Time restricted eating and exercise training before and during pregnancy for people with increased risk of gestational diabetes: single centre randomised controlled trial (BEFORE THE BEGINNING).

Objective: To determine the effect of a prepregnancy lifestyle intervention on glucose tolerance in people at higher risk of gestational diabetes mellitus.

Design: Single centre randomised controlled trial (BEFORE THE BEGINNING).

Setting: University hospital in Trondheim, Norway.

Robust, Open-Source and Automation-Friendly DNA Extraction Protocol for Hologenomic Research.

Global efforts to standardise methodologies benefit greatly from open-source procedures that enable the generation of comparable data. Here, we present a modular, high-throughput nucleic acid extraction protocol standardised within the Earth Hologenome Initiative to generate both genomic and microbial metagenomic data from faecal samples of vertebrates. The procedure enables the purification of either RNA and DNA in separate fractions (DREX1) or as total nucleic acids (DREX2).

Circulating metabolites in patients with chronic heart failure are not related to gut leakage or gut dysbiosis.

Background: The gut microbiota produces numerous metabolites that can enter the circulation and exert effects outside the gut. Several studies have reported altered gut microbiota composition and circulating metabolites in patients with chronic heart failure (HF) compared to healthy controls. Limited data is available on the interplay between dysbiotic features of the gut microbiota and altered circulating metabolites in HF patients.

Difficulties in Keeping an Intimate Relationship and Singlehood.

An increasing number of people are single, meaning that they do not have an intimate partner. Existing research has focused on identifying the difficulties that people face in attracting mates. In the present paper, we propose that another factor contributing to singlehood is experiencing difficulties in maintaining intimate relationships.

Degradation of LiNiMnO Cathodes in the PFSI Ionic Liquid Electrolyte and Carbonate Electrolytes.

LiNiMnO (LNMO) is a promising material for the cathode of lithium-ion batteries (LiBs); however, its high operating voltage causes stability issues when used with carbonate battery electrolytes. Ionic liquids are a viable alternative to conventional carbonate solvents due to their thermal stability and electrochemical window. This work reports the performance of LNMO/Li half cells with an ionic liquid electrolyte (ILE) composed of 0.

Junior-to-senior transition in elite female football: identifying predominant sources of stress among junior players from both player and coach perspectives.

Introduction: The purpose of this case study is to gain insight into and a deeper understanding of the predominant sources of stress during the junior-to-senior transition experienced by current and former female junior players and their male coaches from both the junior and senior teams.

Methods: All three groups of participants were affiliated with the same Norwegian professional football club. In total, we conducted semistructured interviews with 10 female players: five junior elite players (mean age 16.

Study protocol for 5Ways@School - An implementation and effectiveness trial of a school-based wellbeing intervention in 16 schools in Norway.

Aims: This study aims to assess the effectiveness and implementation of the 5Ways@School curriculum-based intervention in Norwegian schools. The intervention builds on the Five Ways to Wellbeing framework, and promotes five action domains: connect with others, be physically active, take notice, keep learning, and give. The study objectives include assessing the intervention's acceptability, appropriateness, feasibility, fidelity, and cost, as well as its impact on students' wellbeing and mental health.

Early prediction of subsequent peg-asparaginase inactivation in acute lymphoblastic leukaemia patients-A NOPHO ALL2008 study.

Polyethylene glycol (peg)-asparaginase plays a crucial role in acute lymphoblastic leukaemia (ALL) treatment, yet its associated toxicity often leads to treatment discontinuation, elevating relapse risk. Hypersensitivity with inactivation of asparaginase is common and often associated with severe allergic reactions. This study aims to comprehensively analyse asparaginase enzyme activity (AEA) pharmacokinetics, validate a previously developed pharmacokinetic model based on intravenous administration and evaluate its capability to detect changes in clearance before inactivation in patients treated with intramuscular peg-asparaginase.

Engrams Formed in Virtual Reality Exhibit Reduced Familiarity Upon Retrieval: Electrophysiological Correlates of Source Memory Retrieval Indicate Modality-Dependent Differences in Recognition Memory.

Initial findings linking Virtual Reality (VR)-based encoding to increased recollection at retrieval remain inconclusive due to heterogeneous study designs and dependence on behavioral data. To clarify under which circumstances VR-based encoding affects or enhances episodic memory retrieval, the fundamental question remains whether the encoding modality, i.e.

River-to-sea plastic pollution: A pilot toolbox for the Caspian Sea.

This study presents the first integrated assessment of plastic pollution at the Kura River delta, where the river enters the hydrologically enclosed Caspian Sea. We applied a modular toolbox comprising four complementary components: high-resolution hydrodynamic modeling to predict debris convergence zones, UAV-based mapping to survey shoreline conditions, automated object-based image analysis for debris detection and classification, and standardized field monitoring by trained community participants for ground-truthing and source identification. Using this framework, we identified debris accumulation hotspots and developed a replicable approach for assessing plastic pollution in semi-enclosed systems.

Genome-wide phenotypic insights into mycobacterial virulence using Drosophila melanogaster.

Drosophila melanogaster (Drosophila) is one of the most extensively studied animal models we have, with a broad, advanced, and organized research community. Yet, Drosophila has barely been exploited to understand the underlying mechanisms of mycobacterial infections, which cause some of the deadliest infectious diseases humans are currently battling. Here, we identified mycobacterial genes required for the pathogen's growth during Drosophila infection.

Joint models reveal human subcortical underpinnings of choice and learning behavior.

Decision making and learning processes together enable adaptive strategic behavior. Animal studies demonstrated the importance of subcortical regions in these cognitive processes, but the human subcortical contributions remain poorly characterized. Here, we study choice and learning processes in the human subcortex, using a tailored ultra-high field 7T functional MRI protocol combined with joint models.

Genetically determined body mass index is associated with diffuse large B-cell lymphoma in polygenic and Mendelian randomization analyses.

Obesity has been associated with non-Hodgkin lymphoma (NHL), but the evidence is inconclusive. We examined the association between genetically determined adiposity and four common NHL subtypes: diffuse large B-cell lymphoma (DLBCL), follicular lymphoma, chronic lymphocytic leukemia, and marginal zone lymphoma, using eight genome-wide association studies of European ancestry (N = 10,629 cases, 9505 controls) and constructing polygenic scores for body mass index (BMI), waist-to-hip ratio (WHR), and waist-to-hip ratio adjusted for BMI (WHRadjBMI). Higher genetically determined BMI was associated with an increased risk of DLBCL [odds ratio (OR) per standard deviation (SD) = 1.

Biofeedback therapy using Cerebri for the prevention of migraine attacks in adults with episodic migraine (BioCer): a randomized, wait-list controlled trial - the study protocol.

Introduction: Biofeedback is a non-pharmacological treatment option valued for its minimal risk of adverse events and offers a safe alternative for individuals seeking preventive care for migraine. Despite level A evidence for migraine prevention, biofeedback treatment is still unavailable to most patients. We developed a novel medical device (Cerebri) for multimodal biofeedback treatment that omits the need for healthcare personnel involvement.

Family Breakup Dynamics in a Promiscuous Solitary Mammal.

Family breakup dynamics in mammals can be complex due to competing interests between parents and offspring. Parents need to balance their own as well as their offspring's fitness through either terminating care early or extending care. Yet, males can disrupt this trade-off as they may force females to focus on future litters by separating or killing offspring, especially in species where sexually selected infanticide occurs.

An instrumental variable analysis of body mass index and risk of long-term sick leave: the HUNT Study, Norway.

A more comprehensive understanding of the causal relationships between body mass index (BMI) and sick leave is needed. We aimed to examine the effect of BMI on the risk of cause-specific and all-cause long-term sick leave using an instrumental variable approach. The study included 21,918 adults participating in the two latest surveys of the population-based HUNT Study (HUNT3, 2006-2008 and HUNT4, 2017-2019) linked with registry data on cause-specific sick leave, including musculoskeletal and mental disorders.

Gene expression changes in ducklings exposed in ovo to emerging and legacy per-/poly-fluoroalkyl substances.

This study investigated the effects of two emerging PFAS compounds, perfluorododecane sulfonic acid (PFDoDS) and perfluoro-4-ethylcyclohexane sulfonic acid (PFECHS), alongside legacy perfluorooctanesulfonic acid (PFOS), on gene expression in the liver, heart, and bursa of Fabricius from mallard ducklings (Anas platyrhynchos) exposed in ovo, simulating maternal transfer to the egg. These PFAS compounds were selected based on their detection in a declining sea duck species and concerns over their endocrine disruption potential. Farmed mallard eggs were injected with 80 ng/g of PFDoDS, PFECHS, or PFOS, reflecting concentrations at the upper end of those reported in wild bird eggs.

Education and cardiovascular disease: a within-family Mendelian randomization analysis.

Background: Observational studies have consistently found educational inequalities in cardiovascular disease (CVD) risk. Mendelian randomization (MR) analyses have suggested a direct causal effect of education; however, estimates may be biased by demography or dynastic effects. This study aimed to estimate the effects of educational attainment on CVD risk and serum lipid concentrations before and after accounting for family structure.

Preliminary insights into fish movements beyond the massive Iron Gate dams on the Danube River using acoustic telemetry.

Upstream fish movement in the Danube River at the Iron Gate is blocked by the massive hydropower dams and ship locks, as shown by tracking six fish species (vimba bream Vimba vimba, common nase Chondrostoma nasus, barbel Barbus barbus, asp Leuciscus aspius, Pontic shad Alosa immaculata and common carp Cyprinus carpio). In the absence of effective fish passage systems, the current level of river connectivity is insufficient to support upstream movement and migration for this diverse, multispecies fish community. The tagged cyprinids displayed evidence of migratory behaviour.

Diversity of domestic and imported assemblages of Giardia in Norway and multi-locus sequence typing of domestic assemblage A isolates.

Giardia duodenalis is a gastrointestinal parasite and one of the most frequently reported parasitic infections associated with contaminated water. This study investigated the diversity of domestic and imported Giardia assemblages in Norway, with a focus on the genetic characterization of domestic assemblage A isolates using multi-locus sequence typing (MLST) targeting six genome markers. We analysed 340 human, and 40 animal faecal samples collected between February 2022 and January 2024 from six medical microbiology laboratories and one veterinary diagnostic center across four Norwegian health regions.

Evaluating the evidence for sensor-based technologies and medical devices in fall prevention among hospitalized older adults: A systematic review.

Introduction: Falls among hospitalized older adults increase morbidity, prolong hospital stays, and raise healthcare costs. Sensor-based technologies and medical devices are emerging tools for fall prevention, but their clinical effectiveness remains uncertain. This systematic review aimed to assess their effectiveness in reducing inpatient falls, staff workload, and physical restraint use in hospitalized older adults.

Severe postpartum haemorrhage at a large referral hospital in Uganda: A prospective observational pilot study.

Background: Postpartum haemorrhage (PPH) is a leading cause of maternal mortality, near-misses and morbidity in Uganda and globally. Kawempe National Referral Hospital (KNRH), Uganda's largest obstetric referral hospital, receives many obstetric emergencies, including PPH, from lower-level health facilities. Little is known about the outcomes and management of severe PPH at KNRH.

Predictors, Healthcare Utilization and Costs Related to Short-Term Stays in Patients with COPD: A Registry-Based Analysis in Norway.

Background: Chronic obstructive pulmonary disease (COPD) incurs significant healthcare costs, often accompanied by multimorbidity. Advanced patients may need short-term stays for rehabilitation, treatment, or respite to maintain home living.

Aim: To identify predictors for a first short-term stay and study the healthcare utilization and costs compared with similar patients without a short-term stay.