Endings and Beginnings.

Editor Emeritus Chris Alderman reflects on his past five years in his role with The Senior Care Pharmacist. This editorial is his farewell address to the readers as new editors in chief take the helm.

Integrating behaviour change techniques into a video intervention to promote physical activity during cancer treatment (VidEx): a qualitative, theory-informed study.

Purpose: Exercising during cancer treatment reduces fatigue, improves quality of life, and increases survival, yet 60-70% of Australians undergoing cancer treatment do not meet current physical activity (PA) recommendations. This study aimed to explore barriers and enablers to PA amongst people undergoing cancer treatment and develop a video resource targeting these barriers.

Methods: The study was guided by the capability, opportunity, motivation, behaviour (COM-B) and behaviour change wheel (BCW) frameworks.

Pathophysiology and clinical outcomes of pancytopenia in disseminated histoplasmosis: a scoping review.

Purpose: Pancytopenia in the setting of disseminated histoplasmosis is sparsely described in the literature. We investigated the underlying mechanisms of pancytopenia in disseminated histoplasmosis and highlighted clinical outcomes.

Methods: We conducted a scoping review of cases and series on disseminated histoplasmosis presenting with pancytopenia published between 2001 and 2024.

Klebsiella pneumoniae species complex bloodstream infection in adult patients: changing epidemiology and determinants of poor outcomes.

Purpose: Klebsiella pneumoniae is a common cause of hospital- and community-acquired infection and can readily acquire multiple antimicrobial resistance determinants leading to poor health outcomes. We define the contemporary burden of disease, risk factors for antimicrobial resistance, and poor health outcomes for patients with K. pneumoniae bloodstream infection (Kp-BSI).

Bio particle swarm optimization and reinforcement learning algorithm for path planning of automated guided vehicles in dynamic industrial environments.

Automated guided vehicles play a crucial role in transportation and industrial environments. This paper presents a proposed Bio Particle Swarm Optimization (BPSO) algorithm for global path planning. The BPSO algorithm modifies the equation to update the particles' velocity using the randomly generated angles, which enhances the algorithm's searchability and avoids premature convergence.

The global impact of the COVID-19 pandemic on delays and disruptions in cancer care services: a systematic review and meta-analysis.

The coronavirus disease 2019 pandemic substantially impacted the delivery of cancer services and programs. Here we reviewed and synthesized the global scale and impact of pandemic-related delays and disruptions on cancer services, including diagnosis, diagnostic procedures, screening, treatment and supportive and palliative care. Based on data from 245 articles in 46 countries, we observed declines in the number of cancer screening participation (39.

Stakeholder diversity matters: employing the wisdom of crowds for data-poor fisheries assessments.

Embracing local knowledge is vital to conserve and manage biodiversity, yet frameworks to do so are lacking. We need to understand which, and how many knowledge holders are needed to ensure that management recommendations arising from local knowledge are not skewed towards the most vocal individuals. Here, we apply a Wisdom of Crowds framework to a data-poor recreational catch-and-release fishery, where individuals interact with natural resources in different ways.

Lysozyme-coated nanoparticles for active uptake and delivery of synthetic RNA and plasmid-encoded genes in plants.

Nanoparticle-mediated delivery of nucleic acids and proteins into intact plants has the potential to modify metabolic pathways and confer desirable traits in crops. Here we show that layered double hydroxide (LDH) nanosheets coated with lysozyme are actively taken up into the root tip, root hairs and lateral root junctions by endocytosis, and translocate via an active membrane trafficking pathway in plants. Lysozyme coating enhanced nanosheet uptake by (1) loosening the plant cell wall and (2) stimulating the expression of endocytosis and other membrane trafficking genes.

Relationship between wind speed and plant hydraulics at the global scale.

Wind is an important ecological factor for plants as it can increase evapotranspiration and cause dehydration. However, the impact of wind on plant hydraulics at a global scale remains unclear. Here we compiled plant key hydraulic traits, including water potential at 50% loss of hydraulic conductivity (P), xylem-specific hydraulic conductivity (K), leaf area to sapwood area ratio (A/A) and conduit diameter (D) with 2,786 species-at-site combinations across 1,922 woody species at 469 sites worldwide and analysed their correlations with wind speed.

Cross-species comparison reveals that Hmga1 reduces H3K27me3 levels to promote cardiomyocyte proliferation and cardiac regeneration.

In contrast to adult mammalian hearts, the adult zebrafish heart efficiently replaces cardiomyocytes lost after injury. Here we reveal shared and species-specific injury response pathways and a correlation between Hmga1, an architectural non-histone protein, and regenerative capacity, as Hmga1 is required and sufficient to induce cardiomyocyte proliferation and required for heart regeneration. In addition, Hmga1 was shown to reactivate developmentally silenced genes, likely through modulation of H3K27me3 levels, poising them for a pro-regenerative gene program.

Automatic X-ray teeth segmentation with grouped attention.

Detection and teeth segmentation from X-rays, aiding healthcare professionals in accurately determining the shape and growth trends of teeth. However, small dataset sizes due to patient privacy, high noise, and blurred boundaries between periodontal tissue and teeth pose challenges to the models' transportability and generalizability, making them prone to overfitting. To address these issues, we propose a novel model, named Grouped Attention and Cross-Layer Fusion Network (GCNet).

Sustainable leachate treatment by integrating electrolysis with palm-shell activated carbon contactor for environmental protection.

The increasingly concerning issue of water pollution caused by untreated leachate necessitates the implementation of effective wastewater treatment methods. This study addresses the crucial issue of landfill leachate treatment through an innovative and environmentally friendly approach that integrates electrolysis with palm-shell activated carbon contactors. The efficacy of an integrated process for pollutants removal was assessed involving electrolysis with aluminum and iron electrodes, activated carbon contactors with varying bed depths, and the influence of salinity.

An automated privacy-preserving self-supervised classification of COVID-19 from lung CT scan images minimizing the requirements of large data annotation.

This study presents a novel privacy-preserving self-supervised (SSL) framework for COVID-19 classification from lung CT scans, utilizing federated learning (FL) enhanced with Paillier homomorphic encryption (PHE) to prevent third-party attacks during training. The FL-SSL based framework employs two publicly available lung CT scan datasets which are considered as labeled and an unlabeled dataset. The unlabeled dataset is split into three subsets which are assumed to be collected from three hospitals.

Factors associated with vaccine default in Southern Ghana based on data from the RTSS malaria vaccine trial in Cape Coast.

Malaria has been a severe global and public health concern for the last couple of decades. Ghana, like many other countries in sub-Saharan Africa, is most affected by the disease, with children facing dire consequences. The recent introduction of the RTS, S malaria vaccine holds great potential in reducing malaria fatalities in children.

Metric dimension of star fan graph.

Every node in a network is said to be resolved if it can be uniquely identified by a vector of distances to a specific set of nodes. The metric dimension is equivalent to the least possible cardinal number of a resolving set. Conditional resolving sets are obtained by imposing various constraints on resolving set.

The giant genome of lily provides insights into the hybridization of cultivated lilies.

Lilies are economically important monocots known for their ornamental flowers, bulbs, and large genomes. The absence of their genomic information has impeded evolutionary studies and genome-based breeding efforts. Here, we present reference genomes for Lilium sargentiae (lily, 35.

Assessing left main bifurcation anatomy and haemodynamics as a potential surrogate for disease risk in suspected coronary artery disease without stenosis.

Coronary anatomy governs local haemodynamics associated with atherosclerotic development, progression and ultimately adverse clinical outcomes. However, lack of large sample size studies and methods to link adverse haemodynamics to anatomical information has hindered meaningful insights to date. The Left Main coronary bifurcations of 127 patients with suspected coronary artery disease in the absence of significant stenosis were segmented from CTCA images before computing the local haemodynamics.

Improved silicon solar cells by tuning angular response to solar trajectory.

Silicon solar cell costs are reducing dramatically with these cells now providing the majority of new electricity generation capacity worldwide. Cost reduction has been via economies of scale and steadily increasing sunlight energy conversion efficiency. The best experimental cells at 27.

Plasma fibronectin is a prognostic biomarker of disability in Parkinson's disease: a prospective, multicenter cohort study.

In a prospective longitudinal study with 218 Parkinson's disease (PD) patients in the discovery cohort and 84 in the validation cohort, we aimed to identify novel blood biomarkers predicting disability milestones in PD. Through Least Absolute Shrinkage and Selection Operator-Cox (Lasso-Cox) regression, developed nomogram predictive model and Linear mixed-effects models, we identified low level of plasma fibronectin (pFN) as one of the best-performing risk markers in predicting disability milestones. A low level of pFN was associated with a short milestone-free survival period in PD.

TOPS-speed complex-valued convolutional accelerator for feature extraction and inference.

Complex-valued neural networks process both amplitude and phase information, in contrast to conventional artificial neural networks, achieving additive capabilities in recognizing phase-sensitive data inherent in wave-related phenomena. The ever-increasing data capacity and network scale place substantial demands on underlying computing hardware. In parallel with the successes and extensive efforts made in electronics, optical neuromorphic hardware is promising to achieve ultra-high computing performances due to its inherent analog architecture and wide bandwidth.

Quantum key distribution implemented with d-level time-bin entangled photons.

High-dimensional photon states (qudits) are pivotal to enhance the information capacity, noise robustness, and data rates of quantum communications. Time-bin entangled qudits are promising candidates for implementing high-dimensional quantum communications over optical fiber networks with processing rates approaching those of classical telecommunications. However, their use is hindered by phase instability, timing inaccuracy, and low scalability of interferometric schemes needed for time-bin processing.

Asynchronicity of deglacial permafrost thawing controlled by millennial-scale climate variability.

Permafrost is a potentially important source of deglacial carbon release alongside deep-sea carbon outgassing. However, limited proxies have restricted our understanding in circumarctic regions and the last deglaciation. Tibetan Plateau (TP), the Earth's largest low-latitude and alpine permafrost region, remains underexplored.

Substantially underestimated global health risks of current ozone pollution.

Existing assessments might have underappreciated ozone-related health impacts worldwide. Here our study assesses current global ozone pollution using the high-resolution (0.05°) estimation from a geo-ensemble learning model, with key focuses on population exposure and all-cause mortality burden.

OSP-1 protects neurons from autophagic cell death induced by acute oxidative stress.

Oxidative stress, caused by the accumulation of reactive oxygen species (ROS), is a pathological factor in several incurable neurodegenerative conditions as well as in stroke. However, our knowledge of the genetic elements that can be manipulated to protect neurons from oxidative stress-induced cell death is still very limited. Here, using Caenorhabditis elegans as a model system, combined with the optogenetic tool KillerRed to spatially and temporally control ROS generation, we identify a previously uncharacterized gene, oxidative stress protective 1 (osp-1), that protects C.