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Preprints posted in the last 7 days, ranked by how well they match Peer Community Journal's content profile, based on 281 papers previously published here. The average preprint has a 0.21% match score for this journal, so anything above that is already an above-average fit.

1
Where species distribution models fail under occurrence-data contamination: calibration error concentrates at stream-network headwaters

Miok, K.; Laza, A. V.; Skrlj, B.; Robnik-Sikonja, M.; Parvulescu, L.

2026-07-15 ecology 10.64898/2026.07.14.738364 medRxiv
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Species distribution models (SDMs) increasingly inform conservation and biosecurity decisions in freshwater systems, where the reliability of its uncertainty estimates matters as much as its point predictions. Ensemble SDMs derive prediction intervals from across-replicate variance, but this variance captures systematic error only when replicates disagree about it, an assumption that fails when training data are contaminated with low-accuracy records, the norm in citizen-science datasets. Whether this failure is spatially uniform or concentrates in identifiable parts of a range is unknown. Using a panel of European freshwater crayfish spanning native headwater-associated species and invasive lowland colonizers, we show that contamination-induced calibration failure is strongly spatially structured: it concentrates at stream-network headwaters, the topological tops of the network, where upstream-aggregated predictors are structurally undefined, and scales with contamination severity, replicated across four species and both dominant ensemble protocols (replicate and consensus). The failure is driven by upward prediction bias, not by intervals failing to widen: contaminated ensembles overpredict suitability in headwaters, and because the bias is shared across ensemble members, the intervals do not flag it. This is a conservation-relevant blind spot, because headwaters are both refugia for threatened native crayfish and front lines for invasion; an SDM that silently overpredicts suitability there misdirects survey and management effort toward the segments where its predictions are least trustworthy. Standard leave-one-basin-out conformal calibration, the recommended panel-wide remedy, repairs marginal coverage but leaves headwaters undercovered, because a single calibration threshold is dominated by the abundant non-headwater segments. A group-conditional (Mondrian) variant, calibrating the two populations separately, restores reliable coverage in both at no extra cost and reallocates width where it is needed. We recommend network-position-stratified calibration as a default for ensemble SDMs in dendritic freshwater systems.

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The effect of genome organisation on selection efficiency in two contrasted plant species

James, J.; Lascoux, M.

2026-07-15 evolutionary biology 10.64898/2025.12.19.695387 medRxiv
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Does the distribution of fitness effects of new mutations vary across the genome? Under the classical Fisher Geometric Model (FGM) we might not expect it to. In FGM, phenotypic traits are envisioned as dimensions of a landscape, with fitness determined by position in the landscape, i.e., the particular combination of traits of an individual. New mutations are represented by vectors that move from an ancestral to a new phenotype. In classical FGM these vectors affect all trait dimensions simultaneously (universal pleiotropy). However, introducing partial and modular pleiotropy into an FGM framework leads to an expectation that parameters of the DFE will vary with mutational pleiotropy-the number of traits affected by individual mutations. Here we address this prediction by investigating whether traits related to mutational pleiotropy, expression level and network connectivity, affect the parameters of the DFE using whole genome data from A. thaliana and C. grandiflora, two closely related Brassica species that vary significantly in their demography and mating system, and therefore, in effective population size and the effects of linked selection. Results were similar across both species. We found that expression level and network connectivity were predictive of the parameters of the deleterious DFE, even once co-correlations among genome biology traits were accounted for. Our results suggest that, across the genome, molecular evolutio(high mutational pleiotropy). nary patterns agree with the predictions of FGM, albeit relaxing the assumption of universal pleiotropy, and that variation in mutational pleiotropy among genes is sufficient to have detectible effects on the DFE. Significance statementHow do the effects of new mutations vary across the genome? If mutations in some genes affect many traits (high mutational pleiotropy), we hypothesise they will be more strongly deleterious, with lower variance in their selective effects. We test this by investigating the distribution of effects of new mutations across genes that vary in features that are related to mutational pleiotropy: expression level, gene network connectivity, and number of associated GO terms. The mean strength and coefficient of variation of selection of new mutations varied across genes with different features in the manner expected by our hypothesis. This demonstrates that important parameters of molecular evolution can vary across the genome with genome architecture.

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A New Method to Predict the Effect of an Intervention in the Host Population to Reduce the Magnitude of an Outbreak of a Vector-Borne Infection

Coutinho, F. A. B.; Amaku, M.; Kallas, E. G.; Massad, E.

2026-07-19 epidemiology 10.64898/2026.07.16.26358272 medRxiv
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In this paper, we propose a new model to estimate the impact of an intervention on human hosts of a vector-borne infection, such as dengue, which occurs in yearly outbreaks of different magnitudes. The model applies to these outbreaks and, in fact, is independent of their intensity, that is, it does not require the steady-state assumption. The model takes as input the officially reported age-dependent number of cases of a vector-borne infection. It is deterministic and does not account for stochasticity. Our objective is to estimate the impact of the intervention (the efficacy), and we rely on the observed fact that the age distribution of the proportion of cases of the infections transmitted by the same vector is independent of both the intensity of transmission and the geographic area studied, at least for Brazilian regions. This finding is highlighted in the main text and forms the basis of our calculations. A hypothetical intervention is simulated using a dengue vaccine, which allows the determination of the optimal strategy for a vaccination campaign.

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From strandline vegetation to embryo dunes: natural sand retention along a heavily urbanized coast

Taelman, C.; Provoost, S.; Batsleer, F.; Bonte, D.; Van Uytvanck, J.

2026-07-15 ecology 10.64898/2026.07.14.738448 medRxiv
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1. Sandy beaches along urbanized coasts are increasingly managed through beach nourishment and hard infrastructure, yet these interventions often constrain natural dune-building processes. Along the Belgian coast, where much of the beach-dune interface is bordered by dikes, promenades and intensive recreation, strandline vegetation may provide an overlooked mechanism for retaining sand and initiating embryo dune development. 2. We assessed the potential for four pioneer dune plant species (Cakile maritima, Calamagrostis arenaria, Elymus farctus and Salsola kali) to establish, develop vegetation cover and contribute to sand accumulation along the Belgian coast. Using field surveys from 2017-2023, LiDAR-derived beach elevation and annual sediment dynamics, we modelled species occurrence and abundance/cover in low-disturbance reference zones and projected these relationships across the wider coastline. 3. Occurrence models identified where abiotic conditions allow plants to establish and persist until the late growing season, whereas zero-inflated abundance/cover models estimated expected vegetation development across environmental gradients. Predicted occurrence was widespread for several species, suggesting that the abiotic gradients modelled here are not the primary constraints on potential establishment across large parts of the coast. In contrast, expected abundance/cover showed stronger species-specific responses, particularly to sand accretion, indicating that sediment dynamics mainly affect post-establishment vegetation development rather than occurrence alone. 4. Independent field measurements of embryo dunes showed positive relationships between vegetation cover and local sand accumulation for all four species. When scaled using spatial predictions of potential abundance/cover, pioneer vegetation could retain substantial volumes of sand, with Cakile maritima contributing the largest share, followed by Salsola kali, Elymus farctus and Calamagrostis arenaria. Estimated volumes depended on assumptions about whether vegetation occurs as dispersed units or aggregated patches. 5. Synthesis and applications. Our results show that, even along a heavily urbanized and nourished coastline, abiotic conditions can support strandline vegetation and embryo dune initiation where disturbance is reduced. Management actions such as limiting trampling, adapting beach cleaning and protecting strandline vegetation could enhance the retention of nourished sand and support nature-based coastal defense. Rather than replacing engineered interventions, strandline vegetation may increase the efficiency with which available sediment is retained within the beach-dune system.

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From Lotka-Volterra Dynamics to Community Assembly: Theory, Topography, and Empirical Applications

Schreiber, S.; Brennan, J.; Spaak, J. W.

2026-07-15 ecology 10.64898/2026.07.14.738515 medRxiv
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AO_SCPLOWBSTRACTC_SCPLOWO_LICommunity assembly graphs (CAGs) summarize which species combinations can coexist and how single-species invasions drive transitions between them, encoding the pathways, alternative endpoints, and cycles that make up a communitys assembly history. Constructing CAGs from dynamical models requires methods that are both computationally tractable and faithful to the underlying ecological dynamics. However, existing methods rely on restrictive assumptions, such as global stability, that exclude alternative stable states and non-equilibrium dynamics known to occur in empirical systems. C_LIO_LIWe develop a computational pipeline that constructs CAGs from any generalized Lotka-Volterra model. Building on the invasion graph framework and its connection to permanence, the pipeline verifies that community dynamics are bounded, identifies which subsets of species coexist in the sense of permanence, determines which single-species invasions are dynamically realized, and assigns each community a topographic height equal to the length of the longest assembly path leading to it. We also provide a numerical algorithm to simulate the dynamics of community assembly. C_LIO_LIWe prove several general properties of the resulting graphs, including that a successful invader is never subsequently excluded and that, in the absence of assembly cycles, permanent communities can be reassembled by introducing their species one at a time in the right order. We prove that the CAG faithfully reproduces the compositional shifts seen in the numerically simulated dynamics of assembly. Applying the pipeline to three empirically based models (a New Zealand grassland, a European pasture, and a Puerto Rican ant community), we show how competition strength and mutualistic feedbacks reshape the assembly landscape and how intransitive competition generates assembly cycles. C_LIO_LIOur approach accommodates alternative stable states and non-equilibrium dynamics without requiring global stability, and it turns the long-standing landscape metaphor into a quantitative, mechanistically grounded object by resolving what "height" means. More broadly, it makes the topography of the assembly pathways measurable, providing a way to compare the historical contingency and predictability of the assembly in ecological systems. C_LI

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Chronicle of a Death Foretold: The Ecological Collapse of Sakumo Lagoon, Ghana

Akwetey, M. F. A.; Lamptey, E.; Abrokwah, S.; Aheto, D. W.; Mensah, P. K.; Okyere, I.; Akintola, S. L.; Pauly, D.

2026-07-15 ecology 10.64898/2026.07.14.738434 medRxiv
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Sakumo Lagoon, a small (1 km2) semi-open coastal lagoon in Ghana, lies between the cities of Accra and Tema. The lagoon and its surrounding wetland were designated a Ramsar Site in 1992, mainly because it served as a refuge for 66 local and migratory bird species. Its ecology, and the biology of its major fish species, notably the blackchin tilapia (Sarotherodon melanotheron) were thoroughly studied in 1971, when the lagoon was a diverse, mainly brackish ecosystem supporting a traditionally and well-managed fishery. In 2016-2017, another study found the lagoon mostly covered by floating vegetation and plastic waste. Finally, in 2024, a visual survey established that the floating vegetation had been almost completely replaced by terrestrial plants, with only a few square meters of garbage-strewn water in front of a culvert connecting the lagoon to the open sea. Several lagoons along the coast of Ghana have been similarly lost to urban sprawl and its various forms of pollution, but Sakumo Lagoon is a Ramsar Site, and its imminent disappearance should not remain undocumented.

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Safety Transparency in Animal Cell-Cultured Ingredients for Pet Food: A Case Study Establishing the Standard for Public Disclosure

Tewari, R.; Soukup, R.; Hadjistylianou, L.; Manicone, M.; Serra, M.; Felbermair, M.; Falconer, S.

2026-07-15 cell biology 10.64898/2026.07.14.738473 medRxiv
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Animal cell-cultured ingredients are entering the EU and UK pet food markets under frameworks that do not require pre-market, ingredient-level safety assessments, creating an ethical need for transparent safety disclosure. We present the first public safety dossier for this sector, describing the proprietary mouse embryonic stem cell line PE25 and its derived, non-viable cellular and conditioned media ingredient produced in food and feed-grade media. PE25 characterization confirmed Mus musculus identity, sterility, absence of mycoplasma and replication-competent retroviruses, and stable growth. Doxorubicin-induced p53 stress testing, CD44/BMI1 profiling, and soft agar assays showed no cancer-like traits and a non-tumorigenic profile; the final ingredient contains no viable cells. Independent OECD TG 471 and 487 assays confirmed non-genotoxicity. Heavy metals, biogenic amines, solvents, and chemical residues were below regulatory limits. Given process variability, we recommend case-by-case safety evaluation and propose this dossier as a model for responsible commercialization.

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Evidence for a Nod-like signalling system in cyanobacterial symbiosis with O. sativa

Sanchez del Solar, C.; Jimenez-Rios, L.; Jurado-Flores, A.; Frias, J. E.; Mariscal, V.; Alvarez, C.

2026-07-15 microbiology 10.64898/2026.07.13.738138 medRxiv
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Symbiotic interactions between plants and nitrogen-fixing microorganisms are essential for sustainable agriculture, yet the molecular mechanisms underlying plant-cyanobacterium symbiosis remain poorly understood. In particular, the nature of the signalling mechanisms mediating partner recognition in associations involving Nostoc species is largely unknown. Recent proteomic analyses have identified proteins homologous to rhizobial Nod factors biosynthetic enzymes in Nostoc punctiforme, suggesting the existence of a Nod-like signalling system. However, the functional role of these components has not been experimentally validated. Here, we investigate the contribution of nod-like biosynthetic and regulatory genes to symbiosis by analysing mutants of N. punctiforme affected in genes with homology to nodB and nodD. Phenotypic characterization revealed that disruption of nodB-like genes does not impair free-living growth but affects early stages of plant association and colonization. Specifically, the nodB1 mutant is impaired in plant association and shows a mild defect in colonization, whereas the nodB3 mutant exhibits a severe defect in colonization. In contrast, nodD-like mutants exhibited altered symbiotic phenotypes, with specific regulators differentially affecting interaction and colonization efficiency in rice (Oryza sativa). In particular, mutation of nodD2 and nodD3 reduced plant association and severely compromised colonization in Oryza sativa, with a more pronounced phenotype in nodD3 mutant. Altogether, our results provide genetic evidence supporting the involvement of Nod-like components in cyanobacterial symbiosis and suggest the existence of a regulatory and biosynthetic module contributing to plant colonization. These findings shed new light on the evolution and diversity of symbiotic signalling mechanisms across plant-microbe interactions.

9
Mortality and associated factors among people living with HIV newly initiated into care at Bamenda Regional Hospital: A Retrospective Cohort Study

Ajamah, F.; Zefack, J. T.; Mengnjo, L. T.; Yongwa, O.; Ashu, M. A.; Nkengfua, S. F.; Mbinyui, H.; Ketchaji, A.

2026-07-20 hiv aids 10.64898/2026.07.17.26358304 medRxiv
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Introduction Globally and in Africa, HIV mortality is reported to have decreased over the years. Cameroon's national mortality rate was 1.7% in 2023, and there exist regional disparities and underreporting. We assessed the mortality and associated factors among People Living with HIV(PLHIV) initiated into HIV care from January 2021 to December 2023 at the Bamenda regional hospital (BRH) Methods A retrospective cohort study was conducted from June 2024 to December 2024 at the BRH. Using a non-probabilistic consecutive sampling technique, 331 newly initiated participants on ART were included. Data was collected from medical records using a questionnaire and analyzed using R software version 4.3.1. A multivariable Cox regression model included variables that showed statistical significance and assessed their relationship with mortality while adjusting for potential confounders. Significant predictors of mortality were identified. Results The mean age of participants was 41.6 {+/-} 11.7 years, and females constituted 57.7%. Opportunistic diseases were present in 19.0% of cases, with tuberculosis (8.2%) being the most common. Key comorbidities included hypertension (8.8%), diabetes (3.9%), and hepatitis B (3.0%). Blood tests showed elevated liver enzymes (ALAT/ASAT: 41.7{+/-}23.6 U/L) and high blood sugar (144.4{+/-}7.4 mg/dL). In contrast, kidney function (Creatinine: 0.9{+/-}0.2 mg/dL) and immune cell counts (Lymphocytes: 1.8{+/-}0.7 x103/L) appeared normal overall. A cumulative mortality rate of 7.6% over three years (approximately 2.5% per year) was observed. Male sex (AHR=7.83, 95% CI:1.44-42.5, p=0.017), opportunistic diseases (AHR=5.66, 95% CI:1.71-18.7, p=0.004), comorbidities (AHR=6.04, 95% CI:2.02-18.1, p=0.001), Abnormal ALAT/ASAT (p=0.005), and WHO clinical stage III (AHR: 1.1, 95%CI: 1.01 -1.5, p < 0.001), were identified as predictors of mortality. Whereas, BMI and ART adherence showed no significance. Conclusion Mortality among PLHIV in this study was associated with advanced disease, opportunistic diseases, commorbidities and abnormal laboratory findings. Strengthening early diagnosis, management of opportunistic infections, and monitoring of clinical and laboratory indicators may help reduce mortality in this population.

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Beyond climatic drought indices : an hydraulic approach to quantifying forest water stress

Cochard, H.

2026-07-15 plant biology 10.64898/2026.07.13.738371 medRxiv
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The article introduces a new Forest Stress Index (ISF) based on a plant hydraulic modelling approach rather than classical climatic drought indices. Unlike other index like scPDSI or SPEI, ISF is grounded in xylem embolism dynamics simulated with the mechanistic SurEau model. The goal is to better link climatic anomalies to tree physiological functioning and mortality risk. ISF is defined using a locally adapted ideotype characterized by an optimal P50 value under a reference hydraulic functioning threshold. Simulations are performed across Europe and France using multiple climate datasets. The index is robust to model parameterization choices and assumptions about plant functional traits. Results show strong spatial and temporal consistency and significant correlations with SPEI and scPDSI. However, ISF more strongly highlights extreme drought years and exhibits a more skewed distribution. Future projections under SSP5-8.5 indicate a widespread increase in hydraulic stress with strong regional contrasts. Overall, ISF provides a mechanistic and complementary drought indicator more directly linked to forest mortality processes.

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From Christmas sex to winter intimacy: three decades of birth seasonality, sex ratio dynamics, and fertility change in South Africa, 1994-2024

Masukume, R.; Chimberengwa, P. T.; Masukume, G.; Liczbinska, G.; Grech, V.; Mapanga, W.

2026-07-15 obstetrics and gynecology 10.64898/2026.07.12.26357853 medRxiv
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BACKGROUND: Since South Africa's democratic transition in 1994, the country has undergone profound social, demographic and public health change. We analysed national recorded live-birth data from 1994-2024 to identify major signals of population reproduction. METHODS: Monthly recorded live births from January 1994 to December 2024 were obtained from Statistics South Africa. Birth seasonality, sex ratio at birth (SRB) [male/total live births] and annual recorded live births were analysed using time-series and forecasting methods. RESULTS: From 1994-2014, September was the peak birth month in all 21 years, consistent with conceptions during the Christmas-New Year holiday period nine months earlier. From 2015 onwards, March became the most frequent peak month, with April emerging as the peak month in 2024, indicating a shift towards winter conceptions. The SRB declined to 49.996% in June 2021 (95% prediction interval 50.165%-50.749%) and remained below the lower prediction bound from May to July 2021 (combined p<0.001). November 2021 recorded the highest monthly SRB in the 31-year study period (50.983%), exceeding the upper 95% prediction interval. Annual recorded live births peaked at 1,112,378 in 2008 and declined to 798,556 in 2024; births from 2022-2024 fell below the 95% confidence interval of the historical trend. CONCLUSIONS: Three prominent demographic signals emerged: a shift from Christmas holiday conceptions towards winter conceptions; a rare inversion (SRB <50%) and sustained depression of the SRB during May-July 2021, occurring within the 3-5-month stress-sensitive window after the January 2021 Beta-wave mortality peak, followed by the highest monthly SRB of the study period in November, nine months after the easing of COVID-19 restrictions in February 2021; and an accelerated decline in annual recorded live births after 2021, culminating in the lowest level observed in 2024. These findings indicate changes in reproductive timing, stress-sensitive sex-ratio patterning and fertility in South Africa.

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Re-shaping professional boundaries to scale-up HIV pre-exposure prophylaxis (PrEP) services: collaborative care and power dynamics in Belgium

Vanhamel, J.; Kielmann, K.; Reyniers, T.; Scheerder, G.; Nostlinger, C.

2026-07-16 public and global health 10.64898/2026.07.14.26357825 medRxiv
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Scaling HIV pre-exposure prophylaxis (PrEP) services in health systems will require collaboration and clear role distinction among professionals, and between specialist and primary care. This study examined how power dynamics shape efforts to expand PrEP care beyond specialised HIV clinics in Belgium. We conducted semi-structured interviews with 36 HIV clinic providers and two community-based organisation (CBO) representatives, and 16 online group discussions with general practitioners (GPs). We analysed data thematically, guided by the concepts of collaborative and competitive power to examine how providers negotiated expertise and role division in PrEP delivery across professional and organisational boundaries. We found that reimbursement regulations anchored PrEP initiation and follow-up within HIV clinics, embedding specialist jurisdiction in care pathways. HIV specialists reinforced this position by drawing on their recognised expertise in HIV medicine to justify clinical coordination and authority in determining standards of care. GPs emphasised accessibility and preventive care roles but made limited claims to PrEP provision, linked to misaligned organisational incentives, role blurring, limited training opportunities, and the historical concentration of HIV care in specialist services. CBOs facilitated access, enabling coordination between vulnerable communities and clinics while remaining weakly embedded in formal care structures. Findings show that expanding integrated PrEP services beyond specialised care is not only shaped by operational issues such as training and resources but also by the structural dynamics of regulations, institutional mandates, and professional jurisdictions that influence collaboration. Effective scale-up will require policies that align incentives, clarify responsibilities, and support collaboration across specialised, primary care, and community settings.

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Efficient stochastic epidemic simulation via the Sellke construction

van Boven, M.; Bootsma, M. C.

2026-07-17 epidemiology 10.64898/2026.07.16.26358219 medRxiv
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Stochastic epidemic models are a cornerstone of infectious disease epidemiology and are often used to study intervention scenarios. However, large run-to-run variability can make intervention effects difficult to estimate precisely. We revisit the epidemic Sellke construction, which assigns each individual an infection threshold for the cumulative infection hazard such that, conditional on the thresholds, the epidemic trajectory becomes deterministic. This enables coupling of simulations with and without an intervention, yielding low-variance effect estimates even when outcomes such as final size or peak incidence vary widely between runs. We develop an exact, event-driven implementation that maintains infection and recovery events in priority queues. Cumulative infection-hazard updates require O(log N) time per event, yielding overall complexity O(Elog N) for E events in a population of size N. The implementation achieves computational performance comparable to the classical Gillespie algorithm while naturally accommodating non-Markovian infectious periods and complex infectiousness profiles. We illustrate the approach using distance-dependent spread of avian influenza between poultry farms in the Netherlands and a multilayer population with households, schools, and workplaces. In both examples, coupling enables efficient within-run comparisons of intervention scenarios across stochastic realisations.

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Is a 24-Month Birth Interval Enough? Evidence from a cross-sectional study using the Benin Demographic and Health Survey

Agossou, M. C. U.; Scarpa, G.; Benova, L.; Boyi Hounsou, C.; Sagastume, D.; Agballa, G.; Dossou, J.-P.; Wong, K. L.

2026-07-17 sexual and reproductive health 10.64898/2026.07.16.26358222 medRxiv
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Background: Stunting affects approximately 32% of children under five years in Benin. While birth intervals shorter than 33 months are a recognized risk factor for childhood malnutrition, the optimal birth interval for preventing stunting in the Beninese context is still unclear. Objective: This study examined the association between preceding birth interval (PBI) and stunting among children aged 6 to 59 months in Benin. Methods: This study used a cross sectional design to analyze data from the 2017 to 2018 Benin Demographic and Health Survey. We included 10,153 children aged 6 to 59 months. Stunting was defined as height for age z score below 2 standard deviations from World Health Organization standards. Preceding birth interval was categorized as <24, 24 to 32, 33 to 44, 45 to 56, and >56 months. Survey adjusted multivariable logistic regression was used to estimate adjusted odds ratios (aORs) and 95% confidence intervals for the association between PBI and stunting, controlling for child, maternal, and household level covariates. Potential effect modification by child age group (6 to 23 vs. 24 to 59 months) was assessed through a multiplicative interaction term and evaluated using information criteria, a likelihood ratio test, and the statistical significance of individual interaction terms. Results: Compared with children born after an interval of <24 months, those born after 45 to 56 months (AOR: 0.63; 95% CI: 0.51 to 0.78) and >56 months (AOR: 0.67; 95% CI: 0.54 to 0.82) had significantly lower odds of stunting (both p<0.001). Intervals of 24 to 32 months and 33 to 44 months were not significantly associated with stunting, nor was firstborn status. No evidence of effect modification by child age group was found (likelihood ratio test p=0.336), and stratified analyses conducted separately for children aged 6 to 23 months and 24 to 59 months yielded results consistent with those from the pooled model. Conclusion: The lack of protective effect for intervals shorter than 45 months indicates a threshold specific to this context above which nutritional benefits become manifest. Integrating family planning messages emphasizing birth intervals longer than 45 months into child nutrition programs, coupled with strengthened access to modern contraception, could contribute to stunting reduction in Benin among other factors. Alongside this, nutritional support for pregnant and breastfeeding women, including adequate dietary supplementation and counselling, may further contribute to improved child growth outcomes. Keywords: Birth interval; stunting; family planning; Benin; childhood morbidity; nutrition

15
The mental health of farm wives

May, S.; Crossley, R. M.

2026-07-21 occupational and environmental health 10.64898/2026.07.20.26358460 medRxiv
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Objectives: Research on mental health in agriculture has increased in recent years; however, it remains largely focused on farmers themselves and is predominantly male-oriented. The mental health of farm wives and partners, many of whom play integral roles in farm operations, business management, and family life, remains difficult to characterise. This study therefore aims to explore the prevalence and causes of mental health challenges among farm wives and partners, and to investigate their use of, and barriers to, mental health support services. Methods: Quantitative data was collected using over 450 structured questionnaire responses that assessed mental health prevalence, contributing stressors and support service utilisation. Results: Findings indicate that there is a high prevalence of mental ill health amongst farm wives, seemingly due to industry stressors and support role overwhelm. Interpersonal relationships played a significant role in the types of mental distress experienced and highlighted the toll that farm life can take on farm wives' social and emotional connections. Despite a range of formal and informal support services being available, and effective when used, significant barriers to accessing these services were identified, including both practical difficulties and self-stigmatisation due to cultural beliefs. Conclusions: Farm wives and partners experience substantial mental health burdens linked to their diverse and often underrecognized roles within agricultural systems. In future, targeted interventions are needed to reduce stigma, improve service accessibility, and recognize women's contributions within farm enterprises. Further research and dedicated investment are also essential to better understand and help improve the mental health of this overlooked population within agricultural industries.

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West Nile virus in Italy: history and evolving transmission patterns

Giovanetti, M.; Cella, E.; Fonseca, V.; Moir, M.; Oude Munnink, B.; de Martinis, C.; Moreno, A.; Rizzo, A.; Mileto, D.; Caccuri, F.; Caruso, A.; Tramontano, E.; Nanev Slavov, S.; Bispo de Filippis, A. M.; de Oliveira, T.; Alcantara, L. C. J.; Marcello, A.; Colizzi, V.; Rezza, G.; Ciccozzi, M.; Castilletti, C.; Holmes, E. C.; Maggi, F.; Barzon, L.; Lourenco, J.

2026-07-15 infectious diseases 10.64898/2026.07.12.26357540 medRxiv
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West Nile virus (WNV) has become an important public health concern in Europe. Italy is one of the most affected countries, yet our understanding of WNV epidemiology, genomics, and dispersal across hosts and geographic regions is incomplete. AIM: To reveal the history of WNV in Italy by integrating epidemiological, genomic, and environmental data into descriptive and quantitative assessments of its past spatio-temporal surveillance and expansion. We collated vertebrate and mosquito WNV records from national surveillance and the scientific literature spanning multiple decades. Historical serological and molecular data were summarized by host and region, climatic associations with case trends were assessed using regression models, and phylodynamic and phylogeographic analyses reconstructed viral introductions and dispersal within Italy.WNV circulation in Italy has changed markedly over time, with increasing human case reporting and expansion beyond historically affected northern regions. Climate-informed regression models explained recent reporting trends, supporting an environmental contribution to transmission. Phylodynamic analyses identified multiple independent introductions and sustained local transmission with increasing regional connectivity. Wavefront analyses revealed lineage-specific dispersal patterns associated with seasonal climatic gradients. Discrepancies between epidemiological records and genomic sampling highlighted uneven surveillance across regions and host species.WNV emergence in Italy reflects repeated viral introductions, local persistence, heterogeneous surveillance, and environmentally associated dispersal dynamics. Strengthening integrated surveillance combining epidemiological, environmental, and genomic data will improve early detection, the monitoring of transmission dynamics, and public health preparedness under ongoing environmental change.

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Reproducible-by-design: Romics Processor, a FAIR ecosystem for multi-omics and spatial-omics analysis

Gorman, B. L.; Bhotika, H.; Jehrio, M.; Purkerson, J. M.; Carlin, F.; Nakayasu, E. S.; Misra, R. S.; Adkins, J. N.; Anderton, C. R.; Pryhuber, G.; Clair, G. C.

2026-07-15 bioinformatics 10.64898/2026.07.09.737600 medRxiv
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Multi-omics and spatial-omics technologies are exploding in use, producing increasingly complex datasets. Existing bioinformatics tools are developing rapidly but fail to fully enforce the FAIR principles, leaving the field vulnerable to escalating issues in computational reproducibility. Here, we introduce a reproducible-by-design paradigm represented in an omics data processing package, RomicsProcessor. At its core, the "Romics_object", which is a self-contained digital artifact that encapsulates the full history of the data from the original data to the fully processed state, capturing the details of the transformative steps and the required dependencies. This architecture ensures that computational workflows are fully portable and reproducible. In this manuscript, we demonstrate RomicProcessors computational capabilities and scalability on diverse datasets, including bulk proteomics, large-scale multiplexed immunofluorescence, and multi-batch mass spectrometry imaging. Providing a robust framework for truly FAIR Data Principles-based analysis, RomicsProcessor is a blueprint for the next generation of reproducible bioinformatics tools that can dramatically accelerate discovery in multi-omics biology in the era of artificial intelligence.

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Bioimaging And Comparative Genomics Uncover Persistence-Associated Bacteria In A Blood Bank Environment

D Arpino, M. C.; Alonso-Reyes, D.; Grillo-Puertas, M.; Galvan, F. S.; Alvarado, N. N.; Martinez, L. J.; Marranzino, M. G.; Albarracin, V. H.

2026-07-21 health systems and quality improvement 10.64898/2026.07.19.26357333 medRxiv
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Blood banks represent highly controlled healthcare environments where microbiological surveillance has traditionally focused on blood products rather than environmental microbial reservoirs. Despite their critical role in transfusion safety, the ecology of surface-associated microorganisms and the persistence traits that enable their long-term survival remain poorly understood. Here, we combined scanning electron microscopy, culture-based microbiology, phenotypic characterization, MALDI-TOF mass spectrometry, and whole-genome sequencing to investigate whether surfaces within a public blood bank facility constitute reservoirs of environmentally derived bacteria with enhanced persistence potential. Samples collected from a public blood bank in Tucuman, Argentina yielded 37 culturable bacterial isolates, predominantly Gram-positive environmental taxa together with a limited number of opportunistic Gram-negative species. More than 30% of the isolates exhibited multidrug resistance, while several strains displayed strong biofilm formation, amyloid-like fiber production, motility, and hemolytic activity, indicating multiple phenotypic strategies associated with long-term surface persistence. Whole-genome sequencing of six representative isolates confirmed species identity, identified genes related to antimicrobial resistance, adhesion, biofilm formation, stress adaptation, and cytotoxicity, and revealed frequent genotype-phenotype discordance, highlighting the importance of integrating genomic and phenotypic analyses. Notably, one isolate exhibited less than 92% average nucleotide identity with publicly available genomes, suggesting the presence of a previously undescribed environmental species. Thus, blood bank surfaces function as selective ecological niches favoring bacteria with persistence-associated traits rather than simply reflecting contamination from blood products. These microorganisms may constitute latent biosafety hazards if environmental barriers fail, particularly in facilities handling biological materials intended for vulnerable patients. Our results support the incorporation of integrated bioimaging, phenotypic characterization, and genome-resolved environmental surveillance into infection prevention strategies and transfusion biosafety programs within a One Health framework.

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Recurrent Hermaphroditism and Sex-Biased ABCDE Gene Expression Reveal Latent Floral Plasticity in the Pedunculate Oak Lineage (Q.robur s.l.)

Afonso, H. R.; Macedo, M.; Azevedo, H.; Vila-Vicosa, C.; Costa, M. M. R.

2026-07-15 plant biology 10.64898/2026.07.14.738412 medRxiv
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Background and AimsThe development of unisexual flowers relies on the tight coordination of flower organ identity and sex determination. The genus Quercus is typically considered strictly monoecious, bearing fully segregated male and female flowers within the same individual tree. However, several reports of atypical flowering across the genus challenge this canonical view, suggesting that flowering in oaks may be more flexible than traditionally assumed. In this work, the dynamics of flower development in Quercus orocantabrica were examined to correlate contrasting floral morphologies with divergent molecular profiles. MethodsThe flowering phenology of Q. orocantabrica trees was closely monitored over several individuals and years, together with a detailed floral morphological analysis of male, female and atypical flowers. Key floral homeotic gene homologues were identified, and their expression assayed in the development of different flowers. Key ResultsRecurrent and widespread hermaphroditic flowering was detected in several Q. orocantabrica trees, frequently associated with unseasonal flowering events. Gene expression analysis of male, female and hermaphroditic flowers revealed a sex-biased expression of Q. orocantabrica B- and C-class genes, with the B-class gene QoPI in particular being tightly associated with the presence of fully-developed stamens. In addition, the expression of the C-class gene QoSHP contrasted with reports in other Fagaceae, highlighting a potential functional divergence of the C/D-class lineage within the family. ConclusionsThe results here depicted indicate that the dynamics of floral sex identity in oaks are more plastic than traditionally assumed, supporting a reinterpretation of oak reproductive biology based on a versatile and resilient framework responsive to different developmental contexts.

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Engaging adolescent girls and young women in HIV prevention: A retrospective, observational outcome evaluation of the Eyakho Moghel digital rewards programme in South Africa

Spyrelis, A.; Sokhela, C.; Chikandiwa, A.; Potsane, P.; Mtshali, N.

2026-07-17 hiv aids 10.64898/2026.07.16.26358227 medRxiv
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Introduction: Adolescent girls and young women (AGYW) in South Africa face disproportionately high HIV incidence, yet uptake and retention in prevention services remain suboptimal. Behavioural economics approaches, including incentive based models, have shown promise in improving health seeking behaviours among this population. This study evaluated the Eyakho Mo'ghel (EM) programme, a membership based digital rewards initiative implemented by Shout It Now within the DREAMS HIV prevention framework, to assess its impact on HIV prevention and sexual and reproductive health (SRH) service engagement among AGYW. Methods: A retrospective, observational outcome evaluation was conducted across the full programme implementation period (December 2021 to February 2025) in five districts in Gauteng and North West provinces, South Africa. Deidentified clinical and app records for 4,684 EM members were analysed alongside a 1:1 matched comparison group of 4,684 non members drawn from approximately one million records using stratified random sampling. Outcomes included HIV testing, pre exposure prophylaxis (PrEP) uptake and persistence, contraceptive use, gender based violence (GBV) disclosure, and key health indicators. Multivariable logistic and Poisson regression models, adjusted for age and district, were used to examine associations between EM membership, app usage patterns, and outcomes. Results: EM members were over three times more likely to have tested for HIV (OR = 3.16, 95% CI: 2.83 to 3.54) and tested significantly more frequently than non-members. PrEP initiation was also markedly higher among EM members (OR = 3.15, 95% CI: 2.85 to 3.48), and persistence beyond the first dispensation was approximately 67% more likely (OR = 1.67, 95% CI: 1.63 to 1.72). Contraceptive uptake was 75% more likely (OR = 1.75, 95% CI: 1.53 to 2.01), and EM members were 54% more likely to disclose GBV experiences (OR = 1.54, 95% CI: 1.24 to 1.91). Sustained app engagement and cumulative point accumulation were consistently associated with improved outcomes. No significant differences in HIV seroconversion, TB screening, or incident pregnancy were observed. Conclusions: A non-monetary, digitally integrated rewards programme was associated with meaningful improvements in HIV prevention service uptake, PrEP persistence, contraceptive use, and GBV disclosure among AGYW. These findings support the integration of incentive-based digital engagement models within combination HIV prevention frameworks, particularly in resource-constrained settings.