Tesla now says unsupervised “Full Self-Driving” in customer-owned cars will arrive in Q2 2027. It’s the latest date on a promise Elon Musk has been making to FSD buyers for the better part of a decade.

But there’s a catch. On Tesla’s Q3 2026 earnings call today, AI chief Ashok Elluswamy described it as owners adding their own vehicles to Tesla’s managed Robotaxi fleet, not owners getting a car that drives them anywhere they want to go.

The PLOS One editors have issued an expression of concern for a 2024 case study concerning the digital economy, innovation factor allocation and industrial structure transformation in China’s Yangtze River Delta city cluster. The notice, published on October 21, 2026, states that the article was identified as one of a series of submissions for which the journal has concerns about the integrity or reliability of the peer-review process. Readers are advised to interpret the original study with this issue in mind.

The notice does not report a new scientific finding, identify an error in the paper or evaluate the study’s scientific validity. According to the editors, PLOS did not assess the article’s integrity or scientific validity when following up on the matter. The expression of concern therefore records a concern about the circumstances surrounding peer review rather than announcing that the study’s data, methods or conclusions have been disproved. The editors also state that they have no concerns regarding the authors’ conduct during the peer-review process.

The affected article was published in PLOS One in 2024 under the title “Digital economy, innovation factor allocation and industrial structure transformation—A case study of the Yangtze River Delta city cluster in China.” The supplied notice does not provide the study’s findings, population details, analytical methods, model estimates, uncertainty measures or specific mechanisms linking the subjects named in the title. As a result, the notice does not support conclusions about the relationship between digital-economy development, innovation factors and industrial structure in the region, nor does it establish whether any reported association or causal effect is reliable.

For the wider research record, the immediate effect is that the 2024 article is accompanied by an editorial notice questioning the integrity or reliability of its peer-review process. The notice does not provide details about the submissions or explain the specific basis for the journal’s concerns. It also does not announce a correction, replacement analysis or revised conclusion. The central status of the paper’s scientific validity remains unevaluated in the supplied material, while the issue is sufficiently significant for PLOS One to advise readers to consider it when interpreting the study.

Subject of Research: A PLOS One expression of concern concerning peer-review reliability in a Yangtze River Delta regional-economy case study.

Article Title: Expression of Concern: Digital economy, innovation factor allocation and industrial structure transformation—A case study of the Yangtze River Delta city cluster in China

Article References: The PLOS One Editors (2026). Expression of Concern: Digital economy, innovation factor allocation and industrial structure transformation—A case study of the Yangtze River Delta city cluster in China. PLOS One, 21(10), e0360867. https://doi.org/10.1371/journal.pone.0360867

Image Credits: AI Generated

DOI: 10.1371/journal.pone.0360867

Keywords: PLOS One, expression of concern, peer review, research integrity, digital economy, innovation factors, industrial structure, Yangtze River Delta, China, Expression, Concern, Digital

A nurse-led chronic disease management clinic in the urology department of a tertiary hospital recorded 14,013 outpatient registrations between July 2024 and September 2026, according to a single-center retrospective descriptive study using routinely collected service records. The clinic primarily supported long-term management of patients with prostate and bladder cancer while also providing specialty nursing services for other urological conditions. Its follow-up system marked 3,547 of 3,553 assigned tasks as successful, a task-level success rate of 99.83%. These figures describe service activity and record completion; the study did not measure whether the clinic improved clinical outcomes or economic performance.

The clinic was established in July 2024 within the hospital’s existing specialty nursing outpatient service framework. Its operating model included staffing and qualification requirements, professional training, clearly defined nursing responsibilities, physician–nurse collaboration, standardized procedures, information-system support and quality management. Nurses worked within their authorized scope of practice, while urologists participated in medical assessment and treatment decisions when required. The service had four reported components: patient assessment and follow-up planning; treatment follow-up and adverse-event monitoring; rehabilitation guidance and health promotion; and assistance with healthcare policies and basic nursing care.

Monthly registrations increased from 147 in July 2024 to a peak of 710 in August 2026, with fluctuations during the reporting period. Total registration fees were CNY 152,758. The clinic delivered 14,246 prostate cancer-related injections, 3,523 urinary catheterizations, 2,777 intravesical instillation procedures and 2,142 urinary catheter removals. It also assisted patients with prostate or bladder cancer in applying for outpatient chronic and special disease insurance benefits. The study reports these counts as routine service activities, but it did not compare the procedures with those delivered elsewhere or evaluate their individual clinical effects.

Follow-up management was integrated into the clinic’s information system, which contained records for 1,111 patients. Of these, 953 patients had been followed up and 951 had successful follow-up records. Nurses also executed 3,553 follow-up tasks, of which 3,547 were successful, corresponding to the reported 99.83% task-level rate. The descriptive data do not specify the duration or effectiveness of patient follow-up, assess whether missed contacts influenced treatment adherence or health outcomes, or establish how the results would compare with another care model.

Because the research covered one tertiary hospital and relied on routinely collected records, it cannot establish how the clinic would operate in smaller facilities, under different staffing arrangements or in other health systems. The findings offer a documented example of a nurse-led outpatient service with defined responsibilities, standardized workflows, follow-up documentation and collaboration with urologists. The authors stated that further research is needed to evaluate the model’s clinical outcomes and economic implications. Accordingly, the registration growth, procedural workload and high proportion of completed follow-up tasks should be interpreted as descriptions of implementation and recorded service delivery, not as evidence of improved survival, fewer complications, lower costs or other patient benefits.

Subject of Research: Operation and service activity of a nurse-led chronic disease management clinic in hospital urology

Article Title: Development and implementation of a nurse-led chronic disease management clinic in the urology department of a tertiary hospital: a descriptive study

Article References: Liu, C., Xia, Y., Jia, X., Wang, R., Li, T., Ma, Y., & Long, H. (2026). Development and implementation of a nurse-led chronic disease management clinic in the urology department of a tertiary hospital: a descriptive study. BMC Nursing. https://doi.org/10.1186/s12912-026-05566-z

Image Credits: AI Generated

DOI: 10.1186/s12912-026-05566-z

Keywords: nurse-led care, urology, outpatient nursing, chronic disease management, prostate cancer, bladder cancer, patient follow-up, service implementation, descriptive study, Development, implementation, nurse-led

Security researchers using an OpenAI model have uncovered two stunning security flaws in PHP,  the software that underpins nearly 70 percent of all websites on the internet. 

The flaws are so catastrophic that all websites using PHP — all untold millions of them — are advised to immediately take their servers down and apply the latest patch, which was released Wednesday. Vast swathes of the internet, following the news, have gone dark. Some that went offline for a time include Wikipedia, Steam, and even government websites.

Many organizations, however, may not have the time, resources, and personpower to swiftly implement the patch, making them potential sitting ducks until they do. According to the New York Times, the information released on the vulnerability can be used to reverse engineer the attack and take control of victim’s servers and steal information. The best course of action if you can’t patch your website, the National Security Agency advised, is dramatic: keep your site offline and don’t turn it back on.

Just as extraordinary as the breadth of the threat was how it was identified. The flaws were discovered by researchers at the cybersecurity firm Calif by using OpenAI’s GPT-5.6 Sol model, as part of a collaboration with the AI company. It then reported the flaw to the PHP Foundation back on August 11. 

The Google-owned security firm Wiz independently found the flaws, too, and made a report on August 24. Wiz called it one of the “most severe vulnerabilities discovered in PHP, and arguably in software history.”

Adding to the alarm presented by the exploits, there have been concerns raised over OpenAI’s role in how they were identified.

The flaws have been present in versions of PHP dating backing to 2004. But through OpenAI’s “Patch the Planet” program, and by using its flagship GPT-5.6 Sol model, Calif found it in only a matter of days. In a sense, these exploits only exist because of current powerful AI models. And moreover, OpenAI encouraged their discovery through its programs.

The messy disclosure of the vulnerability doesn’t help matters. OpenAI followed standard responsible practices, but some of the details around the hack leaked a day before it was officially scheduled to be announced.

Even if no leaks occurred, though, the damage caused by the mere knowledge that the vulnerabilities exist — which again, is largely thanks to AI — would still be catastrophic. It was the inevitable next chapter in all the bluster around AI companies revealing their agentic models’ hacking prowess. A headline in The Atlantic proclaimed that the “AI-Hacking Apocalypse Began Last Night.” OpenAI will tout the discovery as undeniable proof of its AI’s capabilities, while the rest of the world picks up the pieces of a shattered internet.

More on AI: AI Experts Already Doomsday Prepping for When AI Takes Out the Entire Financial System

The post Frontier OpenAI Model Exposes Stunning Exploit That Leaves Millions of Web Servers Open to Attack appeared first on Futurism.

A retrospective study of 1,307 patients undergoing elective percutaneous vertebroplasty for osteoporotic vertebral compression fractures found that 136, or 10.4%, had a puncture-site wound event within two weeks of surgery. The composite outcome included erythema or swelling, bleeding or exudate, subcutaneous hematoma, and infection. After adjustment for patient and procedural factors, suture closure was associated with more than twice the risk of the composite outcome, while diabetes, mildly elevated international normalized ratio, and multilevel treatment were also associated with higher risk.

The findings come from consecutive patients treated at Ningde Municipal Hospital in China between January 2022 and June 2026. Patients were excluded if they underwent surgery for a new fracture, had uncontrolled coagulation disorders, received concomitant open spinal surgery, required an intraoperative incision at the puncture site, had malignant tumors or abnormal immune status, or lacked key clinical or follow-up information. The analysis therefore describes elective vertebroplasty performed within one hospital system, rather than all fracture patients or all puncture wounds treated after other forms of spine surgery.

Researchers extracted information from electronic medical records, operative and anesthesia records, laboratory reports, dressing-change notes, wound-clinic assessments, and documented telephone follow-up. All puncture sites were covered with waterproof dressings and assessed within two weeks through inpatient observation, clinical review, or telephone follow-up. A wound event was counted only when explicitly documented in the records. Erythema, swelling, bleeding, exudate, hematoma, and infection were combined into one patient-level outcome, counted once even if a patient experienced several types of event, while individual components were also summarized separately.

Closure was not assigned through a randomized comparison. The operating physician selected nonsuture or suture closure according to intraoperative bleeding, exudation, skin condition, wound tension, and routine practice. Sutured wounds were typically closed with one 3-0 Vicryl Rapide stitch. Among the 1,307 patients, 774 received nonsuture closure and 533 received sutures. An early event was recorded in 53 nonsuture cases, or 6.8%, and in 83 sutured cases, or 15.6%. The crude risk ratio for any event was 2.27, with a 95% confidence interval of 1.64 to 3.15 and a P value below 0.001.

After the researchers adjusted for closure method, diabetes, INR above 1.2, age, sex, body mass index, and multilevel treatment, the association with suturing remained. The adjusted risk ratio was 2.24, with a 95% confidence interval of 1.59 to 3.16 and P below 0.001. Diabetes was associated with an adjusted risk ratio of 1.57, with a 95% confidence interval of 1.11 to 2.21 and P equal to 0.010. An INR above 1.2, defined using the hospital laboratory’s upper reference limit, was associated with an adjusted risk ratio of 1.66, with a 95% confidence interval of 1.08 to 2.57 and P equal to 0.022. Multilevel treatment had an adjusted risk ratio of 1.73, with a 95% confidence interval of 1.03 to 2.89 and P equal to 0.038.

The component findings were concentrated in relatively common superficial manifestations rather than infection. Erythema or swelling occurred in 4.1% of patients with nonsuture closure and 10.9% of those with sutures, producing a crude risk ratio of 2.63, with a 95% confidence interval of 1.73 to 3.99. Bleeding or exudate occurred in 2.7% and 5.8% of the respective groups, with a crude risk ratio of 2.14 and a 95% confidence interval of 1.25 to 3.69. Subcutaneous hematoma was uncommon, affecting two nonsuture cases and three sutured cases, and its wide confidence interval included no difference. Infection was documented in one nonsuture case and no sutured cases, too few events to model infection separately.

Age, sex, and body mass index were not independently associated with the composite outcome in the primary adjusted model. Each additional decade of age had an adjusted risk ratio of 1.15, with a 95% confidence interval of 0.94 to 1.41 and P equal to 0.186. Female sex had an adjusted risk ratio of 0.96, with a 95% confidence interval of 0.66 to 1.39 and P equal to 0.829, while each 1 kg/m² increase in body mass index had an adjusted risk ratio of 1.07, with a 95% confidence interval of 0.99 to 1.17 and P equal to 0.091. These estimates mean that the study did not find clear independent associations for those demographic and anthropometric measures, not that they have no relationship to wound events in every clinical setting.

The suture result is particularly notable because the design cannot establish that suturing caused the additional events. The authors excluded several conditions that could make closure decisions unusual, including uncontrolled coagulation disorders, concomitant open surgery, and wounds requiring an intraoperative incision. Even so, surgeons may have selected sutures for locally difficult wounds, bleeding, exudation, poor skin condition, or excessive tension. Those unrecorded features could confound the comparison, while the fact that sutured patients may have had more wound checks or suture-removal visits could also increase the likelihood that mild redness or exudate was noticed and recorded. The finding should therefore be interpreted as an adjusted observational association rather than proof that sutures themselves produce wound inflammation or other complications.

Several other constraints limit what the study can establish. Follow-up was retrospective and varied among inpatient observation, wound-clinic examination, and telephone reporting, so assessment intensity and recording thresholds were not standardized. Very mild redness or transient bleeding may have been missed, and the records did not consistently capture event duration, patient discomfort, additional care, revisits, or hospitalization. The composite endpoint improved capture of local findings but combined conditions with different causes and severities. Only one infection occurred within two weeks, preventing meaningful analysis of surgical-site infection or later infections. The single-center design and the selected elective population also limit generalizability to open spine surgery, malignant disease, immunosuppression, or puncture sites requiring remedial closure.

Overall, the study identifies four factors associated with the short-term local wound status after elective vertebroplasty: suture closure, diabetes, elevated INR, and multilevel treatment. Its practical signal is that early observation may be especially relevant for patients with these characteristics, although the findings do not establish a clinical rule or a preferred closure technique. Because closure was clinician-selected, follow-up was not standardized, and the endpoint combined mild events with rare infection, the results point to priorities for further prospective research rather than definitive guidance. Within those limits, the observed 15.6% event rate after suturing compared with 6.8% after nonsuture closure provides the clearest signal in the cohort, while the observational design makes the mechanism unresolved.

Subject of Research: Factors associated with early puncture-site wound events after percutaneous vertebroplasty for osteoporotic vertebral compression fractures

Article Title: Factors associated with early puncture-site wound events after percutaneous vertebroplasty for osteoporotic vertebral compression fractures: a retrospective cohort study

Article References: He, X., Huang, C., Zheng, B., Wu, X., Huang, C., Lu, S., Huang, Y., Chen, J., Huang, J., & Li, B. (2026). Factors associated with early puncture-site wound events after percutaneous vertebroplasty for osteoporotic vertebral compression fractures: a retrospective cohort study. Frontiers in Medicine, 13, Article 1988843. https://doi.org/10.3389/fmed.2026.1988843

Image Credits: AI Generated

DOI: 10.3389/fmed.2026.1988843

Keywords: Percutaneous vertebroplasty, Osteoporotic fractures, Puncture-site wounds, Suture closure, Diabetes, Coagulation, Multilevel treatment, Retrospective cohort, Postoperative care, Factors, associated, early

A survey-based study of 246 village-level social welfare data operators found that business architecture, cross-organizational collaboration and technological readiness were positively and statistically significantly associated with perceived e-government integration impact in two Indonesian regencies. The research, focused on Gunung Kidul and Bangkalan, examined organizational, institutional, relational and technological capabilities associated with social welfare data integration. Governance and leadership and information policy did not show statistically significant direct relationships with perceived integration impact in the pooled sample.

The authors analyzed the survey with partial least squares structural equation modeling. In their framework, e-government integration impact, or EGII, represents perceived improvements in information, system and service quality, responsiveness and public trust. E-government integration scope, or EGIS, describes the breadth of integration across data, applications, electronic communication and knowledge-sharing processes.

EGII was strongly associated with EGIS, meaning that operators reporting more favorable perceived integration outcomes also tended to report broader integration. Because this was an observational analysis of survey responses, the results establish statistical relationships rather than causal effects. The findings identify three capabilities with significant direct relationships to EGII in the pooled model: business architecture, cross-organizational collaboration and technological readiness.

The evidence does not provide operational definitions for these constructs, but the results show that their measured levels were associated with respondents’ assessments of e-government integration outcomes. By contrast, governance and leadership and information policy had no statistically significant direct relationships with EGII in that analysis. This absence of a detected direct relationship does not establish that the two factors are unimportant or that they operate only through indirect pathways, because the supplied findings do not report such indirect effects.

A regency-based robustness analysis found that some relationships were sensitive to local implementation conditions. Significant differences between Gunung Kidul and Bangkan were reported for the technological-readiness-to-EGII relationship and the EGII-to-EGIS relationship. The geographic comparison therefore cautions against assuming that the same capability relationships apply uniformly across the two regencies, although it does not identify the specific local practices responsible for those differences.

Its direct contribution is to show which measured interoperability capabilities were associated with perceived integration impact in the surveyed population, alongside evidence that some relationships varied between the two regencies.

Subject of Research: Survey-based analysis of interoperability capabilities for social welfare data integration in two Indonesian regencies

Article Title: Determinants of E-government interoperability capabilities for social welfare data integration in Gunung Kidul and Bangkalan Regencies, Indonesia

Article References: Fikri, R., Purnomo, E. P., Pribadi, U., Mohamed, A. M., & Mohammad, N. B. (2026). Determinants of E-government interoperability capabilities for social welfare data integration in Gunung Kidul and Bangkalan Regencies, Indonesia. Discover Sustainability. https://doi.org/10.1007/s43621-026-04608-5

Image Credits: AI Generated

DOI: 10.1007/s43621-026-04608-5

Keywords: social welfare data, e-government, interoperability, Indonesia, PLS-SEM, technological readiness, cross-organizational collaboration, business architecture, digital governance, public services, Determinants, capabilities

The Federal Aviation Administration (FAA) has granted US aerospace and defense company BETA Technologies a first-of-its-kind authorization to conduct flights with prospective customers aboard its electric vertical takeoff and landing (VTOL) aircraft, marking a significant step toward commercial operations.

The approval, granted under a Special Airworthiness Certificate for market surveys, allows the aerospace and defence company to demonstrate its ALIA A250 aircraft to prospective operators and other participants. It also expands the geographic scope of the company’s flight operations.

The authorization comes after a safety review by FAA experts and represents a step toward commercial deployment, although the aircraft has not yet received full type certification for routine commercial service.

BETA completed its first flight under the new authorization on October 20, traveling 34 nautical miles (39 miles) in 20 minutes.

First authorized demonstration flight

The ALIA A250 departed Plattsburgh International Airport in New York, taking off vertically before transitioning to conventional wing-borne flight. It then landed vertically at Patrick Leahy Burlington International Airport in Vermont.

Designed to operate with or without runway access, the aircraft can potentially support passenger transportation, cargo delivery, medical services and defense operations. It features dual pilot controls and is designed to carry up to five passengers or more than 1,200 pounds of cargo.

According to BETA, the A250 shares several major systems with its conventional takeoff and landing (CTOL) aircraft, including electric propulsion, flight control computers, batteries and charging infrastructure.

The common architecture allows the company to apply operational experience and technical improvements across both aircraft.

BETA said its CTOL and VTOL aircraft have accumulated more than 250,000 nautical miles of combined flight experience.

The company previously received FAA market-survey authorization for its CTOL aircraft and completed its first crewed electric VTOL transition flight in 2024.

“This authorization brings vertical flight closer to the people and places that will put it to work, building on BETA’s track record of industry firsts,” said Kyle Clark, BETA’s founder and CEO.

The latest certificate permits market-survey flights rather than unrestricted commercial passenger services. BETA must still complete the FAA’s full certification process before beginning routine commercial operations.

Expanding electric aviation operations

The US government is working to accelerate the testing and integration of advanced air mobility aircraft into national airspace.

In March, Transportation Secretary Sean Duffy announced the eVTOL Integration Pilot Program (eIPP), which supports testing of next-generation aircraft in real-world operating environments.

The program includes eight selected projects spanning 28 states, involving aircraft manufacturers, operators and government partners.

The projects cover urban air taxis, regional passenger transportation, cargo networks, emergency medical response, autonomous flight and offshore transportation.

The FAA said BETA’s authorization would allow the company to demonstrate its aircraft across a broader range of operating conditions, subject to applicable restrictions.

“The FAA is committed to working with American innovators to safely integrate these new aircraft into our national airspace, while maintaining the rigorous safety standards that have made the United States a global leader in aviation,” said FAA Administrator Bryan Bedford.

BETA is continuing flight testing and working toward full type certification as it prepares its electric aircraft for potential commercial applications.

O Google Chrome ganhou uma nova medida de segurança para alertar sobre sites suspeitos. Agora, o navegador exibe um aviso na tela para sinalizar que uma página tem padrões similares a outros links associados com tentativas de phishing, malwares e outras ameaças.

O alerta não ocupa a tela toda, ainda mostra elementos visuais do site e inclui um botão para marcar a URL como segura. Por definição da própria empresa, um site suspeito é aquele em que a IA do Chrome identifica que há um possível risco de prejuízo, mas não tem confiança o suficiente para formar um veredito. 

O novo sistema também é uma alternativa para os alertas de sites perigosos, quando a tela toda fica vermelha e não é possível ver elementos visuais do site. 

Qual a diferença entre site suspeito e site perigoso?

Os alertas do Chrome variam de acordo com o nível de ameaça identificado, em que o site suspeito tem um alerta intermediário de segurança e o site perigoso tem um aviso mais severo.

Entenda a diferença:

• Site suspeito: há um possível risco de prejuízo, mas a IA não conseguiu determinar a ameaça com confiança. O Chrome exibe um pop-up na tela;
• Site perigoso: há um alto risco de prejuízo ao usuário e a IA consegue determinar com maior confiança se há um site falso ou com malware. O Chrome mostra um alerta vermelho em toda a interface e exige mais ações para liberar a página.

Reforço na IA para proteger o navegador

A empresa também anunciou um novo modelo mais poderoso do Gemini incorporado ao modo de Navegação Segura do Chrome. A IA consegue identificar mais ameaças como golpes de updates do navegador e antivírus falsos, além de fornecer dados mais detalhados para a plataforma identificar um site malicioso.

Confira algumas dicas para não cair em golpes durante compras online.

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And it could get much worse.

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Sediments from a small mountain lake in Bosnia and Herzegovina preserve an approximately 16,000-year record of summer temperature change in the Western Balkans, revealing abrupt climatic shifts whose effects varied across Europe. Researchers at Eötvös Loránd University reconstructed past mean July temperatures from chironomid remains and other lake-sediment indicators, then used pollen, sediment particles, organic matter and geochemical elements to track associated changes in vegetation, erosion and lake conditions. Two peer-reviewed studies published in 2026 examine different periods in the same sequence, together covering the Late Glacial, the Holocene and more recent centuries.

The reconstructed record shows that a large cooling event associated with the Younger Dryas lowered estimated mean July temperatures at Lake Prokoško by approximately 2.3°C, a change intermediate between estimates from Alpine lakes and those farther east. The lake, which covers 4.8 hectares at an elevation of 1,670 metres in the Vranica Mountains of the Dinaric Alps, also records a later Middle Holocene interval in which estimated summer temperatures may have exceeded present-day levels. These findings emerge from a paleoclimate reconstruction based on biological, chemical and physical evidence preserved in lake sediments, rather than from direct instrumental measurements.

Lake Prokoško occupies a climatically significant position between Western, Central and Eastern Europe. Over thousands of years, remains from the surrounding landscape and the lake’s own ecosystem accumulated in bottom sediments, providing material for reconstructing regional environmental and climatic history. One study, published in Palaeogeography, Palaeoclimatology, Palaeoecology, focused on rapid changes between approximately 16,000 and 10,000 years ago during the Late Glacial and beginning of the Holocene. A separate study in Quaternary Science Reviews traced conditions through the Holocene to the present, extending the interpretation of the sediment sequence across the full period represented by the two investigations.

Chironomids, a group of aquatic insects also known as non-biting midges, supplied the principal temperature indicator. Their larvae occupy lake sediments and differ in their preferences for water temperature, oxygen levels and nutrient conditions. After moulting, larvae leave chitinous head capsules that sink to the lake bed, where they can be preserved for tens of thousands of years. The researchers identified the species represented in different sediment layers and compared the fossil assemblages with faunal and climate data from hundreds of modern European lakes. This comparison supported estimates of mean July temperature, while the accompanying pollen, sediment, organic-matter and chemical records provided evidence about forests, soil erosion, lake productivity and other environmental changes.

The oldest layers examined reflect cold conditions near the end of the last glacial period. At around 14,600 years ago, reconstructed mean July temperatures around Lake Prokoško were below 8°C. They subsequently rose by approximately 2.6°C within a comparatively short interval, reaching around 10.2°C. The reconstruction associates this warming with increased biological activity in the lake, spreading vegetation and more stable conditions in the catchment. The youngest sediments in the study cover the most recent millennium, where the chironomid community reflected not only temperature changes but also centuries of alpine grazing, greater nutrient input and the later expansion of nutrient-rich conditions.

The early warming ended abruptly when the Younger Dryas began around 12,900 years ago, the last major cooling episode at the close of the last glacial period. Estimated mean July temperatures at Lake Prokoško fell by approximately 2.3°C to about 7.9°C. Cold-water chironomid species became more abundant, while increased erosion transported more clastic material into the lake. Comparisons with reconstructions elsewhere in Europe revealed a marked spatial contrast: summer cooling of 3–4°C has been reconstructed at many Alpine lakes, whereas decreases in the Eastern and Southern Carpathians were generally less than 1°C. The Lake Prokoško estimate falls between those geographic extremes.

The researchers connect this west-to-east gradient, which becomes weaker toward the east, to oceanic and atmospheric changes in the North Atlantic region. For the Carpathian Basin, the contrast illustrates that the same large-scale climatic event can produce different responses in Western, Central and Eastern Europe. Lake Prokoško consequently provides a regional reference point for examining how the magnitude of a shared climate signal varied geographically. The researchers also emphasize that alpine lakes respond sensitively to relatively small temperature changes: variations in ice-cover duration, water stratification, oxygen content and biological activity can accompany those changes, making small mountain lakes useful environmental archives.

Warming resumed at the end of the Younger Dryas. Between approximately 11,800 and 11,400 years ago, reconstructed mean July temperatures increased by around 2.9°C. By about 10,500 years ago, they may have reached approximately 12.6°C. The lake became more productive, its ice-free season lengthened, and closed-canopy forests developed in the catchment, reducing erosion. Temperatures did not remain constant throughout the Holocene. Around 6,800 years ago, reconstructed mean July temperatures may have reached approximately 14°C, meaning that some summers around Lake Prokoško were warmer than those experienced today. The researchers distinguish this Middle Holocene warmth from present-day warming: the earlier conditions were mainly seasonal and driven by gradual changes in Earth’s orbital parameters that increased Northern Hemisphere summer insolation, whereas current warming is global, year-round, more rapid and primarily associated with human-caused greenhouse gas emissions.

A cooling trend began around 6,000 to 5,500 years ago during the Neoglacial transition toward a cooler Late Holocene. Reconstructed mean July temperatures fell from approximately 14°C to around 12.8°C, then to 11.8°C by about 5,670 years ago. Pollen evidence indicates that people were altering the landscape around the lake by the end of the Neolithic, approximately 6,000 years ago. Plants associated with grazing and open habitats became more common, followed later by more intensive forest use and the expansion of open areas. The same sediment archive therefore records both reconstructed climatic variability and the growing influence of human land use, although it does not by itself establish that human activity caused the temperature changes documented in the sequence.

Later Holocene temperatures continued to vary. Around 3,000 years ago, another significant cooling began, with mean summer temperatures falling from approximately 14.7°C to 12°C. Around 2,000 years ago, reconstructed temperatures rose during the Roman Warm Period, reaching approximately 13.3°C. Over the past millennium, centuries of alpine grazing opened the surrounding landscape and increased the nutrient load entering Lake Prokoško. The chironomid community changed significantly around 700 years ago, and species preferring more nutrient-rich waters became increasingly common over the following 500 years. Together, the two studies show that the lake’s fossil and sediment record captures environmental responses shaped by both regional climate change and local human transformation, while also demonstrating that estimates for individual periods remain reconstructions derived from sediment proxies and modern comparative data.

Subject of Research: Paleoclimate reconstruction of summer temperature variability in the Western Balkans

Article Title: Where three climate zones meet

Article References: Where three climate zones meet. Original publication (Bibliographic details unavailable.)

Image Credits: AI Generated

DOI: Not provided

Keywords: Lake Prokoško, Western Balkans, summer temperatures, paleoclimate, chironomid fossils, Younger Dryas, Holocene, climate reconstruction, land use, alpine lake, three, climate

Cardiovascular magnetic resonance measurements identified a hemodynamic pattern associated with death or heart-transplant referral or listing in people with Fontan circulation, according to a retrospective study of 182 patients followed at a moderate-altitude center. Patients who later experienced the composite outcome had a lower superior vena cava flow index than those who did not. In time-to-event analysis, each 0.1-liter-per-minute-per-square-meter increase in the indexed flow was associated with a 30% lower hazard of the outcome.

The association remained in an exploratory model that also included ventricular ejection fraction, but the researchers said the estimate requires prospective, multicenter validation before clinical application. The cohort comprised people who had undergone Fontan palliation between 1999 and 2021 at a tertiary institution approximately 5,118 feet above sea level. Fontan circulation passively directs systemic venous blood into the pulmonary arteries without the support of a sub-pulmonary ventricle.

Eligible participants had a clinically indicated CMR examination at least five years after Fontan completion, a threshold selected to match the center’s routine surveillance practice. For patients with multiple examinations, investigators used the last CMR obtained before an outcome or censoring. Most participants, 173 of 182, or 95%, had an extracardiac conduit Fontan circulation, and 76, or 42%, underwent a Damus–Kaye–Stansel anastomosis.

At CMR, the median body surface area was 1.43 square meters, with an interquartile range of 1.16 to 1.69 square meters. The median age at Fontan completion was 3.2 years, and the median interval between surgery and imaging was 10.9 years. Median follow-up after CMR was 4.7 years, while participants’ median home elevation was 5,221 feet above sea level.

Hypoplastic left heart syndrome was the most common underlying diagnosis, accounting for 35% of the cohort, followed by tricuspid atresia at 30%. The systemic ventricle was left-dominant in 53% and right-dominant in 47%. Magnetic resonance examinations were performed on 1.5- or 3.0-tesla scanners, with cine imaging used to assess ventricular function and phase-contrast sequences used to measure blood flow.

The primary endpoint combined death with referral or listing for heart transplantation. Fourteen patients, or 7.7% of the cohort, met that endpoint during follow-up: two died and 12 were referred or listed for transplantation. Among patients who experienced the outcome, the median time from CMR to the first qualifying event was 1.2 years, with an interquartile range of 0.5 to 2.5 years.

The median superior vena cava flow index was 0.54 liters per minute per square meter among patients with the primary outcome, compared with 0.82 liters per minute per square meter among those without it; the difference was statistically significant, with a p-value of 0.011. The superior vena cava-to-ascending-aorta flow ratio was also lower in the event group, with medians of 0.22 and 0.30, respectively. Several other CMR flow measures did not differ significantly between patients with and without the primary outcome.

These included flow indices in the ascending aorta, right pulmonary artery, left pulmonary artery and inferior vena cava, as well as calculated systemic-to-pulmonary collateral flow. Receiver operating characteristic analysis indicated that superior vena cava flow index discriminated between patients who met the endpoint and those who did not with an area under the curve of 0.74 and a 95% confidence interval of 0.56 to 0.92. A data-derived threshold of 0.66 liters per minute per square meter, selected using the Youden index, yielded 70% sensitivity and 75% specificity.

Kaplan–Meier curves showed significantly poorer event-free survival among patients below that threshold. Because the threshold and discrimination measures came from the same cohort, they are exploratory rather than externally validated clinical cutoffs. Univariable Cox proportional hazards regression found a hazard ratio of 0.70 for each 0.1-liter-per-minute-per-square-meter increase in superior vena cava flow index, with a 95% confidence interval of 0.50 to 0.92 and a p-value of 0.008.

Right-dominant ventricular morphology was also associated with a higher hazard than left-ventricular dominance, with a hazard ratio of 3.21, a 95% confidence interval of 1.00 to 10.29 and a p-value of 0.049. The investigators constructed a two-variable Cox model containing superior vena cava flow index and ejection fraction. Each one-percentage-point increase in ejection fraction was associated with an adjusted hazard ratio of 0.92, with a 95% confidence interval of 0.86 to 0.97.

Because only 14 primary events occurred, the multivariable analysis was deliberately restricted and was intended to test whether the flow association persisted beyond ventricular function rather than develop a full prediction model. Internal bootstrap analysis using 2,500 resamples produced a median hazard ratio of 0.71 for superior vena cava flow index and 0.92 for ejection fraction, close to the original adjusted estimates. Collinearity between the two variables was negligible, with a Spearman absolute correlation below 0.1, an R-squared value of 0.008 and a variance inflation factor of 1.01.

Tests did not indicate violation of the proportional-hazards assumption. Ventricular measures also differed according to morphology: in the right-dominant subgroup, patients with events had larger indexed ventricular volumes and lower ejection fraction than those without events, whereas comparable differences were not statistically significant in the smaller left-dominant event subgroup. The study does not establish why lower superior vena cava flow was associated with poorer outcomes.

One proposed explanation is that chronic hypobaric exposure at moderate altitude promotes pulmonary vasoconstriction and raises pulmonary vascular resistance, potentially restricting passive flow through the Fontan pathway. However, pulmonary vascular resistance was not directly measured, and the cohort included no sea-level comparator, so the study cannot determine whether altitude caused the observed hemodynamic pattern. Other possible contributors include anatomical differences in the superior vena cava, systemic venovenous collateral vessels that divert blood around the pulmonary vascular bed, and differences in preload or single-ventricle filling.

The findings therefore associate reduced indexed flow with an unfavorable hemodynamic state rather than demonstrate a specific underlying mechanism. Important limitations constrain the results. The retrospective, single-center design creates the possibility of selection bias, and clinically performed CMR examinations were not acquired at standardized surveillance intervals.

Selecting the last scan before an outcome or censoring may introduce reverse-causation bias because patients approaching clinical deterioration could have been imaged nearer the event. Clinically relevant potential confounders—including functional class, cardiopulmonary exercise capacity, resting oxygen saturation, natriuretic peptide levels, catheterization-derived Fontan pressure and pulmonary vascular resistance, pulmonary vasodilator therapy, arrhythmia burden and the severity of liver disease—were unavailable or not incorporated. The small number of events also leaves the multivariable estimates vulnerable to overfitting despite the deliberately parsimonious model and bootstrap resampling.

Furthermore, the predominance of fenestrated extracardiac conduit Fontan circulation limits generalizability to other surgical configurations. The results position superior vena cava flow index as a candidate prognostic marker that may complement ventricular size and ejection fraction in longitudinal assessment of Fontan circulation, but they do not establish a clinical measurement rule or treatment strategy. Prospective, multicenter studies comparing cohorts across elevations would be needed to test the temporal relationship, determine whether altitude modifies the association, and establish external validity.

The authors also identified four-dimensional flow CMR as a possible tool for characterizing three-dimensional flow patterns and energy loss within the Fontan pathway. Further work could compare imaging signatures with exercise physiology, biomarkers of end-organ dysfunction and pulmonary vascular imaging. Until those studies are completed, the association between reduced superior vena cava flow and adverse outcomes should be regarded as an exploratory finding that requires independent validation.

Subject of Research: Association between CMR-derived blood flow and adverse outcomes in people with Fontan circulation

Article Title: Cardiovascular magnetic resonance–derived hemodynamics predict adverse outcomes after Fontan palliation

Article References: Platnick, C., Frank, B., Romanowicz, J., Gonzalez De Alba, C., Chase, M., Umer, A., Chaudhuri, N. R., Awori, J., Chauhan, D., Mascio, C. E., Udassi, J. P., & Hedjazi Moghari, M. (2026). Cardiovascular magnetic resonance–derived hemodynamics predict adverse outcomes after Fontan palliation. Frontiers in Cardiovascular Medicine, 13, Article 1937933. https://doi.org/10.3389/fcvm.2026.1937933

Image Credits: AI Generated

DOI: 10.3389/fcvm.2026.1937933

Keywords: Fontan circulation, cardiovascular magnetic resonance, superior vena cava flow, heart transplantation, congenital heart disease, risk stratification, ventricular function, moderate altitude, flow quantification, retrospective cohort, Cardiovascular, magnetic

Fãs de GTA 6 flagraram equipes de filmagem gravando comboios de carros esportivos exóticos e personalizados com marcas fictícias da franquia nas ruas de Miami. A aposta dos jogadores é que a Rockstar Games pode estar produzindo uma espécie de trailer live-action para o jogo que está a menos de um mês de distância.

Entre os modelos de carros flagrados estão Grotti e Emerus, contrapartes das montadoras da vida real Ferrari e McLaren. Na última sexta-feira (16), réplicas de carros de GTA 6 invadiram as ruas de Miami e pararam o trânsito como parte de uma campanha do jogo.

A engrenagem de marketing da Rockstar parece estar rodando a todo vapor. Além dos veículos e de um possível trailer live-action, a produtora também contou com um dirigível de Vice City sobrevoando Miami, cartazes espalhados por toda a cidade e uma ação com o time de basquete Miami Heat.

Vale notar que GTA 6 recebeu um trailer final na quinta-feira (15) e cravou que “a melhor experiência é no PS5”. Além disso, dados da Sensor Tower apontaram que o PlayStation engoliu o XBOX e tem uma vantagem assombrosa na pré-venda do jogo.

PlayStation pode barrar GTA 6 em consoles desbloqueados

A Sony e a Rockstar Games parecem estar cautelosas com a nova onda de desbloqueio do PS5. Uma nova atualização do firmware deve blindar o console contra a pirataria de GTA 6.

A companhia japonesa está em uma verdadeira corrida contra os modders. Um bom exemplo disso é que, anteriormente, um jailbreak do PS5 chegou à versão exigida por GTA 6 um mês antes da estreia.

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Tesla published its third-quarter 2026 financial results this afternoon. Earlier in October, it reported its sales and deliveries for the three-month period, selling fewer cars than in the same quarter in 2025, yet it still beat analyst projections. Now we can see how those sales translate to the bottom line. Tesla brought in $28 billion in revenue in Q3, almost the same as in 2025.

Automotive revenues were $20.6 billion, a 3 percent decrease year over year. Perhaps more troubling is the decline in revenue from solar panels and storage batteries—this line of business had been growing, but for Q3 revenue fell 16 percent year over year to $2.9 billion. Services and other revenues, though, which include parts and Supercharger use, grew by a third to $4.6 billion.

But the company—like the rest of us—has seen its expenses go up. Operating expenses rose by 39 percent to $4.8 billion, dropping the company’s operating margin to just 2.6 percent; in Q3 2025, Tesla’s margin was 5.8 percent. Net profit fell to $787 million, down 43 percent year over year. What’s more, capital expenditures were up by 110 percent to $4.7 billion, and free cash flow was down 62 percent to $1.5 billion.

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Comments

Tesla’s energy business deployed more batteries in Q3 2026 but brought in less money. Energy generation and storage revenue fell 16% year-over-year to $2.88 billion, even though storage deployments rose 10% to 13.7 GWh.

Tesla’s shareholder letter blames the drop “partially” on “tariff-related customer refunds.” It doesn’t say how much it refunded, to which customers, or why it was accounted for as reduced revenue.