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The aim of this work was to compare the potential induction of oxidative stress and the antioxidant enzymatic response after a short-term waterborne exposure to copper (Cu) and arsenic (As) with that of the nanoparticles (NPs) of these elements (Cu-NPs and As-NPs) in fish larvae of the species Dicentrarchus labrax. Larvae were grouped in several tanks and exposed to different concentrations of contaminants (0 to 10 mg/L) for 24 or 96 h under laboratory conditions. Copper and arsenic concentrations were analysed in larval tissues using ICP-MS. A set of oxidative stress biomarkers, including the levels of hydroperoxides (HPs), and superoxide dismutase (SOD) and catalase (CAT) activities were assessed. The trace element concentrations (mg/kg d.w.) in larvae ranged as follows: 3.28–6.67 (Cu at 24 h) and 2.76–3.42 (Cu at 96 h); 3.03–8.31 (Cu-NPs at 24 h) and 2.50–4.86 (Cu-NPs at 96 h); 1.92–3.45 (As at 24 h) and 2.22–4.71 (As at 96 h); and 2.19–8.56 (As-NPs at 24 h) and 1.75–9.90 (As-NPs at 96 h). In Cu tests, the oxidative damage (ROOH levels) was induced from 0.1 mg/L at both exposure times, while for Cu-NPs, this damage was not observed until 1 mg/L, which was paralleled by concomitant increases in SOD activity. The CAT activity was also increased but at lower metal concentrations (0.01 mg/L and 0.1 mg/L for both chemical forms). No oxidative damage was observed for As or As-NPs after 24 h, but it was observed for As after 96 h of treatment with 0.01 mg/L. A decrease in SOD activity was observed for As after 24 h, but it turned out to be increased after 96 h. However, As-NPs did not alter SOD activity. The CAT activity was stimulated only at 96 h by As and at 24 h by As-NPs. Therefore, the two chemical forms of Cu exhibited a higher bioaccumulation and toxicity potential as compared to those of As. Importantly, the association of both Cu and As in NPs reduced the respective trace metal bioaccumulation, resulting also in a reduction in the toxic effects (mortality and biochemical). Furthermore, the assessment of oxidative stress-related biomarkers in seabass larvae appears to be a useful tool for biomonitoring environmental-occurring trace elements.

Hypercapnic coma secondary to acute respiratory failure (ARF) is considered to be a contraindication to the use of treatment with noninvasive positive-pressure ventilation (NPPV). However, intubation exposes these patients to the risk of complications such as nosocomial pneumonia, sepsis, and even death We performed a prospective, open, noncontrolled study to assess the outcomes of NPPV therapy in patients with a Glasgow coma scale (GCS) score of ≤ 8 points due to ARF. The primary goal of the study was to determine the success of NPPV therapy (defined as a response to therapy allowing the patient to avoid endotracheal intubation, and to survive a stay in the ICU and at least 24 h on a medical ward) in patients with hypercapnic coma, compared to those who started NPPV therapy while awake. The secondary goal of the study was to identify the variables that can predict a failure of NPPV therapy in these patients A total of 76 coma patients (80%) responded to NPPV therapy, and 605 patients with GCS scores > 8 responded to therapy (70%; p = 0.04). A total of 25 coma patients died in the hospital (26.3%), and 287 noncoma patients died in the hospital (33.2%; p = 0.17). The variables related to the success of NPPV therapy were GCS score 1 h posttherapy (odds ratio [OR], 2.32; 95% confidence interval [CI], 1.53 to 3.53) and higher levels of multiorgan dysfunction, as measured by the maximum sequential organ failure assessment index score reached during NPPV therapy (OR, 0.72; 95% CI, 0.55 to 0.92) We concluded that selected patients with hypercapnic coma secondary to ARF can be treated as successfully with NPPV as awake patients with ARF

Atrial fibrillation (AF) is a sustained cardiac arrhythmia associated with stroke, heart failure, and related health conditions. Though easily diagnosed upon presentation in a clinical setting, the transient and/or intermittent emergence of AF episodes present diagnostic and clinical monitoring challenges that would ideally be met with automated ambulatory monitoring and detection. Current approaches to address these needs, commonly available both in smartphone applications and dedicated technologies, combine electrocardiogram (ECG) sensors with predictive algorithms to detect AF. These methods typically require extensive preprocessing, preliminary signal analysis, and the integration of a wide and complex array of features for the detection of AF events, and are consequently vulnerable to over-fitting. In this paper, we introduce the application of symbolic recurrence quantification analysis (SRQA) for the study of ECG signals and detection of AF events, which requires minimal pre-processing and allows the construction of highly accurate predictive algorithms from relatively few features. In addition, this approach is robust against commonly-encountered signal processing challenges that are expected in ambulatory monitoring contexts, including noisy and non-stationary data. We demonstrate the application of this method to yield a highly accurate predictive algorithm, which at optimal threshold values is 97.9% sensitive, 97.6% specific, and 97.7% accurate in classifying AF signals. To confirm the robust generalizability of this approach, we further evaluated its performance in the implementation of a 10-fold cross-validation paradigm, yielding 97.4% accuracy. In sum, these findings emphasize the robust utility of SRQA for the analysis of ECG signals and detection of AF. To the best of our knowledge, the proposed model is the first to incorporate symbolic analysis for AF beat detection.

To determine whether elevated intra-abdominal pressure (IAP) is associated with a higher rate of enteral nutrition-related gastrointestinal (GI) complications; to assess the value of IAP as a predictor of enteral nutrition (EN) intolerance. Intensive Care Unit (ICU) patients on mechanical ventilation requiring at least 5 days of EN were recruited for a prospective, observational, non-interventional, multicenter study. EN was performed and GI complications were managed with an established protocol. IAP was determined via a urinary catheter. Patients who developed any GI complications were considered as presenting EN intolerance. Variables related to EN, IAP and GI complications were monitored daily. Statistical analysis compared patients without GI complications (group A) vs. GI complications (group B). 247 patients were recruited from 28 participating ICUs (group A: 119, group B: 128). No differences between groups were recorded. Patients in group B (p < 0.001) spent more days on EN (8.1 ± 8.4 vs. 18.1 ± 13.7), on mechanical ventilation (8.0 ± 7.7 vs. 19.3 ± 14.9) and in the ICU (12.3 ± 11.4 vs. 24.8 ± 17.5). IAP prior to the GI complication was (14.3 ± 3.1 vs. 15.8 ± 4.8) (p < 0.003). The best IAP value identified for EN intolerance was 14 mmHg but it had low sensitivity and specificity. Although a higher IAP was associated with EN intolerance, IAP alone did not emerge as a good predictor of EN intolerance in critically ill patients.

In Mediterranean areas, fire has increased soil degradation and erosion. For this reason, the application of soil quality indices can help to determine soil recovery and degradation levels. By using a multiparameter soil quality index fitted to undisturbed forest soils, we can show the right information on soil functionality. In this study, the objectives were to evaluate soil functionality after suffering a fire, to subsequently treat with various soil treatments (wood mulching), and then check a soil quality index (SQI) to assess the soil quality recovery in burned Pinus nigra stands. For this purpose, a burned area was selected in the Cuenca Mountain range (Spain) under a Mediterranean climate. Experimental plots were established in the study area, with three slope gradients and applying three methods of covering soil using: (1) wood chips; (2) piles of branches; and (3) trunks of contour-felled logs. The experiment was conducted for 4 years. Results showed that the properties of soil were enhanced under wood chips and logs as a surface-covering material, and in a short time (less of 3 years). In consequence, the values of the SQI index were higher after applying these two treatments, thus reflecting the effectiveness of the SQI for monitoring post-fire recovery.

Stepped fishways are structures that allow the free movement of fish in transversal obstacles in rivers. However, the lack of or incorrect maintenance may deviate them from this objective. To handle this problem, this research work presents a novel low-cost sensor network that combines fishway hydraulics with neural networks programmed in Python (Keras + TensorFlow), generating the first autonomous obstruction/malfunction detection system for stepped fishways. The system is based on a network of custom-made ultrasonic water level nodes that transmit data and alarms remotely and in real-time. Its performance was assessed in a field study case as well as offline, considering the influence of the number of sensing nodes and obstruction dimensions. Results show that the proposed system can detect malfunctions and that allows monitoring of the hydraulic performance of the fishway. Consequently, it optimizes the timing of maintenance on fishways and, thus, has the potential of automatizing and reducing the cost of these operations as well as augmenting the service of these structures. Therefore, this novel tool is a step forward to achieve smart fishway management and to increase their operability.

Complement activation on cell surfaces leads to the massive deposition of C3b, iC3b, and C3dg, the main complement opsonins. Recognition of iC3b by complement receptor type 3 (CR3) fosters pathogen opsonophagocytosis by macrophages and the stimulation of adaptive immunity by complement-opsonized antigens. Here, we present the crystallographic structure of the complex between human iC3b and the von Willebrand A inserted domain of the α chain of CR3 (αI). The crystal contains two composite interfaces for CR3 αI, encompassing distinct sets of contiguous macroglobulin (MG) domains on the C3c moiety, MG1-MG2 and MG6-MG7 domains. These composite binding sites define two iC3b-CR3 αI complexes characterized by specific rearrangements of the two semi-independent modules, C3c moiety and TED domain. Furthermore, we show the structure of iC3b in a physiologically-relevant extended conformation. Based on previously available data and novel insights reported herein, we propose an integrative model that reconciles conflicting facts about iC3b structure and function and explains the molecular basis for iC3b selective recognition by CR3 on opsonized surfaces. Complement activation on foreign cell surfaces leads to the generation of complement opsonins, which activate complement receptor type 3 (CR3) and pathogen clearance by macrophages. Here, the authors reveal structural basis of the interaction between human opsonin iC3b and the von Willebrand A inserted domain of the α chain of CR3.

Effective monitoring of fish passage through river barriers is essential for evaluating fishway performance and supporting adaptive river management. Traditional methods are often invasive, labor-intensive, or too costly to enable widespread implementation across most fishways. Infrared (IR) beam-break counters offer a promising alternative, but their adoption has been limited by high costs and a lack of flexibility. We developed and tested a novel, low-cost infrared beam-break counter—FishTracker—based on open-source Raspberry Pi and Arduino platforms. The system detects fish passages by analyzing interruptions in an IR curtain and reconstructing fish silhouettes to estimate movement, direction, speed, and morphometrics under a wide range of turbidity conditions. It also offers remote access capabilities for easy management. Field validation involved controlled tests with dummy fish, experiments with small-bodied live specimens (bleak) under varying turbidity conditions, and verification against synchronized video of free-swimming fish (koi carp). This first version of FishTracker achieved detection rates of 95–100% under controlled conditions and approximately 70% in semi-natural conditions, comparable to commercial counters. Most errors were due to surface distortion caused by partial submersion during the experimental setup, which could be avoided by fully submerging the device. Body length estimation based on passage speed and beam-interruption duration proved consistent, aligning with published allometric models for carps. FishTracker offers a promising and affordable solution for non-invasive fish monitoring in multispecies contexts. Its design, based primarily on open technology, allows for flexible adaptation and broad deployment, particularly in locations where commercial technologies are economically unfeasible.

We analyzed the relationship between forest productivity (joint effect of forest maturity and soil quality) and total soil respiration (µmol CO2 m−2 s−1) in semi-arid juniper woodlands (young woodlands growing in abandoned farmlands with deeper soils, and mature woodlands in lithic soils), and investigated the seasonal variation in soil CO2 efflux as a function of soil temperature and the soil water content. We measured the soil CO2 efflux from twelve cylinders in the soil over a three-year period using LI-6400 equipment. The results show that, in the more productive site (young woodland), soil CO2 efflux was higher due to greater respiration, mainly in the driest periods. Soil respiration followed a seasonal trend, being higher in spring and decreasing in cold periods. In both juniper woodlands and especially in the older forest, the CO2 efflux rates were low (<2.5 for Q10), typical of slow-growing species. Soil respiration was controlled by soil temperature without drought and in the temperate-warm season, whereas respiration showed sensitivity to soil water content in periods when edaphic humidity was low (but only in the more productive, young forest, which seemed to show better adaptation to drought), and under high soil moisture (soil water > 25%) for both woodlands, coinciding with warm temperatures in the spring. This period also corresponded to the highest CO2 efflux recorded in both woodlands. The accumulation of organic C seems to also be important to maintain elevated soil respiration in summer, especially in young woodlands. Thus, apart from microclimatic conditions, factors related to productivity regulate respiratory activity.

This study highlights the importance of having a high clinical suspicion of hypercoagulopathy such as antiphospholipid syndrome (APS) in podiatric patients with normal foot pulses and normal standard coagulation tests. APS is an autoimmune disease that is characterized by inflammatory thrombosis in the arteries and veins and obstetric complications such as pregnancy loss. APS usually affects vessels of the lower extremities. We report herein the case of a 46-year-old woman with previous episodes of pre-eclampsia who suffered from partial ischemic necrosis of the hallux of the left foot. After several ischemic episodes of the hallux, with increased risk of toe amputation, the patient was finally diagnosed with APS and treated with specific anticoagulant medication. The patient’s symptoms subsided, and toe amputation was prevented. Early accurate diagnosis and appropriate clinical management are critical to providing optimal outcomes and reducing the risk of amputation.