Doxxing and Cyberbullying in Dermatology.

Doxxing, a type of cyberbullying, occurs when an individual's personal information is shared without consent and with malintent. Doxxing can be seen as a form of vigilantism, a way to hold others accountable for their actions or opinions; however, this form of justice can have catastrophic impacts on the victim, especially physicians. Since the COVID-19 pandemic, where physicians and healthcare providers strongly led public health advocacy efforts on social media, the frequency of doxxing and cyberbullying has increased. Diversity, Equity, and Inclusion (DEI) initiatives have also recently sparked controversy in dermatology and medicine, where advocates for DEI and those opposed to DEI initiatives have also been doxxed. This behavior is incredibly taxing on an individual's mental health, with substantial negative implications on a person's social, personal, and professional life. We discuss the ethical considerations of doxxing and avenues for better protecting physicians.

Evaluating the Problem of Fraudulent Participants in Health Care Research: Multimethod Pilot Study.

BACKGROUND: The shift toward online recruitment methods, accelerated by the COVID-19 pandemic, has brought to the forefront the growing concern of encountering fraudulent participants in health care research. The increasing prevalence of this issue poses a serious threat to the reliability and integrity of research data and subsequent findings. OBJECTIVE: This study aims to explore the experiences of health care researchers (HCRs) who have encountered fraudulent participants while using online recruitment methods and platforms. The primary objective was to gain insights into how researchers detect and mitigate fraudulent behavior in their work and provide prevention recommendations. METHODS: A multimethod sequential design was used for this pilot study, comprising a quantitative arm involving a web-based survey followed by a qualitative arm featuring semistructured interviews. The qualitative description approach framed the qualitative arm of the study. Sample sizes for the quantitative and qualitative arms were based on pragmatic considerations that in part stemmed from encountering fraudulent participants in a concurrent study. Content analysis was used to analyze open-ended survey questions and interview data. RESULTS: A total of 37 HCRs participated, with 35% (13/37) of them engaging in qualitative interviews. Online platforms such as Facebook, email, Twitter (subsequently rebranded X), and newsletters were the most used methods for recruitment. A total of 84% (31/37) of participants indicated that fraudulent participation occurred in studies that mentioned incentives in their recruitment communications, with 71% (26/37) of HCRs offering physical or electronic gift cards as incentives. Researchers identified several indicators of suspicious behavior, including email surges, discrepancies in contact or personal information, geographical inconsistencies, and suspicious responses to survey questions. HCRs emphasized the need for a comprehensive screening protocol that extends beyond eligibility checks and is seamlessly integrated into the study protocol, grant applications, and research ethics board submissions. CONCLUSIONS: This study sheds light on the intricate and pervasive problem of fraudulent participation in health care research using online recruitment methods. The findings underscore the importance of vigilance and proactivity among HCRs in identifying, preventing, and addressing fraudulent behavior. To effectively tackle this challenge, researchers are encouraged to develop a comprehensive prevention strategy and establish a community of practice, facilitating real-time access to solutions and support and the promotion of ethical research practices. This collaborative approach will enable researchers to effectively address the issue of fraudulent participation, ensuring the conduct of high-quality and ethically sound research in the digital age.

Exploring security threats and solutions Techniques for Internet of Things (IoT): from vulnerabilities to vigilance.

The rapid proliferation of Internet of Things (IoT) devices across various industries has revolutionized the way we interact with technology. However, this widespread adoption has also brought about significant security challenges that must be addressed to ensure the integrity and confidentiality of data transmitted and processed by IoT systems. This survey paper delves into the diverse array of security threats faced by IoT devices and networks, ranging from data breaches and unauthorized access to physical tampering and denial-of-service attacks. By examining the vulnerabilities inherent in IoT ecosystems, we highlight the importance of implementing robust security measures to safeguard sensitive information and ensure the reliable operation of connected devices. Furthermore, we explore cutting-edge technologies such as blockchain, edge computing, and machine learning as potential solutions to enhance the security posture of IoT deployments. Through a comprehensive analysis of existing security frameworks and best practices, this paper aims to provide valuable insights for researchers, practitioners, and policymakers seeking to fortify the resilience of IoT systems in an increasingly interconnected world.

From the Public Health Perspective: a Scalable Model for Improving Epidemiological Testing Efficacy in Low- and Middle-Income Areas.

The globe is an organically linked whole, and in the pandemic era, COVID-19 has brought heavy public safety threats and economic costs to humanity as almost all countries began to pay more attention to taking steps to minimize the risk of harm to society from sudden-onset diseases. It is worth noting that in some low- and middle-income areas, where the environment for epidemic detection is complex, the causative and comorbid factors are numerous, and where public health resources are scarce. It is often more difficult than in other areas to obtain timely and effective detection and control in the event of widespread virus transmission, which, in turn, is a constant threat to local and global public health security. Pandemics are preventable through effective disease surveillance systems, with nonpharmacological interventions (NPIs) as the mainstay of the control system, effectively controlling the spread of epidemics and preventing larger outbreaks. However, current state-of-the-art NPIs are not applicable in low- and middle-income areas and tend to be decentralized and costly. Based on a 3-year case study of SARS-CoV-2 preventive detection in low-income areas in south-central China, we explored a strategic model for enhancing disease detection efficacy in low- and middle-income areas. For the first time, we propose an integrated and comprehensive approach that covers structural, social, and personal strategies to optimize the epidemic surveillance system in low- and middle-income areas. This model can improve the local epidemic detection efficiency, ensure the health care needs of more people, reduce the public health costs in low- and middle-income areas in a coordinated manner, and ensure and strengthen local public health security sustainably.

Post-quantum healthcare: A roadmap for cybersecurity resilience in medical data.

As healthcare systems transition into an era dominated by quantum technologies, the need to fortify cybersecurity measures to protect sensitive medical data becomes increasingly imperative. This paper navigates the intricate landscape of post-quantum cryptographic approaches and emerging threats specific to the healthcare sector. Delving into encryption protocols such as lattice-based, code-based, hash-based, and multivariate polynomial cryptography, the paper addresses challenges in adoption and compatibility within healthcare systems. The exploration of potential threats posed by quantum attacks and vulnerabilities in existing encryption standards underscores the urgency of a change in basic assumptions in healthcare data security. The paper provides a detailed roadmap for implementing post-quantum cybersecurity solutions, considering the unique challenges faced by healthcare organizations, including integration issues, budget constraints, and the need for specialized training. Finally, the abstract concludes with an emphasis on the importance of timely adoption of post-quantum strategies to ensure the resilience of healthcare data in the face of evolving threats. This roadmap not only offers practical insights into securing medical data but also serves as a guide for future directions in the dynamic landscape of post-quantum healthcare cybersecurity.

Evil-related threats and mental health concomitants among offspring of Holocaust survivors gay men.

OBJECTIVES: In view of the accumulated stress associated with the combination of intergenerational trauma and minority stress, we aimed to examine whether offspring of Holocaust survivors (OHS) reported stronger evil-related threats compared to non-OHS individuals and whether OHS gay men experienced stronger threats. We also examined whether sexual orientation moderated the hypothesized indirect effect of Holocaust background on mental health through evil-related threats. METHOD: Participants were 346 middle-aged and older Israeli men (mean age = 60.56, SD = 8.42, range 50-86). Among them, 173 identified as gay men, and 81 identified as OHS. Participants completed measures of evil-related threats, depression, and life satisfaction. RESULTS: Analysis of covariance revealed that OHS men reported stronger evil-related threats compared to non-OHS men. Yet, an interaction between Holocaust background and sexual orientation indicated that OHS gay men reported stronger evil-related threats compared to non-OHS gay men, while no such difference existed among heterosexual counterparts. Conditional indirect effect analysis showed a significant indirect effect, in which Holocaust background related to higher depressive symptoms and lower life satisfaction through evil-related threats among gay men, but not among heterosexual men. CONCLUSION: This study sheds light on the particular experience of evil-related threats, focusing on older OHS gay men and the mental health vulnerability associated with it. In applied contexts, this might help identify a sexual minority group that is particularly sensitive to adverse mental health and offer it supporting interventions.

Healthcare professionals' perception on emergence of security threat using digital health technologies in healthcare delivery.

Background: The advancement of digital health technologies (DHTs) in the healthcare industry has revolutionized healthcare by improving efficiency and accessibility. The shift from paper-based records to electronic health records (EHRs) as a result of modern technologies introduced various security threats, endangering patient data privacy and system reliability. This study explores intricate security threats among healthcare professionals affecting DHT utilization. Methodology: A structured questionnaire was designed to solicit for data from healthcare professionals on the existence of possible security threats, magnitude of physical and technical threats, and the extent to which the activities of staff and vendors affect the current DHTs being utilized in Cape Coast Teaching Hospital and Directorate of University Health Services at the University of Cape Coast. Purposive and convenience sampling techniques were employed to select healthcare professionals from various medical fields, and their views were captured for the study. Results: Findings and data analyzed from the study revealed that technical threats, such as hacking, phishing, malware, and encryption weaknesses, pose more substantial dangers to DHTs compared to physical threats. The study explored viable strategies to prevent unauthorized access to DHTs and safeguard patient information. Encouraging measures, such as encryption, multi-factor authentication, regular security training, and periodic password changes, emerged as promising methods in addressing DHT security threats. Conclusion: The study emphasizes the necessity of robust security measures and regular updates to effectively counter the emerging security threats. It underscores the critical necessity for a comprehensive protocol to enhance DHT security, addressing physical, technical, and personnel-related threats.

DNA encoding schemes herald a new age in cybersecurity for safeguarding digital assets.

With the urge to secure and protect digital assets, there is a need to emphasize the immediacy of taking measures to ensure robust security due to the enhancement of cyber security. Different advanced methods, like encryption schemes, are vulnerable to putting constraints on attacks. To encode the digital data and utilize the unique properties of DNA, like stability and durability, synthetic DNA sequences are offered as a promising alternative by DNA encoding schemes. This study enlightens the exploration of DNA's potential for encoding in evolving cyber security. Based on the systematic literature review, this paper provides a discussion on the challenges, pros, and directions for future work. We analyzed the current trends and new innovations in methodology, security attacks, the implementation of tools, and different metrics to measure. Various tools, such as Mathematica, MATLAB, NIST test suite, and Coludsim, were employed to evaluate the performance of the proposed method and obtain results. By identifying the strengths and limitations of proposed methods, the study highlights research challenges and offers future scope for investigation.

Status, threats, and conservation considerations of selected marine habitats and organisms in the Arabian/Persian Gulf.

Many studies indicated that marine habitats and organisms in the Arabian/Persian Gulf ('Gulf') are broadly deteriorating. However, this likely results from the generalization of a few declining habitats or organisms in some locations. Here, we conduct a review to evaluate the status of selected habitats (mangroves, seagrasses, and coral reefs) and organisms (exploited bony fish, sharks, rays, dolphins, whales, and dugongs) and identify major threats to them in each Gulf country (except Iraq and Oman). We show that out of 52 habitats and organisms in the six countries, the predominant status (63.5%) is "Data-deficient", followed by "Decline" (21.2%) and "Increase-stable" (15.4%). The major threats to these habitats and organisms are coastal development, desalination plants, climate change, and fishing. However, our findings differentiate that some of these threats are causing severe degradation (i.e., have "Observed" impacts) while other threats, such as desalination plants, have potential impacts that are derived from laboratory experiments or modelling work. Our results can be used to guide conservation efforts in the region.

How researchers can translate health evidence into books for children.

The health promotion literature that considers how scientific evidence can be effectively communicated tends to focus on evaluating the effectiveness of communication materials. This has resulted in a knowledge gap regarding effective knowledge translation processes. This study explores the process, reasoning and practices for developing books for children that incorporate evidence-based information to aid understanding of scientific evidence about health and environmental or natural disasters. This study is informed by a systematic review of the literature combined with responses to an email interview with authors of books for children. Nine published studies were included in the systematic review. Twenty-two authors responded to the email survey (25% response rate, following 86 invitations). We report seven key findings to guide the development of health-promoting books for children: (i) understand the needs and expectations of the audience, (ii) articulate the topic and research evidence, (iii) assemble a team with a mix of content knowledge and creative expertise, (iv) format should be chosen to suit the user group and guided by the creative team, (v) early testing with children and their support system is crucial, (vi) develop a dissemination strategy to reach the user group and (vii) engage in reflexivity through evaluation of effectiveness of messaging. The current investigation can guide the process, reasoning and practice of developing books for children that incorporate evidence about health and environmental disasters.

Challenges and efforts in managing AI trustworthiness risks: a state of knowledge.

This paper addresses the critical gaps in existing AI risk management frameworks, emphasizing the neglect of human factors and the absence of metrics for socially related or human threats. Drawing from insights provided by NIST AI RFM and ENISA, the research underscores the need for understanding the limitations of human-AI interaction and the development of ethical and social measurements. The paper explores various dimensions of trustworthiness, covering legislation, AI cyber threat intelligence, and characteristics of AI adversaries. It delves into technical threats and vulnerabilities, including data access, poisoning, and backdoors, highlighting the importance of collaboration between cybersecurity engineers, AI experts, and social-psychology-behavior-ethics professionals. Furthermore, the socio-psychological threats associated with AI integration into society are examined, addressing issues such as bias, misinformation, and privacy erosion. The manuscript proposes a comprehensive approach to AI trustworthiness, combining technical and social mitigation measures, standards, and ongoing research initiatives. Additionally, it introduces innovative defense strategies, such as cyber-social exercises, digital clones, and conversational agents, to enhance understanding of adversary profiles and fortify AI security. The paper concludes with a call for interdisciplinary collaboration, awareness campaigns, and continuous research efforts to create a robust and resilient AI ecosystem aligned with ethical standards and societal expectations.

Tracking the footsteps of Burkholderia mallei: determination of the molecular differences and potential resistance genes.

Background/aim: Chemical biological radiological nuclear threats are at an important point in the agenda of world health today, as they can cause mass deaths. B. mallei attracts attention as a potential biological warfare agent due to its features such as multidrug resistance, a rapid transmission mechanism via aerosol, the absence of a complete treatment protocol for the infection it causes, and the absence of an approved vaccine for protection against the bacteria. B. mallei suspect samples must be studied by experienced personnel in biosafety level III laboratories. B mallei is a difficult and troublesome pathogen to diagnose and many unknowns about B. mallei today. Therefore, the aim of the study was to determine the molecular differences and potential resistance genes of B mallei strains. Materials and methods: Determination of the molecular differences and potential resistance genes of B mallei strains with new bioinformatics approaches by comparatively examining the data of 29 B mallei strains, 10 of which were isolated from Türkiye, on the genome list of the National Biotechnology Information Center (NCBI). Results: According to the genome annotations of the origins, the origin containing the highest number of CDS which is 5172 was found as the 11th strain obtained in Türkiye in 1949. The origin with the highest number of pseudogenes was determined as 23,344 (China 7) origin. Two hundred and eighty-five pseudogenes found in this strain were obtained from a knee effusion in Myanmar. According to chromosome 2 data, B. mallei strain was determined as the most similar strain to ATCC 23344, line 11 with NCTC 10229 strain, and SAVP1 strain was determined as the least similar strain. When the antimicrobial resistance gene markers of the isolates included in the study were examined, amrA and amrB, qacG ade, Burkholderia pseudomallei Omp38 were found to be carrying. Conclusion: In terms of public health, it was thought that the data obtained as a result of our study about B mallei, which is defined as a biological weapon, is very valuable for creating treatment protocols to be applied to possible epidemics in the future. In addition, the available genetic epidemiological data of these strains belonging to a category that is dangerous to work with in a laboratory environment were reviewed.

Identification of Major Threats of Climate Change, Hazards, and Anthropogenic Activities on Biodiversity Conservation in the Buxa Tiger Reserve, India.

The Himalayan forests are facing a range of threats, which are making conservation efforts challenging. Using a mixed-method approach, this study investigated the threats to biodiversity conservation in Buxa Tiger Reserve (BTR), a fragile ecosystem in the Eastern Himalayan foothills. The study found that between 1990 and 2021, BTR experienced rising summer temperatures and decreasing annual precipitation, contributing to forest dryness, water scarcity, and forest fires. Natural disasters such as floods, flash floods, earthquakes, and landslides also caused significant damage to wildlife habitats. Changes in land use and land cover, including encroachment, infrastructure development, fuelwood collection, and grazing practices, were also identified as significant drivers of ecosystem alteration. Besides, hunting and poaching also emerged as threats to wildlife populations in the reserve. By employing the Analytic Hierarchy Process (AHP), the study determined that land use change, infrastructure development, climate change, livestock grazing, and fuelwood collection pose significant threats to flora conservation outcomes in BTR, while infrastructure development, climate change, livestock grazing, and forest fires are the primary threats to wildlife conservation outcomes in the reserve. The study recommends the regulation of land use practices, promotion of sustainable livelihoods for local communities, effective conservation strategies, and public awareness and education programs to promote the value of biodiversity conservation.

A threat to the natural World Heritage site rarely happens alone.

This study contributes an empirical investigation of the likelihood that different external threats to a UNESCO Natural World Heritage Site occur in combination with each other when site characteristics and location are controlled for. For the purpose of the analysis, the World Heritage database and the UNESCO State of Conservation Reports are used and the nine most frequently appearing external threats are identified. These databases include 6852 site-year observations and 3316 threats over the period 1979-2023. The most commonly identified external threats are illegal activities, with eleven percent of all observations and mining with six percent. Transport infrastructure, tourism and visitor pressure are also common threats. Estimation results based on the multivariate Probit (equation system) model demonstrate that there are strong positive correlations between many pairs of the nine external threats. Most apparent are the links between illegal activities and loss of identity, social cohesion, changes in local population and community, water infrastructure (dams) and farming, as well as illegal activities and land conversion. There are also clear links between tourism and infrastructure. This emphasises that the various threats seldom appear in isolation from each other. Results also highlight that the threats have different drivers. Among the determinants, site characteristics and location are the most important ones. The likelihood of threats is highest for Natural Heritage Sites covered by forests or those in marine and coastal areas, Africa as well as the Arab region. It is also possible to identify a general increase in threats over time, although with a diminishing rate of growth towards the period 2015-2019. Contrary to this development and the general downturn in threats during the Covid-19 pandemic period of 2020-2023, pressure from tourism continues to grow. Methodologically, the results emphasize the need for multivariate Probit models when research goes beyond analyses of descriptive statistics and single equation approaches.

Evaluating drivers of recent large whale strandings on the East Coast of the United States.

Anthropogenic stressors threaten large whales globally. Effective management requires an understanding of where, when, and why threats are occurring. Strandings data provide key information on geographic hotspots of risk and the relative importance of various threats. There is currently considerable public interest in the increased frequency of large whale strandings occurring along the US East Coast of the United States since 2016. Interest is accentuated due to a purported link with offshore wind energy development. We reviewed spatiotemporal patterns of strandings, mortalities, and serious injuries of humpback whales (Megaptera novaeangliae), the species most frequently involved, for which the US government has declared an "unusual mortality event" (UME). Our analysis highlights the role of vessel strikes, exacerbated by recent changes in humpback whale distribution and vessel traffic.  Humpback whales have expanded into new foraging grounds in recent years. Mortalities due to vessel strikes have increased significantly in these newly occupied regions, which show high vessel traffic that also increased markedly during the UME. Surface feeding and feeding in shallow waters may have been contributing factors. We found no evidence that offshore wind development contributed to strandings or mortalities. This work highlights the need to consider behavioral, ecological, and anthropogenic factors to determine the drivers of mortality and serious injury in large whales and to provide informed guidance to decision-makers.

Análisis de las causantes de los recientes varamientos de ballenas en la costa este de los Estados Unidos Resumen El estrés antropogénico amenaza a las ballenas en todo el mundo. El manejo efectivo requiere comprender en dónde, cuándo y por qué ocurren las amenazas. Los datos de varamientos proporcionan información clave sobre los puntos críticos geográficos de riesgo y la importancia relativa de varias amenazas. Actualmente existe un interés público considerable por el incremento en la frecuencia de varamientos de ballenas que ocurren en la costa este de los Estados Unidos desde 2016, al cual el gobierno nacional ha denominado un "evento inusual de mortalidad" (EIM). El interés se acentúa debido a la supuesta conexión con el desarrollo de la energía eólica marina. Revisamos los patrones espaciotemporales de los varamientos, mortandad y lesiones graves de las ballenas jorobadas (Megaptera novaeangliae), la especie involucrada con mayor frecuencia. Nuestro análisis resalta el papel de las colisiones con navíos, agudizados por los cambios recientes en la distribución de la especie, y el tráfico de navíos. Las ballenas jorobadas se han expandido hacia nuevas áreas de forrajeo y los años recientes. La mortandad causada por las colisiones con navíos ha incrementado significativamente en estas regiones ocupadas recientemente, las cuales también muestran un tráfico elevado de navíos que también incrementó durante el EIM. La alimentación superficial y en áreas someras podrían ser factores contribuyentes. No encontramos evidencia de que la energía eólica marina contribuya a los varamientos o a la mortandad. Este trabajo resalta la necesidad de considerar los factores ecológicos, antropogénicos y de comportamiento para determinar las causas de la mortalidad y las lesiones graves en las ballenas y de proporcionar orientación informada para quienes toman las decisiones.

Artificial intelligence challenges in the face of biological threats: emerging catastrophic risks for public health.

The threat landscape of biological hazards with the evolution of AI presents challenges. While AI promises innovative solutions, concerns arise about its misuse in the creation of biological weapons. The convergence of AI and genetic editing raises questions about biosecurity, potentially accelerating the development of dangerous pathogens. The mapping conducted highlights the critical intersection between AI and biological threats, underscoring emerging risks in the criminal manipulation of pathogens. Technological advancement in biology requires preventative and regulatory measures. Expert recommendations emphasize the need for solid regulations and responsibility of creators, demanding a proactive, ethical approach and governance to ensure global safety.

Pastoralism and Resulting Challenges for National Parks in Afar, Ethiopia.

Pastoralists and national parks are key stakeholders in the management and conservation of natural and protected habitats. In Ethiopia, Afar pastoralists migrate seasonally with their livestock in search for grazing and water areas. Livestock are also a source of infectious diseases that can spread into wildlife populations when pastoralists encroach into unfenced national parks. The interactions between pastoralists and national parks, as well as the subsequent impacts, remain insufficiently understood in Afar. Two structured questionnaire surveys were conducted in 2021, including 300 pastoralist households in seven woredas of Afar, and 58 staff from three national parks (Awash, Alidegi and Yangudi Rassa). They captured pastoralist movements and livestock diseases as well as the perception of national park staff regarding challenges resulting from pastoral encroachment into parks. Among the pastoralists, 74.7% migrated with their livestock for a mean 3.5 months per year, during which time, 90% of respondents reported contact with other livestock herds, and over 80% with wildlife. A third (34.2%) reported disease outbreaks in their village prior to migration. Pastoralists traveled long distances, crossing woreda, regional or national boundaries. All 58-park respondents reported pastoralists with livestock inside their park and their close contact with wildlife. Additionally, 69% reported the presence of domestic dogs. Wildlife displacement, habitat loss and dog attacks on wildlife were perceived as the main threat caused by the presence of pastoralists, whereas diseases were only mentioned by 15.5%. Overall, park staff showed poor disease knowledge. They reported poor disease surveillance and no disease response. Within pastoral contexts, improved collaboration between wildlife and livestock authorities regarding land use, disease awareness and surveillance is needed to balance the needs of both wildlife and pastoralist's livestock development and mitigate threats to wildlife habitats.

A systematic review of approaches to assess fish health responses to anthropogenic threats in freshwater ecosystems.

Anthropogenic threats such as water infrastructure, land-use changes, overexploitation of fishes and other biological resources, invasive species and climate change present formidable challenges to freshwater biodiversity. Historically, management of fish and fishery species has largely been based on studies of population- and community-level dynamics; however, the emerging field of conservation physiology promotes the assessment of individual fish health as a key management tool. Fish health is highly sensitive to environmental disturbances and is also a fundamental driver of fitness, with implications for population dynamics such as recruitment and resilience. However, the mechanistic links between particular anthropogenic disturbances and changes in fish health, or impact pathways, are diverse and complex. The diversity of ways in which fish health can be measured also presents a challenge for researchers deciding on methods to employ in studies seeking to understand the impact of these threats. In this review, we aim to provide an understanding of the pathway through which anthropogenic threats in freshwater ecosystems impact fish health and the ways in which fish health components impacted by anthropogenic threats can be assessed. We employ a quantitative systematic approach to a corpus of papers related to fish health in freshwater and utilize a framework that summarizes the impact pathway of anthropogenic threats through environmental alterations and impact mechanisms that cause a response in fish health. We found that land-use changes were the most prolific anthropogenic threat, with a range of different health metrics being suitable for assessing the impact of this threat. Almost all anthropogenic threats impacted fish health through two or more impact pathways. A robust understanding of the impact pathways of anthropogenic threats and the fish health metrics that are sensitive to these threats is crucial for fisheries managers seeking to undertake targeted management of freshwater ecosystems.

Unraveling the nexus: Microplastics, antibiotics, and ARGs interactions, threats and control in aquaculture - A review.

In recent years, aquaculture has expanded rapidly to address food scarcity and provides high-quality aquatic products. However, this growth has led to the release of significant effluents, containing emerging contaminants like antibiotics, microplastics (MPs), and antibiotic resistance genes (ARGs). This study investigated the occurrence and interactions of these pollutants in aquaculture environment. Combined pollutants, such as MPs and coexisting adsorbents, were widespread and could include antibiotics, heavy metals, resistance genes, and pathogens. Elevated levels of chemical pollutants on MPs could lead to the emergence of resistance genes under selective pressure, facilitated by bacterial communities and horizontal gene transfer (HGT). MPs acted as vectors, transferring pollutants into the food web. Various technologies, including membrane technology, coagulation, and advanced oxidation, have been trialed for pollutants removal, each with its benefits and drawbacks. Future research should focus on ecologically friendly treatment technologies for emerging contaminants in aquaculture wastewater. This review provided insights into understanding and addressing newly developing toxins, aiming to develop integrated systems for effective aquaculture wastewater treatment.

Designing Implementation Strategies for the Inclusion of Lesbian, Gay, Bisexual, Transgender, Intersex, Queer, and Allied and Key Populations' Content in Undergraduate Nursing Curricula in KwaZulu-Natal, South Africa: Protocol for a Multimethods Research Project.

BACKGROUND: Lesbian, gay, bisexual, transgender, intersex, queer, and allied (LGBTQIA+) individuals encounter challenges with access and engagement with health services. Studies have reported that LGBTQIA+ individuals experience stigma, discrimination, and health workers' microaggression when accessing health care. Compelling evidence suggests that the LGBTQIA+ community faces disproportionate rates of HIV infection, mental health disorders, substance abuse, and other noncommunicable diseases. The South African National Strategic Plan for HIV or AIDS, tuberculosis, and sexually transmitted infections, 2023-2028 recognizes the need for providing affirming LGBTQIA+ health care as part of the country's HIV or AIDS response strategy. However, current anecdotal evidence suggests paucity of LGBTQIA+ and key populations' health content in the undergraduate health science curricula in South Africa. Moreover, literature reveals a general lack of health worker training regarding the health needs of LGBTQIA+ persons and other key populations such as sex workers, people who inject drugs, and men who have sex with men. OBJECTIVE: This study aimed to describe the design of a project that aims at facilitating the inclusion of health content related to the LGBTQIA+ community and other key populations in the undergraduate nursing curricula of KwaZulu-Natal, South Africa. METHODS: A multimethods design encompassing collection of primary and secondary data using multiple qualitative designs and quantitative approaches will be used to generate evidence that will inform the co-design, testing, and scale-up of strategies to facilitate the inclusion of LGBTQIA+ and key populations content in the undergraduate nursing curricula in KwaZulu-Natal, South Africa. Data will be collected using a combination of convenience, purposive, and snowball sampling techniques from LGBTQIA+ persons; academic staff; undergraduate nursing students; and other key populations. Primary data will be collected through individual in-depth interviews, focus groups discussions, and surveys guided by semistructured and structured data collection tools. Data collection and analysis will be an iterative process guided by the respective research design to be adopted. The continuous quality improvement process to be adopted during data gathering and analysis will ensure contextual relevance and sustainability of the resultant co-designed strategies that are to be scaled up as part of the overarching objective of this study. RESULTS: The proposed study is designed in response to recent contextual empirical evidence highlighting the multiplicity of health challenges experienced by LGBTQIA+ individuals and key populations in relation to health service delivery and access to health care. The potential findings of the study may be appropriate for contributing to the education of nurses as one of the means to ameliorate these problems. Data collection is anticipated to commence in June 2024. CONCLUSIONS: This research has potential implications for nursing education in South Africa and worldwide as it addresses up-to-date problems in the nursing discipline as it pertains to undergraduate students' preparedness for addressing the unique needs and challenges of the LGBTQIA+ community and other key populations. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/52250.