Search Results (537)

Linezolid (LNZ) is a synthetic oxazolidinone antibiotic that inhibits bacterial protein synthesis through binding to ribosomal RNA, also preventing the assembly of the initiation complex during translation. It is one of the last-line therapeutic options for serious infections caused by problematic Gram-positive pathogens, including vancomycin-resistant and multidrug-resistant Enterococcus species. Data from recent large-scale studies show a 2.5-fold increase in the prevalence of clinical LNZ-resistant enterococci (LRE) over the past decade with a global detection rate of 1.1% for LNZ-resistant E. faecium (LREfm) and 2.2% for LNZ-resistant E. faecalis (LREfs). Most reported cases have originated from China, followed by South Korea and the United States. LREfm typically belongs to the high-risk clonal complex 17, whereas LREfs demonstrates a heterogeneous population structure. Mutations in the 23S rRNA and ribosomal proteins, as well as acquired resistance genes such as cfr, optrA, and poxtA are involved in the development of LNZ resistance among enterococci. Whole-genome sequencing (WGS) has been recognized as a gold standard for identifying the underlying molecular mechanisms. It exposes that numerous LRE isolates possess multiple LNZ resistance determinants and mutations, further complicating the treatment strategies. The present review article summarizes all known mutational and non-mutational LNZ resistance mechanisms and presents a global overview of WGS-based studies with emphasis on resistome analysis of clinical LREfs and LREfm isolates published in the literature during the period 2014–2025. Full article

Australian elapid snakes possess potent procoagulant venoms, capable of inducing severe venom-induced consumption coagulopathy (VICC) in snakebite victims through rapid activation of the coagulation cascade by converting the FVII and prothrombin zymogens into their active forms. These venoms fall into two mechanistic categories: FXa-only venoms, which hijack host factor Va, and FXa:FVa venoms, containing a complete venom-derived prothrombinase complex. While previous studies have largely focused on human plasma, the ecological and evolutionary drivers behind prey-selective venom efficacy remain understudied. Here, thromboelastography was employed to comparatively evaluate venom coagulotoxicity across prey classes (amphibian, avian, rodent) and human plasma, using a taxonomically diverse selection of Australian snakes. The amphibian-specialist species Pseudechis porphyriacus (Red-Bellied Black Snake) exhibited significantly slower effects on rodent plasma, suggesting evolutionary refinement towards ectothermic prey. In contrast, venoms from dietary generalists retained broad efficacy across all prey types. Intriguingly, notable divergence was observed within Pseudonaja textilis (Eastern Brown Snake): Queensland populations of this species, and all other Pseudonaja (brown snake) species, formed rapid but weak clots in prey and human plasma. However, the South Australian populations of P. textilis produced strong, stable clots across prey plasmas and in human plasma. This is a trait shared with Oxyuranus species (taipans) and therefore represents an evolutionary reversion towards the prothrombinase phenotype present in the Oxyuranus and Pseudonaja last common ancestor. Clinically, this distinction has implications for the pathophysiology of human envenomation, potentially influencing clinical progression, including variations in clinical coagulopathy tests, and antivenom effectiveness. Thus, this study provides critical insight into the ecological selection pressures shaping venom function, highlights intraspecific venom variation linked to geographic and phylogenetic divergence, and underscores the importance of prey-focused research for both evolutionary toxinology and improved clinical management of snakebite. Full article

Background/Objectives: In the last decade, there has been a notable increase in the prevalence of cognitive decline among the elderly population. This phenomenon is further compounded by the concurrent rise in life expectancy, indicating a growing concern for the health and well-being of individuals in this demographic. Dementia has become a disease with a strong social impact, not exclusively limited to its health dimension. It is generally accepted that lifestyle factors and psychological attitudes toward life challenges may serve as protective mechanisms against pathological cognitive decline. The objective of this contribution is to evaluate the impact of lifestyle factors (e.g., physical activity, employment history, nutrition, technology use, etc.), stressors (e.g., illness, rare events, abandonments, home moving, etc.), and sociability (e.g., marriage, active friend network, children proximity, work relationships, etc.) at the onset of pathological cognitive frailty. Methods: In this study, a semi-structured interview was administered to 32 individuals over the age of 65 during their initial neuropsychological evaluation for suspected dementia. Results: Linear regressions with Mini Mental State Examination scores indicated that lifestyle and sociability factors offer a degree of protection against cognitive decline, while stressors were found to be unrelated to this phenomenon. Conclusions: The utilization of contemporary technologies, the possession of a driver’s license, and the maintenance of an active social network have been demonstrated to possess a high degree of predictive value with respect to cognitive reserve in the context of aging. Full article

The provision of food in pre-Inca/Inca cultures (1000 BC–≈1532 AD) in environments near Lake Titikaka (approximately 4000 m above sea level) was possible through an agricultural technique called “Waru-Waru”, which consists of filling the space (volume) between rows of land containing plants that are cultivated (a series of earth platforms surrounded by water canals) with water, using water as thermal energy storage to store energy during the day and to regulate the temperature of the soil and crop atmosphere at night. The problem is that these cultures left no evidence in written documents that have been preserved to this day indicating the mathematical models, the physics involved, and the experimental part they performed for the research, development, and innovation of the “Waru-Waru” technique. From a review of the existing literature, there is (1) bibliography that is devoted to descriptive research (about the geometry, dimensions, and shapes of the crop fields (and more based on archaeological remains that have survived to the present day) and (2) studies presenting complex mathematical models with many physical parameters measured only with recently developed instrumentation. The research objectives of this paper are as follows: (1) develop a mathematical model that uses finite differences in fluid mechanics, thermodynamics, and heat transfer to explain the experimental and theory principles of this pre-Inca/Inca technique; (2) the proposed mathematical model must be in accordance with the mathematical calculation tools available in pre-Inca/Inca cultures (yupana and quipu), which are mainly based on arithmetic operations such as addition, subtraction, and multiplication; (3) develop a mathematical model in a sequence of steps aimed at determining the best geometric form for thermal energy storage and plant cultivation and that has a simple design (easy to transmit between farmers); (4) consider the assumptions necessary for the development of the mathematical model from the point of view of research on the geometry of earth platforms and water channels and their implantation in each cultivation area; (5) transmit knowledge of the construction and maintenance of “Waru-Waru” agricultural technology to farmers who have cultivated these fields since pre-Hispanic times. The main conclusion is that, in the mathematical model developed, algebraic mathematical expressions based on addition and multiplication are obtained to predict and explain the evolution of soil and water temperatures in a specific crop field using crop field characterization parameters for which their values are experimentally determined in the crop area where a “Waru-Waru” is to be built. Therefore, the storage of thermal energy in water allows crops to survive nights with low temperatures, and indirectly, it allows the interpretation that the Inca culture possessed knowledge of mathematics (addition, subtraction, multiplication, finite differences, approximation methods, and the like), physics (fluids, thermodynamics, and heat transfer), and experimentation, with priority given to agricultural techniques (and in general, as observed in all archaeological evidence) that are in-depth, exact, practical, lasting, and easy to transmit. Understanding this sustainable energy storage technique can be useful in the current circumstances of global warming and climate change within the same growing areas and/or in similar climatic and environmental scenarios. This technique can help in reducing the use of fossil or traditional fuels and infrastructure (greenhouses) that generate heat, expanding the agricultural frontier. Full article

The CO₂ capture from flue gas using biomass-derived porous carbons presents an environmentally friendly and sustainable strategy for mitigating carbon emissions. However, the conventional fabrication of porous carbons often relies on highly corrosive activating agents like KOH and ZnCl₂, posing environmental and safety concerns. To address this challenge, in the present work sodium metaborate tetrahydrate (NaBO₂·4H₂O) has been utilized as an alternative, eco-friendly activating agent for the first time. Moreover, a water chestnut shell (WCS) is used as a sustainable precursor for boron-doped porous carbons with varied microporosity and boron concentration. It was found out that pyrolysis temperature significantly determines the textural features, elemental composition, and CO₂ adsorption capacity. With a narrow micropore volume of 0.27 cm³/g and a boron concentration of 0.79 at.% the representative adsorbent presents the maximum CO₂ adsorption (2.51 mmol/g at 25 °C, 1 bar) and a CO₂/N₂ selectivity of 18 in a 10:90 (v/v) ratio. Last but not least, the as-prepared B-doped carbon adsorbent possesses a remarkable cyclic stability over five cycles, fast kinetics (95% equilibrium in 6.5 min), a modest isosteric heat of adsorption (22–39 kJ/mol), and a dynamic capacity of 0.80 mmol/g under simulated flue gas conditions. This study serves as a valuable reference for the fabrication of B-doped carbons using an environmentally benign activating agent for CO₂ adsorption application. Full article

Gastroenteropancreatic neuroendocrine tumors (GEP-NETs) are a family of tumors that arise throughout the gastrointestinal tract. These tumors are heterogeneous, with complex clinical symptoms and tumor behaviors, and demonstrate rising incidence rates worldwide. In addition to their nature, GEP-NETs possess limited diagnostic and therapeutic options, which results in poor survival rates for patients with metastatic tumors. Given these findings, a further analysis of these tumors’ biology is needed to determine new therapeutic strategies. The tumor microenvironment (TME) consists of several residual cell populations and non-cellular components whose altered behavior creates a tumor-supportive niche. Studies from other cancers demonstrate the TME’s significance in tumor initiation, progression, and spread. In this review, we discuss efforts to characterize the TME in GEP-NETs. Preliminary studies of the immune system in GEP-NETs have led to several major clinical trials, with limited success. Efforts to target signaling crosstalk between cancer-associated fibroblasts, vascular endothelial cells, and tumor cells has led to major discoveries and multiple approved therapies. Finally, alterations to the extracellular matrix may lead towards an improved understanding of GEP-NET development, behavior, and improved detection methods. While research has rapidly expanded our knowledge within the last decade, further work is needed to bring our understanding of the GEP-NET TME in line with other rare cancers. Full article

The superfamily Alpheoidea comprises eight families: Alpheidae, Barbouriidae, Bythocarididae, Hippolytidae, Lysmatidae, Merguiidae, Ogyrididae and Thoridae. Alpheoids are characterized by possessing two pairs of chelate pereopods, a multiarticulate carpus on pereopod 2, and a narrow strip as the last article on maxilliped 2. However, during the inspection of the reproductive system (RS) of several alpheoids, we consistently observed the presence of ejaculatory bulbs (EBs) in vasa deferentia (VDs) of these shrimps. To investigate whether the presence of EBs in the RS is a conserved trait among Alpheoidea representatives, we analyzed as many species as possible along the Brazilian coast: Alpheidae—5 genera, 19 spp., Hippolytidae—2 genera, 2 spp., Lysmatidae—2 genera, 10 spp., Merguiidae—1 genus, 1 sp., Ogyrididae—1 genus, 2 spp., and Thoridae—1 genus, 1 sp. In addition, we examined representatives of the superfamilies Atyoidea (1 family, 2 genera, 2 spp.), Nematocarcinoidea (1 family, 1 genus, 2 spp.), Palaemonoidea (2 families, 4 genera, 4 spp.) and Processoidea (1 family, 2 genera, 2 spp.) to determine whether EB are present in these groups. Among the groups analyzed, except for the family Alpheidae, most species of alpheoids exhibit an expansion on the ventral portion of the VD in continuity with the lumen of the vas deferens, i.e., the EB. This structure increases the surface area of the VD, consequently increasing the quantity of the seminal material to be ejaculated onto the female. We did not observe the presence of EB in any other of the analyzed superfamilies, suggesting that this structure is exclusive in Alpheoidea. In conclusion, the presence of EB in VD appears to be an exclusive trait in Alpheoidea, being considered a well-preserved synapomorphic trait in this group, except in the family Alpheidae that do not harbor EB, representing a plesiomorphic condition within this superfamily. Full article

Background: Self-medication is the use of medicinal products to treat self-diagnosed disorders or symptoms without the prescription or supervision of a healthcare professional. There is a lack of data about self-medication knowledge, attitudes, and practices among pharmacy undergraduates in Malaysia. This study assessed the knowledge, attitudes, and practices among undergraduate pharmacy students in Penang regarding self-medication. Method: A descriptive cross-sectional study was conducted using a self-administered, web-based survey (Google Forms), which was completed and responded to by 203 undergraduate pharmacy students from Penang, Malaysia, between October and December 2023. Descriptive statistics were used to summarize the socio-demographic characteristics of the participants. Associations between the socio-demographic characteristics of the participants and the knowledge, attitudes, and practices regarding self-medication were assessed using a chi-square test. Regression analyses were carried out to determine whether the socio-demographic characteristics of the participants were associated with practices of self-medication. Results: A total of 203 of the undergraduate pharmacy students completed the questionnaire. More than half of the participants’ age ranged between 19 and 21 years old, the majority were females (77.3%), and 31.5% of the participants had family members employed in the healthcare sector. Most respondents showed good knowledge in a variety of domains: 97.5% acknowledged the potential for drug interaction with other medications, indicating a high awareness of proper self-medication practices. A positive attitude was found regarding participants’ attitudes toward self-medication, and 65.5% practiced self-medication, primarily for treating minor illnesses (75.9%). Common conditions included fever (83.3%), cough/cold/flu (76.8%), and headache (71.4%). Reasons for not self-medicating included the absence of illness (20.2%), lack of knowledge/prior experience (19.2%), and fear of using the wrong medication (18.7%). Only academic year level was the predictor of practicing self-medication within the last six months among the participants. Conclusions: Generally, the participants possessed good knowledge and positive attitudes toward self-medication. The study revealed no significant associations between demographic characteristics and knowledge or attitudes. Insights from this research contribute to understanding self-medication practices among pharmacy students in Penang, informing potential interventions to promote responsible self-medication practices. Full article

Candida auris possesses distinctive features that facilitate its persistence and transmission in healthcare settings, causing outbreaks of infection that are difficult to treat. So, emphasis has been placed on implementing measures for controlling, eliminating, and preventing fungal transmission, such as environmental disinfection and patient decolonization. This review aimed to understand and analyze the agents for environmental disinfection and patient decolonization reported in the last 5 years. The PubMed database was reviewed, using the terms “Candida auris”, “disinfection”, and “decolonization”. Only original papers, published between 2020–2025, in English or Spanish, that included relevant information on the topic, were selected. After the selection process, 52 articles were chosen to analyze the agents for environmental disinfection and decolonization of C. auris. Natural and synthetic disinfectants and ultraviolet radiation were reported for the environmental disinfection, with variable efficacy, depending on factors such as concentration and exposure time. Natural and synthetic antiseptics were also reported for decolonization, with varying efficacy. For example, 2% chlorhexidine shows a 0.5 log reduction, while at concentrations >10% it is >4 log. However, most have only been tested in animal models. Based on the review, Far-UV-C radiation (222 nm) is safe and appropriate to mitigate (up to 1 log reduction) the spread of C. auris in the hospital setting. However, it is important to consider that the cost and limited availability of the device present a barrier to its implementation. Patient decolonization is still challenging nowadays due to the absence of agents with proven high efficacy in humans. Full article

Triaxial shapes in even–even nuclei have been considered since the early days of the nuclear collective model. Although many theoretical approaches have been used over the years for their description, no effort appears to have been made for grouping them together and identifying regions on the nuclear chart where the appearance of triaxiality might be favored. In addition, over the last few years, discussion has started on the appearance of small triaxiality in nuclei considered so far as purely axial rotors. In the present work, we collect the predictions made by various theoretical approaches and show that pronounced triaxiality appears to be favored within specific stripes on the nuclear chart, with low triaxiality being present in the regions between these stripes, in agreement with parameter-free predictions made by the proxy-SU(3) approximation to the shell model, based on the Pauli principle and the short-range nature of the nucleon–nucleon interaction. The robustness of triaxiality within these stripes is supported by global calculations made in the framework of the Finite-Range Droplet Model (FRDM), which is based on completely different assumptions and possesses parameters fitted in order to reproduce fundamental nuclear properties. Full article

At the core of AI-driven electrocardiogram diagnosis lies the precise localization of the QRS complex. While QRS detection methods for multiple leads have been researched adequately in the last few decades, their multi-lead strategies still need to be designed manually. Therefore, a QRS detector that can fuse multiple leads automatically is still worth investigating. Methods: The proposed QRS detector comprises a leads-distillation module (LDM) and a QRS detection module. The LDM can distill multi-lead signals into single-lead ones. This procedure minimizes the weight proportions assigned to noisy leads, enabling the network to generate a novel signal that facilitates the recognition of QRS waves. The QRS detection module, utilizing U-Net, is capable of discerning QRS complexes from the novel signal. Results: Our method demonstrates outstanding performance with a parameter count of only 5216. It achieves an excellent F1 score of 99.83 on the MITBIHA database and 99.77 on the INCART database, specifically in the inter-patient pattern. In the cross-database pattern, our approach maintains a strong performance with an F1 score of 99.22 on the INCART database and an F1 score of 99.09 on the MITBIHA database. Conclusion: Our method provides a novel idea for universal multi-lead QRS detection. It possesses advantages, such as reduced computational parameters, enhanced precision, and heightened compatibility. Significance: Our method canceled the repeated deployment of the QRS detection function to different lead configurations in the electrocardiogram (ECG) diagnostic system. Moreover, the scaling operation may become a simple tool to decrease the computational load of the network. Full article

Mammalian renal intercalated cells are known for their role in acid secretion and maintaining acid–base balance. Herein, we discuss the theoretical reasons behind their development based on published data, focusing on the unique characteristics of renal intercalated cell biology that distinguish them from other mammalian cell types, while simultaneously attempting to explain the persistence of cells similar to intercalated cells throughout evolution. In addition, we traced these characteristics phylogenetically back to the simplest organisms. Intercalated cells have several functions and attributes. First, they contribute to kidney defense mechanisms in response to both infectious and non-infectious kidney damage. Second, intercalated cells are energized by V-ATPases in a manner similar to that of protozoa. Third, they possess T-antigens, which are commonly found in embryonic and cancer cells and which confer invasive abilities to these cells. Fourth, their plasticity enables the regeneration of other epithelial cells. These observations indicate that the origins of renal intercalated cells may be traceable back to amoeboid cells that originated from an evolutionary lineage including protists, or even to the last eukaryote common ancestor. The theoretical framework presented herein supports two predictions: first, that sponge amoebocytes possess membrane V-ATPase and are sensitive to bafilomycin, but not to ouabain; and second, that sponge amoebocytes—along with cells from diploblasts (such as Xenacoelomorpha), cnidarians, worms, fish and mollusk ionocytes, and the entire cell lineage containing V-ATPase, carbonic anhydrase, and anion exchangers (HCO₃⁻/Cl⁻)—have innate immunity, cellular dedifferentiation, and regeneration capabilities. Full article

The world has recently witnessed the dire consequences of microbial infections in the form of the spread of COVID 19. Like viruses, bacterial infections too are a serious global health concern, especially because of the evolution of multidrug-resistant (MDR) bacterial populations. MDR bacteria are a result of the mindless use and misuse of antibiotics all over the world. Hence, there arises a need to find alternative strategies to effectively combat bacterial infections; all the more so for MDR bacterial infections. A lot of research has been conducted to find alternative antibacterial strategies such as phage therapy, the synthesis of antimicrobial peptides, the development of CRISPR-Cas systems, the incorporation of pro- and pre-biotics into our food or as supplements, and the development of bactericidal nanotechnology and antibacterial materials. Of these many strategies, this review focusses on the last one—the development of antibacterial materials. This article explores the potential of plant-derived natural colorants to serve as effective antibiotic materials to be used in various industries ranging from food, textile, paper, and leather to the pharmaceutical industry. Some major advantages of developing plant-derived natural colorants into antibacterial materials is that many of them possess inherent medicinal properties, they are biocompatible, non-toxic for humans, and biodegradable, and hence environment friendly. Many plant-derived natural colorants, like curcumin, indigo, lawsone, emodin, etc., have already been well studied for their antimicrobial properties. This review article aims at integrating some relevant studies to offer a cohesive overview of the current state of knowledge on the antibacterial properties of plant-derived natural colorants. Full article

St. Maximus the Confessor (580–662) stands out among the Church Fathers as one of the last Christological martyrs. Maximus possessed one of the greatest minds of the Church’s first millennium. The greatest strength of Maximus’s Christology is that he presents a synthesis of all Christological contributions known to him while developing his own Christology of union in distinction. In order to flesh out his system of Christology, this essay works primarily with select works of Maximus’s, namely, the Small Theological and Polemical Works (Opuscula), the Ambigua, the Questions to Thalassius, and the Mystagogy. It will demonstrate that Maximus’s Christology bears the following four predominant signatures: it is patristic, Incarnational, composite, and cosmic. All four features are interrelated, particularly in Maximus’s theory of the λόγοι (logology), and all four hold significant sway over the whole of his doctrine. The essay concludes with a brief consideration of how the Ressourcement movement has benefitted Maximian studies. Full article

Despite the growing popularity of women’s basketball in recent years, scientific literature on the subject remains significantly less extensive compared to its male counterpart. The main objective of this research was to analyze successful offensive actions and patterns during critical moments in the Women’s EuroLeague. The sample consisted of 377 technical–tactical actions corresponding to plays with score differences of three points or less (one-possession games) in the final minute and overtime periods of the Women’s EuroLeague during the 2021/22 and 2022/23 seasons. This study was based on an observational design, utilizing the LINCE PLUS software together with a customized observation tool. Descriptive statistics and chi-square (χ²) tests were carried out using SPSS version 25, while T-Pattern detection was performed through Theme 5 software. A threshold for statistical significance was established at p < 0.05. The findings indicated that home teams achieved a higher percentage of successful plays compared to visiting teams. Most successful patterns occurred during the final phase of possession (8”–0”), regardless of game location or team result. Additionally, layups, plays involving shots after on-ball screen, and actions following personal fouls demonstrated the highest success rates. The practical implications discussed in this research provide valuable insights for coaches to optimize offensive strategies during high-pressure moments in elite women’s basketball. Full article