Search Results (31,723)

The concept of engaging the community in the results of research or returning individual results to the respective participants seems more of an afterthought than an integral part of research processes. The study aims to assess the impact of research results feedback among study participants from a rural black community of low socio-economic status. The study was qualitative. The interview data was analyzed using a deductive content analysis method to develop themes. The present study included about 31 individuals, of which 79% were women and 29% were men. The study used deductive content analysis to identify themes. These themes included health and lifestyle awareness, perceived benefits of research participation, community perception of health research, economic and social motivations, and challenges and concerns. The present study shed light on the importance of returning individual results for participants in health research. Providing feedback was found to improve participants’ health awareness, lifestyle behavior and contribute to early disease detection, especially for conditions that are not routinely tested in clinics. The themes that were generated showed that participants altered their lives and health-seeking behavior because of the information they received from participating in research, a situation that would not have happened if they did not have the results back. The findings of the present study indicate that it is important to return feedback results post conducting a research study. Returning results not only improves the livelihood of participants at the community level but also has the potential to foster strong researcher–community partnerships to enhance research participation and health outcomes, especially in disadvantaged populations. Full article

Background/Objectives: κ-Opioid receptors have emerged as promising targets for novel analgesic strategies, offering the potential to relieve pain without the adverse effects commonly associated with μ-opioid receptor activation, such as respiratory depression, tolerance, and addiction. This review focuses on recent advances in understanding KOR-mediated pain modulation and aims to evaluate the therapeutic potential of KOR agonists in addressing the limitations of current opioid-based treatments. Methods: This review synthesizes evidence from comprehensive preclinical studies investigating the effects of KOR agonists on central pain pathways, including modulation of neurotransmitter release and attenuation of ascending nociceptive signaling. In addition, emerging clinical trial data on KOR-selective compounds will be evaluated, together with recent advances in biased agonism and region-specific receptor signaling, to guide the development of next-generation analgesics. Results: Preclinical studies demonstrate robust antinociceptive effects of KOR agonists, while early clinical trials indicate that several KOR-selective compounds effectively reduce pain symptoms. Advances in biased agonism and targeted receptor signaling suggest the potential to achieve analgesia with reduced dysphoria and sedation. Conclusions: KOR-targeted therapies show significant translational potential for pain management. The integration of preclinical and clinical evidence supports the development of next-generation KOR agonists that could provide effective analgesia while minimizing the adverse effects associated with conventional opioids. Full article

Bacground/Objectives: This study aimed to develop age- and sex-specific spherical equivalent (SE) percentile curves and estimate the prevalence of refractive errors (REs) in Portuguese schoolchildren aged 6–17 years. Methods: A cross-sectional study was conducted in three schools in Lisbon, including 2205 children (mean age = 9.3 ± 2.6 years; 49.3% boys). Vision was assessed using non-cycloplegic static retinoscopy (chosen due to feasibility in school settings) and visual acuity tests. SE percentile curves (P5–P95) were generated by age and sex. SE values and RE distribution (hyperopia, emmetropia, and myopia) were compared across four age groups (6–8, 9–11, 12–14, and 15–17 years). Results: SE values decreased significantly with age (p < 0.001). Median SE ranged from +0.50 D (6–8 years) to 0.00 D (15–17 years), with no sex differences. Hyperopia predominated in younger children (60.6% at 6–8 years), whereas myopia increased in older ages (32.2% at 15–17 years). Conclusions: This study presents the first SE percentile curves for Portuguese schoolchildren, providing a practical, age-specific reference for vision screening. The progressive shift from hyperopia to myopia highlights the importance of early detection and monitoring to prevent visual impairment. Full article

Cold-climate urban neighborhoods face mounting energy and thermal risks from extreme weather and power outages, creating trade-offs between different resilience capacities and objectives. This study develops a scalable, data-driven decision-making tool to support early-stage prioritization of resilience strategies at both the building component and neighborhood levels. A database of 48 active and passive strategies was systematically linked to 14 resilience objectives, reflecting energy- and thermally oriented capacities. Each strategy–objective pair was qualitatively assessed through a literature review and translated into probability distributions. Monte Carlo simulations (10,000 iterations) were performed to generate possible outcomes and several scores were calculated. Comparative scenario analysis—spanning holistic, short-term, long-term, energy-oriented, and thermally oriented perspectives—highlighted distinct adoption patterns. Active energy strategies, such as ESS, decentralized RES, microgrids, and CHP, consistently achieved the highest adoption (A) scores across levels and scenarios. Several passive measures, including green roofs, natural ventilation with passive heat recovery, and responsive glazing, also demonstrated strong multi-objective performance and outage resilience. A case study application integrated stakeholder-specific objective weightings, revealing convergent strategies suitable for immediate adoption and divergent ones requiring negotiation. This tool provides an adaptable probabilistic foundation for evaluating resilience strategies under uncertainty. Full article

Indoor housed cattle, particularly those housed in slatted floor barns, may develop specific types of lameness associated with their housing environment. Previous studies have demonstrated that cattle raised on slats that are fitted with rubber perform better than cattle that are on concrete slats alone; however, lameness continues to be a problem even with this modification. This project investigated the feasibility of adding additional commercially available solid mats to the rubber-coated slatted floor barn and observing animal behavior and outcomes in a group setting. The objective was to determine if creating an improved lying area through a relatively simple management change could positively impact the outcome of these animals. Commercial mats were simple to install and were used immediately and extensively by the cattle. However, the outcome provided mixed results. The additional mats provided challenges with cleanliness. Steer calves became dirty faster and more severely than heifers. Forty-three percent of the heifer calves and 19% of the steers were culled early. More work is needed to better understand and provide solutions for this welfare issue. Full article

Abdominal aortic aneurysms (AAAs) are progressive, life-threatening vascular disorders characterized by focal dilation of the abdominal aorta due to chronic weakening of the arterial wall. The condition often remains asymptomatic until rupture, which carries mortality rates exceeding 70–85%. Among the various etiological theories of AAA development, degradation of the extracellular matrix (ECM) has emerged as the most widely accepted paradigm, with the breakdown of elastin representing a central and irreversible hallmark event. Elastin, a highly cross-linked and durable structural protein, provides elasticity and recoil to the aortic wall. In human AAA specimens, reduced elastin content, impaired cross-linking, and extensive fiber fragmentation are consistently observed, while experimental studies across multiple animal models confirm that elastin degradation directly correlates with aneurysm initiation, expansion, and rupture risk. Elastin loss is driven by a complex interplay of proteolytic enzymes coupled with inflammatory cell infiltration and oxidative stress. Furthermore, elastin-derived peptides perpetuate immune cell recruitment and matrix degradation, creating a vicious cycle of wall injury. Genetic and epigenetic factors, including variants in ECM regulators and dysregulation of non-coding RNAs, further modulate elastin homeostasis in AAA pathobiology. Clinically, biomarkers of elastin turnover and elastin-targeted molecular imaging techniques are emerging as tools for risk stratification. Therapeutically, novel strategies aimed at stabilizing elastin fibers, enhancing cross-linking, or delivering drugs directly to sites of elastin damage have shown promise in preclinical models and early translational studies. In parallel, regenerative approaches employing stem cells, exosomes, and bioengineered elastin scaffolds are under development to restore structural integrity. Collectively, these advances underscore the pivotal roles of elastin not only as a structural determinant of aneurysm development but also as a diagnostic and therapeutic target. This review summarizes and integrates recent discoveries on elastin biology in AAA, with a particular emphasis on molecular mechanisms of elastin degradation and the translational potential of elastin-centered interventions for the prevention and treatment of AAA. Full article

Background/Objectives: Overweight and obesity during pregnancy are metabolic risk factors that may compromise offspring brain development. The first 1000 days of life represent a critical window in which neurodevelopmental trajectories are shaped by intrauterine and early-life exposures. The 6- and 12-month milestones are key checkpoints where deviations may emerge, and interventions are most effective. This study evaluated the association between maternal pregestational weight status and infant neurodevelopment at 6 and 12 months of age. Methods: Mother and infant pairs from the OBESO perinatal cohort in Mexico City were included. Women in the first trimester of pregnancy were classified as normal weight and overweight/obesity according to their pregestational body mass index (pBMI), calculated from self-reported pre-pregnancy weight. Infant neurodevelopment was assessed at 6 and 12 months using the Bayley Scales of Infant Development III, Third Edition (BSID-III). Descriptive, bivariate and multiple linear regression analyses with mixed effects correction were conducted. Results: Among 97 mother–infant pairs, infants of mothers with overweight/obesity had lower language and socio-emotional scores at 12 months. Higher maternal pBMI was correlated with lower motor scores at 6 and 12 months, and with lower language scores at 12 months. Longitudinal analysis showed that maternal overweight/obesity was associated with a significant decline in language development from 6 to 12 months. (p = 0.002). Conclusions: Maternal pregestational overweight or obesity may negatively influence early neurodevelopment, particularly affecting language and cognitive domains during the first year of life. These early deficits could reflect alterations in intrauterine programming associated with maternal metabolic status. Full article

MicroRNAs (miRNAs) are critical regulators of gene expression in cancer biology and cardiovascular disease. miR-106b-5p, a member of the miR-106b-25 cluster, has been widely studied for its oncogenic activity in various malignancies. However, its role as a direct molecular driver of anthracycline-induced cardiotoxicity has only recently been uncovered. This finding highlights new therapeutic possibilities at the intersection of oncology and cardiovascular medicine. This review outlines the dual role of miR-106b-5p as a key modulator in both tumor progression and chemotherapy-induced cardiac dysfunction. miR-106b-5p is upregulated in numerous cancers—including breast, prostate, lung, gastric, colorectal, hepatocellular, and esophageal—and promotes tumorigenesis via suppression of tumor suppressors such as PTEN, BTG3, p21, and SMAD7, leading to activation of oncogenic pathways like PI3K/AKT and TGF-β. Importantly, we present the first evidence that miR-106b-5p is significantly upregulated in the myocardium in response to doxorubicin treatment, where it drives left ventricular dysfunction by targeting PR55α, a key regulator of PP2A activity. This pathway results in cytoplasmic HDAC4 accumulation, aberrant activation of the YY1 transcription factor, and upregulation of sST2, a biomarker linked to adverse cardiac remodeling and poor prognosis. In response, we developed AM106, a novel locked nucleic acid antagomir that silences miR-106 b-5p. Preclinical studies demonstrate that AM106 restores PR55α/PP2A activity, reduces sST2 expression, and prevents structural and functional cardiac damage without compromising anti-tumor efficacy. In parallel, artificial intelligence (AI) tools could be leveraged in the future—based on established AI applications in miRNA cancer research—to accelerate the identification of miR-106b-5p-related biomarkers and guide personalized therapy selection. Our findings position miR-106b-5p as a previously unrecognized molecular bridge between cancer and doxorubicin-induced cardiotoxicity. The development of the AM106 antagomir represents a promising approach with potential clinical applicability in cardio-oncology, offering dual benefits: tumor control and cardioprotection. Coupling this innovation with AI-driven analysis of patient data may enable precision risk stratification, early intervention, and improved outcomes. miR-106b-5p thus emerges as a central therapeutic target and biomarker candidate for transforming the clinical management of cancer patients at risk for heart failure. Full article

Background/Objectives: Type II ovarian cancer, including high-grade serous carcinoma (HGSC), is genetically unstable and exhibits frequent mutations in the tumor suppressor genes. Mutations of TP53 and BRCA1 genes have been associated with HGSC, which has been suggested as a subtype that arises from the fallopian tube lesion called serous tubal intraepithelial carcinoma (STIC). Although TP53 and BRCA1 genes are well-known tumor suppressor genes, the actual effects of TP53 and BRCA1 mutations in enhancing the development of ovarian cancer initiated from STIC are poorly understood. Methods: In this study, we knocked out Trp53 and Brca-1 in epithelial cell clones derived from mice fallopian tube tissues (known as oviducts) and investigated the potential involvement of these two mutations in inducing cancer stem-like cells as cancer-initiating cells. Results: We have shown that the knockout of Trp53 induced oviduct cells to undergo EMT and acquire stem cell characteristics. Conclusions: Trp53 mutation may induce the early stage of precursor lesions formation at the distal end of the oviducts. Full article

Background: While forests are pivotal for climate change mitigation, robust CO₂ accounting is required to quantify their climate benefits. However, varying current methodologies complicate this process for practitioners. This study addresses the need for a low-threshold, IPCC-compliant CO₂ estimation method of tree biomass in forest stands. Methods: We developed CO₂ yield tables by integrating segmented allometric biomass functions into fourth-generation yield tables, combining empirical data and simulations for Northwest Germany. Above- and belowground biomass was calculated, converted into CO₂, and compared with estimates from traditional expansion factors. An interactive R Shiny dashboard was designed to visualise results. Results: The main results of this article are the carbon yield tables, covering beech (Fagus sylvatica), oak (Quercus spp.), spruce (Picea abies), pine (Pinus sylvestris) and Douglas fir (Pseudotsuga menziesii), each across various yield classes and starting at age 1, thereby also encompassing the juvenile phase of forest stands. Our comparison with estimates from traditional expansion factors shows that the latter can substantially overestimate carbon content in forest stands compared to our results, ranging from 20% to 35%, with higher estimates for mature stands and improved representation of early growth. The interactive dashboard also allows readers to experiment with their own figures. Conclusions: The choice of CO₂ methodology profoundly affects results. Our yield tables and a calculation tool (dashboard) deliver a transparent, accessible tool for quantifying forest CO₂ stock, supporting sustainable management and carbon market participation. Full article

This study developed a sustainable high-strength coal gangue backfill material for underground mining applications using coal gangue, fly ash, and cement as primary raw materials, with red mud (RM) as an alternative alkali activator. The mechanical properties of the backfill material were systematically optimized by adjusting coal gangue particle size and alkali activator dosage. The optimized formulation (coal gangue/fly ash/cement = 5:4:1, 3–6 mm coal gangue particle size, 5% RM, which named BF-6-5RM) achieved superior compressive strengths of 8.23 MPa (7 days) and 10.5 MPa (28 days), significantly exceeding conventional backfill requirements and outperforming a CaO-activated reference system (coal gangue/fly ash/cement = 5:4:1, 3–6 mm coal gangue particle size, 2% CaO, which named BF-6-2CaO). Microstructural and physicochemical analyses revealed that both formulations produced calcium silicate hydrate gels (C-S-H gels) and ettringite (AFt) as key hydration products, though BF-6-5RM exhibited a denser microstructure with well-developed ettringite networks and no detectable portlandite (CH), explaining its enhanced early-age strength. Environmental assessments confirmed effective heavy metal immobilization via encapsulation, adsorption, precipitation and substitution, except for arsenic (As), which exceeded Class III groundwater thresholds (DZ/T 0290-2015) due to elevated raw material content, displaying “surface wash-off, diffusion and depletion” leaching behavior. The findings confirm that red mud-based alkali activation is a viable technology for underground backfilling, provided it is coupled with arsenic control strategies like chemical stabilization or the selection of low-arsenic raw materials. This approach not only enables the resource utilization of hazardous industrial waste but also facilitates the production of backfill materials that combine both mechanical strength and environmental compatibility, thereby delivering dual economic and ecological benefits for sustainable mining practices. Full article

Preschool children develop essential mathematical concepts through play, yet little is known about how traditional board games can support this process. This small-scale microgenetic case study investigates how children unfamiliar with the Ethiopian game Gebeta (a mancala-type game) learn to play the game and what mathematical competencies emerge. Video observations were conducted with 5-year-olds in Norway as they engaged in repeated play sessions. Event logs and transcripts were analysed with a focus on children’s developing strategies and difficulties. The results show that children quickly understood the basic rules but faced challenges with directionality (i.e., maintaining the correct direction of play) and differentiating between different types of game moves. Over time, they demonstrated evident progress in following the rules. They began to treat groups of counters as units, moving from one-by-one counting to bundling and unitising. These developments align with Bishop’s fundamental activities locating and counting. We conclude that Gebeta provides a playful context in which children can practice directionality and bundling, both of which are crucial for avoiding common errors in later school mathematics, such as off-by-one counting errors and misunderstandings of the number system. The study suggests that Gebeta can be introduced in early childhood settings without simplifying the rules, providing an engaging resource for early mathematics education. Full article

In response to the pressing environmental challenges posed by electrolytic manganese residue (EMR) and red mud (RM), this study proposes an innovative cementitious material technology for the synergistic co-utilization of these industrial wastes. By employing steel slag (SS) as a calcium-rich skeleton, the system effectively immobilizes sulfates from EMR and alkalinity from RM, converting hazardous wastes into value-added construction materials. Through orthogonal experimentation, an optimal mix proportion was established—30% RM, 20% EMR, and 50% SS at a water-to-binder ratio of 0.28—which achieved a 28-day compressive strength of 20.40 MPa, meeting relevant industry standards for auxiliary cementitious materials. Microstructural analysis unveiled a multi-stage alkali-sulfate synergistic activation mechanism: (1) the high alkalinity derived from RM rapidly activates the dissolution of aluminosilicate phases in both SS and EMR; (2) sulfate ions released from EMR promote extensive formation of ettringite (AFt), enhancing early-age structural integrity; and (3) calcium ions from SS facilitate the development of a dense C-S-H gel matrix, which serves as the primary binding phase. More profoundly, this process exemplifies a self-stabilizing waste-to-resource conversion mechanism, whereby harmful constituents (sulfates and free alkalis) are constructively incorporated into stable hydration products. This work not only elucidates a coherent scientific framework for the safe and efficient reclamation of multi-source solid wastes, but also demonstrates a scalable and ecologically viable pathway for million-ton-scale valorization of EMR and RM. Furthermore, it presents feasibility insights for the application of high-dosage steel slag-based material systems, thereby unifying significant environmental and economic advantages. Full article

Accidental opioid overdose and Sudden Unexpected Death in Epilepsy (SUDEP) represent major forms of preventable mortality, often involving sudden-onset catastrophic events that could be survivable with rapid detection and intervention. The current physiological monitoring technologies are potentially applicable, but face challenges, including complex setups, poor patient compliance, high costs, and uncertainty about community-based use. Paradoxically, simple clinical observation in supervised injection facilities has proven highly effective, suggesting observable changes in central body motion may be sufficient to detect life-threatening events. We describe a novel wearable biosensor for continuous central body motion monitoring, offering a potential early warning system for life-threatening events. The biosensor incorporates a low-power, triaxial MEMS accelerometer within a discreet, chest-worn device, enabling long-term monitoring with minimal user burden. Two system architectures are described: stored data for retrospective analysis/research, and an in-development system for real-time overdose detection and response. Early user research highlights the importance of accuracy, discretion, and trust for adoption among people who use opioids. The initial clinical data collection, including the OD-SEEN study, demonstrates feasibility for capturing motion data during real-world opioid use. This technology represents a promising advancement in non-invasive monitoring, with potential to improve the outcomes for at-risk populations with multiple health conditions. Full article

Background: Foot morphology plays a central role in musculoskeletal development during childhood. Variations in the medial longitudinal arch may influence walking mechanics, and excess body weight can further affect plantar structure and gait. Objective: This study examined the relationship between foot type, body mass index (BMI), and gait function in school-aged children, with particular focus on gait symmetry as a sensitive marker. Methods: Ninety-eight children aged 8–16 years were evaluated. Foot type was classified using a pressure platform, and gait was assessed with a wearable sensor. Outcomes included gait symmetry, walking speed, cadence, Timed Up and Go (TUG), and Six-Minute Walk Distance (6MWD). Results: Mixed bilateral foot patterns were observed in 46 of the 98 participants (47%). Significant associations were found between foot type, BMI, and gait symmetry (p < 0.01), while other mobility measures (speed, cadence, TUG, 6MWD) remained stable across groups. Children with normal bilateral feet showed the best gait symmetry, whereas mixed patterns had the lowest. Conclusions: Gait symmetry is a sensitive indicator of functional imbalance in schoolchildren and is strongly influenced by both foot morphology and body weight. Incorporating plantar assessment and BMI monitoring into routine pediatric evaluations may help clinicians identify children at risk for long-term musculoskeletal problems at an early stage. Full article