Search Results (637)

Vineyard cover crops deliver well-documented ecosystem services, yet consistent establishment, especially of perennial grasses and legumes, remains a primary barrier to adoption. This review reframes “companion (nurse) cropping” not as a new crop class but as a acilitative establishment strategy within the broader cover-/service-crop literature. We (i) position our contribution relative to recent syntheses, (ii) synthesize evidence on companion crops practices that reduce cover cropping early failure risk, and (iii) propose a testable research agenda. A focused scoping review of peer-reviewed and extension literature indexed in Web of Science and Google Scholar was conducted using search terms encompassing cover/service crops and nurse/companion/facilitation in viticulture systems. Across climates, fast-establishing cereals (Avena sativa, Hordeum vulgare, Secale cereale, × Triticosecale Wittmack) and short-cycle legumes (Vicia sativa, Pisum sativum, Trifolium incarnatum) can reliably “nurse” slower perennials and legumes by providing early groundcover, weeds control, and microclimate buffering when sown at reduced rates (≈25–50% of monoculture) and terminated on time to limit vine competition. Evidence gaps persist for in-row applications, water-use penalties under drought, and long-term effects on yield and grape composition. Companion cropping is argued to be a design principle in vineyard cover-crop programs rather than a separate category. A decision framework and research agenda are presented to quantify establishment reliability, resource trade-offs, and wine-relevant outcomes, and it is recommended that future decision tools make the companion-phase logic explicit to de-risk adoption and align with regional guidelines. Full article

(1) Background: Essential oils (EOs) have emerged as promising antibacterial agents due to their broad-spectrum activity and low risk of resistance development. Therefore, this review aimed to assess the effectiveness of EOs against Gram-positive ESKAPE pathogens, and to evaluate their safety and toxicity in mammalian cells. (2) Methods: A comprehensive search was conducted in PubMed, Scopus, and Web of Science. (3) Results: Heracleum pyrenaicum exhibited the most potent effect, with a MIC of 0.02–0.04 µg/mL and a selectivity index ranging from 251.3 to 2006.5, indicating high selective toxicity toward bacterial cells over mammalian cells. In contrast, certain species such as Cannabis sp. and Citrus sp. had selectivity indices of <1, indicating toxicity to mammalian cells. Ocimum basilicum showed good efficacy against methicillin-resistant S. aureus (MRSA), with a selectivity index of 23.4–34.9, while Satureja nabateorum demonstrated potent activity against E. faecium, with a selectivity index of 65.6–87.2. (4) Conclusions: EOs from Heracleum, Eucalyptus, Cinnamomum, Mentha, Thymus, and Syzygium aromaticum had good efficacy and high safety margins and show a potential for development for treating Gram-positive ESKAPE pathogen infections. However, EOs with a narrow safety margin (selectivity index < 10) raise concerns and warrant further in vivo and clinical trials to better understand their therapeutic windows and potential adverse effects. Full article

With government, industry, and public pressure to decarbonize the building sector through reducing embodied and operational emissions, there have been a wide range of innovative materials used in building envelope retrofits. Although these innovative materials, such as super insulating materials, bio-based insulation, and many others, are assessed on thermal performance and code requirements before use in retrofits, there is no unified standard assessment metric for hygrothermal performance of innovative materials in building envelope retrofits. This paper performs a rapid review of the available literature from January 2013 to March 2025 on hygrothermal performance assessment metrics used in retrofits. Using rapid review methods to search for records in Scopus, Web of Science, and Google Scholar, fifty-nine publications were selected for bibliometric and qualitative analysis. Most selected publications include discussions and analysis of relative humidity in the wall assembly post retrofit, moisture content, and mould index within the envelope. There is a research gap in publications considering hygrothermal damage functions such as freeze–thaw index, relative humidity and temperature (RHT) index, or condensation prediction. There is also a research gap in country and climate studies and analyses of in situ retrofits with innovative materials, and occupant comfort post retrofit. Full article

Background/Objectives: Treatment for superior mesenteric artery (SMA) syndrome can include either weight restoration (conservative management) or surgical intervention, with the latter recommended when individuals fail conservative management. However, reasons for failure of conservative management are poorly understood. This systematic review seeks to better understand predictors of treatment outcomes for malnourished individuals with SMA syndrome, specifically regarding weight restoration and behavioral health intervention, and to better understand why individuals fail conservative management. Methods: Medline, Embase, and Web of Science were searched for articles that assessed treatment interventions for SMA syndrome in malnourished individuals. Results: Seventy-three articles (n = 189 malnourished individuals with SMA syndrome) were included in the final review. Most of the articles (n = 57) had an increased risk of bias as the amount of weight gain with treatment was not explicitly defined and thus the attribution of outcome for “failure” of conservative management could not be ascribed. Modest weight gain (mean 5.64 kg [12.1% body weight increase] or 1.3 kg/m² body mass index increase [9.4% increase in ideal body weight]) was associated with positive outcomes of conservative management. Psychological care also positively impacted treatment outcomes, especially for individuals with comorbid psychiatric conditions. Conclusions: Patients who achieve even modest weight gain have resolution of their SMA-related symptoms without a need for surgical intervention. Psychological treatment should be included for any patient struggling to achieve adequate weight restoration, with subsequent improved outcomes, given the high frequency of comorbid mental health illnesses, especially eating disorders. Full article

Background and Objectives: This systematic review and meta-analysis aimed to analyze the available body of published peer-reviewed randomized controlled trials (RCTs) on the effects of concurrent training (CT) on biomarkers, morphological variables, and physical performance in people with sarcopenic obesity. Materials and Methods: Using six databases—PubMed, Medline, CINAHL Complete, Scopus, Cochrane Library, and Web of Science—a comprehensive literature search was conducted through July 2025. The GRADE, TESTEX, Rob 2, and PRISMA tools were used to assess the methodological quality and certainty. The protocol was registered in PROSPERO (CRD420251052935). Results: Out of 669 records, 8 RCTs with a total of 453 participants (68.9 ± 11.1 years) were included. Fifteen overall and three subgroup meta-analyses revealed significant improvements (p < 0.05) in insulin-like growth factor-1 (ES = 1.01, 95% CI = 0.26 to 1.75, p = 0.008) and leptin (ES = 2.54, 95% CI = 0.07 to 5.01, p = 0.04) levels; significant decreases (p < 0.05) in body mass index (ES = 0.54, 95% CI = 0.12 to 0.97, p = 0.01), waist circumference (ES = 1.80, 95% CI = 0.32 to 2.12, p = 0.008), and body fat (BF, ES = 1.31, 95% CI = 0.53 to 2.09, p = 0.001); and significantly increased (p < 0.05) appendicular skeletal muscle mass/weight (ES = 0.42, 95% CI = 0.14 to 0.71, p = 0.004), walking speed (ES = 1.80, 95% CI = 1.05 to 2.55, p = 0.000), and knee extension (ES = 0.76, 95% CI = 0.09 to 1.42, p = 0.02). However, no significant improvements (p > 0.05) were observed in IL-6, CRP, total cholesterol, triglycerides, trunk fat, BF mass, and MIHS. On the other hand, an important result in the meta-regression revealed that weeks of training can predict decreases in BF (R² = 0.32; p = 0.02). Conclusions: CT has been associated with significant clinical improvements in biomarkers related to increased muscle mass and decreased BF percentage. Full article

Background and Objectives: Music therapy has a long tradition in palliative care, and recent studies have investigated its Neuro-Psycho-Endocrine-Immunological (NPEI) effects in terminally ill patients. Despite numerous published articles, there is a lack of a compendium connecting the physiological basis of music therapy with the specific musical elements most effective in end-of-life settings. This narrative review aims to synthesize current evidence on the physiological mechanisms underlying responses to music, with a focus on terminal patients and implications for nursing practice. Materials and Methods: For quality and possible reproducibility, a narrative review was conducted in accordance with Scale for the Assessment of Narrative Review Articles (SANRA) guidelines. The review targeted articles from the past five years indexed in PubMed, CINAHL, Cochrane Library, Embase, Scopus, Web of Science, and PsycInfo, supplemented by additional relevant references identified through manual searching. The PICOS framework was performed to structure the search strategy and study selection, focusing on studies relevant to the biological effects of music therapy in end-of-life care and their practical implications for nursing care. Results: The neurophysiology of music perception in terminal patients is complex, involving a wide array of clinical and cultural factors. Key musical elements—such as rhythm, melody, harmony, tempo, and mode—can influence physiological and psycho-emotional responses. Music therapy interventions, when tailored to the individual’s preferences and cultural background, may modulate parameters like heart rate, blood pressure, stress hormone levels, and pain perception. Evidence supports the need for individualized approaches and highlights the NPEI rationale for integrating music therapy into end-of-life care. Conclusions: A deeper understanding of the scientific mechanisms discussed in this narrative review can enhance the effectiveness of music therapy interventions in end-of-life settings. Nursing practice can benefit by integrating evidence-based selection of musical pieces and personalizing interventions to the clinical and cultural profile of each patient. Further interdisciplinary research is needed to establish standardized criteria for music therapy in palliative care and to optimize outcomes for terminally ill patients. Full article

The growing accumulation of waste from diverse human activities has intensified the search for sustainable strategies. Mechanochemistry offers a promising pathway, transforming residues into high-value products with reduced energy demand, shorter reaction times, and minimal use of solvents and reagents. Various wastes—including biomass, food residues, fly ash, used batteries, and halogenated polymers—can be converted into environmental adsorbents, industrial biopolymers, biocompatible compounds, electrodes, and catalysts. Unlike previous reviews that addressed specific waste streams, this study provides the first systematic and comparative analysis of mechanochemical valorization across multiple residues, following PRISMA guidelines (2000–2025). A total of 656 studies indexed in Scopus and Web of Science were evaluated. This integrative approach highlights recent advances, current challenges, and future prospects, offering a rigorous and transparent guide for scaling mechanochemistry toward circular and sustainable solutions. Full article

Urban built environments in Chinese cities have increasingly been shown to not only influence human health outcomes but also promote sustainable urban development pathways. These health and sustainability advantages have had significant implications for cardiovascular disease (CVD) prevention and management. CVD represents a growing public health challenge in China’s rapidly urbanizing contexts. However, people living in poorly designed built environments receive less attention and tend to experience disproportionate cardiovascular health risks due to limited access to health-promoting environmental features. Therefore, this systematic review emphasizes the role of urban built environments in shaping cardiovascular health outcomes. Previous studies have highlighted the importance of spatial indicators, such as the Normalized Difference Vegetation Index (NDVI), green space ratio, walkability, and public open space, in influencing cardiovascular health. Using various common cardiovascular diseases and their risk factors as outcome measures, this review conducted a comprehensive literature search across CNKI, Web of Science, Scopus, and PubMed. The search aimed to identify studies examining the associations between urban built environments and cardiovascular health outcomes, in order to synthesize and present the research progress in this field. Through this review, we find that physical activity serves as the key mediating mechanism linking built environment characteristics to cardiovascular outcomes. Based on this finding, this review argues that urban built environment design and sustainable urbanism should prioritize cardiovascular health considerations in the planning process, as this health-oriented approach has the greatest potential for advancing public health resources and moving cities closer to being truly sustainable and health-promoting environments. Full article

Patellofemoral osteoarthritis (OA) and chondromalacia patellae (CMP) are common and disabling conditions that significantly affect physical performance and quality of life. Despite the great deal of scientific research on the subject, there is limited evidence regarding the outcome of nonoperative interventional procedures. Platelet-rich plasma (PRP) has demonstrated positive results for tibiofemoral knee osteoarthritis, but its role in anterior knee pain (AKP) remains unclear. The aim of this study was to review the evidence on the efficacy (clinical and radiological) and safety of PRP in patients suffering from patellofemoral OA, CMP, and AKP. Medline/Pubmed, Web of Science, and Scopus databases were systematically searched up to June 2025 to identify all the available relevant studies. Five studies, including 146 patients, fulfilled the eligibility criteria and were included in the systematic review. Although there was a statistically significant improvement in clinical setting, radiologic evidence of cartilage regeneration was limited and uncertain. Specifically, the pooled analysis revealed an improvement of the Visual Analogue Scale from 6.7 to 2.1 (p < 0.001), the Western Ontario and McMaster Universities Osteoarthritis Index score from 24 to 10.3 (p < 0.001), the Oxford score from 35.1 to 37.4 (p < 0.001), the Kujala score from 71 to 83 (p < 0.001), and the Tegner/Lysholm score from 65.3 to 86.5 (p < 0.001). Well-designed and appropriately powered randomized trials with imaging endpoints are needed to validate the efficacy of PRP administration in PFA, CMP, and AKP and refine patient selection criteria. Full article

Background/Objectives: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with significant morbidity and premature mortality. As patients with SLE often suffer from multiple comorbid conditions, evaluating the overall health burden is critical for improving risk stratification and long-term outcomes. The Charlson Comorbidity Index (CCI) is a widely used tool for quantifying the burden of comorbidity. This systematic review and meta-analysis aimed to assess the prognostic value of the CCI for all-cause mortality in adult patients with SLE. Methods: We conducted a systematic review and meta-analysis in accordance with the PRISMA 2020 guidelines. Three databases (PubMed, Embase, and Web of Science) were searched up to May 2025. Three studies (n = 1175 participants) met the inclusion criteria. Eligible studies included adult SLE populations that evaluated the comorbidity burden using the CCI and reported all-cause mortality. Study characteristics and effect sizes were extracted, and a fixed-effects model (after considering both random- and fixed-effects approaches) was applied to calculate pooled odds ratios (ORs). Risk of bias was assessed using the Newcastle–Ottawa Scale. Results: Three observational studies (n = 1175 participants) met the inclusion criteria. All demonstrated a significant association between higher CCI scores and increased all-cause mortality. The pooled OR for mortality in patients with a high comorbidity burden was 3.92 (95% CI: 2.74–5.60), with no observed heterogeneity (I² = 0%). The risk of bias was moderate to high across all studies. Conclusions: Multimorbidity, as measured by the CCI, is a strong independent predictor of mortality in SLE. Integrating comorbidity assessment into rheumatology care may enhance prognostic evaluation, guide personalized treatment, and support interdisciplinary management strategies for patients with complex disease profiles. Full article

Cytochrome P450 3A4 (CYP3A4) is a key enzyme involved in the metabolism of nearly half of all clinically used drugs, including widely prescribed statins and antidiabetic agents. Dietary constituents can modulate CYP3A4 expression and activity through various mechanisms, thereby altering drug pharmacokinetics and potentially leading to therapeutic failure or toxicity. This narrative review compiles current evidence on dietary modulation of CYP3A4, with a particular focus on pharmacological and clinical implications for lipid-lowering and glucose-lowering drugs. Literature was identified through a comprehensive search in PubMed, Scopus, and Web of Science, including preclinical and clinical studies addressing food–drug interactions involving CYP3A4 substrates. Numerous dietary compounds, such as citrus furanocoumarins, polyphenols, herbal extracts, and vitamins, act as CYP3A4 inhibitors or inducers through competitive, mechanism-based, or nuclear receptor-mediated pathways. Specific examples include simvastatin, atorvastatin, repaglinide, and saxagliptin, whose systemic exposure can be significantly altered by dietary factors. Moreover, interindividual variability in CYP3A4 activity may be shaped by genetic polymorphisms, microbiota-derived metabolites, and epigenetic regulation, further influencing drug response. Understanding these interactions is crucial, especially in polymedicated patients or those receiving drugs with a narrow therapeutic index. Clinicians should remain aware of potential CYP3A4-related food–drug interactions and consider dietary habits and supplement use in therapeutic decision-making. Future research should aim to integrate pharmacogenomics, gut microbiome profiling, and personalized nutrition in order to improve the prediction and prevention of clinically significant interactions. Full article

Dental plaque, if not regularly removed through proper oral hygiene, can lead to tooth decay, gingivitis, and more severe periodontal disease. Effective plaque removal is essential in preventing gingivitis, the precursor to periodontitis. Propolis, a bee product known for its antibacterial, anti-inflammatory, and antioxidant properties, has shown potential in dental applications. This systematic review and meta-analysis was conducted to evaluate the efficacy of propolis-containing mouthwashes and toothpastes in reducing dental plaque and gingival inflammation. Materials and Methods: The study protocol was registered in PROSPERO (CRD42023467573), and the review was conducted in accordance with PRISMA guidelines. A comprehensive search of PubMed, PubMed Central, Embase, Scopus, and Web of Science was performed up to 10 May 2025 to identify randomized controlled trials and observational studies assessing propolis-based mouthwashes or toothpastes. Data synthesis used random-effects meta-analysis due to anticipated heterogeneity among studies. Results: Seven randomized controlled trials were included in the meta-analysis, evaluating the efficacy of propolis alcohol-free mouthwash on plaque index (PI) and gingival index (GI). For PI, the pooled standardized mean difference (SMD) was 1.74 (95% CI: 0.19–3.29; p = 0.036), with low between-study heterogeneity (I² = 13.7%). For GI, the pooled SMD was 2.19 (95% CI: 1.10–3.29; p = 0.005), with no observed heterogeneity (I² = 0.0%). Propolis mouthwashes demonstrated large effect sizes, significantly reducing plaque accumulation and gingival inflammation compared to baseline. Conclusions: The evidence supports the potential of propolis-containing mouthwashes and toothpastes in managing dental plaque and gingival health. Propolis-based oral care products could be a valuable addition to preventive strategies in dental hygiene, offering an alternative for reducing dental plaque and gingival inflammation. Full article

Diabetes mellitus (DM) is a chronic metabolic disorder that can induce systemic and ocular complications. Among the latter, an increase in central corneal thickness (CCT) has been reported, potentially affecting endothelial function and increasing the risk of ocular disease. This study aimed to determine the impact of DM on CCT and to assess its correlation with diabetes duration and glycosylated hemoglobin (HbA1c) levels. A systematic literature search was conducted in Web of Science (1980–2025) following a PICO-based strategy. Observational studies evaluating CCT in diabetic patients were included. Data were analyzed using a random-effects model. Statistical heterogeneity was assessed with χ² test, p values, and I² index. Publication bias was evaluated using Begg’s funnel plot and Egger’s regression test. Twenty-nine studies were included in the meta-analysis. Diabetic patients showed significantly higher CCT values compared to controls, particularly in those with long-standing DM (p < 0.001) and poor glycemic control (HbA1c, p < 0.001). Egger’s regression suggested an association between increasing CCT, disease duration, and HbA1c levels, while funnel plot asymmetry indicated potential publication bias. CCT appears to increase in patients with long-term DM and inadequate glycemic control. These findings highlight the relevance of CCT assessment as a potential indicator of corneal changes in diabetic patients. Full article

In vitro culture has become a key tool to produce seed potato (Solanum tuberosum L.) tubers, a crop of great global importance. This systematic review, based on the PRISMA-ScR methodology, analyzes the main biotechnological strategies used to obtain high-quality, healthy, and pathogen-free seeds, overcoming the limitations of traditional propagation methods. A comprehensive search was conducted in Scopus, Web of Science, and ScienceDirect (June 2025), prioritizing 65 experimental studies published between 2010 and 2025 in indexed journals. Techniques such as meristem culture, micropropagation, microtuber production, the use of temporary immersion bioreactor systems (TIBs), and synthetic seed generation were examined. These methodologies offer advantages such as accelerated propagation, higher yields, reduced use of agrochemicals, germplasm conservation, and economic efficiency. TIBs stand out for improving the survival and productivity of basic seed. This review is organized around four axes: applied techniques, key procedures, economic impact and sustainability, and future perspectives. This work constitutes a useful guide for optimizing seed tuber production using plant biotechnology. Full article

Over 15 billion tonnes year⁻¹ of biomass is used globally, yet 14% is downcycled for energy, forfeiting billions in potential revenue for higher-value products. Robust metrics that couple cascading use with cradle-to-gate greenhouse gas (GHG) emissions and economic value are essential for identifying superior biomass pathways. The aim of this review is to systematically map biomass utilization indicators published between 2010 and 2025; compare their treatment regarding circularity, climate, and economic value; and introduce the enhanced Bioresource Utilization Index (eBUI). A PRISMA-aligned search of Scopus and Web of Science yielded 80,808 records, of which 33 met the eligibility criteria. Each indicator was scored on cascading, data intensity, and environmental and economic integration, as well as computational complexity and sector scope. The Material Circularity Indicator, Biomass Utilization Efficiency, the Biomass Utilization Factor, and legacy BUI satisfied no more than two criteria simultaneously, and none directly linked mass flows to both GHG emissions and net revenue. The eBUI concept integrates mass balance, lifecycle carbon intensity, and value coefficients into a single 0–1 score. An open-access calculator and data quality checklist accompany the metric, enabling policymakers and industry to prioritize biomass pathways that are circular, climate-smart, and economically attractive. Full article