Search Results (38,931)

Phosphorus removal is critical for effective water treatment and the prevention of eutrophication. This study focuses on the modification of attapulgite, an economical clay material, with zirconium (Zr@ATP) to enhance its phosphorus adsorption capacity. Zr@ATP was comprehensively characterized, and its phosphorus-removal mechanisms were investigated. Additionally, its performance in water treatment was evaluated using a lake water-sediment system. Zr@ATP exhibited a high surface area of 329.29 m²/g. The static adsorption experiments revealed that Zr@ATP achieved a phosphorus-removal efficiency of 95.8% at an adsorbent dosage of 5 g/L. Kinetic studies indicated that the adsorption followed a pseudo-second-order model, with the primary mechanism being chemisorption via ion exchange. Application of Zr@ATP in a lake water-sediment system resulted in an 83.6% reduction in total phosphorus. The chlorophyll concentration significantly decreased from 32.33 μg/L to 8.56 μg/L, and the algal density decreased by 84.6%, effectively inhibiting algal growth. These results suggest that Zr@ATP is a promising adsorbent for sustainable phosphorus removal and eutrophication control in aquatic environments. Full article

Background/Objectives: Substance use disorder is a crisis impacting many people in the United States. This review aimed to identify the effect addictive substances have on the kynurenine pathway. Tryptophan is an essential amino acid metabolized by the serotonin and kynurenine pathways. The metabolites of these pathways play a role in the biological reward system. Addictive substances have been shown to cause imbalances in the ratios of these metabolites. With current treatment and therapeutic options being suboptimal, identifying biochemical mechanisms that are impacted during the use of addictive substances can provide alternative options for treatment or drug discovery. Methods: A systematic literature search was conducted to identify studies evaluating the relationship between substance use disorder and tryptophan metabolism through the kynurenine pathway. A total of 32 articles meeting eligibility criteria were used to review the relationship between the kynurenine pathway, tryptophan breakdown, and addictive substances. Results: The use of addictive substances dysregulates tryptophan metabolism and kynurenine metabolite concentrations. This imbalance directly affects the dopamine reward system and is thought to promote continued substance use. Conclusions: Further studies are needed to fully evaluate the metabolites of the kynurenine pathway, along with other options for treatment to repair the metabolite imbalance. Several possible therapeutics have been identified; drugs that restore homeostasis, such as Ro 61-8048 and natural products like Tinospora cordifolia or Decaisnea insignis, are promising options for the treatment of substance use disorder. Full article

Background/Objectives: The number of individuals with lower limb loss (LLL) is rising. Therefore, identifying the walking potential in individuals with LLL and prescribing adequate prosthetic systems are crucial. Various factors can influence participants’ walking ability, to different extents. The aim of the present study was to apply machine learning methods to develop a predictive mode. This model can assist rehabilitation and limb loss care teams in making informed decisions regarding prosthesis prescription and predicting walking ability in individuals with LLL. Methods: The present study was designed as a prospective cross-sectional study encompassing 104 consecutively recruited participants with LLL (average age 62.1 ± 10.9 years, 80 (76.9%) men) at the Medical Rehabilitation Clinic. Demographic, physical, psychological, and social status data of patients were collected at the beginning of the rehabilitation program. At the end of the treatment, K-level estimation of functional ability, a Timed Up and Go Test (TUG), and a Two-Minute Walking Test (TMWT) were performed. Support vector machines (SVM) were used to develop the prediction model. Results: Three decision trees were created, one for each output, as follows: K-level, TUG, and TMWT. For all three outputs, there were eight significant predictors (balance, body mass index, age, Beck depression inventory, amputation level, muscle strength of the residual extremity hip extensors, intact extremity (IE) plantar flexors, and IE hip extensors). For the K-level, the ninth predictor was The Multidimensional Scale of Perceived Social Support (MSPSS). Conclusions: Using the SVM model, we can predict the K-level, TUG, and TMWT with high accuracy. These clinical assessments could be incorporated into routine clinical practice to guide clinicians and inform patients of their potential level of ambulation. Full article

Background: Wound management is a critical component of clinical practice. Promoting timely healing of wounds is essential for patient recovery. Traditional treatments have limited efficacy due to prolonged healing times, excessive inflammatory responses, and susceptibility to infection. Methods: In this research, we created an injectable hydrogel wound dressing formulated from gelatin methacryloyl (GelMA) that encapsulates quercetin-loaded zeolitic imidazolate framework-8 (Qu@ZIF-8) nanoparticles. Next, its ability to promote skin wound healing was validated through in vitro experiments and animal studies. Results: Research conducted both in vitro and in vivo indicated that this hydrogel dressing effectively mitigates inflammation, inhibits bacterial growth, and promotes angiogenesis and collagen synthesis, thus facilitating a safe and efficient healing process for wounds. Conclusions: This cutting-edge scaffold system provides a novel strategy for wound repair and demonstrates significant potential for clinical applications. Full article

The winter planting of green manure (GM) is widely used in South China to reduce chemical nitrogen (N) fertilizer use, improve soil fertility, and maintain rice yields, but its effect on N runoff loss in paddy fields remains unclear. This study combines multi-site field experiments with a process model (WHCNS-Rice) to assess how GM with reduced N fertilizer impacts N runoff loss and its forms in the Yangtze River’s middle and lower reaches, considering different rainfall years. The network field experiments included four treatments: conventional fertilization (FR), conventional fertilization plus straw return (FRS), GM with a 40% N reduction (MR), and GM-straw combined return with a 40% N reduction (MRS). Monitoring the results showed that compared to the winter fallow treatment, the GM treatments reduced the peak and average total N (TN) concentrations by 11.1–57.9% (average 26.9%) and 17.1–27.3% (average 22.3%), respectively. The TN runoff loss under the GM treatment decreased by 3.50–10.61 kg N ha⁻¹ (22.5–42.1%). GM primarily reduced the runoff loss of dissolved inorganic N (DIN), with reductions at different sites ranging from 0.22 to 9.66 kg N ha⁻¹ (8.4–43.4%), indicating GM effectively decreases N runoff by reducing DIN. Model simulations of ponding water depth, runoff, TN concentration in surface water, and TN loss in paddy fields produced the consistency indices and simulation efficiencies of 0.738–0.985, 0.737–0.986, 0.912–0.986, and 0.674–0.972, respectively, indicating that the model can be used to evaluate water consumption and N runoff loss in the GM-paddy system. The simulations showed that GM with a 40% N fertilizer significantly reduced N runoff loss under all rainfall conditions, with the greatest reductions in wet years. Under wet, normal, and dry conditions, the GM treatments significantly reduced average TN loss by 0.37–5.53 kg N ha⁻¹ (12.77–29.17%), 0.21–5.32 kg N ha⁻¹ (9.95–24.51%), and 0.02–3.2 kg N ha⁻¹ (1.78–23.19%), respectively, compared to the winter fallow treatment. These results indicate that the combination of GM and a 40% reduction in N fertilizer can significantly reduce N runoff loss from paddy fields, demonstrating good effectiveness under various rainfall conditions, making it a green production model worth promoting. Full article

Citrus trees, particularly oranges, are a highly significant plant genus due to their consumption as fresh produce and the multiple compounds derived from them, which are extensively used in the food, cosmetic, and pharmaceutical industries. Despite recent advancements, the understanding of metabolic processes in the Citrus genus remains limited, especially in the context of variable agricultural practices. This study aimed to investigate the metabolomic evolution in leaves of sweet orange (Citrus sinensis) cultivated under different conditions over two key developmental periods: pre-winter (t₁) and spring sprouting and flowering (t₂). Using proton nuclear magnetic resonance (H-NMR) spectroscopy, this research identified 27 key metabolites across five distinct cultivation treatments (T0, T1, T2, T3, T4), including amino acids, organic acids, and sugars, and their variation over time. T0 represents the traditional crop of the control plot, while T1, T2, T3, and T4 incorporate different strategies aimed at water-saving, such as the use of weed control mesh and subsurface drainage systems, all designed to improve profitability and crop efficiency under the same soil and climatic conditions. The treatments were evaluated for their impact on plant growth parameters such as height, trunk diameter, and flower production, with a focus on reducing water usage without compromising crop performance. The results indicate that the use of weed control mesh significantly improves plant growth, increases flower production, and stabilizes key metabolite levels, contributing to a concept termed “plant metabolomic homeostasis.” These findings are particularly relevant in regions like southeastern Spain, where water scarcity is a major concern. The study provides compelling evidence that the implementation of weed control mesh in orange cultivation can enhance water efficiency, promote healthier plant development, and maintain metabolic stability under variable growing conditions. These results suggest that such agricultural practices could be recommended for broader commercial application in citrus cultivation to improve sustainability and crop profitability. Full article

Neurodegenerative brain diseases such as Alzheimer’s disease (AD), multiple sclerosis (MS), and Parkinson’s disease (PD) are difficult to treat. Unfortunately, many therapeutic agents for neurodegenerative disease only halt the progression of these diseases and do not reverse neuronal damage. There is a demand for finding solutions to reverse neuronal damage in the central nervous system (CNS) of patients with neurodegenerative brain diseases. Therefore, the purpose of this review is to discuss the potential for therapeutic agents like specific neurotrophic and growth factors in promoting CNS neuroregeneration in brain diseases. We discuss how BDNF, NGF, IGF-1, and LIF could potentially be used for the treatment of brain diseases. The molecule’s different mechanisms of action in stimulating neuroregeneration and methods to analyze their efficacy are described. Methods that can be utilized to deliver these proteins to the brain are also discussed. Full article

Cordyceps militaris-derived formulations are currently used for multiple purposes because of their medical properties, especially immune system modulation. This study analyzes the inhibitory effects of C. militaris aqueous extract on Candida albicans infections and the immune response in larvae of the greater wax moth Galleria mellonella (Lepidoptera: Pyralidae). Larvae exhibited melanization within 1 h of being infected with C. albicans inoculum at a concentration of 10⁶ cells/larvae, and died within 24 h from a lethal dose. Aqueous extract of C. militaris proved to be nontoxic at concentrations of 0.25 and 0.125 mg/larvae, and had the greatest ability to prolong the survival of larvae infected with a sublethal dose of C. albicans at a concentration of 10⁵ cells/larvae. Moreover, the number of hemocytes in the hemolymph of G. mellonella increased after infection with C. albicans and treatment with the aqueous extract of C. militaris at 1, 24, and 48 h by 1.21 × 10⁷, 1.23 × 10⁷, and 1.4 × 10⁷ cells/100 µL, respectively. The highest number of hemocytes was recorded after treatment of infected G. mellonella with the extract for 48 h. Transcriptional upregulation of the immune system was observed in certain antimicrobial peptides (AMPs), showing that the relative expression of galiomicin, gallerimycin, and lysozyme genes were upregulated as early as 1 h after infection. Therefore, we conclude that C. militaris aqueous extract can modulate the immune system of G. mellonella and protect against infection from C. albicans. Full article

Background/Objectives: Acetabular erosion is a postoperative condition that can occur after hip hemiarthroplasty (HA), potentially leading to pain and requiring conversion to total hip arthroplasty (THA). Given the discrepancy in its incidence and impact in the literature, this study aims to report the incidence of symptomatic acetabular erosion and the subsequent conversion to THA in all HA cases performed in a single health system. Methods: A total of 2477 HA cases had their clinical notes and serial radiographs examined for this retrospective study. Outcome measures included any records of hip or groin pain and conversion to THA that were attributed to acetabular erosion as documented in the clinical notes. Results: Two thousand four hundred and seventy-seven HA cases were reviewed in this study. The mean age for all patients in the study was 81.5 years and the mean follow up was 3.7 years. Out of the 2477 HA cases, only 12 HA cases (0.48%) in 12 patients had data records of chronic hip pain, attributable to acetabular wear in the clinical notes, of variable severity and presentations. The mean duration until the clinical documentation of acetabular wear-induced pain was 25.6 months (range, 1.4–146.4 months), with most symptomatic hip erosion cases presented within the first year (50% presented within the first 6 months) after the index HA surgery. Despite that, only five cases underwent conversion to THA (0.2%) while seven patients received conservative management. Conclusions: In patients older than 65 years of age who are candidates for HA, the incidence of symptomatic hip erosion and the subsequent conversion to THA is low and hence HA remains a viable treatment option. Based on the duration until clinical presentation of acetabular erosion, this study suggests that the state of acetabular cartilage during surgery may influence the development of early acetabular wear in most symptomatic patients. On the other hand, hip hemiarthroplasty is a rare treatment option for displaced femoral neck fractures in patients younger than 65 years of age, and its use in this patient subset depends on conditional and patient-related factors such as the activity level, cognitive function, and medical comorbidities. Full article

The limited capacity of articular cartilage for self-repair is a critical challenge in orthopedic medicine. Here, we aimed to develop a simplified method of generating chondrocyte particles from human-induced pluripotent stem cell-derived expandable limb-bud mesenchymal cells (ExpLBM) using a cell self-aggregation technique (CAT). ExpLBM cells were induced to form chondrocyte particles through a stepwise differentiation protocol performed on a CAT plate (prevelex-CAT^®), which enables efficient and consistent production of an arbitrary number of uniformly sized particles. Histological and immunohistochemical analyses confirmed that the generated chondrocyte particles expressed key cartilage markers, such as type II collagen and aggrecan, but not hypertrophic markers, such as type X collagen. Additionally, when these particles were transplanted into osteochondral defects in rats with X-linked severe combined immunodeficiency, they demonstrated successful engraftment and extracellular matrix production, as evidenced by Safranin O and Toluidine Blue staining. These data suggest that the plate-based CAT system offers a robust and scalable approach to produce a large number of chondrocyte particles in a simplified and efficient manner, with potential application to cartilage regeneration. Future studies will focus on refining the system and exploring its clinical applications to the treatment of cartilage defects. Full article

Plastics are vital for society, but their usage has grown exponentially and contributes to the growth of pollution worldwide. The World Health Organization, WHO, already reported that microplastics (MPs) are found everywhere, in waste and fresh water, and in the air and soil. Regarding water effluents, waste-water treatment plants only minimize the problem, trapping only larger size particles. In contrast, smaller ones remain in oxidation ponds or sewage sludges, or are even released to aquifers environment. Classic procedures for MPs detection are still quite laborious, and are usually conducted off-line, involving several steps and expensive equipment. Electrical Impedance Spectroscopy, EIS, is a technique that allows the analysis of a system’s electrical response, yielding helpful information about its domain-dependent on physical-chemical properties. Due to the superficial electronegativity of MPs’ particles, EIS may allow to attain the purpose of the present work: to provide a fast and reliable method to detect/estimate MPs’ concentration in water effluents. Among the most common microplastics are Polyethylene, PE, and Polyvinyl Chloride, PVC. Using the developed setup and experimental data collection methodology, the authors could differentiate between MPs’ suspensions containing the same concentration of the different evaluated MPs, PVC and PE, and assess PVC concentration variation, in the interval between 0.03 to 0.5 g (w/w), with an error, estimated based on the obtained impedance modulus, around or below 3% for the entire stimulus signal frequency range (from 100 Hz to 40 MHz) for the PVC particles. Full article

Prolonged exposure to hypoxic conditions can lead to reduced appetite, stunted growth, systemic inflammation, and pulmonary hypertension. Previous studies have indicated a correlation between gut dysbiosis and the development of hypoxia-related hazards. We designed an experiment to investigate the effect of microbiota on mitigating hypoxic damage. Gut microbiota from high-altitude-adapted species (Ochotona curzoniae) were transplanted into Sprague Dawley (SD) rats, which were then housed in a simulated 6000 m altitude environment for 30 days. After the experiment, we conducted analyses on average daily weight gain (ADG), feed conversion ratio (FCR), mean pulmonary artery pressure (mPAP), gut flora, and fecal metabolism. The results demonstrated that the ADG in the transplantation group (2.98 ± 0.17 g) was significantly higher than in the control groups (2.68 ± 0.19 g and 2.26 ± 0.13 g) (p < 0.05). The FCR was reduced in the transplantation group (6.30 ± 0.33 g) compared to the control groups (8.20 ± 1.15 g and 8.83 ± 0.45 g) (p < 0.05). The mPAP was decreased in the transplantation group (38.1 ± 1.13 mmHg) compared to the control groups (43.4 ± 1.30 mmHg and 43.5 ± 1.22 mmHg) (p < 0.05). Multi-omics analysis revealed that Lachnospiraceae, Desulfovibrionaceae, and specific amino acid metabolic pathways play crucial roles in hypoxia and are associated with both inflammation and nutritional metabolism. This study proposes a novel approach to the treatment of hypoxic pulmonary hypertension and holds potential significance for improving high-altitude developmental potential. Full article

Background/Objectives: In acute stroke, often-prolonged hospital transport times present an opportunity for early interventions to salvage brain tissue. Remote ischemic conditioning (RIC), where brief cycles of ischemia–reperfusion in a limb are induced to protect the brain, is a promising treatment for this setting. We assessed the usability of a novel RIC system in a simulated emergency response scenario. Methods: Paramedics were asked to use the RIC device in an emergency stroke care and ambulance transport simulation, overseen by a confederate. Feedback on device use was collected through questionnaires, including the System Usability Scale (SUS) and the NASA Task Load Index (NASA-TLX), and a semi-structured interview. Questionnaire responses were summarized using descriptive statistics; interview transcripts were analyzed thematically. Results: Nine paramedics (including the confederate) participated, with a mean of 10.0 ± 10.3 years of professional experience. Questionnaire responses indicated high device usability (mean SUS score: 85.3 ± 12.9 out of 100) and low task-related demands, effort, and frustration (mean NASA-TLX domain scores: ≤3.9 out of 20). Seven paramedics stated they would use the device in daily practice. They expressed concerns related to display screen clarity, interference with standard procedures, cable management, device fragility, and patient discomfort. Suggested improvements included adding indicators of device performance and refining the cuff design. Conclusions: While the device was considered easy to use, paramedics also identified important areas of improvement. With a small, localized study sample, our findings are primarily applicable to the refinement of the RICovery system for use in future clinical trials in the same healthcare setting. However, feedback on the importance of mitigating potential interference of newly introduced procedures with those already established, robustness of equipment, and effective paramedic–patient communication may also help inform the design of other pre-hospital interventions. Full article

The San Francisco Estuary (SFE) ecosystem receives anthropogenic ammonium (NH₄) from agricultural runoff and sewage treatment plants and has low chlorophyll levels. As observed in other aquatic systems, NH₄ at concentrations < 4 µmol/L inhibits nitrate (NO₃) uptake by phytoplankton and can reduce the frequency with which phytoplankton assimilate all available inorganic nitrogen (i.e., NO₃ and NH₄); paradoxically, elevated NH₄ can reduce the chances of phytoplankton blooms in some high NH₄ ecosystems. For blooms to occur, NH₄ must first be reduced to non-repressive levels, then NO₃ uptake can occur and is accompanied by more rapid carbon (C) uptake and chlorophyll accumulation. The consequence of this sequence is that when NO₃ uptake, C uptake, or chlorophyll concentrations are plotted against ambient NH₄, a rectangular hyperbola results. Here, these relationships are statistically described for a variety of SFE field data, and their management applications are discussed. These relationships enable ambient NH₄ to be used to predict both the likelihood of blooms and to investigate historical changes in productivity when no rate measurements were made. We apply the statistical relationship to a 40-year time series from the SFE during which there was an ecosystem-scale change in the estuarine foodweb with a drastic decline in pelagic fishes (the pelagic organism decline) and suggest that this period aligned with the lowest annual primary production and highest NH₄. The relationship may be generalizable to other high-nitrogen, low-growth systems and aid nutrient management decisions, assuming potential limitations are considered. Full article

Background/Objectives: The search for novel ways of providing treatment also targets the development of formulations used in drug delivery. Among the important characteristics of pharmaceutical gels are their ability to penetrate membranes, their capability to offer rapid response, and their capacity to avoid the hepatic metabolization route followed by many drugs. Bigels combine the advantages of both hydrogels and oleogels, creating a biphasic system that might improve the solubility of amiodarone in water, which is otherwise poorly soluble. This study aimed to succeed in formulating stable amiodarone hydrochloride bigels (coded from ABG1-ABG6) destined for atrial application and evaluating them from a pharmacotechnical perspective. Methods: Three of the six initial formulations presented stability and underwent studies of spreadability, rheology, drug content, textural properties, and microbiological activity. A statistical analysis was performed on penetrometry and drug assay data. Results: The spreadability varied from 1734.07 mm² (ABG1) to 2163.85 mm² (ABG6), while the drug concentration ranged between 1.35 and 1.49% (w/w). The textural profile analysis highlighted superior hardness, cohesiveness, and resilience for ABG6 and higher adhesion for ABG2. Both presented pseudoplastic thixotropic behavior, while a plastic thixotropic flow was registered in the case of ABG1. Conclusions: All three bigels are suitable for amiodarone incorporation; however, the influence of the type of ingredients chosen on the texture and properties of the formulations was reflected in the data gathered upon evaluation. Full article