Search Results (287)

Background/Objectives: Hyperlipidemia is a major risk factor for cardiovascular disease and atherosclerosis. Polyphenols found in polyphenol-rich extra virgin olive oil (EVOO) have been shown to possess strong antioxidant, anti-inflammatory, and cardioprotective properties. The present study aimed to assess the effects of two types of EVOO with different polyphenol content and dosages on the lipid profile of hyperlipidemic patients. Methods: In this single-blind, randomized clinical trial, 50 hyperlipidemic patients were randomized to receive either a higher-dose, lower-phenolic EVOO (414 mg/kg phenols, 20 g/day) or a lower-dose, higher-phenolic EVOO (1021 mg/kg phenols, 8 g/day), for a period of 4 weeks. These doses were selected to ensure equivalent daily polyphenol intake in both groups (~8.3 mg of total phenols/day), based on chemical analysis performed using NMR spectroscopy. The volumes used (8–20 g/day) reflect typical daily EVOO intake and were well tolerated by participants. A group of 20 healthy individuals, separated into two groups, also received the two types of EVOO, respectively, for the same duration. Primary endpoints included blood levels of total blood cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides, lipoprotein-a (Lpa), and apolipoproteins A1 and B. Measurements were performed at baseline and at the end of the 4-week intervention. Linear mixed models were performed for the data analysis. Results: The higher-phenolic, lower-dose EVOO group showed a more favorable change in total blood cholesterol (p = 0.045) compared to the lower-phenolic, higher-dose group. EVOO intake was associated with a significant increase in HDL (p < 0.001) and reduction in Lp(a) (p = 0.040) among hyperlipidemic patients in comparison to healthy individuals. Conclusions: EVOO consumption significantly improved the lipid profile of hyperlipidemic patients. Higher-phenolic EVOO at lower dosages appears to be more effective in improving the lipid profile than lower-phenolic EVOO in higher dosages. Full article

Background: The quality of decision-making processes is increasingly recognized as critical to public trust and policy sustainability. Objectives: This narrative review aims to identify and describe process-focused decision support models (DSMs) applied in pharmaceutical policy, and to examine their potential contributions to improving procedural quality in decisions related to pricing, reimbursement, and access to medicines. Methods: Relevant peer-reviewed and gray literature published between 2000 and 2025 was considered, drawing from key databases (e.g., PubMed and Scopus) and international policy reports (e.g., WHO, ISPOR, and HTA agencies). Studies were included if they provided insights into DSMs addressing at least one dimension of decision process quality. Results: Findings are synthesized narratively and organized by tool type, application context, and key quality dimensions. Frequently referenced tools included the Quality of Decision-Making Orientation Scheme (QoDoS), WHO-INTEGRATE, and AGREE II. QoDoS emerged as the only tool applied across regulatory, HTA, and industry settings, evaluating both individual- and organizational-level practices. WHO-INTEGRATE highlighted equity and legitimacy considerations but lacked a structured format. Overall, most tools demonstrated benefits in promoting internal consistency, transparency, and stakeholder engagement; however, their adoption remains limited, especially in low- and middle-income countries. Conclusions: Process-focused DSMs offer promising avenues for enhancing transparency, consistency, and legitimacy in pharmaceutical policy. Further exploration is needed to standardize evaluation approaches and expand the use of DSMs in diverse health systems. Full article

Pleurotus eryngii is an edible mushroom with previously characterized β-glucans. Its potential to ameliorate postprandial glycemia and regulate appetite at the postprandial state has been previously shown. However, its effect on protein digestion remains unexplored. We aimed to investigate the effect of baked P. eryngii with a known β-glucan content (4.5 g) on plasma free amino acids of patients with central obesity and metabolic abnormalities at a postprandial state. In this acute, randomized controlled cross-over study, thirteen healthy male volunteers consumed one meal that was prepared with P. eryngii and one control meal; each meal was separated by one month. Blood was collected, and plasma was isolated at different timepoints before and after the consumption. Gas chromatography–mass spectrometry was used to quantify 24 free amino acids in the plasma samples. The area under the curve with respect to increase (AUCi) was computed, and the AUCi for aromatic amino acids was found to be higher after the consumption of the control meal compared to the P. eryngii meal (p = 0.027 for phenylalanine, p = 0.008 for tyrosine, and p = 0.003 for tryptophan). The above novel findings suggest that the β-glucans present in P. eryngii mushrooms are potential modulators of AA release into the bloodstream. Full article

In response to the increasing demand for environmentally friendly products and the parallel rise of deceptive green marketing practices, this study examines the impact of greenwashing awareness and green perceived benefits on consumers’ propensity to purchase green products, with a focus on the mediating role of green consumer confusion. Drawing upon data collected from 300 consumers in Greece through an online questionnaire, this study employed validated measurement scales and used multiple regression analyses to test its hypotheses. The findings reveal that both greenwashing awareness and green perceived benefits positively influence green purchase propensity. Additionally, green consumer confusion mediates the relationship between greenwashing awareness and green purchase propensity, indicating that the awareness of greenwashing reduces confusion and enhances consumers’ likelihood to choose genuinely green products. This study contributes to the literature by offering an integrated model that connects greenwashing awareness, green consumer confusion, and green perceived benefits in shaping green purchase propensity. Finally, the findings offer valuable insights for organizations to design clearer, more trustworthy green marketing strategies that minimize consumer confusion and foster informed green purchasing decisions. Full article

Background: Borderline personality disorder (BPD) is characterised by significant clinical heterogeneity. Classifying subtypes of BPD may offer deeper insights into the disorder’s complexity and inform more tailored therapeutic strategies. The exploration of data-driven subtyping using cluster-analytic approaches represents a promising avenue for capturing variability in symptomatology and comorbidity profiles. Aim: This systematic review aims to synthesise and critically evaluate the empirical studies that have applied cluster-analytic methods to identify subtypes of BPD in adult populations. It further assesses the consistency of findings and their alignment with theoretical models of the disorder. Methods: A comprehensive search of PubMed, Scopus, and PsycNet was conducted in accordance with the PRISMA guidelines. Eligible studies employed either traditional or probabilistic clustering techniques to classify adult individuals diagnosed with BPD based on the DSM criteria. A total of 29 studies, encompassing 24,345 participants, met the inclusion criteria. The study quality and risk of bias were assessed using the AXIS tool. Results: Most studies identified clinically meaningful BPD subtypes based on dimensions such as affective regulation, effortful control, interpersonal style, and impulsivity or aggression. Several findings supported the existence of internalizing and externalizing profiles, which converge with long-standing theoretical conceptualisations of BPD. However, substantial heterogeneity was observed in subtyping bases, sample characteristics, and analytic procedures. Discussion: Although this review highlights the recurring subtype patterns, the methodological inconsistencies and a lack of longitudinal and treatment-outcome data limit the strength of the conclusions. The future research should prioritise standardised subtyping frameworks and explore the prognostic and therapeutic utility of BPD subtypes in clinical settings. Full article

This study highlights waste bread (WB) as a novel, cost-effective, and nutrient-rich substrate for microbial growth, offering a sustainable alternative to conventional media. As a renewable resource, WB promotes the circular economy by reducing food waste and encouraging biotechnological innovation. The incorporation of WB into microbial culture media enhanced the growth of various reference strains (E. coli, E. faecalis, P. aeruginosa, and S. aureus), with at least a two-fold increase compared to conventional Luria-Bertani (LB) medium. Moreover, combining 2% WB with diluted LB (1/10) reduced medium costs by up to 90%. Furthermore, it was confirmed that 1% WB can effectively replace starch during the screening of amylolytic strains. Applying a fractional factorial design, the production of amylase by Bacillus sp. BSS (Amy-BSS) was enhanced 15-fold. An analysis of the Pareto diagram revealed that WB was the most significant factor. Additionally, Amy-BSS was applied to hydrolyze polysaccharides in WB, enabling the generation of high-value-added products in food processing. This hydrolysis process yielded 4.6 g/L of fermentable sugars from 1% WB. Evaluating the economic feasibility of WB valorization into value-added products elucidates potential pathways for cost reduction and enhanced environmental sustainability, thereby positioning WB as a viable tool for sustainable development. Full article

Biosensors have emerged as highly sensitive, rapid, and specific tools for detecting food safety hazards, particularly in perishable products, such as fish, meat, and poultry. These products are susceptible to microbial contamination and often contain additives intended to improve shelf life and flavor, which may pose health risks to consumers. Recent advances in biosensor technologies integrated with smartphones, artificial sensing systems, 3D printing, and the Internet of Things (IoT) offer promising solutions for real-time monitoring. This review explores the types, mechanisms, standardization approaches, and validation processes of biosensors used to detect contaminants and additives in animal-based food products. Furthermore, the paper highlights current challenges, technical limitations, and future perspectives regarding the broader implementation of biosensors in modern food safety monitoring systems. Full article

This review paper addresses the design and testing of ultra-low temperature (ULT) freezers, highlighting their critical functions in various industries, particularly foods, medicine, and research. ULT freezers operating at temperatures of −86 °C and lower have come a long way with improvements in freezing technology, for instance, from traditional vapor compression systems to new multi-stage refrigeration technologies. This progress has added operational reliability and energy efficiency, essential for preserving delicate samples and facilitating groundbreaking research. The article deeply explores the contribution of refrigerants to ULT freezer efficiency and sustainability. With the use of chlorofluorocarbons (CFCs), previously reliant on them, being prohibited due to environmental concerns, the sector opted for environmentally friendly substitutes like hydrofluorocarbons (HFCs), natural refrigerants, and hydrofluoroolefins (HFOs). Regulatory compliance is ensured by rigid validation protocols to guarantee ULT freezers are safe and meet quality requirements without compromising the integrity of the stored material. In addition to their wide-ranging advantages, ULT freezers also have disadvantages, such as energy efficiency, incorporating automation, the integration of IoT and AI for proactive maintenance, and the development of environmentally sustainable refrigerants. Adequate management strategies, including regular employee training and advanced monitoring systems, are vital to counteract threats from temperature variations and reduce long-term diminished performance. Finally, subsequent innovations in ULT freezer technology will not only aid in research and medical initiatives but also support sustainable practices, ensuring their core role as beacons of innovation in preserving the quality of precious biological materials and increasing public health gains. Full article

Background/Objectives: The aim of the present study was to examine the association between the systolic (SBP) as well as diastolic blood pressure (DBP) levels of school-aged children and the adherence of both children and their parents to the Mediterranean Diet. Methods: Detailed data on sociodemographic characteristics, eating habits, and anthropometry were collected from each child (N = 102) and their accompanied parent or legal guardian (N = 102). KIDMED (range: −4 to 12) was used to evaluate children’s level of adherence to the Mediterranean Diet and MedDietScore (range: 0–55) was used for parents. Children’s blood pressure (BP) was measured using a validated automated oscillometric device. Results: Children with higher adherence to the Mediterranean Diet had significantly lower SBP (p < 0.001), DBP (p = 0.009), and hip circumference (p = 0.01) compared to those with lower adherence. Similarly, children of parents with high adherence to the Mediterranean Diet exhibited lower body weight (p = 0.03), waist circumference (p = 0.03), SBP (p < 0.001), and DBP (p = 0.004). In fully adjusted models, for each unit increase in children’s KIDMED scores, a 1.33 unit reduction in SBP (p < 0.001), and a 0.77 unit reduction in DBP were found. Similarly, parental MedDietScore was independently associated with significant reductions in children’s SBP (1.01 mmHg) and DBP (0.75 mmHg) (all p’s < 0.05). Conclusions: Adherence to the Mediterranean dietary pattern by children and parents seems to be associated with lower BP in childhood, supporting the potential value of a family-based approach, particularly involving mothers. Full article

Information availability through the web has been both a challenge and an asset for healthcare support, as evidence-based information coexists with unsupported claims. With the emergence of artificial intelligence (AI), this situation may be enhanced or improved. The aim of the present study was to compare the quality assessment of online dietary weight loss information conducted by an AI assistant (ChatGPT 4.5) to that of health professionals. Thus, 177 webpages publishing dietary advice on weight loss were retrieved from the web and assessed by ChatGPT-4.5 and by dietitians through (1) a validated instrument (DISCERN) and (2) a self-made scale based on official guidelines for weight management. Also, webpages were assessed by a ChatGPT custom scoring system. Analysis revealed no significant differences in quantitative quality scores between human raters, ChatGPT-4.5, and the AI-derived system (p = 0.528). On the contrary, statistically significant differences were found between the three content accuracy scores (p < 0.001), with scores assigned by ChatGPT-4.5 being higher than those assigned by humans (all p < 0.001). Our findings suggest that ChatGPT-4.5 could complement human experts in evaluating online weight loss information, when using a validated instrument like DISCERN. However, more relevant research is needed before forming any suggestions. Full article

Campylobacter jejuni and Campylobacter coli are the two main campylobacter species that cause foodborne campylobacteriosis. Recent studies have reported that Campylobacter spp. are prone to developing resistance to antibiotics commonly used for their treatment, with many C. coli strains identified as multidrug-resistant. This study presents the results of the whole-genome sequencing analysis of the multidrug-resistant C. coli strain BCT3 isolated in Greece from a stool specimen of a pediatric patient presenting with diarrhea. The strain was isolated using selective culture media and, based on antimicrobial susceptibility tests, was found to be resistant to ciprofloxacin, tetracycline, erythromycin, azithromycin, clarithromycin, and doxycycline. To further characterize it, we performed whole-genome sequencing, which identified strain BCT3 as C. coli. Moreover, multilocus sequence typing assigned the BCT3 to the sequence type (ST) 872, belonging to clonal complex ST-828. The presence of multiple virulence genes revealed its pathogenic potential. The detection of antimicrobial resistance genes and mutated alleles was indicative of its resistance to fluoroquinolones, macrolides, and tetracyclines, supporting the observed phenotype. To our knowledge, this is the first reported clinical case of such a multidrug-resistant C. coli strain in Greece. Full article

The objective of our study is to monitor the stability of Extra Virgin Olive Oil (EVOO) flavoured with cloves. Two flavouring processes were tested, namely the maceration of cloves in olive oil and the grinding of cloves with olives. The analysis of the obtained oils showed that the process of the simultaneous grinding of the cloves with the olives produced a better oil quality than the maceration process in terms of richness in total phenols. The co-crushing method increased the total phenols in the olive oil by 34.24% and 73.37%, compared to the maceration method with an increase of only 17.1% and 52.35%, respectively, for the 2 and 4% of cloves addition. Fluorescence spectroscopy analysis of the oils supplied useful and complementary results. The aromatized olive oil developed by simultaneous grinding was subjected to ageing acceleration at 60 °C in the dark for 165 days. Results indicated that the acidity and the value of the specific extinction coefficient K₂₃₂ of the control EVOO followed the standards of the International Olive Oil Council. During accelerated storage, the degradation of total phenols was marked as less for the flavoured EVOOs than for the control samples. After 165 days of storage, the colour of all olive oil samples was modified, with this change being the most apparent for unflavoured oil with a 45.6% and 46.4% decrease in L and b* vs. 38.8% and 22.4% for C1, and 45.5% and 37.2% for C2 respectively. After 165 days of storage, all the oil samples were darker and red. Flavouring EVOO with cloves offered a better stability to the oil. A consumer survey involving 224 participants revealed that despite the fact that only 30% were familiar with flavoured oils, 83.9% expressed a willingness to purchase clove-flavoured olive oil if it became available on the market. Flavoured oils offer a good alternative to multiply olive oil-based products and thus offer additional opportunities for the marketing of olive oils. Full article

Mirror neurons (MNs), a set of neurons that are activated during the processes of observation and execution of actions, have drawn significant attention in the research of neurodegenerative and psychological disorders. Research in the field of Autism Spectrum Disorder (ASD) and schizophrenia demonstrates evidence in favour of common underlying neural mechanisms underlying the two conditions, especially with respect to mu rhythm suppression, a proxy for MN activation and socio-cognitive impairments. This paper aims to review the most recent studies on the neurological underpinnings of social cognition deficits and cognitive discrepancies shared by ASD and schizophrenia, as detected by measuring the functionality and activation of the mirror neuron system. The findings of the review reveal a lack of consensus with respect to the validity of the “broken mirror” theory. The review also shows that further research is warranted to shed light on the implications of mirror neuron dysfunction in neuropsychiatric conditions and assist the development of technological interventions and treatments. Full article

Objective: Protein supplements (PSs) are widely consumed by professional and non-professional athletes, yet research on non-athletic PS users’ perceptions, motivations, and health risk awareness is limited. This study aimed to investigate non-professional athletes’ PS patterns of use, motivations, and safety. Methods: A cross-sectional study was conducted using a constructed questionnaire reporting on PS usage trends, exercise habits, and demographic factors. Adult respondents were recruited from gyms, athletic organizations, amusement parks, and playing fields. Results: We received 1100 responses, and 327 were PS users. From the total of PS users, there was a prevalence of PS use in males [(203 (62%)]; adults in the age group of 25–34 [136 (42%)], p < 0.001; and participants with a normal BMI (189, 58%), p < 0.001. Following high-intensity fitness exercise sessions and engagement with more than two types of physical activity were associated with more than doubled odds of PS consumption (p < 0.001). The main reasons for PS intake were for muscle mass increase (35%) and recovery (18%), and protein powder was the most popular PS (279; 64%). The main channels of information for PS use were Web/social media (50, 40%) and coaches (54, 43.2%), while one out of two [35 (49%); p = 0.008] of those engaged in more than two types of physical exercise declared that PSs are good for health. Conclusion: The findings highlight demographic, behavioral, and informational factors shaping PS consumption in non-professional athletes. Despite the perceived benefits, reliance on non-expert sources and unregulated products raises concerns about consumer awareness and safety, while educational initiatives to promote evidence-based supplementation practices are deemed crucial. Full article

Postbiotics, defined as a preparation of inanimate microorganisms and/or their components, including metabolic byproducts, have gained recognition as promising modulators of gut health and disease, offering advantages over probiotics in terms of safety, stability, and formulation. This systematic review investigates the therapeutic potential of postbiotics derived from functional foods in the context of colorectal cancer (CRC), a leading cause of cancer-related mortality worldwide. Despite encouraging preclinical findings, translation into clinical practice remains limited due to a paucity of robust human trials, revealing a significant gap and the need for further translational research. Key bioactive categories of postbiotics are described, alongside their anti-inflammatory, immunomodulatory, and chemopreventive mechanisms. Through comprehensive literature mapping, this review uniquely categorizes research according to the experimental models employed, i.e., in vitro, in silico, in vivo, and ex vivo, and advanced models such as organoids and organ-on-chip platforms. The latter offers greater physiological relevance by closely mimicking human tissue architecture and microenvironment. These models help demonstrate how postbiotics may influence tumorigenesis through mechanisms involving inflammation, apoptosis, epigenetic regulation, and the maintenance of gut barrier integrity. Finally, the review summarizes recent innovations in their delivery strategies and calls for comprehensive mechanistic studies and high-quality clinical trials to validate postbiotics as safe and effective adjuncts in CRC prevention, therapy, and management. Full article