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Bioavailability of zinc from different organic zinc chelates and their effect on the growth, whole body, tissue zinc content, enzymes activity and proximate composition of L. rohita

PLoS ONE Muhammad Tahir, Noor Khan, Mahroze Fatima et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0314146

Minerals play an essential role in aquatic animals to maintain their normal physiological and metabolic functions. This feeding trial assessed the impact of various zinc sources on L. rohita performance. Dietary treatments included a Control group with zinc sulfate (226.25 mg/kg), and treatment groups with zinc citrate (150.15 mg/kg), zinc acetate (230.56 mg/kg), zinc monomethionine (244.75 mg/kg), and zinc gluconate (395.94 mg/kg). In 15 aquaria, 300 fish (15.84 ± 0.07g) were randomly distributed in triplicate groups. Results revealed significantly (P < 0.05) higher final body weight (FBW), feed conversion ratio (FCR), body weight gain (BWG), and sediment growth rate (SGR) for zinc gluconate fed fish compared to the other sources. Zinc gluconate fed L. rohita also exhibited the lowest feed intake, while initial body weight (IBW) and survival rate (SR %) did not significantly differ. Proximate fish analysis showed non-significant (P > 0.05) differences among treatments. Tissue zinc analysis demonstrated significantly (P < 0.05) higher zinc content in L. rohita receiving zinc gluconate. Antioxidant enzyme activity indicated lower (2.12 ± 0.01) thiobarbituric acid reactive substances (TBARS) in the zinc gluconate treatment, with elevated levels of key biomarker enzymes, glutathione peroxidase (GPx), catalase (CAT), and superoxide dismutase (SOD). Stress and immune response indicators revealed significantly lower hematocrit (HCT), cortisol (CRT), and glucose (GLU) levels in zinc gluconate fed fish, while CRT was higher (36.62 ± 0.65 mg/ml). Blood serum parameters, including alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase (ALP), remained lower (29.65 ± 0.85 U/ml, 84.76 ± 2.45 U/ml, and 212.87 ± 6.14 U/ml), in fish fed zinc gluconate respectively. In conclusion, different organic zinc sources, particularly zinc gluconate, improved L. rohita growth, tissue zinc concentration, antioxidant enzyme activity, blood serum parameters, and stress and immune response to varying extents.

Inter-rater reliability of stress signatures in exfoliated primary dentition - Improving scientific rigor and reproducibility in histological data collection

PLoS ONE Simone A. M. Lemmers, Mona Le Luyer, Samantha J. Stoll et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0318700

Accentuated Lines (ALs) in tooth enamel can reflect metabolic disruptions from physiological or psychological stresses during development. They can therefore serve as a retrospective biomarker of generalized stress exposure in archaeological and clinical research. However, little consensus exists on when ALs are identified and inter-rater reliability is poorly quantified across studies. Here, we sought to address this gap by examining the reliability of accentuated (AL) markings across raters, in terms of both the presence versus absence of ALs and their intensity (HAL= Highly Accentuated, MAL= Mildly Accentuated, RL= Retzius Line). Ratings were made and compared across observers (with different levels of experience) and pairs of raters (who agreed on AL coding through consensus meetings) (N = 15 teeth, eight observers). Results indicated that more experience in AL assessment does not necessarily produce higher reliability between raters. Most disagreements in intensity ratings occurred in categories other than HAL. Furthermore, when AL assessment was performed by pairs of raters, reliability was significantly higher than individual assessments (Gwet’s AC1 = 0.28 to 0.56 for line presence assessment; Gwet’s AC1 = 0.48 to 0.64 for line intensity assessment). Based on these results, we recommend a workflow called IRRISS (Improving Reliability and Reporting In Scoring of Stress-markers) to increase rigor and reproducibility in histological analysis of dental collections. The introduction of IRRISS is well-timed, given the surge in studies of teeth occurring across anthropological, epidemiological, medical, forensic, and climate research fields.

Impact of drill bit wear on temperature increase in dental implant osteotomy: an in vitro study

PLoS ONE Marco Sorgato, Anna Bottin, Michele Stocchero et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0319492

Objectives Dental implant surgery relies extensively on bone drilling, a critical procedure with intrinsic challenges. Drill bits show significant wear and are frequently utilized beyond the manufacturer’s recommended limits. Such practices can result in adverse effects, including friction and temperature rise in the surrounding bone area during interventions, with an increased risk of necrosis that can compromise the dental implant osseointegration. This study aimed to compare the quality of osteotomy obtained from two different protocols to determine a possible correlation between the drilling temperature and the tool wear and to evaluate their impact on potential health damage. Materials and methods Experimental evaluations were conducted using synthetic bone that reproduced human bone characteristics. The drilling phase involved real-time temperature acquisition and scanning electron microscopy analysis of tool wear evolution. After the operation, actual hole size and geometry were characterized using a coordinate measuring machine, and temperatures and torques were measured during the subsequent implantation phase. Results The findings revealed a direct correlation between tool wear and the temperature rise during the drilling phase, while a lower correlation was found with the hole profile geometry variation. The implantation phase demonstrated temperature and torque values within acceptable ranges. Conclusions This study highlights the importance of adhering to proper tool maintenance and replacement protocols. By following recommended guidelines, practitioners can minimize adverse effects and enhance the success of dental implant procedures.

Obstacles to inclusion and threats to civil rights: An integrative review of the social experiences of service dog partners in the United States

PLoS ONE Sarah C. Leighton, Molly E. Hofer, Cara A. Miller et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0313864

Service dogs, trained to assist people with disabilities, are known to impact their human partners’ social experiences. While service dogs can act as a “social bridge,” facilitating greater social connection under certain circumstances, many service dog partners also encounter challenges in social settings because of the presence of their service dog – despite legal protections. Among the most common challenges reported are experiences of stigma, discrimination, and access or service denials. This preregistered integrative review sought to synthesize empirical, theoretical, and legal literature to understand better the social experiences reported by service dog partners in the United States, including (1) civil rights experiences; (2) experiences of stigma and discrimination; and (3) broader social experiences. Following database searches and article screening, a total of N = 43 articles met the eligibility criteria for inclusion. Analyses were conducted in two stages: first, synthesizing quantitative and qualitative findings to explore the magnitude of social experiences reported by empirical articles and second, narrative synthesis to integrate findings across all article types. Analyses identified three themes: Adverse Social Experiences, Contributing Factors, and Proposed Solutions. Overall, we found consistent reports of stigma, discrimination, and access denials for service dog handlers. Additionally, these adverse experiences may be more common for service dog partners with disabilities not externally visible (i.e., invisible disabilities such as diabetes or substantially limiting mental health conditions). This integrative review highlights a pattern of social marginalization and stigmatization for some service dog partners, exacerbated by inadequate legal protection and widespread service dog fraud. These findings have implications for the individual well-being of people with disabilities partnered with service dogs and highlight a need for collective efforts to increase inclusion and access. Effective solutions likely require a multi-component approach operating at various socio-ecological levels.

Person-centered occupational therapy intervention for the prevention of delirium and improvement in occupational performance in elderly patients admitted to an intensive care unit: A randomized controlled single-blinded trial protocol

PLoS ONE Lorena de Toledo Montesanti, Davi de Souza Francisco, Laerte Pastore et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0319651

Among the deleterious effects caused by hospitalization of elderly patients in intensive care unit (ICU), delirium and impaired performance in occupations are frequent and have long-term negative outcomes. Delirium protocols described in the literature vary in frequency, intensity, and content regarding pertinent interventions. Occupational Therapy (OT) practices are heterogeneous and generally consist of non-personalized interventions. For this reason, the primary outcome of this research is to evaluate the effect of a person-centered OT protocol on the prevention of delirium and the occupational performance of elderly patients admitted to the ICU. This is a randomized clinical trial with blinded assessment of the primary outcome (delirium). A total of 114 patients will be recruited and randomized to the intervention group, where care goals will be defined according to meaningful occupations and personalized cognitive stimulation will be based on patient´s topics of interest, in addition to the institutional standard protocol (ISP); or to the control group, which will receive only the ISP. To our knowledge, this will be the first randomized controlled trial with personalized occupational therapy interventions, as well as care goals, based on patients´ meaningful occupations for the prevention of delirium and improvement of occupational performance in critically ill elderly patients. This clinical trial is duly registered on the ClinicalTrials.gov platform (NCT06479031).

Low morphology does not lower success after intrauterine insemination unless inseminating motile sperm count is low

PLoS ONE Heather Burks, Jennifer D. Peck, Karl R. Hansen et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0317521

The objective of this study was to determine the relationship between strict morphology as assessed on the initial semen analysis during fertility workup and pregnancy rates after intrauterine insemination. This is a retrospective study of couples undergoing intrauterine insemination from 2007 to 2012. Couple characteristics and semen analysis parameters were recorded and evaluated. Risk ratios (RR) and 95% confidence intervals (95% CI) were calculated, accounting for within-couple (cluster) correlation among repeated intrauterine insemination cycles. Four hundred thirty-five women (average ±  standard deviation age 31.7 ±  4.8) undergoing 1,287 intrauterine insemination cycles were analyzed. Fecundability was not statistically different when low strict morphology (≤1% and 2-4%) was compared to the reference range of morphology > 14% [RR 0.99 (0.41-2.40) and 0.90 (0.48-1.70)]. Results were unchanged when adjusted for female characteristics, medication, and inseminating total motile sperm count [aRR 1.22 (0.51-2.93) and 1.00 (0.53-1.91)]. Evaluating combined effects of morphology with inseminating total motile sperm count, pregnancy rates among cycles with total motile count <  5 million and strict morphology ≤  4% normal were reduced when compared to cycles with total motile count > 20 million and morphology > 4% normal (RR 0.37, 95% CI 0.17-0.82). These relationships remained when evaluating live birth/ongoing pregnancy per cycle. In intrauterine insemination cycles, initial strict morphology was associated with subsequent fecundability only when inseminating total motile count was below 5 million. For cycles with total motile count above this threshold, no impact of low morphology on success rates with intrauterine insemination was observed.

Modelling the potential impact of climate change on the productivity of soybean in the Nigeria Savannas

PLoS ONE Jenneh F. Bebeley, Abdullahi I. Tofa, Alpha Y. Kamara et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0313786

A well-calibrated and evaluated GROPGRO module of the Decision Support System for Agro-technological Transfer (DSSAT) was used to simulate productivity of soybean in northern Nigeria under climate change. Both historical (1990–2019) and projected climate scenarios from 5 general circulation models (GCMs) under two representative concentration pathways (RCP 4.5 and RCP 8.5) in the mid-century (2040–2069) and end of the century (2070–2099) periods were used. Depending on climate scenario, the minimum temperature is expected to rise by 1.7–4.4oC at Kano in the Sudan savanna (SS) agroecological zone (AEZ) and 1.4–4.0oC at Zaria in the northern Guinea savanna (NGS) AEZ, while maximum temperatures are projected to increase by 1.7–4.1oC in the SS and 1.3–3.6oC in the NGS. Seasonal average rainfall will increase by 4.8–14.5% in the SS and decrease by 2.6–3.8% in the NGS, relative to the baseline climate. The model predicted delaying trends for days to flowering and maturity for both varieties in all climate scenarios in the two AEZs. Despite the delay in flowering and increase in crop cycle length, climate change will result in grain yield reduction in most of the future scenarios. Across location, variety and time slice, the grain yield will decline by between 8.4 and 23.6% under RCP4.5 scenario, with much higher decline by between 28.7 and 51.4% under RCP 8.5 scenario. However, using the early maturing variety can reduce the adverse effects of climate change on grain yield. On average, the yield of the early-maturing TGX1835-10E is predicted to be 15.2% higher under RCP4.5 scenario and up to 21.7% under RCP8.5 than that of the medium-maturing TGX1951-3F for both centuries in the SS AEZ. In the NGS, the average yield of TGX1835-10E is predicted to be 9.0% and 7.5% higher than that of TGX1951-3F under RCP4.5 and RCP8.5 scenarios, respectively. Using early-maturing soybean varieties is a key management strategy to boost the resilience of soybean production in Nigeria’s savannas under climate change conditions.

Liver transplantation for NASH-related hepatocellular carcinoma versus non-NASH etiologies of hepatocellular carcinoma: A systematic review and meta-analysis

PLoS ONE Kunlin Chen, Ming Yang, Guangjun Li et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0317730

Background Non-alcoholic steatohepatitis (NASH)-associated hepatocellular carcinoma (HCC) has been emerging a predominant reason for liver transplantation (LT). The complexity of comorbidities in this population increases the possibility of poor transplant outcomes. The purpose of this study was to evaluate the differences in survival after transplantation among patients with NASH HCC and those with non-NASH HCC. Method We conducted systematic searches of the PubMed, Embase, Web of Science, and Cochrane Library databases. To analyze the data, both fixed and random-effects models were employed to aggregate hazard ratios (HRs) along with 95% confidence intervals (CIs) for recurrence-free survival (RFS) and overall survival (OS) outcomes. This study is registered with PROSPERO as CRD42024578441. Results A total of seven studies were included in this study. This study revealed that there was no significant difference in OS between liver transplant recipients with NASH HCC and those with non-NASH HCC. The RFS of NASH HCC patients were significantly longer. The HRs were 0.70 (95% CI: 0.51-0.97, P = 0.03) for RFS and 0.88 (95% CI: 0.72-1.07, P = 0.21) for OS, respectively. Conclusion This study indicates that patients with NASH HCC who undergo LT have comparable OS as those with non-NASH HCC, while NASH HCC was associated with increased RFS. However, further research in randomized trials is necessary to verify these results and address potential selection biases.

A framework to identify opportunities to address socioscientific issues in the elementary school curricula: A case study from England, Italy, and Portugal

PLoS ONE Patrícia Pessoa, Joelyn de Lima, Valentina Piacentini et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0308901

Scientific literacy is crucial to address important and complex societal problems, both current and future. Teaching using a socioscientific issues (SSI) approach is a potential strategy to develop students’ scientific literacy, although teachers have reported concerns about its implementation, such as the inability to add additional distinct requirements to already demanding curricula. To facilitate this task, we describe the development of a valid and reliable instrument for curricula analysis, called “Framework for Identifying Opportunities to implement an SSI approach in science school curricula” (FIOSSI), and use it to identify opportunities to implement the SSI approach in the elementary school science curriculum of three European countries (England, Italy and Portugal). The framework categorizes SSI opportunities into three areas: 1) awareness of the issue; 2) socioscientific reasoning; and 3) socioscientific identity. Our analyses of the three countries’ elementary curricula reveal that the current versions have significant opportunities to explore awareness of SSI (especially relating to environmental and human health issues), promote the development of socioscientific reasoning, and foster socioscientific identity. FIOSSI can be a useful tool for education research and practice, and our results can help inform future research and guide educational policies.

Epidemiological dynamics of dengue in Peru: Temporal and spatial drivers between 2000 and 2022

PLoS ONE Katherine Susan Rufasto Goche, María Victoria Lizarbe Castro, Glenn Alberto Lozano Zanelly et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0319708

Dengue, a vector-borne disease driven by climate change, urbanization, and the adaptation of its vector, Aedes aegypti, poses a significant public health challenge. This study analyzed 23 years (2000–2022) of epidemiological data from Peru to examine the temporal and spatial drivers influencing dengue reported cases. Using secondary data from the Peruvian Ministry of Health, 501,027 cases were stratified by clinical severity, gender, geographic distribution, and temporal trends. The Amazonian and coastal regions, particularly Loreto, Ucayali, and Piura, bore the highest burden, collectively accounting for more than 60% of cases during epidemic years. Seasonal spikes in transmission consistently aligned with the rainy season, underscoring the dependence of Aedes aegypti proliferation on climatic conditions. The analysis revealed progressive geographic expansion of dengue into previously low-risk areas, including Andean highlands and peri-urban zones, driven by climatic shifts and unregulated urbanization. Gender-based comparisons indicated a higher overall case burden among females, though severe forms of dengue were unequally observed in males, particularly in rural areas. Clinical classifications highlighted that 78% of cases presented without warning signs, 18% with warning signs, and 4% as severe dengue. Socioeconomic factors, such as inadequate sanitation, urban slums, and water storage practices, contributed significantly to vector breeding in high-burden areas. Moreover, the role of extreme climatic events, including El Niño, exacerbated outbreak intensity and duration. The findings emphasize the urgent need for innovative approaches and provides actionable insights into regional dynamics and highlights critical areas for research, including predictive climate-disease modeling and the integration of molecular surveillance. These strategies are essential to mitigating the growing dengue burden and strengthening public health systems in Peru and similar endemic regions.

Vibrational exercise for Crohn’s to observe response (VECTOR): Protocol for a randomized controlled trial

PLoS ONE Jonathan Sinclair, Johanne Brooks-Warburton, Lauren Baker et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0319685

Crohn’s disease (CD) is a long-term inflammatory gastrointestinal disorder, often adversely affecting physical, emotional, and psychological well-being. Pharmaceutical management is habitually adopted; although medicinal therapies require continuous administration, and are often associated with significant side effects and low adherence rates. Whole body vibration (WBV) represents a non-invasive technique, that provides vibration stimulation to the entire body. As WBV appears to target the physiological pathways and symptoms pertinent to CD epidemiology, it may have significant potential as a novel non-pharmaceutical intervention therapy in CD. This paper presents the study protocol for a randomised controlled trial investigating the impact of WBV on health outcomes in individuals with CD. This 6-week, parallel randomised controlled trial will recruit 168 individuals, assigned to receive WBV and lifestyle education 3 times per week compared to control, receiving lifestyle education only. The primary outcome of the trial will be the difference from baseline to post-intervention in health-related quality of life between the groups, assessed with the Inflammatory Bowel Disease Quality of Life Questionnaire. Secondary outcomes will include between-group differences in other questionnaires assessing fatigue, anxiety and pain, measures of physical fitness, and biological markers for disease activity and inflammation. Statistical analyses will follow an intention-to-treat approach, using linear mixed-effects models to compare changes between time points and both trial groups. Ethical approval was granted by the Nottingham Research Ethics Committee (REC: 24/EM/0106) and the study has been registered prospectively as a clinical trial (NTC06211400).

Evaluating and implementing machine learning models for personalised mobile health app recommendations

PLoS ONE Hafsat Morenigbade, Tareq Al Jaber, Neil Gordon et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0319828

This paper focuses on the evaluation and recommendation of healthcare applications in the mHealth field. The increase in the use of health applications, supported by an expanding mHealth market, highlights the importance of this research. In this study, a data set including app descriptions, ratings, reviews, and other relevant attributes from various health app platforms was selected. The main goal was to design a recommendation system that leverages app attributes, especially descriptions, to provide users with relevant contextual suggestions. A comprehensive pre-processing regime was carried out, including one-hot encoding, standardisation, and feature engineering. The feature, “Rating_Reviews”, was introduced to capture the cumulative influence of ratings and reviews. The variable ‘Category’ was chosen as a target to discern different health contexts such as ‘Weight loss’ and ‘Medical’. Various machine learning and deep learning models were evaluated, from the baseline Random Forest Classifier to the sophisticated BERT model. The results highlighted the efficiency of transfer learning, especially BERT, which achieved an accuracy of approximately 90% after hyperparameter tuning. A final recommendation system was designed, which uses cosine similarity to rank apps based on their relevance to user queries.

Enhanced prediction of thrombotic events in hospitalized COVID-19 patients with soluble thrombomodulin

PLoS ONE Sergio Padilla, María Andreo, Pascual Marco et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0319666

We aimed to determine the predictive accuracy of elevated soluble thrombomodulin (sTM) and angiopoietin-2 (Ang2) for thrombotic events (TE) in hospitalized COVID-19 patients. We conducted a nested case-control study within a cohort of people admitted to hospital with COVID-19 from March 2020 to August 2022. The cases (people with TE within 28 days after hospital admission) were matched by propensity score to comparable patients without TE. We determined plasma levels of sTM and Ang2 in all available frozen samples, prioritizing the earliest post-admission samples, using an automated immunoassay technique. Among 2,524 hospitalized COVID-19 patients (43% females; median age 67 years), 73 had TE (incidence 1.15 events per 1000 patient-days of follow-up). Frozen plasma samples were available for 43 cases and 176 controls. Elevated plasma concentration of sTM was significantly associated with TE (2.8 [1.8, 4] vs. 1.52 [1.1, 2.65] ng/mL; p =  0.001) and mortality (median [Q1, Q3], 3.32 [2.16, 4.65] vs. 1.58 [1.11, 2.73] ng/mL; p =  0.001), while D-dimer showed a specific association with TE (2.3 [0.8, 7.4] vs. 0.75 [0.4, 1.6] mcg/mL; p =  0.001). In contrast, Ang2 was not associated with any of these events. The association with thrombotic events remained in adjusted models (HR [95%CI] per unit increase, 1.24 [1.04-1.47] for sTM; 1.07 [1.03-1.10] for D-dimer). The adjusted regression model that included both biomarkers, sTM and D-dimer, improved (AUC 73%, sensitivity 77% and specificity 65% for TE diagnosis; p =  0.007) the predictive capacity of the same model without sTM. In conclusion, determination of soluble thrombomodulin along with D-dimer enhances thrombotic risk assessment in hospitalized COVID-19 patients.

Pilot implementation outcomes of a community-based tele- practice model for identification and rehabilitation of children with hearing loss within a public-health system of a Rural District in Southern India

PLoS ONE Karishmaa Satheesh, Vidya Ramkumar, Deepashree Joshi et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0319109

Background The current study is an effort to evaluate pilot outcomes of a comprehensive tele-practice model for identification and rehabilitation of hearing loss among children below six years of age, which can then inform suitable adaptations prior to the implementation. The outcomes of tele-facilitator training, limited-efficacy measures, and caregiver acceptability and satisfaction with tele-practice were analyzed. Method Two special educators were trained as tele-facilitators for tele-diagnostic testing. Screening was done using the validated SRESHT screener in the Perambalur district by trained nurses in the Upgraded Primary Healthcare Centers at all four blocks until at least five children with ‘refer’ results were obtained. For tele-rehabilitation, we enrolled five children with hearing loss who used amplification devices and attended the District Early Intervention Centre. To measure the limited- efficacy, the outcomes of pre-pilot and post-pilot were compared. The caregiver acceptability and satisfaction with tele-practice were also assessed. Results In all 12 children (age range of 5 months to 6 years; 6 male and 6 female) with ‘refer’ results in hearing screening underwent tele- diagnostic testing. Tele-rehabilitation outcomes were studied on 5 children with hearing loss (age range of 4 years to 6 years; 3 male and 2 female) who had already used amplification devices. When comparing the outcomes of limited-efficacy with the existing data, it was found that the model identified older children with hearing loss. The time lapse between screening/hearing loss suspicion and diagnosis reduced from a median of 216 days to eight days. For tele-rehabilitation, the number of sessions attended in a span of three months increased from a median of zero to three sessions. Based on the satisfaction questionnaire, most people had a positive experience and found the travel time to the testing site convenient and affordable. Few parents reported encountering difficulties as a result of inadequate ventilation and internet connectivity within the mobile van where tele-diagnostic testing was conducted. Conclusion The pilot outcomes suggest that a block-level service enabled using tele-practice to overcome professional shortages was beneficial in reducing time gap between screening/suspicion and diagnosis and also enhanced attendance for rehabilitation. The pilot outcomes provided insights on adaptations related to screening sites, test infrastructure, and internet optimization that may be required before implementation.

Gallstones as a predictor of elevated cardiovascular disease risk: A meta-analysis and meta-regression of over 7.4 million participants

PLoS ONE Refli Hasan, Fatemeh Allahbakhshi, Andrey D. Shlyk et al. Mar 19, 2025 DOI: 10.1371/journal.pone.0314661

Introduction Gallstone disease (GD) is a prevalent condition frequently encountered in surgical units worldwide. The objective of this comprehensive systematic review and meta-analysis study was to examine the relationship between gallstones and the risk of cardiovascular diseases (CVDs). Methods To conduct our study, we performed a systematic review and meta-analysis. We gathered relevant studies from reputable databases, including Web of Science, Scopus, PubMed, Cochrane, Google Scholar, and Embase. The quality of the articles was assessed using the Newcastle-Ottawa Scale checklist. To assess heterogeneity among the studies, we utilized statistical tests such as the Chi-square test, I² statistic, and forest plots. Meta-regression analysis considered variables such as the year of the study, study design, sample size, study quality assessment score, geographical region, average age of subjects, and follow-up duration. Additionally, we evaluated publication bias using Begg’s and Egger’s tests. Results Data from 22 studies conducted between 1985 and 2023 were analyzed. The combined number of participants across these studies was 7,496,303. The meta-analysis results revealed that individuals with GD had a higher risk of CVDs (Risk Ratio (RR): 1.29; 95% CI: 1.22–1.36; P <  0.001). Subgroup analysis showed consistent results across good quality studies (RR: 1.20, 95% CI: 11.12–1.28; P <  0.001), moderate quality studies (RR: 1.41, 95% CI: 1.15–1.74; P <  0.001), and low-quality studies (RR: 1.22, 95% CI: 1.15–1.30; P <  0.001). In the meta-regression analysis, none of the variables had a significant relationship with the observed heterogeneity (P-value > 0.10). In a sensitivity analysis, the estimated RR remained consistent, confirming the robustness of the meta-analysis results. Conclusion Our findings suggest an association between gallstone disease and an increased risk of CVDs. It seems that one of the important factors of this relationship is having common causes for the formation of gallstones and cardiovascular diseases. However, gallstones can be considered an important sign of increased risk of cardiovascular diseases.

Poverty alleviation resettlement in China reduces deforestation

Proceedings of the National Academy of Sciences Feifei Chen, Wei Chen, Huanguang Qiu Mar 18, 2025 DOI: 10.1073/pnas.2421526122

Deforestation frequently accompanies poverty, yet various antipoverty programs in many countries have exhibited mixed results in addressing deforestation. Poverty Alleviation Resettlement (PAR) stands out as one of the few government-led resettlement programs designed to alleviate poverty, offering comprehensive follow-up support for quality of life and employment after relocation. Our study uncovered empirical evidence of the PAR program’s impact on forest quality. Through a multiperiod difference-in-differences analysis of remote sensing and household survey data, we found that the PAR program significantly curbed deforestation in the participating counties and reduced forest-clearing activities among the resettled households, even those relocating to rural villages. Mechanism analysis revealed that the program discouraged deforestation by enhancing market accessibility, fostering nonfarm employment opportunities, and elevating income levels. The study underscores that altering livelihood strategies and lifestyles is essential for resettlement programs to effectively mitigate ecological degradation.

Relationship between Pb ion off-centering and lone pair electrons

Scientific Reports Kosuke Kurushima, Hiroshi Nakajima, Takahiro Ogata et al. Mar 18, 2025 DOI: 10.1038/s41598-025-93984-5

Abstract High-pressure synthesized Pb-based perovskites exhibit diverse functional properties. PbCrO3, for instance, displays distinctive diffuse scattering and valence skipping, forming Pb2+ and Pb4+ ions. However, the spatial distribution of Pb ions in the crystal remains largely unexplored. Here, we elucidate the role of Pb ions with different valences through Sr substitution, using high-resolution transmission electron microscopy combined with elemental mapping. This approach allows us to accurately examine the distribution of Sr and Pb ions in the same atomic columns. The results reveal that in Pb0.8Sr0.2CrO3, Sr ions occupy a squared lattice, while Pb ions exhibit positional distortions. Simulations based on the experimentally determined Pb distribution reproduce the diffuse scattering observed in PbCrO3. These findings suggest that the lone pair electrons of s orbitals are responsible for the local lattice distortion. Our study provides atomistic insights into the local structures of materials exhibiting valence skipping.

Fluorescence detection of dopamine signaling to the primate striatum in relation to stimulus–reward associations

Proceedings of the National Academy of Sciences Gaoge Yan, Hidetoshi Amita, Satoshi Nonomura et al. Mar 18, 2025 DOI: 10.1073/pnas.2426861122

Dopamine (DA) signals to the striatum play critical roles in shaping and sustaining stimulus-reward associations. In primates, however, the dynamics of the DA signals remain unknown since conventional methods are not necessarily appropriate in terms of the spatiotemporal resolution or chemical specificity sufficient for detecting the DA signals. In our study, fiber photometry with a fluorescent DA sensor was employed to identify reward-related DA transients in the monkey striatum. This technique, which directly monitors local DA release, reveals a reward prediction error signal in the anterior putamen originating from midbrain DA neurons. Further, DA transients in the head of the caudate nucleus exhibit a value-based response to reward-predicting stimuli. These signals have been found to arise from two separate groups of DA neurons in the substantia nigra pars compacta. The present results demonstrate that fluorescence DA monitoring is applicable to detect DA signals in the primate striatum for investigating their roles.

Hard label adversarial attack with high query efficiency against NLP models

Scientific Reports Shilin Qiu, Qihe Liu, Shijie Zhou et al. Mar 18, 2025 DOI: 10.1038/s41598-025-93566-5

Spinal TRPC3 promotes neuropathic pain and coordinates phospholipase C–induced mechanical hypersensitivity

Proceedings of the National Academy of Sciences Shota Tobori, Kosei Tamada, Nagi Uemura et al. Mar 18, 2025 DOI: 10.1073/pnas.2416828122

Neuropathic pain is a debilitating chronic condition mainly caused by peripheral nerve injury. However, the cellular and molecular mechanisms underlying this condition remain unclear. Transient receptor potential canonical 3 (TRPC3), a TRP channel that is activated by downstream of the Gq-phospholipase C (PLC) axis, is expressed in the somatosensory system. Therefore, the present study investigated its pathophysiological role in neuropathic pain following peripheral nerve injury. Here, partial sciatic nerve ligation (pSNL) elicited mechanical and thermal hypersensitivity in wild-type mice, which was suppressed in TRPC3-KO mice. In situ hybridization revealed that TRPC3 is predominantly expressed in neurons in the spinal dorsal horn. Furthermore, spinal dorsal horn neuron-specific downregulation using miRNA attenuated pSNL-induced mechanical hypersensitivity. Spinal TRPC3 activation elicited acute mechanical hypersensitivity. Moreover, its genetic ablation reduced the mechanical hypersensitivity caused by spinal NK 1 R or PLC activation. These findings demonstrate that TRPC3 in spinal dorsal horn neurons facilitates the development of neuropathic pain. Therefore, TRPC3 may be a promising therapeutic target for neuropathic pain caused by peripheral nerve injury.