Search Results (62,289)

Background/Objectives: Seasonal waves of respiratory viruses—including SARS-CoV-2, influenza A virus (IAV), and respiratory syncytial virus (RSV)—continue to pose a global health burden and highlight the need for antiviral agents that are effective, safe, broadly active, affordable, and widely accessible. Current interventions are limited by the need for their early administration, the risk of resistance, their costs, and the restricted availability in large parts of the world. For certain natural products, such as European black elderberry (Sambucus nigra L.) fruit extract (ElderCraft^®; EC) and the seaweed-derived sulfated polymer iota-carrageenan (IC), antiviral activities against respiratory viruses, particularly IAV and SARS-CoV-2, have previously been shown. Here, we assessed the antiviral activity of IC and an anthocyanin-standardized EC extract against SARS-CoV-2, IAV, and RSV, either as monotherapy or in multiple-dose combinations. Methods: MDCKII cells were infected with IAV_PR8, human Calu-3 lung epithelial cells with the SARS-CoV-2 Omicron variant, and HEp-2 cells with RSV (A2 strain). Inhibitors were administered either by pre-incubation of cell-free virions prior to infection or, in separate time-of-addition experiments, during or post-infection. Viral replication was quantified by qRT-PCR or intracellular immunostaining. Cytotoxicity was evaluated using a neutral red uptake assay. Results: Most intriguingly, both EC and IC are able to neutralize virions derived from SARS-CoV-2, IAV, or RSV extracellularly in a dose-dependent manner. Notably, EC and IC alone exhibited strong anti-RSV activity, which was not reported previously. Most importantly, combined treatment with IC and EC caused a pronounced synergistic antiviral effect against the tested viruses, as confirmed by the Bliss independence model, without any detectable impact on cell viability. Finally, solutions prepared from matrix-standardized mono- or combi-lozenges, containing IC and/or EC in high or low doses, reproduced the antiviral and synergistic combination effects observed with the pure compounds. Conclusions: In summary, these findings support further development of EC and IC as a topically accessible, virion-neutralizing combination (e.g., lozenges) to provide additional protection against major respiratory viruses and potentially strengthen pandemic preparedness. Full article

One of the main focuses of social innovation is the fight for social inclusion for all. The prevalence of violence against women with disabilities shows how the lack of recognition of diversity hinders real equality for these individuals. This violence is a structural problem that is caused by a combination of gender and disability dynamics, the perpetuating inequalities and social exclusion. Researchers have analyzed specific vulnerabilities in the areas of work, education and health, and point out that only by addressing diversity can we overcome the consequences of such discrimination. Using a qualitative methodological approach, this study utilized critical documentary analysis and a thematic review of recent scientific, academic, and institutional literature, alongside empirical data, to identify the most prevalent forms of violence faced by women with disabilities: sexual (affecting up to 80% of women with disabilities), economic (with wage gaps exceeding 24%), and institutional (a lack of accessibility to basic services). The barriers hindering these women’s access to resources and services are also highlighted. The results point to the urgent need to develop innovative public policies and social strategies that value social diversity as a driver of change. This study concludes with specific recommendations for implementing inclusive approaches that promote equality, universal accessibility, and comprehensive protection in order to move toward more just, cohesive, and innovative societies. Full article

Pediculosis remains a public health problem among primary schoolchildren worldwide, including in Thailand. This study aimed to determine the prevalence of pediculosis and identify associated determinants among primary schoolgirls from different socio-geographic regions of Thailand to inform effective control strategies. A cross-sectional survey was conducted among 494 schoolgirls from eastern, northeastern, and southern provinces. Data on demographic characteristics, socioeconomic status, personal hygiene practices, parental knowledge and attitudes toward head lice, and school health policies were collected using questionnaires and interviews with school administrators. Univariable analyses and a generalized linear mixed model (GLMM) with school as a random effect were used to account for clustering. The overall prevalence of pediculosis was 50.81% (95% CI: 46.31–55.20), with significant variation across provinces. In univariable analysis, several factors were associated with infestation. However, after accounting for clustering, only class level (adjusted OR = 3.09; 95% CI: 1.31–7.29) and self-performed hair washing (adjusted OR = 2.93; 95% CI: 1.57–5.49) remained significantly associated with pediculosis, while other associations were attenuated. Parental knowledge was moderate, and commonly held beliefs regarding prevention and treatment varied. None of the participating schools had routine head lice screening policies. These findings indicate that pediculosis is likely influenced by both individual and school-level factors. Control efforts may benefit from coordinated school-based approaches, alongside improved access to effective treatment and targeted health education. Full article

Background/Objectives:Human papillomaviruses (HPVs) are the most common sexually transmitted viruses worldwide and are strongly associated with multiple cancers, including cervical cancer. In France, HPV prevention relies on a combination of organized cervical cancer screening and prophylactic vaccination; however, coverage remains below international targets. Methods: This narrative review summarizes recent advances in HPV prevention in France, with a focus on screening strategies, including the integration of high-risk HPV testing and vaginal self-sampling, as well as vaccination policies that now include both girls and boys, notably through school-based programs. Results: International comparisons, particularly with Australia and several European countries, are used to highlight successful strategies and transferable lessons that could enhance the effectiveness of French prevention efforts. The review also discusses persistent barriers to uptake, including social, organizational, and cultural factors, and considers opportunities to reduce inequalities in access to prevention. Conclusions: Overall, this work provides a comprehensive overview of the current landscape of HPV prevention in France and situates national efforts within a global public health context, offering insights for policy development and future research directions. Full article

Post-blast operations in tunnel construction represent a critical bottleneck due to mandatory downtime and hazardous environmental conditions. This study addresses these challenges by developing and validating an integrated cyber–physical architecture that coordinates an autonomous Unmanned Aerial Vehicle (UAV) and an Autonomous Wheel Loader (AWL) under the supervision of a Digital Twin acting as central operational digital interface. Specifically, this technology was designed to access the tunnel, evaluate post-blasting conditions, and initiate operations during mandatory exclusion periods for personnel. The system was validated in a realistic, Global Navigation Satellite System (GNSS)-denied tunnel environment emulating post-detonation visibility constraints. The results demonstrate that the aerial agent successfully navigated and mapped the excavation front in less than 8 min, establishing a shared coordinate system for the ground machinery. Through this collaborative workflow, the autonomous deployment enabled operations to commence 50% to 80% earlier than conventional manual procedures. Furthermore, the system reduced daily operational time by approximately 8%, with an estimated return on financial investment between one and seven months. Overall, the proposed framework eliminates human exposure during high-risk inspections and transforms the fragmented excavation cycle into a continuous, data-driven process. Full article

Background: In horses, standing arthroscopy offers a valuable alternative to general anesthesia for the reduction of anesthetic-associated risks, and provides improved visualization in joints where access is facilitated by weightbearing. These techniques are particularly advantageous for patients with increased anesthetic risk or financial limitations. To the authors’ knowledge, the removal of osteochondral fragments from the distal interphalangeal joint in a standing, sedated horse using small-diameter arthroscopic equipment has not been previously reported. Case Presentation: A 7-year-old American Quarter Horse–Thoroughbred cross presented on referral for treatment of osteochondral fragmentation in the right fore distal interphalangeal joint. A standing arthroscopic approach to the distal interphalangeal joint was performed. In a weight-bearing position, debridement of the dorsal osteochondral fragments from the second and third phalanx was successfully completed, using a 2 mm NanoNeedle scope and 3.2 mm high-flow 10- degree cannula (Arthrex^®). At one year follow-up, the horse had returned to competition and was sound at veterinary examination. Conclusion: This case demonstrates the feasibility of standing NanoNeedle arthroscopy of the equine coffin joint with improved maneuverability, surgical ergonomics, and reduced iatrogenic injury compared to a standard rigid arthroscope. The successful execution of this technique effectively expands our collection of standing arthroscopic procedures in the equine patient. Full article

This study examines institutional processes in digital justice through a mixed conceptual approach that integrates bibliometric analysis and technology-adoption modeling, incorporating artificial intelligence (AI) as a projected component rather than an implemented system. A corpus of approximately 200 Scopus-indexed documents (2003–2024) was analyzed, identifying five dominant thematic clusters: advanced technologies, institutional justice, digital government, judicial information management, and digital criminal justice. The results reveal persistent gaps in the literature, particularly in rural and underserved communities, where connectivity barriers and the limited application of adoption models hinder inclusive digital transformation. As an institutional contribution, the study presents the conceptual design of the digital solution “Travel Permits—Accessible Justice”, developed under a Service-Oriented Architecture (SOA) and projected for future integration with AI-supported components to automate judicial authorizations through biometric validation, electronic signatures, and digital delivery. To evaluate its potential acceptance, the Technology Acceptance Model (TAM) is analytically adapted and extended to the community-based judicial context, framing institutional learning processes as a prospective form of learning analytics focused on user interaction, perceived usefulness, perceived ease of use, and behavioral intention. Taken together, the integration of bibliometric evidence with an extended TAM, along with the projected incorporation of AI-supported institutional learning processes, offers a coherent foundation for future studies on inclusive digital innovation in justice environments. Full article

This article investigates the housing precarity of EU migrant workers in the Dutch–German border region, focusing on the Venlo Greenport area. Drawing on documentary analysis, 28 interviews, field observations, and stakeholder engagement, it explores how local governance, market dynamics, and framing practices shape housing outcomes. While EU law guarantees free movement, housing remains excluded from the EU rights frameworks, leaving workers dependent on employer-linked or agency-controlled short-stay facilities. These arrangements—often overcrowded, surveilled, and formally temporary—become long-term solutions, producing what we term short-stay sedentarism: prolonged residence in housing designed to deny permanence. The study conceptualises the local “battleground” where municipalities, employers, housing providers, NGOs, and residents negotiate competing interests. Seven interpretive frames—nuisance/disorder, cowboys, human rights, NIMBY, shadow power, integration, and unwanted accumulation—structure these debates, legitimising certain strategies while obscuring structural deficiencies. Findings reveal that certification and enforcement, while intended to improve standards, often entrench precariousness by sustaining the short-stay model. Emerging integration-oriented policies signal a shift but remain fragile amid economic imperatives and spatial constraints. The paper argues that addressing housing precarity requires structural reforms: expanding access to regular housing, reducing employer dependency, and recognising migrant workers as long-term residents rather than temporary labour inputs. Full article

Generative Artificial Intelligence (GenAI) is transforming higher education in terms of pedagogy, student involvement, and academic management. This systematic literature review examines 30 peer-reviewed articles published from 2019 to 2025, adhering to PRISMA 2020 and Kitchenham’s methodologies. Descriptive and thematic analyses highlight five opportunities: (a) tailored and adaptive education; (b) deliberate fostering of critical thinking; (c) enhanced accessibility for varied learners; (d) teaching innovation via multimodal content development and feedback; and (e) collaborative methods that regard AI as a co-teacher. Four ongoing challenge categories also surface: (a) risks to academic integrity; (b) excessive dependence on GenAI that may hinder learner independence; (c) inconsistent faculty preparedness and change-management abilities; and (d) differences in infrastructure and policy both regionally and globally. Intersecting ethical issues, such as data privacy, algorithmic bias, transparency, and accountability, highlight the necessity for governance that aligns with institutional risk and reflects societal values. Analyzing the recent literature, this systematic review offers four contributions: (a) a recommendation model for responsible GenAI implementation in higher education institutions; (b) a framework for sustainable integration of GenAI; (c) a highlight of the future research recommendations; and (d) an integrated policy and pedagogical recommendations roadmap. These models emphasize the integration of AI literacy, ethical considerations, and critical thinking goals into educational programs. The review advocates for a strategic, stakeholder-focused approach to implementation that enhances rather than replaces human instruction, thus connecting GenAI’s educational potential with ethical, context-aware avenues for institutional transformation. Full article

Open-source bioprinting can broaden access to biofabrication, enabling existing systems to perform high-resolution tissue manufacturing. However, most of these focus on low cost, easy assembly, or specific biomaterial ink rather than making a robust standardized and modularized multifunction platform. In this study, we present CrystalCells, a user-friendly modular open-source bioprinting system centered on the TridentExtruder, a high-performance syringe extruder with extrusion/retraction capability and tool-free automated syringe coupling. The system enables the automated exchange of syringe, temperature-controlling, microscope, and pipette modules. Repeated syringe return-and-pickup cycles showed repositioning errors within ±20 μm, while the extruder generated pressures above 950 kPa and exhibited lower elastic deformation than the Replistruder 4 under the same pressure conditions. CrystalCells supported the extrusion of pre-crosslinked alginate, FRESH printing, and dual-biomaterial inks printing with automated exchange. A microscope module resolved stained HeLa cells and enabled layer-by-layer imaging for defect detection during printing. A thermoelectric module maintained the syringe barrel below 6 °C during the printing of an alginate–collagen biomaterial ink at 23 °C (room temperature), and a pipette module transferred 2–10 μL volumes with errors within ±0.5 μL. These results show that CrystalCells is an open-source modular biofabrication platform integrating printing, imaging, temperature control, and liquid handling within a single workflow. Full article

Over the last decade, 3D printing of clay has gained attention in architecture. Yet most slicing software is designed for thermoplastics with nozzle sizes between 0.3 and 1.0 mm. Clay printing, using larger nozzles (1–30 mm), requires precise control over path arrangement, material flow, and shrinkage—capabilities not sufficiently addressed by conventional software. This paper introduces Termite, an open-source software plugin for Rhinoceros 3D Grasshopper designed specifically for Liquid Deposition Modeling (LDM) 3D printing. The novelty of this work lies in embedding slicing logic directly into a parametric design environment, enabling explicit and flexible control of printing paths tailored to the rheological behavior of clay. The plugin supports designing, simulating, optimizing, and exporting machine data within a unified workflow. In contrast to conventional slicers, it allows variable printing parameters within a single print job, controlled inrun speeds for smoother path starts, adapted material flow at path crossings, and extrusion flattening at path ends to enhance adhesion and precision. The software was evaluated through multiple architectural-scale case studies and student-based design experiments. Results demonstrate that integrating slicing operations into parametric design workflows enables new fabrication strategies and expands accessibility of clay 3D printing for architectural applications. Full article

The objectives were: (i) mapping of bibliometric characteristics of publications related to sheep and goats internationally, (ii) comparison of publications related to each animal species, and (iii) comparison of characteristics in a 55-year long timespan from 1970 to 2024. The Web of Science was used with the following search terms: [sheep OR ovine OR Ovis aries] or [goat* OR caprine OR Capra hircus].account, and 165,052 papers related to sheep and 67,637 papers related to goats were considered. There was a progressive increase in papers published annually, with a higher proportion of papers related to goats published recently. Most papers were published in Small Ruminant Research (2.2% and 4.4% of papers related to sheep and goats, respectively), the journal with most published papers for 21 (sheep) and 29 (goats) years. Most papers originated from the United States of America, the country with most published papers for 52 (sheep) and 41 (goats) years. Most published papers related to sheep or goats were classified in the Dairy and animal sciences topics-meso. The two predominant topics-micro were Ruminant nutrition and Livestock reproduction for published papers related to sheep and papers related to goats. Overall, 31.7% and 34.9% of papers related to sheep and goats, respectively, were published under open access, with a progressive increase yearly. On average, papers related to sheep had received 0.93 citations annually and papers related to goats 0.73 citations annually. Full article

Aflatoxin B1 (AFB1) poses a serious threat to global food and feed safety. Laccase-based enzymatic degradation represents a promising green strategy for AFB1 removal; however, its industrial application is severely limited by the rapid thermal inactivation of wild-type enzymes under high-temperature processing conditions (>70 °C). Here, we engineered the thermal stability of a laccase from Bacillus amyloliquefaciens B10 through an integrated strategy combining computational structural biology with semi-rational design. By coupling molecular dynamics (MD) simulations with folding free-energy (ΔΔG) calculations, we identified key flexible regions associated with thermal instability and subsequently implemented iterative saturation mutagenesis. The best single mutant, R196C, retained more than 96% relative activity after heat treatment at 80 °C for 10 min. Further iterative mutational stacking progressively enhanced thermostability: the R90E/R196C double mutant showed 1.25-fold higher activity at 80 °C than R196C, and the R90E/R196C/H54F triple mutant showed a further 1.16-fold increase over the double mutant. The final quadruple mutant, R90E/R196C/H54F/R253I, achieved 86.9% AFB1 degradation at 80 °C after 24 h. High-temperature MD simulations (100 ns at 353.15 K) indicated that the enhanced thermostability was associated with reduced conformational flexibility, lower radius of gyration (Rg) and solvent-accessible surface area (SASA), and a coil-to-β-sheet transition that contributed to stabilization of the protein core. In addition, efficient secretory expression of the engineered enzyme was achieved in Pichia pastoris, reaching 3.0 U/mL, while the crude enzyme maintained more than 70% activity at 80 °C. Collectively, these results provide a practical basis for the rational engineering and scalable production of thermostable biocatalysts for AFB1 detoxification-related applications of AFB1 control, and offer broader insights into the targeted enhancement of thermal stability in industrial enzymes. Full article

Background: Healthcare policy in the United Kingdom recognizes that teenagers and young adults (TYAs: 16–24 years at diagnosis) require specialist care. In England, Principal Treatment Centers (PTCs) exist, delivering enhanced care exclusively within the PTC or as ‘joint care’ with designated hospitals (DHs). Central to this is the TYA multidisciplinary team (MDT) and an outreach model coordinating care between hospitals. We previously reported similar outcomes regardless of care location. Aims: To compare TYA experiences of care with healthcare professionals’ perspectives of the service they deliver. Methods: Mixed methods across England and Wales were used. The TYA-MDT identified TYAs who then received a postal invite to a cross-sectional survey capturing experiences of places of care, treatment, healthcare professional support (HCP), mental health, sexuality/fertility, clinical trials and care coordination. Comparisons were made based on exposure to care in a specialist TYA environment within 6 months of diagnosis: all-TYA-PTC (all care in the TYA-PTC, n = 70, 28%), no-TYA-PTC (no care in the TYA-PTC (n = 87, 35%): care delivered in a children/adult unit only), and joint care (care in a TYA-PTC and in a children’s/adult unit, n = 91, 36%). HCP perspectives were captured by rapid ethnography. Results: A total of 250/1056 (24%) TYAs participated. Overall, 200 (80%) rated their teams as excellent/good for helping them prepare for treatment. No evidence of significant differences existed between categories of care for proportions receiving support from key TYA-related professionals: TYA cancer nurse specialists (all-TYA-PTC n = 58, 91%; joint care n = 71, 88%; no-TYA-PTC n = 64, 82%) and social workers (all-TYA-PTC n = 30, 55%; joint care n = 36, 48%; no-TYA-PTC n = 28, 38%). A trend of diminishing support from youth support co-coordinators existed (all-TYA-PTC 63%; joint care 49%; no-TYA-PTC 40%, p = 0.069). This may explain why few differences in patient experiences existed across categories of care. Forty-nine HCPs participated. They were more critical in their interpretation of care, highlighting inequity in resources and challenges in some pathways and coordination. Conclusions: Similar access to age-appropriate support across care settings is likely to reflect recruitment methods. When TYAs are known to the MDT, age-appropriate care can be mobilized beyond TYA units, which could explain the equitable outcomes observed across different care locations in young people who responded to the survey. Nevertheless, gaps persist in communication and coordination, particularly within joint care models, and in the involvement of allied health professionals such as dieticians and physiotherapists, whose input is essential for rehabilitation and return to normal life. Strengthening these areas will require continued investment in workforce capacity and digital infrastructure to support genuinely coordinated, developmentally appropriate TYA cancer care. Full article

Atherosclerosis remains the leading cause of death worldwide and imposes a major healthcare burden. Physiologically, elimination of cholesterol from the arterial wall depends on reverse cholesterol transport (RCT). RCT requires access to HDL and apolipoprotein A-I (ApoA-I) to lesional macrophages/foam cells. The endothelial glycocalyx is a dynamic and injury-sensitive layer of proteoglycans and glycosaminoglycans (including hyaluronan). It contributes to vascular barrier properties, leukocyte adhesion, mechanotransduction, and macromolecular transport. In atherosclerosis, glycocalyx structure and function are altered; this may facilitate entry/retention of atherogenic lipoproteins and may also alter transport conditions relevant to cholesterol efflux pathways. This article presents a mechanistic hypothesis: short, transient, systemic hyaluronidase exposure could temporarily remodel glycocalyx/extracellular matrix components and thereby facilitate conditions permissive for regulated transport processes relevant to RCT. However, the proposed link between glycocalyx remodeling and improved lesional cholesterol efflux remains theoretical. Direct in vivo evidence that the endothelial glycocalyx is a dominant barrier limiting HDL- or ApoA-I-mediated cholesterol efflux from plaque macrophages is currently limited. Moreover, glycocalyx degradation is widely associated with endothelial dysfunction, increased permeability, inflammation, and thrombosis, all of which could aggravate rather than ameliorate atherosclerosis. Human pharmacokinetic data indicate a very short plasma half-life of circulating hyaluronidase activity, suggesting that any systemic enzymatic effect is brief. Nevertheless, the biological consequences of repeated degradation–regeneration cycles, especially in high-risk states such as diabetes, inflammation, oxidative stress, or chronic kidney disease, remain incompletely understood. Evidence supporting clinical benefit in atherosclerosis is currently limited to heterogeneous animal experiments, historical uncontrolled reports, and a small number of anecdotal case observations, whereas randomized trials have only been performed in other settings such as acute myocardial infarction and do not establish efficacy for plaque regression. We therefore provide a balanced evaluation of knowns, uncertainties, alternative interpretations, potential risks, dosing unknowns, and a translational research agenda including mechanistic preclinical studies, biomarker development, imaging, and carefully designed early-phase clinical investigation. Full article