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31 pages, 710 KB  
Review
Review of Floating-Point Arithmetic Algorithms Using Taylor Series Expansion and Mantissa Region Division Techniques
by Jianglin Wei and Haruo Kobayashi
Electronics 2026, 15(5), 1106; https://doi.org/10.3390/electronics15051106 (registering DOI) - 6 Mar 2026
Abstract
This paper presents a comprehensive review of digital floating-point arithmetic algorithms that utilize Taylor series expansion in combination with mantissa-region division techniques, and it further demonstrates their generalization and applicability based on the findings of our research. While the discussion is broad in [...] Read more.
This paper presents a comprehensive review of digital floating-point arithmetic algorithms that utilize Taylor series expansion in combination with mantissa-region division techniques, and it further demonstrates their generalization and applicability based on the findings of our research. While the discussion is broad in scope, this paper consolidates and systematizes the authors’ method within a broader contextual discussion, rather than presenting a fully systematic review of the entire state of the art in floating-point arithmetic algorithms. In many scientific computing applications, compact and low-power hardware implementations are essential. To address these requirements, this review presents algorithms specifically designed to operate under such constraints. The focus is placed on efficient floating-point operations—including division, inverse square root, square root, exponentiation, and logarithmic functions—all realized through Taylor series expansion with mantissa region division techniques. Furthermore, the trade-offs are examined in detail, covering factors such as the required numbers of additions, subtractions, and multiplications, along with the look-up table (LUT) size. The study further identifies the environments and application domains where the Taylor series expansion method combined with mantissa-region division is most effective, based on comparisons with various other floating-point computation algorithms and their corresponding hardware implementations. Overall, the review underscores the value of this unified framework in enabling efficient and adaptable floating-point computation across a wide range of hardware-constrained environments. Full article
18 pages, 6923 KB  
Article
Strain-Rate-Dependent Thermo-Microstructural Evolution in Fe-Mn-Si Shape Memory Alloys Under Cyclic Tensile Training Process
by Qian Sun, Bo Cao and Takeshi Iwamoto
Materials 2026, 19(5), 1025; https://doi.org/10.3390/ma19051025 (registering DOI) - 6 Mar 2026
Abstract
Iron-based shape memory alloys (Fe-SMAs) are promising for structural retrofitting because of their low cost, corrosion resistance, and manufacturability. However, the effect of strain rate on the coupled thermo-microstructural evolution during cyclic training remains underexplored. In this study, samples underwent cyclic tensile training [...] Read more.
Iron-based shape memory alloys (Fe-SMAs) are promising for structural retrofitting because of their low cost, corrosion resistance, and manufacturability. However, the effect of strain rate on the coupled thermo-microstructural evolution during cyclic training remains underexplored. In this study, samples underwent cyclic tensile training at quasi-static and impact strain rates. After each cycle, DSC was adopted to obtain transformation temperatures and enthalpies, and selected cycles were characterized by EBSD (KAM and IPF) to quantify phase fractions and variant statistics. Results show tensile loading shifts transformation temperatures, with the principal difference between regimes appearing in the evolution of martensite finish temperature. Under impact loading, the transformation enthalpy increases more rapidly (0.18 to 0.8 J/g in absolute value), and the driving force decreases more markedly by the fourth cycle (−0.0578 to −0.1117 J/g), indicating faster thermodynamic changes at high strain rates. Internal stress and dislocation storage accumulate faster under impact, lowering the effective stress (−17.01 MPa) for transformation and promoting martensite nucleation/growth. EBSD reveals increasing lattice distortion; in impact-trained samples, single-variant martensite and higher stored energy reduce interface resistance and enable elastic energy release, accelerating transformation and improving shape recovery. Full article
(This article belongs to the Special Issue Microstructural and Mechanical Properties of Metal Alloys)
18 pages, 863 KB  
Article
Bovine Lactoferrin Modulates Mononuclear Cell Activity in Human Palatine Tonsils
by Takumi Yago, Chisane Kujirai, Hirotsugu Oda, Takahiro Inoue, Hisataka Ominato, Risa Wakisaka, Ryosuke Sato, Michihisa Kono, Hidekiyo Yamaki, Kenzo Ohara, Takumi Kumai, Miyuki Tanaka and Miki Takahara
Int. J. Mol. Sci. 2026, 27(5), 2442; https://doi.org/10.3390/ijms27052442 - 6 Mar 2026
Abstract
Lactoferrin (LF) is present in tears, nasal secretions, saliva, and milk and maintains mucosal homeostasis. The palatine tonsils represent the first immune tissue to recognize pathogens invading the oral cavity via Toll-like receptors (TLRs). We aimed to investigate the effects of bovine LF [...] Read more.
Lactoferrin (LF) is present in tears, nasal secretions, saliva, and milk and maintains mucosal homeostasis. The palatine tonsils represent the first immune tissue to recognize pathogens invading the oral cavity via Toll-like receptors (TLRs). We aimed to investigate the effects of bovine LF on tonsillar immune cells stimulated with ligands of TLR7 or TLR9, which recognize viral single-stranded RNA or bacterial unmethylated CpG DNA. Mononuclear cells isolated from palatine tonsils of patients with recurrent tonsillitis or immunoglobulin A (IgA) nephropathy were cultured with LF, TLR7, or TLR9 ligands. Under TLR7 stimulation, LF enhanced the activation of plasmacytoid dendritic cells (pDCs), T-killer cells, and B cells without inducing inflammatory cytokines. In contrast, under TLR9 stimulation, LF suppressed the activation of pDCs, myeloid dendritic cells, T-helper cells, T-killer cells, B cells, and natural killer cells, as well as the production of TNF-α and IL-6. Moreover, LF decreased the production of the B-cell activation factor (BAFF), a proliferation-inducing ligand (APRIL), and galactose-deficient IgA1, all of which are risk factors of IgA nephropathy. Overall, LF may enhance the immune response against viruses and contribute to immune tolerance against commensal bacteria in the palatine tonsils, indicating potential benefits in managing cold-like symptoms, recurrent tonsillitis, and IgA nephropathy. Full article
(This article belongs to the Special Issue New Insights into Lactoferrin: 2nd Edition)
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21 pages, 2112 KB  
Article
Multilayer Propagation of Cross-Country Systemic Risk
by Junhyun Chae and Hiroyasu Inoue
J. Risk Financial Manag. 2026, 19(3), 197; https://doi.org/10.3390/jrfm19030197 - 6 Mar 2026
Abstract
Economic shocks in international systems propagate not only through financial channels but also through real-sector interactions, creating feedback effects that can amplify systemic risk across countries. However, country-level systemic risk assessments often rely on single-layer analyses, potentially overlooking such cross-channel dynamics. To investigate [...] Read more.
Economic shocks in international systems propagate not only through financial channels but also through real-sector interactions, creating feedback effects that can amplify systemic risk across countries. However, country-level systemic risk assessments often rely on single-layer analyses, potentially overlooking such cross-channel dynamics. To investigate how country-level systemic risk interpretations differ across propagation layers, we constructed a multilayer network that integrates cross-border financial exposures and real-sector trade linkages. Using BIS Locational Banking Statistics and UN Comtrade data for 20 countries from 2000 to 2023, we developed a multilayer contagion framework that combines continuous within-layer propagation based on DebtRank with a threshold-based mechanism that activates cross-layer contagion when critical loss levels are exceeded. Initial shocks were calibrated using sovereign credit default swap (CDS), which implies default probabilities, to reflect market-based credit risk conditions. The results show that countries’ systemic roles and risk transmission patterns vary across layers and over time, and that incorporating cross-layer amplification reveals vulnerabilities not captured by single-layer models. Full article
(This article belongs to the Section Risk)
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34 pages, 3243 KB  
Article
Automated and Low Computational Cost Thermo-Mechanical Simulation of Arbitrary GMAW T-Joint Welds Using a Moving Heat Source
by Sebastian Santarrosa-Rodriguez, Israel Martínez-Ramírez, Motomichi Yamamoto, Rocio A. Lizarraga-Morales, Felipe J. Torres, Isaí Espinoza-Torres and Víctor Manuel Vega-Gutierrez
Materials 2026, 19(5), 1021; https://doi.org/10.3390/ma19051021 - 6 Mar 2026
Abstract
Gas Metal Arc Welding (GMAW) is widely adopted in automated manufacturing industries where the accurate prediction of thermal fields and welding-induced distortions is essential to ensure joint integrity of the parts; however, finite element modeling, as the most reliable non-destructive predictive approach, remains [...] Read more.
Gas Metal Arc Welding (GMAW) is widely adopted in automated manufacturing industries where the accurate prediction of thermal fields and welding-induced distortions is essential to ensure joint integrity of the parts; however, finite element modeling, as the most reliable non-destructive predictive approach, remains time-consuming and highly user-specialized. This work presents an automated and low computational cost thermo-mechanical finite element methodology implemented in Ansys Parametric Design Language (APDL) for the parametric analysis of GMAW T-joints, integrating automated geometry generation, meshing, heat source implementation, and thermo-mechanical modeling for different beam and weld seam dimensions under continuous or intermittent single-pass configurations. A volume element selection strategy is introduced to limit heat input calculations to the active weld pool region, achieving up to a 50% computational time reduction while maintaining high predictive accuracy, in contrast with conventional and partial selection methods. Overall script performance was validated through temperature and displacement comparisons between the numerical and experimental results of two T-joint configurations using SM490A structural steel specimens. The results demonstrate that the developed macro provides a useful tool for automated thermo-mechanical welding analysis, significantly reducing model preparation effort while enabling the evaluation of parametric T-joint geometries and welding conditions with a low computational cost focus. Full article
18 pages, 2417 KB  
Review
Synthetic Modulators of the Vitamin D Receptor: From Structural Innovation to Disease-Specific Applications
by Tram Thi-Ngoc Nguyen, Tomohiro Kurokawa, Yoshiaki Kanemoto, Takahiro Sawada and Shigeaki Kato
Biomolecules 2026, 16(3), 396; https://doi.org/10.3390/biom16030396 - 6 Mar 2026
Abstract
Vitamin D signaling via the vitamin D receptor (VDR) regulates calcium–phosphate homeostasis and extensive gene programs controlling cell proliferation, differentiation, immune tone, and metabolism. However, systemic use of the natural agonist 1α,25-dihydroxyvitamin D3 (calcitriol) for extraskeletal indications is limited by dose-limiting hypercalcemia. [...] Read more.
Vitamin D signaling via the vitamin D receptor (VDR) regulates calcium–phosphate homeostasis and extensive gene programs controlling cell proliferation, differentiation, immune tone, and metabolism. However, systemic use of the natural agonist 1α,25-dihydroxyvitamin D3 (calcitriol) for extraskeletal indications is limited by dose-limiting hypercalcemia. This review summarizes VDR biology and the structural basis of ligand action, emphasizing how ligand-induced repositioning of helix 12 and altered coregulator recruitment can be exploited to engineer selective VDR modulators. We highlight medicinal chemistry strategies spanning secosteroidal analogs with side-chain or ring modifications and emerging non-seco scaffolds and discuss clinically established agents (e.g., calcipotriol and paricalcitol) alongside experimental “super-agonists”, partial agonists, and antagonists designed to widen the therapeutic window. Finally, we discuss current evidence for VDR targeting across cancer, metabolic disease, fibrosis, and immune-inflammatory disorders, including mechanisms of resistance such as dysregulated vitamin D metabolism and epigenetic repression. Structural and epigenomic insights are positioning next-generation VDR ligands as tissue- and pathway-biased therapeutics that may enable safer, mechanism-guided translation beyond bone and mineral indications. Full article
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16 pages, 1412 KB  
Article
Sex and Age Differences in Outcomes of Traumatic Brain Injury: Findings from the Japan Neurotrauma Data Bank
by Yasuhiro Nakajima, Takahiko Yoshimoto, Mariko Kurihara, Akihito Kato, Jun Sasaki, Akatsuki Kokaze and Kenji Dohi
J. Clin. Med. 2026, 15(5), 2034; https://doi.org/10.3390/jcm15052034 - 6 Mar 2026
Abstract
Background/Objectives: Traumatic brain injury (TBI) remains a major global health concern, contributing substantially to mortality and long-term disability. Although sex hormones have been proposed to influence TBI outcomes, sex has not been incorporated into widely used prognostic models. Given the rapidly aging population [...] Read more.
Background/Objectives: Traumatic brain injury (TBI) remains a major global health concern, contributing substantially to mortality and long-term disability. Although sex hormones have been proposed to influence TBI outcomes, sex has not been incorporated into widely used prognostic models. Given the rapidly aging population in Japan, this study aimed to investigate the impact of sex on post-TBI outcomes. Methods: We analyzed data from the Japan Neurotrauma Data Bank, comprising four prospective multicenter cohorts (P1998, P2004, P2009, P2015). Patients with Glasgow Coma Scale (GCS) scores ≥9 at admission were included. Multivariate logistic regression identified predictors of unfavorable outcomes (death, vegetative state, or severe disability) on the Glasgow Outcome Scale. Subgroup analyses stratified by sex and age were performed. Results: Of 717 eligible patients, 195 (27.2%) were females. Females were significantly older than males (median age: 68 vs. 58.5 years). Traffic accidents were more common among females, whereas non-traffic injuries predominated in males. Independent predictors of unfavorable outcomes included age ≥51 years, male sex, GCS 9–12, Injury Severity Score ≥ 16, hypoxia, targeted temperature management, and subarachnoid hemorrhage. Stratified analysis showed that females aged ≥75 years had significantly better outcomes. Conclusions: Female sex was independently associated with more favorable functional outcomes among patients with TBI presenting with admission GCS ≥ 9, particularly among those aged ≥75 years. Although prior studies have reported potential biological influences, the underlying mechanisms remain uncertain. Further investigation of sex differences and associated risk factors may help inform the development of more individualized management strategies for patients with TBI. Full article
(This article belongs to the Section Brain Injury)
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15 pages, 1479 KB  
Article
Orally Administered Porcine Intestinal Lactobacilli Improve the Respiratory Innate Immune Response Against Streptococcus pneumoniae
by Kohtaro Fukuyama, Solange Cisterna-Vergara, Ayelen Antonella Baillo, María José Lorenzo Pisarello, Weichen Gong, Keita Nishiyama, Julio Villena and Haruki Kitazawa
Animals 2026, 16(5), 825; https://doi.org/10.3390/ani16050825 - 6 Mar 2026
Abstract
Background: Respiratory bacterial infections represent a major health challenge in swine production, highlighting the need for novel immunomodulatory strategies that enhance host resistance. In this study, we investigated whether porcine intestinal lactobacilli could modulate the gut–lung axis and improve respiratory innate immunity in [...] Read more.
Background: Respiratory bacterial infections represent a major health challenge in swine production, highlighting the need for novel immunomodulatory strategies that enhance host resistance. In this study, we investigated whether porcine intestinal lactobacilli could modulate the gut–lung axis and improve respiratory innate immunity in a mouse model of Streptococcus pneumoniae infection, as a surrogate of Streptococcus suis pneumonia. Methods: Three strains of Ligilactobacillus salivarius (LAFF998, LAFF1071, and LAFF1095) were orally administered to Swiss mice prior to pneumococcal challenge. The resistance to the infection, the lung damage and the respiratory innate immune response were evaluated. Results: Only strain LAFF998 significantly reduced pulmonary bacterial loads, prevented bacteremia, and attenuated lung injury. This protective effect was associated with selective modulation of respiratory immunity, characterized by reduced neutrophilic inflammation, increased lymphocyte recruitment, and enhanced activation of alveolar macrophages expressing MHC-II. LAFF998 markedly increased the production of IFN-β, IFN-γ, IL-6, IL-10, and IL-27 in the respiratory tract, without inducing excessive inflammatory damage. Ex vivo and in vitro analyses confirmed that alveolar macrophages from LAFF998-treated mice exhibited a primed phenotype with heightened cytokine responses to pneumococcal stimulation. In contrast, strains LAFF1071 and LAFF1095 failed to confer protection or significantly modulate respiratory immune responses. Conclusions: These findings demonstrate a strict strain-dependent effect among porcine L. salivarius isolates and identify LAFF998 as a potent immunobiotic capable of enhancing respiratory innate immunity through the gut–lung axis. This work supports further studies of LAFF998 as an immunobiotic strategy for the prevention of respiratory infections in pigs. Full article
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18 pages, 3461 KB  
Article
Spectroscopic Studies of 6-Membered Lipoic Acid Derivative, 1,2,3-Trithiane-4-pentanoic Acid, and Its Characteristic Stereochemical Profiles
by Seiichi Matsugo, Masaru Kojima, Yutaka Nakamura and Yasushi Maeda
Molecules 2026, 31(5), 883; https://doi.org/10.3390/molecules31050883 - 6 Mar 2026
Abstract
Inserting a sulfur atom into the 1,2-dithiolane ring of lipoic acid (LA racemate) is a promising approach for improving the diversity of lipoic acid (LA racemate). For this purpose, we prepared 1,2,3-trisulfur–lipoic acid derivatives (trisulfur lipoic acid (R-enantiomer, TR-LA, trisulfur lipoamide, [...] Read more.
Inserting a sulfur atom into the 1,2-dithiolane ring of lipoic acid (LA racemate) is a promising approach for improving the diversity of lipoic acid (LA racemate). For this purpose, we prepared 1,2,3-trisulfur–lipoic acid derivatives (trisulfur lipoic acid (R-enantiomer, TR-LA, trisulfur lipoamide, racemate TLPA)) by the reaction of R-LA (lipoic acid R-enantiomer) or lipoamide (LPA) and H2S and performed precise stereochemical studies. As a result, the 6-membered-1,2,3-trisulfur ring (TR-LA and TLPA) showed a completely different profile from that of the five-membered dithiolane compounds (R-LA and LPA) in 1H- and 13C-NMR spectroscopy. Raman spectroscopy of TR-LA and TLPA showed a different profile to that of LA and LPA, which also indicates the uniqueness of the 6-membered 1,2,3-trisulfur ring chromophore. The regeneration of lipoic acid from 1,2,3-trisulfur lipoic acid (TR-LA) was achieved using a phosphine derivative and sodium cyanide while maintaining the stereochemistry of the chirality center, with an almost quantitative yield. Full article
(This article belongs to the Section Bioorganic Chemistry)
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13 pages, 815 KB  
Article
Sodium–Glucose Cotransporter 2 Inhibitors in Underweight Patients with Heart Failure: A Case Series
by Masaki Nakagaito, Teruhiko Imamura, Toshihide Izumida, Makiko Nakamura and Koichiro Kinugawa
J. Clin. Med. 2026, 15(5), 2027; https://doi.org/10.3390/jcm15052027 - 6 Mar 2026
Abstract
Background: Sodium–glucose cotransporter 2 inhibitors (SGLT2i) reduce mortality and morbidity in patients with heart failure (HF). However, their efficacy and safety in underweight patients remain uncertain. This study aimed to evaluate the efficacy and safety of SGLT2i in underweight patients with HF. Methods: [...] Read more.
Background: Sodium–glucose cotransporter 2 inhibitors (SGLT2i) reduce mortality and morbidity in patients with heart failure (HF). However, their efficacy and safety in underweight patients remain uncertain. This study aimed to evaluate the efficacy and safety of SGLT2i in underweight patients with HF. Methods: This study was a single-center, prospective observational study designed to assess the efficacy of SGLT2i therapy in underweight patients with HF. The primary outcome was a composite of unplanned hospitalization for HF or death from cardiovascular causes. A key secondary outcome was hospitalization from any cause. Results: This study enrolled 131 consecutive patients with a body mass index (BMI) > 18.5 kg/m2 hospitalized for HF between December 2020 and October 2023. The median age of the study population was 81 (73–87) years, and 60% were female. Baseline BMI was 17.2 (16.0–17.9) kg/m2. Of these, 28 patients initiated SGLT2i during index hospitalization, while the remaining 103 did not receive SGLT2i. Over a median of 20.4 months of follow-up, the primary outcome occurred in 6 of 28 patients (21.4%) with SGLT2i and 22 of 103 patients (21.4%) without SGLT2i (p = 0.758). All-cause hospitalizations occurred in 23 of 28 patients (82.1%) with SGLT2i and 65 of 103 patients (63.1%) without SGLT2i (p = 0.009). Patients receiving SGLT2i showed a significant decrease in BMI at discharge, 1 month after discharge, and 3 months after discharge compared with those without SGLT2i (p < 0.05 for each time point). Conclusions: SGLT2i in underweight patients with HF may not reduce cardiovascular event risk and may be associated with a higher rate of overall hospitalizations. Full article
(This article belongs to the Special Issue Heart Failure: Treatment and Clinical Perspectives)
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28 pages, 1312 KB  
Review
Artocarpin: Multi-Targeted Mechanisms Against UV-Induced Skin Aging and Its Skin Penetration Enhancement Strategies
by Pensri Charoensit, Kunlathida Luangpraditkun, Sararat Mahasaranon, Jirapas Jongjitwimol, Gareth M. Ross, Sukunya Ross, Celine Viennet, Yuriko Higuchi and Jarupa Viyoch
Cosmetics 2026, 13(2), 61; https://doi.org/10.3390/cosmetics13020061 - 6 Mar 2026
Abstract
Artocarpin, a prenylated flavonoid isolated from Artocarpus altilis heartwood, has emerged as a promising multi-targeted bioactive compound for combating UV-induced skin aging. This review provides a comprehensive overview of the molecular mechanisms and photoprotective efficacy of artocarpin across in vitro, in vivo and [...] Read more.
Artocarpin, a prenylated flavonoid isolated from Artocarpus altilis heartwood, has emerged as a promising multi-targeted bioactive compound for combating UV-induced skin aging. This review provides a comprehensive overview of the molecular mechanisms and photoprotective efficacy of artocarpin across in vitro, in vivo and clinical study, based on the peer-reviewed literature published between 2012 and 2025, retrieved from PubMed, Scopus, and Web of Science. Delivery strategies designed to overcome the inherent physicochemical limitations of artocarpin on skin penetration are also discussed. Artocarpin demonstrates antioxidant effects through both direct free radical scavenging and activation of the Nrf2-ARE pathway, providing sustained cellular defense. Its anti-inflammatory properties target multiple signaling cascades, including the NF-κB and MAPK pathways, effectively mitigating UV-induced inflammatory response. The compound maintains dermal matrix homeostasis by inhibiting matrix metalloproteinase-1 (MMP-1) expression while preserving collagen synthesis and fibroblast mechanical function. Additionally, artocarpin exhibits selective apoptosis modulation, being cytoprotective in normal keratinocytes while acting as pro-apoptotic in damaged or abnormal cells, thereby supporting tissue homeostasis. It also inhibits melanogenesis through anti-inflammatory mechanisms rather than direct tyrosinase inhibition. Furthermore, artocarpin has been shown to induce autophagic cell death in certain cell lines; however, its role in UV-induced skin damages remains to be clarified. Despite these promising biological activities, the poor water solubility (<0.1 mg/mL) and high lipophilicity (log P ≈ 5) of artocarpin significantly limit its skin penetration. Lipid-based delivery systems, including liposomes, transfersomes, ethosomes, and nanostructured lipid carriers (NLCs), are presented as effective strategies to enhance transepidermal delivery, with each system offering distinct mechanistic advantages. Further investigations should prioritize the safety of artocarpin within each delivery system, as well as the synergistic co-encapsulation with complementary natural antioxidants to simultaneously target multiple mechanisms involved in UV-induced skin damage, thereby broadening its application in the cosmeceutical industry. Full article
(This article belongs to the Section Cosmetic Dermatology)
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4 pages, 1753 KB  
Interesting Images
Stepwise Palatal Prosthetic Rehabilitation After Pediatric Ischemic Stroke
by Satoru Kusaka, Yuria Asao, Tatsuya Akitomo, Yuko Iwamoto and Ryota Nomura
Reports 2026, 9(1), 78; https://doi.org/10.3390/reports9010078 - 6 Mar 2026
Abstract
Pediatric ischemic stroke is rare but may result in severe oral dysfunction. Evidence for prosthetic oral rehabilitation is well established in adults, whereas pediatric data remains limited. We report a pediatric patient with persistent dysphagia and articulatory impairment following recurrent ischemic stroke who [...] Read more.
Pediatric ischemic stroke is rare but may result in severe oral dysfunction. Evidence for prosthetic oral rehabilitation is well established in adults, whereas pediatric data remains limited. We report a pediatric patient with persistent dysphagia and articulatory impairment following recurrent ischemic stroke who underwent stepwise palatal prosthetic intervention. Treatment began with a palatal augmentation prosthesis to establish tolerance and promote tongue–palate contact, followed by a palatal lift prosthesis providing gentle velopharyngeal support. Tongue pressure measurements, oral diadochokinesis, and speech intelligibility improved during appliance use, with gains largely maintained after discontinuation, suggesting motor relearning rather than transient mechanical assistance. This case illustrates the potential value of a tolerance-oriented, stepwise prosthetic strategy in pediatric stroke rehabilitation and underscores the need for individualized adjustment and cautious interpretation of functional metrics. Full article
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10 pages, 2799 KB  
Opinion
Oncological Feasibility of Conservative Axillary Surgery (Opinion Article): Tailored Axillary Surgery vs. Axillary Reverse Mapping-Guided Axillary Lymph Node Dissection
by Masakuni Noguchi, Yusuke Haba, Emi Morioka and Masafumi Inokuchi
Cancers 2026, 18(5), 854; https://doi.org/10.3390/cancers18050854 - 6 Mar 2026
Abstract
Background: Tailored axillary surgery (TAS) and axillary reverse mapping (ARM)-guided axillary lymph node dissection (ALND) have been developed to avoid arm lymphedema without increasing a risk of axillary recurrence. However, the oncological feasibility of TAS and ARM-guided ALND remains a crucial consideration. Methods: [...] Read more.
Background: Tailored axillary surgery (TAS) and axillary reverse mapping (ARM)-guided axillary lymph node dissection (ALND) have been developed to avoid arm lymphedema without increasing a risk of axillary recurrence. However, the oncological feasibility of TAS and ARM-guided ALND remains a crucial consideration. Methods: This article reviewed the oncological feasibility of TAS and ARM-guided ALND based on the current literature. Results: For ALND performed after TAS, additional involved nodes were found in 70% of upfront surgery patients and 60% of neoadjuvant chemotherapy (NAC) patients. ARM nodes were also involved in up to 64.7% of patients after ALND. However, it is not necessary to preserve all ARM nodes and lymphatics because multiple ARM lymphatic pathways exist. Selective preservation of ARM nodes closest to the axillary vein significantly reduced the incidence of involved ARM nodes (from 64.7% to 15.7%). Conclusions: TAS and ARM-guided ALND remain much less radical than ALND. However, residual nodal disease after TAS or ARM-guided ALND does not always develop axillary recurrence. Postoperative irradiation is effective in achieving local control in patients with low-volume (microscopic) residual nodal disease after TAS or ARM-guided ALND. We await the long-term results of prospective randomized clinical trials comparing TAS and ARM-guided ALND with conventional ALND. Full article
(This article belongs to the Special Issue Insights from the Editorial Board Member)
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15 pages, 6259 KB  
Article
Development of Bio-Based Thermosetting Resins from Maltodextrin–Itaconate Systems Toward Styrene-Free Unsaturated Polyesters
by Naoki Wada, Ryota Saito and Kenji Takahashi
Polymers 2026, 18(5), 645; https://doi.org/10.3390/polym18050645 - 6 Mar 2026
Abstract
The transition to sustainable thermosetting resins is frequently hindered by the trade-off between high bio-based content and processability. This study reports a novel strategy in developing a highly bio-based, styrene-free unsaturated polyester resin (UPR) by leveraging maltodextrin-derived mixed esters dissolved in dimethyl itaconate [...] Read more.
The transition to sustainable thermosetting resins is frequently hindered by the trade-off between high bio-based content and processability. This study reports a novel strategy in developing a highly bio-based, styrene-free unsaturated polyester resin (UPR) by leveraging maltodextrin-derived mixed esters dissolved in dimethyl itaconate (DMI). Unlike conventional polysaccharide-based systems that suffer from extreme viscosity, our functionalized prepolymer–DMI system achieves a low-viscosity curing solution without requiring petroleum-derived diluents such as styrene. Fourier-transform infrared spectroscopy confirmed the formation of a robust crosslinked network via the complete consumption of C=C bonds. Consequently, the cured resin exhibits exceptional thermal and mechanical performance, outperforming many existing bio-based analogs: a glass transition temperature (Tg) reaching 141 °C, a decomposition onset near 250 °C, and superior dimensional stability with a linear thermal expansion coefficient as low as 77 ppm/°C. Demonstrating a fully renewable, easy-to-process formulation with a flexural strength of 44 MPa, this work provides a design template for the next generation of high-performance, eco-friendly industrial thermosets. Full article
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10 pages, 1130 KB  
Article
Exploratory Study of Selective Brain Hypothermia Using Transnasal Evaporative Cooling Under Controlled Normothermia with an Endovascular Device
by Mitsuaki Nishikimi, Kazuya Kikutani, Mayumi Higashi, Shinichiro Ohshimo, Tatsuhiko Anzai and Nobuaki Shime
J. Cardiovasc. Dev. Dis. 2026, 13(3), 120; https://doi.org/10.3390/jcdd13030120 - 6 Mar 2026
Abstract
Introduction: Selective brain hypothermia has been investigated to improve neurological outcomes in patients with cardiac arrest; however, an optimal clinical method has not yet been established. This study aimed to evaluate the feasibility of a technique combining transnasal evaporative cooling with simultaneous endovascular [...] Read more.
Introduction: Selective brain hypothermia has been investigated to improve neurological outcomes in patients with cardiac arrest; however, an optimal clinical method has not yet been established. This study aimed to evaluate the feasibility of a technique combining transnasal evaporative cooling with simultaneous endovascular temperature management to achieve selective brain hypothermia while preventing systemic hypothermia. Methods: Three adult male Göttingen swine were anesthetized and mechanically ventilated. Transnasal cooling was initiated at maximum output while endovascular warming preserved systemic temperature. Brain parenchymal and rectal temperatures, mean arterial pressure (MAP), heart rate (HR), and cardiac output (CO) were continuously monitored for 60 min. Temperature differences between brain and rectum at 60 min were analyzed. Results: A brain–rectal gradient ≥1.0 °C was achieved in all swine at 25, 40, and 30 min, respectively, and maintained at 1.0–1.5 °C thereafter. Brain temperature (34.5 ± 0.34 °C) was significantly lower than rectal temperature (35.8 ± 0.35 °C) at 60 min after initiation of the selective cooling procedure (p = 0.0048). MAP, HR, and CO showed no deviations from baseline. Conclusions: The combination of transnasal cooling and endovascular warming reliably induced selective brain hypothermia of 1–1.5 °C without adverse effects on hemodynamic parameters in swine. Full article
(This article belongs to the Special Issue Clinical Outcome and Treatment of Cardiac Arrest)
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