Sustainable Development Goal 12 (SDG 12) and national waste reduction goals require frequent waste analyses for monitoring and governance decisions. We developed and tested a citizen science (CS)-based household waste diary for ten consecutive days with 89 volunteer households in Switzerland as a complementary monitoring option to official composition analyses. Discrepancies between the CS-based household diary data and the official composition analyses ranged between 55–65% less reported waste quantities for minerals, compound products, and plastics and 80–90% less for paper, avoidable food waste, and glass. Household waste diaries should be digitalized and prolonged to 21–28 days, and volunteers from different demographic groups are needed to produce stratified, representative results. We conclude that a hybrid CS study design involving waste composition analyses and waste diaries could reduce self-reporting biases while increasing the monitoring frequencies of household waste compositions. CS-based hybrid household waste projects can be a powerful means to complement the measures identified in the 2022 Swiss action plan against food waste and for data reporting for the SDG 12.3 Food Waste Index. Full article

The rapid pace of urbanization and the increasing concentration of populations in urban areas have generated a substantial demand for architectural structures, resulting in a significant increase in building stock and continuous material flows that interact with the environment. This study emphasizes the importance of high-spatial-resolution mapping of residential building stock for effective urban-construction resource management, planning, and waste management. Focusing on Xi’an as a case study, the research develops a comprehensive framework for mapping urban residential building stock by integrating diverse data dimensions, including temporal, spatial, network, and multi-attribute aspects. The findings indicate that between 1990 and 2020, approximately 4758 residential communities were established in central Xi’an. The analysis of seven key residential construction materials revealed that the building stock escalated from 1.53 million tons to 731.12 million tons, with a steady spatial expansion of material distribution. The study attributes this growth to factors such as population increase, economic advancement, and policy initiatives, which, in turn, have driven the demand for residential building materials and reinforced the interdependence between urban expansion and residential construction development. Remarkably, from 1990 to 2020, the population surged by 2.1-fold, the economy by 66-fold, and the stock of residential building materials by 477-fold, indicating that the growth rate of material stock consistently outpaced that of both population and economic growth. Over the past three decades, the rapid expansion of residential buildings has led to the encroachment of urban ecological spaces by concrete structures. The methodology proposed in this study for quantifying building material offers valuable insights for policymakers and urban and environmental planners to foster responsible resource consumption and supports component-level circularity in the built environment. Full article

Wastewater pipelines are present everywhere in urban areas. Wastewater is a preferable fuel for renewable electricity generation from microbial fuel cells. Here, we created an integrated microbial fuel cell pipeline (MFCP) that could be connected to wastewater pipelines and work as an organic content biosensor and energy harvesting device at domestic waste-treatment plants. The MFCP used a pipeline-like terracotta-based membrane, which provided structural support for the MFCP. In addition, the anode and cathode were attached to the inside and outside of the terracotta membrane, respectively. Co−MnO₂ was used as a catalyst to improve the performance of the MFCP cathode. The experimental data showed a good linear relationship between wastewater chemical oxygen demand (COD) concentration and the MFCP output voltage in a COD range of 200–1900 mg/L. This result implies the potential of using the MFCP as a sensor to detect the organic content of the wastewater inside the wastewater pipeline. Furthermore, the MFCP can be used as a long-lasting sustainable energy harvester with a maximum power density of 400 mW/m² harvested from 1900 mg/L COD wastewater at 25 °C. Full article

Soil moisture can be an important indicator of climate change in humid and semi-arid areas. This indicator can more efficiently propose different public policies related to climate change than just using precipitation and temperature data. Given the above, the objective of this study is to evaluate changes in soil moisture in the state of Pernambuco during the period 1961–2021, using the System of Hydrological Response Units for Pernambuco. In this study, two river basins in the state of Pernambuco that represent the different climatic conditions of the state were chosen. The results show that in the coastal region there is a tendency towards more saturated soils, and in the semi-arid region there is a tendency towards drier soils. With these results, it is possible to conclude that public policy decisions for the economy, environment, and society must consider this vital water balance variable. Leveraging soil moisture and precipitation data makes it possible to differentiate between flood risks and landslide vulnerabilities, particularly in regions characterized by higher levels of rainfall. Monitoring soil water content in humid and semi-arid areas can significantly enhance early warning systems, thereby preventing loss of life and minimizing the socio-economic impacts of such natural events. As such, this study provides a holistic understanding of the relationship between climatic patterns, soil moisture dynamics, and the occurrence of droughts and floods, ultimately contributing to more effective disaster preparedness and response measures in Pernambuco and similar regions. Full article

Diopatra neapolitana Delle Chiaje, 1841 (Annelida, Onuphidae) is one of the most exploited polychaete species in European waters, particularly in Ria de Aveiro, a coastal lagoon in mainland Portugal, where the overexploitation of this resource has led to a generalized decline of local populations. In an attempt to reduce the impact of harvesting, several management actions were implemented, but illegal poaching still fuels a parallel economy that threatens the sustainable use of this marine resource. The present study evaluated the combination of fatty acid profiles and elemental fingerprints of the whole body and jaws, respectively, of D. neapolitana collected from four harvesting locations within Ria de Aveiro in order to determine if their geographic origin could be correctly assigned post-harvesting. Results showed that both fatty acid profiles and elemental fingerprints differ significantly among locations, discriminating the geographic origin with higher accuracy when combining these two natural barcodes than when employing each individually. The present work can, therefore, contribute to the implementation of an effective management plan for the sustainable use of this marine resource, making it possible to detect if D. neapolitana was sourced from no-take zones and if it was collected from the place of origin claimed by live bait traders. Full article

The efficacy, targeting ability, and biocompatibility of plant-based nanoparticles can be exploited in fields such as agriculture and medicine. This study highlights the use of plant-based ginger nanoparticles as an effective and promising strategy against cancer and for the treatment and prevention of bacterial infections and related disorders. Ginger is a well-known spice with significant medicinal value due to its phytochemical constituents including gingerols, shogaols, zingerones, and paradols. The silver nanoparticles (AgNPs) derived from ginger extracts could be an important non-toxic and eco-friendly nanomaterial for widespread use in medicine. In this study, AgNPs were biosynthesized using an ethanolic extract of ginger rhizome and their phytochemical, antioxidant, antibacterial, and cytotoxic properties were evaluated. UV–visible spectral analysis confirmed the formation of spherical AgNPs. FTIR analysis revealed that the NPs were associated with various functional biomolecules that were associated with the NPs during stabilization. The particle size and SEM analyses revealed that the AgNPs were in the size range of 80–100 nm, with a polydispersity index (PDI) of 0.510, and a zeta potential of −17.1 mV. The purity and crystalline nature of the AgNPs were confirmed by X-ray diffraction analysis. The simple and repeatable phyto-fabrication method reported here may be used for scaling up for large-scale production of ginger-derived NPs. A phytochemical analysis of the ginger extract revealed the presence of alkaloids, glycosides, flavonoids, phenolics, tannins, saponins, and terpenoids, which can serve as active biocatalysts and natural stabilizers of metallic NPs. The ginger extracts at low concentrations demonstrated promising cytotoxicity against Vero cell lines with a 50% reduction in cell viability at 0.6–6 μg/mL. When evaluated for biological activity, the AgNPs exhibited significant antioxidant and antibacterial activity on several Gram-positive and Gram-negative bacterial species, including Escherichia coli, Bacillus subtilis, Pseudomonas aeruginosa, and Staphylococcus aureus. This suggests that the AgNPs may be used against multi-drug-resistant bacteria. Ginger-derived AgNPs have a considerable potential for use in the development of broad-spectrum antimicrobial and anticancer medications, and an optimistic perspective for their use in medicine and pharmaceutical industry. Full article

The aim of this study is to design and manufacture a multi-plate clutch system that uses magnetorheological (MR) fluid control to allow for a variable power transmission ratio in power distribution systems. MR fluid is a smart material that enables presenting a solution to the shocks and power loss that occur due to mechanical problems in power distribution systems. As such, the longitudinal and lateral dynamic properties of 4WD (four-wheel drive) vehicles were examined and analyzed to develop an algorithm to control the front/rear power distribution according to the road surface state and driving conditions. To verify the algorithm, the CarSim vehicle dynamics simulation program was adopted to perform experiments to understand the vehicle’s dynamic performance improvements and turning stability via a HILS (Hardware in the Loop) system. In this study, an MR fluid, multi-plate clutch was used that combines a dry clutch and a wet clutch using the characteristics of the MR fluid. Such a clutch was designed to enable continuous and smooth torque transmission by utilizing the strengths of each of the dry and wet clutches. The CarSim vehicle dynamics program was used to conduct the experiments, which were conducted by linking to the manufactured MR fluid clutch experimental device. The experiments investigated the dynamic performance based on the power distribution ratio by performing longitudinal flat, inclined driving and lateral DLC (double lane change) driving. In summary, this study found that it is possible to perform power transmission by applying a current to an MR fluid and forming a magnetic field to change the flow properties of the fluid to control the torque transmission ratio that occurs in an MR fluid clutch. Full article

The ubiquitin–proteasome system (UPS) is an essential mechanism responsible for the selective degradation of substrate proteins via their conjugation with ubiquitin. Since cardiomyocytes have very limited self-renewal capacity, as they are prone to protein damage due to constant mechanical and metabolic stress, the UPS has a key role in cardiac physiology and pathophysiology. While altered proteasomal activity contributes to a variety of cardiac pathologies, such as heart failure and ischemia/reperfusion injury (IRI), the environmental cues affecting its activity are still unknown, and they are the focus of this work. Following a recent study by Ciechanover’s group showing that amino acid (AA) starvation in cultured cancer cell lines modulates proteasome intracellular localization and activity, we tested two hypotheses in human induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs, CMs): (i) AA starvation causes proteasome translocation in CMs, similarly to the observation in cultured cancer cell lines; (ii) manipulation of subcellular proteasomal compartmentalization is associated with electrophysiological abnormalities in the form of arrhythmias, mediated via altered intracellular Ca²⁺ handling. The major findings are: (i) starving CMs to AAs results in proteasome translocation from the nucleus to the cytoplasm, while supplementation with the aromatic amino acids tyrosine (Y), tryptophan (W) and phenylalanine (F) (YWF) inhibits the proteasome recruitment; (ii) AA-deficient treatments cause arrhythmias; (iii) the arrhythmias observed upon nuclear proteasome sequestration(-AA+YWF) are blocked by KB-R7943, an inhibitor of the reverse mode of the sodium–calcium exchanger NCX; (iv) the retrograde perfusion of isolated rat hearts with AA starvation media is associated with arrhythmias. Collectively, our novel findings describe a newly identified mechanism linking the UPS to arrhythmia generation in CMs and whole hearts. Full article

This paper presents a model for assessing the impact of various factors on maritime accidents. This paper discusses the issue of maritime transport and its risks. The taxonomy of causes and consequences used in maritime transport is explained. Two mathematical principles were used, i.e., multi-criteria decision analysis (MCDA) and principal component analysis (PCA). The analyses were carried out using the Promethee/Gaia method. The connection between causes and accidents constituted the decision problem. The evaluation criteria, a set of actions and preferences, were identified based on the method principles. The results of this research include rankings of causal chains. They were analysed in multi-criteria and single-criteria dimensions. The outcomes are presented numerically and graphically. Such research contributes to improving safety at sea. It allows us to understand how a particular transport system works. Conclusions can be drawn and measures can be initiated to change the situation in the future. Full article

Improving water use efficiency is gaining relevance for the sustainability of agricultural practices. In semi-arid Mediterranean areas, recent studies highlighted that future climatic scenarios will be even more critical for crops, given the increase in water scarcity. In this context, the rationalization of irrigation water is necessary to sustain processing tomato (Solanum lycopersicum L.) yield and quality since this crop requires large volumes of water. The present research aimed to identify the effects of a regulated deficit irrigation (RDI) strategy on the environmental and economic sustainability and fruit technological and functional quality of the processing tomato crop in the Mediterranean area. A two-year, open-field experiment was carried out to compare full irrigation management (IRR, restoring 100% ET_c) with an RDI strategy based on restoring 50% ET_c when the first fruit cluster reached the typical size (BBCH 701 phenological stage, relative to Solanaceous fruits). Remarkable water saving (21.46%, average of the two years) was achieved under RDI without significant variations in total and marketable yield compared to the IRR regime. Consequently, improved economic water productivity (+23.17%) was observed, allowing enhanced processing tomato sustainability. The RDI strategy boosted the glucose content (+17.78%), soluble solids content (SSC, +10.17%), and dry matter of the fruits (+10.03 g%). Furthermore, a higher SSC-to-titratable acidity ratio (+15.47%) and a negative shift in fructose/glucose balance (−7.71%) were observed in RDI-treated plants. Higher levels of the drought stress markers proline (+38.99%) and total polyphenols (+20.58%) were detected in RDI- compared to IRR-irrigated tomato fruits. These findings suggested the RDI strategy as an effective and sustainable approach for increasing both water productivity and the fruit quality of the processing tomato crop under semi-arid Mediterranean climatic conditions. Full article

This study investigates the host diversity and characteristics of the rare parasitic plant Silverberry-like taxillus (Taxillus yadoriki). Seogwipo, Jeju Island, where T. yadoriki grows naturally, was examined to clarify the diversity of host species, their location, and the part of the tree where T. yadoriki is attached. A total of 687 host trees were found. Taxillus yadoriki was intensively distributed in the lowlands below 200 m a.s.l. The host trees belonged to 40 species, four varieties, three cultivars, and two hybrids from 32 genera and 21 families, of which 23 taxa were identified as host plants for the first time in this study. Incredibly, this plant was found to be able to parasitize a variety of plants from 12 orders. Taxillus yadoriki was found to be parasitic in three orders of Gymnosperms, Ginkgoales, Cupressales, and Pinales, as well as nine orders of Angiosperms, including Magnoliales, Rosales, and Ericales. Rosaceae was the most diverse at 18.0%, and most species were broad-leaved and arboreal. Among them, Cryptomeria japonica and Litsea japonica had the highest frequency of parasitization and T. yadoriki was mainly attached to the upper part of the main tree and the main branch; as a result, T. yadoriki was distributed and showed specificity in the position of disturbance on the host. T. yadoriki’s specific distribution model was built as a Maxent program. The area under the curve of the receiver operation characteristic was 0.948 ± 0.026 (mean ± standard deviation), and the performance of the constructed model was excellent. Of the total eight environmental factors, density of artistic forest and meant temperature of coldest quarter accounted for 75.3% of the total importance, which was the main distribution determinant of species. In the average distribution probability map of T. yadoriki, the critical probability for determining distribution was calculated to be 0.2898 ± 0.1018. Accordingly, the distribution of species is predicted to expand from Jeju Island to the entire southern and southeastern coasts. Full article

The relocation of Indonesia’s capital to the IKN (Ibu Kota Negara) Nusantara in East Kalimantan is leading to significant changes in land use, shifting from natural vegetation and agriculture to urban infrastructure. This transition brings about economic diversification and urban expansion, but it also raises concerns about its impact on society, the economy, and the environment. The rapid development affects biodiversity conservation, food security, and the livelihoods of rural and Indigenous communities, leading to conflicts across social and economic dimensions. This research uses qualitative and quantitative data to examine the socio-economic and environmental changes in the IKN Nusantara area from 2003 to 2023. The findings show a notable increase in built-up areas, indicating urbanization and a decrease in agricultural land. The study discusses the implications for local populations and ecosystems, emphasizing the need for inclusive governance, community participation, and conflict resolution. It also proposes a comprehensive policy framework that promotes sustainable land management, recognizes Indigenous and local rights, and fosters inclusive economic growth to respect Indonesia’s rich environmental and cultural heritage. Full article

Tendinopathies continue to be a challenge for both patients and the medical teams providing care as no universal clinical practice guidelines have been established. In general, tendinopathies are typically characterized by prolonged, localized, activity-related pain with abnormalities in tissue composition, cellularity, and microstructure that may be observed on imaging or histology. In the lower limb, tendinopathies affecting the Achilles and the patellar tendons are the most common, showing a high incidence in athletic populations. Consistent diagnosis and management have been challenged by a lack of universal consensus on the pathophysiology and clinical presentation. Current management is primarily based on symptom relief and often consists of medications such as non-steroidal anti-inflammatories, injectable therapies, and exercise regimens that typically emphasize progressive eccentric loading of the affected structures. Implementing the knowledge of tendon stem/progenitor cells (TSPCs) and assessing their potential in enhancing tendon repair could fill an important gap in this regard. In the present pilot in vivo study, we have characterized the structural and cellular alterations that occur soon after tendon insult in models of both Achilles and patellar tendinopathy. Upon injury, CD146⁺ TSPCs are recruited from the interfascicular tendon matrix to the vicinity of the paratenon, whereas the observed reduction in M1 macrophage polarization is related to a greater abundance of reparative CD146⁺ TSPCs in situ. The robust TSPCs’ immunomodulatory effects on macrophages were also demonstrated in in vitro settings where TSPCs can effectively polarize M1 macrophages towards an anti-inflammatory therapeutic M2 phenotype. Although preliminary, our findings suggest CD146⁺ TSPCs as a key phenotype that could be explored in the development of targeted regenerative therapies for tendinopathies. Full article

This study employs a life cycle perspective to analyze the carbon footprints of various waste streams, evaluating 52 cases across 26 types of household waste in Sweden, with a focus on waste prevention and management. It demonstrates that while recycling can reduce carbon emissions, prevention could significantly enhance these benefits, with savings ranging from −36.5 to −0.01 kg-CO₂-eq per kg of waste. Notably, Waste Electrical and Electronic Equipment (WEEE), textiles, tires, residual household, and plastic waste are the top five fractions most amenable to prevention on a per mass basis. Further analysis, considering waste volumes, shows that targeted recycling of materials like WEEE, metals, and paper could account for over 80% of potential carbon savings. However, the majority of potential climate impact is attributed to the energy recovery of unsorted (mixed) waste, contributing to more than 90% of total impacts. Redirecting all mixed waste to recycling could triple carbon savings, but focusing on prevention could potentially increase benefits twenty-sevenfold, particularly for waste like WEEE, food, and textiles. This research provides a valuable tool for identifying key areas in waste management to optimize climate benefits and enhance public awareness. However, it advises using local data for precise planning due to inherent uncertainties. Full article

Antibiotic abuse, particularly the excessive use of tetracycline (TC), a drug with significant environmental risk, has gravely harmed natural water bodies and even posed danger to human health. In this study, a three-dimensional self-supported MoS₂/MXene nanohybrid with an expanded layer spacing was synthesized via a facile one-step hydrothermal method and used to activate peroxydisulfate (PDS) for the complete degradation of TC. The results showed that a stronger •OH signal was detected in the aqueous solution containing MoS₂/MXene, demonstrating a superior PDS activation effect compared to MoS₂ or Ti₃C₂T_X MXene alone. Under the conditions of a catalyst dosage of 0.4 g/L, a PDS concentration of 0.4 mM, and pH = 5.0, the MoS₂/MXene/PDS system was able to fully eliminate TC within one hour, which was probably due to the presence of several reactive oxygen species (ROS) (•OH, SO₄^•−, and O₂^•−) in the system. The high TC degradation efficiency could be maintained under the influence of various interfering ions and after five cycles, indicating that MoS₂/MXene has good anti-interference and reusability performance. Furthermore, the possible degradation pathways were proposed by combining liquid chromatography–mass spectrometry (LC-MS) data and other findings, and the mechanism of the MoS₂/MXene/PDS system on the degradation process of TC was elucidated by deducing the possible mechanism of ROS generation in the reaction process. All of these findings suggest that the MoS₂/MXene composite catalyst has strong antibiotic removal capabilities with a wide range of application prospects. Full article

Nurses face not only musculoskeletal disorders but also psychological health issues. The purpose of this study is to analyze the factors influencing overall fatigue, anxiety, and depression, respectively, by comprehensively considering work characteristics, exposure to hazards, and the presence of musculoskeletal pain. This study used binary logistic regression to analyze factors influencing fatigue, anxiety, and depression, respectively. The independent variables were occupation; age; work experience; healthcare organization; working hours per week; shift type; exposure time to physical, biochemical, and ergonomic hazards; and the presence of back, upper limb, or lower limb pain. The factors influencing overall fatigue were shift type (p = 0.007), exposure to vibration (p = 0.042), awkward posture (p = 0.001), repetitive motion (p = 0.017), and presence of back (p = 0.002) or upper (p < 0.001) limb pain. The factors influencing anxiety were age (p = 0.031), hours worked per week (p = 0.006), performing patient lifting/carrying (p = 0.041), and presence of upper (p = 0.022) or lower (p = 0.039) limb pain. In addition, the factors influencing depression were found to be hours worked per week (p = 0.042), exposure to infection (p = 0.005), and the presence of lower limb pain (p = 0.011). This study found that musculoskeletal pain has a significant impact on psychological health problems, suggesting that integrated management of musculoskeletal pain and psychological health problems may be effective in addressing health problems in the nursing profession. Full article

In early 2020, China experienced a mass outbreak of a novel coronavirus disease (COVID-19). With an aim to evaluate the impact of emission variations on toxic element species in PM_2.5 and the health risks associated with inhalation exposure during COVID-19, we collected PM_2.5 filter samples in Beijing from January 1 to February 28, 2020. Positive matrix factorization (PMF) and a health risk (HR) assessment model were used to assess the health risks of the toxic elements and critical risk sources. The total concentration of eight toxic elements (Se, Cd, Pb, Zn, As, Cu, Ni, and Cr) in Beijing showed a trend of first increasing and then decreasing: full lockdown (322.9 ng m⁻³) > pre-lockdown (264.2 ng m⁻³) > partial lockdown (245.3 ng m⁻³). During the lockdown period, stringent control measures resulted in significant reductions (6−20%) in Zn, Pb, Cd, and Ni levels, while concentrations of Se, As, Cu, and Cr were unexpectedly elevated (14−348%). A total of five sources was identified: traffic emission, coal combustion, dust emission, industrial emission and mixed source of biomass burning and firework combustion. Total carcinogenic risk (TCR) of the selected toxic elements exceeded the US EPA limits for children and adults. As and Cr (IV) were the main contributors to non-carcinogenic and carcinogenic risks, respectively. For source-resolved risks, coal combustion was the main contributor to HI (43%), while industrial emissions were the main cause of TCR (45%). Additionally, increased contributions from coal combustion, biomass burning, and firework combustion during the full lockdown elevated the HI and TCR values. Full article

Smoking is a well-known cause of impairment in wound healing and postoperative outcomes; however, its effects on treating meniscus issues remain unclear. This study assesses the relationship between smoking and meniscus treatment outcomes. PubMed, Scopus, Cochrane, and CINAHL were searched from inception to 24 December 2023. Inclusion criteria encompassed studies examining smoking’s impact on patient outcomes regarding meniscus pathology. A secondary PubMed search targeted randomized controlled trials (RCTs) in the top ten orthopedic journals focusing on meniscus pathology and smoking as a demographic variable. Meta-analysis of six studies (n = 528) assessed meniscus failure rate based on smoking status. Eighteen observational studies (n = 8353 patients; 53.25% male; mean age: 51.35 ± 11.53 years; follow-up: 184.11 ± 117.34 months) were analyzed, covering meniscus repair, meniscectomy, allograft transplant, conservative care, and arthroscopy. Results showed four studies (36.36%) linked smoking with worse meniscus repair outcomes, while seven studies (63.64%) did not find significant associations. Meta-analysis from six studies showed no significant impact of smoking on repair failure (p = 0.118). Regarding meniscectomy, one study (33.33%) identified a significant association with smoking, but two did not. Only one (3.8%) of the RCTs in leading orthopedic journals included smoking as a factor. The evidence on smoking’s effect on meniscus treatment is mixed, necessitating further investigation. Full article

In hyperspectral image (HSI) classification, convolutional neural networks (CNNs) and transformer architectures have each contributed to considerable advancements. CNNs possess potent local feature representation skills, whereas transformers excel in learning global features, offering a complementary strength. Nevertheless, both architectures are limited by static receptive fields, which hinder their accuracy in delineating subtle boundary discrepancies. To mitigate the identified limitations, we introduce a novel dual-branch adaptive convolutional transformer (DBACT) network architecture featuring an adaptive multi-head self-attention mechanism. The architecture begins with a triadic parallel stem structure for shallow feature extraction and reduction of the spectral dimension. A global branch with adaptive receptive fields performs high-level global feature extraction. Simultaneously, a local branch with a cross-attention module provides detailed local insights, enriching the global perspective. This methodical integration synergizes the advantages of both branches, capturing representative spatial-spectral features from HSI. Comprehensive evaluation across three benchmark datasets reveals that the DBACT model exhibits superior classification performance compared to leading-edge models. Full article

Objective: Lower extremity ischemia-reperfusion injury (IRI) may occur with trauma-related vascular injury and various vascular diseases, during the use of a tourniquet, in temporary clamping of the aorta in aortic surgery, or following acute or bilateral acute femoral artery occlusion. Mitochondrial dysfunction and increased basal oxidative stress in diabetes may cause an increase in the effects of increased reactive oxygen species (ROS) and mitochondrial dysfunction due to IRI. It is of great importance to examine therapeutic approaches that can minimize the effects of IRI, especially for patient groups under chronic oxidative stress such as DM. Cerium oxide (CeO₂) nanoparticles mimic antioxidant enzymes and act as a catalyst that scavenges ROS. In this study, it was aimed to investigate whether CeO₂ has protective effects on skeletal muscles in lower extremity IRI in mice with streptozocin-induced diabetes. Methods: A total of 38 Swiss albino mice were divided into six groups as follows: control group (group C, n = 6), diabetes group (group D, n = 8), diabetes–CeO₂ (group DCO, n = 8), diabetes–ischemia/reperfusion (group DIR, n = 8), and diabetes–ischemia/reperfusion–CeO₂ (group DIRCO, n = 8). The DCO and DIRCO groups were given doses of CeO₂ of 0.5 mg/kg intraperitoneally 30 min before the IR procedure. A 120 min ischemia–120 min reperfusion period with 100% O₂ was performed. At the end of the reperfusion period, muscle tissues were removed for histopathological and biochemical examinations. Results: Total antioxidant status (TAS) levels were found to be significantly lower in group DIR compared with group D (p = 0.047 and p = 0.022, respectively). In group DIRCO, total oxidant status (TOS) levels were found to be significantly higher than in group DIR (p < 0.001). The oxidative stress index (OSI) was found to be significantly lower in group DIR compared with group DCO (p < 0.001). Paraoxanase (PON) enzyme activity was found to be significantly increased in group DIR compared with group DCO (p < 0.001). The disorganization and degeneration score for muscle cells, inflammatory cell infiltration score, and total injury score in group DIRCO were found to be significantly lower than in group DIR (p = 0.002, p = 0.034, and p = 0.001, respectively). Conclusions: Our results confirm that CeO₂, with its antioxidative properties, reduces skeletal muscle damage in lower extremity IRI in diabetic mice. Full article

In contrast to “frank” pathogens, like Salmonella entrocolitica, Shigella dysenteriae, and Vibrio cholerae, that always have a probability of disease, “opportunistic” pathogens are organisms that cause an infectious disease in a host with a weakened immune system and rarely in a healthy host. Historically, drinking water treatment has focused on control of frank pathogens, particularly those from human or animal sources (like Giardia lamblia, Cryptosporidium parvum, or Hepatitis A virus), but in recent years outbreaks from drinking water have increasingly been due to opportunistic pathogens. Characteristics of opportunistic pathogens that make them problematic for water treatment include: (1) they are normally present in aquatic environments, (2) they grow in biofilms that protect the bacteria from disinfectants, and (3) under appropriate conditions in drinking water systems (e.g., warm water, stagnation, low disinfectant levels, etc.), these bacteria can amplify to levels that can pose a public health risk. The three most common opportunistic pathogens in drinking water systems are Legionella pneumophila, Mycobacterium avium, and Pseudomonas aeruginosa. This report focuses on these organisms to provide information on their public health risk, occurrence in drinking water systems, susceptibility to various disinfectants, and other operational practices (like flushing and cleaning of pipes and storage tanks). In addition, information is provided on a group of nine other opportunistic pathogens that are less commonly found in drinking water systems, including Aeromonas hydrophila, Klebsiella pneumoniae, Serratia marcescens, Burkholderia pseudomallei, Acinetobacter baumannii, Stenotrophomonas maltophilia, Arcobacter butzleri, and several free-living amoebae including Naegleria fowleri and species of Acanthamoeba. The public health risk for these microbes in drinking water is still unclear, but in most cases, efforts to manage Legionella, mycobacteria, and Pseudomonas risks will also be effective for these other opportunistic pathogens. The approach to managing opportunistic pathogens in drinking water supplies focuses on controlling the growth of these organisms. Many of these microbes are normal inhabitants in biofilms in water, so the attention is less on eliminating these organisms from entering the system and more on managing their occurrence and concentrations in the pipe network. With anticipated warming trends associated with climate change, the factors that drive the growth of opportunistic pathogens in drinking water systems will likely increase. It is important, therefore, to evaluate treatment barriers and management activities for control of opportunistic pathogen risks. Controls for primary treatment, particularly for turbidity management and disinfection, should be reviewed to ensure adequacy for opportunistic pathogen control. However, the major focus for the utility’s opportunistic pathogen risk reduction plan is the management of biological activity and biofilms in the distribution system. Factors that influence the growth of microbes (primarily in biofilms) in the distribution system include, temperature, disinfectant type and concentration, nutrient levels (measured as AOC or BDOC), stagnation, flushing of pipes and cleaning of storage tank sediments, and corrosion control. Pressure management and distribution system integrity are also important to the microbial quality of water but are related more to the intrusion of contaminants into the distribution system rather than directly related to microbial growth. Summarizing the identified risk from drinking water, the availability and quality of disinfection data for treatment, and guidelines or standards for control showed that adequate information is best available for management of L. pneumophila. For L. pneumophila, the risk for this organism has been clearly established from drinking water, cases have increased worldwide, and it is one of the most identified causes of drinking water outbreaks. Water management best practices (e.g., maintenance of a disinfectant residual throughout the distribution system, flushing and cleaning of sediments in pipelines and storage tanks, among others) have been shown to be effective for control of L. pneumophila in water supplies. In addition, there are well documented management guidelines available for the control of the organism in drinking water distribution systems. By comparison, management of risks for Mycobacteria from water are less clear than for L. pneumophila. Treatment of M. avium is difficult due to its resistance to disinfection, the tendency to form clumps, and attachment to surfaces in biofilms. Additionally, there are no guidelines for management of M. avium in drinking water, and one risk assessment study suggested a low risk of infection. The role of tap water in the transmission of the other opportunistic pathogens is less clear and, in many cases, actions to manage L. pneumophila (e.g., maintenance of a disinfectant residual, flushing, cleaning of storage tanks, etc.) will also be beneficial in helping to manage these organisms as well. Full article

Olive oil (Olea europaea) is one of the major components of the Mediterranean diet and is composed of a greater percentage of monounsaturated fatty acids, such as oleic acid; polyunsaturated fatty acids, such as linoleic acid; and minor compounds, such as phenolic compounds, and particularly hydroxytyrosol. The latter, in fact, are of greater interest since they have found widespread use in popular medicine. In recent years, it has been documented that phenolic acids and in particular hydroxytyrosol have anti-inflammatory, antioxidant, and antiproliferative action and therefore interest in their possible use in clinical practice and in particular in neoplasms, both solid and hematological, has arisen. This work aims to summarize and analyze the studies present in the literature, both in vitro and in vivo, on the possible use of minor components of olive oil in some hematological neoplasms. In recent years, in fact, interest in nutraceutical science has expanded as a possible adjuvant in the treatment of neoplastic pathologies. Although it is worth underlining that, regarding the object of our study, there are still few preclinical and clinical studies, it is, however, possible to document a role of possible interest in clinical practice. Full article