Objective: Both short and long sleep durations are associated with decreased kidney function; however, few studies have examined the relationship between sleep, hydration status, and plain water intake. This study aimed to assess the relationship between sleep quality, hydration status, and plain water intake in pregnant women. Methods: A cross-sectional study method was used to collect data from 380 pregnant women with regular examinations at the hospital between May 2019 and February 2021. Results: There were statistically significant differences in daily plain water intake (x² = 14.118, p = 0.001), PSQI score (x² = 77.708, p < 0.001), sleep duration (x² = 67.569, p > 0.001), subjective sleep quality (x² = 67.441, p = 0.001), time to fall asleep (x² = 64.782, p < 001), sleep disorders (x² = 70.853, p < 0.001), and daytime dysfunction (x² = 38.441, p < 0.001) among different hydration status groups. Ordinal logistic regression results indicated that the intake of plain water ≥1500 mL/d (OR = 0.40, 95% CI = 0.24~0.67), good subjective sleep quality (OR = 0.15, 95% CI = 0.07~0.32), short time to fall asleep (OR = 0.32, 95% CI = 0.14~0.70), 8 h of sleep (OR = 0.06, 95% CI = 0.02~0.17), 6–7 h of sleep (OR = 0.19, 95% CI = 0.07~0.54), no sleep disturbance (OR = 0.31, 95% CI = 0.11~0.89), and high sleep efficiency (OR = 0.46, 95% CI = 0.03~0.79) were factors that were correlated with optimal hydration status. Sleep duration and daytime dysfunction partially mediated the effect of plain water intake on hydration status. The mediating effect of sleep duration was −0.036, accounting for 14.006% of the overall effect. The mediating effect of daytime dysfunction was −0.024, accounting for 9.459% of the overall effect. Conclusion: The hydration status in pregnant women may be affected by daily plain water intake and sleep quality. Full article

Pomegranate peel extract is known for its potent antibacterial, antiviral, antioxidant, anti-inflammatory, wound healing, and probiotic properties, leading to its use in treating oral infections. In the first stage of this work, for the first time, using the Design of Experiment (DoE) approach, pomegranate peel extract (70% methanol, temperature 70 °C, and three cycles per 90 min) was optimized and obtained, which showed optimal antioxidant and anti-inflammatory properties. The optimized extract showed antibacterial activity against oral pathogenic bacteria. The second part of this study focused on optimizing an electrospinning process for a combination of polycaprolactone (PCL) and polyvinylpyrrolidone (PVP) nanofibers loaded with the optimized pomegranate peel extract. The characterization of the nanofibers was confirmed by using SEM pictures, XRPD diffractograms, and IR-ATR spectra. The composition of the nanofibers can control the release; in the case of PVP–based nanofibers, immediate release was achieved within 30 min, while in the case of PCL/PVP, controlled release was completed within 24 h. Analysis of the effect of different scaffold compositions of the obtained electrofibers showed that those based on PCL/PVP had better wound healing potential. The proposed strategy to produce electrospun nanofibers with pomegranate peel extract is the first and innovative approach to better use the synergy of biological action of active compounds present in extracts in a patient-friendly pharmaceutical form, beneficial for treating oral infections. Full article

The emergence of generative artificial intelligence (AI) such as ChatGPT has sparked significant assessment concerns within tertiary education. Assessment concerns have largely revolved around academic integrity issues among students, such as plagiarism and cheating. Nonetheless, it is also critical to consider that generative AI models trained on information retrieved from the Internet could produce biased and discriminatory outputs, and hallucination issues in large language models upon which generative AI acts provide made-up and untruthful outputs. This article considers the affordances and challenges of generative AI specific to assessments within tertiary education. It illustrates considerations for assessment redesign with the existence of generative AI and proposes the Against, Avoid and Adopt (AAA) principle to rethink and redesign assessments. It argues that more generative AI tools will emerge exponentially, and hence, engaging in an arms race against generative AI and policing the use of these technologies may not address the fundamental issues in assessments. Full article

Cutaneous field cancerization (CFC) refers to a skin region containing mutated cells’ clones, predominantly arising from chronic exposure to ultraviolet radiation (UVR), which exhibits an elevated risk of developing precancerous and neoplastic lesions. Despite extensive research, many molecular aspects of CFC still need to be better understood. In this study, we conducted ex vivo assessment of cell differentiation, oxidative stress, inflammation, and DNA damage in CFC samples. We collected perilesional skin from 41 patients with skin cancer and non-photoexposed skin from 25 healthy control individuals. These biopsies were either paraffin-embedded for indirect immunofluorescence and immunohistochemistry stain or processed for proteins and mRNA extraction from the epidermidis. Our findings indicate a downregulation of p53 expression and an upregulation of Ki67 and p16 in CFC tissues. Additionally, there were alterations in keratinocyte differentiation markers, disrupted cell differentiation, increased expression of iNOS and proinflammatory cytokines IL-6 and IL-8, along with evidence of oxidative DNA damage. Collectively, our results suggest that despite its outwardly normal appearance, CFC tissue shows early signs of DNA damage, an active inflammatory state, oxidative stress, abnormal cell proliferation and differentiation. Full article

Effective communication between patients and healthcare providers is essential for a positive patient experience (PE), and improving patient-centered care (PCC) involves many factors. This study aimed to (1) identify the factors that affect PE improvement, (2) reflect patients and healthcare providers’ perspectives on the factors’ importance, and (3) present a structural model for improving PCC. A systematic review of empirical studies that specified PE factors was conducted. Studies that did not reflect users’ perspectives and non-empirical studies were excluded. The literature was searched using Google Scholar, PubMed, Web of Science, and the Taylor and Francis online journal. The MMAT 2018 checklist was used to assess bias in the included studies, and frequency, content, and thematic analyses were employed to synthesize the results, yielding 25 articles. The 80 PE factors identified from the analyses were categorized into six categories: Practice, Physical Needs, Psychological Needs, Social Needs, Practical Needs, and Information Needs. From a user perspective, patients emphasized professional, continuous, and comprehensive service delivery, whereas healthcare providers stressed efficient system improvements and positive provider–patient relationships. We propose a structured model for PCC improvement using a service blueprint and system map. The PCC model provides an overview of the interactions and the roles of all stakeholders regarding quality of care to improve healthcare. Full article

To conduct a more in-depth study of the flow mechanism of power-law fluids within sewage pumps, this paper focuses on self-priming sewage pumps, with typical power-law fluid (Carboxymethyl Cellulose, CMC) as the conveying medium. The constitutive equations for sewage and typical power-law fluid (CMC solution) were established using the power-law model. Through numerical calculation methods, the non-steady flow field inside the pump of different concentration power-law fluids was analyzed from various aspects such as velocity, pressure, vorticity, and wall shear stress. The pressure pulsations at key locations in the pump flow field were monitored and analyzed. At the rated flow rate, when the concentration of CMC solution increased from 0.5% to 2.0%, the channel pressure and tongue pressure decreased by 16.5% and 3.5%, respectively. This indicates that the pressure on the impeller blades, within the flow passages, and at the tongue of the volute all decrease with the increase in concentration of CMC solution. This may alter the fluid flow pattern, leading to more vortex motion and shear deformation, while also reducing the pump’s pressure boosting capability, thereby affecting the pump’s performance stability. It can be inferred from quantitative comparisons that changes in rheological properties had a significant impact on the flow characteristics of sewage pumps. This paper reveals that some flow characteristics of power-law fluids in sewage pumps, providing a theoretical and reference basis for the performance optimization and flow mechanism research of sewage pumps. Full article

The designed MYRRHA reactor, in its subcritical version, will be equipped with a set of detectors monitoring its condition by measuring the current value of negative reactivity, which is a crucial parameter for its safe operation. In subcritical systems, accurate and precise measurement of negative reactivity is disturbed by the so-called spatial effect, i.e., the response of detectors depends on their placement in the reactor core. This paper focuses on the Monte Carlo simulations of reactivity measurements using the area method for ^natU, ²³⁸U, ²⁴¹Am, ²³⁹Pu, and ²³²Th detectors. The simulations were performed in six positions with increasing distance from the center of the core and at three axial levels. The obtained results allow for selecting optimum locations for detectors and detector nuclides in terms of the accuracy of reactivity measurement and illustrate the dependence of the reactivity on the distance. Additionally, the possibility of using ¹⁰³Rh in self-powered neutron detectors was investigated. The influence of spatial effect in calculations using the area method was directly indicated in the MYRRHA reactor core for chosen isotopes and in-core positions. The results closest to true values were obtained for the second fuel assembly for ²³⁹Pu, and the third fuel assembly for ^natU, ²³⁸U, ²³²Th, and ²⁴¹Am; thus, these nuclides and positions should be preferred when selecting detectors for MYRRHA. Full article

In this study, we propose a deep learning-based nystagmus detection algorithm using video oculography (VOG) data to diagnose benign paroxysmal positional vertigo (BPPV). Various deep learning architectures were utilized to develop and evaluate nystagmus detection models. Among the four deep learning architectures used in this study, the CNN1D model proposed as a nystagmus detection model demonstrated the best performance, exhibiting a sensitivity of 94.06 ± 0.78%, specificity of 86.39 ± 1.31%, precision of 91.34 ± 0.84%, accuracy of 91.02 ± 0.66%, and an F₁-score of 92.68 ± 0.55%. These results indicate the high accuracy and generalizability of the proposed nystagmus diagnosis algorithm. In conclusion, this study validates the practicality of deep learning in diagnosing BPPV and offers avenues for numerous potential applications of deep learning in the medical diagnostic sector. The findings of this research underscore its importance in enhancing diagnostic accuracy and efficiency in healthcare. Full article

Molecular radiotherapy (MRT), also known as radioimmunotherapy or targeted radiotherapy, is the delivery of radionuclides to tumours by targeting receptors overexpressed on the cancer cell. Currently it is used in the treatment of a few cancer types including lymphoma, neuroendocrine, and prostate cancer. Recently reported outcomes demonstrating improvements in patient survival have led to an upsurge in interest in MRT particularly for the treatment of prostate cancer. Unfortunately, between 30% and 40% of patients do not respond. Further normal tissue exposure, especially kidney and salivary gland due to receptor expression, result in toxicity, including dry mouth. Predictive biomarkers to select patients who will benefit from MRT are crucial. Whilst pre-treatment imaging with imaging versions of the therapeutic agents is useful in demonstrating tumour binding and potentially organ toxicity, they do not necessarily predict patient benefit, which is dependent on tumour radiosensitivity. Transcript-based biomarkers have proven useful in tailoring external beam radiotherapy and adjuvant treatment. However, few studies have attempted to derive signatures for MRT response prediction. Here, transcriptomic studies that have identified genes associated with clinical radionuclide exposure have been reviewed. These studies will provide potential features for seeding multi-component biomarkers of MRT response. Full article

In this study, we examined over 200-year-old Ginkgo biloba L. specimens under different environmental conditions. The overall aim was to explore which factors influence their vitality and general fitness in urban environments and thus their ability to tolerate stressful habitats. In order to determine this, we used a number of different methods, including histological examinations (stomatal density and size) and physiological measurements (peroxidase enzyme activity), as well as assessing the air pollution tolerance index (APTI). The investigation of the genetic relationships between individuals was performed using flow cytometry and miRNA marker methods. The genetic tests revealed that all individuals are diploid, whereas the lus-miR168 and lus-miR408 markers indicated a kinship relation between them. These results show that the effect of different habitat characteristics can be detected through morphological and physiological responses, thus indicating relatively higher stress values for all studied individuals. A significant correlation can be found between the level of adaptability and the relatedness of the examined individuals. These results suggest that Ginkgo biloba L. is well adapted to an environment with increased stress factors and therefore suitable for use in urban areas. Full article

Both physical inactivity and disruptions in the gut microbiome appear to be prevalent in patients with chronic kidney disease (CKD). Engaging in physical activity could present a novel nonpharmacological strategy for enhancing the gut microbiome and mitigating the adverse effects associated with microbial dysbiosis in individuals with CKD. This narrative review explores the underlying mechanisms through which physical activity may favorably modulate microbial health, either through direct impact on the gut or through interorgan crosstalk. Also, the development of microbial dysbiosis and its interplay with physical inactivity in patients with CKD are discussed. Mechanisms and interventions through which physical activity may restore gut homeostasis in individuals with CKD are explored. Full article

Adequate hydration is essential for good health, and an individual’s hydration status is determined by the quantity and type of ingested fluids. The aim of the present study was to determine the hydration status of school-age children and evaluate changes in the type and quantity of consumed beverages between 2018 and 2023. The study was conducted in two stages between 2018 and 2023, and a total of 1030 fully completed questionnaires were returned by the children and their parents. A comparison of the parents’ responses regarding factors that affect beverage choices revealed that beverage composition was more significant for the parents in 2023 than in 2018, whereas health-promoting properties were significant for only less than 30% of the respondents. Taste preferences were important for both the parents and the children, and they were the main criterion in the choice of beverages in both 2018 and 2023. In turn, advertising was an important factor for children, and the percentage of children who were guided by advertising in their choice of beverages increased from 52.1% in 2018 to 58.5% in 2023 (p < 0.05). Daily fluid intake in children aged 11–13 years generally does not meet physiological requirements. Low fluid intake can negatively affect children’s hydration status and bodily functions. Taste preferences and advertising were correlated with a higher intake of carbonated and non-carbonated sugar-sweetened beverages (SSBs) and dairy beverages. The percentage of children who bought drinks independently and had access to SSBs increased significantly during the analyzed period. Obtain results indicate that nutrition education programs are needed to teach adolescents to make healthy drink choices, limit their consumption of SSBs and EDs, and promote regular intake of natural mineral water and non-sweetened dairy beverages. Full article

Hepatitis B core-related antigen (HBcrAg) reflects the activity of intrahepatic covalently closed circular DNA. HBcrAg can be detected even in chronic hepatitis B patients in whom serum HBV DNA or hepatitis B surface antigen is undetectable. The HBcrAg measurement system was developed based on two concepts. One is a fully-automated and highly-sensitive HBcrAg assay (iTACT-HBcrAg) and the other is a point-of-care testing (POCT) that can be used in in resource-limited areas. iTACT-HBcrAg is an alternative to HBV DNA for monitoring HBV reactivation and predicting the development of hepatocellular carcinoma. This validated biomarker is available in routine clinical practice in Japan. Currently, international guidelines for the prevention of mother-to-child transmission recommend anti-HBV prophylaxis for pregnant women with high viral loads. However, over 95% of HBV-infected individuals live in countries where HBV DNA quantification is widely unavailable. Given this situation, a rapid and simple HBcrAg assay for POCT would be highly effective. Long-term anti-HBV therapy may have potential side effects and appropriate treatment should be provided to eligible patients. Therefore, a simple method of determining the indication for anti-HBV treatment would be ideal. This review provides up-to-date information regarding the clinical value of HBcrAg in HBV management, based on iTACT-HBcrAg or POCT. Full article

Invasive plant species are often characterized by superior resource acquisition capabilities compared with native species, contributing to their success in new environments. However, the dominance of these species varies, and not all invasive species become dominant, nor are all native species uniformly vulnerable to competitive exclusion. In this study, we analyzed 19 functional traits across 144 herbaceous plant species in Guangzhou, China. The studied species included 31 invasive dominant species (IDS), 19 invasive non-dominant species (INS), 63 native dominant species (NDS), and 31 native non-dominant species (NNS). Our findings reveal no significant differences in functional traits between IDS and INS, indicating a broad trait similarity within invasive categories. Pronounced similarities between invasive species and NDS suggest an ecological equivalency that facilitates successful integration and competition in new habitats. Notable differences in several key traits—height, leaf thickness, leaf water content, stoichiometry, photosynthetic rate, water use efficiency, and nitrogen use efficiency—indicate a competitive superiority in resource acquisition and utilization for invasive species over NNS. These distinctions are vital for understanding the mechanisms driving the success of invasive species and are crucial for developing strategies to manage their impact on native ecosystems. Full article

Glioblastoma is the most common malignant primary brain tumor in the adult population, with an average survival of 12.1 to 14.6 months. The standard treatment, combining surgery, radiotherapy, and chemotherapy, is not as efficient as we would like. However, the current possibilities are no longer limited to the standard therapies due to rapid advancements in biotechnology. New methods enable a more precise approach by targeting individual cells and antigens to overcome cancer. For the treatment of glioblastoma, these are gamma knife therapy, proton beam therapy, tumor-treating fields, EGFR and VEGF inhibitors, multiple RTKs inhibitors, and PI3K pathway inhibitors. In addition, the increasing understanding of the role of the immune system in tumorigenesis and the ability to identify tumor-specific antigens helped to develop immunotherapies targeting GBM and immune cells, including CAR-T, CAR-NK cells, dendritic cells, and immune checkpoint inhibitors. Each of the described methods has its advantages and disadvantages and faces problems, such as the inefficient crossing of the blood–brain barrier, various neurological and systemic side effects, and the escape mechanism of the tumor. This work aims to present the current modern treatments of glioblastoma. Full article

Prion diseases such as scrapie, bovine spongiform encephalopathy (BSE), and chronic wasting disease (CWD) affect domesticated and wild herbivorous mammals. Animals afflicted with CWD, the transmissible spongiform encephalopathy of cervids (deer, elk, and moose), shed prions into the environment, where they may persist and remain infectious for years. These environmental prions may remain in soil, be transported in surface waters, or assimilated into plants. Environmental sampling is an emerging area of TSE research and can provide more information about prion fate and transport once shed by infected animals. In this study, we have developed the first published method for the extraction and detection of prions in plant tissue using the real-time quaking-induced conversion (RT-QuIC) assay. Incubation with a zwitterionic surfactant followed by precipitation with sodium phosphotungstate concentrates the prions within samples and allows for sensitive detection of prion seeding activity. Using this protocol, we demonstrate that prions can be detected within plant tissues and on plant surfaces using the RT-QuIC assay. Full article

To study the radial growth of Mongolian pine (Pinus sylvestris var. mongholica, MP) trees in response to climatic factors against the global warming background in the northeast part of the Greater Khingan Mountains (GKM), 101 tree cores were collected at contrasting altitudes (1100 and 650 m) in the Mordoga area, a tree-ring width chronology of MP was established for that region at both altitudes, and the relation between climatic factors and ring width trends at different time scales was investigated. The results revealed four major findings. (1) The ring width chronology of MP in the low-altitude area has better quality. (2) The growth of MP at high (low) altitude was mainly influenced by temperature (precipitation) factors. (3) Before a sudden change in temperature, there was a decreasing trend in the annual indices of MPs at higher altitudes. The chronological coefficients of MPs at both altitudes showed a significant upward trend after the increase in temperature. (4) The sliding analysis results showed that the stability of the relationship between MP growth and its response to climatic factors at both altitudes was also mostly similar. MP growth is relatively stable and sensitive and to climatic factors as temperatures increase. Full article

Background: Child and adolescent mental health problems have increased after the COVID-19 pandemic. The objective of this study was to establish the association of the presence and intensity of posttraumatic stress due to COVID-19 with the presence of (1) self-harm and suicide risk, (2) depressive and anxious symptoms, (3) eating disorders and (4) problematic Internet and video game use. Methods: A cross-sectional analysis was performed on a sample of second–fourth grade secondary school students (14 to 16 years old) from Navarra and the Canary Islands recruited at the SESSAMO project. Validated questionnaires were used to assess the intensity of posttraumatic stress due to COVID-19, risk of suicide and presence of self-harm, symptoms of mental disorder and problematic use of the Internet and video games. Results: Out of 1423 participants analyzed, those with the highest level of posttraumatic stress showed a significant increase in the risk of suicide (OR = 5.18; 95% CI = 2.96–9.05) and in the presence of eating disorder symptoms (OR = 3.93; 95% CI = 2.21–7.00), and higher anxiety and depression scores (b coefficient for anxiety = 11.1; CI = 9.7–12.5; for depression = 13.0; CI = 11.5–14.5) as compared to those with the lowest level. Participants with a high level of posttraumatic stress were almost 10 times more likely to present problematic video game use (OR = 9.49; 95% CI = 3.13–28.82). Conclusions: Years after the pandemic, posttraumatic stress derived from it continues to impact the mental health of adolescents. Further long-term research is needed, as well as close follow-up and intervention in this population. Full article

Metal-doped carbonaceous materials have garnered significant attention in recent years due to their versatile applications in various fields, including catalysis, energy storage, environmental remediation, electronics, and sensors, as well as reinforcement. This study investigates the synthesis and characterization of a composite material featuring a carbonaceous matrix doped with copper, focusing on the thermolysis of glycine as a precursor. The synthesis methodology involved utilizing glycine and copper acetate monohydrate in varying ratios, with the mixture subjected to heating in ceramic crucibles at temperatures ranging from 450 to 550 °C, with pyrolysis yields over the 5 to 39% interval. The pristine and Cu-doped samples obtained at 500 °C underwent characterization using a diverse array of techniques, including scanning and transmission electron microscopies, multi-elemental analysis by energy dispersive X-ray spectroscopy, CHNS elemental analysis, X-ray photoelectron spectroscopy, X-ray powder diffraction, infrared and Raman spectroscopies, ultraviolet-visible spectroscopy, and terahertz time-domain spectroscopy, along with conductivity measurements. Under optimized conditions, copper (at 6.5%) was present primarily in the free metallic form, accompanied by traces of tenorite (CuO) and cuprite (Cu₂O). The carbonaceous matrix exhibited a 6:1 ratio of graphitic carbon to a carbon-nitrogen compound with the formula C₂H₂N₂O₂, such as isomers of diazetidinedione, according to multi-elemental analysis results. Conductivity measurements disclosed a significant increase in conductivity compared to the product of glycine thermolysis, showcasing the enhanced electrical properties of the new composite. Additionally, terahertz measurements showed the potential of the material as a broadband absorber for the fabrication of terahertz devices and provided compelling evidence of a significant improvement in radiation absorption upon copper doping. In conclusion, this research sheds light on the promising properties of copper-doped carbonaceous composites obtained by glycine pyrolysis, offering insights into their potential applications in emerging technological domains. Full article

In an increasingly aging and overweight population, osteoporosis and type 2 diabetes (T2DM) are major public health concerns. T2DM patients experience prejudicial effects on their bone health, affecting their physical capacity. Exercise in hypoxia (EH) and a low-carbohydrate diet (LCD) have been suggested for therapeutic benefits in T2DM, improving bone mineral content (BMC) and glycemic control. This study investigated the effects of EH combined with an LCD on body composition and functional and physiologic capacity in T2DM patients. Older T2DM patients (n = 42) were randomly assigned to the following groups: (1) control group: control diet + exercise in normoxia; (2) EH group: control diet + EH; (3) intervention group: LCD + EH. Cardiopulmonary tests (BRUCE protocol), body composition (DEXA), and functional capacity (6MWT, handgrip strength) were evaluated. Body mass index (kg/m²) and body fat (%) decreased in all groups (p < 0.001). BMC (kg) increased in all groups (p < 0.001) and was significantly higher in the EH and EH + LCD groups (p < 0.001). VO_2peak improved in all groups (p < 0.001), but more so in the hypoxia groups (p = 0.019). Functional capacity was increased in all groups (p < 0.001), but more so in the EH group in 6MWT (p = 0.030). EH with and without an LCD is a therapeutic strategy for improving bone mass in T2DM, which is associated with cardiorespiratory and functional improvements. Full article

Osteoporosis is considered a serious public health problem that particularly affects the postmenopausal period. In 2018, in the Republic of Kazakhstan, the prevalence of osteoporosis was 10.0, and the incidence was 3.7 new cases, per 100,000 adults, respectively. The objective of this study was to assess the prevalence of osteoporosis and indicate the main factors affecting low bone mineral density by screening the adult population of the Abay region, Kazakhstan. The target group comprised 641 respondents aged between 18 and 65 years old, from a Kazakh population, who had been living in the Abay region since birth. All participants filled out a questionnaire and were subjected to a bone mineral density measurement by means of dual-energy X-ray absorptiometry (DXA) between 15 July 2023 and 29 February 2024. Logistic regression analysis was conducted to assess the association between low bone mineral density and key demographic characteristics, such as lifestyle factors and nutritional habits. We identified the prevalence of low bone mass (osteopenia) and osteoporosis to be 34.1%, with the highest prevalence of 48.3% being found in the older population group (50+ years). The regression analysis revealed a number of indicators associated with the likelihood of bone sparing. However, only four of these showed significance in the final multivariate model (R² = 22.4%). These were age (adjusted odds ratio (AOR) 1.05) and fracture history (AOR 1.64) directly associated with the likelihood of low bone density. Meanwhile, the body mass index (AOR 0.92) and the consumption of nuts and dried fruits (AOR 0.48) reduced the chance of bone tissue demineralization. Additional studies examining the prevalence and any emerging risk factors for osteoporosis are needed to advance clinical epidemiological knowledge and implement public health programs. Full article