Explore the vast range of titles available.

Objective Many tools have been used to assess frailty in the perioperative setting. However, no single scale has been shown to be the most effective in predicting postoperative complications. We evaluated the relationship between several frailty scales and the occurrence of complications following different non-cardiac surgeries. Methods This systematic review was registered in PROSPERO (CRD42023473401). The search strategy included PubMed, Google Scholar, and Embase, covering manuscripts published from January 2000 to July 2023. We included prospective and retrospective studies that evaluated frailty using specific scales and tracked patients postoperatively. Studies on cardiac, neurosurgical, and thoracic surgery were excluded because of the impact of underlying diseases on patients’ functional status. Narrative reviews, conference abstracts, and articles lacking a comprehensive definition of frailty were excluded. Results Of the 2204 articles identified, 145 were included in the review: 7 on non-cardiac surgery, 36 on general and digestive surgery, 19 on urology, 22 on vascular surgery, 36 on spinal surgery, and 25 on orthopedic/trauma surgery. The reviewed manuscripts confirmed that various frailty scales had been used to predict postoperative complications, mortality, and hospital stay across these surgical disciplines. Conclusion Despite differences among surgical populations, preoperative frailty assessment consistently predicts postoperative outcomes in non-cardiac surgeries.

Bursera morelensis is used in Mexican folk medicine to treat wounds on the skin. It is an endemic tree known as “aceitillo”, and the antibacterial and antifungal activity of its essential oil has been verified; it also acts as an anti-inflammatory. All of these reported biological activities make the essential oil of B. morelensis a candidate to accelerate the wound-healing process. The objective was to determine the wound-healing properties of B. morelensis’ essential oil on a murine model. The essential oil was obtained by hydro-distillation, and the chemical analysis was performed by gas chromatography-mass spectrometry (GC-MS). In the murine model, wound-healing efficacy (WHE) and wound contraction (WC) were evaluated. Cytotoxic activity was evaluated in vitro using peritoneal macrophages from BALB/c mice. The results showed that 18 terpenoid-type compounds were identified in the essential oil. The essential oil had remarkable WHE regardless of the dose and accelerated WC and was not cytotoxic. In vitro tests with fibroblasts showed that cell viability was dose-dependent; by adding 1 mg/mL of essential oil (EO) to the culture medium, cell viability decreased below 80%, while, at doses of 0.1 and 0.01 mg/mL, it remained around 90%; thus, EO did not intervene in fibroblast proliferation, but it did influence fibroblast migration when wound-like was done in monolayer cultures. The results of this study demonstrated that the essential oil was a pro-wound-healing agent because it had good healing effectiveness with scars with good tensile strength and accelerated repair. The probable mechanism of action of the EO of B. morelensis, during the healing process, is the promotion of the migration of fibroblasts to the site of the wound, making them active in the production of collagen and promoting the remodeling of this collagen.

Among topological solitons, magnetic skyrmions are two-dimensional particle-like objects with a continuous winding of the magnetization, and magnetic Hopfions are three-dimensional objects that can be formed from a closed loop of twisted skyrmion strings. Theoretical models suggest that magnetic Hopfions can be stabilized in frustrated or chiral magnetic systems, and target skymions can be transformed into Hopfions by adapting their perpendicular magnetic anisotropy, but their experimental verification has been elusive so far. Here, we present an experimental study of magnetic Hopfions that are created in Ir/Co/Pt multilayers shaped into nanoscale disks, known to host target skyrmions. To characterize three-dimensional spin textures that distinguish Hopfions from target skyrmions magnetic images are recorded with surface-sensitive X-ray photoemission electron microscopy and bulk-sensitive soft X-ray transmission microscopy using element-specific X-ray magnetic circular dichroism effects as magnetic contrast. These results could stimulate further investigations of Hopfions and their potential application in three-dimensional spintronics devices. In three dimensions, magnetic Skyrmions can form extended strings. By connecting the ends of a Skyrmionic string, a magnetic Hopfion is formed. Here, the authors present experimental evidence for the appearance of Hopfions, a topological soliton defined by a Hopf number, in a magnetic system.

Background Frailty is defined by a reduction in physiological reserve and an increased vulnerability to stressors. In oncology, frailty is highly prevalent and has been consistently associated with a worse prognosis. The aim of this manuscript is to understand the interaction between frailty and cancer to optimise therapeutic decision‐making and improve patient‐centred outcomes. Methods A narrative literature review was conducted using the PubMed database, with articles published up to July 2025 included. The search terms used included \"frailty\", \"oncology\", \"cancer\", \"malignancy\", \"diagnosis\", \"optimisation\", \"treatment\" and \"prognosis\". In accordance with the protocol, the following documents were prioritised: clinical guidelines, systematic and narrative reviews, observational studies, and randomised clinical trials. Results Frailty has been shown to independently predict postoperative morbidity, chemotherapy toxicity, functional decline, and mortality. This can result in both undertreatment and overtreatment. Consequently, frailty assessment has emerged as a cornerstone of personalised oncology, enabling treatment individualisation beyond tumor characteristics alone. While a Comprehensive Geriatric Assessment remains the gold standard for frailty evaluation, screening tools should be used to facilitate risk stratification in routine practice. Incorporating frailty into decision‐making processes has been shown to reduce inappropriate undertreatment and overtreatment, improve treatment tolerance, and facilitate shared decision‐making. Multimodal, patient‐centred interventions, such as exercise, nutritional support, medication optimisation, psychosocial care, and early palliative integration, mitigate frailty, enhance quality of life, and support adherence to individualised therapeutic plans. Oncogeriatric models of care further operationalise personalised medicine by coordinating these interventions within multidisciplinary teams. Conclusion It is crucial to acknowledge frailty as a pivotal clinical variable, rather than considering it a contraindication to cancer treatment. Health systems should promote structured frailty evaluation, professional training, and institutional pathways to ensure equitable, patient‐centred management of frail individuals with cancer. Integrating frailty into oncology clinical practice operationalises personalised medicine by shifting the focus from treating the disease to treating the whole patient. Frailty is an essential clinical parameter that should guide the individualization of therapeutic strategies in oncology to promote more effective, patient‐centered medicine. This narrative review explores the importance of incorporating frailty assessment and optimizing patients' clinical status to improve cancer treatment outcomes.

The aging world population obliges physicians to establish measures to optimize and estimate the outcomes of increasingly frail patients. Thus, in the last few years there has been an increase in the application of frailty indices. Multiple scales have emerged that can be applied in the perioperative setting. Each one has demonstrated some utility, either by way of establishing postoperative prognosis or as a method for the clinical optimization of patient care. Anaesthesiologists are offered a wide choice of scales, the characteristics and appropriate management of which they are often unaware. This narrative review aims to clarify the concept of frailty, describe its importance in the perioperative setting and evaluate the different scales that are most applicable to the perioperative setting. It will also establish paths for the future optimization of patient care.

The appearance of antimicrobial-resistant pathogens has highlighted the need to search for new compounds that can effectively combat infectious diseases. A potential source of these compounds are the secondary metabolites of species that have been reported as effective traditional treatments of such diseases. Prosopis laevigata is a medicinal plant, and its chemical constituents have shown potential antimicrobial activity. In this study, the antimicrobial activities of the methanolic extract of the leaves of Prosopis laevigata against different bacterial and fungal strains of medical and agronomic interest were investigated in vitro. In addition, the chemical composition of this extract was investigated by HPLC–DAD, GC‒MS, and HPLC‒MS. The methanolic leaf extract contained 67 mg of GAE/g of total phenols (6.7%), 2.6 mg of QE/g of flavonoids (0.26%), and 11.87 mg of AE/g of total alkaloids (1.18%). Phenolic acids and catechol were the compounds identified by HPLC–DAD. The methanolic extract had strong antimicrobial activity, especially against Staphylococcus aureus (MIC = 0.62 mg/mL), Escherichia coli (MIC = 0.62 mg/mL), Candida tropicalis (MIC = 0.08 mg/mL) and Fusarium moniliforme (MIC = 4.62 mg/mL). These results suggest that the extract of P. laevigata leaves could be a source of antimicrobial molecules. However, it is necessary to delve into its chemical composition.

Fruit and vegetable crops that are not consumed immediately, unlike other agricultural products, require economic and time investments until they reach the final consumers. Synthetic agrochemicals are used to maintain and prolong the storage life of crops and avoid losses caused by phytopathogenic microorganisms. However, the excessive use of synthetic agrochemicals creates health problems and contributes to environmental pollution. To avoid these problems, less toxic and environment-friendly alternatives are sought. One of these alternatives is the application of biopesticides. However, few biopesticides are currently used. In this study, the biopesticide activity of Bursera morelensis and Lippia graveolens essential oils was evaluated. Their antifungal activity has been verified in an in vitro model, and chemical composition has been determined using gas chromatography-mass spectrometry. Their antifungal activity was corroborated in vitro, and their activity as biopesticides was subsequently evaluated in a plant model. In addition, the persistence of these essential oils on the surface of the plant model was determined. Results suggest that both essential oils are promising candidates for producing biopesticides. This is the first study showing that B. morelensis and L. graveolens essential oils work by inhibiting mycelial growth and spore germination and are environment-friendly biopesticides.

As global energy consumption continues to rise, it is essential to adopt measures that regulate electricity use while still meeting the demands of modern society. These efforts align with the United Nations Sustainable Development Goals and are supported by various organizations. This study applies a methodology that combines the implementation of a Level 2 Energy Audit with the evaluation of the Electricity Consumption Index (ECI) at the Department of English of the Multidisciplinary Academic Unit of the Altiplano Region, Universidad Autónoma de San Luis Potosí. The study identifies strategies to reduce electricity consumption related to lighting systems and equipment operation throughout the department. Additionally, it assesses the percentage of users who promote and practice energy-saving habits. Key recommendations include transitioning the lighting system to LED technology, expected to reduce electricity consumption by 15, and implementing power factor correction measures, projected to yield an additional 6.17% in energy and cost savings. Together, these strategies could result in an estimated annual electricity savings of 21.17%, making them attractive to institutional decision-makers. Furthermore, by comparing the department’s ECI with a reference index established for educational institutions in temperate climate regions of Mexico, the study determines whether the proposed strategies should be implemented immediately or planned for the medium to long term. This decision-making framework represents the main contribution of the case study.

The design of complex, competing effects in magnetic systems—be it via the introduction of nonlinear interactions1–4, or the patterning of three-dimensional geometries5,6—is an emerging route to achieve new functionalities. In particular, through the design of three-dimensional geometries and curvature, intrastructure properties such as anisotropy and chirality, both geometry-induced and intrinsic, can be directly controlled, leading to a host of new physics and functionalities, such as three-dimensional chiral spin states7, ultrafast chiral domain wall dynamics8–10 and spin textures with new spin topologies7,11. Here, we advance beyond the control of intrastructure properties in three dimensions and tailor the magnetostatic coupling of neighbouring magnetic structures, an interstructure property that allows us to generate complex textures in the magnetic stray field. For this, we harness direct write nanofabrication techniques, creating intertwined nanomagnetic cobalt double helices, where curvature, torsion, chirality and magnetic coupling are jointly exploited. By reconstructing the three-dimensional vectorial magnetic state of the double helices with soft-X-ray magnetic laminography12,13, we identify the presence of a regular array of highly coupled locked domain wall pairs in neighbouring helices. Micromagnetic simulations reveal that the magnetization configuration leads to the formation of an array of complex textures in the magnetic induction, consisting of vortices in the magnetization and antivortices in free space, which together form an effective B field cross-tie wall14. The design and creation of complex three-dimensional magnetic field nanotextures opens new possibilities for smart materials15, unconventional computing2,16, particle trapping17,18 and magnetic imaging19.In magnetic double nanohelices, the balance of geometrical effects and dipolar interaction results in strongly coupled three-dimensional spin states. This leads to topological features in the stray field, offering a new route to pattern the magnetic induction.

Amphipterygium adstringens is an endemic species in Mexico commonly known as “cuachalalate.” Healers to treat gastritis, gastric ulcers, and gastrointestinal cancer have traditionally used the bark. We investigated the effects of alcoholic extract of A. adstringens (AaEE) in DSS-induced colitis in mice. The protective effect of AaEE was determined at 200 mg/kg by oral gavage for 10 days. We determine the effect of AaEE on clinical features (disease activity index), antioxidants, anti-inflammatory, and immunomodulatory activities in relation to the activity of SOD, CAT, and GPx, levels of proinflammatory cytokines, and changes both macroscopic and microscopic of the colonic mucosa. AaEE significantly reduced the inflammation of colon and significantly increased SOD and GPx activities. AaEE also significantly decreased TNF-α, IFN-γ, and IL-1β cytokine levels compared to DSS-treated mice and reduced both infiltration of inflammatory cells and the mucosal damage in colon. The results suggested the protective potential of AaEE in DSS-induced colitis and this might be attributed to its phytochemicals compounds that have been found to induce a wide spectrum of activities such as reduction in oxidative stress, suppression of inflammation, modulating numerous signal transduction pathways, and induction of apoptosis. The findings of this study suggest that AaEE has substantial potential for the treatment of inflammatory colitis.