Search Results (848)

Background: Neurofilament light chain (NfL) is a promising biomarker of neuroaxonal injury, increasingly used to monitor neurodegeneration in Alzheimer’s disease (AD). Multiple analytical platforms are available for NfL quantification in cerebrospinal fluid (CSF), but data on cross-platform consistency remain limited. Objective: This pilot study aimed to provide CSF NfL concentrations measured using Simoa and Lumipulse immunoassays in patients with biologically confirmed AD. Methods: Twenty-eight patients with cognitive impairment fulfilling the biological criteria for AD were enrolled. CSF NfL levels were measured using both Simoa and Lumipulse immunoassays. Statistical analyses assessed intra-individual agreement, correlation between platforms, and associations with cognitive status. Results: NfL concentrations measured with Simoa and Lumipulse showed a strong positive correlation between platforms (Spearman’s ρ = 0.965, p < 0.001), demonstrating excellent analytical concordance. Conclusions: In this pilot study, Simoa and Lumipulse yielded strongly correlated CSF NfL measurements, providing initial evidence of cross-platform consistency. However, these findings require confirmation in larger and diverse cohorts before definitive validation. Full article

Alzheimer’s disease (AD) is the leading cause of dementia worldwide and is becoming one of the most morbid diseases of this century. Recently, ocular research in AD has gained significance, as the eye, due to its close relationship with the brain, can reflect the presence of neurological disorders. Several studies have reported alterations in various ocular structures in AD, ranging from tear fluid to the retina. These changes, particularly in the retina and the optic nerve, along with cerebral atrophy affecting visual brain areas, may lead to visual dysfunctions. This narrative review summarizes and critically examines current evidence on these impairments and explores their possible underlying mechanisms. A decrease in visual acuity, contrast sensitivity, and color vision has been observed, primarily associated with retinal ganglion cell loss or damage. Furthermore, alterations in the visual field, ocular motility, and visual perception have been recorded, mainly resulting from cortical changes. These optical parameters frequently correlate with patients’ cognitive status. In conclusion, these findings highlight the importance of developing strategies to preserve visual function in these patients, helping to prevent further deterioration in their quality of life, and emphasize the potential of visual function assessment as a tool for diagnosis or predicting AD progression. Full article

Human milk, especially colostrum, is a biologically complex fluid with potent protective properties against gastrointestinal disturbances in infants. Among intestinal protozoa transmitted via the fecal–oral route, this review focuses on Giardia lamblia and Entamoeba histolytica, as the protective role of milk-derived factors against these parasites is the most extensively documented. Its protective effects result from a wide range of bioactive components, including mucins, lactoferrin, human milk oligosaccharides, melatonin, and secretory IgA, which support the integrity of the intestinal barrier, regulate immune responses, and inhibit the adhesion and activity of pathogens. The composition of human milk can be influenced by maternal factors such as nutritional status, stress, sleep quality, and physical activity, which may modulate its immunological potential. Dietary intake of micronutrients, fermentable fibers, and fermented foods also appears to play a role in shaping the milk’s protective properties. This review discusses the molecular mechanisms by which selected milk components contribute to the defense against protozoan infections in early life and considers how maternal health and lifestyle may affect the effectiveness of these protective mechanisms. Full article

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

Reactive oxygen species (ROS) are vital for oocyte development, yet the redox state of peritoneal fluid may differ between health and disease. This study investigates the effects of peritoneal fluid from women with and without endometriosis on mouse oocytes’ redox status and RNA oxidation. Peritoneal fluid samples were collected during laparoscopy from women enrolled in an ethically approved case–control study. Stimulated C57BL6 mouse germinal vesicle oocytes were microinjected with RNA transcribed from a Grx1-roGFP2 construct and imaged to assess redox changes. Further oocytes were incubated in standard media, H₂O₂, or 20% peritoneal fluid, fixed, and immunostained for 8-OHG to evaluate RNA oxidative damage. Oocytes exposed to endometriosis-affected peritoneal fluid showed significantly less redox reduction (mean change 0.07, p < 0.001) compared to fluid from unaffected women (mean change 0.17, p < 0.001), suggesting impaired antioxidant capacity. Those treated with fluid from women without endometriosis showed a more significant reduction (mean ratio change 0.17, p < 0.001). RNA damage was higher in oocytes incubated in fluid from women with infertility compared to pelvic pain (p < 0.001). These findings suggest an altered oxidative environment of peritoneal fluid in endometriosis may contribute to impaired oocyte quality, highlighting a potential mechanism of infertility in affected women. Full article

Background: Preimplantation genetic testing for aneuploidy (PGT-A) is a popular approach in assisted reproductive technology that improves embryo selection and implantation rates. Traditional approaches rely on trophectoderm (TE) biopsy, which is an invasive procedure that might jeopardize embryo integrity and create technical constraints such as mosaicism-related misclassification. Non-invasive preimplantation genetic testing (niPGT) has emerged as a possible alternative, using embryonic cell-free DNA (cfDNA) extracted from wasted culture media or blastocoel fluid to assess chromosomal status without requiring direct embryo manipulation. Methods: This systematic study investigates the molecular mechanisms behind cfDNA release, its biological properties, and the technological concerns that influence its utilization in niPGT. We look at recent advances in next-generation sequencing (NGS), whole-genome amplification (WGA), and bioinformatic techniques that improve cfDNA-based aneuploidy detection. In addition, we compare the sensitivity, specificity, and concordance rates of niPGT to conventional TE biopsy, highlighting the major aspects impacting its diagnostic performance. Results: The release of cfDNA from embryos is influenced by apoptotic and necrotic processes, active DNA shedding, and extracellular vesicle secretion, which results in fragmented chromosomal material of different qualities and quantities. While niPGT has shown promise as a noninvasive screening approach, significant variability in cfDNA yield, maternal DNA contamination, and sequencing biases all have an impact on test accuracy. Studies show that niPGT and TE biopsies have moderate-to-high concordance, although there are still issues in detecting mosaicism, segmental aneuploidies, and DNA degradation artifacts. Conclusions: NiPGT is a safer and less intrusive alternative to TE biopsy, with potential clinical benefits. However, technical advancements are required to improve cfDNA collecting procedures, reduce contamination, and improve sequencing accuracy. Additional large-scale validation studies are needed to create standardized methodologies and ensure that niPGT achieves the diagnostic reliability requirements required for widespread clinical deployment in IVF programs. Full article

Background/Objectives: This study investigated the correlation of oxidative stress biomarkers with the activity of idiopathic nephrotic syndrome (INS) in Slovenian children. Methods: In this prospective study, sequential plasma and urine samples from 20 children with INS in different phases of disease activity were taken: at first disease presentation or relapse (before glucocorticoid (GC) treatment), at time of remission achievement, and after discontinuation of GC treatment. This study measured oxidative stress biomarkers, such as 8-hydroxy-2′-deoxyguanosine (8-OHdG), hexanoyl-lysine (HEL) adduct, dityrosine (DiY), and 15-isoprostane F2t, using competitive enzyme-linked immunosorbent assay (ELISA) and assessed oxidative status using the FRAS 5 analytical system, which enables rapid photometric measurement of both oxidative and antioxidant capacity from biological fluids. Two complementary tests were performed: the d-ROMs test (derivatives of reactive oxygen metabolites) and the PAT (plasma antioxidant test). The oxidative stress index (OSI) was calculated as the ratio between them. Results: Concentrations of isoprostanes in urine were statistically significantly lower in patients at first disease presentation or relapse compared to time of remission achievement. Values of PAT test in serum were significantly highest after GC treatment. Values of d-ROMs test in serum were significantly lower at time of remission achievement compared to first disease presentation or relapse. Values of 8-OHdG, HEL, DiY (in plasma and urine), isoprostanes, and OSI in plasma did not statistically significantly differ in various phases of disease activity. Conclusions: Isoprostanes in urine and PAT in serum could serve as potential biomarkers of oxidative stress and disease activity in children with INS. Full article

Background and Objectives: Osteoarthritis (OA) is a degenerative joint disease involving inflammation, oxidative stress, and extracellular matrix (ECM) degradation, leading to cartilage damage and joint dysfunction. This study aimed to evaluate the chondroprotective effects of intra-articular hydrolyzed collagen in a rat model of knee OA using a dual-compartment biochemical and histological approach. Materials and Methods: Twenty male Sprague-Dawley rats underwent ACL transection to induce osteoarthritis and were randomly assigned to receive intra-articular hydrolyzed collagen or saline once weekly for three weeks. At six weeks, knee joints were evaluated histologically using the Mankin score. Synovial fluid and cartilage homogenates were analyzed via enzyme-linked immunosorbent assay (ELISA) for cytokines, cartilage degradation markers, and oxidative stress indicators. Results: The collagen-treated group demonstrated significantly lower Mankin scores. Levels of pro-inflammatory cytokines, interleukin-1 beta (IL-1β), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF-α), as well as cartilage degradation markers, matrix metalloproteinase-13 (MMP-13), C-terminal crosslinked telopeptide of type II collagen (CTX-II), and cartilage oligomeric matrix protein (COMP), were significantly reduced (p < 0.05). Additionally, oxidative stress indicators including inducible nitric oxide synthase (iNOS), total oxidant status (TOS), and oxidative stress index (OSI) were decreased, while total antioxidant status (TAS) was increased in both synovial fluid and cartilage homogenates (p < 0.05). Conclusions: Intra-articular hydrolyzed collagen reduced inflammation, oxidative stress, and extracellular matrix (ECM) degradation, indicating potential chondroprotective effects across both synovial and cartilage compartments. Full article

An 89-year-old male developed a persistent high fever (around 39 °C) approximately two weeks following endoscopic reduction of sigmoid volvulus. He had no history of hypercalcemia but was using diuretics and proton pump inhibitors. Renal and thyroid status were normal. He was largely bedridden and asymptomatic except for fever. Laboratory tests demonstrated elevated C-reactive protein (4.75 mg/dL), but some tumor markers (including CEA, CA19-9, and CA125), anti-nuclear antibodies, MPO-ANCA, PR3-ANCA, β-D-glucan, and interferon-gamma release assay were all negative. Urinalysis was unremarkable. Blood cultures obtained from two sets were negative. Chest–abdomen–pelvis contrast-enhanced computed tomography (CT), and echocardiography did not reveal any evident neoplastic lesions or focal sites of infection. Despite various antibiotic therapies, the patient’s spike fever persisted for nearly one month, leading to a diagnosis of fever of unknown origin (FUO). The patient experienced partial symptomatic relief with corticosteroid therapy, though mild fever continued. Two months after the volvulus onset, diffusion-weighted whole-body imaging with background body signal suppression (DWIBS) was performed, revealing hyperintensities at the right sternoclavicular joint, leading to a diagnosis of sternoclavicular arthritis. Neck CT revealed calcification in this joint. Despite difficulty in joint fluid analysis, low infection risk and the patient’s prolonged bedridden state and advanced age led to suspicion of pseudogout. Nonsteroidal anti-inflammatory drugs relieved fever and normalized inflammatory markers. DWIBS may be a valuable tool for detecting potential focus sites in FUO. Full article

Purpose: To investigate whether mild hypohydration in lightweight rowers compromises rowing performance despite a two-hour rehydration window. Methods: Experienced varsity rowers [11 male (82.3 ± 26.2 kg, age = 21.3 ± 4.0 years, height = 184.7 ± 2.4 cm) and three female (62.1 ± 11.8 kg, 2.3 ± 4.2 years, 166.4 ± 16.2 cm)] performed a 2000 m rowing ergometer time trial and visuomotor battery twice: once euhydrated and once after mild dehydration. Weight loss (−1.68 ± 0.23% body mass reduction) was achieved through a combination of 12 h (abstinence) of fluid and food restriction and sauna exposure. Results: Participants were significantly slower on the 2000 m rowing trial in the hypohydration condition than in the euhydration condition (+2.44 ± 4.5 s, p < 0.05). Hierarchical linear regression analyses revealed that this rowing performance decrement was explained by hypohydration achieved overnight through fluid abstinence (r² = 0.504, p < 0.01) but not by hypohydration achieved in the sauna (r² = 0.025, n.s.), corroborating our previous finding. This analysis also revealed a relationship between hypohydration-related rowing performance decrements and hypohydration-related changes in visuomotor function (r² = 0.310, p < 0.01). Conclusions: These findings suggest that rowing time trial performance can be negatively affected by relatively small changes in hydration status and that the method by which hypohydration is achieved is important. Rowing performance losses were explained by hypohydration due to prolonged fluid abstinence and by hypohydration-related changes to neural control of movement. Performance losses were not related to rapid sauna-based fluid loss. Full article

The increasing deployment of pumps-as-turbines in small-scale hydropower applications in off-design conditions strengthens the need for the monitoring of the operation and maintenance (O&M) needs. PATs (pumps-as-turbines, pumps operated in reverse to generate electric current) are increasingly used because of their low cost as micro-hydropower plants; however, limited research has focused on their maintenance needs during operation. This is an important consideration given their use under conditions for which they were not originally designed. One of the most challenging O&M issues in hydromachinery is cavitation, which can harm turbines and reduce their efficiency. In this study, Computational Fluid Dynamics (CFD) was used for 15 different simulations of PAT configurations and their cavitation behaviour was investigated under varying inlet pressure and mass flow conditions. A cavitation strength indicator was developed using linear regression, describing the strength of cavitation from 0 (no cavitation) to 100 (extreme cavitation). This parameter depends on mass flow rate and head, which are easily measured parameters using standard sensors. With this approach, it is possible to monitor cavitation status in a continuous manner in a working PAT without the need for complex sensors. With this application, it is also possible to avoid costly damage, shutting down turbines when cavitation strength is exceptionally high. Full article

This study investigated the effects of Clostridium butyricum (C. butyricum) supplementation on the bacterial community composition and fermentation characteristics of the digestive system, assessed blood antioxidant capacity, and evaluated growth performance and digestibility in pre-weaning Angus calves. Sixteen male Angus calves were randomly divided into two groups (n = 8). The control group was fed a basal diet, while the other group was supplemented with 2 × 10⁷ colony-forming unit/d C. butyricum in the basal diet. After 8 weeks of feeding, body growth and nutrient intake were measured. Rumen fluid samples, blood samples, and fecal samples were collected and analyzed. Fecal scores were recorded daily, and the frequency of diarrhea treatments was documented. The results showed C. butyricum supplementation improved the digestibility of neutral detergent fiber, crude protein, and ether extract in calves, as well as the growth hormone content in the blood. Furthermore, supplementation elevated isovaleric acid concentrations in the rumen, modulated the microbiome, and increased pre-weaning body weight and average daily gain of calves. Meanwhile, C. butyricum supplementation reduced myeloperoxidase and superoxide dismutase levels while increasing total antioxidant capacity in the blood, alleviating oxidative stress, and enhancing the antioxidant capacity of the body. Intestinal health was also improved, as evidenced by an increase in butyrate content, a reduction in enterotoxigenic Escherichia coli, lower fecal scores, and a decreased need for diarrhea treatments. In summary, dietary C. butyricum supplementation may support digestive system development, enhance antioxidant capacity, and improve growth performance and health status in pre-weaning Angus calves. Full article

Due to the feeding system (high-concentrate diet) during the early lactation stage, ruminal pH in dairy cows follows a diurnal pattern and can remain below the critical level of 5.5 for extended periods of the day. This study aimed to evaluate the effect of low ruminal pH on blood concentrations of certain macrominerals, trace minerals, and fat-soluble vitamins and on the oxidative status of dairy cows during the first half of lactation. Fifty-three randomly selected lactating Holstein cows were used; blood and ruminal fluid samples were collected from all cows on days 30, 90 and 150 of lactation. Blood samples were obtained via coccygeal venipuncture, while the ruminal fluid was obtained by rumenocentesis and the pH was measured immediately after collection. Using a threshold pH of 5.5, samples were classified as normal (pH > 5.5) or low pH (pH ≤ 5.5). Serum concentrations of Ca, Mg, K, Cr, Mn, Zn, Se, and vitamins A, D3, E, and K were not significantly affected by ruminal pH, either by days in milk or by their interaction (p > 0.05). Plasma malondialdehyde and reduced glutathione followed the same trend (p > 0.05). Copper concentration was significantly higher (p < 0.05), and Fe concentration tended to be higher in cows with low pH compared to those with normal pH (p = 0.052). On day 150 of lactation, Cu, Fe, and Co concentrations were significantly higher in low-pH cows compared to normal-pH cows (p < 0.05). Low ruminal pH is associated with significant changes in serum concentrations of copper, iron, and cobalt but has no significant effect on the oxidative status of the animals or on the serum concentrations of the macro elements and fat-soluble vitamins studied. Full article

Background/Objectives: Multimodal large language models (LLMs) are increasingly used in radiology. However, their ability to recognize fundamental imaging features, including modality, anatomical region, imaging plane, contrast-enhancement status, and particularly specific magnetic resonance imaging (MRI) sequences, remains underexplored. This study aims to evaluate and compare the performance of three advanced multimodal LLMs (ChatGPT-4o, Claude 4 Opus, and Gemini 2.5 Pro) in classifying brain MRI sequences. Methods: A total of 130 brain MRI images from adult patients without pathological findings were used, representing 13 standard MRI series. Models were tested using zero-shot prompts for identifying modality, anatomical region, imaging plane, contrast-enhancement status, and MRI sequence. Accuracy was calculated, and differences among models were analyzed using Cochran’s Q test and McNemar test with Bonferroni correction. Results: ChatGPT-4o and Gemini 2.5 Pro achieved 100% accuracy in identifying the imaging plane and 98.46% in identifying contrast-enhancement status. MRI sequence classification accuracy was 97.7% for ChatGPT-4o, 93.1% for Gemini 2.5 Pro, and 73.1% for Claude 4 Opus (p < 0.001). The most frequent misclassifications involved fluid-attenuated inversion recovery (FLAIR) sequences, often misclassified as T1-weighted or diffusion-weighted sequences. Claude 4 Opus showed lower accuracy in susceptibility-weighted imaging (SWI) and apparent diffusion coefficient (ADC) sequences. Gemini 2.5 Pro exhibited occasional hallucinations, including irrelevant clinical details such as “hypoglycemia” and “Susac syndrome.” Conclusions: Multimodal LLMs demonstrate high accuracy in basic MRI recognition tasks but vary significantly in specific sequence classification tasks. Hallucinations emphasize caution in clinical use, underlining the need for validation, transparency, and expert oversight. Full article

Background/Objectives: Since breast cancer (BC) survival rates have increased to 91% at 5 years and 80% at 15 years postdiagnosis, there is a growing awareness of the importance of addressing the long-term well-being of patients. Consequently, integrative oncology, which combines standard therapies with complementary approaches (nutrition, mind–body practices, and lifestyle modifications), has emerged as a patient-centred model aimed at improving symptom management, treatment adherence, and overall quality of life (QoL). This study aims to demonstrate how integrative therapies can benefit body composition, phase angle, and fluid and electrolyte balance through bioelectrical impedance analysis (BIA). Methods: This study considers a patient who underwent BC surgery and was enrolled in the AMICO clinic for anamnesis, as well as their oncological pathology data, assessment of QoL, and BIA. The breast surgeon specialising in integrative oncology therapies prescribed the patient curcumin and polydatin, moderate physical activity, a balanced diet, and Qigong sessions. The patient underwent monitoring through haematochemical analysis, BIA, and a QoL questionnaire, with follow-up every four months. Results: Between 4 and 12 months, fat mass (FM) and body mass index (BMI) markedly decreased, whereas fat-free mass (FFM), total body water (TBW), and skeletal muscle mass (SMM) increased progressively. Moreover, the improvements in the Na/K ratio and phase angle (PhA) suggest a shift toward better electrolyte and fluid balance and enhanced cellular integrity and membrane function. Equally outstanding were her psychological benefits in terms of mood, sleep, anxiety, and melancholy. Conclusions: Patient progress in body composition, metabolic function, pain management, and psychological status measured during the 12-month follow-up demonstrates the potential benefits of an integrative approach to supportive cancer care. Full article