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Cumulative stress exposure is extensively involved in carcinogenesis. However, cancer risk associated with allostatic load (AL), a valid measure of chronic stress, has not been comprehensively evaluated in large cohorts, and the combined effect of AL and personality trait on cancer risk remains unknown.
Methods
This prospective cohort study was conducted based on 245,683 participants from the UK Biobank, with a median follow-up of 13.5 years. The AL score was calculated based on 11 biomarkers. Personality traits were constructed and categorized into two clusters. Multivariable Cox regression model was used to assess the risk of incident cancer according to AL and personality clusters, and multiplicative and additive interactions were evaluated.
Results
High AL was associated with an increased cancer risk compared to low AL (hazard ratio [HR] = 1.06, 95% confidence interval [CI]: 1.04–1.09), particularly for cancers of stomach, liver, kidney, esophageal, lung, colorectal, breast, and leukemia (HR ranged from 1.08 to 1.43). Personality clusters was associated with risk of lung cancer (HR = 1.14, 95% CI: 1.05–1.23), but not overall cancer. Significant synergistic interaction was observed between high AL and ‘nervous-dominant’ personality for overall cancer risk, with the strongest association observed for liver cancer (HR = 1.58, 95% CI: 1.24–2.02).
Conclusions
High AL was related to higher risks of overall cancer and site-specific cancers, particularly when combined with nervous-dominant personality, highlighting the interplay between chronic physiological stress and psychological factors in cancer development.
This chapter offers an overview of Antarctica’s major meteorological and climate features using the latest methods, data products, and research findings. The first half of the chapter presents a thorough description of the Antarctic geography and its climatological temperature, precipitation, and near-surface environment. It provides a dedicated section covering Antarctic foehn and foehn-induced warming, which have been identified as major ‘hot spots’ for Antarctic surface melt and ice shelf destabilisation. Next the chapter details the major large-scale and regional atmospheric circulation patterns that characterise the high southern latitudes and strongly influence Antarctic meteorology, including the Southern Annular Mode, teleconnections associated with the El Niño Southern Oscillation, and the Amundsen Sea Low. We then present the latest research discoveries on Antarctic climate extremes, with a focus on Antarctic ‘atmospheric rivers’ and their role in driving extreme temperature, precipitation, and surface melt events. The chapter closes with a summary of recent Antarctic climate change, current research gaps and challenges, and recommendations for future work.
African swine fever (ASF) is a highly contagious animal disease caused by African swine fever virus (ASFV). It is listed by the World Organization for Animal Health (WOAH) as an animal disease subject to statutory reporting. ASFV, a large, enveloped double-stranded DNA virus with high genomic complexity, exhibits a case fatality rate of up to 100%, posing a significant threat to the global pig industry and food safety. To date, the absence of a safe commercial ASFV vaccine primarily stems from challenges in identifying immunogenic viral antigens, insufficient characterization of ASFV pathogenesis, and limited understanding of the virus’s immune evasion mechanisms. Here, we review the pathogenic characteristics (morphological structure, clinical symptoms, and epidemiological characteristics), molecular biological characteristics, and infection mechanism of ASFV, as well as the immune response mechanism, vaccine research, and the latest information on ASFV in other areas. This review will be in favour of understanding the current state of knowledge of ASF and developing effective vaccines to control this disease.
Most exoskeletons are designed with the shoulder joint’s instantaneous center of rotation (ICR) in mind as a fixed joint, often also known as the center of the shoulder joint. In fact, shoulder ICR changes during shoulder abduction–adduction and flexion–extension. Abduction–adduction causes the ICR to move in the frontal plane, which is caused by the joint movement of the shoulder joint, including depressed elevation and horizontal translation, while the flexion–extension movement of the sagittal plane produces the shoulder extension movement. If the change in shoulder ICoR movements is not compensated for in the exoskeleton design, they can create discomfort and pain for the robot’s wearer. Although conventional exoskeletons typically treat the shoulder joint as a three degree of freedom spherical joint, this study incorporates a more sophisticated understanding of shoulder kinematics. The developed scapulohumeral rhythm compensation mechanism successfully compensates for shoulder joint motion, with simulation results confirming kinematics that closely match ergonomic shoulder movement patterns. First, the complex kinematics of the shoulder joint are analyzed. To meet the demand for mismatch compensation, a shoulder exoskeleton based on a winding mechanism is designed. A mismatch compensation model is established, and theoretical analysis and simulation verify that the designed shoulder exoskeleton has a mismatch compensation function. While solving the mismatch problem, the human–machine coupling model is established through OpenSim software. The simulation results show that the designed exoskeleton has a good assisting effect from the perspective of muscle force generation and shoulder torque.
Benzodiazepine use among physicians is an important public health issue related to physicians’ well-being and patient safety.
Aims
This study aimed to evaluate the patterns and correlates of benzodiazepine use in physicians by comparing the characteristics of heavy users with those of low-dose users.
Method
We identified 4844 physicians with a history of benzodiazepine use as the benzodiazepine cohort from 32 080 physicians from the population-based Taiwan National Health Insurance Research Database from 2014 to 2020. Benzodiazepine users were divided into low-dose, intermediate and heavy users based on their yearly equivalent dosage of <20, 20–150 and >150 defined daily dose (DDD) per year, respectively. Differences in demographic characteristics and specialities between the benzodiazepine and control cohorts were compared via univariate and multivariate logistic regression models. A generalised estimating equation was used to investigate the relationship between benzodiazepine use and comorbidities.
Results
Among all of the physicians, 15.1% used benzodiazepine. Male physicians were more likely to use benzodiazepines and become heavy users. Older age, sleep disorders and depression were significantly associated with heavy benzodiazepine use. Regarding physician specialities, the highest prevalence of benzodiazepine use was observed in otorhinolaryngology (19.8%), followed by family medicine (19.1%). Odds of benzodiazepine use were 2.20 and 2.90 times greater in physicians with sleep disorders and depression, respectively.
Conclusions
Comorbidities of depression and sleep disorders are associated with increased probability of benzodiazepine use. Providing stress-coping strategies and appropriate treatment for mental disorders is recommended to support the overall well-being of physicians.
Visual exploration is a task in which a camera-equipped robot seeks to efficiently visit all navigable areas of an environment within the shortest possible time. Most existing visual exploration methods rely on a static camera fixed to the robot’s body to control its own movements. However, coupling the orientation of camera with robot’s body limits the extra degrees of freedom to obtain more visual information. In this work, we adjust the camera orientation during robot motion by using a novel camera view planning (CVP) policy to improve the exploration efficiency. Specifically, we reformulate the CVP problem as a reinforcement learning problem. However, two new challenges need to be addressed: 1) determining how to learn an effective CVP policy in complex indoor environments and 2) figuring out how to synchronize it with the robot motion. To solve the above issues, we create a reward function considering factors such as exploration area, observed semantic objects, and the motion conflicts between the camera and the robot’s body. Moreover, to better coordinate the policies of the camera and the robot’s body, the CVP policy takes the body actions and the egocentric 2D spatial maps with exploration, occupancy, and trajectory information into account to make motion decisions. Experimental results show that after using the proposed CVP policy, the exploration area is expanded by 21.72% and 25.6% on average in the small-scale indoor scene with few structured obstacles and large-scale indoor scene with cluttered obstacles, respectively.
The evolution of the mixing layer in rotation-driven Rayleigh–Taylor (RT) turbulence is investigated theoretically and numerically. It is found that the evolution of the turbulent mixing layer in rotation-driven RT turbulence is self-similar, but the width of the mixing layer does not follow the classical quadratic growth observed in planar RT turbulence induced by constant external acceleration. Based on the approach used in cylindrical RT turbulence without rotation (Zhao et al. 2021, Phys. Rev. E, vol. 104, 055104), a theoretical model is established to predict the growth of mixing widths in rotation-driven RT turbulence, and the model’s excellent agreement with direct numerical simulations (DNS) serves to validate its reliability. The model proposes a rescaled time that allows for the unification of the evolutions of the mixing layers in rotation-driven RT turbulence with various Atwood numbers and rotation numbers. It is further identified that the growth law described by the model of rotation-driven RT turbulence can be recovered to quadratic growth when the effects of geometrical curvature, radial inhomogeneity of the centrifugal force, and Coriolis force become negligible. Moreover, based on the DNS results, we find that turbulent mixing layers in rotation-driven RT turbulence cover a wide range of length scales. The strong rotation at the same Atwood number enhances the generation of fine-scale structures but is not conducive to overall fluid mixing within the mixing layer.
Turbulent mixing driven by the reshocked Richtmyer–Meshkov (RM) instability plays a critical role in numerous natural phenomena and engineering applications. As the most fundamental physical quantity characterizing the mixing process, the mixing width transitions from linear to power-law growth following the initial shock. However, there is a notable absence of quantitative models for predicting the pronounced compression of initial interface perturbations or mixing regions at the moment of shock impact. This gap has restricted the development of integrated algebraic models to only the pre- and post-shock evolution stages. To address this limitation, the present study develops a predictive model for the compression of the mixing width induced by shocks. Based on the general principle of growth rate decomposition proposed by Li et al. (Phy. Rev. E, vol. 103, issue 5, 2021, 053109), two distinct types of shock-induced compression processes are identified, differentiated by the dominant mechanism governing their evolution: light–heavy and heavy–light shock-induced compression. For light–heavy interactions, both stretching (compression) and penetration mechanisms are influential, whereas heavy–light interactions are governed predominantly by the stretching (compression) mechanism. To characterize these mechanisms, the average velocity difference between the extremities of the mixing zone is quantified, and a physical model of RM mixing is utilized. A quantitative theoretical model is subsequently formulated through the independent algebraic modelling of these two mechanisms. The proposed model demonstrates excellent agreement with numerical simulations of reshocked RM mixing, offering valuable insights for the development of integrated algebraic models for mixing width evolution.
Triceps skinfold thickness (TSF) is a surrogate marker of subcutaneous fat. Evidence is limited about the association of sex-specific TSF with the risk of all-cause mortality among maintenance haemodialysis (MHD) patients. We aimed to investigate the longitudinal relationship of TSF with all-cause mortality among MHD patients. A multicenter prospective cohort study was performed on 1034 patients undergoing MHD. The primary outcome was all-cause mortality. The median (interquartile range) of TSF was 9·7 (6·3–13·3 mm) in males and 12·7 (10·0–18·0 mm) in females. Over a median follow-up of 4·4 years (interquartile range, 2·4–7·9 years), there were 548 (53·0 %) deaths. When TSF was assessed as sex-specific quartiles, compared with those in quartile 1, the adjusted hazard ratio (HR) (95 % CI) of all-cause mortality in quartile 2, quartile 3 and quartile 4 was 0·93 (0·73, 1·19), 0·75 (0·58, 0·97) and 0·69 (0·52, 0·92), respectively (P for trend = 0·005). Moreover, when analysed by sex, increased TSF (≥9·7 mm for males and ≥18 mm for females) was significantly associated with a reduced risk of all-cause mortality (quartile 3–4 v. quartile 1–2; HR, 0·70; 95 % CI: 0·55, 0·90 in males; quartile 4 v. quartile 1–3; HR, 0·69; 95 % CI: 0·48, 1·00 in females). In conclusion, high TSF was significantly associated with a lower risk of all-cause mortality in MHD patients.
Developing a model to describe the shock-accelerated cylindrical fluid layer with arbitrary Atwood numbers is essential for uncovering the effect of Atwood numbers on the perturbation growth. The recent model (J. Fluid Mech., vol. 969, 2023, p. A6) reveals several contributions to the instability evolution of a shock-accelerated cylindrical fluid layer but its applicability is limited to cases with an absolute value of Atwood numbers close to $1$, due to the employment of the thin-shell correction and interface coupling effect of the fluid layer in vacuum. By employing the linear stability analysis on a cylindrical fluid layer in which two interfaces separate three arbitrary-density fluids, the present work generalizes the thin-shell correction and interface coupling effect, and thus, extends the recent model to cases with arbitrary Atwood numbers. The accuracy of this extended model in describing the instability evolution of the shock-accelerated fluid layer before reshock is confirmed via direct numerical simulations. In the verification simulations, three fluid-layer configurations are considered, where the outer and intermediate fluids remain fixed and the density of the inner fluid is reduced. Moreover, the mechanisms underlying the effect of the Atwood number at the inner interface on the perturbation growth are mainly elucidated by employing the model to analyse each contribution. As the Atwood number decreases, the dominant contribution of the Richtmyer–Meshkov instability is enhanced due to the stronger waves reverberated inside the layer, leading to weakened perturbation growth at initial in-phase interfaces and enhanced perturbation growth at initial anti-phase interfaces.
The egg parasitoid Anastatus japonicus is a key natural enemy in the biological control of various agricultural and forestry pests. It is particularly used against the brown marmorated stink bug Halyomorpha halys and the emerging defoliator pest Caligula japonica in East Asia. It has been proved that the eggs of Antheraea pernyi can be used as a factitious host for the mass production of A. japonicus. This study systematically documented the parasitic behaviour and developmental morphology exhibited by A. japonicus on the eggs of A. pernyi. The parasitic behaviour of A. japonicus encompassed ten steps including searching, antennation, locating, digging, probing, detecting, oviposition, host-feeding, grooming, and resting. Oviposition, in particular, was observed to occur in three stages, with the parasitoids releasing eggs during the second stage when the body remained relatively static. Among all the steps of parasitic behaviour, probing accounted for the longest time, constituting 33.1% of the whole time. It was followed by digging (19.3%), oviposition (18.5%), antennation (9.6%), detecting (7.4%), and the remaining steps, each occupying less than 5.0% of the total event time. The pre-emergence of adult A. japonicus involves four stages: egg (0 to 2nd day), larva (3rd to 9th day), pre-pupa (10th to 13th day), pupa (14th to 22nd day), and subsequent development into an adult. Typically, it takes 25.60 ± 0.30 days to develop from an egg to an adult at 25℃. This information increases the understanding of the biology of A. japonicus and may provide a reference for optimising reproductive devices.
Syphilis remains a serious public health problem in mainland China that requires attention, modelling to describe and predict its prevalence patterns can help the government to develop more scientific interventions. The seasonal autoregressive integrated moving average (SARIMA) model, long short-term memory network (LSTM) model, hybrid SARIMA-LSTM model, and hybrid SARIMA-nonlinear auto-regressive models with exogenous inputs (SARIMA-NARX) model were used to simulate the time series data of the syphilis incidence from January 2004 to November 2023 respectively. Compared to the SARIMA, LSTM, and SARIMA-LSTM models, the median absolute deviation (MAD) value of the SARIMA-NARX model decreases by 352.69%, 4.98%, and 3.73%, respectively. The mean absolute percentage error (MAPE) value decreases by 73.7%, 23.46%, and 13.06%, respectively. The root mean square error (RMSE) value decreases by 68.02%, 26.68%, and 23.78%, respectively. The mean absolute error (MAE) value decreases by 70.90%, 23.00%, and 21.80%, respectively. The hybrid SARIMA-NARX and SARIMA-LSTM methods predict syphilis cases more accurately than the basic SARIMA and LSTM methods, so that can be used for governments to develop long-term syphilis prevention and control programs. In addition, the predicted cases still maintain a fairly high level of incidence, so there is an urgent need to develop more comprehensive prevention strategies.
The reconfigurable mechanisms can satisfy the requirements of changing environments, working conditions, and tasks on the function and performance of the mechanism and can be applied to machine tool manufacturing, space detection, etc. Inspired by the single-vertex fivefold origami pattern, a new reconfigurable parallel mechanism is proposed in this paper, which has special singular positions and stable motion due to replicating the stabilizing kinematic properties of origami. Through analyzing the topologic change of the folding process of the pattern and treating it as a reconfigurable joint, a new reconfigurable parallel mechanism with 3, 4, 5, or 6 degrees of freedom is obtained. Then, the kinematics solution, workspace, and singularity of the mechanism are calculated. The results indicate that the singular configuration of the origami-derived reconfigurable parallel mechanism is mainly located in a special plane, and the scope of the workspace is still large after the configuration change. The mechanism has the potential to adapt to multiple tasks and working conditions through the conversion among different configurations by folding reconfigurable joints on the branch chain.
tDCS application to the DLPFC is associated with the improvements of executive function, memory enhancement, language, processing speed, global cognitive symptoms and apathy over time after treatment. DLB is the second most common form of degenerative dementia. There is no FDA-approved medications that can slow, stop or improve the progression of cognitive declines in DLB. Identifying effective treatments is a critical issue for DLB. In neuropathology, extracelluar α-syn oligomers interfere with the expression of long-term potentiation(LTP), and influence memory and learning. tDCS has been proposed to affect long-term synaptic plasticity through LTP and long-term depression, thereby improving cognitive ability. So far, only two studies have evaluated the effect of tDCS in DLB. In this pilot study, we investigate the effect of tDCS on left DLPFC in DLB.
Method:
Fourteen DLB aged 55-90 years (mean age 76.4, with 4 males and 10 females) were included in a double-blind, randomized, sham-controlled cross over design study. DLB diagnostics is according to DSM-5 criteria. CDR ratings for DLB participants ranged from 0.5 to 2. The active tDCS (or sham) process consists of daily sessions of active tDCS (or sham) for 10 consecutive days. The anodal electrode was placed over the left DLPFC and the cathodal electrode was placed over the right supraorbital area, with a current intensity of 2 mA and an electrode size of 25 cm2 for 30 min in a session. Before and after these treatment sessions, all subjects received a series of neuropsychological tests, including CDR, MMSE, CASI, NPI and WCST. Chi-square test, Wilcoxon signed ranks test and Mann-Whitney U test were used to assess differences in participant demographic characteristics and to compare differences among groups.
Results:
The active tDCS group showed significant improvements on the three items of CASI, ‘language ability’, ‘concentration and calculation’, ‘categorical verbal fluency’, after active stimulations. There is no improvement in MMSE, CASI, NPI and WCST scores in the sham groups.
Conclusion:
These results suggest that left DLPFC anodal, and right deltoid cathodal tDCS, may have some cognitive benefits in DLB. Larger-scale trials are needed to confirm the effect of tDCS in DLB.
Key words: Transcranial Direct Current Stimulation, Dementia with Lewy Bodies, cognitive function, Wisconsin Card Sorting Test, left DLPFC
Transcranial direct current stimulation (tDCS) has been proposed to affect long-term synaptic plasticity through LTP and LTD, thereby improving cognitive ability. In pathology, the amyloid deposits in AD disrupts the balance between long-term potentiation (LTP) and long-term depression (LTD) of neuronal cells and synaptic plasticity. An increasing number of studies have been concluded a positive therapeutic effect on cognition in AD. In brain stimulation, dorsolateral prefrontal cortex (DLPFC) was associated with improvements in memory enhancement, language, processing speed, global cognitive symptoms, and apathy over a period of treatment. Theoretically, the aftereffect of tDCS would need to be re-stimulated by tDCS to maintain its delayed plastic response benefits. In this pilot study, we investigate the maintenance effects of continuing tDCS at three different times, weekly, every two weeks, and every four weeks, for 12 weeks.
Method:
Twenty-eight AD participants aged 55-90 years were enrolled (mean age 72.7, 77.3, and 76.2 in the three groups - maintained weekly (7 cases), biweekly (9 cases) and every 4 weeks (12 cases)). The anodal electrode was placed over the left dorsal lateral prefrontal cortex and the cathodal electrode was placed over the right supraorbital area. In each active session, we applied a current intensity of 2 mA and an electrode size of 25 cm2 for 30 min. All subjects received a series of neuropsychological assessments including CDR, MMSE, CASI and WCST at (1) baseline, (2) post-10sessions of tDCS (in 2weeks), and (3) post-maintenance phase (total of 12 weeks). Chi-square tests, Wilcoxon signed rank tests and Mann-Whitney U tests were used to assess differences in participant demographic characteristics and to compare differences in test scores between groups.
Results:
After 10 sessions of tDCS stimulations, the total CASI scores in the 1-week group improved significantly from baseline to 2 weeks. However, there are no significant difference in MMSE, CASI or WCST between baseline and after maintain phase stimulations in each group.
Conclusion:
Although tDCS has a positive effect in AD, it is recommended to prolong the number of tDCS stimulations, such as 20 sessions in 4 weeks.
Using monthly data from 1978:M1 to 2019:M9, this paper provides empirical evidence concerning the role that monetary policy plays in the US housing market. We first show that shocks to short-run interest rates have significant impacts on house prices and that these effects are persistent. Our findings also provide evidence supporting the claim that too-low-for-too-long interest rates are responsible for the 2002–2006 US housing boom. We further investigate the different channels through which an easing monetary policy fuels the house price boom and find that faster sales and lower inventory levels in the housing market most amplify the policy effects. Lastly, we provide compelling evidence of the asymmetric effects of contractionary and expansionary monetary policies on house prices.
Chinmen Island is located in the west of the Taiwan Strait, 15 km from the coast of mainland China. Mesozoic granitic gneiss forms the basement rocks of the island. High-defect kaolin deposits, both major sedimentary and minor residual types of clays, have been mined for ceramic uses for many years. The objectives of this study were to characterize the kaolin deposits and to discuss the genesis of kaolin minerals on the island. The kaolin samples were characterized by X-ray diffraction and transmission and scanning electron microscopy. In general, the particle-size distribution of the sedimentary kaolin was 0.5–5.0% sand, 15–55% silt and 30–85% clay. In the clay fraction, the ratio of kaolinite to illite ranged from 9:1 to 3:1. The sedimentary kaolin materials were originally transported by river from mainland China. Kaolinite occurred generally as pseudo-hexagonal platelets of ∼1 µm in diameter. The residual kaolin minerals resulted from the argillization of granitoid rocks by in situ weathering which possibly occurred during the Pleistocene. The residual kaolin contained more tubular halloysite.
Bentonites are readily available clays used in the livestock industry as feed additives to reduce aflatoxin (AF) exposure; their potential interaction with nutrients is the main concern limiting their use, however. The objective of the present study was to determine the safety of a dietary sodium-bentonite (Na-bentonite) supplement as a potential AF adsorbent, using juvenile Sprague Dawley (SD) rats as a research model. Animals were fed either a control diet or a diet containing Na-bentonite at 0.25% and 2% (w/w) inclusion rate. Growth, serum, and blood biochemical parameters, including selected serum vitamins (A and E) and elements such as calcium (Ca), potassium (K), iron (Fe), and zinc (Zn) were measured. The mineral characteristics and the aflatoxin B1 sorption capacity of Na-bentonite were also determined. By the end of the study, males gained more weight than females in control and Na-bentonite groups (p ≤ 0.0001); the interaction between treatment and sex was not significant (p = 0.6780), however. Some significant differences between the control group and bentonite treatments were observed in serum biochemistry and vitamin and minerals measurements; however, parameters fell within reference clinical values reported for SD rats and no evidence of dose-dependency was found. Serum Na and Na/K ratios were increased, while K levels were decreased in males and females from Na-bentonite groups. Serum Zn levels were decreased only in males from Na-bentonite treatments. Overall, results showed that inclusion of Na-bentonite at 0.25% and 2% did not cause any observable toxicity in a 3-month rodent study.
In the present study, acid-modified attapulgite was used, as an adsorbent, to remove as much Cd2+ as possible from aqueous solution. Static adsorption experiments using powdered acid-modified attapulgite, and dynamic adsorption using granular acid-modifed attapulgite, were conducted to explore the practical application of modified attapulgite in the adsorption of Cd2+. The modified attapulgite had a larger specific surface area and thinner fibrous crystals than the unmodified version. No obvious differences were noted, in terms of the crystal structure, between the natural attapulgite and the modified version. The effects of initial concentration, pH, contact time, and ionic strength on the adsorption of Cd2+ were investigated, and the results showed that the adsorption capacity of the modified attapulgite was increased with increasing pH and the initial Cd2+ concentration. The adsorption properties were analyzed by means of dynamic adsorption tests with respect to various Cd2+ concentrations and flow rates. The maximum adsorption capacity of 8.83 mg/g occurred at a flow rate of 1 mL/min and at an initial concentration of 75 mg/L. Because there was better accord between the data and a pseudo-second order model than a pseudo-first-order model, external mass transfer is suggested to be the rate-controlling process. The experimental data were also fitted for the intraparticle diffusion model, implying that the intraparticle diffusion of Cd2+ onto the modified attapulgite was also important for controlling the adsorption process. The Bohart-Adams model was more suitable than the Thomas model for describing the dynamic behavior with respect to the flow rate and the initial Cd2+ concentration. This research provided the theoretical basis for the dynamic adsorption of Cd2+ on the modified attapulgite. Compared to the powdered modified attapulgite, the dynamic adsorption by granular modified attapulgite appeared more favorable in terms of practical application.
Aflatoxin contamination of diets results in disease and death in humans and animals. The objective of the present paper was to review the development of innovative enterosorption strategies for the detoxification of aflatoxins. NovaSil clay (NS) has been shown to decrease exposures to aflatoxins and prevent aflatoxicosis in a variety of animals when included in their diets. Results have shown that NS clay binds aflatoxins with high affinity and high capacity in the gastrointestinal tract, resulting in a notable reduction in the bioavailability of these toxins without interfering with the utilization of vitamins and other micronutrients. This strategy is already being utilized as a potential remedy for acute aflatoxicosis in animals and as a sustainable intervention via diet. Animal and human studies have confirmed the apparent safety of NS and refined NS clay (with uniform particle size). Studies in Ghanaians at high risk of aflatoxicosis have indicated that NS (at a dose level of 0.25% w/w) is effective at decreasing biomarkers of aflatoxin exposure and does not interfere with levels of serum vitamins A and E, iron, or zinc. A new spinoff of this strategy is the development and use of broad-acting sorbents for the mitigation of environmental chemicals and microbes during natural disasters and emergencies. In summary, enterosorption strategies/therapies based on NS clay are promising for the management of aflatoxins and as sustainable public health interventions. The NS clay remedy is novel, inexpensive, and easily disseminated.