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15 pages, 1919 KiB  
Article
Degradation of Microplastics in an In Vitro Ruminal Environment
by Sonia Tassone, Rabeb Issaoui, Valentina Balestra, Salvatore Barbera, Marta Fadda, Hatsumi Kaihara, Sara Glorio Patrucco, Stefania Pragliola, Vincenzo Venditto and Khalil Abid
Fermentation 2025, 11(8), 445; https://doi.org/10.3390/fermentation11080445 (registering DOI) - 31 Jul 2025
Viewed by 155
Abstract
Microplastic (MP) pollution is an emerging concern in ruminant production, as animals are exposed to MPs through air, water, and feeds. Ruminants play a key role in MP transmission to humans via animal products and contribute to MP return to agricultural soil through [...] Read more.
Microplastic (MP) pollution is an emerging concern in ruminant production, as animals are exposed to MPs through air, water, and feeds. Ruminants play a key role in MP transmission to humans via animal products and contribute to MP return to agricultural soil through excreta. Identifying effective strategies to mitigate MP pollution in the ruminant sector is crucial. A promising yet understudied approach involves the potential ability of rumen microbiota to degrade MPs. This study investigated the in vitro ruminal degradation of three widely distributed MPs—low-density polyethylene (LDPE), polyethylene terephthalate (PET), and polyamide (PA)—over 24, 48, and 72 h. PET MP exhibited the highest degradation rates (24 h: 0.50 ± 0.070%; 48 h: 0.73 ± 0.057%; and 72 h: 0.96 ± 0.082%), followed by LDPE MP (24 h: 0.03 ± 0.020%; 48 h: 0.25 ± 0.053%; and 72 h: 0.56 ± 0.066%) and PA MP (24 h: 0.10 ± 0.045%; 48 h: 0.02 ± 0.015%; and 72 h: 0.14 ± 0.067%). These findings suggest that the ruminal environment could serve as a promising tool for LDPE, PET, and PA MPs degradation. Further research is needed to elucidate the mechanisms involved, potentially enhancing ruminants’ natural capacity to degrade MPs. Full article
(This article belongs to the Special Issue Ruminal Fermentation: 2nd Edition)
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13 pages, 1022 KiB  
Article
Dual-Layer Spectral CT with Electron Density in Bone Marrow Edema Diagnosis: A Valid Alternative to MRI?
by Filippo Piacentino, Federico Fontana, Cecilia Beltramini, Andrea Coppola, Daniele Mesiano, Gloria Venturini, Chiara Recaldini, Roberto Minici, Anna Maria Ierardi, Velio Ascenti, Simone Barbera, Fabio D’Angelo, Domenico Laganà, Gianpaolo Carrafiello, Giorgio Ascenti and Massimo Venturini
J. Clin. Med. 2025, 14(15), 5319; https://doi.org/10.3390/jcm14155319 - 28 Jul 2025
Viewed by 254
Abstract
Background/Objectives: Although MRI with fat-suppression sequences is the gold standard for diagnosis of bone marrow edema (BME), Dual-Layer Spectral CT (DL-SCT) with electron density (ED) provides a viable alternative, particularly in situations where an MRI is not accessible. Using MRI as the [...] Read more.
Background/Objectives: Although MRI with fat-suppression sequences is the gold standard for diagnosis of bone marrow edema (BME), Dual-Layer Spectral CT (DL-SCT) with electron density (ED) provides a viable alternative, particularly in situations where an MRI is not accessible. Using MRI as the reference standard, this study analyzed how DL-SCT with ED reconstructions may be a valid alternative in the detection of BME. Methods: This retrospective study included 28 patients with a suspected diagnosis of BME via MRI conducted between March and September 2024. Patients underwent DL-SCT using ED reconstructions obtained through IntelliSpace software v. 12.1. Images were evaluated by two experienced radiologists and one young radiologist in a blinded way, giving a grade from 0 to 3 to classify BME (0 absence; 1 mild; 2 moderate; 3 severe). To reduce the recall bias effect, the order of image evaluations was set differently for each reader. p-Values were considered significant when <0.05. Fleiss’ Kappa was used to assess inter-rater reliability: agreement was considered poor for k < 0; slight for k 0.01–0.20; fair for 0.21–0.40; moderate for 0.41–0.60; substantial for 0.61–0.80; and almost perfect for 0.81–1.00. Results: All the readers detected the presence or absence of BME using DL-SCT. Inter-rater reliability for grade 0 resulted in 1 (p-value < 0.001); for grade 1: 0.21 (p-value < 0.001); for grade 2: 0.197 (p-value < 0.001); and for grade 3: 0.515 (p-value < 0.001). Conclusions: ED reconstructions allowed the identification of BME presence or absence in all analyzed cases, thus suggesting DL-SCT as a potentially effective method for its detection. Full article
(This article belongs to the Section Nuclear Medicine & Radiology)
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21 pages, 1518 KiB  
Article
Differences in Vegetative, Productive, and Physiological Behaviors in Actinidia chinensis Plants, cv. Gold 3, as A Function of Cane Type
by Gregorio Gullo, Simone Barbera, Antonino Cannizzaro, Manuel Scarano, Francesco Larocca, Valentino Branca and Antonio Dattola
Plants 2025, 14(14), 2199; https://doi.org/10.3390/plants14142199 - 16 Jul 2025
Viewed by 243
Abstract
This study investigated the influence of cane diameter on vegetative, productive, and physiological behaviors in Actinidia chinensis, cv. Gold 3. Conducted over two years (2021–2022), the experiment compared canes with larger (HD) and smaller (LD) proximal diameters. This research focused on parameters [...] Read more.
This study investigated the influence of cane diameter on vegetative, productive, and physiological behaviors in Actinidia chinensis, cv. Gold 3. Conducted over two years (2021–2022), the experiment compared canes with larger (HD) and smaller (LD) proximal diameters. This research focused on parameters such as shoot morphology, leaf gas exchange, fruit quality, and hydraulic resistance. The results revealed that HD canes promoted more vigorous growth, with a higher proportion of long and medium shoots, whereas LD canes resulted in shorter shoots. Additionally, the HD canes demonstrated a higher leaf area and more extensive leaf coverage, contributing to enhanced photosynthetic activity, as evidenced by enhanced gas exchange, stomatal conductance, and transpiration rates. This higher photosynthetic efficiency in HD canes resulted in more rapid fruit growth, with a larger fruit size and weight, particularly in fruits from non-terminate shoots. By contrast, fruits on LD canes exhibited slower growth, particularly in terms of fresh weight and dry matter accumulation. Despite these differences, maturation indices, including soluble solids and acidity levels, were not significantly affected by cane type. The findings suggest that selecting HD canes during winter pruning could lead to earlier harvests, with improved fruit quality and productivity, making this practice beneficial for optimizing vineyard management in Actinidia chinensis. Full article
(This article belongs to the Section Horticultural Science and Ornamental Plants)
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15 pages, 4269 KiB  
Article
Accuracy Assessment of 3D-Printed Surgical Guides for Palatal Miniscrew Placement: A Retrospective Study
by Angela Mirea Bellocchio, Elia Ciancio, Serena Barbera, Domenico Aiello, Marco Portelli, Angela Militi and Riccardo Nucera
Appl. Sci. 2025, 15(14), 7836; https://doi.org/10.3390/app15147836 - 13 Jul 2025
Viewed by 365
Abstract
Background: The aim of this retrospective study was to conduct an in vivo evaluation of the accuracy of surgical guides obtained via 3D printing technology that were used to transfer the 3D software-planned position and axis during palatal miniscrew placement. Methods: Twenty-four Caucasian [...] Read more.
Background: The aim of this retrospective study was to conduct an in vivo evaluation of the accuracy of surgical guides obtained via 3D printing technology that were used to transfer the 3D software-planned position and axis during palatal miniscrew placement. Methods: Twenty-four Caucasian subjects with permanent dentition underwent a CBCT examination to plan palatal skeletal anchorage using two miniscrews in the anterior palatal arch. A specific software function capable of identifying and displaying all CBCT scans passing through the planned miniscrew axis was used to identify the scan showing the maximum discrepancy between the planned and final miniscrew placement. The maximum insertion angle discrepancy and the maximum linear difference between the head and tip of the miniscrew were measured on the overlaid 3D STL models of the planned miniscrew position at CBCT with the final clinical position of the miniscrew. Results: Descriptive and inferential statistics were performed. On average, there was a discrepancy between the planned insertion axis and the final insertion axis of 2.95° (SD ± 1.13°), with a 10 mm miniscrew length. Conclusion: Three-dimensional I.-printed surgical guides for palatal miniscrew placement show a mean deviation of 2.95° from the planned position, indicating good but improvable accuracy in placement. Full article
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26 pages, 1506 KiB  
Article
Exploring the Functional Properties of Leaves of Moringa oleifera Lam. Cultivated in Sicily Using Precision Agriculture Technologies for Potential Use as a Food Ingredient
by Carlo Greco, Graziella Serio, Enrico Viola, Marcella Barbera, Michele Massimo Mammano, Santo Orlando, Elena Franciosi, Salvatore Ciulla, Antonio Alfonzo, Rosario Schicchi, Daniela Piazzese, Carla Gentile, Luca Settanni, Giuseppe Mannino and Raimondo Gaglio
Antioxidants 2025, 14(7), 799; https://doi.org/10.3390/antiox14070799 - 27 Jun 2025
Viewed by 426
Abstract
This study aimed to evaluate the microbiological quality and functional properties of Moringa oleifera Lam. leaves from plants cultivated in Sicily, with the objective of exploring their potential use in functional food production. Precision agriculture techniques, including unmanned aerial vehicle-based multispectral remote sensing, [...] Read more.
This study aimed to evaluate the microbiological quality and functional properties of Moringa oleifera Lam. leaves from plants cultivated in Sicily, with the objective of exploring their potential use in functional food production. Precision agriculture techniques, including unmanned aerial vehicle-based multispectral remote sensing, were used to determine the optimal harvesting time for M. oleifera. After harvesting, leaves were dried using a smart solar dryer system based on a wireless sensor network and milled with a laboratory centrifugal mill to produce powdered M. oleifera leaves (PMOLs). Plate counts showed no colonies of undesired microorganisms in PMOLs. The MiSeq Illumina analysis revealed that the class Alphaproteobacteria was dominant (83.20% of Relative Abundance) among bacterial groups found in PMOLs. The hydroalcoholic extract from PMOLs exhibited strong redox-active properties in solution assays and provided antioxidant protection in a cell-based lipid peroxidation model (CAA50: 5.42 μg/mL). Additionally, it showed antiproliferative activity against three human tumour epithelial cell lines (HepG2, Caco-2, and MCF-7), with GI50 values ranging from 121.03 to 237.75 μg/mL. The aromatic profile of PMOLs includes seven phytochemical groups: alcohols, aldehydes, ketones, esters, acids, terpenes, and hydrocarbons. The most representative compounds were terpenes (27.5%), ketones (25.3%), and alcohols (14.5%). Results suggest that PMOLs can serve as a natural additive for functional foods. Full article
(This article belongs to the Section Natural and Synthetic Antioxidants)
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33 pages, 14482 KiB  
Article
AI-Driven Surrogate Model for Room Ventilation
by Jaume Luis-Gómez, Francisco Martínez, Alejandro González-Barberá, Javier Mascarós, Guillem Monrós-Andreu, Sergio Chiva, Elisa Borrás and Raúl Martínez-Cuenca
Fluids 2025, 10(7), 163; https://doi.org/10.3390/fluids10070163 - 26 Jun 2025
Viewed by 342
Abstract
The control of ventilation systems is often performed by automatic algorithms which often do not consider the future evolution of the system in its control politics. Digital twins allow system forecasting for a more sophisticated control. This paper explores a novel methodology to [...] Read more.
The control of ventilation systems is often performed by automatic algorithms which often do not consider the future evolution of the system in its control politics. Digital twins allow system forecasting for a more sophisticated control. This paper explores a novel methodology to create a Machine Learning (ML) model for the predictive control of a ventilation system combining Computational Fluid Dynamics (CFD) with Artificial Intelligence (AI). This predictive model was created to forecast the temperature and humidity evolution of a ventilated room to be implemented in a digital twin for better unsupervised control strategies. To replicate the full range of annual conditions, a series of CFD simulations were configured and executed based on seasonal data collected by sensors positioned inside and outside the room. These simulations generated a dataset used to develop the predictive model, which was based on a Deep Neural Network (DNN) with fully connected layers. The model’s performance was evaluated, yielding final average absolute errors of 0.34 degrees Kelvin for temperature and 2.2 percentage points for relative humidity. The presented results highlight the potential of this methodology to create AI-driven digital twins for the control of room ventilation. Full article
(This article belongs to the Special Issue Machine Learning and Artificial Intelligence in Fluid Mechanics)
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16 pages, 1484 KiB  
Article
Effect of Pectin Extracted from Lemon Peels on the Stability of Buffalo Milk Liqueurs
by Salvatore Velotto, Ignazio Maria Gugino, Miriam La Barbera, Vincenzo Alfeo, Ilaria Proetto, Lucia Parafati, Rosa Palmeri, Biagio Fallico, Elena Arena, Alfio Daniele Romano, Gianluca Tripodi, Lucia Coppola and Aldo Todaro
Beverages 2025, 11(4), 94; https://doi.org/10.3390/beverages11040094 - 24 Jun 2025
Viewed by 721
Abstract
This study aimed to explore innovative process technologies for producing milk liqueurs with balanced and stable formulations. Milk liqueurs are known to pose significant technological challenges due to phase separation, which compromises product stability and reduces shelf-life. Interactions between milk proteins, alcohol, carbohydrates, [...] Read more.
This study aimed to explore innovative process technologies for producing milk liqueurs with balanced and stable formulations. Milk liqueurs are known to pose significant technological challenges due to phase separation, which compromises product stability and reduces shelf-life. Interactions between milk proteins, alcohol, carbohydrates, temperature, and ionic strength play a crucial role in such destabilization. Pectin, known for its stabilizing effect, can mitigate phase separation, enhancing both shelf-life and sensory quality. This research focused on developing stable formulations of liqueur milk based on fresh buffalo milk by incorporating the pectin extracted from lemon peels. Rheological properties, particularly viscosity, were assessed in formulations containing varying percentages of pectin. The most stable formulation was identified as the one containing 0.10% pectin. Accelerated shelf-life testing, modelled using the Arrhenius equation, predicted a shelf-life of 15 months at 25 °C under standard lighting. The findings demonstrate that lemon peel-derived pectin, obtained from agri-food waste, sustainably improves product stability. Further studies are needed to characterize the pectin structure and optimize extraction methods for industrial-scale applications. Full article
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12 pages, 649 KiB  
Review
Melanoma Vaccines: Comparing Novel Adjuvant Treatments in High-Risk Patients
by Joseph C. Broderick, Alexandra M. Adams, Elizabeth L. Barbera, Spencer Van Decar, Guy T. Clifton and George E. Peoples
Vaccines 2025, 13(6), 656; https://doi.org/10.3390/vaccines13060656 - 19 Jun 2025
Viewed by 680
Abstract
Background: The emergence of checkpoint inhibitors (CPIs) has significantly improved survival outcomes in later-stage melanoma. However, the efficacy of these treatments remains limited, with around 50% of later-stage melanoma patients experiencing recurrence. As variable response rates to CPIs persist, the development of cancer [...] Read more.
Background: The emergence of checkpoint inhibitors (CPIs) has significantly improved survival outcomes in later-stage melanoma. However, the efficacy of these treatments remains limited, with around 50% of later-stage melanoma patients experiencing recurrence. As variable response rates to CPIs persist, the development of cancer vaccines has emerged as a potential strategy to augment antitumor immune responses. Results: This review compares two promising personalized therapeutic cancer vaccine trials in advanced melanoma: Elios Therapeutics’ Tumor Lysate (TL) vaccine and Moderna’s mRNA-4157 vaccine. The TL vaccine, which utilizes yeast cell wall particles (YCWPs) loaded with autologous tumor lysate, and the mRNA-4157 vaccine, which encodes up to 34 patient-specific neoantigens, both aim to stimulate robust tumor-specific immune responses. Both trials were phase 2b randomized studies, with Elios Therapeutics’ trial employing a double-blind, placebo-controlled design, while Moderna’s was open-label. Both trials had roughly equivalent sample sizes (n = 187 and n = 157, respectively) with similar demographics and disease characteristics. The TL trial reported improvements in disease-free survival (DFS) with a hazard ratio (HR) of 0.52 (p < 0.01) over 36 months, whereas the mRNA-4157 trial demonstrated improvements in recurrence-free survival (RFS) with an HR of 0.56 (p = 0.053) over 18 months. The TL vaccine exhibited lower rates of related grade 3 adverse events (<1%) compared to the mRNA vaccine (12%). Key differences between the two trials include the use of CPIs, with 100% of patients in the mRNA trial receiving pembrolizumab versus 37% of the patients in the TL trial receiving either an anti-PD-1 or anti-CTLA-4. The production processes also varied significantly, with the mRNA vaccine requiring individualized sequencing and a 9-week production time, while the TL vaccine utilized tumor lysate with a 1–3-day production time. Conclusions: While both vaccines demonstrated promising efficacy, future phase 3 trials are needed to further evaluate their potential as adjuvant therapies for melanoma. This review highlights the comparative strengths and limitations of these vaccine platforms, providing insight into the evolving landscape of adjuvant cancer vaccines. Full article
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20 pages, 2532 KiB  
Article
Feeding Habits of the Invasive Atlantic Blue Crab Callinectes sapidus in Different Habitats of the SE Iberian Peninsula, Spain (Western Mediterranean)
by Fikret Öndes, Isabel Esteso, Elena Guijarro-García, Elena Barcala, Francisca Giménez-Casalduero, Alfonso A. Ramos-Esplá and Carmen Barberá
Water 2025, 17(11), 1615; https://doi.org/10.3390/w17111615 - 26 May 2025
Viewed by 833
Abstract
The blue crab Callinectes sapidus Rathbun, 1896 is native to the western coast of the Atlantic Ocean. Although its arrival to the Mediterranean was probably due to ballast water, this species has several characteristics that have enabled it to successfully invade countless localities [...] Read more.
The blue crab Callinectes sapidus Rathbun, 1896 is native to the western coast of the Atlantic Ocean. Although its arrival to the Mediterranean was probably due to ballast water, this species has several characteristics that have enabled it to successfully invade countless localities in the Mediterranean and the Black Sea. Little is known about its feeding habits and ecosystem impacts in the Mediterranean basin. This study aimed to provide information on the natural diet of C. sapidus by comparing the stomach contents of specimens caught in different seasons and habitats of the SE Iberian Peninsula (hypersaline waters in Mar Menor Lagoon and brackish waters in Guardamar Bay). This study also tested whether gender influences prey selection and if ovigerous females exhibit limited feeding activity. Regarding the frequency of occurrence, the results indicated that in Mar Menor Lagoon the most frequently consumed prey were Crustacea (60%), followed by fish (57%) and Mollusca (29%), whilst in Guardamar Bay, Mollusca (40%), sediment (32%), algae (24%) and Crustacea (24%) were dominant. It has been determined that this species predates heavily on Mediterranean shrimp Penaeus kerathurus, an economically important shrimp species in the lagoon area. Analysis using a generalised linear model indicated that sex, season and size class were factors that significantly influenced the stomach content weight. Furthermore, non-ovigerous females had significantly fuller stomachs than ovigerous individuals. Since the population of Callinectes sapidus tends to increase in the Mediterranean basin, monitoring of its feeding ecology is recommended to determine its impact on the ecosystem. Full article
(This article belongs to the Special Issue Aquatic Environment and Ecosystems)
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16 pages, 835 KiB  
Article
Enhancing Communication in Minimally Verbal Autistic Children: A Study on NAO-Assisted Therapy
by Marcella Di Cara, Margherita La Fauci, Maria Tresoldi, Maria Rita Caputo, Daniele Borzelli, Roberta Maggio, Caterina Campestre, Antonella Barbera, Adriana Piccolo, Carmela De Domenico, Massimo Di Blasi, Rocco Salvatore Calabrò, Emanuela Tripodi, Caterina Impallomeni and Francesca Cucinotta
J. Clin. Med. 2025, 14(11), 3735; https://doi.org/10.3390/jcm14113735 - 26 May 2025
Viewed by 778
Abstract
Background/Objectives: Minimally verbal autistic children face significant communication challenges, often unmet by traditional therapies. Social robots, like NAO, offer predictable, structured interactions that may improve engagement and language skills. This study aimed to evaluate the effectiveness of NAO-assisted therapy in improving communication [...] Read more.
Background/Objectives: Minimally verbal autistic children face significant communication challenges, often unmet by traditional therapies. Social robots, like NAO, offer predictable, structured interactions that may improve engagement and language skills. This study aimed to evaluate the effectiveness of NAO-assisted therapy in improving communication and social interaction in minimally verbal autistic children compared to standard therapeutic approaches. Methods: In a single-blind, randomized, controlled study, 37 autistic children aged 4–12 years were assigned to either NAO-assisted therapy or standard speech therapy. Participants were assigned to either an NAO-assisted therapy group or a standard speech therapy control group. The intervention included 12 weekly 45 min sessions. Communication outcomes were measured using the Language Development Level Test (TVL) and mand request observations. Results: All 37 participants completed the 12 sessions without adverse events, highlighting the intervention’s feasibility and safety. Children in the NAO-assisted therapy group showed greater improvements in verbal communication (on average, 159 ± 49% more children exhibited improvement across verbal aspects (range: 107–284%; p < 0.001)) particularly in spontaneous communication, compared to the control group. The therapy also increased mand production (from 6.8 ± 4.3 in session 1 to 16.7 ± 7.7 in session 12; p < 0.001; average gain: 0.9 per session), demonstrating steady growth in communicative initiative. These findings underscore the structured and engaging nature of NAO-assisted therapy in supporting consistent progress in communication skills. Conclusions: NAO-assisted therapy is a promising, safe, and effective intervention for enhancing communication in minimally verbal autistic children, offering unique benefits in promoting spontaneous and consistent verbal engagement. Full article
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9 pages, 202 KiB  
Article
Post Mortem Paliperidone Blood Concentrations Following Long-Acting Injectable Treatments
by Pietro Zuccarello, Giulia Carnazza, Antonino Petralia and Nunziata Barbera
Diagnostics 2025, 15(10), 1290; https://doi.org/10.3390/diagnostics15101290 - 21 May 2025
Viewed by 428
Abstract
Background/Objectives: I Paliperidone is an antipsychotic recently added into the market in various formulations. There are few data about safety and on therapeutic, toxic, or lethal blood concentrations. Currently, the published analytical methods are often applied to serum or plasma that are not [...] Read more.
Background/Objectives: I Paliperidone is an antipsychotic recently added into the market in various formulations. There are few data about safety and on therapeutic, toxic, or lethal blood concentrations. Currently, the published analytical methods are often applied to serum or plasma that are not obtained from cadaveric blood. Alternatively, aliquots of high volume of whole blood are used, but often in forensic investigations using samples at very small quantities. The aims of the present study were (a) to develop an analytical method to detect and quantify paliperidone in whole blood using only a small sample volume (10 µL) and (b) to summarize data on post-mortem blood analysis obtained from authentic autopsy cases. Methods: Method validation was carried out on 10 µL of whole blood, extracted by LLE and analyzed by LC-MS. Paliperidone concentrations obtained from blood analysis of 16 authentic autopsy cases were reported. Results: The method showed a good linearity and sensitivity, a normal distribution, the absence of anomalous values, an interday RSD% always less than 10%, and an 80–120% recovery, as required by AAFS guidelines. Femoral blood concentrations obtained from authentic autopsy cases ranged between 23.4 and 146.9 ng/mL. Conclusions: This method is to be used properly in all cases where it is necessary (a) to monitor the therapeutic adherence of patients, (b) to establish the psycho-physical conditions of the treated subject at the time of the death, and (c) to ascertain if the drug may have played a causal role in the obitus. This study reported the first data obtained from post-mortem investigation of subjects treated with paliperidone LAI. Cadaveric blood concentrations could be higher than ante-mortem reference values due to post-mortem redistribution. Full article
14 pages, 10249 KiB  
Article
Poroelastic Characterization of Human Vertebral Metastases to Inform a Transdisciplinary Assessment of Spinal Tumors
by Luigi La Barbera, Tomaso Villa, Francesco Costa, Federica Boschetti, Mario De Robertis, Leonardo Anselmi, Gabriele Capo, Saverio Pancetti and Maurizio Fornari
J. Clin. Med. 2025, 14(9), 2913; https://doi.org/10.3390/jcm14092913 - 23 Apr 2025
Viewed by 420
Abstract
Background and Objectives: Vertebral metastases often lead to pathological fractures and spinal cord compression, thus impacting patient quality of life. This study aimed to quantify the poroelastic mechanical properties of vertebral metastatic tissue explanted during spine surgery and correlate it with clinical [...] Read more.
Background and Objectives: Vertebral metastases often lead to pathological fractures and spinal cord compression, thus impacting patient quality of life. This study aimed to quantify the poroelastic mechanical properties of vertebral metastatic tissue explanted during spine surgery and correlate it with clinical data. Methods: Nine patients (61.7 ± 13.1 years) were prospectively recruited from April 2021 to February 2022, where 78% had a vertebral fracture. Demographic and metastases data, including primary origin, spinal level, lesion volume, and SINS score, were collected, and tissue specimens were explanted during surgery. Using a newly developed portable experimental setup, confined compression creep tests were conducted to measure the aggregate modulus and permeability of each sample. Dealing with limited samples, the results were expressed as the median (min; max). Results: Specimens from the unfractured vertebrae had higher aggregate modulus (200.35 (149.80; 250.90) kPa vs. 14.47 (8.27; 35.89) kPa) and higher permeability (0.02 (0.01; 0.03) mm4/N·s vs. 0.41 (0.10; 4.68) mm4/N·s) compared with the specimens from the fractured vertebrae. Histology revealed prominent levels of neoplastic cell infiltration and disruption of typical bone matrix architecture. Specimens with low neoplastic cellularity had comparable or slightly higher poroelastic properties compared to high cellularity. No clear trend was observed between the mechanical properties and SINS score, nor between the mechanical properties, percentage lesion volume, and fractures. Conclusions: Despite the limited sample size, the poroelastic characterization revealed relevant insights to investigate in future research. A transdisciplinary assessment of vertebral metastases, incorporating poroelastic testing, deserves further attention and could enhance the treatment options. Full article
(This article belongs to the Section Orthopedics)
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10 pages, 885 KiB  
Article
Visual Results After Extended Depth-of-Focus Lens Implantation in Patients Undergoing Clear Lens Surgery
by Emanuel Barberá-Loustaunau, Felipe Couñago, Miguel A. Sánchez-Tena and Nuria Garzón
J. Clin. Med. 2025, 14(8), 2795; https://doi.org/10.3390/jcm14082795 - 18 Apr 2025
Viewed by 641
Abstract
Background/Objectives: To evaluate the efficacy and visual quality provided by the extended depth-of-focus AcrySof IQ Vivity lens (Alcon Laboratories, Inc., Fort Worth, TX, USA) in patients undergoing refractive lens exchange (RLE) surgery for presbyopia correction. Methods: This descriptive prospective single-arm clinical [...] Read more.
Background/Objectives: To evaluate the efficacy and visual quality provided by the extended depth-of-focus AcrySof IQ Vivity lens (Alcon Laboratories, Inc., Fort Worth, TX, USA) in patients undergoing refractive lens exchange (RLE) surgery for presbyopia correction. Methods: This descriptive prospective single-arm clinical study included 30 patients (60 eyes) aged 49–69 years (mean 60.2) who underwent clear lens surgery for presbyopia correction. Postoperative 3-month assessments included uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), distance-corrected intermediate visual acuity (DCIVA), and distance-corrected near visual acuity (DCNVA) measurements. Patient satisfaction and visual disturbances were evaluated using a standardized questionnaire. Results: Postoperative binocular visual acuity results were as follows: UDVA, 0.00 ± 0.06 logMAR; UIVA 0.08 ± 0.07 logMAR; and UNVA, 0.18 ± 0.10 logMAR. Refractive outcomes showed mean spherical equivalent values of −0.15 D ± 0.28 diopters (D) for the right eye and −0.18 D ± 0.30 D for the left eye postoperatively. Most patients (93.2%) were satisfied or very satisfied with the surgery, and 63.3% never needed glasses at any distance postoperatively. Mild and non-disabling photic phenomena were reported by 23% of patients for halos and 30% for glares. Conclusions: The study IOL provides excellent visual acuity for far and intermediate distances, as well as functional near vision under photopic conditions, with high levels of patient satisfaction and minimal visual disturbances. This lens is a promising option for non-cataract patients undergoing RLE for presbyopia correction. Full article
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21 pages, 2386 KiB  
Article
GWAS by Subtraction to Disentangle RBD Genetic Background from α-Synucleinopathies
by Andrea Gaudio, Fabio Gotta, Clarissa Ponti, Alessandro Geroldi, Andrea La Barbera and Paola Mandich
Int. J. Mol. Sci. 2025, 26(8), 3578; https://doi.org/10.3390/ijms26083578 - 10 Apr 2025
Viewed by 822
Abstract
Rapid eye movement (REM) sleep behavior disorder (RBD) is a parasomnia characterized by loss of muscle atonia and abnormal behaviors occurring during REM sleep. Idiopathic RBD (iRBD) is recognized as the strongest prodromal hallmark of α-synucleinopathies, with an established conversion rate to a [...] Read more.
Rapid eye movement (REM) sleep behavior disorder (RBD) is a parasomnia characterized by loss of muscle atonia and abnormal behaviors occurring during REM sleep. Idiopathic RBD (iRBD) is recognized as the strongest prodromal hallmark of α-synucleinopathies, with an established conversion rate to a neurodegenerative condition that reaches up to 96.6% at 15 years of follow-up. Moreover, RBD-converters display a more severe clinical trajectory compared to those that do not present with RBD. However, the extent to which iRBD represents a distinct genetic entity or an early manifestation of neurodegeneration remains unclear. To address this, we applied Genomic Structural Equation Modeling (GenomicSEM) using a GWAS-by-subtraction approach to disentangle the genetic architecture of iRBD from the shared genomic liability across α-synucleinopathies. Our findings highlight the SNCA locus as a key genetic regulator of iRBD susceptibility. While iRBD exhibits a partially distinct genetic signature, residual genomic overlap with neurodegenerative traits suggests that its genetic architecture exists along a continuum of α-synucleinopathy risk. In this scenario, the associations with neuroanatomical correlates may serve as early indicators of a trajectory toward future neurodegeneration. These findings provide a framework for identifying biomarkers that could aid in disease stratification and risk prediction, potentially improving early intervention strategies. Full article
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11 pages, 2042 KiB  
Article
Implementing Symptom-Based Predictive Models for Early Diagnosis of Pediatric Respiratory Viral Infections
by Antoni Soriano-Arandes, Cristina Andrés, Aida Perramon-Malavez, Anna Creus-Costa, Anna Gatell, Ramona Martín-Martín, Elisabet Solà-Segura, Maria Teresa Riera-Bosch, Eduard Fernández, Mireia Biosca, Ramon Capdevila, Almudena Sánchez, Isabel Soler, Maria Chiné, Lidia Sanz, Gabriela Quezada, Sandra Pérez, Dolors Canadell, Olga Salvadó, Marisa Ridao, Imma Sau, Ma Àngels Rifà, Esperança Macià, Sílvia Burgaya-Subirana, Mònica Vila, Jorgina Vila, Asunción Mejías, Andrés Antón, Pere Soler-Palacin and Clara Pratsadd Show full author list remove Hide full author list
Viruses 2025, 17(4), 546; https://doi.org/10.3390/v17040546 - 8 Apr 2025
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Abstract
(1) Background: Respiratory viral infections, including those caused by SARS-CoV-2, respiratory syncytial virus (RSV), influenza viruses, rhinovirus, and adenovirus, are major causes of acute respiratory infections (ARIs) in children. Symptom-based predictive models are valuable tools for expediting diagnoses, particularly in primary care settings. [...] Read more.
(1) Background: Respiratory viral infections, including those caused by SARS-CoV-2, respiratory syncytial virus (RSV), influenza viruses, rhinovirus, and adenovirus, are major causes of acute respiratory infections (ARIs) in children. Symptom-based predictive models are valuable tools for expediting diagnoses, particularly in primary care settings. This study assessed the effectiveness of machine learning-based models in estimating infection probabilities for these common pediatric respiratory viruses, using symptom data. (2) Methods: Data were collected from 868 children with ARI symptoms evaluated across 14 primary care centers, members of COPEDICAT (Coronavirus Pediatria Catalunya), from October 2021 to October 2023. Random forest and boosting models with 10-fold cross-validation were used, applying SMOTE-NC to address class imbalance. Model performance was evaluated via area under the curve (AUC), sensitivity, specificity, and Shapley additive explanations (SHAP) values for feature importance. (3) Results: The model performed better for RSV (AUC: 0.81, sensitivity: 0.64, specificity: 0.77) and influenza viruses (AUC: 0.71, sensitivity: 0.70, specificity: 0.59) and effectively ruled out SARS-CoV-2 based on symptom absence, such as crackles and wheezing. Predictive performance was lower for non-enveloped viruses like rhinovirus and adenovirus, due to their nonspecific symptom profiles. SHAP analysis identified key symptoms patterns for each virus. (4) Conclusions: The study demonstrated that symptom-based predictive models effectively identify pediatric respiratory infections, with notable accuracy for those caused by RSV, SARS-CoV-2, and influenza viruses. Full article
(This article belongs to the Section Human Virology and Viral Diseases)
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