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A review of filarial nematodes parasitizing tick vectors: unraveling global patterns in species diversity, host associations, and interactions with tick-borne pathogens – Parasites & Vectors

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Parasites & Vectors volume 18, Article number: 50 (2025)
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Ticks are well-known vectors of pathogens, including filarial nematodes, which can affect animal and human health. This review synthesizes current knowledge of filarial nematodes that utilize ticks as vectors, focusing on the Onchocercidae. Five genera of onchocercid filarial nematodes (Cercopithifilaria, Cherylia, Cruorifilaria, Monanema, and Yatesia) have demonstrated vector–parasite relationships with ticks, while Acanthocheilonema has only demonstrated molecular detection without confirmed vector competence. Vector competence has been experimentally proven for several species through documented development to infective stages. However, our understanding of tick-borne filarial nematodes remains limited owing to insufficient detection efforts and methodological challenges. Detection methods include traditional dissection, advanced imaging techniques such as microcomputed tomography (micro-CT), and molecular approaches, each with distinct advantages and limitations. To address knowledge gaps, future research should focus on conducting large-scale surveys of tick populations and wildlife to investigate vector competence, health impacts, and coinfection dynamics. Multi-disciplinary collaboration and community involvement in tick surveillance will advance our understanding of tick-borne filarial nematode ecology and epidemiology. Future research priorities include confirming vector competence where only molecular detection exists, investigating natural transmission patterns, and understanding the mechanisms influencing successful development in tick vectors. By addressing these knowledge gaps through systematic surveillance and experimental studies, we can better understand these complex host–parasite–vector relationships and their implications for animal health.
Ticks (Ixodida) are blood-feeding arthropods known to spread (i.e., vector) a range of pathogens of medical and veterinary importance [1, 2]. Ticks transmit a variety of disease-causing microbial taxa, spanning bacteria eliciting Lyme borreliosis, anaplasmosis, rickettsiosis, and ehrlichiosis [3,4,5]; viruses causing Powassan, Heartland, and tick-borne encephalitis infections [3, 6,7,8]; Babesia and Hepatozoon protozoan parasites causing babesiosis and hepatozoonosis, respectively [9,10,11]; and macroparasites, including filarial nematodes of medical and veterinary importance [12,13,14]. Filarial nematodes belonging to the superfamily Filarioidea Weinland, 1858 are further divided into two families: Filariidae Cobbold, 1864 and Onchocercidae Leiper, 1911. These nematodes have indirect life cycles, requiring arthropod intermediate hosts (biological vectors) to complete their development and transmission. Despite the diverse arthropod vectors utilized by filarial nematodes, only a few Onchocercidae species have been shown to use ticks as primary intermediate hosts [15]. Most Filarioidea rely on blood-sucking insects, such as mosquitoes, fleas, black flies, and biting midges, as primary vectors [16, 17]. Tick-transmitted filarioid nematodes show specific host associations; for example, Cercopithifilaria bainae infects domestic dogs and Monanema marmotae parasitizes groundhogs (Marmota monax) [12, 18]. Similarly, other arthropod-transmitted filariae demonstrate host specificity, including some filarioid species that are agents of neglected tropical diseases in humans, such as the black fly-transmitted Onchocerca volvulus and the mosquito-transmitted Wuchereria bancrofti in humans [19, 20].
Morphologically, filarial nematodes are elongated and threadlike, with long cylindrical bodies coated in a rigid cuticle with oral and anal openings, sensory papillae, and reproductive organs [16, 21, 22]. Nematode sexes are separated, with males and females sometimes being morphologically different; males may be shorter with coiled posterior ends, whereas females tend to be more elongated. Microfilariae are the initial larval stages of development of filarial nematodes, which develop in arthropod vectors into first-stage larva (L1), second-stage larvae (L2), and subsequently to third-stage larvae (L3), which is infective to the definitive host [16]. Vertebrate species typically serve as the definitive host for filarial nematodes, wherein adult nematodes attain sexual maturity and reproduce, with females producing fertilized eggs that hatch into microfilariae. Microfilariae can circulate throughout the vertebrate host body and are often ingested by arthropod vectors such as insects (Insecta) and acarines (Acari; ticks and mites) during blood-feeding activities, where the definitive host enables parasite reproduction and continued transmission [22,23,24].
The potential role of tick vectors in propagating filarial nematodes and affecting animal and human health remains understudied. Several studies have examined and identified filarial nematodes in both hard (Ixodidae) and soft (Argasidae) ticks [14, 25,26,27,28,29,30,31,32,33,34,35], thereby providing evidence that ticks can indeed vector filarial nematodes. Tick feeding strategies can significantly contribute to the biological transmission of filarial nematodes in several ways, including the duration of attachment, feeding preferences, and developmental stages. While slow-feeding ixodid ticks can remain attached to their hosts for several days or weeks, with some species feeding for up to 2 weeks [1], experimental studies by Brianti et al. [36] showed that extended feeding duration alone does not determine successful filarial nematode transmission. The typical development from microfilariae to infective L3 stage often takes longer than a single tick feeding period, usually around 30 days [36]. While this extended development time increases the likelihood of successful transmission to a new vertebrate host during subsequent feeding, reinfection of the same host during a single blood meal is unlikely. In addition, feeding patterns and host associations of ticks can play a crucial role in the life cycle of filarial nematodes [37]. For example, Ramos et al. [38] showed that Cercopithifilaria rugosicauda utilizes Ixodes ricinus nymphs to parasitize roe deer (Capreolus capreolus) in southern Italy. The timing of nymphal activity coincides with host availability, demonstrating how filarial transmission occurs through monotropic tick species—ticks that primarily parasitize specific host species.
While tick-borne filarial nematodes have been documented in various animal hosts, their impact on animal health remains poorly understood. Currently, there are no documented cases of tick-borne filarial nematodes affecting livestock production, and their economic significance, if any, requires further investigation. In companion animals, Cercopithifilaria spp. can infect dogs, with some naturally infected individuals developing dermal nodules, though these infections are rarely associated with clinical signs [23, 32, 36]. While treatments such as topical medications and corticosteroids are available, much remains to be understood about the pathogenicity and epidemiology of these infections [39].
In this review, we aim to synthesize and provide a comprehensive overview of the current knowledge on the global diversity of filarial nematode species that use ticks as vectors. Among the family Onchocercidae, development and transmission require arthropod intermediate hosts, with several genera specifically adapted to using ticks as vectors. Therefore, we focus on genera within Onchocercidae, reporting their known tick vectors and other arthropod vectors. In addition, using North America as a case study, we highlight significant gaps in the distribution and prevalence of tick-borne filarial nematodes and explore potential interactions between filarial nematodes and tick-borne pathogens and discuss their implications for infection dynamics and host immune responses. This review will cover the strengths and weaknesses of existing and current methods to detect filarial nematodes in tick vectors, emphasizing the need for targeted, large-scale research efforts focusing on known tick hotspots and risk interfaces. By synthesizing available information and critically assessing published literature, we aim to understand tick-borne filarial transmission among domestic and wildlife animals in natural ecosystems, with a focus on identifying knowledge gaps regarding these nematodes in North America to guide future research directions.
All vertebrate classes except fish serve as definitive hosts for filarial nematodes, enabling their development and transmission [40]. Vertebrate hosts harboring filarial nematodes allow the parasite to complete their life cycle, thus facilitating their transmission to tick vectors (Fig. 1). For instance, the life cycle of C. rugosicauda illustrates the synchronized timing between tick vectors and vertebrate hosts, which is essential for successful transmission. Development in I. ricinus takes 8 weeks for microfilariae to reach the infective L3 stage, followed by 24 weeks in roe deer for L3 to mature into adults [30, 38]. Adult nematodes produce microfilariae that concentrate in dermal tissues, coinciding with tick feeding periods and enabling continued transmission.
Transmission cycle of filarial nematodes in tick vectors and vertebrate hosts. The cycle begins when a tick vector introduces L3 larvae into the definitive host (e.g., dogs, rodents, raccoons, and opossums) through skin bites. Within the host, L3 larvae develop into adult nematodes that mate and produce microfilariae, which circulate in the skin or blood of the host. When a new tick feeds on an infected host, it ingests the microfilariae, which then develop into infective L1 to L3 larvae within the tick, completing the transmission cycle. Illustration created on Biorender.com
The efficiency of filarial nematode transmission between vertebrate hosts and tick vectors may depend on host–vector compatibility. The availability of compatible hosts and vector feeding preferences may determine the geographic distribution of vector-borne helminths. For instance, domestic dogs serve as efficient reservoirs for filarial nematodes by simultaneously maintaining long-term infections with multiple species and their ability to sustain infections, which makes them consistent sources of microfilariae for brown dog ticks throughout the vector active season [14, 36].
Early studies by Bain [28], Bain et al. [35], and Beaver and Burgdorfer [29] showed that the hindgut, hemocoel, fat cells, and salivary gland ducts of ticks provide a favorable environment for the development of certain filarial nematodes. In these cases, ticks ingest microfilariae when feeding on an infected vertebrate host [28] (Fig. 1). These microfilariae then migrate to specific tick tissues to find suitable conditions for growth and transformation into infective larvae. For example, many microfilariae migrate from the tick midgut to the hemocoel (i.e., body cavity), where they molt into L1, L2, and subsequently into infective L3, a process that may take 30 days [36]. L3 larvae have been documented in tick salivary glands [13, 36]; however, their transmission to vertebrate hosts via salivary glands is yet to be established. As ticks feed for several days, they regurgitate saliva into the bite site, potentially countering host hemostasis and inflammatory responses [22, 41,42,43]. Tick feeding can potentially deliver L3 larvae into the dermal skin layers of the host, setting off local reactions and enabling nematode transfer [18] (Fig. 1).
The concentration of microfilariae in the skin of infected vertebrates near common tick attachment sites (such as the ears) implies a specific attraction of filarial nematodes to chemical substances in tick saliva, as demonstrated by Ko [18]; a similar mechanism was proposed by Moorhouse [43]. If broadly applicable, this attraction could enhance the probability of microfilariae being ingested by the tick vector during blood feeding, facilitating their transmission to the vector and subsequently to new susceptible vertebrate hosts (Fig. 1). The specific vertebrate tissue harboring these transmitted microfilariae (e.g., skin or blood) corresponds to the feeding strategies of the arthropod vector on hosts [44]. For instance, microfilariae inhabiting subdermal skin layers may be ingested by ticks during their blood-feeding process. Alternatively, some circulating blood-borne microfilariae can be consumed through vessel lacerations by arthropod vectors such as mosquitoes and other flies that feed on blood using anticoagulant strategies. Thus, vertebrate microfilariae niche accessibility aligns with vector hematophagous behavior, which propagates initial establishment within intermediate hosts [45].
The life cycles of filarial nematodes within arthropod vectors are initiated when blood-feeding uptake introduces vertebrate-derived microfilariae into the vector system. The complex process by which nematodes develop from microfilariae to L3 within ticks involves multiple stages that occur in specific organs and tissues, with translocation through the stomach walls [22] (Fig. 1). While the role of saliva in tick-feeding has been well documented in tick-borne pathogens [46, 47], knowledge gaps exist on how filarial nematodes interact with and potentially impact tick organs. As microfilariae and developing larvae migrate through various tick tissues—from gut epithelium to hemocoel and salivary glands—they may affect tissue integrity and function. The efficiency of L3 from tick-to-host transfer could depend on these tissue interactions; aspects of this process remain elusive and require further investigation to comprehend the mechanisms at play.
Once in the definitive host, the infective L3 typically molts and migrates. Some L3 may move from the skin via lymphatic vessels to other vertebrate host tissues to continue development. Others may remain in the skin to mature into adults that mate and produce microfilariae, enabling acquisition by new ticks to perpetuate further transmission cycles [32] (Fig. 1). The immunogenic nature of incoming L3 larvae may influence the establishment of infection in the vertebrate host and host immune defenses at bite sites or downstream migration routes can impede nematode survival. Deciphering the fundamental processes governing these multifaceted vertebrate–tick–parasite associations may necessitate a deeper understanding of the complex interaction and impact on the circulation of filarial nematodes, as this affects host health.
Detecting and screening tick vectors for filarial nematode infections is essential for assessing the prevalence of these nematodes in tick populations, identifying potential risk areas for transmission, and developing targeted control strategies [14, 36]. Various techniques, including dissection [36, 38], histopathological analyses [14], and molecular approaches, such as polymerase chain reaction (PCR) and DNA sequencing [12, 33] (Table 1), can be used to assess the status of tick infection with filarial nematodes. These methods differ in sensitivity, specificity, and practicality, making it essential to consider the strengths and weaknesses of each approach when designing studies or surveillance programs.
Dissection and microscopic examination of ticks represent a classical means of investigating filarial infection and developmental progression within different tick tissues (Fig. 2A). Using these methodologies, filarial nematodes have been observed in hard tick species, including Amblyomma cajennense [31], Haemaphysalis flava, H. japonica [48], Ixodes cookei [18, 49], I. scapularis [29], and I. ricinus [30, 35, 38, 50]. Soft ticks, such as Ornithodoros tartakovskyi [51] and O. talaje [52], have also been found to carry filarial nematodes. Initial investigations into filarial nematode infections in ticks relied upon microscopic visualization methods for identification and morphological diagnosis. While microscopy and dissection techniques provided early verification that ticks harbor filarial nematodes, these methods have limitations in species identification. Morphological identification of filarial larvae is challenging owing to similar anatomical features among species and cryptic species complexes [53], particularly in early developmental stages. Therefore, while genus-level identification is possible through microscopy and dissection, molecular methods are typically needed for species-level determination.
Complementary approaches for detecting and characterizing filarial nematodes in tick vectors. (A) Classical methods involve invasive techniques such as dissecting and microscopically examining excised tick tissues to visualize and quantify filarial nematodes; (B) noninvasive imaging techniques, such as X-ray micro-computed tomography (micro-CT), allow for the visualization and localization of filarial nematodes within tick samples without dissection, generating high-resolution two-dimensional (2D) and three-dimensional (3D) images; (C) molecular techniques, such as DNA/RNA extraction (often requiring the destruction of the sample), followed by PCR, sequencing, or next-generation sequencing and computational analysis, enable the identification and characterization of filarial nematodes at the nucleotide level. Illustration created on Biorender.com
Patton et al. [54] established comprehensive protocols for dissecting tick organs and tissues, and for the collection of biofluids (i.e., hemolymph, saliva), enabling examination of tick internal structures for the presence of pathogens. These methods, later applied by Santos et al. [55] to study filarial nematodes, can be adapted to target specific tissues where these parasites develop, facilitating visual identification of larvae within ticks. Studies have demonstrated the presence of filarial nematodes in tick organs, such as the hindgut, hemocoel, fat cells, and salivary ducts [18, 29, 35, 36]. Controlled infection experiments have directly validated the ability of specific tick genera, including Amblyomma, Ixodes, and Rhipicephalus, to effectively acquire and transmit filarial nematodes [18, 31, 36, 49, 56, 57]. Despite being constrained by morphological assessment limitations and operator expertise, adopting standardized dissection and preparation protocols would result in more consistent documentation of tissue distributions and quantification of tick-borne filarial burden. Thus far, no definitive reports have explicitly validated the precise anatomical locations occupied by developing L1–L3 filarial nematodes inside tick vectors. Expanding confirmation of occupied tick niches through other methods, such as targeted imaging and molecular approaches, may enable tracking of filarial occupation across tick tissues, thereby elucidating vector–parasite interface dynamics and transmission.
The emergence of advanced biological imaging techniques, such as 3D X-ray microcomputed tomography (micro-CT), has ushered in exciting new potential for visualizing filarial nematode stages within arthropod vectors. Micro-CT instruments use X-ray beams to irradiate targeted samples; detectors capture unabsorbed photon signals to create complex 3D renderings that specialized software programs can analyze [58, 59] (Fig. 2B). This approach facilitates the examination of filarial nematodes inside arthropod vectors with minimal physical disruption of tissues. While some sample preparation involves fixation or contrast enhancement through staining, these processes are generally less invasive than traditional dissection methods.
The utilization of 3D X-ray micro-CT, supported by histopathological analysis, has facilitated the observation of Acanthocheilonema spirocauda larvae within the fat bodies (L1) and hemocoels (L3) of seal lice (Anoplura: Echinophthirius horridus) [58, 60]. Acanthocheilonema spirocauda is a filarial nematode that primarily infects seals and sea lions as definitive hosts. Hall et al. [61] used micro-CT imaging to visualize Onchocerca L1 larvae embedded within blackfly thoracic musculature. Previous studies demonstrated the potential of micro-CT imaging to reveal the precise spatiotemporal details of infection progression within arthropod vectors [58, 60, 61]. Application of micro-CT could help reveal favorable habitats, migratory routes, and life cycle transitions of larval stages of filarial nematodes in tick vectors.
Cutting-edge molecular techniques have enabled more precise identification of nematode species and isolates transmitted by tick vectors globally (Table 1) (Fig. 2C). For example, genetic analyses have confirmed filarial nematodes in ticks such as I. ricinus [38] and R. sanguineus sensu lato (s.l.) [62,63,64]. These investigations employed molecular techniques, including DNA extraction, PCR, sequencing, and in some cases, alternative genetic assays such as metabarcoding, to identify filarial nematodes in ticks (Table 1). Molecular identification of filarial nematodes in tick vectors often relies on genetic markers such as 12S mitochondrial ribosomal RNA and cytochrome c oxidase subunit I [12, 24, 33, 34, 65]. When proper reference material is available, these markers allow accurate identification at both genus and species levels, particularly for distinguishing closely related species.
Employing PCR-based assays targeting specific filarial genes consistently facilitated the identification of prominent Onchocercidae species, such as those in the genera Cercopithifilaria, Monanema, and Acanthocheilonema, across numerous hard tick species (Table 2) [13, 62, 65,66,67]. These genetic screening techniques have enabled extensive detection of tick-borne filarial nematodes across tick vector populations, revealing the presence of pathogenic filariae spanning multiple tick genera and species. In North America, genetic analyses have enabled the discovery of filarial nematode DNA in several tick species. However, it is important to note that these molecular techniques cannot detect viable parasites or their developmental stages. There is a risk of detecting remnant DNA or recently ingested microfilariae from blood meals rather than active infections. Therefore, to confirm the biological relevance of these findings and avoid spurious detections, molecular assays should be combined with other methods, such as microscopy, 3D X-ray micro-CT, or experimental transmission studies. For example, molecular screening and high throughput sequencing (HTS) have facilitated filarial detection and species identification in I. scapularis, substantiated through multiple reports [3, 4, 13, 66]. Similar findings confirming the presence of filarial nematodes using comparable molecular techniques were also obtained in A. americanum ticks through studies by Zhang et al. [25] and Henning et al. [67] and in R. sanguineus s.l. by Lineberry et al. [33, 34].
In Europe, C. rugosicauda was initially detected in the hard tick I. ricinus through dissection and morphological studies across Austria, Germany, and France [30, 35, 50]. Later, Ramos et al. [38] used both morphological and molecular techniques, specifically dissection, microscopy, PCR, and sequencing, to detect C. rugosicauda L3 in I. ricinus nymphs from southern Italy, confirming the distribution of this nematode across Europe. Similarly, Binetruy and Duron [24] used molecular methods to detect filarial nematodes in ticks collected from French Guiana, South America. They discovered filarial species, including representatives from the genera Cercopithifilaria, Cruorifilaria, and putative Dipetalonema-related nematodes, inhabiting Amblyomma, Ixodes, and Rhipicephalus ticks in the region. Further characterization through multi-locus sequence analysis by Bruley and Duron [68] provided additional insights into tick-borne filarial diversity in this region.
There is growing interest in understanding how the tick microbiome, which refers to the diverse community of microorganisms residing within the tick, contributes to modifying tick life cycles as well as pathogen and parasite acquisition and transmission. Ticks harbor a diverse microbiome comprising endogenous and exogenous bacteria, fungi, protozoa, viruses, and filarial nematodes that can colonize tick organs [3, 55, 69]. Owing to their hematophagous lifestyle, host tissue salivation, and frequent host switching, ticks provide suitable habitats for various microbes [70]. Ticks are vectors of numerous medical and veterinary pathogens, including bacteria (such as Rickettsiales, Anaplasmataceae, and spirochetes), protozoa, and viruses, and individual ticks may be concurrently infected (coinfected) with multiple microbial pathogens and filarial nematode larvae [3, 69]. Despite the frequent occurrence of multiple infections, most investigations typically examined tick-borne microbes [71, 72] and filarial nematodes in ticks individually rather than as an integrated multi-kingdom community [14, 24, 33, 66].
Coinfection adds complexity to the tick microbiome, creating interactions that may be mutualistic, antagonistic, or manipulative between coexisting organisms [73] (Fig. 3). While studies in other arthropod vectors show that such interactions can affect transmission dynamics and host health [74, 75], relationships between tick-borne pathogens and filarial nematodes remain largely unexplored. One documented example is the association between filarial nematodes and endosymbiotic Wolbachia bacteria in tick vectors [3, 25]. Using high-throughput sequencing, Cross et al. [3] demonstrated a significant positive correlation between onchocercid filarial nematodes and Wolbachia in I. scapularis ticks from Wisconsin. Understanding these and similar relationships could provide insights into disease transmission patterns and tick physiology.
Potential interactions between tick microbiome and pathogen transmission across tick tissues. The tick microbiome, consisting of a diverse array of microorganisms acquired from the vertebrate host during blood feeding, colonizes different regions of the tick gut. These microbes can potentially influence pathogen acquisition, maintenance, and transmission through diverse biological interactions, ultimately shaping pathogen transmission dynamics from the tick vector to the vertebrate host. Understanding the complex interplay between the tick microbiome and pathogen transmission is essential for developing effective tick-borne disease control strategies. SG, salivary glands; HM, hemocoel. Illustration created on Biorender.com and adapted from [92]
Studies have documented co-occurrence of filarial nematodes with other pathogens in tick vectors. For instance, Zhang et al. [26] found filarial nematodes alongside other pathogens in A. americanum ticks, while Ramos et al. [69] and Santos et al. [55] observed C. bainae co-occurring with Hepatozoon canis in R. sanguineus s.l. However, while these studies document co-occurrence, the potential interactions between these organisms and their influence on transmission dynamics and vector competence remain to be determined.
The potential impact of filarial nematodes on tick-borne disease transmission remains poorly understood, despite the well-established role of ticks as vectors of numerous pathogens in humans and animals. This interplay between filarial nematodes and established tick-borne pathogen transmission systems presents an important area for further research. Ticks transmit a wide range of disease-causing agents, including Borrelia burgdorferi, which causes Lyme disease, Rickettsia rickettsii, which is responsible for Rocky Mountain spotted fever, and Anaplasma species, which leads to anaplasmosis [76, 77]. Key tick anatomical structures (e.g., guts, hemocoel, and salivary glands) serve as critical interfaces between the tick, its pathogens, and the vertebrate host (Fig. 3). These tissues provide distinct microenvironments potentially affecting pathogen and parasite establishment and development. While interactions between tick-borne pathogens and tick tissues have been well studied [78, 79], how filarial nematodes interact with these pathogens and tick tissues [22] requires further investigation to know the mechanism at play. These interactions likely vary with vertebrate host species, tick species, tick developmental stages and sex, and blood-feeding status (i.e., engorged versus nonengorged ticks).
As filarial nematodes migrate through tick tissues, they encounter various pathogens within the tick microbiome [80,81,82]. These interactions occur in different tick compartments, particularly in the hindgut, where many pathogens undergo critical developmental processes and transovarial transmission (i.e., the passage of pathogens from an adult female tick to her eggs). The presence of filarial nematodes during migration through these tissues may influence pathogen distribution and the local microbiome composition in ways that could affect transmission dynamics (Fig. 3). However, the specific mechanisms and consequences of these interactions remain largely unexplored.
Members of the superfamily Filarioidea (families Filariidae and Onchocercidae) parasitize primarily terrestrial vertebrate species, including mammals, birds, reptiles, and amphibians. The Onchocercidae show broader vector associations than Filariidae [45], with several genera specifically adapted to tick transmission [16]. Our current understanding of tick-borne filarial diversity and distribution remains incomplete [13, 33, 67], with five genera (Cercopithifilaria, Cherylia, Cruorifilaria, Monanema, and Yatesia) documented as using ticks as vectors (Table 3). Some of these genera may also utilize other arthropod vectors, reflecting their adaptability to different transmission routes (Table 4).
Vector competence has been experimentally shown for several filarial species through demonstrated development to infective stages (Table 5). Cercopithifilaria bainae and C. grassii develop successfully in R. sanguineus s.l., which serves as their primary vector worldwide [32, 35, 83], while C. rugosicauda shows specific adaptation to I. ricinus [30, 38]. Among Monanema species, confirmed vector relationships include M. marmotae in I. cookei, M. globulosa in Haemaphysalis leachi, and M. martini in multiple tick species (R. sanguineus s.l., R. turanicus, and Hyalomma truncatum) [18, 57, 84]. Acanthocheilonema viteae represents the only species in its genus with confirmed development in tick vectors, specifically the Ornithodoros species [51, 85, 86], although Acanthocheilonema DNA has been detected in other tick species without confirmed vector competence. Experimental studies have also demonstrated Yatesia hydrochoerus development in A. cajennense complex ticks, and C. guyanensis shows laboratory development in I. ricinus, although the latter represents a non-natural vector relationship [31, 87].
These relationships likely reflect ecological adaptations, where tick feeding behaviors—including wide host range and prolonged attachment—facilitate filarial transmission. For instance, the widespread distribution of Cercopithifilaria species appears to be facilitated by the association with cosmopolitan tick vectors such as R. sanguineus s.l. [14]. Molecular detection methods have identified additional potential tick-filarial associations awaiting confirmation of vector competence, including Cruorifilaria DNA in Amblyomma species and Monanema-related sequences in various tick species [13, 24, 25, 66, 67]. Research priorities include confirming vector competence where only molecular detection exists and investigating natural transmission patterns in endemic areas. Studies should focus on documenting complete developmental cycles in tick vectors, identifying factors that influence successful transmission, and understanding the specificity of tick-filarial relationships. Standardized methods are needed to differentiate between transient presence of filarial DNA from blood meals and established infections in tick tissues.
The transmission of filarial nematodes, particularly the well-studied genera Brugia, Dirofilaria, and Onchocerca, has been predominantly associated with insect vectors (Table 4). For example, Onchocerca species develop in black flies and biting midges [16], while Dirofilaria and Brugia species use mosquitoes as their primary vectors [88]. The apparent inability of ticks to transmit these nematodes raises intriguing questions about vector–parasite specificity and the evolutionary processes shaping these relationships. Some filarial nematodes may depend on their arthropod vectors extensively, leading to highly specialized interactions. While this dependency may provide plausible explanations for the absence of tick-borne transmission in some filarial nematodes, it is important to consider anatomical and physiological limitations. Dipterans possess distinct circulatory systems and specific tissues, such as Malpighian tubules, which are crucial for filarial larval development in some species [89]. In contrast, ticks have an open circulatory system and different organ arrangements [1]. The internal structure of ticks, lacking specific organs found in insects, may not provide the necessary anatomical environment for the development of some filarial nematodes. The feeding behavior of vectors is another critical factor. While mosquitoes and other blood-sucking insects typically feed quickly, aligning with the transmission strategy of many filarial nematodes, hard ticks feed slowly over several days [1]. This prolonged feeding pattern might be incompatible with the life cycle and transmission dynamics of some filarial species that have evolved to be transmitted during brief feeding events. The feeding duration mismatch could disrupt the delicate timing for successful filarial nematode transmission and establishment. Ticks possess distinct innate immune responses that differ from insects [90, 91]. However, the specific role of tick immunity in filarial nematode establishment and development remains to be investigated through experimental studies.
North America lacks thorough investigations of tick-borne filarial associations and transmission dynamics among endemic tick vectors and vertebrate hosts. The only known filarial nematodes documented in North America belong to the genera Acanthocheilonema, Cercopithifilaria, and Monanema (Table 2), with ixodid tick vectors implicated in transmitting these filarial nematodes to their definitive hosts. In contrast to findings from South America, Europe, Africa, Australia, and Asia, this limited evidence highlights substantial knowledge gaps in the biodiversity, host associations (both definitive and intermediate), and geographic distribution of tick-borne filarial nematodes across North America. Expanded surveillance of filarial nematodes in North American ticks is warranted to characterize the distribution and diversity of unknown tick-borne parasites and their potential tick vectors (Table 4).
This review highlights our current understanding of tick-borne filarial nematodes and identifies critical knowledge gaps. Key priorities include determining the diversity and distribution of these parasites through systematic surveillance, investigating vector competence and transmission dynamics, and understanding how coinfections with other tick-borne pathogens affect disease ecology. Research initiatives should focus on comprehensive surveys using modern detection methods, conducting experimental transmission studies, and investigating host–parasite–vector relationships. Through collaborative research efforts across disciplines, we can better understand these complex relationships and develop effective control strategies.
No datasets were generated or analyzed during the current study.
Polymerase chain reaction
Deoxyribonucleic Acid
Ribonucleic Acid
Ribosomal RNA
High throughput sequencing
Larval stages 1, 2, and 3
Microcomputed tomography
Two-dimensional
Three-dimensional
Sensu lato (in the broad sense)
Species (singular)
Species (plural)
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Cal Thomas: Trump and Musk are spring cleaning the government – West Central Tribune

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It’s a bit early for spring cleaning but that’s what President Trump and his faithful companion Elon Musk appear to be doing.

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When I was a child, every spring my mother would open closets and check the attic and basement for clothes and other items that could be discarded or given to charity. Sometimes it was difficult to part with them, especially if they had sentimental value, but generally we went along with most of it because clutter was regarded as unnecessary and taking up space that could be used for other things.

Today’s cable shows have programs about what they call “hoarding” that gives you a flavor of what I mean in case you are not old enough to share my memories.

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“Who voted for Musk?” is the cry by some Democrats who are resisting his and Trump’s effort to downsize government, something Trump promised to do during his campaign. Does any politician want to say the government is too small, costs too little and that we need more regulations? Maybe some on the fringes of the Democratic Party (and we know who you are), but probably no one else.

The pathetic image of a few radical politicians showing up at the Department of Education (DOE) and getting blocked from entering the building by what appeared to be a security guard, was only the latest example of how Democrats have run out of even bad ideas. What were they protesting? The guard asked them, “What is your business here?” No one answered because the protest was the endgame. They couldn’t even tell the guard who they wanted to see.

One of the showboating protesters at the DOE was Rep. Maxine Waters (D-CA), whose district includes Los Angeles public schools.
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According to U.S. News and World Report: “Los Angeles Unified School District spends $19,576 per student each year.” And what are taxpayers getting in return? The publication reports that in math elementary students are at just 33 percent proficiency. By middle school the number drops to 25 percent. It declines further to 18 percent by high school. It’s not much better with reading where the numbers are 40 percent, 38 percent and 46, respectively. Perhaps Rep. Waters ought to focus on the schools in her district rather than engage in bad political theater in Washington that helps no child.
Once again, we see how money and education achievement are unrelated. If they were, these proficiency levels would be much higher. It’s a major reason school choice is winning approval in increasing numbers of states, thanks to an executive order by President Trump, perhaps soon at the national level.
Back to the main reason Democrats, the party of big government, are apoplectic when it comes to Musk. Their main criticism is that no one elected him.
Who “elected” the people responsible for these wasteful, fraudulent and in many cases, unnecessary and duplicative programs? The answer is no one. They are mostly appointed or hired bureaucrats and regulators who have made life (and the cost) worse for America. Sometimes it takes a chainsaw, instead of a scalpel, to get a job done.
So far, voters who put Trump in office for a second term appear to be pleased with his (and Musk’s) performance. According to the latest YouGov poll: “Slightly more Americans strongly or somewhat approve of Donald Trump’s job performance (46%) than disapprove (44%).” The breakdown by party shows approval by “90% of Republicans, 38% of Independents, and 10% of Democrats.”
Democrats claim that cutting or ending some U.S. foreign aid will cause poor children to starve. Some news organizations, who have lost credibility among many Americans, follow suit. Much of the public seems not to be buying what they are selling.
Three weeks into Trump’s second term, Democrats have nothing new to offer the country and that’s where Trump and Musk would like them to stay while they continue making cuts.
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This Cal Thomas commentary is his opinion. He can be reached at cthomas@wctrib.com.
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Crypto Price Today (Feb 12, 2025): Bitcoin Fails to Catch Momentum, Drops to $95k – Crypto Times

Written By:
Gopal Solanky
While showing signs of recovery above $100,000, Bitcoin has now failed to catch up with the price uptrend and fell to $95k during early trading hours. 
The drop in Bitcoin price comes as the FED chair Jerome Powell denies launching of a Central Bank Digital Currency (CBDC) until he is incharge. Besides, the recently turned bearish market sentiment further fueled selling. 
As Bitcoin loses its momentum, several altcoins have shrunk significantly in price downtrend with ENA, CRV, TIA and TAO dropping most. Most of the top 100 crypto assets are currently down over 9%, losing all gains from the past day. 
Major altcoins – including SOL, DOGE, XRP, LINK, ADA and AVAX – have taken a major hit with all downtrading at the price drop of nearly 6% in the past 24 hours. 
According to Coinmarketcap data, the crypto market cap has today dropped 3.1% to $3.14 trillion. The 24 hour trading in crypto currently sits at $101 billion. 
B3 (B3)
Pi (IOU)
BERA (Berachain)
LAYER (Solayer)
ONDO (Ondo Network)
PI (Pi Network): +72%
LMT (Limitus): +36%
IDEX (IDEX): +33%
AZERO (Aleph Zero): +25%
PRQ (PARISQ): +22%
Read: Pi Network to Launch Open Network on Feb 20, Pi Jumps 80%


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Trending Today On Blum: Smart Contracts 101 BLUM Daily Code – blockchainmagazine.com

HomeBlockchain Gaming NewsTrending Today on Blum: Smart Contracts 101 BLUM Daily Code
In the world of cryptocurrency, smart contracts are gaining a lot of attention, especially within the Blum ecosystem. With the launch of the Blum Daily Video Codes, the concept of smart contracts is becoming more popular among users. This article explores what smart contracts are, how they work in the Blum platform, and why they are trending right now.
Smart contracts are like digital agreements that automatically execute when certain conditions are met. They help make transactions faster and safer without needing a middleman. One of the most remarkable features of Blum is its smart contract capability, which allows for decentralized applications (dapps) and other programmable features.
Blum uses smart contracts to enhance user experience and security. Here’s how they work in the Blum ecosystem:
Using smart contracts in Blum offers several advantages:
Smart contracts are changing the way we think about agreements and transactions in the digital world. They provide a reliable way to ensure that everyone follows the rules without needing a middleman.
In summary, smart contracts are a key part of the Blum ecosystem, making it easier and safer for users to engage in cryptocurrency transactions.
Blum has introduced a fun way for users to earn extra rewards through daily video codes. Each day, a new video is released on YouTube, and viewers must watch it completely to find a hidden code. This encourages users to engage fully with the content. The codes can be used to earn additional Blum points, which are valuable in the Blum ecosystem.
The introduction of daily video codes has significantly boosted user interaction. Here are some key points about its impact:
Smart contracts play a crucial role in the Blum ecosystem. They ensure that the rewards from the video codes are distributed fairly and automatically. This means that once a user enters a code, the smart contract verifies it and adds the points to their account without any delays. This system not only enhances trust but also makes the process seamless for users.
The Blum game combines gaming with cryptocurrency education, making it accessible and engaging for users.
Overall, the rise of Blum Daily Video Codes is a testament to how innovative features can drive user engagement and enhance the overall experience in the cryptocurrency space.
The Blum Tap-to-Earn Game is a fun way for users to earn rewards while engaging with videos. Players can earn Blum Coins (BLUM) by completing various tasks and challenges. Here’s how it works:
Smart contracts play a crucial role in the Blum gaming experience. They ensure that all transactions are secure and transparent. Here are some benefits of using smart contracts in the Blum game:
Players have shared positive feedback about the Blum Tap-to-Earn Game. Many enjoy the interactive nature of the game and the opportunity to earn rewards. Here are some common points mentioned by users:
The Blum Tap-to-Earn Game is not just about earning; it’s about learning and having fun while doing it!
The phrase Smart Contracts 101″ has become a hot topic among crypto fans. This surge in interest is mainly due to its recent feature in the BLUM Daily Video Code. As more people learn about cryptocurrency, they are eager to understand the basics of smart contracts, which are essential for many blockchain applications.
Blum has cleverly integrated smart contracts into its tap-to-earn game, making it easier for players to engage with this concept. By including smart contracts in the game, Blum has attracted a lot of attention. Players are now searching for terms like “blum crypto code” and “blum verification code” to maximize their rewards.
The excitement around the “Smart Contracts 101” code has led to a noticeable increase in online searches. Here are some key points about user reactions:
The growing interest in smart contracts shows how important they are in the world of cryptocurrency. Understanding them can help users make better decisions and earn more rewards.
Overall, the combination of strategic marketing and user engagement has made “Smart Contracts 101” a trending topic on Blum, highlighting the importance of education in the crypto space.
To make the most out of your Blum experience, consider these strategies:
When you find a code, follow these steps to verify it:
Smart contracts play a crucial role in ensuring that your rewards are processed securely and efficiently. They help automate the verification of codes and the distribution of points, making the process seamless for users.
By using Blum codes wisely, you can significantly boost your earnings and enhance your overall experience.
In summary, maximizing your rewards with Blum codes involves daily engagement, understanding the verification process, and leveraging smart contracts effectively. This thorough tutorial will teach you all you need to know about Blum codes, how to use them, and how to optimize your cryptocurrency returns.
Blum is making waves in the cryptocurrency world, and its influence is growing rapidly. The platform is changing how users interact with digital currencies. Here’s a closer look at its impact:
Blum is poised to revolutionize farming and crypto, creating a real-world impact with blockchain transparency. Unlike many projects that stay confined to the digital world, Blum directly impacts physical communities.
As Blum continues to innovate, its role in the cryptocurrency market will likely expand, influencing trends and user engagement significantly.
In conclusion, the buzz around “Smart Contracts 101” shows how much people are eager to learn about new ideas in cryptocurrency. The excitement from the BLUM Daily Video Code has sparked a lot of interest, making it a hot topic online. As more players dive into the BLUM game and explore smart contracts, they not only earn rewards but also gain important knowledge. This blend of fun and learning is what makes the crypto world so exciting. So, whether you’re a seasoned player or just starting out, keep exploring and enjoy the journey!
Smart contracts are like digital agreements that automatically carry out actions when certain conditions are met.
In Blum, smart contracts help manage transactions and rewards in the tap-to-earn game.
They make transactions secure and efficient, removing the need for middlemen.
It’s a code you can find by watching daily videos to earn extra rewards in the Blum game.
You can earn more by actively participating in games and using the daily video codes.
Blum is changing how people engage with cryptocurrency through fun games and smart contracts.
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OPINION: Valentine’s Day and how to show love – The George-Anne

Valentine’s Day is experienced in all different ways. Whether you are in kindergarten spreading out cards and candy, or planning an extravagant date for your significant other, the day is about showing your love for that person.
Valentine’s Day does not have to be limited to romantic love. Many students on campus plan a “Galentines” or “Palentines” day to cherish their love for friendship. Galentine’s Day is traditionally Feb. 13 so it doesn’t have to be exclusive from Valentine’s Day.
I personally believe that even if you spend Valentine’s Day with your significant other, spending time with your besties is super fun and special for Galentines. I plan on baking with friends and dressing up in pink and red to celebrate.
Pressures for Valentine’s Day with a significant other are constantly rising for some. Buying chocolate and flowers and gifts to try and outdo yourself and others is not what Valentine’s Day should focus on. Each gift should be to remind that person how much you mean to them. Spending time together is the most important part of showing your love to your significant other. Making them feel special is what Valentine’s Day is all about.
“I would treat my significant other special every day,” Eddy Watson said. He says that spreading love to your friends and loved ones often should be prioritized rather than one special day of the year.
While I agree with Watson, having a special day to celebrate love is all for fun and shouldn’t take away love from the rest of the year.
Cole Rominger shared that he is planning to go to a concert in his hometown with his family for Valentine’s Day.
“As an education major, the students in my class get to hand out cards and candy to everyone. It shows that the class is a family even when the kids at home might not have one,” Rominger said.
He said that Valentine’s Day is a big marketing tactic but that’s not what the meaning is. “Spending time together and making them something meaningful is how you should show you love them.”
While Valentine’s Day might not be about Saint Valentine anymore, it has definitely turned into a commercial holiday. Remembering that this holiday is about the people around you more than what’s in the stores is what most optimistic students think.
I am biased as I love Valentine’s Day and making gifts and plans, however, I dislike the commerciality of the day. All boxes of chocolates and teddy bears look the same and are not as personalized as I would like. Making something personal is the best valentines gift.
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Defense Tech Breakthrough: ParaZero's Revolutionary Drone System Hits Perfect Military Targets – StockTitan

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ParaZero Technologies (Nasdaq: PRZO) has successfully demonstrated its DropAir Precision airdrop system in collaboration with a leading global defense company. The demonstration validated the system’s capability to deliver critical supplies accurately under challenging operational conditions.
The test involved multiple high-altitude drone airdrops, where the company’s proprietary DropAir technology demonstrated its advanced parachute mechanism, activating at low altitude to ensure minimal drift and precise landings in complex environments. Following this success, ParaZero plans to advance the DropAir system to its next development phase, with a focus on enhancing capabilities for military and humanitarian operations.
ParaZero Technologies (Nasdaq: PRZO) ha dimostrato con successo il suo DropAir Precision airdrop system in collaborazione con una delle principali aziende globali nel settore della difesa. La dimostrazione ha convalidato la capacità del sistema di consegnare forniture critiche con precisione anche in condizioni operative difficili.
Il test ha coinvolto più sganci aerei ad alta quota, durante i quali la tecnologia proprietaria DropAir dell’azienda ha mostrato il suo avanzato meccanismo di paracadute, attivandosi a bassa quota per garantire una deriva minima e atterraggi precisi in ambienti complessi. A seguito di questo successo, ParaZero prevede di portare il sistema DropAir alla sua prossima fase di sviluppo, con un focus sul miglioramento delle capacità per operazioni militari e umanitarie.
ParaZero Technologies (Nasdaq: PRZO) ha demostrado con éxito su DropAir Precision airdrop system en colaboración con una destacada empresa global de defensa. La demostración validó la capacidad del sistema para entregar suministros críticos con precisión en condiciones operativas desafiantes.
La prueba involucró múltiples lanzamientos de drones a gran altura, donde la tecnología patentada DropAir de la empresa demostró su avanzado mecanismo de paracaídas, que se activó a baja altura para garantizar una deriva mínima y aterrizajes precisos en entornos complejos. Tras este éxito, ParaZero planea avanzar el sistema DropAir a su próxima fase de desarrollo, con un enfoque en mejorar las capacidades para operaciones militares y humanitarias.
ParaZero Technologies (Nasdaq: PRZO)는 세계적인 방산 기업과 협력하여 DropAir Precision 공중 투하 시스템을 성공적으로 시연했습니다. 이 시연은 시스템이 도전적인 작전 조건에서도 중요한 공급품을 정확하게 전달할 수 있는 능력을 검증했습니다.
테스트에는 여러 고고도 드론 투하가 포함되었으며, 회사의 독점 기술인 DropAir는 낮은 고도에서 작동하는 고급 낙하산 메커니즘을 보여주어 복잡한 환경에서도 최소한의 기류와 정확한 착륙을 보장했습니다. 이러한 성공에 따라 ParaZero는 DropAir 시스템을 다음 개발 단계로 발전시킬 계획이며, 군사 및 인도적 작전의 역량 강화에 중점을 둘 것입니다.
ParaZero Technologies (Nasdaq: PRZO) a réussi à démontrer son DropAir Precision airdrop system en collaboration avec une entreprise mondiale de défense de premier plan. La démonstration a validé la capacité du système à livrer des fournitures critiques avec précision dans des conditions opérationnelles difficiles.
Le test a impliqué plusieurs largages aériens de drones à haute altitude, où la technologie propriétaire DropAir de l’entreprise a démontré son mécanisme de parachute avancé, s’activant à basse altitude pour assurer une dérive minimale et des atterrissages précis dans des environnements complexes. Suite à ce succès, ParaZero prévoit de faire progresser le système DropAir vers sa prochaine phase de développement, en mettant l’accent sur l’amélioration des capacités pour les opérations militaires et humanitaires.
ParaZero Technologies (Nasdaq: PRZO) hat erfolgreich sein DropAir Precision Airdrop-System in Zusammenarbeit mit einem führenden globalen Rüstungsunternehmen demonstriert. Die Demonstration bestätigte die Fähigkeit des Systems, kritische Lieferungen auch unter herausfordernden Betriebsbedingungen präzise zu liefern.
Der Test umfasste mehrere Hochaltitude-Drohnenabwürfe, bei denen die firmeneigene DropAir-Technologie ihren fortschrittlichen Fallschirmmechanismus demonstrierte, der in niedrigen Höhen aktiviert wurde, um minimalen Drift und präzise Landungen in komplexen Umgebungen zu gewährleisten. Nach diesem Erfolg plant ParaZero, das DropAir-System in die nächste Entwicklungsphase zu überführen, mit dem Fokus auf die Verbesserung der Fähigkeiten für militärische und humanitäre Einsätze.
The successful demonstration of ParaZero’s DropAir system marks a pivotal moment in the company’s defense sector strategy. Working with a leading global defense company provides critical validation and potentially opens doors to significant procurement opportunities, as defense contractors typically conduct extensive testing before considering large-scale deployments.
The system’s demonstrated capability to execute precise airdrops from high altitudes while maintaining accuracy through low-altitude parachute deployment addresses two critical military requirements: maintaining aircraft safety through high-altitude operations and ensuring delivery accuracy for mission-critical supplies. This dual capability significantly differentiates DropAir in the tactical resupply market.
The defense logistics market presents substantial growth potential, with the global military drone market projected to expand significantly over the next decade. The successful demonstration positions ParaZero to capture market share in both military and humanitarian sectors, where precision airdrop capabilities are increasingly vital for operations in contested or difficult-to-access environments.
However, investors should note that the path from successful demonstration to full-scale military procurement typically involves multiple stages of testing, certification, and contract negotiations. While this achievement represents positive progress, the timeline and scale of potential revenue impact remain uncertain. The company’s ability to move efficiently through subsequent development phases and secure production contracts will be important metrics to monitor.
Tel Aviv, Israel, Feb. 11, 2025 (GLOBE NEWSWIRE) — ParaZero Technologies Ltd. (Nasdaq: PRZO) (the “Company or “ParaZero”), an aerospace company focused on safety systems for commercial unmanned aircrafts and defense Counter UAS systems, recently announced that it has gained another impressive achievement with its DropAir Precision airdrop system. The Company announced last week the successful demonstration of the DropAir system in collaboration with a leading global defense company. The demonstration showcased the DropAir system’s ability to safely and precisely deliver critical supplies under challenging operational conditions.
During the test, ParaZero’s proprietary DropAir technology was deployed in multiple high-altitude drone airdrops. The system’s advanced parachute mechanism activated at low altitude, ensuring minimal drift and precise landings, even in complex environments. Following the successful demonstration, ParaZero plans to advance the DropAir system into the next phase of development, focusing on enhancing its capabilities for real-world military and humanitarian operations.
About the DropAir Precision Airdrop System
The DropAir Precision Airdrop System (High-Altitude Low-Opening) is designed to revolutionize drone-based logistical support by enabling precise and secure delivery of supplies in challenging environments. Leveraging ParaZero’s renowned parachute technology, the DropAir system offers a cutting-edge solution to support military forces and emergency responders operating in high-risk zones.
Following this demonstration and previous successful tests, ParaZero is moving forward with the next stage of DropAir’s development, refining the technology for operational deployment in military and humanitarian applications.
Boaz Shetzer, CEO of ParaZero, said: “This successful demonstration reinforces ParaZero’s commitment to advancing aerial safety and precision in critical supply missions. We believe that the DropAir system has the potential to transform logistical operations for defense and emergency response, ensuring rapid and secure deliveries in the most demanding environments. We are excited to take this technology to the next level, working towards its integration into real-world operational scenarios.”
About ParaZero Technologies
ParaZero (Nasdaq: PRZO) is a leading developer of autonomous parachute safety systems technologies for commercial and military platforms as well as for urban air mobility (UAM) aircraft. Started in 2014 by a passionate group of aviation professionals and drone industry veterans, ParaZero develops and manufactures smart, autonomous parachute safety systems designed to enable safe flight operations over populated areas and beyond-visual-line-of-sight (BVLOS) as well as for various military applications including Counter UAS. For more information about ParaZero, please visit https://parazero.com/
Forward- looking statements
This press release contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act and other securities laws. Words such as “expects,” “anticipates,” “intends,” “plans,” “believes,” “seeks,” “estimates” and similar expressions or variations of such words are intended to identify forward-looking statements. For example, ParaZero is using forward-looking statements when it discusses how the DropAir Precision Airdrop System is designed to revolutionize drone-based logistical support by enabling precise and secure delivery of supplies in challenging environments, commitment to advancing aerial safety and precision in critical supply missions and its belief that the DropAir system has the potential to transform logistical operations for defense and emergency response, ensuring rapid and secure deliveries in the most demanding environments. Forward-looking statements are not historical facts, and are based upon management’s current expectations, beliefs and projections, many of which, by their nature, are inherently uncertain. Such expectations, beliefs and projections are expressed in good faith. However, there can be no assurance that management’s expectations, beliefs and projections will be achieved, and actual results may differ materially from what is expressed in or indicated by the forward-looking statements. Forward-looking statements are subject to risks and uncertainties that could cause actual performance or results to differ materially from those expressed in the forward-looking statements. For a more detailed description of the risks and uncertainties affecting the Company, reference is made to the Company’s reports filed from time to time with the Securities and Exchange Commission (“SEC”), including, but not limited to, the risks detailed in the Company’s annual report on From 20-F for the year ended December 31, 2023. Forward- looking statements speak only as of the date the statements are made. The Company assumes no obligation to update forward-looking statements to reflect actual results, subsequent events or circumstances, changes in assumptions or changes in other factors affecting forward-looking information except to the extent required by applicable securities laws. If the Company does update one or more forward-looking statements, no inference should be drawn that the Company will make additional updates with respect thereto or with respect to other forward-looking statements. References and links to websites have been provided as a convenience, and the information contained on such websites is not incorporated by reference into this press release. ParaZero is not responsible for the content of third-party websites.
Investor Relations Contact:
Michal Efraty
Investor Relations
michal@efraty.com

What was the outcome of ParaZero's (PRZO) recent DropAir system demonstration?

ParaZero’s DropAir system demonstration was successful, showing precise delivery of critical supplies from high-altitude drone drops with minimal drift in challenging conditions.

How does ParaZero's (PRZO) DropAir Precision airdrop system work?

The DropAir system uses an advanced parachute mechanism that activates at low altitude during drone airdrops, ensuring minimal drift and precise landings in complex environments.

What are the next steps for ParaZero's (PRZO) DropAir system after the successful demonstration?

ParaZero plans to advance the DropAir system to the next phase of development, focusing on enhancing its capabilities for military and humanitarian operations.

Who did ParaZero (PRZO) partner with for the DropAir system demonstration?

ParaZero collaborated with a leading global defense company for the DropAir system demonstration, though the specific company was not named in the announcement.

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Trade Ryan Reynolds not tariffs: Victoria’s American suburb waves the maple leaf – Abbotsford News

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Rather than a trade war, the small American city of Port Angeles is hoping to trade playful jibes with its Victoria neighbours instead.
“Is Ryan Reynolds a Canadian problem or an American problem?” said Sam Grello, executive director of Port Angeles Waterfront District. “That’s the sort of stupid stuff we want to be ‘fighting’ about again.”
But with U.S. President Donald Trump threatening 25 per cent tariffs on Canadian goods and his repeated calls for Canada to become a 51st state, Grello says Port Angeles is “freaking out” about the repercussions this could have on their much-treasured relationship with Victoria.
“To quote a famous Canadian, Keanu Reeves, ‘Strange things are afoot at the Circle-K,’” said Grello. “The nature of the conversation that is happening right now feels surreal … our relationship between America and Canada is getting politicized.
“I would not have picked that on my 2025 bingo card.”
Connected by Black Ball Ferry Line’s MV Coho for over six decades, the Washington city jokes it is the lost American suburb of Victoria, says Grello, developing over time an important economic and cultural connection.
“When people in Port Angeles want to go to a fancy dinner and a show, we go to Victoria,” he said. “We don’t go to Seattle – we really feel close to the folks across the Strait.”
According to a 2019 study commissioned by Black Ball, the Coho generates $64 million a year for Port Angeles, with around 600 jobs reliant on the connection.
The economic connection between the two cities is never more obvious than when the Coho is dry-docked, says Grello, who notes the ferry is currently undergoing annual maintenance and will have been out of action for five weeks when it returns.
“We really notice the absence of the Coho and the visitors that are coming over from Vancouver Island and Victoria … we miss them,” Grello said.
So when passengers from Victoria disembark from the Coho’s first sailing of the year on Feb. 20, they will be greeted by an enthusiastic Port Angeles welcome party waving Canadian flags, dressed in red and white.
“We’re also going to have some cheeky signs, poking fun at some of the silly stuff about our relationships … some of the goofier stuff that kind of leans into our affection for our neighbours up north,” said Grello.
There will also be a live band and a ‘Ask an American’ booth where “curious Canadians can chat with friendly Americans about anything.”
Some waterfront district businesses will be offering discounts to Canadians who show their passport or driver’s licence.
“We feel compelled in this moment to stand up and make some visual demonstration of our affection towards Victoria,” Grello said. “We are a very small rural community – we do not have a lot of capital or a lot of political power, but we do have agency within our community.”
With some Canadians boycotting travel to the U.S. in response to Trump’s tariff threats, Grello says he understands Port Angeles’ gesture won’t change the minds of those who have chosen to break away from the States.
Instead, he hopes when the dust eventually settles, people will remember Port Angeles show of solidarity.
“We think it is important that we demonstrate that we value our relationship with Victoria, and that we highlight that America is not a monolithic block of thought,” said Grello.
About the Author: Ben Fenlon
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Artificial Intelligence scam takes toll on Palos Park commissioner – Southwest Regional Publishing

The Regional News
Southwest Regional Publishing
Palos Park Commissioner G. Darryl Reed let his guard down for just a few minutes.
And Artificial Intelligence scammers burned him.
In recent village council meetings, Police Commissioner Dan Polk has warned residents that AI scammers are getting more dangerous by sending realistic-looking emails and texts asking people for credit card information.
Reed has paid attention to those warnings. As a lawyer, he usually turns a skeptical eye toward communications that seem like frauds.
But he was a victim on Feb. 7, and at the Feb. 10 meeting, he urged residents to continue to be careful.
“I received a text from what I thought was the Illinois Tollway Authority,” Reed said. “They said I had unpaid tolls of $6.60. Being as anal as I am, I jumped right online to pay it.”
But he used the embedded address on the text.
“I put in my credit card information and then I got a message that said I needed to reconfirm that,” Reed said. “I’m like ‘wait a minute.’ So, I stopped.”
He realized that his tollway account has an automatic replenishment and would not have unpaid tolls but by that time it was too late.
“So, Saturday I was in Hong Kong making purchases and then the next day I was in Paris making purchases,” Reed said.
Reed said he received a call from his credit card representatives asking if he was making purchases in Hong Kong and Paris.  After confirming that he didn’t, he had to go through the hassle and nightmare of canceling the card and getting a new one.
Polk said that the tollway scam has been prevalent of late.
“If you have an account with the tollway and it replenishes so if you get a notice that you owe $6.60, you might want to go to your account and check it out,” Polk said, and added that scammers also try to find victims via PayPal notices.
“If something seems funky to you, go to the original source,” Polk said.  
But scammers were not done trying to pick on Reed.
He said that hours before the meeting, he received a phone call from someone claiming to be from his bank saying that someone was attempting to change his password and that if he entered six digits into the phone, it would be taken care of.
He didn’t bite on this one.
“Always make sure that if you give out your credit card information that it is a valid vendor,” Reed said. “They are getting good with the Artificial Intelligence stuff. I mean real good. Don’t take anything for granted.”   
Appointments
The council made a handful of reappointments at the meeting.

  • Edward Marcyn was reappointed to the Plan Commission through June 1, 2029.
  • Vanetta Wiegman and Nancy Konior were reappointed to the Zoning Board of Appeals through June 1, 2029.
  • Loretta Gaidas was reappointed to the Recreation Board through June 1, 2027.
  • Denise Cowan and Betty Hruska were reappointed to the Beautification Committee through June 1, 2027. 

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‘Constellations’ at Constellation Theatre looks for love among the stars – DC Theater Arts

A series of variations tracks the course of a relationship between two lovers who are a cosmic case study in the precarious miracle of human love.
“Do you know why it’s impossible to lick the tips of your elbows?”
You’d never guess that such an innocent question could kick off a dizzying 80-minute metaphysical probe into the precarious miracle of human love. But in Nick Payne’s Constellations, playing at Source Theatre in a production by Constellation Theatre Company, lovers Roland and Marianne are a cosmic case study in just that, weaving their love story through a repetitive series of self-variations that tracks the course of a relationship through topics as wide-ranging as quantum mechanics, the utilitarian social structures of beehives, and free will.
Payne makes clear from the first scene (and its numerous variations) that structure supersedes story in this work. One by one, researcher Marianne (Dina Soltan) and beekeeper Roland (Tony K. Nam) play out a string of meet-cutes until they finally land on one that allows them to advance to the next step of their story. At each step along the way — the initial dating period, a breakup, a reconciliation, an engagement, a scary diagnosis — the characters confront the factors that could bring their romance to its untimely end, but still manage to find the option that pushes them forward.
It’s soon clear that Marianne and Roland aren’t so much characters as proxies. They are proverbial “everypeople,” stand-ins for the countless relationships that form and fall each day (this is most effectively achieved when one of the scene variations is surprisingly performed entirely in sign language, arranged beautifully by Director of Artistic Sign Language Shanna Sorrells). Their chatter about the cosmos and physics is a reminder we are, as Carl Sagan said, made of “star stuff,” borne of a finicky sequence of scientific events and impulsive decisions. At any point, Marianne and Roland show us time and time again, a love can fall apart. That it can endure is a miracle of the universe.
It’s a beautiful notion and concept that is, unfortunately, hampered by the weight of Payne’s tedious repetitiousness. Wonder, a core emotion central to Payne’s metaphysical approach to love, is best served with space to dream and reflect. In rattling variation after variation, Payne leaves his audience to expend far more energy wondering which of the quick-changing paths Marianne and Roland are on, and attempting to keep the shifting details straight. If Marianne parrots Payne’s thesis about the fickle nature of human existence in describing diverging physics theory — “We’ve effectively asked the same question twice and come up with two different answers” — then Roland offers an unintentional response in his envy of the predetermined roles of bees: “If only we could understand why we’re here and what we’re doing.”
Fortunately, under Director Nikki Mirza, the production’s cast and crew hold a much clearer vision for what they’re doing and execute successfully. Soltan and Nam do impressive work maneuvering between quick tonal shifts and modifications in their characters, adapting line readings to differentiate milieus. Even as the romantic ground shifts rapidly beneath their feet, the two maintain a strong chemistry that makes all the easier the audience’s job of understanding why these two just can’t quit each other despite the odds being ever out of their favor.
And what Scenic Designer Sarah Reed and Lighting Designer Alberto Segarra have done with flexible space inside Source is itself a special achievement. For this staging in the round, the tiered audience is surrounded by speckled netting that evokes the farthest stars of the deep universe. This starry cloak is offset by angular white window panes that are left empty or filled with opaque, luminous plexiglass. One gets the sense that they are contained in a prism, right in the middle of refracting light, with washes of white dispersed into colorful shades on the floor. A small runway and movable illuminated blocks are enough to create a sense of place while supporting the ethereal vastness of the perimeter. Sound Designer Ian Vespermann works dutifully in conjunction with Segarra to signal a new variation, further staving off confusion. And Costume Designer Moyenda Kulemeka’s layered attire helps to mark the passage of time and underscore the tenderness of a caregiving relationship.
All that is great around the play has the benefit of elevating the text itself, despite its lofty challenges. Maybe, just maybe, in the next variation, the production and play will find their perfect level.
Running Time: 80 minutes without an intermission
Constellations, a production of Constellation Theatre Company, plays through March 9, 2025, presented by Constellation Theatre Company, performing at Source Theatre, 1835 14th Street NW, Washington, DC. Performances are Thursdays-Saturdays at 8:00 pm, and Saturdays-Sundays at 2:00 pm. Tickets ($24–$56) may be purchased online by phone at 202-204-7741, or in person before each performance. Constellation offers a variety of discount programs and pay-what-you-will performances. Select performances are ASL interpreted.
Cast and production team credits and bios are here (scroll down).
COVID Safety: Masks are optional except for Saturday matinees where they are required. Constellation’s Health and Safety policies are here.
SEE ALSO:
Constellation Theatre opens 18th season with Nick Payne’s ‘Constellations’ (news story, January 9, 2025)

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Exploring the role of perceived social support, and spiritual well-being in predicting the family Caregiving burden among the parents of disabled children – BMC Public Health

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BMC Public Health volume 25, Article number: 567 (2025)
Metrics details
Caregiver burden encompasses the physical, emotional, financial, and social challenges faced by individuals caring for a sick or disabled person. Spiritual well-being and social support have been identified as protective factors against psychological and physical issues, potentially alleviating caregiver burden. This study aims to explore the relationship between spiritual well-being, perceived social support, and caregiver burden among parents of children with disabilities.
A descriptive-analytical study was conducted with 260 family caregivers, selected through systematic random sampling. Data were collected using a demographic questionnaire, the Novak and Gaug Caregiving Burden Scale, the Paloutzian-Ellison Spiritual Well-being Scale, and the Zimet Social Support Questionnaire. Statistical analysis was performed using IBM SPSS version 22, with significance set at p < 0.05.
Among the caregivers, 148 (61.4%) reported a high level of caregiving burden, while 81% indicated moderate spiritual well-being and 14.5% reported high spiritual well-being. A significant negative correlation was found between spiritual well-being, social support, and caregiving burden (p < 0.05). Multiple linear regression analysis revealed that spiritual well-being (β = -0.41) and social support (β = -0.33) were the most significant predictors of caregiving burden. Additional significant predictors included social activities, underlying health conditions, age, caregiving duration, insurance coverage, and marital status (p < 0.05).
The high caregiving burden observed in this population, along with the inverse relationship between social support, spiritual well-being, and caregiving burden, underscores the need for strategies to enhance social support and spiritual well-being. These factors may serve as cost-effective, accessible interventions to alleviate caregiving burden.
Peer Review reports
Various challenges manifest as caregiving burdens when a child is born with a disability, significantly increasing the psychological stress experienced by family members—especially parents [1, 2]. Intellectual and physical disabilities are among the leading causes of disease burden worldwide, predominantly affecting children under five years of age. It is estimated that globally, 2–3% of children have intellectual disabilities, while approximately 15% exhibit variations consistent with such disabilities [3]. In the general population of children, the prevalence of disabilities is reported to be 4.4% [4]. According to UNICEF, as of November 2021, around 240 million children aged 2 to 17 worldwide live with disabilities [5]. In Iran, approximately 25,000 disabled children are born each year with severe physical and motor impairments [6].
The birth of a child with disabilities not only creates psychological pressure but also adversely affects the physical and mental health of parents [7]. Given that these children often require continuous assistance with daily activities, parents and family members frequently encounter substantial caregiving burdens [8, 9]. This burden manifests in numerous ways, including financial costs, limitations on social interactions, reduced engagement with community members, decreased time for other family members, and heightened discomfort or mental strain [10,11,12].
In the scientific literature, “caregiver burden” is defined as the negative objective and subjective outcomes resulting from caregiving, including physical, psychological, social, and economic problems [13]. Parents of children with disabilities tend to experience more health-related issues compared to families with healthy children due to the multifaceted pressures of caregiving [14,15,16]. Notably, research conducted by Park and colleagues highlighted that caregiver burden can significantly contribute to feelings of hopelessness and depression among parents of children with cerebral palsy [17].
Building on findings from previous studies, it is evident that parents of children with disabilities often turn to spirituality as a key coping mechanism. Spirituality, defined as “the search for or relationship with the sacred” [18], enables individuals to manage the significant stressors associated with their new caregiving responsibilities [19, 20]. Previous studies have shown that spiritual well-being is closely linked to parents’ ability to cope with the psychological stress associated with the caregiving burden [21, 22]. For example, a study by Omidi and colleagues revealed that improvements in spiritual well-being led to an overall enhancement in the well-being of mothers of disabled children [23]. Individuals with higher levels of spiritual well-being exhibit personal strength, and a stronger sense of control and social support [24].
Spiritual well-being is foundational to maintaining individual integrity and wholeness. Without it, other dimensions—biological, psychological, and social—cannot function optimally, and as a result, the highest possible quality of life becomes unattainable [25, 26]. In addition to spiritual well-being, social support has been proven to significantly impact overall life satisfaction and health outcomes [27,28,29]. Social support is defined as the emotional and psychological assistance that an individual receives or perceives from their family, friends, and community [25]. Both spiritual well-being and social support can act synergistically in bolstering individuals’ coping mechanisms [30, 31], with social support recognized as a crucial factor in improving quality of life, particularly for parents of children with disabilities [25].
A lack of social support can negatively affect both physical and mental well-being. Strong social support networks, especially those from family, act as vital moderators, helping individuals cope with and adapt to stressors, thereby enhancing satisfaction and improving health outcomes [32, 33]. Wright’s study [34] found that social support mitigates the negative effects of psychological stress, while research by Sur and colleagues [35], as well as Zhang and colleagues [36], emphasized the importance of social support in enhancing the quality of life and health outcomes for young people with physical disabilities.
Given that social support and spiritual health variables in the lives of parents of children with disabilities can not only foster feelings of peace and hope, but also enhance the parents’ ability to adapt and cope with life conditions, they play a significant role in improving their healthcare and well-being, this study was conducted to identify the relationship between caregiving burden in parents of children with disabilities and demographic characteristics, social support, and spiritual health in Iran. It is hypothesized that higher levels of perceived social support and spiritual well-being are associated with lower caregiving burden among parents of children with disabilities.
This descriptive, cross-sectional study aimed to examine spiritual well-being, social support, and caregiver burden among parents of children with intellectual and physical disabilities in Saveh, Iran. Based on a caregiver burden rate of P = 0.51 from similar studies [11, 13], with a margin of error (d = 0.04) and a 95% confidence interval, the required sample size was 246 participants. To account for potential non-response, a final sample of 260 parents was selected using systematic random sampling from a population of 1308, sourced from the Welfare Organization, physiotherapy centers, charitable associations, and comprehensive health centers.
A list of the population was prepared, and codes were assigned to each individual. The sampling interval was calculated by dividing the total population size (1308) by the desired sample size (260). A random starting point between 1 and 5 was then selected, after which participants were systematically chosen by adding the sampling interval to the initial random number. The sample size selected from each center consisted of 65 participants. Inclusion criteria for caregivers were: informed consent, no diagnosed chronic physical or mental illnesses (participants with a history of psychiatric medication use were excluded), cohabitation with the child, no financial compensation for caregiving, and at least six months of caregiving experience. Ethical approval was obtained from Saveh university in Iran, and written consent was collected.
The data collection tool in this study consisted of four sections:
Demographic questionnaire. This collected basic information on parents and caregiving context, including age, gender, occupation, marital status, insurance status, social activities, exercise, underlying diseases, caregiving duration, and type of child’s disability.
Caregiver burden index. This 24-item self-report measure [37] has five subscales: time-dependent (5 items), developmental (5 items), physical (4 items), social (5 items), and emotional and affective caregiver burden (5 items) [38]. “I have to watch my care receiver constantly”, “My social life has suffered” are among the questions. Responses are rated on a 4-point Likert scale from 1 to 5. Each of the 24 items can be answered using a Likert scale, where 1 indicates “not at all relevant” and 5 signifies “very relevant,” resulting in an overall score within the 24 to 120 range. Scores of 24–47 indicate mild caregiver burden, 48–71 indicating moderate caregiver burden, 72–95 indicating severe caregiver burden, and 96–120 indicating very severe caregiver burden. Abbasi et al. [39] reported a Cronbach’s alpha of 0.90 for the reliability of the caregiver burden index. In this study, the reliability of the same index was confirmed with a Cronbach’s alpha of 0.89.
Spiritual well-being scale. The 20-item Paloutzian & Ellison scale measures existential health (10 items, such as: “I feel that life is a positive experience”) and religious health (10 items, such as: “I believe that God loves me and cares about me”). Responses are rated on a 6-point Likert scale (from strongly disagree to strongly agree), with scores ranging from 1 to 120, with each subscale being separately scored (e.g., religious subscale: 1–60 and existential health subscale: 10–60). Spiritual well-being is then divided into three levels: low (20–40), moderate (41–99), and high (100–120). Cronbach’s alpha for this study was 0.85, consistent with earlier research by Karimy et al. [25], in which the alpha coefficient was 0.83.
Perceived social support questionnaire. This 12-item scale developed by Zimet et al. in 1988 measures perceived social support using 3 subscales (e.g., family, friends, and others) [40]. “I have friends whom I can share my happiness and sadness with”, “There is a special person who is around when I am in need” are among the items. These are scored on a 7-point Likert scale ranging from strongly disagree (score 1) to strongly agree (score 7). Total scores range from 12 to 84. Cronbach’s alpha coefficient was confirmed at 0.88 in this study.
Data were analyzed using SPSS version 22. Normality was confirmed via the Kolmogorov-Smirnov test. Descriptive statistics included means (standard deviations) for quantitative variables and frequencies (percentages) for qualitative variables. Independent t-tests, Pearson correlation, one-way ANOVA, post hoc analysis, and multiple linear regression were used to assess the relationships between demographic factors, spiritual well-being, social support, and caregiver burden. Missing data were handled using listwise deletion. Thus, when any of the variables were missing, the entire observation was excluded from the analysis. This was done using the SPSS software with the “missing = listwise” command.
Out of the 260 distributed questionnaires, 19 were excluded due to incomplete data, leaving 241 for the final analysis. The mean age of the participants was 49.8 ± 9.7 years. The majority (97.3%) were female, 224 participants (93%) were housewives, and 231 participants (95.6%) were married. A total of 224 caregivers (93%) had health insurance, and 146 participants (60.5%) reported limited social activities, such as visiting relatives and acquaintances. More than half (56%) did not engage in regular physical exercise, and 166 participants (69%) had underlying health conditions. In terms of caregiving duration, the most common duration was 21–30 years (28.6%), and less than 10 years (16.6%). Regarding the type of disability, the majority of individuals being cared for had physical disabilities (59%), while the remaining caregivers provided care for individuals with intellectual disabilities (see Table 1).
Our results indicated that as caregivers’ age and the number of years spent caregiving increased, their spiritual well-being improved, while their perceived social support decreased and their caregiving burden increased. Married caregivers reported higher levels of perceived social support and lower caregiving burden compared to divorced and widowed individuals. Additionally, caregivers who engaged in regular social activities and exercise experienced greater perceived social support and lower caregiving burden. Caregivers without insurance or those with underlying health conditions reported a higher caregiving burden(p < 0.05) (see Table 1).
148 caregivers (61.4%) experienced severe or very severe caregiving stress, while only 21 individuals (8.7%) reported mild caregiving stress (see Chart 1). The average caregiving burden was 86.1 ± 14.5, with the social, emotional, and time-dependent subscales reporting means and standard deviations of 20.5 ± 2.8, 18.6 ± 2.7, and 16.5 ± 5.2, respectively. Physical caregiving stress had the lowest mean score at 14.2 ± 3.1 (see Table 2).
The status of caregiving burden criteria for in-home caregivers
The mean score for spiritual well-being was 81.5 ± 7.0, with existential and religious spiritual well-being subscale means of 44.0 ± 4.9 and 37.5 ± 4.8, respectively (see Table 3). Regarding perceived social support, family support was rated highest, with a mean score of 17.4 ± 4.8. Chart 2 shows that 195 caregivers (81%) reported moderate spiritual well-being, and 35 (14.5%) reported high spiritual well-being.
The status of spiritual health for in-home caregivers
Correlations between caregiver burden, spiritual well-being, social support, and caregiver age (see Table 4) revealed a significant negative relationship between caregiver burden and both spiritual well-being (r = -0.625, p < 0.001) and social support (r = -0.647, p < 0.001). Age was positively correlated with caregiver burden (r = 0.319, p < 0.05) and spiritual well-being (r = 0.288, p < 0.05), and negatively correlated with social support (r = -0.255, p < 0.05) (see Table 4).
Multiple linear regression analysis identified social support (β = -0.36, p = 0.022) and spiritual well-being (β = -0.33, p = 0.044) as the most significant predictors of caregiving burden. Additionally, socio-demographic factors such as social activity, underlying health conditions, age, caregiving duration, insurance status, and marital status were significant predictors of caregiver burden. The model explained 29% of the variance in caregiver burden (Adjusted R² = 0.29) (see Table 5).
This study focused on the relationship between spiritual well-being, social support, and the caregiving burden of parents of children with disabilities. The results indicated that approximately 62% of family caregivers experience high levels of caregiver burden. In response to the first research question, our results indicate that caregiving burden is high in families with children with disabilities. This finding aligns with studies conducted by Rafati et al. [41], and Mirzaei et al. in Iran [42], Rodríguez et al. in Spain [43], and Clari et al. in Tanzania [44]. Caregiving can exert significant and enduring adverse effects on the physical, emotional, social, and financial well-being of family caregivers [45, 46]. Previous research has demonstrated a clear relationship between caregiving burden and mental health issues such as depression, anxiety, functional impairment, guilt, and resentment. Physical problems like hyperlipidemia, hyperglycemia, sleep disturbances, reduced immunity, and early transition to frailty syndrome have also been linked to caregiving burden [45, 47].
The psychological and social burden on family caregivers can even surpass that experienced by the individual they are providing care for, especially as the individual’s condition deteriorates [47, 48]. Consequences of high caregiving burden include reduced caregiving quality, diminished quality of life, and deterioration in both physical and mental health [47, 49]. Given the detrimental impacts of high caregiving stress on both the caregiver and the care recipient [50, 51], it is crucial to develop interventions that address mental health needs and alleviate caregiving burden.
Regarding the hypothesis about the relationship between spiritual well-being and caregiving burden, spiritual well-being emerged as the most significant predictor of caregiving burden, showing a meaningful negative correlation with caregiver burden. Consistent with these findings, health experts emphasize spirituality as a cost-effective and beneficial coping strategy for stress and depression in caregivers [52, 53]. Previous research highlights that spiritual well-being is a key variable in managing the challenges faced by caregivers [54], with individuals exhibiting higher levels of spiritual well-being reporting a more positive perception of their caregiving role and stronger connections with those they care for [55, 56]. Moreover, spiritual well-being offers protection against psychological and physiological illnesses for both the caregiver and care recipient [57,58,59]. Based on this and similar studies, spirituality can be an important resource for coping with caregiving challenges. Therefore, promoting spiritual well-being, particularly among informal and family caregivers, is recommended as an accessible and cost-effective method for improving the health of both the caregiver and the care recipient.
In relation to the hypothesis regarding the relationship between spiritual well-being and caregiving burden, this study’s findings revealed that perceived social support significantly reduces caregiving burden. This inverse relationship between social support and caregiving burden has been confirmed by earlier studies [60, 61]. To explain this topic, it can be said that individuals’ understanding of having social support when facing a stressful situation leads to an increase in their mental, physical, and psychological readiness regarding that issue or event, likely allowing them to have more time and resources for effective coping and to manage that situation better. As a result, they feel less stress and caregiving burden [62, 63]. Furthermore, research indicates that social support strengthens self-efficacy, increasing caregivers’ ability to adapt to challenges [64, 65].
Regarding socio-demographic variables and caregiving burden, this study demonstrated that increasing age, caregiving duration, lack of insurance, non-participation in social activities, widowhood or divorce, and underlying diseases contributed to increased caregiving burden. The link between aging and increased caregiving burden is likely due to declining physical and mental capabilities in older caregivers, as well as the emergence of chronic illnesses. Additionally, as caregivers age, the burden of caregiving often grows, exacerbated by years of caring for the patient. Consistent with these findings, Wolff et al. [66] found that longer caregiving durations lead caregivers to leave their jobs, reduce working hours, or accept lower-paying positions, contributing to an increased caregiving burden [67]. Other studies, such as those by Iavarone et al. [68], and Conde-Sala et al. [69], similarly confirm the relationship between increasing caregiver age and higher caregiving burden. Likewise, La et al. [70] demonstrated a correlation between longer caregiving durations and increased stress. These results highlight the need for policies aimed at reducing caregiving burdens, especially for older caregivers or those who have been in caregiving roles for extended periods.
The findings suggest that lacking of insurance, and not having support from an organization significantly contribute to a higher caregiving burden. The absence of insurance or organizational support further intensifies the financial strain, as caregivers are left to manage the additional patient care costs. These expenses combined with personal and family living costs create numerous challenges. Many caregivers reduce or quit their jobs to provide full-time care, while others are forced to work more to cover caregiving expenses. This increasing stress on caregivers ultimately raises their overall burden [71]. Consistent with our findings, Abbasi et al. [72] demonstrated an inverse relationship between family income and caregiving burden, while Pattanayak et al. [73] and Tsai et al. [74] found that caregivers with lower financial resources reported greater caregiving burdens.
Lack of participation in social activities was linked to an increased caregiving burden in this study, a finding that aligns with research showing that social connections protect against the negative effects of stressful or traumatic life events [75, 76]. Moreover, higher perceived social connection is positively related to mental health [1], self-esteem, and physical health [2]. This suggests that regular interaction with a supportive social group may serve as a buffer against the challenges of caregiving.
Finally, consistent with previous studies [77, 78], this study found that caregivers with underlying chronic diseases experienced a greater caregiving burden. This can be attributed to the continuous management and care required for their health, which gradually diminishes the caregiver’s physical and mental capacity, quality of life, and overall well-being, leading to an increased sense of burden. Moreover, poor general health, characterized by chronic physical and mental illnesses, reduces a caregiver’s ability to provide care and contributes to feelings of depression and burnout.
Among the limitations of this study, it is important to note that the cross-sectional nature of the study complicates the ability to establish causal relationships.
This study highlights the crucial role of spiritual well-being and social support in alleviating caregiving burden. The findings suggest that incorporating these variables into theoretical models of caregiving burden can not only enhance existing knowledge but also offer novel insights into the mechanisms that reduce caregiving burden and its negative consequences. Given the observed negative relationships between spiritual well-being, social support, and caregiving burden, as well as the detrimental effects of caregiving burden on caregivers’ health, it appears that interventions such as promoting spiritual self-care and establishing social support groups for family caregivers could be cost-effective, accessible, and beneficial significantly improving the health and well-being of this population. Considering that a substantial proportion of family caregivers experience high caregiving burdens, the findings of this study could provide a valuable foundation for designing cost-effective and impactful support interventions. Specifically, these results can inform health policymakers in developing appropriate programs to support family caregivers.
“The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.”
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The researchers would like to express their gratitude to the participants and the staff of the study setting of Saveh, Iran.
No financial support was received for this research.
Mahmood Karimy
Present address: Social Determinants of Health Research Center, Saveh University of Medical Science, Saveh, Iran
Department of Nursing, Saveh University of Medical Science, Saveh, Iran
Mohammad Taher
Social Determinants of Health Research Center, Saveh University of Medical Science, Saveh, Iran
Nemat Azizi
Department of Internal Medicine, Saveh University of Medical Science, Saveh, Iran
Mohammadreza Rohani
Department of Public Health, Saveh University of Medical Science, Saveh, Iran
Parisa Hosseini Koukamari
Student Research Committee, Saveh University of Medical Science, Saveh, Iran
Fatemeh Rashidi
Menopause Andropause Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Marzieh Araban
ServeMinnesota, Minneapolis, USA
Anthony Coetzer-Liversage
Department of Psychology, University of Rhode Island, Kensington, RI, USA
Anthony Coetzer-Liversage
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“MK and MT conceptualized the study and wrote the manuscript and provided the final draft. FR, NA and MA helped with study design. MRR, PHK, MK, ACL helped study implementation. All authors helped with manuscript writing. ACL was the advisor of the study and critically reviewed the manuscript and made revisions. All the authors read and approved the final manuscript“.
Correspondence to Mahmood Karimy.
The study was approved by the Ethics Committee of Saveh University of Medical Sciences, Ahvaz, Iran (Registration No: IR.SAVEHUMS.REC.1400.010). Written informed consent obtained from participants.
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Taher, M., Azizi, N., Rohani, M. et al. Exploring the role of perceived social support, and spiritual well-being in predicting the family Caregiving burden among the parents of disabled children. BMC Public Health 25, 567 (2025). https://doi.org/10.1186/s12889-025-21654-2
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DOI: https://doi.org/10.1186/s12889-025-21654-2
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