Nutritionally Relevant Technological Advancements in Professional Cycling.

Technological innovations can provide cyclists and their support team additional data. These data have potential to improve understanding of performance determinants and could be used to identify and tailor nutritional strategies to improve cycling performance. This potential, however, is dependent on the quality, interpretation, and practical use of the data generated.

Authentic learning environments for critical thinking and clinical reasoning skills in clinical pharmacology: a scoping review.

Introduction: Critical thinking and clinical reasoning are crucial skills for healthcare professionals, particularly in clinical pharmacology, where decision making directly impacts patient care. However, there is a gap in the literature on how to foster these skills effectively. Therefore, the aim of this study was to map and examine the evidence of authentic learning environments in healthcare education in developing critical thinking and clinical reasoning skills in pharmacology.

Plaque Magnetic Resonance Imaging Based Decision Rule for the Selection of Symptomatic Patients for Carotid Revascularisation: Clinician Perspectives on Acceptability and Implementation Barriers in the Netherlands.

Objective: The current selection of patients for carotid revascularisation is mainly based on neurological symptoms and the degree of carotid artery stenosis. Individualised MRI based PRediction scOre using plaque Vulnerability for symptomatic carotid artEry disease patients (IMPROVE) can identify high risk patients who may benefit from carotid revascularisation, based on intraplaque haemorrhage, stenosis severity, cerebral symptoms, sex, and age. For use in clinical trials and eventual practice, the decision rule must be acceptable to clinicians.

Oral anticoagulation in patients with atrial fibrillation and heart valve prosthesis: a substudy from the LAAOS III Trial.

Objective: Societal guidelines recommend vitamin K antagonists (VKAs) for atrial fibrillation patients with recent biological valve implantation, but the safety and efficacy of direct oral anticoagulants (DOACs) in this setting remain uncertain, especially in the early postoperative period. This substudy of the Left Atrial Appendage Occlusion Study (LAAOS) III trial aimed to compare thromboembolic and bleeding outcomes in patients discharged on VKAs versus DOACs after bioprosthesis implantation or mitral valve repair.

Methods: A total of 2,645 patients were included, with 461 discharged on DOACs and 2184 on VKAs.

Real-world use of terlipressin in cirrhosis and acute kidney injury: frequent use beyond hepatorenal syndrome.

Background & Aims: Terlipressin is indicated to treat hepatorenal syndrome (HRS)-acute kidney injury (AKI), but is likely used outside this primary indication in clinical practice. We aimed to investigate real-world practice patterns on the use of terlipressin in AKI in cirrhosis.

Methods: International prospective study including patients hospitalized for decompensated cirrhosis.

Minimum sample size calculation for radiomics-based binary outcome prediction models: Theoretical framework and practical example.

Background And Purpose: Determining the appropriate sample size for developing robust radiomics-based binary outcome prediction models and identifying the maximum number of predictors safely allowable within a fixed dataset size remain critical yet challenging tasks. This study aims to propose and demonstrate a structured method for addressing these issues, enhancing methodological rigor and practicality in radiomics research.

Materials And Methods: We introduce a comprehensive sample size calculation framework for binary outcome prediction models in radiomic studies.

Staged Gamma Knife radiosurgery for large brain metastases: Local control and the influence of systemic treatment.

Background And Purpose: Staged Gamma Knife radiosurgery (SGKRS) delivers high-dose radiotherapy to large brain metastases (BM) in two or three fractions with a time interval of several weeks. Various systemic treatments have also demonstrated favorable intracranial responses. Therefore, the outcome of patients undergoing radiosurgery and systemic treatment for large BM is of high interest but unknown.

Design of an Automated Mobile Phone-Based Reminder and Incentive System: Application in a Quasi-Randomized Controlled Trial to Improve the Timeliness of Childhood Vaccinations in Tanzania.

Background: The global penetration of mobile phones has offered novel opportunities for communicating health-related information to individuals. A low-cost system that facilitates autonomous communication with individuals via mobile phones holds potential for expanding the reach of health messaging in settings with human resource and infrastructure limitations.

Objective: We sought to design a flexible, low-code system using open-source software that could be adapted to different contexts and technical environments and accommodate a wide range of automation needs.

Bi-allelic deleterious variants in SNAPIN, which encodes a retrograde dynein adaptor, cause a prenatal-onset neurodevelopmental disorder.

Fetal brain anomalies identified by prenatal ultrasound and/or magnetic resonance imaging represent a considerable healthcare burden with ∼1-2/1,000 live births. To identify the underlying etiology, trio prenatal exome sequencing or genome sequencing (ES/GS) has emerged as a comprehensive diagnostic paradigm with a reported diagnostic rate up to ∼32%. Here, we report five unrelated families with six affected individuals that presented neuroanatomical, craniofacial, and skeletal anomalies, all harboring rare, bi-allelic deleterious variants in SNAPIN, which encodes SNARE-associated protein.

Morally offensive scientific findings activate cognitive chicanery.

We document a mutually reinforcing set of belief-system defenses-cognitive chicanery-that transform "morally wrong" scientific claims into "empirically wrong" claims. Five experiments (four preregistered, N = 7040) show that when participants read identical abstracts that varied only in the sociomoral desirability of the conclusions, morally offended participants were likelier to (1) dismiss the writing as incomprehensible (motivated confusion); (2) deny the empirical status of the research question (motivated postmodernism); (3) endorse claims inspired by Schopenhauer's stratagems (The Art of Being Right) and the Central Intelligence Agency's (CIA's) strategies for citizen-saboteurs; and (4) endorse a set of contradictory complaints, including that sample sizes are too small and that anecdotes are more informative than data, that the researchers are both unintelligent and crafty manipulators, and that the findings are both preposterous and old news. These patterns are consistent with motivated cognition, in which individuals seize on easy strategies for neutralizing disturbing knowledge claims, minimizing the need to update beliefs.

Adverse effects of Eye Movement Desensitization and Reprocessing therapy: A neglected but urgent area of inquiry.

While Eye Movement Desensitization and Reprocessing (EMDR) is widely recognized as an effective treatment for posttraumatic stress disorder (PTSD), its safety profile remains underexamined. This review critically evaluates the extent to which adverse effects are reported and monitored in EMDR research. We analyzed 51 randomized controlled trials from recent meta-analyses on EMDR for PTSD and found that only nine studies mentioned adverse effects, with just one employing systematic assessment protocols.

Do functional gut parameters predict enteral autonomy and chronic cholestasis in pediatric intestinal failure?

Background & Aims: Parenteral nutrition (PN) dependency in patients with intestinal failure (IF) can lead to complications including liver disease. Therefore, IF management strives to wean patients off PN. In adult IF, chronic cholestasis is predicted by the functional gut parameters citrulline (CIT) and enteroendocrine fibroblast growth factor 19 (FGF19), which inhibits hepatic bile salt synthesis.

Chemical forensic profiling of compounds related to the chemical weapons convention using 2D and 3D diffusion-ordered NMR spectroscopy.

The ongoing use of chemical warfare agents (CWAs) in conflicts, assassinations, and terrorist attacks means that the detection and identification of these compounds are crucial. The forensic identification of organophosphorus nerve agents (OPNAs) and their precursors and degradation products remains challenging due to the destructive nature and extensive preparation required for conventional chromatographic methods. In this study, we characterise precursor and degradation products of Novichok analogues, including 1,1,3,3-tetramethylguanidine, N,N-diethylpentanimidamide, N,N-dipropylbutanimidamide, using 2D ¹H-¹³C heteronuclear multiple quantum coherence (HMQC) NMR.

Remote sensing and image analysis of macro-plastic litter: A review.

Effective reduction of oceanic plastic pollution requires scalable and objective monitoring methods that go beyond traditional human-based surveys. This review synthesizes recent advances in remote sensing and AI-driven image analysis for detecting macro-plastic litter. Peer-reviewed studies published up to 2024 were systematically selected from the Scopus database, focusing on applications of remote sensing platforms including webcams, drones, balloons, aircraft, and satellites for monitoring plastic litter in coastal, riverine, and other aquatic environments.

Global forest carbon leakage and substitution effect potentials: The case of the Swedish forest sector.

The forest sector's climate change mitigation depends on forest carbon sequestration, storing carbon in wood products, and avoidance of fossil greenhouse gas emissions by replacing more emission intensive products or energy sources, i.e., the substitution effect.

Comparison of Navier-Stokes and lattice Boltzmann solvers for subject-specific modelling of intracranial aneurysms.

Modelling cardiovascular disease is at the forefront of efforts to use computational tools to assist in the analysis and forecasting of an individual's state of health. To build trust in such tools, it is crucial to understand how different approaches perform when applied to a nominally identical scenario, both singularly and across a population. To examine such differences, we have studied the flow in aneurysms located on the internal carotid artery and middle cerebral artery using the commercial solver Ansys CFX and the open-source code HemeLB.

Health Care Professionals' Experiences Regarding Facilitators of and Barriers to Sustained Use of Social Robot Ivy for People With Intellectual Disabilities: Qualitative Interview Study.

Background: Labor shortages in health care pose significant challenges to sustaining high-quality care for people with intellectual disabilities. Social robots show promise in supporting both people with intellectual disabilities and their health care professionals; yet, few are fully developed and embedded in productive care environments. Implementation of such technologies is inherently complex, requiring careful examination of facilitators and barriers influencing sustained use.

Bevacizumab for refractory gastrointestinal angiodysplasia: a case report and literature review.

Currently, symptomatic gastrointestinal (GI) angiodysplasia is treated with argon plasma coagulation (APC) via endoscopic procedures, supplemented with octreotide or thalidomide treatment. However, suboptimal response and side effects are often seen. Bevacizumab, an angiogenesis inhibitor, may provide an alternative systemic therapy for patients with refractory GI angiodysplasia.

The PROtective VEntilation (PROVE) Network - advancing research and collaboration in mechanical ventilation.

The PROtective VEntilation (PROVE) Network is a globally-recognized collaborative research group dedicated to advancing research, education, and collaboration in the field of mechanical ventilation. Established to address critical questions in intraoperative and intensive care ventilation, the network focuses on improving outcomes for patients undergoing mechanical ventilation in diverse settings, including operating rooms, intensive care units, burn units, and resource-limited environments in low- and middle-income countries. The PROVE Network is committed to generating high-quality evidence through a comprehensive portfolio of investigations, including randomized clinical trials, observational research, and meta-analyses.

The Role of Enoxaparin in Influenza Virus Infections and Its Therapeutic Implications.

Frequent emergence of respiratory viruses with pandemic potential, like SARS-CoV-2 or influenza, underscores the need for broad-spectrum prophylaxis. Existing vaccines show reduced efficacy against newly emerged variants, and the ongoing risk of new outbreaks highlights the importance of alternative strategies to prevent infection and viral transmission. As respiratory viruses primarily enter through the nose, formulations targeting the nasal epithelium are attractive candidates to neutralize pathogens and thus prevent or minimize infection.

Interface Modes in Inspiralling Neutron Stars: A Gravitational-Wave Probe of First-Order Phase Transitions.

At the extreme densities in neutron stars, a phase transition to deconfined quark matter is anticipated. Yet masses, radii, and tidal deformabilities offer only indirect measures of a first-order phase transition, requiring many detections to resolve or being ineffective observables if the discontinuity exists at lower densities. We report on a smoking-gun gravitational-wave signature of a first-order transition: the resonant tidal excitation of an interface mode.

Cortical networks with multiple interneuron types generate oscillatory patterns during predictive coding.

Predictive coding (PC) proposes that our brains work as an inference machine, generating an internal model of the world and minimizing predictions errors (i.e., differences between external sensory evidence and internal prediction signals).

Evaluating the effect of interactive two-way texting on 6-month antiretroviral therapy outcomes: Findings from a randomized controlled trial in Lilongwe, Malawi.

Retention on antiretroviral therapy (ART) is critical for achieving viral load suppression (VLS) among people living with HIV (PLHIV). Retention remains challenging in high-prevalence settings like Malawi. Short messaging service (SMS) interventions, particularly hybrid two-way texting (2wT), show promise in improving ART retention.

Observation of Three Resonant Structures in the Cross Section of e^{+}e^{-}→π^{+}π^{-}h_{c}.

Using e^{+}e^{-} collision data collected with the BESIII detector operating at the Beijing electron positron collider, the cross section of e^{+}e^{-}→π^{+}π^{-}h_{c} is measured at 59 points with center-of-mass energy sqrt[s] ranging from 4.009 to 4.950 GeV with a total integrated luminosity of 22.

Separating Terahertz Spin and Charge Contributions from Ultrathin Antiferromagnetic Heterostructures.

Femtosecond laser excitation of nanometer thin heterostructures comprising a heavy metal and a magnetically ordered material is known to result in the emission of terahertz radiation. However, the nature of the emitted radiation from heavy metal/antiferromagnet heterostructures has sparked debates and controversies in the literature. Here, we unambiguously separate spin and charge contributions from Pt/NiO heterostructures by introducing an unprecedented methodology combining high external magnetic fields with a symmetry analysis of the emitted terahertz polarization.