Search Results (1,764)

Early life is a critical window for immune system development, during which the gut microbiome shapes innate immunity, antigen presentation, and adaptive immune maturation. Disruptions in microbial colonization—driven by factors such as cesarean delivery, antibiotic exposure, and formula feeding—deplete beneficial early-life taxa (e.g., Bifidobacterium, Bacteroides, and Enterococcus) and impair key microbial functions, including short-chain fatty acid (SCFA) production by these keystone species, alongside regulatory T cell induction. These dysbiosis patterns are associated with an increased risk of pediatric autoimmune diseases, notably type 1 diabetes, inflammatory bowel disease, celiac disease, and juvenile idiopathic arthritis. This review synthesizes current evidence on how the early-life microbiota influences immune maturation, with potential effects on the development of autoimmune diseases later in life. We specifically focus on human observational and intervention studies, where treatments with probiotics, synbiotics, vaginal microbial transfer, or maternal fecal microbiota transplantations have been shown to partially restore a disrupted microbiome. While restoration of the gut microbiome composition and function is the main reported outcome of these studies, to date, no reports have disclosed direct prevention of autoimmune disease development by targeting the early-life gut microbiome. In this regard, a better understanding of the early-life microbiome–immune axis is essential for developing targeted preventive strategies. Future research must prioritize longitudinal evaluation of autoimmune outcomes after microbiome modulation to reduce the burden of chronic immune-mediated diseases. Full article

Background/Objectives: Greater than 50% of surviving very preterm infants are affected by postnatal growth failure and are at high risk of associated development of bronchopulmonary dysplasia (BPD). Given the influence of enteral feeding on growth failure, we aimed to determine the impact of type, volume, and time of introduction of enteral feeds on mitigating the risk of postnatal growth failure and BPD risk. Methods: This was a retrospective chart review of mothers’ own milk (MOM), pooled pasteurized donor human milk (PDHM) feeding, postnatal growth, and BPD severity in preterm infants <33 weeks of gestation admitted to the Children’s Hospital of Richmond at VCU neonatal intensive care unit between 2021 and 2024. Statistical analysis included linear regression with moderation analysis using the Hayes Process model, chi-square tests, linear and multinomial logistic regression, with p-value < 0.05 considered significant. Results: After controlling for the percentage of MOM received at 34 weeks corrected gestational age (cGA), greater severity of BPD was associated with lower infant weight and growth failure, p < 0.001. Early introduction of MOM (3 days of life) and greater volume of MOM showed better linear growth and decreased risk of severe BPD, respectively (p < 0.001). Conclusions: Provision of MOM to preterm infants within 3 days of life was associated with a moderation of the relationship between gestational age and growth velocity, with improved growth velocity trajectory. Preterm infants who received a greater volume of MOM through 34 weeks cGA experienced less severe BPD compared to those fed higher volumes of PDHM. As the incidence of growth failure paralleled the incidence of BPD severity, identification of key MOM components becomes important to address and augment the value of PDHM in the management of preterm infants. Full article

Feminization is an important biotechnological approach in aquaculture for species in which females exhibit superior growth and higher market value. The long-whiskered catfish (Mystus gulio), a euryhaline species cultivated in both monoculture and co-culture systems, contributes to sustainable aquaculture by grazing on uneaten feed and maintaining pond cleanliness. This study evaluated the effects of dietary 17β-estradiol (E2) at 0, 10, 30, and 60 mg/kg, incorporated into conventional and microencapsulated feeds, on the feminization and early growth of M. gulio larvae. Treatments were administered during the weaning stage for 14 and 21 days under controlled rearing conditions. Results showed that larvae fed microencapsulated feed containing 60 mg/kg E2 achieved the highest specific growth rate (26.91 ± 1.92%/day), feed efficiency (164.76 ± 33.23%), and feminization success (99.73 ± 0.04%). Hormonal assays confirmed elevated estradiol and reduced testosterone levels, consistent with ovarian development observed in histological sections. Gene expression analysis further supported these findings through the significant upregulation of cyp19a, erb1, and erb2 mRNA levels. Overall, this study demonstrates that microencapsulated hormone feeding is an effective and environmentally responsible strategy for achieving monosex female populations in M. gulio, enhancing productivity, reproductive performance, and sustainability in aquaculture systems. Full article

Background and Clinical Significance: Annular pancreas is a rare congenital anomaly in which pancreatic tissue partially or completely encircles the duodenum, potentially causing duodenal obstruction. Clinical presentation varies from asymptomatic cases to persistent vomiting, feeding intolerance, and failure to thrive, often leading to delayed diagnosis. Case Presentation: We report a 2-year and 10-month-old girl with a long-standing history of intermittent, recurrent vomiting since the neonatal period, without growth impairment or other alarming symptoms. Initial imaging suggested proximal duodenal dilation, with suspicion for superior mesenteric artery (SMA) syndrome. Endoscopy revealed mechanical obstruction at the second portion of the duodenum. Contrast-enhanced CT confirmed annular pancreas partially encircling the duodenum. The patient underwent duodeno-duodenostomy with an uneventful postoperative course and complete resolution of symptoms. This case illustrates the diagnostic challenges of annular pancreas in older children with atypical presentations. Multimodal imaging is crucial for accurate diagnosis. Surgical bypass remains the definitive treatment, offering excellent long-term outcomes. Conclusions: Persistent or recurrent vomiting in children, even without classic signs such as bilious vomiting or failure to thrive, should prompt consideration of annular pancreas. Early recognition and timely surgical intervention can prevent prolonged morbidity and ensure normal growth and development. Full article

Metabolic dysfunction-associated steatotic liver disease (MASLD) represents a progressive spectrum of metabolic liver injury in which immune activation, metabolic stress, and stromal remodeling evolve in a tightly interdependent manner. Although early disease stages are dominated by metabolic overload, accumulating evidence indicates that immunometabolic rewiring and fibro-inflammatory amplification critically shape the transition toward metabolic dysfunction-associated steatohepatitis (MASH) and advanced fibrosis. This review synthesizes emerging insights into how hepatocyte stress responses, innate and adaptive immune circuits, and extracellular matrix-producing stromal populations interact to form a dynamic, feed-forward network driving disease progression. Particular emphasis is placed on the deterministic role of immune–fibrotic coupling in shaping clinical phenotypes, disease trajectory, and therapeutic responsiveness. Rather than focusing on individual molecular layers, we highlight how integrated clinical, imaging, and biomarker-informed frameworks can capture immune–fibrotic signatures relevant to risk stratification and precision intervention. Building on this systems-level perspective, we outline next-generation therapeutic strategies targeting immunometabolic circuits, cross-organ communication, and multi-system dysfunction. Finally, we discuss how future precision medicine—supported by integrative biomarker profiling and dynamic physiological assessment—may reshape MASLD management and improve long-term hepatic and cardiometabolic outcomes. Full article

Background and Objectives: Psychomotor developmental delay is a frequent comorbidity in children with congenital heart defects (CHD), especially after surgical correction of the CHD and exposure to risk factors such as anesthesia, cardiopulmonary bypass and postoperative complications. Yet psychomotor delay is present in these patients before surgical correction but is under-recognized. Evidence focusing solely on unrepaired CHD remains limited. Materials and Methods: This prospective cross-sectional study evaluated 153 and included 77 children under 6 years of age with unrepaired CHD, stratified into cyanotic (n = 31) and non-cyanotic (n = 46) CHD, admitted to a pediatric cardiology department over a period of 5 years. Psychomotor development was assessed using the Denver Developmental Screening Test II (DDST-II), standardized for pediatric population. Associations with clinical, perinatal, and demographic factors were analyzed using univariate and multivariate methods. Results: Developmental delay was identified in 97% of cyanotic and 54% of non-cyanotic patients. Compared to healthy norms, CHD patients had significantly lower global developmental scores (p = 0.03). Gross motor and personal-social domains were most frequently affected. Prenatal CHD diagnosis correlated with better global developmental scores (p = 0.012), and breastfeeding was associated with improved outcomes compared with formula or mixed feeding (p = 0.008). Conclusions: Infants and young children with CHD are at increased risk of early psychomotor developmental delay, particularly in the gross motor and personal–social domains, even before exposure to surgical or intensive care damaging factors. Systematic psychomotor surveillance, integration of protective factors such as prenatal diagnosis and breastfeeding, and timely access to multidisciplinary interventions are essential to optimize long-term outcomes in this vulnerable population. Full article

Background and Objectives: Vaginal natural orifice transluminal endoscopic surgery, vNOTES, has become an increasingly preferred minimally invasive option for benign hysterectomy. General anesthesia is still the routine choice, yet regional methods such as combined spinal epidural anesthesia may support a smoother postoperative course. Although the use of vNOTES is expanding, comparative information on anesthetic approaches remains limited, and its unique physiologic setting requires dedicated evaluation. To compare combined spinal epidural anesthesia with general anesthesia for benign vNOTES hysterectomy, focusing on postoperative nausea and vomiting, recovery quality, and intraoperative physiologic safety. Materials and Methods: This retrospective cohort study was conducted in a single center and identified women who underwent benign vNOTES hysterectomy between March 2024 and August 2025 from electronic medical records. Participants received either combined spinal epidural anesthesia or general anesthesia according to routine clinical practice. All patients were managed within an enhanced recovery pathway that incorporated standardized analgesia and prophylaxis for postoperative nausea and vomiting. The primary outcome was the incidence of postoperative nausea and vomiting during the first day after surgery. Secondary outcomes included time to discharge from the recovery unit, pain scores at set postoperative intervals, early functional recovery, patient satisfaction and physiologic parameters extracted from intraoperative monitoring records. Analyses were performed according to the anesthesia group documented in the medical files. Results: One hundred forty patients met inclusion criteria and were included in the analysis. Combined spinal epidural anesthesia was linked to a lower incidence of postoperative nausea and vomiting, a shorter stay in the post-anesthesia care unit, and reduced pain scores in the first 24 h (adjusted odds ratio 0.32, ninety five percent confidence interval 0.15 to 0.68). Early ambulation and oral intake were reached sooner in the combined spinal epidural group, with higher overall satisfaction also noted. Adherence to ERAS elements was similar between groups, with no meaningful differences in early feeding, mobilization, analgesia protocols or PONV prophylaxis. During the procedure, combined spinal epidural anesthesia produced more episodes of hypotension and bradycardia, while general anesthesia was linked to higher airway pressures and lower oxygen saturation. Complication rates within the first month were low in both groups. Conclusions: In this observational cohort study, combined spinal epidural anesthesia was associated with lower postoperative nausea, earlier recovery milestones and greater patient comfort compared with general anesthesia. Hemodynamic instability occurred more often with neuraxial anesthesia but was transient and manageable. While these findings point to potential recovery benefits for some patients, the observational nature of the study and the modest scale of the differences necessitate a cautious interpretation. They should be considered exploratory rather than definitive. The choice of anesthesia should therefore be individualized, weighing potential recovery benefits against the risk of transient hemodynamic effects. Larger and more diverse studies are needed to better define patient selection and clarify the overall risk benefit balance. These findings should be interpreted cautiously and viewed as hypothesis-generating rather than definitive evidence supporting one anesthetic strategy over another. Full article

Background/Objectives: Refeeding syndrome (RFS) is challenging to prevent and manage in hospitalized patients receiving enteral nutrition (EN). Nebraska Medicine implemented an Electronic Medical Record (EMR) Refeeding Risk Order Set (RROS) to standardize prevention measures, including structured electrolyte monitoring, thiamine supplementation, and conservative EN initiation. This study evaluated whether RROS implementation reduced RFS occurrence or severity and assessed its operational impact. Methods: In this retrospective cohort study, adults receiving EN before and after RROS implementation were compared. Primary outcomes were RFS occurrence and severity; secondary outcomes included EN initiation and advancement rates, electrolyte trends, lab frequency, and electrolyte repletion. Results: RFS occurrence did not differ significantly between groups (92.3% vs. 91.3%, p = 0.694), nor did severity (p = 0.535). The post-RROS group received more electrolyte boluses on EN Day 0 (p = 0.027) and had a lower EN starting rate (15.7 vs. 18.3 mL/h, p = 0.045). Conclusions: Although the RROS did not reduce RFS occurrence or severity, integrating American Society for Parenteral and Enteral Nutrition (ASPEN)-based guidance into the EMR was highly feasible and adopted immediately. Automating electrolyte monitoring, micronutrient supplementation, and conservative feeding initiation reduces the risk of errors and promotes consistent care. These benefits improve workflow efficiency and support providers during high census periods, limited staffing, or when experience varies. Future research should explore combining EMR tools with predictive analytics to optimize early risk identification and individualized management. Full article

Background: Early childhood caries (ECC) compromise the nutrition, growth, and quality of life in young children, and their relationship with breastfeeding practices remains disputed. Aim: To determine if prolonged breastfeeding increases the risk of dental caries in children aged under 71 months. Material and Methods: A systematic review of PubMed, Multidisciplinary Digital Publishing Institute, and Evidence-Based Dentistry, was conducted through August 2025, including observational studies, randomized trials, narrative reviews, and meta-analyses on breastfeeding and ECC. Results: Thirty-one studies involving 28,000 children were included. Exclusive breastfeeding for under six months halves ECC probability (OR 0.53–0.58), whereas breastfeeding beyond 12 months and nocturnal feeds increase probability by 60–86% (OR 2.35–7.14). Parental factors—high plaque levels, feeding-to-sleep, and skipped post-feed cleaning—strongly predict ECC (OR 8.51–75.6). Interventions combining feeding counseling with home visits or visual aids reduce ECC incidence by 22–32% (RR 0.68–0.78). Conclusions: Exclusive breastfeeding through six months is protective against ECC, but prolonged or nocturnal feeding heightens risk. Integrating structured oral health education into breastfeeding promotion is recommended. Full article

Accurate estimation of the state of health (SOH) of lithium-ion batteries is crucial for the safe operation of electric vehicles and energy storage systems. However, most existing methods rely on complete charging curves or manual feature engineering, making them difficult to adapt to practical scenarios where only limited charging segments are available. To fully exploit degradation information from limited charging data, this paper proposes a dual-modal mixture of Kolmogorov–Arnold network (DM-MoKAN) for lithium-ion battery SOH estimation using only early-stage constant-current charging voltage data. The proposed method incorporates three synergistic modules: an image branch, a sequence branch, and a dual-modal fusion regression module. The image branch converts one-dimensional voltage sequences into two-dimensional Gramian Angular Difference Field (GADF) images and extracts spatial degradation features through a lightweight network integrating Ghost convolution and efficient channel attention (ECA). The sequence branch employs a patch-based Transformer encoder to directly model local patterns and long-range dependencies in the raw voltage sequence. The dual-modal fusion module concatenates features from both branches and feeds them into a MoKAN regression head composed of multiple KAN experts and a gating network for adaptive nonlinear mapping to SOH. Experimental results demonstrate that DM-MoKAN outperforms various baseline methods on both Oxford and NASA datasets, achieving average RMSE/MAE of 0.28%/0.19% and 0.89%/0.71%, respectively. Ablation experiments further verify the effective contributions of the dual-modal fusion strategy, ECA attention mechanism, and MoKAN regression head to estimation performance improvement. Full article

Small pelagic fish, including sardines, are essential to global fisheries and aquaculture feed production. However, these species are increasingly exposed to intense exploitation. In Chile, the common sardine (Strangomera bentincki), endemic to the Humboldt Current System, supports major industrial and artisanal fisheries. Landings are expected to reach 300,000 tons by 2025, mostly for fishmeal production. As a keystone species, S. bentincki is highly sensitive to environmental variability during early development, which can reduce recruitment and threaten long-term population sustainability. This interdisciplinary approach integrates ecological and biotechnological perspectives to assess the feasibility of controlled juvenile sardine production in land-based Ecological Aquaculture (EA) systems, including Recirculating Aquaculture Systems (RAS) and Integrated Multi-Trophic Aquaculture (IMTA), which are designed to reduce environmental impacts. These systems enable precise control of temperature, feeding regimes, and water quality, facilitating investigations into larval and juvenile survival, growth performance, and physiological responses under variable thermal and nutritional conditions. Emphasis is placed on fatty acid metabolism during ontogeny, particularly docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA), which are essential for somatic growth, reproductive development, and thermal tolerance. Developing standardized protocols for juvenile S. bentincki culture addresses key gaps in husbandry and physiology (temperature threshold, nutrient density, larval growth rate, etc.) while introducing a novel ecological–aquaculture integration framework. This approach links early-life ecology with applied rearing techniques to support stock enhancement, strengthen artisanal fisheries, and promote sustainable aquaculture diversification under increasing environmental variability. Full article

Root-knot nematodes (RKN), especially Meloidogyne incognita, threaten global alfalfa crops because of their broad host range and pathogenic nature. Despite its significance, research on resistance is limited. In this study, 24 varieties from China, the US, Canada, Australia, and France were assessed for resistance using the Disease Index (DI) and Egg Mass Index (EMI). Results identified 19 varieties with varying resistance levels and 5 that were susceptible. Chinese Gannong No. 9 was highly resistant (DI: 10) and achieved the highest composite score (91). The US varieties Dryland and Moste were classified as resistant (DI: 14.3% and 12.5%, respectively) and also ranked highly by composite score (65 and 62.5). A moderate correlation between DI and EMI (r = 0.68) led to some inconsistent classifications, including for 2295, Instict, and WL168HQ, highlighting the importance of using multiple complementary metrics for accurate resistance evaluation. Egg mass production was strongly correlated with galling severity (r = 0.70), while root biomass showed no correlation with galling (r = 0.09), indicating root weight is not a reliable resistance indicator. Preliminary infection dynamics showed similar nematode penetration rates at 2 days post-infection across resistant and susceptible varieties. At 7 days post-infection, both resistant and susceptible varieties retained predominantly J2 larvae (78–89%), with no statistically significant differences in developmental stage distributions. These preliminary observations suggest that resistance-associated effects on nematode development, if present, are not strongly expressed at early stages of infection. The mechanistic basis of resistance in alfalfa remains unresolved and warrants further investigation using additional timepoints, histological analyses of feeding-site development, and molecular characterization. Geographically, American varieties displayed broad performance variation, Chinese varieties showed a bimodal distribution, and Canadian varieties exhibited moderate, consistent resistance. These results offer valuable germplasm for breeding and highlight the importance of multiple resistance metrics. Resistant varieties such as Gannong No. 9 provide important genetic resources for developing durable nematode resistance in alfalfa and can guide variety selection in nematode-infested regions. Full article

Background/Objectives: The first 1000 days of life represent a critical window for growth and neurodevelopment, during which nutrition strongly influences brain development and metabolic programming. In phenylketonuria (PKU), dietary management is essential to prevent neurological impairment and later-life risk of non-communicable diseases (NCDs). This review examines current evidence on PKU from pregnancy through complementary feeding, highlighting the impact of nutritional strategies on neurodevelopmental and metabolic outcomes. Methods: This narrative review, following PRISMA guidelines, used a systematic search of PubMed and Scopus with defined PICO questions. Original research, reviews, and guidelines on PKU nutrition during the first 1000 days were included, emphasizing neurological and metabolic outcomes. Results: Articles addressed prenatal and postnatal factors in PKU. Optimised metabolic control in women with PKU is critical to prevent maternal PKU syndrome, reducing risks of miscarriage, congenital heart defects, microcephaly, and neurocognitive impairment. Pre-conception dietary management, frequent blood Phe monitoring, supplementation with Phe-free protein substitutes (PSs), micronutrients, and emerging pharmacological therapies support maternal and foetal health. Following newborn screening, early dietary treatment in infants with PKU maintains plasma Phe within safe ranges, promoting growth and neurodevelopment. Breastfeeding, combined with Phe-free infant PSs, is feasible, and complementary feeding should be introduced carefully. Frequent monitoring and tailored dietary adjustments, including second-stage PSs, support metabolic control, while data on gut microbiota remain limited. Conclusions: Early multidisciplinary interventions are crucial to optimise metabolic and neurodevelopmental outcomes during this window of opportunity. Further research is needed to address remaining gaps and optimise PKU management across the first 1000 days. Full article

Due to its abundance, bird cherry–oat aphid is the most important vector in Poland of the complex of viruses causing barley yellow dwarf virus (BYDV). These viruses infect all cereals. During the growing season, cereal plants are exposed to many species of agrophages, which can limit their growth, development and yield. As observed for many years, global warming contributes to changes in the development of many organisms. Aphids (Aphidoidea), which are among the most important pests of agricultural crops, respond very dynamically to these changes. Under favorable conditions, their populations can increase several-fold within a few days. The bird cherry–oat aphid (Rhopalosiphum padi L.) is a dioecious species that undergoes a seasonal host shift during its life cycle. Its primary hosts are trees and shrubs (Prunus padus L.), while secondary hosts include cereals and various grass species. R. padi feeds directly on bird cherry tree, reducing its ornamental value, and on cereals, where it contributes to yields losses. The species can also damage plants indirectly by transmitting harmful viruses. Indirect damage is generally more serious than direct feeding injury. Monitoring aphid flights with a Johnson suction trap (JST) is useful for plant protection, which enables early detection of their presence in the air and then on cereal crops. To provide early detection of R. padi migrations and to study the dynamics of abundance, flights were monitored in 2020–2024 with Johnson suction traps at two localities: Winna Góra (Greater Poland Province) and Sośnicowice (Silesia Province). The aim of the research conducted in 2020–2024 was to study the dynamics of the bird cherry–oat aphid (Rhopalosiphum padi L.) population in relation to meteorological conditions as recorded by a Johnson suction trap. Over five years of research, a total of 129,638 R. padi individuals were captured using a Johnson suction trap at two locations (60,426 in Winna Góra and 69,212 in Sośnicowice). In Winna Góra, the annual counts were as follows: 5766 in 2020, 6498 in 2021, 36,452 in 2022, 5598 in 2023, and 6112 in 2024. In Sośnicowice, the numbers were as follows: 6954 in 2020, 9159 in 2021, 49,120 in 2022, 3855 in 2023, and 124 in 2024. The year 2022 was particularly notable for the exceptionally high abundance of R. padi, especially in the autumn. Monitoring crops for the presence of pests is the basis of integrated plant protection. Climate change, modern cultivation technologies, and increasing restrictions on chemical control are the main factors contributing to the development and spread of aphids. Therefore, measures based on monitoring the level of threat and searching for control solutions are necessary. Full article

Ionotropic receptors (IRs) are a divergent subfamily of ionotropic glutamate receptors (iGluRs) that detect olfactory and environmental cues, influencing behaviors such as foraging and adaptation. To explore the evolution of IRs in relation to feeding ecology, we identified IRs and iGluRs from the genomes of four gastropods with distinct diets: Pomacea canaliculata (9 IRs/18 iGluRs), Bellamya purificata (10/22), Cipangopaludina chinensis (11/23), and Babylonia areolata (22/41). IRs were markedly expanded in B. areolata, suggesting lineage-specific diversification. Phylogenetic analysis grouped IRs and iGluRs into three clades, with IRs clustered with GluD, supporting early functional divergence following gene duplication. In all species, IR25b showed tandem duplication and played a central role in protein–protein interaction (PPI) networks. Most IRs were acidic, whereas IR-A and IR-C subgroups were basic, suggesting functional specialization among subfamilies. Structural analysis showed that IRs share conserved domains and motifs across species. Most IRs experienced purifying selection, while P. canaliculata showed relaxed constraints, suggesting weaker functional limitation. Collinearity analysis identified conserved genes, such as BarIR-A.6 and BarIR-D.1, across species. qPCR confirmed tissue-specific expression of IRs in multiple organs. Together, these results reveal the molecular features and evolutionary patterns of IRs in gastropods, highlighting their potential roles in olfaction and dietary adaptation. Full article