Search Results (2,655)

A previous analysis of Antarctic acoustic data relevant to quantifying frazil contributions to sea ice accretion is reconsidered to address inconsistencies with river frazil results acquired with similar instrumentation but augmented to suppress instrument icing. It was found that sound attenuation by consequent icing limited credible Antarctic acoustic frazil measurements to afternoon and early evening periods, which are shown to encompass daily minimums in frazil production. This reality was masked by use of an unvalidated liquid oblate spheroidal frazil characterization model, which greatly overestimated frazil concentrations. Much lower frazil contents were derived for these periods using a robust 2-frequency characterization algorithm, which incorporated a validated, alternative theory of scattering by elastic solid spheres. Physical arguments based on these results and instrument depth data were strongly suggestive of maximal but, currently, unquantified frazil presences during unanalyzed heavily iced late evening and morning time periods. Full article

In 2016, five fragments from a copy of “The Great Holy Family of Francis I” were brought to the Cologne Institute of Conservation Sciences (CICS) for research and conservation/restoration. A comprehensive technical and material analysis was carried out to assist provenance studies. From the analysis of pigments, binder, additives, and canvas fibres alongside radiocarbon dating of the lead white pigment, oil binder, and canvas support, as well as the lead stable isotope study, it could be determined that, with high probability, the copy was created in Northern Europe between the late 16th century and the mid-17th century. During this period the original painting was initially displayed in Fontainebleau in the “Chapelle Haute” before being transferred in the early 17th century to the newly built “Cabinet des Peintures”, also in Fontainebleau, where it would probably have been more accessible for copying. Interestingly, the written sources describe a copy made during this period to replace the original in the “Chapelle Haute”, the location of which is currently not known. However, the different overall dimensions of the present copy speak against it, having been created to replace the original. Full article

Ceratitis capitata (Wiedemann) or medfly is a polyphagous pest of fruit crops worldwide. The Asian-native larval parasitoid Diachasmimorpha longicaudata (Ashmead) is mass-reared at the San Juan Biofactory and is currently released for medfly control in Argentina. Information on parasitoid survival, reproduction, and population growth parameters is critical for optimizing the mass-rearing process and successfully achieving large-scale release. This study provides a first-time insight into the demography of two population lines of D. longicaudata: one mass-reared on medfly larvae of the Vienna-8 temperature-sensitive lethal genetic sexing strain and the other on larvae of the wild biparental medfly strain. The aim was to compare both parasitoid populations to improve mass-rearing quality and to assess performance on medfly in a semi-arid environment, typical of Argentina’s central-western fruit-growing region. Tests were performed under laboratory and non-controlled environmental conditions in semi-field cages during three seasons. Dl_(Cc-bip) females exhibited higher reproductive potential than did Dl_(Cc-tsl) females under lab conditions. However, both Dl_(Cc-bip) and Dl_(Cc-tsl) were found to be similar high-quality females with high population growth rates in warm–temperate seasons, i.e., late spring and summer. Dl_(Cc-bip) females were only able to sustain low reproductive rates in early autumn, a colder season. These results are useful for improving the parasitoid mass production at the San Juan Biofactory and redesigning parasitoid release schedules in Argentina’s irrigated, semi-arid, fruit-growing regions. Full article

Background and Clinical Significance: Moyamoya disease (MMD) is a progressive intracranial vasculopathy characterized by stenosis or occlusion of the terminal internal carotid arteries and the development of fragile collateral networks. It predisposes patients to ischemic and hemorrhagic strokes. Although both direct and indirect revascularization procedures are recommended to restore cerebral blood flow, recurrent cerebrovascular events may still occur, and delayed hemorrhage following revascularization is particularly uncommon. Case Description: We report the case of a 42-year-old woman who presented with seizure, syncope, and aphasia. Cranial computed tomography (CT) revealed a large left temporal–insular intraparenchymal hematoma with a midline shift. Computed tomography angiography (CTA) demonstrated bilateral internal carotid artery narrowing and collateral vessel proliferation, without aneurysm. Her history indicated a hemorrhagic stroke 15 years earlier, at which time MMD was diagnosed by magnetic resonance angiography (MRA) and managed with multiple burr hole surgeries. She remained free of cerebrovascular events until the current presentation. The patient underwent emergent hematoma evacuation, followed by intensive care management. Postoperatively, she demonstrated neurological improvement, though with residual motor aphasia and right-sided weakness, and was discharged for rehabilitation. Conclusions: This case underscores the rare occurrence of delayed intracerebral hemorrhage 15 years after indirect revascularization in MMD. Although revascularization surgery remains the standard therapeutic approach, this report highlights the importance of sustained long-term surveillance, strict risk factor management, and careful postoperative follow-up. The key point is that late hemorrhagic complications, though uncommon, must be considered in the long-term care of MMD patients following revascularization. Full article

Background: In late January 2025, a measles outbreak began in Gaines County, Texas, USA, and the outbreak extended to New Mexico. We used a variety of mathematical models to estimate the growth rate of the Texas–New Mexico measles outbreak of 2025. Methods: We used both empirical and mechanistic models based on differential equations to make the estimations that allow us to characterize this measles outbreak. Regarding empirical models, we used the exponential growth model to compute and estimate the growth rate, basic reproduction number, ${\mathcal{R}}_0$, and effective reproduction number ${\mathcal{R}}_t$. With regard to mechanistic models, we use the SIR and SEIR models to estimate the growth rate, basic reproduction number ${\mathcal{R}}_0$, and effective reproduction number ${\mathcal{R}}_t$. We used new weekly measles cases and also cumulative cases. Results: Using the exponential growth model, we estimated a basic reproduction number between 32 and 40. For the classical SIR model, we estimated that the basic reproduction number is approximately 30. Conclusion: We found that the current Texas–New Mexico measles outbreak of 2025 has a slightly higher growth rate and effective reproduction number ${\mathcal{R}}_t$ compared to several previous measles outbreaks around the world. Full article

Pancreatic ductal adenocarcinoma (PDAC) remains highly lethal due to late diagnosis, high malignancy, and profound resistance to therapy. Traditional two-dimensional (2D) cell cultures fail to recapitulate the complex tumor microenvironment (TME), especially the fibrotic stroma, which is crucial for the progression of PDAC and drug response. In vitro three-dimensional (3D) models, which provide more physiologically relevant features such as tight cell–cell and cell-extracellular matrix (ECM) interactions, as well as 3D architecture, have been regarded as highly promising models in PDAC research. This review summarizes some representative in vitro PDAC models, including 3D spheroids, tumor-on-a-chip, bioprinted constructs, and patient-derived organoids (PDOs), particularly focused on the advances in bioengineering strategies for the integration of the key stomal components for microenvironment recapitulation and their applications. Additionally, we discuss the current challenges facing 3D models and propose potential strategies for constructing in vitro models that more accurately simulate the pathophysiology of the fibrotic stroma, aiming for their application in clinical settings. Full article

Background: Despite advances in surgical techniques and perioperative care, pancreatic resections such as pancreaticoduodenectomy (PD) and distal pancreatectomy (DP) remain high-risk procedures. Postoperative complications significantly impact morbidity, mortality, and patient quality of life. Methods: This narrative review summarizes recent literature on major complications following pancreatic surgery, including postoperative pancreatic fistula (POPF), delayed gastric emptying (DGE), and post-pancreatectomy hemorrhage (PPH), with an emphasis on incidence, risk factors, outcomes, and current preventive strategies. Results: POPF is a leading complication, occurring in 5–22% of cases and often linked with sepsis and hemorrhage. Key risk factors include high BMI, soft pancreatic texture, and small duct size. Preventive measures like Pasireotide, modified anastomosis techniques, and neoadjuvant therapy show variable success. DGE affects up to 57% of PD patients and is associated with prolonged recovery; antecolic reconstruction and erythromycin may reduce incidence. PPH, though less frequent (3–13%), can be life-threatening, particularly when secondary to POPF. Endovascular approaches are now favored for late arterial bleeding. Other complications include wound infections, abscesses, bile leaks, and pulmonary issues, all contributing to extended hospital stays and diminished quality of life. Conclusions: Pancreatic surgery continues to carry significant risks, with POPF, DGE, and PPH being the most impactful complications. While multiple interventions have shown promise, standardized protocols and predictive tools are still needed. Surgery should be performed in high-volume centers with experienced multidisciplinary teams to optimize outcomes. Full article

Coronaviruses (CoVs) were first described in poultry in the early 1930s and formally recognized as pathogens of both animal and human populations in the late 1960s. They are now considered among the most abundant viral families in the world. Though their distribution and diversity remain understudied in wild animals, representatives from 13 orders of wild birds worldwide have tested positive for CoVs of the gamma and delta genera over the last 25 years. Many of these wild bird species are in the orders Charadriiformes (shorebirds and their relatives) and Anseriformes (waterfowl including ducks, geese, and swans). Waterfowl are particularly concerning as potential reservoirs for CoVs because they are globally distributed; often congregate in large, mixed-species flocks; and may exist in close proximity to humans and domesticated animals. This review describes the history and current knowledge of CoVs in birds, provides an updated list of global detections of CoVs in 124 species of wild birds as reported in the peer-reviewed literature since 2000, and highlights topics for future research that would help elucidate the role of waterfowl in CoV transmission. Our review reiterates the need for continuous surveillance to detect and monitor CoVs across all bird species and for standardization in data reporting and analysis of both negative and positive results. Such information is critical to understand the potential role of free-ranging birds in the maintenance, evolution, and transmission of the virus. Further, we believe that research on the potential impacts of coronavirus infections and coinfections on avian demographics, especially reproduction in waterfowl, is warranted given known consequences in domestic poultry. Full article

Dumping Syndrome (DS) is a significant complication following bariatric surgery, particularly Roux-en-Y gastric bypass (RYGB). This condition is characterised by gastrointestinal and vasomotor symptoms resulting from altered anatomy and hormonal dysregulation, notably accelerated gastric emptying and an exaggerated release of gut peptides. Based on the timing of symptom onset after food ingestion, DS is classified as early (EDS) or late (LDS). The critical roles of peptides such as GLP-1, GIP, insulin, and YY peptide are highlighted, along with the involvement of neuroendocrine pathways in symptom manifestation. Diagnosis relies on a combination of clinical evaluation and dynamic testing, with the oral glucose tolerance test (OGTT) often considered a key reference standard for diagnosis. Initial management involves dietary modifications, emphasising the glycaemic index of foods and meal distribution. In cases where nutritional interventions are insufficient, pharmacotherapy with agents such as acarbose, somatostatin analogues (octreotide and pasireotide), GLP-1 receptor agonists (liraglutide), calcium channel blockers (verapamil), and emerging therapies, including herbal medicine, may be considered. For refractory cases, surgical options like bypass reversal or partial pancreatectomy are reserved, although their efficacy can be variable. Despite advancements in understanding and treating DS, further large-scale, randomised controlled trials are essential to validate novel strategies and optimise long-term management. This review provides an updated and comprehensive overview of the aetiology, pathophysiological mechanisms, diagnostic approaches, and current management strategies for DS. Full article

During the last two decades, the Macaronesian archipelagos have been the focus of multiple studies targeting the abundant and diversified fossil record from late Neogene and Quaternary deposits. This record of past biota, ecosystems and climates is crucial for understanding the impact of glacial–interglacial cycles on Atlantic littoral marine organisms. Coupled with ongoing studies on the factors responsible for global climate change and associated sea-level variations, they contributed decisively towards the development of the modern marine island biogeography theory. Our current knowledge of the evolutionary and biogeographic history of the past and extant, shallow-water marine organisms from the Macaronesian geographic region relies on detailed analysis of many individual fossiliferous outcrops by means of quantitative and qualitative methodologies. Here, we focus on the fossil record of a newly studied MIS 5e outcrop at Pedra-que-pica (PQP), on Santa Maria Island (Azores Archipelago, Portugal). This multidisciplinary work integrates geology, paleontology and biology, providing the first detailed description of the sedimentary facies and stratigraphic framework of the PQP MIS 5e sequence that, coupled with the documentation of the biodiversity and ecological composition of PQP molluscan assemblages, allows us to produce a paleoecological reconstruction and to compare PQP with other last interglacial outcrops from Santa Maria Island. Our results increase the number of the Azorean MIS 5e marine molluscs to 140 taxa (116 Gastropoda and 24 Bivalvia). Ervilia castanea (Montagu, 1803) is the most abundant bivalve, while Bittium nanum (Mayer, 1864) and Melarhaphe neritoides (Linnaeus, 1758) are the most abundant gastropod species. In addition, this work emphasizes the crucial importance of complementing quantitative collecting with qualitative surveys of the fossiliferous outcrops, because nearly 42% of the bivalve species and 28% of the gastropod taxa would be missed if only quantitative samples were used. Derivation of Hill numbers and rarefaction curves both indicate that the sampling effort should be increased at PQP. Thus, although Santa Maria Island is recognized by the scientific community as one of the best-studied islands regarding the last interglacial fossil record, this study emphasizes the need to continue with similar efforts in less known outcrops on the island. Full article

Late-stage cancer diagnoses of prevalent cancers are increasing in the Northern Province of Sri Lanka, a region currently rebuilding its healthcare system after a prolonged civil war. In this region, cancer prevention services are limited. We describe a community-centric approach to cancer education and prevention as a strategy to cancer control in this rural, post-conflict region. Nursing students were trained as Community Cancer Educators (CCEs), equipping them with essential knowledge about cancer symptoms, risk factors, and the importance of early detection. The training also included creative methods such as dance and drama to help CCEs communicate cancer-related messages in an engaging and culturally relevant manner. These CCEs supported the oncologist-led community health camps in delivering cancer education and screening directly to community members within their community. We planned the health camps in collaboration with the existing community-based public health system for better outreach. Feedback from community participants and healthcare providers suggests that this community-centric approach can improve cancer awareness, encourage participation in population screening, and support early cancer detection. This approach could strengthen community engagement and contribute to more equitable access to prevention and screening services in rural, post-conflict settings with limited healthcare infrastructure. Full article

Traumatic brain injury (TBI) remains a leading cause of mortality and disability globally, necessitating ongoing research into its pathophysiology and management. This review compiles current knowledge on TBI, focusing on its mechanisms, updated clinical guidelines, and recent clinical trials. A systematic PubMed search identified studies on TBI management, guidelines, and trials from 2015 to 2024. TBI initiates with a primary mechanical insult, followed by secondary injury from cerebral edema, elevated intracranial pressure (ICP), and ischemia. Management hinges on stabilizing patients, mitigating secondary injury, and optimizing recovery, guided by the Brain Trauma Foundation’s 2020 guidelines. Key trials, including Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension (RESCUEicp) and Decompressive Craniectomy in Diffuse Traumatic Brain Injury (DECRA), have refined recommendations for decompressive craniectomy, though its role remains debated. Findings indicate that large craniectomies improve mortality in late refractory ICP cases, but early intervention lacks clear benefits. Challenges include access to advanced monitoring and surgical expertise. This review underscores the evolving nature of TBI care and the need for dynamic guidelines to improve patient outcomes. Full article

Background/Objectives: Non-melanoma skin cancer (NMSC) is the most common malignancy globally, with cutaneous squamous cell carcinoma (cSCC) posing a significant risk of regional metastasis, especially in high-risk anatomical areas such as the head and neck. While general risk factors for metastasis are well known, few studies have directly compared the clinical and pathological features of synchronous versus metachronous metastatic behavior. This study aimed to evaluate the clinicopathological characteristics and reconstructive implications associated with these two metastatic patterns in head and neck NMSC. Methods: We conducted a retrospective observational study of 46 patients with histologically confirmed metastatic NMSC of the head and neck, treated between January 2022 and May 2024 at a tertiary care center. Patients were stratified into synchronous or metachronous metastasis groups. Clinical data, histopathological features, metastatic sites, and surgical approaches were analyzed. Comparative statistics were applied using chi-square and t-tests, with significance set at p < 0.05. Results: Of the 46 patients, 50% had synchronous and 50% had metachronous metastases. The lower lip was the most common primary tumor site in both groups. Perineural and lymphovascular invasion were more frequent in synchronous metastases. Metachronous cases often required more complex reconstructive procedures, including free flap reconstructions and mandibular resections. Patients with metachronous metastases were significantly older (p = 0.024), and approximately one-third developed metastases more than four years after initial treatment. Conclusions: Head and neck NMSC, particularly involving the lower lip, may exhibit late-onset metastatic potential. Risk-adapted surveillance extending beyond current guidelines is warranted to improve long-term outcomes in high-risk patients. Full article

White-lipped tree frogs, Polypedates braueri, are currently included in the list of terrestrial wildlife with important ecological, scientific, and social value in China. Understanding the structure and characteristics of the mitochondrial genome provides essential information for resource conservation and phylogenetic analyses of P. braueri. While the complete mitochondrial genomes serve as important molecular markers for phylogenetic and genetic studies, the mitochondrial genome of P. braueri has received little attention. In this paper, we analyzed the characterization of the mitochondrial genome of P. braueri and investigated the phylogenetic relationships of Rhacophoridae. The complete mitochondrial genome of P. braueri was 20,254 bp in length, containing thirty-six genes (twelve protein-coding genes (PCGs), two ribosomal RNA genes (rRNAs), twenty-two transfer RNA genes (tRNAs)), three non-coding regions for the origin of light strand (O_L), and two control regions (CR). There were six overlapping regions and seventeen intergenic spacer regions in the mitogenome. The mitogenome also showed a bias towards A + T content (61.87%) and had negative AT-skew (−0.039) and GC-skew (−0.209). All the PCGs employed the ATG, ATA, or ATT as the start codon and TAA, TAG, AGG, or single T as the stop codon. Additionally, all of the tRNAs displayed a typical cloverleaf secondary structure, except trnS1, which lacked the D arm. The phylogenetic analysis, based on the maximum likelihood (ML) and Bayesian inference (BI) methods, revealed that Rhacophoridae could be classified into four monophyletic genera. The phylogenetic status of P. braueri was closely related to that of Polypedates megacephalus and Polypedates leucomystax. Additionally, selective pressure analysis suggested that COX1 and ND1 were highly efficient for discriminating closely related species in the genus Polypedates, while ND4L was the most appropriate marker for population-level genetic analyses. The diversification of the Polypedates commenced during the Late Oligocene and extended into the Miocene. The present study provides valuable genomic information on P. braueri and new insights into the phylogenetic relationships of Rhacophoridae. Full article

In total joint replacement, early aseptic loosening of implants caused by inadequate initial fixation and late aseptic loosening due to stress shielding-related periprosthetic bone remodeling are the main causes of failure. Over the last two decades, additive manufacturing has been revolutionizing the design of cementless orthopaedic implants by enabling biomimetic, highly porous titanium structures that enhance bone ingrowth and osseointegration while reducing stress shielding. The synergy between optimized selective laser-melted highly porous titanium bearing components, ceramic-coated titanium articular surfaces, and vitamin E-stabilized polyethylene liners delivers several benefits essential for implant longevity: reliable initial fixation, improved biological fixation, reduced bone resorption caused by stress shielding, and lower osteolytic reactivity. These benefits have encouraged the synergetic use of these technologies in joint replacement in novel clinical applications. In recent years, novel off-the-shelf, 3D-printed, highly porous titanium implants have been introduced into hip and knee arthroplasty. These newly introduced implants appear to offer an innovative and promising solution, and are particularly indicated for young active patients, elderly patients with osteoporotic bones, and in complex cases. Future clinical research should confirm these novel implants’ superior results in comparison to the current state of the art in cementless joint replacement. The possibility of extending these technologies in the future to other clinical applications such as partial knee prosthesis is discussed. Full article