Search Results (3,694)

Landscape ecology is the study of how different land uses and natural areas are arranged across a region, and how these spatial patterns affect biodiversity, ecosystem health, and human impacts. To measure and track these patterns, ecologists are using a range of tools and metrics that capture features such as connectivity, fragmentation, and the balance between natural and developed land. One such method is the Landscape Mosaic (LM) approach which classifies land into categories based on the mix of agriculture, natural habitats, and developed areas (e.g., urban), providing an integrated view of how humans are influencing ecosystems. Until recently, LM was only available through a specialized software package (i.e., GuidosToolbox), which limits its flexibility, interaction with other tools, and integration in scientific workflows. To address this, we present PyLM, a Python-based implementation of the LM model, making it easier for researchers, planners, and conservationists to analyze land use/cover (LUC) maps, generate statistics, and embed results into broader environmental workflows. The applicability of PyLM is demonstrated through a use case based on a LUC dataset for Switzerland. This new implementation enhances accessibility, supports sustainability assessments, and strengthens the ability to monitor landscapes over time. Full article

Evidence on the environmental and socio-economic harms linked to plastic pollution has prompted major governance responses, including the 2019 Basel Convention amendments on plastic waste and the start of negotiations on a global plastics treaty in 2022. In parallel, many jurisdictions have introduced minimum recycled-content requirements to curb virgin-material demand and strengthen circularity in plastics. Yet trade statistics show that plastic scrap is only a small fraction of cross-border flows of secondary (recyclable) materials. Policy debates are also increasingly focused on non-plastic alternatives for packaging and other uses, but these substitutes can carry substantial upstream and downstream burdens that may match or exceed plastics depending on production pathways and end-of-life management. This article contrasts global trade patterns for secondary plastics, textiles, paper, and ferrous metals, and highlights how governance frameworks have centered disproportionately on plastics. We argue that the momentum from plastic-waste controls and recycled-content mandates should be used to build more systemic policies that also cover other material streams; otherwise, interventions may simply displace impacts to substitute materials and weaken circular-economy objectives. Full article

Background: Nurse-initiated pain protocols (NIPPs) at emergency department (ED) triage remain underused. This study investigated factors associated with patient refusal and nurse use of NIPP, accounting for triage operational context. Methods: This retrospective observational study combined prospectively collected nurse characteristics with retrospective data on NIPP use over 15 months in a tertiary university hospital ED. Outcomes included rates of NIPP refusal and use, documented reasons for refusal, and associations with patient characteristics, nurse characteristics, crowding, and operational pressure. Results: Sixty-three triage nurses managed 16,137 adult patients; 6.2% refused the NIPP. Among consenting patients, NIPP was used in one-third of encounters. Multi-level logistic regression revealed significant variation between nurses in both refusal and use. Refusal was more likely in patients with lower acuity and among nurses trained in Europe or concerned about prescribing responsibility, but less frequent with severe pain or longer triage duration. NIPP use was more frequent with lower acuity, higher pain intensity, longer triage duration, crowding, and among nurses with European training, but decreased in older patients and those arriving by ambulance. Conclusions: NIPP refusal and use at triage were both low, with marked variability between nurses. Patient characteristics and triage operational factors were most strongly associated with outcomes, while nurse-related factors contributed less. These findings support prospective implementation studies to clarify drivers of practice variation and optimize analgesia delivery at triage. Full article

Thorium carbide (${\mathrm{ThC}}_{2\pm x}$) nano-structured thin disc-like pellets were produced from thoria nanoparticles (${\mathrm{ThO}}_2$-NP) and multi-walled carbon nanotubes (MWCNT). These composites are to be studied as a target material candidate for radioactive ion beam (RIB) production via nuclear reactions upon impact with high-energy proton beams on a stack of solid pellets. The ${\mathrm{ThO}}_2$-NP precursor was produced via precipitation of thorium oxalate from a thorium nitrate solution with oxalic acid and subsequent hydrothermal oxidation of the oxalate, creating the thoria nanoparticles. The ${\mathrm{ThO}}_2$-NP were then mixed with MWCNT in isopropyl alcohol and sonicated by two different methods to create a nanoparticle dispersion. This dispersion was then heated under medium vacuum to evaporate the solvent; the resulting powder was pressed into pellets and taken to an inert-atmosphere oven, where it was heated to 1650 °C and carbothermally reduced to ${\mathrm{ThC}}_{2\pm x}$. The resulting pellets were characterized via XRD, SEM-EDS, and Raman spectroscopy. The resulting thorium pellets exhibited, at most, trace levels of the oxide precursor. Furthermore, the nanotube structures were still present in the final product and are expected to contribute positively towards faster radioisotope release times by lowering isotope diffusion times, which is required for the efficient extraction of the shortest-lived (<1 s half-life) radioisotopes. Full article

Child marriage remains a major threat to adolescent girls’ health, development, and rights worldwide. Despite decades of progress, recent policy backsliding and sociopolitical instability have created new risks, with examples from Iraq, Afghanistan, and The Gambia illustrating how legal and political shifts are reshaping vulnerabilities for girls. This paper presents an integrated framework linking developmental science with legal and policy advocacy, emphasizing how evolving capacities and psychosocial maturity should inform marriage laws and protection mechanisms. It reframes advocacy and rights-based action as essential components of adolescent health systems, drawing on recent policy analyses and country examples to identify actionable, multisectoral strategies. The paper highlights an urgent need for collective, evidence-informed advocacy to protect adolescent girls and advance gender equality, an issue of growing importance amid renewed global attention to legal reforms on child marriage. Full article

Objectives: To investigate the efficacy of femtosecond laser-assisted cataract surgery (FLACS) with the FEMTO LDV Z8 laser system in comparison to manual conventional cataract surgery (CCS). Background: Preservation of corneal endothelial integrity remains one of the most critical determinants of long-term visual quality after cataract surgery. The introduction of low-energy femtosecond laser systems has raised expectations for safer and more efficient procedures, particularity in cases with denser cataracts. Methods: This is a prospective, randomized study. Here, 38 eyes in the FLACS group and 40 in the CCS group were included. The changes in central corneal thickness (CCT), endothelial cell density (ECD), and best-corrected visual acuity (BCVA) were analyzed. In addition, the effective phacoemulsification time (EPT), the total phacoemulsification time (PT), and the intraoperative time (IT) were evaluated as a function of cataract grade. The total follow-up period was six weeks. Results: On postoperative day 1, BCVA improved significantly faster in the FLACS group (0.91 ± 0.14) compared with the CCS group (0.70 ± 0.17; p < 0.05). FLACS also demonstrated a significantly shorter EPT (1.01 ± 0.91 s) than CCS (1.61 ± 1.70 s; p < 0.05). No significant differences were observed between groups regarding postoperative ECD or CCT at any time point. No intraoperative or postoperative complications occurred. Conclusions: Low-energy FLACS achieved comparable endothelial safety to CCS, while providing significantly faster early visual recovery and reduced ultrasound energy use. These finding support the clinical value of FLACS in patients with moderate to dense cataracts. Full article

National Tuberculosis Reference Laboratories (NTRLs) are central to tuberculosis (TB) control programs. Between 2018 and 2024, the Republic of Congo, a country of 6 million inhabitants, achieved a transformative strengthening of its TB diagnostic system, coordinated by the NTRL. Strategic investments, supported mainly by international partners, enabled a substantial decentralization of services, expanding the diagnostic network from 38 to 113 diagnostic and testing centers and increasing GeneXpert sites from 3 to 31. The expansion of the diagnostic network and specimen referral system was associated with a reduced structural gap in diagnostic coverage by extending access to GeneXpert testing to a larger number of peripheral and previously underserved centers. Critically, the establishment of a BSL-3 laboratory and the deployment of advanced assays like Xpert MTB/XDR ended the reliance on overseas testing by introducing in-country capacity for multidrug-resistant and pre-extensively drug-resistant TB detection. These systemic improvements were associated with significant positive outcomes, including an annual molecular testing surging from 11,609 in 2022 to over 27,000 in 2024 and bacteriological confirmation rates rising from 34 to 73%. This comprehensive laboratory systems strengthening, which also facilitated cross-programmatic initiatives like HIV and Mpox testing integration, underscores how sustained investment in infrastructure, logistics, and quality management is fundamental to improving case detection, surveillance, and progress toward the WHO End TB Strategy milestones. Full article

Background: Studies on the association between cognitive and physical fitness in older adults from particularly vulnerable settings are scarce. This study aims to analyse the relationship between different protocols for assessing physical fitness and the cognitive function of low-income older adults. Methods: A total of 312 adults aged 60–96 years (M age = 72.63, SD= 7.81) living in the urban area of Amazonas, Brazil, participated in the study. The following measures of physical fitness were assessed: body composition, handgrip strength, the Five Times Sit-to-Stand Test and Senior Fitness Tests. Cognitive function was assessed using the Mini-Mental State Examination (MMSE). Linear regression models were used to analyse the relationship between physical function measures and cognitive function. Results: For men, only the 30-chair stand test power (β = 0.33, p < 0.001) presented favourable association with cognitive function. For women, significant associations between MMSE score were observed for every fitness test, except for the chair sit-and-reach test. Conclusions: Physical fitness is differently associated with cognitive function among low-income older men and women from Amazonas. Muscular fitness particularly seems to be an important indicator of cognitive function. It should be considered for monitoring, promoting, and managing health-ageing of low-income elderly populations of both sexes. Full article

Background/Objectives: Bipolar disorder (BD) is increasingly recognized as a multisystem condition in which metabolic abnormalities, particularly insulin resistance (IR), may be linked to illness severity and neuroprogression. Despite growing evidence linking IR to adverse clinical outcomes, the data is heterogeneous and preliminary, and its specific association in hospitalized patients with BD remains underexplored. Methods: This cross-sectional study included 86 inpatients with a primary diagnosis with BD at the IRCCS Ospedale Policlinico San Martino, Genoa, Italy, between July 2023 and January 2024. Sociodemographic, clinical, and metabolic characteristics were systematically investigated. IR was defined as a HOMA-IR index ≥ 2.5. Results: Twenty-eight patients met criteria for IR. Insulin resistant patients showed a significantly longer illness duration, more frequent residual symptoms, and higher rates of ≥5 lifetime psychiatric hospitalizations. They also exhibited greater polypharmacy (≥4 psychotropics at discharge) and daily alcohol use. Furthermore, the IR subgroup was significantly associated with higher body mass index and triglycerides, lower HDL cholesterol and physical activity levels. Conclusions: Our findings indicate that IR is associated with markers of greater illness burden in BD. While these results are consistent with emerging hypotheses on metabolic dysfunction in BD, longitudinal studies are required to clarify temporal and causal relationships. These associations suggest that IR may represent a clinically relevant component of BD rather than a secondary metabolic consequence. Routine metabolic screening and the preferential use of metabolically neutral agents may improve long-term outcomes and align with the emerging paradigm of precision psychiatry. Full article

Antimicrobial resistance (AMR) can disseminate through effluents from seafood processing facilities (SPFs), posing environmental and public health risks. This study assessed changes in coliform load and antimicrobial resistance patterns in effluents from two SPFs in Tema, Ghana, before and after upgrades to effluent treatment systems between 2022 and 2024. A total of 19 effluent samples were collected per SPF in 2021–2022, 20 effluent samples each per SPF in 2024, and 8 potable water samples each per SPF in 2024. Median coliform counts declined significantly in both facilities (SPF-1: 920 to 35 MPN/100 mL; SPF-2: 280 to 9.5 MPN/100 mL; p < 0.001), representing a 96% overall reduction. Escherichia coli prevalence decreased markedly in SPF-2, although Pseudomonas aeruginosa emerged after treatment upgrades. Resistance to third-generation cephalosporins and multidrug resistance declined, particularly in SPF-1, but persisted across both facilities. Potable water used for seafood processing showed low but detectable coliform contamination. Despite substantial reductions in coliform bacterial load, the continued presence of resistant gram-negative bacteria highlights the need for sustained AMR surveillance, mandatory effective effluent treatment, and routine disinfection of potable water to protect public health. Full article

Information on the breeding of the Pinto’s Spinetail (Synallaxis infuscata), an endangered Brazilian Furnariid, is scarce. This study aims to complement it, by looking at nest and clutch parameters, breeding period, and nest success. Once nests were found, they were closely monitored from a hide. Between 1986 and 2018, 33 nests were found in the Pedra Talhada Forest near Quebrangulo. Nests were found year-round, except in middle of the dry season. Nests were of the closed/retort type, weighing 552.1 g, and measuring 37.6 × 28.8 cm, with a side arm of 30.6 × 4.9 cm, on average. The clutch size averaged 2.10 eggs, which measured 22.3 × 17.2 mm and weighed 3.2 g. They were white and had an oval to pointed-oval shape. Mean incubation period was 21.5 days and mean nestling period 14.71 days. The apparent nest success was 27.3%, while Mayfield’s was 21.8%. Predation was the main cause of nest failure, accounting for 81% of cases. The breeding data we collected on S. infuscata falls within the range of observations of a comprehensive analysis on other Synallaxis species. This breeding information is important for conservation, as rates of nest loss are a key factor in evaluating population viability. Full article

Clade I mpox virus (MPXV) is endemic in the Democratic Republic of the Congo (DRC). Recent studies have described the changing epidemiology of mpox in the country, which has been mainly characterized by the emergence of new MPXV lineages, Clade Ib/sh2023 and Ia/sh2024, associated with sustained human-to-human transmission. Both Clade Ib/sh2023 and Ia/sh2024 are co-circulating in Kinshasa, the capital city of the DRC. Here, we report the first two cases of Clade IIb/sh2017 identified in Kinshasa, DRC, imported from West Africa and locally transmitted. Clinical specimens were collected and tested by PCR. We performed whole genome sequencing using a tiled-amplicon sequencing approach with Clade IIb MPXV-specific primers. The phylogenetic tree shows that Kinshasa Clade IIb MPXV is assigned to Clade IIb/sh2017 within the newly designated lineage G.1, as identified in January 2025 in Sierra-Leone. Full article

Background/Objectives: Glucose Transporter 1 Deficiency Syndrome (GLUT1-DS) is a neurodevelopmental disorder caused by mutations in the gene encoding glucose transporter 1 (GLUT1), which leads to impaired glucose transport into the brain and is characterized by drug-resistant epilepsy. Limited glucose supply disrupts neuronal and astrocytic energy homeostasis, but how hypometabolism translates into network hyperexcitability remains poorly understood. Here, we used induced pluripotent stem cells (iPSCs)-derived brain organoids to examine how reduced metabolic substrate availability shapes epileptiform dynamics in human neuronal circuits from GLUT1-DS. Methods: Brain organoids were generated from a healthy donor or a GLUT1-DS patient and interfaced with multielectrode arrays (MEA) for recording of neuronal activity. A unified Python (v3.10)-based analytical pipeline was developed to quantify spikes, bursts, and power spectral density (PSD) across frequency bands of neuronal activity. Organoids were challenged with reduced glucose, pentylenetetrazol (PTZ), potassium chloride (KCl), and tetrodotoxin (TTX) to assess metabolic and pharmacological modulation of excitability. Results: GLUT1-DS organoids exhibited elevated baseline hyperexcitability compared to healthy control, characterized by increased spike rates, prolonged bursts, increased spikes per burst, and elevated PSD. Reduced glucose availability further amplified these features selectively in GLUT1-DS. Conclusions: Human brain organoids reproduce the pathological coupling between hypometabolism and hyperexcitability in GLUT1-DS. Our platform provides a mechanistic model and quantification tool for evaluating metabolic and anti-epileptic therapeutic strategies. Full article

Pulmonary hypertension is a progressive and life-threatening disorder affecting approximately 1% of the global population, with increasing prevalence among elderly individuals. Although it most commonly arises as a complication of chronic cardiac or pulmonary diseases, it may also develop in otherwise healthy individuals exposed to chronic hypoxia at high altitude. In this setting, sustained alveolar hypoxia triggers pulmonary vasoconstriction and vascular remodeling, key processes driving the elevation of pulmonary arterial pressure and highlighting the critical role of environmental stressors in disease pathogenesis. In this review, we examine the molecular mechanisms underlying the hypoxia-pulmonary hypertension axis, focusing on the complex and interconnected signaling networks involving redox imbalance, PI3K–Akt signaling, Na⁺/H⁺ exchange, nitric oxide bioavailability, autophagy, mitochondrial dynamics and mitophagy, metabolic reprogramming, inflammation, adventitial remodeling with particular emphasis on pulmonary arterial adventitial fibroblasts, and erythropoietin signaling. We also discuss current knowledge gaps and emerging therapeutic opportunities that may arise from a deeper understanding of these pathways. Collectively, while many of the signaling mechanisms implicated in hypoxia-induced pulmonary hypertension offer therapeutic promise, none have yet proven fully translatable, underscoring the multifactorial and tightly integrated nature of this disease. Full article