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Aerosol–cloud interactions in mixed-phase clouds (MPCs) are one of the most uncertain drivers of the hydrological cycle and climate change. A synergy of in situ, remote-sensing and modelling experiments were used to determine the source of ice-nucleating particles (INPs) for MPCs at Mount Helmos in the eastern Mediterranean. The influences of boundary layer turbulence, vertical aerosol distributions and meteorological conditions were also examined. When the observation site is in the free troposphere (FT), approximately 1 in ×106 aerosol particles serve as INPs around −25 °C. The INP abundance spans 3 orders of magnitude and increases in the following order: marine aerosols; continental aerosols; and, finally, dust plumes. Biological particles are important INPs observed in continental and marine aerosols, whereas they play a secondary, although important, role during Saharan dust events. Air masses in the planetary boundary layer (PBL) show both enriched INP concentrations and a higher proportion of INPs to total aerosol particles, compared with cases in the FT. The presence of precipitation/clouds enriches INPs in the FT but decreases INPs in the PBL. Additionally, new INP parameterizations are developed that incorporate the ratio of fluorescent-to-nonfluorescent or coarse-to-fine particles and predict >90 % of the observed INPs within an uncertainty range of a factor of 10; these new parameterizations exhibit better performance than current widely used parameterizations and allow ice formation in models to respond to variations in dust and biological particles. The improved parameterizations can help MPC formation simulations in regions with various INP sources or different regions with prevailing INP sources.

The purpose of this study is to understand the drivers of cloud droplet formation in orographic clouds. We used a combination of modeling, in situ, and remote sensing measurements at the high-altitude Helmos Hellenic Atmospheric Aerosol and Climate Change ((HAC)2) station, which is located at the top of Mt. Helmos (1314 m above sea level), Greece, during the Cloud–AerosoL InteractionS in the Helmos Background TropOsphere (CALISHTO) campaign in fall 2021 (https://calishto.panacea-ri.gr/, last access: 1 August 2024) to examine the origins of the aerosols (i.e., local aerosol from the planetary boundary layer (PBL) or long-range-transported aerosol from the free-tropospheric layer (FTL) contributing to the cloud condensation nuclei (CCN)), their characteristics (hygroscopicity, size distribution, and mixing state), and the vertical velocity distributions and resulting supersaturations. We found that the characteristics of the PBL aerosol were considerably different from FTL aerosol and use the aerosol particle number and equivalent mass concentration of the black carbon (eBC) in order to determine when (HAC)2 was within the FTL or PBL based on time series of the height of the PBL. During the (HAC)2 cloud events we sample a mixture of interstitial aerosol and droplet residues, which we characterize using a new approach that utilizes the in situ droplet measurements to determine time periods when the aerosol sample is purely interstitial. From the dataset we determine the properties (size distribution and hygroscopicity) of the pre-cloud, activated, and interstitial aerosol. The hygroscopicity of activated aerosol is found to be higher than that of the interstitial or pre-cloud aerosol. A series of closure studies with the droplet parameterization shows that cloud droplet concentration (Nd) and supersaturation can be predicted to within 25 % of observations when the aerosol size distributions correspond to pre-cloud conditions. The analysis of the characteristic supersaturation of each aerosol population indicates that droplet formation in clouds is aerosol-limited when formed in FTL air masses – hence droplet formation is driven by aerosol variations, while clouds formed in the PBL tend to be velocity-limited and droplet variations are driven by fluctuations in vertical velocity. Given that the cloud dynamics do not vary significantly between air masses, the variation in aerosol concentration and type is mostly responsible for these shifts in cloud microphysical state and sensitivity to aerosol. With these insights, the remote sensing of cloud droplets in such clouds can be used to infer either CCN spectra (when in the FTL) or vertical velocity (when in the PBL). In conclusion, we show that a coordinated measurement of aerosol and cloud properties, together with the novel analysis approaches presented here, allows for the determination of the drivers of droplet formation in orographic clouds and their sensitivity to aerosol and vertical velocity variations.

The Cloud-AerosoL InteractionS in the Helmos background TropOsphere (CALISHTO) campaign took place in autumn 2021 at the NCSR Demokritos background high-altitude Helmos Hellenic Atmospheric Aerosol and Climate Change station (HAC)2 to study the interactions between aerosols and clouds. The current study presents the chemical characterization of the non-refractory (NR) PM1 aerosol fraction using a time-of-flight aerosol chemical speciation monitor (ToF-ACSM). A comparative offline aerosol filter analysis by a high-resolution time-of-flight aerosol mass spectrometer (HR-ToF-AMS) showed consistent results regarding the species determined. Source apportionment applied on both datasets (ACSM-ToF and offline AMS analysis on filter extracts) yielded the same factors for the organic aerosol (one primary and two secondary factors). Additionally, the positive matrix factorization (PMF) model was applied on the total PM1 fraction by the ToF-ACSM (including both organic and inorganic ions). Five different types were identified, including a primary organic factor; ammonium nitrate; ammonium sulfate; and two secondary organic aerosols, one more oxidized and one less oxidized. The prevailing atmospheric conditions at the station, i.e., cloud presence, influence of emissions from the planetary boundary layer (PBL), and air mass origin, were also incorporated in the study. The segregation between PBL and free-troposphere (FT) conditions was made by combining data from remote sensing and in situ measurement techniques. The types of air masses arriving at the site were grouped as continental, marine, dust, and marine–dust based on back-trajectory data. Significant temporal variability in the aerosol characteristics was observed throughout the campaign; in September, air masses from within the PBL were sampled most of the time, resulting in much higher mass concentrations compared to October and November when concentrations were reduced by a factor of 5. Both in-cloud and FT measurement periods resulted in much lower concentration levels, while a similar composition was observed in PBL and FT conditions. We take advantage of using a recently developed “virtual-filtering” technique to separate interstitial from activated aerosol sampled from a PM10 inlet during cloudy periods. This allows the determination of the chemical composition of the interstitial aerosol during in-cloud periods. Ammonium sulfate, the dominant PMF factor in all conditions, contributed more when air masses were arriving at (HAC)2 during dust events, while a higher secondary organic aerosol contribution was observed when air masses arrived from continental Europe.

Extensive attention in organizational research has been dedicated to workplace bullying, primarily focusing on its frequency and impact on both the victim and the bully, emphasizing interpersonal dynamics. This study extends current research by shifting the focus to the organizational level, examining the relationship between organizational culture and affective commitment, mediated by workplace bullying. Utilizing data from two surveys (N = 650 in 2012 and N = 553 in 2017), the study reveals that dimensions of organizational culture, such as assertiveness, performance orientation, and ingroup collectivism significantly influence work-related workplace bullying. Performance orientation and assertiveness are positively associated with increased bullying, whereas ingroup collectivism serves as a deterrent. In turn, work-related bullying negatively impacts affective commitment, while a culture characterized by high ingroup collectivism not only links negatively with bullying but also links positively with affective commitment. This work is one of the first studies to investigate the interplay among several dimensions of organizational culture, workplace bullying, and affective commitment, underscoring the importance of supportive organizational cultures in fostering healthy work environments.

We studied the influence of the Planetary Boundary Layer (PBL) on the air masses sampled at the mountaintop Hellenic Atmospheric Aerosol and Climate Change station ((HAC)2) at Mount Helmos (Greece) during the Cloud-AerosoL InteractionS in the Helmos background TropOsphere (CALISTHO) Campaign from September 2021 to March 2022. The PBL Height (PBLH) was determined from the standard deviation of the vertical wind velocity (σw) measured by a wind Doppler lidar (over a 30-min time window with 30 m spatial resolution); the height for which σw drops below a characteristic threshold of 0.1 m s–1 corresponds to the PBLH. The air mass characterization is independently carried out using in situ measurements sampled at (HAC)2 (equivalent black carbon, eBC; fluorescent particle number, aerosol size distributions, absolute humidity). We found that a distinct diurnal cycle of aerosol properties is seen when the station is inside the PBL (i.e., PBLH exceeds the (HAC)2 altitude); and a complete lack thereof when it is in the Free Tropospheric Layer (FTL). Additionally, we identified transition periods where the (HAC)2 site location alternates between the FTL (usually during the early morning hours) and the PBL (usually during the midday and late afternoon hours), during which the concentration and characteristics of the aerosols vary the most. Transition periods are also when orographic clouds are formed. The highest PBLH values occur in September [400 m above (HAC)2] followed by a transition period in November, while the lowest ones occur in January [200 m below (HAC)2]. We found also that the PBLH increases by 16 m per 1°C increase of the ground temperature.

Globally, the issues about sustainable development are on the increase, especially in emerging economies as CIS countries. Due to rising migration and remittances, natural resources are degraded, and economic expansion might pose serious challenges to the environment and healthcare. Thus, this research looks at how life expectancy is affected by economic growth, natural resources and carbon dioxide (CO2) emissions in 11 CIS countries (Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Russia, Tajikistan, Ukraine, and Uzbekistan) by con-trolling energy consumption from 1990 to 2019. The Dumitrescu-Hurlin causality test discloses a cointegration between life expectancy, remittances, natural resources, economic growth, and CO2 Emissions. The empirical analysis indicates that life expectancy is positively correlated with re-mittances and GDP while water withdrawal and CO2 emissions have negative impact on life ex-pectancy in the case of CIS countries. Our empirical findings may provide insightful policy implications towards strengthening the public healthcare system. Therefore, appropriate policy responses can be developed towards advanced public healthcare and environmentally sustainable sources of energy in order to achieve the sustainable development goals.

Systemic inflammation has been recognized as the cause and consequence of metabolic dysregulation in diabetes mellitus (DM). Presepsin has recently emerged as a promising biomarker for the detection of bacterial infections and sepsis. There is evidence that gut dysbiosis results in the increased circulating concentrations of Gram-negative bacteria lipopolysaccharide, the linkage of presepsin, which in turn promotes insulin resistance and correlates with the risk of diabetic complications. Thus, we hypothesized that presepsin could reflect the magnitude of systemic inflammation and metabolic decompensation in patients with DM even in the absence of infection. In this cross-sectional pilot study, we included 75 infection-free individuals with well-controlled (n = 19) and uncontrolled (n = 23) type 2 diabetes (T2D), well-controlled (n = 10) and uncontrolled (n = 10) type 1 diabetes (T1D), and normoglycemic controls (n = 13). Presepsin levels were compared between the groups and potential associations with demographic, clinical, and laboratory parameters were explored. We observed that the duration of DM was associated with presepsin values (p = 0.008). When the participants were classified into the type of DM groups, the presepsin levels were found to be lower in the patients with T2D compared to those with T1D (p = 0.008). However, significance in that case was driven by the difference between the well-controlled groups. After adjusting for the effects of DM duration, presepsin was significantly lower in the well-controlled T2D group compared to the well-controlled T1D group [1.34 (2.02) vs. 2.22 (4.20) ng/mL, p = 0.01]. Furthermore, we adjusted our findings for various confounders, including age, body mass index, and waist circumference, and found that the difference in the presepsin values between the adequately controlled groups remained significant (p = 0.048). In conclusion, our findings suggest that presepsin could potentially serve as a surrogate marker of inflammation and metabolic control in people with DM.

Low-cost green hydrogen production will be key in reaching net zero carbon emissions by 2050. Green hydrogen can be produced by electrolysis using renewable energy, including wind energy. However, the configuration of offshore wind-to-hydrogen systems is not yet standardised. For example, electrolysis can take place onshore or offshore. This work presents a framework to assess and quantify which configuration is more resilient, so that security of hydrogen supply is incorporated in strategic decisions with the following key findings. First, resilience should be assessed according to hydrogen supply, rather than hydrogen production. This allows the framework to be applicable for all identified system configurations. Second, resilience can be quantified according to the quantity, ratio, and lost revenue of the unsupplied hydrogen.

In response to the ongoing global extinction, conservationists must prioritize future conservation investments to ensure that such measures are biologically effective and economically viable. To propose an effective conservation plan for Orthoptera assemblages on Cyprus Island, we introduce the Standardized Conservation Index (StCI), a biodiversity index accounting for the conservation value (ci), presence, dispersal ability, endemism and conservation status of a species. We evaluated the effect of eleven environmental variables on StCI, ci, species richness and the Shannon–Wiener diversity index, using linear and generalized linear models. Species and environmental data were collected in 60 localities that were placed along four elevational zones and included seven habitat types. Our results revealed the importance of rural mosaics and forests for the conservation of Orthoptera. The Shannon–Wiener diversity index failed to show the importance of high-altitude forests. The Orthoptera species diversity was favored by flower heads and the soil humidity, while rock cover and high shrubs had a positive and negative effect, respectively, on the StCI and ci values. Our results underline the value of StCI in complementing traditional diversity indices, as a scale-independent index that can be used for different taxa to prioritize sites of conservation concern.

BackgroundBedtime routines are amongst the most common, recurrent family activities with close associations for child health, development and wellbeing especially sleep. Despite the importance of bedtime routines, no previous study has examined them within the context of a Greek family.MethodA mixed methods, stepped approach was used in this study. A cross-sectional study examined the prevalence and characteristics of bedtime routines (PRE) in families with young children and explored associations with parental mood (POMS) and child's sleep (CSHQ). A qualitative study using the Theoretical Domains Framework (TDF) examined barriers and facilitators for achieving optimal routines.ResultsTotal of 54 parents with a mean age of 35.9 (SD = 5.95) completed the cross-sectional study while 20 parents participated in the interviews. There were strong positive correlations between total scores on the POMS and total scores on the CSHQ r = 0.482, p < 0.001 and strong negative correlation between total scores on the POMS and total scores on the PRE, r = −0.308, p = 0.023. In terms of barriers and facilitators, social desirability, social comparison, environmental factors and resistance from children were amongst the most common barriers to establishing a good bedtime routine.ConclusionBedtime routines are highly prevalent in Greek families with the quality of those routines varying between households. Addressing common barriers in achieving better bedtime routines could help families benefit in the short and long-term.

To identify candidate biomarkers associated with neuromyelitis optica spectrum disorder (NMOSD) using high-throughput technologies that broadly assay the concentrations of serum analytes and frequencies of immune cell subsets. Sera, peripheral blood mononuclear cells (PBMCs), and matched clinical data from participants with NMOSD and healthy controls (HCs) were obtained from the Collaborative International Research in Clinical and Longitudinal Experience Study NMOSD biorepository. Flow cytometry panels were used to measure the frequencies of 39 T-cell, B-cell, regulatory T-cell, monocyte, natural killer (NK) cell, and dendritic cell subsets in unstimulated PBMCs. In parallel, multiplex proteomics assays were used to measure 46 serum cytokines and chemokines in 2 independent NMOSD and HC cohorts. Multivariable regression models were used to assess molecular and cellular profiles in NMOSD compared with HC. NMOSD samples had a lower frequency of CD16+CD56+ NK cells. Both serum cohorts and multivariable logistic regression revealed increased levels of B-cell activating factor associated with NMOSD. Interleukin 6, CCL22, and CCL3 were also elevated in 1 NMOSD cohort of the 2 analyzed. Multivariable linear regression of serum analyte levels revealed a correlation between CX3CL1 (fractalkine) levels and the number of days since most recent disease relapse. Integrative analyses of cytokines, chemokines, and immune cells in participants with NMOSD and HCs provide congruence with previously identified biomarkers of NMOSD and highlight CD16+CD56+ NK cells and CX3CL1 as potential novel biomarker candidates.

Abstract Variation in pollinator foraging behavior can influence pollination effectiveness, community diversity, and plant–pollinator network structure. Although effects of interspecific variation have been widely documented, studies of intraspecific variation in pollinator foraging are relatively rare. Sex‐specific differences in resource use are a strong potential source of intraspecific variation, especially in species where the phenology of males and females differ. Differences may arise from encountering different flowering communities, sex‐specific traits, nutritional requirements, or a combination of these factors. We evaluated sex‐specific foraging patterns in the eastern regal fritillary butterfly (Argynnis idalia idalia), leveraging a 21‐year floral visitation dataset. Because A. i. idalia is protandrous, we determined whether foraging differences were due to divergent phenology by comparing visitation patterns between the entire season with restricted periods of male–female overlap. We quantified nectar carbohydrate and amino acid contents of the most visited plant species and compared those visited more frequently by males versus females. We demonstrate significant differences in visitation patterns between male and female A. i. idalia over two decades. Females visit a greater diversity of species, while dissimilarity in foraging patterns between sexes is persistent and comparable to differences between species. While differences are diminished or absent in some years during periods of male–female overlap, remaining signatures of foraging dissimilarity during implicate mechanisms other than phenology. Nectar of plants visited more by females had greater concentrations of total carbohydrates, glucose, and fructose and individual amino acids than male‐associated plants. Further work can test whether nutritional differences are a cause of visitation patterns or consequence, reflecting seasonal shifts in the nutritional landscape encountered by male and female A. i. idalia. We highlight the importance of considering sex‐specific foraging patterns when studying interaction networks, and in making conservation management decisions for this at‐risk butterfly and other species exhibiting strong intraspecific variation.

Greece is a European hotspot for Orthoptera (378 species), yet it has been scarcely explored. We investigated the diversity patterns of Orthoptera and the ecological mechanisms shaping them by sampling 15 sites (30 plots of 1ha) across five habitats in Mount Mitsikeli, a Natura 2000 site. The mountain is deemed rich (0.4 species/km2), hosting 34 species, including a species of European interest (Paracaloptenus caloptenoides). The grassy openings in the beech–fir forest and rural mosaics were found to be important habitats for Orthoptera, while the mountain grasslands were poorer but hosted a greater abundance of grasshoppers. The three main environmental factors shaping diversity patterns (with an explained variance of 51.34%) were grass height, the cover of woody vegetation and the cover of bare ground. Beta diversity was high (with a Bray–Curtis of index 0.45 among habitats). Species turnover prevailed among all sites and within agricultural land, beech–fir forest and Mediterranean scrub, while nested patterns prevailed within mountain grasslands and mixed thermophilous forest. Conservation actions should target sites in ecosystems driven by species turnover, but primarily the most species-rich sites are driven by nestedness. Such actions should include the implementation of biodiversity-inclusive grazing schemes to hamper forest encroachment and the restoration of mountain grassland quality from cattle overgrazing.

The current improvements in aerosol mass spectrometers in resolution and sensitivity, and the analytical tools for mass spectra deconvolution, have enabled the in-depth analysis of ambient organic aerosol (OA) properties. Although OA constitutes a major fraction of ambient aerosol, its properties are determined to a great extent by the mixing characteristics of both organic and inorganic components of ambient aerosol. This work applies a new methodology to a year-long ACSM dataset to assess the sources of organic and total non-refractory species in the Athens background aerosol and provides insights into the interactions between organic and inorganic species. The use of innovative tools for applying positive matrix factorization (PMF, rolling window) enables the study of the temporal variability of the contribution of these sources and seasonal changes in their composition. The mass spectra of both organic and inorganic aerosol were obtained by a time-of-flight aerosol mass spectrometer (ToF-ACSM) for PMF analysis. The results revealed five factors when organic aerosol was analysed separately. Three of them were primary OA factors: hydrocarbon-like organic aerosol (HOA), cooking-related organic aerosol (COA) and biomass burning organic aerosol (BBOA). The remaining two were secondary, less and more oxidized oxygenated organic aerosol (LO-OOA and MO-OOA respectively). The relative contributions of these factors were HOA 15 %, COA 18 %, BBOA 9 %, MO-OOA 34 % and LO-OOA 24 % (yearly averaged). When a combined organic and inorganic aerosol matrix was analysed, two additional factors were identified that were mainly composed of ammonium sulfate (83.5 %) and ammonium nitrate (73 %). Moreover, two secondary factors were resolved, containing both organics and inorganics and were named more (MOA) and less oxidized aerosol (LOA). The relative contributions on a yearly average of these factors were HOA 7 %, COA 9 %, BBOA 3 %, ammonium nitrate 3 %, ammonium sulfate 28 %, MOA 24 % and LOA 26 %.

Although mentorship in business settings is typical, its emergence as a tool in education started only recently. Consequently, this new opportunity has initiated a discussion about mentorship and its principal elements in an academic context. Aspects like the mentor profile, the relationship built between mentors and mentees, and the scope of mentorship have been constantly explored and debated by researchers in this field. All contributions are invaluable; however, the information on what the authors consider the fundamental elements of mentorship is scattered throughout many sources. This is precisely what we are attempting to do in this article; by presenting insights from a literary review and investigating the principal aspects of a successful mentorship program in Higher Education, we are answering the most fundamental mentorship-related questions – what mentorship involves; what the qualities of the ideal mentor are; what the student-mentor interaction entails; what the role of the mentor is; and what activities this interaction should include – in a single, well-organized source.

The prolonged application (>20 min) of local vibration (LV) on muscles or tendons is known to reduce maximal isometric strength. However, the effect of short vibration durations (≤6 min) is still unknown. In fourteen participants, the changes in maximal voluntary isometric contraction (MVIC) were measured after 1, 3, and 6 min of rest (CONT) or local vibration (LV) over the quadricipital tendon (frequency: 100 Hz; amplitude: 0.5 mm). Before and after each condition, the amplitude of the twitch induced by a 100 Hz potentiated electrical doublet (PDPOT); the relative electromyographic activity of the vastus medialis and rectus femoris muscle during the MVIC (RMSMVIC.M−1); the torque developed 50 ms after the onset of contraction (T50); and the voluntary activation level (VAL) were evaluated. None of the three LV durations significantly changed the MVIC compared with the control condition (p = 0.379). The indices of central (i.e., VAL, T50, RMSMVIC.M−1) and peripheral (e.g., PDPOT) fatigue were unaffected (p > 0.147). In conclusion, a short-duration LV (≤6 min) on a voluminous muscle group does not impair maximal force production or induce any central or peripherical fatigue.

Summary: Effective public health measures against SARS-CoV-2 require granular knowledge of population-level immune responses. We developed a Tripartite Automated Blood Immunoassay (TRABI) to assess the IgG response against three SARS-CoV-2 proteins. We used TRABI for continuous seromonitoring of hospital patients and blood donors (n = 72′250) in the canton of Zurich from December 2019 to December 2020 (pre-vaccine period). We found that antibodies waned with a half-life of 75 days, whereas the cumulative incidence rose from 2.3% in June 2020 to 12.2% in mid-December 2020. A follow-up health survey indicated that about 10% of patients infected with wildtype SARS-CoV-2 sustained some symptoms at least twelve months post COVID-19. Crucially, we found no evidence of a difference in long-term complications between those whose infection was symptomatic and those with asymptomatic acute infection. The cohort of asymptomatic SARS-CoV-2-infected subjects represents a resource for the study of chronic and possibly unexpected sequelae.

Central nervous system (CNS) immune activation is an important driver of neuronal injury during several neurodegenerative and neuroinflammatory diseases. During HIV infection, CNS immune activation is associated with high rates of neurocognitive impairment, even during sustained long-term suppressive antiretroviral therapy (ART). However, the cellular subsets that drive immune activation and neuronal damage in the CNS during HIV infection and other neurological conditions remain unknown, in part because CNS cells are difficult to access in living humans. Using single-cell RNA sequencing (scRNA-seq) on cerebrospinal fluid (CSF) and blood from adults with and without HIV, we identified a rare (

Aiming at evaluating new candidate species for the cut flower market of Greece and beyond, in this study, the vase life of three Greek tulip plant species, Tulipa cretica ‘Hilde’ (CRH, local endemic of Crete, Greece), T. clusiana ‘Chrysantha’ (CLC, naturalized in Chios Island, Greece), and T. australis (AUS, native in the Mediterranean and Greece), was investigated in comparison to the commercial tulip hybrid Île-de-France (IDF). To this end, pre-cooled at 4 °C bulbs of the abovementioned Greek tulip plant species were bought from Dutch nurseries and grown in pots placed in unheated greenhouses located at two different climatic conditions in Northern Greece. The plants were uprooted when the flowers reached a slightly open stage. Half of the flowering stems were immediately placed into bottles with deionized water, while the rest were placed in a preservative solution containing citric acid 5% and sulfuric acid 1% and then remained under laboratory conditions until the entire tepal wilted (end of vase life). The measurements performed concerned: (a) flower stem length and flower maximum diameter, (b) fresh weight (FW) of initial stems, leaves, flowers, and bulbs and at the end of vase life, (c) flower color parameters (L, a, b, c, and H) in all treated flowers, (d) leaf chlorophyll content (SPAD values), and (e) initial and final water volume after removing the flowering stems. The aforementioned measurements showed that CRH cut flowers may exhibit consistent floral opening patterns and were associated with a long mean vase life of 5.7 days, which can be further prolonged to 6.5 days by carefully selecting a cultivation location with proper climatic conditions. The vase life of CLC cut flowers was significantly affected by the climatic parameters (temperature) of the area where the plants were cultivated. The immersion of cut flowering stems in a preservative solution with citric and sulfuric acids did not yield a notable increase in the longevity of cut flowers during the postharvest period. Moreover, this treatment did not have any significant impact on leaf chlorophyll content or flower color at the end of the flowers’ vase life. The data of this work show that cut flowers from the native species T. cretica and T. clusiana have satisfactory vase life, especially when plants were grown in favorable climate condition; the latter is an important criterion for their entry into the cut flower market.

Endometriosis is defined by the presence of endometrial-like glands and/or stroma outside the uterus. The prevalence of endometriosis in postmenopausal women is reported to be 2.55%, which is much lower than that in reproductive-aged women. Ovarian endometriomas are the most common form of endometriosis. However, these form only 4.3% of ovarian masses in patients in the sixth decade of life. In this manuscript, we report the case of a 60-year-old patient who was referred to our department with an external diagnosis of an abdominal mass. The patient was in good general condition and asymptomatic. A computed tomography scan revealed the presence of a cystic mass originating from the right adnexa and measuring 26 cm. No signs of malignancy were observed. Due to the cyst’s size, a midline laparotomy and a bilateral salpingo-oophorectomy were performed successfully. A postoperative histopathologic examination confirmed the diagnosis of an ovarian endometrioma with no signs of hyperplasia or atypia. Cases of postmenopausal large ovarian endometriomas are few. However, due to the risk of malignant transformation, an oophorectomy could be considered the treatment of choice, even in asymptomatic patients.

Insects have been proposed as a rich alternative source of protein for the partial or total replacement of fishmeal in aquaculture. For maximum safety and effectiveness of insect meals, control of the quality composition of these products is considered mandatory. The aim of this study was the genetic analysis of the composition of commercially available insect meals at the species level. Commercially available Hermetia illucens, Tenebrio molitor and Musca domestica individuals, as well as nine insect meals produced from these species, were analyzed. The genetic identification of insects at the species level was based on a COI fragment, and analysis of the insect meals’ composition was performed with the processes of cloning and colony PCR. Genetic analysis indicated that the commercially available larvae morphologically identified as Musca domestica belonged to the species Muscina stabulans. In the commercially available insect meals, no other animal species was identified beyond the expected one. However, in the insect meal produced for research purposes, fungal growth was detected. The used methodology, herein, allows for the qualitative genetic identification of insect meals and could be included in the methods of traceability of products containing insects and other animal species.

Diet and food intake have been associated with a risk of developing different types of cancer but individual nutritional epidemiology studies are prone to inherent bias. Here, the authors perform an umbrella review of meta-analyses of observational studies and show the level of evidence for associating food and nutrients to cancer risk.

Organic aerosol (OA) is a key component of total submicron particulate matter (PM1), and comprehensive knowledge of OA sources across Europe is crucial to mitigate PM1 levels. Europe has a well-established air quality research infrastructure from which yearlong datasets using 21 aerosol chemical speciation monitors (ACSMs) and 1 aerosol mass spectrometer (AMS) were gathered during 2013–2019. It includes 9 non-urban and 13 urban sites. This study developed a state-of-the-art source apportionment protocol to analyse long-term OA mass spectrum data by applying the most advanced source apportionment strategies (i.e., rolling PMF, ME-2, and bootstrap). This harmonised protocol was followed strictly for all 22 datasets, making the source apportionment results more comparable. In addition, it enables quantification of the most common OA components such as hydrocarbon-like OA (HOA), biomass burning OA (BBOA), cooking-like OA (COA), more oxidised-oxygenated OA (MO-OOA), and less oxidised-oxygenated OA (LO-OOA). Other components such as coal combustion OA (CCOA), solid fuel OA (SFOA: mainly mixture of coal and peat combustion), cigarette smoke OA (CSOA), sea salt (mostly inorganic but part of the OA mass spectrum), coffee OA, and ship industry OA could also be separated at a few specific sites. Oxygenated OA (OOA) components make up most of the submicron OA mass (average = 71.1%, range from 43.7 to 100%). Solid fuel combustion-related OA components (i.e., BBOA, CCOA, and SFOA) are still considerable with in total 16.0% yearly contribution to the OA, yet mainly during winter months (21.4%). Overall, this comprehensive protocol works effectively across all sites governed by different sources and generates robust and consistent source apportionment results. Our work presents a comprehensive overview of OA sources in Europe with a unique combination of high time resolution (30–240 min) and long-term data coverage (9–36 months), providing essential information to improve/validate air quality, health impact, and climate models.

Anxiety is a particular form of emotional distress which is frequently experienced by students with LD. Research has indicated that high levels of anxiety have negative effects on performance on cognitive and academic tasks. Also, findings suggest that children with LD present cognitive and neuropsychological deficits. The mindfulness function of MMA proved to be helpful in promoting calmness, tolerance and acceptance of distress, as well as self-understanding in youth. Youth with learning disabilities (LDs) have information processing challenges that place them at increased risk for emotion dysregulation and often rely on coping strategies that emphasize avoidance of challenging emotions, experiences or tasks. We highlight that cognitive interference may help in reducing the quality or efficiency of test-anxious students’ with LD performance during exams.

Background and Objectives: Diabetic kidney disease (DKD), expressed either as albuminuria, low estimated glomerular filtration rate (eGFR) or both, and sexual dysfunction (SD), are common complications among type 2 diabetes mellitus (T2DM) patients. This study aims to assess whether an association exists between DKD and SD, erectile dysfunction (ED) or female sexual dysfunction (FSD) in a T2DM population. Materials and Methods: A cross-sectional study was designed and conducted among T2DM patients. The presence of SD was assessed using the International Index of Erectile Function and the Female Sexual Function Index questionnaires for males and females, respectively, and patients were evaluated for DKD. Results: Overall, 80 patients, 50 males and 30 females, agreed to participate. Sexual dysfunction was present in 80% of the study population. Among the participants, 45% had DKD, 38.5% had albuminuria and/or proteinuria and 24.1% had an eGFR below 60 mL/min/1.73 m2. The eGFR was associated with SD, ED and FSD. Moreover, SD and ED were proven as significant determinants for lower eGFR values in multiple linear regression analyses. DKD was associated with lower lubrication scores and eGFR was associated with lower desire, arousal, lubrication and total scores; however, the multivariate linear regression analyses showed no significant associations between them. Older age resulted in significantly lower arousal, lubrication, orgasm and total FSFI scores. Conclusions: SD is commonly encountered in older T2DM patients and DKD affects almost half of them. The eGFR has been significantly associated with SD, ED and FSD, while SD and ED were proven to be significant determinants for the eGFR levels.

Erectile dysfunction is commonly encountered in diabetic patients and in patients with metabolic syndrome; however, only a few studies have assessed patients with metabolic syndrome and type 2 diabetes mellitus (T2DM) regarding their sexual function. The purpose of this study is to examine the effect of metabolic syndrome and its components on the erectile function of T2DM patients. A cross-sectional study including T2DM patients was conducted from November 2018 until November 2020. Participants were evaluated for the presence of metabolic syndrome and their sexual function was assessed using the International Index of Erectile Function (IIEF) questionnaire. A total of 45 consecutive male patients participated in this study. Metabolic syndrome was diagnosed in 84.4% and erectile dysfunction (ED) in 86.7% of them. Metabolic syndrome was not associated with ED or ED severity. Among metabolic syndrome components, only high-density lipoprotein cholesterol (HDL) was associated with ED [x2 (1, n = 45) = 3.894, p = 0.048; OR = 5.5 (95% CI: 0.890–33.99)] and with the IIEF erectile function scores (median 23 vs. 18, U = 75, p = 0.012). Multiple regression analyses showed that HDL was non-significantly associated with the IIEF erectile function scores. In conclusion, among T2DM patients HDL is associated with ED.

Abstract Diverse taxa have undergone phenological shifts in response to anthropogenic climate change. While such shifts generally follow predicted patterns, they are not uniform, and interspecific variation may have important ecological consequences. We evaluated relationships among species’ phenological shifts (mean flight date, duration of flight period), ecological traits (larval trophic specialization, larval diet composition, voltinism), and population trends in a butterfly community in Pennsylvania, USA, where the summer growing season has become warmer, wetter, and longer. Data were collected over 7–19 years from 18 species or species groups, including the extremely rare eastern regal fritillary Speyeria idalia idalia. Both the direction and magnitude of phenological change over time was linked to species traits. Polyphagous species advanced and prolonged the duration of their flight period while oligophagous species delayed and shortened theirs. Herb feeders advanced their flight periods while woody feeders delayed theirs. Multivoltine species consistently prolonged flight periods in response to warmer temperatures, while univoltine species were less consistent. Butterflies that shifted to longer flight durations, and those that had polyphagous diets and multivoltine reproductive strategies tended to decline in population. Our results suggest species’ traits shape butterfly phenological responses to climate change, and are linked to important community impacts.

Abstract Background Increased urinary albumin excretion (UAE) in diabetes is a sensitive marker of microvascular injury and a reliable predictor of cardiovascular outcomes. Hypertension-induced hemodynamic pressure load, diabetes-related metabolic processes and large artery stiffening have all been implicated in the development of microalbuminuria. We investigated whether hyperglycemia per se, or rather increased blood pressure (BP) and macrovascular dysfunction, is a stronger predictor of UAE at the earliest stages of diabetes. Methods Consecutive newly diagnosed patients with diabetes type 2, who were normoglycemic within a year’s time prior to diagnosis, were enrolled. UAE was estimated in 24-h urine samples. Both office and 24-h ambulatory BP was recorded. Arterial stiffness was evaluated by measurement of carotid-femoral pulse wave velocity (PWV) with applanation tonometry. Results Among 71 newly diagnosed patients with median diabetes duration of just 1 month, 15.5% presented microalbuminuria. UAE did not differ between hypertensive and normotensive diabetics; however, newly diagnosed patients for both hypertension and diabetes exhibited significantly higher levels of UAE, compared to diabetic patients with long-standing hypertension. UAE strongly and significantly correlated with office systolic BP, HbA1c, PWV and estimated glomerular filtration rate. However, in the multivariate analysis adjusting for these factors, only HbA1c was independently associated with UAE (beta = 0.278, p = 0.049). Conclusions Hyperglycemic state emerges as a powerful predictor of increased UAE even at the earliest stages of diabetes. The relative contribution of hypertension and macrovascular dysfunction to the development of microalbuminuria seems to be obscured by hyperglycemia, even in patients whose diabetes onset does not exceed a few months’ time.

Abstract Inferring species' responses to climate change in the absence of long‐term time series data is a challenge, but can be achieved by substituting space for time. For example, thermal elevational gradients represent suitable proxies to study phenological responses to warming. We used butterfly data from two Mediterranean mountain areas to test whether mean dates of appearance of communities and individual species show a delay with increasing altitude, and an accompanying shortening in the duration of flight periods. We found a 14‐day delay in the mean date of appearance per kilometer increase in altitude for butterfly communities overall, and an average 23‐day shift for 26 selected species, alongside average summer temperature lapse rates of 3°C per km. At higher elevations, there was a shortening of the flight period for the community of 3 days/km, with an 8.8‐day average decline per km for individual species. Rates of phenological delay differed significantly between the two mountain ranges, although this did not seem to result from the respective temperature lapse rates. These results suggest that climate warming could lead to advanced and lengthened flight periods for Mediterranean mountain butterfly communities. However, although multivoltine species showed the expected response of delayed and shortened flight periods at higher elevations, univoltine species showed more pronounced delays in terms of species appearance. Hence, while projections of overall community responses to climate change may benefit from space‐for‐time substitutions, understanding species‐specific responses to local features of habitat and climate may be needed to accurately predict the effects of climate change on phenology.

Anxiety is a particular form of emotional distress which is frequently experienced by students with LD. Research has indicated that high levels of anxiety have negative effects on performance on cognitive and academic tasks. Also, findings suggest that children with LD and ADHD present cognitive and neuropsychological deficits. Cognitive behavioral therapy combined with martial arts training is an effective intervention for youth with ADHD symptoms as well as youth with high levels of anxiety.

A new gas inlet port combined with a novel ionization scheme have been developed and coupled to a high-resolution time-of-flight mass spectrometer (TOF MS) for the detection and measurement of atmospheric volatile (VOCs) and intermediate volatility organic compounds (IVOCs). Ions are produced predominantly by charge transfer reactions in a low-temperature plasma ionization source with minimal fragmentation. Enhanced sensitivity is accomplished by incorporating an increased-size inlet capillary in a transverse arrangement to maximize throughput in the ionization source. Additional design aspects of the new mass spectrometer enabling superior transmission include a large acceptance ion funnel and a segmented radio frequency (RF) ion guide with increased space charge storage capacity. An orthogonal TOF analyzer equipped with a two-stage reflectron and tuned to second order is employed for the determination of the mass-to-charge ratio of the ions, with a mass resolving power of >20 k at mass 500 Th. The performance of the instrument was evaluated in tests using VOC standards and in atmospheric chamber experiments to demonstrate the ability to measure a wide range of organic compounds with different functional groups. Linear signal response is demonstrated over a wide range of VOCs used in the calibration processes in the ppb range, while the instrument exhibits linear response in the ppt range as well. Detection limits as low as 1 ppt are accomplished. The potential applications of this new TOF MS instrument were demonstrated in a pilot atmospheric simulation chamber experiment.

As B cells differentiate into antibody-secreting cells (ASCs), short-lived plasmablasts (SLPBs) are produced by a primary extrafollicular response, followed by the generation of memory B cells and long-lived plasma cells (LLPCs) in germinal centers (GCs). Generation of IgG4 antibodies is T helper type 2 (Th2) and IL-4, -13, and -10-driven and can occur parallel to IgE, in response to chronic stimulation by allergens and helminths. Although IgG4 antibodies are non-crosslinking and have limited ability to mobilize complement and cellular cytotoxicity, when self-tolerance is lost, they can disrupt ligand-receptor binding and cause a wide range of autoimmune disorders including neurological autoimmunity. In myasthenia gravis with predominantly IgG4 autoantibodies against muscle-specific kinase (MuSK), it has been observed that one-time CD20+ B cell depletion with rituximab commonly leads to long-term remission and a marked reduction in autoantibody titer, pointing to a short-lived nature of autoantibody-secreting cells. This is also observed in other predominantly IgG4 autoantibody-mediated neurological disorders, such as chronic inflammatory demyelinating polyneuropathy and autoimmune encephalitis with autoantibodies against the Ranvier paranode and juxtaparanode, respectively, and extends beyond neurological autoimmunity as well. Although IgG1 autoantibody-mediated neurological disorders can also respond well to rituximab induction therapy in combination with an autoantibody titer drop, remission tends to be less long-lasting and cases where titers are refractory tend to occur more often than in IgG4 autoimmunity. Moreover, presence of GC-like structures in the thymus of myasthenic patients with predominantly IgG1 autoantibodies against the acetylcholine receptor and in ovarian teratomas of autoimmune encephalitis patients with predominantly IgG1 autoantibodies against the N‐methyl‐d‐aspartate receptor (NMDAR) confers increased the ability to generate LLPCs. Here, we review available information on the short-and long-lived nature of ASCs in IgG1 and IgG4 autoantibody-mediated neurological disorders and highlight common mechanisms as well as differences, all of which can inform therapeutic strategies and personalized medical approaches.

Background and Objectives: Individuals with type 2 diabetes mellitus (T2DM) have an increased risk of cardiovascular disease. Arterial stiffness is an independent prognostic marker for cardiovascular disease development. We aimed at determining the effect of two different sodium-glucose co-transporter-2 (SGLT-2) inhibitors on ambulatory arterial stiffness in individuals with T2DM. Materials and Methods: In this single-center, single-arm, prospective study performed from January 2020 to August 2021, we planned to enroll adult subjects with T2DM and stable antidiabetic and antihypertensive treatment, assigned either to empagliflozin or dapagliflozin for 6 months. All eligible subjects underwent ambulatory blood pressure monitoring. We set as the primary efficacy outcome the change in ambulatory pulse wave velocity (PWV) from baseline to week 24. Results: We finally enrolled 46 diabetic subjects, with a mean age of 62.89 (8.53) years and mean T2DM duration of 9.72 (6.37) years. Thirty patients received dapagliflozin, while sixteen patients received empagliflozin. Due to COVID-19 pandemic restrictive measures during the study, the mean follow-up period extended from 6 months to 9.98 (3.27) months. Regarding the prespecified primary efficacy outcome, we found that the SGLT-2 inhibitor treatment did not have a significant effect on PWV (p = 0.65). Prior history of cardiovascular disease did not significantly affect the observed effects. Other indices of arterial stiffness, such as augmentation index and central pulse pressure, were not significantly affected, neither by empagliflozin nor by dapagliflozin. Conclusions: SGLT-2 inhibitor treatment with empagliflozin or dapagliflozin in subjects with T2DM failed to improve ambulatory PWV over a mean follow-up of 10 months. Registration number: ISRCTN88851713.

Climate change alters organismal performance via shifts in temperature. However, we know little about the relative fitness impacts of climate variability and how cold-adapted ectotherms mediate these effects. Here, we advance the field of climate change biology by directly testing for species performance, considering the effects of different thermal environments at the first developmental stage of larvae. We conducted our experiments in climatic chambers (2019–2020) using five cold-adapted butterflies of the genus Erebia (Erebia aethiops, Erebia cassioides, Erebia manto, Erebia tyndarus, Erebia nivalis). Larvae were reared indoors and were treated with higher and lower temperatures than those of their mothers’ origins. Overall, we found evidence of better performance at warmer temperatures and a decreased performance at lower temperatures, and larvae were able to tolerate small temperature changes from mother’s origin. Warmer conditions, however, were unfavorable for E. nivalis, indicative of its limited elevational range and its poor ability to mediate a variety of thermal conditions. Further, larvae generally performed poorly where there was a large difference in thermal regimen from that of their maternal origin. Future efforts should include additional life history stages and focus on a more mechanistic understanding of species thermal tolerance. Such studies could increase the realism of predicted responses to climate change and could account for asynchronous changes in species development, which will alter community composition and ecosystem functioning.

Abstract The application of complex network theory to community ecology has enabled quantification of interactions among large suites of species and clarified patterns of community structure across systems. Past analyses, however, have assumed that ecological networks are temporally static and persistent and spatially homogeneous, which could confound inference if species interactions vary over time and space. To evaluate temporal and spatial variation in mutualistic networks, therefore, we evaluated the consistency of a nectarivory/pollination network across years, by season, and over space. We tracked nectaring interactions among 37 butterfly and 58 flowering plant taxa during an 11‐yr period (2007–2017), across each summer and over a grassland landscape in Pennsylvania, USA. The composition of butterflies, plants, and their interactions varied markedly across years, months, and sites. Despite this compositional variation, one metric of network structure, nestedness, was invariant, with interactions much more nested than random across all years, months, and sites. Together with previous studies, this result suggests ecological interaction networks are generally more nested than expected by chance. Other measures of network structure were more variable, especially over time. Numbers of plants and interactions varied by year, month, and site. Connectance and numbers of butterflies varied annually and seasonally. Temporal variation in specialization was also evident for some species at an annual level and for the community across the season. We further found highly stable species were almost always generalists, while highly specialized species were almost always temporally and spatially variable, with few exceptions. Together, these results suggest communities are comprised of a reliable core of generalist species, accompanied by a changing suite of specialist species that, when participating in the network, primarily interact with the reliable core species. Our finding of nested mutualistic network centered on stable‐generalist species accompanied by a changing suite of sporadic specialists indicates dynamic changes in ecological communities vary with topological position. This finding further suggests that, even as rare species are highly threatened by species invasion, climate change, and other anthropogenic perturbations, network structure may be robust to species loss and compositional change from these perturbations.

Abstract Introduction Both Type II Diabetes mellitus (DM) and hypertension have been associated with an increased risk for cardiovascular disease and linked to impairments in micro- and macrocirculation. However, previous studies examining micro-and macrocirculation in DM mainly include patients with comorbid hypertension. Therefore, the aim of the study was to compare hemodynamic and vascular indices in DM and non-DM patients, independently of their hypertension status. Materials and Methods Fifty-seven DM patients and 79 non-DM participants were enrolled. Participants underwent physical examination, ambulatory BP monitoring and estimation of pulse wave velocity (PWV) and intima-media thickness (IMT). Resting hemodynamic parameters were assessed by impedance cardiography. Participants also performed a 3-min-submaximal isometric handgrip (30% MVC) with continuous beat-by-beat BP/HR assessment (Finapress). The double product (DP = systolic blood pressure* heart rate) during HG was calculated, as an index of myocardial stress. Results No differences were observed in age, BMI, and resting BP among groups. Patients with DM had significantly higher PWV and IMT (p < 0.01) but lower velocity (VI) and acceleration index (ACI) compared to non-DM individuals (p < 0.05). Hypertensives had significantly higher myocardial stress during exercise compared to normotensives, independently of the presence of diabetes. Conclusion Despite similar blood pressure levels in DM and non-DM groups, the DM patients had higher PWV and IMT than non-DM participants. There were no differences between patients with isolated adequately controlled DM or isolated hypertension in macrocirculation indices, suggesting a possible equal impact of the above diseases on the macrovascular network.

Influenza virus primarily affects the respiratory system. It rarely causes extrapulmonary complications, with otitis media and febrile seizures being the most common in children. Acute glomerulonephritis as a complication of H1N1 influenza virus infection has been described only sporadically.Herein we present a case of acute glomerulonephritis in a previously healthy adolescent, in the context of infection with influenza A H1N1 virus.A 15-year old adolescent was admitted to our pediatric department due to fever, pharyngitis, cough, vomit, dizziness and fatigue. Based on his symptoms and the seasonal epidemiology, empiric treatment with oseltamivir was initiated while waiting for RT-PCR for influenza virus in pharyngeal swab, which was positive for A H1N1 influenza virus. In the first 24 h of admission, the patient presented macroscopic haematuria, which completely subsided in the following days, along with fever recession. The urine microscopic analysis showed findings compatible with acute glomerulonephritis. The patient remained normotasic while his biochemical profile including renal function, as well as further investigation of hematuria (immunoglobulins, C3, C4, ANA, anti-DNA, U/S) were all normal.ASTO levels, which were initially above normal (562 IU/ml), did not increase significantly in the following days, and given the fact that C3 levels were constantly within normal limits and pharyngeal culture was negative for pyogenic streptococcus, they were not considered sufficient for poststreptococcal glomerulonephritis diagnosis.Physicians should be suspicious and include influenza in the differential diagnosis when children present with uncommon symptoms such as hematuria along with even mild respiratory symptoms, during seasonal influenza period. Keywords: Influenza, Acute glomerulonephritis, Hematuria, Influenza complications