Sci

Iron deficiency anemia remains a major public health concern in Brazil, particularly among children, pregnant women, and women of childbearing age. This scoping review aimed to map the trend line of public policies on iron supplementation and food fortification implemented between 1977 and 2025. The review followed PRISMA-ScR guidelines and the Joanna Briggs Institute methodology, and included searches in PubMed/MEDLINE, Scopus, Web of Science, Embase, Google Scholar, and official government documents. Three main strategies were identified: iron supplementation, mandatory food fortification, and nutrition education. Key milestones included the National Iron Supplementation Program, the 2002 ANVISA Resolution (RDC No. 344/2002) mandating wheat and corn flour fortification, and the launch of the NutriSUS program in 2014. Despite important normative and programmatic advances, persistent critical issues remain, including low adherence, inadequate monitoring, data discontinuity, and bureaucratic barriers. Strengthening intergovernmental coordination, improving information systems, and adopting more bioavailable iron compounds are essential to increase the effectiveness of public policies aimed at preventing and controlling iron deficiency anemia in Brazil.

Cement production in Africa remains carbon-intensive, primarily due to the use of coal-based thermal energy. This study conducts a comparative cradle-to-gate life cycle assessment (LCA) of cement production using 100% coal (Scenario A) against partial substitution with refuse-derived fuel (RDF) at a 20% thermal input rate (Scenario B), with case studies in South Africa and Ethiopia. The LCA, modeled in SimaPro 9.2.0.1 with Ecoinvent v3.7.1 and regional data, evaluates midpoint environmental impacts across the following five stages: raw materials, clinker production, electricity, fuel use, and transportation. The results show that Scenario B reduces the global warming potential (GWP) by 3.3–4.2% per kg of cement, with minimal increases in other impact categories. When avoided landfill methane is accounted for, GWP reduction improves to 6.7%. Fossil resource depletion drops by 10%, and toxicity and particulate emissions show marginal improvements. Economic analysis under South Africa’s 2025 carbon policy reveals a modest net cost increase of $2–3 per ton of cement and an abatement cost of $64–87 per ton of CO₂. The study provides new insights by harmonizing LCA models across national contexts, linking emissions reductions to economic instruments, and quantifying the co-benefits of RDF for waste management. The results support RDF co-processing as a scalable mitigation strategy for the African cement sector, recommending substitution rates of 15–30%, policy alignment, and enhancement of the RDF supply chain to maximize impact.

Large language models (LLMs) are rapidly being explored as tools to support learning and assessment in health science education, yet their performance across discipline-specific evaluations remains underexamined. This study evaluated the accuracy of two prominent LLMs on university-level pharmacognosy examinations and compared their performance to that of pharmacy students. Authentic exam papers comprising a range of question formats and content categories were administered to ChatGPT and DeepSeek using a structured prompting approach. Student data were anonymized and LLM responses were graded using the same marking criteria applied to student cohorts, and a Monte Carlo simulation was conducted to determine whether observed performance differences were statistically meaningful. Facility Index (FI) values were calculated to contextualize item difficulty and identify where LLM performance aligned or diverged from student outcomes. The models demonstrated variable accuracy across question types, with a stronger performance in recall-based and definition-style items and comparatively weaker outputs for applied or interpretive questions. Simulated comparisons showed that LLM performance did not uniformly exceed or fall below that of students, indicating dimension-specific strengths and constraints. These findings suggest that while LLM-resistant examination design is contingent on question structure and content, further research should refine their integration into pharmacy education.