Search Results (3,630)

Background/Objectives: Fetal growth restriction (FGR), formerly known as intrauterine growth retardation (IUGR), is defined as a fetus’ failure to reach its genetically predetermined growth potential. FGR has also been implicated in the development of autism spectrum disorders (ASD) and attention-deficit/hyperactivity disorder (ADHD), though strong supporting literature has yet to be published. This study aims to review the existing associations between FGR and autism spectrum disorder or attention-deficit hyperactivity disorder as studied in relevant literature, as well as the mechanisms that provide explanation of that association. Methods: We used a combination of the terms ‘Autism spectrum disorder’ OR ‘Attention deficit hyperactivity disorder’ OR ‘neurodevelopmental disorders’ AND ‘intrauterine growth retardation (IUGR)’ OR ‘fetal growth restriction (FGR)’ in an electronic search of PubMed/MEDLINE and Scopus databases. Results: After evaluating the existing literature, we found only a few studies assessed the risk of developing ASD or ADHD in IUGR/FGR children. Neurodevelopmental disorders have generally been linked to very low birth weight, small for gestational age neonates (SGA), prematurity, somatic mutations, and intrauterine caffeine and alcohol exposure. While available evidence supports the notion that IUGR/FGR is related to cognitive impairment and behavioural disorders, the association with ASD or ADHD remains elusive due to the marked variability in the reported outcomes. Few studies have reported a respective higher risk for autism spectrum disorders, yet most of them have failed to identify a statistically significant correlation. Conclusions: While autism spectrum disorders and attention deficiency disorder have been generally associated with FGR children, the existing body of literature offers limited evidence to support this theory. Full article

Allogeneic blood transfusion is frequently performed in critically ill patients, but accumulating evidence demonstrates that it is not a biologically neutral intervention. Transfusion-associated immunomodulation (TRIM) encompasses the immunological effects of transfusion, ranging from immune suppression to proinflammatory activation and cancer recurrence, with potential impact on morbidity and mortality in the intensive care unit. We conducted a narrative review of recent experimental and clinical evidence on TRIM to describe the molecular pathways involved. We reviewed, randomized trials, metaanalyses, and large observational cohorts to evaluate the clinical relevance of TRIM in critically ill populations. TRIM arises from multiple converging mechanisms. These pathways alter innate and adaptive immunity, leading to increased risk of healthcare-associated infections, transfusion-related acute lung injury, acute kidney injury, multiorgan dysfunction, prolonged length of stay, and cancer recurrence in surgical patients. Blood-sparing strategies, including patient blood management (PBM), mitigate exposure. The impact of storage duration and novel processing technologies remains unclear. There is still a gap in research that needs to be addressed. Transfusion-associated immunomodulation (TRIM) is a phenomenon in which donor leukocytes, extracellular vesicles, microparticles, bioactive lipids, and cytokines interact with the host immune system to produce a spectrum of immunological effects. In critically ill patients, the immune system is already fragile, and these mechanisms predispose patients to infections, pulmonary complications, organ dysfunction, prolonged recovery, and even cancer recurrence. Although TRIM cannot currently be diagnosed through a single biomarker or clinical test, its existence is strongly supported by mechanistic studies and consistent clinical associations between transfusion exposure and adverse outcomes. Full article

Conventional methods of nano-urea application in maize cultivation, such as tractor-operated gun sprayers, involve high water usage, labor intensity, and operator health risks due to chemical exposure. The drone spraying system ensures precise and automated application of nano-urea with minimal resource use, labor requirement, and operator intervention. However, the efficacy of the drone spraying system for nano-urea application was not evaluated and compared with traditional spraying systems in field conditions. There is a need to evaluate whether drone-based spraying systems can provide an equally effective and more resource-efficient alternative to conventional spraying techniques. Therefore, this study evaluated the agronomic efficacy of a drone-based spraying platform in comparison to conventional tractor-operated gun sprayers for the foliar spray application of nano-urea in the maize crop. Field experiments were conducted during the 2024 Kharif season to evaluate changes in SPAD, NDVI values, and grain yield due to two spray application methods. Both spraying methods showed statistically similar NDVI and SPAD values eight days after nano-urea application, indicating comparable effectiveness in nutrient delivery. Maize yield was also observed to be statistically indistinguishable between the two methods (t (8) = 0.025503, p = 0.9803), with 2912 ± 375 kg/ha (mean ± SE) for the gun sprayer and 2928 ± 503 kg/ha for the drone sprayer treatments. However, the drone system demonstrated significant operational advantages, including 95% water savings and decreased operational time. These findings support the use of drone spraying as a sustainable, safe, and scalable alternative to traditional fertilization application practices in precision agriculture. Full article

Background: Survival among children and adolescents and young adults (AYA) with cancer has improved substantially over recent decades; however, dominant survivorship models remain reactive—activated post-treatment and anchored to static exposure- and organ-based screening. This design underuses the anticipatory window at diagnosis and overlooks environmental and social determinants that modulate outcomes across the life course. Methods: We narratively reviewed international frameworks including the Children’s Oncology Group (COG), the International Late Effects of Childhood Cancer Guideline Harmonization Group (IGHG), the Pan-European Network for Care of Survivors after Childhood and Adolescent Cancer (PanCare) and the National Comprehensive Cancer Network (NCCN), and synthesized evidence on environmental determinants, exposomics, toxicogenomics, and implementation. Building on two decades of real-world practice, we describe the evolution from the Pediatric Environmental History (PEHis) to the Ambiomic Health Compass (AHC), integrating genomic, exposomic, geospatial, clinical, and biomonitoring layers into routine care. In this framework, survivorship is conceptualized as beginning at the time of cancer diagnosis (“day 0”). Results: PEHis operationalizes guideline-based care with structured environmental and social assessment, personalized plans, and community integration, contributing to improved survival, healthier behaviors, reduced treatment-related mortality and stronger oncology–primary-care coordination. AHC extends PEHis with dynamic risk recalibration, contextual alerts, targeted biomonitoring, and toxicogenomic interpretation, enabling anticipatory decisions from day 0. The manuscript summarizes the paradigm shift (current vs. Ambiomic models), the domain-specific expansion over existing guidelines, the core clinical/system tools, and time-bound metrics (12, 24, 60 months) to support implementation and evaluation. Conclusions: Survivorship should move upstream—from late surveillance to ambiomic, exposure-aware care beginning at diagnosis. Integrating advanced exposomics, mutational epidemiology, and explainable analytics can reduce preventable events and chronicity, enhance equity, and align pediatric oncology with planetary health. The PEHis–AHC continuum offers a scalable blueprint for next-generation survivorship programs in Europe and beyond. Ambiomic medicine does not replace precision medicine—it completes and extends it by integrating exposomics, social context, and anticipatory analytics from day 0. Full article

Background/Objectives: Air pollution is a recognized risk factor for preterm birth (PTB), a major cause of neonatal morbidity and mortality. The biological mechanisms underlying this association remain unclear, partly because PTB is a composite outcome that includes both spontaneous (sPTB, from preterm labor or rupture of membranes) and medically indicated (mPTB, for conditions such as preeclampsia or fetal growth restriction) subtypes. Additionally, PTB spans a range of gestational lengths from 20 to 36 completed weeks, which may reflect distinct etiologic pathways. Methods: This scoping review identified studies evaluating two pollutants strongly linked to PTB—particulate matter < 2.5 µm in diameter (PM_2.5) and nitrogen dioxide (NO₂)—in relation to PTB phenotypes and gestational length. A comprehensive PubMed search using targeted MeSH terms and keywords included studies published between 1 January 2011 and 28 February 2024. Eligible studies examined associations of PM_2.5 or NO₂ with PTB and were categorized by whether they specified PTB phenotype (sPTB or mPTB), gestational length, or neither. Results: Of 436 eligible studies, 5 evaluated specific PTB phenotypes, 28 considered gestational length, and 3 addressed both. Reported associations of PM_2.5 or NO₂ with PTB were frequently significant but varied in magnitude and direction. Conclusions: Few studies have examined pollutant exposure in relation to PTB phenotypes or gestational lengths, revealing an important knowledge gap. Standardized approaches to exposure assessment and PTB classification are needed to clarify causal pathways and inform targeted prevention strategies and policies to reduce pollution-related PTB. Full article

Practices with medical cyclotrons to produce PET radiopharmaceuticals in Latin America represent a technological advance for the diagnosis and treatment of diseases such as cancer, but they involve occupational risks due to exposure to ionizing radiation. This study evaluates the perception of risk in 46 radiopharmacy service workers in 13 countries in the region (Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Cuba, Ecuador, Mexico, Peru, Portugal, Dominican Republic and Venezuela), analyzing differences by gender and age. The questionnaire, validated by reliability analysis (Cronbach’s coefficient α > 0.7), was statistically analyzed with means, standard deviations (SD) and standard errors (SE), 95% confidence intervals (Student’s t-distribution), and coefficients of variation (CV) to assess the dispersion of each variable. The results reveal general underestimation in dimensions such as reversibility of consequences (SD = 0.7142, SE = 0.1053) and familiarity (SD = 0.8410, SE = 0.124), promoting complacency, while immediacy of consequences shows overestimation (SD = 0.9760, SE = 0.1439), amplifying anxiety. By gender, women tend to overestimate (e.g., immediacy = 2.5) and men underestimate (e.g., confidence = 1.78); by age, young people (26–45 years old) overestimate more than older people (≥46 years old). These deviations, with high QoL indicating heterogeneity, suggest interventions such as continuous training, real-time monitoring, and communication campaigns to balance perception. Practical recommendations include job rotations to reduce underestimation due to familiarity and simulations to mitigate emotional overestimation, which are aligned with IAEA regulations (GSR Part 3, SSG-46) to promote a sustainable safety culture. Full article

Plastic pollution now represents a global environmental crisis, as micro- and nanoplastics (MNPs) infiltrate organisms via multiple routes such as the digestive system and respiratory system, ultimately accumulating in tissues and endangering human health. The central nervous system exhibits particular vulnerability to MNPs toxicity, which can trigger neurotoxic effects and disrupt brain function, potentially contributing to neurological disorders. Understanding the precise mechanisms and biological pathways underlying MNP-induced neurotoxicity has therefore emerged as a critical step toward identifying therapeutic targets. This review synthesizes current knowledge on MNPs’ entry routes into the brain, examines proposed neurotoxic mechanisms, and evaluates existing and prospective treatment approaches. These insights may inform both the risk assessment of MNPs exposure and the development of targeted interventions for neurological protection. Full article

Traumatic brain injury (TBI) is a major global health concern and a leading cause of mortality and disability. Head computed tomography (CT) remains indispensable for the detection of intracranial hemorrhage; however, its indiscriminate use in mild trauma increases radiation exposure, cumulative oncogenic risk, and healthcare costs. Consequently, there is growing interest in tools capable of improving sensitivity in mild or early-stage TBI. Protein-based biomarkers are promising complements to conventional assessment. Molecules such as glial fibrillary acidic protein (GFAP), ubiquitin C-terminal hydrolase L1 (UCH-L1), S100 calcium-binding protein B (S100B), and neurofilament light chain (NfL) reflect astroglial activation, neuronal injury, and axonal damage, enabling objective evaluation of neurotrauma. Beyond protein biomarkers, metabolomic and lipidomic approaches capture alterations associated with early metabolic distress, oxidative stress, mitochondrial dysfunction, and membrane disruption following TBI. High-resolution mass spectrometry studies have identified reproducible metabolite and lipid signatures correlating with injury severity and functional outcomes. Longitudinal profiling further reveals dynamic metabolic trajectories that distinguish secondary injury progression from stabilization, supporting predictive modeling and risk stratification. Together, these advances pave the way toward precision medicine in neurotrauma. Nevertheless, variability in assay performance and sampling timing continues to limit widespread clinical adoption. Future research should prioritize methodological standardization, analytical validation, and the integration of multi-omic data with machine learning–based predictive models. Full article

Inflammation underpins pulmonary disease progression during tobacco smoke exposure, which may culminate in irreversible pulmonary disease. While primary smoke poses a notable risk, nearly half of the US population is also susceptible due to frequent exposure to secondhand smoke (SHS). In the present study, we assessed the potential role of VYN202, a novel small molecular bromodomain and extra-terminal inhibitor, as a possible means of attenuating SHS-mediated inflammation. We exposed wild-type mice to an acute time course of room air (RA), SHS via a nose-only delivery system (Scireq Scientific, Montreal, Canada), or to both SHS and 10 mg/kg VYN202 (efficacious dose from prior inflammatory models) via oral gavage three times a week. Specific smoke exposure delivery to mice involved SHS from two cigarettes over 10 min, equilibration in room air for 10 min, followed by exposure to SHS from one cigarette for an additional 10 min, for a total SHS exposure of 20 min per day, five days a week for 30 days. We evaluated leukocyte abundance and the secretion of inflammatory mediators in bronchoalveolar lavage fluid (BALF). We also assessed general morphology via histology staining and the activation of receptor tyrosine kinase (RTK) family members. While standard hematoxylin and eosin (H&E) staining resulted in unchanged morphology, SHS-mediated increases in BALF protein abundance, total cellularity, and percent PMNs were attenuated with concomitant administration of VYN202. We also discovered SHS-induced activation of RTKs that were pro-inflammatory (JAK1, JAK3, ABL1, and ACK1), as well as RTKs related to endothelial and vascular remodeling (VEGFR3, VEGFR2, EphB4, EphB6, and FAK). Furthermore, inflammatory cytokines including GCSF, IFN-γ, IL-12p70, IL-17A, LIX, and TNF-α were all augmented by SHS exposure. Despite SHS exposure, each of these RTKs and cytokines/chemokines was significantly attenuated by VYN202. In summary, inflammatory responses induced by SHS exposure were mitigated by VYN202. These data reveal fascinating potential for the utility of VYN202 in lessening smoke-induced pulmonary exacerbations. Full article

Background: Coronary artery disease (CAD) is a multifactorial atherosclerotic disorder. Silicon (Si) is a trace mineral with potential antioxidant, anti-inflammatory, and lipid-modulating effects, but its clinical relevance in cardiovascular disease remains unclear. This study evaluated whether hair Si concentration—reflecting long-term exposure—is associated with CAD severity, clinical phenotype, risk factors, and systemic inflammation. Methods: A total of 130 patients with angiographically confirmed CAD (N = 36, 28% women) who met the inclusion criteria were enrolled. Disease severity was quantified using the Coronary Artery Surgery Study Score (CASSS) and SYNTAX score. Hair Si concentration was determined by inductively coupled plasma optical emission spectrometry (ICP-OES). Associations with demographic, clinical, biochemical, and inflammatory parameters were analyzed using non-parametric tests and multivariable ordinal logistic regression. Results: Median hair Si concentration was 21.3 ppm (range: 0.7–211.0). Hair Si levels showed no significant differences across CAD severity assessed by CASSS (H = 2.51; p = 0.47) or SYNTAX score (r = 0.079; p = 0.37). Similarly, no differences were observed between patients with stable angina and those presenting with acute coronary syndrome (p = 0.57) or between individuals with and without prior myocardial infarction. Hair Si concentration was unrelated to age, BMI, cardiovascular risk factors, lipid profile, or systemic inflammatory indices (all p > 0.2). Conclusions: Hair silicon concentration was not associated with CAD severity, phenotype, or systemic inflammation, suggesting that long-term Si exposure is metabolically neutral in advanced atherosclerosis. Unlike other minerals, silicon appears unlikely to serve as a diagnostic or prognostic biomarker in CAD, although its relevance may be confined to early vascular remodeling and primary prevention. Full article

Telecommunication infrastructures rely on cryptographic protocols designed for long-term confidentiality, yet data exchanged today faces future exposure when adversaries acquire quantum or large-scale computational capabilities. This harvest-now, decrypt-later (HNDL) threat transforms persistent communication records into time-dependent vulnerabilities. We model HNDL as a temporal cybersecurity risk, formalizing the adversarial process of deferred decryption and quantifying its impact across sectors with varying confidentiality requirements. Our framework evaluates how delayed post-quantum cryptography (PQC) migration amplifies exposure and how hybrid key exchange and forward-secure mechanisms mitigate it. Results show that high-retention sectors such as satellite and health networks face exposure windows extending decades under delayed PQC adoption, while hybrid and forward-secure approaches reduce this risk horizon by over two-thirds. We demonstrate that temporal exposure is a measurable function of data longevity and migration readiness, introducing a network-centric model linking quantum vulnerability to communication performance and governance. Our findings underscore the urgent need for crypto-agile infrastructures that maintain confidentiality as a continuous assurance process throughout the quantum transition. Full article

Heat exposure in summer increases the risk of heat strain during work and rest, highlighting the need for effective cooling strategies. This study evaluated the cooling effectiveness of a fan-cooling jacket (FC) and a thermoelectric neck cooler (NC) under resting conditions in a hot and humid environment. Six healthy males completed three trials (no cooling, FC, and NC) in an environmental chamber (35 °C, 70% RH). Thermophysiological responses (mean skin temperature, armpit temperature, sweat volume) and psychological ratings (thermal comfort, wetness sensation) were simultaneously assessed. FC significantly reduced mean skin temperature, attenuated the rise in axillary temperature, and decreased sweat volume while also improving thermal comfort and wetness sensation. In contrast, NC provided only transient improvements in comfort and did not suppress the rise in axillary temperature; wetness sensation deteriorated over time, likely due to its localized and limited cooling area. These findings indicate that, under low-activity conditions, broad-area forced convection cooling is more effective for mitigating heat stress than localized neck cooling. The results highlight the practical utility of fan-cooling garments for rest periods and other low-intensity scenarios. Full article

This study evaluated the accumulation of heavy metals (As, Cd, Cu, Hg, Pb, and Zn) in Mediterranean mussels (Mytilus galloprovincialis) collected from five coastal stations (Küçükkumla, Kurşunlu, Güzelyalı, Mudanya, and Zeytinbağı; n = 20 mussels per station; composited into one sample per site) along the southern coast of the Marmara Sea (Bursa, Türkiye), and assessed the associated potential health risks. Analyses using ICP-OES revealed spatial variations in metal concentrations among stations. Statistical analyses (p < 0.05) showed no significant differences in As levels, whereas Cd, Cu, Hg, Pb, and Zn concentrations differed significantly. Mudanya exhibited the highest levels of Zn and Hg, while Cd was particularly elevated in Mudanya and Güzelyalı. Kurşunlu showed the highest Cu concentrations, and Küçükkumla had the highest Pb levels. Human health risk assessments for the adult population (EDI, EWI, THQ, HI) were all below 1.0, indicating no appreciable non-carcinogenic risk under the assumed adult dietary exposure scenario, based on internationally recognized toxicological reference values (FAO/WHO, JECFA, and EC Regulation 1881/2006). However, relatively higher HI values in Mudanya (0.695) and Küçükkumla (0.646) suggest the need for closer monitoring. Overall, the findings demonstrate that mussels serve as effective bioindicators of coastal metal contamination in the southern Marmara Sea and underscore the importance of continuous biomonitoring to safeguard both ecosystem and public health. Full article

Microplastics (MPs) are a global concern due to their persistence and capacity to adsorb and transport pollutants. The Canary Islands, influenced by the Canary Current, are particularly vulnerable to MPs accumulation from remote sources. The European Union’s Watch List includes emerging contaminants that require monitoring to assess potential ecological risks, though limited data hinder definitive evaluations. This study conducted a monitoring campaign between December 2023 and September 2024 across eleven beaches on four eastern islands of the archipelago. The aim was to assess MPs pollution (particles between 1 and 5 mm) and the presence of 26 organic contaminants from the EU Watch List adsorbed onto MPs, evaluating seasonal variation and tourism influence. Results show that beaches facing north and east had significantly higher MPs levels—up to an order of magnitude greater (ranged from <10 to >500 items/m²)—due to strong wind exposure, confirming the role of the Canary Current in MPs transport. White/transparent fragments dominated (>50%) among MPs types. Eight Watch List compounds were identified, with UV filters—commonly found in sunscreens—being the most frequently detected, present at nearly all sampling sites. Octocrylene reached concentrations up to 17,811 ng/g in highly touristic beaches. These findings highlight the environmental pressure on insular coastal zones and the relevance of combining MPs monitoring with targeted contaminant analysis in regions affected by oceanic currents and tourism. Full article

Hydrological droughts represent a growing challenge for northern watersheds in Thailand, where climate change is projected to intensify seasonal water stress and destabilize agricultural productivity and water resource management. This study employed the Composite Hydrological Drought Index (CHDI) to evaluate the spatiotemporal characteristics of future droughts under representative concentration pathway (RCP) scenarios. The findings revealed a pronounced seasonal contrast: under RCP8.5, the CHDI values indicated more severe drought conditions during the dry season and greater flood potential during the wet season. Consequently, the region faces dual hydrological threats: prolonged water deficits and increased flood exposure within the same annual cycle. Drought persistence is expected to intensify, with maximum consecutive drought runs extending up to 10–11 months in future projections. The underlying mechanisms include increased actual evapotranspiration, which accelerates soil moisture depletion, enhanced rainfall variability, which drives the sequencing of floods and droughts, and catchment storage properties, which govern hydrological resilience. These interconnected processes alter the timing and clustering of drought events, concentrating hydrological stress during periods that are sensitive to agriculture. Overall, drought behavior in northern Thailand is projected to intensify in a spatially heterogeneous pattern, emphasizing the need for localized, integrated adaptation measures and flexible water management strategies to mitigate future risks of drought. Full article