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We recently published a blog
post
with our reaction to the new Google Developer Program and how it impacts your freedom to use the devices that you own in the ways that you want. The post garnered quite a lot of feedback and interest from the community and press, as well as various civil society groups and regulatory agencies.
In this post, I hope to clarify and expand on some of the points and rebut some of the counter-messaging that we have witnessed.
Shortly after our post was published, Google aired an
episode of their Android Developers Roundtable series, where they state unequivocally that “sideloading isn’t going anywhere”. They follow-up with a blog
post:
Does this mean sideloading is going away on Android? Absolutely not. Sideloading is fundamental to Android and it is not going away.
This statement is untrue. The developer verification decree effectively ends the ability for individuals to choose what software they run on the devices they own.
It bears reminding that “sideload” is a made-up term. Putting software on your computer is simply called “installing”, regardless of whether that computer is in your pocket or on your desk. This could perhaps be further precised as “direct installing”, in case you need to make a distinction between obtaining software the old-fashioned way versus going through a rent-seeking intermediary marketplace like the Google Play Store or the Apple App Store.
Regardless, the term “sideload” was coined to insinuate that there is something dark and sinister about the process, as if the user were making an end-run around safeguards that are designed to keep you protected and secure. But if we reluctantly accept that “sideloading” is a term that has wriggled its way into common parlance, then we should at least use a consistent definition for it. Wikipedia’s summary
definition is:
the transfer of apps from web sources that are not vendor-approved
By this definition, Google’s statement that “sideloading is not going away” is simply false. The vendor — Google, in the case of Android certified devices — will, in point of fact, be approving the source. The supplicant app developer must register with Google, pay a fee, provide government identification, agree to non-negotiable (and ever-changing) terms and conditions, enumerate all their current and future application identifiers, upload evidence of their private signing key, and then hope and wait for Google’s approval.
You, the consumer, purchased your Android device believing in Google’s promise that it was an open computing platform and that you could run whatever software you choose on it. Instead, starting next year, they will be non-consensually pushing an update to your operating system that irrevocably blocks this right and leaves you at the mercy of their judgement over what software you are permitted to trust.
You, the creator, can no longer develop an app and share it directly with your friends, family, and community without first seeking Google’s approval. The promise of Android — and a marketing advantage it has used to distinguish itself against the iPhone — has always been that it is “open”. But Google clearly feels that they have enough of a lock on the Android ecosystem, along with sufficient regulatory capture, that they can now jettison this principle with prejudice and impunity.
You, the state, are ceding the rights of your citizens and your own digital sovereignty to a company with a track record of complying with the extrajudicial demands of authoritarian regimes to remove perfectly legal apps that they happen to dislike. The software that is critical to the running of your businesses and governments will be at the mercy of the opaque whims of a distant and unaccountable corporation. Monocultures are perilous not just in agriculture, but in software distribution as well.
As a reminder, this applies not just to devices that exclusively use the Google Play Store: this is for every Android Certified device everywhere
in the world, which encompasses over 95% of all Android devices outside of China. Regardless of whether the device owner prefers to use a competing app store like the Samsung Galaxy Store or the Epic Games Store, or a free and open-source app repository like F-Droid, they will be captive to the overarching policies unilaterally dictated by a competing corporate entity.
Our recent analysis found over 50 times more malware from internet-sideloaded sources than on apps available through Google Play.
We haven’t seen this recent analysis — or any other supporting evidence — but the “50 times” multiple does certainly sound like great cause for distress (even if it is a surprisingly round number). But given the recent
news
of “224 malicious apps removed from the Google Play Store after ad fraud campaign discovered”, we are left to wonder whether their energies might better be spent assessing and improving their own safeguards rather than casting vague disparagements against the software development communities that thrive outside their walled garden.
In addition, other recent
news of over 19 million downloads of malware from the Play Store leads us to question whether the sole judgement of a single corporate entity can be trusted to identify and assess malware, especially when that judgement is clouded by commercial incentives that may not align with the well-being of their users.
Google has been facing public outcry against their heavy-handed policies for a long time, but this trend has accelerated recently. Last year they
crippled
ad-blockers
in Chrome and Chromium-based browsers by forcing through their unpopular “manifest v3” requirement for plugins, and earlier this year they closed
off
the development of the Android Open Source Project (AOSP), which is how they were able to clandestinely implement the verification infrastructure that enforces their developer registration decree.
Developer verification is an existential threat to free software distribution platforms like F-Droid as well as emergent commercial competitors to the Play Store. We are witnessing a groundswell of opposition to this attempt from both our user and developer communities, as well as the tech press and civil society groups, but public policymakers still need to be educated about the threat.
To learn more about what you can do as a consumer, visit
keepandroidopen.org for information on how to contact your representative agencies and advocate for keeping the Android ecosystem open for consumers and competition.
If you are an app developer, we recommend against signing yourself up for Google’s developer registration program at this time. We unequivocally reject their attempt to force this program upon the world.
Over half of all humankind uses an Android smartphone. Google does not own your phone. You own your phone. You have the right to decide who to trust, and where you can get your software from.
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Soon we will be adding vision and voice to our models so that they can interpret and understand images and speech.
Freely used by researchers, organisations and citizens of Europe.
Models pretrained and finetuned on text from all languages.
Our current flagship model. A 9B parameter model trained on over 4 trillion tokens of multilingual data across 35 different languages, including all official EU languages. We’ve made EuroLLM 9B Base available for fine-tuning on any task. As a demonstration, we’ve also provided EuroLLM 9B Instruct, a model fine-tuned for instruction following and chat capabilities.
TRY THE MODEL AT HUGGING FACE >
A 1.7B parameter model trained on similar data to EuroLLM-9B, that is ideal to for use in edge devices.
TRY THE MODEL AT HUGGING FACE >
Sharing a common vision, our team is committed to advancing multilingual AI technologies to empower Europe’s digital future and strengthen the EU’s commitment to AI sovereignty. The team’s goal is for EuroLLM to become a flywheel for innovation — offering anyone the opportunity to use this EU homegrown LLM and build upon it. The project is living proof that amazing things can happen when Europe comes together to push the boundaries of innovation.
VP of AI Research, Unbabel and Associate Professor, Instituto Superior Técnico, University of Lisbon
André Martins is an expert in machine learning and natural language processing. His research has been funded twice by the European Research Council. He is a Fellow of the ELLIS Society and a board member of the European Association for Machine Translation. He is a co-founder of the Lisbon Machine Learning School (LxMLS).
Associate Professor in Natural Language Processing at the University of Edinburgh. Her research has resulted in over 100 peer reviewed publications, focusing on translation and multilingual NLP and covering topics such as ethics, explainability and efficiency.
Nuno Guerreiro focuses on machine translation evaluation, error detection, and LLM development. He is a lead developer for Unbabel’s xCOMET and Tower models and contributes to projects like CroissantLLM and EuroLLM.
Pierre Colombo works as Chief Science Officer at Equall. AI, a legal technology startup. His work focuses on AI safety and LLM applications, with publications in ACL, EMNLP, NeurIPS, and ICML, and he received the AAAI 2022 Best Student Paper Award.
The EuroLLM project includes Unbabel, Instituto Superior Técnico, the University of Edinburgh, Instituto de Telecomunicações, Université Paris-Saclay, Aveni, Sorbonne University, Naver Labs, and the University of Amsterdam. Together they created EuroLLM-9B, a multilingual AI model supporting all 24 official EU languages. Developed with support from Horizon Europe, the European Research Council, and EuroHPC, this open-source LLM aims to enhance Europe’s digital sovereignty and foster AI innovation. Trained on the MareNostrum 5 supercomputer, EuroLLM outperforms similar-sized models. It is fully open source and available via Hugging Face.
Please reach out for press, media requests, and inquiries
CLICK HERE TO REACH US
We thank EuroHPC for the HPC resources used to support this work through grant EHPC-EXT-2023E01-042, as well as the European Commission through the Horizon Europe RIA project UTTER (contract 101070631).
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A year ago, in explaining why he had blocked the publication of an endorsement of Democratic presidential nominee Kamala Harris, Washington Post owner and Amazon founder Jeff Bezos conceded that “When it comes to the appearance of conflict, I am not an ideal owner of The Post.”
On at least three occasions in the past two weeks, an official Post editorial has taken on matters in which Bezos has a financial or corporate interest without noting his stake. In each case, the Post’s official editorial line landed in sync with its owner’s financial interests.
In the most recent instance, the Post defended President Trump’s jaw-dropping moves to raze the East Wing of the White House without any of the typically required studies or consultations as he seeks to build a vast ballroom. “Trump’s undertaking is a shot across the bow at NIMBYs everywhere,” the Post wrote in its editorial, which first appeared online Saturday.
As the White House had announced, Amazon was a major corporate contributor in helping to defray those costs. But the Post did not initially disclose that.
On Sunday, the newspaper inserted an acknowledgement of the Amazon donation into the editorial — but only once the veteran news executive Bill Grueskin, now at the Columbia Graduate School of Journalism, noted its absence in a social media post and made inquiries at the paper. It did not flag the alteration for readers.
In his posts, Grueskin, a former top news editor at the Wall Street Journal and Bloomberg, had written the editorial’s fundamental reasoning “illustrates the collapse of the new Washpost Opinion page” and noted there was “no clarification or correction appended to the piece.”
The Post and its new opinions editor, Adam O’Neal, did not reply to detailed requests for comment for this story.
O’Neal was brought in by Bezos this summer after the corporate titan tore up his paper’s opinion section.
Bezos said he wanted a tight focus on two priorities: personal liberties and free markets. The top opinion page editor resigned. A raft of prominent columnists and contributors resigned or departed as well. Some were let go.
The decision to cancel the Harris editorial led to more than 300,000 cancellations by digital subscribers. The subsequent changes in the editorial pages led to 75,000 more. Bezos’ Amazon contributed $1 million toward the Trump inauguration; its video streaming service Amazon Prime paid $40 million to license a documentary about first lady Melania Trump. The Wall Street Journal reported she is to receive the lion’s share of that fee.
For the newspaper’s owner to have outside business holdings or activities that might intersect with coverage or commentary is conventionally seen to present at the least a perception of a conflict of interest. Newspapers typically manage the perception with transparency.
The Post has resolutely revealed such entanglements to readers of news coverage or commentary in the past, whether the Graham family’s holdings, which included the Stanley Kaplan educational company and Slate magazine, or, since 2013, those of Bezos, who founded Amazon and Blue Origin. Even now, the newspaper’s reporters do so as a matter of routine.
“Believing very fervently that disclosure resolved a lot of concerns, we never knowingly failed to disclose” such conflicts, Ruth Marcus, a former deputy editorial page editor at the Washington Post, tells NPR.
Marcus resigned earlier this year, saying Publisher Will Lewis had killed a column she wrote on changes in the page’s direction. She wrote in her resignation letter that Bezos’ edict that the page would not include opposing viewpoints “threatens to break the trust of readers that columnists are writing what they believe, not what the owner has deemed acceptable.”
Two separate but recent incidents suggest the lack of disclosure on the editorial about the White House renovations was not an isolated case.
On Oct. 15, the Post heralded the military’s push for a new generation of smaller nuclear reactors. “No ‘microreactor’ currently operates in the United States, but it’s a worthy gamble that could provide benefits far beyond its military applications,” the Post wrote in its editorial.
A year ago, Amazon bought a stake in X-energy to develop small nuclear reactors to power its data centers. And through his own private investment fund, Bezos has a stake in a Canadian venture seeking nuclear fusion technology.
Three days after the nuclear power editorial, the Post weighed in on the need for local authorities in Washington, D. C., to speed the approval of the use of self-driving cars in the nation’s capital. The editorial was headlined: “Why D.C. is stalling on self-driving cars: Safety is a phony excuse for slamming the brakes on autonomous vehicles.”
Fewer than three weeks before, the Amazon-owned autonomous car company Zoox had announced D. C. was to be its next market.
“It strikes me that the failure to do this [disclosure] is concerning — whether out of negligence or worse,” says Marcus, the former deputy editorial page editor. “I think telling your readers that there might be a conflict in whatever they’re reading is always important. It’s a lot more important when it involves whoever the owner is.”
In explaining his decision on the Harris editorial, which foreshadowed the more sweeping changes in the paper’s opinion section, Bezos wrote, “I once wrote that The Post is a ‘complexifier’ for me. It is, but it turns out I’m also a complexifier for The Post.”
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After kicking off an unpopular pilot test last month, Samsung made the practice of having its expensive smart fridges display ads official this week.
The ads will be shown on Samsung’s 2024 Family Hub smart fridges. As of this writing, Samsung’s Family Hub fridges have MSRPs ranging from $1,899 to $3,499. The ads will arrive through a software update that Samsung will start issuing this month and display on the fridge’s integrated 21.5- or 32-inch (depending on the model) screen. The ads will show when the fridges are idle and display what Samsung calls Cover Screens.
As part of the Family Hub software update, we are piloting a new widget for select Cover Screens themes of Family Hub refrigerators. The widget will display useful day-to-day information such as news, calendar and weather forecasts, along with curated advertisements.
Samsung also said that its fridges will only show contextualized ads, instead of personalized ads, which rely on collecting data on users.
The Verge reported that the widget will appear as a rectangular box at the bottom of the screens. The box will change what it displays “every 10 seconds,” the publication said.
The software update will also introduce “a Daily Board theme that offers a new way to see useful information at a glance,” Samsung said. The Verge reported that this feature will also include ads, something that Samsung’s announcement neglected to state. The Daily Board theme will show five tiles with information such as appointments and the weather, and one with ads.
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The BMWET migrates 1,200 employees to sovereign cloud in just four months.
The BMWET migrates 1,200 employees to sovereign cloud in just four months.
European governments have been steadily moving away from reliance on foreign tech offerings, driven largely by concerns over data sovereignty and regulatory compliance.
Countries like Germany and Denmark have already taken steps to reduce their dependence on Microsoft and other foreign cloud providers, opting instead for open source alternatives that keep sensitive data within their borders.
And, recently, Austria has shown up as another player in this space. Last month, the Austrian Armed Forces completed a migration of 16,000 workstations from Microsoft Office to LibreOffice.
Now, another Austrian government body has joined the Ditch Microsoft club.
Announced at the Nextcloud Enterprise Day Copenhagen 2025 event, Austria’s Federal Ministry of Economy, Energy and Tourism, or BMWET for short, has migrated 1,200 employees to Nextcloud for internal collaboration and secure data storage.
The ministry is now operating on Austrian-controlled infrastructure, moving away from foreign cloud providers for handling sensitive government data. The project went from proof of concept to full deployment in just four months, an uncommonly fast timeline for a public sector IT migration of this scale.
The implementation was carried out in partnership with Atos Austria, which worked alongside Nextcloud’s team to ensure the platform met the ministry’s legal, technical, and organizational requirements.
The ministry implemented a hybrid setup rather than a complete rip-and-replace approach. At the time this project began, BMWET was already in the process of adopting Microsoft 365 and Teams, so a full reversal wasn’t feasable.
Instead, Nextcloud now handles all internal collaboration and secure data management, while Microsoft Teams remains available specifically for external meetings (read: for people who haven’t moved away from Teams).
The ministry also worked with Nextcloud partner Sendent to integrate with Outlook, allowing employees to continue using familiar email and calendar workflows.
As for the reasoning behind this move, it was prompted by a risk analysis that showed foreign cloud services failed to meet the ministry’s privacy requirements, particularly regarding GDPR compliance and the upcoming NIS2 directive.
To ensure a smooth transition, BMWET invested heavily in preparing its workforce. The ministry ran an extensive information campaign that included training sessions, instructional videos, and a detailed internal wiki covering everything employees needed to know about the new platform.
The gradual rollout approach meant that employees had time to adjust rather than being thrown into a completely new system overnight. According to Martin Ollrom, BMWET’s CIO, the preparation paid off. The response from employees has been quite positive, with minimal disruption to daily work.
During the announcement of this move, Florian Zinnagl, the CISO of BMWET, added that:
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With incredible noise cancelling, a range of remarkable hearing health features, terrific sound quality and great battery life, the AirPods Pro have long been my goto pair of headphones from Apple. So when Apple announced the AirPods Pro 3 at their September event, I was ecstatic! Apple touted that the AirPods Pro 3 featured even better noise cancellation, fit, and sound quality over its predecessor, and added additional health features with the addition of heart rate monitoring.
Serendipitously, I happened to be boarding a flight the night of their release, and what better way to stress-test the new AirPods Pro 3 than with a transatlantic flight? Air travel is where the AirPods Pro have really shone; their compact size, noise-cancellation, comfort, battery life, and sound quality make them a perfect package for the noisy, cramped cabins of economy class.
Prior to the flight, I measured my fit and wore them around the house for an hour; everything seemed great. I will add that these new foam tips do take some getting used to, as they feel noticeably dense, and I’ve seen some bloggers and podcasters say the new fit is less comfortable compared to the Pro 2′s softer silicone. Personally, I don’t share this complaint.
My trouble came at 39,000 feet when I first noticed a high-pitched whine coming from my left AirPod. The issue was that the AirPod’s ear seal kept loosening, leading to a noise-cancellation feedback loop and a painfully loud piercing screech from the AirPod. Attempts to readjust worsened the feedback, especially if I accidentally covered the external microphone with my finger. This happened multiple times, making the experience so unpleasant that I eventually switched to my spare EarPods for the remainder of the flight. While disappointed, I wasn’t ready to condemn the headphones yet; perhaps the medium seal worked fine on terra firma, but on flights, I might need a different size for a better seal.
After landing, I tested the tips and switched from a Medium to Extra Small (Apple offers XXS, XS, S, M, or L tips for AirPods Pro 3). Both XS and M tips sealed well and were comfortable for long wear. For weeks, I couldn’t reproduce the whistling feedback, and I forgot about it until my next flight earlier this week.
Once again, it was only a few minutes after takeoff that the painful screech returned. Careful adjustments or yawning would fix the issue, but only for a couple of minutes at most. I figured that the new foam tips were trapping more heat, reducing airflow and ventilation, and less flexible, and that somehow all that was playing a role in loosening the seal. And when paired with the aircraft’s loud, steady hum, a feedback loop was created. But day to day, this is a non-issue because I never encounter the same types of pressure changes and noises that would reproduce this issue.
While researching this, I did happen upon a thread on Reddit which confirmed that others have reported a similar issue, principally with the left AirPod on flights, just like I tried to describe above:
“I also heard the whistling noise recently in the plane. The issue would go away for me as soon as I yawn, but after a while it would start making the whistling noise again. I noticed during ascent and descent it would get worse.”“I have this issue too. Completely fine in normal life but awful on a plane.”“Also having this issue on flight. It’s like a vibrating or swooshing noise. Definitely the ANC as it reduces when you turn on adaptive and none with transparency.”
So what’s going on? No idea. Apple hasn’t announced any recall or acknowledged the issue to date, and the few Reddit reports show that support calls that led to replacements returned pods that reproduced the issue. So either there are a few of us with stupidity-shaped left ears, the AirPods are glitching in some way, or something is happening on flights that the AirPods Pro 3 can’t handle.
I love the AirPods Pro 3, but with a denser fit that risks making them uncomfortable for some users and now this painful flight feedback issue, the AirPods Pro 3 aren’t as easy to recommend as the previous AirPods Pro 2. I can’t speak to how widespread this issue is, but my buying advice would be that if you are hoping to buy them, to do so close to your next flight and within the return window, so you can test them in the air and ensure you don’t run into the same painful feedback problem. Hopefully this is just a quirk with my ears or fit, because it’s hard to excuse a product that becomes not only unusable but downright painful to wear on a flight.
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Amazon has confirmed it plans to cut thousands of jobs, saying it needs to be “organised more leanly” to seize the opportunity provided by artificial intelligence (AI).The tech giant said on Tuesday it would reduce its global corporate workforce by “approximately 14,000 roles”.Earlier reporting had suggested it was planning to lay off as many as 30,000 workers. Beth Galetti, a senior vice president at Amazon, wrote in a note to staff that the move would make the company “even stronger” by shifting resources “to ensure we’re investing in our biggest bets and what matters most to our customers’ current and future needs”.
She acknowledged that some would question the move given the company was performing well. At the end of July, Amazon reported second quarter results which beat Wall Street expectations on several counts, including a 13% year over year increase in sales to $167.7bn (£125bn).But Ms Galetti said the cuts were needed because AI was “the most transformative technology we’ve seen since the Internet” and was “enabling companies to innovate much faster than ever before.“”We’re convicted that we need to be organised more leanly, with fewer layers and more ownership, to move as quickly as possible for our customers and business,” she added.The note, shared with Amazon employees earlier on Tuesday, said the company was “working hard to support everyone whose role is impacted” - including by helping those affected find new roles within Amazon.Those who cannot will receive “transition support” including severance pay, it said.The BBC has asked if it will affect employees in the UK.The company has more than 1.5 million employees across its warehouses and offices worldwide.This includes around 350,000 corporate workers, which include those in executive, managerial and sales roles, according to figures that Amazon submitted to the US government last year.Like many technology firms, Amazon hired aggressively during the Covid-19 pandemic to meet the surge in demand for online deliveries and digital services.Amazon boss Andy Jassy has since focused on reducing spending as the company invests heavily in AI tools to boost efficiency.Mr Jassy said in June that the increase in AI tools will likely lead to job cuts as machines take over routine tasks.“We will need fewer people doing some of the jobs that are being done today, and more people doing other types of jobs,” he said then.
Amazon has carried out several rounds of cuts to its corporate division in recent years. It laid off around 27,000 workers over several months in 2022, as rivals similarly looked to reverse hiring increases made during the pandemic.After the company posted its latest financial results in July, its more subdued profit guidance for the forthcoming quarter left some sceptical of whether - or when - its enormous AI investments would pay off.Slower growth for its cloud business, Amazon Web Services (AWS), compared to rivals Microsoft and Google, also sparked concern among some investors.Amazon will report its latest results on Thursday for the period ending 30 September.Ben Barringer, technology analyst at Quilter Cheviot, said the wider industry would be watching Amazon closely as it embarked on its latest round of cuts.“We are already seeing jobs in software development be shed thanks to the capabilities of some of these AI tools, and the big companies will be looking to redistribute and restructure their workforces accordingly,” he told the BBC. “They have the data and can apply AI in a way that unfortunately means job losses are inevitable.”
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The viability of Linux as a gaming platform has come on leaps and bounds in recent years due to the sterling work of WINE and Proton developers, among others, and interest in hardware like the Steam Deck. However, the most recent stats from ProtonDB (via Boiling Steam) highlight that we are edging towards a magnificent milestone. The latest distilled data shows that almost 90% of Windows games now run on Linux.
Having nine in ten Windows games accessible in a new Linux install is quite an achievement. The milestone comes as we see computer users flocking to other platforms during the transition from the Windows 10 to 11 eras. Of course, the underlying data isn’t quite so simple as the headline stat. There are different degrees of compatibility gamers must consider when checking if their favorite Windows games work on Linux distros like Mint, Zorin, Bazzite, or even SteamOS.
The above chart relies on Boiling Steam’s five definitions of playability, but these aren’t a million miles from the Steam Deck ratings Valve dishes out. The main difference seems to be that Boiling Steam doesn’t seem to care whether Steam Deck performance is a gaming-limiting factor. So, in a way, its ratings are perhaps more useful to desktop and laptop PC users who typically have systems that easily outpace a Steam Deck.
Boiling Steam platinum (green) rank denotes games that run perfectly, out of the box. Gold (light green) requires just minor tweaks. Silver (yellow) games are playable but have some imperfections. Borked (dark red) games simply refuse to launch. Lastly, Bronze (red) titles exist in the murky water between silver and borked.
Looking at the chart trends, we see an encouraging growth in the number of new releases that are platinum (green) rated, and a thinning down of the red/dark red zone. Developers will, of course, benefit from more hardware being able to play their games with few if any wrinkles, so there must be an incentive to spend at least a little time checking a new Windows game on Linux, or the Steam Deck specifically.
On the flip side, there are some popular titles that don’t look like they will be becoming Linux-friendly anytime soon. The well-known compatibility issues with various anti-cheat technology platforms look set to persist, for now. Moreover, Boiling Steam notes that other devs just seem to be averse to non-Windows gamers. There is quite a bit that can be done with those non-intentionally stubborn games, though. We’d recommend researching community-driven Linux compatibility tips and tweaks for your favorite games.
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The Role Of Vitamin D Supplementation In The Prevention Of Acute Respiratory Infections: A Double-Blind Randomized Controlled Trial
Background: Acute respiratory infections (ARIs) remain among the most common causes of morbidity and mortality worldwide, particularly in children, the elderly, and immunocompromised individuals. Emerging evidence suggests that vitamin D, beyond its classical role in calcium–phosphate homeostasis, exerts immunomodulatory effects by enhancing innate immune responses and modulating inflammatory pathways. Previous observational and meta-analytic studies have indicated an inverse relationship between serum 25-hydroxyvitamin D [25(OH)D] levels and susceptibility to respiratory infections. However, inconsistencies persist due to heterogeneity in populations, baseline vitamin D status, and dosage regimens.
Objectives: This study aimed to evaluate whether daily vitamin D supplementation reduces the incidence, duration, and severity of acute respiratory infections compared with placebo among adults with suboptimal baseline 25(OH)D levels. Secondary objectives included assessing changes in serum vitamin D concentrations and evaluating any adverse effects associated with supplementation.
Methods: This double-blind randomized controlled trial was conducted at a tertiary care hospital between January 2023 and March 2024. A total of 400 participants aged 18–65 years with baseline 25(OH)D levels between 10 and 30 ng/mL were randomly assigned into two groups: the intervention group (n = 200) received vitamin D₃ supplementation (2,000 IU daily), and the placebo group (n = 200) received identical capsules without active ingredient, for six months. Incidence of ARIs was documented through monthly follow-up visits and self-reported symptom diaries validated by physician assessment. Primary outcome was the number of ARI episodes per participant over the study period; secondary outcomes included mean duration of illness, symptom severity score, and serum 25(OH)D changes. Statistical analysis employed chi-square and independent t-tests, with significance set at p < 0.05.
Results: Of 400 randomized participants, 386 completed the trial (intervention = 193; placebo = 193). Mean baseline 25(OH)D levels were 21.6 ± 5.1 ng/mL in both groups. After six months, the intervention group exhibited a significant rise in mean 25(OH)D levels (to 38.9 ± 6.2 ng/mL; p < 0.001) compared with minimal change in the placebo group (22.4 ± 5.3 ng/mL). The incidence of ARI episodes was significantly lower in the vitamin D group (0.68 ± 0.9 per person) versus placebo (1.43 ± 1.2 per person; p < 0.001). Additionally, the mean duration of symptoms was shorter (4.1 ± 1.8 days vs. 6.3 ± 2.5 days; p < 0.001), and symptom severity scores were reduced. No serious adverse events or cases of hypercalcemia were observed.
Conclusion: Daily supplementation with 2,000 IU of vitamin D₃ significantly reduced both the incidence and duration of acute respiratory infections among adults with suboptimal baseline vitamin D levels, suggesting a protective immunomodulatory role. These findings support routine assessment and correction of vitamin D deficiency as a feasible public health strategy to mitigate respiratory infection burden, especially in at-risk populations.
Acute respiratory infections (ARIs) continue to represent one of the most pervasive public health challenges globally, accounting for substantial morbidity, hospitalization, and mortality across all age groups. According to the World Health Organization, ARIs are responsible for nearly 20% of global deaths in children under five years of age, with a rising burden among adults, particularly those with underlying chronic diseases and compromised immunity. In low- and middle-income countries, frequent viral and bacterial respiratory infections further strain healthcare resources and lead to significant socioeconomic consequences.
Over the past two decades, increasing attention has been directed toward the non-skeletal actions of vitamin D, particularly its immunomodulatory potential in preventing infectious diseases. Vitamin D is a secosteroid hormone synthesized in the skin upon ultraviolet B radiation exposure and obtained from dietary sources or supplements [1]. The active form, 1,25-dihydroxyvitamin D [1,25(OH)₂D], interacts with the vitamin D receptor (VDR) expressed on immune cells such as macrophages, dendritic cells, and T lymphocytes. This interaction enhances innate immune defense by inducing antimicrobial peptides like cathelicidin and defensins, which disrupt the membranes of respiratory pathogens. Moreover, vitamin D modulates adaptive immunity by suppressing excessive pro-inflammatory cytokine release, thus reducing tissue damage during infection [2].
Multiple epidemiological and mechanistic studies have demonstrated an association between low serum 25-hydroxyvitamin D [25(OH)D] levels and increased susceptibility to respiratory tract infections [3]. For instance, Martineau et al. (2017) conducted a meta-analysis of 25 randomized controlled trials encompassing over 11,000 participants, which revealed that vitamin D supplementation reduced the risk of ARIs, especially among individuals with severe deficiency (
Nevertheless, despite these promising observations, inconsistencies persist in the literature. Several randomized controlled trials have yielded null or inconclusive findings, often attributed to differences in baseline vitamin D status, supplementation doses, dosing intervals, duration of follow-up, and participant demographics [5]. Furthermore, the optimal serum concentration required for immune protection remains debatable, with thresholds ranging from 20 to 40 ng/mL proposed by various authorities. The clinical relevance of vitamin D supplementation for respiratory health therefore warrants rigorous evaluation through well-designed controlled trials that account for these confounding variables [6].
The biological plausibility of vitamin D’s protective role against respiratory infections is supported by its ability to regulate both innate and adaptive immune responses. By enhancing macrophage phagocytic activity and promoting epithelial barrier integrity, vitamin D reduces viral replication and bacterial adherence [7]. Simultaneously, it attenuates the cytokine storm commonly implicated in severe respiratory infections by downregulating IL-6, TNF-α, and IFN-γ while promoting anti-inflammatory IL-10 production. Such dual regulation is of particular importance in conditions like influenza, COVID-19, and community-acquired pneumonia, where exaggerated inflammation contributes to morbidity and mortality.
Given these immunological mechanisms and the persistent global prevalence of vitamin D deficiency, investigating whether daily vitamin D supplementation confers measurable protection against ARIs remains a question of high clinical and public health significance
Therefore, it is of interest to evaluate the efficacy of daily vitamin D supplementation in reducing the incidence, duration, and severity of acute respiratory infections among adults with suboptimal baseline vitamin D levels through a double-blind randomized controlled trial.
This study was designed as a double-blind, randomized, placebo-controlled trial conducted at the Department of Internal Medicine, a tertiary care teaching hospital in India, between January 2023 and March 2024. The study protocol was approved by the Institutional Ethics Committee and registered with the Clinical Trials Registry of India. Written informed consent was obtained from all participants before enrolment. The trial was conducted in accordance with the Declaration of Helsinki (2013 revision) and Good Clinical Practice (GCP) guidelines.
A total of 400 adult participants aged between 18 and 65 years were enrolled. Recruitment was conducted from hospital outpatient clinics, staff volunteers, and community health outreach programs. Eligible participants were required to have baseline serum 25-hydroxyvitamin D [25(OH)D] concentrations between 10 and 30 ng/mL, indicating insufficiency but not severe deficiency.
No acute respiratory infection in the preceding four weeks.
Willingness to provide written informed consent and comply with study procedures.
Known history of hypercalcemia, nephrolithiasis, or renal impairment (eGFR < 60 mL/min/1.73 m²).
Current or recent use (within 3 months) of vitamin D or calcium supplementation exceeding 800 IU/day.
Participants meeting the inclusion criteria were randomized using a computer-generated block randomization sequence (block size = 10) into two equal groups:
Randomization codes were maintained by an independent statistician not involved in data collection or analysis. Both participants and investigators were blinded to group allocation throughout the study period. Capsules were dispensed monthly in identical opaque blister packs.
The intervention group received vitamin D₃ (cholecalciferol) 2,000 IU daily for six months, while the placebo group received identical capsules devoid of active ingredients. Participants were advised to maintain their usual diet and avoid other vitamin D supplements or fortified products. Adherence was assessed at monthly follow-ups through capsule counts and compliance diaries.
The primary outcome was the number of acute respiratory infection (ARI) episodes per participant over six months. ARI was defined as the presence of at least two respiratory symptoms (e.g., cough, sore throat, nasal congestion, dyspnea, or fever ≥38°C) lasting 48 hours or more, confirmed by a physician.
Changes in serum 25(OH)D concentrations between baseline and six months.
The sample size was estimated using the formula for comparing two means, assuming a 25% reduction in ARI incidence with vitamin D supplementation, 80% power, 5% alpha error, and a 10% attrition rate. The minimum sample required per group was 180 participants, which was increased to 200 per group (total n = 400) to ensure adequate power.
Baseline demographic and clinical information, including age, sex, BMI, lifestyle factors (sunlight exposure, diet, smoking), and comorbidities, were recorded using a structured case record form. Participants maintained symptom diaries for ARI episodes, which were validated by study physicians during monthly visits. Serum 25(OH)D and serum calcium were measured using chemiluminescence immunoassay (CLIA) at baseline and after six months.
Data were analyzed using SPSS version 26.0 (IBM Corp, USA). Descriptive statistics were expressed as mean ± standard deviation (SD) or frequencies (%). Between-group comparisons were performed using the independent samples t-test for continuous variables and the chi-square test for categorical variables. Repeated measures analysis of variance (ANOVA) was used to evaluate longitudinal changes in serum vitamin D levels. A p-value less than 0.05 was considered statistically significant.
All adverse events were recorded and reviewed by an independent Data and Safety Monitoring Board (DSMB). Participants developing hypercalcemia (>10.5 mg/dL) or reporting persistent side effects were withdrawn from the study and appropriately managed.
A total of 400 participants were enrolled in the study and randomized equally into two groups: vitamin D₃ supplementation (n = 200) and placebo (n = 200). Fourteen participants (7 from each group) were lost to follow-up, leaving 386 participants (193 per group) for final analysis. Baseline demographic and clinical characteristics were comparable between groups. The mean baseline serum 25-hydroxyvitamin D [25(OH)D] concentration was 21.6 ± 5.1 ng/mL across all participants. After six months of intervention, the mean serum 25(OH)D level significantly increased in the vitamin D group but remained nearly unchanged in the placebo group. The incidence and duration of acute respiratory infections (ARIs) were significantly lower among participants receiving vitamin D supplementation. No serious adverse events, including hypercalcemia, were observed in either group.
This table presents demographic data, including age, sex, and BMI, demonstrating comparability between groups at baseline.
Table 3: Change in Serum 25(OH)D Levels After Six Months
This table displays the significant rise in serum vitamin D levels following supplementation.
This table compares mean illness duration between the two groups.
This table outlines ARI occurrence across different seasons.
This table shows that no major adverse reactions were reported.
This table compares ARI incidence according to initial 25(OH)D strata.
This table provides an overall summary of intervention outcomes.
Table 1 established that both groups were demographically similar, ruling out confounding baseline variability. Table 2 confirmed equivalence in baseline biochemical parameters, ensuring internal validity. Table 3 revealed a statistically significant increase in serum 25(OH)D in the intervention group, confirming effective absorption and adherence. Table 4 demonstrated that vitamin D supplementation significantly reduced ARI incidence, while Table 5 and Table 6 highlighted reductions in both illness duration and symptom severity, indicating improved clinical recovery. Table 7 suggested that protective effects were particularly notable during winter months when baseline vitamin D levels were lowest. Table 8 reflected high compliance rates across both groups, strengthening data reliability. Table 9 and Table 10 confirmed the safety of daily supplementation without biochemical abnormalities. Table 11 revealed that participants with lower baseline vitamin D benefited most, supporting dose-responsiveness. Finally, Table 12 consolidated these findings, showing strong statistical significance across all primary and secondary endpoints, thereby reinforcing the preventive efficacy and safety of daily vitamin D₃ supplementation in reducing acute respiratory infection burden.
This double-blind randomized controlled trial was conducted to evaluate the efficacy of daily vitamin D₃ supplementation in preventing acute respiratory infections (ARIs) among adults with suboptimal baseline serum 25-hydroxyvitamin D levels [8]. The findings of this study demonstrate a statistically and clinically significant reduction in both the incidence and duration of ARIs in participants who received daily vitamin D supplementation compared to those who received placebo. Moreover, the supplementation regimen was safe and well-tolerated, with no reported cases of hypercalcemia or major adverse effects [9].
The results corroborate and extend the growing body of evidence that implicates vitamin D as a key immunomodulatory factor influencing susceptibility to respiratory infections. The significant rise in mean serum 25(OH)D concentration from approximately 21.5 ng/mL to 38.9 ng/mL among supplemented participants indicates that the dosage of 2,000 IU/day was adequate to restore and maintain sufficient vitamin D status [10]. This biochemical improvement was associated with a 52% reduction in the incidence of ARI episodes and a 35% reduction in mean illness duration, consistent with mechanistic evidence that vitamin D enhances host defense by upregulating antimicrobial peptides and modulating inflammatory cytokine profiles [11].
Several previous trials and meta-analyses have reported similar trends. Martineau et al. (2017) in a pooled analysis of 25 randomized controlled trials involving over 11,000 participants found that vitamin D supplementation reduced the risk of ARI by 12%, with the greatest benefits observed in those with baseline deficiency and in trials employing daily or weekly dosing rather than large intermittent boluses [4]. The current study supports this conclusion by using a daily regimen, which likely provided a more stable serum concentration conducive to immune regulation. Furthermore, the magnitude of protection observed here (about 50% risk reduction) is higher than average meta-analytic estimates, possibly due to the relatively homogeneous baseline deficiency status of the participants and consistent compliance achieved under supervised clinical monitoring [12,13]. The immunological rationale underlying these findings has been well established. Vitamin D receptor (VDR) activation in immune cells stimulates transcription of antimicrobial peptides such as cathelicidin and β-defensin-2, enhancing mucosal defense against respiratory pathogens. Concurrently, vitamin D attenuates the exaggerated pro-inflammatory response often seen in severe viral infections by downregulating interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α) while promoting anti-inflammatory interleukin-10 (IL-10) [14]. This dual role helps maintain epithelial integrity, reduce viral replication, and limit collateral tissue injury mechanisms that together contribute to reduced infection frequency and symptom severity as observed in this trial [15].
In addition, the seasonal distribution analysis demonstrated that the preventive effect of vitamin D supplementation was most pronounced during winter, a period typically associated with lower ultraviolet B exposure and consequently reduced endogenous vitamin D synthesis. This observation reinforces the concept of seasonal susceptibility mediated by vitamin D fluctuations and supports the potential for targeted supplementation during months of reduced sunlight exposure [16]. From a safety perspective, the supplementation dose of 2,000 IU/day proved to be well within the tolerable upper intake level and did not induce hypercalcemia or adverse metabolic effects. Previous safety evaluations have confirmed that daily doses up to 4,000 IU are generally safe for healthy adults, and the current findings further substantiate that moderate-dose continuous supplementation provides effective immune benefits without toxicity risks [17]. The findings also hold significant implications for public health policy. Vitamin D deficiency remains highly prevalent in India and other low-latitude countries despite abundant sunlight, largely due to indoor lifestyles, clothing habits, skin pigmentation, and dietary insufficiency. The observed preventive benefit against ARIs suggests that correcting this deficiency through safe, low-cost supplementation could represent a practical strategy to reduce the overall burden of respiratory illness, lower antibiotic use, and minimize productivity loss due to frequent infections. In addition, during global pandemics such as COVID-19, adequate vitamin D status may serve as an adjunctive protective measure, given its established immunomodulatory effects and the observed associations between low vitamin D levels and adverse respiratory outcomes [18]. Despite these encouraging findings, several limitations must be acknowledged. First, the study population was limited to adults aged 18–65 years without chronic comorbidities, and the results may not be generalizable to pediatric, geriatric, or immunocompromised populations. Second, ARI diagnosis was based on clinical criteria rather than microbiological confirmation, though this approach reflects real-world community practice [19]. Third, while serum 25(OH)D was measured at baseline and at the end of the study, intermediate assessments might have provided greater insight into the temporal relationship between vitamin D levels and infection dynamics. Lastly, the six-month follow-up period may not capture long-term sustainability of the preventive effect [20].
Nevertheless, the study’s strengths include its robust randomized double-blind design, large sample size, strict adherence monitoring, standardized outcome definitions, and comprehensive statistical analysis. The use of a daily dosing schedule with a physiologically relevant dose enhances external validity and clinical applicability. Importantly, the trial demonstrated a consistent pattern of benefit across subgroups stratified by baseline vitamin D levels, indicating that individuals with both moderate and mild deficiency may derive measurable advantage from supplementation.
In summary, the present study provides strong evidence that daily oral vitamin D₃ supplementation at 2,000 IU effectively prevents acute respiratory infections, shortens illness duration, and reduces symptom severity in adults with low baseline vitamin D status. The findings emphasize the potential of vitamin D optimization as a simple, safe, and scalable preventive intervention against respiratory infections.
Future research should focus on evaluating long-term benefits, cost-effectiveness analyses, and implementation strategies for population-level supplementation programs. Moreover, trials including high-risk groups such as elderly individuals, healthcare workers, and patients with chronic lung disease could further refine dosage recommendations and optimize preventive strategies for different demographic categories.
This double-blind randomized controlled trial demonstrates that daily supplementation with 2,000 IU of vitamin D₃ significantly reduces the incidence, duration, and severity of acute respiratory infections among adults with suboptimal baseline serum 25(OH)D levels. The intervention effectively raised serum vitamin D concentrations without causing adverse effects, underscoring both its efficacy and safety. These results highlight the immunoprotective potential of maintaining adequate vitamin D status and suggest that routine screening and supplementation could serve as a cost-effective preventive measure to mitigate the burden of respiratory infections in the general adult population. Broader implementation of vitamin D supplementation programs, especially during winter months and in populations with high deficiency prevalence, may substantially improve community respiratory health outcomes.
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None, D. N. G., None, D. M. B. K. R. & None, D. D. R. K. R. (2025). The Role Of Vitamin D Supplementation In The Prevention Of Acute Respiratory Infections: A Double-Blind Randomized Controlled Trial. International Journal of Medical and Pharmaceutical Research, 6(5), 1385-1391.
None, Dr Naresh Gundapuneni, Dr Madadi Bharath Kanth Reddy and Dr Devarampally Ravi Kishore Reddy . “The Role Of Vitamin D Supplementation In The Prevention Of Acute Respiratory Infections: A Double-Blind Randomized Controlled Trial.” International Journal of Medical and Pharmaceutical Research 6.5 (2025): 1385-1391.
None, Dr Naresh Gundapuneni, Dr Madadi Bharath Kanth Reddy and Dr Devarampally Ravi Kishore Reddy . “The Role Of Vitamin D Supplementation In The Prevention Of Acute Respiratory Infections: A Double-Blind Randomized Controlled Trial.” International Journal of Medical and Pharmaceutical Research 6, no. 5 (2025): 1385-1391.
None, D. N. G., None, D. M. B. K. R. and None, D. D. R. K. R. (2025) ‘The Role Of Vitamin D Supplementation In The Prevention Of Acute Respiratory Infections: A Double-Blind Randomized Controlled Trial’ International Journal of Medical and Pharmaceutical Research 6(5), pp. 1385-1391.
Dr Naresh Gundapuneni DNG, Dr Madadi Bharath Kanth Reddy DMBKR, Dr Devarampally Ravi Kishore Reddy DDRKR. The Role Of Vitamin D Supplementation In The Prevention Of Acute Respiratory Infections: A Double-Blind Randomized Controlled Trial. International Journal of Medical and Pharmaceutical Research. 2025 Sep;6(5):1385-1391.
The International Journal of Medical and Pharmaceutical Research (IJMPR) is an EMBASE (Elsevier)–indexed, open-access journal for high-quality medical, pharmaceutical, and clinical research.
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