Search Results (2,962)

Background/Objectives: Methicillin-resistant Staphylococcus aureus (MRSA) colonization in geriatric long-term care facilities (LTCFs) is a global concern. However, the transmission dynamics of MRSA among LTCF residents in Japan remain largely unknown. Methods: Whole-genome sequencing was conducted on 85 MRSA isolates obtained from 76 residents across 4 geriatric LTCFs in Japan. Single-nucleotide polymorphism (SNP) analysis was performed to identify the transmission dynamics, with a threshold of ≤15 pairwise core-genome SNP distances defining recent transmission clusters (genomic clusters). Antimicrobial susceptibility testing and investigation of antimicrobial resistance genes were also performed. Results: Among the 76 MRSA-carrying residents, 34 (44.7%) belonged to 14 genomic clusters, including strains from clinical specimens of 7 individuals. Three individuals acquired MRSA strains within the LTCFs, which were part of genomic clusters. Conversely, 14 residents who underwent testing immediately after admission carried MRSA strains within genomic clusters, suggesting transmission prior to their LTCF admission. MRSA isolates that were prevalent among LTCF residents were generally susceptible to trimethoprim–sulfamethoxazole but resistant to levofloxacin and clindamycin. Conclusions: Acquisition of MRSA genomic cluster strains among LTCF residents can occur both during and before admission to the facility. These findings underscore the need for measures that mitigate MRSA transmission inside and outside LTCFs. Full article

Background/Objectives: During kidney failure, chronic hemodialysis therapy (HD) is required to replace lost renal function, and patients on regular HD frequently report xerostomia. This systematic review and meta-analysis aims to compare salivary flow rates between patients with kidney failure on HD and healthy controls and to evaluate acute changes in salivary secretion before and after a dialysis session. Methods: A systematic review was conducted in accordance with PRISMA guidelines. PubMed, Web of Science, and Embase were searched for observational studies quantifying salivary flow rates in adult patients with kidney failure on chronic hemodialysis versus healthy controls or pre- versus post-dialysis. Data on salivary flow rates were extracted and stratified by subtype (whole or gland-specific) and condition (stimulated or unstimulated), along with key study characteristics including participant demographics, saliva collection methods, and dialysis duration. Study quality was appraised using NHLBI tools and categorized as poor, fair, or good. Where ≥2 homogeneous datasets existed, random-effects meta-analyses (α = 0.05) were performed to estimate mean differences (95% CI) for each salivary parameter; heterogeneity was evaluated via I². Results: A total of 20 studies (13 cross-sectional, 7 before-after) met inclusion, of which 17 studies (with a total of 1224 HD patients and 548 controls) were meta-analyzed. Compared with controls, HD patients showed lower secretion rates of unstimulated whole saliva (UWS: MD −0.11 mL/min; 95% CI −0.20 to −0.02; I² = 94%) and stimulated whole saliva (SWS: MD −0.77 mL/min; 95% CI −0.94 to −0.60; I² = 92%), whereas stimulated parotid saliva (SPS) did not differ significantly (MD −0.08 mL/min; 95% CI −0.77 to 0.60; I² = 96%). In before-after analyses, both UWS (MD +0.15 mL/min; 95% CI 0.02–0.28; I² = 90%) and SWS (MD +0.20 mL/min; 95% CI 0.14–0.26; I² = 0%) increased immediately post-HD. Conclusions: Despite methodological challenges and population heterogeneity, the evidence indicates salivary hypofunction in HD patients and improvement after hemodialysis. The magnitude of these effects seems influenced by underlying comorbidities (notably diabetes), HD duration, and methodological factors. Since saliva is of major importance to maintaining good oral health, recognizing and managing dry mouth should therefore be part of the comprehensive care of patients with kidney failure. Full article

Rapid and accurate assessment of nutritional quality, particularly crude protein content and essential nutrient concentrations, remains a major challenge in the food and feed industries. In this study, laser-induced breakdown spectroscopy (LIBS) was combined with advanced chemometric modeling to predict the levels of crude protein and key macro- and micronutrients (Ca, Mg, K, Na, Fe, Mn, P, Zn) in 61 barley forage samples composed of whole aerial plant parts ground prior to analysis. LIBS offers a compelling alternative to traditional analytical methods by enabling real-time analysis with minimal sample preparation. To minimize interference from atmospheric nitrogen, nitrogen spectral lines were excluded from the protein calibration model in favor of spectral lines from elements biochemically associated with proteins. We compared the performance of Partial Least Squares (PLSR) regression and Extreme Learning Machine (ELM) using fivefold cross-validation. ELM outperformed PLS in terms of prediction, achieving a coefficient of determination (R²) close to 1 and a ratio of performance to deviation (RPD) exceeding 2.5 for proteins and several nutrients. These results underscore the potential of LIBS-ELM integration as a robust, non-destructive, and in situ tool for rapid forage quality assessment, particularly in complex and heterogeneous plant matrices. Full article

This article utilizes canonical interpretation to reassess Paul’s eulogy in Ephesians 1:3–14 by situating it within the Bible’s overarching narrative of placemaking—from Genesis to Revelation. Rejecting purely historical-grammatical approaches, the study treats the Protestant canon as a unified literary and theological whole with both divine and human authorship. Drawing on intertextual methods, especially the work of NT Wright and David Larsen, the author frames Paul’s eulogy as a theological “mini narrative” nested within the grand canonical mission: God’s purpose to create and dwell with His family in a holy place (God’s house as God’s home with His family in God’s homeland). The article argues that this placial mission undergirds themes of election, redemption, sonship, administration, and land inheritance within the eulogy, connecting creation’s foundation with eschatological summation in Christ. The analysis incorporates spatial theory and narratology to illuminate Paul’s understanding of the world as contested territory where the church advances God’s mission. In doing so, it reveals the eulogy as a densely intertextual and theologically coherent passage that situates believers within God’s cosmic, administrative plan for new creation and divine habitation. The implication for resurrection and new creation, based on this grand canonical mission and on God’s all-encompassing master plan, is asserted as part of this unified plan. Full article

As the core component of high-performance mechanical transmission devices, semi-open impellers are widely used in aerospace, automobiles, and high-end industrial manufacturing. Their complex structures and variable blade shapes have extremely high requirements for machining accuracy and surface quality. However, at present, traditional manual programming for machining generally has problems of relatively low machining efficiency and machining accuracy. Therefore, we explored the application of the Siemens NX (UG NX12.0) software platform in modeling and process programming for machining semi-open impellers and designed an efficient machining strategy by combining rough machining, semi-finishing machining, and finishing machining in an optimized manner. By using the advanced functions of UG NX, the whole process from three-dimensional modeling and process planning to tool path generation was formulated, and machining verification was carried out on the Mikron Mill E500U five-axis machining center. The process plan significantly improved machining efficiency and optimized surface quality. After verification, the machining efficiency increased by more than 30%, and the machining accuracy was significantly improved, fully verifying the superiority and practicability of the UG NX platform in the machining of complex curved surface parts. Full article

In 2020, Bill C92, or an Act Respecting First Nations, Inuit and Metis Children, Youth and Families, came into force in Canada. The Act historically recognized and affirmed Indigenous jurisdiction over child and family services and established national minimal standards for service delivery. In 2024, the Supreme Court of Canada upheld the constitutionality of the Act in an appeal from a Quebec Court of Appeal reference case. The Court stressed all parts of the Act must be viewed as “integrated parts of a unified whole” and required the braiding together of Indigenous laws, state laws and international laws into a “single strong rope.” The Act’s aspirations remain in tension with ongoing challenges in implementation. This article outlines the main provisions of the Act. It then examines the law-making efforts and accomplishments of Indigenous governments exercising jurisdiction using the Act, along with some of the hopes and obstacles encountered through this work. Next, it considers some of the emerging jurisprudence interpreting the Act, and some of the implications this case law has on whether the stated purposes of the Act are being achieved. It concludes by highlighting the ongoing uncertainty and hopes for realizing the full potential and aspirations of the Act. Full article

This study investigated how different extraction parts of raw materials and different flocculation methods affect the extraction yield, structure, and properties of sodium alginate. The aim was to improve the quality of sodium alginate and provide theoretical guidance for upstream enterprises. In this study, Lessonia nigrescens (LN) was used as a raw material. The alkali treatment conditions were optimized. The optimal extraction conditions were determined to be a 2% sodium carbonate concentration, a duration of 4 h, a material-to-liquid ratio of 1:40, and a temperature of 60 °C, achieving an extraction yield of 43.03%. LN was categorized into blades, stipes, holdfasts, and whole seaweed for comparative analysis, and sodium alginate was flocculated using the acid, calcium, and ethanol methods. Structural and physicochemical analyses showed that the mannuronic acid/guluronic acid (M/G) ratios of the twelve sodium alginate samples ranged from 5.73 to 8.76. The LN part had a greater influence on the M/G ratio than the flocculation method. The relative molecular weight (2343–3074 kDa) and viscosity (170–331 mPa·s) exhibited consistent trends. For the same part, the effect of the flocculation method on the molecular weight followed the order ethanol > acid > calcium. The physicochemical properties of the extracted sodium alginate met the requirements specified in the physicochemical index standard GB 1886.243-2016 of China. Full article

In this paper, I will discuss a topic concerning part–whole structures in the nominal and verbal domain. Specifically, I will address the question of whether there is a universal mechanism for the individuation of entities and events by exploring parallels between singulatives and semelfactives in Slavic. Singulatives are derived unit nouns, whereas semelfactives are punctual verbs that describe a brief event which culminates by returning to the initial state. Cross-linguistically, singulative morphology often alternates with collective marking, whereas semelfactives alternate with iteratives. Collectives and iteratives describe homogenous groupings of entities and events, respectively. From a conceptual perspective, both singulatives and semelfactives individuate to the effect of singular bounded unit reference and in the literature, the parallel between the mass count/distinction and aspect has often been drawn. In Slavic, singulative and semelfactive morphologies share a component; specifically, both markers involve a nasal -n and a vocalic component, e.g., compare Russian gorox ‘peas (as a mass)’ ∼goroš-in-a ‘a pea’ and prygať ‘to jump (repeatedly)’ ∼ pryg-nu-ť ‘to jump once’. I will argue that the singulative -in and semelfactive -nu are complex and both involve the very same -n, which denotes a declustering atomizer modeled in mereotopological terms. Full article

This study seeks to develop and evaluate a methodological framework for assessing the tourism potential of hillforts, by using a selected sample of 25 of these heritage resources located in the Lower Silesia Voivodeship. This region, as one of Poland’s most popular among domestic and international tourists, is increasingly confronting overtourism at its primary attractions. Concurrently, it possesses underutilised cultural assets, notably 250 remnants of gords/hillforts (grodziska in Polish) spanning various historical periods and dispersed across the whole area. Thus, to ensure the universality of the method, samples of hillforts from three main topographic zones of Lower Silesia were selected. In addition to the aim of testing the method, a secondary objective of the research involved conducting a preliminary assessment of selected hillforts’ tourism potential in different parts of the voivodeship. The methodology combined desk research and field studies across all selected archaeological sites. Concerning the primary objective, the developed assessment tool effectively replicated the multidimensional analytical framework characteristic of established methodologies, yielding reliable outcomes for evaluating gords’ tourism potential. However, modifications to the scoring system are recommended to enhance methodological precision. Regarding analysis of the 25 surveyed hillforts, the results indicate that objects from all zones mainly demonstrate high tourism potential, suggesting an opportunity for transformation into tourist attractions. The integration of hillforts into existing tourism infrastructure could significantly contribute to localised sustainable development across the region. The primary significance of these heritage resources lies in their capacity to facilitate the diversification of tourism offerings across distinct areas of the voivodeship. This development holds particular strategic value for northern poviats currently peripherally engaged in tourism economy. Moreover, by leveraging hillforts, communities obtain assets important in the process of building a common identity around cultural/historical place while safeguarding monuments. Concurrently, the most attractive southern poviats will benefit from the new attractions as they can help in mitigating overtourism pressures at overcrowded places, being an interesting alternative to the top attractions. This approach aligns with strategies to disperse tourist flows through specialised archaeological tourism products, thereby balancing economic benefits and local communities’ well-being with heritage preservation. Full article

Burning mouth syndrome (BMS) and oral lichen planus (OLP) are two chronic oral diseases/disorders that continue to pose a challenge for conventional diagnosis and treatment. Both diseases do not occur in isolation but rather appear to reflect a broader interplay of psychological, neurological, endocrine, and immunological factors, i.e., complex disorders in interconnected biological and psychological systems. In BMS, patients often suffer from persistent burning sensations without visible lesions, which may be related to altered pain processing, emotional stress, and dysregulation in the brain regions responsible for interoception and perception. Although OLP is primarily characterised by immune-mediated mucosal damage, it often has significant psychological comorbidity, particularly in the erosive form. Common features such as cortisol imbalance, disturbed cytokine patterns, and high levels of anxiety and depression suggest that these conditions may be due to overlapping systemic disorders. It is no longer sufficient to focus only on the visible lesions or symptom relief. Understanding these diseases/disorders through a more comprehensive psychoneuroendocrine immune system (PNEI) opens up new opportunities for early intervention, improved diagnostics, and more personalised therapeutic strategies that go beyond treating symptoms. Ultimately, these diseases/disorders require a more integrated and patient-centred approach, where understanding the whole system is as important as treating its individual parts. Full article

BRAF inhibitors have a 50–70% response rate in melanoma but are less effective for thyroid cancer. Differential response may be from activation or expression of downstream mitogen-activated protein kinase (MAPK) pathway genes. Retrospective analysis compared whole exome and transcriptome sequencing in melanoma and thyroid cancers from April 2019 to October 2023. The MAPK Activation Score (MPAS) was calculated using Z-score normalized/log-transformed values indicating expression across 10 MAPK-associated genes. Our tumor registry provided outcome data. BRAF V600E mutations were identified in 33 of 200 (17%) melanomas and 14 (7%) had other BRAF mutations (V600K/R). Of 49 thyroid tumor samples, BRAF V600E mutations were found in 19 (39%). RNA expression of BRAF and the 10 MAPK-associated genes were increased in melanomas with V600E compared to wild-type BRAF (p = 0.02). Conversely, BRAF V600E mutation in thyroid cancer was not associated with increased expression nor MAPK pathway activation. No significant difference in overall survival based on BRAF mutation was observed in the subset of patients where data was available. The MAPK pathway is differentially affected by the different cancers, with increased MAPK activation observed in melanoma and not in thyroid cancer. This may account in part for the observed differential response to BRAF inhibitors. Full article

Background: Maintaining thermal homeostasis is a basic function of the human body. This homeostasis depends largely on the body’s nutritional status and other conditions related to it. Aim: The present study investigated the impact of 8 days of water-only fasting (8DW-F) on selected features of thermal homeostasis, taking into account somatic, metabolic, and circulatory changes in middle-aged men. Methods: A total of 13 healthy men took part in the experiment. Volunteers were examined twice: after a mixed diet (C) and after using 8DW-F. At baseline, the following were recorded: body mass (BM), body fat (FM), fat-free mass (FFM), and total water (TBW), along with basal metabolic rate (BMR) and body surface area (BSA). Then, after 30 min of sitting under thermoneutral conditions, the following measurements were taken: eardrum temperature (Ti), skin temperatures (Tsk), heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), oxygen uptake (VO₂), and respiratory exchange ratio (RER). The following were then calculated: average body (MTB) and skin temperature (MTsk), resting metabolic rate (RMR), body to skin temperature gradient (g), and whole-body thermal conductivity (C). Results: The results showed that 8DW-F cause a significant reduction in most somatic variables as well as SBP and BMR (p < 0.001), RMR (p < 0.05) with no changes in Ti, MTsk, MTB, or C and g (p = 0.09). There were also significant correlations between Δ MTB × Δ BMR (p < 0.05) and Δ RMR × Δ VO₂ (p < 0.001). Moreover, changes in the C range correlated with Δ RMR (p < 0.005) and Δ DBP (p < 0.05). Conclusions: 8DW-F reduced resting metabolic heat production in the studied men, but sufficient heat conservation ensured that thermal homeostasis was maintained under thermally neutral conditions. Full article

Colorectal cancer (CRC) is a highly aggressive cancer, with its treatment and prognosis particularly challenging due to metastasis. The immune response is involved in the whole process of CRC development, and immunotherapy has increasingly become a part of CRC patients’ treatment. However, comprehensive research on the immune microenvironment driving CRC metastasis remains limited. Given this limitation, we proposed a bioinformatics method to construct a metastasis–based immune prognostic model (MIPM) by integrating CRC single–cell RNA sequencing (scRNA–seq) and bulk data. Our study identified several MIPM genes significantly associated with CRC metastasis and progression. MIPM reliably predicted overall survival (OS) and tumor recurrence in CRC across eleven bulk validation datasets. Notably, MIPM could independently predict outcomes beyond traditional clinical factors such as age, sex, and stage. It showed high predictive accuracy in CRC patients treated with chemotherapy. Drug sensitivity and multifaceted immune analyses further underscored the importance of MIPM in therapeutic and immunotherapy response modulation. In conclusion, our findings have profound implications for the illustration of MIPM, which could serve as a new plausible prognostic marker for CRC patients and provide new insights for treatment strategies. The further evaluation and investigation of MIPM will enhance the prognosis and precision therapy of CRC patients. Full article

The mammalian amygdala is located in the temporal lobe of the telencephalon and plays a key role in limbic processing. Recently, our group proposed a radial morphological model to understand the glutamatergic (pallial) part of this nuclear complex in terms of separate progenitor domains. This model explains the amygdala region as consisting of several adjacent developmental radial progenitor units, disposing their distinct periventricular, intermediate, and superficial strata from the ventricle to the pial surface. It was expected that cell populations belonging to specific progenitor domains would present greater molecular similarity to each other than to neighboring developmental units. In this work, we aim to corroborate the existence of several radial domains in the pallial amygdala at the transcriptomic level. snRNAseq experiments in the amygdala of adult mice of both sexes indicated that at low resolution, the whole pallial amygdala was found to divide into two super-radial domains distinguished by differential expression of Slc17a6 and Slc17a7; the former partly imitates molecularly the subpallial (output) amygdalar regions, whereas the rest of the pallial amygdala is molecularly more akin to the surrounding cortical areas. In addition, our snRNAseq transcriptomic analysis fully supports the postulated amygdalar radial model of four main radial domains. Full article

The aim of this paper was to evaluate health, psychological distress, and functioning during the COVID-19 pandemic among Danish adults with and without a history of mental illness. Data were drawn from three online surveys conducted in May 2020 (n = 3134), January 2021 (n = 1170), and January 2022 (n = 1174) as part of the Danish contribution to the Collaborative Outcomes study on Health and Functioning during Infection Times (COH-FIT). The prevalence of mental and physical health issues, psychological distress (stress, sleep problems, loneliness, and boredom) and levels of functioning (self-care, interpersonal relationships, hobbies/leisure, and work/education) were evaluated at four different time points stratified by history of mental illness. Findings indicated that physical health was not differentially affected between people with and without prior mental illness. However, mental health declined significantly more among respondents with a history of mental illness. While levels of stress did not differ between the two groups, boredom was more pronounced in May 2020 among those with prior mental illness. Loneliness was significantly higher in this group in January 2021. Sleep disturbances were more pronounced for respondents with former mental illness during the whole period. A decline in functioning was observed in people both with and without a former mental illness. It seemed a little more pronounced for people with mental illness but seldom reached statistical significance. For all measures of health, distress, and functioning, 10–20% of respondents reported improvements in health, distress, and functioning during the pandemic, with stress showing the most improvement—one third of participants reported feeling less stressed. In most of the parameters measured, the influence of the COVID-19 pandemic seemed to decrease with time. However, the effects were not uniform, and more investigations are needed to understand the whole picture. Full article