Search Results (152)

Background/Objectives: Pica, the compulsive ingestion of non-nutritive substances, has long been observed in patients with iron deficiency anemia (IDA). This behavior is particularly noted in adults, including pregnant women, and poses both diagnostic and management challenges. We conducted a review of studies from the past decade to evaluate the epidemiology and nature of pica in adult IDA patients and the outcome of various treatment strategies on anemia and pica behaviors. Methods: We searched PubMed, Scopus, and Cochrane Library for peer-reviewed articles (including observational studies, clinical trials, and reviews) published in English between 2015 and 2025. Inclusion criteria targeted studies of adult populations with IDA that reported on pica prevalence, characteristics, or treatment outcomes. We also reviewed clinical guidelines and meta-analyses on IDA treatment in adults for recommended management approaches. Results: Pica was found to be a prevalent symptom among individuals with IDA, but was readily treatable with appropriate iron deficiency treatment. Among treatment options, both oral and parenteral iron supplementation were found to be effective in resolving iron deficiency and pica. Choice of treatment depends on tolerance to oral iron, speed of resolution required, and comorbid conditions. Conclusions: Pica is closely intertwined with IDA; our review highlighted the prevalence of pica among individuals with IDA, which serves as both a clinical clue to underlying anemia and a potential source of complications. Crucially, the treatment of IDA is also effective for pica. We recommend oral iron therapy on alternate-day dosing as first-line therapy to minimize side effects, alongside dietary optimization. If IDA and pica are resistant to oral iron supplementation or oral iron cannot be tolerated, parenteral iron therapy can be considered. Full article

Global policy narratives on livestock development increasingly emphasize environmental concerns, often overlooking the social dimensions of the sector. In the case of dairy, the world’s most valuable agricultural commodity, its role in social and economic development remains poorly quantified. Our study contributes to a more balanced vision of the UN SDGs thanks to the inclusion of a socio-economic dimension. Here we present a novel empirical approach to assess the socio-economic impacts of dairy development using a new global dataset and non-parametric modelling techniques (local polynomial regressions), with yield as a proxy for sectoral performance. We find that as dairy systems intensify, the number of farm households engaged in production declines, yet household incomes rise. On-farm labour productivity also increases, accompanied by a reduction in employment but higher wages. In dairy processing, employment initially grows, peaks, and then contracts, again with rising wages. The most substantial impact is observed among consumers: an increased milk supply leads to lower prices and improved affordability, expanding the access to dairy products. Additionally, dairy development is associated with greater agricultural value added, an expanding tax base, and the increased formalization of the economy. These findings suggest that dairy development, beyond its environmental footprint, plays a significant and largely positive role in social transformation, yet is having to adapt sustainably while tackling labour force relocation, and that dairy development’s social impacts mimic the general agricultural sector. These results might be of interest for the assessment of policies regarding dairy development. Full article

Background/Objectives: Posterior inferior cerebellar artery (PICA) aneurysms are one of the most difficult cerebrovascular lesions to treat and account for 0.5–3% of all intracranial aneurysms. They have deep anatomical locations, broad-neck configurations, high perforator density, and a close association with the brainstem, which creates considerable technical challenges for either microsurgical or endovascular treatment. Despite its acceptance as the standard of care for most posterior circulation aneurysms, PICA aneurysms are often associated with flow diversion using a coil or flow diversion due to incomplete occlusions, parent vessel compromise and high rate of recurrence. This case aims to describe the utility of microsurgical clipping as a durable and definitive option demonstrating the value of tailored surgical planning, preservation of anatomy and ancillary technologies for protecting a genuine outcome in ruptured PICA aneurysms. Methods: A 66-year-old male was evaluated for an acute subarachnoid hemorrhage from a ruptured and broad-necked fusiform left PICA aneurysm at the vertebra–PICA junction. Endovascular therapy was not an option due to morphology and the center of the recurrence; therefore, a microsurgical approach was essential. A far-lateral craniotomy with a partial C1 laminectomy was carried out for proximal vascular control, with careful dissection of the perforating arteries and precise clip application for the complete exclusion of the aneurysm whilst preserving distal PICA flow. Results: Post-operative imaging demonstrated the complete obliteration of the aneurysm with unchanged cerebrovascular flow dynamics. The patient had progressive neurological recovery with no new cranial nerve deficits or ischemic complications. Long-term follow-up demonstrated stable aneurysm exclusion and full functional independence emphasizing the sustainability of microsurgical intervention in challenging PICA aneurysms. Conclusions: This case intends to highlight the current and evolving role of microsurgical practice for treating posterior circulation aneurysms, particularly at a time when endovascular alternatives are limited by anatomy and hemodynamics. Advances in artificial intelligence cerebral aneurysm rupture prediction, high-resolution vessel wall imaging, robotic-assisted microsurgery and new generation flow-modifying implants have the potential to revolutionize treatment paradigms by embedding precision medicine principles into aneurysm management. While the discipline of cerebrovascular surgery is expanding, it can be combined together with microsurgery, endovascular technologies and computational knowledge to ensure individualized, durable, and minimally invasive treatment options for high-risk PICA aneurysms. Full article

Narcotics trafficking is a fundamental part of organized crime, posing significant and evolving challenges for forensic investigations. Addressing these challenges requires rapid, precise, and scientifically validated analytical methods for reliable identification of illicit substances. Over the past five years, forensic drug testing has advanced considerably, improving detection of traditional drugs—such as tetrahydrocannabinol, cocaine, heroin, amphetamine-type stimulants, and lysergic acid diethylamide—as well as emerging new psychoactive substances (NPS), including synthetic cannabinoids (e.g., 5F-MDMB-PICA), cathinones (e.g., α-PVP), potent opioids (e.g., carfentanil), designer psychedelics (e.g., 25I-NBOMe), benzodiazepines (e.g., flualprazolam), and dissociatives (e.g., 3-HO-PCP). Current technologies include colorimetric assays, ambient ionization mass spectrometry, and chromatographic methods coupled with various detectors, all enhancing accuracy and precision. Vibrational spectroscopy techniques, like Raman and Fourier transform infrared spectroscopy, have become essential for non-destructive identification. Additionally, new sensors with disposable electrodes and miniaturized transducers allow ultrasensitive on-site detection of drugs and metabolites. Advanced chemometric algorithms extract maximum information from complex data, enabling faster and more reliable identifications. An important emerging trend is the adoption of green analytical methods—including direct analysis, solvent-free extraction, miniaturized instruments, and eco-friendly chromatographic processes—that reduce environmental impact without sacrificing performance. This review provides a comprehensive overview of innovations over the last five years in forensic drug analysis based on the ScienceDirect database and highlights technological trends shaping the future of forensic toxicology. Full article

Background/Objectives: Attention deficit hyperactivity disorder (ADHD) and anxiety disorders (AD) are prevalent in childhood and adolescence, often presenting with overlapping symptoms. This study aimed to assess cognitive and executive functions—specifically attention, inhibition, and working memory—in children with ADHD, AD, and comorbid ADHD + AD. It also sought to identify potential neuropsychological markers that differentiate ADHD from AD and ADHD + AD comorbidity. Methods: Cognitive and executive functions were assessed in a sample of 48 school-age children and adolescents (aged 8–15 years) using the Wechsler Intelligence Scale for Children—Fourth Edition (WISC-IV) and the NEPSY-II battery. The MASC 2 self-report questionnaire was also used to assess anxiety symptoms. The participants were divided into three groups based on clinical diagnoses: ADHD, AD, and ADHD + AD. Results: No significant group differences emerged in cognitive performance, attention, or working memory. Significant differences emerged in inhibition performance, with children in the AD group demonstrating more efficient inhibition compared to both the ADHD and ADHD + AD groups. Children with ADHD showed longer response times. Better performance on inhibition tasks was associated with more severe anxiety symptoms. Conclusions: These findings suggest that anxiety may modulate specific aspects of executive functioning during tasks requiring attentional and inhibitory control. However, the complex interaction between ADHD and anxiety requires further investigation. This study underscores the importance of distinguishing ADHD from AD based on cognitive and executive profiles, particularly inhibition. In this context, it supports the routine use of the NEPSY-II in combination with the MASC 2 questionnaire to facilitate differential diagnosis in clinical practice. Full article

The declining trend of battery aging has strong nonlinearity and volatility, which poses great challenges to the prediction of battery’s state of health (SOH). In this research, an innovative framework is initially put forward for SOH prediction. First, partial incremental capacity analysis (PICA) is carried out to analyze the performance degradation within a specific voltage range. Subsequently, the height of the peak, the position of the peak, and the area beneath the peak of the IC curves are retrieved and used as health features (HFs). Moreover, improved ensemble empirical mode decomposition based on fractal dimension (FEEMD) is first proposed and utilized to decompose HFs to reduce the nonlinearity and fluctuations. Additionally, a bidirectional gated recurrent unit with an attention mechanism (BiGRU-AM) is constructed for the prognosis of these sub-layers. Finally, the effectiveness and robustness of the proposed prognosis framework are validated using two battery datasets. The results of three groups of comparative experiments demonstrate that the maximum root mean squared error (RMSE) and mean absolute error (MAE) values reach merely 0.55% and 0.59%, respectively. This further demonstrates that the proposed FEEMD outperforms other benchmark models and can offer a reliable foundation for the health prognosis of lithium-ion batteries. Full article

Heavy metal soil pollution in urban areas is a critical environmental, public health, and sustainable living issue. The quantities of cadmium (Cd), copper (Cu), lead (Pb), and zinc (Zn) in urban soils in Larissa, Greece, are evaluated in this study along with their risks to human health. A total of 198 surface soil samples were collected from green areas over a three-year period (2021–2023) and analyzed using atomic absorption spectrometry. The results show that Zn has the highest mean concentration (99.80 mg/kg in the summer), followed by Cu (57.33 mg/kg), Pb (48.60 mg/kg), and Cd (0.10 mg/kg). Seasonal variations revealed increased metal levels in the summer due to reduced soil moisture and atmospheric deposition. For assessing the level of pollution in Larissa’s urban areas, thematic maps were created. Using the United States Environmental Protection Agency (USEPA) risk assessment framework, model estimates indicated that ingestion was the dominant exposure route, with children predicted to experience higher non-carcinogenic risks than adults due to the model default exposure assumptions. The hazard quotient (HQ) for Pb in children with soil-pica disorder reached 6.79, exceeding the safe threshold (HQ = 1), indicating significant adverse health risks. Although average metal concentrations were within EU safety limits, the cumulative health risk assessment highlights the need for continuous monitoring and pollution mitigation strategies in urban environments. Full article

Background: Vancomycin-resistant enterococci (VRE) rectal colonization represents a critical risk factor for subsequent bloodstream infections (BSIs), posing a serious concern in healthcare settings. This study aims to investigate the association between the presence of VRE in rectal swabs and the occurrence of BSIs, highlighting the challenges of rapid detection and patient care implications in an infectious disease hospital setting. Methods: We performed a retrospective analysis of cultural rectal swab screening and molecular assays (MAs) for VRE detection between January 2020 and December 2023. All adult patients admitted with at least one rectal swab screening performed during hospitalization were included. All blood cultures that yielded VRE were identified, and the first Enterococcus-positive blood sample for each patient with at least one prior rectal swab per year was analyzed. Results: The results showed a 15.4% positivity rate for VRE in cultural screening, predominantly Enterococcus faecium. MA showed a higher prevalence of 49.4%, with a significant discordance between MA rectal swab screening and cultural testing. Patients with VRE intestinal colonization by E. faecium were significantly more likely to develop E. faecium BSI, with a risk ratio of 9.78 (p < 0.001). Conclusions: The study identified a strong correlation between VRE rectal colonization and the risk of developing BSI, emphasizing the need for effective screening and infection control measures. The results support the inclusion of molecular testing in VRE detection protocols and highlight the importance of ongoing surveillance for antimicrobial resistance. Full article

Background: This scoping review aims to synthesize existing evidence on non-pharmacological interventions for managing food selectivity in individuals with autism spectrum disorder (ASD). Specifically, it explores sensory, behavioral, and environmental factors influencing intervention outcomes and examines the role of occupational therapists (OTs) within multidisciplinary teams. Methods: A search was conducted across MEDLINE, EBSCO, Web of Science, OTseeker, and SCOPUS from August 2023 to October 2023. Only experimental studies published in English were included, focusing on behavioral treatments and/or occupational therapy interventions. Results: A total of 1618 studies were identified. After removing duplicates (170 records), 259 full-text articles were assessed for eligibility, resulting in 61 studies included for qualitative synthesis. Conclusions: The findings highlight a wide range of interventions, yet methodological inconsistencies and small sample sizes limit the strength of the evidence. While occupational therapists play an increasing role in feeding interventions, their specific impact remains underexplored. Future research should focus on larger, well-designed studies with standardized outcome measures to better define the effectiveness of interventions and the role of OTs within multidisciplinary teams. Full article

Previous reviews by authors indicate the continuing development and improvement of thermal protective systems through the introduction of polymer nanocomposites into polymer matrix composites. These materials perform as thermal protective systems for a variety of aerospace applications, such as thermal protection systems (TPSs), solid rocket motor (SRM) nozzles, internal insulation of SRMs, leading edges of hypersonic vehicles, and missile launch structures. A summary of the most recent global technical research is presented. Polymeric resin systems continue to emphasize phenolic resins and other materials. New high-temperature organic resins based on phthalonitrile and polysiloxane are described and extend the increased temperature range of resin matrix systems. An important technical development relates to the transformation of the resin matrix, primarily phenolic resin, into an aerogel or a nanoporous material that penetrates uniformly within the reinforcing fiber configuration with a corresponding particle size of <100 nm. Furthermore, many of the current papers consider the use of low-density carbon fiber or quartz fiber in the use of low-density felts with high porosity to mimic NASA’s successful use of rigid low-density carbon/phenolic known as phenolic impregnated carbon ablator (PICA). The resulting aerogel composition with low-density non-wovens or felts possesses durability and low density and is extremely effective in providing insulation and preventing heat transfer with low thermal conductivity within the aerogel-modified thermal protective system, resulting in multiple features, such as low-density TPSs, increased thermal stability, improved mechanical properties, especially compressive strength, lower thermal conductivity, improved thermal insulation, reduced ablation recession rate and mass loss, and lower backside temperature. The utility of these TPS materials is being expanded by considering them for infrastructures and ballistics besides aerospace applications. Full article

Forest Orchidaceae are important for European temperate forests, yet their distribution and abundance have so far interested limited research. In three pure or mixed silver fir stands in the Foreste Casentinesi National Park (NP) (Northern Apennines, Italy) we analysed how structural traits in mature and old-growth forests affected orchid communities in terms of abundance of the main genera, trophic strategy and rarity in the NP. We established three 20 × 60 m plots to quantify the structure of living and dead tree community, including a set of old-growth attributes connected to large trees, deadwood, and established regeneration. In each plot, we measured the abundance of all orchid species and explored their behaviour according to the trophic strategy (autotrophy/mixotrophy, obligate mycoheterotrophy), rarity within the NP, and threatened status according to the IUCN Red List. We used multivariate ordination and classification techniques to assess plot similarities according to forest structure and Orchid Community and identify the main structural factors related to orchid features. The main structural factors were used as predictors of community traits. Forest composition (i.e., the dominance/abundance of silver fir) affected the presence of the main orchid genera: Epipactis were abundant in silver fir-dominated forests, Cephalanthera in mixed beech and fir forests. Interestingly, Cephalanthera could become limited even in beech-dominated conditions if fir regeneration was abundant and established. Old-growth attributes like the density of deadwood and large tree volume were important determinants of the presence of rare and mycoheterotrophic species. Our results provided a first quantitative description of forest reference conditions to be used in the protection and restoration of threatened and rare orchid species. Full article

Background/Objectives: The definitions of feeding disorders of infants and young children were historically based on a dichotomic organic/non-organic vision. Since 2019, a new definition of pediatric feeding disorders (PFDs) has reshaped the understanding of these disorders with a global vision. The aim of this study is to obtain a better understanding of the diagnostic criteria for general practice, both by exploring the evolution of classifications and by clearing the actual definition of PFDs and their possible treatments. Methods: We conducted a narrative review of the literature, including 36 articles about PFDs, excluding adolescents, anorexia nervosa, bulimia, pica, rumination, and specific neurodevelopmental or chronic pediatric disorders. We summarized these studies in three parts: the specific classifications for children before puberty, the current definition, and the clinical guidelines. Results: Concerning the history of the classifications, we summarized the studies of Chatoor and Kerzner and the older pediatric vision of failure to thrive. For the definition of pediatric feeding disorders, we presented this new category involving at least one out of four domains: medical, nutritional, feeding skills, or psychosocial. For the main clinical guidelines, we presented recommendations for both severe and common PFDs in each altered domain for use in daily practice. Conclusions: The new definition promotes a transdisciplinary vision of childhood feeding disorders, which considers each of the intricate domains of PFDs. Using common terminology for PFDs could help all healthcare providers, families, and researchers to better understand and address PFDs. Full article

This study investigates the changes in population size, distribution, and habitat preferences of the Eurasian magpie Pica pica in Zielona Góra over 23 years, emphasising the effects of urbanisation and habitat transformation. A comprehensive survey conducted in 2022 identified 953 magpie pairs, with an average density of 8.8 pairs/km² across the current administrative boundaries of Zielona Góra (without forests), and 27.7 pairs/km² in strictly urbanised zones. The highest densities were observed in the old town (36.5 pairs/km²) and residential blocks (34.5 pairs/km²), while peripheral areas, like allotment gardens and industrial zones, showed significantly lower densities. The nests were predominantly located in coniferous trees, especially spruces, marking a shift from the previously favoured poplars. The mean nest height was 11.8 m, varying by habitat type, with the highest nests found in the old town and parks. Environmental factors, such as proximity to trash bins, water sources, and tall trees, were significant predictors of nest density and placement. These findings underscore the magpie’s adaptability to urban environments, influenced by the availability of anthropogenic resources, habitat structure, and surrounding urban features. Full article

Aleurocanthus spiniferus (Quaintance) (Hemiptera: Aleyrodidae) has rapidly spread, mainly in the central and eastern Mediterranean coastal area, infesting various new host plants alongside known ones. This invasive species poses a significant threat to agricultural ecosystems, necessitating urgent action to monitor and control outbreaks in previously pest-free areas. While entomological and morphological recognitions are crucial for initial detection, challenges often arise in quickly identifying different developmental stages or genus-level distinctions, particularly in surveys conducted by personnel with limited entomological skills. Due to these challenges, a qPCR probe protocol was developed to enhance the diagnostic capacity of laboratories responsible for the territorial control of pests. This biomolecular tool integrates morphological surveys, enabling prompt and reliable proof of A. spiniferus presence in free areas, delimited territories, or during phytosanitary import inspections. The protocol’s high analytical specificity, inclusivity, and exclusivity ensure accurate identification of A. spiniferus, while its low limit of detection and high repeatability and reproducibility reinforce its utility as a standardized diagnostic method. By facilitating prompt and targeted control efforts, this innovative approach strengthens the resilience of agricultural systems against the widespread threat of A. spiniferus infestations. Full article

The sensitivity of Global Navigation Satellite System (GNSS) receivers to ionospheric disturbances and their constant growth are nowadays resulting in an increased concern of GNSS users about the impacts of ionospheric disturbances at mid-latitudes. The geomagnetic storm of June 2015 is an example of a rare phenomenon of a spill-over of equatorial plasma bubbles well north from their habitual. We study the occurrence of small- and medium-scale irregularities in the North Atlantic Eastern Mediterranean mid- and low-latitudinal zone by analysing the amplitude of the scintillation index S4 and rate of total electron content index (ROTI) measurements during this storm. In addition, large-scale perturbations of the ionospheric electron density were studied using ground and space-borne instruments, thus characterising a complex perturbation behaviour over the region mentioned above. The involvement of large-scale structures is emphasised by the usage of innovative approaches such as the ground-based gradient ionosphere index (GIX) and electron density and total electron content gradients derived from Swarm satellite data. The multi-source data allow us to characterise the impact of irregularities of different scales to better understand the ionospheric dynamics and stress the importance of proper monitoring of the ionosphere in the studied region. Full article