Search Results (31,835)

Xylella fastidiosa was first detected in Portugal in 2019 in Lavandula dentata. In response, the national plant health authorities promptly established a Demarcated Zone in the affected area and implemented a series of eradication and control measures, including the systematic removal and destruction of infected and host plants. This study analyzes the economic and operational impacts of these eradication efforts in the northern region of Portugal, with a focus on Demarcated Zones such as the Porto Metropolitan Area, Sabrosa, Alijó, Baião, Mirandela, Mirandela II, and Bougado between 2019 and June 2023. During this period, about 412,500 plants were uprooted. The majority were Pteridium aquilinum (bracken fern), with 360,324 individuals (87.3%), reflecting its wide distribution and the large area affected. Olea europaea (olive tree) was the second most common species removed, with 7024 plants (1.7%), highlighting its economic relevance. Other notable species included Quercus robur (3511; 0.85%), Pelargonium graveolens (3509; 0.85%), and Rosa spp. (1106; 0.27%). Overall, destruction costs were estimated at about EUR 1.04 million, with replanting costs of roughly EUR 6.81 million. In parallel, prospection activities—conducted to detect early signs of infection and monitor disease spread—generated expenses of roughly EUR 5.94 million. While prospecting represents a significant financial investment, the results show that it is considerably more cost-effective than large-scale eradication. Prospection enables early detection and containment, preventing the widespread destruction of vegetation and minimizing disruption to agricultural production, biodiversity, and local communities. Importantly, our findings reveal a sharp decline in confirmed cases in the initial outbreak area—the Porto Demarcated Zone—from 124 cases in 2019 to just 5 in 2023, indicating the effectiveness of the eradication and monitoring measures implemented. However, the presence of 20 active Demarcated Zones across the country as of 2023 highlights the continued risk of spread and the need for sustained vigilance. The complexity of managing Xylella fastidiosa across ecologically and logistically diverse territories justifies the high costs associated with surveillance and targeted interventions. This study reinforces the strategic value of prospection as a proactive and sustainable tool for plant health management. Effective surveillance requires the integration of advanced methodologies aligned with the phenological stages of host plants and the biological cycle of vectors. Targeting high-risk locations, optimizing sample numbers, ensuring diagnostic accuracy, and maintaining continuous training for field teams are critical for improving efficiency and reducing costs. Ultimately, the findings underscore the need to refine and adapt monitoring and eradication strategies to contain the pathogen, safeguard agricultural systems, and prevent Xylella fastidiosa from becoming endemic in Portugal. Full article

Background and Objectives: To examine the prevalence of fibromyalgia syndrome (FMS) in patients with psoriasis (PsO) and psoriatic arthritis (PsA) and its impact on treatment patterns and biologic therapy adherence. Materials and Methods: This retrospective cohort study utilized electronic health records from the Meuhedet Health Maintenance Organization in Israel between 2000 and 2020. PsO patients were matched 1:4 with controls by age, sex, and ethnicity. We assessed FMS prevalence, comorbidity burden, and treatment patterns. Cox regression and linear models evaluated the association between FMS and biologic switching and duration, adjusting for confounders. Results: Among 61,003 PsO patients and 244,012 controls, FMS prevalence was higher in PsO (3.3% vs. 2.3%, OR = 1.45, 95% CI: 1.38–1.53, p < 0.001). Among PsO patients, those with FMS were predominantly female (81.1% vs. 49.8%, p < 0.001) and had a higher prevalence of PsA (33.6% vs. 7.7%, p < 0.001). They received biologics more frequently (10.2% vs. 2.7%, p < 0.001) and were more likely to require multiple biologic lines (4.2% vs. 0.7%, p < 0.001). In PsA patients receiving biologics, FMS was associated with reduced survival on first-line therapy (6.1 vs. 10.1 years), increased switching risk (HR = 1.82, 95% CI: 1.42–2.35), and shorter treatment duration (B= −0.97 years, p = 0.001). Conclusions: In PsO patients, especially those with psoriatic arthritis, FMS is linked to greater treatment complexity and shorter biologic therapy survival, underscoring the need for tailored management strategies. Full article

The two-spotted spider mite (Tetranychus urticae Koch) (Acari: Tetranychidae) is one of the most widespread and destructive phytophagous mite species, occurring across all climatic zones worldwide. Currently, the control of spider mites in crop protection relies primarily on chemical acaricides. However, the selection of resistant populations to their active ingredients is reducing their efficacy. The aim of the present study was to assess the susceptibility of T. urticae to a native isolate of entomopathogenic nematodes, Steinernema feltiae Filipjev ZWO21, under laboratory conditions. The experiment was conducted using Petri dishes, each containing 22–28 adult T. urticae. Infective juveniles (IJs) of the nematodes were then applied at a dose of 8000 IJs per dish (±300 IJs per mite). Petri dishes with mites treated with nematodes were placed in a Sanyo incubation chamber at 25 °C and 60% relative humidity. After three days, dead mites were collected from the Petri dishes and dissected, and mortality was subsequently determined. The present study confirmed that the S. feltiae ZWO21 isolate exhibited considerable potential for the biological control of T. urticae, causing 37.5–83.3% (mean 57.0%) mortality in this pest species. Although this result indicates a moderate efficacy when nematodes are applied alone, it also underscores the relevance of further research into their integration with other control strategies, including acaricides, within integrated pest management (IPM) programmes. Full article

Introduction and Objectives: Local recurrence (LR) in patients treated with surgery for renal cell carcinoma (RCC) remains a significant clinical challenge that requires thorough investigation. Our study aimed to identify the relative risk factors and explore the optimal clinical management of LR. Materials and Methods: We conducted a non-randomized, observational, retrospective multicentric registry involving multiple Italian urological centers. We included patients treated with surgery (either nephron-sparing or radical nephrectomy) who later developed LR, defined as recurrence in the ipsilateral kidney or renal fossa. Patients with hereditary syndromes or metastatic disease at the time of LR diagnosis were excluded. Results: We reported 135 cases of LR with the following characteristics: most primary lesions were monofocal (85.7%), with a median size of 42 mm (23–53), the median R.E.N.A.L. score was 7 (6–8), and the median Padua score was 7 (6–9). Patients were treated with robot-assisted techniques in 59% of cases, laparoscopic surgery in 32.4%, and open surgery in 8.6%. Nephron-sparing surgery was performed in 75.2% of cases. Ischemia occurred in 61% of the cases, with a median ischemia time of 21 min (15.5–24). Intraoperative complications occurred in 3.8% of cases, while postoperative complications were reported in 13.8%, all of which were grade ≤3 according to the Clavien–Dindo classification. The primary tumors were pT1a in 43.5% of cases, pT1b in 26.3%, pT2 in 14.7% and pT3 in 15.5%. Histologically, 84% of cases were clear cell, 11.3% papillary type 1 or 2, and 3.7% chromophobe. Sarcomatoid/rhabdoid variants were present in 10.5% of cases. The median rate of LR was 1.3% (range 0.2–3.6), while the median time to LR was 18 months (12–39). LR occurred in the ipsilateral kidney in 70.5% of cases and in the ipsilateral renal fossa in 29.5%. The median rate of PSM in LR cases at initial surgery was 2.4% (range 0–4.3), while the median rate of negative surgical margin (NSM) in LR cases at initial surgery was 0.1 (0–0.3). Following LR diagnosis, most patients (49.2%) underwent surgery, 29.1% received cryoablation or radiotherapy, 17.1% received systemic treatment alone, and 4.6% followed a watchful waiting/active surveillance approach. At a median follow-up of 62 months, the highest oncological control in terms of 5-year cancer-specific survival and overall survival rates was achieved in surgically treated patients. The PSM, the histological variant, and their combination were found to be independent variables correlated with the occurrence of LR, with relative risks of 3.62, 2.71, and 8.12, respectively. Conclusions: LR after nephron-sparing or radical nephrectomy represents a significant clinical dilemma. Known risk factors are not always sufficient to predict recurrence, emphasizing the necessity of consistent radiological follow-up per guideline recommendations. Early detection of recurrence and a multidisciplinary approach involving expert centers are crucial for optimizing patient outcomes. Full article

Environmental, Social, and Governance (ESG) management has global relevance, yet its effects differ across contexts. In Korea, with concentrated ownership, family-controlled conglomerates, and evolving governance norms, the ESG–firm performance link offers unique insights. This study examines 620 publicly listed firms in Korea over the 2020–2022 period to assess the effects of ESG performance on firm value (Tobin’s q) and financial performance (operating return on assets). Three governance-related variables that reflect the distinctive features of Korea’s corporate governance—CEO (chief executive officer) tenure, the shareholding ratio of the largest shareholder, and foreign ownership ratio—are included in the analysis as moderating variables. Results show that ESG performance positively affects both firm value and financial performance. Also, CEO tenure and foreign ownership significantly strengthen the ESG–firm value relationship, whereas the shareholding ratio of the largest shareholder enhances the ESG–financial performance link. These findings extend stakeholder, legitimacy, and institutional theories to an East Asian context and offer practical guidance for managers and policymakers aiming to enhance corporate outcomes through ESG strategies in Korea’s distinctive governance environment. Full article

Balancing soil nitrogen leaching with production benefits remains a critical challenge in sustainable greenhouse tomato cultivation. This study evaluated the effects of reduced water-soluble nitrogen fertilizer (N) application rates on soil environmental parameters and production outcomes to optimize nitrogen management strategies. Four treatments were implemented across two growing seasons: control (CK), high-N (H), medium-N (M), and low-N (L) nitrogen fertilizer applications in soil solution (SS) and autumn–winter (AW) systems. Results demonstrated that reduced nitrogen inputs significantly decreased soil electrical conductivity and soil nitrogen retention by 88% and 83% in SS and AW, respectively, while reducing soil residual nitrate nitrogen. The tomato yield decreased by 14–26% under low fertilizer treatment, while fruit quality was substantially enhanced, with soluble solid content increasing by 56% in SS and 217% in AW for the L treatment compared to the CK. Nitrogen-use efficiency improved by 54.7% and 34.78% in SS and AW, respectively, demonstrating superior resource utilization under reduced fertilizer applications. Principal component analysis revealed that fruit quality was primarily influenced by soluble solid content, organic acid, total soluble solids, and sugar–acid ratio. Gray relational analysis identified the L treatment (361.62 kg ha⁻¹ in SS and 182.6 kg ha⁻¹ in AW) as optimal for comprehensive performance evaluation. The findings demonstrate that strategic nitrogen reduction effectively balances production benefits with environmental sustainability, providing a practical framework for sustainable nitrogen management in controlled environment agriculture. Full article

Tree endotherapy has risen to prominence in the field of precision agriculture as an innovative and sustainable method of tree care, being respectful of both environmental protection and consumer health needs. A comprehensive review of the state of the art of research in this field has made it possible to spotlight the main advantages of tree infusion, which has undergone significant progress in step with technological innovation and an increased understanding of tree anatomy and physiology. The major criticalities associated with this technique, as well as the biological and technical–operational obstacles that still hinder its wider use, are also highlighted. What emerges is an innovative and rapidly expanding technique in tree care, in both the cultivation and phytosanitary management of fruit and ornamental trees. Some of the strengths of the endotherapy technique, such as the next-to-no water consumption, the strong reduction in the use of fertilizers and pesticides, the possibility of using biological control agents (BCAs) or other products of natural origin, the precision administration of the product inside the xylem of the tree, and the efficacy (20–90%) and persistence (1–2 years) of treatments, make it one of the cornerstones of sustainable tree protection at present. With a very low consumption of the “active ingredient”, endotherapy has a negligible impact on the external environment, minimizing the drift and dispersal of the active ingredient and thus limiting the exposure of non-target organisms such as beneficial insects, birds, and wildlife. The large-scale application of the technique would therefore also help to achieve an important goal in “climate-smart agriculture”, the saving of water resources, significantly contributing to climate change mitigation, especially in those areas of the planet where water is a precious resource. Full article

Population growth drives increasing energy demands, agricultural production, and organic waste generation. The organic waste contributes to greenhouse gas emissions and increasing landfill burdens, highlighting the need for novel closed-loop technologies that integrate water, energy, and food resources. Within the context of the Water–energy–food Nexus (WEF), wastewater can be recycled for food production and food waste can be converted into clean energy, both contributing to environmental impact reduction and resource sustainability. A novel household-scale, closed-loop WEF system was designed, installed and operated to manage organic waste while retrieving water for irrigation, nutrients for plant growth, and biogas for energy generation. The system included a biodigester for energy production, a sand filter system to regulate nutrient levels in the effluent, and a hydroponic setup for growing food crops using the nutrient-rich effluent. These components are operated with a daily batch feeder coupled with automated sensors to monitor effluent flow from the biodigester, sand filter system, and the feeder to the hydroponic system. This novel system was operated continuously for two months using typical household waste composition. Controlled experimental tests were conducted weekly to measure the nutrient content of the effluent at four locations and to analyze the composition of biogas. Gas chromatography was used to analyze biogas composition, while test strips and In-Situ Aqua Troll Multi-Parameter Water Quality Sonde were employed for water quality measurements during the experimental study. Experimental results showed that the system consistently produced biogas with 76.7% (±5.2%) methane, while effluent analysis confirmed its potential as a nutrient source with average concentrations of phosphate (20 mg/L), nitrate (26 mg/L), and nitrite (5 mg/L). These nutrient values indicate suitability for hydroponic crop growth and reduced reliance on synthetic fertilizers. This novel system represents a significant step toward integrating waste management, energy production, and food cultivation at the source, in this case, the household. Full article

Obesity is closely associated with appetite dysregulation, influenced by behavioral, hormonal, and neurological factors. The Council on Nutrition Appetite Questionnaire (CNAQ) is a validated tool, translated into Arabic, but its application in weight-loss interventions remains underexplored. This secondary cross-sectional analysis evaluated whether the Arabic CNAQ can differentiate appetite levels after a 6-month telenutrition weight-loss intervention supported by telemonitoring and health coaching, and whether appetite is associated with weight-loss outcomes. A total of 36 participants were assessed: the intervention group (n = 21), who completed the program, and the control group (n = 15), who received no continuous support. Appetite was measured using the CNAQ after 6 months. Independent-samples t-tests and Mann–Whitney U tests were applied to compare appetite scores, while Chi-square tests were used for appetite categories. Results showed mean CNAQ scores of 27.87 (SD = 2.64) for the control group and 26.86 (SD = 4.46) for the intervention group (p = 0.402). Most participants reported moderate appetite (93.3% control; 76.2% intervention), with no significant between-group differences (p = 0.367). Although differences were not statistically significant, the findings demonstrate the feasibility of using the Arabic CNAQ in telehealth weight management. Larger studies with repeated measures are needed to confirm its utility in clinical and dietetic practice. Full article

Study Design: Retrospective Case–Control. Objectives: Sleep disturbances negatively impact quality of life and increase illness susceptibility. Chronic pain is a risk factor for sleep disruption, particularly in patients with degenerative spinal conditions. Existing studies suggest that degenerative cervical myelopathy (DCM) patients often experience sleep disturbances, possibly due to spinal cord compression and pain. However, most research is limited to small, single-center studies, creating a need for broader analyses. Methods: We utilized the Merative Explorys Dataset, focusing on electronic health record data of patients diagnosed with DCM and sleep disorders identified via ICD codes. Comorbidities analyzed included depression/bipolar disorder, chronic pulmonary disease, migraine, osteoarthritis, hypertension, malignancy, diabetes, and cerebrovascular disease. Patient demographic information (age, race, sex, and body mass index (BMI)) was included as covariates. Logistic regression analyses were performed to evaluate the association between each comorbidity and the risk of sleep disturbance. Results: Among 40,551 DCM patients, significant predictors of sleep disturbance included higher BMI (OR: 1.05, 95% CI: 1.05–1.06), depression/bipolar disorder (OR: 1.65, 95% CI: 1.56–1.74), chronic pulmonary disease (OR: 1.26, 95% CI: 1.20–1.33), migraine (OR: 1.32, 95% CI: 1.22–1.43), and hypertension (OR: 1.16, 95% CI: 1.10–1.23). Conclusions: This large-scale analysis demonstrates the multifactorial nature of sleep disturbances in DCM, highlighting strong associations with BMI and respiratory conditions, suggesting a contributory role of sleep-disordered breathing. The identification of migraines as a risk factor highlights the need for multidisciplinary management. Addressing modifiable risk factors such as BMI and mental health may improve sleep quality in DCM patients. Full article

Macroplastic pollution is a growing environmental concern, threatening the marine environment. Despite growing awareness of marine plastic pollution, few studies have assessed the effectiveness of in situ technologies such as safety nets for macroplastic interception. This study aims to evaluate the effectiveness of safety net (SN) systems in intercepting macroplastic debris in the different zones of recreational Yugang Park Beach (YPB), Zhanjiang Bay, China. Safety nets were installed at stations representing different hydrodynamic conditions, and macroplastic debris (2.5–80 cm) was collected and analyzed for size, color, and shape characteristics. Two survey comparisons revealed a higher debris density in the winter survey (1.8 ± 0.3 items m²) than in the summer survey (1.5 ± 0.3 items m²). Most debris fell within the 10–40 cm range, with transparent low-density polyethylene plastic bags being the dominant type, particularly in the winter survey (80.7%). Statistical analysis indicated that plastic size was likely related to net retention characteristics, while tidal influences accounted for a major portion of spatial variability in debris accumulation. These findings suggest that SN systems are effective tools for macroplastic interception and could inform evidence-based coastal management strategies to reduce plastic pollution in similar coastal environments. Full article

Background: Allergic diseases, such as allergic rhinitis, eczema, and asthma, are prevalent among adolescents and are associated with various health concerns, including poor sleep quality and mental health problems. Although previous research has investigated the general association between allergic conditions and sleep disturbances, few studies have examined how allergic diseases relate to sleep duration. Methods: We performed secondary analysis of the data obtained from the 19th Korea Youth Risk Behavior Survey (2023), which included 52,880 middle and high school students. Data was analyzed using complex sample design techniques, descriptive statistics, t-tests, and analyses of variance and covariance conducted to explore associations between allergic diseases and sleep duration on weekdays. Covariates included sex, school type, academic performance, socioeconomic status, and residential type. Results: The average weekday sleep duration among adolescents was 6.2 h, which was significantly shorter than that recommended by the U.S. Centers of Disease Control and Prevention (8–10 h). Among allergic conditions, allergic rhinitis was significantly associated with reduced sleep duration (p = 0.001), unlike asthma (p = 0.119) and eczema (p = 0.586). Additional differences in sleep duration were observed by sex, academic performance, socioeconomic status, and living arrangements. Conclusions: Managing allergic rhinitis may be crucial to promoting adequate sleep during adolescence. Furthermore, future research should incorporate physiological indicators to assess sleep quality, as self-reported measures may not capture sleep disturbances such as night-time awakenings. These findings can inform the development of integrated health strategies to enhance physical and psychological well-being of adolescents. Full article

With the characteristic of “decentralized distribution and local power supply”, small hydropower (SHP) in China has become a core means of solving the problem of insufficient power supply in rural and remote mountainous areas, effectively promoting the improvement of local livelihoods. However, for a long time, SHP has had many problems, such as irrational development, old equipment, and poor economic efficiency, resulting in some rivers with connectivity loss and reduced biodiversity, etc. The Chishui River Watershed is an ecologically valuable river in the upper reaches of the Yangtze River. As an important habitat for rare fish in the upper reaches of the Yangtze River and the only large-scale tributary that maintains a natural flow pattern, the SHP plants’ dismantling and ecological restoration practices in the Chishui River Watershed can set a model for regional sustainable development. This paper adopts the methods of literature review, field research, and case study analysis, combined with the comparison of ecological conditions before and after the dismantling, to systematically analyze the effectiveness and challenges of SHP rectification in the Chishui River Watershed. The study found that after dismantling 88.2% of SHP plants in ecologically sensitive areas, the number of fish species upstream and downstream of the original dam site increased by about 6.67% and 70%, respectively; the natural hydrological connectivity has been restored to the downstream of the Tongzi River, the Gulin River and other rivers, but there are short-term problems such as sediment underflow, increased economic pressure, and the gap of alternative energy sources; the retained power stations have achieved the success and challenges of power generation and ecological management ecological flow control and comprehensive utilization, achieving a balance between power generation and ecological protection. Based on the above findings, the author proposes dynamic monitoring and interdisciplinary tracking research to fill the gap of systematic data support and long-term effect research in the SHP exit mechanism, and the results can provide a reference for the green transition of SHP. Full article

Clozapine and olanzapine are important medications in the management of psychiatric conditions such as schizophrenia. However, metabolic disturbances and weight gain are common side effects of these drugs. We aimed to evaluate the effects of GLP-1 RAs treatment for metabolic disturbances and weight gain in patients on clozapine/olanzapine. For this systematic review, searches were conducted in eight different databases. After screening, outcome data was synthesized regarding weight gain and biochemical and clinical indicators of metabolic disturbance, as well as for adverse events/side effects, and any other benefits of GLP-1 RA treatment. A total of 14 studies were included in this medical systematic review, of which four were unique randomized control trials (RCTs), with study contexts including Australia and Denmark. GLP-1 RAs that were utilized include semaglutide, exenatide, and liraglutide. It was consistently demonstrated across studies that, when followed-up, those on GLP-1 RAs had achieved statistically lower levels of weight gain compared to those receiving placebo. A similar effect was seen on fasting glucose levels and glycated haemoglobin levels. Effects on other metabolic parameters were inconsistent. There were minimal gastrointestinal, psychological, cardiac, and other side effects noted across studies. GLP-1 RAs may offer utility in addressing the metabolic side effects of olanzapine/clozapine, but further research is needed. There remains a need to better understand impacts and potential side effects in larger and more diverse populations, as well as a need to better evaluate the long-term outcomes for patients. Full article

The cement industry accounts for approximately 7–8% of global CO₂ emissions, primarily due to energy-intensive clinker production and limestone calcination. With cement demand continuing to rise, particularly in emerging economies, decarbonization has become an urgent global challenge. The objective of this study is to systematically map and synthesize existing evidence on technological pathways, policy measures, and economic barriers to four core decarbonization strategies: clinker substitution, energy efficiency, alternative fuels, as well as carbon capture, utilization, and storage (CCUS) in the cement sector, with the goal of identifying practical strategies that can align industry practice with long-term climate goals. A scoping review methodology was adopted, drawing on peer-reviewed journal articles, technical reports, and policy documents to ensure a comprehensive perspective. The results demonstrate that each mitigation pathway is technically feasible but faces substantial real-world constraints. Clinker substitution delivers immediate reduction but is limited by SCM availability/quality, durability qualification, and conservative codes; LC₃ is promising where clay logistics allow. Energy-efficiency measures like waste-heat recovery and advanced controls reduce fuel use but face high capital expenditure, downtime, and diminishing returns in modern plants. Alternative fuels can reduce combustion-related emissions but face challenges of supply chains, technical integration challenges, quality, weak waste-management systems, and regulatory acceptance. CCUS, the most considerable long-term potential, addresses process CO₂ and enables deep reductions, but remains commercially unviable due to current economics, high costs, limited policy support, lack of large-scale deployment, and access to transport and storage. Cross-cutting economic challenges, regulatory gaps, skill shortages, and social resistance including NIMBYism further slow adoption, particularly in low-income regions. This study concludes that a single pathway is insufficient. An integrated portfolio supported by modernized standards, targeted policy incentives, expanded access to SCMs and waste fuels, scaled CCUS investment, and international collaboration is essential to bridge the gap between climate ambition and industrial implementation. Key recommendations include modernizing cement standards to support higher clinker replacement, providing incentives for energy-efficient upgrades, scaling CCUS through joint investment and carbon pricing and expanding access to biomass and waste-derived fuels. Full article