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Rationale: Evidence on the effect of dopamine D1-like and D2-like receptor antagonists on licking microstructure and the forced swimming response led us to suggest that (i) dopamine on D1-like receptors plays a role in activating reward-directed responses and (ii) the level of response activation is reboosted based on a process of evaluation of response efficacy requiring dopamine on D2-like receptors. A main piece of evidence in support of this hypothesis is the observation that the dopamine D2-like receptor antagonist raclopride induces a within-session decrement of burst number occurring after the contact with the reward. The few published studies with a detailed analysis of the time-course of this measure were conducted in our laboratory. Objectives: The aim of this review is to recapitulate and discuss the evidence in support of the analysis of the within-session burst number as a behavioural substrate for the study of the mechanisms governing ingestion, behavioural activation and the related evaluation processes, and its relevance in the analysis of drug effects on ingestion. Conclusions: The evidence gathered so far suggests that the analysis of the within-session time-course of burst number provides an important behavioural substrate for the study of the mechanisms governing ingestion, behavioural activation and the related evaluation processes, and might provide decisive evidence in the analysis of the effects of drugs on ingestion. However, further evidence from independent sources is necessary to validate the use and the proposed interpretation of this measure. [ABSTRACT FROM AUTHOR]

Nutritional, endocrine, and neurological signals converge in multiple brain centres to control feeding behaviour and food intake as part of the allostatic regulation of energy balance. Among the several neuroendocrine systems involved, the leptin, glucocorticoid, and glucagon‐like peptide 1 (GLP1) systems have been extensively researched. Leptin is at the top hierarchical level since its complete absence is sufficient to trigger severe hyperphagia. Glucocorticoids are key regulators of the energy balance adaptation to stress and their sustained excess leads to excessive adiposity and metabolic perturbations. GLP1 participates in metabolic adaptation to food intake, regulating insulin secretion and satiety by parallel central and peripheral signalling systems. Herein, we review the brain and peripheral targets of these three hormone systems that integrate to regulate food intake, feeding behaviour, and metabolic homeostasis. We examine the functional relationships between leptin, glucocorticoids, and GLP1 at the central and peripheral levels, including the cross‐regulation of their circulating levels and their cooperative or antagonistic actions at different brain centres. The pathophysiological roles of these neuroendocrine systems in dysregulated intake are explored in the two extremes of body adiposity – obesity and lipodystrophy – and eating behaviour disorders. [ABSTRACT FROM AUTHOR]

The purpose of this article is to reconcile the hypotheses that: (1) brain evolution occurred due to a change in diet, and (2) it occurred due to pressures related to understanding more and more about the underlying causes, such as understanding increasingly complex manipulative and cooperative intentions on the part of the other, as well as understanding reality itself (and how to interact with it beyond group issues). I argue that the ingestion of fat, a highly energy-efficient food, would have unlocked the evolutionary process that culminated in the emergence of the practice of reasoning about underlying causes; and that the consolidation of such a practice resulted in a continuous pressure to increase cognition about "whys"; so that many explanations ended up imposing the need for additional ones, and with that came a high level of awareness and the need for the brain to evolve not only in terms of providing a higher level of cognition but also in size. [ABSTRACT FROM AUTHOR]

Background: Night eating syndrome (NES) is a kind of eating disorder. NES association with gastroesophageal reflux disease (GERD) symptoms among university students is still not fully understood. We aimed to determine the relationship between NES and the presence of GERD symptoms among university students at An-Najah National University in Palestine. Methods: This study involved undergraduate students from An-Najah National University. The data were collected through online surveys from November to December 2023. The sampling frame involved voluntary sampling, as the data were collected using a structured questionnaire to collect data on sociodemographic variables, medical history, lifestyle habits, nutritional status, GERD risk, and NES. The GERD questionnaire (GerdQ) was used to assess symptoms, while the Arabic version of the validated Night Eating Questionnaire (NEQ) was used to assess night eating. Physical activity was assessed using the short form of the International Physical Activity Questionnaire (SF-IPAQ), and adherence to a Mediterranean diet was assessed using the validated Arabic version of the MEDAS. Both univariate and multivariate analyses were also conducted to assess the study hypotheses. Results: The study involved 554 participants, 59.9% female. A total of 33.4% reported GERD symptoms, with 10.3% having NES. A strong association was observed between GERD and NES and between GERD and physical activity. Night eating syndrome (AOR = 2.84, CI = 1.07–3.19), high physical activity (AOR = 0.473, CI = 1.05–3.19), and non-smoking (AOR = 0.586, CI = 1.27–7.89) were identified as independent predictors of GERD symptoms. Conclusion: This study revealed that 33.4% of undergraduate students were at risk of GERD, with night eaters having a greater risk. GERD risk was negatively associated with physical activity level and smoking status. No associations were found between GERD risk and weight status, Mediterranean diet adherence, sociodemographic factors, or sleep disturbances. [ABSTRACT FROM AUTHOR]

The throat is an organ that includes the larynx, esophagus, and bronchi. Vocalization or deglutition triggers micro‐movements of muscles around the throat. In this study, based on machine learning using a flexible patch, pronunciation is identified by analyzing the vibration and movement of the laryngeal muscles, and the type of food consumed is determined through peristalsis analysis. Previously, voices are recognized through cochlea hair cells, and the type of food intake is identified through taste receptors. However, this study converted auditory or gustatory senses to tactile stage through sensory transition and finally visualized. Using a customized throat patch with segmented nodes, the pronunciation of [a], [e], [i], [o], and [u], representative vowels of languages worldwide, are distinguished with an accuracy of 85.9% based on the polynomial kernel algorithm. In addition, cookies, water, gummies, and chocolate are distinguished with 91.1% accuracy by detecting differences in the esophagus's peristalsis. Transformation of auditory or gustatory sensations to tactile information and visualization is expected to be used for communication in noisy environments or soundless environments such as outer space. This approach can also provide significant potential for determining the type of ingestion for users who have lost their sense of taste. [ABSTRACT FROM AUTHOR]

Members of the GPCR superfamily have a wide variety of physiological roles and are therefore valuable targets for developing effective medicines. However, within this superfamily are receptors that are less well characterized and remain orphans, including GPR84. This receptor is stimulated by ligands derived from dietary nutrients, specifically medium chain fatty acids (C9–14), and novel synthetic agonists. There are data demonstrating the role of GPR84 in inflammatory pathways, in addition to emerging data suggesting a key role for GPR84 as a nutrient‐sensing GPCR involved in metabolism by sensing energy load via nutrient exposure and subsequent signalling leading to modulation of food intake. Exploring GPR84 pharmacology, its localization and what drives its expression has revealed multiple roles for this receptor. Here, we will reflect on these various roles of GRP84 demonstrated thus far, primarily by exploring data from pre‐clinical and clinical studies in various physiological systems, with a specific focus on the gastrointestinal tract. LINKED ARTICLES: This article is part of a themed issue GPR84 Pharmacology. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v181.10/issuetoc [ABSTRACT FROM AUTHOR]

Combined immune checkpoint blockade (ICB) for cancer exhibits good efficacy in a subset of patients but also associates with immune-related adverse events. Xue et al. use an elegant drug screening strategy to identify the antimicrobial drug clofazimine as an agent that both potentiates ICB efficacy and decreases immune-related adverse events. [ABSTRACT FROM AUTHOR]

Background: Several safety measures like movement restrictions, closure of educational institutions, and social distancing measures continue over the world including Bangladesh during the COVID-19 pandemic. This study aimed to examine the patterns of eating behaviors, physical activity, and lifestyle modifications among adolescents during the COVID-19 pandemic residing in Bangladesh. Methods: A cross-sectional study was performed among 490 adolescents in Bangladesh from December 2020 to May 2021. The survey was carried out through a semi-structured web-based questionnaire that asked questions about socio-demographics (i.e., age, sex, marital status, education, residence), perceived health status and quality of life, anthropometrics (i.e., height, weight), dietary habits (i.e., frequency of eating, daily intake of certain foods, number of meals eaten daily), and physical activity (i.e., modified version of the International Physical Activity Questionnaire Short Form [IPAQ-SF]), as well as, pre- and during COVID-19 information on stress, and sleep. Results: During the pandemic, 43.7% participants reported weight gain; and 23.5% reported an increased number of meals per day during COVID-19. Additionally, the participants' eating habits diverged from the local balanced diet principles and were more akin to 'unhealthy' eating patterns. Though, during the COVID-19 pandemic, physical exercise slightly increased (>3 times/ week: 8.2% vs. 13.5%; p<0.001) compared to pre-COVID-19 period, the screen time for entertainment increased drastically (>5 hours/ week: 12.2% vs. 27.3%; p<0.001). Compared to the pre-pandemic, a sizeable proportion of individuals experienced more physical tiredness, emotional exhaustion, irritation, and stress (p<0.001) during the pandemic. During the pandemic, 47.5% of participants experienced different sleep difficulties. Conclusions: Although lockdowns and social distancing are important safety measures to protect people from COVID-19, findings reveal that they might cause a variety of lifestyle changes, physical inactivity, and psychological issues in Bangladeshi adolescents. [ABSTRACT FROM AUTHOR]

Time-restricted eating (TRE) lowers body weight in many studies. Whether TRE induces weight loss independent of reductions in calorie intake, as observed in rodent studies, is unknown. This randomized clinical feeding trial compares the effect of time, with eating limited to a 10-hour window to eating during a window of 16 hours or greater, on weight loss when caloric intake is controlled. Visual Abstract. Effect of Isocaloric, Time-Restricted Eating on Body Weight in Adults With Obesity: Time-restricted eating (TRE) lowers body weight in many studies. Whether TRE induces weight loss independent of reductions in calorie intake, as observed in rodent studies, is unknown. This randomized clinical feeding trial compares the effect of time, with eating limited to a 10-hour window to eating during a window of 16 hours or greater, on weight loss when caloric intake is controlled. Background: Time-restricted eating (TRE) lowers body weight in many studies. Whether TRE induces weight loss independent of reductions in calorie intake, as seen in rodent studies, is unknown. Objective: To determine the effect of TRE versus a usual eating pattern (UEP) on body weight in the setting of stable caloric intake. Design: Randomized, isocaloric feeding study. (ClinicalTrials.gov: NCT03527368) Setting: Clinical research unit. Participants: Adults with obesity and prediabetes or diet-controlled diabetes. Intervention: Participants were randomly assigned 1:1 to TRE (10-hour eating window, 80% of calories before 1 p.m.) or UEP (≤16-hour window, ≥50% of calories after 5 p.m.) for 12 weeks. Both groups had the same nutrient content and were isocaloric with total calories determined at baseline. Measurements: Primary outcome was change in body weight at 12 weeks. Secondary outcomes were fasting glucose, homeostatic model assessment for insulin resistance (HOMA-IR), glucose area under the curve by oral glucose tolerance test, and glycated albumin. We used linear mixed models to evaluate the effect of interventions on outcomes. Results: All 41 randomly assigned participants (mean age, 59 years; 93% women; 93% Black race; mean BMI, 36 kg/m 2) completed the intervention. Baseline weight was 95.6 kg (95% CI, 89.6 to 101.6 kg) in the TRE group and 103.7 kg (CI, 95.3 to 112.0 kg) in the UEP group. At 12 weeks, weight decreased by 2.3 kg (CI, 1.0 to 3.5 kg) in the TRE group and by 2.6 kg (CI, 1.5 to 3.7 kg) in the UEP group (average difference TRE vs. UEP, 0.3 kg [CI, −1.2 to 1.9 kg]). Change in glycemic measures did not differ between groups. Limitation: Small, single-site study; baseline differences in weight by group. Conclusion: In the setting of isocaloric eating, TRE did not decrease weight or improve glucose homeostasis relative to a UEP, suggesting that any effects of TRE on weight in prior studies may be due to reductions in caloric intake. Primary Funding Source: American Heart Association. [ABSTRACT FROM AUTHOR]

Background: Apparently healthy dogs of various breeds eating nontraditional, high‐pulse diets can have larger left ventricular diameter, lower systolic function, and more ventricular premature complexes (VPCs) compared with dogs eating traditional, low‐pulse diets. It is unknown whether Irish Wolfhounds eating high‐pulse diets have similar cardiac abnormalities. Hypothesis/Objectives: To compare electrocardiographic and echocardiographic findings between Irish Wolfhounds eating high‐ or low‐pulse diets. Animals: Ninety‐seven Irish Wolfhounds. Methods: Retrospective study of Irish Wolfhounds that had echocardiography performed at dog shows between October 2018 and May 2021. Demographic information, echocardiographic measurements, cardiac rhythm (1‐minute lead II rhythm strip), and main diet were recorded retrospectively. Diets were classified as high‐pulse or low‐pulse based on the presence and location of pulses (peas, lentils, chickpeas, or dry beans) on the ingredient list. Results: Thirty‐five of 97 Irish Wolfhounds (36%) were eating high‐pulse diets and 62 of 97 (64%) were eating low‐pulse diets. There were no significant differences between diet groups in echocardiographic measurements. A significantly higher percentage of dogs in the high‐pulse diet group (6/35 [17%]) had VPCs compared with those in the low‐pulse diet group (1/62 [2%]; effect size = 0.15 [95% confidence interval: 0.004‐0.31]; P =.005). Conclusions and Clinical Importance: In this retrospective study of apparently healthy Irish Wolfhounds, high‐pulse diets were associated with a higher prevalence of VPCs which could represent early cardiac abnormalities. [ABSTRACT FROM AUTHOR]

Micro- and nanoplastics (MNPs) have become ubiquitous contaminants of water and foods, resulting in high levels of human ingestion exposure. MNPs have been found in human blood and multiple tissues, suggesting that they are readily absorbed by the gastrointestinal tract (GIT) and widely distributed. Growing toxicological evidence suggests that ingested MNPs may pose a serious health threat. The potential genotoxicity of MNPs, however, remains largely unknown. In this study, genotoxicity of primary and environmentally relevant secondary MNPs was assessed in a triculture small intestinal epithelium (SIE) model using the CometChip assay. Aqueous suspensions of 25 and 1000 nm carboxylated polystyrene spheres (PS25C and PS1KC), and incinerated polyethylene (PEI PM0.1) were subjected to simulated GIT digestion to create physiologically relevant exposures (digestas), which were applied to the SIE model at final MNP concentrations of 1, 5, and 20 μg/mL for 24 or 48 h. PS25C and PS1KC induced DNA damage in a time- and concentration-dependent manner. To our knowledge, this is one of the first assessment of MNP genotoxicity in an integrated in vitro ingestion platform including simulated GIT digestion and a triculture SIE model. These findings suggest that ingestion of high concentrations of carboxylated PS MNPs could have serious genotoxic consequences in the SIE. [ABSTRACT FROM AUTHOR]

The article discusses the role of the circadian clock in regulating the body's internal rhythm and the potential impact of time-restricted eating (TRE) on mental health, specifically depression. The circadian clock, consisting of a central clock in the brain and peripheral clocks in other organs, relies on behavioral cues such as food intake to maintain a consistent 24-hour rhythm. Eating earlier in the day and fasting during the night is associated with improved metabolic health, while late-night eating is linked to weight gain and increased BMI. Sleep and the circadian clock are interconnected, and interventions that target behavioral cues like light exposure and eating timing can improve sleep and mental health conditions like depression. However, existing studies on TRE have primarily focused on biological rather than mental health outcomes, and more research is needed to explore the potential of TRE as an intervention for depression. Clinicians should also consider the potential risks of rigid attitudes around eating and monitor patients' attitudes towards TRE to avoid unhealthy behaviors. The content and quality of the food consumed are also important factors to consider when implementing TRE. Overall, TRE presents a new approach that may complement existing treatments for depression and warrants further research on its impact on mental health. [Extracted from the article]

The imagery of Nebuchadnezzar's divine affliction in Daniel 4 is as complex as it is fantastic. A variety of literary images interweave to present the king's affliction in explicitly animalising terms. Despite this complexity, most visual depictions of the text focus on a largely similar image – that of Nebuchadnezzar eating grass or living naked in the wild. However, in a 17th-century English tapestry series associated with Thomas Poyntz, an altogether different scene is envisioned. Nebuchadnezzar is portrayed as fully clothed in the city of Babylon and, even more intriguingly, is explicitly depicted with both birds' claws and feathers. This paper outlines trends in visually depicting Nebuchadnezzar's affliction in art and then examines the tapestry's visual portrayal of Daniel 4. In so doing, it is observed how the tapestry is distinctive in representing both the divine pronouncement and seeming enactment of this affliction in one image, as well as discerning the influence of lycanthropic interpretations of Daniel 4. Finally, this paper returns to read the biblical narrative in light of this unusual visual representation and observes how it draws the reader's attention to two often overlooked textual features: the absence of other characters within this specific scene, and the rapidity with which Nebuchadnezzar's affliction commences. [ABSTRACT FROM AUTHOR]

Digesta were collected from the intestines of seven species of bottom‐feeding fish to better understand the role of incidental ingestion of sediment in exposing fish to inorganic contaminants. A composite sediment tracer variable, based on concentrations of Co, Cr, Ni, Ti, V, and Y in digesta and in sediment, was calculated to estimate sediment content of digesta. Concentration factors (mg/kg in digesta divided by mg/kg in sediment) of eight elements of interest were linearly regressed on this tracer variable. The relative importance of sediment ingestion to oral exposure was quantified. Zinc, Cd, and Cu were ingested mainly from sediment‐free food. Arsenic, Cr, Ni, Al, and Pb, in contrast, were ingested mainly from sediment. As an example, 93% of the Ni in digesta from a brown bullhead (Ameiurus nebulosus) was from sediment and only 7% from food. Regressions of Al and Pb in digesta of suckers (Catostomidae) suggested an additional oral source, possibly from oxides coating biotic or abiotic surfaces. Overall, concentrations of 12 of 21 elements studied were positively correlated with sediment content (p < 0.005). Including sediment ingestion as a pathway for bottom‐feeding fish is essential for accurately estimating exposures in toxicological studies. Environ Toxicol Chem 2024;43:1036–1046. Published 2024. This article is a U.S. Government work and is in the public domain in the USA. [ABSTRACT FROM AUTHOR]

The relationship between saturated fatty acids (SFA) and bladder cancer (BC) risk has been conflicting. Our aim was to investigate the relationship between erythrocyte membrane SFA and BC risk. A total of 404 participants were enrolled in the study (including 112 cases and 292 controls). A validated food frequency questionnaire was used to assess the food intake. The constitutive composition of fatty acids in the erythrocyte membrane was measured by gas chromatography. After adjustment for BC risk factors, SFA had no significant association with BC risk. However, C18:0 was positively linked with BC risk with an odds ratio (OR; 95% CI) of 2.99 (1.37–6.53). In contrast, very-long-chain saturated fatty acids (VLCSFA), especially C24:0, were negatively related to BC risk with an OR (95% CI) of 0.28 (0.12–0.65) for VLCSFA and 0.33 (0.15–0.75) for C24:0. Higher total odd-chain SFA (C15:0 and C17:0) were associated with a lower risk of BC with OR (95% CI) of 0.18 (0.076–0.44), 0.18 (0.068–0.47), 0.34 (0.14–0.81), respectively. After subgroup analysis, the protective effects C15:0 and C17:0 were still remained. Receiver operating characteristic analysis displayed that the combination of C15:0 and C17:0 indexes increased the accurate predictive rate of BC risk. Further mediation effect analysis showed that C15:0 and C17:0 could be used as partial mediation effectors for milk and dairy products and bladder carcinogenesis. Overall, the combination of odd-chain SFA (C15:0 and C17:0) in the erythrocyte membrane could serve as a reliable mediator and predictor, indicating a relationship between a high intake of milk and dairy products and a lower risk of BC. [ABSTRACT FROM AUTHOR]

Foreign body (FB) aspiration/ingestion in children represents a major cause of hospital admission and mortality. Evaluating risk factors and identifying trends in specific FB products could improve targeted health literacy and policy changes. A cross-sectional study querying emergency department patients less than 18 years old with a diagnosis of aspirated/ingested FB was conducted using the National Electronic Injury Surveillance System database between 2010 and 2020. Incidence rates per 100 000 people-year were calculated and multivariate analyses were performed to identify risk factors for hospital admission and mortality. There has been a significantly decreasing rate of aspirated (−23.6%; P =.013) but not ingested FB (−9.4%; P =.066) within the study period. Within pediatric aspirated FB, black compared with white patients had decreased odds of same hospital admission (odds ratio [OR]: 0.8), but increased odds of transfer admission (OR: 1.6) and mortality (OR: 9.2) (all, P <.001). [ABSTRACT FROM AUTHOR]

This review examines the totality of evidence from randomized controlled trials to answer critical questions about the satiety perception of whole-grain oats, oat bran, and isolated beta-glucan. Twenty-two randomized controlled studies were selected following stringent criteria to minimize confounding. Whole-grain oats and oat bran more effectively promoted the perception of satiety than other grain foods that were lower in fiber, higher in refined grains, or lower in viscosity. When oat products were compared with other oat products, those higher in fiber and viscosity generally resulted in increased perception of satiety. Data for isolated beta-glucan were very limited, and no clear conclusions could be drawn. Of the different indices of satiety perception (i.e. hunger, fullness, satiety, desire to eat, prospective food intake), increased fullness was found to be the most positive satiety measurement for whole-grain oat and oat bran products. However, the intake of oat products was not found to consistently reduce short-term energy intake, particularly when limited to a second-meal effect. This may be attributed to the fact that the energy intake for the entire day was typically not measured, as the impact of soluble fiber on energy intake may be delayed. [ABSTRACT FROM AUTHOR]

Less help-seeking for an eating disorder is predicted by higher levels of denial of, and failure to perceive, illness severity. This research evaluates a "backdoor" approach to early intervention by investigating whether internet cognitive behaviour therapy for perfectionism can significantly improve disordered eating. Additionally, we investigated whether a more interactive intervention impacted outcomes. Participants were recruited worldwide online; 368 were screened, 172 (46.7%) met inclusion criteria (endorsed high shape, weight, or eating concerns) and randomised to an interactive (Focused Minds Program; FMP) or static PDF intervention (Centre for Clinical Intervention; CCI-P) or waitlisted (control condition). Participants completed assessments on disordered eating, perfectionism, and a range of secondary variables at the end of treatment, and 1- and 3-month follow-up. Intent-to-treat analyses indicated that, compared to control, FMP resulted in significantly lower levels of disordered eating at each assessment and CCI-P at the 1- and 3-month follow-up (respective 3-month follow-up between group effect sizes of 0.78 and 0.54). There were no significant differences between the two active interventions on any measure except depression and hated self. Results suggest an alternative approach to directly tackling disordered eating that is low-cost is effective, with a more interactive intervention producing a more rapid effect. Trials Registration: Australian New Zealand Clinical Trials Registry (ANZCTR) Trial Number: ACTRN12621001448831 [ABSTRACT FROM AUTHOR]

Background: The Global Diet Quality Score (GDQS) was developed to be a simple, timely and cost-effective tool to track, simultaneously, nutritional deficiency and non-communicable disease risks from diet in diverse settings. The objective was to investigate the performance of GDQS as an indicator of adequate nutrient intake and dietary quality in a national-representative sample of the Brazilian population. Methods: Nationally-representative data from 44,744 men and non-pregnant and non-lactating women aging ≥ 10 years, from the Brazilian National Dietary Survey were used. Dietary data were collected through two 24-h recalls (24HR). The GDQS was calculated and compared to a proxy indicator of nutrient adequate intake (the Minimum Dietary Diversity for Women—MDD-W) and to an indicator of high-risk diet for non-communicable diseases (caloric contribution from ultra-processed foods—UPF). To estimate the odds for overall nutrient inadequacy across MDD-W and GDQS quintiles, a multiple logistic regression was applied, and the two metrics' performances were compared using Wald's post-test. Results: The mean GDQS for Brazilians was 14.5 (0–49 possible range), and only 1% of the population had a low-risk diet (GDQS ≥ 23). The GDQS mean was higher in women, elderly individuals and in higher-income households. An inverse correlation was found between the GDQS and UPF (rho (95% CI) = -0.20(-0.21;-0.19)). The odds for nutrient inadequacy were lower as quintiles of GDQS and MDD-W were higher (p-trend < 0.001), and MDD-W had a slightly better performance than GDQS (p-diff < 0.001). Having a low-risk GDQS (≥ 23) lowered the odds for nutrient inadequacy by 74% (95% CI:63%-81%). Conclusion: The GDQS is a good indicator of overall nutrient adequacy, and correlates well with UPF in a nationally representative sample of Brazil. Future studies must investigate the relationship between the GDQS and clinical endpoints, strengthening the recommendation to use this metric to surveillance dietary risks. [ABSTRACT FROM AUTHOR]

Objective: Unusual clinical course Background: Unintentional medication-blister ingestion is rare but frequently leads to intestinal perforation. The diagnosis of intestinal perforation following blister ingestion is often delayed because of an unreliable history and nonspecific clinical presentation. The purpose of this case report is to raise awareness about a rare but difficult diagnosis and its importance in avoiding potentially fatal events. Case Reports: Herein, we describe successful cases of surgical and endoscopic removal after blister ingestion. The first case was that of a polymorbid 75-year-old man who presented with acute onset of abdominal pain in the right upper quadrant and epigastric regions. No indication of the cause was observed on initial computed tomography (CT). The patient developed an acute abdomen, and emergency laparotomy was performed, during which 2 small perforations were observed in the terminal ileum, and an empty tablet blister was retrieved. The second patient was a 55-year-old man who presented with a considerable lack of awareness. On the initial CT, a subdural hematoma, aspiration, and an unidentified foreign body in the stomach were observed. Gastroscopy was performed after emergency craniotomy. In addition to the initial foreign body, a second object, which had gone unnoticed on the initial CT, was found and removed from the esophagus. Conclusions: With an increased risk of perforation and difficult clinical and radiological diagnoses, prophylactic measures and special awareness of high-risk patients are particularly important. [ABSTRACT FROM AUTHOR]

Carbohydrates (CHO) and caffeine (CAF) are two ergogenic aids commonly used among athletes to enhance performance. However, there is some controversy as to whether the concurrent intake of both supplements might result in an additive and synergistic improvement in exercise performance. The aim of this systematic review and meta-analysis was to determine the effect of adding CAF to a protocol of CHO ingestion, compared with the intake of each ergogenic aid alone and with placebo, on exercise performance and metabolic responses in healthy young physically active adults. This study was conducted according to PRISMA 2020 guidelines. The PubMed, Web of Science, Medline Complete, CINAHL, SPORTDiscus and CENTRAL databases were searched including randomized controlled trials (RCT) that were at least single blind. The risk of bias assessment was performed using the Cochrane Risk-of-Bias tool 2. Meta-analysis were performed on performance variables and rating of perceived exertion (RPE) using the random-effects model. Thirteen RCT with 128 participants (117 men and 11 women) were included in this study. The ingestion of CAF and CHO reduced sprint time during repeated sprint protocols in comparison with CHO isolated ingestion (SMD: −0.45; 95% CI: −0.85, −0.05) while there was a tendency for a reduction in the time employed during time trials (SMD: −0.36; 95% CI: −0.77, 0.05). The RPE tended to be lower with CAF and CHO compared with CHO isolated ingestion during steady-state exercise (SMD: −0.43; 95% CI: −0.91, 0.05) with no differences between conditions in performance trials (SMD: −0.05, 95% CI: −0.39, 0.29). Although most of the studies showed higher values of blood glucose when CHO was co-ingested with CAF compared with PLA, only two studies observed higher values with CHO and CAF co-ingestion with respect to the isolated intake of CHO. One study observed greater fat oxidation and lower glycogen use when CAF was added to CHO. In terms of cortisol levels, one study showed an increase in cortisol levels when CAF was co-ingested with CHO compared with PLA. In summary, concurrent CHO and CAF intake may produce an additive ergogenic effect respect of the isolated ingestion of CHO. This additive effect was present when CHO was provided by a 6–9% of CHO solution (maltodextrin/dextrin + fructose) and CAF is administered in a dose of 4–6.5 mg/kg. [ABSTRACT FROM AUTHOR]

Rice (Oryza sativa) is an important source of human internal exposure to radionuclides and heavy metals because, worldwide, a large fraction of the population consume rice as their daily basic diet. In this study, the levels and correlation of natural radioactivity (232Th, 226Ra and 40K) and heavy metals (Pb, Ni and Cd) in local rice sold in Enugu urban markets, a southeastern part of Nigeria, were examined. Possible health implications were also evaluated. The mean activity concentrations were estimated to be 235.81 ± 12.93, 54.29 ± 8.08 and 63.70 ± 3.93 Bqkg−1 for 40K, 226Ra and 232Th respectively. Obtained values were higher than values reported in the literature for rice in other locations. The estimated committed effective doses for 226Ra and 232Th exceeded the global ingestion dose average of 0.12 mSvy,–1 whereas that of 40K is below the 0.17 global average. The average concentrations of the metals were estimated to be 0.41, 3.70, and 0.02 mgkg–1 for Pb, Cd and Ni, respectively, with only Ni having an average concentration below the threshold food safety limit of FOA/WHO. Only the concentrations of Cd were of significant levels with their health risk indices exceeding the tolerable reference levels for both children and adult. Only the pairs, 232Th-Ni and Pd-Cd, correlated significantly (p < 0.05) which implies common sources. Multivariate principal component analysis indicated common natural sources for 226Ra, 232Th and Ni in local rice, possibly of lithogenic and paedogenic in nature. It is believed that the results of this study will be valuable to the radiological and toxicological food safety and policy framework of WHO/FAO in Nigeria and the rest of the world. [ABSTRACT FROM AUTHOR]

Over the last few decades, stunting has decreased worldwide, although the prevalence remains high in underdeveloped and developing countries. A child's healthy growth is a key measure of their overall well-being, and it is directly linked to his or her nutrient intake and resistance to illnesses. This study determined the nutrient intake of stunted Filipino school-age children utilizing secondary data from the 2018-2019 Expanded National Nutrition Survey conducted by the Department of Science and Technology-Food and Nutrition Research Institute. A total of 26,332 5-10-yr-old school-age children were included in the study. The data utilized were nutritional status, socio-economic status and demographic profile, and nutrient intake of schoolage children. Stata version 16 was used for all statistical tests, whereas the PC-SIDE software was used for the estimation of the mean usual intake of energy and nutrients. Among stunted school-age children, mean energy, protein, iron, thiamin, riboflavin, niacin, and fat intake were significantly higher among urban households than their counterparts. The proportion of stunted school-age children meeting the recommended intake for energy (9.3%), iron (15%), vitamin A (24.8%), thiamin (27%), and riboflavin (29.8%) were significantly higher in the urban as compared to rural areas. The energy, protein, vitamin A, vitamin C, thiamin, niacin, riboflavin, iron, and calcium intake of stunted school-age children were significantly lower as compared to the non-stunted. The data show that despite the decreasing prevalence of undernutrition in the country, the problem of childhood stunting still persists. Furthermore, non-stunted children only had slightly better nutrient intakes. These urges work on the major determinants of stunting in the Philippines and the implementation of appropriate interventions such as supplementary feeding programs, food production, and nutrition education. [ABSTRACT FROM AUTHOR]

In this article, I examine Indo-Mauritian-Canadian author Naben Ruthnum's memoir-essay Curry: Eating, Reading, Race (2017) in order to examine the veracity of the dominant perception of South Asian diasporic identity as a collective designation through its association with the ubiquitous dish of curry which embodies a predominant cultural signifier of an extensively diverse population. Ruthnum's significant aim is to challenge the existence of a supposedly authentic Indian curry and also to question the risk-averse publishing industry which solicits stories steeped in stereotypically authentic and nostalgic experiences from the second or third generation South Asian diasporic authors. Through an exploration of many ideas of authenticity and multiple ways of cooking the diverse dish of curry, I argue that diasporic authenticity is more appropriately performed not through replication and preservation of the past, but through constant recreation and reinvention of an individual's present predicaments. Authenticity in diaspora is, therefore, unique and individual, and an embodiment of personal history. As there are many truths to the same story, and many versions of the same story, there are multiple ways of cooking authentic curries and diverse modes of confronting one's own self as a South Asian diasporic in the world. [ABSTRACT FROM AUTHOR]

Background: Loperamide is an over-the-counter anti-diarrheal mu-opioid analogue that has appeared more frequently in emergency department patients in excessive doses to mitigate opioid cravings and withdrawal symptoms. Given the concern for its abuse potential and serious cardiotoxicity at high doses, we aimed to describe the cardiac effects in patients with loperamide ingestions reported to the Texas Poison Center Network (TPCN). Methods: Single agent loperamide ingestions for all ages were extracted from the TPCN database from 2004 to 2021. We defined exposure reasons and medical outcomes according to the America's Poison Centers classification system. Results: The TPCN recorded 1,421 single agent loperamide ingestions during this period, with a mean of 79 ingestions annually. Most cases (n=931, 65.5%) occurred in children under six years of age and were evenly split between males and females. Most cases were unintentional (n=904, 64.0%), while 12.7% (n=181) were for abuse, misuse, and suspected suicide. Most cases (72.6%) experienced no or minimal effects. Cardiac events occurred in 33 patients (2.3%) and included tachycardia (n=19, 57.6%), bradycardia (n=10, 30.3%), ventricular tachycardia (n=8, 24.2%), conduction disturbance (n=7, 21.2%), asystole (n=2, 6.1%), and cardiac arrest (n=4, 12.1%). Three of the four cardiac arrest cases were for "suspected suicide," "intentional abuse," and "unknown intent," while the fourth was "unknown relation to the exposure." Most (n=25, 75.8%) cases with a cardiac event were intentional exposures. Conclusions: Most single agent loperamide ingestions reported to the TPCN were unintentional and occurred in patients under six years of age. A portion of patients experienced multiple cardiac events (conduction disturbances, dysrhythmias, and cardiac arrests) related to loperamide ingestions. [ABSTRACT FROM AUTHOR]

People's Dietary Patterns (DPs) are influenced by culture and ethnicity, and their identification requires a holistic assessment of diet. DP reflects dietary behaviors, and its analysis may provide further details about the dietary etiology of chronic diseases. By examining people's DP and related factors, more practical solutions can be proposed to prevent overweight, obesity, and related diseases. This study aimed to describe DP, Eating Restrictions (ER), Food Involvement (FI), Nutrition Knowledge (NK), and anthropometric indices in Iranian adults and determine the mediating role of FI in the relationship between ER, NK, and DP. A descriptive cross-sectional study was conducted using the structural equation modeling approach. The study was conducted on 2421 adults in Mazandaran Province, northern Iran. The Eating Restrictions Questionnaire (ERQ), the Food Involvement Inventory (FII), the komPAN questionnaire, and a demographic characteristics and anthropometric indices questionnaire were used to collect data. We also measured the seven major food groups, the Diet Quality Scores (DQS), and the six dietary indices, including the pro-Healthy-Diet-Index (pHDI-15), non-Healthy Diet-Index (nHDI-16), high-Glycemic-Diet-Index-7 (hGIDI-7), low-Glycaemic-Diet-Index-4 (lGIDI-4), high-Sugar-Diet-Index-4 (hSDI-4), and high-sugar product (hSFDI-6) and compared their values by gender and four BMI groups. The prevalence of ER and FI was 6.25% and 49.1%, respectively. NK was insufficient for 43.1% of the participants. Most participants (71.2%) had low DQS scores on pHDI-15 and moderate scores (52.9%) on nHDI-16. DQS scores were low in 64.8% of participants in the lGIDI-4 food group, while 71.7%, 92.6%, and 77.2% possessed moderate scores in the hGIDI-7, hSFDI-6, and hSDI-4 food groups, respectively. The mean pHDI-15 and lGIDI-4 indices were higher in women than in men. The amount of unhealthy food indices (nHDI-16, hGIDI-7, hSDI-4, and hSFDI-6) was higher in lean, overweight, and obese people than in people with a normal BMI. The structural model assumed between ER and DP and the mediating role of FI fit well with Iranian adults. Moreover, FI had a mediating role in the relationship between NK and pHDI_15 (Indirect Effects = 0.05, P<0.05) and nHDI_16 (Indirect Effects = -0.07, P<0.01). Most participants are small portions of the healthy food groups and the low glycemic foods, and FI plays a mediating role in the relationship between NK and ER with DP. Therefore, it is necessary to pay attention to the role of FI as a mediating variable in interventions based on reducing ER, increasing NK, and shifting DP from unhealthy to healthy. [ABSTRACT FROM AUTHOR]

Over the past few decades, there has been a global surge in the prevalence of obesity, rendering it a globally recognized epidemic. Contrary to simply being a medical condition, obesity is an intricate disease with a multifactorial aetiology. Understanding the precise cause of obesity remains a challenge; nevertheless, there seems to be a complex interplay among biological, psychosocial and behavioural factors. Studies on the genetic factors of obesity have revealed several pathways in the brain that play a crucial role in food intake regulation. The best characterized pathway, thus far, is the leptin–melanocortin pathway, from which disruptions are responsible for the majority of monogenic obesity disorders. The effectiveness of conservative lifestyle interventions in addressing monogenic obesity has been limited. Therefore, it is crucial to complement the management strategy with pharmacological and surgical options. Emphasis has been placed on developing drugs aimed at replacing the absent signals, with the goal of restoring the pathway. In both monogenic and polygenic forms of obesity, outcomes differ across various interventions, likely due to the multifaceted nature of the disease. This underscores the need to explore alternative therapeutic strategies that can mitigate this heterogeneity. Precision medicine can be regarded as a powerful tool that can address this concern, as it values the understanding of the underlying abnormality triggering the disease and provides a tailored treatment accordingly. This would assist in optimizing outcomes of the current therapeutic approaches and even aid in the development of novel treatments capable of more effectively managing the global obesity epidemic. [ABSTRACT FROM AUTHOR]

Antipredator responses could affect nutrient intake, which could lead to nutritional deficits. However, little is known about the antipredator response of small herbivores because most are nocturnal or crepuscular and therefore very difficult to study in the field. Therefore, we experimentally assessed the effect of a reactive response to predation risk on the nutrient (i.e., phosphorous) intake of the European hare (Lepus europaeus) using three different playback sounds. Additionally, we studied the time spent being costly vigilant, the time spent foraging, and the vegetation height in which the hares were present using accelerometers and GPS. Our results showed that elevated predation risk from our playback experiment did not affect the (1) phosphorus intake, (2) time spent being costly vigilant, and (3) time spent in tall vegetation. However, elevated predation risk did increase the time spent foraging. Possibly hares spent more time foraging with an increased predation risk because hares cannot seek refuge from predators. Additionally, the effect on phosphorus intake could be weak because phosphorous intake does not benefit a flight escape, while the reactive response acts late in the predation sequence limiting the effect on hare ecology. Prey anti-predator responses seem strongly related to the escape tactics of prey species that can differ between different habitats and the time of the day. More detailed field studies are necessary to get a better insight into species' anti-predator-food tactics. [ABSTRACT FROM AUTHOR]

Celiac disease (CD) is an immune disorder, that is triggered by gluten ingestion in genetically predisposed individuals. The HLA‐DQB1*02 allele is the main predisposing genetic factor and a candidate for first‐line genotyping screening. We designed and validated a simple, DNA purification‐free PCR protocol directly from crude saliva, enabling the detection of the DQB1*02 allele. This assay also distinguishes homozygous from heterozygous carriers. We propose this method for use in mass screening and/or epidemiological studies. [ABSTRACT FROM AUTHOR]

Curcuma xanthorrhiza Roxb, Phyllanthus niruri L., and Morinda citrifolia L. are Indonesian medicinal herbs used empirically as traditional therapeutics for maintaining health. The cocktail extract of these three plants (CECPM) had been developed and demonstrated immunostimulant activity in rats. This study aimed to evaluate the acute and subchronic toxicity of CECPM in vivo. The acute toxicity assay was conducted by orally administering a range dose of CECPM (313, 625, 1250, 2500, or 5000 mg/kg body weight (bw) on female mice once and then evaluating the toxic symptom every day for 14 days later. The chronic toxicity test was carried out by giving various doses of CECPM (600, 800, and 1000 mg/kg·bw) to female and male rats orally continuously for 90 consecutive days. The signs of toxicities were evaluated at the 90- and 28 days postadministration. The acute oral toxicity assays showed that there was no toxic syndrome and mortality found during the period of the experiment. The lethal dose level (LD50) of CECPM was more than 5000 g/kg, which was categorized as practically non-toxic. Meanwhile, in the sub-chronic toxicity study, some parameters tested at 90 days postadministration and after 28 days of withdrawal, such as the body weight, relative organ weight, food intake, hematological and biochemical blood parameters, and also histopathological examination of five primary tissues (heart, liver, kidney, spleen, and lung) revealed no abnormalities. There was no-observed adverse effect level (NOAEL) for the present study of CECPM 1000 mg/kg·bw of the rat. Therefore, it is concluded that the orally administered CECPM was relatively nontoxic during acute and subchronic toxicology studies. [ABSTRACT FROM AUTHOR]

Fishes are exposed to natural and anthropogenic changes in their environment, which can have major effects on their behaviour and their physiology, including feeding behaviour, food intake and digestive processes. These alterations are owing to the direct action of environmental physico-chemical parameters (i.e. temperature, pH, turbidity) on feeding physiology but can also be a consequence of variations in food availability. Food intake is ultimately regulated by feeding centres of the brain, which receive and process information from endocrine signals from both brain and peripheral tissues such as the gastrointestinal tract. These endocrine signals stimulate or inhibit food intake, and interact with each other to maintain energy homeostasis. Changes in environmental conditions might change feeding habits and rates, thus affecting levels of energy stores, and the expression of endocrine appetite regulators. This review provides an overview of how environmental changes and food availability could affect feeding and these endocrine networks in fishes. This article is part of the theme issue 'Endocrine responses to environmental variation: conceptual approaches and recent developments'. [ABSTRACT FROM AUTHOR]

We investigated the relationship between dietary phytochemical index (DPI) and migraine headaches in Iranian patients, analyzing both clinical and psychological traits. A cross-sectional study was conducted using non-obese adults aged 20–50 years who were diagnosed with migraine. The study used a validated 168-item food frequency questionnaire to assess the usual dietary intake of participants. The DPI was calculated using the following formula: [daily energy derived from phytochemical-rich foods (in kJ)/total daily energy intake (in kJ)] × 100. Clinical outcomes of migraine including frequency, duration, and severity of headaches, as well as migraine-related disability were obtained using relevant questionnaires. Moreover, the mental health profile of patients including depression, anxiety, and stress, as well as serum levels of nitric oxide (NO) were measured. A Poisson regression was used for headache frequency. Linear regression analyzed migraine-related outcomes including duration, severity, migraine-related disability, and serum NO levels. In addition, psychological traits were analyzed via logistic regression. A total of 262 individuals (85.5% females) with a mean age of 36.1 years were included in the analysis. The frequency of migraine attacks was lower in patients in the last DPI tertile compared to those in the first DPI tertile both in the crude [incidence rate ratio (IRR) = 0.70, 95% confidence interval (CI) 0.63, 0.78, Ptrend < 0.001] and fully-adjusted models (IRR = 0.84, 95% CI 0.74, 0.96, Ptrend = 0.009). After controlling for potential confounders, an inverse relationship was observed between higher adherence to DPI and migraine-related disability (β = − 2.48, 95% CI − 4.86, − 0.10, P trend = 0.046). After controlling for potential confounders, no significant relationship was observed between DPI and depression (OR = 0.79, 95% CI 0.42, 1.47, Ptrend = 0.480), anxiety (OR = 1.14, 95% CI 0.61, 2.14, Ptrend = 0.655), and stress (OR = 1.04, 95% CI 0.57, 1.90, Ptrend = 0.876). Higher intakes of phytochemical-rich foods may be associated with lower migraine frequency and improved daily activities among patients. Further studies should confirm our observations and delineate the biological pathways linking phytochemicals and migraine headaches. [ABSTRACT FROM AUTHOR]

Patient: Female, 70-year-old Final Diagnosis: Chemical burn in the oral cavity Symptoms: Heightened salivation * intense burning sensation * oral edema Clinical Procedure: -- Specialty: Dentistry Objective: Rare disease Background: Chemical burns in the oral cavity, although rare, cause more severe tissue damage than thermal burns, continuing tissue destruction even after removing the causative substance. Prompt identification of the substance, exposure extent, time from injury to treatment, and the injured area are imperative for effective management. This report details severe oral burns in an elderly woman from accidental NaOH ingestion. Case Report: A 70-year-old female patient was presented to our hospital approximately 15 h after inadvertent consumption of approximately 20 ml of NaOH (sodium hydroxide) solution. This incident led to oral discomfort and restricted mouth opening. The ingested solution, erroneously assumed to be a beverage, was later identified as a potent alkaline substance typically employed in grease removal. Initial manifestations included intense burning sensation, oral edema, and heightened salivation, which exacerbated on the following day, adversely impacting her alimentation and verbal communication. Clinical examination disclosed extensive damage to the oral mucosa. The diagnosis encompassed a chemical burn in the oral cavity coupled with chronic gastritis. The treatment regimen comprised dietary limitations, administration of famotidine for gastric acid suppression, intravenous hydration, nutritional support, oral care with Kangfuxin liquid, and nebulization therapy. Six months after therapy, she exhibited complete recovery, with the absence of discomfort and restored normal oral functions. Conclusions: Timely and targeted treatment strategies, particularly nebulization medication and Kangfuxin liquid, are effective in managing chemical burns in the oral cavity, promoting wound healing, and preventing complications. [ABSTRACT FROM AUTHOR]

Simple Summary: This study addresses the microplastic contamination in the gastro-intestinal tract (GIT) of two cetacean species along the Romanian coast. Microplastic contamination in cetacean GITs was very little researched in the Black Sea. The GIT content of stranded and by-caught cetaceans was processed using a multi-sieve tool, an innovative approach never applied to the Black Sea. After sieving, the samples underwent a laboratory treatment to minimize organic materials in the samples, facilitating the observation of plastics under a stereomicroscope. All investigated individuals had ingested plastics, especially microplastics. Compared to other studies, the number of microplastics found was much higher. One hypothesis that these data point to is that the Black Sea may be more polluted with plastic litter than other European seas. To test this hypothesis, a more extensive analysis involving a larger number of samples should be undertaken. Simultaneously, intensifying research efforts could contribute to a more comprehensive assessment of the marine environmental status, under Marine Strategy Framework Directive (MSFD). Plastic pollution is a global concern that has a significant impact on marine life. Plastic is widely used and has become a pervasive pollutant in marine environments. Plastic contamination has been documented both in marine environments and biota. Plastic contamination in cetacean gastro-intestinal tract (GIT) content has received limited attention, especially in the Black Sea. This study aims to investigate plastic contamination in the GITs of bottlenose dolphins and harbour porpoises, introducing a novel methodology. Given the limited exploration of this issue in the Black Sea, the research predominantly focuses on microplastic contamination. The GITs were sampled through necropsy from stranded and by-caught cetaceans, and content was washed through a multi-sieves tool. The material retained on each sieve was analysed following specific protocols. All (100%) of the GITs contained plastics (meso- and microplastics). In total, 1059 items (fibres, fragments, and beads) ranging from 22.86 µm to 5776 µm were found, suggesting a high contamination level in the Black Sea cetaceans. Future efforts should concentrate on increasing the number of samples and using the results for the implementation of the Marine Strategy Framework Directive (MSFD). [ABSTRACT FROM AUTHOR]

BACKGROUND: Yeast biomass, encompassing fatty acids, terpenoids, vitamins, antioxidants, enzymes, and other bioactive compounds have been extensively utilized in food‐related fields. The safety and potential bioactivities of Scheffersomyces segobiensis DSM 27193, an oleaginous yeast strain, are unclear. RESULTS: Scheffersomyces segobiensis DSM 27193 accumulated large palmitoleic acid (POA) levels (43.4 g kg−1 biomass) according to the results of whole‐cell components. We annotated the Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis, and predicted the categories and host of the pathogen–host interactions (PHI) genes in S. segobiensis DSM 27193. However, S. segobiensis DSM 27193 did not exert toxic effects in mice. Administration of S. segobiensis DSM 27193 led to substantial weight reduction by diminishing food intake in an obesity mouse model. Additionally, it reversed hepatic steatosis and adipose tissue hypertrophy, and improved abnormalities in serum biochemical profiles such as triglyceride, total cholesterol, low‐density lipoprotein cholesterol, lipopolysaccharide, tumor necrosis factor‐α, interleukin‐1β, and interleukin‐6. CONCLUSION: This study is the first to illustrate the safety and effects of S. segobiensis DSM 27193 against obesity and offers a scientific rationale for its application in functional food supplements. © 2023 Society of Chemical Industry. [ABSTRACT FROM AUTHOR]

Mental health problems among youth have escalated over the past decade, with increased rates of self-harm, including suicide attempts by ingestion. Social media use has been linked to youth mental health, including "challenges" urging youth to ingest substances for recreational and other purposes. We hypothesized that social media challenges for particular substances would temporally correspond with increased ingestions of these substances. We identified peak Google Trends search times for social media ingestion challenges involving diphenhydramine, laundry pods, nutmeg, and cinnamon, and used data from America's Poison Centers National Poison Data System to plot reported ingestions 3 months before and after peak searches in school-aged children. There were 2,169 individuals in the analysis. Diphenhydramine was the most frequently reported ingestion for misuse/abuse and suicidal purposes (n = 266 and 1,609, respectively). For all ingestions together, 45 percent (n = 979) had a moderate health effect, and 6.35 percent (n = 137) had a major health effect. Time of peak searches corresponded with increased ingestions for each substance. We found a temporal relationship between peak Google Trends searches for ingestion challenges and ingestions of that substance reported to United States poison centers. Compared to misuse/abuse ingestions, most suicidal ingestions peaked 1–2 months later, suggesting a public health opportunity for intervention. This retrospective observational study does not establish causal effect. All data are a result of self-reporting of the exposures, which may lead to a reporting bias. Google Trends is not the only search engine and likely underestimates the true incidence of social media posts. Additional research is needed on the relationship between social media and youth mental health, particularly around "challenges" that place youths' health at risk. There may be opportunities for intervention to decrease medical and mental health sequelae of these challenges. [ABSTRACT FROM AUTHOR]

Background: Little is known about the relationship between dietary intake of phytochemicals with metabolic health status and underlying mechanisms. Objectives: Little is known about the relationship between dietary intake of phytochemicals with metabolic health status and underlying mechanisms. We hypothesized that dietary phytochemical index (DPI) improves metabolic health status by ameliorating serum concentrations of brain-derived neurotrophic factor (BDNF) and adropin. Methods: A cross-sectional study was performed in 527 adults (286 males and 241 females). The dietary intakes of participants were collected by a 168-item food frequency questionnaire, and DPI was estimated as a percentage of energy intake derived from phytochemicalrich foods. Anthropometric variables, blood pressure, glycemic and lipid profiles, and biochemical variables were assessed. The metabolically unhealthy (MU) phenotype was determined based on the definition presented by Wildman et al. Results: The MU phenotype was identified in 51.4% of male and 32.0% of female participants. Participants in the third tertile of DPI had 59% lower odds of MU than those in the first tertile (OR: 0.41; 95% CI: 0.19, 0.87) after considering potential confounders. Stratified analysis by sex and body mass index indicated that DPI was inversely related to MU phenotype in females (OR: 0.28; 95% CI: 0.08, 0.97) and normal-weight individuals (OR: 0.11; 95% CI: 0.02, 0.62). DPI was also inversely associated with hyperglycemia, hypertriglyceridemia, and chronic inflammation. Nonsignificant reduced odds of low BDNF (OR: 0.87; 95% CI: 0.42, 1.84) and adropin (OR: 0.75; 95% CI: 0.31, 1.79) were observed in individuals in the top tertile of DPI compared with those in the bottom tertile. Conclusions: This study showed that individuals with higher dietary intake of phytochemicals had lower odds of MU, particularly females and normal-weight individuals. No significant relationship was observed between serum BDNF and adropin with phytochemical intake. [ABSTRACT FROM AUTHOR]

We used quantitative microbial risk assessment to estimate ingestion risk for intI1, erm(B), sul1, tet(A), tet(W), and tet(X) in private wells contaminated by human and/or livestock feces. Genes were quantified with five human-specific and six bovine-specific microbial source-tracking (MST) markers in 138 well-water samples from a rural Wisconsin county. Daily ingestion risk (probability of swallowing ≥1 gene) was based on daily water consumption and a Poisson exposure model. Calculations were stratified by MST source and soil depth over the aquifer where wells were drilled. Relative ingestion risk was estimated using wells with no MST detections and >6.1 m soil depth as a referent category. Daily ingestion risk varied from 0 to 8.8 × 10−1 by gene and fecal source (i.e., human or bovine). The estimated number of residents ingesting target genes from private wells varied from 910 (tet(A)) to 1,500 (intI1 and tet(X)) per day out of 12,000 total. Relative risk of tet(A) ingestion was significantly higher in wells with MST markers detected, including wells with ≤6.1 m soil depth contaminated by bovine markers (2.2 [90% CI: 1.1–4.7]), wells with >6.1 m soil depth contaminated by bovine markers (1.8 [1.002–3.9]), and wells with ≤6.1 m soil depth contaminated by bovine and human markers simultaneously (3.1 [1.7–6.5]). Antibiotic resistance genes (ARGs) were not necessarily present in viable microorganisms, and ingestion is not directly associated with infection. However, results illustrate relative contributions of human and livestock fecal sources to ARG exposure and highlight rural groundwater as a significant point of exposure. IMPORTANCE Antibiotic resistance is a global public health challenge with well-known environmental dimensions, but quantitative analyses of the roles played by various natural environments in transmission of antibiotic resistance are lacking, particularly for drinking water. This study assesses risk of ingestion for several antibiotic resistance genes (ARGs) and the class 1 integron gene (intI1) in drinking water from private wells in a rural area of northeast Wisconsin, United States. Results allow comparison of drinking water as an exposure route for antibiotic resistance relative to other routes like food and recreational water. They also enable a comparison of the importance of human versus livestock fecal sources in the study area. Our study demonstrates the previously unrecognized importance of untreated rural drinking water as an exposure route for antibiotic resistance and identifies bovine fecal material as an important exposure factor in the study setting. [ABSTRACT FROM AUTHOR]

Baleen whales are ecosystem sentinels of microplastic pollution. Research indicates that they likely ingest millions of anthropogenic microparticles per day when feeding. Their immense prey consumption and filter-feeding behavior put them at risk. However, the role of baleen, the oral filtering structure of mysticete whales, in this process has not been adequately addressed. Using actual baleen tissue from four whale species (fin, humpback, minke, and North Atlantic right) in flow tank experiments, we tested the capture rate of plastics of varying size, shape, and polymer type, as well as chemical residues leached by degraded plastics, all of which accumulated in the baleen filter. Expanded polystyrene foam was the most readily captured type of plastic, followed by fragments, fibers, nurdles, and spherical microbeads. Nurdle and microbead pellets were captured most readily by right whale baleen, and fragments were captured by humpback baleen. Although not all differences between polymer types were statistically significant, buoyant polymers were most often trapped by baleen. Plastics were captured by baleen sections from all regions of a full baleen rack, but were more readily captured by baleen from dorsal and posterior regions. Baleen–plastic interactions underlie various risks to whales, including filter clogging and damage, which may impede feeding. We posit that plastics pose a higher risk to some whale species due to a combination of factors, including filter porosity, diet, habitat and geographic distribution, and foraging ecology and behavior. Certain whale species in specific marine regions are of the greatest concern due to plastic abundance. It is not feasible to remove all plastic from the sea; most of what is there will continue to break into ever-smaller pieces. We suggest that higher priorities be accorded to lessening humans' dependence on plastics, restricting entry points of plastics into the ocean, and developing biodegradable alternatives. [ABSTRACT FROM AUTHOR]

Background/Aims: Upper gastrointestinal bleeding (UGIB) is the most common GI condition requiring hospitalization. The present study aimed to evaluate the safety and feasibility of using the PillSense system (EnteraSense Ltd.), a novel diagnostic tool designed for the rapid in vivo detection of UGIB, in human volunteers. Methods: In the present study, 10 volunteers swallowed a PillSense capsule, followed by 2 servings of an autologous blood preparation. Participants were monitored for capsule passage, overall tolerability of the procedure, and adverse events. Results: The procedure was completed per the protocol established in the present study in 9/10 cases. In 9 of the subjects, after capsule ingestion, the device indicated the absence of blood with sensor output values of 1. After the ingestion of the first blood mixture, the sensor outputs of all devices increased to a range from 2.8 to 4, indicating that each sensor capsule detected blood. The sensor output remained within that range after the ingestion of the second mixture; however, in one case, the baseline capsule signal was positive, because of a preexisting condition. The passage of the capsule was verified in all patients, and no adverse events were reported. Conclusions: The first trial of the PillSense system in human subjects demonstrated the feasibility, safety, and tolerability of utilizing this product as a novel, noninvasive, and easy-to-use triage tool for the diagnosis of patients suspected of having UGIB. [ABSTRACT FROM AUTHOR]

Nitrogen fertilizer affects rice endosperm protein, which in turn affects rice taste. However, study of nitrogen regulation of protein components is not sufficient. To clarify the effects of nitrogen fertilizer on rice protein components and related traits, we used two high albumin content and two low glutelin content rice varieties as test materials and analyzed the relationship between protein components and rice eating quality. The results showed that nitrogen application significantly affected prolamine and glutelin contents; moreover, a relationship was observed between variety and fertilization level. The protein components of the low glutelin content rice varieties were sensitive to nitrogen treatment; the albumin and globulin contents increased, whereas the prolamine and glutelin contents decreased following treatment with medium level nitrogen. Nitrogen treatment also significantly affected the apparent amylose content (AAC) of varieties except Yinguang. The eating characteristics of the high albumin content varieties differed significantly among nitrogen treatments, and the two varieties tasted better following treatment with high concentrations of nitrogen. In conclusion, the short chain of amylopectin in the endosperm had a greater direct effect on taste, but the effect was opposite in the two varieties. Furthermore, globulin was found to affect the taste of low glutelin content varieties. [ABSTRACT FROM AUTHOR]

The article focuses on time-restricted eating (TRE) as a dietary strategy to manage hyperglycaemia, exploring its potential benefits and practical implementation. Topics include the origins of TRE, its potential impact on glucose metabolism, and ongoing research investigating its efficacy compared to standard dietary practices in managing type 2 diabetes.

Late chronotype (LC) is related to obesity and altered food intake throughout the day. But whether appetite perception and gut hormones differ among chronotypes is unclear. Thus, we examined if early chronotype (EC) have different appetite responses in relation to food intake than LC. Adults with obesity were categorized using the Morningness-Eveningness Questionnaire (MEQ) as either EC (n = 21, 18F, MEQ = 63.9 ± 1.0, 53.7 ± 1.2 yr, 36.2 ± 1.1 kg/m2) and LC (n = 28, 24F, MEQ = 47.2 ± 1.5, 55.7 ± 1.4 yr, 37.1 ± 1.0 kg/m2). Visual analog scales were used during a 120 min 75 g oral glucose tolerance test (OGTT) at 30 min intervals to assess appetite perception, as well as glucose, insulin, GLP-1 (glucagon-like polypeptide-1), GIP (glucose-dependent insulinotrophic peptide), PYY (protein tyrosine tyrosine), and acylated ghrelin. Dietary intake (food logs), resting metabolic rate (RMR; indirect calorimetry), aerobic fitness (maximal oxygen consumption (VO2max)), and body composition dual-energy X-ray absorptiometry (DXA) were also assessed. Age, body composition, RMR, and fasting appetite were similar between groups. However, EC had higher satisfaction and fullness as well as reduced desires for sweet, salty, savory, and fatty foods during the OGTT (P<0.05). Only GIP tAUC0–120 min was elevated in EC versus LC (p = 0.01). Daily dietary intake was similar between groups, but EC ate fewer carbohydrates (p = 0.05) and more protein (p = 0.01) at lunch. Further, EC had lower caloric (p = 0.03), protein (p = 0.03) and fat (p = 0.04) intake during afternoon snacking compared to LC. Dietary fat was lower, and carbohydrates was higher, in EC than LC (p = 0.05) at dinner. Low glucose and high insulin as well as GLP-1 tAUC60–120 min related to desires for sweet foods (p < 0.05). Taken together, EC had more favorable appetite and lower caloric intake later in the day compared with LC. [ABSTRACT FROM AUTHOR]

Present work deals with radon (Rn-222) activity measurement of deep tube-well water samples collected from Raghunathpur and Jhalda, two municipalities of Purulia district, West Bengal, India. Concentration of Rn-222 in water samples collected from Raghunathpur municipality vary from 11.82 ± 0.95 to 155.64 ± 2.33 Bq/l with an average of 49.78 ± 1.81 Bq/l, whereas for Jhalda municipality the concentrations vary from 12.08 ± 1.02 to 74.74 ± 2.12 Bq/l with an average of 39.06 ± 1.40 Bq/l. The total annual effective dose associated with Rn-222 activity has been estimated for three different categories viz. adults, children and infants in terms of inhalation and ingestion. Additionally, pH and the major cations (Na+, K+, Li+, Ca2+) present in the water samples are also measured to observe the possible correlation with the Rn-222 activity. The results indicate that the groundwater in these two municipalities are radiologically safe in terms of Rn-222 and thus do not provide significant health threats to the local inhabitants. [ABSTRACT FROM AUTHOR]

Introduction Exposure to e-cigarette liquids, whether intentional or accidental, might lead to adverse events. This study aimed to describe the prevalence and characteristics of exposures to e-liquids reported to French Poison Control Centers. Methods All e-liquids exposure cases reported to French Poison Control Centers from July 1, 2019, to December 31, 2020, were reviewed. Information was collected about the patient's characteristics, exposure circumstances, management and outcome. Results About 919 cases of exposure to e-liquids were reported. Ages ranged from one month to 89 years, with a mean age of 16.6 ± 18.6 years and a median age of 4 years. The highest number of exposures—50.7%—concerned infants (0–4 years), 3.1% children (5–11 years), 5.9% adolescents (12–17 years), and 40.1% of cases concerned adults. The majority of cases were accidental (95.0%). Intentional exposures (4.9%) were mainly observed in patients older than 12 years of age (P < 0.001). The route of exposure was ingestion in 73.7% of the cases. A total of 455 exposures showed no symptoms or signs related to poisoning. High nicotine concentration in e-liquids was associated with an increase in hospital management (Odds-ratio from 1.77 to 2.60). Conclusion Involuntary exposures to e-liquids occurred more often in children under the age of five, mainly by ingestion. Unlike intentional ingestions, unintentional ingestions rarely resulted in severe adverse events. These findings highlight the importance of ongoing surveillance to prevent such exposures and associated injuries, emphasizing the need for effective regulation of these products. [ABSTRACT FROM AUTHOR]

Metabolic-dysfunction-associated steatotic liver disease (MASLD) is a prevalent clinical condition associated with elevated morbidity and mortality rates. Patients with MASLD treated with semaglutide, a glucagon-like peptide-1 receptor agonist, demonstrate improvement in terms of liver damage. However, the mechanisms underlaying this beneficial effect are not yet fully elucidated. We investigated the efficacy of semaglutide in halting MASLD progression using a genetic mouse model of diabesity. Leptin-receptor-deficient mice with obesity and diabetes (BKS db/db) were either untreated or administered with semaglutide for 11 weeks. Changes in food and water intake, body weight and glycemia were monitored throughout the study. Body fat composition was assessed by dual-energy X-ray absorptiometry. Upon sacrifice, serum biochemical parameters, liver morphology, lipidomic profile and liver-lipid-related pathways were evaluated. The semaglutide-treated mice exhibited lower levels of glycemia, body weight, serum markers of liver dysfunction and total and percentage of fat mass compared to untreated db/db mice without a significant reduction in food intake. Histologically, semaglutide reduced hepatic steatosis, hepatocellular ballooning and intrahepatic triglycerides. Furthermore, the treatment ameliorated the hepatic expression of de novo lipogenesis markers and modified lipid composition by increasing the amount of polyunsaturated fatty acids. The administration of semaglutide to leptin-receptor-deficient, hyperphagic and diabetic mice resulted in the amelioration of MASLD, likely independently of daily caloric intake, suggesting a direct effect of semaglutide on the liver through modulation of the lipid profile. [ABSTRACT FROM AUTHOR]

Andjelkovic, Marija, Peter Paal, Susi Kriemler, Kaste Mateikaite-Pipiriene, Alison Rosier, Beth Beidleman, Mia Derstine, Jacqueline Pichler Hefti, David Hillebrandt, Lenka Horakova, Dominique Jean, and Linda E. Keyes. Nutrition in women at high altitude: a scoping review—UIAA Medical Commission recommendations. High Alt Med Biol. 25:9–15, 2024. Background: Nutritional concerns such as food composition, energy intake, and nutrient absorption are essential for performance at high altitude and may differ between men and women. We performed a scoping review to summarize what is currently known on nutrition for women during short-term, high-altitude, physically active sojourns. Methods: The UIAA Medical Commission convened an international team to review women's health issues at high altitude and to publish updated recommendations. Pertinent literature from PubMed and Cochrane was identified by keyword search combinations (including nutrition, metabolism, energy composition, micronutrients) with additional publications found by hand search. Results: We found 7,165 articles, of which 13 original articles assessed nutritional aspects in physically active women on short-term high-altitude sojourns, with other articles found by hand search. We summarize the main findings. Conclusions: Data on women's nutrition at altitude are very limited. Reduction in energy intake plus increased energy expenditure at high altitude can lead to unbalanced nutrition, negatively influencing high-altitude adaptation and physical performance. Therefore, adequate dietary and fluid intake is essential to maintaining energy balance and hydration at high altitude in women as in men. Iron supplementation should be considered for women with iron depletion before travel. [ABSTRACT FROM AUTHOR]