Search Results (4,359)

The structure of betulin enables the formation of conjugates that offer improved activity, selectivity, or pharmacokinetic parameters. It was assumed that combining betulin with hippuric acid could produce a product with favorable biological properties. The bond connecting the conjugate elements was an ester group introduced using a method ensuring mild reaction conditions (Steglich method). In this way, betulin and its acetyl derivatives were converted into conjugates with hippuric acid, with good yields. The obtained compounds were assessed for their in vitro antiproliferative activity against seven different human cancer cell lines (MTT and SRB assays), preceded by in silico prediction (PASS online). Lipophilicity (logP_TLC), a significant parameter influencing all stages of the ADME process, was experimentally determined using RP-TLC. LogP_TLC values were compared with logP results obtained from available online computational programs. Antiproliferative activity studies demonstrated the significant sensitivity of MV4-11 cells to the tested compounds. The IC₅₀ values ranged from 4.2 to 31.4 µM. The mechanism of anticancer action was investigated for the most active derivatives 4, 5, and 7. For derivative 7, molecular docking revealed the highest affinity for the FLT3 protein binding site. Full article

Glycine betaine (GB) is a compatible solute that enhances plant tolerance to abiotic stresses, yet its role in fruit crops remains insufficiently explored. This study assessed whether GB improves drought tolerance in Passiflora edulis Sims f. flavicarpa, a crop sensitive to irregular rainfall. A 3 × 2 × 2 factorial design was employed, combining three drought levels (control, mild, and severe), two propagation methods (seedlings and cuttings), and two GB treatments (0 and 100 mM), with 60 plants and five replicates. Plants were grown under controlled conditions, and irrigation was adjusted to maintain target field capacities. Chlorophyll content was monitored daily, and agronomic and physiological traits were measured after 45 days. GB application influenced leaf water dynamics and stress responses. Cuttings generally showed clearer improvements in drought tolerance when treated with GB, while seedlings exhibited more variable outcomes. These differences appear linked to the propagation method and developmental stage as cuttings were at a more advanced phase, whereas seedlings remained vegetative. Overall, the results demonstrate that exogenous GB can enhance drought tolerance in passion fruit, although its effectiveness is propagation-dependent and context-specific, highlighting the need to tailor its application to cultivation practices. Full article

Epigallocatechin-3-gallate (EGCG), a major polyphenol in green tea, exhibits strong antioxidant activity but suffers from poor stability due to rapid autoxidation under physiological conditions. In this study, we developed alginate–EGCG conjugates via a site-selective thiol-quinone addition reaction under mild aqueous conditions. The conjugation preserved EGCG’s flavanic structure while enabling tunable degrees of substitution (DS). We systematically evaluated the oxidative stability, antioxidant activity, and cytocompatibility of alginate–EGCG conjugates in comparison with free EGCG and a mixture of EGCG and alginate. Alginate–EGCG conjugates significantly suppressed EGCG autoxidation, reduced hydrogen peroxide generation, and improved cytocompatibility in human renal epithelial cells, especially at a low DS. Furthermore, alginate–EGCG conjugates retained or even enhanced superoxide anion radical scavenging activity, with higher DS conjugates exhibiting greater antioxidant effects. In addition, dynamic light scattering analysis revealed DS-dependent particle formation via self-assembly. These findings demonstrate that covalent conjugation with natural polymers is an effective strategy to improve oxidative stability and biological functionality of plant-derived polyphenols, offering a promising approach for developing advanced antioxidant materials for food, cosmetic, and biomedical applications. Full article

Background and Clinical Significance: Percutaneous vertebroplasty is an effective procedure for patients with osteoporosis and fractures. However, notable side effects may occur. Cement leakage into the vascular system may be incidental, with effects ranging from asymptomatic to life-threatening conditions. The treatment of extravasation of the cement and pulmonary embolism does not have definitive guidelines and requires specific treatment for every patient, ranging from basic anticoagulation to surgical procedures. Cement embolisms without periprocedural complications—such as cardiac perforation or massive pulmonary embolism—are often stable. However, symptomatic presentations with hemodynamic instability can occur. We report a clinically significant case of symptomatic cement pulmonary embolism resulting in shock. Case Presentation: A 68-year-old female patient with osteoporosis and a history of cement vertebroplasty two weeks prior to admission for vertebral compression fracture arrived with a three-day history of left leg swelling and shortness of breath. Vital signs revealed hypotension and the lab tests showed elevated lactate and D-dimer, mild leucocystosis, normal PCT and a threefold increase in CRP. The ultrasound confirmed complete thrombosis of the left external iliac and common femoral vein. The thoraco-abdominal CT demonstrated the extravasation of the cement from vertebroplasty to the inferior vena cava, lumbar veins, coupled with multiple cement structures in the segmental lobar pulmonary arteries. The echocardiography showed preserved right ventricular function. The management included intravenous fluids, anticoagulation and norepinephrine. Conclusions: This case underlines that cement pulmonary embolism following vertebroplasty, while typically undetected, can result in significant hemodynamic compromise even in the absence of right heart failure, potentially mediated by an inflammatory response. Importantly, it highlights the possibility of delayed clinical deterioration, with instability manifesting two weeks post-procedure—distinct from the more commonly observed immediate peri-procedural complications or other stable delayed presentation. Full article

During deep and ultra-deep well drilling operations, the throttling performance of the hydraulic-while-drilling jar is significantly affected by the combined influence of temperature-induced differential thermal expansion among components and changes in the rheological properties of hydraulic oil. These effects often lead to unstable jarring behavior or even complete failure to trigger jarring during stuck pipe events. Here, we propose a high-temperature degradation evaluation model for the throttling performance of the throttle valve in an HWD jar based on thermal expansion testing of individual components and high-temperature rheological experiments of hydraulic oil. By using the variation characteristics of the throttling passage geometry as a linkage, this model integrates the thermo-mechanical coupling of the valve body with flow field simulation. Numerical results reveal that fluid pressure decreases progressively along the flow path through the throttle valve, while flow velocity increases sharply at the channel entrance and exhibits mild fluctuations within the throttling region. Under fluid compression, the throttling areas of both the upper and lower valves expand to some extent, with their spatial distributions closely following the pressure gradient and decreasing gradually along the flow direction. Compared with ambient conditions, thermal expansion under elevated temperatures causes a more pronounced increase in throttling area. Additionally, as hydraulic oil viscosity decreases with increasing temperature, flow velocities and mass flow rates rise significantly, leading to a marked deterioration in the throttling performance of the drilling jar under high-temperature downhole conditions. Full article

Background: Brain computed tomography (CT) is the primary imaging modality for patients with acute neurological complaints in emergency departments, despite having a low diagnostic yield for many conditions. This study aimed to assess the common indications for brain CT, evaluate the prevalence of acute pathologies, and explore whether certain patient groups may be overexposed to unnecessary scans, impacting both patient safety and healthcare costs. Methods: We conducted a retrospective review of brain CT requests from the General Emergency Department in a single center over a one-month period. We recorded patient demographics (sex, age), scan indications, presence of focal neurological symptoms, acute pathology on CT, and final diagnoses. Descriptive statistics, including means ± SEM, were calculated using GraphPad Prism version 10.4.1. Results: A total of 584 brain CT scans were requested, of which 532 (91.1%) were normal, and 52 (8.9%) showed acute pathology. The age of all included patients were 70.8 ± 0.7 years with women (n = 304, 52.1%) being 71.9 ± 1.0 years old and men (n = 280, 47.9%) 69.7 ± 1.0 years old (p > 0.1). The most common indication for CT was head trauma (265, 45.4%) followed by ischemic stroke (130, 22.3%). The most frequent pathologies were ischemic stroke (2.7%), subdural hematoma (1.7%), and other traumatic bleeds (1.7%). Of the 52 patients with acute pathology, 42 (80.8%) exhibited focal neurological deficits. Conclusions: 91.1% of the brain CT scans in the emergency department were normal and did not lead to further intervention. While this may indicate a low diagnostic yield in certain patient groups—particularly those presenting with mild or nonspecific neurological symptoms—it does not alone confirm overuse. These findings highlight the importance of careful clinical evaluation to optimize imaging decisions. Reducing potentially unnecessary brain CT scans could lower healthcare costs and minimize radiation exposure, but the health-economic impact depends on balancing the savings with the potential costs of missing critical diagnoses and the associated societal consequences. Full article

Here, we introduce a novel method for the real-time spatial monitoring of I/O interconnection nets in flip-flop packages. Resistance changes in 39 I/O nets are observed simultaneously to produce a spatial profile of the relative degradations of the solder ball joints, interconnection lines, and transistor gates. Location-specific TTF profiles are generated from the degradation data to show the impact of the I/O nets in the context of their placement on the chip. The system succeeds in formulating a clear trend of resistance increase even in relatively mild constant temperature stress conditions. Test results of four temperatures from 80 °C to 120 °C show a dominant degradation pattern strongly influenced by BTI aging demonstrating an acute vulnerability in the pass gates to voltage and temperature stress. The proposed compact spatial monitor solution can be integrated into virtually all chip orientations. The outcome of this study can assist in foreseeing system vulnerabilities in a large spectrum of packaging and advanced packaging orientations in field applications. Full article

Wastewater-based epidemiology (WBE) is increasingly recognized as a valuable tool for monitoring disease cycles, including pandemics like COVID-19. Unlike pandemics, epidemics exhibit distinct dynamics, spread patterns, multiple origin points, and varying levels of population immunity. This study evaluates the applicability of WBE for epidemic monitoring and emergency preparedness by analyzing SARS-CoV-2 presence in Jaipur’s wastewater over one year post-second pandemic wave, covering a minor surge (third) and a mild resurgence (fourth) of COVID-19. A total of 1050 samples from different city localities were analyzed using a combination of two concentration methods (the direct method and the Polyethylene Glycol (PEG) method) and two detection kits (qualitative and quantitative). WBE effectively detected both minor and major epidemic outbreak cycles of SARS-CoV-2. A total of 62.91% samples out of all untreated samples tested, were found to be positive with viral genome; however, the positivity rate of any particular day did not exceed 25% even during the peaks. Notably, short-distance transportation under ambient conditions had no significant impact (p > 0.05) on detection, and the combination of the direct method with quantitative kits provided the highest sensitivity. Based on these findings, a cost-effective bi-phase surveillance model is proposed for year-round epidemic monitoring. This model suggests routine use of the faster, cheaper direct method, switching to the PEG concentration method during rising viral loads for enhanced resolution. Such an approach ensures sustainable, resource-efficient surveillance, particularly benefiting low- and middle-income countries facing financial constraints. Full article

Background and Objectives: Vitiligo is a chronic autoimmune skin disorder characterized by the loss of pigmentation, resulting in depigmented patches due to the destruction of melanocytes. This condition can lead to considerable psychological distress, and research indicates a possible connection with major depressive disorder (MDD). Nonetheless, the depth and nature of this association, particularly within the Saudi population, have not been thoroughly investigated. This case–control study seeks to explore the relationship between vitiligo and depressive symptomatology, evaluate the severity of depressive symptoms in vitiligo patients compared to control subjects, and examine the association between the clinical severity of vitiligo (assessed using the Vitiligo Area Scoring Index, VASI) and depressive symptoms (measured using the PHQ-9, a validated screening instrument based on DSM criteria). Materials and Methods: A total of 700 participants were included, comprising 340 individuals with vitiligo and 360 controls with other skin conditions. Participants completed a web-based questionnaire that collected sociodemographic data and included the PHQ-9 assessment. The severity of vitiligo was determined using the VASI. Statistical analysis involved using the computer program IBM Statistical Program for Social Sciences (SPSS) (version 26.0). Results: The average PHQ-9 score was significantly higher for patients with vitiligo (8.28 ± 7.36) compared to controls (6.30 ± 4.70, p = 0.028). While the overall rates of mild to severe depression were comparable (41.5% in vitiligo patients versus 40.3% in controls, p = 0.748), vitiligo patients exhibited higher occurrences of moderately severe depression (11.8%) and severe depression (10.9%) compared to controls (5.8% and 0.8%, respectively; p < 0.001). A weak, yet significant, positive correlation was found between VASI and PHQ-9 scores (ρ = 0.184, p < 0.001). The vulgaris and segmental types of vitiligo exhibited the highest median depression scores (PHQ-9: 11 and 9, respectively; p < 0.001). Logistic regression analysis indicated that those with genital vitiligo had greater odds of experiencing depression (OR = 12.10, p = 0.039), while those with universalis vitiligo faced even higher odds (OR ≈ 26,837.84, p = 0.001). Interestingly, higher VASI scores were linked to lower odds of depression (OR = 0.927, p = 0.029). Additionally, the risk of depression significantly increased with higher income levels and among individuals aged 50 years and older. Conclusions: Although the overall prevalence of depression was not significantly different between vitiligo patients and controls, the degree of depressive symptoms was notably more severe in those with vitiligo. Specific clinical subtypes, particularly genital and universalis vitiligo, were found to be more closely associated with an increased risk of depression. These results highlight the importance of regular mental health screenings and customized psychosocial support in dermatological care, especially for high-risk groups. Full article

Cannabis sativa L. is an aromatic medicinal plant with various biologically active classes of compounds such as cannabinoids, polyphenols, and terpenes. Unlike the widely investigated inflorescence and leaf, the stembark of C. sativa has been overlooked regarding its medicinal potential. This study, therefore, was aimed at determining the chemical composition and antioxidant activity of the essential oils (EOs) obtained from the fresh and dried stembark of two C. sativa cultivars, Lifter and Cherrywine, grown in Komga, South Africa, with a view to ascertaining the more promising cultivar. The chemical profiles of the hydro-distilled EOs were analyzed by gas chromatography-mass spectrometry (GC-MS), while an in vitro antioxidant activity assessment of the EOs was performed using DPPH and H₂O₂ spectrophotometric methods. The identified constituents from the EOs were molecularly docked against NOX2, a protein implicated in oxidative stress. The afforded EOs were colorless with a mild skunk-like odor. A total of thirty-two constituents were identified in both fresh and dry oils from the Lifter cultivar while the Cherrywine cultivar contained a total of forty-two constituents. The EOs of both cultivars contained twenty compounds, notably Cannabidiol (0.25–85.03%), Caryophyllene oxide (1.27–19.58%), Caryophyllene (0.64–16.61%), Humulene (0.37–8.15%), Octacosane (3.37–6.55%), Humulene-1,2-epoxide (0.45–5.78%), Nerolidol (0.32–4.99%), Palmitic acid (1.45–4.45%), Tetracosane (1.75–2.91%), Dronabinol (0.86–2.86%), Cannabinol (0.54–1.64%), 7-epi-γ-eudesmol (0.53–1.00%), Guaiol (0.37–0.66%), Linoleic acid (0.22–0.60%), γ-Selinene (0.15–0.48%), β-Eudesmol (0.34–0.50%), and Linalool (0.24–0.30%). The dried Lifter stembark oil (DLSO) gave the best antioxidant activity among the four investigated cannabis oils, exhibiting the lowest IC₅₀ values of 21.68 ± 1.71 and 26.20 ± 1.34 µg/mL against DPPH and H₂O₂ radicals, respectively. The notable antioxidant activity of the DLSO may be attributed to the higher number (30) of constituents compared to the fresh Lifter stembark oil (LSO) with 11 constituents. Additionally, the DLSO showed a unique chemical profile comprising monoterpenes, oxygenated and hydrocarbon sesquiterpenes. Further in silico studies on the putative constituents in the Lifter cultivar revealed Cannabinol, Cannabidiol, and Linalool as the promising constituents based on their higher binding energy scores of −9.7, −8.5, and −6.5 kcal/mol, respectively, compared to L-Ascorbic acid (−5.7 kcal/mol). It can be inferred from this study that the EOs from the stembark of C. sativa contain promising compounds, such as Cannabinol, Cannabidiol, and Linalool, which might be responsible for the displayed antioxidant activity of the oils. Thus, the study findings underscore the biological importance of C. sativa stembark in the management of oxidative stress-related conditions. Full article

The photocatalytic conversion of CO₂ into value-added hydrocarbons offers a sustainable route for mitigating carbon emissions. In this study, we synthesized MoSe₂/g-C₃N₄ heterostructured composites through a hydrothermal method and used these composites in the photocatalytic reduction of CO₂ in the presence of ultraviolet radiation. Photoluminescence characterization, photocurrent analysis, and electrochemical impedance spectroscopy confirmed improved charge separation and interfacial transfer as a result of the composites’ heterojunction structure. The MoSe₂/10 wt% g-C₃N₄ composite exhibited a CH₄ production rate of 1.38 μmol g⁻¹ h⁻¹ and a CO₂ consumption rate of 2.22 μmol g⁻¹ h⁻¹, which are 4.2 and 3.1 times, respectively, higher than those of pure MoSe₂. Gas chromatography revealed the selective formation of C₁–C₅ hydrocarbons, with minimal oxygenated by-products. Band structure analysis conducted through ultraviolet photoelectron spectroscopy and ultraviolet–visible/near-infrared spectroscopy confirmed the proposed charge transfer pathway and enhanced C–C coupling efficiency. Overall, these results demonstrate the potential of the as-prepared heterojunction composites for highly selective CO₂-to-CH₄ conversion under mild conditions, with CH₄ as the dominant product (80%) among the generated hydrocarbons. Full article

This study aims to analyse the effect of partially clogged inlets on the behaviour of urban drainage systems at the city scale, particularly regarding intercepted volumes and flood depths. The main challenges were to represent the inlet network in detail at a rather large scale and to avoid the effect of sewer network surcharging on the draining capacity of inlets. This goal has been achieved through a 1D/2D coupled hydraulic model of the whole urban drainage system in La Almunia de Doña Godina (Zaragoza, Spain). The model focuses on the interaction between grated drain inlets and the sewer network under partial clogging conditions. The model is fed with data obtained on field surveys. These surveys identified 948 inlets, classified into 43 types based on geometry and grouped into 7 categories for modelling purposes. Clogging patterns were derived from field observations or estimated using progressive clogging trends. The hydrological model combines a semi-distributed approach for micro-catchments (buildings and courtyards) and a distributed “rain-on-grid” approach for public spaces (streets, squares). The model assesses the impact of inlet clogging on network performance and surface flooding during four rainfall scenarios. Results include inlet interception volumes, flooded surface areas, and flow hydrographs intercepted by single inlets. Specifically, the reduction in intercepted volume ranged from approximately 7% under a mild inlet clogging condition to nearly 50% under severe clogging conditions. Also, the model results show the significant influence of the 2D mesh detail on flood depths. For instance, a mesh with high resolution and break lines representing streets curbs showed a 38% increase in urban areas with flood depths above 1 cm compared to a scenario with a lower-resolution 2D mesh and no curbs. The findings highlight how inlet clogging significantly affects the efficiency of urban drainage systems and increases the surface flood hazard. Further novelties of this work are the extent of the analysis (city scale) and the approach to improve the 2D mesh to assess flood depth. Full article

This paper presents the convergence analysis of a newly proposed algorithm for approximating solutions to split equality variational inequality and fixed point problems in real Hilbert spaces. We establish that, under reasonably mild conditions, specifically when the involved mappings are quasimonotone, uniformly continuous, and quasi-nonexpansive, the sequences generated by the algorithm converge strongly to a solution of the problem. Furthermore, we provide several numerical experiments to demonstrate the practical effectiveness of the proposed method and compare its performance with that of existing algorithms. Full article

A highly efficient method was successfully applied for the first time to the functionalization of well-defined chlorinated silsesquioxanes with a range of thiols. Thiolation was rapid (2 to 4 h), quantitative, with complete conversion of the reactants and full chemoselectivity, and proceeded under mild conditions (room temperature). This “click chemistry” approach facilitated the preparation of nine novel compounds, with good to excellent isolated yields (64–92%). The structures and purities of these compounds were comprehensively confirmed using multiple analytical techniques, including ¹H, ¹³C, and ²⁹Si NMR spectroscopy, elemental analysis, and mass spectrometry. Thermogravimetric analysis (TGA) further demonstrated that the synthesized compounds exhibited excellent thermal stability. These characteristics suggest their potential for applications in various domains of science, technology, and medicine. Full article

Background: Epilepsy and cognitive impairment frequently coexist, yet their relationship remains complex and insufficiently understood. This study aims to explore the clinical and electrophysiological features of patients presenting with both conditions in order to identify patterns that may inform more accurate diagnosis and effective management within a personalized medicine framework. Methods: We retrospectively analyzed 14 patients with late-onset epilepsy and coexisting cognitive impairment, including mild cognitive impairment and Alzheimer’s disease. Clinical history, cognitive assessments, neuroimaging, and electroencephalographic recordings were reviewed. EEG abnormalities, seizure types, and treatment responses were systematically documented. Results: Patients were categorized into two groups: (1) those with established Alzheimer’s disease who later developed epilepsy and (2) those in whom epilepsy preceded cognitive impairment. Temporal lobe involvement was a key feature, with EEG abnormalities frequently localizing to the frontal–temporal electrodes and manifesting as background slowing, focal multiform slow waves, and epileptiform discharges. Levetiracetam was the most commonly used antiseizure medication, and it was effective across both groups. Conclusions: This case series highlights the value of EEG in characterizing patients with subclinical and overt epileptic activity and cognitive impairment comorbidity. The inclusion of a substantial number of cases with documented EEG abnormalities provides valuable insight into the interplay between epilepsy and neurodegenerative diseases. By integrating neurophysiological data with clinical and cognitive trajectories, this work aligns with the principles of precision medicine, facilitating a more comprehensive evaluation and tailored management approach. Further longitudinal studies are required to validate prognostic markers and guide optimal therapeutic strategies. Full article