Search Results (5,315)

Subclinical coronary atherosclerosis (SCA) is an early stage of coronary artery disease (CAD) that often goes unrecognized until clinical events occur. Identifying circulating molecular biomarkers could improve early diagnosis and risk assessment in asymptomatic individuals. This study employed a two-phase approach to identify plasma extracellular vesicle (EV)-derived microRNAs (miRNAs) associated with SCA. In the discovery phase, plasma samples from male participants were analyzed using Affymetrix GeneChip miRNA 4.0 microarrays. Differentially expressed miRNAs were refined through bioinformatic analysis, cross-species comparison with murine data, and target gene prediction. In the validation phase, six candidate miRNAs were quantified by RT-qPCR in an independent cohort. Six miRNAs were differentially expressed between individuals with SCA and controls. Among these, the combination of miR-146b-5p, miR-4701-3p, and miR-1180-3p demonstrated a high discriminative capacity for SCA (AUC = 0.8281; sensitivity = 93.75%; specificity = 93.75%). Functional enrichment analysis revealed that predicted target genes are involved in key atherosclerosis-related pathways, including inflammation, lipid metabolism, and vascular remodeling. EV-derived miRNAs may serve as non-invasive biomarkers for the early detection of coronary atherosclerosis. These findings provide insight into the molecular processes underlying subclinical vascular disease and support the integration of EV-associated miRNAs into preventive cardiology strategies. Full article

This study presents a combined experimental–numerical methodology to calibrate the mechanical behavior of an advanced high-strength steel (AHSS) with transformation-induced plasticity (TRIP) effects, incorporating both initial plastic anisotropy and ductile damage. The investigated TRIP 780 grade, widely used in the automotive industry for its exceptional strength–ductility balance, exhibits a complex deformation response that demands accurate constitutive modeling for reliable sheet metal forming simulations. The methodology minimizes the number of required specimen geometries without compromising accuracy. Three flat-sheet specimens were employed: standard uniaxial tension (UT) and two double-notched designs reproducing intermediate (ID) and plane strain (PS) modes. Experiments combined digital image correlation with finite element analysis. Hill’s 48 quadratic yield criterion captured the initial anisotropy of the TRIP 780 sheet, while the parameters of a phenomenological ductile damage model were calibrated from the experimental data. The TRIP effect under UT was quantified by X-ray diffraction, showing a decrease in retained austenite from 9.9% (as-received) to 3.2% at 21% equivalent plastic strain. Fractography revealed damage initiation dominated by void nucleation at phase boundaries. The proposed approach yielded stress–strain predictions with R² values exceeding 0.99. This simplified approach offers a cost-effective and experimentally feasible framework for constitutive modeling of AHSS grades, enabling practical applications in advanced sheet forming simulations. Full article

Background: Suicidal ideation and attempts are major public health concerns among young adults, particularly those in demanding academic settings. Medical students exhibit disproportionately high rates compared to peers in the general population and other fields of study, highlighting the urgent need to understand and address mental health challenges in medical education. Objective: This scoping review summarizes evidence from systematic reviews and meta-analyses on the prevalence and risk factors of suicidal ideation and suicide attempts among medical students worldwide. Methods: Following PRISMA-ScR guidelines, six databases were searched for peer-reviewed reviews published in the last ten years. Studies focused exclusively on medical students and reporting prevalence or risk factors of suicidal ideation or attempts were included. Data were charted on prevalence, risk factors, study characteristics, and recommendations. Results: Twelve reviews comprising 378,081 medical students were included. Lifetime prevalence of suicidal ideation ranged from 2.9% to 53.6% among the systematic reviews, with pooled estimates from meta-analyses ranging from 11% and 25%. Attempted suicide pooled prevalences ranged from 1.64% to 8%. Depression was frequently reported as the most significant risk factor for both suicidal ideation and attempts. Other significant risk factors for suicidal ideation included anxiety, burnout, female gender, financial strain, and academic stress. Suicidal ideation was higher during the COVID-19 pandemic and among clinical-phase students. Gender differences in suicide attempts were inconsistent. Medical students’ rates of suicidal behavior exceeded those of other university students. Conclusion: Suicidal behavior remains a critical mental health issue for medical students globally. Despite known risk factors, targeted interventions are limited. Future research should emphasize longitudinal studies, post-pandemic effects, regional gaps, and intervention development. Implications are discussed. Full article

Terephthalic acid (TPA), a major monomer of polyethylene terephthalate (PET), represents a significant challenge in plastic waste management due to its persistence in the environment. In this study, we report a newly developed bacterial consortium capable of using TPA as the sole carbon source in a defined mineral medium. The consortium achieved stationary phase within five days and metabolized approximately 85% of the available TPA. Metabolite analysis by high-performance liquid chromatography (HPLC) and liquid chromatography tandem mass spectrometry (LC-MS/MS) revealed the activation of the benzoate degradation pathway during TPA catabolism. Additionally, the consortium secreted commercially relevant metabolites such as cis,cis-muconic acid and catechol into the culture medium. Genetic profiling using a reverse transcription quantitative polymerase chain reaction (RT-qPCR) and 16S rRNA sequencing identified Paraburkholderia fungorum as the dominant species, suggesting it plays a key role in TPA degradation. The ability of this microbial community to efficiently convert TPA into high-value by-products offers a promising and potentially economically sustainable approach to addressing plastic pollution. Full article

Asphalt is widely used as a binder in pavement engineering. The temperature-dependent phase transition behavior of asphalt binders critically influences pavement performance. This study comprehensively evaluates phase transition characteristics to establish robust performance indicators. Dynamic mechanical analysis (DMA) was employed to characterize 30 neat asphalt binders across a broad temperature range. Phase transition temperatures and moduli were derived from complex and loss modulus curves. Correlations with saturate, aromatic, resin, and asphaltene (SARA) fractions and conventional properties (penetration, viscosity, ductility) were statistically analyzed. The results revealed significant performance variations among binders of identical penetration grades. T_g effectively differentiated low-temperature behavior, overcoming empirical limitations. High-temperature indicators (T₂, E₂₀) strongly correlated with viscosity (R² > 0.96). SARA analysis showed that saturates reduced T_g (r = −0.566) while asphaltenes increased E₂₀ (r = 0.804). Multiple regression models confirm synergistic interactions among SARA fractions, although low-temperature indices exhibit a weaker dependence on composition. DMA-derived phase transition parameters provide physically meaningful performance indicators, superior to conventional metrics. Incorporating T_g and T₂/E₂₀ into grading systems can enhance asphalt selection for thermal susceptibility, advancing pavement durability design. Full article

Background/Objectives: Probiotic interventions can alleviate gastrointestinal (GI) discomfort, but evidence comparing multi-strain combinations at different doses remains limited. We evaluated whether formulation potency influences clinical and microbiome outcomes. Methods: In a 4-week, randomized, double-blind trial, 100 eligible adults received one of two higher-dose multi-strain probiotic formulations at different dosages (Wec120B vs Wec300B). Weekly Gastrointestinal Symptom Rating Scale (GSRS) scores tracked symptom trajectories. Gut microbiota composition and diversity were profiled by 16S rRNA gene sequencing. Biomarkers included lipopolysaccharide (LPS), fecal calprotectin (FC), and immunoglobulin A (IgA). Results: Results indicated that the Wec120B group showed more significant improvement in abdominal pain during the early phase of intervention, while the Wec300B group was more effective in relieving reflux symptoms. In terms of biomarkers, Wec120B was more effective in reducing lipopolysaccharide (LPS) levels, whereas Wec300B showed a greater increase in immunoglobulin A (IgA) and a more pronounced reduction in fecal calprotectin (FC) levels. Both formulations significantly increased the abundance of beneficial genera such as Bifidobacterium, Blautia, [Eubacterium]_hallii_group, and Anaerostipes, while suppressing the growth of potential pathogens including Prevotella and Escherichia-Shigella. Conclusions: These findings suggest that both compound probiotic products can significantly improve GI symptoms and modulate gut microbiota structure, with Wec300B showing a superior performance in microbial regulation, likely due to its higher dosage of probiotics. This study provides reference evidence for the rational application of probiotic products in gut health management. Full article

Background: Cardiovascular disease (CVD) is the leading cause of mortality in obese patients with type 2 diabetes mellitus (T2DM). Conventional biomarkers often fail to detect early endothelial dysfunction and oxidative stress. Haptoglobin (Hp), an acute-phase protein with antioxidant and hemoglobin-binding properties, may indicate vascular injury. While plasma Hp (pl-Hp) reflects systemic inflammation, urinary Hp (u-Hp) could signal renal and microvascular damage. We hypothesize that elevated u-Hp and altered pl-Hp levels are associated with increased oxidized LDL and may serve as sensitive indicators of early vascular injury, thereby identifying obese patients with T2DM at higher cardiovascular risk. This study aims to investigate the associations between u-Hp, pl-Hp, and oxidized LDL (ox-LDL) in obese patients with T2DM, and to evaluate the potential role of Hp as an early biomarker of cardiovascular risk in this high-risk population. Methods and Results: The study included 57 patients with T2DM (mean age 61 ± 10 years, HbA1c 8.66 ± 1.60%, and BMI 35.15 ± 6.65 kg/m²). Notably, 95% of the patients had hypertension, 82% had dyslipidemia, and 59% had an estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m². Pl-Hp and u-Hp concentrations, as well as ox-LDL levels, were assessed using an enzyme-linked immunosorbent assay (ELISA). Correlations and multivariate regression analyses were employed to investigate the associations between Hp, ox-LDL, and clinical cardiovascular risk factors. Pl-Hp was positively correlated with ox-LDL (r = 0.358, p < 0.006) and negatively correlated with C-reactive protein (CRP) (r = −0.364, p < 0.013), while u-Hp correlated positively with HbA1C and apoB levels (r = 0.298, p < 0.030 and r = 0.310, p < 0.021, respectively). Multivariate analysis indicated that pl-Hp, but not u-Hp, was independently associated with ox-LDL (β = 0.536, p < 0.027) after adjusting for potential confounding factors, including age, gender, BMI, HbA1c, liver enzymes, hs-CRP and creatinine. The Stepwise analysis identified IL-6 as the most significant predictor of cardiovascular disease risk, suggesting its pivotal role in subclinical vascular inflammation among obese individuals with T2DM. Furthermore, the significant positive association between pl-Hp and ox-LDL was stronger in patients with declining renal function as expressed by the estimated glomerular filtration rate (eGFR) (eGFR < 30 mL/min/1.73 m²: β = 2.173, p < 0.031 and eGFR 30–59 mL/min/1.73 m²: β = 1.318, p < 0.002). This association also appeared in early and low-normal ranges of serum albumin: creatinine ratio (s-ACR) (s-ACR < 0.2714 mg/mmol: β = 2.304, p < 0.005 and s-ACR 0.2714–0.3649 mg/mmol: β = 1.000, p < 0.041), suggesting that pl-Hp and ox-LDL rise before overt kidney damage. Elevated IL-6 (≥32.93 pg/mL) further strengthened this link (β = 1.037, p < 0.005), highlighting the role of inflammation in amplifying oxidative stress and acute-phase responses. Conclusions: Taken together, these findings emphasize the interconnected contributions of renal impairment, inflammation, and oxidative stress to vascular injury. While these results need to be confirmed in larger prospective longitudinal studies, monitoring pl-Hp levels in conjunction with inflammatory and kidney function markers could be a sensitive and non-invasive way to identify early CVD risk in high-risk groups, such as obese patients with T2DM. Full article

Fibromyalgia (FM) is a complex chronic syndrome characterized by widespread pain, fatigue, and gastrointestinal complaints. Clinical observations and preliminary metabolomic data suggest a possible link between symptom severity and intestinal dysbiosis, including fungal overgrowth. This study investigates whether a carb-free oloproteic diet can beneficially modulate the gut microbiota in FM patients. Thirty-four female patients with diagnosed FM were enrolled in a controlled, parallel-arm nutritional intervention. Group FM1 (n = 22) followed a 45-day carb-free oloproteic diet followed by a 45-day low-glycemic (LOGI) diet. Group FM2 (n = 12) received a continuous LOGI diet for 90 days. They were collected at baseline (T0), after 45 days (T45), and at 90 days (T90). Microbial profiles were analyzed by 16S and 18S rRNA gene sequencing to assess bacterial and fungal composition. In FM1, the oloproteic phase led to a marked reduction in fungal abundance (Ascomycota) and an increase in butyrate-producing bacteria such as Faecalibacterium and Roseburia. These changes were partially reversed after the LOGI phase. In FM2, no significant microbiota shifts were observed. Clinical improvements paralleled microbiota modulation only in FM1. The carb-free oloproteic diet may support gut microbial rebalancing in FM, particularly through transient suppression of fungal overgrowth. These findings support further investigation into nutritional strategies targeting dysbiosis in FM management. Full article

Background: This cross-sectional study was conducted among adult Omani patients with a confirmed laboratory diagnosis of COVID-19 to determine the prevalence of dizziness, tinnitus and headache in the pre-, during and post-COVID-19 recovery phases. Methodology: The characteristics and severity of symptoms of dizziness, tinnitus and headache in the above three phases were determined by telephone interviews. The severity of symptoms was recorded using the visual analog score. Results: The total number of patients selected was n = 102 (M/F 50/50%; overall mean age = 33.52 ± 3.6 years). The pre-COVID-19 prevalence of dizziness was 16%, tinnitus 13% and headache 53%. During COVID, the prevalence of dizziness increased to 41%; for tinnitus, it remained the same; and for headache, it increased to 73%. Compared to the lower age group category (30–32 years); the pre-COVID-19 prevalence of dizziness was significantly higher in the 33–40 years age group. The severity of symptoms showed a significant correlation in different phases, pre- and post-COVID-19, for dizziness (r = 0.556), tinnitus (r = 0.714) and headache (r = 0.696), and tinnitus during and post-COVID-19 (r = 0.570). Conclusion: The prevalence of dizziness, tinnitus and headaches was high in COVID-19 patients. All symptoms pre-COVID-19 and during COVID-19 persisted post-COVID-19. Full article

Plant Parasitic Nematodes (PPNs), such as Meloidogyne incognita, cause significant agricultural losses worldwide. Conventional nematicides like methyl bromide are being phased out due to environmental and health concerns, prompting the search for safer alternatives. In previous studies, chalcones 17, 25, and 30, flavonoid compounds, were shown to effectively kill the model nematode Caenorhabditis elegans at concentrations of 10⁻⁴ M. However, the potential of these chalcones to act synergistically at lower concentrations has not been explored. In this study, the nematicidal efficacy of chalcones 17, 25, and 30 was evaluated individually and in combination at concentrations as low as 10⁻⁶ M. The results demonstrate a strong synergistic effect, with combinations achieving 90–100% mortality in C. elegans within 3 days. Additionally, the combination index method revealed significant toxic effects against M. incognita with chalcones 17 and 30 in binary and ternary combinations. To assess the effects of these chalcones on nontarget organisms, chalcones were also tested for antimicrobial activity against soil bacteria; analysis of soil microbiota using 16S rRNA sequencing indicated that chalcones did not significantly disrupt microbial populations. Furthermore, tests on human pluripotent stem cells (hPSCs) reveal no major effects on the viability of these cells at concentrations as high as the concentrations needed to kill nematodes. These findings highlight the potential of chalcones 17, 25, and 30 for effective nematode control without harming soil bacteria or human cells. Full article

Inorganic lead halide perovskite semiconductor materials exhibit great potential in the optoelectronic field due to their excellent optical and electrical properties. However, lead toxicity and limited material stability hinder their commercial applications. Consequently, the pursuit of non-toxic, stable alternatives is imperative for the sustainable development of halide-perovskite semiconductors. Non-toxic germanium-based halide perovskites, as promising candidates, have attracted considerable attention. Here, we present a systematic first-principles investigation of the structural, electronic, elastic, and optical properties of cost-effective germanium-based halide perovskites NaGeX₃ (X = Cl, Br, I). Energy and phonon-spectrum calculations demonstrate that NaGeX₃ with the R3c space group exhibits the highest structural stability, rather than the commonly assumed cubic phase. Hybrid functional calculations reveal that the band gaps of R3c NaGeX₃ decrease monotonically with increasing halogen radius, that is, 4.75 eV (NaGeCl₃) → 3.76 eV (NaGeBr₃) → 2.69 eV (NaGeI₃), accompanied by a reduction in carrier effective masses. Additionally, mechanically stable R3c NaGeX₃ exhibits lower hardness and ductility than that of the cubic phase. Optical properties indicate that NaGeX₃ materials have strong absorption coefficients (>10⁶ cm⁻¹) and low loss in the photon energy range of 9–11 eV, suggesting that such cost-effective germanium-based halide perovskites can be used in various optoelectronic devices in the ultraviolet region. Full article

Yerba mate (Ilex paraguariensis) is widely consumed in South America and is valued for its bioactive compounds, such as polyphenols and methylxanthines. However, during traditional processing, mainly in the fire-based scorch and drying steps, polycyclic aromatic hydrocarbons (PAHs) and anthraquinone (AQ), substances with carcinogenic potential, may be formed. This study aimed to develop and validate an analytical method based on the balls-in-tube matrix solid-phase dispersion technique (BiT-MSPD) and analysis by gas chromatography with mass spectrometry (GC-MS) for the simultaneous determination of 16 priority PAHs and AQ in yerba mate. Parameters such as sorbent type, solvent, sample-to-sorbent ratio, and extraction time were optimized. The method showed good linearity (r² > 0.99), detection limits between 1.8 and 3.6 µg·kg⁻¹, recoveries ranging from 70 to 120%, and acceptable precision (RSD ≤ 20%). The method was applied to 31 yerba mate samples, including 20 commercial samples and 11 collected at different stages of processing. Most commercial samples showed detectable levels of PAHs, with some exceeding the limits established by the European Union. AQ was detected in 40% of the samples, with some values above the permitted limit of 20 µg·kg⁻¹. The results confirm that scorch (sapeco) and drying contribute to contaminant formation, highlighting the need to modernize industrial processing practices. The proposed method proved to be effective, rapid, and sustainable, representing a promising tool for the quality control and food safety monitoring of yerba mate. Full article

Hospital design plays a pivotal role in improving patient outcomes, enhancing clinical efficiency, and strengthening infection control. Since the outbreak of COVID-19, research in this field has expanded significantly, showing a marked trend toward interdisciplinary integration. In this study, bibliometric analysis was conducted using CiteSpace (version 6.2.R3) as the primary tool, with Excel and Tableau (version 2024.3) as supplementary software. A total of 877 documents on hospital design published between 1932 and 2025 were retrieved from the Web of Science Core Collection and analyzed from multiple perspectives. The analysis examined publication trends, collaborative networks, co-citation structures, disciplinary evolution, and keyword dynamics. The results indicate that the field has entered a phase of rapid development since 2019. Global collaboration networks are becoming increasingly multipolar; yet, institutional and author-level connections remain decentralized, with relatively low overall density. Evidence-based design (EBD) continues to serve as the theoretical foundation of the field, while emerging themes such as healing environments, biophilic design, and patient-centered spatial strategies have become major research hotspots. Increasingly, the field reflects deeper integration across disciplines, including architecture, medicine, nursing, and environmental science. This study provides a clearer picture of the developmental trajectory, knowledge base, and future directions of hospital design research, offering systematic insights and theoretical guidance for both scholars and practitioners. Full article

Global climate change mitigation has prompted the construction sector to pursue decarbonization strategies, with timber structures offering significant carbon reduction potential. Wood serves as a sustainable material that sequesters carbon during growth while reducing emissions across the entire construction supply chain. Robotic construction of timber structures is increasingly promoted as a low-carbon, intelligent alternative for small- and medium-scale projects, yet the energy consumption and environmental impacts of robotic automated assembly using self-tapping screws remain understudied. This study presents a construction-phase life-cycle assessment (LCA) of an innovative vertically mobile robotic construction system for automated timber structure. The system integrates a KUKA KR 6 R900 (KUKA Robotics Corporation, Augsburg, Germany) six-axis robot with an electrically actuated lifting platform and specialized end-effector, enabling fully autonomous assembly of a Layered Interlaced Timber Arch-Shell (LITAS) structure using Hinoki cypress timber and self-tapping screws. This research provides the first comprehensive LCA dataset for robotic screw-fastened timber construction and establishes a replicable framework for sustainable automated building practices, with methodology scalability enabling application to diverse timber construction scenarios and advancing intelligent and decarbonized transformation in the construction industry. Full article

Chlorogenic acid (CGA)-rich extracts from Eucommia ulmoides Oliver (CAE) are known for their gut health and antioxidant benefits in livestock. This study examines the effects of CAE supplementation during the peri-implantation period on sow reproductive performance and the gut microbiota. Sixty Dongliao black sows were randomized to receive either no supplementation (control) or CAE at 600 or 2000 mg/kg daily from gestation day −5 through day 15. High-dose CAE intake significantly increased total antioxidant capacity (T-AOC), superoxide dismutase (SOD), catalase (CAT), immunoglobulin A (IgA), and immunoglobulin M (IgM) levels in sow serum but decreased malondialdehyde (MDA) levels. Fecal short-chain fatty acids (SCFAs) also increase significantly. These changes correlate with improved reproductive performance, including a larger litter size, higher numbers of live-born piglets, a greater individual birth weight of live-born piglets, a higher total litter birth weight of live-born piglets, and a lower mortality rate. 16S rRNA sequencing of the fecal microbiota revealed that CAE markedly altered microbial diversity and composition, reducing the abundance of potentially harmful bacteria but increasing the abundance of beneficial bacteria. In conclusion, supplementation with CAE during the peri-implantation phase can reduce oxidative stress, alter the gut microbiota composition, and improve sow reproductive performance, thus potentially increasing breeding farm profitability. Full article