Search Results (22,364)

The safety of titanium dioxide (TiO₂), widely used in foods and personal care products, has been of on-going concern. Adverse effects of TiO₂ have been reported, suggesting risk to human health. To evaluate its potential epigenotoxicity, the effect of exposure to a TiO₂ product, to which humans could be exposed, on microRNA (miRNA) expression (a primary epigenetic mechanism) was investigated using human cell lines (Caco-2, HCT116 (colorectal) and HepG2, SNU387 (liver)) relevant to human exposure. The effect of TiO₂ nanomaterial exposure on expression levels of miRNA was determined using the TaqMan Array Human microRNA A+B Card Set v3.0 platform. Differentially expressed miRNAs were identified (SNU387 (n = 112), HepG2 (n = 97), Caco-2 (n = 94), and HCT116 (n = 53)). Kyoto Encyclopedia of Genes and Genomes (KEGG) and Gene Ontology (GO) functional enrichment analysis of target genes provided insights into the roles of modulating pathways, which can be associated with diseases. Top 10 KEGG pathways in each cell line included MAPK signaling pathway, Axon guidance, cell cycle, Hippo signaling pathway, and Endocytosis. Findings from the study clearly demonstrate the impact of TiO₂ exposure on miRNA expression, supporting the potential involvement of this epigenetic mechanism in its biological responses. Hence, epigenetic studies are important for the complete assessment of the potential risk from exposure. Full article

Acyl-CoA carboxylase (YCC) complexes generate essential starter and extender units for fatty acid and polyketide biosynthesis in Actinobacteria. In Streptomyces coelicolor, two tri-subunit YCC complexes, acetyl-CoA carboxylase (ACC) and propionyl-CoA carboxylase (PCC), have been characterized. However, comparative genomic analyses indicate that β/ε subunits are more diversified than currently appreciated. Here, we identify a previously unrecognized β/ε pair, AccB2 and AccE2, and demonstrate that they assemble with the canonical α subunit to form a functional YCC complex. Both genes are transcribed in vivo, and co-immunoprecipitation (Co-IP) reveals association with AccA1 and AccA2, with AccE2 showing stronger relative association with AccA1-containing pull-downs. In vitro reconstitution confirms carboxylation activity toward acetyl-CoA, propionyl-CoA, and butyryl-CoA, which is strongly dependent on AccE2. These findings expand the YCC repertoire in S. coelicolor and support a modular assembly model in which alternative β/ε combinations contribute to functional diversification of YCC complexes. Full article

Phishing attacks remain effective because they exploit human decisions at the moment of action, often before automated defenses intervene. Established countermeasures focus on detection systems or awareness campaigns but rarely provide non-expert users with a formally specified decision procedure. This work presents a lightweight, deterministic phishing avoidance algorithm that users can execute without specialized tools. The algorithm evaluates a finite set of observable indicators and applies a monotonic risk score to produce allow, caution, or block decisions. Formal properties of the procedure include monotonicity, bounded complexity, and decision traceability. A controlled study with 96 participants and 72 messages per participant showed that algorithm use increased mean classification accuracy from 68.4% to 84.7% and reduced the false-negative rate from 31.9% to 11.3%. Median decision time rose from 6.2 s to 8.7 s. These results show that phishing avoidance can be expressed as a human-executable algorithm rather than as advisory guidance, and that structured decision rules can measurably improve user level security outcomes. Full article

In this paper, by means of a comprehensive analysis of the statutory and non-statutory documents that govern its preschool provision, we examine how early childhood education and care (ECEC), particularly in relation to mathematics, is conceptualised by the English educational authorities. Situated within international debates about economic (school-readiness, accountability-driven) versus social (holistic, play-based, rights-oriented) models of ECEC, the study explores how curriculum expectations, assessment practices and didactical guidance collectively frame young children’s learning opportunities. Drawing on a document-based analytic approach, and guided by six literature-derived questions, the analysis reveals significant inconsistencies both within and between documents, including conflicting messages about the purpose of preschool, an uneven emphasis on school readiness, and ambivalent statements regarding the role of play, instruction and practitioner agency, as well as contradictory and shifting expectations surrounding the scope, status and pedagogical treatment of early mathematics. While statutory materials frequently privilege school readiness and narrowly defined number outcomes, non-statutory guidance promotes broader mathematical thinking, exploratory play and child-initiated reasoning. Overall, the findings demonstrate limited coherence across the English authorities’ ECEC expectations and highlight the interpretive and professional challenges faced by practitioners expected to implement this fragmented early years mathematics policy landscape. Full article

Background/Objectives: Exertional rhabdomyolysis (ER) is a possibly fatal condition resulting from extreme or novel exercise that causes substantial muscle breakdown. ER has been observed during preseason football; however, prospective research has yet to characterize normal versus ER responses using a repeated measures design. This study characterized ER biomarker responses related to muscle damage, and renal and hepatic stress, after two NCAA Division I preseason football scrimmages. Methods: Following a prospective, repeated measures design, blood and urine samples from 17 players were collected immediately (IPS) and 24 h post-scrimmage (24hPS). A subset (n = 13) provided samples after 48 h of rest as a non-exertion (NE) comparator group. A Comprehensive Metabolic Panel was run on serum samples, and urine samples were analyzed for myoglobin and creatinine. Values were compared with reference ranges, mixed models evaluated time effects, and linear regressions examined associations between CPK and renal and hepatic biomarkers. Results: No participants were diagnosed with ER. A time effect was observed for CPK (p < 0.01), with CPK greater IPS (991.6 ± 560.8 IU/L) compared to NE (267.7 ± 205.3 IU/L), and remaining elevated above reference ranges at 24hPS (739.2 ± 442.6 IU/L). Similar time effects were observed with LDH, AST, and ALT (p < 0.01). Serum creatinine increased above reference values and NE concentrations (p < 0.01). CPK correlated (p < 0.01 for all) with LDH (r = 0.69), serum myoglobin (r = 0.57), creatinine (r = 0.42), AST (r = 0.77), and ALT (r = 0.38). Conclusions: Biomarkers of muscle damage, renal stress, and liver function were higher IPS, with only partial recovery by 24hPS. These findings provide preliminary reference patterns for biomarker fluctuations and support individualized, serial monitoring to identify abnormal responses and promote early detection of ER. Full article

Lithium remains endorsed as first-line treatment for bipolar disorders across major clinical guidelines, yet robust evidence demonstrates its progressive decline in use in psychiatric practice across numerous countries. To justify this decline, concerns regarding lithium’s efficacy, safety profile, and monitoring requirements are frequently cited. Yet these apprehensions largely stem from an insufficient understanding of lithium’s clinical uses. In fact, when patients are selected for lithium stabilization according to a characteristic clinical profile and not just a bipolar verdict, lithium continues demonstrating good efficacy compared to all other psychiatric medications currently available. Moreover, after sufficient clinician and patient education regarding lithium stabilization principles, monitoring requirements stop being burdensome. Furthermore, among lithium-responsive patients, adverse effects are typically mild and clinically manageable, except for glomerular filtration rate decline, which tends to develop after decades of continuous administration. Thus, it might be possible to reverse this unfortunate decline in lithium’s use by teaching clinicians to identify the patient profile responsive to lithium stabilization and by implementing educational programs regarding optimal lithium utilization for psychiatrists, patients, and their families. Furthermore, it is worth investigating intermittent lithium administration to mitigate renal complications. Full article

Background/Objectives: Cervical drainage has traditionally been used after thyroidectomy to reduce postoperative fluid accumulation and mitigate bleeding-related complications. However, advances in surgical technique, perioperative hemostasis, and postoperative care pathways have led to an increase in the use of short-stay and outpatient thyroidectomy, prompting renewed evaluation of the role of routine drainage. The objective of this systematic review and meta-analysis was to examine the association between postoperative cervical drainage and postoperative outcomes following thyroidectomy. Methods: A systematic literature search was conducted across PubMed/MEDLINE, Google Scholar, Semantic Scholar, and the Cochrane Central Register of Controlled Trials to identify studies comparing thyroidectomy with versus without cervical drainage. Studies published between January 2005 and January 2026 were eligible for inclusion. Randomized controlled trials and non-randomized comparative studies involving adult patients were included. The outcomes of interest were cervical hematoma, surgical site infection (SSI), seroma formation, postoperative bleeding, reoperation, and length of hospital stay. Random-effects meta-analyses were performed using odds ratios for binary outcomes and mean differences for continuous outcomes. Sensitivity and influence analyses were conducted to assess robustness. The results were additionally examined in prespecified sensitivity analyses restricted to randomized trials, and study-design-stratified estimates are presented. Results: Thirty studies comprising 2810 patients were included. Drain use was not statistically significantly associated with postoperative cervical hematoma (OR 1.28, 95% CI 0.93–1.75; p = 0.124). In contrast, drain use was associated with a significantly increased risk of surgical site infection (OR 2.04, 95% CI 1.46–2.85; p = 0.0002) and a significantly longer postoperative length of hospital stay (mean difference 1.96 days, 95% CI 0.42–3.50; p = 0.016). No statistically significant associations were observed between drainage and seroma formation (OR 0.95, 95% CI 0.70–1.30; p = 0.750), postoperative bleeding (OR 1.26, 95% CI 0.85–1.86; p = 0.228), or reoperation (OR 0.89, 95% CI 0.59–1.32; p = 0.525). Sensitivity and influence analyses demonstrated consistent results across analytical approaches and study designs. Conclusions: In thyroidectomy, routine cervical drainage is not associated with a reduction in bleeding-related complications and is associated with adverse recovery-related outcomes, including increased risk of surgical site infection and prolonged hospitalization. Overall, the findings indicate that routine cervical drainage after thyroidectomy offers no clear advantage in preventing postoperative complications and may be associated with adverse postoperative outcomes. Routine cervical drainage after thyroidectomy was not associated with a protective effect on complications and showed associations with less favorable recovery-related outcomes. Full article

PRRSV-2 represents a major threat to the swine industry. Canada is one of the world’s leading pork producers and a major trading partner of live pigs with the United States, yet PRRSV-2 evolutionary dynamics in these two countries are often studied independently, partly due to limited publicly available sequence data from Canada. We analyzed more than 3000 PRRSV-2 ORF5 sequences collected between 2000 and 2024 from five Canadian provinces. Thirteen previously described sub-lineages were detected in Canada, while approximately one-third of the sequences could not be assigned to any known sub-lineage. Phylogenetic analyses incorporating global reference sequences revealed that most unclassified sequences clustered into four distinct monophyletic clades, exhibiting genetic distances greater than 9.5% from recognized sub-lineages. We propose two new sub-lineages, 1K and 1L, corresponding to clades that were prevalent and persistent over time, whereas the remaining two clades were rare and last detected in 2021. We reconstructed cross-border transmission histories and found that sub-lineages 1C, 1H, 1I, 1K, and 1L originated in Canada, whereas 1A, 1B, 1E, and 1F originated in the United States. Transmission patterns varied across sub-lineages, ranging from unidirectional to bidirectional movement. Our findings refine PRRSV-2 classification and provide insights to inform targeted surveillance, particularly at national borders. Full article

In many cases, the pieces of information at our disposal (messages) come from a recommender source, which can be either an official news system, a large language model or simply a social network. Often, also, these messages are build so as to promote their active spreading, which, on the other hand, has a positive effect on one’s own popularity. However, the content of the message can be false, giving origin to a phenomenon analogous to the spreading of a disease. In principle, there is always the possibility of checking the correctness of the message by “investing” some time, so we can say that this checking has a cost. We develop a simple model based on the mechanism of “risk perception” (propensity to check the falseness of a message) and mutual trustability (affinity), based on the average number of fake messages received and checked. On the other side, the probability of emitting a fake message is inversely proportional to one’s risk perception and the affinity among agents is also exploited by the recommender system. We aim at investigating this process with the goal of deriving methods for identifying the penetration level of fake news from behavioral patterns of users. This model represents an integration of cognitive psychology with computational agent-based modeling. Full article

Atrial fibrillation (AF) frequently coexists with chronic coronary syndrome (CCS), reflecting shared cardiovascular risk factors and structural remodeling pathways. Identifying CCS patients at increased likelihood of AF remains clinically relevant, particularly when arrhythmia is silent or paroxysmal. Background: We hypothesized that established clinical and angiographic risk scores used in CCS may capture cumulative cardiovascular burden and could therefore assist in AF risk stratification. The biomarker-based ABC-stroke score was incorporated as a biological reference framework reflecting myocardial stress and injury. Methods: This prospective, single-center proof-of-concept study included 131 consecutive patients undergoing invasive coronary angiography for suspected myocardial ischemia. Patients were classified according to rhythm status, irrespective of AF subtype. Coronary artery disease severity was quantified using the Gensini and SYNTAX (PCI and CABG) scores. Global cardiovascular risk was assessed using Framingham, ASCVD, SCORE2, and SCORE2-OP. Correlation analyses, ROC curves, and multivariable logistic regression were performed to evaluate associations between risk scores, coronary complexity, and AF. Results: Clinical and angiographic risk scores differed significantly according to rhythm status and AF phenotype. Patients with AF exhibited higher global cardiovascular risk and greater coronary anatomical complexity compared with those in sinus rhythm. SYNTAX PCI and SYNTAX CABG demonstrated moderate discriminative performance for AF detection (AUC 0.745 and 0.760, respectively), with SYNTAX CABG remaining independently associated with AF in multivariable analysis. Significant correlations were observed between traditional cardiovascular risk scores and SYNTAX-derived measures of coronary complexity, whereas correlations with the Gensini score were weaker. The ABC-stroke reference model showed a strong discriminative signal, consistent with its biological proximity to AF-related myocardial stress. Conclusions: Established clinical and angiographic risk scores used in CCS are associated with the presence and phenotype of AF. These findings suggest that routinely available coronary risk assessment tools may serve as practical instruments for identifying CCS patients at increased likelihood of AF, potentially facilitating targeted rhythm screening and earlier risk stratification. Full article

This systematic review aimed to synthesize experimental evidence on the anticancer effects of Lacticaseibacillus rhamnosus (L. rhamnosus) and its derivatives against colorectal cancer (CRC) cell models. Eligible studies investigated probiotics, postbiotics, or bioactive compounds derived from L. rhamnosus with an in vitro component; studies relying solely on in vivo animal models, clinical trials, or observational designs were excluded. PubMed and Scopus were searched to identify relevant studies. Risk of bias was assessed using a modified QUIN tool, and extracted data were tabulated. Owing to incomplete numerical data, meta-analysis was not feasible, and the results were synthesized accordingly. Seventeen studies were included. L. rhamnosus and its derivatives reduced CRC cell proliferation, induced apoptosis, and caused cell cycle arrest. Reported mechanisms included upregulation of Bax, caspase-3/9, and p53; downregulation of Bcl-2/Bcl-xl; inhibition of Wnt/β-catenin signaling; reduced invasion and migration; increased reactive oxygen species; and immunomodulatory effects. Key limitations were heterogeneity in interventions, dosages, exposure periods, and cell lines, along with incomplete reporting, which precluded quantitative synthesis. Overall, preclinical evidence indicates multimodal anticancer effects of L. rhamnosus in CRC models; however, standardized reporting and translational research are required. Full article

Aminopyralid (2-pyridine carboxylic acid, 4-amino-3, and 6-dichloro-2-pyridine carboxylic acid) is an auxin herbicide widely used to control broad leaf weeds in pasture and hay fields. Aminopyralid compound in forage material can pass through livestock into manure. Composts derived from aminopyralid-contaminated manure can cause phytotoxic effects in sensitive crop plants. Biochar has shown synergetic effects in composting and can immobilize organic pollutants that present in compost. This experiment examined the effects of incorporating 0%, 2%, 4%, and 10% (w/w) biochar for composting dairy manure containing 50 µg kg⁻¹ aminopyralid (wet base) in 140 L plastic rotary drum reactors. Residual aminopyralid concentration after 2, 6, and 12 m composting periods, phytotoxicity effects of compost on tomato (Lycopersicon esculentum L.) plants, and the key chemical characteristics of composts after 6 and 12 m curing were assessed in two runs. After 12 months of curing, the aminopyralid concentration in the 10% biochar treatment decreased by more than 90% and eliminated the phytotoxicity of the compost. Improved adsorption and immobilization by biochar accounted for over 57% of the reduction in the 10% BC treatment. Biochar addition slightly increased the C/N ratio and total N content significantly but did not markedly impact the N transformation. The results indicate that biochar incorporation can be used as an effective practical tool to enhance the agronomic biosafety of bovine compost originated from persistent auxin herbicide aminopyralid-contaminated dairy manure. Full article

Background/Objective: The primary aim of this study was to establish a clinically relevant cut-off for detecting postpartum anaemia using non-invasive haemoglobin measurement, and to compare the non-invasive method with laboratory haemoglobin testing. This study was conducted as a prospective observational study at a single centre. Pregnant women giving birth vaginally or by caesarean birth at a university hospital were included in this study. Methods: We measured haemoglobin by non-invasive and laboratory means at delivery room discharge and after childbirth in the operation room. We then calculated a clinically relevant cut-off for detecting postpartum anaemia using the non-invasive measurement method. The main outcomes were the invasively and non-invasively measurements of haemoglobin and the correlation between the two measurements. Results: In total, 466 complete measurement pairs from 323 women were included, and 179 (38.4%) laboratory measurements were found to be anaemic (haemoglobin value < 11 g dL⁻¹). Maximising specificity while maintaining a minimum sensitivity of 80%, we identified a cut-off of 13.75 g dL⁻¹, which achieved a sensitivity of 81.0% and a specificity of 54.7%. The NPV at this threshold was 82.2%, while the PPV was 52.7%. The mean difference between measurements was found to be +2.3 g dL⁻¹ (CI 95% 2.16 to 2.43). Conclusions: Non-invasive haemoglobin measurement did not sufficiently detect anaemia compared to laboratory measurement values in the setting of early postpartum women, even after adjusting for bias. However, the proposed cut-off could potentially aid healthcare providers in low-resource situations. Full article

Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) pose a significant burden on the healthcare system. The mechanisms underlying the pathophysiology of ALI/ARDS are widely studied. However, currently, there are no clinically approved drugs that can effectively reduce the high mortality of patients. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are an increasingly popular class of medications. Their FDA approval was driven by the beneficial effects in patients with type 2 diabetes mellitus. Notably, recent studies are beginning to recognize the role of GLP-1 RAs in immunomodulation and anti-inflammatory responses across various organs, including the lungs. Animal models of ALI demonstrate the potential of these medications for treatment and prophylaxis. Observational studies suggest that patients taking GLP-1 RAs experienced fewer pulmonary complications. Here, we reviewed reports on their impact on the respiratory system in animal models of ALI and in clinical trials. Their effects in the intensive care unit setting and conditions predisposing to ALI/ARDS were also summarized. The mechanisms of action of GLP-1 RAs were reviewed based on in vitro studies using various lung cell types, and experimental approaches. Moreover, the roles of the pharmaceutical industry and patent law in extending the scope of GLP-1 RAs beyond obesity and diabetes were also described. Full article