Search Results (2,528)

Background: The recently proposed Staging of Airflow Obstruction by Ratio (STAR) system classifies severity based on the FEV₁/FVC ratio, potentially offering improved prognostic performance. This study aimed to evaluate the prognostic performance of STAR in patients hospitalized for COPD exacerbation. Methods: A retrospective observational single-center study was conducted including COPD patients who were discharged after hospitalization for a severe exacerbation at a university hospital. The clinical and spirometric data in a stable condition, GOLD classification, STAR system, and mortality outcomes were recorded. Results: A total of 197 patients (23% female) were included. The follow-up was performed for a minimum of 38 months or until death if it occurred earlier. During the study period, 91 patients died (46%). Patients were distributed according to the STAR classification as follows: 21% in STAR 1, 32% in STAR 2, 28% in STAR 3, and 19% in STAR 4. The agreement between STAR and GOLD was fair (Cohen’s kappa = 0.28), with a moderate correlation (Tau-b = 0.49, p < 0.001). STAR grades 2 to 4 demonstrated progressively increasing mortality, while STAR grade 1 showed a mortality similar to grade 2. STAR showed a trend toward a superior discrimination for mortality than GOLD (AUC 0.63 [95%CI 0.55–0.71] vs. 0.55 [0.47–0.63]; p = 0.055), although BODEx remained the most accurate predictor (AUC = 0.70 [0.63–0.77]). Conclusions: The STAR system effectively stratified the mortality risk among hospitalized COPD patients across grades 2 to 4. However, STAR grade 1 failed to differentiate patients with a lower risk. Although STAR may underestimate severity in individual patients with relatively preserved ratios, its integration into clinical evaluation could enhance prognostic assessments. Full article

The complex structures and diverse object categories in indoor environments pose significant challenges for point cloud semantic segmentation. To address the insufficient capability of extracting local features in complex scenes, this paper proposes a point cloud segmentation network based on neighborhood feature enhancement termed PKA-Net. First, to obtain richer and more discriminative feature representations, we design a local feature encoding module that extracts geometric features, color information, and spatial information from local regions of the point cloud for joint feature encoding. Furthermore, we enhance the hierarchical feature extraction by integrating Kolmogorov–Arnold Networks (KAN) to form the SAPK module, improving the network’s ability to fit complex geometric structures. A residual structure is also adopted to optimize feature propagation and alleviate the problem of gradient vanishing. Finally, we propose the dual attention mechanism C-MSCA, which dynamically selects and strengthens key features through the synergistic action of channel and spatial attention, enhancing the network’s perception of local details and global structure. To evaluate the performance of the proposed PKA-Net, extensive experiments were conducted on the S3DIS dataset. Experimental results demonstrate that PKA-Net improves OA by 2.1%, mAcc by 2.9%, and mIoU by 4% compared to the baseline model. It outperforms other mainstream models, delivering enhanced overall segmentation performance. Full article

Herbaria, originally books of medicinal plants, became collections of dried plants after 1500, later extending to seaweeds and supporting taxonomy and systematics. Digitalization has made herbaria accessible, and advances in DNA sequencing have transformed them into valuable resources for genetic research. Label data, which include place and date of collection, make exsiccata essential tools for biogeographic studies and conservation strategies, helping map biodiversity and protect endangered species. The historical Pierpaoli herbarium (MBMP) houses 584 seaweed specimens collected from the Ionian and Adriatic seas between 1920 and 1965. It has been digitized within the NPRR Project ITINERIS and the DiSSCo infrastructure. Floristic changes in the Mar Piccolo over three periods (1920–2024) and the Mar Grande (1920–1992) were compared using herbarium specimens, papers, and recent data. Mar Piccolo’s flora over a century revealed significant changes. Many historical species disappeared, while new ones appeared, including 14 non-indigenous species. The biogeographical composition also shifted, with Cosmopolitan and Indo-Pacific elements increasing. In the Mar Grande, less than half the species were found again in 1992. Evidently, phytobenthic communities underwent noticeable changes over a century, highlighting the impact of environmental shifts. This confirms that Natural Science Collections are invaluable resources for understanding our planet’s biodiversity and history. Full article

Background: Crisponi/cold-induced sweating syndrome (CS/CISS) is a rare autosomal recessive disorder characterized by severe neonatal manifestations including paroxysmal muscle contractions, tendency for hyperthermia, and feeding and swallowing difficulties with high neonatal mortality. Pathogenic variants in the Cytokine Receptor-Like Factor 1 (CRLF1) gene have been associated with CS/CISS. These variants result in a loss of function of the encoded protein, which disrupts the formation of a functional heterodimer with Cardiotrophin-Like Cytokine Factor 1 (CLCF1). This complex is essential for the development of autonomic and sensory nervous systems, as well as for bone remodeling. We report two patients affected by CS harboring pathogenic variants in the CRLF1 gene. Methods—case reports: The first patient was diagnosed postnatally, presenting with non-epileptic paroxysmal events characterized by opisthotonus and orofacial contractions. He survived beyond infancy, later developing scoliosis and persistent episodes of hyperthermia. In the second patient, a prenatal ultrasound at 20 weeks of gestation revealed bilateral camptodactyly, also referred to as the ‘horn’s sign’, raising early suspicion of CS. The diagnosis was subsequently confirmed both clinically and genetically. After birth, the infant developed severe dysphagia, apnea, and paroxysmal events not associated with epileptiform activity on EEG. Sanger sequencing identified a homozygous c.708_709delinsT frameshift variant in the CRLF1 gene. The patient died at 30 days of age due to respiratory failure. Results and conclusions: With this manuscript, we aim to further delineate the phenotypic spectrum of this rare condition and propose the ‘horn’s sign’ as a targeted prenatal marker for early diagnosis in populations with known founder mutations or familial risk factors. Full article

The sustainable management of winery residues could represent a cornerstone for promoting environmental and economic sustainability from a circular economy perspective. In this context, our study aimed to evaluate Vitis vinifera L. ‘Nero di Troia’ cultivar grape pomace as a valuable waste product for the cultivation of Pleurotus mushroom, in comparison with traditional wheat straw-based cultivation. Mushroom extracts were prepared through the eco-friendly microwave-assisted extraction technique, using green solvents with different polarity degrees. Total protein content, total polyphenol content, and antioxidant activity (FRAP and DPPH assays) were assessed for the water and EtOH hydrophilic extracts. Grape pomace often gave higher values than wheat straw, especially for the P. eryngii var. eryngii water extract protein content, which was 3.5-fold higher (0.68 ± 0.14 mg BSA/mL and 0.192 ± 0.025 mg BSA/mL, respectively). The ethyl acetate extracts of both mushroom species gave biologically relevant results in terms of inhibiting activity against acetylcholinesterase, an enzyme involved in the pathogenesis of Alzheimer’s disease (50% inhibitory activity at concentrations ≤ 1.5 mg/mL), thus paving the way for more in-depth investigation. The extract’s metabolic profile was investigated through GC-MS analysis. The results show that incorporating grape pomace into mushroom production represents a concrete step toward more sustainable biotechnological processes. Full article

Large-scale Mesozoic granites are widespread in the offshore area of eastern Shandong Province, China. This study aims to refine the granite classification and explore the degree of granite differentiation and ore-bearing potential in the study area. We conducted field investigations in Dazhushan, Xiaozhushan, and Laoshan plutons. The analytical methods included petrography, whole-rock geochemistry, Sr–Nd–Pb–Li isotopes, zircon U–Pb dating, in situ Hf isotopes, and microanalysis (LA-ICP-MS) of plagioclase. The results reveal high-silica (SiO₂ > 70%), highly differentiated (DI > 90) granites emplaced during the Early Cretaceous (113.12–121.78 Ma). Sr–Nd–Pb isotopes indicate magma derived from a crustal source (I_Sr = 0.7032–0.7242; εNd(t) = −12.45~−20.46). Critically, the spodumene-bearing Dazhushan granites exhibit high Li content with limited isotopic fractionation (δ⁷Li = 1.00–4.62‰; Li = 8.64–93 ppm), signaling high ore potential. In contrast, the Xiaozhushan granites are barren (δ⁷Li = 3.31–4.92‰; Li = 0.66–4.01 ppm). This study identified I-type (Laoshan) and I-S type (Dazhushan and Xiaozhushan) highly differentiated granites formed by plagioclase fractionation, with Dazhushan being the most promising for mineralization. Full article

Background: Acute heart failure (AHF) is a common cause of hospital admission with high morbidity and mortality. Up to one-third of AHF patients require rehospitalization during the first three months after discharge due to the nature of disease and the patient’s characteristics. In this regard, the first 3 months after an episode of decompensation of heart failure are called the “vulnerable” period. However, there is a gap in knowledge about the significance of this rehospitalization on heart failure course. The aim of the study is to evaluate impact on mortality of AHF rehospitalization during 3 months after hospital discharge on a retrospective registry with 3 year follow-up. Methods: Patients after AHF hospitalization episode between 1 December 2020 and 30 November 2023were monitored via electronical medical records for 3 year follow-up. All patients who survived after index hospitalization were included. The primary endpoint was all-cause mortality. COX-multiple regression was used to evaluate the impact of rehospitalization during 90 days after index discharge on outcomes. p values less than 0.05 were considered to be significant. Results: A cohort of 204 patients, 56.6% males, with an average age of 72 ± 13 years, were included in the study with medium follow-up of 22 ± 12 months. Within 3 months after discharge, 55 (27%) patients were rehospitalized for AHF, and 11 (5%) patients died. Patients who experienced a recurrent episode of AHF were characterized by a history of previous hospitalizations for AHF before inclusion (39 (71%) vs. 72 (48%); p = 0.005), the use of intravenous inotropic drugs (5 (9%) vs. 2 (1%); p = 0.007), higher initial doses of furosemide during index hospitalization (98 ± 46 vs. 82 ± 37; p = 0.01), and higher doses of furosemide at discharge (54 ± 41; 41 ± 33; p = 0.02). Left ventricular ejection fraction (LVEF), prevalence of atrial fibrillation (AF), diabetes mellitus (DM), and chronic kidney disease (CKD) did not differ between the groups. Over 3 years follow-up, 68 (33.2%) patients died, and cardiovascular mortality was 15.6% (32 patients). In multivariate COX-regression age (HR 1.04 [1.008–1.07]), heart rate (HR) on admission (HR 1.02 [1.004–1.03]), and hospitalization within the first 3 months after discharge were independent predictors of death (HR 2.21 [1.32–3.83]). Conclusions: Readmission for AHF within the first 3 months after discharge is an independent risk factor for all-cause cardiovascular mortality during 3 years follow-up. Full article

With the rapid development of airborne LiDAR and photogrammetric techniques, massive amounts of high-resolution 3D point cloud data have become increasingly available. However, extracting meaningful semantic information from such unstructured and noisy point clouds remains a challenging task, particularly in the absence of manually annotated labels. We present CGHP, a novel component-guided hierarchical progressive framework that addresses this challenge through a two-stage learning approach. Our method first decomposes point clouds into components using geometric and appearance consistency, constructing comprehensive geometric-appearance descriptors that capture shape, scale, and gravity-aligned distribution information to guide initial feature learning. These component-level features then undergo progressive growth through an adjacency-constrained clustering algorithm that gradually merges components into object-level semantic clusters. Extensive experiments on publicly available point cloud datasets S3DIS and ScanNet++ datasets demonstrate the effectiveness of the proposed method. On the S3DIS dataset, our method achieves state-of-the-art performance, with 48.69% mIoU and 79.68% OA, without using any annotations, closely approaching the results of fully supervised PointNet++ (50.1% mIoU, 77.5% OA). On the more challenging ScanNet++ benchmark, our approach also demonstrates competitive performance in terms of both mAcc and mIoU. Full article

The wire drawing process, used for both ferrous and non-ferrous metals, employs different machines depending on the material and wire diameter: breakdown, single- or multi-wire machines for non-ferrous, and bull block machines for ferrous and non-ferrous alloy wires. In all cases, wire is drawn through dies by tensile forces, with die design, material, and lubrication crucial for reducing friction, dissipating heat, and ensuring quality. Die type and geometry, lubricant, drawing speed, and machine configuration are the main process variables. The present work evaluates the effects of die type, lubricant, and drawing speed on Zn–Al alloy wire drawing (Ø2.18 to Ø2.00 mm) using a Taguchi L9 (3³) design of experiments. Three lubricants (Multidraw oil/water, Multipress oil and water/oil emulsion), three dies (conventional, carbide 19.38-grade pressure die, carbide H3F-grade pressure die), and three drawing speeds (0.16 to 0.28 m/s) were tested. Results have shown that lubricant and die geometry dominate process performance. Pressure dies reduced drawing force by up to 8% versus the conventional die, and emulsion increased force by 14% compared to oils. Output wire temperatures increased with speed, peaking at 46.5 °C with water emulsion oil and pressure die with H3F carbide, while Multidraw oil kept values ~20% lower. However, emulsions lowered the die output temperatures by 15–25% compared to oils. The coefficient of friction averaged μ = 0.104, with pressure dies yielding the lowest values (0.091–0.096, ~20% below conventional). Surface quality was governed mainly by lubricant effectiveness, with pressure-drawing dies ensuring dimensional accuracy and surface cleanliness. The study identifies lubricant selection as the most influential factor, followed by die type, providing a basis for optimizing efficiency and product quality in the wire drawing of ZnAl15% alloy. Full article

Background/Objectives: Cancer is one of the world’s leading causes of death. In 2022 alone, 9.74 million people died of cancer. It is estimated that this figure will rise to 10.4 million by 2025. Prostate and breast cancer are the most frequently diagnosed cancers in the world. Methods: Notably, compound 9f displayed the highest activity against both prostate cancer (PC-3) and breast cancer (MCF-7) cell lines. It was seen that substitution on the coumarin ring had a positive effect on anticancer activity (except chlorine substitution at the 6th position of coumarin), while it had a negative effect on the selectivity index (the ratio of IC₅₀ calculated for healthy and cancer cells). Conclusions: The findings are consistent with the results obtained in the Molecular Docking study. Molecular docking studies were performed to investigate the binding affinities of the synthesized compounds towards kinesin-associated motor protein EG5, Human Ribonucleotide Reductase and Human Topoisomerase II, confirming their potent in vitro cytotoxicity against cancer cell lines. In accordance with the findings of experimental studies, compound 9f demonstrated the optimal docking binding scores. Full article

This paper explores the initial steps of transgenerational language change in exile by comparing the varieties of “Common” Tibetan as spoken by parents born in Amdo, Tibet, and by their teenager children, born in Tibet or in South Asia, who arrived in France at an early age and who have spent all or most of their schooling in France. In these families, the parents speak a variety of Amdo Tibetan as their first language, which does not allow for inter-comprehension with “Common” Tibetan. They have acquired “Common” Tibetan during their stay in South Asia before they moved to France. The paper follows a descriptive approach to analyze the structural (dis)similarities between the parents’ and the children’s varieties of “Common” Tibetan. It also documents intra-generational variation (1) within the parents’ generation, where we can observe a variable extent of retention for Amdo Tibetic features, and (2) within the children’s generation, where variation is usually due more to the (often contact-induced) linguistic changes than to the retention of some of their parents’ linguistic features. Full article

Argemone mexicana L. is considered a weed; however, it contains secondary metabolites that can control phytopathogenic fungi in vitro, with the potential to adapt its effectiveness in the field. In the present study, leaf extracts of A. mexicana (hexane and methanol) were prepared, and their chemical profiles were analyzed using gas chromatography–mass spectrometry (GC-MS). The in vitro antifungal activity of each extract was evaluated at different concentrations (500, 1000, 2000, 4000, and 8000 mg L⁻¹) against phytopathogens such as Monilinia fructicola, Colletotrichum gloeosporioides, Fusarium oxysporum, and Sclerotinia sclerotiorum. Based on their chemical profiles, 14 compounds were identified in the hexanic extract, and 11 compounds were identified in the methanolic extract. These compounds included those with antifungal activity, such as Benzene; 1.3-bis(1.1-dimethylethyl)-; pentanoic acid; 5-hydroxy-, 2,4-di-1-butylphenyl esters; 1,2,4-Triazol-4-amine; and N-(2-thienylmethyl). The hexanic extract demonstrated fungistatic activity on the four fungi tested, while the methanolic extract exhibited fungicidal activity against C. gloeosporioides and F. oxysporum. The results of the Probit analysis showed variations in the sensitivity of phytopathogenic fungi to the treatments evaluated. In M. fructicola, the hexane extract presented an EC₅₀ of 317,146 mg L⁻¹ and an EC₉₀ of 400,796 mg L⁻¹. For C. gloeosporioides, the EC₅₀ was 2676 mg L⁻¹ and the EC₉₀ was 888,177 mg L⁻¹, while in F. oxysporum an EC₅₀ of 34,274 mg L⁻¹ and an EC₉₀ of 1528 mg L⁻¹ were estimated. In the case of S. sclerotiorum, an EC₅₀ of 560 mg L⁻¹ and an EC₉₀ of 7776 mg L⁻¹ were obtained. Finally, for the commercial fungicide Captan^®, an EC₅₀ of 1.19 mg L⁻¹ and an EC₉₀ of 1.67 mg L⁻¹. These results suggest that extracts from A. mexicana could provide a natural alternative for the control of phytopathogenic fungi. Full article

Apixaban (APX) is a direct oral anticoagulant with low aqueous solubility and limited bioavailability. This study aimed to improve APX solubility by forming spray-dried inclusion complexes (ICs) with β-cyclodextrin (β-CD) derivatives. ICs were prepared using hydroxypropyl-β-CD (HP-β-CD), sulfobutylether-β-CD (SBE-β-CD), randomly methylated-β-CD (RM-β-CD), and heptakis(2,6-di-O-methyl)-β-CD (DM-β-CD). Complex formation (1:1 stoichiometry) was confirmed by phase solubility studies and Job’s plots. The ICs were characterized by SEM, PXRD, DSC, and FTIR, and their saturated solubility was evaluated. Molecular docking assessed host–guest interactions. Among the tested carriers, DM-β-CD exhibited the highest stability constant (K_C = 371.92 M⁻¹) and produced amorphous ICs. DM-ICs achieved the greatest solubility enhancement at all pH conditions, with a maximum solubility of 1968.7 μg/mL at pH 1.2 and ~78.7-fold increase in water compared with pure APX. Docking results supported stable inclusion with the lowest binding free energy (−8.01 kcal/mol). These findings indicate that DM-β-CD-based ICs effectively enhance APX dissolution and show potential as solubilizing carriers for oral dosage forms. Full article

During four outbreaks in 2023 and 2024, samples from pond-reared Nile tilapia were taken from different farms located in Kafr Elsheikh governorate, Egypt. Samples were submitted for laboratory examinations. Diseased fish exhibited bacterial septicemia and some cases died without showing any clinical signs. A total of 30 bacterial isolates were isolated and identified. Of these isolates, 57% were identified as Gram-positive bacteria, whereas the remaining 43% were identified as Gram-negative bacteria. PCR targeting the 16S rRNA gene and genome sequencing confirmed five bacterial isolates as Aeromonas veronii (30%), Vibrio alginolyticus (13.3%), Enterococcus faecalis (23.3%), Aerococcus viridans (16.7%), and Staphylococcus epidermidis (16.7%). The NCBI GenBank accession numbers of these strains were (PV018985) for A. veronii, (PV016854) for V. alginolyticus, (PV013413) for E. faecalis, (PV032005) for A. viridans, and (PV012491) for Staph. epidermidis. The antibiogram revealed that the bacterial strains showed resistance to most of the antibiotics tested. A. viridans exhibited resistance to nearly all the antibiotics except for intermediate sensitivity to ciprofloxacin and amoxycillin/clavulanic acid. However, A. veronii showed high sensitivity to amoxycillin/clavulanic acid, oxytetracycline, kanamycin, and trimethoprim/sulfamethoxazole and intermediate susceptibility to ciprofloxacin. Similarly, E. faecalis showed high susceptibility to amoxycillin/clavulanic acid, ciprofloxacin, and trimethoprim/sulfamethoxazole in addition to intermediate sensitivity to ampicillin and kanamycin. Furthermore, Staph. epidermidis strain was highly susceptible to ampicillin, amoxycillin/clavulanic acid, oxytetracycline, novobiocin, and trimethoprim/sulfamethoxazole and was partially sensitive to kanamycin and ciprofloxacin. To conclude, summer mortalities recorded in farmed tilapia were closely related to a multifactorial bacterial origin with different sensitivity to antibiotic discs. Full article

COVID-19 is a public health issue with a significant mortality rate and potential long-lasting disabling symptoms responsible for the long-COVID syndrome. Mitochondrial dysfunction is a key mechanism but whether peripheral blood mononuclear cell (PBMC) mitochondrial respiration changes might be associated with mortality and/or occurrence and severity of long-COVID syndrome remains to be investigated. We determined mitochondrial respiratory chain oxygen consumption in twenty COVID-19 patients hospitalized in the intensive care unit and analyzed their remaining symptoms at the third year after hospital release. PBMC mitochondrial respiration was decreased in COVID-19 patients compared to the control group (14.13 ± 2.35 vs. 6.21 ± 0.88 pmol/s/10⁶ cell, p = 0.0006 for the OXPHOS state by CII). Considering COVID severity, such a decrease was greater in long-COVID patients and in patients who deceased (4.91 ± 0.75, p = 0.008 and 4.94 ± 1.11 pmol/s/10⁶ cell, p = 0.04, respectively). PBMC markers of inflammation also increased with the severity of COVID (1.0 ± 0.08 vs. 14.45 ± 2.07, p = 0.02 for ISG15 in patients who died) and ISG15 negatively correlated with PBMC mitochondrial respiration (r = −0.67, p = 0.02 for CII). In conclusion, this study shows that the greater the impairment in PBMC mitochondrial respiration in patients hospitalized in the intensive care unit for COVID-19, the greater the mortality rate and the more severe the long-COVID symptoms—three years after hospital discharge. Further, PBMC markers of inflammation also increased with the severity of COVID and ISG15 negatively correlated with PBMC mitochondrial respiration. These results support that PBMC mitochondrial respiration might be a biomarker of COVID severity and further studies investigating whether modulation of PBMC mitochondrial respiration might improve COVID-19 patients’ prognosis. Full article