Search Results (19,188)

Background: The association between emotional dysregulation (ED) and attention-deficit/hyperactivity disorder (ADHD) has been widely documented. However, a consensus has yet to be reached on how to conceptualize this domain within ADHD. Particularly, ADHD + ED may represent a distinct condition, a more severe ADHD, or a comorbidity. We explored these three main hypotheses, investigating clinical differences between patients with ADHD, ADHD + ED, and ED. Methods: In total, 101 participants (ages 18–50) were recruited and divided into four groups: ADHD (N = 23), ED (N = 28), ADHD + ED (N = 27), and HC (N = 23). ADHD and ED were assessed using the Diagnostic Interview for ADHD in adults (DIVA-5) and the Wender–Reimherr Adult Attention Deficit Disorder Scale (WRAADDS). Sociodemographic and clinical variables were compared among the groups. Results: Participants with ADHD and ADHD + ED exhibited comparably high ADHD severity and executive dysfunction ratings. While participants with ADHD + ED shared elevated negative emotionality and higher rates of mood disorders and anxiety disorders with participants with ED compared with those with ADHD, they showed specifically increased developmental and disruptive comorbidities, as well as earlier onset and greater cyclicity of comorbid mood disorders. Psychosocial functional impairments were similarly elevated on average in ADHD + ED and ADHD, but ADHD + ED showed more pronounced and widespread deficits across multiple domains. Conclusions: ADHD + ED is unlikely to represent a more severe form of ADHD but may be more appropriately conceptualized as either a distinct entity or a “comorbid” phenotype. Comparisons with ED without ADHD highlighted clinical features specific to ADHD + ED, including a higher neurodevelopmental load, impulse-control disorders, and a poorer course of mood disorders. Full article

Co-pyrolysis of polyolefins (LDPE, PP, PS) mixed with silicone rubber (SR) was investigated using a laboratory-scale pyrolysis apparatus to evaluate product composition, synergistic interactions, and siloxane recovery potential. Synergistic effects were assessed by comparing experimental mass balances and product distributions with calculated values derived from individual polymer pyrolysis. Co-pyrolysis resulted in a reduction in liquid yield and an increase in gaseous products and solid residue compared to calculated values, with liquid yields decreasing by up to ≈15 wt% at high SR content. This shift was accompanied by an enrichment in lighter hydrocarbons in both phases, reaching up to a ≈18% relative increase at high SR content, and by a redistribution towards smaller cyclic siloxanes. Chromatographic analysis confirmed that no new compounds were formed, but the proportion of low molecular weight species increased with silicone content. These effects are attributed to the distinct thermal behavior of the polymers, as silicone rubber does not melt but becomes brittle, allowing molten polyolefins to infiltrate surface cracks and prolong residence time, thereby promoting secondary cracking. Furthermore, recovery of hexamethylcyclotrisiloxane (D₃), the primary silicone pyrolysis product, was demonstrated from the liquid co-pyrolysis products via solvent-assisted filtration using ethanol, achieving purities above 99.5% and recovery rates up to ≈75% compared to other possible methods. These findings provide insights into co-pyrolysis behavior and offer a basis for developing strategies for the recovery of siloxane and advanced recycling of mixed polymer waste. Full article

Chronic myeloid leukaemia (CML) is driven by the t(9;22) forming the BCR::ABL1 fusion gene, leading to the development of hyper-myeloid proliferation. This led to development of tyrosine kinase inhibitors (TKIs) such as Imatinib, Nilotinib, and Ponatinib. However, resistance or intolerance to ATP-competitive TKIs remains a challenge for some patients. asciminib (ABL001), a novel TKI, targets the myristoyl pocket of ABL1 instead of the ATP-binding site, reducing resistance to mutations. As asciminib is linked to thrombocytopenia, its effects on platelet activation, endothelial function, and inflammation must be studied to assess its potential to promote thrombosis. The main objective of this study is to determine the potential of asciminib as a monotherapy in inducing pathological responses to platelets and endothelium over time within the vasculature. This study assessed the effects of TKIs including asciminib on platelets and thrombotic biomarkers. Washed platelets were used to measure granule secretion, thrombus formation, surface expression of glycoproteins, apoptosis, and viability. Plasma from chronically Asciminib-treated CML patients was analysed using sandwich ELISA for inflammatory and platelet–endothelial biomarkers, and thrombin generation assays were performed to study coagulation. This approach combined in vitro and ex vivo methods to explore the impact of asciminib on platelet function and thrombotic potential. The study shows that acute treatment with asciminib does not promote platelet activation or thrombus formation. Instead, it exhibits an inhibitory effect on thrombus formation in vitro and is associated with reduced thrombo-inflammatory biomarkers ex vivo in chronically treated CML patients. Asciminib was associated with increased thrombin generation over time, suggesting an effect on secondary haemostasis. Asciminib does not appear to induce a prothrombotic or proinflammatory state under the conditions studied, which may be advantageous for CML patients. However, the observed increase in thrombin generation over time suggests a potential effect on secondary haemostasis that warrants further investigation in controlled studies. Full article

Bovine spongiform encephalopathy (BSE) is a fatal transmissible spongiform encephalopathy caused by the misfolding of the host prion protein (PrP), representing a unique intersection between molecular pathology, neuroanatomy, and public health regulation. Although historically framed as a single feedborne epizootic, BSE is now recognized as a spectrum of strain-defined prion disorders encompassing classical and atypical forms with distinct origins, neuroanatomical trajectories, and surveillance implications. This review integrates advances in prion biology, neurodegenerative mechanisms, and anatomical pathways of neuroinvasion to reframe BSE as a heterogeneous disease entity. We synthesize evidence on PrP^C structure, trafficking, and proteolytic processing to explain how normal cellular physiology enables strain-specific conversion to pathogenic PrP^Sc and subsequent neurotoxicity. Distinct patterns of neuroinvasion and regional vulnerability are discussed for classical versus atypical (H- and L-type) BSE, highlighting differences in lymphoid involvement, brainstem targeting, and cortical or cerebellar tropism. We further examine how these biological differences translate into diagnostic sensitivity, surveillance design, and zoonotic risk assessment. By integrating molecular strain diversity with neuroanatomical connectivity, this review underscores the limitations of obex-centered surveillance for atypical BSE and emphasizes the need for proportionate yet precautionary monitoring strategies. These considerations should be interpreted in light of surveillance-dependent detection biases, which influence the apparent distribution of BSE forms. Ultimately, BSE emerges as a critical model for understanding how protein misfolding disorders bridge cellular mechanisms, animal health, and human public health policy. Full article

Background/Objectives: Research has shown a high prevalence of co-occurring trauma-related disorders and cocaine use disorder (CUD). However, there remains a need for preclinical studies to determine how traumatic event exposure influences vulnerability to CUD development and relapse. In this study, we assessed the impact of traumatic event exposure using a threat conditioning (TC) paradigm, which models traumatic event exposure through associative threat learning on cocaine-seeking behavior in adult male and female rats. Methods: Adult male and female rats were exposed to a single TC session. After TC, the rats underwent cocaine self-administration (SA), extinction training, cue-primed reinstatement, and cocaine-primed reinstatement testing. A parallel cohort was subjected to a sucrose SA cohort to assess whether TC altered non-drug reward seeking in the form of sucrose SA. Results: In the cocaine cohort, stressed male rats exhibited greater cue- and cocaine-primed reinstatement relative to non-stressed males, whereas no reinstatement differences emerged in female rats. In the sucrose cohort, stressed females displayed increased sucrose pellet delivery during self-administration compared to non-stressed females, but no differences were observed during sucrose reinstatement in either male or female rats. Conclusions: These findings indicate that trauma exposure prior to cocaine use influences cocaine relapse-related behavior, as well as non-drug reward reinforcement earning, in a sex-specific manner. Overall, these results highlight the value of associative stress models such as TC for studying trauma–addiction comorbidity and the need to investigate the neurobiological mechanisms driving these sex-specific outcomes. Full article

The Qinghai–Tibet Plateau is characterized by highly complex terrain, and civil aviation serves as a primary mode of transportation for regional mobility. A comprehensive understanding of wind field characteristics within the terminal areas of plateau mountain airports, as well as the formation mechanisms of wind shear during different flight phases, is of considerable importance for flight risk assessment, improvement of transport efficiency, and refined meteorological support services. However, studies focusing on wind field structures within the terminal areas of plateau mountain airports remain limited. In this study, dry-season observations from Coherent Doppler Wind Lidars at two critical locations in the terminal area of Lhasa Airport are analyzed. A comparative analysis is conducted on the vertical structure, diurnal variation, and the characteristics of turbulence and wind shear under different terrain conditions. The results show that above the valley height, both sites are dominated by stable westerly winds. Below the valley height, the wind field is strongly influenced by terrain complexity. At the Lhasa Airport site (LS), the valley is regular in shape and has a stable orientation. The prevailing wind direction is aligned with the valley, and easterly winds dominate the entire valley, especially in the middle and lower layers. In contrast, the Qushui site (QS) is located at the confluence of two valleys, where the terrain is more open and complex. The prevailing wind shifts clockwise with height, from northeasterly in the lower layers to easterly aloft. The wind direction is less concentrated than at LS. In terms of diurnal variation, a stable easterly layer forms within the valley at LS in the morning. A transition layer of about 200–300 m exists between this layer and the westerlies aloft. Within the transition layer, wind speed is relatively weak and wind direction stability is low. At QS, morning winds are weaker and more variable within the valley. Wind direction stability increases with height. In the afternoon, both sites are influenced by the downward transport of westerly momentum. However, the effect is more pronounced at QS, where low-level wind speed is higher and wind direction is more stable. Turbulence at both sites peaks between 14:00 and 17:00 and is mainly driven by thermally induced updrafts. Turbulence intensity at QS is stronger, with a vertical extent exceeding 1500 m, indicating a stronger response to thermal forcing. Wind shear at both sites mainly occurs between 12:00 and 18:00, with peak frequency from 13:00 to 17:00. This period is consistent with peak turbulence activity. Wind shear at LS occurs more frequently and lasts longer. At QS, momentum transport from above 1500 m enhances wind shear occurrence at 800–1000 m. The causes of wind shear differ under different prevailing wind conditions. Under prevailing westerlies, wind shear is mainly caused by rapid changes in wind direction with height. Under prevailing easterlies, it is primarily associated with an enhanced vertical gradient of wind speed. These results reveal the significant influence of complex terrain on low-level wind structures and causes of wind shear. The findings provide a scientific basis for operational decision-making at plateau mountain airports. Full article

Background: Effective communication improves patient satisfaction and reduces stress for both patients and physicians. Surveys consistently highlight the importance of strong communication skills among physicians, especially in oncologic settings. Yet, communication training is neither ubiquitous nor standardized in medical studies or residency, and physicians report that this task represents a burden for them. Given the limited data addressing the observations and expectations of patients with gynecologic malignancies when receiving bad news, this survey aimed to assess their perspective on this topic. Methods: We examined throughout an anonymous questionnaire how patients with gynecological and breast cancer experienced the delivery of bad news. Data were collected in Germany from July 2024 to September 2025. The questionnaire was available online and in paper form in four languages (German, English, Turkish, Arabic), with the purpose of recording culture-specific data. Results: A total of 249 patients completed the survey. Regarding the overall need for improvement in delivering bad news, 222 women (94.5%) declared that improvement was necessary, with 92 (39.1%) of them indicating that substantial improvement was required. While 67.9% of patients were content with the physician’s professional competence, 30.5% stated a lack of empathy, and 32.9% stated insufficient time for conversation. When comparing satisfied and dissatisfied patients, significant differences were observed across several aspects, such as consultation length, nonverbal communication, calmness of the setting, stress level after the conversation, and the offer to bring a trusted person or arrange a follow-up conversation. Conclusions: This patient survey highlights a persistent gap between patients’ expectations and physicians’ performance when it comes to delivering bad news. The findings underline the urgent need for the implementation of systematic training programs and structured communication protocols in gynecologic oncology. Full article

Phosphorus is an essential and finite resource critical for global food production, yet its inefficient use and discharge from wastewater systems contribute to eutrophication and resource depletion. The transition from conventional wastewater treatment plants to water resource recovery facilities has intensified interest in technologies that enable phosphorus recovery within a circular economy framework. This review provides a critical and up-to-date synthesis of phosphorus recovery strategies from wastewater, with primary emphasis on struvite (MgNH₄PO₄·6H₂O) crystallization as one of the most mature and practically implemented recovery routes. The occurrence and chemical forms of phosphorus in wastewater streams are discussed alongside conventional approaches, such as enhanced biological phosphorus removal and chemical precipitation, in order to position struvite recovery within the broader phosphorus management landscape. In addition to struvite crystallization, selected competing and complementary recovery pathways, including electrochemical systems, biochar-assisted processes, and sludge ash recovery, are discussed to compare technological maturity, recovery potential, and practical applicability. Particular attention is given to reactor configurations, full-scale applications, and commercial technologies to assess operational reliability, recovery performance, and fertilizer product quality. Life-cycle assessment results and regulatory developments are also discussed to contextualize sustainability claims, technology selection, and market integration. The review identifies key technical and economic challenges, particularly regarding magnesium supply, competing ions, wastewater matrix effects, and the feasibility of mainstream application. Overall, controlled sidestream struvite crystallization appears to offer the most favorable balance between recovery efficiency, operational reliability, and fertilizer product quality under suitable plant conditions. Full article

Background/Objectives: To evaluate construct (convergent and divergent) validity and conduct confirmatory factor analysis (CFA) of the National Center on Health, Physical Activity and Disability (NCHPAD) Wellness Assessment (NWA) tool. Methods: A cross-sectional survey validation study utilizing secondary data. We assessed Spearman correlations between NWA and 36-Item Short Form Health Survey (SF-36), NWA and Godin Leisure-Time Exercise Questionnaire (GLTEQ) and NWA and Modified Fatigue Impact Scale (MFIS) scores to determine construct validity. A CFA was conducted to test the appropriateness of a three-factor model for NWA. Results: Data from 149 participants were used to assess construct validity and from 180 participants for CFA. Both correlations between NWA mental wellness domain and SF-36 mental component scores and between NWA emotional/spiritual wellness domain and SF-36 emotional well-being scores were 0.61 (p < 0.001 for both). The correlation between NWA physical wellness domain and SF-36 physical component score was −0.06 (p = 0.45). The correlations of NWA with GLTEQ overall and with health contribution scores were 0.26 and 0.30, respectively (p < 0.001 for both). The correlations of all NWA domain and MFIS subscale scores ranged between −0.42 and −0.25 (p < 0.05). The CFA model’s comparative fit index was 0.90. Conclusions: The NWA physical wellness domain did not demonstrate strong convergent validity, as mental and emotional/spiritual wellness domains did. All domains showed strong divergent validity, and CFA showed evidence supporting a three-factor model. Future efforts will emphasize refining and reevaluating the physical wellness domain until it achieves strong psychometric properties. Full article

Quality by design (QbD) is a systematic approach focused on achieving consistent, predictable quality based on predefined objectives. Unlike traditional methods, QbD prioritizes risk assessment and management, which significantly enhances the robustness of the analytical method. In this study, we initiated factor screening using a three-factor, two-level design to evaluate three independent variables: flow rate, pH, and mobile phase composition. To further investigate the interaction of these variables, we employed Central Composite Design (CCD). This allows us to apply response surface methodology to the Critical Analytical Attributes (CAAs), specifically retention time, peak area, and symmetry factor, by conforming to the method’s robustness. The combination of pregabalin and duloxetine hydrochloride (HCl) dosage form was determined using a straightforward, exact, specific, and accurate reverse-phase HPLC approach. The results showed retention times of 3.265 min and 4.318 min for duloxetine HCl and pregabalin, respectively. Pregabalin demonstrated linearity from 100 to 200 μg/mL (R² = 0.998), whilst duloxetine HCl demonstrated linearity between 20 and 120 μg/mL (R² = 0.997). Lower LOD values of 0.925 µg/mL and 0.853 μg/mL and LOQ values of 2.809 μg/mL and 2.587 μg/mL of pregabalin and duloxetine HCl, respectively, suggest good sensitivity for the technique. The drug content of the commercial formulation may thus be determined using the recommended method. This technique can be used for standard quality control studies to simultaneously estimate pregabalin and duloxetine HCl. The novelty of the present studies lies in the development of a robust RP-HPLC method for simultaneous estimation of pregabalin and duloxetine HCl using a systematic AQbD approach, enhancing robustness, reproducibility, and reliability, making it highly suitable for routine quality control and regulatory applications. Full article

This study investigates the educational impact of an industrial field visit on the learning experience of second-year pharmacy students at Qatar University. The visit, integrated within the Pharmaceutics II course (PHAR 310), was designed to complement theoretical instruction by providing exposure to real-world pharmaceutical manufacturing and quality control processes, particularly for parenteral dosage forms. A mixed-methods approach was employed using quantitative and qualitative data derived from post-visit questionnaires. Findings indicated that students reported positive perceptions of the experience, with the majority indicating improved understanding of key pharmaceutical manufacturing concepts and strong support for the inclusion of similar activities within the curriculum. Qualitative analysis further suggested that the visit facilitated contextualization of theoretical knowledge, enhanced engagement, and supported early professional awareness. While these findings suggest that structured industrial visits may serve as a valuable complementary educational strategy in pharmacy training, the results should be interpreted with caution due to the small sample size and single-institution design. Further research incorporating larger cohorts, objective learning assessments, and longitudinal evaluation is underway to better establish the educational impact of these interventions. Full article

The increasing availability of microwave bistatic remote sensing data highlights the need for reliable and computationally efficient scattering models to support data interpretation, system design, and mission planning. This is particularly relevant in urban and maritime environments, where the electromagnetic (EM) interaction between buildings and ships with the surrounding environment significantly affects the observed bistatic signatures. This paper presents a fully analytical model for EM bistatic scattering from a canonical target, represented as a parallelepiped with smooth dielectric faces located over a lossy random rough surface. The formulation is developed within the framework of the Kirchhoff Approximation and accounts for both single- and multiple-bounce scattering mechanisms arising from the mutual interaction between the target and the underlying surface. Reflections from the target walls are modeled using the Geometrical Optics solution, while scattering from the rough surface is described through the zeroth-order Physical Optics approximation. The resulting closed-form expressions provide both coherent and incoherent components of the scattered field as explicit functions of system and scene parameters. The proposed closed-form model enables fast and reliable evaluation of bistatic scattering from parallelepiped-like structures, such as buildings and large ships interacting with surrounding rough surfaces. This capability is particularly beneficial for the design and optimization of bistatic remote sensing missions in urban and maritime contexts as well as the development and assessment of inversion methods and large-scale analyses. Validation against numerical simulations and experimental results available in the literature demonstrates the effectiveness of the proposed approach across different operating conditions. Full article

A suicide epidemic exists among young U.S. veterans, with risk especially elevated in the first year of transition for the 200,000 servicemembers exiting the military annually. The VA Veteran Sponsorship Initiative (VSI) is a public–private-partnership between federal and community partners that aims to decrease suicides by providing a VA-certified volunteer peer sponsor and connection to community services. Onward Ops is a key community-based national program that enrolls, matches and manages the relationship between servicemembers and sponsors. A prior randomized controlled trial showed that the effectiveness of community interventions can be enhanced when augmented by an Onward Ops sponsor. In preparation for national implementation, we conducted a quasi-experimental, matched-cohort pilot to evaluate the feasibility of an adapted VSI protocol and then assessed effectiveness. The adaptations were executed using the Framework for Reporting Adaptations and Modifications-Enhanced between April 2021 and April 2023. The formative results supported the feasibility of the adaptations to enable proactive enrollment on military installations and expand data infrastructure, partnerships, peer sponsors, and VA clinical services. We then assessed the effectiveness for outcomes not studied in the original VSI trial for active-duty soldiers who enrolled between April and December 2023. After nearest-neighbor matching, the sample included 551 VSI participants and 551 soldiers transitioning as usual. The point-probability contrast or risk differences from the conditional logistic regression model indicated that the VSI caused a statistically significant increase in VA primary care utilization of 0.198 and a statistically significant decrease in suicide attempts of −0.019, both assessed 10 months post-military discharge. The study demonstrated the utility of public–private-partnerships, peer-sponsorship programs and enhanced VA services to support servicemembers during transition. Full article

Accurate identification of cariogenic bacteria is crucial for understanding caries development in children. Classical culture methods often underestimate microbial diversity, while polymerase chain reaction (PCR) can detect species that are difficult to cultivate. The aim of this study was to compare culture-based and PCR-based methods for detecting key cariogenic microorganisms in the carious dentin of pediatric patients. Thirty dentin samples were collected from the permanent teeth of children aged 8–14 years. Parallel analyses were performed using standard culture techniques and PCR targeting the gtfB gene of S. mutans and the 16S rRNA gene of Lactobacillus spp. Culture results were quantified as colony-forming units, while PCR results were classified as negative, low-positive, or positive. The results show that culture-based methods identified S. mutans in 16.7% of the samples and Lactobacillus spp. in 3.3%, while PCR identified a signal for S. mutans in 43.3% and Lactobacillus spp. in 100% of the samples. PCR-based methods provide higher sensitivity for detecting key cariogenic bacteria, including S. mutans and Lactobacillus spp. However, PCR detects bacterial DNA and does not indicate bacterial viability or activity. Combining molecular and culture-based approaches allows a more comprehensive assessment of the cariogenic microbiota, supporting accurate microbiological evaluation in pediatric caries research. Full article

The Somyne lake-mire system is a unique wetland landscape complex in the Polissia region of Ukraine and forms part of the Rivne Nature Reserve. Its ecological importance is internationally recognised through its designation as the Ramsar wetland “Somyne Peatland Massif”. Effective conservation of this wetland requires an understanding of the factors controlling the functioning of the lake and its drainage basin, considered in this study as a lake-basin system (LBS). The aim of this study is to assess the geoecological condition of the Somyne LBS using the principles of landscape limnology and the basin approach. The research integrates morphological, morphometric, hydrological, landscape-metric, hydrochemical and geochemical analyses. These are complemented by bathymetric modelling, landscape mapping, and analysis of long-term meteorological observations. The results identify key natural and anthropogenic drivers shaping the functioning of the system, characterise the hydrochemical state of lake waters and the geochemical properties of bottom sediments, and describe the spatial distribution of bottom sediments and the bathymetric structure of the lake basin. A multivariate algorithm for the geoecological assessment of lake-basin systems is proposed, providing a framework for comparative analysis of small lakes in the Polissian lake region under climate change and increasing anthropogenic pressure. Full article