Search Results (261,251)

Olyokma Nature Reserve, where we conducted our research, is in Eastern Siberia in the middle taiga zone in an area characterized by continuous permafrost. This is the only protected area in the region with a complete reserve regime, where there is no human activity. Here, we studied 14 different types of water bodies located along the Olyokma River valley, 13 of which were studied for the first time. For some of the studied water bodies, a high content of biogenic elements was noted, which may be associated with the characteristics of permafrost water bodies, which are under nutrient release from permafrost thaw. The concentration of several biogenic elements, including ammonium, nitrates and phosphates, increases in the water of the lakes toward the bottom of the river valley. In the composition of various communities of these water bodies, including both planktonic and non-planktonic, we identified 246 species and varieties of microalgae. The abundance and biomass of phytoplankton, as well as the number of species, decreased down the river valley. At the same time, at the upper stations there were more diatoms; while at the stations down the valley, green algae came to the fore; and even lower down, cyanobacteria prevailed. At the lower stations, the indicators of microalgae development were minimal. In accordance with the bioindicative properties of microalgae, a decrease in the trophic status of water bodies was noted down the river valley, which, in our opinion, is a characteristic feature of the waters of an undisturbed catchment basin in the permafrost area. This indicates that the studied aquatic ecosystem changes within a set of environmental and biological indicators, that is, it exists in natural conditions for this catchment basin. Research on the territory of Olyokma Nature Reserve allowed us to obtain information on natural transformation and removal of nutrients in permafrost catchments, while excluding the likelihood of anthropogenic impact on these processes. Full article

Background: Obstructive sleep apnea (OSA) has been associated with adverse oral function outcomes, yet its association with oral function remains underexplored. This study aims to analyze the association between OSA and oral function problems, and whether these relationships are more pronounced among socioeconomically disadvantaged groups. Methods: Data were derived from the 2022–2023 Korea National Health and Nutrition Examination Survey (KNHANES), including 6349 participants aged 40 and above. OSA risk was assessed using the STOP-Bang questionnaire. Oral function was evaluated through chewing discomfort, speaking discomfort, and dental pain. Complex sample logistic regression was performed, adjusting for demographic, socioeconomic, and health-related covariates. Stratified analyses were conducted to examine whether the association differed across socioeconomic groups. Result: High OSA risk was significantly associated with chewing discomfort (OR: 1.365, 95% CI: 1.121–1.662), speaking discomfort (OR: 1.534, 95% CI: 1.126–2.082), and dental pain (OR: 1.198, 95% CI: 1.006–1.431). Stratified analyses showed stronger associations in low education or income groups. For instance, those in the lowest income group were over five times more likely to report speaking discomfort (OR = 5.207, 95% CI: 2.365–11.462) than those in the highest. Conclusions: OSA risk is significantly associated with impaired oral function, particularly among socioeconomically disadvantaged groups. These findings underscore the need for integrated public health approaches that address both sleep and oral health disparities. Full article

Air exposure stress during live transport and subsequent reoxygenation are factors in the development of molecular/pathological and compensatory/adaptive responses. They affect the physiological functions and survival of economically important invertebrate species, in particular, crustaceans. In this study, we consider the effects of anoxia and subsequent reoxygenation on the physiological responses, signaling pathways involved in stress, and cell apoptosis in the central nervous system (CNS) of the horsehair crab, Erimacrus isenbeckii. The results showed that 1 day of air exposure stress and 1 subsequent day of reoxygenation cause the immunoreactivity of tyrosine hydroxylase (TH) and neuropeptide Y (NPY) to change, suggesting that these changes may be associated with adaptive responses, which are presumably employed to avoid oxidative damage and provide the initial mechanism for survival. Caspase-3 immunoreactive neurons increased eight-fold in the brain and 7.2-fold in the VNC after 1 day of reoxygenation, and the TUNEL-positive cell percentage rose from 0% (control) to 8.4% in the brain and from 1.7% (control) to 13% in the VNC. The results of our study provide evidence that anoxia and reoxygenation can activate caspase-3 and facilitate apoptosis in the CNS of crabs. These results provide evidence that even short-term air exposure stress followed by reoxygenation can trigger significant apoptotic cell death in crustacean neural tissue, which is important for developing better live transport practices. Full article

Soil potentially toxic element (PTE) contamination remains a global concern, particularly in rural agricultural regions. This study collected 157 agricultural topsoil samples within a rural area in SW China. Combined with multivariate statistical analysis in the compositional data analysis (CoDa) perspective, the PMF model was applied to identify key contamination sources and quantify their contributions. Potential ecological risk assessment and Monte Carlo simulation were employed to estimate ecological-health risks associated with PTE exposure. The results revealed that the main exceeding PTEs (Mercury—Hg and Cadmium—Cd) are rich in urbanized areas and the GFGP (Grain for Green Program) regions. Source apportionment indicated that soil parent materials constituted the dominant contributor (32.48%), followed by traffic emissions (28.31%), atmospheric deposition (21.48%), and legacy agricultural effects (17.86%). Ecological risk assessment showed that 60.51% of soil samples exhibited higher potential ecological risk (PERI > 150), with moderate-risk areas concentrated in the GFGP regions. The elements Cd and Hg from legacy agricultural effects and atmospheric deposition contributed the most to ecological risk. Health risk assessment demonstrated that most risk indices fell within acceptable ranges for all populations, while only children showed elevated non-carcinogenic risk (THI_max > 1.0). Among PTEs, the element As, mainly from traffic emissions, was identified as a priority control element due to its significant health implications. Geospatial distributions showed significant risk enrichment in the GFGP regions (legacy agricultural areas). These findings present associated risk levels in sustainable agricultural regions, providing valuable data to support soil environmental management in regions requiring urgent intervention worldwide. Full article

Tobacco smoking is closely associated with pro-inflammatory immunological alterations, whereas regular physical exercise is well known to lower systemic inflammations and related immune cell activities. The combined effects of smoking, nicotine pouch use, vaping, and exercise on individual immunological responses remain incompletely understood, especially in view of alternative nicotine delivery systems. In this study, we analyzed the immediate impact of different nicotine sources on exercise monocyte subsets in 16 human subjects using a four-arm cross-over design. Distribution of circulating CD14/CD16 monocyte subsets and expression of the monocytic checkpoint molecule PD-L1 (programmed cell death ligand-1) were analysed via whole blood flow cytometry measurements. Plasma cytokines were evaluated using membrane-based cytokine arrays and enzyme-linked immunosorbent assays (ELISA). Data revealed significant distributions of circulating monocytes subsets in response to nicotine consumption and physical stress. In contrast, exercise-driven increased monocytic PD-L1 was clearly attenuated following the consumption various nicotine delivery systems. Furthermore, significantly increased plasma growth hormone levels were detected in response to physical stress in combination with cigarette consumption. Our data clearly illustrates a significant influence of nicotine consumption on the cellular characteristics of circulating monocyte subsets and on proper exercise-driven immune responses within a short period of time, which makes the widespread trivialization of alternative nicotine sources questionable. Full article

Introduction: Malnutrition is a recognized risk factor for unfavorable clinical outcomes and complications in cardiovascular and surgical patients. Nutritional status can be assessed with various methods, and the phase angle (PA) derived from bioelectrical impedance analysis is one of the most reliable parameters for that purpose. Methods: The aim of this narrative review was to present the available data regarding PA application in cardiac surgery. After careful analysis of PubMed and Scopus databases, 21 articles were included in the final analysis. Results: PA is a parameter that can be used for nutritional status assessment in a cardiac surgery environment. It is suggested that it is more accurate than other criteria in malnutrition identification in this group of patients. The available data shows its association with mortality, length of intensive care unit stay, and hospital stay. It can also predict adverse events such as blood transfusion or mechanical ventilation. Conclusions: The available data underscores the usefulness of PA in preoperative risk assessment and post-procedural monitoring. PA could be introduced in everyday clinical assessment in cardiac surgery. Full article

Background: This study aimed to evaluate the clinical and forensic characteristics of cases admitted to a high-volume tertiary emergency department, focusing on severity-based classification using treatability with simple medical intervention (SMI) and life-threatening status. Methods: We retrospectively analyzed 3014 forensic cases over one year. Patients were classified based on injury severity, anatomical region, and clinical outcomes. Documentation practices and report types were also reviewed. Results: Among all the cases, 60.4% were treatable with SMI, and 10.5% were identified as life threatening. Notably, all patients who died (1.3% mortality) were in the life-threatening group, and none of the SMI-treated patients died, underscoring the accuracy of early triage and alignment between documentation and outcomes. Road traffic accidents were the leading cause of life-threatening injury and hospitalization, while assault cases were predominantly minor and managed conservatively. Seasonal variation peaked in July, and sex-based differences revealed a higher SMI eligibility among female patients. Final forensic reports were more frequently issued in SMI cases, while preliminary reports were predominant in severe trauma. Conclusions: Severity-based classification using SMI and life-threatening categories offers valuable insight for clinical decision-making and forensic documentation. Integrating structured triage, anatomical injury mapping, and standardized report templates can enhance both patient safety and legal reliability. Full article

Inflammation contributes to myocardial injury in ST-elevation myocardial infarction (STEMI). Interleukin-6 receptor (IL-6R) inhibition has been shown to mitigate myocardial injury and reduce levels of the prothrombotic and inflammatory mediator, neutrophil extracellular traps (NETs). The enzyme peptidylarginine deiminase 4 (PAD4) is central in NET formation. We hypothesized that PAD4 links IL-6R activation and NET formation. Methods: We conducted thrombus aspiration and peripheral blood sampling in 33 STEMI patients. In thrombi and leukocytes, we quantified the mRNA of IL-6, IL-6R, and PAD4. In peripheral blood, the protein levels of IL-6, IL-6R, PAD4, dsDNA, H3Cit, MPO-DNA, and troponin T were quantified. Results: In thrombi and circulating leukocytes, PAD4 mRNA was associated with IL-6R mRNA (thrombi: β = 0.34, 95% CI [0.16–0.53], p = 0.001, circulating leukocytes: β = 0.92, 95% CI [0.07–1.77], p = 0.036). There were no correlations between PAD4 and IL-6 in thrombi and leukocytes. The protein levels of IL-6R were associated with the NET marker H3Cit (r_s = 0.40, p = 0.02). In thrombi, PAD4 mRNA was associated with high levels of troponin T (β = 1.15 95% CI[0.27–2.04], p = 0.013). Conclusion: We demonstrate an association between PAD4, IL-6R, and troponin release in STEMI patients. Our findings indicate a PAD4-mediated connection between IL-6R and NET formation and highlight PAD4 as a potential treatment target for mitigating inflammation and myocardial injury in STEMI. Full article

Background: Colorectal cancer (CRC), the most common malignancy of the gastrointestinal tract, is the second leading cause of cancer-related deaths worldwide. In this context, investigating low-penetrance gene variants associated with the increased risk of CRC represents a novel and crucial approach to enhancing prevention strategies and clinical surveillance. By focusing on these genetic variants, there is potential for more accurate prediction of individual CRC risk, which could contribute to the refinement of current screening and prophylactic programs. The aim of this case–control study was to explore the association between SIRT1 polymorphisms and CRC risk. Methods: We analyzed three SNPs—rs12778366 (T/C), rs3758391 (C/T), and rs7895833 (A/G)—in the promoter region of the SIRT1 gene, which may influence SIRT1 expression and thus play a role in cancer development. Our study included 200 patients with colorectal adenocarcinoma and 115 controls. Genomic DNA was extracted from blood samples, and SIRT1 SNP analysis was performed using the qPCR method and endpoint genotyping. Results: Univariate regression analysis revealed a slightly increased risk of developing CRC in individuals with minor alleles of the analyzed polymorphisms; however, the observed differences were not statistically significant. Conclusions: Although our findings did not reveal statistically significant differences in SIRT1 gene polymorphism frequencies between the CRC group and the control group, we observed a tendency that suggests further investigation in larger cohorts is warranted. This research underscores the importance of understanding low-penetrance genetic factors in CRC, highlighting their potential to inform more personalized and effective prevention strategies. Full article

The liver and kidneys are two of the most vital organs, each with distinct but overlapping functions essential for maintaining homeostasis. The complex interplay between these organs, commonly referred to as liver-kidney crosstalk, plays a crucial role in the pathophysiology of several acute and chronic conditions in childhood. Despite its importance, the precise biological mechanisms driving this interaction remain incompletely understood. This crosstalk is particularly significant in various pediatric diseases (e.g., Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD), Hepatorenal Syndrome (HRS), genetic and metabolic disorders, etc.) where shared pathophysiological factors—including systemic inflammation, metabolic disturbances, oxidative stress, and vascular dysfunction—simultaneously affect both organs. Clinically, this interaction presents unique challenges in diagnosing, managing, and treating liver-kidney diseases in affected children. Understanding the pathogenic mechanisms underlying liver-kidney crosstalk is essential for improving patient care and outcomes through an integrated, multidisciplinary approach and personalized treatment strategies. This review aims to explore liver-kidney crosstalk in key pediatric diseases, offering a comprehensive overview of current knowledge, clinical challenges, and potential therapeutic interventions in this complex field. Full article

Categorization of enterprises by size provides a fundamental understanding of the composition of the business environment. Small, medium-sized, and large enterprises play a significant role in the national economy through the execution of specific business activities. In their pursuit of enhancing the efficiency of individual business processes and mitigating the risks associated with these activities, enterprises may implement various ISO standards, including quality management, environmental management, occupational health and safety (OSH), or corporate social responsibility (CSR) systems. The sources published to date do not clearly explain the mutual relationship that arises when implementing multiple ISO standards that prioritize different activities within a single enterprise. This gap is particularly evident in the context of small enterprises, which often do not have the obligation or capacity to implement ISO standards. This study addresses this research gap by identifying the relationship between implemented ISO standards, priority activities in the risk management process, and the person responsible for these activities. The objective of this article is to examine the relationship of dependency between specific ISO standards and the priority activity in risk management. Furthermore, the study seeks to determine whether the degree of implementation of ISO standards influences the selection of the person responsible for risk management. Additionally, it examines whether dependence exists between the priority activity in risk management and the specific person responsible for risk management. The authors provide statistical hypothesis testing based on data from a nationwide survey conducted across all enterprise size categories. The results obtained from this study confirm the presence of a dependency between the degree of ISO standards implementation and the priority activity in risk management across all enterprise size categories. However, a statistically significant dependency between the degree of implementation of ISO standards and the person responsible for risk management was not confirmed in large companies. The dependency between the selection of the person responsible for risk management and the priority activity in risk management was confirmed only in small enterprises. Full article

Background/Objectives: Ventral hernia repair has evolved with the introduction of minimally invasive techniques like l-IPOM and rTA-RM. While robotic surgery offers advantages in precision and ergonomics, its higher costs pose questions regarding its cost-effectiveness compared to laparoscopic approaches. Methods: A retrospective analysis of patients with primary or incisional ventral hernias undergoing either l-IPOM or rTA-RM between February 2022 and October 2023 was conducted. Data on demographics, surgical outcomes, hospital costs, disposable supplies, and robotic system expenses were collected. A one-to-one propensity score matching (PSM) was used to ensure comparability between the groups. Results: After matching, 30 patients were included in each group. The rTA-RM group had longer operative times (93.2 vs. 74.4 min, p = 0.004) but shorter hospital stays (1 day vs. 2 days, p = 0.003) and lower postoperative pain scores (median VAS score 3 vs. 5, p = 0.004). Total costs were comparable between rTA-RM and l-IPOM (EUR 6862 vs. EUR 6575, p = 0.32), with robotic surgery incurring higher capital costs but lower disposable supply costs (EUR 1057 vs. EUR 2006, p < 0.01). Conclusions: Despite the higher per-case cost associated with robotic systems, overall costs for rTA-RM were similar to those for l-IPOM, suggesting that robotic surgery may be cost-competitive due to lower disposable supply expenses and shorter hospital stays. Further research is needed to assess long-term outcomes and broader economic impacts. Full article

Background: Bilirubin is a potent endogenous antioxidant that plays a key role in regulating oxidative stress and inflammation, both closely linked to lung carcinogenesis. This study reinterprets the ALBI (Albumin–Bilirubin) and PALBI (Platelet–Albumin–Bilirubin) indices as composite markers of antioxidant and inflammatory status and evaluates their associations with lung cancer risk by sex, including stratified analyses by major lifestyle factors such as smoking and alcohol use. Methods: This study utilized data from the Korean Cancer Prevention Study-II (KCPS-II) cohort, which included 133,630 participants. During a mean follow-up of 13.5 years, 721 incident lung cancer cases were identified. Serum bilirubin and the ALBI and PALBI indices were analyzed by sex, and quartile-based and trend analyses were conducted. Stratified analyses by smoking and alcohol status (never, former, current, ever) and intensity were performed to assess potential effect modification. Cox proportional hazards regression models were used to estimate HRs and 95% CIs. Results: A 1SD increase in total bilirubin and ALBI was inversely associated with lung cancer risk in men (HR: 0.83, 95% CI: 0.75–0.91; HR: 0.86, 95% CI: 0.79–0.94, respectively), whereas PALBI showed a positive association (HR: 1.17, 95% CI: 1.07–1.28). In contrast, in women, total bilirubin and ALBI showed positive associations (HR: 1.19, 95% CI: 1.00–1.40; HR: 1.19, 95% CI: 1.02–1.40, respectively), while PALBI was inversely associated (HR: 0.82, 95% CI: 0.69–0.97). These associations were significant among men who were smokers (former, current, ever) and men who drank alcohol (current, ever), whereas in women, significance was observed only among never drinkers. Stronger interactions were observed in men who were heavy smokers and low-to-moderate drinkers. Conclusions: Bilirubin and the ALBI and PALBI indices exhibit sex-specific and contrasting associations with lung cancer risk, highlighting the need to consider sex-based physiological differences in cancer risk assessment. Full article

The cap-binding protein complex (CBC), comprising Cbp20 and Cbp80, is crucial for gene expression, yet its role in the notorious crop pathogen Botrytis cinerea remains unclear. Immunoprecipitation coupled with LC-MS/MS demonstrated that BcCbp20 interacts with BcCbp80. Yeast two-hybrid, GST pull-down, and Split-luciferase complementation assays confirmed that the conserved RNA recognition motif (RRM, 54–127 aa) of BcCbp20 and the N-terminal MIF4G domain (1–370 aa, 1–577 aa) of BcCbp80 constitute the core interaction regions. Genetic transformation experiments revealed that BcCBP80 exerts a more dominant role than BcCBP20 in regulating hyphal morphology, growth rate, conidiophore development, and conidial yield. Furthermore, BcCBP20 and BcCBP80 differentially regulate sclerotium formation to maintain sclerotial quantity. Based on pathogenicity assays, BcCBP80 associated with infection cushion development, with this phenotypic alteration possibly being among the factors correlated with altered pathogenicity. However, the increased sensitivity of ΔBccbp20 to various stress factors may be the primary reason for the diminished pathogenicity. Taken together, these results indicate that BcCBP20 and BcCBP80 play important roles in multiple aspects of B. cinerea growth, development, stress response, and pathogenicity. Full article

The Duobaoshan mineralization area in Heilongjiang Province is a key copper–molybdenum–gold polymetallic region in China. Its southeastern Fudiyingzi–Bacheli area, located at the intersection of the NW-trending copper and NE-trending gold belts, exhibits favorable mineralization conditions. Despite over 70 years of placer gold mining and the discovery of one small copper deposit and one gold deposit, the area remains underexplored with significant peripheral exploration potential. This study integrates 1:50,000 geological mapping, high-precision magnetic surveys, phase-induced polarization, and soil geochemistry through multi-source data fusion for comprehensive mineral prediction. Key steps include delineating Cu, Au, and Mo anomalies and analyzing their associations with Zn, Cd, Ag, As, etc.; inferring NE-, NW-, and near-EW-trending linear structures via magnetic boundary enhancement; dividing high/low resistivity zones and identifying nine significant and six weak phase anomalies using phase-induced polarization; establishing a mineralization model based on typical deposits; and delineating four priority exploration targets. These results provide a scientific basis for further exploration in shallow coverage areas. Full article