Search Results (734)

This article examines online hate as a driver of cyberbullying and a barrier to inclusive schooling, integrating theoretical, philosophical and methodological perspectives. We approach hate speech as communicative practices that legitimise discrimination and exclusion and, once amplified by social media affordances, erode equity, belonging and well-being in educational settings. The study adopts a qualitative, exploratory–descriptive design using focus groups with pre-service teachers from initial teacher education programmes across several Chilean regions. Participants reflected on the presence, trajectories and classroom effects of cyberhate/cyberbullying. Data were analysed thematically with ATLAS.ti24. Findings describe a recurrent pathway in which anonymous posts lead to public exposure, followed by heightened anxiety and eventual withdrawal. This shows how online aggression spills into classrooms, normalises everyday disparagement and fuels self-censorship, especially among minoritised students. The analysis also highlights the amplifying role of educator authority (tone, feedback, modelling) and institutional inaction. In response, participants identified protective practices: explicit dialogic norms, rapid and caring classroom interventions, restorative and care-centred feedback, partnership with families and peers, and critical digital citizenship that links platform literacy with ethical reasoning. The article contributes evidence to inform anti-bullying policy, inclusive curriculums and teacher education by proposing actionable, context-sensitive strategies that strengthen equity, dignity and belonging. Full article

Introduction: Controlled (c-) and uncontrolled (u-) DCDs are two entirely different types of donors, mainly because the duration of ischemic and reperfusion injury differs between them. We hypothesized that normothermic regional perfusion (NRP) management and performance (as indicated by the dynamic changes in blood flow and lactate) might be different in uDCDs and in cDCDs. Methods: We assessed 99 DCD donors that were consecutively evaluated by the Tuscany Regional Transplant Center from 2020 to 2024 (multi-center investigation), focusing on the comparison between NRP performance and management in uDCDs (n = 44) vs. cDCDs (n = 45). Results: NRP duration was significantly higher in uDCDs compared to cDCDs (p = 0.001). During NRP, we observed no changes in lactate values in uDCDs and cDCDs, a significant increase in transaminases, and a progressive reduction in NRP blood flow rates despite the administration of more fluids. Throughout the entire NRP duration, pH values were significantly lower and glucose levels were higher in uDCDs compared to cDCDs, even though a higher dosage of bicarbonate and insulin units were administered in uDCDs. Conclusions: In our series, we documented that NRP performance and management differed in uDCDs compared to cDCDs. This phenomenon may be mainly related to the different duration of the ischemic injury between these two types of donors. During NRP, uncontrolled DCDs showed a more severe metabolic derangement, which was only partially reversable by a more aggressive treatment (higher fluid volumes, insulin and bicarbonate dosages). Our results strongly suggest that there is likely space for optimization of NRP management in DCDs. Further research should address this issue, considering the disparity between the supply of organs and increasing transplantation needs. Full article

Gray mold, caused by Botrytis cinerea Pers. Fr. (teleomorph: Botryotinia fuckeliana), is a major disease affecting Moroccan vineyards. However, limited information is available on the natural populations of this pathogen. In this study, 82 single-spore isolates collected from vineyards in two major wine-growing regions were evaluated for phenotypic, physiological, and molecular variability. The isolates exhibited differences in morphotypes, conidial size, and sclerotia production on PDA medium. Temperature significantly affected mycelial growth rate (mm d⁻¹). All isolates were virulent on grapevine leaves, showing varying levels of aggressiveness. Among the representative isolates, 20 were heterothallic and 2 were homothallic. Mating-type analysis revealed that 12% belonged to MAT1-1 and 75% to MAT1-2. Transposable element genotyping showed that the population was composed of 41.7% transposa, 29.2% vacuma, 16.7% Flipper-only, and 12.5% Boty-only. This work represents the first report on genotypic variation in B. cinerea populations from Moroccan vineyards. The findings provide new insights into the morphenotypic and genetic diversity of the pathogen and may support the development of improved strategies for disease management. Full article

Background and Objectives: Infective endocarditis (IE) remains a severe infection with high morbidity and mortality, particularly among people who inject drugs (PWID). Data from Eastern Europe are limited, despite the increasing burden of intravenous drug use in the region. Materials and Methods: We conducted a retrospective, observational cohort study of 153 patients diagnosed with IE and admitted to the “Dr. Victor Babeș” Clinical Hospital for Infectious and Tropical Diseases in Bucharest, Romania, between August 2019 and July 2024. Patients were classified into PWID (n = 51) and non-PWID (n = 102). Clinical characteristics, microbiological profiles, echocardiographic findings, complications, and outcomes (in-hospital, 10-week, and 12-month mortality) were compared between groups. Results: PWID were significantly younger (mean 34.0 ± 6.6 years vs. 64.3 ± 13.1 years; p < 0.001), predominantly male (86.3% vs. 62.7%; p = 0.003) and had higher rates of HIV (64.7%) and HCV (98.1%). Right-sided IE and larger vegetations were more common in PWID, whereas non-PWID had more left-sided disease, pre-existing valvular pathology, and prosthetic valve involvement. Staphylococcus aureus predominated in PWID (68.6% vs. 27.5%; p < 0.001), while non-PWID had more Streptococcus spp. and Coxiella burnetii cases. Embolic complications, particularly pulmonary emboli, and valvular rupture were significantly more frequent in PWID, while non-PWID had higher rates of heart failure and surgical interventions. In-hospital mortality was similar (17.6% vs. 11.8%; p = 0.318), but 12-month mortality was higher in PWID (27.5% vs. 13.7%; p = 0.038). Conclusions: IE in PWID shows a distinct clinical and microbiological profile, with more aggressive complications and worse long-term survival. Tailored management, early diagnosis, harm reduction programs, and dedicated follow-up are urgently needed in this high-risk population. Full article

Glioblastoma (GBM) is an aggressive and lethal malignant brain tumor. Cell–cell interactions (CCIs) in the tumor microenvironment, mediated by ligand–receptor (LR) pairs, are known to contribute to its poor prognosis. However, the prognostic influence of CCIs on patients with GBM and the spatial expression profiles of such LR pairs within tumor tissues remain incompletely understood. This study aimed to identify prognostic LR pairs in GBM and their intratumoral localization via multitranscriptomic analysis. The CCIs among GBM cells as well as between GBM and niche cells were comprehensively evaluated using 40,958 cells in single-cell RNA sequencing datasets. They were found to form intercellular networks in GBM by specific LR pairs, which were mainly implicated in extracellular matrix (ECM)-related biological processes. Survival analysis revealed that 13 LR pairs related to ECM biological processes contributed to poor prognosis (p < 0.05, and 95% confidence intervals > 1). Notably, our spatial transcriptomic analysis using three independent GBM cohorts revealed that the identified poor prognostic LR pairs were localized in specific regions within GBM tissues. Although the clinical importance of these LR pairs requires further investigation, our findings suggest potential therapeutic targets for GBM. Full article

Introduction: Tumors of the lateral skull base, particularly those arising from the external auditory canal and peri-retroauricular regions, present considerable surgical and reconstructive difficulties due to their intricate anatomy and aggressive nature. The anterolateral thigh (ALT) free flap offers a viable reconstruction option, enhancing oncological radicality while minimizing morbidity. Materials and Methods: A retrospective analysis was conducted on five cases of malignant tumors involving the external auditory canal and adjacent soft tissues, treated at a tertiary center from March 2023 to March 2025. All patients underwent radical resection, which included lateral or subtotal temporal bone resection, along with parotidectomy and neck dissection when necessary. Reconstruction was performed using myocutaneous anterolateral thigh free flaps. The study evaluated clinical outcomes, complications, and esthetic results. Results: The ALT flap was used in all cases without major postoperative complications. Two patients received adjuvant radiotherapy; one did not start treatment due to early recurrence. At follow-up, three patients were disease-free, while two had died from unrelated causes. Esthetic and functional outcomes were satisfactory in all patients. Conclusions: The ALT free flap is a universal and reliable option for the reconstruction of complex lateral skull base defects, especially in patients following the radical removal of tumors of the external auditory canal and peri-retroauricular areas. It offers excellent tissue coverage, facilitates adjuvant treatment, and has a low complication rate. While our experience supports its use in aggressive oncological resection, larger studies are needed to confirm these findings. Level of evidence: 4. Full article

Background/Objectives: Cutaneous angiosarcoma (CAS) is a rare and aggressive endothelial malignancy with a high rate of local recurrence and distant metastasis. In advanced cases, where surgical resection is not feasible, systemic therapy remains the cornerstone of treatment. This review aims to summarize the current landscape of systemic therapies for unresectable or metastatic CAS and discuss emerging strategies, particularly focusing on immune checkpoint inhibitors (ICIs). Methods: A comprehensive review of the literature was conducted, including clinical trials, retrospective studies, and case series focusing on systemic treatments for advanced CAS. Therapeutic approaches covered include cytotoxic chemotherapy, molecular targeted therapies, and ICIs, as well as combination strategies. Special attention was given to biomarker studies and ongoing clinical trials. Results: Taxane-based chemotherapy, particularly paclitaxel, has demonstrated clinical activity and remains a standard option. Molecular targeted agents such as pazopanib have yielded modest efficacy. Recent trials of ICIs, including the SWOG S1609 DART and AngioCheck studies, have shown encouraging results in select subgroups, especially tumors from sun-exposed regions associated with high tumor mutational burden (TMB). Although AngioCheck did not meet its predefined response criteria, a subset of patients achieved disease control. Biomarkers such as TMB, PD-L1 expression, and tumor-infiltrating lymphocytes are under investigation to guide patient selection. Combination therapies with ICIs and tyrosine kinase inhibitors (TKIs) are being actively explored. Conclusions: While systemic therapies for CAS remain limited in efficacy, ICIs—particularly in combination with TKIs—represent a promising avenue. Future trials should emphasize biomarker-driven, CAS-specific strategies to improve clinical outcomes in this challenging malignancy. Full article

Colorectal cancer (CRC) is among the most prevalent and deadly malignancies worldwide. Despite advancements in screening and treatment, its aggressive progression and tendency to metastasize remain major challenges. Biomarkers such as cathepsins B and D, actin isoforms, and cysteine protease inhibitors may influence tumor invasion and metastasis. However, little is known about their spatial distribution in tumor versus surrounding tissue. This study aimed to evaluate the location-dependent expression of selected biomarkers in CRC tissue to better understand their role in cancer progression. Tissue samples were obtained intraoperatively from 37 CRC patients at three locations: the tumor center, and 2 cm and 5 cm from the tumor margin. The activity and concentrations of cathepsins B and D, anti-papain activity, and actin fractions (globular [G-], filamentous [F-], and total actin [T-actin]) were measured using biochemical and spectrophotometric assays. Statistical analyses included ANOVA, MANOVA, and non-parametric tests, with significance set at p < 0.05. Cathepsin B activity was significantly elevated at the tumor center and decreased with distance from the tumor (p < 0.001). F-actin and T-actin levels followed a similar pattern, with significantly higher values near the tumor core (p < 0.05). Differences in G-actin were less pronounced. No significant spatial variation was found for cathepsin D, or anti-papain activity. The G-actin/T-actin and F-actin/G-actin ratios revealed significant shifts in actin polymerization states depending on the distance from the tumor. This study demonstrates spatial heterogeneity in the expression of key biomarkers in CRC tissues. Elevated levels of cathepsin B and altered actin dynamics in tumor regions suggest their involvement in local invasion and progression. Full article

Background/Objectives: Spheno-orbital meningiomas (SOMs) are rare tumors described as benign despite their aggressive, osteodestructive behavior. Their invasive nature makes surgical management complex and often precludes complete excision. Reaching structures within the orbit remains challenging, particularly due to insufficient exposure or overly long surgical pathways. This study aimed to provide a qualitative anatomical description of two approaches—transcranial and endoscopic transorbital—and a preliminary quantitative analysis to assess the distances required to reach the anatomical areas most commonly involved in SOMs. Methods: Anatomical dissections were performed on five specimens (ten sides) at the Laboratory of Surgical Neuroanatomy (LSNA), University of Barcelona. Each specimen underwent pre- and post-dissection CT scans, and all data were organized using the BrainLab^® Workstation System. Results: Both approaches provided good exposure of structures deeply involved in SOMs. A description of the superior orbital fissure (SOF), inferior orbital fissure (IOF), and optic canal (OC) was achieved from both perspectives. The preliminary quantitative analysis showed significantly shorter distances to key anatomical targets using the endoscopic transorbital approach (ETOA) compared to the transcranial route. Conclusions: Currently, despite significant advances, the choice of the optimal surgical approach remains debated, reflecting the complexity of balancing tumor control with functional preservation. Both approaches allow for thorough evaluation of the orbital region, offering precise anatomical insights useful for SOM management. Full article

Background: Adolescence is a critical developmental period when Psychosocial and mental health risks such as depression, social withdrawal, low self-esteem, and aggression may shape lifelong mental health outcomes. In Republic of Korea, multicultural adolescents face additional vulnerabilities due to cultural identity struggles, discrimination, and family stressors. Objective: This study examined the determinants of Psychosocial and mental health risks among multicultural adolescents using data from the 2023 Multicultural Adolescents Panel Study (MAPS). Methods: A cross-sectional analysis was conducted with adolescents from multicultural families. Outcomes included social withdrawal, depression, self-esteem, and aggression, measured by four-point Likert scales. Covariates comprised sociodemographic factors such as sex, age, parental nationality, parental education, parental occupation, and household income. Partial correlations, F-tests, and multiple linear regression were used to identify significant predictors. Results: Female adolescents reported significantly lower self-esteem (p = 0.003). Region was associated with both self-esteem (p = 0.037) and aggression (p = 0.047), with adolescents living in metropolitan areas reporting lower self-esteem and higher aggression compared to those in capital areas. Non-Korean father nationality increased the likelihood of aggression (p = 0.036), while higher paternal education reduced aggression risk (p = 0.048). Overweight and obesity were linked to greater aggression (p = 0.007, p = 0.050, respectively). Conclusions: The findings highlight the interrelated nature of Psychosocial and mental health risks among multicultural adolescents and underscore the influence of gender, family background, and body image. Addressing these factors within culturally sensitive school and community interventions is essential to support positive Psychosocial and mental health risk outcomes. Full article

Background/Objectives: Oral cavity squamous cell carcinoma (OCSCC) is an aggressive malignancy, often diagnosed at an advanced stage and with stagnant survival outcomes despite advances in surgical and oncologic management. Tumor-infiltrating lymphocytes (TILs) have been explored as potential prognostic markers in many solid tumors; however, their role in OCSCC remains under researched. This study aimed to assess the prognostic value of TILs in a cohort of patients with regionally advanced, p16-negative squamous cell carcinoma of all oral cavity subsites and to evaluate for any correlation of TILs and extranodal extension (ENE). Methods: A retrospective study was conducted on 103 consecutive patients treated with comprehensive surgical resection. TILs were quantified using the standardized method proposed by the International Immuno-Oncology Biomarkers Working Group. Statistical analyses evaluated associations with a comprehensive set of independent variables and survival endpoints. Results: High stromal infiltration at the invasive margin (>25%) was independently associated with significantly improved overall survival (HR 4.53, p = 0.005), disease-specific survival (HR 4.49, p = 0.008), and disease-free survival (HR 3.42, p = 0.025). Patients with ENE demonstrated lower TILs compared with ENE-negative patients (median 40% vs. 57.5%), a difference that reached statistical significance in both parametric and nonparametric testing (Welch’s t-test p = 0.032; Mann–Whitney U p = 0.030). Conclusions: TILs quantified by this standardized method are a reliable, independent prognostic biomarker in regionally advanced OCSCC of all subsites and are also associated with extranodal extension of regional metases. This study gives rationale for consideration of inclusion of TILS into future immunotherapeutic decision-making and further investigations of TIL-ENE association. Full article

Ensuring the long-term integrity of structural materials in extreme environments is a critical challenge in the design of equipment for nuclear fuel cycle operations. In particular, the durability of materials exposed to high temperatures and chemically aggressive environments during the processing of irradiated reactor components remains a key concern. This study investigates the high-temperature corrosion behavior of 12Cr18Ni10Ti austenitic stainless steel in the reaction chamber of a beryllium chlorination plant developed for recycling irradiated beryllium reflectors from the JMTR (Japan Materials Testing Reactor). The chlorination process was conducted at temperatures ranging from 500 °C to 1000 °C in a chlorine-rich atmosphere. Post-operation analysis of steel samples extracted from the chamber revealed that uniform wall thinning was the predominant degradation mechanism. However, in high-temperature regions near the heating element, localized forms of damage, specifically pitting and intergranular corrosion, were detected, indicating that thermal stresses exacerbated localized attack. These findings contribute to the assessment of the service life of structural components under extreme conditions and offer practical guidance for material selection and design optimization in high-temperature chlorination systems used in nuclear applications. Full article

Background/Objectives: Mesothelioma is a rare and aggressive form of cancer that primarily affects the lining of the lungs, abdomen, or heart. It typically arises from exposure to asbestos and is often diagnosed at advanced stages. Limited datasets and complex tissue structures contribute to delays in diagnosis. This study aims to develop a novel hybrid model to improve the accuracy and timeliness of mesothelioma diagnosis. Methods: The proposed approach integrates automatic image segmentation, transformer-based model training, class-based feature extraction, and image transformation techniques. Initially, CT images were processed using the segment anything model (SAM) for region-focused segmentation. These segmented images were then used to train transformer models (CaiT and PVT) to extract class/type-specific features. Each class-based feature set was transformed into an image using Decoder, GAN, and NeRV techniques. Discriminative score and class centroid analysis were then applied to select the most informative image representation for each input. Finally, classification was performed using a residual-based support vector machine (SVM). Results: The proposed hybrid method achieved a classification accuracy of 99.80% in diagnosing mesothelioma, demonstrating its effectiveness in handling limited data and complex tissue characteristics. Conclusions: The results indicate that the proposed model offers a highly accurate and efficient approach to mesothelioma diagnosis. By leveraging advanced segmentation, feature extraction, and representation techniques, it effectively addresses the major challenges associated with early and precise detection of mesothelioma. Full article

Ginger holds significant economic importance in both China and worldwide agriculture. Fungi from the family Plectosphaerellaceae are globally recognized as aggressive plant pathogens. However, the effects of Plectosphaerellaceae species on ginger have been poorly understood. In this research, we identified two novel Musidium species (M. shandongensis sp. nov. and M. zingiberis sp. nov.), one newly recorded species (Gibellulopsis serrae) and one new host record (Plectosphaerella cucumerina) from the rotten rhizomes and roots of ginger in Shandong Province, China, utilizing morphological observations combined with multilocus phylogenetic analysis of the 28S large subunit (LSU), internal transcribed spacer (ITS) region, and translation elongation factor 1-alpha (TEF1-α) gene, along with pathogenicity analyses. Key diagnostic features include M. shandongensis exhibiting abundant mycelium ropes and coils, M. zingiberis showing dark olivaceous colonies, G. serrae producing brown chlamydospores, and P. cucumerina displaying conspicuous guttulae conidia. Comparative analyses with closely related taxa were based on detailed morphological descriptions, illustrations, and phylogenetic analyses. Artificial inoculation of healthy ginger in vitro and in vivo assays caused characteristic symptoms, such as wilt, leaf yellowing, and rhizome necrosis, identical to those observed on naturally infected plants. Our findings broaden current knowledge on the diversity of Plectosphaerellaceae associated with ginger, revealing them as serious threats to ginger cultivation in China. Full article

Skin cancer is the most common cancer worldwide. The incidence of skin cancer has been increasing worldwide. Nearly 75% of all skin cancers are basal cell carcinomas (BCC), cutaneous squamous cell carcinoma (cSCC) represents approximately 20%, and those remaining are melanomas (4%) or other rare tumors (1%). Given the high cure rates and the ability to histologically confirm tumor clearance, surgical therapy is the gold standard for the treatment of skin cancer. Conventional surgery is the most employed technique for the removal of non-melanoma skin cancer (NMSCs). Mohs Micrographic Surgery (MMS) is the most precise surgical method for the treatment of non-melanoma skin cancer, allowing for 100% margin evaluation, being the gold-standard method for surgical treatment of non-melanoma skin cancer. Whenever it is possible to obtain wide margins (4 to 6 mm), cure rates vary from 70% to 99%. Imiquimod, a synthetic imidazoquinolinone amine, is a topical immune response modifier approved by the U.S. Food and Drug Administration (FDA) for the treatment of external anogenital warts, actinic keratosis (AK), and superficial basal cell carcinoma (sBCC). The efficacy of imiquimod is primarily attributed to its ability to modulate both innate and adaptive immune responses, as well as its direct effects on cancer cells. Imiquimod exerts its immunomodulatory effects by activating Toll-like receptors 7 and 8 (TLR7/8) on various immune cells, including dendritic cells, macrophages, and natural killer (NK) cells. Upon binding to these receptors, imiquimod triggers the MyD88-dependent signaling pathway, leading to the activation of nuclear factor kappa B (NF-κB) and interferon regulatory factors (IRFs). This cascade leads to the production of pro-inflammatory cytokines, including interferon-alpha (IFN-α), tumor necrosis factor-alpha (TNF-α), interleukin-12 (IL-12), and interleukin-6 (IL-6). These cytokines enhance local inflammation, recruit additional immune cells to the tumor site, and stimulate antigen presentation, thereby promoting an anti-tumor immune response. Radiation therapy (RTh) may be employed as a primary treatment to BCC. It may also be employed as an adjuvant treatment to surgery for SCC and aggressive subtypes of BCC. RTh triggers both direct and indirect DNA damage on cancer cells and generates reactive oxygen species (ROS) within cells. ROS trigger oxidative damage to DNA, proteins, and lipids, exacerbating the cellular stress and contributing to tumor cell death. Recently, immunotherapy emerged as a revolutionary treatment for all stages of SCC. Cemiplimab is a human programmed cell death 1 (PD-1)-blocking antibody that triggers a response to over 50% of patients with locally advanced and metastatic SCC. A randomized clinical trial (RCT) published in 2022 revealed that cemiplimab was highly effective in the neoadjuvant treatment of large SCCs. The drug promoted a significant tumor size decrease, enabling organ-sparing operations and a much better cosmetic effect. A few months ago, a RCT of cemiplimab on adjuvant therapy for locally aggressive SCC was published. Interestingly, cemiplimab was administered to patients with local or regional cutaneous squamous cell carcinoma after surgical resection and postoperative radiotherapy, at high risk for recurrence owing to nodal features, revealed that cemiplimab led to much lower risks both of locoregional recurrence and distant recurrence. Full article