Search Results (42,543)

Introduction: High performance colonoscopy requires the monitoring of an individual’s adenoma detection rate (ADR). The Endocuff (EndoCuff Vision, Olympus America Inc., Center Valley, PA, USA) is an endoscopic distal attachment device that increases surface area exposure during colonoscopy. While studies have shown that Endocuff increased ADR, real-world data is limited on its effectiveness. Methods: The Premiere Health Database was reviewed from 2018 to 2021 to identify patients 50 years of age or older who had a screening colonoscopy. A keyword search for “Endocuff” was used to determine if Endocuff was utilized, and ICD10 codes were analyzed to determine if a polyp was found. Our primary outcome was a polyp detection rate (PDR) for Endocuff-assisted colonoscopy (EAC) and standard colonoscopy (SC). Secondary outcomes included an estimated adenoma detection rate (eADR). Logistic regression modeling was performed to examine the difference in PDR between the EAC and SC groups after controlling for baseline characteristics, insurance type, and provider experience. Results: Gastroenterologists performed 893,560 screening colonoscopies, of which 0.7% were Endocuff-assisted, while surgeons performed 234,962 screening colonoscopies and 0.5% were Endocuff-assisted. PDR was higher with EAC for both gastroenterologists (72.0% vs. 57.4%) and surgeons (55.6% vs. 43.7%), with eADR following similar trends. The odds ratio of polyp detection with vs. without Endocuff was 1.91 for gastroenterologists and 1.62 for surgeons. After adjusting for patient and provider factors, the adjusted odds ratios are 2.01 and 1.61, respectively. Conclusions: While Endocuff utilization remains low, this large study using real-world data demonstrates the ability to improve eADR by over 10% compared to standard colonoscopy. Full article

Flooding, exacerbated by climate change, urbanization, and poor land-use practices, is a growing challenge for rural households in the Volta Basin. This study examines the effectiveness of flood management practices in improving household resilience in Benin and Togo. Using a mixed-methods approach, including focus group discussions, individual interviews, and structural equation modeling, we analyze three categories of flood management practices: Endogenous Knowledge-Based Practices (EKPs), Community Engagement-Based Practices (CEPs), and Agricultural Technology-Based Practices (ATPs). The results show significant contributions from CEPs to resilience and highlight the role of social cohesion and collective action. EKPs also have a positive impact, reflecting the importance of local knowledge, especially in Benin. However, the adoption of ATPs varies, with greater effectiveness observed in Togo than in Benin. Factors such as age, gender, education, and access to advisory services influence the acceptability and effectiveness of these practices. The findings highlight the need for tailored, integrative interventions that combine traditional knowledge and community participation with modern technologies to strengthen resilience in flood-prone communities. This study provides actionable insights for policymakers and development practitioners who aim to improve disaster risk reduction and climate resilience strategies in the Volta Basin. Full article

Copepods play a critical role in aquatic food chains and are a key source of food in aquaculture, so optimizing their culture conditions is essential for their large-scale production. The objective of this study was to determine the optimal culture parameters of the copepod Oithona nana as a function of total population growth and the different stages of its life cycle. To this end, four experiments were carried out in quadruplicate, evaluating the effects of temperature, salinity, photoperiod and optimal microalgal concentration of Isochrysis galbana. Each experiment lasted 15 days. Temperatures of 20, 24, 28 and 32 °C were tested; salinity levels of 20, 25, 30 and 35 PSU; photoperiods of 12L:12D, 16L:8D and 24L:0D; and concentrations of I. galbana of 1 × 10⁴, 5 × 10⁴, 10 × 10⁴, 15 × 10⁴ and 20 × 10⁴ cells/mL. Results indicated that the optimal temperature for the culture of O. nana, with significant differences compared to the other treatments, was 28 ± 1 °C. Regarding salinity, the optimal level for the total development of the population was 25 ± 2 PSU, while to maximize the percentage of copepodites, the most appropriate levels were 30 and 35 PSU. The light-dark regimen of 16L:8D promoted the highest total density of individuals, while 12L:12D and 16L:8D favored development of nauplii and copepodites. Finally, optimal concentrations of I. galbana that generated the highest densities of O. nana at all stages of its life cycle were 15 × 10⁴ and 20 × 10⁴ cells/mL. These findings provide key information for the development of optimized cultures of O. nana, which can improve its availability as a food source in aquaculture systems and favor the success of larval cultures in species of commercial interest. Full article

Ensuring the long-term electro-mechanical reliability of high-voltage alternating current (HVAC) insulator strings requires a detailed understanding of how multiple environmental and electrical stressors influence the corrosion behavior of hot-dip galvanized steel fittings. In this study, a three-factor, three-level L9(3³) orthogonal accelerated corrosion test was conducted to systematically evaluate the individual and interactive effects of marine salt deposition (0–10 g m⁻² day⁻¹), acetic acid pollution (0–8 µg m⁻³), and 50 Hz AC leakage current (0–10 mA) on miniature pin-type assemblies. A comprehensive post-corrosion characterization approach was employed. The results revealed that chloride loading from salt deposition was the dominant contributor to corrosion. However, the synergistic interaction between salt and leakage current led to an acceleration in zinc depletion compared to the additive effect of the individual factors. A quadratic regression model with a high correlation coefficient was developed to predict corrosion volume per unit area. The findings offer a mechanistic explanation for field-reported failures in coastal power grids and provide actionable guidance for optimizing corrosion-resistant coatings and implementing electrical mitigation strategies. Full article

Optimizing resources to produce higher quality food is key to promoting more resilient agroecosystems. Although the use of biostimulants in agriculture has been gaining importance in recent years, their success depends on edaphoclimatic conditions and on the specific plant species. For this reason, the main aim of this study was to evaluate the effect of biostimulants (amino acids obtained from the enzymatic hydrolysis of plant extracts) on durum wheat yield variables and grain quality (protein content). Five treatments (control treatment—T1, biostimulants—T2, slow-release urea—T3, biostimulants plus slow-release urea—T4, Mg and micronutrients—T5) were tested in a field experiment conducted over 3 seasons in the south of Spain; all were dosed at 120 kg N ha⁻¹. The number of spikes increased significantly with biostimulant treatments in the first season (up to 33%, T2 and T4), while the highest significant grain yields were obtained with biostimulants applied individually in the first season (29.5%-T2) and biostimulants in combination with slow-release urea the second season (27.3%-T4), related to T1. Grain protein concentration was influenced by the treatment only in the second season, the driest during the study, when it was increased with biostimulants up to 4.2% with T2 in comparison with T1. Total protein production increased (28.1%T2) in the first season, (8.1–21.9% for T2–T4) in the second season and (6,5% T4) in the third season, when biostimulants were applied alone or in combination with slow-release urea, respectively. In general, plants treated with Mg and micronutrients produced a lower number of spikes, less yield, and reduced total protein compared to those doses with biostimulants. The application of amino acids as biostimulants was demonstrated to enhance durum wheat yield and total protein production and could be a potential tool for promoting nitrogen use efficiency in semi-arid areas. Full article

Due to the large amount of plastic waste that is currently produced, the demand for ecological solutions to this situation has been growing. Many research studies in recent years have focused on polylactic acid (PLA) as a biodegradable material made from renewable resources. The individual components of biodegradable materials should comply with the EN 13432 standard, which defines the properties of a “compostable” material. Careful selection of dyes and pigments is therefore important in terms of maintaining the biodegradability of the finished products. In this article, we focus on evaluating the flow properties of color masterbatches modified with inorganic biodegradable pigments. Two types of PLA were used as polymer pigment carriers, and titanium dioxide, carbon black, and two iron oxides were used as inorganic pigments. We monitored the effect of the type and concentration of pigments on the processability and rheological properties of the prepared color PLA masterbatches. The capillary viscometer and rotary rheoviscometer were used to determine rheological properties. The flow properties of color masterbatches containing 1 and 3 wt.% inorganic pigments with two types of pure polymers, PLA6100 and PLA175, were compared. We found that the color PLA masterbatches had good processability and satisfactory rheological properties, and therefore they are usable for further processing. Full article

Patients with Crohn’s disease (CD) may require liver transplantation (LT) due to advanced liver diseases, including primary sclerosing cholangitis (PSC), autoimmune hepatitis, or other etiologies. However, data on CD activity and the use of advanced therapies following LT are limited. This study aimed to assess CD activity before and after LT and to evaluate the use of advanced therapies in this setting. Methods: In this multicenter retrospective cohort study, we analyzed 40 patients with CD who underwent LT between 2000 and 2022 at four university hospitals in Germany. Clinical and endoscopic disease activity, as well as the use of advanced therapies, were evaluated before and after transplantation. Results: Before LT, 89.7% of patients were in clinical remission, which remained stable after LT (85.7%; p = 0.650). Nevertheless, 22.6% of these patients demonstrated moderate to severe mucosal inflammation on endoscopy during long-term follow-up. The use of advanced therapies remained low after transplantation (pre-LT: 11.7%, post-LT: 7.5%; p = 0.532) even among those with endoscopic disease activity. Conclusions: Although clinical remission of CD is usually maintained following LT, endoscopic evidence of persistent mucosal inflammation is common and may be underrecognized. Despite this, advanced therapies are not frequently used in the post-transplant setting. These findings suggest that individualized treatment strategies are needed to address subclinical disease activity while balancing therapeutic effectiveness with transplant-specific risks. Full article

Background: Dental caries remains one of the most prevalent chronic diseases worldwide. Fluoride has long been recognized as a cornerstone of caries prevention through enamel remineralization, inhibition of demineralization, and antibacterial activity. However, controversies persist regarding systemic exposure, potential health risks, and ethical debates over community water fluoridation. Previous reviews often focused on isolated interventions, whereas a critical synthesis of mechanisms, clinical efficacy, safety, and public health perspectives is still lacking. Methods: This narrative review synthesized peer-reviewed publications from 2000 to 2025 retrieved from PubMed, Scopus, Web of Science, and leading dental journals. Emphasis was placed on randomized controlled trials, systematic reviews, meta-analyses, and major policy documents. Evidence was thematically appraised across mechanisms of action, clinical applications, comparative efficacy, safety, and sociocultural considerations. Results: Fluoride consistently shows preventive and therapeutic benefits across multiple delivery forms, including toothpaste, varnishes, mouthrinses, supplements, and silver diamine fluoride, with particular advantages for high-risk groups such as children, orthodontic patients, and older adults. Nonetheless, study heterogeneity, variations in protocols, and concerns regarding fluorosis and possible neurodevelopmental effects highlight persistent uncertainties. Comparative analyses reveal trade-offs between efficacy and acceptance, for example, the high caries-arrest rate of silver diamine fluoride compared with its esthetic drawback. Emerging alternatives such as nano-hydroxyapatite, fluoride-containing bioactive glass, and probiotic-based approaches are promising but currently supported by limited clinical data. Conclusions: Fluoride remains central to caries prevention, yet its optimal use requires balancing benefits against risks, addressing cultural and socioeconomic barriers, and tailoring strategies to individual and community contexts. This narrative synthesis underscores the need for well-designed multicenter randomized controlled trials, longitudinal studies to refine safe exposure thresholds, evaluations of novel biomaterials and delivery systems, and the incorporation of patient-reported outcomes to guide future evidence-based policies and clinical practices. Full article

The World Health Organization defines burnout as a syndrome resulting from chronic workplace stress that has not been successfully managed. Similarly, workplace bullying is widely recognized as a significant psychosocial stressor and a potentially traumatic experience, frequently associated with various adverse psychological outcomes. Based on the Job Demands-Resources (JD-R) Model, we conceptualized bullying at work as a demand whose detrimental impacts may be intensified by the actions of bullying bystanders who remain silent. This study investigates the relationship between workplace bullying and burnout, with a specific focus on the mediating roles of bystander silence and perceived stress. Data collected from 239 professionals working in the financial sector indicate that the effect of workplace bullying on burnout is significantly mediated by both bystander silence and perceived stress. The proposed serial mediation model underscores the importance of social and individual-level mechanisms in the development of burnout. These findings suggest that effective interventions aimed at preventing workplace bullying must be grounded in a nuanced understanding of organizational context and social dynamics. Full article

Background/Objectives: Population aging and its associated chronic conditions have become an unprecedented challenge in the United States and worldwide. Many aged individuals experience certain forms of cognitive decline, which increases their risk of developing a pre-dementia condition called mild cognitive impairment and even dementia. No effective pharmacological treatments are available to treat normal age-associated cognitive decline or mild cognitive impairment. Our previous study has shown the potent anti-inflammatory effects of shiitake mushroom-derived vesicle-like nanoparticles (S-VLNs) in vitro and in an acute inflammatory disease model. In this study, we aimed to investigate the potential benefits of orally administered S-VLNs in aged mice. Methods: S-VLNs were extracted from fresh shiitake mushrooms. S-VLNs in phosphate-buffered saline (PBS) or vehicle only was orally administered to 13-month-old male C57BL/6J mice weekly for 9 months. These mice were subjected to a series of physiological tests, followed by euthanasia at 22 months of age. Their fecal samples were subjected to 16S rRNA and untargeted metabolomics analyses, followed by comprehensive bioinformatics analyses. Results: The long-term oral administration of S-VLNs significantly improved the cognitive function of aged mice. Orally administered S-VLNs did not travel to the brain. Instead, they impacted the composition of the gut microbiota and reshaped the fecal metabolome. Functional predictions of the gut microbiota and fecal metabolome suggested that S-VLNs regulated tryptophan metabolism. Specifically, S-VLNs markedly decreased the tryptophan-related metabolite kynurenic acid (KYNA). The integrative analyses of omics data identified a strong correlation between 18 gut bacterial genera and 66 fecal metabolites. KYNA was found to highly correlate with five genera positively and twelve genera negatively. Conclusions: The oral intake of S-VLNs represents a new and superior dietary approach with the ability to modulate the gut microbiota and fecal metabolome and to improve cognitive function during aging. Full article

The decarbonization of urban transport is critical for achieving sustainable development goals, and the electrification of ride-hailing services offers one promising pathway. However, the acceptance of electric ride-hailing services (ERHS) in less-developed cities lags behind that in developed regions, and existing research lacks a systematic analysis. This study fills the gap by conducting a survey in Zhangzhou, China, and employing ordered and binary logit models to analyze the factors influencing the acceptance of ERHS and the willingness to participate in this sustainable program by drivers and potential drivers. The findings indicate the following: (1) For drivers, environmental awareness is an important driving factor for accepting ERHS. Drivers who worry about the potential health effects of EV radiation are less willing to adopt ERHS. Part-time drivers and those who receive operational subsidies are more likely to adopt ERHS. (2) Among potential drivers, males, individuals aged 36 to 45, and those who are insensitive to fuel price fluctuations show a lower willingness to adopt ERHS. Conversely, the perceived fairness of the commission rates of the platform, driving range, and driving experience significantly promote the acceptance. (3) For potential drivers, the willingness to participate in ERHS is significantly affected by recycling subsidies, education level, and the currently driven vehicle type. The results could provide a policy blueprint for accelerating the green transformation of the ride-hailing industry, and could also provide policymakers with the empirical evidence needed for differentiated intervention measures to promote sustainable and low-carbon urban transportation. Full article

Background/Objectives: Dülmen wild horses are kept in a fenced wooden and marsh area around Dülmen in Westphalia, Germany, since 1856. Previous analyses supported early genetic divergence from other domesticated horse populations and the Przewalski horse. Therefore, the objective of this study was to evaluate genetic diversity using high-density genomic data. Methods: We collected 337 one-year-old male Dülmen wild horses, captured at 12 annual auctions, for genotyping on the Illumina GGP Equine Plus Beadchip. All analyses were performed for 63,123 autosomal SNPs. Results: On average, each horse had 27.96 ROH with an average length of 8.237 Mb, resulting in an average genomic inbreeding coefficient F_ROH of 0.107. ROH with a length of 2–4 Mb were most frequent, and the next frequent ROH fall into the length categories of 4–8 and 8–16 Mb. The effective population size (N_e) steadily decreased in the last 100 generations by 4.57 individuals per generation from 498 to 41. We identified 10 ROH islands on equine chromosomes 1, 4, 5, 7, 9, and 10. Only one ROH island on ECA 1 was shared by 45% of the horses. Overrepresented genes of ROH islands were associated with glycerophospholipid catabolism through phospholipase A2 genes, skeletal muscle contraction (TNNI3, TNNT1), synapse activity and structure (CTTNBP2), regulation of inflammatory response (NLRP genes), and zinc finger protein genes, which are involved in many cellular processes and may also act as tumor suppressors and oncogenes. Conclusions: This study highlights the development of genomic inbreeding and shows the importance of the stallions selected for breeding on the genetic diversity of the Dülmen wild horses. The results of this study should be used to develop strategies to slow down increase in inbreeding and prevent transmitting unfavorable alleles from the stallions to the next generation. Full article

Hard coal mining activity generates post-mining waste (waste rock). Waste rock is deposited in the environment in large quantities for reclamation of agricultural land. In this study, waste rock was treated as a potential source of metal pollutants. The research material (waste rock, soil, plant roots, and Lumbricidae earthworms) was obtained from sites that had been reclaimed using waste rock as well as sites without waste rock. From each site, 30 individuals (n = 30) were collected, divided into five groups, 6 individuals each. Within the group, individuals were analyzed collectively. The study tested whether selected metals (Cr, Ni, Cd, Ba, Pb, Zn, and Cu) are present in waste rock and whether they can be transferred to the soil, plant root systems, and representatives of Lumbricidae, which are important bioindicators and a source of biomarkers. Particular attention was focused on the assessment of the effects of metals deposited in situ on fatty acids in representatives of Lumbricidae and on selecting a set of fatty acids that can be used as biomarkers of physiological effects, including oxidative stress. A panel of biomarker fatty acids was used, which included a panel of 17 biomarker fatty acids from 35 fatty acids analyzed. To confirm or disprove the usefulness of the biomarker fatty acid panel in earthworms, superoxide dismutase (SOD), catalase (CAT), and thiobarbituric acid reactive substances (TBARS) were determined. The study enabled an effective comparison of reference locations with locations potentially burdened with anthropogenic sediment. The results indicate that selected metals present in the waste rock are transferred to the soil, plant root systems, and soil organisms such as Lumbricidae. Selected metals affected the lipid metabolism of Lumbricidae as stressors, leading to changes in the composition and oxidation of fatty acids. The effect on the physiological state of Lumbricidae depended on the duration of the deposit and the type of use (field, meadow, wasteland) of the land with the waste rock deposit. In earthworms obtained from sites with waste rock deposits, higher contents of biomarker saturated fatty acids and biomarker monounsaturated fatty acids and lower contents of biomarker polyunsaturated fatty acids were found compared to earthworms obtained from sites without waste rock deposits. Only Pb (lead) showed a statistically significant correlation with all analyzed parameters in earthworms obtained from sites with waste rock deposits. The results have significant practical implications for environmental protection management. The proposed set of biomarker fatty acids in Lumbricidae can be used to assess the impact of pollutants and environmental monitoring. Full article

The feeding behavior of dairy cows constitutes a complex temporal sequence comprising actions such as head lowering, sniffing, arching, eating, head raising, and chewing. Its precise recognition is crucial for refined livestock management. While existing 2D convolution-based models effectively extract features from individual frames, they lack temporal modeling capabilities. Conversely, due to their high computational complexity, 3D convolutional networks suffer from significantly limited recognition accuracy in high-density feeding scenarios. To address this, this paper proposes a Spatio-Temporal Fusion Network (DAS-Net): it designs a collaborative architecture featuring a 2D branch with a triple-attention module to enhance spatial key feature extraction, constructs a 3D branch based on multi-branch dilated convolution and integrates a 3D multi-scale attention mechanism to achieve efficient long-term temporal modeling. On our Spatio-Temporal Dairy Feeding Dataset (STDF Dataset), which contains 403 video clips and 10,478 annotated frames across seven behavior categories, the model achieves an average recognition accuracy of 56.83% for all action types. This result marks a significant improvement of 3.61 percentage points over the original model. Among them, the recognition accuracy of the eating action has been increased to 94.78%. This method provides a new idea for recognizing dairy cow feeding behavior and can provide technical support for developing intelligent feeding systems in real dairy farms. Full article

Background and Objectives: The study aims to evaluate the effects of regular physical activity on ocular structures by comparing eye anterior segment structures and retinal nerve fiber layer (RNFL) parameters between elite individual athletes and sedentary persons. Materials and Methods: This cross-sectional observational study included 75 participants (33 female and 42 male) aged 18–32 years. Participants consisted of 33 elite individual athletes (66 eyes) aged 18–32 years and 42 sedentary individuals (84 eyes) aged 18–28 years. The elite athlete group consisted of participants who had trained ≥ 3 times per week for the past 5 years and had competition experience in tennis (n = 11), badminton (n = 8), and short/middle distance running (n = 14). Sedentary participants had not engaged in regular physical activity for the last 2 years. Anterior segment structures were measured with ultrasound biomicroscopy (UBM), RNFL parameters were measured with spectral-domain optical coherence tomography (SD-OCT), and intraocular pressure (IOP) was measured with a non-contact pneumotonometer. Results: When the anterior segment parameters were compared, a significance was found in the group effect (p = 0.021, ${ƞ}_p^2$ = 0.036) in the TIA500 value, but the effects of side and gender were insignificant (p > 0.05). While the gender effect was found to be significant for the AOD500 (p = 0.030, ${ƞ}_p^2$ = 0.032) and ARA500 (p = 0.019, ${ƞ}_p^2$ = 0.038) variables, the group and side effects were statistically insignificant (p > 0.05). There was a significant difference in IOP values between sedentary individuals (15.82 ± 2.69) and athletes (14.61 ± 1.80) (p = 0.004, ${ƞ}_p^2$ = 0.057). There was a significant difference between the right (15.71 ± 2.70) and left (14.87 ± 2.02) sides (p = 0.027, ${ƞ}_p^2$ = 0.033). The effect of gender was not significant (p > 0.05). When the results were evaluated, a significant effect of the TEMPORAL side in RNFL parameters (p = 0.003, ${ƞ}_p^2$ = 0.058) was observed. Correlations were seen between the anterior segment and RNFL parameters in both groups (p < 0.05). Conclusions: Athletes exhibited lower IOP compared with sedentary individuals, with similar RNFL parameters but distinct correlation patterns with anterior segment structures. These findings suggest that ocular parameters should be evaluated in an integrated manner and that physical activity may support ocular health by contributing to IOP reduction and potentially slowing the progression of eye diseases. Full article