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25 pages, 2910 KB  
Review
Effects of Aging on Determinants of Endurance Performance in Women Masters Athletes: A Scoping Review
by Danica Vangsgaard, Misa Noumi, K. Alix Hayden and Patricia K. Doyle-Baker
Healthcare 2026, 14(8), 1080; https://doi.org/10.3390/healthcare14081080 (registering DOI) - 17 Apr 2026
Abstract
Background/Objectives: Masters athletes are adults aged ≥40 who compete in sport, exhibiting superior physical function and healthier aging than their sedentary peers. However, even highly trained masters athletes experience age-related performance declines. Women masters athletes represent a growing yet understudied population who may [...] Read more.
Background/Objectives: Masters athletes are adults aged ≥40 who compete in sport, exhibiting superior physical function and healthier aging than their sedentary peers. However, even highly trained masters athletes experience age-related performance declines. Women masters athletes represent a growing yet understudied population who may face unique physiological challenges. This scoping review synthesizes literature from 1984 to 2024, examining the impact of age and menopause on determinants of endurance performance in women masters athletes. Methods: Following JBI scoping review methodology, six databases were searched (Medline, Embase, Central, CINAHL, SPORTdiscus, Scopus). Studies were evaluated for population characteristics, methodological approaches, and physiological determinants of performance (i.e., aerobic capacity, lactate kinetics, and exercise economy). Results: Twenty-nine studies were included. Most (n = 28) assessed aerobic capacity, reporting declines between 0.36 and 0.84 mL·kg−1·min−1·year−1 (0.5–2.4%·year−1). These reductions were primarily associated with decreased cardiac output followed by changes in body composition. Training volume emerged as a predictor of aerobic capacity, but the effects of menopause were unclear. Findings on lactate kinetics and exercise economy were mixed but preliminary research indicated that lactate threshold relative to VO2max generally increased, peak lactate remained stable and energy cost increased with age. Fitness and health characteristics among women athletes differed from sedentary populations, emphasizing the need for athlete-specific data to support training and health decisions. Conclusions: Aging is associated with decreased aerobic capacity and variable changes in lactate kinetics and exercise economy. While training volume may attenuate performance decrements, the impact of menopause remains uncertain, underscoring the need for longitudinal research to better support this growing segment of the population. Full article
(This article belongs to the Special Issue Benefits of Exercise on Reproductive Health)
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28 pages, 1012 KB  
Conference Report
Eastern Canadian Gastrointestinal Cancer Consensus Conference 2025
by Arwa Ahmed, Stéphanie L. Mercier, Ravi Ramjeesingh, Robert Thompson, Donald James Bastin, Silvana Spadafora, Thais Baccili Cury Megid, Vladimir Djedovic, Amandeep S. Taggar, Conrad Falkson, Abdul Rehman Farooq, Gordon Emil Locke, Stacie Connors, Hao Yu Wang, Mustapha Tehfe, Francine Aubin, Setareh Samimi, James Michael, Holly Campbell, Eve St-Hilaire, Suneil Khanna, Mohammed Saud Ali Al Darai, Pierre Whitlock, Angela Hyde, Luisa Galvis, Marie-Philippe Saltiel, Adrian Bailey, Doha Itani, Rakesh Goel, Wadima Aldarmaki, Shivani Dadwal, Rachel Goodwin and Timothy R. Asmisadd Show full author list remove Hide full author list
Curr. Oncol. 2026, 33(4), 228; https://doi.org/10.3390/curroncol33040228 - 17 Apr 2026
Abstract
The Eastern Canadian Gastrointestinal Cancer Consensus Conference convened annually and was held in Fredericton, New Brunswick, from 18 to 20 September 2025. Attendees included experts in medical oncology, radiation oncology, nuclear medicine, and general practitioners in oncology (GPO) from across the eastern Canadian [...] Read more.
The Eastern Canadian Gastrointestinal Cancer Consensus Conference convened annually and was held in Fredericton, New Brunswick, from 18 to 20 September 2025. Attendees included experts in medical oncology, radiation oncology, nuclear medicine, and general practitioners in oncology (GPO) from across the eastern Canadian provinces who are engaged in the care and management of patients with gastrointestinal malignancies. The consensus statement resulting from this meeting addresses several key topics, including the management of early-stage gastroesophageal junction cancer, recent developments in molecular biomarkers and colorectal cancer treatments, secondary prevention strategies for colorectal cancer, and treatment of hepatocellular carcinoma. Full article
(This article belongs to the Section Gastrointestinal Oncology)
16 pages, 2060 KB  
Article
Comparison of Absolute and Individualized Physical Activity Intensity Thresholds Using Non-Dominant Wrist-Worn Accelerometry in Military Office Workers
by Maaike Polspoel, Tara Reilly, Damien Van Tiggelen and Patrick Calders
Appl. Sci. 2026, 16(8), 3931; https://doi.org/10.3390/app16083931 - 17 Apr 2026
Abstract
Accurate classification of physical activity (PA) intensity is essential for exercise prescription, rehabilitation monitoring, and evaluation of guideline adherence. However, widely used wrist-worn accelerometer cut-points may substantially misclassify physiological intensity. This study evaluated absolute accelerometer thresholds during a maximal 2400 m run in [...] Read more.
Accurate classification of physical activity (PA) intensity is essential for exercise prescription, rehabilitation monitoring, and evaluation of guideline adherence. However, widely used wrist-worn accelerometer cut-points may substantially misclassify physiological intensity. This study evaluated absolute accelerometer thresholds during a maximal 2400 m run in military office workers and examined whether individualized cut-points improve agreement with physiological intensity. Seventy-four military office workers completed the test while wearing a wrist-worn ActiGraph GT9X Link and a chest-worn Zephyr BioHarness. Participants achieved near-maximal physiological effort, with peak heart rate averaging 187 ± 11 bpm (95 ± 4.2% age-predicted HRmax). Despite this high intensity, absolute wrist-worn cut-points classified only 34.5% of participants as performing vigorous activity for most of the test. Individualized cut-points, derived from each participant’s individual reference intensity, calculated as the three highest consecutive one-minute epochs during the 2400 m test, substantially improved agreement between accelerometer-derived classifications and physiological intensity. Agreement with %HRmax increased from fair (κ = 0.31), using absolute thresholds, to good (κ = 0.74), using individualized thresholds, and intraclass correlation increased from 0.52 to 0.81. These findings demonstrate that absolute cut-points markedly underestimate high-intensity activity, potentially leading to inaccurate exercise load monitoring and misinterpretation of training intensity. Individualized calibration during a standardized maximal running test provides a feasible strategy to improve the validity of intensity assessment using wearables. Although the study population consisted of military office workers, the approach may be applicable to other active populations. However, further validation in independent samples is needed. Full article
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23 pages, 3854 KB  
Perspective
Potential Impact of Fires on Enhanced Rock Weathering: Learning from the Effects of Fires on Soil Properties and Nutrients
by Karam Abu El Haija and Rafael M. Santos
Fire 2026, 9(4), 173; https://doi.org/10.3390/fire9040173 - 17 Apr 2026
Abstract
Enhanced rock weathering (ERW) is a promising carbon dioxide removal strategy that accelerates silicate mineral dissolution to generate alkalinity and sequester carbon in soils and aquatic systems. The frequency and severity of fires are increasing globally, and fire-prone regions such as agricultural lands, [...] Read more.
Enhanced rock weathering (ERW) is a promising carbon dioxide removal strategy that accelerates silicate mineral dissolution to generate alkalinity and sequester carbon in soils and aquatic systems. The frequency and severity of fires are increasing globally, and fire-prone regions such as agricultural lands, forests, and grasslands overlap substantially with potential ERW deployment areas. However, fire–ERW interactions remain unexamined. This perspective synthesizes the literature on fire effects on soil properties to develop a conceptual framework for predicting fire impacts on ERW performance. An assessment of the available literature reveals that the effects of fire on soil pH and inorganic carbon are nonlinear with respect to severity, complicating both dissolution kinetics and carbon verification. Base cation pulses from ash are temporary and subject to rapid export. Fire-induced soil water repellency and erosion may dominate chemical effects in controlling ERW material fate, particularly during the first year post-fire. Pyrogenic carbon and thermally altered minerals create novel soil‒rock interactions with unknown consequences for weathering rates. The authors concluded that fire history must be incorporated as a covariate in ERW deployment planning and monitoring, reporting, and verification design. Full article
22 pages, 3461 KB  
Article
When Anger Strikes: Using AI Modelling to Understand How Negative Emotions Impact Performance in Digital Math Games
by Ana Zdravkovic Barber, Steve Engels and Earl Woodruff
Behav. Sci. 2026, 16(4), 597; https://doi.org/10.3390/bs16040597 - 17 Apr 2026
Abstract
Digital game-based learning environments (DGBLEs) are increasingly integrated into classrooms as learning tools, yet limited research exists regarding the impact of students’ discrete emotions on digital gameplay performance. This study examined the role of emotions and arousal in predicting performance outcomes during digital [...] Read more.
Digital game-based learning environments (DGBLEs) are increasingly integrated into classrooms as learning tools, yet limited research exists regarding the impact of students’ discrete emotions on digital gameplay performance. This study examined the role of emotions and arousal in predicting performance outcomes during digital gameplay. Thirty-two grade 5 students (Mage = 10.99, 62.5% male) played four digital games (two math; two identically designed non-math). During gameplay, real-time heart rate and affective data were collected and analyzed using an interpretable machine learning approach (XGBoost). Results suggest that students performed better on non-math games, as compared to math games. Real-time anger was associated with lower performance, particularly in games, whereas other emotions and physiological measures were not significant predictors. This pilot investigation suggests that discrete emotions, particularly anger, may play a more important role in performance during math gameplay than in comparable non-math activities. The results highlight the importance of supporting emotional regulation during digital math learning, as unmanaged anger may impact performance. This study contributes to the growing literature on affective dynamics in digital game-based learning. Full article
(This article belongs to the Special Issue Play, Learn, Adapt: The Evolution of Flexible and Gamified Education)
25 pages, 1069 KB  
Article
UAV-Based Multispectral Phenotyping and Machine-Learning Modeling Reveals Early Canopy Traits as Strong Predictors of Yield and Weed Competitiveness in Oat (Avena sativa L.)
by Dilshan Benaragama, Mujahid Hussain, Brianna Senetza, Steve Shirtliffe and Chris Willenborg
Remote Sens. 2026, 18(8), 1211; https://doi.org/10.3390/rs18081211 - 17 Apr 2026
Abstract
Understanding how oat (Avena sativa L.) cultivars differ in canopy development and competitive ability is essential for improving yield stability under increasing weed pressure. This study used unmanned aerial vehicle (UAV)-based multispectral imaging to characterize the temporal spectral and structural traits of [...] Read more.
Understanding how oat (Avena sativa L.) cultivars differ in canopy development and competitive ability is essential for improving yield stability under increasing weed pressure. This study used unmanned aerial vehicle (UAV)-based multispectral imaging to characterize the temporal spectral and structural traits of sixteen oat cultivars grown under weed-free and weedy conditions across two locations for two years. Weedy conditions involved natural weed populations and pseudo-weeds where canola (Brassica napus) seeded as a weed. Weekly drone imaging was carried out using a multispectral sensor, which provided vegetation indices (NDVI, NDRE, ExG) and canopy metrics (ground cover, height, volume). Logistic and Gompertz models were fitted to cultivar traits to describe growth trajectories and obtain dynamic growth parameters. Cultivars showed clear differences in early canopy expansion, maximum NDVI, and canopy volume, with forage types expressing aggressive growth and several grain types combining high early growth rate with high yield potential. Machine-learning models integrating static and dynamic UAV-derived plant traits identified early ground cover and NDRE at three weeks after planting as the strongest predictors of grain yield. Models accurately predicted both weed-free (MAE = 262, R2 = 0.90) and weedy yield (MAE = 258, R2 = 0.90), demonstrating that early-season UAV traits capture the physiological and structural characteristics associated with competitive ability and grain yield. These findings show that high-throughput UAV phenotyping can reliably identify traits linked to yield formation and weed tolerance, providing a scalable approach for selecting competitive oat cultivars without relying solely on labor-intensive weedy field trials. Full article
22 pages, 673 KB  
Review
Combining External Beam Radiotherapy and Immunotherapy for the Treatment of Hepatocellular Carcinoma
by Connie Le, Aswin G. Abraham, Keith Tankel, Nawaid Usmani, Kurian Joseph, Diane Severin, Fatimah AlFaraj and Laura A. Dawson
Curr. Oncol. 2026, 33(4), 226; https://doi.org/10.3390/curroncol33040226 - 17 Apr 2026
Abstract
The advent of immune checkpoint inhibitors has driven progress in hepatocellular carcinoma (HCC) treatment outcomes and enabled opportunities for combining therapeutic modalities. Growing evidence substantiates the utility of radiotherapy, particularly at ablative doses, in the management of HCC. Given the potential for radiotherapy [...] Read more.
The advent of immune checkpoint inhibitors has driven progress in hepatocellular carcinoma (HCC) treatment outcomes and enabled opportunities for combining therapeutic modalities. Growing evidence substantiates the utility of radiotherapy, particularly at ablative doses, in the management of HCC. Given the potential for radiotherapy to induce an immunostimulatory environment and potentiate immune checkpoint inhibitor activity, the expanding HCC treatment landscape compels exploration of the combination of radiotherapy and immunotherapy. This review highlights recent advances in the treatment of HCC using radiotherapy and immunotherapy in combination. Radiation can potentiate an anti-tumor response and tumor microenvironment permissive to immunotherapy. Results from randomized clinical trials and retrospective studies consistently show that combinations of radiotherapy and immunotherapy improved the treatment outcomes of unresectable or advanced HCC—especially HCC with macrovascular invasion. Active research to further improve treatment efficacy and reduce side effects is exemplified by more than 20 ongoing clinical trials combining external beam radiotherapy and immunotherapy to treat HCC. Ongoing research aims at prolonging survival and downstaging advanced or unresectable HCC. Full article
(This article belongs to the Section Gastrointestinal Oncology)
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35 pages, 7317 KB  
Article
Mechanistic Insights into the Anti-Virulence Effects of Viroelixir, a Phenolic Blend from Green Tea and Pomegranate, on Streptococcus mutans
by Manal Dahdah, Vijaykumar D. Nimbarte, Mahmoud Rouabhia, Yasmine Ettouil, Hawraa Issa, Latifa Koussih, Mikhlid H. Almutairi and Abdelhabib Semlali
Antibiotics 2026, 15(4), 406; https://doi.org/10.3390/antibiotics15040406 - 17 Apr 2026
Abstract
Background: Dental caries remains one of the most prevalent oral diseases worldwide, largely driven by the virulence of Streptococcus mutans. Although plant phenolics from green tea and pomegranate are known for their antimicrobial properties, their molecular mechanisms of action against key [...] Read more.
Background: Dental caries remains one of the most prevalent oral diseases worldwide, largely driven by the virulence of Streptococcus mutans. Although plant phenolics from green tea and pomegranate are known for their antimicrobial properties, their molecular mechanisms of action against key S. mutans virulence targets remain insufficiently characterized. Aim: This study investigated the antibacterial and anti-virulence properties of Viroelixir, a phenolic-rich formulation derived from green tea (Camellia sinensis) and pomegranate (Punica granatum), against S. mutans, with particular emphasis on predictive molecular docking interactions with critical virulence-associated proteins. Methods: Viroelixir phytochemical composition was characterized by LC–MS using a C18 reverse-phase column and negative electrospray ionization mode. Antibacterial activity was evaluated using growth kinetics, agar plating, and crystal violet assays. Acidogenicity, hemolytic activity, and biofilm formation were assessed using pH modulation, hemolysis assays, SEM, and biofilm biomass quantification. Virulence gene expression was analyzed by RT-qPCR. In silico molecular docking was performed to explore potential interactions between major LC–MS-supported phenolic constituents and S. mutans virulence proteins, including glucosyltransferase B (GtfB), LuxS, and SpaP. Biocompatibility was evaluated in human gingival epithelial cells. Results: The LC-MS analysis revealed a complex mixture of phenolic compounds consistent with catechins and ellagitannins. Compound identification was considered tentative and based on mass spectral range and chromatographic behavior. Viroelixir significantly inhibited S. mutans growth, acid production, hemolytic activity, and biofilm formation in a concentration-dependent manner. Key virulence genes were markedly downregulated. Docking analyses suggested stable binding of selected phenolics—particularly punicalagin, catechin, and epigallocatechin—within the active sites of GtfB, LuxS, and SpaP. Importantly, Viroelixir showed no cytotoxic effects on gingival epithelial cells. Conclusions: Viroelixir exerts potent antibacterial and anti-virulence effects against S. mutans through a multi-target mechanism combining transcriptional suppression and predictive molecular inhibition of virulence proteins, supporting its potential as a safe, natural therapeutic for caries prevention. Full article
(This article belongs to the Section Antibiofilm Strategies)
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17 pages, 1964 KB  
Article
A Plasma-Functionalized ECM Platform for Intraoral Inflammation Control: Comparative Effects of Hyaluronic Acid and N-Acetyl-L-Cysteine on Oral Keratinocyte Response
by Pedro U. Muñoz-González, Pascale Chevallier, Leyla Desparois, Sylvie Louise Avon, Fatiha Chandad, Diego Mantovani and Vanessa P. Houde
Polymers 2026, 18(8), 977; https://doi.org/10.3390/polym18080977 - 17 Apr 2026
Abstract
Oral mucosal ulcers sustain a persistent inflammatory and oxidative microenvironment that interferes with epithelial repair and delays healing. Although hyaluronic acid (HA) is used in oral wound management due to its biocompatibility and hydrating properties, its biological activity is highly context-dependent and can [...] Read more.
Oral mucosal ulcers sustain a persistent inflammatory and oxidative microenvironment that interferes with epithelial repair and delays healing. Although hyaluronic acid (HA) is used in oral wound management due to its biocompatibility and hydrating properties, its biological activity is highly context-dependent and can be compromised under inflammatory conditions. In contrast, N-acetyl-L-cysteine (NAC) is a well-established antioxidant with documented anti-inflammatory effects, yet its rapid clearance limits its effectiveness when applied locally. In this study, the effects of HA and NAC, individually and in combination, on metabolic activity and inflammatory responses of TNF-α–stimulated human gingival keratinocytes were evaluated. In parallel, the individual immobilization of HA or NAC onto plasma-activated decellularized extracellular matrix (dECM) films was investigated as a materials-oriented approach for potential localized intraoral applications. NAC significantly attenuated TNF-α-induced IL-6 and IL-8 secretion, reducing both cytokines by approximately 99%, while preserving keratinocyte metabolic activity. HA displayed limited immunomodulatory effects. The combined HA + NAC condition did not improve the response compared with NAC alone. Plasma treatment enabled stable individual grafting of HA and NAC onto dECM films, and both functionalized surfaces retained chemical stability under saliva-like conditions. Collectively, these findings identify NAC as the most effective anti-inflammatory candidate under the tested cellular conditions and support plasma-functionalized dECM films as a feasible platform for future biological evaluation in intraoral applications. Full article
(This article belongs to the Section Biobased and Biodegradable Polymers)
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19 pages, 3050 KB  
Article
Feasibility of Non-Sedate Magnetic Resonance Imaging for Children with Cerebral Palsy: Tolerance and Structural Analysis Considerations
by Stefanie S. Bradley, Elizabeth Pulcine, F. Virginia Wright, Manohar Shroff, Kevin Chung and Tom Chau
Children 2026, 13(4), 560; https://doi.org/10.3390/children13040560 - 17 Apr 2026
Abstract
Background/Objectives: Non-sedate magnetic resonance imaging (MRI) can be challenging for young children with neuromotor disabilities, often resulting in motion-degraded images that complicate interpretation in the context of underlying neuropathology. This study aimed to characterize tolerance factors and barriers related to awake MRI [...] Read more.
Background/Objectives: Non-sedate magnetic resonance imaging (MRI) can be challenging for young children with neuromotor disabilities, often resulting in motion-degraded images that complicate interpretation in the context of underlying neuropathology. This study aimed to characterize tolerance factors and barriers related to awake MRI of the pediatric brain and to examine additional considerations in analyzing structural scans affected by motion and pathology. Methods: 10 children (mean age 5y9m; 5 girls; GMFCS level IV) with cerebral palsy (CP) underwent non-sedate 3T MRI of the brain. Tolerance factors and challenges were documented. MRI quality and automated structural preprocessing with Freesurfer (FS) v.8.0 were reviewed by a pediatric neuroradiologist and neurologist. To assess the impact of motion, automated basal ganglia segmentation was compared with manual segmentation. Segmentation accuracy was characterized using Dice Coefficient (D). Results: Five participants (50%) tolerated non-sedate structural MRI, although two of them were unable to remain still. Factors affecting MRI tolerance included sensitivity to scanner noise (n = 4), hyperkinetic movement (n = 2), difficulty with positioning/padding (n = 4), fear of clinical environment (n = 2) or confined scanner interior (n = 2), and earbud discomfort (n = 3). Automated structural preprocessing with FS yielded discrepancies in gray-white matter boundaries in motion-degraded scans, necessitating manual correction. Automated segmentation of motion-compromised scans closely agreed with manual delineation of the caudate (D ≥ 0.85) and putamen (D ≥ 0.78), while the pallidum was least reproducible (D = 0.58). Conclusions: Tailored acquisition and processing strategies are necessary to support non-sedate MRI in children with CP, preserve downstream neuroimaging analyses, and promote inclusion of underrepresented populations in research. Full article
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14 pages, 625 KB  
Article
A Randomized Trial Evaluating Personalized Versus Guideline-Based Well Follow-Up Strategies for Patients with Early Breast Cancer: Feasibility Outcomes
by Ana-Alicia Beltran-Bless, Emma Himmelman, Alexander Kim, Gregory R. Pond, Parvaneh Fallah, Terry Ng, John Hilton, Marie-France Savard, Gail Larocque, Kelly-Anne Baines, Kendra Primeau, Deanna Saunders, Danielle Allard, Lisa Vandermeer and Mark Clemons
Curr. Oncol. 2026, 33(4), 224; https://doi.org/10.3390/curroncol33040224 - 17 Apr 2026
Abstract
Despite the paucity of high-quality data supporting its benefits, routinely scheduled, in-person post-treatment surveillance of early breast cancer (EBC) patients remains common. Evaluation of different follow-up strategies is required. We present the feasibility phase of an ongoing randomized controlled trial (RCT) comparing two [...] Read more.
Despite the paucity of high-quality data supporting its benefits, routinely scheduled, in-person post-treatment surveillance of early breast cancer (EBC) patients remains common. Evaluation of different follow-up strategies is required. We present the feasibility phase of an ongoing randomized controlled trial (RCT) comparing two different follow-up strategies. Patients with EBC who completed the acute phase of their treatment were randomized to receive either personalized or ASCO guideline-based follow-up care alone. Feasibility endpoints, including rate of accrual, physician participation, patient acceptance of randomization arm, and patient retention 1 year after randomization, are presented. Of 279 patients approached, 261 (93.5%) were eligible and provided consent. Median rate of accrual was 34.5 patients per month, and all healthcare providers who agreed to study participation (n = 11) approached patients. Patients were randomized to receive personalized (n = 131) or guideline-based (n = 130) follow-up. No patients declined their randomization arm. For all 261 randomized patients, the 1-year participant retention rate was 92.0% (240/261). This RCT confirms both patient and healthcare-provider enthusiasm for studies comparing different strategies for post-treatment surveillance. No patients withdrew consent post-randomization due to a preference for one study arm over the other. While clinical effectiveness and patient satisfaction remain to be analyzed, our reported rates of attrition can be used by others when designing similar studies. Full article
(This article belongs to the Section Breast Cancer)
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25 pages, 712 KB  
Review
Protective Effects of Plant-Based Diets Against Colorectal Carcinogenesis via Modulation of Key Cellular and Molecular Mechanisms: A Comprehensive Review of Evidence
by Marina Kamel, Clarence Wong, Eduardo Grunvald, Andrea Galli, Sahar Iqbal, Arshdeep Rattol, Tanya Jackson, Sebastian Straube and Ellina Lytvyak
Curr. Oncol. 2026, 33(4), 222; https://doi.org/10.3390/curroncol33040222 - 17 Apr 2026
Abstract
Colorectal cancer (CRC) remains one of the most prevalent malignancies worldwide and is the second largest contributor to both incidence and mortality, underscoring the urgent need for effective prevention strategies. This comprehensive review provides the most up-to-date evidence on the protective role of [...] Read more.
Colorectal cancer (CRC) remains one of the most prevalent malignancies worldwide and is the second largest contributor to both incidence and mortality, underscoring the urgent need for effective prevention strategies. This comprehensive review provides the most up-to-date evidence on the protective role of plant-based dietary patterns against CRC carcinogenesis, with particular emphasis on underlying cellular and molecular level mechanisms. Accumulating research demonstrates that plant-based foods, rich in dietary fibre, polyphenols, and multiple other bioactive compounds, promote gut microbial eubiosis, support immune regulation, and modulate adipose tissue homeostasis. These effects are accompanied by intestinal barrier integrity, enhanced production of short-chain fatty acids, and the induction of apoptosis in malignant cells. Moreover, plant-derived nutrients reduce the abundance of pro-inflammatory microbial taxa, decrease oxidative, nitrosative and carbonyl stress, and downregulate pro-inflammatory cytokines and signalling pathways, implicated in tumourigenesis. As a result, plant-based dietary patterns have high potential to reduce CRC risk through modulating the intricate interplay between epigenetics, inflammation, immune dysregulation, metabolic and hormonal disruptions, and gut microbiota, suggesting a highly promising, cost-effective and equitable strategy for CRC prevention. Full article
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8 pages, 392 KB  
Review
Notes on the Physiopathology of the Kinin-Mediated Angioedema Associated with Angiotensin-Converting Enzyme Inhibition
by François Marceau
Drugs Drug Candidates 2026, 5(2), 25; https://doi.org/10.3390/ddc5020025 - 17 Apr 2026
Abstract
Angiotensin-converting enzyme (ACE) inhibitors (ACEis) are one of the most successful drug classes for the treatment of hypertension and the prevention of its cardiovascular complications. ACE activates the pressor hormone angiotensin but also inactivates the vasodilator peptide bradykinin (BK). A rare side effect [...] Read more.
Angiotensin-converting enzyme (ACE) inhibitors (ACEis) are one of the most successful drug classes for the treatment of hypertension and the prevention of its cardiovascular complications. ACE activates the pressor hormone angiotensin but also inactivates the vasodilator peptide bradykinin (BK). A rare side effect of ACEis, angioedema (AE), has been proposed to result from pro-inflammatory effects of BK. Novel considerations are offered in this debate: (1) the bradykinin B2 receptor antagonist icatibant has had an inconsistent effect on ACEi-associated AE, but its potency and duration of action are much inferior to those of a novel nonpeptide antagonist of this receptor, deucrictibant. (2) Tissue kallikrein (KLK-1) is an effective kininogenase, particularly abundant in the salivary glands, possibly related to orofacial presentation of ACEi-induced AE. (3) The strongly regulated human kinin B1 receptor, optimally responsive to Lys-des-Arg9-BK, is functionally compartmentalized with KLK-1 which produces Lys-BK from kininogens. Chronic treatment with ACEi drugs in laboratory animals induces the expression of vascular B1R that mediates vasodilation. Therefore, ACEi-AE may be largely or completely initiated by KLK-1. Inhibitors of this protease or combined antagonists of both kinin receptor subtypes may be useful for the management of this condition. Full article
(This article belongs to the Special Issue Therapeutic Protease and Peptidase Inhibitors)
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16 pages, 1299 KB  
Article
Urology Training Across Borders: An International Survey of Residents’ Experiences, Perceptions, and Expectations
by Andrea Alberti, Rossella Nicoletti, Anna Luisa Heinrichs, Julian Peter Struck, Petros Sountoulides, Francesco Curto, Sergio Serni, Georgios Chasiotis, Olumide Farinre, Harshit Garg, Clément Klein, Gaelle Margue, Amanda A. Myers, Nikolaos Pyrgidis, Roberto Contieri, Ioana Fugaru, Lazaros Tzelves, Alessandro Uleri, Wilbert Fana Mutomba, Dimitrios Diamantidis, Jean de la Rosette, Maria Pilar Laguna, Jack M. Zuckerman, Philippe E. Spiess, Henry H. Woo, Stavros Gravas and Mauro Gacciadd Show full author list remove Hide full author list
Soc. Int. Urol. J. 2026, 7(2), 24; https://doi.org/10.3390/siuj7020024 - 17 Apr 2026
Abstract
Background/Objectives: Urology residency training widely varies across countries, and evidence comparing residents’ experiences at an international level is limited. This study reports the results of an international survey of urology residents from different countries worldwide, aiming to characterize training environments, educational exposure, [...] Read more.
Background/Objectives: Urology residency training widely varies across countries, and evidence comparing residents’ experiences at an international level is limited. This study reports the results of an international survey of urology residents from different countries worldwide, aiming to characterize training environments, educational exposure, and trainee expectations across diverse healthcare systems. Methods: A 39-item online survey was administered to urology residents during the Société Internationale d’Urologie (SIU) Regional Meeting (Florence, November 2024), assessing demographics, training exposure, educational resources, workload, satisfaction, and career perspectives. The results were compared between trainees at different postgraduate years (PGYs) to explore associations for key outcomes. Results: Overall, 208 urology residents from 21 countries completed the survey. Most residents were actively involved in research (76.4%), although confidence in independent scientific production was moderate (significantly lower among junior trainees). Surgical exposure increased with PGY, with good experience in endoscopy but limited hands-on exposure and expected autonomy in laparoscopic, robotic, and major open surgery. Despite high overall satisfaction with urology, residents described heavy workloads, inconsistent access to structured teaching and international fellowships, and a long-term shift in career expectations toward private practice. Conclusions: Urology residents worldwide report high engagement in research, strong satisfaction with their specialty choice, and interest in international mobility. Nonetheless, persistent disparities in surgical exposure, research confidence, workload, and gender representation highlight the need for competency-based curricula, structured mentorship, and improved training organization to promote equitable and high-quality urology education globally. Full article
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Article
Zircon Trace Element Constraints on the Evolution of the Continental Crust in the Western Domain of the Congo Craton
by Ngong Divine Njinchuki, Evine Laure Njiosseu Tanko, Philomène Nga Essomba Tsoungui, Brice Woguia Kamguia, Marvine Nzepang Tankwa, Landry Soh Tamehe, Donald Hermann Fossi and Jean Paul Nzenti
Minerals 2026, 16(4), 414; https://doi.org/10.3390/min16040414 - 16 Apr 2026
Abstract
This study integrates LA-ICP-MS zircon U–Pb ages and the first zircon trace element data from metasedimentary and metaigneous rocks of the Nyong Complex (NyC) in the NW Congo Craton, southern Cameroon, to constrain its petrogenesis, tectonic setting, and crustal evolution. Chondrite-normalized REE patterns [...] Read more.
This study integrates LA-ICP-MS zircon U–Pb ages and the first zircon trace element data from metasedimentary and metaigneous rocks of the Nyong Complex (NyC) in the NW Congo Craton, southern Cameroon, to constrain its petrogenesis, tectonic setting, and crustal evolution. Chondrite-normalized REE patterns show strong HREE enrichment, depleted LREE–MREE, and pronounced positive Ce and negative Eu anomalies, indicating a magmatic origin for the zircons. Trace element signatures suggest that the zircons derived from continental crustal magmas generated under variable oxidation conditions in a long-lived arc-related tectonic environment. Detrital zircon ages range from Archean to Paleoproterozoic, with five major age peaks at 2885 ± 8 Ma, 2775 ± 6 Ma, 2654 ± 7 Ma, 2469 ± 11 Ma, and 2316 ± 11 Ma. These ages correspond to major magmatic and metamorphic events recognized in both the Congo and São Francisco cratons. The preservation of felsic continental crust between 2.9 and 2.2 Ga in the NyC and the Borborema Province (NE Brazil) likely records a critical transition in Earth’s geodynamic regime, marked by enhanced consumption and recycling of mafic crust during Proterozoic accretion compared to the late Archean. This transition reflects the onset of modern-style plate tectonics, enabling craton stabilization and contributing to the assembly of the Nuna/Columbia supercontinent. The NyC is thus interpreted as part of the Trans-Amazonian belt, analogous to that in NE Brazil, and formed during the collision between the Congo and São Francisco cratons. Full article
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