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55 pages, 2972 KB  
Review
The Impact of Brewing Methods on the Quality of a Cup of Coffee
by Alessandro Genovese, Nicola Caporaso and Antonietta Baiano
Beverages 2025, 11(5), 125; https://doi.org/10.3390/beverages11050125 (registering DOI) - 25 Aug 2025
Abstract
A comprehensive overview is provided on factors and processes influencing the final quality of a cup of coffee, with an emphasis on the brewing method’s central role. Coffee quality assessment, both at the bean and cup level, combines objective parameters (color, moisture, bean [...] Read more.
A comprehensive overview is provided on factors and processes influencing the final quality of a cup of coffee, with an emphasis on the brewing method’s central role. Coffee quality assessment, both at the bean and cup level, combines objective parameters (color, moisture, bean defects, density) with a notable degree of subjectivity, as consumer sensory perception is ultimately decisive. The brewing technique is described as a critical determinant of the final chemical, physical, and sensory attributes. Key parameters such as aroma profile, pH, titratable acidity, total and filtered solids, lipid and fatty acid content, viscosity, foam (crema), and colorimetric indices are detailed as essential metrics in coffee quality evaluation. Roasting creates most of coffee’s key aroma compounds. The brewing method further shapes the extraction of both volatile and other bioactive compounds like caffeine, chlorogenic acids, and lipids. Brewing methods significantly affect acidity, “body,” and crema stability, while water quality, temperature, and pressure are shown to impact extraction results and sensory properties. Attention is paid to how methods such as Espresso, filter, French press, and cold brew yield distinct physicochemical and sensory profiles in the cup. Overall, the review highlights the multifaceted nature of coffee cup quality and the interplay between raw material, processing, and preparation, ultimately shaping the coffee sensory experience and market value. Full article
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26 pages, 2959 KB  
Article
A Non-Invasive Gait-Based Screening Approach for Parkinson’s Disease Using Time-Series Analysis
by Hui Chen, Tee Connie, Vincent Wei Sheng Tan, Michael Kah Ong Goh, Nor Izzati Saedon, Ahmad Al-Khatib and Mahmoud Farfoura
Symmetry 2025, 17(9), 1385; https://doi.org/10.3390/sym17091385 (registering DOI) - 25 Aug 2025
Abstract
Parkinson’s disease (PD) is a progressive neurodegenerative disorder that severely impacts motor function, necessitating early detection for effective management. However, current diagnostic methods are expensive and resource-intensive, limiting their accessibility. This study proposes a non-invasive, gait-based screening approach for PD using time-series analysis [...] Read more.
Parkinson’s disease (PD) is a progressive neurodegenerative disorder that severely impacts motor function, necessitating early detection for effective management. However, current diagnostic methods are expensive and resource-intensive, limiting their accessibility. This study proposes a non-invasive, gait-based screening approach for PD using time-series analysis of video-derived motion data. Gait patterns indicative of PD are analyzed using videos containing walking sequences of PD subjects. The video data are processed via computer vision and human pose estimation techniques to extract key body points. Classification is performed using K-Nearest Neighbors (KNN) and Long Short-Term Memory (LSTM) networks in conjunction with time-series techniques, including Dynamic Time Warping (DTW), Bag of Patterns (BoP), and Symbolic Aggregate Approximation (SAX). KNN classifies based on similarity measures derived from these methods, while LSTM captures complex temporal dependencies. Additionally, Shapelet-based Classification is independently explored for its ability to serve as a self-contained classifier by extracting discriminative motion patterns. On a self-collected dataset (43 instances: 8 PD and 35 healthy), DTW-based classification achieved 88.89% accuracy for both KNN and LSTM. On an external dataset (294 instances: 150 healthy and 144 PD with varying severity), KNN and LSTM achieved 71.19% and 57.63% accuracy, respectively. The proposed approach enhances PD detection through a cost-effective, non-invasive methodology, supporting early diagnosis and disease monitoring. By integrating machine learning with clinical insights, this study demonstrates the potential of AI-driven solutions in advancing PD screening and management. Full article
(This article belongs to the Special Issue Symmetry/Asymmetry in Image Processing and Computer Vision)
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15 pages, 1124 KB  
Article
Appendicular Lean Mass Index Using Dual-Energy X-Ray Absorptiometry (DEXA) in Professional Football: A Pilot Study of a New Method for Improved Inter-Operator Reproducibility and Analysis of Pelvi-Trochanteric Muscles
by Charles Evrard, Julien Blaess, Thibaut Goetsch, Etienne Fellous, Francois Pietra, Alain Meyer, Margherita Giannini and Bernard Geny
Sports 2025, 13(9), 285; https://doi.org/10.3390/sports13090285 (registering DOI) - 25 Aug 2025
Abstract
Background: Body composition assessment is important in professional football as a measure of overall adaptation of the athlete to the training demand and calorie intake. However, it is operator-dependent, relying on subject positioning and the focus angle of the X-rays. In addition, the [...] Read more.
Background: Body composition assessment is important in professional football as a measure of overall adaptation of the athlete to the training demand and calorie intake. However, it is operator-dependent, relying on subject positioning and the focus angle of the X-rays. In addition, the usual appendicular lean mass index (ALMI) does not include the pelvitrochanteric muscles, which are often implicated in athlete injuries. Methods: Three independent operators compared the reproducibility of dual-energy X-ray absorptiometry (DEXA) including pelvi-trochanteric muscle mass in twenty professional football players, using the standard and a new method. Results: Mean age, weight, and height of the footballers were 25.9 ± 4.9 years, 79.4 ± 9.4 kg, and 1.83 ± 0.09 m. Using the standard method, the ALMI was 9.28 ± 0.62, 9.20 ± 0.65, and 9.13 ± 0.64 kg/m2 for the first, second and third operator, respectively. When including the pelvi-trochanteric muscles, the ALMI values were 11.90 ± 0.66, 11.84 ± 0.63, and 11.83 ± 0.65 kg/m2 for the three operators. The difference between the two methods was significant (p < 0.001). The mean inter-operator difference was similar regardless of the method used (0.099 ± 0.06 kg/m2). The intraclass correlation coefficients (ICC) (A,1) were 0.949 [0.881; 0.979] for the standard method and 0.977 [0.951; 0.990] for the new method. The ICC (C,1) was 0.960 [0.918; 0.983] for the standard method and 0.979 [0.957; 0.991] for the new method. Conclusions: Thus, both new and conventional methods showed excellent reproducibility. However, reproducibility and inter-operator variability were better with the adjustment of the new scan lines. Moreover, the inclusion of a larger gluteal and adductors muscle mass was easy to achieve, providing additional information that could potentially be useful for early diagnosis and/or prevention of future muscular injuries in elite athletes. Full article
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13 pages, 723 KB  
Article
Combination Lorcaserin and Betahistine Treatment Improves Cognitive Dysfunction and Dopaminergic Neuron Activity in a Rat Model of Diet-Induced Obesity
by Ike de la Peña, Johnny Figueroa and Wei-Xing Shi
Brain Sci. 2025, 15(9), 913; https://doi.org/10.3390/brainsci15090913 - 25 Aug 2025
Abstract
Background: Obesity is a complex disorder with both metabolic and neurocognitive consequences, including impairments in prefrontal cortex (PFC)-dependent learning and memory. Combination pharmacotherapy may offer a more effective approach for addressing obesity-induced cognitive deficits. Objective: This study evaluated the effects of 30-day co-administration [...] Read more.
Background: Obesity is a complex disorder with both metabolic and neurocognitive consequences, including impairments in prefrontal cortex (PFC)-dependent learning and memory. Combination pharmacotherapy may offer a more effective approach for addressing obesity-induced cognitive deficits. Objective: This study evaluated the effects of 30-day co-administration of lorcaserin (5-HT2C agonist) and betahistine (H1 agonist/H3 antagonist) in reversing cognitive deficits in a diet-induced obesity (DIO) rat model. Methods: Male Lewis rats were subjected to DIO and administered lorcaserin (2 mg/kg) and betahistine (5 mg/kg), either alone or in combination, via intraperitoneally implanted osmotic minipumps for 30 days. Y-maze, novel object recognition, and object-in-place (OIP) tests were used to assess cognitive functions. In vivo electrophysiological recordings were employed to examine effects of the combination treatment on ventral tegmental area (VTA) dopaminergic neuron activity. Results: Obese Western-diet-fed rats showed lower discrimination scores in the OIP task, a behavioral test that engages PFC functions, while their performance in the Y-maze and novel object recognition tasks was similar to that of non-obese Control-diet-fed rats. Combination treatment with lorcaserin and betahistine significantly improved the OIP scores of obese rats. However, the combination treatment did not reduce body weight or obesity-associated morphometrical parameters. Electrophysiological recordings revealed a reduction in the number of spontaneously active dopaminergic neurons in the VTA of obese rats. Lorcaserin and betahistine co-treatment significantly increased the number of spontaneously active dopaminergic neurons of obese animals. Conclusions: These results demonstrate the potential of combination lorcaserin–betahistine treatment to reverse obesity-related cognitive deficits, possibly through enhancement of mesocortical dopaminergic neuron activity. Full article
(This article belongs to the Section Neuropharmacology and Neuropathology)
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19 pages, 365 KB  
Article
The Self-Transcendence in Chapter “De Chong Fu 德充符” of the Zhuangzi—Starting from Kant’s Symbolic Relationship Between Beauty and Morality
by Miao Deng and Cuiqin Li
Religions 2025, 16(9), 1096; https://doi.org/10.3390/rel16091096 - 25 Aug 2025
Abstract
Judging a person’s appearance as beautiful or ugly is not a factual description but an aesthetic act. Kant believed that the human figure is the ideal of beauty, and at the same time, beauty can positively symbolize morality. However, regarding the correlation between [...] Read more.
Judging a person’s appearance as beautiful or ugly is not a factual description but an aesthetic act. Kant believed that the human figure is the ideal of beauty, and at the same time, beauty can positively symbolize morality. However, regarding the correlation between aesthetics and morality, the Chapter “De Chong Fu 德充符” in the Zhuangzi offers us a strikingly insightful perspective that is transcendent and religious. The characters depicted in “De Chong Fu 德充符” have incomplete physical forms and ugly appearances, which seemingly do not qualify as symbols of morality in Kant’s sense. Yet, their behavior and demeanor precisely reflect their detachment from external physical forms and their inner virtue being full. This inner virtue embodies a religious ethic that transcends individual and subjective perspectives. This paper posits that there is a deeper and more thought-provoking connection between virtue and physical form in Zhuangzi’s philosophy. The aim of this paper is to explore the issue of self-transcendence in Zhuangzi’s philosophy from the perspective of religious ethics, using the relationship between the body, beauty, and virtue in Lao–Zhuang philosophy as a guiding thread. This paper will be divided into three main parts: the first part introduces the topic through the symbolic relationship between beauty and morality in Kant; the second part discusses the transcendence of aesthetics and physical form in Daoist philosophy and provides a section-by-section analysis of Chapter “De Chong Fu 德充符” of the Zhuangzi; and the third part summarizes the relationship between virtue and form in “De Chong Fu 德充符”. The paper argues that the transcendence of the physical form by virtue, as reflected in Chapter “De Chong Fu 德充符”, is an embodiment of religious ethics. In Lao–Zhuang philosophy, due to their deep understanding of the nature of beauty and the nature of the body, there is no necessary positive connection between beauty and form. Virtue does not necessarily need to rely on beauty as a symbol to be realized, and there can still be a positive connection between a defective physical form and virtue. In conclusions, the paper proposes the modern inspiration of self-transcendence reflected in Zhuangzi’s “De Chong Fu 德充符”. Full article
12 pages, 747 KB  
Article
Relationship Between Bone Metabolic Markers and Presence of Sarcopenia in Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study
by Tomoyuki Matsuyama, Yoshitaka Hashimoto, Noriyuki Kitagawa, Takafumi Osaka, Masahide Hamaguchi and Michiaki Fukui
J. Clin. Med. 2025, 14(17), 5973; https://doi.org/10.3390/jcm14175973 - 24 Aug 2025
Abstract
Objectives: We investigated the relationship between bone metabolic markers or bone mineral density (BMD) and sarcopenia in patients with type 2 diabetes mellitus (T2DM). Methods: In this cross-sectional study involving 119 subjects (76 women and 43 men), bone metabolic markers were [...] Read more.
Objectives: We investigated the relationship between bone metabolic markers or bone mineral density (BMD) and sarcopenia in patients with type 2 diabetes mellitus (T2DM). Methods: In this cross-sectional study involving 119 subjects (76 women and 43 men), bone metabolic markers were evaluated by bone alkaline phosphatase and bone tartrate-resistant acid phosphatase (TRACP-5b). BMD was measured using the dual-energy X-ray absorptiometry method, and sarcopenia was diagnosed using skeletal muscle mass index (SMI), evaluated by body composition measurement and handgrip strength. Results: Significant correlation was observed between handgrip strength or SMI and TRACP-5b in both sexes (correlation coefficients were −0.50 in handgrip strength and −0.41 in SMI in men; −0.25 in handgrip strength and −0.21 in SMI in women). Furthermore, significant correlation was observed between handgrip strength or SMI and BMD of the femoral neck in both sexes (correlation coefficients were 0.33 in handgrip strength and 0.44 in SMI in men; 0.34 in handgrip strength and 0.47 in SMI in women). The concentrations of TRACP-5b with sarcopenia were significantly higher than those without (643.8 ± 261.9 vs. 455.7 ± 165.6 mU/dL), and BMD of femoral neck with sarcopenia was significantly lower than those without (0.54 ± 0.12 vs. 0.66 ± 0.16 g/cm2). TRACP-5b (odds ratio 1.05, 95% confidence interval 1.01–1.10) and femoral neck BMD (odds ratio 0.30, 95% confidence interval 0.14–0.68) were associated with the presence of sarcopenia after adjustment for confounders. Conclusions: TRACP-5b and BMD of the femoral neck were associated with sarcopenia in patients with T2DM. Full article
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17 pages, 1861 KB  
Article
Genome-Wide Association Study of Osteoporosis Risk in Korean Pre-Menopausal Women: The Korean Genome and Epidemiology Study
by Su Kang Kim, Seoung-Jin Hong, Gyutae Kim, Ju Yeon Ban and Sang Wook Kang
Int. J. Mol. Sci. 2025, 26(17), 8177; https://doi.org/10.3390/ijms26178177 (registering DOI) - 22 Aug 2025
Viewed by 178
Abstract
Osteoporosis is a common disease characterized by a reduction in bone mineral density (BMD), leading to an increased risk of pathological fractures and even mortality. Although menopause is a major risk factor, osteoporosis can also occur in premenopausal women. The aim of this [...] Read more.
Osteoporosis is a common disease characterized by a reduction in bone mineral density (BMD), leading to an increased risk of pathological fractures and even mortality. Although menopause is a major risk factor, osteoporosis can also occur in premenopausal women. The aim of this study was to identify genetic variants associated with the development of osteoporosis in Korean premenopausal women. Subjects were recruited from the Anseong and Ansan cohorts of the Korean Genome and Epidemiology Study (KoGES). Clinical and epidemiological characteristics were assessed, and participants were classified based on BMD values measured at the distal radius and mid-shaft tibia. Individuals with confounding risk factors such as low body weight, smoking, high alcohol consumption, steroid/hormone therapy, or relevant medical history were excluded. A total of 247 healthy controls and 57 osteoporosis patients were included. Genotyping was performed using the Illumina Infinium HumanExome BeadChip and the Affymetrix Axiom Exome Array. Data were analyzed using the SNP and Variation Suite and PLINK, with quality control thresholds set at MAF ≥ 0.05 and HWE p ≥ 0.01. Functional annotation and protein structure predictions were performed using PolyPhen-2, SIFT, and PROVEAN. Genome-wide association analyses identified 113 single-nucleotide polymorphisms (SNPs) in 69 genes significantly associated with osteoporosis (p < 0.05) in both platforms, with 18 SNPs showing high cross-platform consistency (p < 0.01). Several of these genes were implicated in bone metabolism (e.g., ESRRG, PECAM1, COL6A5), vitamin D metabolism (e.g., NADSYN1, EFTUD1), skeletal muscle function (e.g., PACSIN2, ESRRG), and reproductive processes (e.g., CPEB1, EFCAB6, ASXL3). Notably, the CPEB1 rs783540 SNP exhibited the strongest association (p < 0.001) in both analyses. Our findings suggest that genetic polymorphisms in pathways related to bone metabolism, vitamin D signaling, muscle–bone interaction, and reproductive hormone regulation may contribute to the development of osteoporosis in Korean premenopausal women. These results provide a genetic basis for early identification of at-risk individuals and warrant further functional studies to elucidate the underlying mechanisms. Full article
(This article belongs to the Special Issue Molecular Biology of Osteoporosis)
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11 pages, 531 KB  
Article
Right Ventricular Strain in Healthy Children: Insights from Speckle-Tracking Echocardiography
by Renée S. Joosen, Eva A. M. Meulblok, Esther H. Mauritz-Fuite, Martijn G. Slieker and Johannes M. P. J. Breur
J. Cardiovasc. Dev. Dis. 2025, 12(9), 322; https://doi.org/10.3390/jcdd12090322 - 22 Aug 2025
Viewed by 106
Abstract
Background: Right ventricular (RV) strain using two-dimensional speckle tracking is a reliable and clinically significant tool for detecting RV systolic dysfunction, but it varies by age, vendor, and software. Objectives: To establish pediatric age-specific normal values and Z-score equations for biventricular strain using [...] Read more.
Background: Right ventricular (RV) strain using two-dimensional speckle tracking is a reliable and clinically significant tool for detecting RV systolic dysfunction, but it varies by age, vendor, and software. Objectives: To establish pediatric age-specific normal values and Z-score equations for biventricular strain using GE Healthcare equipment and software. Methods: Children 0–18 years with structurally and functionally normal hearts, who visited the Wilhelmina Children’s Hospital Utrecht between October 2020 and December 2023, were retrospectively included and divided into age groups: 0 years, 1–4 years, 5–9 years, 10–13 years, and 14–18 years. Left ventricular (LV) and RV global longitudinal strain (GLS) and RV free wall longitudinal strain (FWGLS) were analyzed. Results: We included 129 subjects (57% male) (0 years: n = 17; 1–4 years: n = 22; 5–9 years: n = 34; 10–13 years: n = 35; 14–18 years: n = 20). Low R2 values were strain-adjusted for age, height, and body surface area (all < 0.3), and the sample size limited Z-score equation reliability. Therefore, data are presented as mean ± SD or median [IQR] stratified by age. LV GLS, RV GLS, and RV FWGLS showed a nonlinear relationship with age, peaking at the 1–4 years age group and decreasing with age. Conclusions: LV GLS, RV GLS, and RV FWGLS showed age-related differences in children using GE equipment and software, which highlights the importance of age-specific normal strain values, including Z-score equations as a function of age. Full article
(This article belongs to the Special Issue The Role of Echocardiography in Cardiovascular Diseases)
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11 pages, 1361 KB  
Review
Clinical Utility of eZIS in Cerebral Blood Flow SPECT
by Shinji Yamamoto, Nobukiyo Yoshida, Noriko Sakurai, Yukinori Okada, Masayuki Satoh, Koji Takeshita, Motoki Nakai, Koichiro Abe, Mana Yoshimura and Kazuhiro Saito
Diagnostics 2025, 15(17), 2125; https://doi.org/10.3390/diagnostics15172125 - 22 Aug 2025
Viewed by 143
Abstract
Cerebral perfusion single-photon emission computed tomography (SPECT) is a nuclear medicine imaging technique that uses radiopharmaceuticals that selectively accumulate in the brain. However, cerebral perfusion SPECT is typically interpreted through visual assessment, making the results susceptible to observer subjectivity and varying levels of [...] Read more.
Cerebral perfusion single-photon emission computed tomography (SPECT) is a nuclear medicine imaging technique that uses radiopharmaceuticals that selectively accumulate in the brain. However, cerebral perfusion SPECT is typically interpreted through visual assessment, making the results susceptible to observer subjectivity and varying levels of experience. The easy Z-score Imaging System (eZIS) is a software that quantitatively analyzes cerebral perfusion SPECT images obtained using 99mTc-ECD by comparing them with a normal database and applying Z-scores for quantification. The eZIS received regulatory approval in January 2015 and is currently used as an auxiliary tool for clinical diagnosis. The eZIS aids in diagnosing Alzheimer’s disease by quantifying the degree of cerebral blood flow reduction in the posterior cingulate gyrus, precuneus, and parietal lobe, which are characteristic regions affected by the disease. Additionally, it can assist in diagnosing Lewy body dementia by evaluating the “cingulate island sign,” a characteristic finding in which cerebral blood flow in the posterior cingulate gyrus and precuneus is relatively preserved compared with that in the occipital lobe. eZIS is thus extremely useful for dementia diagnosis. Full article
(This article belongs to the Section Medical Imaging and Theranostics)
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15 pages, 5996 KB  
Article
A High-Fidelity mmWave Radar Dataset for Privacy-Sensitive Human Pose Estimation
by Yuanzhi Su, Huiying (Cynthia) Hou, Haifeng Lan and Christina Zong-Hao Ma
Bioengineering 2025, 12(8), 891; https://doi.org/10.3390/bioengineering12080891 - 21 Aug 2025
Viewed by 176
Abstract
Human pose estimation (HPE) in privacy-sensitive environments such as healthcare facilities and smart homes demands non-visual sensing solutions. Millimeter-wave (mmWave) radar emerges as a promising alternative, yet its development is hindered by the scarcity of high-fidelity datasets with accurate annotations. This paper introduces [...] Read more.
Human pose estimation (HPE) in privacy-sensitive environments such as healthcare facilities and smart homes demands non-visual sensing solutions. Millimeter-wave (mmWave) radar emerges as a promising alternative, yet its development is hindered by the scarcity of high-fidelity datasets with accurate annotations. This paper introduces mmFree-Pose, the first dedicated mmWave radar dataset specifically designed for privacy-preserving HPE. Collected through a novel visual-free framework that synchronizes mmWave radar with VDSuit-Full motion-capture sensors, our dataset covers 10+ actions, from basic gestures to complex falls. Each sample provides (i) raw 3D point clouds with Doppler velocity and intensity, (ii) precise 23-joint skeletal annotations, and (iii) full-body motion sequences in privacy-critical scenarios. Crucially, all data is captured without the use of visual sensors, ensuring fundamental privacy protection by design. Unlike conventional approaches that rely on RGB or depth cameras, our framework eliminates the risk of visual data leakage while maintaining high annotation fidelity. The dataset also incorporates scenarios involving occlusions, different viewing angles, and multiple subject variations to enhance generalization in real-world applications. By providing a high-quality and privacy-compliant dataset, mmFree-Pose bridges the gap between RF sensing and home monitoring applications, where safeguarding personal identity and behavior remains a critical concern. Full article
(This article belongs to the Special Issue Biomechanics and Motion Analysis)
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20 pages, 590 KB  
Review
Nutritional Status Assessment Tools in Cardiovascular Patients
by Izabela Jarosz, Kamil Gorecki, Grzegorz Kalisz and Joanna Popiolek-Kalisz
Nutrients 2025, 17(16), 2703; https://doi.org/10.3390/nu17162703 - 20 Aug 2025
Viewed by 257
Abstract
Background: Malnutrition is a prevalent but underrecognized condition in cardiovascular disease (CVD) patients, associated with adverse outcomes including longer hospitalizations, higher readmission rates, and increased mortality. Traditional measures such as body mass index (BMI) often fail to detect malnutrition, especially in patients with [...] Read more.
Background: Malnutrition is a prevalent but underrecognized condition in cardiovascular disease (CVD) patients, associated with adverse outcomes including longer hospitalizations, higher readmission rates, and increased mortality. Traditional measures such as body mass index (BMI) often fail to detect malnutrition, especially in patients with fluid retention, sarcopenia, or obesity. Methods: This review critically examines current tools used to assess nutritional status in CVD populations. Screening instruments such as Nutritional Risk Screening 2002 (NRS 2002), Mini Nutritional Assessment (MNA, MNA-SF), Malnutrition Universal Screening Tool (MUST), Subjective Global Assessment (SGA), and the Controlling Nutritional Status (CONUT) score are discussed, alongside diagnostic frameworks including the Global Leadership Initiative on Malnutrition (GLIM) criteria. The role of body composition assessment, particularly bioelectrical impedance analysis (BIA) and phase angle (PA), is also highlighted. Results: These tools differ in diagnostic performance and applicability, with many influenced by the pathophysiological features of CVD, such as inflammation, altered fluid balance, and pharmacotherapy. GLIM criteria provide a standardized two-step approach, combining phenotypic and etiologic factors, but require further validation in cardiology settings. Conclusions: A tailored, multimodal approach could be recommended: initial screening followed by confirmatory assessment using GLIM criteria and objective measures of muscle mass or cellular integrity. Clinicians should be aware of tool-specific limitations and interpret findings in the context of CVD-specific challenges. Full article
(This article belongs to the Special Issue Nutritional Aspects of Cardiovascular Disease Risk Factors)
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18 pages, 1328 KB  
Article
The Magnitude of Stress in the Prop Depending on Its Manual Tightening
by Milan Švolík, Peter Makýš, Patrik Šťastný, Ján Hlina and Marek Ďubek
Buildings 2025, 15(16), 2957; https://doi.org/10.3390/buildings15162957 - 20 Aug 2025
Viewed by 96
Abstract
Ensuring the stability of monolithic concrete slabs during construction represents a crucial safety challenge in monolithic reinforced concrete buildings. Theoretical models and structural analyses often assume ideal conditions of supporting props. However, significant deviations occur in practice due to variations in technical condition [...] Read more.
Ensuring the stability of monolithic concrete slabs during construction represents a crucial safety challenge in monolithic reinforced concrete buildings. Theoretical models and structural analyses often assume ideal conditions of supporting props. However, significant deviations occur in practice due to variations in technical condition and installation methods. This study investigates the magnitude of prestressing forces generated in adjustable telescopic steel props depending on manual tightening and hammer blows. Experimental measurements were conducted on different types of props compliant with EN 1065, including both new and worn specimens, to simulate real on-site conditions. The influence of worker body weight was also analyzed. The results confirmed that the technical condition of the prop is the decisive factor affecting the level of prestress. Props in poor condition achieved substantially lower and inconsistent prestressing forces, while new props subjected to five hammer blows reached maximum values up to 13.16 kN. This difference can significantly influence static calculations for slab construction. Contrary to expectations, the influence of worker body weight was not statistically significant; instead, the dominant role was played by installation technique and the accuracy of hammer blows. The findings contribute to the optimization of safety guidelines and the improvement of calculation models for temporary support systems in monolithic construction. Full article
(This article belongs to the Section Building Structures)
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11 pages, 2475 KB  
Article
Comparing Performance of NAF and NT-2013 to SGA as Nutritional Assessment Tools in Systemic Sclerosis Patients
by Kittipadh Boonyavarakul, Chingching Foocharoen, Orathai Wantha and Veeradej Pisprasert
Life 2025, 15(8), 1325; https://doi.org/10.3390/life15081325 - 20 Aug 2025
Viewed by 135
Abstract
Malnutrition is one of the common complications of patients with systemic sclerosis (SSc). However, several nutritional assessment tools are implemented in Thailand. The study aimed to compare the performance of nutritional assessment tools including Nutritional Assessment Form (NAF) and Nutritional Triage 2013 (NT-2013) [...] Read more.
Malnutrition is one of the common complications of patients with systemic sclerosis (SSc). However, several nutritional assessment tools are implemented in Thailand. The study aimed to compare the performance of nutritional assessment tools including Nutritional Assessment Form (NAF) and Nutritional Triage 2013 (NT-2013) to Subjective Global Assessment (SGA) in SSc patients. A cross-sectional diagnostic study was conducted in adult SSc patients at Srinagarind Hospital, Thailand. To elucidate the efficacy and correlations of these tools, descriptive statistics, Pearson correlation analyses, and kappa coefficient of agreement were employed. A total of 208 SSc patients were included, of which 70.7% were females. The respective mean age and body mass index was 59.3 years and 21.1 kg/m2. Nearly half (45.7%) were malnourished based on SGA. Malnutrition diagnosis using the NAF and NT-2013 criteria were found in 80.3% and 34.6%, respectively. The respective sensitivity and specificity of NAF for diagnosis of malnutrition was 93.7% and 31.9%, while NT-2013 was 60.0% and 90.3%. Both NAF and NT-2013 had slight agreement with SGA with a kappa of 0.149 for NAF and 0.131 for NT-2013. Adjusting the cut-off points of NAF and NT-2013 could enhance sensitivity, specificity, and improve agreement for diagnosis with SGA. Full article
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21 pages, 1307 KB  
Article
Effects of Environmental Cadmium Exposure Sufficient to Induce Renal Tubular Dysfunction on Bone Mineral Density Among Female Farmers in Cadmium-Polluted Areas in Northern Japan
by Hyogo Horiguchi, Etsuko Oguma, Kayoko Miyamoto, Yoko Hosoi and Fujio Kayama
Toxics 2025, 13(8), 688; https://doi.org/10.3390/toxics13080688 - 18 Aug 2025
Viewed by 255
Abstract
In the Japanese Multi-Centered Environmental Toxicant Study (JMETS) conducted in five areas across Japan, we demonstrated that bone mineral density (BMD) in female farmers without renal tubular dysfunction was not adversely affected by exposure to low to moderate levels of cadmium (Cd). We [...] Read more.
In the Japanese Multi-Centered Environmental Toxicant Study (JMETS) conducted in five areas across Japan, we demonstrated that bone mineral density (BMD) in female farmers without renal tubular dysfunction was not adversely affected by exposure to low to moderate levels of cadmium (Cd). We then expanded JMETS to the most Cd-polluted area in northern Japan, Akita prefecture, with area A as the control and areas B and C as Cd-polluted areas (Cd exposure levels: B < C), which also covered more female farmers with a wider age range (20–82 years) and Cd exposure sufficient to induce renal tubular dysfunction. We selected 1267 eligible subjects in the three areas and classified them by age and menstrual status. The distribution of blood and urinary Cd levels over the areas was A < B < C (blood Cd: 2.10, 3.78, and 3.39 µg/L, and urinary Cd: 3.02, 4.29, and 6.15 µg/g cr., respectively; p < 0.05), with the steepest age-dependent increase in area C, particularly in older postmenopausal subjects with a urinary Cd level around the threshold for renal tubular dysfunction. Urinary α1-microglobulin (α1MG) and ß2-microglobulin (ß2MG) levels in the three areas also showed age-dependent increases, with higher levels being observed in areas B and C than in area A. Furthermore, ß2MG levels in older postmenopausal subjects were significantly higher in area C than in area A (273 and 157 μg/g cr., respectively, p < 0.05). Age-dependent decreases in BMD were noted in all areas, with rapid reductions from peri- to postmenopausal subjects; however, marked differences in each age class were not observed among the three areas. In multiple regression models of BMD in all subjects using age, body weight, grip, urinary creatinine, urinary α1MG or ß2MG, and blood or urinary Cd as independent variables, urinary α1MG and ß2MG levels correlated with BMD, whereas blood and urinary Cd levels did not. Moreover, age and body weight correlated more strongly with BMD than blood and urinary Cd levels. Therefore, Cd, not only at a low level but also at a level that was sufficient to deteriorate renal tubular function, did not affect bones. These results provide further support for Cd exposure itself not directly affecting bones. Full article
(This article belongs to the Special Issue Cadmium Pollution and Occupational Exposure)
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Article
Population Pharmacokinetics of Tideglusib in Congenital and Childhood Myotonic Dystrophy Type 1: Influence of Demographic and Clinical Factors on Systemic Exposure
by Alessandro Di Deo, Sean Oosterholt, Joseph Horrigan, Stuart Evans, Alison McMorn and Oscar Della Pasqua
Pharmaceutics 2025, 17(8), 1065; https://doi.org/10.3390/pharmaceutics17081065 - 16 Aug 2025
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Abstract
Background: GSK3β is an intracellular regulatory kinase that is dysregulated in multiple tissues in Type 1 myotonic dystrophy (DM-1). Tideglusib inhibits GSK3β activity in preclinical models of DM-1 and promotes cellular maturation, normalising aberrant molecular and behavioural phenotypes. It is currently in [...] Read more.
Background: GSK3β is an intracellular regulatory kinase that is dysregulated in multiple tissues in Type 1 myotonic dystrophy (DM-1). Tideglusib inhibits GSK3β activity in preclinical models of DM-1 and promotes cellular maturation, normalising aberrant molecular and behavioural phenotypes. It is currently in clinical development for the treatment of paediatric and adult patients affected by congenital and juvenile-onset DM-1. Here, we summarise the development of a population pharmacokinetic model and subsequent characterisation of influential demographic and clinical factors on the systemic exposure to tideglusib. The availability of a population PK model will allow further evaluation of age-and weight-related changes in drug disposition, supporting the dose rationale and implementation of a paediatric extrapolation plan. Methods: Given the sparse pharmacokinetic sampling scheme in patients receiving tideglusib, model development was implemented in two steps. First, data from Phase I studies in healthy elderly subjects (i.e., 1832 plasma samples, n = 54) were used to describe the population pharmacokinetics of tideglusib in adults. Then, pharmacokinetic model parameter estimates obtained from healthy subjects were used as priors for the evaluation of the disposition of tideglusib in adolescent and adult DM-1 patients (51 plasma samples, n = 16), taking into account demographic and clinical baseline characteristics, as well as food intake. Secondary pharmacokinetic parameters (AUC, Cmax and Tmax) were derived and summarised by descriptive statistics. Results: Tideglusib pharmacokinetics was described by a two-compartment model with first-order elimination and dose-dependent bioavailability. There were no significant differences in disposition parameters between healthy subjects and DM-1 patients. Body weight was a significant covariate on clearance and volume of distribution. Median AUC(0–12) and Cmax were 1218.1 vs. 3145.7 ng/mL∙h and 513.5 vs. 1170.9 ng/mL, following once daily doses of 400 and 1000 mg tideglusib, respectively. In addition, the time of food intake post-dose or the type of meal appeared to affect the overall exposure to tideglusib. No accumulation, metabolic inhibition, or induction was observed during the treatment period. Conclusions: Even though clearance was constant over the dose range between 400 and 1000 mg, a less than proportional increase in systemic exposure appears to be caused by the dose-dependent bioavailability, which reflects the solubility properties of tideglusib. Despite large interindividual variability in the tideglusib concentration vs. time profiles, body weight was the only explanatory covariate for the observed differences. This finding suggests that the use of weight-banded or weight-normalised doses should be considered to ensure comparable exposure across the paediatric population, regardless of age or body weight. Full article
(This article belongs to the Special Issue Population Pharmacokinetics and Its Clinical Applications)
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