Search Results (19,193)

Background: Connexins (Cx) are a family of transmembrane proteins that form gap junctions and connexin hemichannels (HCs), enabling direct intercellular communication within the nervous system. Connexin 43 (Cx43), the principal astrocytic connexin, exhibits a context-dependent dual role: under physiological conditions it maintains tissue homeostasis and metabolic support, whereas under pathological conditions excessive activation of Cx43 hemichannels promotes neuroinflammation, excitotoxicity, blood–brain barrier disruption, and secondary neural tissue damage. Other connexin isoforms also contribute to the pathogenesis of neurological and psychiatric disorders through alterations in neuronal synchronization, glial signaling, and myelin integrity. Objective: To systematize current evidence on the role of key connexin isoforms in acute nervous system injuries—including stroke, traumatic brain injury, spinal cord injury, and peripheral nerve injury—as well as chronic disorders such as neurodegenerative diseases, epilepsy, and psychiatric disorders, with particular emphasis on the functional duality of connexin channels and the therapeutic potential of their selective modulation. Methods: A systematic literature search was conducted in the PubMed, Scopus, and Web of Science databases in accordance with the PRISMA framework and the PRISMA Extension for Scoping Reviews guidelines. The review included data from experimental models, postmortem brain studies, genetic association analyses, and pharmacological intervention studies. The retrieved studies were screened, assessed for eligibility, and integrated using a qualitative narrative synthesis approach. Results: In acute neural injuries, hyperactivation of Cx43 hemichannels amplifies inflammatory signaling, edema formation, and neuronal death, whereas selective HCs inhibitors reduce lesion volume and improve functional outcomes in experimental models. Connexin 36 (Cx36) contributes to cortical spreading depolarization and seizure propagation, while Connexin 32 (Cx32) and Connexin 47 (Cx47) are critically involved in oligodendrocyte function and white-matter demyelination. In PNI, Cx43 upregulation contributes to neuropathic pain, whereas mutations in Cx32 cause hereditary demyelinating neuropathies. In neurodegenerative diseases—including Alzheimer’s disease, Parkinson’s disease, and amyotrophic lateral sclerosis—Cx43 hemichannel activity promotes neuroinflammation and pathological protein accumulation, while reduced Cx32/Cx47 expression disrupts metabolic support of axons. In psychiatric disorders such as major depressive disorder, bipolar disorder, and schizophrenia, decreased astrocytic connexin expression (Cx43 and Cx30) has been associated with impaired glial–neuronal communication and cognitive–emotional dysfunction. In epilepsy, increased Cx43/Cx30 expression contributes to neuronal hypersynchronization and blood–brain barrier dysfunction, whereas selective hemichannel blockade suppresses seizure activity. Conclusions: Cx—particularly Cx43—occupies a central position in the molecular mechanisms of secondary neural injury and network dysfunction. The dual functional properties of gap junctions and hemichannels determine their context-dependent effects across neurological and psychiatric diseases. Selective inhibition of pathological HCs activity shows significant neuroprotective and anticonvulsant potential and represents a promising direction for the development of targeted therapeutic strategies. Further studies are required to determine optimal therapeutic time windows, tissue-specific effects, and the long-term safety of Cx modulation. Full article

Objective: To characterize the distribution of FCR severity across survivorship time intervals in bladder cancer survivors. Methods: A cross-sectional study of 79 patients utilized the validated 9-item FCR Inventory-Short Form (FCRI-SF) to assess overall FCR severity. Primary analysis employed Spearman’s correlation coefficient to evaluate the relationship between time elapsed since the first procedure and total FCR scores. Patients were stratified into four temporal groups (<1, 1–2, 2–5, and >5 years). Inter-group variability in FCR scores was assessed using Levene’s test for equality of variances. Subgroup analyses compared FCR scores across clinical subgroups, including tumor grade and smoking history, using the Mann–Whitney U test. Multivariate logistic regression identified independent predictors of clinically significant FCR (total score ≥13). Results: Median patient age was 72.0 years (IQR 66.0–78.0), with a median of 24.0 months post-diagnosis. Clinically significant FCR (score ≥13) was prevalent in 55.7% of the cohort. Spearman correlation analysis revealed no significant relationship between months elapsed and FCR severity (rho = 0.068, p = 0.552). Patients in the 12–24 month window exhibited the highest variability (Levene’s test, p = 0.058), representing a period of clinical divergence. High-Grade disease and smoking cessation motivated by diagnosis were associated with higher FCR scores. In the multivariate logistic regression model, history of tumor recurrence was the sole independent predictor of clinically significant FCR (aOR 3.28, 95% CI 1.11–9.68, p = 0.031), whereas age and gender were not significantly associated. Conclusions: FCR severity did not demonstrate a significant association with time elapsed since diagnosis in this cross-sectional sample. The 1–2 year interval demonstrated greater inter-individual variability in FCR scores. Findings highlight the need for long-term, structured survivorship support, particularly targeting the 12–24 month post-diagnosis window. Full article

Post-harvest economic losses in the strawberry industry are predominantly driven by disease caused by food-contaminating fungi and the loss of physicochemical quality. The gel-like matrix of the edible coating (EC) serves as a carrier for delivering lactic acid bacteria (LAB). This structured network, characterized by its excellent adhesion and film-forming stability, maintains fruit integrity and delivers antifungal properties to control pathogens. This study tested an exopolysaccharide coating with L. plantarum A6 to assess its impact on strawberry shelf life and quality stored at 4 °C and 30 °C for eight days. Through the analysis of physicochemical properties, it was possible to observe that weight loss increased during storage time in all treatments except for strawberries coated (CF) at 4 °C, with 2.43 ± 0.2%. Regarding firmness, after 8 days of storage the greatest difference occurred in the fruit uncoated (UF) exposed to 30 °C decreased 30.93%, whereas the CF group showed a reduction of 2.04%, showing a significant difference between these treatments (p < 0.05). However, the CF at 4 °C had a value of 3.98 ± 0.3 N after eight days of storage, which is close to that of fresh fruit, indicating the effectiveness of the coating. In terms of microbiological results, the mesophilic and mold counts were lower in the treatment at 4 °C with coating (3.6 log CFU/g and 4.48 log CFU/g) than in the treatment stored at 30 °C (5.78 log CFU/g and 6.04 log CFU/g). The shelf-life estimate determined that CF stored at 4 °C could be preserved for 15 days and those stored at 30 °C for 6 days. Finally, sensory evaluation determined that CF stored at 4 °C were well-accepted in terms of attributes such as taste, sweetness, firmness, and flavor. These findings underscore the effectiveness of coating, not only in improving the storage quality of strawberries, but also in ensuring their sensory acceptance. Full article

This study presents the results of chemical and morphological analyses of conductive layers, indium tin oxide (ITO) and silver, deposited on lead zirconium titanate (PZT) substrates, in the form of ITO/PZT, Ag/PZT, and PZT buffer samples. The buffer layer was also examined to assess any potential impacts on the interface and was obtained by etching silver-coated PZT discs in an acid sonification bath. The ITO/PZT discs were obtained by DC sputtering. Chemical and morphological analyses were conducted using Raman spectroscopy, X-ray diffraction (XRD), scanning electron microscopy (SEM), and energy-dispersive X-ray spectroscopy (EDS). XRD analysis revealed distinct diffraction peaks corresponding to the composition and crystalline structure of the various discs. This established the presence of the expected face-centered cubic (FCC) structure of silver, the perovskite phase of PZT, and the cubic bixbyite structure of the conductive ITO layer. SEM/EDS illustrated the particle distribution and elemental composition of the samples. Raman spectroscopy further corroborated the presence and identity of the surface layers of the samples. The results demonstrate that ITO/PZT structures have the expected compositions and identified impurities. SEM results give insight into possible effects on piezoelectric effects and integration into opto-electronic devices. Full article

Background: Malnutrition is a known outcome of dysphagia. Objectives: To estimate the association between the timing of the Clinical Swallow Evaluation (CSE) at admission and nutrition status at hospital discharge. Methods: In this single-center prospective study, the electronic medical records of patients discharged from the neurogeriatric rehabilitation department at the participating hospital, who had undergone CSE by a speech pathologist per hospital bed-side evaluation protocol, were reviewed. The participants were divided into two groups: those who underwent CSE within 48 h of hospitalization per Israel Ministry of Health guidelines (early CSE, N = 31); and those who underwent CSE later than 48 h from admission (late CSE, N = 47). Nutrition status was evaluated by a registered dietitian using the Mini Nutritional Assessment Tool Short Form (MNA-SF). Nutrition status at discharge was categorized and compared between the groups. Results: Seventy-eight patients were included (mean age 80.7 ± 8.1 years); 85.9% were malnourished at admission, with no difference between groups. At discharge, malnutrition was less prevalent in the early vs. late CSE group (61.3% vs. 78.7%; p = 0.012). In multivariable logistic regression, late CSE increased odds of malnutrition at discharge by more than six-fold. Each additional year of age increased the odds of malnutrition by 13%; each additional point in baseline MNA SF score reduced the odds by 48%; and greater cognitive decline increased the odds of discharge malnutrition risk by more than 2.6-fold. Sex and the number of dietitian consultations were not associated with malnutrition at discharge. Conclusions: Early CSE in elderly patients hospitalized for neurogeriatric rehabilitation is associated with less malnutrition at discharge. Full article

Background: The association between emotional dysregulation (ED) and attention-deficit/hyperactivity disorder (ADHD) has been widely documented. However, a consensus has yet to be reached on how to conceptualize this domain within ADHD. Particularly, ADHD + ED may represent a distinct condition, a more severe ADHD, or a comorbidity. We explored these three main hypotheses, investigating clinical differences between patients with ADHD, ADHD + ED, and ED. Methods: In total, 101 participants (ages 18–50) were recruited and divided into four groups: ADHD (N = 23), ED (N = 28), ADHD + ED (N = 27), and HC (N = 23). ADHD and ED were assessed using the Diagnostic Interview for ADHD in adults (DIVA-5) and the Wender–Reimherr Adult Attention Deficit Disorder Scale (WRAADDS). Sociodemographic and clinical variables were compared among the groups. Results: Participants with ADHD and ADHD + ED exhibited comparably high ADHD severity and executive dysfunction ratings. While participants with ADHD + ED shared elevated negative emotionality and higher rates of mood disorders and anxiety disorders with participants with ED compared with those with ADHD, they showed specifically increased developmental and disruptive comorbidities, as well as earlier onset and greater cyclicity of comorbid mood disorders. Psychosocial functional impairments were similarly elevated on average in ADHD + ED and ADHD, but ADHD + ED showed more pronounced and widespread deficits across multiple domains. Conclusions: ADHD + ED is unlikely to represent a more severe form of ADHD but may be more appropriately conceptualized as either a distinct entity or a “comorbid” phenotype. Comparisons with ED without ADHD highlighted clinical features specific to ADHD + ED, including a higher neurodevelopmental load, impulse-control disorders, and a poorer course of mood disorders. Full article

Co-pyrolysis of polyolefins (LDPE, PP, PS) mixed with silicone rubber (SR) was investigated using a laboratory-scale pyrolysis apparatus to evaluate product composition, synergistic interactions, and siloxane recovery potential. Synergistic effects were assessed by comparing experimental mass balances and product distributions with calculated values derived from individual polymer pyrolysis. Co-pyrolysis resulted in a reduction in liquid yield and an increase in gaseous products and solid residue compared to calculated values, with liquid yields decreasing by up to ≈15 wt% at high SR content. This shift was accompanied by an enrichment in lighter hydrocarbons in both phases, reaching up to a ≈18% relative increase at high SR content, and by a redistribution towards smaller cyclic siloxanes. Chromatographic analysis confirmed that no new compounds were formed, but the proportion of low molecular weight species increased with silicone content. These effects are attributed to the distinct thermal behavior of the polymers, as silicone rubber does not melt but becomes brittle, allowing molten polyolefins to infiltrate surface cracks and prolong residence time, thereby promoting secondary cracking. Furthermore, recovery of hexamethylcyclotrisiloxane (D₃), the primary silicone pyrolysis product, was demonstrated from the liquid co-pyrolysis products via solvent-assisted filtration using ethanol, achieving purities above 99.5% and recovery rates up to ≈75% compared to other possible methods. These findings provide insights into co-pyrolysis behavior and offer a basis for developing strategies for the recovery of siloxane and advanced recycling of mixed polymer waste. Full article

Chronic myeloid leukaemia (CML) is driven by the t(9;22) forming the BCR::ABL1 fusion gene, leading to the development of hyper-myeloid proliferation. This led to development of tyrosine kinase inhibitors (TKIs) such as Imatinib, Nilotinib, and Ponatinib. However, resistance or intolerance to ATP-competitive TKIs remains a challenge for some patients. asciminib (ABL001), a novel TKI, targets the myristoyl pocket of ABL1 instead of the ATP-binding site, reducing resistance to mutations. As asciminib is linked to thrombocytopenia, its effects on platelet activation, endothelial function, and inflammation must be studied to assess its potential to promote thrombosis. The main objective of this study is to determine the potential of asciminib as a monotherapy in inducing pathological responses to platelets and endothelium over time within the vasculature. This study assessed the effects of TKIs including asciminib on platelets and thrombotic biomarkers. Washed platelets were used to measure granule secretion, thrombus formation, surface expression of glycoproteins, apoptosis, and viability. Plasma from chronically Asciminib-treated CML patients was analysed using sandwich ELISA for inflammatory and platelet–endothelial biomarkers, and thrombin generation assays were performed to study coagulation. This approach combined in vitro and ex vivo methods to explore the impact of asciminib on platelet function and thrombotic potential. The study shows that acute treatment with asciminib does not promote platelet activation or thrombus formation. Instead, it exhibits an inhibitory effect on thrombus formation in vitro and is associated with reduced thrombo-inflammatory biomarkers ex vivo in chronically treated CML patients. Asciminib was associated with increased thrombin generation over time, suggesting an effect on secondary haemostasis. Asciminib does not appear to induce a prothrombotic or proinflammatory state under the conditions studied, which may be advantageous for CML patients. However, the observed increase in thrombin generation over time suggests a potential effect on secondary haemostasis that warrants further investigation in controlled studies. Full article

Bovine spongiform encephalopathy (BSE) is a fatal transmissible spongiform encephalopathy caused by the misfolding of the host prion protein (PrP), representing a unique intersection between molecular pathology, neuroanatomy, and public health regulation. Although historically framed as a single feedborne epizootic, BSE is now recognized as a spectrum of strain-defined prion disorders encompassing classical and atypical forms with distinct origins, neuroanatomical trajectories, and surveillance implications. This review integrates advances in prion biology, neurodegenerative mechanisms, and anatomical pathways of neuroinvasion to reframe BSE as a heterogeneous disease entity. We synthesize evidence on PrP^C structure, trafficking, and proteolytic processing to explain how normal cellular physiology enables strain-specific conversion to pathogenic PrP^Sc and subsequent neurotoxicity. Distinct patterns of neuroinvasion and regional vulnerability are discussed for classical versus atypical (H- and L-type) BSE, highlighting differences in lymphoid involvement, brainstem targeting, and cortical or cerebellar tropism. We further examine how these biological differences translate into diagnostic sensitivity, surveillance design, and zoonotic risk assessment. By integrating molecular strain diversity with neuroanatomical connectivity, this review underscores the limitations of obex-centered surveillance for atypical BSE and emphasizes the need for proportionate yet precautionary monitoring strategies. These considerations should be interpreted in light of surveillance-dependent detection biases, which influence the apparent distribution of BSE forms. Ultimately, BSE emerges as a critical model for understanding how protein misfolding disorders bridge cellular mechanisms, animal health, and human public health policy. Full article

Background/Objectives: Research has shown a high prevalence of co-occurring trauma-related disorders and cocaine use disorder (CUD). However, there remains a need for preclinical studies to determine how traumatic event exposure influences vulnerability to CUD development and relapse. In this study, we assessed the impact of traumatic event exposure using a threat conditioning (TC) paradigm, which models traumatic event exposure through associative threat learning on cocaine-seeking behavior in adult male and female rats. Methods: Adult male and female rats were exposed to a single TC session. After TC, the rats underwent cocaine self-administration (SA), extinction training, cue-primed reinstatement, and cocaine-primed reinstatement testing. A parallel cohort was subjected to a sucrose SA cohort to assess whether TC altered non-drug reward seeking in the form of sucrose SA. Results: In the cocaine cohort, stressed male rats exhibited greater cue- and cocaine-primed reinstatement relative to non-stressed males, whereas no reinstatement differences emerged in female rats. In the sucrose cohort, stressed females displayed increased sucrose pellet delivery during self-administration compared to non-stressed females, but no differences were observed during sucrose reinstatement in either male or female rats. Conclusions: These findings indicate that trauma exposure prior to cocaine use influences cocaine relapse-related behavior, as well as non-drug reward reinforcement earning, in a sex-specific manner. Overall, these results highlight the value of associative stress models such as TC for studying trauma–addiction comorbidity and the need to investigate the neurobiological mechanisms driving these sex-specific outcomes. Full article

The Qinghai–Tibet Plateau is characterized by highly complex terrain, and civil aviation serves as a primary mode of transportation for regional mobility. A comprehensive understanding of wind field characteristics within the terminal areas of plateau mountain airports, as well as the formation mechanisms of wind shear during different flight phases, is of considerable importance for flight risk assessment, improvement of transport efficiency, and refined meteorological support services. However, studies focusing on wind field structures within the terminal areas of plateau mountain airports remain limited. In this study, dry-season observations from Coherent Doppler Wind Lidars at two critical locations in the terminal area of Lhasa Airport are analyzed. A comparative analysis is conducted on the vertical structure, diurnal variation, and the characteristics of turbulence and wind shear under different terrain conditions. The results show that above the valley height, both sites are dominated by stable westerly winds. Below the valley height, the wind field is strongly influenced by terrain complexity. At the Lhasa Airport site (LS), the valley is regular in shape and has a stable orientation. The prevailing wind direction is aligned with the valley, and easterly winds dominate the entire valley, especially in the middle and lower layers. In contrast, the Qushui site (QS) is located at the confluence of two valleys, where the terrain is more open and complex. The prevailing wind shifts clockwise with height, from northeasterly in the lower layers to easterly aloft. The wind direction is less concentrated than at LS. In terms of diurnal variation, a stable easterly layer forms within the valley at LS in the morning. A transition layer of about 200–300 m exists between this layer and the westerlies aloft. Within the transition layer, wind speed is relatively weak and wind direction stability is low. At QS, morning winds are weaker and more variable within the valley. Wind direction stability increases with height. In the afternoon, both sites are influenced by the downward transport of westerly momentum. However, the effect is more pronounced at QS, where low-level wind speed is higher and wind direction is more stable. Turbulence at both sites peaks between 14:00 and 17:00 and is mainly driven by thermally induced updrafts. Turbulence intensity at QS is stronger, with a vertical extent exceeding 1500 m, indicating a stronger response to thermal forcing. Wind shear at both sites mainly occurs between 12:00 and 18:00, with peak frequency from 13:00 to 17:00. This period is consistent with peak turbulence activity. Wind shear at LS occurs more frequently and lasts longer. At QS, momentum transport from above 1500 m enhances wind shear occurrence at 800–1000 m. The causes of wind shear differ under different prevailing wind conditions. Under prevailing westerlies, wind shear is mainly caused by rapid changes in wind direction with height. Under prevailing easterlies, it is primarily associated with an enhanced vertical gradient of wind speed. These results reveal the significant influence of complex terrain on low-level wind structures and causes of wind shear. The findings provide a scientific basis for operational decision-making at plateau mountain airports. Full article

Background: Effective communication improves patient satisfaction and reduces stress for both patients and physicians. Surveys consistently highlight the importance of strong communication skills among physicians, especially in oncologic settings. Yet, communication training is neither ubiquitous nor standardized in medical studies or residency, and physicians report that this task represents a burden for them. Given the limited data addressing the observations and expectations of patients with gynecologic malignancies when receiving bad news, this survey aimed to assess their perspective on this topic. Methods: We examined throughout an anonymous questionnaire how patients with gynecological and breast cancer experienced the delivery of bad news. Data were collected in Germany from July 2024 to September 2025. The questionnaire was available online and in paper form in four languages (German, English, Turkish, Arabic), with the purpose of recording culture-specific data. Results: A total of 249 patients completed the survey. Regarding the overall need for improvement in delivering bad news, 222 women (94.5%) declared that improvement was necessary, with 92 (39.1%) of them indicating that substantial improvement was required. While 67.9% of patients were content with the physician’s professional competence, 30.5% stated a lack of empathy, and 32.9% stated insufficient time for conversation. When comparing satisfied and dissatisfied patients, significant differences were observed across several aspects, such as consultation length, nonverbal communication, calmness of the setting, stress level after the conversation, and the offer to bring a trusted person or arrange a follow-up conversation. Conclusions: This patient survey highlights a persistent gap between patients’ expectations and physicians’ performance when it comes to delivering bad news. The findings underline the urgent need for the implementation of systematic training programs and structured communication protocols in gynecologic oncology. Full article

Phosphorus is an essential and finite resource critical for global food production, yet its inefficient use and discharge from wastewater systems contribute to eutrophication and resource depletion. The transition from conventional wastewater treatment plants to water resource recovery facilities has intensified interest in technologies that enable phosphorus recovery within a circular economy framework. This review provides a critical and up-to-date synthesis of phosphorus recovery strategies from wastewater, with primary emphasis on struvite (MgNH₄PO₄·6H₂O) crystallization as one of the most mature and practically implemented recovery routes. The occurrence and chemical forms of phosphorus in wastewater streams are discussed alongside conventional approaches, such as enhanced biological phosphorus removal and chemical precipitation, in order to position struvite recovery within the broader phosphorus management landscape. In addition to struvite crystallization, selected competing and complementary recovery pathways, including electrochemical systems, biochar-assisted processes, and sludge ash recovery, are discussed to compare technological maturity, recovery potential, and practical applicability. Particular attention is given to reactor configurations, full-scale applications, and commercial technologies to assess operational reliability, recovery performance, and fertilizer product quality. Life-cycle assessment results and regulatory developments are also discussed to contextualize sustainability claims, technology selection, and market integration. The review identifies key technical and economic challenges, particularly regarding magnesium supply, competing ions, wastewater matrix effects, and the feasibility of mainstream application. Overall, controlled sidestream struvite crystallization appears to offer the most favorable balance between recovery efficiency, operational reliability, and fertilizer product quality under suitable plant conditions. Full article

Background/Objectives: To evaluate construct (convergent and divergent) validity and conduct confirmatory factor analysis (CFA) of the National Center on Health, Physical Activity and Disability (NCHPAD) Wellness Assessment (NWA) tool. Methods: A cross-sectional survey validation study utilizing secondary data. We assessed Spearman correlations between NWA and 36-Item Short Form Health Survey (SF-36), NWA and Godin Leisure-Time Exercise Questionnaire (GLTEQ) and NWA and Modified Fatigue Impact Scale (MFIS) scores to determine construct validity. A CFA was conducted to test the appropriateness of a three-factor model for NWA. Results: Data from 149 participants were used to assess construct validity and from 180 participants for CFA. Both correlations between NWA mental wellness domain and SF-36 mental component scores and between NWA emotional/spiritual wellness domain and SF-36 emotional well-being scores were 0.61 (p < 0.001 for both). The correlation between NWA physical wellness domain and SF-36 physical component score was −0.06 (p = 0.45). The correlations of NWA with GLTEQ overall and with health contribution scores were 0.26 and 0.30, respectively (p < 0.001 for both). The correlations of all NWA domain and MFIS subscale scores ranged between −0.42 and −0.25 (p < 0.05). The CFA model’s comparative fit index was 0.90. Conclusions: The NWA physical wellness domain did not demonstrate strong convergent validity, as mental and emotional/spiritual wellness domains did. All domains showed strong divergent validity, and CFA showed evidence supporting a three-factor model. Future efforts will emphasize refining and reevaluating the physical wellness domain until it achieves strong psychometric properties. Full article

Quality by design (QbD) is a systematic approach focused on achieving consistent, predictable quality based on predefined objectives. Unlike traditional methods, QbD prioritizes risk assessment and management, which significantly enhances the robustness of the analytical method. In this study, we initiated factor screening using a three-factor, two-level design to evaluate three independent variables: flow rate, pH, and mobile phase composition. To further investigate the interaction of these variables, we employed Central Composite Design (CCD). This allows us to apply response surface methodology to the Critical Analytical Attributes (CAAs), specifically retention time, peak area, and symmetry factor, by conforming to the method’s robustness. The combination of pregabalin and duloxetine hydrochloride (HCl) dosage form was determined using a straightforward, exact, specific, and accurate reverse-phase HPLC approach. The results showed retention times of 3.265 min and 4.318 min for duloxetine HCl and pregabalin, respectively. Pregabalin demonstrated linearity from 100 to 200 μg/mL (R² = 0.998), whilst duloxetine HCl demonstrated linearity between 20 and 120 μg/mL (R² = 0.997). Lower LOD values of 0.925 µg/mL and 0.853 μg/mL and LOQ values of 2.809 μg/mL and 2.587 μg/mL of pregabalin and duloxetine HCl, respectively, suggest good sensitivity for the technique. The drug content of the commercial formulation may thus be determined using the recommended method. This technique can be used for standard quality control studies to simultaneously estimate pregabalin and duloxetine HCl. The novelty of the present studies lies in the development of a robust RP-HPLC method for simultaneous estimation of pregabalin and duloxetine HCl using a systematic AQbD approach, enhancing robustness, reproducibility, and reliability, making it highly suitable for routine quality control and regulatory applications. Full article