Maintaining appetite in older adults is important for preventing malnutrition. Previous studies have shown seasonal variations in dietary intake, suggesting that appetite itself may vary with the seasons. Nevertheless, few studies have directly examined seasonal changes in appetite in older adults, particularly those living alone, who are at higher risk of malnutrition. Thus, the purpose of the present study was to identify when appetite declines throughout the year in older adults living alone and with others. Of the 60 adults aged 65 and older who participated in the study, 57 completed the longitudinal study over four seasons. Appetite for each season was assessed using the Simple Nutritional Appetite Questionnaire (SNAQ) and the visual analogue scale for hunger, satiety, and expectation of food intake. Nutritional status was assessed using the Mini Nutritional Assessment and the Food Frequency Questionnaire. The living arrangements of the participants were determined based on whether they were living alone or with others. The stratified analysis revealed seasonal changes in SNAQ scores exclusively among individuals living alone (p = 0.029, effect size = 0.280), who exhibited diminished appetite during summer compared to winter (p = 0.026, 95% CI: 0.076–1.258). No seasonal variation in appetite or nutritional status was observed in those living with others (p > 0.05). These findings highlight the importance of an approach that considers living arrangement and seasonality to ensure that older people maintain adequate appetite status throughout the year.

Diet can affect health directly or by altering the gut microbiota; thus, there are strong interrelationships between the gut immune system, gut microbiota and diet. This study examined the effects of ingesting AIN-93M purified diet (PD) on gut immune function and gut microbiota in DO11·10 mice, in which T cell–dependent and T cell–independent (TI) IgA can be analysed separately. Ingestion of the PD for 2 weeks reduced both T cell–dependent and TI secretory IgA in the faeces compared with non-PD, whereas the diet did not affect T cell–dependent and TI serum IgA. Ingestion of the PD had no effect on systemic immune system splenocyte responses. Ingestion of the PD reduced intestinal tissue expression levels of B-cell activating factor and A proliferation–inducing ligand, cytokines involved in TI-IgA production and polymeric Ig receptor, which transports IgA into the intestinal lumen. Co-abundance group (CAG) analysis of the intestinal microbiota was conducted based on correlations between changes in the abundance of bacterial genera, and the correlations between CAG and IgA were determined. The Allobaculum-dominated CAG expanded following ingestion of the PD, accompanied by an inverse correlation with the decrease in faecal IgA, whereas the Lactobacillus-dominated CAG shrank relative to the Allobaculum-dominated CAG. These results suggest that TI-IgA suppresses the expansion of some intestinal bacteria and that ingestion of the PD induces dysbiosis via impaired IgA secretion into the intestinal lumen.

Head circumference (HC) is a low-cost proxy for early brain development, yet few studies have examined its predictive value for specific neurocognitive outcomes in low- and middle-income countries. This study investigated whether trajectories of HC growth from 1 to 24 months predict executive function and fluid cognitive skills at age 4 in a Kenyan cohort (N = 182). Using latent growth curve modeling, we found that greater HC growth was significantly associated with better EF and fluid cognitive skills, independent of initial HC and sociodemographic factors. These associations were robust across subgroups defined by prenatal exposure to HIV and atypical physical growth (i.e., extreme values for weight-for-length, underweight, or HC). Moreover, the predictive association between early HC and later neurocognition was evident within the first 15 months of life. This study highlights the value of monitoring changes in HC as one aspect of early child health and wellbeing. Infants who do not exhibit normative increases in HC in infancy may benefit from early neurocognitive assessments and/or the receipt of early intervention services.

Acute rheumatic fever is a systemic autoimmune disease resulting from an abnormal immune response to group A streptococcal pharyngitis. Cardiac findings are an important part of acute rheumatic fever and usually manifest as electrocardiographic abnormalities. The most common arrhythmia is first-degree atrioventricular block; however, in rare cases, complete atrioventricular block may occur. In this article, we present the case of an 11-year-old child who presented with complaints of knee pain and limited movement, in whom the diagnosis of acute rheumatic fever was suspected based on clinical, echocardiographic, and laboratory findings, and in whom complete atrioventricular block was detected on electrocardiographic. The patient’s electrocardiographic initially showed complete atrioventricular block, but with the treatment process, different levels of complete atrioventricular block were observed, and the electrocardiographic findings returned to normal. Particularly in patients who develop complete atrioventricular block, the response to treatment should be evaluated before making rapid decisions for pacemaker implantation, taking into account that the arrhythmia may be transient and can be corrected with medical treatment. This article emphasises that electrocardiographic abnormalities should not be ignored when diagnosing acute rheumatic fever and that patients should be evaluated in a holistic manner.

Anisakis pegreffii (Nematoda: Anisakidae) is a marine parasitic nematode responsible for anisakiasis, a zoonotic disease acquired through the consumption of raw or undercooked fish. With the rising popularity of dishes such as sushi and sashimi, the risk of infection has grown, prompting the need for effective food-safety measures. This study investigates the nematocidal effects of commercial wasabi substitute paste (WSP) and its bioactive compound, allyl isothiocyanate (AITC), on third-stage larvae (L3) of A. pegreffii, and explores their associated stress-response mechanisms. WSP at 1 g/mL and 2 g/mL significantly reduced larval viability, with hazard rates of 3.1% and 3.8% per minute and mean lethal times of 45 and 30 minutes, respectively (p < 0.0001). AITC, tested at a 10-fold dilution, exhibited stronger activity, inducing 50% mortality in 16 minutes with a hazard rate of 13.45%/min. Expression analyses revealed that WSP robustly upregulated HSP70 mRNA and protein in a time-dependent manner, whereas AITC caused only a modest increase in HSP70 mRNA without a significant protein-level rise over the same exposure window. Conversely, HSP90 expression showed early, transient upregulation followed by suppression or downregulation, suggesting differential regulation of heat shock pathways under chemical stress. These findings demonstrate that WSP and AITC exert potent, rapid nematocidal effects on A. pegreffii larvae and elicit distinctive molecular stress responses. The data support the potential of wasabi-derived compounds as safe, natural agents for reducing anisakiasis risk in raw seafood consumption.

Mental illness-related stigma acts as a critical barrier to care by fostering shame, fear of judgment and discrimination, which deters individuals from seeking help, delays treatment and worsens outcomes. This study aimed to investigate the forms, drivers and consequences of mental health-related stigma on help-seeking behavior. A cross-sectional study was conducted from November 2020 to March 2021. Data were collected from 419 participants using structured questionnaires, guided by the Health Stigma and Discrimination Framework and the Attitudes Towards Seeking Professional Psychological Help Scale for validation. Data were analyzed using Statistical Package for the Social Sciences version 22, employing descriptive statistics, chi-square tests and multinomial logistic regression. The average age of participants was 34.5 years. Findings revealed alarmingly high stigma: economic (76.8–80.2%), social (77.1–81.2%) and psychological (71.9–82.8%). Key drivers included stereotypes of dangerousness (58.7%) and systemic healthcare discrimination (65.6%). Multinomial regression confirmed that all stigma forms significantly reduced help-seeking odds. Structural barriers (odds ratio [OR] = 0.48) and internalized shame (OR = 0.53) were the strongest deterrents, with a multiplicative effect for combined economic and psychological stigma (OR = 0.41). This complex, multilayered barrier, driven by socio-cultural beliefs and structural failures, necessitates urgent, multifaceted interventions targeting public education, policy and self-stigma to improve mental health equity in rural Ghana.

Obesity and depression are highly prevalent diseases that are strongly correlated. At the same time, there is a growing gap in care, and treatment options should be improved and extended. Positive effects of a Mediterranean diet on mental health have already been shown in various studies. In addition to the physiological effects of nutrients, the way food is eaten, such as mindful eating, seems to play a role. The present study investigates the effect of a Mediterranean diet and mindful eating on depression severity in people with clinically diagnosed major depressive disorder and obesity. Participants will be randomised to one of the four intervention groups (Mediterranean diet, mindful eating, their combination and a befriending control group). The factorial design allows investigating individual effects as well as potential synergistic effects of the interventions. The study consists of a 12-week intervention period, where five individual appointments will take place, followed by a 12-week follow-up. The primary outcome is depression severity. Secondary outcomes are remission of depression, assessor-rated depression severity, quality of life, self-efficacy, BMI, waist:hip ratio and body composition; adherence to the Mediterranean diet and mindful eating will also be assessed. Alongside mediator and moderator analysis, a microbiome analysis, a qualitative evaluation and an economic analysis will be conducted. The study investigates an important health issue in a vulnerable target group. It allows to draw valuable conclusions regarding the effectiveness of different interventions and therefore contributes to improving available care options for people suffering from depression and obesity.

The Mayo Clinic Center for Clinical and Translational Science Rural Health Research Core emphasizes community engagement to address healthcare access and delivery. In 2023, the Midwest Rural Health Research Community Advisory Board (CAB) was established to guide research. Eleven of 13 researchers presenting to the CAB in 2023 completed a survey assessing influence of CAB feedback across seven domains. All reported >1 domain influenced by CAB feedback, most commonly on study design, pre-research activities and implementation. CAB feedback shaped many aspects of the rural health research process. CAB members valued seeing how their input contributed to the research process.