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Article
Public Health and Healthcare
Public, Environmental and Occupational Health

Saptarshi Mitra

,

Krishnendu Dhar

,

Ankur Joyti Phukon

,

Pradip Debnath

,

Stabak Roy

Abstract: Auto rickshaw drivers face significant occupational health risks due to prolonged sedentary behaviour, poor ergonomics, and exposure to environmental pollutants, yet systematic longitudinal assessments of their health deterioration remain scarce. We conducted a cross-sectional study involving 102 auto rickshaw drivers in Agartala, India, to evaluate longitudinal trends in mapping Eco-health inequities in the urban informal sector. This study conducted a cross-sectional survey of 102 auto-rickshaw service provider in the urban informal sector of Agartala, to assess and mapping of health inequalities. This study was involving body mass index (BMI), vital capacity and scoliosis prevalence. Participants/Samples were selected via/through incidental convenience sampling and data were collected through/following structured interviews, anthropometric measurements, spirometry, and spinal curvature assessments using a baseline inclinometer. The results revealed a concerning trend of increasing BMI with driving tenure, rising from 25.1±3.03 for drivers with 0–9 years of experience to 29.36±2.94 for those with ≥20 years, indicating a high prevalence of overweight and obesity. Moreover, vital capacity declined from 3.3±0.49 litres in novice drivers to 3.2±0.61 litres in veterans, suggesting a decline in respiratory function over time. Scoliosis was prevalent in 91% of participants, with 74% showing severe curvature (≥5°), and lateral deviations were predominantly left-sided (55.72% cervical, 70% thoracic, 64.29% lumbar), likely due to asymmetric driving postures. These findings highlight the cumulative health deterioration associated with prolonged occupational exposure, emphasising the urgent need for ergonomic interventions and lifestyle modifications. The study also provides novel longitudinal insights into the health challenges faced by auto rickshaw drivers, laying the foundation for targeted public health strategies to mitigate occupational hazards and improve their overall well-being. The study also provides novel longitudinal insights into the health challenges faced by auto rickshaw drivers. Findings suggested the inclusive foundation for targeted public health strategies to mitigate occupational health hazards and improve their overall well-being.

Article
Business, Economics and Management
Finance

Bruce Rishel

,

Melissa Rishel

Abstract: The most widely used bankruptcy predictor, Altman’s Z-Score, assigns a positive coefficient to asset turnover: faster firms are rated safer. Under crisis conditions, that assumption reverses. We introduce the Solvency Margin (SM), a diagnostic calculable from standard financial statements that measures, in dollars, how far an organization is from the threshold where operations become impossible. Unlike static liquidity ratios, the SM yields a concrete speed limit: the maximum operating velocity at which an organization can survive a defined shock. We validate the SM against pre-crisis financial data across three crises in two domains. In the automotive sector, SM computed from FY2019 filings showed directional predictive power among ten major automakers in both the 2021 semiconductor shortage (ρ = 0.50, p = 0.14) and the 2020 COVID-19 pandemic (ρ = 0.53, p = 0.12; ρ = 0.70, p = 0.036 excluding one governance-driven outlier). In the 2023 U.S. banking crisis, SM augmented with a Deposit Stability Factor predicted crisis outcomes among eighteen regional banks (Spearman ρ = 0.62, p = 0.006), correctly ranking three of four failed institutions in the bottom three positions. Monte Carlo simulation (450,000+ runs) confirms threshold behavior across a wide range of conditions. We present a five-step calculation method and a three-lever decision framework for practitioners.

Communication
Medicine and Pharmacology
Other

Anderson Diaz Perez

,

Zuleima Yáñez Torregroza

Abstract: The Universal Declaration on the Human Genome and Human Rights gave genomics an enduring human-rights grammar built around dignity, equality, privacy, and the symbolic idea that the human genome is the heritage of humanity [1]. That grammar remains indispensable, but it is no longer sufficient. Contemporary genomic practices are not confined to laboratory science or bedside counseling: they unfold within data-intensive, computational, and commercially mediated infrastructures that classify persons, govern access to care, and redistribute risk across families, communities, and generations. This article asks a sharper question than the usual privacy-versus-innovation framing: what is the normative object of genomic rights under conditions of predictive biology? The article argues that genomic rights should be interpreted not merely as personality rights protecting individuals from misuse, but as governance rights aimed at shaping how genomic prediction, circulation, ownership, and benefit-sharing are organized. The argument proceeds in four steps. First, it reconstructs the normative architecture of the UNESCO framework and its connections with broader human-rights law, including privacy, equality, and the right to enjoy the benefits of scientific progress [1-6]. Second, it shows why mainstream approaches centered on consent, confidentiality, and anti-discrimination are necessary but analytically insufficient in the face of algorithmic profiling, cross-sector data drift, and unequal access to genomic benefit [7-10]. Third, it proposes four analytic concepts—algorithmic genomic biopower, conditional genomic sovereignty, anticipatory dignity, and multilevel genomic justice—as a vocabulary for contemporary governance. Fourth, it tests that framework against six boundary cases that reveal where conventional bioethics becomes descriptively weak or normatively thin [11-24]. The article concludes that the most important contemporary question is no longer whether genomics can be reconciled with human rights in principle, but who governs predictive biological futures, through which institutions, and for whose benefit. A rights-based response adequate to that problem must move from downstream protection toward upstream governance, from exclusively individual consent toward relational and collective accountability, and from formal access to innovation toward justice in the distribution of genomic risk and benefit.

Review
Medicine and Pharmacology
Oncology and Oncogenics

Lubna Alnuaim

,

Abdulkareem AlGarni

,

Azfar Athar Ishaqui

,

Nasser Mohammed AlQahtani

,

Muhammad Alshuaibi

,

Essa Ahmed Almansour

,

Mashael Alshuke

,

Tahani AlQurashi

,

Giuseppe Saglio

,

Tayyib Hussain

+5 authors

Abstract: Cancer is increasingly recognized as a metabolic disease influenced by nutritional factors, with multi-omics technologies and artificial intelligence (AI), particularly machine learning (ML), enabling integrative analyses of diet, metabolism, and tumor biology interactions. This study aimed to synthesize evidence on these approaches for understanding the nutrition–metabolism–cancer axis and assess their translational potential in oncology, especially in low-resource settings. A PRISMA-compliant systematic review and meta-analysis searched PubMed, EMBASE, and Cochrane databases from 2018 to 2025, including studies on human cancers using ≥2 omics layers integrated via AI/ML and addressing nutritional/metabolic exposures. Random-effects pooling evaluated area under the curve (AUC), odds ratios (OR), and clinical endpoints, with subgroup analyses and quality assessments via QUADAS-2, ROBINS-I, TRIPOD, and PRISMA-AI. From 4812 records, 42 studies were included, yielding a pooled AUC of 0.88 (95% CI: 0.86–0.91) and OR of 2.4 (95% CI: 1.2–3.5), demonstrating encouraging but early-stage exploratory evidence of predictive performance. Cancer-specific signatures emerged in colorectal, breast, pancreatic, liver, and hematologic malignancies. A conceptual translational framework was proposed, integrating nutrition, omics, AI/ML, and oncology to illustrate a potential implementation pathway for developing countries like Saudi Arabia. These findings represent preliminary, hypothesis-generating evidence; the proposed framework requires prospective validation before clinical deployment, particularly in resource-limited settings.

Article
Business, Economics and Management
Economics

Fang Ju

,

Li Yang

,

Jian Xu

Abstract: The essence of free trade zones lies in addressing development challenges through institutional opening-up and innovation-driven growth. Sustainable development constitutes the fundamental goal of free trade zone construction, opening-up and innovation serve as the core driving forces for their development, and a sound business environment acts as a critical guarantee for their efficient operation. Therefore, based on the panel data of 22 free trade zones in China from 2013 to 2022, this paper adopts Principal Component Analysis (PCA) and Analytic Hierarchy Process (AHP) to conduct a comprehensive evaluation of their sustainable development levels from six dimensions: environmental optimization, economic development, opening-up, radiation-driven capacity, business environment, and scientific and technological innovation. The results indicate that, first, the overall comprehensive scores of free trade zones in sustainable development show an upward trend with obvious regional divergence in growth rates. Coastal free trade zones maintain robust growth momentum, inland ones achieve steady progress, and border free trade zones witness modest growth. Second, the comprehensive scores of the 22 free trade zones in 2022 present a gradient distribution, reflecting prominent regional development imbalance. On this basis, targeted policy recommendations are put forward in this paper.

Review
Medicine and Pharmacology
Oncology and Oncogenics

Jason King Talao

,

Rohann Correa

,

Lakshman Gunaratnam

,

Ricardo Fernandes

Abstract: Renal cell carcinoma (RCC) remains a biologically heterogeneous disease with variable clinical outcomes, underscoring the need for robust biomarkers to guide risk stratification and therapeutic decision-making. Despite advances in immune checkpoint inhibitors and targeted therapies, clinically validated biomarkers are lacking, particularly in the perioperative setting. Kidney injury molecule-1 (KIM-1; also known as HAVCR1 or TIM-1) has emerged as a promising candidate with strong biological and clinical rationale. KIM-1 is a transmembrane glycoprotein minimally expressed in normal kidney tissue but markedly upregulated in injured and dedifferentiated proximal tubular epithelial cells, the cell of origin for clear cell RCC. Its extracellular domain is shed into circulation and urine, enabling non-invasive quantification. Beyond its role as a marker of renal injury, KIM-1 is implicated in immune modulation, chronic inflammation, and tumor biology, supporting its role as a dynamic indicator of tumor burden and disease aggressiveness. This review presents the current evidence supporting KIM-1 as a circulating biomarker and therapeutic target in RCC and discusses emerging strategies to address disease heterogeneity through biomarker-driven approaches. We examine its biological role, clinical utility in early detection and postoperative risk stratification, integration with other emerging biomarkers, and its development as a target for antibody–drug conjugates. The review concludes with a summary of the evolving landscape of KIM-1–directed biomarker strategies in RCC, which hold promise to refine patient selection, improve risk-adapted management, and advance precision oncology in this complex disease.

Article
Physical Sciences
Fluids and Plasmas Physics

Shin-ichi Inage

Abstract: We investigate the continuation problem for the three-dimensional incompressible Navier–Stokes equations from a structural, assumption-free perspective. Using the exact Fourier–helical representation and a dyadic shell decomposition, the nonlinear term is reformulated in terms of triadic interactions, allowing a scale-resolved analysis of energy transfer. Within this framework, we establish a complete structural reduction of the nonlinear dynamics. All cross-scale and non-coherent interactions are shown to be perturbatively controlled on every finite time interval and cannot produce non-integrable accumulation in weighted Sobolev norms on compact subintervals. As a result, any potential finite-time blow-up must be supported by a sharply restricted class of residual mechanisms. More precisely, we show that non-integrable accumulation of positive Sobolev-weighted transfer can occur only through either large-transfer same-scale interactions or endpoint accumulation of perturbative remainder contributions. All other interaction channels are excluded as possible sources of divergence by structural and energetic arguments. The analysis is entirely assumption-free and does not rely on any phase closure, temporal localization, or statistical modeling. It therefore provides a complete obstruction formulation of the continuation problem: blow-up is reduced to the viability of a minimal set of explicitly identified mechanisms. We further show that these residual mechanisms persist because the incompressible Navier–Stokes equations do not constitute a thermodynamically complete system. Interpreting the incompressible equations as a singular limit of the compressible formulation, we identify the loss of entropy-based dissipation as the structural origin of the missing control on positive nonlinear transfer. Motivated by this observation, we introduce a minimal ε-retained thermodynamic extension that restores a remnant of the free-energy dissipation mechanism. Under this extension, we show that the positive transfer becomes integrable and that both residual blow-up mechanisms are eliminated under the stated closure condition. This yields a precise conditional closure of the continuation problem. The results clarify the exact scope and limitation of Navier–Stokes-based analysis and reduce the global regularity problem to the question of whether a thermodynamic-type dissipation principle can be rigorously derived within, or as a limit of, the governing equations.

Article
Arts and Humanities
Humanities

Hossein Isaee

,

Hamed Barjesteh

,

Mehdi Manoocherzadeh

Abstract: This study examined the potential of AI-assisted tools to improve English language learning for neurodiverse students (with ADHD, dyslexia, or autism) in low-resource settings in Iran, considering student and teacher perspectives and students’ lan-guage-learning outcomes. The study used a convergent mixed-methods design, and 142 neurodiverse learners and 97 teachers participated through surveys, a 4-week ex-perimental study involving 30 learners (15 AI intervention, 15 controls), and semi-structured interviews with 15 learners, 10 teachers, and five parents. The out-comes were positive: learners stated that they enjoy adaptive features such as multi-modal input and gamification (M=4.2/5) and are motivated by them, and teachers found inclusivity to be important but perceived low confidence (M=2.7/5) because of the training gaps. The AI group showed substantial improvements in vocabulary (+16.3, d=1.21), reading comprehension (+13.3, d=1.05), and oral fluency (+9.2 wpm, d=0.89) compared to controls. Qualitative themes emphasized personalization as em-powerment, as well as obstacles such as infrastructural constraints, exam-based cur-ricula, and cultural cynicism. Recommendations were provided on the transformative power of AI in promoting equity and the need to train teachers and make changes in low-resource schools.

Review
Computer Science and Mathematics
Artificial Intelligence and Machine Learning

Xiao Yu

,

Yichen Zhang

,

Mingzhang Wang

,

Shifang Zhao

,

Weizhe Liu

,

Yuyang Yin

,

Zhongwei Ren

,

Ning An

,

Xinglong Wu

,

Hao Liu

+7 authors

Abstract: Acquiring world knowledge directly from visual observation is fundamental to Artificial General Intelligence (AGI). To support this capability, the Vision World Model (VWM) has emerged as a key paradigm, which learns how the world evolves over time from visual streams. However, recent progress has been driven by diverse research communities, resulting in inconsistent problem formulations, disconnected taxonomies, and divergent evaluation protocols. We argue that addressing this gap requires a conceptual shift: vision should not be treated merely as an input modality, but as the primary driver shaping how world models are represented, learned, and evaluated. Guided by this vision-centric perspective, we introduce a unified framework that organizes VWM research into three core components: vision encoding, knowledge learning, and controllable simulation, and use it to analyze existing model designs and evaluation methodologies. Finally, we outline future research directions that emphasize stronger physical and causal grounding, more meaningful evaluation beyond visual appearance, and scaling toward more general and reliable world modeling capabilities.

Review
Medicine and Pharmacology
Clinical Medicine

Leonard F. Vernon

,

Adam J. Benn

Abstract: While joint hypermobility can result from various medical conditions, it is most commonly associated with a group of related genetic conditions that affect connective tissue known as Ehlers–Danlos syndromes (EDSs). As there is currently no specific genetic testing for the diagnosis of Ehlers–Danlos hypermobility syndrome (hEDS), diagnosis is strictly made based on clinical criteria, which include physical features such as pain and family history, in addition to a scoring system known as the Beighton Score—a 9-point scale used to measure joint hypermobility—with a score of >4 considered significant. While hEDS often causes chronic muscle and joint pain, the underlying mechanisms remains poorly understood. Dysautonomia, characterized by common symptoms such as anxiety, vertigo, and increased heart rate when standing (orthostatic intolerance), in addition to multiple gastrointestinal symptoms, is highly prevalent among hEDS patients. We hypothesize that hypermobility due to ligamentous instability of the upper cervical spine, C1 and C2, results in impingement of the carotid sheath, the carotid artery and, more significantly, the vagus nerve, thus explaining the myriad symptoms that accompany hEDS. We also propose the novel use of extracorporeal shock wave therapy (ESWT) to treat this instability.

Article
Computer Science and Mathematics
Computer Networks and Communications

Porter E. Coggins

Abstract: The Hill cipher has historically lacked the confusion and diffusion properties required for modern cryptographic use. This paper presents the Multidimensional Hill Substitution-Permutation Network (MD-Hill-SPN), a 128-bit, 12-round block cipher combining three elements: (1) a hierarchical matrix diffusion layer operating at 4×4, 8×8, and 16×16 byte scales over GF(2⁸); (2) two AES S-box substitution layers per round; and (3) Argon2id memory-hard key derivation. Metric sessions used a SHA-256 domain-separator surrogate for Argon2id for computational tractability; Argon2id is the specified production KDF. Two independent runs of the full metric suite yield: (a) full plaintext avalanche from round 1 (mean 63.97–64.67 of 128 bits, ideal 64); (b) the differential-probability sampling floor of 2×10⁻⁵ reached at round 4 (50,000 of 50,000 output differences distinct, both sessions); (c) algebraic-degree lower-bound saturation at the maximum observable value from round 1; (d) linear bias indistinguishable from random (combined exceedance 4.40%, below the 4.55% noise floor); and (e) branch numbers at the Singleton (MDS) bound for every tier (B = 5 for 4×4, B = 9 for 8×8, B = 17 for 16×16), computed exhaustively over weight-1 inputs. MD-Hill-SPN therefore moves beyond theoretical construction to empirically validated confusion and diffusion properties stronger than prior Hill-cipher variants.

Article
Computer Science and Mathematics
Applied Mathematics

Ntebogang Dinah Moroke

,

Lebotsa Daniel Metsileng

Abstract: The distributional specification in Markov-switching GARCH models has historically been driven by empirical convention rather than statistical theory. This paper derives the two-regime MS-GARCH specification from the Maximum Entropy Principle, providing an information-theoretic motivation for Student-t regime-conditional innovations in cryptocurrency volatility modelling. The framework is applied to five major cryptocurrencies, Bitcoin, Ethereum, Ripple, Litecoin, and Bitcoin Cash, over the period January 2017 to March 2026, comprising 15,834 daily observations spanning six complete market cycles. Three principal findings emerge. First, a Calm-Phase Fragility pattern is identified: four of five assets exhibit calm-regime half-lives below one trading day (0.48 to 1.16 days), with turbulence the dominant long-run state (stationary turbulent probability in [0.451, 0.771] across all assets), establishing turbulence rather than calm as the structural baseline of the cryptocurrency ecosystem. Second, the Maximum Entropy derivation yields endogenous Student-t degrees of freedom, with heavy-tailed turbulent innovations (degrees of freedom approximately 4.5) confirmed across all assets, validating the MaxEnt constraint framework empirically. Third, near-unity turbulent GARCH persistence drives MS-GARCH point forecasts toward the persistence ceiling, consistent with an information-theoretic bound on predictability when the calm half-life collapses below one trading day; HAR-RV achieves the lowest QLIKE loss for three of five assets under these near-critical conditions. Cross-asset consistency is confirmed across seven statistical indicators including Hill tail exponents in [2.31, 3.26], Hurst exponents in [0.543, 0.577], and Wald tests rejecting parameter homogeneity at p < 0.001 for all assets. The framework is formalised as a deployable expert system for real-time regime monitoring and risk management.

Review
Medicine and Pharmacology
Obstetrics and Gynaecology

Sarita Singh

,

Pooja Goyal

,

Dhirender Choudhary

,

Herratdeep Singh

,

Abhishek Lachyan

Abstract: Introduction: Ovarian cancer remains the most lethal gynecological malignancy worldwide, primarily due to late-stage diagnosis, extensive molecular heterogeneity, and the development of therapeutic resistance. Although advances in cytoreductive surgery and platinum-based chemotherapy have improved short-term disease control, durable long-term survival improvements remain modest, particularly in patients with recurrent or platinum-resistant disease. Rapid progress in molecular profiling, targeted therapeutics, and artificial intelligence–based diagnostic tools has transformed the understanding and management of ovarian cancer. However, translating these scientific advances into consistent clinical benefit remains challenging due to therapeutic resistance, limited validation of emerging biomarkers, and disparities in access to precision oncology. Methods: This narrative review synthesizes current evidence from peer-reviewed clinical trials, translational studies, and systematic reviews examining molecular pathogenesis, early detection strategies, and therapeutic developments in ovarian cancer. Literature was identified through structured searches of major biomedical databases, focusing on studies evaluating molecular biomarkers, artificial intelligence–driven diagnostic approaches, targeted therapies—including poly (ADP-ribose) polymerase inhibitors and anti-angiogenic agents—and emerging treatment modalities such as immunotherapy, antibody–drug conjugates, and cellular therapies. Particular emphasis was placed on identifying conflicting findings, methodological limitations, and translational barriers affecting clinical implementation. Results: Advances in genomic and molecular characterization have established ovarian cancer as a biologically heterogeneous disease comprising multiple histological and molecular subtypes with distinct clinical behavior and therapeutic responsiveness. Targeted therapies, particularly PARP inhibitors, have significantly improved progression-free survival in patients with homologous recombination deficiency; however, long-term efficacy is frequently limited by acquired resistance mechanisms, including restoration of homologous recombination function and activation of alternative DNA repair pathways. Emerging diagnostic technologies—including circulating tumor DNA, multi-omics biomarker panels, and artificial intelligence–based predictive models—demonstrate promising diagnostic accuracy for early-stage disease detection. Nevertheless, many of these technologies remain in early clinical development and require large-scale prospective validation before routine adoption in clinical practice. Discussion: Despite substantial scientific progress, several translational gaps continue to limit the real-world impact of precision oncology in ovarian cancer. Variability in biomarker performance across populations, heterogeneity in study design, and reliance on retrospective datasets complicate interpretation of current evidence. In addition, the relatively modest response rates observed with immunotherapy highlight the importance of understanding tumor immune evasion mechanisms and optimizing combination treatment strategies. Emerging therapies, including antibody–drug conjugates and chimeric antigen receptor T-cell therapies, show encouraging early clinical activity but remain under active investigation. Addressing these challenges will require interdisciplinary collaboration, standardized biomarker validation frameworks, and integration of computational tools into routine clinical workflows. Conclusion: Ovarian cancer management is undergoing a paradigm shift toward precision oncology driven by advances in molecular biology, biomarker discovery, and targeted therapeutics. However, durable improvements in survival will depend on overcoming therapeutic resistance, validating early detection strategies in diverse populations, and ensuring equitable access to advanced diagnostics and personalized treatments. Future research should prioritize prospective validation of emerging technologies, development of biomarker-guided treatment strategies, and translation of scientific innovation into sustainable clinical outcomes.

Article
Chemistry and Materials Science
Analytical Chemistry

Martin Osemba

,

Adrián Chávez Huerta

,

Samuel Karenga

,

Godffrey Keru

Abstract: The development of efficient, visible light responsive and magnetically recoverable photocatalysts remains a critical challenge in wastewater remediation, particularly for the degradation of persistent azo dyes. In this study, a hierarchical nanocomposite consisting of NH₂-MIL-88B(Fe)-derived Fe₃O₄@porous carbon coupled with graphitic carbon nitride (g-C₃N₄) was successfully synthesized via a controlled pyrolysis and heterostructure assembling strategy. The NH₂-MIL-88B(Fe) precursor was synthesized solvothermally and subsequently carbonized at 500 °C under a nitrogen atmosphere to yield Fe₃O₄ nanoparticles embedded in a porous carbon matrix. The Fe₃O₄@porous carbon was then integrated with exfoliated g-C₃N₄ through ultrasonication assisted self-assembling to form a heterojunction nanocomposite. Structural, morphological, and optical characterizations confirmed the formation of a hierarchical porous architecture with enhanced visible light absorption and efficient charge separation. The photocatalytic performance was evaluated using methyl orange (MO) and Congo red (CR) dyes under visible light irradiation at λ > 420 nm, achieving degradation efficiencies of 98.6% and 96.8%, respectively, within 90 minutes at a catalyst dosage of 0.5 g L⁻¹. The composite exhibited excellent magnetic recoverability with a saturation magnetization of 32.4 emu g⁻¹, enabling facile separation using an external magnetic field. Mechanistic investigations revealed a Z scheme charge transfer pathway with dominant reactive species including •OH and •O₂⁻ radicals. The nanocomposite maintained over 92% of its photocatalytic efficiency after five cycles, demonstrating high stability and reusability. This work highlights a scalable strategy for designing multifunctional photocatalysts for environmental applications.

Article
Medicine and Pharmacology
Cardiac and Cardiovascular Systems

Maxime Tijskens

,

Benjamin De Becker

,

Michael Wolf

,

Bruno Schwagten

,

Yves De Greef

Abstract: Background: The presence of left atrial fibrosis indicates advanced remodeling and is associated with a worse outcome after pulmonary vein isolation (PVI). Conventional fluoroscopy-only cryoballoon ablation (CBA) lacks this prognostic information. The addition of electroanatomical mapping (EAM) using the inner lumen spiral catheter allows accurate voltage assessment of the left atrial posterior wall. However, the value of the finding of posterior wall low-voltage zones (pwLVZ) is unknown. Purpose: To study the value of left atrial voltage maps during CBA by comparing clinical and procedural characteristics and clinical outcome between patients with and without pwLVZ. Methods: A cohort of 250 consecutive patients who underwent index CBA for atrial fibrillation was analyzed. All patients underwent pre- and post-procedural EAM using the AchieveTM catheter and EnSiteTM mapping system. The presence of LVZ was evaluated at the postprocedural voltage map of the posterior wall. Clinical success was defined as freedom of documented AF or atrial tachycardia (AT) >30s after 1 year. Results: PwLVZ was found in 41/250 (16.4%) of patients. Patients with pwLVZ were older (69.3±8.5 vs 64.2±10.4; P=0.003), more frequent female (63.4% vs 32.5%; P< 0.001) and had higher CHA2DS2-VASc scores (3.0±1.6 vs 2.0±1.5; P< 0.001). The incidence of obesity (31.7% vs 25.8%; P=0.048), structural heart disease (35.5% vs 17.4%; P=0.021) and persistent AF (68.3% vs 43.8%; P=0.004) was higher in the pwLVZ group. Kaplan-Meier analysis of clinical outcome showed a higher recurrence rate in the pwLVZ group. The finding of pwLVZ was a predictor of atrial arrhythmia recurrence during follow-up (HR 2.583; 95%CI: 1.334-5.002; P=0.005). Conclusions: In CBA facilitated by integrated EAM, pwLVZ was associated with older age, female sex, higher CHADS-VASc scores, obesity, structural heart disease and persistent AF. The finding of pwLVZ is predictive of a worse clinical outcome.

Article
Biology and Life Sciences
Biochemistry and Molecular Biology

Saba M. Alsubaie

,

Rafa Almeer

,

Ali H. Alassiri

,

Ahmed Alkhani

,

Fahd AlSufiani

,

Imadul Islam

,

Mohamed Boudjelal

,

Rizwan Ali

Abstract: Brain cancer is a highly aggressive disease with limited treatment options, highlighting the need for reliable preclinical models for drug discovery. This study aimed to isolate and characterize Saudi patient–derived primary brain cancer cells and assess the anticancer activity of novel compounds developed in-house. Sixteen tumor samples from Saudi patients were processed to establish primary brain cancer cultures and One Normal Tissue (Control). The cells were successfully isolated and maintained under optimized conditions, with their morphology and growth characteristics monitored. Molecular analysis confirmed the expression of key tumor and neural markers. The anticancer activity of selected compounds KCO69, KCO70, and KCO129 was tested at various concentrations using the MTT and CellTiter-Glo Luminescent Cell Viability Assay. All compounds caused a concentration-dependent reduction in cell viability, with the strongest effects seen at 25 µM. Among them, compound 70 showed the most significant antiproliferative activity, while compounds KCO69 and KCO129 exhibited moderate effects. Variability in treatment response among cultures reflected the inherent heterogeneity of patient-derived tumors. Overall, establishing primary brain cancer cell models from Saudi patients offers a valuable platform for preclinical drug screening and supports further research on these compounds as potential therapies for brain cancer.

Review
Medicine and Pharmacology
Oncology and Oncogenics

Kevin M. Truong-Balderas

,

Rachel C. Chang

,

Claudia Lasalle

,

Yi Gao

,

Nicole C. Nowak

,

Kyle T. Amber

,

Adrian P. Mansini

Abstract: Melanoma treatment has been transformed by immune checkpoint blockade, yet many patients still experience primary resistance, limited durability of response, or acquired resistance. These limitations underscore the need for additional targets that reflect melanoma biology while enabling new therapeutic strategies. The B7-H6/NKp30 axis has gained attention as a link between tumor cell stress, immune recognition, and therapy-related adaptation. B7-H6 (NCR3LG1), an inducible ligand for NKp30, has been detected in melanoma cell lines and tumor specimens, and soluble B7-H6 has been identified in a subset of patients. Membrane-bound B7-H6 may support NK-cell activation, whereas ligand shedding and accumulation of soluble B7-H6 may reduce effective antitumor recognition and promote immune evasion. Emerging evidence further suggests that B7-H6 expression may be linked to tumor-intrinsic programs relevant to melanoma cell survival, migration, and adaptation to therapeutic stress. In this review, we examine the role of the B7-H6/NKp30 axis in immune surveillance, tumor escape, biomarker development, and therapeutic targeting, and discuss its translational potential in melanoma.

Article
Computer Science and Mathematics
Information Systems

Jiaqi Tang

,

Zhaohui Liao

,

Mu-Jiang-Shan Wang

Abstract: The extreme sensitivity of qubits to environmental noise constitutes the central bottleneck impeding the practical deployment of near-term quantum computing. Quantum error correction suppresses physical errors by encoding logical qubits into redundant physical qubits, yet its corrective gain deteriorates sharply when physical error rates approach the fault-tolerant threshold. This paper proposes a purification-assisted quantum error correction framework that systematically embeds a purification preprocessing module between the encoding layer and the physical layer, founded on the permutation symmetry of multiple noisy state copies. From an information-theoretic perspective, this framework treats the purification process as an entropy reduction mechanism that filters noise entropy from quantum states, concentrating quantum information into lower-entropy subspaces and achieving entropy suppression before downstream error correction processing. By projecting the joint state of identical copies onto the symmetric subspace, the module achieves noise entropy filtering, thereby concentrating quantum information and exponentially compressing the effective physical error rate before it enters the error-correcting code, establishing a compound exponential logical error rate suppression mechanism under ideal assumptions. Analytical derivations under depolarizing noise yield closed-form expressions for the purification fidelity and the enhanced equivalent fault-tolerant threshold, demonstrating that purification with three copies elevates the surface code threshold from approximately 1.1% to approximately 2.0%. Building on this framework, an Iterative Purification-assisted Error Correction (IPEC) algorithm is designed, which dynamically adjusts the purification depth via real-time syndrome feedback to achieve an adaptive balance between fidelity gain and resource consumption. Monte Carlo simulations under both independent depolarizing noise and circuit-level noise models validate the theoretical predictions: the IPEC algorithm reduces the logical error rate by approximately 46-fold at code distance 7 with a physical error rate of 1.0%, achieves an approximately 8-fold improvement on quantum LDPC codes, and maintains robust performance in non-stationary noise environments through its adaptive mechanism. From an entropy-theoretic perspective, the proposed framework constitutes an entropy management mechanism for quantum computation, in which the purification process compresses state entropy at the input stage and error correction maintains the low-entropy condition during computation, together forming a closed-loop entropy flow control system.

Article
Biology and Life Sciences
Other

Kumiko Takemori

,

Yuki Nakamura

,

Kenji Sato

,

Eri Shiratsuchi

,

Takashi Kometani

,

Seiji Masuda

Abstract: Background/Objectives: Elastin-derived peptides (EPs) from food sources may be multifunctional dietary components that support metabolic and vascular health. However, their in vivo physiological actions remain incompletely understood. This study investigated the effects of bonito bulbus arteriosus-derived EPs on glucose metabolism, GLP‑1 elevation and enhanced early-phase insulin secretion, and renal vascular integrity in stroke-prone spontaneously hypertensive rats (SHRSP) with glucose intolerance. Methods: Male SHRSP were administered EPs orally as a single dose (1,000 mg/kg) or 4-week regimen (600 mg/kg/day). Glucose tolerance, plasma GLP‑1 and insulin levels, and blood glucose levels were measured following glucose loading. Renal morphology was assessed histologically. Dpp4, Icam‑1, and Agtr1 expression was quantified in glomerular and leukocyte fractions. Leukocyte oxidative signaling was evaluated by quantifying reactive oxygen species production associated with inducible nitric oxide synthase (iNOS). Age‑matched Wistar-Kyoto rats were included as normotensive controls. Results: A single dose increased plasma GLP‑1 and insulin levels and improved glucose tolerance compared with controls. The 4‑week regimen resulted in sustained improvements in glucose tolerance, without changes in blood pressure, a lower nephrosclerosis incidence, and reduced renal and leukocytic inflammatory marker expression. Dpp4, Icam‑1, and Agtr1 expression was downregulated and leukocyte iNOS‑driven oxidative signaling was reduced. These effects occurred despite the modest DPP‑IV inhibitory activity of EPs. Conclusions: Food-derived EPs exert multi-target physiological actions, including GLP‑1 elevation with enhanced early-phase insulin secretion and leukocyte oxidative and inflammatory response suppression, that improve metabolic and renal vascular outcomes. EPs warrant further investigation as candidate functional food ingredients for metabolic and vascular health.

Review
Biology and Life Sciences
Biophysics

Dorit Hanein

,

Niels Volkmann

Abstract: Actin, a highly conserved and ubiquitous eukaryotic protein, underlies essential cellular processes including motility, shape maintenance and muscle contraction. Its dynamic transition between monomeric and filamentous states is powered by ATP hydrolysis, which undergoes structural rearrangements that accelerate turnover in filaments and serve as a measure of filament aging. A wide range of actin binding proteins (ABPs) regulate polymerization, depolymerization, and network organization. Recent high resolution cryo-EM and cryo-ET studies have revealed detailed structures of actin, its isoforms, and ABP complexes, including their organization in cells, deepening our understanding of actin function in health and disease.

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