Neonatal circumcisions and parental refusal of intramuscular vitamin K: A review of the literature and current guidelines.

Introduction: Parental refusal of intramuscular (IM) vitamin K in newborns poses challenges, particularly for pediatric urologists assessing the safety of neonatal circumcision. Vitamin K deficiency bleeding (VKDB) is a known risk, with lack of prophylaxis increasing bleeding complications. This study evaluates the safety of neonatal circumcision without IM vitamin K, reviews guidelines, and explores alternative prophylaxis options.

Ferroptosis Inhibition Combats Metabolic Derangements and Improves Cardiac Function in Pulmonary Artery Banded Pigs.

Right heart failure (RHF) is a leading cause of mortality in multiple cardiovascular diseases and preclinical and human data suggest impaired metabolism is a significant contributor to right-sided cardiac dysfunction. Ferroptosis is a nonapopotic form of cell death driven by impaired metabolism. Rodent data suggests ferroptosis inhibition can restore mitochondrial electron transport chain function and enhance cardiac contractility in left heart failure models, but the effects of ferroptosis inhibition in translational large animal models of RHF are unknown.

Ferroptosis-Mediated Inflammation Promotes Pulmonary Hypertension.

Background: Mitochondrial dysfunction, characterized by impaired lipid metabolism and heightened reactive oxygen species generation, results in lipid peroxidation and ferroptosis. Ferroptosis is an inflammatory mode of cell death that promotes complement activation and macrophage recruitment. In pulmonary arterial hypertension (PAH), pulmonary arterial endothelial cells exhibit cellular phenotypes that promote ferroptosis.

Guatemalan beaded lizards (Helodermatidae: Heloderma charlesbogerti) navigate and follow a scent trail in maze tasks.

Maze studies have provided substantial information about nonhuman cognition, such as insights on navigational strategies, spatial memory, and choice discriminations. This knowledge can aid in how we understand the foraging strategies of many animals, particularly understudied and endangered species, such as the Guatemalan beaded lizard (). These actively foraging lizards rely on chemoreception to locate prey, but it is unknown to what extent they engage in olfaction and vomerolfaction to hunt and navigate their environment.