Scientists warning on the ecological effects of radioactive leaks on ecosystems

A nuclear leakage or tactical nuclear weapon use in a limited war could cause immense and long-lasting ecological consequences beyond the direct site of exposure. We call upon all scientists to communicate the importance of the environmental impacts of such an event to all life forms on Earth, including humankind. Changes to ecosystem structure and functioning and species extinctions would alter the biosphere for an unknown time frame. Radiation could trigger cascade effects in marine, atmospheric and terrestrial ecosystems of a magnitude far beyond human capabilities for mitigation or adaptation. Even a “tactical nuclear war” could alter planet Earth’s living boundaries, ending the current Anthropocene era

A Molecular Characterization of the Allelic Expression of the BRCA1 Founder Δ9–12 Pathogenic Variant and Its Potential Clinical Relevance in Hereditary Cancer:International Journal of Molecular Sciences

Hereditary breast and ovarian cancer (HBOC) syndrome is a genetic condition that increases the risk of breast cancer by 80% and that of ovarian cancer by 40%. The most common pathogenic variants (PVs) causing HBOC occur in the BRCA1 gene, with more than 3850 reported mutations in the gene sequence. The prevalence of specific PVs in BRCA1 has increased across populations due to the effect of founder mutations. Therefore, when a founder mutation is identified, it becomes key to improving cancer risk characterization and effective screening protocols. The only founder mutation described in the Mexican population is the deletion of exons 9 to 12 of BRCA1 (BRCA1Δ9–12), and its description focuses on the gene sequence, but no transcription profiles have been generated for individuals who carry this gene. In this study, we describe the transcription profiles of cancer patients and healthy individuals who were heterozygous for PV BRCA1Δ9–12 by analyzing the differential expression of both alleles compared with the homozygous BRCA1 control group using RT–qPCR, and we describe the isoforms produced by the BRCA1 wild-type and BRCA1Δ9–12 alleles using nanopore long-sequencing. Using the Kruskal–Wallis test, our results showed a similar transcript expression of the wild-type allele between the healthy heterozygous group and the homozygous BRCA1 control group. An association between the recurrence and increased expression of both alleles in HBOC patients was also observed. An analysis of the sequences indicated four wild-type isoforms with diagnostic potential for discerning individuals who carry the PV BRCA1Δ9–12 and identifying which of them has developed cancer

Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study

: The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI

Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified

Digitoxigenin presents an effective and selective antileishmanial action against Leishmania infantum and is a potential therapeutic agent for visceral leishmaniasis

Treatment for visceral leishmaniasis (VL) is hampered mainly by drug toxicity, their high cost, and parasite resistance. Drugdevelopment is a long and pricey process, and therefore, drug repositioning may be an alternative worth pursuing. Cardenolidesare used to treat cardiac diseases, especially those obtained from Digitalis species. In the present study, cardenolide digitoxigenin(DIGI) obtained from a methanolic extract of Digitalis lanata leaves was tested for its antileishmanial activity against Leishmaniainfantum species. Results showed that 50% Leishmania and murine macrophage inhibitory concentrations (IC50 and CC50,respectively) were of 6.9 ± 1.5 and 295.3 ± 14.5 μg/mL, respectively. With amphotericin B (AmpB) deoxycholate, used as acontrol drug, values of 0.13 ± 0.02 and 0.79 ± 0.12 μg/mL, respectively, were observed. Selectivity index (SI) values were of 42.8and 6.1 for DIGI and AmpB, respectively. Preliminary studies suggested that the mechanism of action for DIGI is to causealterations in the mitochondrial membrane potential, to increase the levels of reactive oxygen species and induce accumulation oflipid bodies in the parasites. DIGI was incorporated into Pluronic® F127-based polymeric micelles, and the formula (DIGI/Mic)was used to treat L. infantum–infected mice. Miltefosine was used as a control drug. Results showed that animals treated witheither miltefosine, DIGI, or DIGI/Mic presented significant reductions in the parasite load in their spleens, livers, bone marrows,and draining lymph nodes, as well as the development of a specific Th1-type response, when compared with the controls. Resultsobtained 1 day after treatment were corroborated with data corresponding to 15 days after therapy. Importantly, treatment withDIGI/Mic induced better parasitological and immunological responses when compared with miltefosine- and DIGI-treated mice.In conclusion, DIGI/Mic has the potential to be used as a therapeutic agent to protect against L. infantum infection, and it istherefore worth of consideration in future studies addressing VL treatment

Evolução das tipologias e categorias de áreas protegidas no Brasil Evolution of typologies and categories of protected areas in Brazil

As áreas protegidas são importante instrumento de conservação dos recursos naturais. Elas começaram a ser territorialmente demarcadas no Brasil nos anos 30 e, desde então, passaram por longo processo de amadurecimento que levou à criação de distintas tipologias e categorias. Este trabalho visa analisar a evolução dessas áreas no Brasil, buscando compreender sua lógica de criação e a inserção nos principais contextos políticos nacionais e internacionais. Discutem-se ainda aspectos relativos à gestão do sistema atual.<br>Protected areas are an important instrument for the conservation of natural resources. They were firstly demarcated in Brazil in the 1930s and, since then, they went through a long process of evolution resulting in the creation of a series of distinct typologies and categories of protected areas. The present study aims to analyze the evolution of these categories of protected areas in Brazil, in order to evaluate the logic behind their creation as well as their insertion in the main national and international political contexts. Aspects related to the management of the actual system are also herein discussed