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18 pages, 688 KB  
Article
The Family Talk Intervention Improves Family Communication and Psychosocial Health Among Families in Pediatric Palliative Care: A Pre-Post Evaluation Study
by Kerstin Ivéus, Maja Holm, Kristofer Årestedt, Ulrika Kreicbergs, Lena Anmyr, Camilla Udo and Malin Lövgren
Children 2026, 13(4), 471; https://doi.org/10.3390/children13040471 (registering DOI) - 28 Mar 2026
Abstract
Background: The psychosocial needs of families involving a child with a life-limiting or life-threatening condition are well recognized. However, evidence-based interventions that address the needs of the entire family remain scarce, even though family health can be maintained and supported if interventions encompass [...] Read more.
Background: The psychosocial needs of families involving a child with a life-limiting or life-threatening condition are well recognized. However, evidence-based interventions that address the needs of the entire family remain scarce, even though family health can be maintained and supported if interventions encompass each individual family member, as well as the family as a unit. The aim was to evaluate the family talk intervention (FTI), regarding family communication, and psychosocial health, for families involving a child with a life-limiting or life-threatening condition. Methods: This pre-post study without a control group involved families of children with a life-limiting or life-threatening condition receiving FTI at a pediatric hospital and a hospice in Sweden. The study is registered at clinicaltrials.gov (ID NCT05020158, date of registration: 23 August 2021). FTI is a family-based intervention with the goal of facilitating family communication about illness-related topics, e.g., prognosis, support parenting, and making all children’s needs visible. In total, 105 participants from 29 families were included. Surveys measuring self-assessed family communication and satisfaction, anxiety, resilience, parenting skills, and children’s mental problems were answered at three time points: baseline (before intervention), at the end of the intervention, and six months later. Changes over time were analyzed using linear mixed-effects models. Results: Significant improvements were reported in family communication, family satisfaction, parenting skills, and levels of anxiety over time. Children’s mental health problems were reduced over time regarding emotional symptoms, conduct problems, peer relationship difficulties, and hyperactivity. No changes were found regarding resilience. Conclusion: The results suggest that FTI contributes to improved family communication and psychosocial health for families involving a child with a life-limiting or life-threatening condition. This highlights the value of a systemic approach that actively involves all family members. Full article
(This article belongs to the Section Pediatric Mental Health)
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21 pages, 2277 KB  
Article
Stray Currents Beyond the Fundamental in the Swedish BT Railway Power System
by Tommy Hjertberg and Sarah Karolina Rönnberg
Energies 2026, 19(7), 1670; https://doi.org/10.3390/en19071670 (registering DOI) - 28 Mar 2026
Abstract
Sweden has a very high and variable soil resistivity, making it difficult to ensure a consistently good connection to earth along the track. Booster Transformers (BTs) have been used to ensure that the current returns through the intended path and that stray currents [...] Read more.
Sweden has a very high and variable soil resistivity, making it difficult to ensure a consistently good connection to earth along the track. Booster Transformers (BTs) have been used to ensure that the current returns through the intended path and that stray currents are limited. The ability of BTs to control return currents is limited by their series impedance and by imperfect coupling. In this article, we make a detailed model of the BT system between two feed-in points and evaluate how well the BT system can contain stray currents at harmonic frequencies. The main contribution is that we demonstrate that harmonic currents are significantly less well contained by the BT system, and that the practice of allowing local grid connections to the railway earth system risks creating significant stray currents in the local grid, particularly at harmonic frequencies, but also that electrical safety may be compromised by the transmission of touch voltages to locations with a different soil resistivity than the rail bed. Full article
(This article belongs to the Section F1: Electrical Power System)
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37 pages, 12312 KB  
Article
The Affective Reservoir: From Transactional Rules to Relational Rhythms
by Linus de Petris, Siamak Khatibi and Yuan Zhou
Systems 2026, 14(4), 360; https://doi.org/10.3390/systems14040360 (registering DOI) - 28 Mar 2026
Abstract
This article builds on the argument that design for complex interactive systems should shift from creating transactional interactions to `organizing relational complexity’. Grounded in agential realism, we reframe computational agents from black-box predictors to material-discursive apparatuses. We utilize a standard reservoir computing architecture, [...] Read more.
This article builds on the argument that design for complex interactive systems should shift from creating transactional interactions to `organizing relational complexity’. Grounded in agential realism, we reframe computational agents from black-box predictors to material-discursive apparatuses. We utilize a standard reservoir computing architecture, conceptualized here as the Affective Reservoir, as a diffractive instrument to visualize the co-constitution of gameplay. In doing so, we replace the teleological concept of a fixed `goal’ with the agential realist concept of a `yearning’: the continuous negotiation of situated tension. By analyzing the reservoir’s dynamics, we show how coherent regimes of interaction emerge within the agent’s internal state space, not from error minimization but from Dynamical Friction; the intense interference pattern generated when the agent’s Re-membered Inertia (habitual momentum) resists the Affective Gradients (situational forcing) of its environment. Ultimately, we argue that by orchestrating an agent’s capacity to be affected via its resistance to and resonance with the environment, designers can move beyond transactional logic to sustain emergent relational phenomena. Full article
(This article belongs to the Section Complex Systems and Cybernetics)
16 pages, 3315 KB  
Article
Differential Modulation of JAK/STAT3 Signaling and BCL-2 Family Proteins by Tetracycline Analogues in Leukemia Models
by Zienab M. Hassan, Doste R. Mamand, Hoda W. El-Gawly, Nagla A. El-Sherbeeny, Hala M. F. Mohammad, Mohamed K. Elkherbetawy, Oscar P. B. Wiklander and Moustapha Hassan
Pharmaceutics 2026, 18(4), 415; https://doi.org/10.3390/pharmaceutics18040415 (registering DOI) - 28 Mar 2026
Abstract
Background/Objectives: Drug repurposing offers a time- and cost-efficient strategy for accelerating the development of anticancer therapies by leveraging the established safety profiles of existing pharmaceuticals. This study aimed to investigate the anticancer potential of three tetracycline analogues chemically modified tetracycline-3 (COL-3), doxycycline [...] Read more.
Background/Objectives: Drug repurposing offers a time- and cost-efficient strategy for accelerating the development of anticancer therapies by leveraging the established safety profiles of existing pharmaceuticals. This study aimed to investigate the anticancer potential of three tetracycline analogues chemically modified tetracycline-3 (COL-3), doxycycline (DOX), and minocycline (MIN) in leukemia models, with a particular focus on their cytotoxic effects and modulation of the JAK2/STAT3 signaling pathway. Methods: Cytotoxicity was evaluated in K562, KG-1a and Jurkat cell lines using luminescence-based viability assays, whereas the mechanisms of cell death were analyzed by Annexin-V/7-AAD staining and Western blotting. Results: COL-3 displayed the highest cytotoxic potency across all cell lines, with Jurkat cells showing the greatest overall sensitivity. Flow cytometry revealed that tetracycline analogues primarily induced apoptosis, although the molecular mechanisms differed between cell lines. In K562 and KG-1a cells, apoptosis occurred largely through JAK2/STAT3-independent mechanisms, involving differential regulation of BCL-2 family proteins: COL-3 reduced BCL-2 expression, whereas DOX and MIN increased BAX expression. In contrast, Jurkat cell apoptosis correlated with suppression of phosphorylated JAK2 and STAT3 and downregulation of BCL-2, implicating a JAK2/STAT3-dependent mechanism. Conclusions: Taken together, these findings demonstrate that tetracycline analogues exert cell line-specific anticancer activities through distinct molecular pathways. Among them, COL-3 emerges as the most potent analogue and acts through both JAK/STAT-dependent and -independent mechanisms. This work supports further investigation of COL-3 as a candidate for drug repurposing strategies in hematological malignancies. Full article
(This article belongs to the Section Clinical Pharmaceutics)
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17 pages, 3090 KB  
Article
Recovery of Separator from Battery Waste by Supercritical Carbon Dioxide Extraction: Removal of Electrolyte and Electrode Contaminants
by Martin Östergren, Philipp Mikšovsky and Burçak Ebin
Batteries 2026, 12(4), 118; https://doi.org/10.3390/batteries12040118 (registering DOI) - 28 Mar 2026
Abstract
Hazardous compounds from used batteries pose a great threat to the environment. To prevent pollution and to recover critical materials from battery waste, efficient recycling is required. Until now, battery recycling has focused on the recovery of valuable metals from cathode materials, while [...] Read more.
Hazardous compounds from used batteries pose a great threat to the environment. To prevent pollution and to recover critical materials from battery waste, efficient recycling is required. Until now, battery recycling has focused on the recovery of valuable metals from cathode materials, while organic fractions have often been neglected due to their low material value. New approaches to battery recycling are therefore necessary, where recycling methods based on supercritical carbon dioxide (SC-CO2) extraction show great potential. In this work, a SC-CO2 method was implemented to extract electrolyte solvents for the purification and recovery of a separator waste material (SWM) sorted out from lithium-ion battery (LIB)-based black mass. In addition, two other separation routes (ultrasonic washing and thermal treatment) were used for comparison. Based on the results from the three routes, mass balances revealed the gravimetric composition of the SWM, which includes separator, electrolyte, and electrode powder. The composition of electrolyte solvents was determined via Gas Chromatography-Mass Spectroscopy analysis. Furthermore, the polymeric separator was analyzed using Fourier Transform Infrared Spectroscopy, Thermogravimetric Analysis, and Differential Scanning Calorimetry analysis to evaluate the effects of SC-CO2 extraction on the physicochemical properties. The recovery of electrolyte by the SC-CO2 route is more efficient than the others, with extraction yields of 162 mg of electrolyte per gram of SWM. Moreover, no changes are observed in the analyzed properties of the polymeric separator material due to the SC-CO2 extraction. Thus, the SC-CO2 process proves to be a promising method for an efficient and sustainable recycling of electrolyte solvent and purifying of separator material from LIB waste. Full article
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17 pages, 591 KB  
Article
Genomic Diversity of Avocado in the Morogoro Region and Southern Highlands of Tanzania
by Andrés J. Cortés, Juma M. Hussein and Ibrahim Juma
Int. J. Mol. Sci. 2026, 27(7), 3083; https://doi.org/10.3390/ijms27073083 (registering DOI) - 28 Mar 2026
Abstract
Avocado (Persea americana Mill.) is one of the most widely consumed fruit tree crops worldwide, with cultivation expanding rapidly beyond its Mesoamerican and northwest South America center of origin. In emerging secondary diversity centers such as East Africa, farmers have long propagated [...] Read more.
Avocado (Persea americana Mill.) is one of the most widely consumed fruit tree crops worldwide, with cultivation expanding rapidly beyond its Mesoamerican and northwest South America center of origin. In emerging secondary diversity centers such as East Africa, farmers have long propagated seedling naturalized populations that may hold valuable reservoirs of genetic diversity, yet these resources remain underexplored. To help fill this gap, this study developed the first genomic resources for avocados in Tanzania, where avocado has a long history of introduction and diversification dating to the first Arab incursions and Catholic missionary missions. Low-coverage whole-genome resequencing (lcWGS) data were obtained from 95 trees sampled in Tanzania across the low- to mid-altitude Morogoro region (n = 25) and the Southern Highlands—i.e., the Iringa (n = 20), Mbeya (n = 30) and Ruvuma (n = 20) regions. In order to guide racial assignation, sequences were merged with NCBI-available lcWGS data from 205 avocado trees, including 42 commercial varieties, with reported ancestry. Population stratification as inferred via maximum likelihood phylogenetic inference, genetic principal component analysis, and ADMIXTURE unsupervised clustering suggested that the sampled Tanzanian avocado trees were genetically closer to the West Indian race and more distant from the northwest South American Caribbean and Andean groups. Additionally, while the trees from the low- to mid-altitude region of Morogoro were almost exclusively West Indian type, some trees from the Southern Highlands aligned more closely with West Indian × Guatemalan and West Indian × Mexican hybrids. These trends were equally supported by a subset of 10,460 high-coverage (10×) SNP markers. Together these findings clarify the dynamics of avocado diversification in a secondary center in East Africa, spanning recent introductions from a single Mesoamerican race, adaptation to a wide range of locally geographic conditions, and farmer-driven selection matching local tribal preferences. Characterizing these locally adapted resources is key for identifying underrepresented yet promising provenances, developing resilient and sustainable horticultural production systems, and safeguarding the species’ global genetic heritage. Full article
(This article belongs to the Special Issue Plant Breeding and Genetics: New Findings and Perspectives)
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24 pages, 2997 KB  
Article
A Controllability-Based Reliability Framework for Mechanical Systems with Scenario-Driven Performance Evaluation
by Daniel Osezua Aikhuele and Shahryar Sorooshian
Appl. Syst. Innov. 2026, 9(4), 72; https://doi.org/10.3390/asi9040072 (registering DOI) - 27 Mar 2026
Abstract
In classical reliability engineering, failure is a probabilistic structural failure based on lifetime distributions of Weibull models. However, in the control-critical mechanical systems, it is possible that functional failure of the system happens before material failure occurs as a result of control power [...] Read more.
In classical reliability engineering, failure is a probabilistic structural failure based on lifetime distributions of Weibull models. However, in the control-critical mechanical systems, it is possible that functional failure of the system happens before material failure occurs as a result of control power loss. This paper proposes a Controllability–Reliability Coupling (CRC) model, which redefines the concept of reliability as the stabilizability in the face of progressive degradation. The actuators’ deterioration is modeled using the time-varying input effectiveness factor α(t), and the actuator is said to be in failure when the minimum singular value of the finite-horizon controllability Gramian becomes less than a stabilizability threshold ε. The performance of the simulation indicates that the functional failure is a precursor of structural failure in several degradation conditions. A baseline comparison shows that the CRC metric forecasts loss of controllability at TCRC=17.0 s, but the classical Weibull reliability never attains the structural failure threshold even in the time horizon of 20 s. The system retains margins of Lyapunov stability and H infinity robustness are not lost, and it is still stable and attenuates disturbances even when control authority is lost. In practical degradation scenarios, the forecasted CRC failure times are 21.5 s (linear wear), 13.1 s (accelerated fatigue), 23.7 s (intermittent faults), and 24.4 s (shock damage), whereas maintenance recovery abated functional failure completely. In a case study of an industrial robotic joint, at 27.0 s, functional collapse occurred, and at the same time, structural reliability was still above the failure threshold. The findings support the hypothesis that structural survival and functional controllability are distinct concepts. The proposed CRC framework is an approach to control-conscious reliability measure, which can detect early failures and offer proactive maintenance advice in the context of a cyber–physical system. Full article
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36 pages, 451 KB  
Article
The Thermodynamics of Transient Trapped Surfaces in the Geon Collapse
by Claes Cramer
Universe 2026, 12(4), 95; https://doi.org/10.3390/universe12040095 - 27 Mar 2026
Abstract
It is shown that transient trapped surfaces form in a class of emerging globally hyperbolic spacetimes, within punctured Planck-scale neighbourhoods of the geon supported on intersecting singular supports whose intersection forms a characteristic core in a non-strongly causal setting. These neighbourhoods shrink towards [...] Read more.
It is shown that transient trapped surfaces form in a class of emerging globally hyperbolic spacetimes, within punctured Planck-scale neighbourhoods of the geon supported on intersecting singular supports whose intersection forms a characteristic core in a non-strongly causal setting. These neighbourhoods shrink towards the intersecting singular support in the distributional geometry. In particular, the trapped surfaces occur near the characteristic limit corresponding to the unstable equilibrium of the self-gravitating geon. They act as an effective classical barrier for descriptions formulated purely within smooth differential geometry. The area of these trapped-surface configurations, computed on Planck-referenced neighbourhoods, is shown to tend to zero both in the asymptotically flat limit of the emerging spacetime and in the geon limit. Thus, transient trapped surfaces evaporate in the sense that their area vanishes as classical and asymptotically flat spacetime emerges within the quantum foam framework. A state-counting generating function for the transient trapped surfaces is constructed from the coherent-state density operator. This generating function maps microscopic occupation-number sectors to macroscopic data and thereby allows a definition of Boltzmann entropy (not to be confused with the von Neumann entropy, which is zero for any pure coherent state). Since the coherent state is constructed to implement the correspondence principle, expectation values of the relevant quantised observables reproduce their classical values. In particular, the expectation value of the bosonic occupation-number operator serves as a microstate-counting variable in the coherent sector. The generating function takes the form of an exponential of this expectation value, leading to an entropy–area relation consistent with the Hawking–Bekenstein scaling. Full article
19 pages, 3668 KB  
Article
Toward Sustainable Concrete: Experimental Investigation Using Municipal Solid Waste Incineration Bottom Ash
by Alireza Bahrami, Mathias Cehlin, Marita Wallhagen, Oliver Nexén and Elsa Paul
Buildings 2026, 16(7), 1331; https://doi.org/10.3390/buildings16071331 - 27 Mar 2026
Abstract
This study explores the feasibility of using municipal solid waste incineration bottom ashes (MSWIBAs) as a partial replacement for cement in concrete with respect to the fresh and hardened properties of concrete. MSWIBA samples from five Swedish incineration plants (BA1–BA5) were collected and [...] Read more.
This study explores the feasibility of using municipal solid waste incineration bottom ashes (MSWIBAs) as a partial replacement for cement in concrete with respect to the fresh and hardened properties of concrete. MSWIBA samples from five Swedish incineration plants (BA1–BA5) were collected and analyzed for their mineral composition and particle size distribution (PSD). The samples (BA3 and BA5), exhibiting better pozzolanic behavior and particle sizes closer to those of conventional cement, were selected for further detailed study. Mechanical activation was performed on the BA3 and BA5 samples. Concrete mixes were prepared with 10% and 20% (by mass) cement replacements utilizing raw and activated BA3 and BA5 samples. The resulting concrete specimens were evaluated through slump, density, and compressive strength tests at 7, 28, and 56 days. The results showed that activated MSWIBAs improved the workability of the concrete specimens compared with the control concrete mix, and the density of the concrete decreased with increasing the MSWIBA content. The compressive strength of the concrete mixes generally decreased as the replacement level of MSWIBAs increased. At 56 days, the concrete mix with 10% raw BA5 reached about 77% of the compressive strength of the control concrete mix, whereas mixes with 20% raw or activated MSWIBAs reached about 58%. The concrete mix with BA3 performed better than the mix with BA5 at 7 days, while the concrete mix with BA5 showed higher later-age compressive strength. In addition, mechanical activation of MSWIBAs did not significantly improve compressive strength of concrete mixes. Despite the reduction in compressive strength when using MSWIBAs, this sustainable concrete contributes to the development of climate-friendly concrete and offers potential environmental benefits. Full article
(This article belongs to the Topic Green Construction Materials and Construction Innovation)
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14 pages, 1322 KB  
Article
Integrated Analysis of Polyphenol Oxidase Gene Expression and Enzymatic Activity in Purple-Fleshed Potatoes
by Marilu Mestanza, Pablo Rituay, Angel David Hernández-Amasifuen, Dennis Eriksson, Alfonso H. del Rio, Jorge Alberto Condori-Apfata and Juan Carlos Guerrero-Abad
Plants 2026, 15(7), 1033; https://doi.org/10.3390/plants15071033 - 27 Mar 2026
Abstract
Colored potato cultivars are rich in phenolic compounds that confer high antioxidant capacity; however, these beneficial metabolites could be susceptible to oxidation by polyphenol oxidases (PPOs), leading to enzymatic browning and the loss of antioxidant potential. Despite the agronomic relevance of this trade-off, [...] Read more.
Colored potato cultivars are rich in phenolic compounds that confer high antioxidant capacity; however, these beneficial metabolites could be susceptible to oxidation by polyphenol oxidases (PPOs), leading to enzymatic browning and the loss of antioxidant potential. Despite the agronomic relevance of this trade-off, the dynamics of the PPO gene family (StPPOs) gene expression in pigmented potatoes remains poorly characterized. Here, we present an integrated biochemical and molecular analysis of two purple-fleshed Peruvian landraces (Siriñacha and Angashungo), a partially pigmented landrace (Sapa), and non-pigmented cultivars, including the commercial cultivar Desirée. We quantified the total phenolic content, antioxidant capacity, and enzymatic browning index (EBI) using colorimetric and spectrophotometric methods. We also generated gene expression profiles of ten StPPO genes using semi-quantitative and digital PCR. Purple-fleshed cultivars exhibited significantly higher phenolic content and antioxidant capacity but also displayed accelerated browning kinetics compared to non- or partially pigmented genotypes. Expression analysis revealed cultivar-specific StPPO patterns, with StPPO2 and StPPO8 being markedly upregulated in pigmented materials, particularly StPPO8. These findings provide the first integrated biochemical and transcriptional evidence linking specific StPPO isoforms to enzymatic browning in colored potatoes, and highlight their potential for biotechnological applications. Full article
(This article belongs to the Section Plant Molecular Biology)
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24 pages, 3964 KB  
Article
Demystifying Earth Observation Through Co-Creation Pathways for Flood Resilience in Some African Informal Cities
by Sulaiman Yunus, Yusuf Ahmed Yusuf, Murtala Uba Mohammed, Halima Abdulkadir Idris, Abubakar Tanimu Salisu, Freya M. E. Muir, Kamil Muhammad Kafi and Aliyu Salisu Barau
Sustainability 2026, 18(7), 3266; https://doi.org/10.3390/su18073266 - 27 Mar 2026
Abstract
This study explores how demystifying Earth Observation (EO) through co-creation pathways and local language can enhance flood resilience and environmental governance in African informal cities. Using case studies from Maiduguri and Hadejia, Nigeria, the research employed a transdisciplinary mixed-methods design combining rapid evidence [...] Read more.
This study explores how demystifying Earth Observation (EO) through co-creation pathways and local language can enhance flood resilience and environmental governance in African informal cities. Using case studies from Maiduguri and Hadejia, Nigeria, the research employed a transdisciplinary mixed-methods design combining rapid evidence assessment, surveys, participatory workshops (n = 50 stakeholders) integrating simplified Sentinel-1/2 demonstrations, indigenous knowledge mapping, and pre-/post-engagement surveys on EO familiarity. Non-expert participants were trained to interpret satellite data using local language, linking distant teleconnections with local flood experiences. The findings revealed significant gains in EO literacy and improvements in interpretive confidence, gender-inclusive participation, and policy engagement. Localizing the curriculum enabled participants to translate technical EO concepts into locally meaningful narratives, fostering cognitive empowerment and practical application in flood preparedness and advocacy. The study demonstrates that data democratization is not only a matter of open access but also of open understanding. It advances a conceptual model linking Demystification, Literacy, Empowerment, Co-Production and Resilience, positioning EO as a social technology that bridges scientific and indigenous knowledge systems. The findings contribute to debates on decolonizing environmental science and propose a potential participatory framework for integrating EO into community-based adaptation, legal accountability, and policy reform across Africa’s rapidly urbanizing landscapes. Full article
(This article belongs to the Section Hazards and Sustainability)
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16 pages, 414 KB  
Article
From Birth to Midlife—Liver Function, Fibrosis and Mortality in Individuals with Severe Alpha-1-Antitrypsin Deficiency Identified by Neonatal Screening
by Georg Rüdiger Schramm, Mohammed Abdulrasak, Suneela Zaigham, Eeva Piitulainen and Hanan Tanash
J. Clin. Med. 2026, 15(7), 2553; https://doi.org/10.3390/jcm15072553 - 27 Mar 2026
Abstract
Background: Severe Alpha-1-Antitrypsin deficiency (AATD), phenotype PiZZ, is a leading cause of liver disease in neonates, children, and adults. Nevertheless, the prevalence of liver disease and mortality within PiZZ adults remains unclear. Between 1972 and 1974, a cohort of 129 individuals with [...] Read more.
Background: Severe Alpha-1-Antitrypsin deficiency (AATD), phenotype PiZZ, is a leading cause of liver disease in neonates, children, and adults. Nevertheless, the prevalence of liver disease and mortality within PiZZ adults remains unclear. Between 1972 and 1974, a cohort of 129 individuals with severe AATD (PiZZ) was identified through the Swedish national screening of 200,000 newborns. The cohort has been followed up regularly since birth. This prospective cohort follow-up study, with a cross-sectional comparison at 50 years of age, aims to characterize the natural history of liver disease and mortality in this cohort in their early fifties, compared with an age-matched control group (PiMM) randomly selected from the population registry. Methods: Study participants completed questionnaires regarding occupation, medical history, medication, and alcohol consumption. They underwent physical examination and measurement of liver stiffness using transient elastography (TE, FibroScan®). Blood samples were obtained for evaluation of liver function, alcohol consumption, calculation of liver fibrosis scores, and detection of viral hepatitis and autoimmune liver disease. Results: Ninety-five PiZZ and 124 PiMM individuals participated in the study, of whom 47 PiZZ and 96 PiMM underwent TE measurement. PiZZ individuals had significantly higher median liver stiffness compared with PiMM individuals (5.9 kPa vs. 4.5 kPa, p < 0.01). No significant differences were found in Fib-4 score or the Non-Alcoholic Fatty Liver Disease Fibrosis Score (NFS) between the groups. Since identification of the cohort at birth, 13 (10%) of the 129 PiZZ individuals have died. Of these, liver disease was the main or underlying cause of death in 8 individuals (6%). Conclusions: In their early fifties, PiZZ individuals show a small but significant increase in liver stiffness measured by TE, indicating early liver fibrosis. In contrast, conventional fibrosis scores, such as Fib-4 and NFS, do not differ between PiZZ individuals and PiMM, suggesting that serum-based fibrosis scores may underestimate fibrosis in AATD. In this cohort, liver disease and its complications represented the main cause of death in PiZZ individuals by the age of 50, an observation that is uncommon in the general population at this age. Full article
(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
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17 pages, 261 KB  
Article
Disproportionate Costs Under EU Water Law: The Swedish Approach to Hydropower
by Susanne Riekkola, Ayman Hassan and Maria Pettersson
Water 2026, 18(7), 794; https://doi.org/10.3390/w18070794 - 27 Mar 2026
Abstract
Water is a vital resource that requires long-term legal protection to ensure both ecological values and societal benefits. The European Union’s Water Framework Directive (2000/60/EC) is central to this aim, establishing binding requirements for good ecological and chemical status in all water bodies [...] Read more.
Water is a vital resource that requires long-term legal protection to ensure both ecological values and societal benefits. The European Union’s Water Framework Directive (2000/60/EC) is central to this aim, establishing binding requirements for good ecological and chemical status in all water bodies and legally binding environmental quality standards. Sweden has implemented the Directive into national law; however, its application has been characterized by legal ambiguities, particularly regarding the possibility of considering disproportionate costs in environmental measures. This study examines the scope and application of the disproportionate cost criterion within the context of environmental law and hydropower regulation in Sweden. A comparative overview of the criterion’s application in other EU/EEA countries is also provided. Based on a legal approach, the analysis focuses on how these rules affect hydropower, where the goal of renewable energy production often needs to be weighed against the requirement for ecological recovery. The study concludes that applying the disproportionate costs criterion requires transparency and legal certainty to ensure a fair balance between the social benefits of hydropower and the need for long-term protection of the aquatic environments. To avoid differences in how the criterion is applied in different EU Member States, harmonized guidelines are needed. Full article
(This article belongs to the Section Water Resources Management, Policy and Governance)
6 pages, 1011 KB  
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Capsule Endoscopy-Guided Diagnosis of Small Bowel Lymphoma Presenting as Protein-Losing Enteropathy: Complementary Role of Peripheral Blood Flow Cytometry
by Mohammed Abdulrasak, Olof Axler, Balázs Kapás and Ervin Toth
Diagnostics 2026, 16(7), 1006; https://doi.org/10.3390/diagnostics16071006 - 27 Mar 2026
Abstract
Protein-losing enteropathy (PLE) is an uncommon and often underrecognized manifestation of lymphoproliferative disorders and may be difficult to diagnose when conventional gastrointestinal investigations are unrevealing. We present an 82-year-old woman with recurrent hospital admissions initially spanning six months for diarrhea, weight loss, peripheral [...] Read more.
Protein-losing enteropathy (PLE) is an uncommon and often underrecognized manifestation of lymphoproliferative disorders and may be difficult to diagnose when conventional gastrointestinal investigations are unrevealing. We present an 82-year-old woman with recurrent hospital admissions initially spanning six months for diarrhea, weight loss, peripheral edema, and persistent hypoalbuminemia. Initial upper gastrointestinal endoscopy was normal, and colonoscopy was deferred due to intercurrent infection. Despite extensive laboratory and radiologic evaluation, including routine biochemical testing and imaging, the etiology of PLE remained unclear. Peripheral blood flow cytometry subsequently identified a small kappa-restricted monoclonal B-cell population compatible with marginal zone lymphoma, later confirmed on bone marrow biopsy, raising suspicion for gastrointestinal involvement. Video capsule enteroscopy demonstrated diffuse erosive and ulcerative disease throughout the small intestine, providing an anatomical explanation for the patient’s protein loss. Following lymphoma-directed therapy, repeat capsule enteroscopy showed complete normalization of the small bowel mucosa. This case highlights the diagnostic value of combining peripheral blood flow cytometry and capsule endoscopy in unexplained protein-losing enteropathy, a rare and diagnostically challenging presentation of indolent lymphoma, and illustrates the role of capsule imaging in both disease localization and treatment monitoring. As a single-case report, these findings are not generalizable, and further studies are required to evaluate the broader applicability of this diagnostic approach. Full article
(This article belongs to the Special Issue New Insights into Endoscopy-Guided Diagnosis)
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2 pages, 166 KB  
Correction
Correction: Mittelbach et al. Sensing-Assisted Secure Communications over Correlated Rayleigh Fading Channels. Entropy 2025, 27, 225
by Martin Mittelbach, Rafael F. Schaefer, Matthieu Bloch, Aylin Yener and Onur Günlü
Entropy 2026, 28(4), 378; https://doi.org/10.3390/e28040378 - 27 Mar 2026
Abstract
In Proposition 1 of [...] Full article
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