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The activity/rest rhythm of mammals reflects the output of an endogenous circadian oscillator entrained to the solar day by light. Despite detailed understanding of the neural and molecular bases of mammalian rhythms, we still lack practical tools for achieving rapid and flexible adjustment of clocks to accommodate shift-work, trans-meridian jet travel, or space exploration. Efforts to adapt clocks have focused on resetting the of an otherwise unaltered circadian clock. Departing from this tradition, recent work has demonstrated that bifurcation of circadian in mice facilitates entrainment to extremely long and short zeitgeber periods. Here we evaluate the formal nature of entrainment to extreme non-24 h days in male Syrian hamsters. Wheel-running rhythms were first bifurcated into a 24 h rest/activity/rest/activity cycle according to established methods. Thereafter the 24 h lighting cycle was incrementally adjusted over several weeks to 30 h or to 18 h. Almost without exception, wheel-running rhythms of hamsters in gradually lengthened or shortened zeitgebers remained synchronized with the lighting cycle, with greater temporal precision observed in the former condition. Data from animals transferred abruptly from 24 h days to long or short cycles suggested that gradual adaptation facilitates but is not necessary for successful behavioral entrainment. The unprecedented behavioral adaptation following waveform bifurcation reveals a latent plasticity in mammalian circadian systems that can be realized in the absence of pharmacological or genetic manipulations. Oscillator interactions underlying circadian waveform manipulation, thus, represent a tractable target for understanding and enhancing circadian rhythm resetting.
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Korean J Med Educ
September 2025
Medical Education Program, Syrian Virtual University, Damascus, Syria.
Purpose: The aim of this study was to compare the prevalence of burnout and determine the predictive factors among the residents in the three major healthcare specialties in Syria (medicine, dentistry, and pharmacy).
Methods: A web-based cross-sectional survey was used to investigate the experienced burnout among residents. The Maslach Burnout Inventory was used as a self-reported scale.
Pediatr Blood Cancer
September 2025
Division of Pediatric Oncology and Palliative Medicine, University of Utah/Primary Children's Hospital, Salt Lake City, Utah, USA.
Background: Phase 1 trials may expose pediatric oncology patients to potential adverse effects beyond drug-related toxicity, including delays in advance care planning and suboptimal quality of end-of-life (EoL) care. Pediatric palliative care (PPC) can provide symptom management support and assist with EoL planning and care for patients and families enrolling in Phase 1 trials; however, little is known about children with cancer who enroll in Phase 1 studies.
Methods: A retrospective medical record review of pediatric oncology patients enrolled on a Phase 1 clinical trial over a 9-year period was completed at an academic cancer hospital.
J Infus Nurs
September 2025
Author Affiliations: School of Medicine, University of São Paulo (USP), Sao Paulo, Brazil (Mrs Saba, Ms Furlan); Hospital Syrian-Lebanese (Ms Bispo).
Peripherally inserted central catheters (PICCs) are widely used in hospital settings. To ensure optimal patient care, it is essential to assess nurses' knowledge before implementing targeted training interventions. This study aims to evaluate the knowledge of nurses working in inpatient settings regarding the indications, maintenance, complications, and removal of PICCs.
View Article and Find Full Text PDFEur J Psychotraumatol
December 2025
Department of Clinical Psychology and Psychotherapy, Bielefeld University, Bielefeld, Germany.
Refugees who have experienced war and persecution often suffer from psychological disorders resulting from adverse events and living conditions. Current theories of traumatic stress focus on processes resulting from threats to physical integrity, with little consideration of social stressors. In this study, we proposed that perceptions of social devaluation, which include specific emotions, appraisals, physiological responses, and behavioural impulses associated with devaluation, partially mediate the relationship between stress and psychological symptoms in refugees.
View Article and Find Full Text PDFInt J Infect Dis
September 2025
Chief of Department of Pediatrics, University of Health Sciences, Mersin City Education and Research Hospital, Turkey. Electronic address:
Objective: Bordetella pertussis is a highly contagious respiratory infection affecting infants, particularly those in vulnerable populations. This study investigates the increase in pertussis cases following refugee influxes and natural disasters.
Methods: This retrospective study analyzed 28 infants hospitalized in our hospital's pediatric ward due to whooping cough between December 27, 2023, and April 30, 2024.