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    • Review
    • Open Access

    Agricultural and livestock activities play a central role in global food production and economic development but are also associated with environmental impacts such as deforestation, land-use conversion, and fires. Agroforestry systems (AFSs) can reduce these impacts by integrating agricultural, livestock, and forestry activities within the same area. The African species Megathyrsus maximus (syn. Panicum maximum) is the second most widely used forage grass in Brazil and performs well under shaded conditions, making it suitable for AFSs. This review synthesizes evidence from experimental and on-farm studies across nine countries on the benefits and impacts of integrating M. maximus into AFSs, with emphasis on Brazil, and discusses research gaps and priorities for improving its use in these systems. The strongest evidence is available for livestock–forest integrated systems, while the Mombasa cultivar has the broadest experimental support across different AFSs and environmental conditions. Reported benefits include improved forage and animal productivity, soil quality, erosion control, and reduced fertilizer requirements. However, system performance depends strongly on cultivar selection, tree density, shading, and long-term management. Overall, M. maximus-based AFSs represent a promising strategy for diversifying agricultural production while contributing to environmental sustainability and climate-change mitigation.

    Grasses

    5 November 2026

    • Article
    • Open Access

    The long-term inclusion of migrant-background youth can be framed, following the social-sustainability literature, as part of the social pillar of sustainability and of the Sustainable Development Goals on inclusive quality education (SDG 4) and reduced inequalities (SDG 10), yet the relational resources surrounding these young people have rarely been modelled at the individual level over more than a few years. This theory-guided descriptive study fits multilevel linear growth models to the 12 released waves (waves 1–10, 12, and 14; 2011–2024) of the first-cohort Multicultural Adolescents Panel Study of the Korean National Youth Policy Institute, following 1635 children of multicultural families from the fourth grade of elementary school in 2011, of whom 892 (54.6%) provided a valid composite at the final released wave; model-specific person-wave observations range from 6593 to 12,237. Six constructs are modelled as seven measurement series, because the self-esteem instrument was replaced in 2017 with no overlap wave; each series is analysed strictly within its own window: perceived peer support, teacher support, and acculturative stress from late elementary school to the final year of middle school (2011–2016); bicultural acceptance and family support from late elementary school to the final year of high school (2011–2019); and self-esteem as two separate series (2011–2016; 2017–2024). Across late elementary and middle school, perceived peer and teacher support rose—peer support fastest, with growth concentrated before the middle-school years and a reversal in the final middle-school year—while acculturative stress declined. Family support, observed through the end of high school, showed no robust directional change, and an equivalence test bounds any change below the magnitude of the acculturative-stress decline, the smallest trend interpreted substantively. Individuals differed reliably in their rates of change on every construct, and bivariate latent growth models show that those rates covaried within persons: young people with larger estimated gains in school-based support also tended to show larger gains in self-esteem and larger decreases in acculturative stress. The between-person spread of perceived school-based support narrowed across waves, although regression to the mean cautions against a strong compensatory reading. The direction of every trend was unchanged under person fixed effects and inverse-probability-of-retention weighting, and re-estimation from the item subset common to all waves yielded larger, not smaller, school-based support increases; a reliability audit established that the post-2017 self-esteem instrument requires reverse-scoring of its four negatively worded items; under the released, unreversed scoring, the resulting composite has effectively no internal consistency. The design is observational and no causal inference is warranted, but the results give an individual-level baseline, bounded by each construct’s measurement window, for monitoring the relational resources of migrant-background youth as a candidate social-sustainability indicator under SDG 4 and SDG 10, a possible application rather than a validated indicator framework.

    Sustainability

    5 November 2026

    • Article
    • Open Access

    Multi-Objective Load Scheduling for Home Energy Management Considering the Thermal Behavior of the Building and User Comfort

    • Rodrigo Fiorotti,
    • Adryanne Fazolo Nardoto Araujo and
    • Jussara Farias Fardin
    • + 3 authors

    Thermostatically controlled appliances are major electricity consumers in residential buildings, yet conventional home energy management systems (HEMSs) often model them as fixed-power loads, neglecting thermal dynamics. This paper presents a multi-objective HEMS that integrates the NSGA-III evolutionary algorithm with physics-based thermal models, data-driven meteorological forecasting, and electric vehicle smart charging (unidirectional, grid-to-vehicle) considering battery degradation. Air-conditioning demand is estimated using a resistance—the capacitance thermal model of the room, while tankless water-heater demand is calculated from the required temperature rise. Both models are driven by weather forecasts generated using a stacking ensemble of three deep learning models. User preferences are represented through a comfort matrix, while rooftop photovoltaic (PV) generation and hourly grid carbon emission factors are incorporated. The HEMS simultaneously minimizes daily electricity cost and CO2 emissions while maximizing user comfort over a 24 h horizon under two time-of-use tariff schemes. The results show that under the Brazilian White Tariff, the knee-point solution reduces the daily electricity cost by 27.1% and the emissions by 28.3% with respect to a non-optimized household while keeping 90.2% of the theoretical maximum comfort; within the Pareto front, the minimum-cost solution costs 22.2% less than the maximum-comfort schedule. The minimum-emission solution reduces emissions to about 1.09 kgCO2eq/day, and PV self-consumption rises from 50.7% to 94.0%, while grid import in the peak tariff block falls by 67%.

    Sustainability

    5 November 2026

    • Review
    • Open Access

    Energy-powered spore-launching strategy is an evolved feature of many fungal species, facilitating dispersal into the surrounding environment, thereby contributing to reproductive success and completing their life cycle. With a focus on the underlying biophysical principles and their broader implications for fungal ecology, this review explores current knowledge of spore discharge biomechanics across different fungal groups. Additionally, it discusses how each step of spore launching relates to fundamental physical principles of energy and motion. Literature was collected through iterative searches in Web of Science and Google Scholar. Additional documents were retrieved through manual searches of key publications’ reference lists and citation tracking. The widely investigated fungal groups regarding spore launching include sporangia squirters (like Pilobolus), ballistospore catapulters (like Agaricus), and ascospore launchers (like Neurospora). Osmotic pressure, surface tension, and cavitation are among the major energy-generating mechanisms responsible for propelling spores at extreme acceleration, thus enabling spores to travel distances of up to several meters. Spore discharge mechanisms can be categorized based on how energy is generated, stored, and transformed into mechanical motion. Thanks to advances in biophysical modeling and high-speed imaging, the century-old mystery of fungal launching strategies has been understood to involve principles of fluid mechanics, optics, and projectile dynamics by investigating many fungal groups.

    Aerobiology

    5 November 2026

    • Article
    • Open Access

    Rice–frog co-culture is an organic farming practice known to effectively reduce nitrogen (N) loss from paddy fields. Ammonia-oxidizing archaea (AOA) and bacteria (AOB) mediate the rate-limiting step of nitrification; however, their relative contributions to this process remain unclear in certain soil types. This study aimed to evaluate the effects of rice–frog co-culture on N leaching and the associated AOA and AOB communities. A two-year field experiment was conducted in Shanghai, comparing three cultivation patterns: conventional rice (CR), green rice–frog (GR) co-cultivation, and organic rice–frog co-cultivation (OR). Nitrogen leaching was monitored, soil properties were analyzed, and the abundance and community composition of AOA and AOB were assessed. Nitrogen leaching losses were significantly lower in GR and OR than in CR, by 14.82% and 28.45%, respectively. Ammonium (NH4+) was the predominant form of leached N, accounting for 58.10%, 56.20%, and 49.02% of the total N in CR, GR, and OR, respectively. Rice–frog co-culture significantly increased amoA gene copy numbers of AOA but suppressed those of AOB. The community structures of both AOA and AOB were strongly influenced by soil properties, including NH4+, soil organic carbon (SOC), total nitrogen (TN), and pH. Specifically, the AOA community was primarily shaped by NH4+ and SOC, whereas the AOB community was mainly driven by SOC content. These findings indicate that integrated rice–frog co-cultivation systems mitigate nitrogen leaching losses, modify soil physicochemical properties, and shift the abundance and community composition of ammonia-oxidizing archaea and bacteria.

    Agronomy

    5 November 2026

    • Review
    • Open Access

    Quantum dot light emitting diodes (QLEDs) have attracted considerable attention as next-generation display devices because of their high color purity, wide color gamut, and high luminous efficiency. Their performance is governed not only by the quantum dot emissive layer but also by the electron transport layer (ETL), which controls electron injection and transport, hole blocking, and interfacial recombination. In particular, metal oxide nanoparticles are widely used as ETL materials because of their high electron mobility, favorable energy level alignment with quantum dots, and compatibility with low temperature solution processing. QLEDs with ETLs based on metal oxide nanoparticles, however, suffer from excessive electron injection and surface defects such as oxygen vacancies and hydroxyl groups, which allow charge to accumulate at the interface and quench excitons, causing efficiency roll-off and limiting operational stability. Here, we review strategies developed to address these limitations, categorized into materials engineering (doping and surface treatment) and device structure engineering (interlayer insertion and double-layer ETLs).

    Inorganics

    5 November 2026

    • Article
    • Open Access

    The growing importance of identifying environmental, social and governance (ESG) risks is driven by increasing regulatory requirements and stakeholder expectations. However, information asymmetry, disclosure–performance gaps and potential greenwashing may limit the reliability of sustainability disclosures. This study examines the potential of financial statements as an additional source for screening ESG risk exposures and proposes an ESG Proxy Mapping Approach based on financial statement indicators. The empirical analysis covers companies listed on the Bulgarian Stock Exchange (68 in total), combining content analysis of publicly available financial and non-financial information with quantitative proxy indicators, comparative analysis and cross-report verification. The findings indicate that the feasibility of identifying potential signals varies across indicators, companies, and sectors. Proxies based on conventional accounting items tend to be more observable than those that require disclosing ESG-specific amounts. However, the mere existence of an observable accounting item or computable ratio does not establish an ESG-related cause. Missing disclosures also constrain the assessment. The findings suggest that, when combined with contextual disclosure analysis, financial-statement-based proxy mapping can support preliminary ESG risk screening, but cannot independently confirm the existence or magnitude of ESG risks.

    J. Risk Financ. Manag.

    5 November 2026

    • Review
    • Open Access

    Dendritic cells (DCs) coordinate antigen presentation and immune-effector activation, but vaccine-induced immune responses have not consistently translated into clinical benefit. This focused narrative review evaluates therapeutic vaccination in established pancreatic cancer and potential adjuvant use after resection, with emphasis on CD34+ progenitor-derived allogeneic DCs engineered to express CD93, CD40 ligand (CD40L), and CXCL13. We develop an integrated framework linking the proposed functions of individual transgenes to donor–recipient–tumor human leukocyte antigen (HLA) compatibility, the strength of the preclinical evidence, and product-specific requirements for translation. Humanized-mouse studies report lymphocyte activation and reduced tumor burden with the complete construct; they do not establish the independent contribution of each transgene. In the advanced-disease experiment, only three animals were included per group, and the late absence of detectable bioluminescence was observed in one surviving treated animal. Tumor-antigen-specific killing has not been conclusively separated from alloreactivity, and CXCL13 expression does not establish functional tertiary lymphoid structures. Clinical studies are compared by cell source, antigen preparation, treatment strategy, and outcome, with RNA vaccines identified separately as contextual comparators. Priorities include controlled component testing, recipient-compatible antigen recognition, reproducible post-thaw potency, and pancreatic-model evaluation of chemotherapy sequencing and conditional checkpoint combinations. These findings support further investigation, while safety and clinical benefit of the three-gene product remain unestablished.

    Vaccines

    5 November 2026

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Highly Accessed Articles

  • Article
  • Open Access

I argue that the emerging sciences of synthetic morphology and diverse intelligence suggest non-physicalist models of mind and show how they can be empirically investigated. Whence the anatomical, physiological, molecular-biological, and behavioral properties of engineered new beings that have never before existed, and do not have a history of selection? Understanding, predicting, and guiding new forms of life and mind requires characterizing a structured latent space of patterns. Developmental, synthetic, and behavioral biology should take seriously, and exploit, the kinds of non-physicalist ideas that are already a staple of Platonist mathematics. I propose the following hypotheses. (1) Patterns in this space span a highly variable degree of agency, comprising a spectrum ranging from static truths studied by mathematicians to active ones studied by behavioral scientists (i.e., some patterns on the same spectrum as mathematical truths are kinds of minds). (2) The relationship between mind and body is the same as the relationship between causally instructive mathematical facts and physics. (3) Living beings have no monopoly on the “free lunches” provided by the ingression of these patterns into the physical world. While traditional computationalist views of living and cognitive systems are insufficient, my framework erases artificial distinctions between organisms and machines, framing all physical constructs (natural or engineered) as being, to various degrees, in-formed by patterns from the latent space. I sketch a research program, already begun, inspired by these ideas. Such frameworks, while contradicting long-held assumptions of both mechanists and organicists, could have many implications for evolutionary biology, regenerative medicine, AI, and the ethics of synthbiosis with the forthcoming immense diversity of morally important beings.

Philosophies

9 September 2026

79,984 Views
Bodies and minds self-assemble from single cells as a process of alignment and autopoiesis. (A) Most complex biological forms begin as one cell—a fertilized oocyte, commonly thought to be well-described by the laws of physics and chemistry. (B) A gradual, slow process of developmental morphogenesis results in the final form of the organism, which may have complex structure and a mind which may not believe it is a “machine”. Our transformation from a chemical soup into an active embodied mind is continuous but heterogeneous: (C) while we commonly think of ourselves as a unified intelligence with a “centralized” brain, the fact is that even the pineal gland, of which there is only one in the brain, is made of cells (C′) and those cells in turn are made of myriad other active components (C″)—we are a collective intelligence at all scales. (D) The creation of an “individual” out of an excitable medium such as an embryonic blastoderm with hundreds of thousands of cells is a dynamic process that is not hardwired: scratches made in that blastoderm would result in independent self-organization in each island, resulting in multiple embryos forming. This reveals the potentiality for some non-pre-determined number of minds to arise out of the same substrate. Images in (A,B,D) courtesy of Jeremy Guay of Peregrine Creative, used previously in [29]. Image (B) used with permission from [30]. Image in (C′) courtesy of Jose Calvo, Science Photo Library. Image in (C″) courtesy of Evan Ingersoll and Gaël McGill. Image (D) used with permission from [31].
  • Review
  • Open Access

Background: Chlorine dioxide (ClO2), formulated as an aqueous solution (CDS), has been proposed as a therapeutic agent, yet its classification among oxidizing compounds is frequently confounded with chemically distinct species—sodium chlorite (NaClO2) and sodium hypochlorite (NaOCl). Objective: This study aimed to synthesize the physicochemical, mechanistic and cellular basis of ClO2 action and to delineate the distinctions between ClO2 and related oxidants, with explicit separation of established data from hypothesized data. Methods: The methodology includes a narrative synthesis of electrochemical data, primary toxicological and clinical literature (PubMed) and the redox-biology literature on low-dose oxidant signaling. Results: ClO2 is a neutral free radical that acts via one-electron transfer (E°′ = +0.95 V vs. SHE for the half-reaction ClO2 + e− → ClO2−, essentially pH-independent over pH 4–8, pH-independent) without chlorination. Its antimicrobial action is attributable to oxidation of thiol-dependent enzymes and membrane constituents and to the inhibition of bacterial respiratory metabolism; host-cell sparing is consistent with differential glutathione-dependent buffering. Controlled human ingestion studies at low concentrations report a favorable short-term safety profile; conversely, the principal metabolite (chlorite) is associated with documented developmental toxicity in animals and regulatory caution by EPA/WHO. Low-dose ClO2 exposure is hypothesized—but not yet directly demonstrated—to elicit dose-dependent adaptive redox responses and redox-regulatory modulation. Conclusions: The one-electron, non-chlorinating chemistry of ClO2 provides a coherent mechanistic framework. The translation of this framework into clinical application requires prospective trials and direct mechanistic measurement, ideally conducted by independent investigators. The following mechanisms are hypothesized and have not yet been directly demonstrated in vivo: modulation of oxidative phosphorylation, mitochondrial oxygenation, and associated redox-regulatory signaling. Reported antimicrobial efficacy typically occurs in the low-ppm range (0.1–5 ppm), whereas adverse effects on mammalian cells in the reviewed literature are reported at concentrations at least one order of magnitude higher; direct head-to-head cytotoxicity comparisons remain scarce and are identified as a priority for future work. This differential thiol buffering—in particular, the higher glutathione content of many mammalian cells relative to many pathogens—has been proposed as a contributing basis for host-cell sparing; direct quantitative confirmation in vivo is not yet available. Bacterial species possess their own thiol-based defense systems (e.g., mycothiol in actinomycetes, bacillithiol in Firmicutes), and the interplay between ClO2 and these systems requires further investigation.

Biophysica

21 September 2026

15,445 Views
Mechanistic overview. ClO2 acts via one-electron oxidation of microbial targets (thiol oxidation, envelope and nucleic acid damage, respiratory inhibition); host cells are spared through glutathione-dependent redox buffering. The proposed low-dose hormetic response is a hypothesis requiring direct experimental confirmation, as discussed in Section 4.2.
  • Review
  • Open Access

Neglected tropical diseases (NTDs) caused by Leishmania and Schistosoma species continue to impose a significant health burden in endemic regions, largely due to limited therapeutic options, drug resistance, and incomplete understanding of parasite biology at the molecular level. A major restriction in the development of targeted interventions is the structural inaccessibility of parasite membrane-associated proteins, which are central to host invasion, nutrient transport, immune evasion, and survival. Recent advances in cryogenic electron microscopy (cryo-EM) have expanded the structural biology toolkit available for studying difficult parasite proteins, particularly large and membrane-associated macromolecular assemblies. However, experimentally resolved cryo-EM structures remain limited for many of the Leishmania and Schistosoma targets relevant to therapeutic and vaccine development. This review therefore distinguishes experimentally determined structures from partial structural information and computational models and examines how potential cryo-EM approaches may address unresolved structural questions. We discuss current structural knowledge of selected parasite targets, approaches for recombinant expression and membrane-protein stabilization, membrane-mimetic systems for structural characterization, and computational methods that complement experimental structural biology. We further examine how experimentally supported structural information, complemented by computational predictions where appropriate, could contribute to structure-guided drug discovery, vaccine design, and targeted nanomedicine. At present, however, the direct translation of parasite structural information into rational nanotherapeutic design remains limited. Key gaps include the scarcity of experimentally resolved parasite membrane protein structures, challenges in their expression and structural characterization, and limited integration of structural biology with nanoparticle engineering. Resolving these gaps may improve the prospects for structure-informed therapeutic and nanomedicine applications against leishmaniasis, schistosomiasis, and other NTDs.

Curr. Issues Mol. Biol.

30 September 2026

8,152 Views
Molecular representation of experimentally characterized structural regions of selected Leishmania and Schistosoma targets (extracted from the PDB database and visualized with ChimeraX software). (A) X-ray crystal structure of Leishmania major leishmanolysin (GP63; PDB 1LML), showing the experimentally determined protein architecture and catalytic zinc-containing region. (B) Solution NMR structure of the extracellular EC2 domain of Schistosoma mansoni Sm-TSP-2 (PDB 2M7Z). The Sm-TSP-2 structure represents an 81-residue extracellular domain and does not resolve the complete four-pass membrane protein or its organization within the native tegument. The structures illustrate the different levels and experimental methods of structural evidence available for these parasite targets.
  • Article
  • Open Access

Evidence of Selective Response in the Free-Breeding Dog Population in Chornobyl

  • Megan N. Dillon,
  • Reade B. Roberts and
  • Matthew Breen
  • + 3 authors

Background/Objectives: Understanding genomic responses to environmental contamination is essential for assessing long-term ecological and genetic risk. The free-breeding dogs inhabiting the Chornobyl Exclusion Zone (CEZ) offer a unique, multigenerational model for investigating these responses within a chronically contaminated landscape. Following the 1986 radioecological disaster at the Chornobyl Nuclear Power Plant, and subsequent remediation activities, the surrounding environment was contaminated by ionizing radiation, heavy metals, organic compounds, and other environmental toxicants. Our previous work identified significant genetic differentiation between two distinct but geographically proximate dog populations within the CEZ, a pattern not explained by breed composition, spatial isolation, or increased mutation rates. Methods: In this study, we tested the hypothesis that the dogs residing at the nuclear power plant show genomic signatures consistent with adaptive evolution in response to chronic environmental stressors. This work extends prior population-genetic analyses by integrating whole-genome selection scans with estimates of effective population size and comparative measures of population divergence, providing a framework to evaluate whether the observed genomic differentiation is more consistent with selection than demography. Using these whole genomic data, we evaluated chromosome-level FST metrics, estimated effective population size (Ne), and analyzed a geographically isolated island dog population as a comparative reference for genetic divergence. Results: We continued to find that the levels of genetic differentiation are not comparable to other free-breeding dog populations. Genome-wide outlier analyses identified candidate loci showing evidence of positive selection across multiple metrics. Conclusions: Genes associated with these loci were enriched for biological functions related to DNA replication and repair, cell death and survival, cellular compromise, immune response, and cancer-associated pathways, suggesting biologically plausible mechanisms through which chronic environmental stress could influence fitness. These findings are consistent with directional selection in the nuclear power plant population, which could potentially be associated with the environmental variables present, and advance our understanding of local adaptation and genomic resilience under chronic environmental contamination.

Genes

27 September 2026

7,229 Views
Historical effective population size (Ne) estimations generated through GONE analysis. The plot visualizes the Ne as estimated for the past 100 generations for each population, with points for the population size estimates and a loess smoother for these data points with default confidence band in gray. CC indicates Chornobyl City (in gold) and NPP indicates the Nuclear Power Plant population (in blue).

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Editor's Choice Articles

  • Review
  • Open Access

Somatic hematopoietic mutations, particularly clonal hematopoiesis of indeterminate potential (CHIP), represent an emerging link between aging, inflammation and cardiovascular disease beyond their established relevance in hematology. This narrative review examines how acquired mutations in hematopoietic stem and progenitor cells contribute to cardiovascular pathogenesis and how this knowledge may inform precision prevention and therapy. Evidence from experimental, clinical and population studies was synthesized with emphasis on clonal expansion, variant allele fraction, gene-specific mechanisms and cardiovascular phenotypes. The reviewed data indicate that driver mutations in DNMT3A, TET2, ASXL1, JAK2, TP53 and PPM1D can promote chronic myeloid inflammation, NLRP3/IL-1β and IL-6 signaling, endothelial dysfunction, atherosclerotic plaque instability, myocardial fibrosis, adverse remodeling, thrombosis, arrhythmias and cardio-oncology complications. The cardiovascular impact of CHIP appears heterogeneous and depends on the mutated gene, clone size, inflammatory phenotype, age, sex, treatment exposures and traditional risk factors. Anti-inflammatory, antithrombotic and mutation-oriented strategies, including IL-1β/NLRP3 blockade and pathway-specific approaches, are promising but remain incompletely validated. Somatic hematopoietic mutations should be considered cardiovascular risk modifiers rather than uniform disease entities. Future studies are needed to define screening thresholds, clinical utility and safety of CHIP-guided risk stratification and targeted therapy.

Cardiogenetics

3 November 2026

Clonal Expansion and Stepwise Mutation Accumulation in Hematopoietic Stem and Progenitor Cells. This figure illustrates the biological basis of clonal hematopoiesis, showing how acquired somatic mutations in hematopoietic stem and progenitor cells (HSPCs) can confer a selective advantage, leading to clonal expansion and altered myeloid cell function and inflammatory signaling. Clonal hematopoiesis of indeterminate potential (CHIP), particularly involving mutations in TET2 and ASXL1, has been associated with an increased risk of cardiovascular disease, including atherosclerosis, heart failure, arrhythmias, thrombosis, aortic stenosis, and myocardial remodeling. Experimental studies support potential mechanistic links between specific mutations, inflammation, endothelial dysfunction, and cardiovascular pathology. However, epidemiological associations do not establish causality, and causal relationships remain incompletely demonstrated in humans. Further accumulation of somatic mutations may also contribute to progression toward hematologic malignancy, although this process is not depicted explicitly in the figure. Abbreviations: HSPCs, hematopoietic stem and progenitor cells; CHIP, clonal hematopoiesis of indeterminate potential; IL, interleukin; TNF-α, tumor necrosis factor alpha; NLRP3, NLR family pyrin domain containing 3.
  • Review
  • Open Access

Non-dilated left ventricular cardiomyopathy (NDLVC) presents a unique clinical paradox: patients with nearly identical phenotypes can face radically different clinical outcomes. NDLVC has been recently recognized as a distinct dynamic phenotype within the spectrum of non-ischemic cardiomyopathies, linked by a high risk of life-threatening arrhythmias. Recent advances in genetics have overcome clinical phenotyping in prognostic accuracy. Specifically, gene-specific scores have been introduced to guide primary prevention ICD in high-risk gene carriers. On the other hand, while gene-elusive cases present a more favourable arrhythmic profile, their long-term clinical outcome is more challenging to predict. Despite advancements in therapeutic strategies, the heterogeneity of the disease represents an ongoing dilemma for risk stratification and long-term surveillance. This review offers a comprehensive analysis of NDLVC management in clinical practice, highlighting the profound prognostic divergence between genetic (both in actionable and VUS carriers) and gene-elusive cohorts. By synthesizing current evidence, we aim to clarify how genotype–phenotype correlations influence clinical outcomes and to provide a framework for more personalized approaches in the follow-up and treatment of these distinct patient populations. Furthermore, we address the current lack of standardized guidelines specifically tailored to gene-elusive phenotypes. In conclusion, NDLVC management requires a paradigm shift towards a multi-parametric, genotype-directed framework, where cardiac magnetic resonance tissue characterisation and personalized risk scores are essential to optimize sudden cardiac death prevention. Future research must leverage artificial intelligence and polygenic risk scores (PRSs) to integrate multi-parametric clinical-imaging data and refine risk stratification beyond traditional binary models. Concurrently, human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) will be pivotal as a translational platform to clarify VUS pathogenicity, unravel gene-specific arrhythmic mechanisms, and accelerate targeted therapeutic interventions.

Cardiogenetics

30 October 2026

Methodological Workflow for VUS Management: From Multi-Parametric Evidence Streams to Clinical Decision-Making.
  • Article
  • Open Access

Extreme precipitation and hail events over complex terrain are strongly dependent on the multiscale evolution of convective systems, yet their development remains challenging to observe and model. In this study, we apply a self-supervised learning (SSL) framework to Meteosat infrared 10.8 μm imagery over the Alpine region to derive physically meaningful representations of convective cloud organization across the full daily cycle. The learned representation organizes convective cloud scenes into three primary regimes: early convection (EC), deep convection (DC), and overcast anvil systems (OA), each exhibiting distinct cloud-top properties, spatial structures, and day–night distributions consistent with established convective development stages. Within the developed SSL framework, reported extreme precipitation and hail events are preferentially associated with these regimes, occupying the upper tail of cloud-top height, optical thickness, and cloud coverage distributions within the latent space. This indicates that extremes correspond to rare, intense realizations of continuous convective variability. Two dominant pathways of cloud structure evolution are identified: a rapid EC→DC transition and a persistent DC mode. The former is characterized by fast cloud growth and intensification, while the latter corresponds to mature convective systems with sustained cloud properties. Overall, the results demonstrate that infrared-based SSL representations capture physically consistent convective stages and their transitions, providing a novel observational framework for characterizing extreme convective events and supporting the evaluation of convection-resolving numerical weather prediction models.

Remote Sens.

23 October 2026

(a) Elevation map of the Alpine study domain. Training dataset: (b) Example of the random cropping procedure over the Alpine domain. Two randomly positioned 100 × 100 pixel crops (orange frame) are extracted at each timestep from the IR 10.8 μm channel. Black pixels correspond to a BT of 320 K (see colorbar in panel f) and represent clear-sky pixels masked using the cloud mask. In each crop, we extract a random pair of image views (pink and light-blue frames). (c) DeepCluster-v2 architecture used for the SSL model trained using the two views. Test dataset: (d) Collection of extreme precipitation and hail reports from the ESWD. (e) Aggregation of reports into 15-min intervals and spatial clustering (stars denote cluster centers). (f) Reconstruction of ESWD-based trajectories by linking cluster centers across consecutive timestamps, interpolating missing timestamps within 1 h, and extending trajectories by ±2 h beyond the observation period. Satellite crops (100 × 100 pixels) are then extracted at each cluster center.
  • Review
  • Open Access

Background: Environmental surface contamination in early childhood education settings has been recognized as a potential source of exposure to microorganisms. However, the available evidence on bacterial contamination in these environments remains limited, methodologically heterogeneous, and difficult to interpret from an epidemiological perspective. Methods: A scoping review was conducted following Joanna Briggs Institute methodology and reported according to the PRISMA-ScR guidelines. Searches were performed in PubMed/MEDLINE, Embase, Scopus, Web of Science, CINAHL, LILACS, and gray literature sources. Studies reporting bacterial contamination of environmental surfaces and fomites in early childhood education settings were included. Data were extracted and synthesized using descriptive and thematic approaches. Results: Nine studies met the inclusion criteria. Most employed cross-sectional designs and showed substantial variability in sampling strategies, microbiological methods, and outcome definitions. Frequently identified microorganisms included Staphylococcus aureus (including methicillin-resistant strains [MRSA]), Bacillus spp., Pseudomonas spp., Klebsiella spp., Enterococcus spp., and Escherichia coli. Bacterial contamination was consistently reported on high-touch surfaces such as toys, tables, doorknobs, and shared objects. However, most studies did not distinguish between microbial detection, viability, and transmission potential, limiting epidemiological interpretation. Evidence regarding antimicrobial resistance was restricted to a small number of studies and remained fragmented. Conclusions: Evidence on the bacterial contamination of surfaces and fomites in early childhood education settings is scarce, heterogeneous, and predominantly descriptive. Current knowledge is largely limited to documenting the presence of microorganisms, with insufficient evidence to determine their viability or role in transmission processes. Future studies should adopt standardized methodologies and integrate environmental, microbiological, and epidemiological measures to strengthen the understanding of contamination patterns and their public health relevance.

Infect. Dis. Rep.

23 October 2026

PRISMA flow diagram of the study selection process.