Search Results (184)

Social isolation is a critical but understudied concern for people living with HIV (PLHIV), particularly in rural U.S. communities where social visibility is high and access to supportive services is limited. Disclosure of HIV status is often framed as a health-promoting behavior that facilitates engagement with care and access to social support, yet it can also increase vulnerability to exclusion and isolation, especially where confidentiality is difficult to maintain. Using data from a pilot survey of rural PLHIV in the United States ($n=17$), this study examines when disclosure may function adaptively and when it may coincide with a heightened social burden. A Social Isolation Index was constructed from 15 indicators of exclusion across family, community, and institutional domains. Disclosure was measured both by the number of people informed and whether sexual partners were told. Typological methods and Qualitative Comparative Analysis (QCA) were applied to explore how disclosure patterns relate to race, sexual identity, and reported isolation. The results indicate that disclosure is not uniformly protective: several participants who disclosed widely also reported high levels of isolation, with heterosexual and Black participants often reporting a higher cumulative burden. These findings challenge one-size-fits-all assumptions about disclosure in public health messaging and underscore the need for tailored strategies that recognize both disclosure and nondisclosure as potentially adaptive responses in rural and marginalized communities. Full article

Surrealism proposed expanding reality with dreamlike expressions. Chilean architect Roberto Matta embraced this movement in the 1930s when he was working with Le Corbusier and created imaginative apartment illustrations. Based on listings of new real estate projects in Chile, this research developed virtual reality (VR) models of apartments that integrate features from Matta’s drawings, and they were examined concerning housing demands. This study’s methodology involved the interpretation of Roberto Matta’s illustrations in three-dimensional environments, the characterization of the real estate supply, and a summary of current apartment designs and their spatial distribution. Subsequently, two real estate-inspired VR apartment models were created that integrated features of Matta’s drawings. Later, a qualitative pilot study was carried out, applying VR-assisted interviews with five participants. They were asked about the association of the models with domestic spaces, functionality, and connection to social interest. Results show the positive appreciation of spaciousness and the novelty of architectural elements, but also a resistance to complex shapes. Participants associated the VR models with wealthy young artists and recreational spaces. The models developed have novel features and layouts that can suggest residential possibilities. Full article

This study investigates the presence of polychlorinated biphenyls (PCBs) and organochlorine pesticides (OCPs) in 165 yogurt samples collected from farms across 11 Lebanese regions. As the first nationwide assessment of these contaminants in yogurt, it addresses a critical gap in Lebanon’s food safety monitoring. Levels of PCBs, ΣDDTs, ΣHCH, HCB, endosulfan, methoxychlor, and dieldrin were quantified, revealing widespread contamination. A total of 40.6% of samples recorded total PCB concentrations exceeding European maximum residue limits (MRLs), with a national mean of 39.26 ng/g fat. Keserwan, and North and South Lebanon showed the highest PCB contamination, likely linked to thermal power generation activities. For OCPs, mean concentrations of all tested compounds exceeded their respective MRLs across all regions. Levels of ΣDDTs surpassed the MRL in 100% of samples with the highest mean concentration at 376.79 ng/g fat, followed by endosulfan (70.32 ng/g fat) and β-HCH (65.32 ng/g fat). Elevated OCP levels were especially noted in Bekaa, Baalbek-Hermel, and South and North Lebanon, likely reflecting intensive agricultural practices and the ongoing use of contaminants. Estimated daily intakes (EDIs) indicated potential dietary exposure risks, particularly from PCBs, ΣDDTs, and ΣHCH. These findings underscore the urgent need for regulatory oversight and national food safety monitoring to ensure public health protection. Full article

Starch is the main source of carbohydrates in human and animal diets. The extraction of this polysaccharide from unconventional residues of minimally processed foods represents an innovation in the production chain and promotes an appropriate destination for organic waste. Kabocha pumpkin produces minimally processed products, but the discarded peel is not processed and becomes organic waste. In this study, starch was obtained from kabocha pumpkin residues and characterized according to its physicochemical composition, morphology, and thermal properties. Kabocha pumpkin peel starch (KPPS) showed variations in granule morphology. X-ray diffraction analysis revealed about 22% crystallinity. The pasting temperature of KPPS was 69.1 °C and the peak, trough, breakdown, final, and setback viscosities were 5293 cP, 2804 cP, 2849 cP, 3550 cP, and 746 cP, respectively. The stability (120 and 260 °C) observed on the thermogravimetric analysis of KPPS allows it to be used as an interesting ingredient in the production of new foods and non-food products, such as packaging. Moreover, using a product that would otherwise be discarded minimizes residue generation, reducing environmental impact and promoting an alternative source of income for the minimal processing food industry. Full article

People living with HIV (PLWH) faced diverse challenges during the COVID-19 pandemic, including disruptions to care, housing instability, emotional distress, and economic hardship. This study used graph-based clustering methods to analyze pandemic-era experiences of PLWH in a national sample from the NIH’s All of Us dataset (n = 242). Across three graph configurations we identified consistent subgroups shaped by social connectedness, housing stability, emotional well-being, and engagement with preventive behaviors. Comparison with an earlier local study of PLWH in Illinois confirmed recurring patterns of vulnerability and resilience while also revealing additional national-level subgroups not observed in the smaller sample. Subgroups with strong social or institutional ties were associated with greater emotional stability and proactive engagement with COVID-19 preventive behaviors, while those facing isolation and structural hardship exhibited elevated distress and limited engagement with COVID-19 preventive measures. These findings underscore the importance of precision public health strategies that reflect the heterogeneity of PLWH and suggest that strengthening social support networks, promoting housing stability, and leveraging institutional connections may enhance pandemic preparedness and HIV care in future public health crises. Full article

Influenza A virus (IAV) poses a significant threat to animal and public health due to its wide host range and potential for interspecies transmission. This study aimed to conduct a comprehensive survey of IAV in a wide range of wildlife in the Orinoco flooded savannas of Colombia, a region of high biodiversity and a strategic location for monitoring viral transmission. Sampling was conducted during both dry and rainy seasons in two localities. ELISA and qPCR targeted 2028 individuals from 173 bird, mammal, and reptile species, 124 of them without previously published reports. There were positive results for 54 species, with 34 representing first-time world reports. Of the qPCR, 13.4% were positive from birds, and 2.9% were from mammals. Seropositivity was identified in 5.7% of birds, 2.7% of mammals, and 1.3% of reptiles. These findings underscore the potential role of these diverse species as reservoirs or incidental hosts in the transmission cycle of IAV, emphasizing the need for expanded research on less-studied taxa and their ecological interactions. The results also contribute to our understanding of the epidemiology of IAV in the Neotropics and can inform future surveillance and mitigation strategies. Full article

Successful dental implant therapy relies on accurate planning and placement, e.g., through static, computer-aided implant surgery using CAD/CAM-fabricated surgical guides. This study examined production methods’ influence on surgical guide sleeve housing geometry. A model with two edentulous spaces was digitized using intraoral scanning and CBCT, and two virtually positioned implants were planned. Ten guides per group were produced using milling (MCX5), DLP printing (ASIGA and SHERA), and SLA printing (FORM), printing with 50 µm and 100 µm layers each. Each guide (n = 70) was then digitized using an industrial scanner before and after sterilization. Superimposition of the actual guide data with the reference data allowed for evaluation of deviations at the drill sleeve housing along the x-, y-, z-, and dxyz-axes. Descriptive and statistical evaluation was performed (significance level: p ≤ 0.0125). Significant differences existed among the production methods: Milling and SLA showed higher deviations than the DLP group (p < 0.001). Milled guides post-sterilization showed the highest deviations (0.352 ± 0.08 mm), while one DLP printer at 50 μm layer thickness showed lowest deviations (0.091 ± 0.04 mm). The layer thickness was insignificant, whereas sterilization increased deviation (p < 0.001). DLP produced the most precise implant surgical guides. All 3D printers were suitable for fabricating clinically acceptable surgical guides. Full article

Background: Infectious complications are common after percutaneous nephrolithotomy (PCNL). Clinical guidelines recommend, previous to surgery, prolonged antibiotic regimens in patients with preoperative positive urine cultures to reduce infectious risk. However, such strategies may increase selective pressure and promote antimicrobial resistance. Evidence supporting the use of a single antibiotic dose tailored to culture sensitivity in these cases is limited but emerging. Methods: We conducted a retrospective observational study including 187 PCNL procedures performed between 2021 and 2023 under an individualized antibiotic prophylaxis protocol. Patients with negative or contaminated urine cultures received a single empirical dose, while those with recent positive cultures received a single dose based on antimicrobial susceptibility testing. Postoperative complications—including fever, sepsis, and a composite outcome—were analyzed through multivariable logistic regression, comparing high- and low-risk patients. Results: A total of 67.9% of procedures were performed in patients meeting at least one high-risk criterion, including a positive preoperative urine culture in 32.1%. The overall incidence of infectious complications was 11.9% (fever 8.7%, sepsis 3.2%), with no significant differences between risk groups. A low concordance was observed between preoperative and intraoperative urine cultures (Spearman = 0.3954). Conclusions: A single preoperative antibiotic dose adjusted to the antibiogram, even in patients with a positive urine culture, was not associated with increased infectious complications. This approach is an initial step that supports a rational and individualized prophylactic strategy aligned with the goals of antimicrobial stewardship programs (ASPs). Full article

Material wear significantly impacts the clinical success and longevity of dental ceramic restorations. This in vivo study aimed to assess the wear behavior of IPS Empress^® glass-ceramic inlays and onlays over 14 years, considering the influence of different antagonist materials. Fifty-four indirect restorations of 21 patients were available for comprehensive wear analysis, with complete follow-up data for up to 14 years. Three-dimensional measurements relied on digitized epoxy resin models produced immediately post-insertion (baseline) and subsequently at 2, 4, and 14 years. The occlusal region on the baseline model was delineated for comparative analysis. Three-dimensional superimpositions with models from subsequent time points were executed to assess wear in terms of average linear wear and volumetric loss. Statistical analyses were conducted in R (version 4.4.1), employing Mann–Whitney U tests (material comparisons) and Wilcoxon signed rank tests (time point comparisons), with a significance threshold of p ≤ 0.05. During the entire study period, an increase in wear was observed at each assessment interval, gradually stabilizing over time. Significant differences in substance loss were found between the follow-up time points, both for mean (−0.536 ± 0.249 mm after 14a) and integrated distance (−18,935 ± 11,711 mm³ after 14a). In addition, significantly higher wear was observed after 14 years with gold as antagonist compared to other materials (p ≤ 0.03). The wear behavior of IPS Empress^® ceramics demonstrates clinically acceptable long-term outcomes, with abrasion characteristics exhibiting stabilization over time. Full article

The objective of this work was to produce and characterize active gelatin–acerola packaging films based on gelatin incorporated with different concentrations of acerola pulp and applied to evaluate the stability of meat products in packaging. The active films were produced by casting using gelatin (5%), sorbitol (0,1%), and acerola pulp (60, 70, 80, and 90%). The characterization of the acerola pulp was carried out. Visual aspects, thickness, pH, water vapor permeability, and total phenolic compounds were characterized in the films. The commercial acerola pulp presented the characteristics within the identity and quality standards. A good film formation capacity was obtained in all formulations, presenting the color parameters tending to red coloration, characteristic of the acerola pulp. The total phenolic compounds content ranged from 2.88 ± 70.24 to 3.94 ± 96.05 mg GAE/100 g, with 90 g of acerola pulp per 100 g of filmogenic solution. This film formulation was selected to apply in a vacuum pack of beef and chicken samples, analyzing the weight loss, color parameters, pH, water holding capacity, shear strength after 9 days of refrigeration storage, and soil biodegradability. Additionally, beef and chicken (in nature) were stored under the same conditions without using the wrapping film. The beef and chicken samples showed greater water retention capacity and color maintenance over the storage period compared to the control (without film addition). This way, active gelatin–acerola films can be considered a sustainable packaging alternative to preserve meat products. Full article

People living with HIV (PLHIV) in under-resourced rural regions face intersecting social and structural barriers that intensify their vulnerability. This pilot study explored how overlapping marginalized identities and socioeconomic hardship shape experiences of discrimination among PLHIV in Southern Illinois. Twenty-two participants completed a community-informed survey that captured racial, sexual, and gender identities alongside indicators of stigma across healthcare, housing, employment, and community settings. The findings reveal that most participants experienced at least one form of discrimination, with the highest burden concentrated among those identifying as Black, Nonbinary, Gay/Lesbian, or low-income. Discrimination was particularly prevalent in healthcare and housing environments. Importantly, poverty and housing instability were not just common but appeared to amplify the experience of stigma, compounding the effects of identity-based marginalization. These results highlight the urgent need for integrated, affirming, and structurally responsive interventions tailored to the realities of multiply marginalized PLHIV in rural areas. Future research and services must consider the interplay of identity and economic precarity in order to promote equitable care and support. Full article

The toxicity of metals such as lead (Pb) and cadmium (Cd) makes heavy metal contamination in food products a major health concern. The aim of this study is to measure the levels of Pb and Cd in yogurt samples that were collected from 11 distinct Lebanese locations and determine their compliance with the legal limits set by the European Commission (0.02 mg/kg for Pb and 0.005 mg/kg for Cd). A total of 165 yogurt samples were examined using atomic absorption spectrophotometry (AAS). Interestingly, the findings showed that 10.9% of samples had Pb concentrations over the allowable limit; the highest amounts were observed in Baalbeck-Hermel (0.118 mg/kg), North Area (0.125 mg/kg), and South Lebanon (0.115 mg/kg). In addition, the highest detected concentrations of Cd were found in North Area (0.094 mg/kg), Baalbeck-Hermel (0.076 mg/kg), and Akkar (0.042 mg/kg), with 14.5% of samples above the limit. The results show regional differences in contamination, which are probably caused by industrial emissions, agricultural activities, and environmental pollution. To better understand the potential health implications, the estimated daily intake (EDI) of Pb and Cd through yogurt consumption was calculated and compared to international health-based guidance values. Although the EDI values suggest a low risk from yogurt alone, the findings highlight the importance of cumulative exposure and emphasize the necessity of regular monitoring and stricter implementation of food safety laws to decrease exposure to heavy metals through dairy intake. Full article

Introduction: Radiofrequency ablation (RFA) of the genicular nerve is an increasingly common treatment for chronic knee pain, refractory to conservative measures. However, RFA often provides significant but temporary relief, and patients return for repeat RFAs for the treatment of their pain. This study investigates the efficacy of repeat RFAs compared to the initial RFA for patients who receive repeat RFAs for chronic knee pain. Methods: This study is a retrospective chart review and analysis that was conducted between 2015 and 2023. Groups were determined by the number of RFA procedures that patients received, and a one-tailed ANOVA test was performed to assess the statistical significance of the initial RFA and the three repeat RFA groups. A one-way ANOVA was performed to analyze statistical differences between percent improvement, preoperative pain scores, and the duration of improvement using the visual analog scale (VAS). A p-value of statistical significance was set at p < 0.05. A paired two-tailed T-test was carried out, individually comparing the initial RFA to the three repeat groups for percent improvement. A paired t-test was also carried out to compare initial and first repeat RFAs for preoperative pain score and duration of improvement. Results: A total of 42 patients underwent repeat RFA procedures, with 8 receiving bilateral treatments, totaling 50 knees and 116 procedures. The original RFA group demonstrated a mean percent improvement of 75% ± 25% (mean ± SD) and a duration of improvement of 9.46 ± 5.45 months. The first repeat group had a mean percent improvement of 66% ± 29% and a duration of improvement of 8.77 ± 7.32 months. The second repeat group had a mean percent improvement of 67% ± 24% and a duration of improvement of 10.00 ± 2.45 months. The third repeat group had a mean percent improvement of 85% ± 20% and a duration of improvement of 4.00 months. ANOVA revealed no statistically significant differences among the groups in preoperative scores (p = 0.40), percent improvement (p = 0.25), or duration of improvement (p = 0.79). Paired t-tests showed a significant decrease in percent improvement in the first repeat RFA compared to the original RFA (p = 0.04), but no significant differences were observed in preoperative scores (p = 0.057) or duration of improvement (p = 0.175). No significant differences were found in percent improvement via paired T-test between the original RFA and the second (p = 0.75) or third repeats (p = 0.21). Conclusions: The repeat RFA of genicular nerves retains a clinically significant level of pain reduction for chronic knee pain. However, this study demonstrated decreased pain relief following the first repeat RFA compared to the initial RFA when analyzing individual knees sequentially via a paired T-test. An analysis of initial, first, second, and third repeat groups via ANOVA showed no difference in percent improvement, duration of pain relief, or preoperative pain scores. Full article

Canine distemper virus (CDV) is a highly contagious disease with high morbidity and mortality rates in veterinary medicine. This retrospective study aimed to identify epidemiological characteristics and potential risk factors associated with CDV infection in dogs exhibiting neurological manifestations. The diagnosis was confirmed through immunochromatographic antigen testing, RT-PCR, or Lentz corpuscles identification. Dogs diagnosed with central nervous system (CNS) disorders unrelated to CDV served as the control group. Age, breed, weight, sex, and neuter status were compared between groups using logistic regression (p < 0.05), the log-likelihood method, and log odds ratio (LOR) calculations. Clinical signs, seasonality, and vaccination protocols were documented. Prevalence, mortality, lethality, and survival rates were determined. Younger dogs (p = 0.00690; LOR = −0.01438) and Shih Tzu (p = 0.00007; LOR = 1.53774) and Lhasa Apso (p = 0.000264; LOR = 1.76084) showed a significantly increased likelihood of developing neurological signs due to CDV infection. Most CDV-infected dogs exhibited multifocal CNS involvement and accompanying extra-neural signs. The highest occurrence of CDV-related neurological signs was recorded in autumn. Many infected dogs had an updated vaccination protocol. The prevalence of dogs with CDV was 4.72%. Mortality and lethality rates were 1.94% and 47.06%, respectively. The median survival time was 754 days. The identified epidemiological characteristics and risk factors provide essential insights for improving preventive strategies against CDV infection. Full article

Peruvian carrot is a root with a pleasant taste but a short shelf life. Developing Peruvian carrot snacks with appealing sensory characteristics, a crunchy texture, and reduced lipid content aligns with modern consumer demands and represents an innovative approach to food diversification. To ensure product quality, snacks must have a low water content to prevent microbial growth and maintain crispness. Therefore, optimizing process variables through pre-treatments is essential to achieving the desired characteristics. This study aimed to evaluate the influence of frying conditions on the water content, lipid absorption, and sensory acceptance of Peruvian carrot snacks. The preparation process involved sanitizing and slicing the roots, air-drying them at room temperature, and frying them according to an experimental design. The optimal frying conditions were 160 °C for 18 s and 174 °C for 30 s. Three different treatments were tested: two with edible coatings made from Peruvian carrot starch at concentrations of 3:20 and 5:10 (starch %/glycerol %) and one control sample without a coating. Sensory evaluation showed significant differences between coated and uncoated snacks, with all samples receiving high consumer acceptance. Notably, coated snacks exhibited a 50% reduction in lipid absorption compared to the control while also retaining a lower water content, key factors in maintaining texture, preserving quality, and extending shelf life. Furthermore, the application of edible coatings proved effective in reducing the caloric content of the snacks, making them a healthier alternative. Full article