid reached 100% EASI improvement, significantly outperforming other phenotypes. The highest EASI-75 rates were seen in classical, generalized lichenoid, and portrait/head and neck phenotypes (p = 0.016, χ2 = 13.85). No significant differences were observed at weeks 32, 40, or 52. Conclusions: Our results suggest that tralokinumab’s durability and tolerability are consistent across the various phenotypes. The classical and generalized lichenoid were the fastest phenotypes to improve. However, given the uneven distribution of phenotypes and the gradual reduction in patient numbers over time, larger prospective studies are essential to confirm the observed trends. Full article
(This article belongs to the Special Issue Innovative Systemic Treatments for Atopic Dermatitis)
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16 pages, 775 KB  
Article
Predictors for Poor Outcomes at Six Months on Pain, Disability, Psychological and Health Status in Greek Patients with Chronic Low Back Pain After Receiving Physiotherapy: A Prospective Cohort Study
by Matthaios Petrelis, Georgios Krekoukias, Ioannis Michopoulos, Vasileios Nikolaou and Konstantinos Soultanis
Clin. Pract. 2025, 15(3), 63; https://doi.org/10.3390/clinpract15030063 - 16 Mar 2025
Viewed by 1266
Abstract
Background: Although previous studies have suggested a variety of sociodemographic and psychological factors as predictors of poor outcomes in patients with chronic low back pain (CLBP), longitudinal studies remain rare. Objectives: To examine the prognostic indicators for poor outcome at 6 months [...] Read more.
Background: Although previous studies have suggested a variety of sociodemographic and psychological factors as predictors of poor outcomes in patients with chronic low back pain (CLBP), longitudinal studies remain rare. Objectives: To examine the prognostic indicators for poor outcome at 6 months on pain, disability, quality of life, anxiety, depression and somatic symptom disorders (SSDs) in Greek backache patients and to evaluate the medium-term effects of a conservative physiotherapeutic approach (massage, ultrasound, transcutaneous electrical nerve stimulation, low-level laser and exercise program). Methods: A prospective cohort study of 145 volunteers receiving treatment for CLBP in a physiotherapy unit was conducted using random systematic sampling. The intervention was assessed by comparing pre-treatment, post-treatment and six-month measurements with Friedman’s test and the Bonferroni correction, using the pain numerical rating scale (PNRS), Roland–Morris disability questionnaire (RMDQ), EuroQol-5-dimension-5-level (EQ-5D-5L), Hospital Anxiety and Depression Scale (HADS) and Somatic Symptom Scale-8 (SSS-8). Multiple linear regression analysis was carried out to determine the impact of demographics and pre-treatment scores with scores at six months. Results: The mean age was 60.6 years (±14.7). Post-treatment, statistically significant improvements were observed across all outcome measures, including PNRS, RMDQ, EQ-5D-5L and SSS-8 (all p ≤ 0.001), with anxiety showing a notable reduction (p = 0.002). After examining the multiple regression analysis, pre-treatment SSS-8 emerged as a predictor of elevated levels of pain, disability, anxiety and depression at 6 months. Conclusions: The findings yielded not only somatic symptom burden, greater age and pain intensity as prognostic indicators for poor outcomes at six months, but also reported favorable medium-term effects for a conventional physiotherapy regimen in CLBP management, as well. Full article
(This article belongs to the Special Issue Musculoskeletal Pain and Rehabilitation)
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14 pages, 2258 KB  
Article
Impact of Panax notoginseng Residue on Rumen Microbial Community, Blood Biochemical Parameters and Growth Performance in Cattle: A Preliminary Study on Its Potential as a Feed Resource
by Dongwang Wu, Kai Wang, Ying Lu, Zhendong Gao, Yuqing Chong, Jieyun Hong, Jiao Wu, Weidong Deng, Xiaoming He and Dongmei Xi
Animals 2025, 15(6), 788; https://doi.org/10.3390/ani15060788 - 11 Mar 2025
Viewed by 728
Abstract
This study aimed to investigate the effects of adding different proportions of Panax notoginseng residue (PNR) to the diet on the rumen microbial community structure, blood biochemical indices, and growth performance of Wenshan cattle. Fifteen Wenshan cattle with an average weight of 392.30 [...] Read more.
This study aimed to investigate the effects of adding different proportions of Panax notoginseng residue (PNR) to the diet on the rumen microbial community structure, blood biochemical indices, and growth performance of Wenshan cattle. Fifteen Wenshan cattle with an average weight of 392.30 ± 22.57 kg were randomly divided into three groups, a control group, a 3% PNR group, and a 6% PNR group, with five cattle in each group, for a 100-day feeding trial. The results show that adding PNR to the diet modulates the abundance and diversity of rumen microorganisms in Wenshan cattle, primarily affecting the relative abundances of key bacterial phyla such as Firmicutes, Proteobacteria, and Bacteroidetes. At the genus level, the relative abundances of Fibrobacter and Butyrivibrio exhibited trends of either decreasing and then increasing or increasing then decreasing with the amount of PNR added, indicating a complex regulatory effect of PNR on the rumen microbial community. The addition of PNR decreased blood glucose and blood lipid levels in Wenshan cattle. Moreover, PNR addition also increased the average daily weight gain of Wenshan cattle, demonstrating its positive effect on enhancing growth performance. In summary, PNR, as a feed resource, has potential application value in the feeding of Wenshan cattle. It not only regulates the rumen microbial community structure and improves metabolic health but also effectively enhances animal growth performance. Full article
(This article belongs to the Section Animal Nutrition)
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27 pages, 4269 KB  
Article
A Self-Supervised Method for Speaker Recognition in Real Sound Fields with Low SNR and Strong Reverberation
by Xuan Zhang, Jun Tang, Huiliang Cao, Chenguang Wang, Chong Shen and Jun Liu
Appl. Sci. 2025, 15(6), 2924; https://doi.org/10.3390/app15062924 - 7 Mar 2025
Cited by 1 | Viewed by 2099
Abstract
Speaker recognition is essential in smart voice applications for personal identification. Current state-of-the-art techniques primarily focus on ideal acoustic conditions. However, the traditional spectrogram struggles to differentiate between noise, reverberation, and speech. To overcome this challenge, MFCC can be replaced with the output [...] Read more.
Speaker recognition is essential in smart voice applications for personal identification. Current state-of-the-art techniques primarily focus on ideal acoustic conditions. However, the traditional spectrogram struggles to differentiate between noise, reverberation, and speech. To overcome this challenge, MFCC can be replaced with the output from a self-supervised learning model. This study introduces a TDNN enhanced with a pre-trained model for robust performance in noisy and reverberant environments, referred to as PNR-TDNN. The PNR-TDNN employs HuBERT as its backbone, while the TDNN is an improved ECAPA-TDNN. The pre-trained model employs the Canopy/Mini Batch k-means++ strategy. In the TDNN architecture, several enhancements are implemented, including a cross-channel fusion mechanism based on Res2Net. Additionally, a non-average attention mechanism is applied to the pooling operation, focusing on the weight information of each channel within the Squeeze-and-Excitation Net. Furthermore, the contribution of individual channels to the pooling of time-domain frames is enhanced by substituting attentive statistics with multi-head attention statistics. Validated by zhvoice in noisy conditions, the minimized PNR-TDNN demonstrates a 5.19% improvement in EER compared to CAM++. In more challenging environments with noise and reverberation, the minimized PNR-TDNN further improves EER by 3.71% and 9.6%, respectively, and MinDCF by 3.14% and 3.77%, respectively. The proposed method has also been validated on the VoxCeleb1 and cn-celeb_v2 datasets, representing a significant breakthrough in the field of speaker recognition under challenging conditions. This advancement is particularly crucial for enhancing safety and protecting personal identification in voice-enabled microphone applications. Full article
(This article belongs to the Section Computing and Artificial Intelligence)
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20 pages, 4133 KB  
Article
Paradoxical Response to Neoadjuvant Therapy in Undifferentiated Pleomorphic Sarcoma: Increased Tumor Size on MRI Associated with Favorable Pathology
by Mariam H. Goreish, Nicolò Gennaro, Laetitia Perronne, Gorkem Durak, Amir A. Borhani, Hatice Savas, Linda Kelahan, Ryan Avery, Kamal Subedi, Tugce Agirlar Trabzonlu, Ulas Bagci, Baris Turkbey, Spyridon Bakas, Sean Sachdev, Ronen Sumagin, Borislav A. Alexiev, Pedro Hermida de Viveiros, Seth M. Pollack and Yuri S. Velichko
Cancers 2025, 17(5), 830; https://doi.org/10.3390/cancers17050830 - 27 Feb 2025
Viewed by 1149
Abstract
Background/Objectives: To correlate size changes in undifferentiated pleomorphic sarcoma (UPS) on magnetic resonance imaging (MRI) after neoadjuvant chemoradiation therapy (nCRT) with pathological response, risk of local recurrence, and therapeutic regimens. Methods: This retrospective study analyzed clinical, pathological, and imaging data from [...] Read more.
Background/Objectives: To correlate size changes in undifferentiated pleomorphic sarcoma (UPS) on magnetic resonance imaging (MRI) after neoadjuvant chemoradiation therapy (nCRT) with pathological response, risk of local recurrence, and therapeutic regimens. Methods: This retrospective study analyzed clinical, pathological, and imaging data from 39 biopsy-proven UPS subjects. Four readers measured the tumor dimensions before and after nCRT, including two perpendicular axial diameters and the longest coronal/sagittal diameter. Three cross-sectional areas and bounding volume were also calculated. Responders (pR) were defined as having ≤10% viable cells and non-responders (pNR) as having more. Inter-reader agreement was evaluated using Kendall’s concordance coefficient. Changes in tumor size were compared between pR and pNR using one-way ANOVA and Tukey’s HSD test for multiple comparisons of means. Results: pR showed a greater increase in size across all measurements compared to pNR. For the longest axial diameter, the mean increase was 30% ± 35% for pR and 14% ± 31% for pNR, with a mean difference (pR-pNR) of 16% (95% CI: 6–27%, p = 0.003). In tumors treated with radiotherapy alone, pR exhibited larger size increases in all dimensions compared to pNR. In contrast, in the chemoradiation group, pR showed a slight increase, while pNR generally shrank, although these differences did not reach statistical significance. Notably, pNR with local recurrence exhibited a reduction in all tumor dimensions compared to pNR without local recurrence. Conclusions: This exploratory study suggests that tumor size changes may predict pathological response and local recurrence after nCRT in UPS; however, the small sample size limits the generalizability of these findings. Full article
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10 pages, 333 KB  
Article
Efficacy and Safety of Omalizumab and Dupilumab in Pediatric Patients with Skin Diseases: An Observational Study
by Francesca Galletta, Ludovica Rizzuti, Stefano Passanisi, Emanuela Rosa, Lucia Caminiti and Sara Manti
J. Pers. Med. 2025, 15(2), 64; https://doi.org/10.3390/jpm15020064 - 7 Feb 2025
Viewed by 1943
Abstract
Background: Chronic spontaneous urticaria (CSU) and moderate-to-severe atopic dermatitis (AD) are significant challenges in pediatric populations, negatively impacting quality of life (QoL). Biologic therapies, including omalizumab and dupilumab, showed considerable promise for patients unresponsive to conventional treatments. This study evaluated the real-life efficacy [...] Read more.
Background: Chronic spontaneous urticaria (CSU) and moderate-to-severe atopic dermatitis (AD) are significant challenges in pediatric populations, negatively impacting quality of life (QoL). Biologic therapies, including omalizumab and dupilumab, showed considerable promise for patients unresponsive to conventional treatments. This study evaluated the real-life efficacy and safety of these biologics in pediatric CSU and AD patients. Methods: A retrospective, monocentric study was conducted enrolling pediatric patients (aged 6–18 years) followed at the “G. Martino” Hospital, University of Messina. This study included patients with CSU unresponsive to antihistamines and those with moderate-to-severe AD refractory to topical therapies. Disease severity and treatment efficacy were evaluated using the Urticaria Activity Score 7 (UAS7) for CSU, the Eczema Area and Severity Index (EASI) for AD, and QoL metrics, including the Dermatology Life Quality Index (DLQI) and numerical rating scales, for pruritus (p-NRS) and sleep (s-NRS), at baseline, 16 weeks, and 52 weeks. Safety was assessed through the monitoring of reported adverse events (AEs). Results: Omalizumab significantly reduced UAS7 scores by 71.9% at 16 weeks and 75.3% at 52 weeks (p < 0.001), with concurrent improvements in c-DLQI. Dupilumab reduced the EASI score by 75.3%, p-NRS by 40%, and s-NRS by 52.9% over 52 weeks, with c-DLQI improving by 72.6%. No severe AEs were observed; mild reactions included injection-site erythema and respiratory symptoms. Conclusions: Omalizumab and dupilumab demonstrated significant efficacy in reducing disease severity and improving QoL in pediatric patients with CSU and AD. Moreover, their safety profile underscores their potential as essential treatments for these conditions. Full article
(This article belongs to the Section Personalized Therapy in Clinical Medicine)
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16 pages, 746 KB  
Article
Bronchiolitis Severity Affects Blood Count and Inflammatory Marker Levels: A Real-Life Experience
by Antonella Gambadauro, Salvatore Mollica, Emanuela Rosa, Federica Xerra, Alessandra Li Pomi, Mariella Valenzise, Maria Francesca Messina, Agata Vitale, Eloisa Gitto, Malgorzata Wasniewska, Giuseppina Zirilli and Sara Manti
Viruses 2025, 17(1), 77; https://doi.org/10.3390/v17010077 - 9 Jan 2025
Viewed by 1958
Abstract
Background: Bronchiolitis is the most common cause of lower respiratory tract infection (LRTI) in the first year of life. We analyzed the association between complete blood count (CBC), c-reactive protein (CRP), and novel inflammatory indexes (NLR, PLR, MLR, ELR, LMR, NPR, LPR, LNR, [...] Read more.
Background: Bronchiolitis is the most common cause of lower respiratory tract infection (LRTI) in the first year of life. We analyzed the association between complete blood count (CBC), c-reactive protein (CRP), and novel inflammatory indexes (NLR, PLR, MLR, ELR, LMR, NPR, LPR, LNR, PNR, SII, SIRI) in predicting bronchiolitis severity at hospital admission. Methods: We retrospectively collected data from 95 infants hospitalized for bronchiolitis in a third-level hospital during three epidemic seasons. Five outcomes of severity were analyzed: BRAS; pediatric intensive care unit (PICU) admission; ventilatory support; intravenous (IV) rehydration; and length of stay (LOS). Results: Lower age and weight at admission were statistically associated with four of the five severity outcomes. Prolonged LOS (≥6 days) was associated with high values of total white blood cells, lymphocytes, and eosinophils. Only three inflammatory indexes (PLR, MLR, and PNR) showed a significant association with one outcome (prolonged LOS). A new index (RBC/AiW/1000) was statistically associated with each severity outcome for a value > 350. Conclusions: We proposed a comprehensive analysis of the association between CBC, CRP, and novel inflammatory indexes and bronchiolitis severity. RBC/AiW/1000 could represent a future predictive marker of disease severity at hospital admission in infants with bronchiolitis. Full article
(This article belongs to the Section Human Virology and Viral Diseases)
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14 pages, 1907 KB  
Article
A Study on the Characteristics of Nitrification and Denitrification of Three Small Watersheds During the Wet and Dry Seasons with Various Sources of Pollution: A Case Study of the Jinjing Basin
by Lingling Tong, Murni Karim, Fatimah M. Yusoff, Ahmad Zaharin Aris, Ahmad Fikri Abdullah, Feng Liu, Dejun Li and Puvaneswari Puvanasundram
Agriculture 2024, 14(12), 2330; https://doi.org/10.3390/agriculture14122330 - 20 Dec 2024
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Abstract
Nitrogen cycling in freshwater ecosystems is critical for maintaining water quality, and understanding the processes of nitrification and denitrification is essential for effective nitrogen management, particularly in areas with diverse pollution sources. This study investigated the nitrification and denitrification processes in three tributaries [...] Read more.
Nitrogen cycling in freshwater ecosystems is critical for maintaining water quality, and understanding the processes of nitrification and denitrification is essential for effective nitrogen management, particularly in areas with diverse pollution sources. This study investigated the nitrification and denitrification processes in three tributaries of the Jinjing River—Tuojia (agricultural), Jinjing (residential), and Guanjia (woodland)—during both the wet and dry seasons. The potential nitrification rates (PNRs) and potential denitrification rates (PDNRs) were measured across these sites. The highest rates were observed in Tuojia during the wet season, with the PNR reaching 39.7 μg·kg−1 h−1 and the PDNR reaching 3.25 mg·kg−1·h−1, while the rates were considerably lower in Jinjing and Guanjia. The ammonia-oxidizing archaea (AOA) abundance was higher than the ammonia-oxidizing bacteria (AOB) abundance at all sites, with Tuojia exhibiting the highest AOA abundance (5.9 × 10⁷ copies·g−1) during the wet season. The nitrate-nitrogen (NO₃-N) content was a key factor influencing denitrification, and the AOA abundance was significantly correlated with nitrification rates (r = 0.69; p < 0.05). These findings highlight the spatial and seasonal variability in nitrogen cycling and emphasize the importance of developing targeted nitrogen management strategies in regions with mixed land uses and pollution sources. Full article
(This article belongs to the Section Agricultural Water Management)
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