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Article
Biology and Life Sciences
Immunology and Microbiology

Sabeen Safi

,

Danna Berro

,

Juliette Amram

,

Daniel Burden

,

Dominic Palazzolo

,

Giancarlo Cuadra

Abstract: Background: The increasing use of electronic cigarettes (ECIGs), especially among youth, has raised concerns about the impact of vaping on oral health. While ECIGs are often marketed as a safer alternative, existing literature suggests their use may have detrimental effects on the pulmonary and cardiovascular systems. The oral cavity is the first point of contact for ECIG aerosol, and new reports link vaping to the onset of periodontal disease. It is critical to understand the potential effects of vaping on the oral microbiome, which affects systemic health. This study investigates how flavored E-liquids and commensal bacteria influence the growth of Porphyromonas gingivalis, a periodontal pathogen, under planktonic and biofilm conditions. Methods: P. gingivalis was grown planktonically in the presence of the supernatants of four streptococcal species (Streptococcus gordonii, Streptococcus intermedius, Streptococcus mitis, and Streptococcus oralis) and flavored E-liquids (tobacco, menthol, cinnamon, strawberry, and blueberry) under anaerobic conditions. Multispecies biofilms, including all species above and Fusobacterium nucleatum, were also grown anaerobically and quantified by crystal violet assays, qPCR, and CFU counts. Re-sults: Although E-liquids inhibit P. gingivalis growth under planktonic conditions, the presence of commensal supernatants partially mitigates this effect. However, P. gingivalis growth in multispecies biofilms is increased by E-liquid treatments. Conclusion: This study highlights the enhanced growth of P. gingivalis as part of an oral microbial community in the presence of E-liquids. This dysbiosis can lead to oral diseases, such as periodontitis, and ultimately systemic pathologies.

Concept Paper
Biology and Life Sciences
Aging

Kyrylo Somkin

Abstract: Cognitive aging is characterized by declines in executive functions, yet the molecular mechanisms underlying the dissociation between cortical control and emotional reactivity remain unclear. This article proposes a conceptual model based on divergent transcriptomic erosion in the prefrontal cortex (PFC) compared to the relative resilience of the limbic system. We summarize data showing that the PFC exhibits marked reductions in the expression of genes critical for synaptic integrity and layer II/III glutamatergic signaling, such as PTGS2, DRD4, SST, and CREB1. Furthermore, we propose that postnatal attenuation of human-specific developmental factors, including ARHGAP11B, may limit "cortical reserve," increasing the vulnerability of the neocortex to mitochondrial and oxidative stress. In contrast, phylogenetically older limbic structures, such as the amygdala, exhibit a more conserved expression profile, with relative retention of early response genes (ARC, FOS). FAT4 gene expression in subcortical limbic structures (such as the amygdala) remains relatively constant after brain development is complete. It is less sensitive to momentary neurotransmitter fluctuations, resulting in a flatter expression profile. We posit that this "transcriptomic mismatch" leads to a disruption of descending disinhibition, in which stable limbic reactivity is no longer modulated by weakening prefrontal cortex activity. This evolutionary tradeoff provides a molecular basis for age-related increases in impulsivity and emotional lability, suggesting that more recently evolved brain regions are the first to succumb to the molecular pressures of aging, compared to the more conservative and stable limbic system. This confirms and illustrates how the brain has evolved over the course of evolution and how new cortical areas often become unstable or incompletely developed as they develop further.

Article
Environmental and Earth Sciences
Space and Planetary Science

Karsten Strey

Abstract: Astronomy is probably the oldest science of mankind and thus older than writing. With the development of exact natural sciences, various astronomical sciences such as astrochemistry, astrobiology and some more have developed. The current rapid development of space travel is leading to the formation of further sub-disciplines. In principle, there can be a new extraterrestrial astronomical science for every natural science that has so far been earthbound.

Article
Biology and Life Sciences
Food Science and Technology

Abdelhak Menasri

,

Rosario Lucas López

,

Javier Rodríguez López

,

Antonio Gálvez

,

Mª José Grande Burgos

,

Rubén Pérez Pulido

Abstract: Celiac disease (CD) is an autoimmune disorder triggered by immunogenic gluten peptides that resist gastrointestinal digestion. The only current treatment is a strict gluten-free diet, which is challenging to maintain. Lactic acid bacteria (LAB) with specific proteolytic systems offer a promising strategy for gluten detoxification. This study aims to isolate and characterize gluten-degrading LAB from traditional Spanish and Algerian dairy products. A total of 27 artisanal dairy samples were collected. LAB were isolated on MRS and Elliker agar. Gluten-degrading activity was screened using a well diffusion assay with cell-free supernatants and a spot assay with live cultures. Active isolates were identified by 16S rRNA gene sequencing. Out of 123 isolates, 40 (32.5%) were positive in the well assay, while 67 (54.5%) were positive in the spot assay, indicating the latter's higher sensitivity for detecting cell-associated proteases. Halo diameters ranged from 6 to 16 mm. Algerian isolates exhibited significantly stronger activity (mean halo: 12.6 ± 2.1 mm) compared to Spanish isolates (10.2 ± 2.0 mm; p < 0.001). Molecular identification of the 32 most active isolates revealed dominant species as Lactiplantibacillus plantarum, L. pentosus, Levilactobacillus brevis, and Enterococcus faecium. This study confirms that artisanal dairy fermentations are rich sources of LAB with robust gluten-degrading potential. The superior activity of Lactiplantibacillus spp. aligns with their complex peptidase systems. The geographical variation highlights the influence of local fermentation practices. Selected strains represent excellent candidates for developing adjunct cultures to produce gluten-reduced foods and novel probiotic therapeutics.

Article
Physical Sciences
Astronomy and Astrophysics

José Gabriel Ramírez Escalona

Abstract: The standard cosmological model, ΛCDM, despite its observational success, relies on three components whose physical nature remains unconfirmed: inflation, dark matter, and dark energy. This work proposes an alternative geometric framework that offers a unified solution to these enigmas based on a single and fundamental hypothesis: our universe is a three-dimensional hypersphere in expansion, embedded in a five-dimensional spacetime. We argue that the intrinsic perspective of standard cosmology (the FLRW metric) provides an incomplete description of reality, forcing the introduction of “dark” components to explain effects that arise naturally from the extrinsic geometry and dynamics of the fifth dimension. In our model, the “dark” phenomena are not exotic substances or epochs, but rather the manifestations in our 4D spacetime of this higher-dimensional geometric reality. Moreover, the model requires only three initial parameters—the baryonic mass of the universe, its radiation content, and the current value of H₀ that fixes the proper time τ—highlighting its simplicity compared to the ΛCDM paradigm. First, we show that the apparent accelerated expansion inferred from Type Ia supernova observations can be consistently reinterpreted as the consequence of a mild evolution of their intrinsic luminosity with redshift, parametrized as L(z)∝(1+z)−1. When this effect is taken into account, the supernova Hubble diagram is accurately reproduced within a decelerating, matter-dominated universe, eliminating the need for a dark energy component. This reinterpretation also leads to a revised value of the Hubble constant and resolves the associated age problem. Second, we postulate a fundamental relation between curvature and inhomogeneity (|Ωk| = 1/2 δρ), which resolves the flatness and horizon problems without the need for an inflationary epoch. When applied to the CMB, this hypothesis constrains the fundamental parameters of the universe and reproduces the angular scale of the first acoustic peak with an accuracy of about 7%, as well as the BAO angular scale with an error of 2.3%. Third, the global deceleration of the hypersphere projects an additional acceleration into our 3D space, which—using the parameters derived from the CMB—quantitatively explains galactic rotation curves, the dynamics of clusters, and provides a new Tully–Fisher relation of the form M ∝ v³. From this formulation, the MOND law and the Virial-like relation M ∝ σv³ for galaxy clusters naturally emerge without the need to invoke dark matter. In summary, we present a self-consistent, purely geometric cosmological model that addresses several of the major puzzles of modern cosmology within a unified framework, offering a potentially simpler alternative to ΛCDM and making testable predictions for a range of astrophysical and cosmological observations. While the model provides a radical alternative to the current paradigm, it should be regarded as an initial and basic proposal, requiring further mathematical development and more detailed confrontation with observations. Its simplicity, together with the breadth of phenomena it accounts for, suggests it may serve as a viable starting point for dialogue and further research aimed at testing and refining this geometric approach.

Article
Arts and Humanities
Humanities

Wei Meng

,

Ting Wu

Abstract: This study takes Liu Tongfang's article Marx's Intellectual Measure, published in Guangming Daily, as its sole subject of investigation. Its objective is to examine the theoretical validity and interpretative boundaries of the author's approach to synthesising Marx's thought through the concept of ‘measure’. This analysis is conducted across three dimensions: conceptual legitimacy, historical interpretative mechanisms, and consistency with the Sinicisation of Marxism in the new era. The research thereby addresses the core question: ‘Does this article possess an academic argumentative structure that is reviewable, reproducible, and testable?’ Methodologically, this paper constructs and implements a triple-algorithm review process comprising ‘formal logical audit—generative verification through intellectual history—contemporaneous consistency testing.’ Employing a Chinese clause-numbering system and rule-driven quantitative metrics, it conducts structured, reproducible evidence audits on: the semantic stability of core concepts; the sufficiency of boundaries in social stage delineation; the explicitness of contradiction mechanism chains; and the operationality of era mapping. Calculations yield the following indices: Boundary Adequacy Index (Boundary Adequacy Index ≈ 0.389), Normative Substitution Index for Mechanism Explanation (Normative Substitution Index ≈ 0.161), Mechanism Explicitness Score (Mechanism Explicitness ≈ 0.738), and Sentence Coverage Rate (Sentence Coverage Rate ≈ 0.421). These quantitative outcomes anchor the scope of argumentation and strength of reasoning. Findings indicate that ‘scale’ concurrently fulfils dual functions of empirical description and normative evaluation within the text. Its transdisciplinary migration from physical or existential spatial extension to the boundaries of consciousness, cognition, and value lacks requisite mediating rules and verifiable derivation chains, thereby generating auditable semantic slippage risks. The text exhibits strong macro-level coherence in its phased narrative of ‘prehistory and true human history’ alongside ‘human dependency, material dependency, and free individuality.’ However, insufficient articulation of boundary conditions concerning mutual exclusivity, exhaustiveness, and transitional forms renders the phasing closer to a value hierarchy than a falsifiable explanatory model. Though multiple passages simultaneously present the contradiction between productive forces and relations of production alongside the developmental goal of free individuality, key arguments exhibit a tendency to substitute normative objectives for mechanism-chain decomposition, thereby weakening the testability of historical materialist explanations. The integration of Marx's theoretical resources across different periods within the intellectual history lacks explicit annotation of generative differences and methodological shifts, while the world-historical narrative insufficiently bridges the stage structure of capitalism with the deepening of imperialism theory. Within the framework of Sinicised Marxism in the new era, the indicator-based mapping interface for ‘people-centred development, practical verification, and Chinese-style modernisation’ remains relatively weak, hindering its direct translation into an operational evaluation system. The research concludes that Marx's Measure of Thought demonstrates theoretical ambition in its comprehensive exposition and value synthesis, yet its pivotal arguments require enhanced reviewability and reproducibility through conceptual semantic constraints, explicit phase boundary conditions, and the explicitation of contradiction mechanism chains. The proposed ‘logical-historical-epochal’ triple-audit framework and quantitative indicator system can provide transferable, top-tier structural assessment tools and standardised rewriting pathways for similar comprehensive philosophical texts.

Article
Medicine and Pharmacology
Gastroenterology and Hepatology

Arlette Rodríguez-Campos

,

Sara Mendieta-Cabrera

,

Brian Gonzalez-Pérez

,

Jorge Humberto Luna-Domínguez*

,

Clara Cristina Sánchez-Rodríguez

Abstract: Introduction and aim: Liver disease is associated with obesity, diabetes, and steatotic liver, aside from viral causes and alcohol consumption. Likewise, chronic kidney disease shares metabolic risk factors and a viral etiology with liver disease, contributing to its development and accelerated progression. The clinical data for both pathologies is very similar, which makes early identification of liver damage difficult when they overlap. The aim of this study was to identify chronic liver disease using the fibrosis-4 index (FIB4) in end-stage renal disease undergoing hemodialysis patients, also describing etiology and biochemical variables. Patients and Methods: The study was realized at a secondary-level referral hospital for hemodialysis of the Mexican Social Security Institute in Northeast Mexico. Results: All patients with end-stage renal disease undergoing hemodialysis between 2017 and 2019 were included. Of the 362 patients evaluated, 56.6% were men with an average age of 58 years. The main etiology attributable to chronic kidney disease was hypertension in 92.8%, followed by type 2 diabetes in 71.8%, primary glomerulopathies in 6.9%, and hepatitis C and human immunodeficiency viruses in 0.3% each. The time in hemodialysis was 19 months. Anemia was identified in 93%. The risk of liver fibrosis was identified at 29.5%, and of these, 8% had a FIB4 > 2.67, indicating advanced liver fibrosis. Conclusions: The FIB4 is an accessible and useful method for identifying the risk of liver fibrosis in end-stage renal disease patients undergoing hemodialysis and can be used as an initial tool for assessing liver disease.

Hypothesis
Biology and Life Sciences
Life Sciences

Keith Floyd

,

Jeffrey Benjamin

Abstract: The endocannabinoid system (ECS) has been extensively mapped at the level of receptors, ligands, enzymes, and signaling pathways, forming a detailed component inventory of a major homeostatic network. However, prevailing ECS models largely omit the nutritional substrates required to sustain ligand synthesis, membrane composition, signaling capacity, and regenerative function, leaving the system operationally incomplete from a systems-biology perspective. This Hypothesis identifies this gap by integrating evidence from nutritional biochemistry, lipid metabolism, and regenerative physiology, and argues that inclusion of dietary inputs is necessary to advance toward a nutritionally complete model of the ECS.By reframing the ECS as a metabolically sustained regulatory network rather than a purely signaling system, this framework has implications for understanding resilience, regeneration, and system failure under chronic stress, nutritional insufficiency, and environmental disruption. This synthesis is intended as a hypothesis-generating foundation to guide future experimental and clinical investigation.

Review
Public Health and Healthcare
Public, Environmental and Occupational Health

Carol Nash

Abstract: This scoping review represents the first concerning 2020–2025, peer-reviewed publications to investigate possible relationships among burnout, nutrition, and nutrition/food literacy during and following the COVID-19 pandemic. 9 January 2026 searches were of the keywords (burnout OR job stress) AND (nutrition OR diet OR eating pattern OR food intake) AND (nutrition literacy OR food labeling) AND (food literacy OR health literacy). Eight databases were searched (CINAHL Plus, Google Scholar, JSTOR, OVID, PubMed, Science Direct, Scopus, Web of Science). With 160 returns, the included reports from these searches were from Google Scholar alone (n = 6). The addition of four relevant reports from the 3 June 2025 searches of “burnout AND nutrition AND (nutrition literacy OR food literacy)” increased the included studies to 10. Although 2020 was the lower date limit, publication of the results was between 2023 and 2025. The finding is that research con-ducted during this period reports co-occurring issues of burnout, nutrition, and nutrition/food literacy in specific populations. The primary discovery is that assessing the relationships among these terms was not the aim of the included studies. This lack of dedicated research on this topic presents an opportunity for burnout and nutrition re-searchers to investigate these relationships intentionally.

Article
Biology and Life Sciences
Virology

Mayela del Ángel-Martínez

,

Mauricio Salinas-Santander

,

Michelle Giovanna Santoyo-Suárez

,

Lesly Gonzáles-Flores

,

Omar Reyes-Torres

,

Antonio Morlett-Chávez

Abstract: Background: COVID-19 severity shows marked interindividual variability, suggesting a role for host genetic factors. Polymorphisms in genes involved in the renin–angiotensin system and inflammatory response, such as the angiotensin-converting enzyme (ACE) and the tumor nrecorsis factor-alpha (TNF-α), have been proposed as potential modulators of disease severity. Objectives: To evaluate the association between the ACE I/D (rs4646994) and TNF-α −308 G/A (rs1800629) polymorphisms and COVID-19 severity in a Mexican population. Methods: A total of 236 individuals with RT-PCR–confirmed SARS-CoV-2 infection were included. Patients were classified as hospitalized (severe, n = 155) or non-hospitalized (asymptomatic–mild, n = 81). Genotyping was performed by PCR–RFLP. Genotype distributions were analyzed using χ² tests under dominant and recessive genetic models, and odds ratios (ORs) with 95% confidence intervals (CIs) were calculated. Results: The ACE I/D polymorphism showed a significant association with COVID-19 severity. Carriers of the I allele (ID + II) had a higher risk of hospitalization compared with DD homozygotes (OR = 2.78, 95% CI: 1.53–5.06, p = 0.001). Sex-stratified analysis revealed that this association was significant only in male patients. No significant association was observed between the TNF-α-308 G/A polymorphism and disease severity. Conclusions: The ACE I/D polymorphism is associated with COVID-19 severity in a Mexican population, with a stronger effect observed in males. These findings underscore the relevance of host genetic background and sex-specific effects in COVID-19 outcomes. Further studies including larger cohorts, healthy controls, and multivariable analyses are required to confirm these associations.

Article
Medicine and Pharmacology
Pulmonary and Respiratory Medicine

Heiler Lozada-Ramos

,

Ruth Aralí Martínez-Vega

,

Maritza Pérez-Mayorga

,

José Patricio López-Jaramillo

,

Sumathy Rangarajan

,

MyLinh Duong

,

Salim Yusuf

,

Darryl Leong

,

Liliana Torcoroma García

Abstract: Background. The factors driving Coronavirus disease 2019 (COVID-19) severity and its long-term respiratory sequelae remain poorly understood. This study evaluates whether baseline lung function (LF) influences COVID-related clinical outcomes, mortality, and post-infection LF decline. Methods. Data from 602 participants in the Prospective Urban Rural Epidemiology (PURE)-Colombia study were analyzed. Among these, 200 with con-firmed SARS-CoV-2 infection and 402 controls (65% women; 68% aged ≥60 years). All underwent baseline spirometry prior to 2010 and follow-up testing 1-40 months post-recovery. Among infected individuals, 51 (26%) died. Spirometric parameters Forced Expiratory Volume in 1 Second (FEV1), Forced Vital Capacity (FVC), and Peak Expiratory Flow (PEF) were compared using paired t-tests and Cohen's d. Non-parametric data were compared using Wilcoxon s (z statistic). Results. Compared to baseline LF, hospitalized COVID-19 patients showed significant declines in follow-up LF: FEV1 (2.84 vs 2.34 liters; p=0.002), FVC (3.01 vs 2.53 liters; p=0.006), and PEF (399 vs 328 liters; p=0.001). Non-hospitalized COVID-19 cases showed a non-significant downward trend, while con-trols maintained stable LF. Risk factors for post-COVID FEV1 < 80% predicted included hospitalization, elevated waist-to-hip ratio, and incomplete or absent COVID-19 vaccina-tion. Moderate-to-high physical activity was protective. Post-COVID PEF< 80% predicted was associated with female sex, diabetes mellitus, and subsidized healthcare enrollment. Mortality risk was elevated among individuals with low baseline LF, age>65, male sex, hypertension, obesity, low physical activity, and reduced handgrip strength. Discussion. Significant LF decline was observed in hospitalized COVID-19 patients, with minimal changes in outpatients and controls. Identifying clinical and demographic predictors of post-COVID LF impairment may inform targeted interventions to mitigate long-term pulmonary complications.

Article
Social Sciences
Psychology

Syeda Rubab Aftab

,

Muhammad Mustansar Abbas

Abstract: Objective of the study: This study utilized Latent Profile Analysis (LPA) to identify distinct personality profiles in a sample of 523 adults with Substance Use Disorder (SUD) from Punjab, Pakistan. Methodology: Using the NEO-120-IPIP inventory, a statistically optimal four-profile solution demonstrated an excellent model fit (Entropy = 0.875). One-way ANOVA confirmed highly significant differences between profiles across all five personality domains (p < 0.001), with particularly large effect sizes for Conscientiousness (η² = 0.75) and Agreeableness (η² = 0.55). Results: The derived profiles were labeled as: (1) Conscious-Warrior (high neuroticism and conscientiousness); (2) Socially Expressive (high extraversion, lower agreeableness); (3) Highly Expressive and Emotionally Intense (extremely high extraversion, neuroticism, openness); and (4) Agreeable-Achiever (high conscientiousness and extraversion). These results reveal significant personality heterogeneity within the SUD population. Conclusions: The findings highlight the clinical utility of person-centered approaches for culturally informed assessment, individualized treatment planning, and targeted relapse prevention strategies.

Article
Computer Science and Mathematics
Artificial Intelligence and Machine Learning

Jiawei Xu

,

Zhenyu Yu

,

Ziqian Bi

,

Minh Duc Pham

,

Xiaoyi Qu

,

Danyang Zhang

Abstract: Large language models have demonstrated remarkable capabilities across diverse reasoning tasks, yet their performance on algorithmic reasoning remains limited. To handle this limitation, we propose PRIME (Policy-Reinforced Iterative Multi-agent Execution), a framework comprising three specialized agents, an executor for step-by-step reasoning, a verifier for constraint checking, and a coordinator for backtracking control, optimized through group relative policy optimization. For comprehensive evaluation, we introduce PRIME-Bench, the largest algorithmic reasoning benchmark to date, comprising 86 tasks across 12 categories with 51,600 instances. Tasks span sorting algorithms, graph and tree structures, automata and state machines, symbolic reasoning, and constraint-based puzzles, with execution traces reaching over one million steps. Compared to baseline approach, PRIME improves average accuracy from 26.8% to 93.8%, a 250% relative gain. The largest improvements occur on tasks requiring sustained state tracking, with Turing machine simulation improving from 9% to 92% and long division from 16% to 94%. Ablation studies identify iterative verification as the primary contributor, preventing the error propagation that causes baseline approaches to fail catastrophically. Analysis across model scales (8B–120B parameters) reveals that smaller models benefit disproportionately, achieving accuracy comparable to models 8× larger.

Article
Biology and Life Sciences
Biology and Biotechnology

Peng Xu

,

Zheyi Zhou

,

Yiguo Li

,

Chunyan Zhou

,

Hongjuan Nian

,

Yuanshuang Wu

,

Xing Zhao

,

Kunzhi Li

Abstract: Background: Fungal symbionts are critical for host plant survival but are vulnerable to abiotic stresses such as low temperature, which limits their agricultural utility. Armillaria mellea is an essential fungal partner for the cultivation of the valuable medicinal orchid Gastrodia elata (G. elata). Enhancing its cold tolerance is a key step toward stabilizing G. elata production. Methods: Based on G. elata transcriptome data, a manganese superoxide dismutase gene (GeSOD7) was identified and heterologously expressed in Escherichia coli for enzymatic characterization. The gene was then overexpressed in A. mellea via Agrobacterium tumefaciens-mediated transformation. Transgenic and wild-type strains were subjected to cold stress (13 °C for 45 days), after which physiological, biochemical, and molecular responses were analyzed. Results: Recombinant GeSOD7 showed optimal activity at pH 6.0 and 60 °C, with inhibition under high concentrations of metal ions, especially Mn2+ and Cu2+. Overexpression of GeSOD7 in A. mellea significantly improved hyphal growth and fresh weight under cold stress. Transgenic strains exhibited higher activities of catalase and glutathione peroxidase, increased accumulation of glutathione and proline, and reduced levels of hydrogen peroxide and malondialdehyde. Expression of genes involved in glutathione synthesis and peroxide detoxification was coordinately upregulated. Conclusions: This study demonstrates that heterologous expression of a plant-derived Mn-SOD can effectively enhance the cold stress tolerance of a symbiotic fungus by boosting its enzymatic and non-enzymatic antioxidant systems. These findings provide a novel genetic strategy for improving stress resilience in agriculturally important fungi and contribute to the sustainable cultivation of G. elata.

Article
Environmental and Earth Sciences
Ecology

Brian W. van Wilgen

,

Cornelis van der Waal

Abstract: We reviewed the recent fire regimes in the semi-arid savannas of Etosha National Park and adjacent areas in northern Namibia using MODIS satellite imagery from 2001 – 2025 across gradients of mean annual rainfall (200 – 500 mm), land ownership, and vegetation types. Fires were highly seasonal, concentrated in the two driest months of the year (September and October). The average fire return period over 25 years was 6.9 years in Etosha National Park, but more than four times greater (31.8 years) on adjacent freehold farms. The proportion of the area burned annually ranged from zero to over 30% and the fire regime was dominated by a few episodic but extreme fire events. Some findings were counter-intuitive in that certain vegetation types in areas of low mean annual rainfall (< 300 mm) burned frequently (fire return period 4.3 years) while others experienced infrequent fires (fire return periods 34 – 206 years) in higher rainfall areas (> 400 mm). Current fire management practices have attempted to reconstruct natural fire regimes and are not based on ecological understanding, and further research, based on monitoring of dynamic interactions between rainfall, fuel accumulation, levels of herbivory and the extent of fires are needed to explain these findings.

Article
Medicine and Pharmacology
Medicine and Pharmacology

Maria Caterina Pace

,

Nazareno Palange

,

Francesco Coppolino

,

Maria Beatrice Passavanti

,

Vincenzo Pota

,

Pasquale Sansone

,

Marco Fiore

Abstract: Background and Objectives: Communication gaps contribute substantially to anxiety, depression, and post-traumatic stress disorder (PTSD) among relatives of critically ill patients. This study evaluated whether supplementing routine bedside meetings with a concise, co-designed informational brochure was associated with reduced psychological distress and improved satisfaction among family members in the intensive care unit (ICU). Materials and Methods: We conducted a single-centre prospective before–after observational study in a mixed medical–surgical ICU in Naples, Italy. Relatives of adult patients with an ICU length of stay &gt;72 h completed the Hospital Anxiety and Depression Scale (HADS) and the Short Screening Scale for PTSD (SSS-PTSD) at ICU discharge. The pre-intervention phase enrolled 12 relatives (May–September 2018); following a co-design and staff training period, the post-intervention phase enrolled 23 relatives (April–October 2019). Primary outcomes were the prevalence of anxiety (HADS-A ≥8), depression (HADS-D ≥8), and probable PTSD (SSS-PTSD ≥4). Groups were compared using Fisher’s exact test and the Mann–Whitney U test. Results: Anxiety remained highly prevalent (100% pre vs. 95.7% post; p = 1.00). Depression severity decreased, with median HADS-D scores declining from 13 (IQR 10–18) to 9 (IQR 7–12) (p = 0.021), while the prevalence of HADS-D ≥8 was lower post-intervention (91.7% vs. 73.9%; p = 0.38). The prevalence of probable PTSD was numerically reduced from 58.3% to 30.4% (p = 0.116). Perceived comprehension improved (7.9 ± 1.1 vs. 8.6 ± 0.9; p = 0.037), whereas objective comprehension remained unchanged. Overall family satisfaction increased (FS-ICU-24: 66 ± 15 vs. 75 ± 12; p = 0.041). Staff depersonalization decreased from 35% to 10% (p = 0.048). Conclusions: In this real-world before–after study, integrating a low-cost, co-designed brochure into clinician–family communication was associated with reduced depressive symptom severity, a numerical reduction in PTSD prevalence, and improved satisfaction, without adverse effects on staff well-being. These findings support the use of structured written information in family-centred ICU care.

Article
Business, Economics and Management
Marketing

Chaoqun He

Abstract: Against the sustained growth of China’s live streaming commerce, immersion is pivotal for consumer decision-making, yet existing studies overlook continuous moderators and systematic transmission mechanisms. Based on the SOR theory, this study explores how immersion influences purchase intention via trust, with shopping involvement as a moderator. Data from 455 Chinese live streaming shoppers were collected via Wenjuanxing and analyzed using SPSS 27.0, PROCESS macro, and AMOS 31.0. Results show immersion positively impacts trust, trust fully mediates the immersion-purchase intention link, and shopping involvement strengthens the immersion-trust effect for high-involvement consumers. This study enriches SOR theory’s application in digital consumption, offers marketers insights for immersive design and differentiated strategies, and contributes to sustainable consumption by reducing impulsive purchases through trust.

Article
Arts and Humanities
Architecture

Darko Kahle

Abstract: Architect Vladimir Potočnjak (1904-1952), a cofounder of Croatian Modern Movement is almost nonexistent in the recent Croatian architectural history. The research of archival sources, accompanied by acquired drawings and books from his library, comprised thor-ough analysis of his realizations, projects and publications. Potočnjak graduated from the Architectural Department of Zagreb’s Institute of Technology in 1926 and apprenticed to Adolf Loos in Paris where he improved drawing skills, subsequently to Ernst May in Frankfurt a/M and finally to Hugo Ehrlich in Zagreb. Between 1931 and 1945 he was li-censed architectural engineer in Kingdom of Yugoslavia and successively in the Inde-pendent State of Croatia, additionally an architectural critic and theoretician preoccupied with problems of standardization. After 1945 he was appointed senior manager for archi-tecture in the collectivized Croatian Stately Design and Planning Institute. Cooperating with Zlatko Neumann, junior architects Antun Ulrich and Dragica Perak, in 1947 he won Yugoslav competition for the Federal Government Presidency Palace, later the Federal Ex-ecutive Council Palace, today the Palata “Srbije”. Fully preoccupied to its construction un-til his death, he concurrently translated Ernst Neufert’s “Bauordnungslehre” in Serbo-Croatian. Although classically educated, Potočnjak blended Modern Architectural narrative with layers of German Expressionism, visible on seminal drawings of Palata “Srbije”.

Review
Biology and Life Sciences
Immunology and Microbiology

Nidhi Satishkumar

,

Som S. Chatterjee

Abstract: Staphylococcus aureus remains to be one of the leading causes of global mortality. The most common class of antibiotics used to treat S. aureus infections are Next-Generation β-lactams (NGBs), as they are highly efficacious and have low adverse effects. NGB resistance in S. aureus is classically attributed to Penicillin-Binding Protein-2a (PBP2a), but previous studies from our group have also implicated altered expression of Penicillin-Binding Protein-4 (PBP4) with high-level NGB resistance. PBP4 is the only low-molecular mass (LMM) PBP present in S. aureus; it is also the only known LMM PBP with transpeptidase activity, giving it the unique ability to bring about peptidoglycan cross-linking. In this article, we review some of the recent findings from our group, which reveal that mutations associated with PBP4 lead to altered protein expression and NGB resistance in both MSSA and MRSA backgrounds. We discuss the clinical relevance of PBP4-associated mutations, particularly in Methicillin Resistant Lacking mec (MRLM) isolates, as well as the combined effect of altered expression of PBP4 and GdpP. Finally, this review summarizes the potential role played by PBP4 in S. aureus virulence. Together, we highlight the increasing relevance of PBP4 as a mediator of NGB resistance and discuss its potential to be an important factor during infection diagnosis and therapy.

Review
Medicine and Pharmacology
Oncology and Oncogenics

Martina Greco

,

Calogero Cipolla

,

Chiara Mesi

,

Alessio Ciminna

,

Daniela Sambataro

,

Giuseppa Scandurra

,

Simona Lupo

,

Gaspare Cannata

,

Luca Giacomelli

,

Vittorio Gebbia

+1 authors

Abstract: Surgical resection of liver and lung metastases in breast cancer is increasingly considered a viable option for select patients with oligometastatic disease. Historically regarded as palliative, surgery is now supported by retrospective data suggesting potential survival benefits, particularly in patients with hormone receptor-positive or HER2-positive tumors, long disease-free intervals, and limited metastatic burden. This narrative review summarizes recent evidence on the surgical management of breast cancer metastases to the liver and lung, with a focus on patient selection, perioperative outcomes, and long-term survival. Liver metastasectomy has shown 5-year overall survival rates of up to 60% in well-selected patients, while pulmonary metastasectomy offers comparable outcomes when resection is complete and nodal involvement is absent. Minimally invasive techniques and non-surgical approaches, such as microwave ablation and stereotactic radiotherapy, expand treatment options for patients unfit for surgery. The review also explores emerging tools influencing surgical decision-making, including circulating tumor DNA for minimal residual disease detection, transcriptomic profiling to predict organotropism, and artificial intelligence (AI)-driven platforms that assist with surgical planning and multidisciplinary case evaluation. While prospective validation remains limited, these technologies may help redefine surgical candidacy through biologically informed algorithms. Ultimately, the integration of surgery within a multimodal, personalized treatment strategy – guided by systemic control, tumor biology, and evolving digital tools – represents a promising direction for selected patients with visceral breast cancer metastases.

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