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Pharmacists, Medications, and Contingency Management for Smoking in HIV Clinics

RCT: Among people with HIV who smoke, clinical pharmacist-delivered nicotine replacement with contingency management improved tobacco-related outcomes, providing evidence-based strategies for smoking reduction in HIV clinics.


Question What are optimal clinical pharmacist–delivered treatment strategies for promoting cigarette smoking reduction among people with HIV?

Findings In this randomized clinical trial involving 323 participants, those receiving nicotine replacement therapy (NRT) with or without contingency management (CM) had similar reductions in cigarettes per day (CPD) at 12 weeks. Among participants who started with NRT alone and did not achieve week 12 abstinence, adding CM led to lower CPD than switching to oral medications. Participants who started with NRT and then added CM achieved lowest CPD at week 24.

Meaning Study findings, indicating that CM is an effective adjunct to clinical pharmacist–delivered NRT for improving tobacco-related outcomes, provide HIV clinics with guidance on strategies for addressing cigarette smoking reduction among people with HIV.

Study suggests protein made in the liver is a key factor in men’s bone health

New research suggests the liver plays a previously unrecognized role in bone health, but only in males. A McGill University-led study published in Matrix Biology found that a protein made in the liver helps regulate bone growth in male mice, but not in females. The findings may help explain why men with liver disease are more likely to experience bone loss.

The protein, known as plasma fibronectin, is naturally present in blood at higher levels in men than in women, declines when the liver is damaged and builds up in bone to modulate bone formation. This suggests men rely more heavily on the protein to maintain bone strength than do women.

“About 60% of osteoporosis cases in men are secondary to other underlying health conditions,” said senior author Mari Tuulia Kaartinen, Associate Professor in McGill’s Faculty of Dental Medicine and Oral Health Sciences. “Our findings suggest this protein may be one of the biological links connecting liver disease to bone loss.”

Jobs AI Will Never Replace, Study Finds

Which Careers Are Most At Risk from AI Impact.

Artificial intelligence is reshaping the global labor market, with white-collar workers, especially those with higher education, facing the highest risk of job displacement.

Routine and structured tasks in administration, customer service, translation, and content production are most vulnerable, while roles requiring empathy, creativity, or physical skill, such as doctors, teachers, and electricians, remain relatively protected.

By 2026, AI is expected to handle up to 75% of customer service interactions, while 40% of the global workforce will need reskilling. Governments and companies must prioritize training and social protection to prevent widening labor and social inequality.

CHAPTERS:
0:12 Safest Jobs.
0:37 AI-Proof Careers.
1:05 Jobs AI Cannot Replace.
1:49 Future-Proof Jobs.
2:26 Tech Job Market.
3:01 AI and Employment.
3:44 Most Secure Careers.
4:22 Jobs Safe from Automation.
4:59 Jobs Safe from Automation 2025
5:18 Artificial Intelligence Impact.
6:57 Stable Tech Careers.

Produced by: Samantha Harvey.

The Nervous System and Behavior

Many central issues with which neurosciences is concerned, such as how we perceive the world around us, how we learn from experience, how we remember, how we direct our movements, and how we communicate with each other, have commanded the attention of thoughtful men and women for centuries. But it was not until after World War II that neuroscience began to emerge as a separate and increasingly vigorous scientific discipline that has as its ultimate objective providing a satisfactory account of animal (including human) behavior in biological terms. This ambitious goal has as its basis the central realization that all behavior is, in the last analysis, a reflection of the function of the nervous system. It is the organized and coordinated activity of the nervous system that ultimately manifests itself in the behavior of the organism. The challenge to neuroscience then, is to explain, in physical and chemical terms, how the nervous system marshalls its signaling units to direct behavior.

The real magnitude of this challenge can perhaps be best judged by considering the structural and functional complexity of the human brain and the bewildering complexity of human behavior. The human brain is thought to be composed of about a hundred billion (1011) nerve cells and about 10 to 50 times that number of supporting elements or glial cells. Some nerve cells have relatively few connections with other neurons or with such effector organs as muscles or glands, but the great majority receive connections from thousands of other cells and may themselves connect with several hundred other neurons. This means that at a fairly conservative estimate the total number of functional connections (known as synapses) within the human brain is on the order of a hundred trillion (1014). But what is most important is that these connections are not random or indiscriminate:

They constitute the essential “wiring” of the nervous system on which the extraordinarily precise functioning of the brain depends. We owe to the great neuroanatomists of the last century, and especially to Ramón y Cajal, the brilliant insight that cells with basically similar properties are able to produce very different actions because they are connected to each other and to the sensory receptors and effector organs of the body in different ways. One major objective of modern neuroscience is therefore to unravel the patterns of connections within the nervous system—in a word, to map the brain.

Abstract: Can we lower cardiovascular disease in prediabetes using antioxidants that target mitochondrial oxidative stress?

In this Research Article, Sanjana Dayal report on a link between prediabetes, platelet activation, and thrombosis:

The images show platelet accumulation after 5 minutes of continuous flow on a collagen-coated chamber.


Address correspondence to: Sanjana Dayal, Department of Internal Medicine, Carver College of Medicine, University of Iowa, 100D EMRB, 500 Newton Road, Iowa City, Iowa, 52,242, USA. Phone: 319.335.7712; Email: [email protected].

Interferons: Interferons (IFNs) are a family of antiviral and immunomodulatory signaling proteins produced by host cells to fight pathogens like viruses, bacteria, and tumors

(IFNs) are a family of antiviral and immunomodulatory signaling proteins produced by host cells to fight pathogens like viruses, bacteria, and tumors.

As cytokines, they alert neighboring cells to activate defenses, inhibit viral replication, and regulate immune responses.

Common uses include treating hepatitis B and C, multiple sclerosis, and certain cancers like melanoma and lymphoma.

For more information click on the link below: sciencenewshighlights ScienceMission.

Using high-energy sparks to degrade pollutants without generating waste

A study published in the Chemical Engineering Journal proposes a new approach to environmental remediation of pharmaceutical pollutants in water flows. This approach is based on a phenomenon known as “sparks,” which refers to the sparks that appear on the surface of a metal when it is subjected to plasma electrolytic oxidation (PEO).

During PEO, a metal part (in this case, aluminum) is immersed in a liquid to which an electrical voltage is applied. This results in the growth of an oxide coating. During the process, micro-electrical discharges, or sparks, appear. These sparks last for fractions of a second and cover a small area. However, they lead to very high temperatures, which is why they are nicknamed the “second sun.” This treatment is used on aluminum, magnesium, titanium, and other metal parts in the aerospace, automotive, medical, and electronics industries to create an oxide coating that improves the resistance of the material to corrosion and heat.

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