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Organizations are often drawn into the contested work of criminal law enforcement. Through compulsory process and mandatory reporting laws, governments routinely conscript organizations such as hospitals, banks, and schools into assisting in surveillance activities whose legitimacy is socially contested. In recent years, conscription has been particularly pronounced with online platform companies, whose extensive collections of user data make them frequent sources of information and evidence for law enforcement agencies. How do actors in platform companies navigate compliance with such contested laws? While neoinstitutional theories of law emphasize how perceived compliance can protect organizational legitimacy, this article shows how perceived compliance with contested laws can also undermine it. Drawing on in-depth interviews with legal and operations staff for platform companies and law enforcement agents, this article explains how perceived compliance with contested laws can give rise to a legitimacy dilemma that organizational actors manage through symbolic ambivalence: compliance practices that signal both an organization’s responsiveness to a law, as well as its independence from the aims, consequences, and institutions associated with the law. The article also suggests organizational and legal conditions that shape how platform actors engage in symbolic ambivalence. These findings extend neoinstitutional theory by showing that the relationship between perceived compliance and legitimacy is not straightforward, but contingent, and by explaining how organizational actors manage the legitimacy dilemma brought about by that contingency.
Percutaneous treatments (PTs) are established minimally invasive options for the management of hepatic cystic echinococcosis (HCE). Conventional techniques include puncture, aspiration, injection, and re-aspiration (PAIR), which relies on scolicidal agents, and puncture, aspiration, injection, and drainage (PAID), which uses prolonged catheter drainage to evacuate cyst contents. In this study, we describe our experience with a modified PAIR technique for the treatment of hepatic cystic echinococcosis. Eight patients with 19 cysts were initially included, and outcomes were analyzed in 6 patients with 9 cysts who had complete follow-up imaging.
Under CT guidance, a transhepatic puncture of the cyst was performed. Partial aspiration was followed by injection of hypertonic saline. After cystography, an 8-French catheter was introduced to replace the 18-gauge needle, allowing controlled aspiration. The injection and aspiration sequence was repeated three to four times. The catheter was removed early after complete cyst content evacuation. In cysts larger than 10 cm, 95% ethanol was used as the scolicidal agent.
Follow-up imaging showed a significant reduction in cyst volume. Outcomes achieved with this modified PAIR technique were compared with previously reported percutaneous HCE treatment series in the literature and appeared to fall within the range of outcomes reported in prior percutaneous series. Notably, this technique enabled successful treatment of a complicated cyst associated with a gastric fistula in a single patient.
Percutaneous management of HCE continues to evolve, and modified techniques allow tailored treatment based on cyst characteristics. Our modified PAIR approach proved effective for both simple and multivesicular cysts and demonstrated technical feasibility in a single complicated case with gastric fistula.
Colorectal cancer (CRC) remains a leading cause of cancer-related morbidity and mortality worldwide. Emerging evidence suggests a dynamic mechanistic crosstalk between probiotics, non-coding RNAs (ncRNAs) and autophagy in CRC management. This review synthesizes the intricate interplay within this signalling axis to provide a comprehensive framework for precision medicine. Probiotics modulate the gut microenvironment and immune responses, while ncRNAs – specifically microRNAs (miRNAs) and long non-coding RNAs (lncRNAs) – act as molecular rheostats regulating CRC progression and therapy resistance. Autophagy, a conserved cellular degradation process, plays a paradoxical role in tumour dynamics. This review elucidates the integrated signalling axis through which probiotics directly influence autophagic flux and indirectly reprogramme it through ncRNA-mediated pathways. Preclinical and clinical evidence highlight synergistic effects, such as probiotic-induced ncRNA shifts that fine-tune autophagy to induce apoptosis, curb tumour proliferation and break resistance mechanisms. By linking this microbial–epigenetic–autophagy crosstalk with current multimodal therapies, we propose an innovative framework for personalized oncology. This axis represents a critical new direction for future research, aiming to translate mechanistic insights into targeted therapeutic strategies for CRC.
This comment examines the shifting landscape of student engagement in UK history departments, drawing on research conducted at the universities of Bristol and Warwick. Moving beyond narrow definitions of engagement as attendance, the study explores the complex interplay of workload pressures, relationships and community, and the cultures and environments of learning that shape students’ everyday experiences. Student testimony highlights how financial precarity, mental‑health challenges and competing demands on their time profoundly influence how (and indeed if) they engage. At the same time, factors – ranging from staff/student interactions to seminar atmosphere and assessment design – are powerful determinants of whether students feel able and motivated to participate fully. While acknowledging the broader socio‑economic forces that constrain both staff and students, the comment proposes a set of principled, discipline‑specific approaches centred on reflection, communication, adaptability and compassion. It argues that, although no single solution can resolve the problem of engagement, history departments can meaningfully support students by cultivating inclusive, responsive and relational learning environments.
We develop a data-driven approach to infer aerodynamic drag directly from canopy geometry by learning interpretable low-dimensional latent representations of canopy configurations, without resolving the flow field. A PixelCNN-based variational autoencoder with latent disentanglement regularisation and auxiliary observable regression is used to identify latent factors that encode the geometric features most relevant to drag. Latent traversals and mutual information analysis are employed to quantify the physical relevance of individual latent dimensions and to assess how modelling choices affect information retention. Applied to laboratory measurements of heterogeneous canopy arrays, the learned latent space organises canopy configurations according to their aerodynamic impact and enables accurate drag prediction. The results demonstrate that physically informed latent modelling provides a compact and interpretable pathway for linking complex canopy geometry to aerodynamic drag.
Epidemiological estimates for the incidence of skin and soft-tissue infections (SSTIs) in England are limited. We aimed at evaluating the incidence of SSTIs and associated complications through a retrospective, observational 11-year study (2010–2020). We retrieved data on SSTI and associated complications from Clinical Practice Research Datalink, Hospital Episode Statistics, and the Office for National Statistics for England. More than four million SSTI episodes were identified, which corresponded to an overall incidence of 33.1 per 1000 person-years of observation (PYO). The incidence per 1000 PYO was highest in patients with a previous history of SSTI (109.8), ≥65 years (70.1), and those with comorbidities (69.0). The incidence of abscesses/cellulitis/other SSTIs (25.7) was the most frequent, followed by chronic ulcers (4.7) and surgical site infections (2.8). Of the 0.4 million SSTI hospitalizations, ~62.8% were due to abscesses/cellulitis/other SSTIs. Recurrences in the 12 months after the first SSTI were found in 19.5% of cases. Mortality due to SSTI and related complications varied between 0.4% and 0.5% across years, mostly in hospitalized settings. These results show that SSTIs are responsible for a substantial burden of disease in England and will help clinicians in better understanding the epidemiology of SSTI.
The analysis of archaeological trace residues is offering expanding insights into various aspects of human (pre)history, including developments in medical knowledge. Here, the authors present results from the analysis of two medical instruments (scissors and tweezers) found in a Ming Dynasty (c. 1368–1644 CE) tomb in Jiangyin, China. While the form and composition of the instruments themselves indicate developed understandings of tool production and use, novel application of stimulated Raman scattering microscopy reveals probable traces of aconitine, likely providing direct evidence for the use of this highly toxic substance, possibly administered as a topical anaesthetic, in ancient Chinese surgery.
Cystic echinococcosis (CE) is a zoonotic disease of high public health and economic importance. The disease is caused by various tapeworm species belonging to the Echinococcus granulosus sensu lato species complex. Among these, E. granulosus sensu stricto (genotypes G1 and G3) is the most common cause of human CE worldwide. The aim of this study was to analyse the genetic diversity and phylogenetic relationships of G1 and G3 isolates from Armenia and Türkiye, where CE has long been recognized as a significant public health concern. A large portion of the mitochondrial genome (11 675 bp) was sequenced for 85 parasite samples: 47 from Türkiye and 38 from Armenia. Samples originated from humans, sheep and cattle. For a global phylogenetic analysis, sequences from previous studies were included, yielding 280 G1 sequences and 55 G3 sequences from various host species and countries worldwide. The main results of this work revealed (i) high genetic diversity of G1 in Armenia and Türkiye; (ii) high genetic diversity of G3 in Armenia, whereas only a few representatives of G3 were detected in Türkiye; (iii) the subdivision of isolates of G1 and G3 from Armenia and Türkiye into several haplogroups; (iv) the dispersion of G1 and G3 haplotypes from Armenia and Türkiye across different haplogroups in global phylogenetic networks; and (v) the diffusion routes of G3 isolates from Türkiye to Armenia, from Iran to Armenia and from Iran to Greece. These findings highlight the importance of mitogenome analysis for monitoring the spread of CE among animals and humans.
During seed development, plants detect the paternal genome dose through gene expression from the paternally derived genome in the endosperm. To achieve this, the homologous genes in the maternally derived genome are silenced by polycomb repressive complex 2 (PRC2), and loss of PRC2 function or excess paternal genome dose both lead to seed abortion through the so-called ‘triploid block’. PRC2 requires the activity of accessory proteins of the VERNALIZATION INSENSITIVE 3-LIKE (VEL) family, of which the atypical VEL3 protein is required for endosperm development. Here, we characterize the function of the remaining family members, using CRISPR-Cas9 to generate multiple mutants in Arabidopsis. Loss-of-function analyses establish VEL3 as the sole regulator of primary seed dormancy depth, whereas VEL1 and VRN5 act redundantly alongside VEL3 to prevent seed abortion but without affecting dormancy. VEL2 and VIN3 exhibited no detectable influence on seed abortion or dormancy. Comparative RNA-seq of mature endosperm revealed that both vel3-1 and vel1-2 vrn5-9 mutants upregulate programmed cell-death genes, whereas vel3-1 uniquely deregulates chromatin remodellers and metabolic repressors, consistent with heterochromatin relaxation at germination loci and elevated metabolic activity. Our results establish that the role of VEL3 in seed dormancy is independent of PRC2, as they suggest the involvement of novel members of central cell and endosperm PRC2 complexes in regulating the maternally derived genome in the endosperm.
People with intellectual disabilities experience higher rates of mental disorders, contributing to restrictive practices and premature mortality. Prevalence data are essential to understanding the patterns of disease, and for the development of tailored interventions.
Aims
To systematically examine the burden and pattern of mental disorders in people with intellectual disabilities across the lifespan.
Method
We searched six databases (inception to 17 October 2024), and conducted a manual search up to 15 December 2024, for systematic reviews on the prevalence of mental disorders in people with intellectual disabilities with or without neurodevelopmental conditions. We conducted a narrative synthesis of prevalence rates, including those stratified by intellectual disability level, sex, age and autism, where available, and compared these with published prevalence rates in people without intellectual disabilities (International Prospective Register of Systematic Reviews, no. CRD42024610611).
Results
We included 26 systematic reviews: 7 meta-analyses and 19 narrative reviews. Compared with the general population, the prevalence of schizophrenia (3.55–4.80%), anxiety (5.4–5.5%) and obsessive–compulsive disorders (2.4%) appeared higher, whereas that of mood (6–7%), personality and post-traumatic stress disorders appeared lower. Study quality was moderate to critically low. For syndromic intellectual disabilities we noted high anxiety rates in fragile-X, Williams and 22q11.2 deletion syndromes, and in those with co-occurring autism. We found gaps on dementia, bipolar, substance use and eating disorders, and limited data stratified by intellectual disability level, sex and age.
Conclusions
This umbrella review confirms the high prevalence of mental disorders among people with intellectual disabilities, and highlights limited evidence for several conditions and population subgroups, including for minoritised ethnic groups. Standardised, high-quality epidemiological research is needed to shape clinical care and public mental health policy.
This paper introduces a methodology for detecting and classifying railway infrastructure elements using ground-penetrating radar (GPR). Seven trips, covering $57.4\,$km across a German track network were recorded. The network includes ballasted tracks, switches, bridges with dominant metal elements, and overpasses. GPR data from a multi-channel sensor array is transformed through a preprocessing pipeline to generate spatial B-scans. Statistical and structural features, including energy, depth, and skewness, are extracted via an overlapping sliding window. The detection algorithm operates as a streaming process, combining correlation-based pattern matching with feature-based thresholds in a state-machine architecture. The evaluation results demonstrate overall good performance for infrastructure detection and classification ($98$–$100\%$), with only minor misclassifications occurring for switch orientation estimation in scenarios involving closely spaced or physically interconnected switches ($82$–$100\%$).
A zero price effect is a discontinuous change in demand when price is reduced to zero from a level arbitrarily close to it. It has been proposed that social norms play a role in zero price effects on consumption. We first conducted a norm-elicitation experiment to measure how people perceive the social appropriateness of consumption under zero versus minimal prices. We then ran a natural field experiment in the same contexts to observe actual taking behavior. Results show that the social appropriateness of consuming high quantities is significantly lower when goods are offered for free than when they are sold at 1 cent. Zero pricing increases the proportion of individuals who consume something, but reduces the average amount taken by those who consume positive amounts. Overall, the evidence suggests that high consumption of free goods is prevented by its social inappropriateness, potentially helping to explain the inconsistent evidence on the direction of zero price effects in previous studies.
External factors have not received the scholarly attention they deserve in previous research on the independence–unification (IU) issue in Taiwan. This paper seeks to enhance our understanding of IU views in Taiwan by examining how the China factor affects Taiwanese individuals’ IU stances. The ‘China factor’ here is defined as Taiwanese people’s mainland China-related impressions and experiences. It is categorised into two types, corresponding to the affective and behavioural dimensions, respectively. Taking advantage of new panel data (i.e., TIGCR-PPS 2018–2022) and advanced statistical techniques (i.e., within-between random effects modelling), this study finds that two dimensions of the China factor exhibit strong explanatory power for IU views, even after controlling for the determinants emphasised in existing studies. Taiwanese people’s impressions of mainland China exert both short- and long-term effects on their IU views, whereas visits to mainland China have a long-term effect. Specifically, more favourable impressions of mainland China and prior travel experiences there are associated with a lower likelihood of supporting Taiwan independence. These findings build on existing research and suggest several avenues for future research.
Malaria remains a significant global health challenge, with sub-Saharan Africa bearing the majority of the burden. While vector control measures such as pyrethroid-based insecticidal nets and indoor residual spraying have significantly reduced malaria incidence, the emergence of insecticide resistance in Anopheles mosquito populations threatens these gains. Resistance develops through genetic mutations under prolonged selection pressure, complicating control efforts and necessitating a deeper understanding of its evolutionary dynamics. This study introduces a novel mathematical framework to investigate the emergence and spread of insecticide resistance in mosquito populations. By modelling insecticide resistance as a continuous (quantitative) trait influenced by multiple genes, we capture its variability and evolutionary transient dynamics. We propose an age-structured mosquito population model using integro-differential equations, where the resistance trait influences life-history parameters such as mortality and reproduction. Our approach provides new insights into how resistance emerges and spreads within mosquito populations over time. We analyse the model’s properties, including the existence of a unique maximal bounded semiflow, and derive conditions for the existence and stability of steady states. Through parameterization and simulations, we explore the transient and long-term dynamics of resistance evolution under different scenarios. The results offer valuable insights into the evolutionary mechanisms driving insecticide resistance and inform the design of sustainable vector control strategies.
Drylands cover 41% of Earth’s land surface, support 36% of the global population and contribute 60% of global food production. Despite these ecosystems’ importance and high vulnerability to droughts and heatwaves, drylands remain some of the most understudied systems on Earth. Monitoring drylands is challenging due to their complex ecosystem structure of visible soil mixed with diverse plant species that respond rapidly to weather and climate. In 2023 and 2024, a NASA scoping study was conducted for a proposed dryland terrestrial ecology field campaign called Adaptation and Response in Drylands (ARID). Thereafter, the NASA ARID scoping team submitted their campaign proposal to NASA Headquarters, providing a study design for how field, aircraft and satellite measurements, as well as modeling, could address the most critical fundamental and applied science questions in drylands. The extensive strategic vision was created by and for the drylands research community, including remote sensors, modelers, experimentalists and ecologists from across the world, and the overall approach can be further utilized and altered for different uses and data information needs. Here, we summarize the final ARID research agenda, including its main objectives, field campaign strategy, data end-user support strategy, and U.S. and global community engagement.
We derive expressions for the long-time effective dispersion coefficients of a solute in a slender annular channel with a spatiotemporally pulsating inner boundary. The problem is motivated by transport in perivascular spaces (PVSs) that are subjected to pulsations induced by travelling waves in the brain. Compared with steady flow, pulsations enhance the effective diffusivity and solute drift which scale quadratically with the wave amplitude, and depend on the ratio of wave-induced to bulk-flow-induced Péclet numbers, $ \textit{Pe}_c/ \textit{Pe}_b$. The mean enhancement in diffusivity can be decomposed into a bulk-flow-induced contribution and two wave-induced corrections: entropic slowdown, which reduces diffusivity due to solute lodging in the constrictions, for $ \textit{Pe}_c/ \textit{Pe}_b \lesssim \mathcal{O}(1)$, and shuttle dispersion which enhances diffusivity due to oscillatory solute transport for $ \textit{Pe}_c/ \textit{Pe}_b \gtrsim \mathcal{O}(1)$. The pulsations also induce an effective solute drift, that scales quadratically with the wave amplitude and linearly with $ \textit{Pe}_c/ \textit{Pe}_b$. The effective dispersion coefficients are sensitive to the annular cross-sectional area ratio with narrower geometries yielding stronger enhancements. For a representative murine PVS geometry subjected to pulsations under delta wave parameters, the mean enhancement of diffusivity, normalised by its value in steady flow, is $\mathcal{O}(10^{3})$ and the mean enhancement in effective solute drift is $-\mathcal{O}(1)$. Physiological mechanisms such as frequency-dependent wave amplitude, and approximately constant wave velocity across brain travelling waves, may diminish the enhancement magnitudes. The research presents a generalised framework for quantifying dispersion in spatiotemporally varying annular conduits and improves our understanding of perivascular solute transport.
Around the world, the growing power of giant technology firms has outpaced regulatory oversight, raising urgent questions about how public opinion can be mobilized in support of meaningful reform. When do broad coalitions emerge in support of stronger regulation? This study investigates corporate scandals as windows of opportunity—focusing events—that can galvanize public support for new regulations and amplify issue salience. To assess this possibility, we conducted a two-wave survey experiment that we fielded simultaneously in France, Germany, the United Kingdom, and the United States. After collecting pre-treatment data in a separate, dedicated survey wave, our subjects were later assigned to read media coverage describing the 2018 Facebook/Cambridge Analytica scandal. The results confirm our preregistered hypothesis: in all four countries, exposure to scandal coverage significantly increases support for technology regulation and elevates the issue’s salience. Anger mediates this shift, and increased issue salience correlates with a greater willingness to engage in political action around technology policy. At a moment of heightened concern about the concentration of economic and political power in a handful of mammoth technology firms, these findings illuminate the microfoundations of how focusing events can break political inertia and catalyze regulatory reform.