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Despite several recent studies, the helminth diversity of small mammals in South Africa remains poorly understood. During a survey conducted from 2023 to 2025 on the helminth assemblages of rodents in the Western Cape Province, South Africa, nematodes were collected from the stomach of a female Micaelamys namaquensis in the Nama-Karoo biome. For one of the nematode species identified, morphological characters, based on light and electron microscopy, corresponded to the genus Gastronodus: a short, heavily sclerotized buccal capsule armed with 6 teeth, the presence of 3 pairs of pedunculate postcloacal papillae as well as dissimilar and unequal spicules in males and a vulva situated at the level of the glandular oesophagus in females. The presence of 3, rather than 2, pairs of postcloacal pedunculate papillae distinguishes our specimens from the closely related genera Cylicospirura, Skrjabinocercina and Spirocerca. Furthermore, the presence of 4–5 vs 6–7 pairs of pedunculate precloacal papillae distinguishes them from their single currently recognized congener, Gastronodus strasseni sampled from Suncus murinus in India. Based on these results, we here describe Gastronodus karooensis n. sp. Phylogenetic analyses of the mtDNA cox1 gene suggest some affiliation with the genus Spirocerca and provide some support for their placement in the Spirocercidae. This is the first record of the genus Gastronodus in Africa. The description of a new species of Spirocercidae from M. namaquenis highlights the need for further studies as the nematode diversity in wild hosts in South Africa is currently underestimated.
Dipylidium caninum is a globally distributed zoonotic cestode commonly found in dogs and cats. Recent molecular studies have identified 2 major, primarily host-associated genotypic clades. However, these findings are based on geographically restricted datasets and therefore may not capture the full extent of the species’ genetic diversity. Molecular data from many endemic regions remain scarce or entirely absent. In this study, D. caninum isolates collected from dogs in northern Ghana were characterized using partial fragments of the mitochondrial nad1 and cox1 genes. Parsimony analyses identified 4 haplotypes for cox1 and 7 for nad1. For both genes, the Ghanaian isolates clustered within the globally recognized canine and feline genotypic groups, with the canine genotype predominating. When integrated into the existing global dataset, the analyses resolved 3 well-supported phylogenetic clades, designated as genotypes: 1 canine-associated G1 and 2 feline–canine-associated genotypes G2a and G2b. This study provides the first molecular data for D. caninum from Ghana, West Africa, contributes to a broader understanding of the global population structure and establishes a basis for future investigations into the biogeography of this cestode.
The rise of health care AI raises concerns over whether patent disclosure supports reproducibility and legal validity. This study analyzes 865 granted medical AI patents (2015–2025) from the US, China, and the EU using a five-dimensional framework (algorithm transparency, training data accessibility, model reproducibility, result verifiability, and mathematical support) implemented through NLP-assisted expert scoring. Results suggest limited technical transparency; approximately 40% of patents score zero in at least two dimensions. Performance varies significantly: algorithm transparency is relatively strong (>60% score 2), while training data accessibility is less prevalent (4.6% score 2) and mathematical support is frequently omitted (39.4% score 0). Statistical testing indicates US patents significantly outperform Chinese patents (p < 0.001), while EU results remain exploratory (N = 31, mean 6.2). These patterns appear associated with institutional factors, strategic applicant behaviour, and technical complexity. Such limitations may pose risks to enforceability and market development, highlighting the need for targeted disclosure improvements. This study contributes a replicable framework for translating legal standards into measurable indicators, providing cross-jurisdictional evidence to guide examination, litigation, and policy refinement in medical AI governance.
We describe a new species of the genus Platynosomoides Yamaguti, 1971 (Trematoda: Dicrocoeliidae) from the bile ducts of the cricetid Akodon cursor (Winge, 1887) (Rodentia: Sigmodontinae) from Itatiaia National Park (Parque Nacional do Itatiaia, PNI), in the state of Rio de Janeiro, Brazil. The species is characterized by the following diagnostic features: body size; dimensions and relative proportions of the testes in relation to the body length; extracecal and asymmetrical vitelline glands commencing at the level of the acetabulum, the left vitellarium terminating at the mid-region of the second third of the body, and the right one extending to the anterior margin of the posterior third; and the relative size of the suckers, with the ventral sucker being approximately 60% larger than the oral sucker. The morphological characteristics were described with the assistance of optical microscopy images to observe the internal structures, and their external details were provided by scanning electron microscopy (SEM). Additionally, molecular phylogenetic analyses based on the 18S rRNA gene were conducted to assess the phylogenetic placement of the genus within Dicrocoeliidae. These analyses accompany the description of Platynosomoides macrotestis sp. nov. and contribute to a better understanding of trematode diversity. Furthermore, this study highlights the importance of parasitological research in conserving helminth biodiversity. Its occurrence in conservation areas, such as the PNI, supports the maintenance of unique ecological interactions and species conservation.
The aim of this study was to determine the relationship between the physical activity levels and cognitive perceptions of physicians and the frequency of exercise prescribed by primary care physicians.
Methods:
This cross-sectional study was conducted with 221 primary care physicians. A questionnaire of three sections was administered, including questions prepared according to the American College of Sports Medicine (ACSM) recommendations evaluating the current practices of the physicians on the subject of prescribing exercise, the General Practice Physical Activity Questionnaire (GPPAQ), Cognitive Behavioural Physical Activity Questionnaire (CBPAQ).
Results:
A significant relationship was determined between the daily physical activity of the physician and exercise prescribing rates (P = 0.005). From the data obtained from the GPPAQ and the CBPAQ, it was determined that as the activity level increased, so the Outcome Expectation (P < 0.001), Self-regulation (P < 0.001), Total Cognitive Activity (P < 0.001) points increased. The frequency of prescribing exercise was found to be <20% for all chronic diseases for which exercise is known to be effective. A significant relationship was determined between prescribing exercise and the total number of correct responses to the questions measuring the level of knowledge according to the ACSM recommendations (P < 0.001). Mann-Whitney U and Kruskal-Wallis tests were used for non-normally distributed data, while Pearson, likelihood ratio, and chi-square tests were used for analyzing relationships between categorical variables.
Conclusion:
Incorporating exercise prescription training into the core medical and family medicine curricula may increase physicians’ self-efficacy and contribute to overcoming barriers in prescribing exercise.
Enterovirus A71 was first isolated in California in 1969, with the earliest retrospective detection traced back to 1963 in the Netherlands, but its early spread remains unclear. Using age-specific seroprevalence data from children aged 1–10 years in Kawasaki City, Japan, collected annually from 1966–1973, we applied serocatalytic models to estimate annual force of infection during 1959–1973. Several models were tested, incorporating different assumptions about time-varying force of infection, age-dependent susceptibility, and seroreversion, to identify the best fit to the data. Model comparison identified the models with independent annual infection probability or two distinct outbreak periods, both including age-dependent force of infection and seroreversion, as optimal. All top models consistently identified two major transmission periods: 1961–1962 and 1968–1969. The two-outbreak model estimated mean attack rates of 21.8% and 37.8% for the earlier and later outbreaks under seroreversion, and 19.8% and 34.9% under age-dependent force of infection. Our findings provide evidence of enterovirus A71 circulation in Japan during two distinct periods in the 1960s, coinciding with early detections in Europe and the USA, suggesting global distribution by that decade. This study underscores the value of testing archived sera for reconstructing pathogen emergence and spread.
Sarcopenia is a progressive skeletal muscle disorder characterized by the loss of muscle mass and strength. The concept of pro-anabolic modulators (including vitamin D, leucine, omega-3 fatty acids, and probiotics) as nutritional agents to counteract sarcopenia has been introduced as a promising strategy to restore anabolic balance in aging muscle. This systematic review aimed to synthesize recent evidence on the effectiveness of these compounds on muscle mass and physical performance. A total of 53 randomized controlled trials were included: 30 evaluated vitamin D, 8 leucine, 9 omega-3, and 6 probiotics. Across studies, although results for vitamin D were heterogeneous, daily supplementation suggested a more consistent potential for beneficial effects compared to bolus regimens, particularly when co-administered with other agents or physical exercise. Leucine demonstrated greater efficacy when combined with resistance training or other pro-anabolic agents. Most studies on omega-3 fatty acids reported improvements in muscle strength and functional outcomes, especially in long-duration interventions. Probiotics also showed promising results, with almost all studies reporting positive effects on muscle mass and strength, despite variability in strains and protocols. Given the low to very low certainty of evidence for most outcomes (except for physical performance, which reached moderate certainty), these results should be interpreted with caution, despite a general trend toward favorable outcomes. These findings suggest that combining pro-anabolic modulators (or pairing them with exercise or additional nutrients) may enhance their efficacy on muscle-related outcomes. Further research is warranted to define optimal protocols and to clarify the mechanisms underlying their potential synergistic effects.
This White Paper by the European Association for Palliative Care addresses the imperative to integrate spiritual care into the support of individuals living with neuro-oncological and neurodegenerative conditions. These diseases present complex biomedical, social, psychological, and existential challenges that demand a whole-person approach to care. Various initiatives have progressed the understanding of spirituality as a dimension of well-being, yet the systemic delivery of spiritual care remains inconsistent and inequitable.
Methods
This study adopts a narrative umbrella review approach. We provide a synthesized framework highlighting current knowledge and models of care, educational needs, and future priorities for research, while advocating for the formal integration of spiritual care into all stages of illness.
Results
Our exploration highlights the importance of early integration of dynamic and multidimensional spiritual care for people with neuro-oncological or neurodegenerative diseases. The implementation of spiritual care in this context should address the unique challenges that arise with these diseases, such as changes in spiritual needs and in the ability to communicate spiritual needs across disease progression. Spiritual care should be carried out by the whole care team, offering regular spiritual screenings and referring care to specialists when needed, and it should be offered across all stages of care. Spiritual care should be culturally safe, offering multilingual access, and multi-faith chaplaincy services.
Significance of results
Spiritual care is not a luxury or an optional extra; it is a fundamental aspect of palliative care. There is a need to implement spiritual care across all stages of care, taking into consideration the patient’s evolving needs. Sufficient time should be allocated to spiritual care education for social and healthcare professionals. More research is needed to develop validated screening tools and effective interventions.
Moose are significant ecological, economical and cultural animals for the stakeholders of Alaska, USA. Thus, the impact of pathogens, like filarial nematodes, is a critical area of moose research. These vector-borne parasites, including Setaria yehi, and Rumenfilaria andersoni, can lead to severe health consequences (e.g., peritonitis). However, little is known about filarial nematode distribution, diversity and its associated life cycle with Alaskan moose hosts. Newly developed next-generation sequencing techniques offer the ability to efficiently screen multiple species of co-infecting filarial nematodes in a single sample and thus improve our ability to monitor and understand these parasites. Blood collected from wild moose in the Kenai Peninsula, AK, was screened using deep amplicon sequencing (DAS) with filarial nematode primers targeting the cytochrome oxidase c subunit 1 (cox1) gene. In addition, samples subjected to DAS were also screened using the Modified Knott’s Test (MKT). Setaria yehi and R. andersoni were detected by both diagnostic methods. Overall, 190 moose samples were tested via DAS, with filarioid DNA being detected in 51.58% (98/190) of these. Out of a subset of 138 samples, filarioid nematodes were found in 50.72% (n = 70) and 57.25% (79/138) via DAS and MKT, respectively. However, 18 (13.04%) co-infections were detected by DAS compared to 12 (8.70%) identified via MKT. A DAS molecular tool for surveillance has several advantages when paired with host blood collection metadata (i.e., years, season, region, host age) to better understand filarial nematode life cycle and ecology.
Cercariae of two trematode species from the family Notocotylidae were found in the snails Radix auricularia and Boreoelona ussuriensis. Sexually mature flukes were obtained by experimentally infecting a duckling and a few chickens, respectively, with metacercariae from the found cercariae. Based on a combination of morphological and molecular (nuclear and mitochondrial markers) evidence, the trematodes grown in the duckling were identified as Notocotylus ikutai. The adult flukes obtained from the infected chickens were assigned to trematodes previously grouped into the genus Catatropis on the basis of morphological characteristics, including the structure of tegumental papillae. However, according to molecular data, the found trematodes were differentiated at the generic level from other Notocotylidae. Based on the above evidence, we here erect a genus, Neocatatropis n. g., to accommodate the type species Neocatatropis primorskii n. g. n. sp.