Search Results (914)

Background: Infection prevention and control (IPC) in hospitals relies heavily on infection control nurses (ICNs) who manage complex consultations to prevent and control infections. This study evaluated large language models (LLMs) as artificial intelligence (AI) tools to support ICNs in IPC decision-making processes. Our goal is to enhance the efficiency of IPC practices while maintaining the highest standards of safety and accuracy. Methods: A cross-sectional benchmarking study at Queen Mary Hospital, Hong Kong assessed three LLMs—GPT-4.1, DeepSeek V3, and Gemini 2.5 Pro Exp—using 30 clinical infection control scenarios. Each model generated clarifying questions to understand the scenarios before providing IPC recommendations through two prompting methods: an open-ended inquiry and a structured template. Sixteen experts, including senior and junior ICNs and physicians, rated these responses on coherence, conciseness, usefulness and relevance, evidence quality, and actionability (1–10 scale). Quantitative and qualitative analyses assessed AI performance, reliability, and clinical applicability. Results: GPT-4.1 and DeepSeek V3 scored significantly higher on the composite quality scale, with adjusted means (95% CI) of 36.77 (33.98–39.57) and 36.25 (33.45–39.04), respectively, compared with Gemini 2.5 Pro Exp at 33.19 (30.39–35.99) (p < 0.001). GPT-4.1 led in evidence quality, usefulness, and relevance. Gemini 2.5 Pro Exp failed to generate responses in 50% of scenarios under structured prompt conditions. Structured prompting yielded significant improvements, primarily by enhancing evidence quality (p < 0.001). Evaluator background influenced scoring, with doctors rating outputs higher than nurses (38.83 vs. 32.06, p < 0.001). However, a qualitative review revealed critical deficiencies across all models, for example, tuberculosis treatment solely based on a positive acid-fast bacilli (AFB) smear without considering nontuberculous mycobacteria in DeepSeek V3 and providing an impractical and noncommittal response regarding the de-escalation of precautions for Candida auris in Gemini 2.5 Pro Exp. These errors highlight potential safety risks and limited real-world applicability, despite generally positive scores. Conclusions: While GPT-4.1 and DeepSeek V3 deliver useful IPC advice, they are not yet reliable for autonomous use. Critical errors in clinical judgment and practical applicability highlight that LLMs cannot replace the expertise of ICNs. These technologies should serve as adjunct tools to support, rather than automate, clinical decision-making. Full article

Aflatoxin B1 (AFB1) and its metabolite aflatoxin M1 (AFM1) are stable and carcinogenic mycotoxins that are commonly found in dairy products, posing serious food safety concerns. However, conventional degradation methods face limited degradation efficiency and high energy demand. Here, we develop an innovative polyvinylidene fluoride (PVDF) composite membrane incorporating Fe/Co-based metal-organic frameworks (MOF) (Named Fe/Co-MIL-88B(NH₂)) and CaO₂ for targeted aflatoxin removal from milk. This system integrates two synergistic mechanisms: (1) hierarchical porous MOF structures enabling superior aflatoxin adsorption capacity and peroxidase-like catalytic activity, and (2) CaO₂ acts as a controllable-release H₂O₂ donor, supplying a steady flux of reactive oxygen species without the addition of exogenous H₂O₂. Moreover, the PVDF membrane with mechanical stability offers uniform immobilization of active components, which prevents the aggregation of nanozymes. As a result, the integrated membrane achieves high degradation efficiency for AFB1 and AFM1, exceeding 95% within 60 min. By eliminating external oxidant addition and minimizing collateral nutrient damage, the technology demonstrates remarkable operational stability (>10 cycles) and milk quality preservation capability. This breakthrough establishes an efficient and reusable detoxification method, providing new opportunities for mycotoxin mitigation in dairy products through spatiotemporal control of reactive oxygen species. Full article

Maize (Zea mays L.), a globally important cereal crop, is often threatened by aflatoxin contamination, compromising seed quality, nutritional value, and food safety. This study investigated the distribution of macro- and microelements in inner and outer seed fractions of maize with varying aflatoxin B1 (AFB1) levels to identify potential elemental markers of contamination. Macro- and microelements were quantified using ICP-OES and ICP-QMS, and principal component and correlation analyses were applied to explore interelement relationships and sample separation. The inner fraction was enriched in metabolically active elements such as K, Mg, Fe, Zn, Mn, and Ni, while the outer fraction contained higher Na, Ca, Cr, and Co, supporting structural integrity and defense. Strong positive correlations were observed between Mn and Zn in the inner fraction (r = 0.818), as well as between Cr and Zn (r = 0.82) and Co and Zn (r = 0.797) in the outer fraction, whereas Na and Zn showed a negative correlation in the inner fraction (r = −0.739). Na exhibited a nonlinear relationship with AFB1, suggesting complex regulatory mechanisms. Increasing AFB1 concentrations affected elemental composition, with dynamic changes in Cr, Mn, Zn, and Co and reductions in K, reflecting adaptive responses at low toxin levels and disrupted metal homeostasis at higher contamination. Strong associations of Mn, Zn, and Cr with AFB1 indicate their potential as contamination markers. These findings highlight compartment-specific mineral dynamics and their relevance for seed resilience and food safety. Full article

Nuts are nutrient-rich foods that help reduce the risk of coronary heart disease (CHD), but their potential contamination with aflatoxins (AFs) may increase the risk of liver cancer. In this study, the European Benefit–Risk Analysis for Foods (BRAFO) framework was used to evaluate both the health risks and benefits of nut consumption among Chinese adults. Based on the actual consumption patterns of nuts among the Chinese population, the current consumption level was set as the reference scenario (4.66 g/day), and three alternative scenarios were simulated with a daily nut consumption of 10, 20, and 30 g, respectively. Dose–response relationships were established using a two-stage dose–response analysis for nut consumption and CHD risk, and a one-stage dose–response analysis for aflatoxin B1 (AFB1) exposure and liver cancer risk. A Monte Carlo probabilistic model quantified the CHD prevention benefits and liver cancer risks associated with AF exposure. Disability-Adjusted Life Year (DALY) analysis indicated net health benefits in all scenarios, with nut consumptions of 10, 20, and 30 g/day reducing DALYs per 100,000 population by 104.39, 143.63, and 181.47 in men, and by 58.79, 81.29, and 102.94 in women, respectively. A nut consumption of 10 g/day was recommended for Chinese adults, considering both health benefits and the risk of AF exposure. This study presents the first application of the BRAFO framework to evaluate the net health effect of nut consumption in a Chinese population, filling a critical gap in the risk–benefit assessment of nut consumption. Full article

The aim of our study was to make one step further to verify a method that can turn back mycotoxin-contaminated crops into the circular economy. Thus, the possibility of utilizing aflatoxin B1 (AfB1)-contaminated corn by yellow mealworms (Tenebrio molitor) was investigated to be used as fish feed components. Four different self-contaminated corn samples were used in our study, of which one was below and three were above the threshold limit (20 µg/kg) regulated by the European Union. The highest applied AfB1 concentration in our study for insect feeding was 415 µg/kg (more than twenty times higher than the threshold). After a five-week feeding period insect mortality was not increased, even in the highly contaminated group, compared to the negative control. The mycotoxin in the dried and ground insects was only detected in the case of feeding with the highest-concentration corn, however it remained as low as 2.2 µg/kg. For studying the possible physiology effects, insect grounds were used in feeding experiments of common carp (Cyprinus carpio) fries. Results showed that insect meal, even if originated from a highly mycotoxin-contaminated crop, did not have a significant effect on the examined fish fries, compared with the control groups. The AfB1 concentrations of the leftover frass after insect rearing were also measured, and in the case of the highest concentration mealworm group, it was 157.6 µg/kg (other groups were under 20 µg/kg). Toxicity of frass extracts from different contaminated groups was also studied using microinjected zebrafish (Danio rerio) embryos. Extracts of the highly contaminated frass samples caused 91.67 ± 3.33% mortality and led to numerous phenotypic changes, which highlights the need for responsible usage of the by-product. However, the effects of injected frass samples, originating from corn with lower and more environmentally relevant AfB1 concentrations, were significantly lower. Full article

Mycotoxin contamination represents a major risk to both human and animal health. Antioxidants can mitigate some of these effects through free radical scavenging, reduction in oxidative stress, and anti-inflammatory and immunomodulatory actions. This work investigated the potential of antioxidants derived from grapeseed and sea buckthorn to mitigate the adverse effects of aflatoxin B1 (AFB1) and ochratoxin A (OTA) in weaned piglets. An unbiased Data-Independent Acquisition (DIA) proteomic approach was used to analyse the impact of OTA- and AFB1-contaminated diets on liver and kidney cytoplasmic metabolism, particularly focusing on the conjugation phase. Our results indicate that several toxic effects of these mycotoxins were partially alleviated by dietary antioxidant supplementation. Additionally, in kidneys, some of the effects are synergistically amplified, such as proteins involved in fatty acid degradation, peroxisome, PPAR signalling, translation, the TCA cycle, and excretion pathways. Inclusion of antioxidants in the animal diet can have beneficial effects. Nevertheless, caution is advised; synergistic effects can occur with potentially more serious consequences than the effects of mycotoxins alone. Full article

Honey bee health and productivity are strongly linked to management practices and biosecurity measures. We collected and analyzed 744 practice records from 191 peer-reviewed field studies published since 1995, each documenting the impact of a specific hive intervention on colony health or productivity parameters. Practices were categorized into good beekeeping practices (n = 128, 17.2%) and biosecurity measures (n = 616, 82.8%) and grouped by management or pathogen theme, geographic region, and season. Most research originated from Europe (34.6%) and North America (33.4%), with nearly all focused on Apis mellifera (99.9%). Varroa control dominated (57.0%), followed by general apiary management (17.2%) and american foulbrood (9.7%). For varroosis, “soft” acaricides such as oxalic and formic acid accounted for 58.5% of records, while “hard” synthetic products represented 21.0%. Within general apiary management, colony management was most frequent (46.9%). For american foulbrood, antibiotics (41.7%) and biotechnical methods (22.2%) were prominent. Tropilaelaps app. treatments relied mainly on “soft” acaricides (81.5%), while small hive beetle control focused on in-hive traps (55.9%). Seasonally, most interventions occurred from August to October, with AFB measures peaking in spring and early summer. The dataset highlights regional research gaps and offers a structured, expandable framework to guide future research and support evidence-based decision-making in beekeeping and advisory services. Full article

Physiologically based pharmacokinetic (PBPK) models allow to simulate the behaviour of compounds in diverse physiological populations. However, the categorization of individuals into distinct populations raises questions regarding the classification criteria. In previous research, simulations of the pharmacokinetics of the mycotoxin aflatoxin B1 (AFB1), were performed in the black South African population, using PBPK modeling. This study investigates the prevalence of clinical CYP450 phenotypes (CYP2B6, CYP2C9, CYP2C19, CYP2D6, CYP3A4/5) across Sub-Saharan Africa (SSA), to determine the feasibility of defining SSA as a single population. SSA was subdivided into Central, East, South and West Africa. The phenotype data were assigned to the different regions and a fifth SSA group was composed of all regions’ weighted means. Available data from literature only covered 7.30% of Central, 56.9% of East, 38.9% of South and 62.9% of West Africa, clearly indicating critical data gaps. A pairwise proportion test was performed between the regions on enzyme phenotype data. When achieving statistical significance (p < 0.05), a Cohen’s d-test was performed to determine the degree of the difference. Next, per region populations were built using SimCYP starting from the available SSA based SouthAfrican_Population FW_Custom population, supplemented with the phenotype data from literature. Simulations were performed using CYP probe substrates in all populations, and derived PK parameters (C_max, T_max, AUC_ss and CL) were plotted in bar charts. Significant differences between the African regions regarding CYP450 phenotype frequencies were shown for CYP2B6, CYP2C19 and CYP2D6. Limited regional data challenge the representation of SSA populations in these models. The scarce availability of in vivo data for SSA regions restricted the ability to fully validate the developed PBPK populations. However, observed literature data from specific SSA regions provided partial validation, indicating that SSA populations should ideally be modelled at a regional level rather than as a single entity. The findings, emerging from the initial AFB1-focused PBPK work, underscore the need for more extensive and region-specific data to enhance model accuracy and predictive value across SSA. Full article

Aflatoxin (AF) contamination in pistachios remains a critical food safety and trade challenge, given the potent carcinogenicity of AF-B₁ and the nut’s high susceptibility to Aspergillus infection throughout production and storage. Traditional decontamination methods such as roasting, irradiation, ozonation, and acid/alkaline treatments can reduce AF levels but often degrade sensory and nutritional quality, implying the need for more sustainable approaches. In recent years, innovative nonthermal interventions, including pulsed light, cold plasma, nanomaterial-based adsorbents, and bioactive coatings, have demonstrated significant potential to decrease fungal growth and AF accumulation while preserving product quality. Biosensing technologies such as electrochemical immunosensors, aptamer-based systems, and optical or imaging tools are advancing rapid, portable, and sensitive detection capabilities. Combining these experimental strategies with artificial intelligence (AI) and machine learning (ML) models can increasingly be applied to integrate spectral, sensor, and imaging data for predicting fungal development and AF risk in real time. This review brings together progress in nonthermal reduction strategies, biosensing innovations, and data-driven approaches, presenting a comprehensive perspective on emerging tools that could transform pistachio safety management and strengthen compliance with global regulatory standards. Full article

Grapes are frequently contaminated by Aspergillus section Nigri fungi and ochratoxin A (OTA), with A. niger also capable of producing substantial fumonisin B₂ (FB₂) levels. Emerging evidence suggests that aflatoxigenic fungi may eventually replace ochratoxigenic fungi in certain regions due to better adaptation to changes in climatic conditions. However, research on the toxigenic fungal community and mycotoxins in grapes from organic vineyards remains limited. Research on Spanish conventional grapes is also deficient, with most of the available literature being outdated. The present study investigates the diversity of toxigenic fungi and the presence of mycotoxins in organically cultivated grape berries in Spain, which are renowned for their significant oenological tradition. This study employed species-specific PCR protocols for fungal characterization and optimized methods for the analysis of OTA, FB₂, and aflatoxin B₁ (AFB₁) by UPLC–ESI–MS/MS. The most prevalent species present were Aspergillus flavus, A. niger, A. parasiticus, A. steynii, A. carbonarius, and A. westerdijkiae (67.1%, 43.5%, 20.0%, 14.1%, 14.1%, and 11.8% of the samples, respectively). OTA was detected only in 16 samples (19%), averaging 0.48 ng/g and peaking at 0.7 ng/g, which were lower than previously reported for conventional grapes. There was no FB₂ or AFB₁ detected. This study is pioneering in its exploration of the occurrence of toxigenic mycobiota, beyond Nigri fungi, and subsequent potential for other serious mycotoxins to contaminate Spain’s organic grapes. Full article

Aflatoxin B₁ (AFB₁), the most potent and widespread mycotoxin produced by Aspergillus flavus and Aspergillus parasiticus, poses a significant global threat to food safety and human health, with chronic exposure strongly linked to hepatocellular carcinoma (HCC). While physical and chemical detoxification approaches exist, their limitations have led to an increased interest in biological strategies, particularly probiotic interventions. In this review, we synthesize current in vivo and clinical evidence on the ability of probiotic lactic acid bacteria—including Lactobacillus casei Shirota, Lactobacillus rhamnosus GG, Lactobacillus rhamnosus LC705, Lactococcus lactis, and selected Bifidobacterium species—to reduce AFB₁ absorption and toxicity. We summarize mechanistic insights into cell wall adsorption, gut microbiota modulation, intestinal barrier protection, and antioxidant enhancement. Clinical trials have shown reductions in AFB₁ biomarkers following probiotic supplementation, supporting their translational potential for human health. However, clinical evidence remains limited by small sample sizes, short intervention periods, and variability in endpoints. Collectively, this review consolidates mechanistic, preclinical, and clinical findings to position probiotic lactic acid bacteria as promising biological countermeasures against AFB1-induced hepatocellular carcinoma. Full article

Mycotoxins, toxic fungal secondary metabolites, exhibit a diverse array of toxicological effects, including hepatotoxicity, carcinogenicity, estrogenicity, immunotoxicity, and neurotoxicity. These toxins cause severe contamination in food, feed, and traditional Chinese medicines (TCMs), threatening global food security and imposing substantial economic burdens. Among over 400 distinct mycotoxins identified to date, aflatoxin B1 (AFB1), ochratoxin A (OTA), and zearalenone (ZEN) stand out for their pervasive contamination and grave toxicities. Upon absorption, these toxins undergo biotransformation into reactive metabolites that exert multifaceted toxicities via mechanisms such as carcinogenesis, estrogenic effects, oxidative stress, inflammation, and abnormal apoptosis, collectively threatening human and livestock health. The application of natural and engineered enterosorbents suppresses intestinal absorption and subsequent bioactivation of mycotoxins, while dietary small-molecule bioactive compounds neutralize post-absorption toxicity via biotransformation intervention and cytoprotective reinforcement, collectively preventing the onset and progression of related diseases. This paper reviews the biosynthetic routes of three representative mycotoxins (AFB1, OTA, and ZEN), along with their biotransformation and underlying pathogenic mechanisms. Furthermore, nutritional intervention approaches targeting the underlying mechanisms to ameliorate mycotoxin-induced damage are discussed. This review not only provides valuable insights for future research on mycotoxin toxicity, but also establishes a theoretical foundation for utilizing dietary strategies to counteract mycotoxin-induced physical damage. Full article

Aflatoxin B₁ (AFB₁) contamination in Scutellaria baicalensis poses a serious threat to the safety of traditional Chinese medicinal products. In this study, a sensitive and reliable ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS) method was developed for the quantitative determination of AFB₁ in Scutellaria baicalensis. Method optimization included selection of chromatographic columns, mobile phase composition, and mass spectrometric parameters. Sample pretreatment was also optimized to reduce matrix interference and enhance extraction efficiency. The method showed excellent linearity (R² > 0.999) in the range of 0.1–10.0 µg/L, with a limit of detection (LOD) of 0.03 µg/kg and a limit of quantification (LOQ) of 0.10 µg/kg. Precision and recovery studies demonstrated good repeatability and accuracy, with intra- and inter-day relative standard deviations (RSDs) below 5.2% and recoveries ranging from 88.7% to 103.4%. Application of the method to six commercial Scutellaria baicalensis samples revealed detectable AFB₁ in two samples, though all levels were below national safety limits. This method provides a robust tool for routine monitoring of AFB₁ in herbal medicines and supports the establishment of quality control systems for Scutellaria baicalensis. Full article

In recent years, as two globally recognized green grain storage technologies, CO₂-modified atmosphere (CO₂) storage and temperature-controlled (TC) storage have gained prominence. However, research on their integrated application remains limited. This study monitored quality dynamics and microbial activity in rice stored for 360 days under CO₂ + TC versus conventional storage (control), with analyses conducted at stratified sampling points (upper, middle, and lower layers). Compared to conventional storage, CO₂ + TC preserved rice color more effectively, while retarding the increase in fatty acid value and the decline in brown rice yield, head rice yield, and germination percentage. Furthermore, CO₂ + TC storage effectively suppresses the proliferation of Fusarium and Aspergillus, thereby retarding aflatoxin B1 (AFB1) accumulation by inhibiting fungal metabolic activity. Non-targeted metabolomics analysis further verified that CO₂ + TC storage enhanced rice antioxidant capacity and disease resistance by modulating amino acid, carbohydrate, and linolipid metabolic pathways. This technology effectively maintained nutrient retention (e.g., amino acids and proteins) and delayed quality deterioration in stored rice. These findings elucidated the underlying mechanism of CO₂ + TC on rice quality, offering a novel perspective for grain storage technology. Full article

Tuberculosis (TB) remains a major global health challenge, particularly in resource-limited settings where access to rapid and reliable diagnostics is limited. Conventional diagnostic methods, such as smear microscopy and culture, are either time-consuming or lack adequate sensitivity. This study optimized recombinase polymerase amplification (RPA) using 16 primer combinations targeting IS6110 highly specific to the Mycobacterium tuberculosis complex (MTC). A novel naked-eye assay, TB-GoldDx, was developed by integrating RPA combined with gold nanoparticles (AuNPs), enabling equipment-free diagnostics. TB-GoldDx demonstrated a detection limit of 0.001 ng of MTB H37Rv DNA (~210 bacilli) per 25 µL reaction. Among 100 bacterial strains, it achieved 95.83% sensitivity and 100% specificity among 100 bacterial strains, comprising 72 MTB isolates and 28 nontuberculous bacterial species. In 140 sputum samples, the assay showed 81.43% sensitivity and 58.57% specificity versus acid-fast bacilli (AFB) smear microscopy, with sensitivity improving to 95.45% in high-load AFB 3+ specimens. Compared to a commercial line probe assay (LPA), TB-GoldDx exhibited slightly higher sensitivity (84.78% vs. 82.61%) but lower specificity (54.05% vs. 78.38%). Delivering rapid, visual results in under an hour, TB-GoldDx offers a low-cost, easily deployable solution for point-of-care tuberculosis detection, especially in underserved regions, reinforcing global End TB efforts. Full article