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Search Results (1,415)

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16 pages, 1403 KB  
Article
Obtaining a New Emulsifier Based on Mango Leaf Protein (Mangifera indica): Optimization and Characterization of an Emulsion Supplemented with Curatella americana Extract
by Osvaldo Inda-Alcalá, Doane Santalucia Vilchis-Gómez, Dulce María de Jesús Miss-Zacarías, Carolina Calderón-Chiu, Jorge Alberto Ramos-Hernández, Montserrat Calderón-Santoyo and Juan Arturo Ragazzo-Sánchez
Processes 2026, 14(9), 1371; https://doi.org/10.3390/pr14091371 (registering DOI) - 24 Apr 2026
Abstract
Mango leaves (Mangifera indica), an underutilized residue, represent a promising source of functional proteins with potential applications in emulsion-based delivery systems. Leaf protein concentrate (LPC) was extracted and modified by high-intensity ultrasound (HIU) to enhance its techno-functional properties. The modified protein [...] Read more.
Mango leaves (Mangifera indica), an underutilized residue, represent a promising source of functional proteins with potential applications in emulsion-based delivery systems. Leaf protein concentrate (LPC) was extracted and modified by high-intensity ultrasound (HIU) to enhance its techno-functional properties. The modified protein was subsequently used as a natural emulsifier to develop oil-in-water (O/W) emulsions enriched with Curatella americana leaf extract, a phenolic-rich source of antioxidant bioactive compounds. Ultrasound-assisted emulsification (UAEm) conditions were optimized using a Box–Behnken experimental design, evaluating the effects of protein concentration (0.5, 1, and 1.5%), oil-to-water ratio (1:4, 1:4.5, and 1:5, mL:mL), and sonication time (2.5, 5, and 7.5 min) on droplet size (D[4,3], µm). The optimized formulation consisted of 1.5% protein, an O/W ratio of 1:4 mL, and a time of 7.5 min, producing an emulsion with a droplet diameter of 7.23 µm. The emulsions exhibited high resistance to storage, pH variation (2–10), ionic strength (100–500 mM NaCl), and thermal treatments up to 50 °C. Additionally, incorporating C. americana extract enhanced thermal stability, photostability, and antioxidant retention under UV exposure, suggesting the formation of reinforcing protein–polyphenol interactions. These findings demonstrate the potential of mango leaf protein as a sustainable emulsifier and protective carrier for sensitive bioactive compounds, supporting its application in functional food and nutraceutical formulations. Full article
(This article belongs to the Special Issue Advances in Interactions of Polymers in Emulsion Systems)
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20 pages, 4347 KB  
Article
Exceptional Bluetongue Epidemic Caused by Co-Circulation of Several Serotypes in Spain in 2024
by Rubén Villalba, Bernabé Diéguez-Roda, Laura Jiménez-Guerrero, Marta Valero-Lorenzo, María José Ruano, Dolores Buitrago, Elena García-Villacieros, Cristina Tena-Tomás, María Jesús Cano-Benito, Ana López-Herranz, Jorge Morales, Isabel María Guijarro-Torvisco, Germán Cáceres-Garrido, José Antonio Bouzada and Montserrat Agüero
Microorganisms 2026, 14(5), 956; https://doi.org/10.3390/microorganisms14050956 (registering DOI) - 23 Apr 2026
Abstract
Bluetongue (BT) is an infectious, non-contagious, arthropod-borne viral disease of ruminants, and has a severe impact on livestock. It is caused by Bluetongue virus (BTV), a double-stranded (ds) RNA virus with a segmented genome (10 segments), belonging to the Seoreoviridae family, Orbivirus genus. [...] Read more.
Bluetongue (BT) is an infectious, non-contagious, arthropod-borne viral disease of ruminants, and has a severe impact on livestock. It is caused by Bluetongue virus (BTV), a double-stranded (ds) RNA virus with a segmented genome (10 segments), belonging to the Seoreoviridae family, Orbivirus genus. Over the last 25 years, Europe has suffered multiple incursions of different BTV serotypes with serious consequences, which have mainly been controlled thanks to vaccination. In the case of Spain, from 2000 to 2023, BTV serotypes 1, 2, 4 and 8 have caused epidemics, and, sporadically, BTV-1 and -4 were detected in the same area and period. In 2024, BTV serotypes 1, 3 and 8 circulated simultaneously in the southwest of the country, causing a severe clinical impact in sheep but also in cattle and a multitude of outbreaks. Additionally, despite vaccination, serotype 4 also circulated that year, especially in areas where the other serotypes were already circulating. Whole-genome sequencing and phylogenetic analyses allowed us to confirm that serotypes 1 and 4 were homologous to viruses circulating in the country since 2000s, while serotypes 3 and 8 were homologous to BTVs recently notified in neighboring countries. In this context, many BTV co-infections of two or more different serotypes were confirmed by serotype-specific RT-PCRs, both in farms and individual animals. An epidemic caused by four serotypes coinciding in space and time had never occurred before in Spain, being a challenge for the diagnosis and control of this disease. Moreover, it could have favored the appearance of reassortant viruses with an unknown virulence, posing an additional risk. The data presented here raise the question of whether the co-circulation of different BTV strains, an exceptional situation, could become the new normal in certain areas of Europe. Full article
(This article belongs to the Special Issue Microbial Infections in Ruminants)
18 pages, 272 KB  
Article
New Values, New Lives, and Emerging Dating Violence: Insights on Detection and Intervention from Health Sciences Students
by Sara Sanchez-Balcells, Maria Aurelia Sánchez-Ortega, Marta Prats-Arimon, Pepita Giménez-Bonafé, Núria Vergés Bosch and Montserrat Puig-Llobet
Behav. Sci. 2026, 16(5), 630; https://doi.org/10.3390/bs16050630 - 23 Apr 2026
Abstract
Gender-based violence in dating relationships is a multifaceted issue that encompasses diverse forms. In university settings, high prevalence rates have been reported, with psychological violence being the most common. New forms of digital violence, such as cyberbullying, control through social media, and digital [...] Read more.
Gender-based violence in dating relationships is a multifaceted issue that encompasses diverse forms. In university settings, high prevalence rates have been reported, with psychological violence being the most common. New forms of digital violence, such as cyberbullying, control through social media, and digital aesthetic pressure, further complicate the phenomenon. Purpose: This study aimed to explore Health Sciences students’ perceptions of gender-based violence in dating relationships to identify key dimensions for understanding and intervention. Methods: A qualitative design was employed using focus groups with ten participants, analyzed through Interpretative Phenomenological Analysis (IPA). Results: Four main themes emerged: characteristics of gender-based violence in dating relationships, types of violence identified, aesthetic pressure within affective relationships, and strategies for detecting and responding to violence. Conclusions: Findings emphasize the importance of incorporating students’ voices into prevention strategies and propose educational interventions that address both offline and online dynamics of gender-based violence in dating relationships. Full article
22 pages, 1254 KB  
Article
Regulatory Variants in the KRAS 3′UTR and Intron 2 Are Associated with Breast Cancer Susceptibility Through Independent and Combinatorial Effects in a Mexican Population
by Asbiel Felipe Garibaldi-Ríos, Luis E. Figuera, Belinda Claudia Gómez-Meda, Guillermo Moisés Zúñiga-González, Ingrid Patricia Dávalos-Rodríguez, Patricia Montserrat García-Verdín, Ana María Puebla-Pérez, Irving Alejandro Carrillo-Dávila and Martha Patricia Gallegos-Arreola
Biomedicines 2026, 14(4), 948; https://doi.org/10.3390/biomedicines14040948 - 21 Apr 2026
Viewed by 185
Abstract
Background: Breast cancer (BC) is a leading cause of cancer-related mortality worldwide and a major public health concern in Mexico. Regulatory variants in KRAS, particularly within the 3′UTR and intronic regions, may influence gene expression through microRNA binding and transcriptional regulation. Methods: [...] Read more.
Background: Breast cancer (BC) is a leading cause of cancer-related mortality worldwide and a major public health concern in Mexico. Regulatory variants in KRAS, particularly within the 3′UTR and intronic regions, may influence gene expression through microRNA binding and transcriptional regulation. Methods: Five regulatory single-nucleotide variants (SNVs) in KRAS (rs12228277, rs1137196, rs8720, rs12587, and rs12245) were genotyped in BC patients and cancer-free controls. Associations were evaluated using odds ratios (ORs) with 95% confidence intervals (CIs), adjusting for age, alcohol, and tobacco use. Multiple testing was corrected using the Benjamini–Hochberg false discovery rate (FDR). Linkage disequilibrium (LD), multilocus combinations, and in silico functional analyses were also performed. Results: Variants rs12228277, rs1137196, rs8720, and rs12245 showed significant genotype-level associations with BC susceptibility, all remaining significant after FDR correction (pFDR < 0.05). No clinicopathological associations remained significant after correction in single-variant analyses. Multilocus analysis identified specific high-risk combinations (e.g., involving rs12228277, rs1137196, and rs8720) associated with increased BC susceptibility. At the nominal level, these combinations showed associations with clinicopathological features, including hormone receptor–positive status (PR and ER), proliferation markers, and Luminal B subtype; however, none remained significant after FDR correction. LD analysis indicated weak linkage among variants. In silico analyses suggested potential regulatory effects on microRNA binding and KRAS expression. Conclusions: Regulatory variants in KRAS are associated with BC susceptibility through independent effects and potential combinatorial patterns. These findings support the relevance of non-coding variation in cancer risk and warrant further functional and replication studies. Full article
(This article belongs to the Special Issue Molecular Research in Breast Cancer)
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22 pages, 2194 KB  
Systematic Review
Flexible Resistive Sensors for Wearable and Ergonomics Applications: A Systematic Review
by Mina Tabrizi, Ignacio Gil, Montserrat Corbalan and Raúl Fernández-García
Sensors 2026, 26(8), 2563; https://doi.org/10.3390/s26082563 - 21 Apr 2026
Viewed by 232
Abstract
Flexible resistive sensors are promising for wearable and ergonomic applications because they can be easily fabricated on textiles or flexible substrates and enable real-time monitoring of human movement and posture, especially in health monitoring systems. This review presents an overview of recent developments [...] Read more.
Flexible resistive sensors are promising for wearable and ergonomic applications because they can be easily fabricated on textiles or flexible substrates and enable real-time monitoring of human movement and posture, especially in health monitoring systems. This review presents an overview of recent developments in an interdisciplinary way and summarises advances in materials, fabrication methods, and ergonomic applications. A structured literature search was conducted across major databases, including only studies focused on resistive sensing. The selected works were analysed in terms of conductive materials, fabrication techniques (e.g., direct ink writing (DIW) and textile-based methods), and their integration into wearable systems. Flexible resistive sensors are widely used for monitoring joint motion, posture, and physiological signals in healthcare and industrial environments. However, several challenges remain, including limitations in sensitivity, signal stability, material durability, and the need for reliable calibration in real-world conditions. This review highlights current progress and existing limitations and outlines future research directions toward more robust and user-friendly wearable sensing solutions for ergonomic applications. Full article
(This article belongs to the Section Wearables)
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25 pages, 21494 KB  
Perspective
The Wound Healing: A Mystery Still to Be Solved—What Is the Future?
by Montserrat Fernández-Guarino, María Luisa Hernández Bule and Stefano Bacci
Biomedicines 2026, 14(4), 926; https://doi.org/10.3390/biomedicines14040926 - 18 Apr 2026
Viewed by 189
Abstract
This perspective contains the current understanding of the cellular and molecular mechanisms involved in wound healing (the articles taken into consideration relate to the three-year period 2023–2025). Nevertheless, these biological pathways remain inadequately characterized; this is seen by the modifications leading to pathological [...] Read more.
This perspective contains the current understanding of the cellular and molecular mechanisms involved in wound healing (the articles taken into consideration relate to the three-year period 2023–2025). Nevertheless, these biological pathways remain inadequately characterized; this is seen by the modifications leading to pathological conditions, such as keloids, chronic wounds, or hypertrophic scars and diabetic wounds. Focus is also directed to novel therapy suggested for these types of conditions. Understanding these scientific issues is crucial for professionals across many fields who see such presentations often. Full article
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22 pages, 6017 KB  
Article
RdDM-Dependent Epigenetic Regulation Coordinates Systemic Immunity and Compatibility with Trichoderma atroviride in Arabidopsis thaliana
by Maria Montserrat Rosendo-Vargas, Valeria Ávila-Castillo, Kumari Rashmi and Sergio Casas-Flores
Microorganisms 2026, 14(4), 914; https://doi.org/10.3390/microorganisms14040914 - 18 Apr 2026
Viewed by 231
Abstract
Epigenetic regulation plays a central role in modulating plant immune responses and interactions with beneficial microbes. In this study, we investigated the contribution of RNA-directed DNA methylation (RdDM) components—DCL3; AGO9; DCL1; and the de novo DNA methyltransferases CMT3, DRM1, and DRM2—to the interaction [...] Read more.
Epigenetic regulation plays a central role in modulating plant immune responses and interactions with beneficial microbes. In this study, we investigated the contribution of RNA-directed DNA methylation (RdDM) components—DCL3; AGO9; DCL1; and the de novo DNA methyltransferases CMT3, DRM1, and DRM2—to the interaction between Arabidopsis thaliana, Trichoderma atroviride, and foliar pathogens. We show that DCL3 and AGO9 differentially regulate basal and inducible immunity, negatively affecting resistance to the necrotrophic fungus Botrytis cinerea, while promoting defense against the hemibiotrophic bacterium Pseudomonas syringae pv. tomato DC3000. Transcriptional analyses revealed that RdDM components modulate the balance between jasmonic acid/ethylene (JA/ET) and salicylic acid (SA) signaling pathways, influencing the amplitude and coordination of defense responses. In addition, DCL3 and DCL1 appear to be required for the full expression of T. atroviride-mediated systemic resistance, whereas AGO9 and DNA methyltransferases contribute to efficient root colonization. Notably, mutants in these pathways displayed enhanced basal resistance but impaired responsiveness to beneficial microbial signals, revealing a trade-off between constitutive defense activation and inducible systemic protection. Consistent with this, alterations in RdDM components were also associated with changes in plant growth dynamics under specific conditions, supporting a role for epigenetic regulation in coordinating growth–defense trade-offs. Together, our findings support a model in which epigenetic regulation controls defense responsiveness, enabling plants to balance immune activation, growth and compatibility toward beneficial microbes. Full article
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16 pages, 2248 KB  
Review
Preventing Complex Regional Pain Syndrome After Distal Radius Fracture: A Systematic Review of Rehabilitation and Clinical Prophylaxis Strategies
by Inês Neves Serôdio, Olalla Saiz-Vázquez, Hilario Ortiz-Huerta, Lucia Simón-Vicente and Montserrat Santamaría-Vázquez
J. Funct. Morphol. Kinesiol. 2026, 11(2), 158; https://doi.org/10.3390/jfmk11020158 - 17 Apr 2026
Viewed by 193
Abstract
Background: Complex regional pain syndrome (CRPS) is a disabling post-traumatic pain condition that may occur after distal radius fracture (DRF), potentially impairing recovery and upper-limb function. Identifying effective preventive strategies after DRF is therefore clinically important. Objective: To synthesize and critically [...] Read more.
Background: Complex regional pain syndrome (CRPS) is a disabling post-traumatic pain condition that may occur after distal radius fracture (DRF), potentially impairing recovery and upper-limb function. Identifying effective preventive strategies after DRF is therefore clinically important. Objective: To synthesize and critically appraise interventions intended to prevent CRPS after DRF, including rehabilitation protocols and clinical prophylaxis strategies. Methods: This systematic review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses PRISMA and was registered in the International Prospective Register of Systematic Reviews PROSPERO (CRD42023408499). Five databases (PubMed, Web of Science, Scopus, ScienceDirect, and B-on) were searched for studies published from January 2013 to 22 September 2023 in English, Portuguese, or Spanish. The primary outcome was CRPS incidence after DRF. Findings were synthesized narratively due to heterogeneity in interventions and diagnostic criteria, and risk of bias was assessed using design-appropriate tools. Results: Nine studies were included (total N = 7075; CRPS cases n = 127). Interventions comprised vitamin C supplementation (2 studies), probiotics, aspirin, polarized/polychromatic light therapy plus conventional treatment, early rehabilitation/home-exercise programs, and general CRPS-prevention protocols after DRF. Probiotics and aspirin did not reduce CRPS incidence. Vitamin C showed mixed findings across the included studies and remains debated in the broader literature. Light therapy was associated with reduced CRPS occurrence in a single study, while early active home-exercise programs appeared promising but were supported by a limited number of studies. Study designs and CRPS diagnostic criteria varied, and risk of bias was moderate-to-serious in several non-randomized studies. Conclusions: Evidence remains insufficient to support a single standardized prevention protocol for CRPS after distal radius fracture. Early active rehabilitation and progressive mobilization appear promising, but the available evidence is still limited and heterogeneous. Adjunctive strategies such as vitamin C and light therapy should be interpreted with caution, as findings for vitamin C remain debated in the literature and the evidence for light therapy is currently based on a single study. Other approaches, including probiotics and aspirin, have shown inconclusive results. Full article
(This article belongs to the Special Issue 10th Anniversary of JFMK: Advances in Kinesiology and Biomechanics)
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17 pages, 1326 KB  
Article
Vermicompost-Based Substrates and a PGPR Consortium Improve the Nutraceutical Quality of Greenhouse Tomato (Solanum lycopersicum L.) in a Semi-Hydroponic System
by Alfonso Andrade-Sifuentes, Jesús Josafath Quezada-Rivera, Gabriel de Jesús Peña-Uribe, Rubén Palacio-Rodríguez, José Luis Estrada-Rodríguez, Jaime Sánchez-Salas, Manuel Fortis-Hernandez, Pablo Preciado-Rangel, Jazmín Montserrat Gaucin-Delgado and Jorge Sáenz-Mata
Crops 2026, 6(2), 47; https://doi.org/10.3390/crops6020047 - 16 Apr 2026
Viewed by 232
Abstract
Tomato (Solanum lycopersicum L.) is a globally important vegetable, prized for its nutritional value and antioxidant content. Given the increasing demand for foods with health-promoting properties and the need for sustainable production practices, this study evaluated the impact of different growth substrates [...] Read more.
Tomato (Solanum lycopersicum L.) is a globally important vegetable, prized for its nutritional value and antioxidant content. Given the increasing demand for foods with health-promoting properties and the need for sustainable production practices, this study evaluated the impact of different growth substrates combined with plant growth-promoting rhizobacteria (PGPR) inoculation on the yield and nutraceutical quality of greenhouse tomatoes grown in a semi-hydroponic system. ‘Nereida’ variety saladette tomato plants were either inoculated with a single PGPR consortium (1 × 108 CFU mL−1) or uninoculated. Three substrates were used: a chemical fertilization control and a sand-vermicompost mixture with two inherent levels of phosphorus (253 and 442 ppm). The chemically fertilized substrate without inoculation served as the control treatment. The results indicated that the chemically fertilized substrate presented a significantly higher yield per square meter (p < 0.05), reaching values of 5.20 ± 0.70 kg m−2 and 4.83 ± 0.35 kg m−2 in the control treatment. However, fruits grown in the vermicompost-based substrate with higher phosphorus content (442 ppm) and PGPR inoculation exhibited significantly greater antioxidant capacity (54.16 µmol TE g−1 FW) and higher concentrations of vitamin C (14.03 mg·100 g−1 FW), lycopene (47.68 mg·100 g−1 FW), flavonoids, carotenoids, and glutathione. This represented an increase of 28–45% in bioactive compounds including lycopene, vitamin C, flavonoids, carotenoids, and glutathione compared to the chemical control. While the interaction between substrate and inoculation was significant only for soluble solids, both factors independently and additively contributed to the enhancement of nutraceutical parameters. These findings suggest that the use of vermicompost-based substrates, particularly those with higher phosphorus content, in combination with PGPR inoculation, is a promising strategy to enhance the accumulation of health-promoting bioactive compounds in tomato fruits, despite a trade-off in total yield. Full article
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21 pages, 1948 KB  
Review
New-Onset Left Bundle Branch Block After TAVI: An Updated Review
by Juan Ignacio Mayol, Guillem Muntané-Carol, Montserrat Gracida, Andrea Ruberti, Ana Marcano, Gerard Roura, Neus Salvatella, Luis Teruel, Lara Fuentes, Josep Gómez-Lara, Rafael Romaguera, Josep Comín-Colet and Joan Antoni Gómez-Hospital
J. Clin. Med. 2026, 15(8), 3016; https://doi.org/10.3390/jcm15083016 - 15 Apr 2026
Viewed by 221
Abstract
Transcatheter aortic valve implantation (TAVI) has become the preferred treatment for patients with symptomatic severe aortic valve stenosis. Newer-generation devices, increased operator experience, and improved patient selection have contributed to a reduction in complication rates. However, the occurrence of new-onset left bundle branch [...] Read more.
Transcatheter aortic valve implantation (TAVI) has become the preferred treatment for patients with symptomatic severe aortic valve stenosis. Newer-generation devices, increased operator experience, and improved patient selection have contributed to a reduction in complication rates. However, the occurrence of new-onset left bundle branch block (LBBB) after TAVI remains high, and currently it is the most common complication associated with the procedure. This review discusses the current understanding of new-onset LBBB, including its causes, incidence, clinical outcomes, and management strategies. Full article
(This article belongs to the Special Issue Current Challenges and Perspectives in Aortic Valve Replacement)
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16 pages, 784 KB  
Systematic Review
Controlled Prospective Evidence of Rapid Maxillary Expansion Efficacy in Pediatric Obstructive Sleep Apnea: A Systematic Review Update
by Marcos Fernández-Barriales, Montserrat López de Luzuriaga, Irene Lafuente-Ibáñez de Mendoza, Juan Julián Alonso Fernández-Pacheco, Ainhoa Álvarez Ruiz de Larrinaga and José Manuel Aguirre Urizar
J. Clin. Med. 2026, 15(8), 2976; https://doi.org/10.3390/jcm15082976 - 14 Apr 2026
Viewed by 402
Abstract
Background/Objectives: In our previous systematic review, we found no convincing evidence to support rapid maxillary expansion (RME) as a treatment for pediatric obstructive sleep apnea (OSA). Subsequent clinical guidelines and expert opinion have continued to recommend this orthodontic treatment. We aimed to [...] Read more.
Background/Objectives: In our previous systematic review, we found no convincing evidence to support rapid maxillary expansion (RME) as a treatment for pediatric obstructive sleep apnea (OSA). Subsequent clinical guidelines and expert opinion have continued to recommend this orthodontic treatment. We aimed to update our search to determine whether new controlled prospective evidence alters this conclusion. Methods: We updated our previous systematic review, searching for controlled prospective studies on RME efficacy for pediatric OSA published up to 1st February 2026. Results: Three new randomized clinical trials (RCTs) were identified in addition to the five original studies. Critically, none of the new RCTs included a watchful waiting or supportive care control arm, leaving the sole available comparison against watchful waiting unchanged: a single RCT that found no significant difference in AHI change between RME and observation. Of the remaining new RCTs, two found marginal AHI improvement with RME and one found no significant AHI reduction. Conclusions: The observed AHI improvements in studies lacking an untreated comparator cannot be distinguished from the known potential for spontaneous improvement in growing children. Extreme caution is warranted before recommending RME as a treatment for pediatric OSA. Full article
(This article belongs to the Special Issue Pediatric Pulmonology: Current Hurdles and Future Perspectives)
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2 pages, 408 KB  
Correction
Correction: Morales et al. Modification and Validation of a Reference Real-Time RT-PCR Method for the Detection of a New African Horse Sickness Virus Variant. Microorganisms 2025, 13, 2684
by Jorge Morales, María José Ruano, Cristina Tena-Tomás, Antoinette van Schalkwyk, Eleni-Anna Loundras, Marta Valero-Lorenzo, Ana López-Herranz, Marco Romito, Carrie Batten, Rubén Villalba and Montserrat Agüero
Microorganisms 2026, 14(4), 880; https://doi.org/10.3390/microorganisms14040880 - 14 Apr 2026
Viewed by 146
Abstract
In the original publication [...] Full article
(This article belongs to the Special Issue Animal Viral Infectious Diseases)
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13 pages, 749 KB  
Article
Objective Pelvic Support and Patient-Reported Outcomes After Non-Ablative Vaginal Er:YAG Laser Therapy in Women with Pelvic Floor Dysfunction: A Prospective Single-Arm Interventional Study in a Real-World Care Setting
by Laia Blanco-Ratto, Montserrat Girabent Farrés, Cristina Naranjo Ortiz, Stephanie Kauffmann, Manuel Del Campo Rodríguez and Inés Ramírez-García
Healthcare 2026, 14(8), 1021; https://doi.org/10.3390/healthcare14081021 - 13 Apr 2026
Viewed by 203
Abstract
Background/Objectives: Non-ablative vaginal Erbium-doped Yttrium Aluminium Garnet (Er:YAG) laser therapy has been proposed as a minimally invasive option for pelvic floor dysfunction (PFD), yet objective anatomical data using standardized measures remain limited. This study evaluated short-term anatomical and functional outcomes in a [...] Read more.
Background/Objectives: Non-ablative vaginal Erbium-doped Yttrium Aluminium Garnet (Er:YAG) laser therapy has been proposed as a minimally invasive option for pelvic floor dysfunction (PFD), yet objective anatomical data using standardized measures remain limited. This study evaluated short-term anatomical and functional outcomes in a real-world care setting. Methods: This prospective single-arm interventional cohort study included women with PFD who underwent two sessions of non-ablative vaginal Er:YAG laser therapy. Outcomes were assessed at baseline, first follow-up (FU1), and second follow-up (FU2). Anatomical changes were measured using POP-Q parameters, including vaginal hiatus (Gh), total vaginal length (TVL), and compartmental staging. Sexual function was evaluated using the Female Sexual Function Index (FSFI). Pelvic floor muscle strength was assessed using the Oxford Scale. Non-parametric tests were used for repeated measures, and correlations between delivered laser energy and clinical outcomes were explored. Results: A total of 163 women were enrolled; 136 completed FU1 and 59 completed FU2. Median vaginal hiatus decreased significantly from baseline to FU1 and remained reduced at FU2 (p < 0.001). Improvements in anterior and posterior prolapse staging were observed, with a shift toward lower POP-Q stages at both follow-up visits. FSFI total scores did not change significantly across visits, although small changes were observed in specific domains, including a transient decrease in orgasms at FU1 (Δ = −0.2, p = 0.021) and a modest improvement in pain at FU2 (Δ = −0.4, p = 0.045). The magnitude of anatomical changes was modest, and their clinical relevance remains uncertain. Conclusions: Non-ablative vaginal Er:YAG laser therapy was associated with short-term improvements in vaginal hiatus and POP-Q prolapse staging in women with PFD, while sexual function remained stable. These findings provide objective anatomical data on early treatment effects in routine care, informing future evaluation of minimally invasive care models for pelvic floor dysfunction. Full article
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11 pages, 1046 KB  
Article
Evaluation of the Biological Standardization of Native Der p 1, Der p 2 and Der p 23 Proteins Isolated from Natural Allergen Source
by Ana I. Tabar, David Rodríguez, Evelyn Gutierrez-Suazo, E. Carolina Pinto, Cristina Pesántez-Méndez, Blanca E. Garcia, Paloma Martín, Gema Garcia, Ricardo Palacios and Montserrat Martínez-Gomariz
Int. J. Mol. Sci. 2026, 27(7), 3332; https://doi.org/10.3390/ijms27073332 - 7 Apr 2026
Viewed by 371
Abstract
House dust mite allergens Der p 1, Der p 2, and Der p 23 are recognized as major clinically relevant allergens worldwide; however, it is difficult to obtain these proteins in purified form from a natural source, which limits their use in molecular [...] Read more.
House dust mite allergens Der p 1, Der p 2, and Der p 23 are recognized as major clinically relevant allergens worldwide; however, it is difficult to obtain these proteins in purified form from a natural source, which limits their use in molecular targeted immunotherapy and in vivo diagnosis. In this study, we developed and validated robust methodologies for the large-scale purification and individual characterization of native nDer p 1, nDer p 2, and nDer p 23 allergens from the natural sensitization source, Dermatophagoides pteronyssinus. Each allergen was isolated through an independent downstream process based on successive chromatographic steps, achieving high purity and preserving the structural integrity. Molecular standardization was performed in vivo in 27 mite-allergic patients by skin prick testing (SPT), enabling the separate determination of histamine equivalent potency (HEP) values: 7.43 µg/mL for nDer p 1, 8.11 µg/mL for nDer p 2, and 1.55 µg/mL for nDer p 23. These data establish a direct relationship between the protein concentration and biological activity for each major allergen. In conclusion, the successful production and biological standardization of native nDer p 1, nDer p 2, and nDer p 23 proteins provide well-defined reagents for in vivo molecular diagnosis and enable more precise and reproducible standardization compared with complex allergen extracts. Full article
(This article belongs to the Special Issue Molecular Mechanisms of Allergy and Asthma: 4th Edition)
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22 pages, 1597 KB  
Article
Green Hydrogen and Biomethane Recovery from Slaughterhouse Wastes Using Temperature-Phased Anaerobic Co-Digestion
by Juana Fernández-Rodríguez, Marta Muñoz and Montserrat Perez
Biomass 2026, 6(2), 27; https://doi.org/10.3390/biomass6020027 - 7 Apr 2026
Viewed by 280
Abstract
Rapid population growth is intensifying global energy demand and waste generation. Slaughterhouse waste is creating important environmental problems. Transforming this into renewable energy through technologies like anaerobic digestion offers a sustainable pathway to reduce environmental impacts and support the energy transition. The main [...] Read more.
Rapid population growth is intensifying global energy demand and waste generation. Slaughterhouse waste is creating important environmental problems. Transforming this into renewable energy through technologies like anaerobic digestion offers a sustainable pathway to reduce environmental impacts and support the energy transition. The main objective of this study was to examine the biodegradability of the slaughterhouse semi-liquid fraction (S), slaughterhouse liquid fractions (L), and their mixtures (25%, 50%, and 75%) through a two-phase anaerobic co-digestion (TPAcD) process. Batch reactors were operated in two separate microbiological and thermal phases. In the first, a thermophilic 55 °C–acidogenic stage, biochemical hydrogen potential (BHP) assays were conducted to evaluate green hydrogen production, while in the second, a mesophilic 35 °C–methanogenic stage, biochemical methane potential (BMP) assays were carried out to assess biomethane generation. The most relevant findings revealed that while liquid fractions maximized hydrogen recovery, overall yields remained limited due to competitive metabolic pathways. Notably, the 25L:75S configuration optimized hydrolysis, with a 1280% increase in soluble COD, establishing the semi-liquid fraction as a critical organic reservoir for thermophilic–acidogenic activity. In the subsequent stage, the acidogenic pre-treatment significantly enhanced methanogenesis, where the same 25L:75S mixture exhibited a synergistic methane yield of 495.46 mL CH4/g VS. This 13.8% improvement over the theoretical additive potential confirms that strategic substrate balancing overcomes individual feedstock limitations, maximizing energy recovery in sequential anaerobic digestion. These results highlight the potential of phase-separated anaerobic co-digestion as a strategy to improve the valorization of slaughterhouse wastes. Full article
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