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18 pages, 16508 KB  
Article
Influence of PLA Flowability and Talc Content on the Performance of Rigid TPS/PBS/PLA/Talc Blends
by Cristina Martín-Poyo, Josep P. Cerisuelo and Jose D. Badia-Valiente
Polymers 2026, 18(12), 1544; https://doi.org/10.3390/polym18121544 (registering DOI) - 21 Jun 2026
Abstract
This study investigates the influence of PLA flowability and talc content on the performance of compostable thermoplastic starch/poly(butylene succinate) (TPS/PBS)-based systems for rigid applications. Different PLA grades with varying melt flow index (PLA23, PLA8 and PLA70) and talc contents (0, 5 and 10 [...] Read more.
This study investigates the influence of PLA flowability and talc content on the performance of compostable thermoplastic starch/poly(butylene succinate) (TPS/PBS)-based systems for rigid applications. Different PLA grades with varying melt flow index (PLA23, PLA8 and PLA70) and talc contents (0, 5 and 10 wt%) were incorporated. Twelve formulations were compounded by twin-screw extrusion and processed by injection moulding. FTIR confirmed the coexistence of TPS, PBS and PLA phases without evidence of chemical interactions. Morphological analysis showed that PLA flowability plays a key role in phase distribution, with higher-flow PLA promoting improved dispersion and interfacial adhesion, while talc addition (5 and 10 wt%) increased structural heterogeneity; at higher loadings, particularly, DSC analysis revealed that talc acted as a nucleating agent for the PBS phase, increasing crystallisation temperatures from approximately 73 °C to 81 °C depending on formulation. Mechanical results showed that Young’s modulus increased from approximately 1.4 GPa to 2.7 GPa with decreasing PLA flowability and increasing talc content. Formulations containing low-flow PLA reached tensile strengths close to 32 MPa, although elongation at break decreased to values near 2%. In contrast, high-flow PLA formulations exhibited a more balanced mechanical response, with elongation values up to approximately 8%, associated with improved phase dispersion. Hybrid PLA systems showed intermediate behaviour, reaching elongations up to 22% while maintaining modulus values around 1.8 GPa. Talc provided additional reinforcement but reduced deformation capacity. HDT values remained relatively constant, indicating limited improvement in thermomechanical resistance despite increased stiffness. These results demonstrate that the combined control of PLA molecular characteristics and talc content enables tuning of the mechanical and thermomechanical performance of TPS/PBS/PLA/talc systems for rigid packaging applications. Full article
(This article belongs to the Special Issue Design and Performance of Compostable Polymeric Packaging Materials)
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12 pages, 16882 KB  
Article
Familial White–Sutton Syndrome Caused by a Pathogenic POGZ p.Arg508* Variant: Intrafamilial Variability from Childhood to Adulthood
by Massimiliano Chetta, Simone Lattarulo, Michele Stasi, Yevheniia Krylovska, Patrizia Lastella, Nicoletta Resta, Orazio Palumbo, Pietro Palumbo and Nenad Bukvic
Genes 2026, 17(6), 722; https://doi.org/10.3390/genes17060722 (registering DOI) - 21 Jun 2026
Abstract
Background/Objectives: White–Sutton syndrome (WHSUS; OMIM 616364) is a rare neurodevelopmental disorder caused by pathogenic variants in the POGZ gene and characterized by developmental delay, intellectual disability, speech impairment, autism spectrum features, and dysmorphic traits. Although most reported cases are sporadic, inherited forms are [...] Read more.
Background/Objectives: White–Sutton syndrome (WHSUS; OMIM 616364) is a rare neurodevelopmental disorder caused by pathogenic variants in the POGZ gene and characterized by developmental delay, intellectual disability, speech impairment, autism spectrum features, and dysmorphic traits. Although most reported cases are sporadic, inherited forms are exceptionally rare. We describe a familial case of WHSUS involving an affected mother and two children carrying a heterozygous POGZ nonsense variant, highlighting marked intra-familial phenotypic variability and expanding the clinical spectrum of the disorder. Methods: Clinical evaluation included multidisciplinary assessments. Genetic testing was performed using clinical exome sequencing (CES) with a virtual neurodevelopmental disorder (NDD) gene panel, followed by Sanger confirmation and segregation analysis in family members. The POGZ transcript reference NM_015100.3 was used for variant nomenclature and verified with the Mutalyzer tool. CNV detection from NGS data was performed using the Alissa CNV caller (Agilent) and visualized via IGV; the Xp11.22 microduplication was confirmed by chromosomal microarray (aCGH) and parental segregation analyses. Results: CES identified the heterozygous pathogenic POGZ variant c.1522C>T (p.Arg508*) in the female proband (III6), an infant presenting with global developmental delay, hypotonia, speech impairment, gait abnormalities, and characteristic dysmorphic features. Segregation analysis demonstrated maternal inheritance and confirmed the presence of the variant in her affected brother (III4), who also carries a de novo 1.79 kb microduplication at Xp11.22, while the maternal grandparents tested negative, indicating a de novo origin in the mother. The mother exhibited an attenuated phenotype, including mild neuropsychiatric and gastrointestinal manifestations. The variant is predicted to undergo nonsense-mediated decay (NMD), consistent with a moderate clinical presentation; however, experimental validation was not performed. Conclusions: This report documents a rare familial occurrence of WHSUS with highly variable expressivity. Our findings broaden the phenotypic and molecular characterization of POGZ-related disorders and emphasize the importance of comprehensive segregation studies and early genomic diagnosis. While experimental data link POGZ deficiency to DNA repair defects, no longitudinal clinical studies have demonstrated increased cancer risk in WHSUS; therefore, formal malignancy screening guidelines cannot be established at present, and this issue deserves future study in larger cohorts or registries. Full article
(This article belongs to the Section Neurogenomics)
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23 pages, 24596 KB  
Article
Harmonic and Phase-Modulated Activation Functions for Implicit Neural Representations: A Comprehensive Benchmark Study
by Ahmad S. Tarawneh, Omar Lasassmeh, Anas A. Alkasasbeh, Abdulkareem Alzahrani, Khalid Almohammadi, Maha Alamri and Ahmad B. Hassanat
Mach. Learn. Knowl. Extr. 2026, 8(6), 170; https://doi.org/10.3390/make8060170 (registering DOI) - 21 Jun 2026
Abstract
It is well-known that activation functions are crucial in determining spectral expressiveness, training dynamics, and reconstruction accuracy in implicit neural representations (INRs), which employ coordinate-based multilayer perceptrons to represent continuous signals. Despite showing excellent performance, sinusoidal activations, for example SIREN, are limited in [...] Read more.
It is well-known that activation functions are crucial in determining spectral expressiveness, training dynamics, and reconstruction accuracy in implicit neural representations (INRs), which employ coordinate-based multilayer perceptrons to represent continuous signals. Despite showing excellent performance, sinusoidal activations, for example SIREN, are limited in their adaptability to diverse signal types due to their fixed harmonic structure. In this paper, we propose two novel periodic activation functions for INRs. (1) Harmonic generalizes sinusoidal activations by combining the fundamental frequency with learned second and third harmonics through per-neuron trainable amplitude coefficients, resulting in a richer spectral basis within the SIREN initialization framework. (2) PM-FINER (Phase-Modulated FINER) extends the variable-periodic FINER activation by embedding frequency modulation synthesis directly into the instantaneous phase, enabling data-driven phase distortion via a learnable modulation index and carrier ratio. We conducted comprehensive experiments spanning nine architectural configurations (including SIREN, WIRE, FINER, Gaussian, Harmonic, PM-FINER, and an additional direct comparison against the Subtractive Modulative Network (SMN)), using six natural images, three learning rate schedulers, and three random seeds, totaling 486 main training runs (534 runs total including an ω0 sensitivity sweep). Our evaluation combined peak signal-to-noise ratio (PSNR), structural similarity index (SSIM), and rigorous statistical analysis, such as paired t-tests, Wilcoxon signed-rank tests, Cohen’s d effect sizes, and Friedman rank tests. Under cosine annealing, Harmonic achieves a mean PSNR gain of 6.08 dB over SIREN and 2.57 dB over FINER (both p<0.001, Cohen’s d>3.7), while PM-FINER ranks statistically on par with Harmonic (mean difference 0.17 dB, p=0.36), outperforming all of the other baselines. Compared with SMN, Harmonic outperforms it by +7.94 dB under cosine annealing (Bonferroni-adjusted p<105, Cohen’s d=12.3), winning on all six images. Additionally, the Friedman ranking across the six images confirmed Harmonic (with mean rank =1.33) and PM-FINER (with mean rank =1.67), being the top two methods under cosine annealing. Our results establish interpretable multi-harmonic and phase-modulated activations as real alternatives to the existing INR activation functions. Full article
(This article belongs to the Section Learning)
26 pages, 53555 KB  
Article
Engineered Lipid Nanoparticles with Promoted Endosomal Escape and R283S-Mediated Stimulator of Interferon Genes (STING) Activation for Pancreatic Cancer Immunotherapy
by Sizhen Wang, Qiwei Tai, Kehui Wang, Jianyu Zheng, Beibei Guo, Feng Yang and Chen Wang
Pharmaceutics 2026, 18(6), 760; https://doi.org/10.3390/pharmaceutics18060760 (registering DOI) - 21 Jun 2026
Abstract
Background/Objectives: Lipid nanoparticles (LNPs) have emerged as crucial vehicles for messenger RNA (mRNA) applications in antitumor therapy. Combining LNPs with stimulator of interferon genes (STING) activation holds promise for treating “cold” tumors such as pancreatic cancer. However, two major challenges remain: inefficient [...] Read more.
Background/Objectives: Lipid nanoparticles (LNPs) have emerged as crucial vehicles for messenger RNA (mRNA) applications in antitumor therapy. Combining LNPs with stimulator of interferon genes (STING) activation holds promise for treating “cold” tumors such as pancreatic cancer. However, two major challenges remain: inefficient mRNA escape from endosomes and STING pathway suppression in immunosuppressive tumor microenvironments. Methods: To improve endosomal escape, we developed a novel pH-responsive PEGylated lipid (Ben-mPEG2000) for mRNA-LNP preparation while using commercial Man-mPEG2000 for dendritic cell (DC)-targeted delivery of LNPs; to alleviate suppression of the STING pathway in the tumor microenvironment and activate immune responses, STING-R283S mRNA was encapsulated into LNPs, ultimately resulting in DC-targeted/pH-responsive LNPs loaded with STING-R283S mRNA for pancreatic cancer immunotherapy research. Results: After pH-responsive cleavage, Ben-mPEG2000 not only enhanced the positive charge of LNPs through the exposed protonated amino groups but also eliminated the PEG-induced steric hindrance effect. The combination of these two effects promoted membrane fusion between LNPs and the endosome, thereby enhancing mRNA translation. As a payload, STING-R283S could further amplify STING signaling in DCs without cytotoxicity to counteract immunosuppression in pancreatic cancer. Conclusions: This engineered LNP platform enhanced mRNA expression and STING activation in DCs, improving immunotherapy outcomes in pancreatic cancer. Full article
(This article belongs to the Section Nanomedicine and Nanotechnology)
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22 pages, 1147 KB  
Review
Electrical Conductivity as an Inline Monitor for Aqueous Precipitation and Crystallization: Mechanistic Interpretability and a Model-Implementation Blueprint
by Sang-Hun Lee
Minerals 2026, 16(6), 658; https://doi.org/10.3390/min16060658 (registering DOI) - 21 Jun 2026
Abstract
Aqueous precipitation and crystallization are central to impurity removal, product formation, and resource recovery in mineral and chemical processing, but robust inline monitoring remains challenging because supersaturation is not measured directly and conductivity signals are affected by temperature, composition drift, bubbles, solids, polarization, [...] Read more.
Aqueous precipitation and crystallization are central to impurity removal, product formation, and resource recovery in mineral and chemical processing, but robust inline monitoring remains challenging because supersaturation is not measured directly and conductivity signals are affected by temperature, composition drift, bubbles, solids, polarization, and fouling. Electrical conductivity (EC) is attractive as a low-cost, rugged process analytical tool, yet its usefulness depends on mechanistic interpretation: EC reflects charge-carrier concentration and mobility rather than supersaturation itself. This review organizes the literature into a layered framework covering (i) measurement integrity and deployment, (ii) bulk-signal extraction in multiphase media, (iii) estimation of latent variables such as dissolved concentration or supersaturation proxies, and (iv) control readiness based on conductivity-derived targets. Frequency-aware conductivity extraction, event-anchored verification, and observer-based estimation are treated as optional, complementary modules. A Ca-carbonate/CaCO3 system is used as an illustrative case because its coupling among conductivity, pH/speciation, supersaturation, and precipitation is especially transparent, although the framework is intended for broader processing systems, including complex liquors and slurries. Opportunities are also highlighted for nanomaterials to improve both precipitation control and EC information content. Full article
(This article belongs to the Special Issue Application of Nanomaterials in Mineral Processing)
29 pages, 11979 KB  
Article
Direct Prestack Inversion of the Formation Pressure Coefficient for Deepwater Overpressured Reservoirs
by Hao Chen, Handong Huang, Gang Cui, Jun Liao, Jiahui Peng and Yaning Wu
J. Mar. Sci. Eng. 2026, 14(12), 1138; https://doi.org/10.3390/jmse14121138 (registering DOI) - 21 Jun 2026
Abstract
Accurate prediction of overpressured formations in deepwater is important for drilling safety and reservoir evaluation. However, conventional two-step inversion workflows are affected by cumulative errors and parameter crosstalk, which limits their ability to characterize the sharp pressure-transition interfaces at the top of overpressured [...] Read more.
Accurate prediction of overpressured formations in deepwater is important for drilling safety and reservoir evaluation. However, conventional two-step inversion workflows are affected by cumulative errors and parameter crosstalk, which limits their ability to characterize the sharp pressure-transition interfaces at the top of overpressured zones. In this study, we propose a direct prestack nonlinear inversion method for the formation pressure coefficient (λ), a dimensionless and drilling-relevant indicator of overpressure intensity. Unlike previous exact-Zoeppritz direct inversions that target effective stress or elastic moduli, here a single formation pressure coefficient drives the pressure-sensitive rock-physics chain—linking pore pressure, effective stress, and pore-space stiffness to the seismic response—thereby reducing the number of free inversion variables. This single-parameter mapping is then coupled with the exact Zoeppritz equation to build a nonlinear prestack forward operator, helping to reduce the parameter coupling and error propagation associated with conventional multiparameter inversion workflows. To describe the typical blocky structural features of overpressured strata, a nonconvex Lp-norm (0 < p < 1) regularization is introduced as a structural prior, and a decoupled optimization strategy combining the alternating direction method of multipliers (ADMM) and iteratively reweighted least squares (IRLS) is developed for a stable solution. In a single pseudo-well synthetic test, the proposed method achieved a higher correlation coefficient and lower root mean square error (RMSE) than the indirect workflow, indicating improved agreement with the reference formation-pressure-coefficient profile. Application to field seismic data from the Yinggehai Basin, South China Sea, shows that the method produces clearer pressure-transition boundaries and pressure-coefficient profiles more consistent with the available well constraints. These results suggest that, under the tested conditions, the proposed method can provide useful geophysical support for pressure prediction and the characterization of deepwater overpressured reservoirs. Full article
(This article belongs to the Special Issue Marine Well Logging and Reservoir Characterization)
15 pages, 503 KB  
Article
Students’ Awareness and Perceptions of Environmental Sustainability at Prince Sattam Bin Abdulaziz University (PSAU)
by Mubarak S. Aldosari
Sustainability 2026, 18(12), 6345; https://doi.org/10.3390/su18126345 (registering DOI) - 21 Jun 2026
Abstract
Environmental sustainability has become a critical priority for higher education institutions, which play a key role in promoting awareness and shaping students’ perceptions of sustainable practices. Understanding students’ awareness and perceptions is essential for evaluating the effectiveness of institutional sustainability initiatives. This study [...] Read more.
Environmental sustainability has become a critical priority for higher education institutions, which play a key role in promoting awareness and shaping students’ perceptions of sustainable practices. Understanding students’ awareness and perceptions is essential for evaluating the effectiveness of institutional sustainability initiatives. This study aimed to assess students’ awareness and perceptions of environmental sustainability at Prince Sattam bin Abdulaziz University and to examine the influence of demographic factors and the relationship between awareness and perception. A quantitative cross-sectional survey was conducted among 323 university students. Data were collected using a structured questionnaire measuring environmental awareness (18 items) and perception of sustainability practices (14 items) on a 5-point Likert scale. Composite scores were computed as the means of item responses. Descriptive statistics, independent t-tests, one-way ANOVA, and multivariable linear regression analyses were performed. Students demonstrated a moderate level of environmental awareness (mean = 3.116 ± 0.403) and moderate perceptions of sustainability practices (mean = 2.887 ± 0.199). Environmental awareness was significantly higher among female students and those in science-related disciplines (p < 0.001). Perception of sustainability was significantly associated with field of study and level of study (p < 0.001). In multivariable analysis, gender and field of study remained significant predictors of awareness, while gender, field of study, and level of study predicted perception. A significant but negative association was observed between awareness and perception of environmental sustainability (B = −0.496, p < 0.001). While students demonstrated a moderate level of environmental awareness, perceptions of sustainability practices were inconsistent. The findings highlight the need for enhanced sustainability education and engagement initiatives within universities. Future research should explore how awareness and perception translate into meaningful engagement with sustainability practices. Full article
22 pages, 1567 KB  
Article
Monolaurin in the Diet of Feedlot Finishing Cattle: Effects on Performance, Metabolism, Ruminal Environment, and Meat Fatty Acid Profile
by Julivan Junior Magri, Andrei Lucas Rebelatto Brunetto, Matheus Wroblescki Silva, Thiago Marangoni, Renato Santos de Jesus, Miklos Maximiliano Bajay, Luiz Eduardo Lobo e Silva, Roger Wagner, Gilnei Bruno da Silva, Daiane Manica, Margarete Dulce Bagatini and Aleksandro Schafer da Silva
Fermentation 2026, 12(6), 295; https://doi.org/10.3390/fermentation12060295 (registering DOI) - 21 Jun 2026
Abstract
This study evaluated the effects of monolaurin intake per finishing feedlot cattle on growth performance, metabolic status, ruminal environment, and meat fatty acid profile. Twenty-four castrated Holstein males (379 ± 8.5 kg; 12 months old) were randomly assigned to two treatments: basal diet [...] Read more.
This study evaluated the effects of monolaurin intake per finishing feedlot cattle on growth performance, metabolic status, ruminal environment, and meat fatty acid profile. Twenty-four castrated Holstein males (379 ± 8.5 kg; 12 months old) were randomly assigned to two treatments: basal diet (control) or basal diet with α-monolaurin (treated: 0.762 g/kg dry matter intake; ≈6.63 g/animal/day) for 79 days. Feed intake, body weight, and feed efficiency were recorded, and blood and ruminal samples were collected during the trial. Ruminal fermentation parameters, protozoa counts, hematological and biochemical variables, oxidative status biomarkers, ruminal microbiota composition (16S rRNA sequencing), and Longissimus dorsi fatty acid profile were analyzed. Monolaurin feed did not affect dry matter intake or final body weight, but increased total weight gain, average daily gain, and feed efficiency (p ≤ 0.05), indicating improved nutrient utilization. Hematological and serum biochemical variables were largely unchanged, although total leukocyte counts were lower in treated cattle. Animals receiving monolaurin showed reduced reactive oxygen species and lower superoxide dismutase activity, suggesting improved oxidative balance without changes in lipid peroxidation. During the adaptation phase (day 14), treated cattle exhibited lower acetate, propionate, valerate, and total volatile fatty acid concentrations and higher protozoa counts, but these differences disappeared by day 79, indicating ruminal adaptation. Microbiota diversity was not altered overall, although specific genera differed in relative abundance between treatments. In meat, monolaurin increased lauric, linoleic, and arachidonic acids, reduced palmitic and heptadecanoic acids, decreased total saturated fatty acids, and increased polyunsaturated fatty acids (p ≤ 0.05). Overall, dietary monolaurin improved feed efficiency, modulated oxidative status, induced transient ruminal microbial adjustments, and enhanced the nutritional quality of beef lipids without compromising metabolic health. Full article
(This article belongs to the Section Animal and Feed Fermentation)
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21 pages, 533 KB  
Article
Health-Related Quality of Life in Breast Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study in Greece
by Anastasia Karagiannaki, Vasiliki Michou, Evangelia Antoniou, Menelaos Zafrakas and Panagiotis Eskitzis
Medicina 2026, 62(6), 1196; https://doi.org/10.3390/medicina62061196 (registering DOI) - 21 Jun 2026
Abstract
Background and Objectives: Quality of life (QoL) is an important issue for breast cancer (BC) survivors. The objective of this study was to assess health-related QoL (HRQoL) of BC patients and investigate the impact of different demographic and clinical factors on physical and [...] Read more.
Background and Objectives: Quality of life (QoL) is an important issue for breast cancer (BC) survivors. The objective of this study was to assess health-related QoL (HRQoL) of BC patients and investigate the impact of different demographic and clinical factors on physical and social functioning and BC-related symptoms. Materials and Methods: In this cross-sectional study, 107 BC patients undergoing chemotherapy in Greece completed a questionnaire collecting sociodemographic and clinical information and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire–Core 30 (EORTC QLQ-C30) in order to assess HRQoL. Descriptive statistics and multiple linear regression analyses were used to identify factors linked to HRQoL outcomes. Results: Overall, participants reported moderate HRQoL, with high physical and social functioning and moderate emotional, cognitive, and role functioning. Fatigue was the most common symptom, whereas other symptoms were generally uncommon. Multiple regression analyses showed that marital status, place of residence, time since diagnosis, and type of surgery were significantly associated with the global QLQ-C30 score (R2 = 0.337, p < 0.001). Physical functioning was associated with comorbidity burden, time since diagnosis, and employment status (R2 = 0.155, p = 0.035), and social functioning with marital status and type of surgery (R2 = 0.171, p = 0.011). Emotional functioning showed exploratory associations with place of residence and type of surgery; however, the overall regression model for emotional functioning did not reach statistical significance. No symptom model reached overall significance, but time since diagnosis, treatment type, and surgery were linked to distinct symptoms. Conclusions: BC patients undergoing chemotherapy in Greece report an overall moderate level of HRQoL, which is significantly influenced by a combination of demographic and clinical factors; physical and social functioning were high, with moderate emotional, cognitive, and role functioning. These findings highlight the importance of individualized supportive care strategies in order to improve QoL of BC patients. Full article
(This article belongs to the Special Issue New Developments in Diagnosis and Management of Breast Cancer)
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11 pages, 498 KB  
Article
Outcomes of Salvage Trabeculectomy in Japanese Patients with Open-Angle Glaucoma and Persistent Intraocular Pressure Elevation Following Trabectome or Microhook Ab Interno Trabeculotomy
by Toshiki Oka, Mari Sakamoto, Sotaro Mori, Kaori Ueda, Yuko Yamada-Nakanishi and Makoto Nakamura
J. Clin. Med. 2026, 15(12), 4826; https://doi.org/10.3390/jcm15124826 (registering DOI) - 21 Jun 2026
Abstract
Background/Objectives: The objective was to describe the one-year outcomes of salvage trabeculectomy (TLE) in eyes with persistent elevation of intraocular pressure (IOP) requiring early surgical intervention after failed minimally invasive glaucoma surgery (MIGS). Methods: This retrospective observational study included 38 eyes of [...] Read more.
Background/Objectives: The objective was to describe the one-year outcomes of salvage trabeculectomy (TLE) in eyes with persistent elevation of intraocular pressure (IOP) requiring early surgical intervention after failed minimally invasive glaucoma surgery (MIGS). Methods: This retrospective observational study included 38 eyes of 38 consecutive Japanese patients who underwent TLE within 100 days after Trabectome (TOM) or microhook ab interno trabeculotomy (μTLO) because of uncontrolled IOP despite maximally tolerated medical therapy. Surgical success was defined as (1) IOP reduction ≥30% from baseline, (2) 5 < IOP < 18 mmHg, (3) no additional glaucoma surgery, and (4) no loss of light perception. The Kaplan–Meier method was used to estimate the one-year success rate. Changes in IOP, medication use, best-corrected visual acuity (BCVA), and mean deviation (MD) were analyzed using the Wilcoxon matched-pairs signed-rank test and a linear mixed-effects model. Results: The median interval between MIGS and TLE was 41.5 days (interquartile range, 28–70 days). The one-year surgical success rate was 86.8% (Kaplan–Meier estimate). IOP and medication use were significantly reduced after TLE (p < 0.0001) and remained stable throughout the 12-month follow-up. BCVA did not differ significantly between baseline and 12 months after TLE, whereas a small but statistically significant difference in MD was observed. No serious vision-threatening complications were encountered. Conclusions: TLE performed shortly after failed MIGS achieved substantial IOP reduction with acceptable safety over a one-year follow-up period. TLE may be considered as one of the surgical options in cases where sufficient IOP reduction cannot be achieved after failed MIGS, and no effective alternative treatments are available. Full article
(This article belongs to the Section Ophthalmology)
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21 pages, 1320 KB  
Article
The p-Terphenyl and Kavalactone Secondary Metabolites from the Fungus Hydnellum aurantiacum: Isolation and Evaluation of Their Effects on Platelet Activation
by Nikita Pronin, Anastasiia O. Whaley, Andrei Whaley, Vladislav Zhuravlev, Sergey Smirnov, Sergey Volobuev and Stepan Gambaryan
Molecules 2026, 31(12), 2175; https://doi.org/10.3390/molecules31122175 (registering DOI) - 21 Jun 2026
Abstract
Phytochemical analysis of the tooth fungus Hydnellum aurantiacum resulted in the isolation of twenty-two compounds, including two new kavalactone derivatives—methylkavain (1) and aurapyrone (2); seven new p-terphenyl derivatives—ethylatromentin (3), 2-O-benzoylatromentin (4), aurantin ( [...] Read more.
Phytochemical analysis of the tooth fungus Hydnellum aurantiacum resulted in the isolation of twenty-two compounds, including two new kavalactone derivatives—methylkavain (1) and aurapyrone (2); seven new p-terphenyl derivatives—ethylatromentin (3), 2-O-benzoylatromentin (4), aurantin (5), leucohydnelin (6), leucoaurantin (7), hydroxyleucoaurantiacin (8), benzoyltelephantin M (9); and thirteen known p-terphenyls—atromentin (10), aurantiacin (11), telephantin K (12), leucoatromentin (13), telephantin J (14), curtisian A (15), concrescenin B (16), telephantin L (17), dihydroaurantiacin dibenzoate (18), telephantin M (19), sarcodonin α (20), sarcodonin δ (21) and phellodonin (22). The structures were elucidated using spectroscopic methods (UV, NMR, HR-ESI-MS) along with comparison to literature data. All isolated substances, except 8 and 10, affected thrombin-induced human platelet activation at 90 μM: the seven compounds (9, 12, 16, 17, 20, 21, 22) potentiated it, while the remaining ones exhibited inhibitory activity with the strongest antiplatelet effects observed for 4, 5, and 7 (10.6 ± 4.0, 4.3 ± 3.2, 9.6 ± 2.9% of positive control, respectively). These and other p-terphenyl derivatives with antiplatelet activity identified in this study represent promising structures for further investigation into the mechanism of their action. Full article
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13 pages, 665 KB  
Article
Metabolic Improvements Following Upper Airway Surgery in Obstructive Sleep Apnea: Association of Airway Improvement with Insulin Resistance
by Chia-Chen Lin, Wan-Ni Lin, Li-Jen Hsin, Ming-Shao Tsai, Li-Ang Lee and Hsueh-Yu Li
J. Clin. Med. 2026, 15(12), 4825; https://doi.org/10.3390/jcm15124825 (registering DOI) - 21 Jun 2026
Abstract
Background: Obstructive sleep apnea (OSA) is increasingly recognized as a systemic disorder associated with insulin resistance and elevated risk of type 2 diabetes. While continuous positive airway pressure (CPAP) is the standard therapy, its long-term metabolic benefits remain inconsistent. The metabolic impact of [...] Read more.
Background: Obstructive sleep apnea (OSA) is increasingly recognized as a systemic disorder associated with insulin resistance and elevated risk of type 2 diabetes. While continuous positive airway pressure (CPAP) is the standard therapy, its long-term metabolic benefits remain inconsistent. The metabolic impact of upper airway surgery is less well defined. Methods: In this retrospective study, 49 patients with polysomnography-confirmed OSA who underwent upper airway surgery were evaluated. Respiratory and metabolic parameters—including apnea–hypopnea index (AHI), fasting plasma glucose, fasting insulin, glycated hemoglobin (HbA1c), and homeostatic model assessment for insulin resistance (HOMA-IR)—were assessed preoperatively and at 6 months postoperatively. Associations between changes in AHI (ΔAHI) and insulin resistance (ΔHOMA-IR) were analyzed using correlation and receiver operating characteristic (ROC) analyses. Results: Significant improvements were observed in both respiratory and metabolic parameters. AHI decreased from 46.6 ± 25.8 to 20.7 ± 14.1 events/h (p < 0.001). Fasting plasma glucose, insulin levels, and HOMA-IR were significantly reduced postoperatively (all p < 0.05), while HbA1c showed a downward trend. Reduction in AHI was moderately correlated with improvement in insulin resistance (r = 0.527, p < 0.001). ROC analysis demonstrated modest discriminative ability of ΔAHI for identifying normalization of insulin resistance (AUC = 0.62). Conclusions: Upper airway surgery was associated with significant improvements in insulin resistance and glycemic parameters in patients with OSA. The correlation between airway improvement and metabolic change supports a physiological link between upper airway obstruction and insulin sensitivity. These findings suggest that upper airway surgery may represent a clinically relevant adjunct within multimodal strategies for metabolic risk reduction, particularly in patients unable to tolerate CPAP therapy. Full article
(This article belongs to the Section Otolaryngology)
19 pages, 3425 KB  
Article
Enzymatic Deastringent Fruit Powder of Sea Buckthorn (Hippophae rhamnoides L.): Preparation, Antioxidant Activity Investigation and Metabolomics Analysis
by Jiaxuan Xie, Liting Lin, Haoran Yang, Daren Wu, Zhengxiao Zhang, Shan Lin, Feng Kang, Lingyu Zhang and Jian Li
Foods 2026, 15(12), 2240; https://doi.org/10.3390/foods15122240 (registering DOI) - 21 Jun 2026
Abstract
Sea buckthorn is a valuable medicinal and edible plant, but the sour and astringent taste of its fruit limits the development of the related processing industry. This study focused on establishing the optimal composite enzymatic hydrolysis strategy to reduce acerbity during processing of [...] Read more.
Sea buckthorn is a valuable medicinal and edible plant, but the sour and astringent taste of its fruit limits the development of the related processing industry. This study focused on establishing the optimal composite enzymatic hydrolysis strategy to reduce acerbity during processing of sea buckthorn berries, while preserving the antioxidant activity. The results indicated that the most effective conditions for deacidification and deastringency were achieved with a pectinase-to-tannase mass ratio of 1:1, an enzyme dosage of 0.20%, at a pH of 4.50, a temperature of 50 °C, and a duration of 4 h. Under this treatment, the sea buckthorn could retain its potent antioxidant activity. Furthermore, a significant alteration was observed in the levels of 36 metabolites, which were correlated with the sensory attributes of the sea buckthorn. The findings of this study provided a theoretical basis for the enhanced utilization of sea buckthorn in processing and for a deeper understanding of its bioactive properties. Full article
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25 pages, 10556 KB  
Article
Estimation of Seaweed Biomass in Shallow Coastal Waters Using UAV Bathymetric LiDAR and Automated 3D Point Cloud Segmentation
by Yoshihiro Sugawara
Sensors 2026, 26(12), 3945; https://doi.org/10.3390/s26123945 (registering DOI) - 21 Jun 2026
Abstract
Accurate and wide-area estimation of seaweed biomass is essential for evaluating blue carbon. Conventional diver surveys and two-dimensional (2D) aerial imagery analysis face challenges such as intensive labor and biomass underestimation. While Unmanned Aerial Vehicle-based Light Detection and Ranging (UAV-LiDAR) provides dense 3D [...] Read more.
Accurate and wide-area estimation of seaweed biomass is essential for evaluating blue carbon. Conventional diver surveys and two-dimensional (2D) aerial imagery analysis face challenges such as intensive labor and biomass underestimation. While Unmanned Aerial Vehicle-based Light Detection and Ranging (UAV-LiDAR) provides dense 3D spatial data, classifying point clouds in extremely shallow coastal waters with dense kelp and artificial structures remains difficult. This study establishes a high-accuracy biomass estimation method using UAV-LiDAR and PointNet. A heuristic hybrid filtering approach combining physical constraints and local statistics was developed to automatically generate high-quality reference data. The trained PointNet successfully segmented complex point clouds into four classes with an overall accuracy of 94.2%. To calculate biomass, we introduced a volume correction model based on point cloud density (coverage) to mitigate overestimation caused by internal canopy gaps. This correction yielded estimated wet weights nearly identical to the in situ measurements (an approximate 3% difference), confirming highly accurate biomass reproduction. Furthermore, while the conventional 2D maximum likelihood method underestimated total biomass, our 3D point cloud analysis successfully quantified the dense, overlapping canopy. This framework significantly improves the efficiency and accuracy of blue carbon monitoring. Full article
(This article belongs to the Section Remote Sensors)
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12 pages, 260 KB  
Article
Association Between Pain Self-Efficacy and Adherence to Hemodialysis Regimen
by Ioanna Mitsia, Vasiliki Matziou, Maria Polikandrioti, Sofia Zyga and Victoria Alikari
J. Clin. Med. 2026, 15(12), 4824; https://doi.org/10.3390/jcm15124824 (registering DOI) - 21 Jun 2026
Abstract
Background/Objectives: Pain is a common symptom in patients undergoing hemodialysis (HD) and may influence their quality of life. Pain self-efficacy may play an important role in self-management and adherence behaviors. This study aimed to examine the association between pain self-efficacy and adherence [...] Read more.
Background/Objectives: Pain is a common symptom in patients undergoing hemodialysis (HD) and may influence their quality of life. Pain self-efficacy may play an important role in self-management and adherence behaviors. This study aimed to examine the association between pain self-efficacy and adherence to the HD regimen in patients undergoing HD. Methods: In this descriptive and cross-sectional study, 199 patients undergoing HD from a single private hospital (convenience sample) in Athens, Greece, completed the Greek-Simplified Adherence Questionnaire-HD (GR-SMAQ-HD) to assess adherence and the Pain Self-efficacy Questionnaire (PSEQ) to assess pain self-efficacy. Sociodemographic and clinical data were also recorded. Bivariate analyses and multiple linear regression were performed to identify factors associated with adherence. Statistical significance was set at p < 0.05. Results: Patients demonstrated moderate levels of pain self-efficacy (mean PSEQ = 33.96 ± 9.74) and moderate adherence to the HD regimen (mean GR-SMAQ-HD = 4.78 ± 2.54). No significant correlation was found between pain self-efficacy and adherence in bivariate analysis (rho = 0.125, p = 0.221). However, in multivariate analysis, pain self-efficacy was a significant independent predictor of adherence (β = 0.056, p = 0.032). Longer duration of End-Stage Renal Disease (ESRD) (β = −0.158, p < 0.001), higher pill burden (rho = −0.237, p = 0.030) were associated with lower adherence. Marital status was also a significant predictor of adherence (β = 1.631, p = 0.016). The model explained 24% of the variance in adherence (Adjusted R2 = 0.24). Conclusions: Pain self-efficacy may indirectly affect adherence to the HD regimen, although its direct effect is modest. Adherence appears to be negatively influenced by pill burden and ESRD duration, while social support may play an important role. Full article
(This article belongs to the Special Issue A Holistic Approach to Management of Complications in Hemodialysis)
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