Daisy Fancourt, Saoirse Finn, Hei Wan Mak, Andrew Steptoe, Mikaela Bloomberg
Cultural engagement (e.g., going to live music events and theater performances, museums, galleries and exhibitions, and the cinema) is longitudinally associated in repeated epidemiological studies with age-related mental and physical health outcomes. However, it is unclear whether it also influences how fast older adults age physiologically-so-called age acceleration. This study aimed to ascertain whether regular cultural engagement among older adults is related to slower physiological aging using a previously derived physiological age index and a doubly robust estimation approach to account for confounders. Using older adults from the English Longitudinal Study of Ageing (n = 4467), we found that cultural engagement was related to lower physiological age cross-sectionally (average treatment effect -2.17; 95% CI -3.48 to -0.86) and 4 and 8 years later. The effect was seen consistently for all three types of cultural activity explored (cultural performances, museums/exhibitions, and the cinema). These analyses were robust to multiple sensitivity analyses, including considering alternative confounding structures, outliers, and treatment specification. Overall, these findings provide insight into how cultural engagement may be related to processes of aging.
在反复进行的流行病学研究中,文化参与(例如,参加现场音乐活动和戏剧表演、博物馆、画廊和展览以及电影院)与年龄相关的心理和身体健康结果存在纵向关联。然而,尚不清楚它是否也会影响老年人的生理衰老速度,即所谓的年龄加速。本研究旨在确定老年人的定期文化参与是否与较慢的生理衰老有关,使用先前导出的生理年龄指数和双重稳健估计方法来解释混杂因素。使用来自英国老龄化纵向研究(n = 4467)的老年人,我们发现文化参与与横断面较低的生理年龄(平均治疗效果-2.17;95% CI -3.48至-0.86)以及4年和8年后相关。这种影响在所有三种类型的文化活动(文化表演、博物馆/展览和电影)中都可以看到。这些分析对多重敏感性分析具有稳健性,包括考虑其他混杂结构、异常值和治疗规范。总的来说,这些发现提供了文化参与如何与衰老过程相关的见解。
{"title":"Cultural Engagement Is Related to Decelerated Physiological Age: Doubly Robust Estimations in a National Cohort Study.","authors":"Daisy Fancourt, Saoirse Finn, Hei Wan Mak, Andrew Steptoe, Mikaela Bloomberg","doi":"10.1111/nyas.70232","DOIUrl":"10.1111/nyas.70232","url":null,"abstract":"<p><p>Cultural engagement (e.g., going to live music events and theater performances, museums, galleries and exhibitions, and the cinema) is longitudinally associated in repeated epidemiological studies with age-related mental and physical health outcomes. However, it is unclear whether it also influences how fast older adults age physiologically-so-called age acceleration. This study aimed to ascertain whether regular cultural engagement among older adults is related to slower physiological aging using a previously derived physiological age index and a doubly robust estimation approach to account for confounders. Using older adults from the English Longitudinal Study of Ageing (n = 4467), we found that cultural engagement was related to lower physiological age cross-sectionally (average treatment effect -2.17; 95% CI -3.48 to -0.86) and 4 and 8 years later. The effect was seen consistently for all three types of cultural activity explored (cultural performances, museums/exhibitions, and the cinema). These analyses were robust to multiple sensitivity analyses, including considering alternative confounding structures, outliers, and treatment specification. Overall, these findings provide insight into how cultural engagement may be related to processes of aging.</p>","PeriodicalId":8250,"journal":{"name":"Annals of the New York Academy of Sciences","volume":"1557 1","pages":"e70232"},"PeriodicalIF":4.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12994440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147472437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We conducted a comprehensive first-principles investigation of the electronic structure, photoresponse, mechanical, and thermodynamic characteristics of the newly synthesized compound tetragonal-VN2 using density functional theory. The calculated lattice parameters closely align with both experimental and theoretical data. Electronic structure analysis reveals that VN2 exhibits metallic conductivity, with significant hybridization between V-3d and N-2p states, indicating strong covalent bonding. VN2 demonstrates isotropic optical properties, with a high static dielectric constant (56.9), notable reflectivity (59% at 0 eV), and significant absorption in the ultraviolet-visible range. It is mechanically stable, exhibits a degree of elastic anisotropy, and possesses a brittle nature. VN2 has a Vickers hardness of 26.2 GPa, approximately three times greater than that of VN, suggesting that it is suitable for use in wear-resistant coatings and cutting tools. From a thermodynamic perspective, VN2 is characterized by a high Debye temperature (1023.5 K) and significant lattice thermal conductivity (59.8 W·m- 1·K- 1). Its melting temperature, which exceeds 3177 K, distinguishes it as a promising candidate for applications that require extreme temperatures. These findings establish a strong foundation for the future applications of VN2 in advanced materials science, particularly in high-performance coatings and photonic devices.
{"title":"Beyond VN: Multifunctional Tetragonal VN2 as a Promising Ultrahard Coating and Ultraviolet-Visible Photonic Material.","authors":"Haichuan Chen,Yongqiang Chen","doi":"10.1111/nyas.70218","DOIUrl":"https://doi.org/10.1111/nyas.70218","url":null,"abstract":"We conducted a comprehensive first-principles investigation of the electronic structure, photoresponse, mechanical, and thermodynamic characteristics of the newly synthesized compound tetragonal-VN2 using density functional theory. The calculated lattice parameters closely align with both experimental and theoretical data. Electronic structure analysis reveals that VN2 exhibits metallic conductivity, with significant hybridization between V-3d and N-2p states, indicating strong covalent bonding. VN2 demonstrates isotropic optical properties, with a high static dielectric constant (56.9), notable reflectivity (59% at 0 eV), and significant absorption in the ultraviolet-visible range. It is mechanically stable, exhibits a degree of elastic anisotropy, and possesses a brittle nature. VN2 has a Vickers hardness of 26.2 GPa, approximately three times greater than that of VN, suggesting that it is suitable for use in wear-resistant coatings and cutting tools. From a thermodynamic perspective, VN2 is characterized by a high Debye temperature (1023.5 K) and significant lattice thermal conductivity (59.8 W·m- 1·K- 1). Its melting temperature, which exceeds 3177 K, distinguishes it as a promising candidate for applications that require extreme temperatures. These findings establish a strong foundation for the future applications of VN2 in advanced materials science, particularly in high-performance coatings and photonic devices.","PeriodicalId":8250,"journal":{"name":"Annals of the New York Academy of Sciences","volume":"70 1","pages":"e70218"},"PeriodicalIF":5.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147329605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to \"Assessment of Central Sensitivity Syndrome and Sensory Processing Sensitivity: A Systematic Review\".","authors":"","doi":"10.1111/nyas.70242","DOIUrl":"https://doi.org/10.1111/nyas.70242","url":null,"abstract":"","PeriodicalId":8250,"journal":{"name":"Annals of the New York Academy of Sciences","volume":"1557 1","pages":"e70242"},"PeriodicalIF":4.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147430627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mental health symptoms are common among caregivers of young children in low-resource settings, yet access to psychological care remains limited due to shortages of specialists, low awareness, and stigma. This qualitative study explored the acceptability and appropriateness of delivering a postnatal mental health intervention for mothers through community and township health centers (CTHCs) in Shanghai, China. We conducted in-depth interviews with 50 mothers of children under 3 years of age, recruited from nine CTHCs and one parenting center, including both those with and without depressive symptoms. Data were analyzed using a rapid analysis approach to identify themes related to perceived values, burdens, motivations, and barriers to participation. Mothers valued interventions that aligned with their personal needs, addressed both parenting knowledge and mental health, offered emotional and social support, and involved family members. Key barriers included time constraints, childcare responsibilities, stigma toward mental health, and accessibility of the location of the intervention. Flexible delivery formats and modes, integration with routine child health services, and nonstigmatizing framing were identified as potential strategies to enhance engagement.
{"title":"The Acceptability and Appropriateness of Delivering Postnatal Mental Health Support at Community Health Centers.","authors":"Yuyin Xiao,Qi Jiang,Yiwei Qian,Jiaqi Shi,Hanwen Zhang,Christina Rose Kennedy,Guohong Li,Fan Jiang,Scott Rozelle","doi":"10.1111/nyas.70235","DOIUrl":"https://doi.org/10.1111/nyas.70235","url":null,"abstract":"Mental health symptoms are common among caregivers of young children in low-resource settings, yet access to psychological care remains limited due to shortages of specialists, low awareness, and stigma. This qualitative study explored the acceptability and appropriateness of delivering a postnatal mental health intervention for mothers through community and township health centers (CTHCs) in Shanghai, China. We conducted in-depth interviews with 50 mothers of children under 3 years of age, recruited from nine CTHCs and one parenting center, including both those with and without depressive symptoms. Data were analyzed using a rapid analysis approach to identify themes related to perceived values, burdens, motivations, and barriers to participation. Mothers valued interventions that aligned with their personal needs, addressed both parenting knowledge and mental health, offered emotional and social support, and involved family members. Key barriers included time constraints, childcare responsibilities, stigma toward mental health, and accessibility of the location of the intervention. Flexible delivery formats and modes, integration with routine child health services, and nonstigmatizing framing were identified as potential strategies to enhance engagement.","PeriodicalId":8250,"journal":{"name":"Annals of the New York Academy of Sciences","volume":"22 1","pages":"e70235"},"PeriodicalIF":5.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147439485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rui Sun,Henan Qin,Wenhe Zhang,Xin Guo,Yibin Teng,Mengyuan Xu,Jiwei Liu,Zhen Ning,Aman Wang
Metabolic reprogramming, particularly the dysregulation of cholesterol metabolism, is a hallmark of pancreatic ductal adenocarcinoma (PDAC). However, the underlying molecular drivers remain largely elusive. In this study, we demonstrate that Tribbles homolog 1 (TRIB1) is elevated in PDAC tissues and is significantly associated with poor prognosis. Functionally, TRIB1 mRNA knockdown suppresses PDAC cell growth and tumor formation, while its overexpression promotes both. Mechanistically, TRIB1 protein binds to the DNA-binding domain of PPARγ and inhibits its transcriptional activity. This interaction relieves the PPARγ-mediated repression of HMGCR, the rate-limiting enzyme in the mevalonate pathway, thereby fueling de novo cholesterol biosynthesis. Furthermore, in vivo experiments indicate that PDAC tumors with high TRIB1 expression were more sensitive to the HMGCR inhibitor atorvastatin. Collectively, our findings highlight the critical role of the TRIB1-PPARγ-HMGCR axis in the metabolic rewiring of PDAC and suggest that TRIB1 may serve as a predictive biomarker for optimizing statin-based metabolic therapies.
{"title":"The TRIB1-PPARγ Axis Regulates Cholesterol Metabolism in Pancreatic Ductal Adenocarcinoma.","authors":"Rui Sun,Henan Qin,Wenhe Zhang,Xin Guo,Yibin Teng,Mengyuan Xu,Jiwei Liu,Zhen Ning,Aman Wang","doi":"10.1111/nyas.70224","DOIUrl":"https://doi.org/10.1111/nyas.70224","url":null,"abstract":"Metabolic reprogramming, particularly the dysregulation of cholesterol metabolism, is a hallmark of pancreatic ductal adenocarcinoma (PDAC). However, the underlying molecular drivers remain largely elusive. In this study, we demonstrate that Tribbles homolog 1 (TRIB1) is elevated in PDAC tissues and is significantly associated with poor prognosis. Functionally, TRIB1 mRNA knockdown suppresses PDAC cell growth and tumor formation, while its overexpression promotes both. Mechanistically, TRIB1 protein binds to the DNA-binding domain of PPARγ and inhibits its transcriptional activity. This interaction relieves the PPARγ-mediated repression of HMGCR, the rate-limiting enzyme in the mevalonate pathway, thereby fueling de novo cholesterol biosynthesis. Furthermore, in vivo experiments indicate that PDAC tumors with high TRIB1 expression were more sensitive to the HMGCR inhibitor atorvastatin. Collectively, our findings highlight the critical role of the TRIB1-PPARγ-HMGCR axis in the metabolic rewiring of PDAC and suggest that TRIB1 may serve as a predictive biomarker for optimizing statin-based metabolic therapies.","PeriodicalId":8250,"journal":{"name":"Annals of the New York Academy of Sciences","volume":"99 1","pages":"e70224"},"PeriodicalIF":5.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147329622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Self-supervised learning (SSL) can capture intrinsic features from extensive unlabeled data, significantly reducing dependence on labels and performing well in human activity recognition (HAR). However, existing SSL frameworks depend excessively on data augmentation paradigms, and often mistakenly treat noise as learning objectives during mask reconstruction. Moreover, the data set scale often constrains accuracy and hinders real-world applicability. To address these issues, this paper proposes a new SSL objective that integrates an attention mechanism with an adaptive time series mixer. Without relying on data augmentation, the proposed model assigns lower weights to noise for capturing the global dependencies and extracting the local feature within inertial measurement unit (IMU) series. The proposed model was validated through comprehensive evaluations of three public data sets (UCI, Motion, and HHAR) and one self-collected data set (named CQJTU-FCE). The experimental results fully demonstrate that, on the self-collected data set, the proposed model achieves an average improvement of 6.54%, 8.55%, and 7.88% in accuracy, F1 score, and Cohen's kappa coefficient, respectively, compared with the baseline models. Similarly, on the public data sets, the average enhancements reached 10.63%, 11.77%, and 13.39% across the same evaluation metrics. These results confirm the generalizability of the model to various data sets, offering a more efficient and reliable solution for HAR tasks.
{"title":"Augmentation-Free Self-Supervised Human Activity Recognition With Attention Mechanism and Adaptive Time Series Mixer.","authors":"Zhongwei Hou, Jin Han, Shixun Wu, Zhiqiang Wang, Miao Zhang, Dengyuan Xu","doi":"10.1111/nyas.70222","DOIUrl":"https://doi.org/10.1111/nyas.70222","url":null,"abstract":"<p><p>Self-supervised learning (SSL) can capture intrinsic features from extensive unlabeled data, significantly reducing dependence on labels and performing well in human activity recognition (HAR). However, existing SSL frameworks depend excessively on data augmentation paradigms, and often mistakenly treat noise as learning objectives during mask reconstruction. Moreover, the data set scale often constrains accuracy and hinders real-world applicability. To address these issues, this paper proposes a new SSL objective that integrates an attention mechanism with an adaptive time series mixer. Without relying on data augmentation, the proposed model assigns lower weights to noise for capturing the global dependencies and extracting the local feature within inertial measurement unit (IMU) series. The proposed model was validated through comprehensive evaluations of three public data sets (UCI, Motion, and HHAR) and one self-collected data set (named CQJTU-FCE). The experimental results fully demonstrate that, on the self-collected data set, the proposed model achieves an average improvement of 6.54%, 8.55%, and 7.88% in accuracy, F1 score, and Cohen's kappa coefficient, respectively, compared with the baseline models. Similarly, on the public data sets, the average enhancements reached 10.63%, 11.77%, and 13.39% across the same evaluation metrics. These results confirm the generalizability of the model to various data sets, offering a more efficient and reliable solution for HAR tasks.</p>","PeriodicalId":8250,"journal":{"name":"Annals of the New York Academy of Sciences","volume":"1557 1","pages":"e70222"},"PeriodicalIF":4.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147430563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mary R Elson, Rosie K Hsu, Alexander G Ophir, Nora H Prior
Courtship is often viewed as a linear process where males display and female assessment of this display shapes her mating decisions. However, communication can be far more dynamic and interactive, particularly in species that develop long-term relationships. Interactional complexity is not well captured by traditional models of animal communication. Here, we tested whether interactional elements shape female preferences in the monogamous zebra finch. We used selective calling as a measure of female preference. First, we asked whether females' most-preferred song (based on passive song playback) matched her most-preferred male (based on a live interaction). We found a mismatch in the preferences for song versus live males, and female preferences for a live male did not appear to be linked to how much he sang. Next, to experimentally manipulate male responsiveness, we habituated females to the song of their most-preferred or least-preferred male. This song habituation caused females to change their preferences differently depending on whether they were habituated to their most- or least-preferred male. Together, these results highlight that additional interactional elements, beyond male song, impact female social preferences. More broadly, our results contribute to growing evidence that models of communication should incorporate interactional and distributed elements.
{"title":"Beyond Song-An Investigation of Song and Social Preferences in a Monogamous Songbird.","authors":"Mary R Elson, Rosie K Hsu, Alexander G Ophir, Nora H Prior","doi":"10.1111/nyas.70216","DOIUrl":"https://doi.org/10.1111/nyas.70216","url":null,"abstract":"<p><p>Courtship is often viewed as a linear process where males display and female assessment of this display shapes her mating decisions. However, communication can be far more dynamic and interactive, particularly in species that develop long-term relationships. Interactional complexity is not well captured by traditional models of animal communication. Here, we tested whether interactional elements shape female preferences in the monogamous zebra finch. We used selective calling as a measure of female preference. First, we asked whether females' most-preferred song (based on passive song playback) matched her most-preferred male (based on a live interaction). We found a mismatch in the preferences for song versus live males, and female preferences for a live male did not appear to be linked to how much he sang. Next, to experimentally manipulate male responsiveness, we habituated females to the song of their most-preferred or least-preferred male. This song habituation caused females to change their preferences differently depending on whether they were habituated to their most- or least-preferred male. Together, these results highlight that additional interactional elements, beyond male song, impact female social preferences. More broadly, our results contribute to growing evidence that models of communication should incorporate interactional and distributed elements.</p>","PeriodicalId":8250,"journal":{"name":"Annals of the New York Academy of Sciences","volume":"1557 1","pages":"e70216"},"PeriodicalIF":4.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147430566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EXPRESSION OF CONCERN: Erythroblast Cells as a Target for Bartonella Quintana in Homeless People.","authors":"","doi":"10.1111/nyas.70238","DOIUrl":"https://doi.org/10.1111/nyas.70238","url":null,"abstract":"","PeriodicalId":8250,"journal":{"name":"Annals of the New York Academy of Sciences","volume":"56 1","pages":"e70238"},"PeriodicalIF":5.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147368470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer Cable, Robert Giuli, Mark R Fox, Rachel L Rosen, Luis R Valdovinos-García, Stefano Siboni, John O Clarke, Nikki Johnston, Tina L Samuels, Carmelo Scarpignato, Ellen M Stein, Ronnie Fass, José María Remes-Troches, Abraham Khan, Afrin Kamal Rahman, Kristle Lynch, Daniela Jodorkovsky, Marcelo F Vela, Alexandra Vandenberg, Braden Kuo, Pelin Ergun, Sigh Pichamol Jirapinyo, Emanuele Asti, Salvatore Tolone, Eric G Sheu, Renato Salvador, Marco Sozzi, Inna A Husain, Justin C Wu, Anthony Hobson, Nirmal S Sharma, Wai-Kit Lo, Daniel R Duncan, C Prakash Gyawali, Walter Chan, Daniel Sifrim, Edoardo Savarino, Nicola de Bortoli, Benjamin D Rogers
Recent advances in the diagnosis and management of reflux disease were the central focus of the inaugural Gatherings in Esophagology (GiE), which convened experts across gastroenterology, surgery, otolaryngology, pulmonology, and basic research. The sessions highlighted innovations in reflux monitoring-including high-resolution manometry, wireless pH monitoring, and novel salivary biomarkers-while critically evaluating their diagnostic accuracy and clinical utility. Presentations explored the limitations of traditional proton-pump inhibitor therapy, the emergence of potassium-competitive acid blockers as a new class of acid suppressants, and the evolving role of adjunctive treatments such as mucosal protectants, reflux reducers, and neuromodulators for refractory symptoms. The discourse extended to advanced interventional procedures, including transoral incisionless fundoplication, magnetic sphincter augmentation, and the RefluxStop device, with discussion of patient selection, efficacy, and complication management. Discussants emphasized the pathophysiology and management of extraesophageal manifestations of reflux, the interplay between reflux and pulmonary disease, and the diagnostic challenges in pediatric populations. The meeting also addressed the integration of behavioral therapies, the role of the microbiome, and the application of artificial intelligence in reflux diagnostics. Collectively, these insights underscore a shift toward precision medicine in reflux disease, emphasizing individualized diagnostic strategies and tailored therapeutic approaches to improve patient outcomes.
{"title":"Gatherings in Esophagology: Innovations and Future Directions in the Diagnosis and Management of Reflux Disease.","authors":"Jennifer Cable, Robert Giuli, Mark R Fox, Rachel L Rosen, Luis R Valdovinos-García, Stefano Siboni, John O Clarke, Nikki Johnston, Tina L Samuels, Carmelo Scarpignato, Ellen M Stein, Ronnie Fass, José María Remes-Troches, Abraham Khan, Afrin Kamal Rahman, Kristle Lynch, Daniela Jodorkovsky, Marcelo F Vela, Alexandra Vandenberg, Braden Kuo, Pelin Ergun, Sigh Pichamol Jirapinyo, Emanuele Asti, Salvatore Tolone, Eric G Sheu, Renato Salvador, Marco Sozzi, Inna A Husain, Justin C Wu, Anthony Hobson, Nirmal S Sharma, Wai-Kit Lo, Daniel R Duncan, C Prakash Gyawali, Walter Chan, Daniel Sifrim, Edoardo Savarino, Nicola de Bortoli, Benjamin D Rogers","doi":"10.1111/nyas.70225","DOIUrl":"10.1111/nyas.70225","url":null,"abstract":"<p><p>Recent advances in the diagnosis and management of reflux disease were the central focus of the inaugural Gatherings in Esophagology (GiE), which convened experts across gastroenterology, surgery, otolaryngology, pulmonology, and basic research. The sessions highlighted innovations in reflux monitoring-including high-resolution manometry, wireless pH monitoring, and novel salivary biomarkers-while critically evaluating their diagnostic accuracy and clinical utility. Presentations explored the limitations of traditional proton-pump inhibitor therapy, the emergence of potassium-competitive acid blockers as a new class of acid suppressants, and the evolving role of adjunctive treatments such as mucosal protectants, reflux reducers, and neuromodulators for refractory symptoms. The discourse extended to advanced interventional procedures, including transoral incisionless fundoplication, magnetic sphincter augmentation, and the RefluxStop device, with discussion of patient selection, efficacy, and complication management. Discussants emphasized the pathophysiology and management of extraesophageal manifestations of reflux, the interplay between reflux and pulmonary disease, and the diagnostic challenges in pediatric populations. The meeting also addressed the integration of behavioral therapies, the role of the microbiome, and the application of artificial intelligence in reflux diagnostics. Collectively, these insights underscore a shift toward precision medicine in reflux disease, emphasizing individualized diagnostic strategies and tailored therapeutic approaches to improve patient outcomes.</p>","PeriodicalId":8250,"journal":{"name":"Annals of the New York Academy of Sciences","volume":"1557 1","pages":"e70225"},"PeriodicalIF":4.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12981296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147430728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study explored how meridian, eccentricity, contrast, and age influence the development of central and peripheral visual acuity (VA) in 37 children (aged 4-12)-divided into three groups-and eight adults. Psychophysical methods were used to measure VA using Lea symbols at contrast levels of 40% and 80%, measured at the fovea and at eccentricities of 2°, 4°, 6°, and 8° along the superior, inferior, right, and left meridians. The results showed that children aged 6 to <8 years had already achieved adult-like VA performance at both central and peripheral locations across contrast levels. At 40% contrast, younger children (4 to <6 years) showed significantly lower VA, especially at the fovea and across eccentricities. The analyses revealed better VA along the horizontal meridian relative to the vertical meridian, and superior meridian performance relative to the inferior meridian, with these asymmetries becoming more pronounced with age. Although the results indicated significant differences between the right and left meridians, post-hoc analyses identified such differences only in a few conditions. Overall, the findings demonstrate that the development of VA is influenced by the interaction of meridional orientation, eccentricity, contrast, and age, highlighting an age-related increase in visual field asymmetry.
{"title":"Development of Central and Peripheral Vision and Visual Field Asymmetries from Preschoolers to Adults.","authors":"Li-Ting Tsai, Chien-Chung Chen, Chiun-Ho Hou","doi":"10.1111/nyas.70240","DOIUrl":"https://doi.org/10.1111/nyas.70240","url":null,"abstract":"<p><p>This study explored how meridian, eccentricity, contrast, and age influence the development of central and peripheral visual acuity (VA) in 37 children (aged 4-12)-divided into three groups-and eight adults. Psychophysical methods were used to measure VA using Lea symbols at contrast levels of 40% and 80%, measured at the fovea and at eccentricities of 2°, 4°, 6°, and 8° along the superior, inferior, right, and left meridians. The results showed that children aged 6 to <8 years had already achieved adult-like VA performance at both central and peripheral locations across contrast levels. At 40% contrast, younger children (4 to <6 years) showed significantly lower VA, especially at the fovea and across eccentricities. The analyses revealed better VA along the horizontal meridian relative to the vertical meridian, and superior meridian performance relative to the inferior meridian, with these asymmetries becoming more pronounced with age. Although the results indicated significant differences between the right and left meridians, post-hoc analyses identified such differences only in a few conditions. Overall, the findings demonstrate that the development of VA is influenced by the interaction of meridional orientation, eccentricity, contrast, and age, highlighting an age-related increase in visual field asymmetry.</p>","PeriodicalId":8250,"journal":{"name":"Annals of the New York Academy of Sciences","volume":"1557 1","pages":"e70240"},"PeriodicalIF":4.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147497621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}