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24 pages, 1158 KB  
Article
Efficient Removal of Phosphate, Nitrate, and Ammonia from Wastewater Using Unmodified Woodchip Biochar
by Amani Haddouk, Ismail Trabelsi, Chedly Tizaoui and Mohamed Ali Wahab
Water 2026, 18(2), 211; https://doi.org/10.3390/w18020211 (registering DOI) - 13 Jan 2026
Abstract
Excess nutrients in wastewater pose significant environmental risks, highlighting the need for low-cost treatment strategies that enable their removal. This study evaluated the adsorption capacity of woodchip biochar, a widely available waste material, for phosphate (PO43−), nitrate (NO3 [...] Read more.
Excess nutrients in wastewater pose significant environmental risks, highlighting the need for low-cost treatment strategies that enable their removal. This study evaluated the adsorption capacity of woodchip biochar, a widely available waste material, for phosphate (PO43−), nitrate (NO3), and ammonium (NH4+) in raw and secondary-treated wastewater, and compared the results against those obtained using synthetic solutions. Approach to equilibrium was reached quicker for NH4+ (≈20 min) than for NO3and PO43− (≈40 min), with NH4+ removal reaching up to 80% at a dosage of 20 g/L. Nutrient adsorption kinetics were best described by the pseudo-second-order model for the anionic species (NO3and PO43−), while the pseudo-first-order model provided a better fit for the cationic species NH4+. The Freundlich isotherm provided a good fit to the equilibrium data for all species, indicating the presence of heterogeneous adsorption sites. SEM–EDX and FTIR analyses confirmed nutrient adsorption onto the biochar surface and highlighted the involvement of carboxyl and hydroxyl functional groups, with FTIR showing the greatest spectral changes for NH4+. Adsorption tests using secondary-treated wastewater showed high removal efficiencies (100% PO43−, 25.4% NO3, 89.5% NH4+), whereas performance in raw wastewater was poor (maximum 32% NH4+). Overall, woodchip biochar demonstrates strong potential as a tertiary treatment material, and its nutrient-saturated form may be reused as fertiliser, supporting nutrient recovery within a circular-economy framework. Full article
(This article belongs to the Section Wastewater Treatment and Reuse)
13 pages, 256 KB  
Article
A Cross-Sectional Study of Sex-Specific Associations of Renin and Electrolytes on the Development of Hypertension
by Seong Beom Cho
J. Clin. Med. 2026, 15(2), 643; https://doi.org/10.3390/jcm15020643 (registering DOI) - 13 Jan 2026
Abstract
Background/Objectives: Blood renin and electrolyte levels are associated with blood pressure and hypertension. While sex-specific effects of such factors have been investigated, exact comparisons of the factors between the sexes have been scarce. Methods: Using cohort data from the Korean Genome [...] Read more.
Background/Objectives: Blood renin and electrolyte levels are associated with blood pressure and hypertension. While sex-specific effects of such factors have been investigated, exact comparisons of the factors between the sexes have been scarce. Methods: Using cohort data from the Korean Genome and Environmental Study (KoGES), the study population that did not receive any interventions for blood pressure was determined. Blood levels of renin and electrolytes, including sodium, potassium, chloride, and calcium, were used to test their relationship with hypertension and blood pressure. Confounding variables, including age, body mass index (BMI), waist-to-hip ratio, family history of hypertension, alcohol consumption, smoking, blood urea nitrogen, creatinine, protein, and albumin levels, were used for adjustment in the multiple regression analysis. Results: In the single-variable analysis, sodium levels were significantly higher in the female population, and showed strong associations in the multiple regression analysis. Blood potassium levels showed no significant sex-specific differences. Among these factors, renin showed the greatest significance in both the total population and sex-specific groups. Moreover, in the development of hypertension, the effect size of renin was significantly different between sexes. Additionally, BMI tended to show stronger associations in females. Conclusions: This study identified sex-specific differential effects of renin and other electrolytes that are important in the pathophysiology of blood pressure. These findings provide clues for the more precise management of hypertension. Full article
(This article belongs to the Section Cardiovascular Medicine)
22 pages, 659 KB  
Article
Perceived Financial Strain and Adolescent Mental Health: Evidence from a Population-Based Study in South Tyrol, Italy
by Christian J. Wiedermann, Verena Barbieri, Hendrik Reismann, Giuliano Piccoliori, Adolf Engl and Doris Hager von Strobele-Prainsack
Children 2026, 13(1), 121; https://doi.org/10.3390/children13010121 (registering DOI) - 13 Jan 2026
Abstract
Background/Objectives: Socioeconomic stressors, such as financial strain, rising living costs, and perceived price burden, have gained relevance in the post-pandemic period and may adversely affect adolescent mental health. This study examined the association between subjective financial stress and symptoms of depression, anxiety, and [...] Read more.
Background/Objectives: Socioeconomic stressors, such as financial strain, rising living costs, and perceived price burden, have gained relevance in the post-pandemic period and may adversely affect adolescent mental health. This study examined the association between subjective financial stress and symptoms of depression, anxiety, and emotional/behavioral difficulties among adolescents in Northern Italy. Methods: Data were obtained from the 2025 Corona and Psyche South Tyrol (COP-S) population survey. A total of 2554 adolescents aged 11–19 years and their parents participated; 1598 adolescents provided complete data for analyses of socioeconomic stressors (parent-reported Family Affluence Scale III, adolescent self-reported and parent proxy and self-reported burden due to price increases). Mental health outcomes included depressive symptoms (PHQ-2), generalized anxiety (SCARED-GAD), and emotional/behavioral difficulties (SDQ). Associations were assessed using chi-square tests, Kendall’s tau correlations, and two-factor ANOVA models. Results: Elevated depressive symptoms were present in 10.7% of adolescents, emotional/behavioral difficulties in 13.9%, and anxiety symptoms in 27.9% of adolescents. Female adolescents consistently showed higher symptom levels in all domains. Self-reported financial burden was the strongest and most consistent correlate of mental health problems, demonstrating small-to-moderate positive correlations with depressive symptoms (τ = 0.20, p < 0.001), emotional/behavioral difficulties (τ = 0.14, p < 0.001), and anxiety (τ = 0.25, p < 0.001). Parent-reported burden showed weaker and less consistent associations, and the Family Affluence Scale III was not significantly related to any of the mental health outcomes. ANOVA models indicated that adolescents’ own perception of financial burden significantly predicted anxiety levels in both age groups (11–14 and 15–19 years), whereas discrepancies between adolescent and parent burden perceptions were particularly relevant among younger adolescents. Conclusions: In this affluent European region, subjective financial strain, especially adolescents’ perception of burden due to rising prices, is a stronger determinant of depressive symptoms, anxiety, and psychosocial difficulties than parental burden reports or structural affluence indicators. Adolescents, especially females, appear to be particularly vulnerable. These findings underscore the importance of addressing subjective financial stress in adolescent mental health and public health strategies. Full article
12 pages, 850 KB  
Article
Modulation Analysis of Monovector and Multivector Predictive Control of Five-Phase Drives
by Manuel G. Satué, Juana M. Martínez-Heredia and José L. Mora
Modelling 2026, 7(1), 17; https://doi.org/10.3390/modelling7010017 (registering DOI) - 13 Jan 2026
Abstract
The Finite State Model Predictive Control (FSMPC) of variable speed drives is the subject of many works in the recent literature. Many variants of FSMPC exist, each aiming at an aspect such as the complexity of the cost function, switching frequency, current quality, [...] Read more.
The Finite State Model Predictive Control (FSMPC) of variable speed drives is the subject of many works in the recent literature. Many variants of FSMPC exist, each aiming at an aspect such as the complexity of the cost function, switching frequency, current quality, etc. In the case of multiphase drives, two popular variants are the monovector and multivector techniques. Despite past efforts to compare different techniques, the field must still reach a consensus regarding the relative merits of each one. This paper presents a new method to compare two families of FSMPC. The method is based on a reduced set of figures of merit using the current modulation index as the variable. The comparison is made for the equal usage of the power converter in terms of commutations. The results point to better values for the figures of merit for the monovector that, in addition, portrays more flexibility and better DC link usage. Full article
22 pages, 566 KB  
Article
Assessing Questionable and Responsible Research Practices in Psychology Master’s Theses
by Hilde E. M. Augusteijn, Jelte M. Wicherts, Klaas Sijtsma and Marcel A. L. M. van Assen
Behav. Sci. 2026, 16(1), 110; https://doi.org/10.3390/bs16010110 (registering DOI) - 13 Jan 2026
Abstract
Recent research has documented both questionable and responsible research practices in published psychology research, but it is unclear which research practices psychology students engage in when graduating from their master’s program. In this study, we documented the prevalence of responsible and questionable research [...] Read more.
Recent research has documented both questionable and responsible research practices in published psychology research, but it is unclear which research practices psychology students engage in when graduating from their master’s program. In this study, we documented the prevalence of responsible and questionable research practices in 300 psychology master’s theses from Tilburg University, the Netherlands, and associated these practices with supervisor’s grading of the theses. Compared to authors of published scientific manuscripts, master’s students seemed to engage more in responsible research practices, conducted more power analyses, used larger sample sizes, reported fewer statistically significant results, and provided more detailed reporting of their results. However, statistical reporting errors were almost as common in master’s theses as they are in the published literature. We found no relationship between thesis grades and any of the responsible or questionable research practices. We also found no relationships among practices, suggesting that there is no unidimensional construct of “responsible scientific behavior”. Full article
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15 pages, 51755 KB  
Article
Underwater Acoustic Data Transmission in the Presence of Challenging Multipath Conditions and Shadow Zones: Sea Trial Analysis and Lessons Learned
by Jacopo Lazzarin, Antonio Montanari, Diego Spinosa, Davide Cosimo, Riccardo Costanzi, Filippo Campagnaro and Michele Zorzi
Electronics 2026, 15(2), 358; https://doi.org/10.3390/electronics15020358 (registering DOI) - 13 Jan 2026
Abstract
In comparison to traditional wired and wireless communication scenarios, the underwater channel is peculiar, being significantly more difficult for communication and presenting a unique set of features and impairments, thus necessitating special care in selecting ad hoc encoding and modulation technologies to achieve [...] Read more.
In comparison to traditional wired and wireless communication scenarios, the underwater channel is peculiar, being significantly more difficult for communication and presenting a unique set of features and impairments, thus necessitating special care in selecting ad hoc encoding and modulation technologies to achieve successful transmissions. This process can be aided by simulations, which can be effectively carried out only using a good, detailed channel model validated through sea measurements. This study presents the results of a sea measurement campaign run in May 2024 off the Gulf of La Spezia, Italy, characterized by challenging shallow water conditions and the presence of shadow zones. The collected data is then used to model a simulated channel as faithful as possible to the one experienced during the sea trial. The obtained channel is then used to carry out a comparison of different forward error correction (FEC) codes, highlighting each scheme’s performance in our working context. Conclusive results show that a satisfactory simulated channel was obtained and that a different choice of FEC schemes could have improved the performance of the underwater acoustic communication. Full article
16 pages, 740 KB  
Article
Mitochondrial Dysfunction Combined with Elevated CoQ10 Levels Specifically in Placental Cytotrophoblasts Suggests a Role for Mitophagy in Preeclampsia
by Jessica Ábalos-Martínez, Francisco Visiedo, María Victoria Cascajo-Almenara, Celeste Santos-Rosendo, Victoria Melero-Jiménez, Carlos Santos-Ocaña, Luis Vázquez-Fonseca and Fernando Bugatto
Biology 2026, 15(2), 139; https://doi.org/10.3390/biology15020139 (registering DOI) - 13 Jan 2026
Abstract
Preeclampsia is a serious pregnancy disorder of unknown etiology. One of its cellular hallmarks is increased mitochondrial dysfunction in placental tissue. Further investigation into this aspect may help elucidate the molecular basis of preeclampsia. A total of 24 pregnant women who delivered by [...] Read more.
Preeclampsia is a serious pregnancy disorder of unknown etiology. One of its cellular hallmarks is increased mitochondrial dysfunction in placental tissue. Further investigation into this aspect may help elucidate the molecular basis of preeclampsia. A total of 24 pregnant women who delivered by cesarean section participated in the study: n = 13 controls and n = 11 diagnosed with preeclampsia. Maternal blood samples were collected to assess the biochemical profile, and demographic and clinical data were recorded. Placental trophoblast samples were processed to isolate mitochondria and perform molecular biology assays. Women with preeclampsia exhibited the characteristic clinical features of the disease, along with biochemical alterations consistent with an inflammatory process. A significant decrease (73%) in mitochondrial DNA (mtDNA) copy number in trophoblastic tissue and a reduction in citrate synthase (CS) activity (−51%) in cytotrophoblast mitochondria-enriched fractions were observed in preeclampsia, indicating mitochondrial dysfunction accompanied by a loss of functional mitochondrial mass. In addition, we detected a marked decrease in MnSOD levels (−32%), together with an increase in the LC3II/LC3I ratio (47%) in cytotrophoblast mitochondria-enriched fractions, supporting the presence of mitochondrial alterations and suggesting the possible activation of mitophagy specifically in this cell type. Moreover, coenzyme Q10 (CoQ10) levels were elevated by 31% in trophoblastic villi. A pronounced 2.5-fold increase in CoQ10 normalized to CS activity (CoQ10/CS) was detected specifically in cytotrophoblasts from preeclamptic placentas. Importantly, we did not observe these alterations in the syncytiotrophoblast. In conclusion, preeclampsia is associated with mitochondrial dysfunction and increased CoQ10 levels normalized to CS activity, specifically in cytotrophoblast mitochondria, with findings being consistent with a possible involvement of mitophagy in this cell type. These findings suggest that cytotrophoblast mitochondrial metabolism may be more affected in preeclampsia compared with syncytiotrophoblasts, and that CoQ10 accumulation together with the possible activation of mitophagy may represent cellular defense mechanisms. Due to the limitations of the study, it should be considered exploratory and hypothesis-generating, and its results should be regarded as preliminary. Full article
(This article belongs to the Section Biochemistry and Molecular Biology)
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18 pages, 317 KB  
Article
Whole-Process Agricultural Production Chain Management and Land Productivity: Evidence from Rural China
by Qilin Liu, Guangcai Xu, Jing Gong and Junhong Chen
Agriculture 2026, 16(2), 206; https://doi.org/10.3390/agriculture16020206 (registering DOI) - 13 Jan 2026
Abstract
As agricultural labor shifted toward non-farm sectors and the farming population aged, innovative production arrangements became essential to sustain land productivity. While partial agricultural production chain management (PAPM) was widespread, the productivity impact of whole-process agricultural production chain management (WAPM)—a comprehensive model integrating [...] Read more.
As agricultural labor shifted toward non-farm sectors and the farming population aged, innovative production arrangements became essential to sustain land productivity. While partial agricultural production chain management (PAPM) was widespread, the productivity impact of whole-process agricultural production chain management (WAPM)—a comprehensive model integrating all production stages—remained empirically underexplored. Using nationally representative panel data from the China Labor-force Dynamics Survey (CLDS, 2014–2018) for grain-producing households, this study estimates the differential impacts of WAPM and PAPM with a two-way fixed-effects (TWFE) model, supplemented by propensity score matching (PSM) as a robustness check. The results show that WAPM significantly enhanced land productivity. Notably, the effect size of WAPM (coefficient: 0.486) is substantially larger than that of PAPM (coefficient: 0.214), indicating that systematic integration of service chains offers superior efficiency gains over fragmented outsourcing. Mechanism analysis suggests that WAPM improves productivity primarily by alleviating labor constraints and mitigating the disadvantages of small-scale farming. Furthermore, heterogeneity analysis demonstrated that these benefits are amplified in major grain-producing regions and hilly areas. These findings support policies that facilitate a transition from single-link outsourcing toward whole-process integrated service provision. Full article
(This article belongs to the Section Agricultural Economics, Policies and Rural Management)
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13 pages, 549 KB  
Article
A Four-Phenotype Model for Risk Stratification in Heart Failure with Preserved and Mildly Reduced Ejection Fraction: The Role of Sex and Diabetes
by Flavia-Mihaela Stoiculescu, Diana-Ruxandra Hădăreanu, Călin-Dinu Hădăreanu, Maria-Livia Iovănescu, Georgică-Costinel Târtea, Ionuț Donoiu, Petre-Alexandru Cojocaru, Sebastian Militaru, Octavian Istrătoaie and Cristina Florescu
Biomedicines 2026, 14(1), 173; https://doi.org/10.3390/biomedicines14010173 (registering DOI) - 13 Jan 2026
Abstract
Background/Objectives: Sex and diabetes are important determinants of risk in heart failure with mildly reduced and preserved ejection fraction (HFmrEF/HFpEF), yet their combined effects have not been systematically evaluated. This study examined how sex–diabetes phenotypes influence clinical characteristics and the risk of [...] Read more.
Background/Objectives: Sex and diabetes are important determinants of risk in heart failure with mildly reduced and preserved ejection fraction (HFmrEF/HFpEF), yet their combined effects have not been systematically evaluated. This study examined how sex–diabetes phenotypes influence clinical characteristics and the risk of heart failure rehospitalization. Methods: We retrospectively analyzed 1018 HFmrEF/HFpEF patients (2019–2023), classified into four sex–diabetes phenotypes, and performed group comparisons. The primary endpoint was heart failure rehospitalization. Results: Over a mean follow-up of 1463 ± 496 days, 307 patients (30.1%) were rehospitalized for heart failure decompensation. The four phenotypes differed significantly in age, renal function, LV mass, LV dimensions, glycemia, and comorbidity burden (all p < 0.05). Men—particularly those with diabetes—had greater structural remodeling and higher prevalence of smoking, hypercholesterolemia, and atrial fibrillation. In univariate analysis, male sex, diabetes, smoking, NYHA class, lower TAPSE, and lower LVEF were associated with increased risk of rehospitalization. After adjustment for LVEF and NYHA class, male sex (HR 1.28; p = 0.035) and diabetes (HR 1.28; p = 0.036) remained independent predictors. Kaplan–Meier curves demonstrated a clear gradient in event-free survival (log-rank p = 0.015), with women without diabetes showing the best prognosis and diabetic men the worst. Conclusions: Sex and diabetes interact to define distinct risk profiles in HFmrEF/HFpEF. Women without diabetes represent a low-risk phenotype, whereas diabetic men exhibit the highest risk of recurrent heart failure decompensation. These findings support incorporating sex–diabetes phenotyping into routine risk stratification and personalized management. Full article
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19 pages, 3070 KB  
Article
Evaluating the Feasibility of Emission-Aware Routing in Urban Bus Systems: A Case Study in Osnabrück
by Rebecca Kose, Sina-Marie Anker, Mathias Heiker and Sandra Rosenberger
Appl. Sci. 2026, 16(2), 822; https://doi.org/10.3390/app16020822 (registering DOI) - 13 Jan 2026
Abstract
This study quantifies energy consumption and tank-to-wheel (TTW) emissions of urban buses under varying traffic conditions and passenger loads in Osnabrück, Germany, to support emission-aware route assessment in sustainable mobility applications. Exemplary bus trajectories were modeled on a representative 6.17 km route of [...] Read more.
This study quantifies energy consumption and tank-to-wheel (TTW) emissions of urban buses under varying traffic conditions and passenger loads in Osnabrück, Germany, to support emission-aware route assessment in sustainable mobility applications. Exemplary bus trajectories were modeled on a representative 6.17 km route of line M5 (18 m articulated bus; diesel and battery-electric) within a 22.31 km2 traffic net using the Simulation of Urban MObility (SUMO) software, and were calibrated with traffic sensor data. To assess the influence of trajectories in different traffic situations, three different 90 min scenarios were compared (morning peak, noon, night). Trajectory-based energy consumption and greenhouse gas emissions were compared by using the SUMO-implemented emission models HBEFA and PHEMlight, as well as data from the literature. Both diesel and electric buses showed variations in energy consumption depending on the traffic conditions, with generally lower energy consumption for electric propulsion. Temporal differences in the TTW emissions of the diesel bus were modest, with slightly higher morning values, while spatial analysis showed PM peaks in pedestrian zones, NOx peaks during acceleration phases, and CO2 increases after stops and in low-speed areas. The results provide spatially resolved TTW factors for integration into routing applications, excluding upstream and non-exhaust processes in line with the defined system boundary. Full article
(This article belongs to the Section Transportation and Future Mobility)
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3 pages, 353 KB  
Correction
Correction: Storms et al. Identification of Hunnivirus in Bovine and Caprine Samples in North America. Viruses 2025, 17, 1491
by Suzanna Storms, Ailam Lim, Christian Savard, Yaindrys Rodriguez Olivera, Sandipty Kayastha and Leyi Wang
Viruses 2026, 18(1), 106; https://doi.org/10.3390/v18010106 (registering DOI) - 13 Jan 2026
Abstract
Text Correction [...] Full article
(This article belongs to the Section Animal Viruses)
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21 pages, 2458 KB  
Article
STS-AT: A Structured Tensor Flow Adversarial Training Framework for Robust Intrusion Detection
by Juntong Zhu, Zhihao Chen, Rong Cong, Hongyu Sun and Yanhua Dong
Sensors 2026, 26(2), 536; https://doi.org/10.3390/s26020536 (registering DOI) - 13 Jan 2026
Abstract
Network intrusion detection is a key technology for ensuring cybersecurity. However, current methods face two major challenges: reliance on manual feature engineering, which leads to the loss of discriminative information, and the vulnerability of deep learning models to adversarial sample attacks. To address [...] Read more.
Network intrusion detection is a key technology for ensuring cybersecurity. However, current methods face two major challenges: reliance on manual feature engineering, which leads to the loss of discriminative information, and the vulnerability of deep learning models to adversarial sample attacks. To address these issues, this paper proposes STS-AT, a novel network intrusion detection method that integrates structured tensors with adversarial training. The method consists of three core components: first, structured tensor encoding, which fully converts raw hexadecimal traffic into a numerical representation; second, a hierarchical deep learning model that combines CNN and LSTM networks to simultaneously learn spatial and temporal features of the traffic; third, a multi-strategy adversarial training method that enhances model robustness by adaptively adjusting the mix of adversarial samples in different training phases. Experiments on the CICIDS2017 dataset show that the proposed method achieves an accuracy of 99.6% in normal traffic classification, significantly outperforming classical machine learning baselines such as Random Forest (93.1%) and Support Vector Machine (84.7%). Crucially, under various adversarial attacks (FGSM, PGD, and DeepFool), the accuracy of an undefended model drops to as low as 24.4%, whereas after multi-strategy adversarial training, the defense accuracy rises above 96.8%. Meanwhile, the total training time is reduced by approximately 67.6%. These results verify that structured tensor encoding effectively preserves original traffic information, the hierarchical model achieves comprehensive feature learning, and multi-strategy adversarial training significantly improves training efficiency while ensuring robust defense effectiveness. Full article
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16 pages, 1233 KB  
Article
Noble Metal-Enhanced Chemically Sensitized Bi2WO6 for Point-of-Care Detection of Listeria monocytogenes in Ready-to-Eat Foods
by Yong Zhang, Hai Yu, Yu Han, Shu Cui, Jingyi Yang, Bingyang Huo and Jun Wang
Foods 2026, 15(2), 293; https://doi.org/10.3390/foods15020293 (registering DOI) - 13 Jan 2026
Abstract
Listeria monocytogenes (LM) contamination constitutes a paramount global threat to food safety, necessitating the urgent development of advanced, rapid, and non-destructive detection methodologies to ensure food security. This study successfully synthesized Bi2WO6 nanoflowers through optimized feed ratios of [...] Read more.
Listeria monocytogenes (LM) contamination constitutes a paramount global threat to food safety, necessitating the urgent development of advanced, rapid, and non-destructive detection methodologies to ensure food security. This study successfully synthesized Bi2WO6 nanoflowers through optimized feed ratios of raw materials and further functionalized them with noble metal Au to construct a high-performance Au-Bi2WO6 composite nanomaterial. The composite exhibited high sensing performance toward acetoin, including high sensitivity (Ra/Rg = 36.9@50 ppm), rapid response–recovery kinetics (13/12 s), and excellent selectivity. Through UV-Vis diffuse reflectance spectroscopy (UV-Vis DRS) and X-ray photoelectron spectroscopy (XPS) characterizations, efficient electron exchange between Au and Bi2WO6 was confirmed. This electron exchange increased the initial resistance of the material, effectively enhancing the response value toward the target gas. Furthermore, the chemical sensitization effect of Au significantly increased the surface-active oxygen content, promoted gas–solid interfacial reactions, and improved the adsorption capacity for target gases. Compared to conventional turbidimetry, the Au-Bi2WO6 nanoflower-based gas sensor demonstrates superior practical potential, offering a novel technological approach for non-destructive and rapid detection of foodborne pathogens. Full article
21 pages, 379 KB  
Article
Elder Gerontius (Gherontie) of Tismana and the Paradigm of the Fool for Christ—Contemporary Perspectives on Paradoxical Holiness
by Răzvan Brudiu and Călin-Alexandru Ciucurescu
Religions 2026, 17(1), 94; https://doi.org/10.3390/rel17010094 (registering DOI) - 13 Jan 2026
Abstract
This study examines the phenomenon of “foolishness for Christ” as reflected in the contemporary Orthodox figure of Elder Gerontius of Tismana. Starting with a general review of the diverse phenomena of divine madness present in various world religions, we then move onto the [...] Read more.
This study examines the phenomenon of “foolishness for Christ” as reflected in the contemporary Orthodox figure of Elder Gerontius of Tismana. Starting with a general review of the diverse phenomena of divine madness present in various world religions, we then move onto the Orthodox Christian tradition, where such apparent eccentric behavior is interpreted as an expression of deep asceticism and spiritual insight. Based primarily on memorial and testimonial sources (oral accounts, written recollections, and biographical notes), the research employs a hermeneutical and phenomenological approach to interpret how such figures are perceived within ecclesial life. Using Christos Yannaras’ theological criteria for discerning authentic “holy folly”, our paper argues that Elder Gerontius convincingly fits this ascetic paradigm. The study further suggests that the presence of such charismatic and unconventional figures may signal a form of spiritual renewal within contemporary Orthodoxy, revealing the dynamic interplay between prophetic charisma and institutional order in the life of the Church. Full article
22 pages, 3392 KB  
Systematic Review
Factors Affecting the Treatment Heterogeneity of PPARγ and Pan-PPAR Agonists in Type 2 Diabetes Mellitus: A Systematic Review and Machine Learning-Based Meta-Regression Analysis
by Xinlei Zhang, Yingning Liu, Ming Chu, Linong Ji and Xiantong Zou
Pharmaceuticals 2026, 19(1), 139; https://doi.org/10.3390/ph19010139 (registering DOI) - 13 Jan 2026
Abstract
Background/Objectives: Significant heterogeneity in the treatment response to peroxisome proliferator-activated receptor γ (PPARγ) agonists exists, and predictive factors for their efficacy remain unclear. We aimed to assess the relationships between routinely available clinical features and the efficacy of PPARγ agonists and pan-PPAR [...] Read more.
Background/Objectives: Significant heterogeneity in the treatment response to peroxisome proliferator-activated receptor γ (PPARγ) agonists exists, and predictive factors for their efficacy remain unclear. We aimed to assess the relationships between routinely available clinical features and the efficacy of PPARγ agonists and pan-PPAR agonists by meta-regression analysis. Methods: We searched PubMed, Embase, Cochrane Library, ClinicalTrials.gov and the WHO International Clinical Trials Registry Platform (ICTRP) and included randomised controlled trials involving type 2 diabetes patients with 12-week or longer treatment durations with PPARγ agonists or pan-PPAR agonists published before 11 November 2023 (PROSPERO registration number: CRD42024578987). We conducted mixed-effect meta-regression analyses between baseline variables and treatment response. Moreover, we developed a machine learning-based meta-forest model and ranked the relative importance of each variable. Results: In 147 studies involving 29,250 participants, PPARγ and pan-PPAR agonists significantly reduced HbA1c (mean difference(MD) = −0.8876 [95% confidence interval (CI): −0.8999, −0.8754]; p < 0.0001, I2 = 96.0%) and FPG = (MD = −1.7900 [95% CI: −1.9137, −1.6663]; p < 0.0001, I2 = 92.0%). Multivariable association analysis suggested that a greater proportion of female participants (β = 0.0066 [95% CI: 0.0012, 0.0121]; p = 0.017), younger age (β = −0.0314 [95% CI: −0.05, −0.0129]; p = 0.0009) and lower HDL-C levels (β = −0.9304 [95% CI: −1.5176, −0.3431]; p = 0.0019) were significantly associated with a greater decrease in HbA1c. A greater proportion of female participants (β = 0.0112 [95% CI: 0.0019, 0.0205]; p = 0.0178) and lower baseline HDL-C levels (β = −1.8722 [95% CI: −2.812, −0.9323]; p < 0.0001) were significantly associated with a greater decrease in FPG. These variables also ranked among the top five most important predictors of drug response in the meta-random forest models. Conclusions: Our study demonstrated that female sex, younger age, and lower HDL-C levels were associated with greater glycaemic lowering effect from PPARγ and pan-PPAR agonists. Full article
(This article belongs to the Section Pharmacology)
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