Risk management involves thinking about what could happen if someone is exposed to a hazard and the likelihood of this event. The vast majority of standards relating to risk management were written in the context of Occupational Health and Safety, as well as Work Health and Safety with the aim of eliminating all risks. In 2023 Standards, Australia published AS ISO 4980:2023: `Benefit-risk assessment for sport and recreational facilities, activities and equipment’. This standard provides a tool for applying risk management in the context of sport and recreation. AS ISO 4980:2023 is a departure from the traditional view of risk management standards in that it presents a view of risk that is not limited to viewing risk only as negative, but rather balances positive benefits with negative risks within the sport and recreation industry. This standard is also different in that it is based specifically on risk to sport and recreational users and not to employees and employers. The benefit that risk provides in the context of sports and recreational activities is placed on an equal footing with the traditional method of assessing risk. There is an expectation in sports and recreational activities that the user is making an implicit trade-off between the benefits and the inherent risks of the activity, including the potential for harm. This implied expectation is that exposure to risk can be positive. Positive risk and learning from making mistakes are not restricted to childhood development where graduated challenges are used but extend throughout our entire life. The goal of this paper is to draw public attention to the new and different perspective of risk on which AS ISO 4980:2023 is based and to provide an understanding of the concept of benefit–risk assessment. The implications of viewing non-workplace risk in a balanced way are discussed. Full article

Solid electrolyte materials with high structural stability and excellent proton conductivity (σ) have long been a popular and challenging research topic in the fuel cell field. This problem can be addressed because of the crystalline metal–organic frameworks’ (MOFs’) high structural stability, adjustable framework composition, and dense H-bonded networks. Herein, one highly stable Sr(II) MOF, {[Sr(H₂tmidc)₂(H₂O)₃]·4H₂O}_n (1) (H₃tmidc = 2-(1H-tetrazolium-1-methylene)-1H-imidazole-4,5-dicarboxylic acid) was successfully fabricated, which was structurally characterized by single-crystal X-ray diffraction and electrochemically examined by the AC impedance determination. The results demonstrated that the σ of the compound manifested a positive dependence on temperature and humidity, and the optimal proton conductivity is as high as 1.22 × 10⁻² S/cm under 100 °C and 98% relative humidity, which is at the forefront of reported MOFs with ultrahigh σ. The analysis of the proton conduction mechanism reveals that numerous tetrazolium groups, carboxyl groups, coordination, and crystallization water molecules in the framework are responsible for the high efficiency of proton transport. This work offers a fresh perspective on how to create novel crystalline proton conductive materials. Full article

Aging, marked by a gradual decline in physiological function and heightened vulnerability to age-related diseases, remains a complex biological process with multifaceted regulatory mechanisms. Our study elucidates the critical role of poly(ADP–ribose) glycohydrolase (PARG), responsible for catabolizing poly(ADP–ribose) (pADPr) in the aging process by modulating the expression of age-related genes in Drosophila melanogaster. Specifically, we uncover the regulatory function of the uncharacterized PARG C-terminal domain in controlling PARG activity. Flies lacking this domain exhibit a significantly reduced lifespan compared to wild-type counterparts. Furthermore, we observe progressive dysregulation of age-related gene expression during aging, accelerated in the absence of PARG activity, culminating in a premature aging phenotype. Our findings reveal the critical involvement of the pADPr pathway as a key player in the aging process, highlighting its potential as a therapeutic target for mitigating age-related effects. Full article

This study aims to investigate the feasibility of using paper made from eco-friendly recycled and non-woody plants in graphic technology, particularly in offset printing. Instead of changing the composition or modifying the surface properties of the paper, the focus was on enhancing the print quality by modifying the printing ink. By modifying the printing inks, the quality of the prints on recycled and non-woody paper can be optimized, which in turn reduces the need for paper made from primary fibers. This approach can expand the use of alternative materials in graphic technology and design. The objective was to optimize the print quality on these sustainable materials. Five types of uncoated paper were used, with high-quality uncoated offset paper based on virgin fibers serving as a reference. Laboratory tests of the basic and surface properties were carried out to measure the paper quality parameters that are important for offset printing. The influence of the paper composition on its optical and colorimetric properties was also investigated. The interaction between the selected papers and offset inks was examined through measurements of adhesion parameters and ink transfer, i.e., the paper’s ability to accept the ink. To enhance the applicability of the investigated papers as printing substrates in the graphic industry, SiO₂ and TiO₂ nanoparticles were added to the offset inks. The influence of the paper composition on the colorimetric properties of the prints was also investigated. The print uniformity, as an important quality characteristic, was determined by measuring the mottling index. The research findings indicate that incorporating SiO₂ and TiO₂ nanoparticles into offset inks can enhance the interaction between the paper and ink, leading to improved print quality. This study provides new perspectives on the possibilities of using recycled and non-woody plant paper in offset printing without significantly compromising the quality of the print. Full article

Cardiovascular disease represents the foremost cause of mortality and morbidity worldwide, with a steadily increasing incidence due to the growth of the ageing population. Cardiac dysfunction leading to heart failure may arise from acute myocardial infarction (MI) as well as inflammatory- and cancer-related chronic cardiomyopathy. Despite pharmacological progress, effective cardiac repair represents an unmet clinical need, with heart transplantation being the only option for end-stage heart failure. The functional profiling of the biological activity of extracellular vesicles (EVs) has recently attracted increasing interest in the field of translational research for cardiac regenerative medicine. The cardioprotective and cardioactive potential of human progenitor stem/cell-derived EVs has been reported in several preclinical studies, and EVs have been suggested as promising paracrine therapy candidates for future clinical translation. Nevertheless, some compelling aspects must be properly addressed, including optimizing delivery strategies to meet patient needs and enhancing targeting specificity to the cardiac tissue. Therefore, in this review, we will discuss the most relevant aspects of the therapeutic potential of EVs released by human progenitors for cardiovascular disease, with a specific focus on the strategies that have been recently implemented to improve myocardial targeting and administration routes. Full article

This paper proposes a flexible travel recommender model (FTRM) that emphasizes the symmetry between user preferences and travel constraints, addressing key challenges in the field such as the integration of diverse constraint types and the customization of travel itineraries. The key contribution of the proposed model lies in its integration with the item constraints data model (ICDM), which effectively manages a plethora of constraint types. Additionally, this study develops a novel algorithm inspired by ant colony optimization (ACO) principles, demonstrating performance metrics that are comparable to state-of-the-art algorithms in this field. A comprehensive set of systematic experimental analyses is conducted, employing various models across diverse situational contexts, with the primary goal of illustrating the capabilities of the proposed symmetrical FTRM using real-world data from the Durham dataset. The obtained results highlight the model’s ability to accommodate diverse constraint types, facilitating the customization of travel itineraries to suit individual user preferences and achieve a balanced and symmetrical travel experience. Specifically, our model outperforms existing models in terms of flexibility and customization, showing significant improvements in user satisfaction and itinerary efficiency. Full article

Objectives: To show the superiority of eccentric versus concentric strengthening in terms of improving quadriceps strength in knee osteoarthritis (OA), a randomized controlled study was conducted to perform 12 sessions of either eccentric or concentric isokinetic muscle strengthening over 6 weeks. Methods: We recruited males and females, aged between 40 and 70 years, with predominantly unilateral femorotibial OA. Exclusion criteria were having a prosthesis, inflammatory arthritis or flare-up of OA, symptomatic patellofemoral OA, cardiovascular or pulmonary disease that could be a contraindication to the study treatment, and any pathology that could cause muscle weakness. The primary endpoint was the between-group difference in change in maximum concentric isokinetic knee extension peak torque (PT) at 60°/s on the OA side at 6 weeks. Secondary endpoints were between-group difference in change in concentric hamstring PT at 60°/s; eccentric quadriceps and hamstring PT at 30°/s; 10 m and 200 m walking speeds; pain and functional status (WOMAC score) at 6 weeks and 6 months. Results: The sample consisted of 11 females and 27 males, with a mean age of 57.7 ± 7.52 years and a body mass index (BMI) of 25.95 ± 3.93 kg/m². Quadriceps strength increased more at 6 weeks in the concentric than the eccentric group with no statistical difference. There was a rate of 25% major adverse events in the eccentric group. Conclusions: Eccentric training resulted in a smaller improvement in quadriceps strength than concentric training and was associated with a high risk of muscle injury, particularly to the hamstring muscles. Full article

In this paper, a series of low-temperature CVN (Charpy V-notch impact test) and DWTT (drop-weight tear test) experiments were carried out to deal with the intensifying contradiction of strength and toughness of ultra-high-strength pipeline steel. The fracture behavior and toughening mechanisms of ultra-high-strength pipeline steel were investigated using scanning electron microscopy, transmission electron microscopy and backscattered electron diffraction systems. The results show that DWTT fractures in ultra-high-strength pipeline steel had a variety of unconventional morphological features compared to CVN fractures, including ridge protrusion in ductile fracture conditions and a large-size fracture platform in brittle fracture conditions. Therefore, DWTT fractures contained more information about the material fracturing process, and could better reflect the actual process of material fracturing. In ultra-high-strength pipeline steel, fine-grained granular bainite caused cracks to undergo large deflections or frequent small transitions, which consumed additional energy and improved toughness. In contrast, large-sized granular bainite, which consisted of low-angle grain boundaries, did not effectively prevent crack propagation when it encountered cracks, which was not conducive to improved toughness. Moreover, the M/A constituents in large-sized granular bainite aggregated, cracked, or fell off, which could easily lead to the formation of microcracks and was also detrimental to toughening. Full article

The segmentation analysis of the Golding–Cox mRNA dataset clarifies the description of these trajectories as a Fractional Lévy Stable Motion (FLSM). The FLSM method has several important advantages. Using only a few parameters, it allows for the detection of jumps in segmented trajectories with non-Gaussian confined parts. The value of each parameter indicates the contribution of confined segments. Non-Gaussian features in mRNA trajectories are attributed to trajectory segmentation. Each segment can be in one of the following diffusion modes: free diffusion, confined motion, and immobility. When free diffusion segments alternate with confined or immobile segments, the mean square displacement of the segmented trajectory resembles subdiffusion. Confined segments have both Gaussian (normal) and non-Gaussian statistics. If random trajectories are estimated as FLSM, they can exhibit either subdiffusion or Lévy diffusion. This approach can be useful for analyzing empirical data with non-Gaussian behavior, and statistical classification of diffusion trajectories helps reveal anomalous dynamics. Full article

Carbon (δ¹³C) and nitrogen (δ¹⁵N) isotopes were used to evaluate spatial, temporal, and interspecific differences in trophic relationships of four fish species (Paralichthys dentatus, Anchoa mitchilli, Leiostomus xanthurus, and Bairdiella chrysoura) in Maryland’s coastal bays. The δ¹³C values for all species were more enriched in 2017 than in 2018, a year of higher-than-average rainfall that likely caused higher amounts of terrestrial carbon to enter the estuary. There were significant differences among species in the δ¹³C values, with L. xanthurus being the least depleted (−17.2‰ in 2017; −18.8‰ in 2018). Spatially, the δ¹³C values of the species, particularly P. dentatus and B. chrysoura, were more depleted in the northern bays, which have a higher nutrient content and receive more freshwater inflow directly from tributaries, than the southern bays. The observed δ¹³C values (−19.5 ± 0.2‰ to –17.2 ± 0.3‰), however, indicate that marine phytoplankton was the primary carbon source of the fishes. Overall, A. mitchilli was the most enriched in δ¹⁵N (13.0‰), and L. xanthurus was the most depleted (10.2‰). δ¹⁵N was more enriched in fish from the more human-impacted northern bays than in fish from the southern bays, though this might also have stemmed from the differences in the diet composition of the species in the northern and southern bays. A. mitchilli had the highest trophic level, while L. xanthurus and P. dentatus had the lowest trophic levels. Niche breadth was widest in L. xanthurus compared to the other fish species, suggesting a higher variability in diets among L. xanthurus individuals, leading to specialized diets. There was a high niche overlap between B. chrysoura, A. mitchilli, and L. xanthurus, which indicates they fed on similar prey resources. Full article

One of the promising raw materials for the synthesis of geopolymers is perlite, which is a natural low-calcium aluminosilicate. This research studied the physical, mechanical and microstructural characteristics of perlite-based geopolymers modified with different mineral additives that were prepared using different methods of introducing the alkali components and curing conditions. The experimental results of the consolidated perlite-based geopolymer pastes showed that curing conditions and the method of introducing the alkali component into the geopolymer matrix had a minimal effect on the average density while demonstrating a significant boost in compressive strength. So, after thermal treatment, the compressive strength increased by 0.63 to 11.4 times for the mixes when fresh alkali solution was used and by 0.72 to 12.8 times for the mixes with the 24 h conditioned alkali solution. Maximum-strength spikes from 1.1 MPa to 13.2 MPa and from 0.7 MPa to 9.7 MPa were observed for the mixes with kaolin when prepared with fresh and conditioned alkali solutions, respectively. It was also observed that thermal treatment facilitates the compaction of the matrix structure by 18% and 1% for the non-modified mix and the mix modified with Portland cement. Perlite-based geopolymers modified with Portland cement and citrogypsum demonstrated a significant reduction in the initial and final setting times with both methods of introducing the alkali solution. On the surface of mixes modified with citrogypsum, regardless of the curing conditions and method of introducing the alkali component, an efflorescence substance was observed. The microstructural analysis of the consolidated geopolymer perlite-based pastes containing citrogypsum demonstrated a loose structure and the presence of efflorescence, which can be associated with a retardation in interaction processes between alkali cations and the aluminosilicate component. EDS analysis demonstrated that the presence of such elements as oxygen, sodium and sulfur may indicate the efflorescence of unreacted sodium hydroxide (NaOH), citrogypsum (CaSO₄) and the products of their interaction in the form of crystalline hydrates of sodium sulfate (Na₂SO₄). Full article

This numerical investigation explores the enhanced control of the 3D natural convection (NC) within a cubic cavity filled with graphene–water nanofluids, utilizing a bottom-center-located tree-shaped obstacle and a horizontal magnetic field (MF). The analysis includes the effects of the Rayleigh number (Ra), the solid volume fraction of graphene ($\mathsf{\phi }$), the Hartmann number (Ha), and the fins’ length (W). The results show complex flow patterns and thermal behavior within the cavity, indicating the interactive effects of nanofluid properties, the tree-shaped obstacle, and magnetic field effects. The MHD effects reduce the convection, while the addition of graphene improves the thermal conductivity of the fluid, which enhances the heat transfer observed with increasing Rayleigh numbers. The increase in the fins’ length on the heat transfer efficiency is found to be slightly negative, which is attributed to the complex interplay between the enhanced heat transfer surface area and fluid flow disruption. This study presents an original combination of non-destructive methods (magnetic field) and a destructive method (tree-shaped obstacle) for the control of the fluid flow and heat transfer characteristics in a 3D cavity filled with graphene–water nanofluids. In addition, it provides valuable information for optimizing heat transfer control strategies, with applications in electronic cooling, renewable energy systems, and advanced thermal management solutions. The application of a magnetic field was found to reduce the maximum velocity and total entropy generation by about 82% and 76%, respectively. The addition of graphene nanoparticles was found to reduce the maximum velocity by about 5.5% without the magnetic field and to increase it by 1.12% for Ha = 100. Varying the obstacles’ length from W = 0.2 to W = 0.8 led to a reduction in velocity by about 23.6%. Full article

Injury is the leading cause of death and disability amongst those between 0 and 16 years of age. Routinely associated with a social gradient of health, childhood injury is reportedly higher in rural and regional areas. A retrospective cross-sectional study collected deidentified emergency injury presentation data from nine health services in regional Victoria for children aged 0–14 years between 2017 and 2022. Emergency injury presentation incidence rates and predictor variables were analysed using hierarchical multiple regression. Significance was determined at p < 0.05. Amongst the 15,884 emergency injury presentations, 35.2% (n = 5597) occurred at health services that did not routinely report data to government datasets. Although some findings are consistent with current research, this study highlights specific factors that are predictive of injury amongst 0–4-year-old children who require deeper investigation, including general practitioner access and health literacy-related elements such as preschool health assessment attendance rates, parent education levels, and overseas birth. These findings provide more comprehensive insights for healthcare workers and policymakers as they seek to support people with injuries and accurately address health inequities. Full article

The primary research question driving this paper is the following: “What are the schooling experiences of young people who are at risk of or experiencing homelessness?” Through interviews with 28 young people in two cities in Ontario, Canada, the authors identified several common experiences, including the following: lack of available information that could help them cope with their housing difficulties; prejudice and bullying from other students, sometimes stemming from their housing problems but also due to factors such as racialization, gender identity, poverty, and substance use; and individual support from some teachers and support staff, although this was dependent on being in school. They proposed changes to help young people still in school, including the inclusion of non-judgmental information and guidance on dealing with poverty and homelessness in school curricula, educating school staff about the ‘symptoms’ of homelessness to help them identify students at risk, and creating more safe and supportive school environments overall. Full article

The environmental impact of tire wear emissions has become increasingly apparent, and efforts to reduce their impact on the environment are on the rise. To minimise the generation of tire wear, it is essential to consider the influencing factors. However, as it cannot be entirely prevented, measures to reduce immissions are also necessary. This paper summarises possible measures derived from the literature, stakeholder workshops, and the authors’ own conclusions, taking into account the different perspectives: tire, vehicle, road, sustainable mobility and emissions treatment. The presentation of the entry paths of tire wear into the environment and the hotspots of generation can be used to prioritise reduction measures. Measures should be implemented at a political level, technical solutions applied, and awareness raised among the general public. It is evident that reducing tire wear is a complex task that requires a transdisciplinary approach. Full article

Spinal muscular atrophy is a neuromuscular genetic condition associated with progressive muscle weakness and atrophy. Nusinersen is an antisense oligonucleotide therapy approved for the treatment of 5q spinal muscular atrophy in pediatric and adult patients. The objective of this clinical case series is to describe the efficacy and safety of nusinersen in treating spinal muscular atrophy in 20 pediatric and 18 adult patients across six treatment centers in Kuwait. Functional motor assessments (Children’s Hospital of Philadelphia Infant Test of Neuromuscular Disorders, Hammersmith Functional Motor Scale Expanded, and Revised Upper Limb Module) were used to assess changes in motor function following nusinersen treatment. The safety assessment involved clinical monitoring of adverse events. The results demonstrate clinically meaningful or considerable improvement in motor performance for nearly all patients, lasting over 4 years in some cases. A total of 70% of patients in the pediatric cohort and 72% of patients in the adult cohort achieved a clinically meaningful improvement in motor function following nusinersen treatment. Additionally, nusinersen was well-tolerated in both cohorts. These findings add to the growing body of evidence relating to the clinical efficacy and safety of nusinersen. Full article

In this study, we aimed to characterize a cohort of children hospitalized due to varicella before and after the outbreak of the COVID-19 pandemic. Medical charts of all children hospitalized in the Regional Hospital of Infectious Diseases in Warsaw due to varicella in the years 2019 and 2022 were retrospectively analyzed and compared. In total, 221 children were included in the analysis; 59 of them were hospitalized in 2019, whereas 162 were hospitalized in 2022. Children hospitalized in 2022 were older than those reported in 2019 (median 4.0 vs. 3.0 years, p = 0.02). None of the hospitalized children received complete varicella vaccination. The most common complication in both years was bacterial superinfection of skin lesions, found in 156/221 (70.6%) of patients. This complication rate was higher in 2022 (50.8% in 2019 vs. 77.8% in 2022, p = 0.0001), OR = 3.38, 95% CI: 1.80–6.35. Moreover, skin infections in 2022 more often manifested with cellulitis (in 2022 13.6% vs. 3.4% in 2019, p = 0.03), OR = 4.40, 95% CI: 1.00–19.33. Sepsis as a complication of varicella was almost five-fold more prevalent in 2022 than in 2019 (p = 0.009), OR = 5.70, 95% CI: 1.31–24.77. Antibiotic use increased between 2019 and 2022 (71.2% vs. 85.2%, p = 0.01). Furthermore, patients were treated more frequently with the combination of two different antibiotics simultaneously (only 3.4% of patients in 2019 compared to 15.4% in 2022, p = 0.01). Primary infections with varicella zoster virus in 2022 led to a more severe course of the disease. Full article

Objective: Obesity is a major risk factor for the morbidity and mortality of cardiovascular disease and predicts the development of hypertension, diabetes mellitus and other various diseases. Methods: A retrospective study evaluated predictors for higher total body weight loss following endoscopic sleeve gastroplasty (ESG). Adults (>18 years old) with BMI > 30 kg/m² who underwent ESG from January 2019 to July 2022 were included. Patients under the age of 18 were excluded from the study. Results: This retrospective cohort included 76 patients, of whom 62 women (81.6%) and 14 were men (18.4%) with a mean age of 46.3 ± 10.4. The mean BMI baseline was 36.6 ± 4.21. Out of the included patients, 10% were lost to follow-up at 1 month, 33% at 3 months, 50% after 6 months, and only 30% met 12 months follow-up. During the follow-up period, no mortality was documented. Three major adverse events (3.9%) were documented (one mediastinal abscess, one lower gastrointestinal bleeding and one pulmonary embolism), all of them in female patients. Among the demographic clinical and laboratory data examined, smoking (N = 6, p < 0.001) was associated with successful ESG, which was determined as total body weight loss (TBWL) above 15%. The rest of the variables examined were not shown to be statistically significant to sleeve success. Overall, 65 of the 76 patients which were studied in this research had more than 5% TBWL, 42 patients had more than 10% TBWL, 21 patients had more than 15% TBWL and 7 patients lost more than 20% of their weight during 1 year of follow-up. Maximal TBWL was achieved 3 months following the procedure. During the first month following ESG, the average weight lost was 8.6% (N = 69); at 3 months, it was 12.3% (N = 48); at 6 months, it was 11.3% (N = 33); and at 12 months, it was 9.8% (N = 13). Smoking was associated with higher weight loss. Conclusions: The current study showed a positive correlation between ESG weight loss above 15% and smoking. Older patients (>50) gained weight earlier, within 3 months, and by 1 year of follow-up almost returned back to their original weight. Females sustained weight loss over 1 year of follow-up compared to males. Patients with lower BMI continued losing weight during the follow-up period (12 months). This study tries to summarize pre-procedural prediction of ESG success. Full article

The inhibitory activity of peptides on angiotensin-converting enzyme (ACE) is a measure of their antihypertensive potential. Quantitative structure–activity relationship (QSAR) models obtained based on the analysis of sequences of amino acids are suggested. The average determination coefficient for the active training sets is 0.36 ± 0.07. The average determination coefficient for validation sets is 0.79 ± 0.02. The paradoxical situation is caused by applying the vector of ideality of correlation, which improves the statistical quality of a model for the calibration and validation sets but is detrimental to the statistical quality of models for the training sets. Full article

Although studies have found that job satisfaction has an impact on workers’ physical and mental health, research has generally not focused on the psychological well-being of adult workers and a gender differential analysis has not been conducted. The aim of the current research is to determine the importance of job satisfaction for mental symptoms and well-being among adult working women and men. We also examine gender differences in job satisfaction. A non-probability sample of 1977 Spanish workers (51.6% men and 48.4% women) aged between 36 and 65 years was used in this cross-sectional study. Six questionnaires and self-report scales were used to assess the participants. For both men and women, higher job satisfaction was associated with lower depressive, somatic, anxiety, and social dysfunction symptoms; higher life satisfaction; and greater psychological well-being. Hierarchical multiple regression analyses showed that after controlling for the effects of self-esteem and social support, higher job satisfaction predicted greater life satisfaction, fewer mental symptoms, and greater psychological well-being, although the effect of job satisfaction on psychological well-being was somewhat stronger for men than for women. We conclude that job satisfaction is important for the mental health, psychological well-being, and life satisfaction of adult working women and men. Full article

Environmental factors, such as drought stress, significantly impact maize growth and productivity worldwide. To improve yield and quality, effective strategies for early detection and mitigation of drought stress in maize are essential. This paper presents a detailed analysis of three imaging trials conducted to detect drought stress in maize plants using an existing, custom-developed, low-cost, high-throughput phenotyping platform. A pipeline is proposed for early detection of water stress in maize plants using a Vision Transformer classifier and analysis of distributions of near-infrared (NIR) reflectance from the plants. A classification accuracy of 85% was achieved in one of our trials, using hold-out trials for testing. Suitable regions on the plant that are more sensitive to drought stress were explored, and it was shown that the region surrounding the youngest expanding leaf (YEL) and the stem can be used as a more consistent alternative to analysis involving just the YEL. Experiments in search of an ideal window size showed that small bounding boxes surrounding the YEL and the stem area of the plant perform better in separating drought-stressed and well-watered plants than larger window sizes enclosing most of the plant. The results presented in this work show good separation between well-watered and drought-stressed categories for two out of the three imaging trials, both in terms of classification accuracy from data-driven features as well as through analysis of histograms of NIR reflectance. Full article

Background and Objectives: Hyperprolactinemia, as a potential side-effect of some antipsychotic medications, is associated with decreased bone density and an increased risk of fractures. This study investigates whether calcium and vitamin D supplementation affects prolactin receptor (Prlr) gene expression in the duodenum, vertebrae, and kidneys of female rats with sulpiride-induced hyperprolactinemia. Materials and Methods: Twenty-one-week-old female Wistar rats were assigned to three groups: Group S consisted of ten rats who received sulpiride injections (10 mg/kg) twice daily for 6 weeks; Group D (10 rats) received daily supplementation of 50 mg calcium and 500 IU vitamin D along with sulpiride for the last 3 weeks; and Group C consisting of seven age-matched nulliparous rats serving as a control group. Real-time PCR was used to assess Prlr gene expression in the duodenum, vertebrae, and kidneys. Results: In Group S, Prlr gene expression was notably decreased in the duodenum (p < 0.01) but elevated in the vertebrae and kidneys compared to Group C. Conversely, Group D exhibited significantly increased Prlr expression in the duodenum (p < 0.01) alongside elevated expression in the vertebrae and kidneys. Conclusions: In sulpiride-induced hyperprolactinemia, decreased Prlr gene expression in the duodenum may lead to reduced intestinal calcium absorption. Consequently, prolactin may draw calcium from the skeletal system to maintain calcium balance, facilitated by increased Prlr gene expression in the vertebrae. However, vitamin D supplementation in sulpiride-induced hyperprolactinemia notably enhances Prlr gene expression in the duodenum, potentially ameliorating intestinal calcium absorption and mitigating adverse effects on bone health. Full article