Search Results (3,024)

Children are more vulnerable to the adverse effects of pesticides due to physiological factors and behavioral habits. This study aimed to evaluate the impact of pesticide exposure on telomere length (TL) and the enzymatic activity of acetylcholinesterase (AChE), butyrylcholinesterase (BuChE), and β-glucuronidase (β-Glu) in children ages 6 to 12 from an agricultural area in Mexico. A cross-sectional, descriptive, and analytical study was conducted involving 471 children. Blood samples were collected to assess TL through qPCR and enzymatic activity using established protocols. A pesticide exposure index (PEI) was developed incorporating biomarker levels, urinary dialkylphosphates (DAP), and proximity to farmland. No significant differences were observed in AChE activity across communities; however, BuChE activity was significantly higher in agricultural communities, while β-Glu activity varied among communities. Notably, children aged 6 in agricultural areas showed TL values similar to 12-year-old children in the reference community. Adjusted regression models revealed significantly shorter TL in children from agricultural communities and in children with moderate to high PEI. The findings indicate that chronic pesticide exposure was associated with telomere shortening in children, suggesting accelerated biological aging and potential genomic instability during critical developmental periods. Full article

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental condition marked by persistent inattention, hyperactivity, and impulsivity. Despite its considerable global prevalence, key gaps remain in our understanding of the structural and molecular changes underlying ADHD which complicate adult diagnosis, as symptoms present differently from those observed during childhood ADHD. On the other hand, while psychostimulants effectively mitigate some symptoms, significant controversy surrounds their long-term effects on cognition, learning, and memory, and day-to-day living. Moreover, our understanding of how various medications given to alleviate ADHD symptoms during pregnancy impact the developing fetal brain also remains largely unexplored. Here, we discuss the subtle differences between ADHD in children and adults and how these symptoms alter brain development and maturation. We further examine changes in monoamine signaling in ADHD and how psychostimulant and non-pharmacological treatments modulate these neural networks. We evaluate and discuss findings as they pertain to the long-term use of ADHD medications, including in utero exposure, on cognitive outcomes, and contextualize these findings with mechanistic insights from animal models. Full article

Levoglucosan and its isomers, mannosan and galactosan, are widely used atmospheric tracers of biomass combustion, and levoglucosan has been previously proposed as a potential biomarker of wood smoke exposure. This study evaluated their applicability under real-world conditions. During 14-day monitoring campaigns in both heating and non-heating seasons, daily PM_2.5 and paired urine samples were collected from adults and children in two Hungarian settlements with different heating practices. Monosaccharide anhydrides in PM_2.5 and urine were quantified by gas chromatography–mass spectrometry, while demographic, dietary, and lifestyle data were obtained via questionnaires. Ambient concentrations were substantially higher during the heating season and at the rural site, confirming the significant contribution of residential wood burning to air pollution. While urinary levoglucosan was quantifiable in >90% of samples, its isomers were often below the limit of quantification. Urinary levoglucosan concentrations did not exhibit consistent seasonal or spatial patterns and were not associated with ambient levels. Instead, an unexplained background more likely influenced by certain demographic, dietary, and behavioral factors than by environmental exposure appeared to drive urinary levels. These findings suggest that urinary levoglucosan is not a suitable biomarker for assessing residential wood smoke exposure, with similar conclusions drawn for mannosan and galactosan. Full article

Congenital cytomegalovirus (cCMV) infection is the most prevalent congenital infection, affecting approximately 0.5–2% of newborns, and is the leading non-genetic cause of sensorineural hearing loss and neurological impairment. The most severe outcome occurs following primary maternal infection during the first trimester of pregnancy, and up to 40–50% of affected fetuses sustain permanent damage. Diagnosis relies on early prenatal screening through maternal serum testing, optimally performed in the first trimester, followed by confirmatory amniocentesis after 17 weeks’ gestation. Prenatal imaging with ultrasound and magnetic resonance imaging (MRI) plays a critical role in the identification of fetal brain abnormalities. Prevention strategies emphasize hygiene measures aimed at reducing maternal exposure to bodily fluids of young children, particularly prior to conception and during early pregnancy. Despite progress in vaccine development, currently available ones demonstrate modest efficacy. This review presents a comprehensive summary of congenital CMV infection, addressing its epidemiology, pathogenesis, diagnostic approaches, clinical presentation, and preventive measures, with a focus on recent advances in vaccine research. Full article

Successfully navigating the world involves integrating sensory inputs and selecting appropriate motor actions. Yet, what information belongs together? In addition to spatial and temporal factors, correspondence across sensory features also matters. In the Bouba–Kiki (BK) effect, spiky shapes are associated with sounds like “kiki”, and round shapes are associated with “bouba”. Such associations exist between auditory and visual (AV) and auditory and tactile (AT) stimuli, where objects are only explored via touch. Visual experience influences AT associations, which are weak in early blind adults and in fully sighted 6- to 8-year-olds, who have a more naïve visual experience. It has been found that prior AV exposure in children enhances AT associations. Here, we consider how the amount of prior AV exposure strengthens AT associations. Sixty-one 6- to 8-year-olds completed four or eight AV trials, which involved seeing a round and spiky shape and indicating which shape best matched a sound. Then, children completed 16 AT trials: feeling a round and spiky shape. Shapes were hidden from view, and children had to indicate which of the two shapes best matched a sound. We found that eight, but not four, trials of prior AV exposure enhanced AT associations. Our findings suggest that the amount, not just the type, of prior exposure is important in the development of audio–tactile associations. Full article

The research investigates nitrate and nitrite concentrations in vegetables sold at agri-food markets in Craiova, Dolj County. Vegetable samples were purchased from markets and sourced from the primary agricultural regions of Dolj County, ensuring a representative selection. A total of 300 samples were collected, with 20 samples taken from each of 15 vegetable species at commercial maturity. This research also aimed to estimate the contribution of each type of vegetable to the intake of nitrates/nitrites ingested through consumption, as well as to carry out an assessment of the risk to human health associated with the consumption of these vegetables. Our analysis showed that only three vegetables (tomatoes, eggplants, and bell peppers) exceeded the maximum permissible nitrate levels (MPL). The MPL for nitrite content was exceeded in several vegetables, including eggplant, green bean, lettuce, cabbage, dill, spinach, and lovage. For nitrates, the Hazard Risk Index (HRI) was consistently below 1 across all samples, with the sole exception of children’s consumption scenario. The HRI for nitrite was also below 1 for all samples, suggesting an absence of exposure risk. The findings from this study suggest that the consumption of vegetable products poses an insignificant risk in terms of nitrate and nitrite intake. Full article

Maternal exposure to polycyclic aromatic hydrocarbons (PAHs) during pregnancy may have effects on the offspring epigenome. And the change in onset epigenome may be associated with children’s neurodevelopment. The current study investigated the relationship between 5-hydroxymethylcytosine (5-hmC) levels in cord blood and PAH metabolites in maternal urine at delivery and children’s neurodevelopment at birth and at age 2. We enrolled 400 pregnant women and their newborns and collected their biological samples after obtaining written informed consent. Enzyme linked immunosorbent assay kits and Chromatin immunoprecipitation kits were used to assess the DNA hydroxymethylation level in cord blood. We observed that 1-hydroxypyrene (1-OHPyr) was inversely associated with gesell developmental scale scores, positively associated with global DNA 5-hmC levels, and associated with decreased 5-hmC levels of the brain-derived neurotrophic factor (BDNF) and methyl CpG binding protein 2 (MeCP2) gene promoter. In addition, the 5-hmC levels of the BDNF and MeCP2 gene promoters were associated with motor scores. The global DNA 5-hmC was inversely associated with motor scores. Mediation analysis showed mediation effects between 1-OHPyr and motor scores by 5-hmC. The global DNA 5-hmC and MeCP2 and BDNF gene promoter 5-hmC contributed 28.51%, 27.29%, and 18.98% of the effect on motor scores changes related to 1-OHPyr. The study results suggested that 5-hmC can be a potential mechanism between prenatal PAH exposure and children’s neurodevelopment at age 2 and provide a better understanding of the role of hydroxymethylation in neurodevelopment. Full article

This study comprehensively evaluates heavy metal (HM) contamination and associated health risks in 31 groundwater samples from Wadi Al-Hamd, northwest Saudi Arabia. Cd, Pb, Zn, As, Cr, Cu, Ba, and Ni showed variable concentrations, some elements approaching WHO guideline values in localized samples. The analyzed HMs showed variable concentrations, with As reaching 5.02 µg/L (50% of WHO guideline) in sample M27. The heavy metal pollution index (HPI) ranged from 0.15 (M29) to 10.07 (M27), with values below 15 indicating low pollution overall, while the metal index (MI) ranged from 0.022 (M29) to 0.621 (M27), all below the threshold of 1 for safe water, indicating geogenic enrichment, particularly in arsenic and nickel. Principal component analysis identified three PCs explaining 73.58% of total variance, with PC1 (35.50%) dominated by Zn-Cu-Ni (geogenic weathering) and PC2 (23.62%) by As-Cd (redox-driven dissolution). Health risk assessment via chronic daily intake (CDI), hazard quotient (HQ), and hazard index (HI) models confirmed negligible non-carcinogenic risks (HI < 1) for both adults and children, though children exhibited 1.5–2 times higher exposure. The highest HQ values were observed for As (HQoral-child: 0.365 in M27), approaching but not exceeding safety thresholds. Dermal exposure contributed minimally (<1% of total risk). The average lifetime carcinogenic risk (LCR) due to exposure to arsenic through drinking water aligns with the US EPA’s acceptable risk range of 1 × 10⁻⁶ to 1 × 10⁻⁴ (average 1.18 × 10⁻⁵ for adults, 2.06 × 10⁻⁵ for children). These findings align with regional studies, but highlight localized As high values for few samples. The study underscores the dominance of natural weathering in HM release and provides a framework for targeted groundwater management in arid regions. Full article

The exhaled fraction of nitric oxide (FeNO) is a biomarker of type 2 inflammation, reflecting the activity of inducible nitric oxide synthase (iNOS) in the bronchial epithelium in response to IL-4 and IL-13. Elevated FeNO levels support asthma diagnosis; however, it is unclear whether active helminth infections and rural environments influence this biomarker. The aim of this study was to compare FeNO levels among subjects naturally infected with helminth parasites and to evaluate their correlation with eosinophil counts and other inflammatory mediators. A total of 275 adult asthmatic patients and 161 healthy controls were involved; also, 223 asthmatic children and 114 healthy controls from the urban area of Cartagena were compared to 90 healthy children from a rural area. We found significant differences in FeNO levels between asthmatic patients and healthy controls in both adult and children’s cohorts (p < 0.0001). There was no difference in FeNO levels between Ascaris-positive and Ascaris-negative adults nor between subjects with active helminth infection and the non-infected. However, FeNO levels were significantly lower in rural healthy children (median 7.50 ppb, [IQR 4–14 ppb]) compared to urban healthy children (median 13.5 ppb, [IQR 10–18.5 ppb], p < 0.0001) and asthmatic children (median 20 ppb, [IQR 11–51 ppb], p < 0.0001). Rural healthy children had the highest total IgE levels (median 508 kU/L, [IQR 168–1020 kU/L]), high eosinophil counts (median 550 eos/μL, [IQR 360–800 eos/μL]) and plasma IL-5 levels (median 0.276 pg/mL, [IQR 0.19–0.53 pg/mL]). In conclusion, FeNO levels are not influenced by either natural exposure to helminth parasites or active infection, which supports its usefulness as a robust asthma biomarker in the tropics. Rural children have the lowest FeNO levels together with the highest total IgE levels, IL-5, and eosinophil counts, suggesting that lung-specific mechanisms are in place controlling iNOS expression during type 2 responses in healthy children. Full article

Global climate change has intensified urban heat exposure risks due to extreme heat events, posing significant health threats, particularly to socially vulnerable groups such as the elderly and children. However, the spatial allocation of urban public cooling resources exhibits heterogeneity, leading to insufficient or mismatched provision of cooling facilities in high heat exposure areas. Taking the central urban area of Guangzhou, China as an example, we employ the hazard–exposure–vulnerability (HEV) framework to evaluate a composite heat risk index (HRI). Using a coupling coordination degree and development coordination coefficient, we identify the matching status and temporal dynamic between heat risk and facility supply across 2010 and 2020. The results indicate that (1) HRI generally exhibits high-value clustering in the core areas of the old city, while peripheral areas show relatively lower levels; (2) the coupling coordination degree (CCD) exhibits clear spatial clustering characteristics, and highly coordinated streets are mostly concentrated in old city areas, whereas newly developed and peripheral districts generally show low coordination; and (3) from 2010 to 2020, cooling facility development in old city districts was generally proactive, while newly developed and peripheral areas exhibited slower progress relative to increasing heat risk. This study highlights the issue of adaptive imbalance in the allocation of cooling resources concerning vulnerable populations, providing guidance for future urban planning. Full article

Field residue trials were conducted in greenhouse-grown cabbage at both recommended and double dosages to evaluate the degradation dynamics and dietary risks of three pesticides (azoxystrobin, thiamethoxam, and carbendazim). In this study, a quick, easy, cheap, effective, rugged, and safe (QuEChERS) method combined with liquid chromatography tandem mass spectrometry was developed to measure the residues of three pesticides in cabbage. The mean recoveries of three pesticides in cabbage were 82.5–104.2%, with relative standard deviations of 2.1–5.2%, meeting the requirements of residual analysis. Based on first-order kinetics, the half-lives of the three pesticides in cabbage were 11.55–33.00 d under field conditions. The health risks associated with three pesticides in cabbage were evaluated using the risk quotient (RQ) method and the EFSA PRIMo 3.1 model. In the final residue experiment, the dietary exposure risks of azoxystrobin and thiamethoxam were all acceptable for children and adults regardless of the dosage or pre-harvest intervals, with the risk quotient (RQ) ranging from 0.040 to 0.363 and 0.022 to 0.417, respectively. However, carbendazim intake posed unacceptable health risks for consumers, with RQ significantly exceeding 1. The EFSA PRIMo 3.1 model also indicated high %ADI values for carbendazim, consistent with the RQ results. Given the significant residual risk associated with carbendazim in cabbage, limiting its use on this crop is recommended. Full article

This narrative case-based review describes the environmental and public health impacts in Chañaral, a town in northern Chile affected by the accumulation of copper mining tailings for the past 80 years. The review included 34 scientific articles published between 1978 and 2025. The keywords used were “mining tailings” and “Chañaral”, without year limits, and covering disciplines such as ecology, public health, environmental history, and territorial studies. The scientific evidence demonstrates the negative impacts on the ecosystem and the human population exposed to toxic metals and arsenic. Geomorphological and biogeochemical alterations have been found on the Chañaral coast, affecting marine biodiversity and water quality. In addition, epidemiological studies indicate exposure to toxic metals measured in street dust and urine, raising concerns on respiratory health in children and metabolic conditions in adults. According to the social sciences, the lack of environmental monitoring and human exposure data contributes to the high health risk perception in the population, posing the need to strengthen environmental monitoring, raise awareness on the risks of exposure to toxic metals, and promote mitigation and restoration strategies. These measures will contribute to sustainable conditions for the Chañaral community through the improvement of comprehensive public policies. Full article

Background: Exposure to indoor air pollution (IAP), including particulate matter of size 2.5 µm/m³ (PM_2.5) and carbon monoxide (CO) resulting from the combustion of biomass fuels in homes, is an important risk factor associated with growth and developmental delays in neonates. We investigated the association between exposure to HAP and adverse birth outcomes in a birth cohort study of 594 pregnant females in Sri Lanka. Methods: Pregnant females between the ages of 18 and 40 years were enrolled in their first trimester and followed until delivery. Baseline assessments of fuel used for cooking were used to categorize the females into high-exposure (wood and kerosene) or low-exposure (liquid petroleum gas and electricity) groups. Indoor air quality measurements of PM_2.5 (n = 303) and CO (n = 258) were conducted in a subgroup of households. The outcomes at birth included the neonates’ appearance, pulse, grimace, activity, respiration (APGAR) score, Brazelton Neonatal Behavioural Assessment Scale (BNBAS) score, and birth weight. Linear and logistic regressions were used to evaluate the association between household air pollution (HAP) and birth outcomes. Results: Of the 526 neonates assessed at delivery, 55.7% were born to mothers with high HAP exposure and 44.3% with low HAP exposure, respectively. The results of the linear regression found an inverse association between higher exposure to HAP and birthweight in the adjusted and unadjusted models; the birth weight of children in the high-exposure group was lower by 107 g compared to that of the low-exposure group after adjusting for other variables (β = −106.8; 95% confidence intervals: −197.6, −16.0). Exposure status was not associated with birth length, gestational age, or the APGAR score; however, the BNBAS motor score was significantly lower in the neonates of the high-exposure group (6.41 vs. 6.55, p = 0.04), though it was not significant when adjusted for other variables. No correlation was found between the measured indoor PM_2.5 levels and birth weight, birth length, gestational age, APGAR score, or BNBAS score. Conclusions: Exposure to IAP due to emissions from combustion products from biomass fuels adversely affects birth weight. These effects may be more pronounced in vulnerable populations in settings where primary healthcare for pregnant women is limited. Full article

Introduction: Secure infant/child–caregiver attachment is crucial for the development of social and emotional functioning and can affect long-term outcomes, such as adult relationships, but it may also be influenced by prenatal and early childhood risk factors. Children with a history of prenatal alcohol exposure (PAE) have a complex spectrum of strengths and difficulties and often have the additional risk of early life adversity. There is some evidence that children with PAE are at increased risk of insecure attachment, but it is unclear whether this is consistent or why it is the case. No published review has focused on the relationship between PAE and attachment. Methods: A systematic search of seven academic databases using the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines was undertaken by two reviewers to identify primary studies that have focused on the relationship between PAE and attachment. Quality assessments were undertaken using the Quality of Observational Cohort and Cross-Sectional Studies tool, and the report was written following the PRISMA-ScR checklist. Results: A total of 4199 records were returned from the database searches. A total of 11 studies (eight peer-reviewed papers and three dissertations), published between 1987 and 2021, met the criteria. Five studies showed that PAE was related to insecure or disorganised attachment, two of which showed that infant irritability and caregiver–infant interaction mediated this relationship. The other six studies found no significant relationship between PAE and attachment. Conclusions: This scoping review demonstrates that there is a dearth of published research on this topic, and none that takes advantage of more recent understanding of the relationship between adverse childhood experiences and neurodevelopmental disorders. There is some evidence that PAE may impact the attachment relationship via caregiver–infant interaction and infant irritability, but further studies, including those that assess the additional impact of early life adversity, are needed. Full article

Background: RMS is the most common soft tissue sarcoma in children. Pencil beam scanning proton therapy (PBS PT) enables highly conformal dose delivery with reduced exposure to surrounding healthy structures, making it particularly suited for RMS in critical anatomical regions. Long-term clinical outcome data for this new radiation technique are scarce. Purpose: This study reports long-term outcomes and quality of life after PBS PT in children and adolescents with rhabdomyosarcoma (RMS). Methods and Materials: We retrospectively reviewed 114 children and adolescents with RMS (mostly embryonal, n = 100; 87.7%) treated between 2000 and 2020. Their median age was 4.6 years (range, 0.3–18). All received systemic chemotherapy according to prospective protocols. The median total PT dose delivered was 52 Gy (RBE; range, 41.4–64.8). Results: After a median follow-up period of 7.1 years (range, 0.3 to 17 years), we observed 26 failures overall; 21 (80.8%) occurred in-field. The 5-year local control and overall survival were 81.2% and 81%, respectively. The composite endpoint (non-ocular grade ≥3 toxicity- and failure-free survival) counting the first occurrence of any failure (local or distant), death, or non-ocular CTCAE v5.0 grade ≥3 toxicity was 77.3% at 5 years. At the start of PT, parents and children reported a quality of life significantly worse than that of a German normative group, but during the follow-up period, their scores improved to normal values in nearly all domains within two years. Conclusions: Our two decades of experience with PBS PT provide data that reflect good local control rates and minimal late non-ocular grade 3 toxicity. We also show that quality of life returned to normal scores in nearly all domains within 2 years. Children and adolescents with RMS seem to benefit from PBS PT in terms of toxicity and quality of life, but further prospective, multi-institutional comparative trials are needed. Full article