Search Results (263)

Despite the high prevalence of pelvic floor (PF) dysfunctions in female athletes, help-seeking is low due to embarrassment and disinformation. This study evaluated the effects of a 6-week exercise program guided by a specific app, with and without intravaginal biofeedback on the PF symptoms, strength, and sonographic measures of female athletes. Compliance with the program was evaluated. Thirty-nine athletes with PF symptoms used the app with different functionalities: experimental group 1 (n = 13) (EG1: exercises, PF information, and physiotherapists contact); experimental group 2 (n = 14) (EG2: exercises with biofeedback, PF information, and physiotherapists contact); and the control group (n = 12) (CG: PF information, and physiotherapists contact). Before and after the 6 weeks, PF symptoms, strength with the Oxford scale, and sonographic measures were evaluated. EG1 and EG2 improved strength (p = 0.028 and p = 0.001, respectively) and incontinence urinary symptoms (p = 0.041 and p = 0.002, respectively) over the baseline, without between-group differences (p > 0.05). No significant differences were observed in sonography (p > 0.05). Regarding compliance, 84.6 and 71.4% of athletes from EG1 and EG2 completed the program twice per week or more. A 6-week PF exercise program guided by the app improved PF symptoms and strength of female athletes and ensured high compliance with the program but was insufficient to improve sonography. Full article

Chronic kidney disease (CKD) is a progressive condition that affects more than 10% of the population worldwide, accounting for more than 843 million (M) individuals. The prevalence of CKD (844 M patients) is higher than that of diabetes mellitus (422 M patients), cancer (42 M patients), and HIV (37 M patients), but people are often less aware of it. Global expert groups predict reductions in the nephrology workforce in the next decade, with a declining interest in nephrology careers. Over time, KDIGO guidelines have also focused on topics related to the prevention or management of CKD patients in real-life settings. On these premises, a new educational program with international experts in the field of nephrology took place from November 2022 until March 2023 in Milan, Italy. This multinational masterclass provided an educational platform providing unbiased education on diagnosis and treatment by sharing the most recent research data on CKD and comorbidities, therefore creating a snowball effect to increase the implementation of best practices worldwide, using examples from ‘real-life’ patient outcomes. This paper provides an overview of the International Nephrology Masterclass (INM) concept, summarizing the key lectures and discussions, and giving an outline of future key developments. Full article

The gut microbiota plays a vital role in various physical and physiological processes, including immune system regulation, neurotransmitter production, inflammatory response modulation, and the inhibition of pathogenic organisms. An imbalance in the microbial community, known as dysbiosis, has been associated with numerous health issues. Biological influences, health behaviors, socioeconomic determinants, and nutritional status can disrupt this balance. Objective: To evaluate the differences in the gut microbiota composition in medical students according to fiber intake, ultra-processed food (UPF) consumption, sex, body mass index, and socioeconomic status. Methods: A cross-sectional study was conducted with 91 medical students, and 82 fecal samples were analyzed. Sociodemographic and dietary data were collected via questionnaires, UPF consumption was assessed using the NOVA classification, and trained nutritionists performed anthropometry. DNA extraction and 16S rRNA sequencing were performed for the microbial analysis. Bioinformatics and statistical tests included the Dunn and Kruskal–Wallis tests, a PCoA analysis, PERMANOVA, ANOVA, Spearman’s rank correlation, and alpha and beta diversity metrics. Results: Dietary fiber intake strongly influences gut microbiota composition. Lower fiber intake was associated with a higher prevalence of Parabacteroides and Muribaculaceae. Prevotella was more prevalent in individuals with lower UPF intake, while Phascolarctobacterium was prevalent in those with higher UPF consumption. Significant differences were associated with sex and UPF consumption but not BMI or SES. Women consumed more UPF, which correlated with distinct gut microbiota profiles. Conclusions: This study highlights the significant impact of diet, particularly fiber intake and UPF, on gut microbiota composition, emphasizing the importance of dietary habits in maintaining gut health. Full article

Helicobacter pylori (H. pylori) is a Gram-negative, spiral-shaped bacterium that colonizes the gastric epithelium and is associated with a range of gastrointestinal disorders, exhibiting a global prevalence of approximately 50%. Despite the availability of treatment options, H. pylori frequently reemerges and demonstrates increasing antibiotic resistance, which diminishes the efficacy of conventional therapies. Consequently, it is imperative to explore non-antibiotic treatment alternatives to mitigate the inappropriate use of antibiotics. This review examines H. pylori infection, encompassing transmission pathways, treatment modalities, antibiotic resistance, and eradication strategies. Additionally, it discusses alternative therapeutic approaches such as probiotics, anti-biofilm agents, phytotherapy, phototherapy, phage therapy, lactoferrin therapy, and vaccine development. These strategies aim to reduce antimicrobial resistance and enhance treatment outcomes for H. pylori infections. While alternative therapies can maintain low bacterial levels, they do not achieve complete eradication of H. pylori. These therapies are designed to bolster the immune response, minimize side effects, and provide gastroprotective benefits, rendering them suitable for adjunctive use alongside conventional treatments. Probiotics may serve as adjunctive therapy for H. pylori; however, their effectiveness as a monotherapy is limited. Photodynamic and phage therapies exhibit potential in targeting H. pylori infections, including those caused by drug-resistant strains, without the use of antibiotics. The development of a reliable vaccine is also critical for the eradication of H. pylori. This review identifies candidate antigens such as VacA, CagA, and HspA, along with various vaccine formulations, including vector-based and subunit vaccines. Some vaccines have demonstrated efficacy in clinical trials, while others have shown robust immune protection in preclinical studies. Nevertheless, each of the aforementioned alternative therapies requires thorough preclinical and clinical evaluation to ascertain their efficacy, side effects, cost-effectiveness, and patient compliance. Full article

The fight against climate change is one of the main global challenges of our time, and the European Union (EU) seeks to achieve climate neutrality and energy transition for the continent by 2050 through various policies. This research studies the economic implications of the EU Emissions Trading System (ETS) on European ports. By analysing various maritime scenarios, the study assesses how the ETS influences shipping routes, port competitiveness, and overall economic activity. A key finding is that the ETS imposes significant additional costs on shipping companies, which could lead to adjustments in routes and a shift in cargo volumes to ports in regions with less stringent environmental regulations. This could result in job losses in European port communities and reduce the competitiveness of European ports. In addition, the potential for carbon leakage, where shipping activities are simply relocated to regions with fewer emission controls, is explored. Full article

According to the Host Manipulation Hypothesis, parasites modify the phenotype of their host to enhance host–host transmission and thereby increase fitness. Metacercarial infection of some amphibians changes host behavior, including locomotion, and thereby enhances predation by the definitive host. To further test this hypothesis, it is first necessary to determine whether a parasite actually modifies a host’s phenotype. In the southern Appalachian Mountains of the US, metacercariae of the trematode Metagonimoides oregonensis (Price, 1931) encyst in the musculature of its second intermediate host, the salamander Desmognathus amphileucus Bishop, 1941. Metacercarial infections of musculature in fish negatively affect host swimming performance. Therefore, we tested the hypothesis that infection by M. oregonensis affects walking in the aquatic larvae of D. amphileucus. We compared this mode of locomotion between infected and uninfected larvae by placing them in 1 m troughs of water and allowing them to wander freely until they stopped. Non-parametric (Kaplan–Meier) survival analysis determined that infected salamanders stopped significantly sooner than uninfected ones. Because infected salamanders move less, the presence of this parasite may contribute to genetic divergence in these salamanders by slowing dispersal and concomitant gene flow. Our results suggest that macroparasites can potentially modify a host’s behavior with biological consequences beyond enhancement of parasite transmission. Full article

The increasing prevalence of multidrug-resistant (MDR) pathogens, persistent biofilms, oxidative stress, and cancerous cell proliferation poses significant challenges in healthcare and environmental settings, highlighting the urgent need for innovative and sustainable therapeutic solutions. The exploration of nanotechnology, particularly the use of green-synthesized nanoparticles, offers a promising avenue to address these complex biological challenges due to their multifunctional properties and biocompatibility. Utilizing a green synthesis approach, Mauritia flexuosa Mf-Ag₂ONPs were synthesized and characterized using dynamic light scattering (DLS), transmission electron microscopy (TEM), X-ray diffraction (XRD), energy-dispersive X-ray spectroscopy coupled with scanning electron microscopy (EDS-SEM), UV-Vis spectroscopy, and Fourier transform infrared spectroscopy (FTIR). The Mf-Ag₂ONPs exhibited potent antibacterial effects against both non-resistant and MDR bacterial strains, with minimum inhibitory concentrations (MICs) ranging from 11.25 to 45 µg/mL. Mf-Ag₂ONPs also demonstrated significant antifungal efficacy, particularly against Candida glabrata, with an MIC of 5.63 µg/mL. Moreover, the nanoparticles showed strong biofilm inhibition capabilities and substantial antioxidant properties, underscoring their potential to combat oxidative stress. Additionally, Mf-Ag₂ONPs exhibited pronounced anticancer properties against various cancer cell lines, displaying low IC₅₀ values across various cancer cell lines while maintaining minimal hemolytic activity at therapeutic concentrations. These findings suggest that Mf-Ag₂ONPs synthesized via an eco-friendly approach offer a promising alternative for biomedical applications, including antimicrobial, antifungal, antioxidant, and anticancer therapies, warranting further in vivo studies to fully exploit their therapeutic potential. Full article

Ecuador’s Energy Efficiency Law mandates that “as of 2030, all vehicles incorporated into urban public transport services must be electric”. This legal framework sets the stage for the country’s transition to electric mobility. This research examines the energy requirements for transitioning Ambato’s public bus fleet to electric vehicles, considering various technical and operational factors. The analysis evaluates the current fleet size, the expected lifespan of buses, daily operational hours, average speed, and the specific characteristics of the city’s public transport routes. Furthermore, this study delves into the technical aspects of energy consumption in electric public transport by calculating the driving force necessary to operate buses across different terrains and routes. Factors such as bus weight, passenger load, road gradient, and acceleration patterns are analyzed to assess their impact on energy consumption and vehicle range. Additionally, this study investigates the potential for regenerative braking and the necessary charging infrastructure, offering a comprehensive assessment of how these systems would function within Ambato. By forecasting future vehicle requirements and projecting growth in urban mobility, this study estimates the total energy demand for a fully electric public bus fleet. The potential for integrating renewable energy sources into the city’s grid is also explored, ensuring that the transition to electric mobility not only decreases reliance on fossil fuels but also supports cleaner energy sources. This research serves as a crucial step in understanding the infrastructure and policy changes required for the successful implementation of electric public transport in Ambato and similar Ecuadorian cities. Full article

This paper presents an optimal sizing strategy for a hybrid generation system combining photovoltaic (PV) and energy storage systems. To achieve this, the optimization problem is solved using the simplex method for linear programming, implemented through Python. The model considers test data on electrical energy demand and solar irradiation, alongside battery operating conditions such as state of charge (SOC) and upper and lower charge limits as key decision variables. Conventional PV system sizing serves as a benchmark to assess the effectiveness of the optimization, with particular attention given to the computational resources required for problem solving.The results obtained from the optimization method demonstrate a substantial improvement in the utilization of energy resources, both from the photovoltaic system and the energy storage system. This approach enabled the design of an optimized system based on the proposed model, which was further refined using Matlab/Simulink. Full article

Biopolymer chitosan sub-micron particles (CSMPs) were prepared by the ionic gelation technique crosslinked with sodium tripolyphosphate co-loaded with trans-cinnamaldehyde (TCIN), and either curcumin (CUR) or paclitaxel (PTX). The size of the spherical CSMPs increased from 118 nm to 136 nm and 170 nm after the loading of TCIN and CUR, whereas the loading of PTX led to a slight decrease (114 nm). Polydispersity indexes of all the samples were smaller than 0.4, indicating monodisperse particles. Zeta potential values higher than +40 mV were determined, which is direct proof of the high stability of these nanoparticles. TCIN and PTX release studies in vitro, at pH 6.5 and 7.4, showed a pH dependence on the release rate with a higher value at pH 6.5. However, CUR was not released from CSMPs probably due to strong interactions with CS biopolymer chains. Cytotoxicity studies showed that the systems loaded with TCIN and PTX were more cytotoxic for HeLa cancer cells than for MDCK cells. Moreover, a synergistic effect against HeLa cells was observed for the TCIN-PTX-loaded CSMP samples. The Sensitivity Index indicated that the CSMPs loaded with TCIN have a prospective attraction to carry and release conventional or new chemotherapeutic drugs. This study demonstrates the in vitro efficiency of the obtained drug delivery system, but in vivo studies are necessary to confirm its potential for clinical applications. Full article

Helicobacter pylori (H. pylori) has been implicated in colorectal carcinogenesis. Here, the association of immune responses to bacterial exposure with advancing stages of colorectal neoplasia was assessed by multiplex serology. Immunoglobulin (Ig) A and G antibody responses to thirteen proteins of H. pylori were measured by a Luminex-based multiplex assay in plasma from patients with colorectal cancer (CRC, n = 25), advanced adenoma (n = 82), or small polyps (n = 85) and controls (n = 100). Multivariable logistic regression was used to assess the association of bacterial seropositivity with colorectal neoplasia. The threshold for overall seropositivity required subjects to be positive for at least 4 out of the 13 tested antigens. In a cohort subset with matched data (n = 34), H. pylori seropositivity was correlated with bacterial abundance in both neoplastic and matched normal tissue. While no association was found between H. pylori seropositivity and the presence of CRC, IgA seropositivity to CagA was associated with a decreased risk of advanced adenoma (odds ratio, OR = 0.48, 95% confidence intervals, CIs: 0.24–0.96). Regarding IgG, higher antibody responses to HpaA was associated with advanced adenoma occurrence (OR = 2.46, 95% CI: 1.00–6.01), while responses to HP0395, CagA and Catalase were associated with polyp development (OR = 2.65, 95%, CI: 1.31–5.36, OR = 1.83, 95% CI: 1.01–3.32, and OR = 2.16, CI: 1.09–4.29, respectively). Positive correlations were found between H. pylori abundance in the normal mucosa and levels of both the IgA and IgG antibody response to Catalase and VacA antigens (r = 0.48, p < 0.01; r = 0.37, p = 0.04; r = 0.51, p < 0.01; and r = 0.71, p = 0.04, respectively). Conversely, H. pylori abundance was negatively correlated with levels of IgA antibody response to HpaA and with IgG antibody response to HP0231 in the diseased tissue (r = −0.34, p = 0.04 and r = −0.41, p = 0.01, respectively). The association between levels of H. pylori antigens and colorectal neoplasia risk gradually decreased with the adenoma progression, implicating the early activation of the immune response at the polyp stage. Thus, the evaluation of antibody response to certain bacterial antigens may indicate the presence of early-stage colorectal neoplasia. Further studies are needed to clarify the role H. pylori or the immune response to its antigens may have in colorectal carcinogenesis stages. Full article

Methyl ethyl ketone (MEK) is among the most extensively utilized solvents in various industrial applications. In this study, we present a highly efficient synthesis route for MEK via the decarboxylation of biomass-derived levulinic acid, using potassium persulfate (K₂S₂O₈) and silver nitrate (AgNO₃) as key reagents. The specific roles of AgNO₃ and K₂S₂O₈ were thoroughly investigated. Additional silver species, such as Ag₂O and AgO, were also detected during the reaction. X-ray photoelectron spectroscopy (XPS) and X-ray diffraction (XRD) analyses provided evidence of the evolution of solid phases throughout the reaction. Based on these findings, we propose a radical decarboxylation mechanism initiated by the generation of sulfate radicals (SO₄•⁻) through the catalytic breakdown of K₂S₂O₈ by AgNO₃. This mechanistic understanding, combined with a parametric study, enabled us to achieve an unprecedented level of levulinic acid conversion (97.9%) and MEK yield (86.6%) with this system, surpassing all previously reported results in the literature. Full article

The advancement of social robots in recent years has opened a promising avenue for providing users with more accessible and personalized attention. These robots have been integrated into various aspects of human life, particularly in activities geared toward students, such as entertainment, education, and companionship, with the assistance of artificial intelligence (AI). AI plays a crucial role in enhancing these experiences by enabling social and educational robots to interact and adapt intelligently to their environment. In social robotics, AI is used to develop systems capable of understanding human emotions and responding to them, thereby facilitating interaction and collaboration between humans and robots in social settings. This article aims to present a survey of the use of robots in education, highlighting the degree of integration of social robots in this field worldwide. It also explores the robotic technologies applied according to the students’ educational level. This study provides an overview of the technical literature in social robotics and behavior recognition systems applied to education at various educational levels, especially in recent years. Additionally, it reviews the range of social robots in the market involved in these activities. The objects of study, techniques, and tools used, as well as the resources and results, are described to offer a view of the current state of the reviewed areas and to contribute to future research. Full article

The increase in the number of hospital strains of hypervirulent and multidrug resistant (MDR) Pseudomonas aeruginosa is a major health problem that reduces medical treatment options and increases mortality. The molecular profiles of virulence and multidrug resistance of P. aeruginosa-associated hospital and community infections in Mexico have been poorly studied. In this study, we analyzed the different molecular profiles associated with the virulence genotypes related to multidrug resistance and the genotypes of multidrug efflux pumps (mex) in P. aeruginosa causing clinically critical infections isolated from Mexican patients with community- and hospital-acquired infections. Susceptibility to 12 antibiotics was determined using the Kirby–Bauer method. The identification of P. aeruginosa and the detection of virulence and efflux pump system genes were performed using conventional PCR. All strains isolated from patients with hospital-acquired (n = 67) and community-acquired infections (n = 57) were multidrug resistant, mainly to beta-lactams (ampicillin [96.7%], carbenicillin [98.3%], cefalotin [97.5%], and cefotaxime [87%]), quinolones (norfloxacin [78.2%]), phenicols (chloramphenicol [91.9%]), nitrofurans (nitrofurantoin [70.9%]), aminoglycosides (gentamicin [75%]), and sulfonamide/trimethoprim (96.7%). Most strains (95.5%) isolated from patients with hospital- and community-acquired infections carried the adhesion (pilA) and biofilm formation (ndvB) genes. Outer membrane proteins (oprI and oprL) were present in 100% of cases, elastases (lasA and lasB) in 100% and 98.3%, respectively, alkaline protease (apr) and alginate (algD) in 99.1% and 97.5%, respectively, and chaperone (groEL) and epoxide hydrolase (cif) in 100% and 97.5%, respectively. Overall, 99.1% of the strains isolated from patients with hospital- and community-acquired infections carried the efflux pump system genes mexB and mexY, while 98.3% of the strains carried mexF and mexZ. These findings show a wide distribution of the virulome related to the genotypic and phenotypic profiles of antibiotic resistance and the origin of the strains isolated from patients with hospital- and community-acquired infections, demonstrating that these molecular mechanisms may play an important role in high-pathogenicity infections caused by P. aeruginosa. Full article

This article presents a nonlinear control strategy designed to address parametric uncertainties in an agricultural tractor system coupled to a towed implement. The controller ensures accurate tracking of lateral and yaw velocities relative to desired reference trajectories, even under the presence of parametric variations and external disturbances. The reference trajectories are derived from an “ideal” tractor model, excluding the effects of the towed implement. A High-Order Sliding Mode (HOSM) estimator is employed to provide an estimation of disturbances, which are subsequently mitigated by the controller to maintain system stability and precision. The effectiveness of the proposed control strategy is validated through Matlab-Simulink simulations, which include a double-step steer maneuver. This maneuver tests the system’s ability to handle abrupt steering changes, providing insight into the controller’s robustness and its capacity to ensure accurate trajectory tracking in demanding conditions. Full article