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Search Results (7,264)

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16 pages, 1337 KB  
Article
Dynamic Imaging of Lipid Order and Heterogeneous Microviscosity in Mitochondrial Membranes of Potato Tubers Under Abiotic Stress
by Vadim N. Nurminsky, Svetlana I. Shamanova, Olga I. Grabelnych, Natalia V. Ozolina, Yuguang Wang and Alla I. Perfileva
Membranes 2025, 15(10), 302; https://doi.org/10.3390/membranes15100302 - 6 Oct 2025
Abstract
Microviscosity and lipid order are the main parameters characterizing the phase states of the membrane. Variations in microviscosity and lipid composition in a living cell may indicate serious disturbances, including various kinds of stress. In this work, the effect of hyperosmotic stress on [...] Read more.
Microviscosity and lipid order are the main parameters characterizing the phase states of the membrane. Variations in microviscosity and lipid composition in a living cell may indicate serious disturbances, including various kinds of stress. In this work, the effect of hyperosmotic stress on the microviscosity of mitochondrial membranes was investigated, using potato (Solanum tuberosum L.) tuber mitochondria. The microviscosity of mitochondrial membranes isolated from check and stressed (9 days at 34–36 °C) tubers was estimated by determining the generalized polarization (GP) values using a Laurdan fluorescent probe in confocal microscopy studies. It was revealed that the GP distribution in mitochondria isolated from stressed tubers contained new component-characterizing membrane domains with an increased lipid order compared to the rest of the membrane. We have mapped the microviscosity of mitochondrial membranes for the first time and observed the dynamics of the membrane microviscosity of an individual mitochondrion. The hyperosmotic stress significantly influences the functional state of potato mitochondria, decreasing the substrate oxidation rate and respiratory control coefficient but increasing MitoTracker Orange fluorescence. Under hyperosmotic stress, the microviscosity of mitochondrial membranes changes, and membrane domains with increased lipid order are formed. The revealed changes open up prospects for further research on the participation of raft-like microdomains of mitochondria in plant resistance to stress factors. Full article
(This article belongs to the Special Issue Composition and Biophysical Properties of Lipid Membranes)
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15 pages, 1082 KB  
Article
Effects of High-Intensity Interval Training on Functional Fitness in Older Adults
by André Schneider, Luciano Bernardes Leite, Fernando Santos, José Teixeira, Pedro Forte, Tiago M. Barbosa and António Miguel Monteiro
Appl. Sci. 2025, 15(19), 10745; https://doi.org/10.3390/app151910745 - 6 Oct 2025
Abstract
(1) Background: The global increase in life expectancy has generated growing interest in strategies that support functional independence and quality of life among older adults. Functional fitness—including strength, mobility, flexibility, and aerobic endurance—is essential for preserving autonomy during aging. In this context, physical [...] Read more.
(1) Background: The global increase in life expectancy has generated growing interest in strategies that support functional independence and quality of life among older adults. Functional fitness—including strength, mobility, flexibility, and aerobic endurance—is essential for preserving autonomy during aging. In this context, physical exercise, particularly High-Intensity Interval Training (HIIT), has gained attention for its time efficiency and physiological benefits. This randomized controlled trial aimed to evaluate the effects of a group-based HIIT program on functional fitness in older adults; (2) Methods: Functional outcomes were assessed before, during, and after a 65-week intervention using standardized field tests, including measures of upper and lower body strength, flexibility, aerobic endurance, and agility. This study was prospectively registered at ClinicalTrials.gov (NCT07170579); (3) Results: Significant improvements were observed in the HIIT group across multiple domains of functional fitness compared to the control group, notably in upper body strength, lower limb flexibility, cardiorespiratory endurance, and mobility; (4) Conclusions: These results suggest that HIIT is an effective and adaptable strategy for improving functional fitness in older adults, with the potential to enhance performance in daily activities and support healthy aging in community settings. Full article
(This article belongs to the Special Issue Sports, Exercise and Healthcare)
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22 pages, 3812 KB  
Review
Micro- and Nanoplastics Act as Metal Carriers with the Potential to Alter Human Gene Expression Patterns—The Inferences from Bioinformatic Online Tools
by Maja Grabacka and Małgorzata Pierzchalska
Biomolecules 2025, 15(10), 1418; https://doi.org/10.3390/biom15101418 - 6 Oct 2025
Abstract
Micro- and nanoplastic particles (MNPLs) present in the environment have recently become a potential health hazard factor due to the ability to penetrate living organisms, their organs, and cells. MNPLs interact with and absorb chemicals and elements, including metals, such as iron, copper, [...] Read more.
Micro- and nanoplastic particles (MNPLs) present in the environment have recently become a potential health hazard factor due to the ability to penetrate living organisms, their organs, and cells. MNPLs interact with and absorb chemicals and elements, including metals, such as iron, copper, and zinc, and transport them into the cells. The cells subsequently respond with the altered gene expression profiles. In this study, we applied freely accessible online bioinformatic tools to draw out the sets of genes modulated by the metal ions and MNPLs. We focused on the gene interactome as revealed by The Comparative Toxicogenomics Database (CTD). To achieve a deeper insight into the biological processes that are potentially modulated, the retrieved CTD lists of genes, whose expression was influenced by MNPLs and metals, were subsequently analyzed using online tools: Metascape and String database. The genes from the revealed networks were arranged into functional clusters, annotated mainly as inflammation and immune system activity, regulation of apoptosis, oxidative stress response, Wingless-related Integration Site (WNT) signaling and ferroptosis. The complexity of the interactions between the gene sets altered by MNPLs and metal ions illustrates their pleiotropic effects on living systems. Full article
(This article belongs to the Special Issue Molecular Advances in Drug Resistance and Novel Therapies for Cancer)
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14 pages, 319 KB  
Systematic Review
The Impact of Virtual-Reality-Based Physiotherapy on Upper Limb Function in Children with Cerebral Palsy
by Zuzanna Wojtowicz, Katarzyna Czech, Adrianna Lechowska and Justyna Paprocka
J. Clin. Med. 2025, 14(19), 7040; https://doi.org/10.3390/jcm14197040 - 5 Oct 2025
Abstract
Background/Objectives: Cerebral palsy (CP) is one of the most common causes of permanent motor disability in children, and its consequences for upper limb function have a significant impact on the patient’s independence and quality of life. Virtual reality is attracting increasing interest [...] Read more.
Background/Objectives: Cerebral palsy (CP) is one of the most common causes of permanent motor disability in children, and its consequences for upper limb function have a significant impact on the patient’s independence and quality of life. Virtual reality is attracting increasing interest as a modern, engaging and effective method of physiotherapy for children with cerebral palsy. This systematic literature review aimed to synthesize current scientific data on the impact of virtual-reality-based physiotherapy on upper limb function in children with cerebral palsy. Methods: The review was conducted in accordance with PRISMA 2020 guidelines. PubMed, Science Direct, Scopus, Web of Science, Research Gate and Google Scholar databases were searched for studies published between 2010 and 2025. Six original studies meeting the following criteria were included in the analysis: virtual reality therapy, population of children with cerebral palsy, physiotherapy goals related to the upper limb and availability of full text. Results: All included studies demonstrated a positive impact of virtual reality on at least one functional parameter of the upper limb, including range of motion, muscle strength, coordination and manual precision. Task-oriented training, immersive virtual reality environments and home-based therapy supported by remote monitoring proved to be the most effective. The effects were particularly noticeable in children with moderate impairment at GMFCS I–III. Conclusions: Virtual reality represents a safe and promising technology to support upper limb physiotherapy in children with cerebral palsy. It can be used both in clinical and home settings, contributing to increased exercise intensity and motivation. Further long-term studies using high-quality methodology are needed to determine the sustainability of the effects and their impact on everyday living. Full article
(This article belongs to the Section Clinical Pediatrics)
22 pages, 2587 KB  
Article
Self-Energy-Harvesting Pacemakers: An Example of Symbiotic Synthetic Biology
by Kuntal Kumar Das, Ashutosh Kumar Dubey, Bikramjit Basu and Yogendra Narain Srivastava
SynBio 2025, 3(4), 15; https://doi.org/10.3390/synbio3040015 - 4 Oct 2025
Abstract
While synthetic biology has traditionally focused on creating biological systems often through genetic engineering, emerging technologies, for example, implantable pacemakers with integrated piezo-electric and tribo-electric materials are beginning to enlarge the classical domain into what we call symbiotic synthetic biology. These devices are [...] Read more.
While synthetic biology has traditionally focused on creating biological systems often through genetic engineering, emerging technologies, for example, implantable pacemakers with integrated piezo-electric and tribo-electric materials are beginning to enlarge the classical domain into what we call symbiotic synthetic biology. These devices are permanently attached to a body, although non-living or genetically unaltered, and closely mimic biological behavior by harvesting biomechanical energy and providing functions, such as autonomous heart pacing. They form active interfaces with human tissues and operate as hybrid systems, similar to synthetic organs. In this context, the present paper first presents a short summary of previous in vivo studies on piezo-electric composites in relation to their deployment as battery-less pacemakers. This is then followed by a summary of a recent theoretical work using a damped harmonic resonance model, which is being extended to mimic the functioning of such devices. We then extend the theoretical study further to include new solutions and obtain a sum rule for the power output per cycle in such systems. In closing, we present our quantitative understanding to explore the modulation of the quantum vacuum energy (Casimir effect) by periodic body movements to power pacemakers. Taken together, the present work provides the scientific foundation of the next generation bio-integrated intelligent implementation. Full article
14 pages, 1163 KB  
Article
Perceived Quality-of-Life Importance Among Saudi Gynecologic Cancer Survivors: Latent Class Analysis
by Wedad M. Almutairi, Fatmah Alsharif, Ahlam Al-Zahrani, Noura Bin Afeef, Alkhnsa Alkeai, Haneen Alfakeeh, Arwa Alzahrani, Nouran Essam Katooa, Fathia Khamis Kassem and Wafa A. Faheem
Curr. Oncol. 2025, 32(10), 557; https://doi.org/10.3390/curroncol32100557 - 4 Oct 2025
Abstract
Quality-of-life (QoL) needs among gynecologic cancer survivors are multifaceted and culturally mediated, yet limited research has examined how survivors in the Middle East prioritize key domains such as sexual function, emotional well-being, and relational quality. This study aimed to identify subgroups of survivors [...] Read more.
Quality-of-life (QoL) needs among gynecologic cancer survivors are multifaceted and culturally mediated, yet limited research has examined how survivors in the Middle East prioritize key domains such as sexual function, emotional well-being, and relational quality. This study aimed to identify subgroups of survivors based on the perceived importance of these domains and to explore demographic and clinical predictors of subgroups within the Saudi Arabian context. We conducted a cross-sectional, survey-based study among 129 women with a history of breast or cervical cancer attending a tertiary oncology center in Jeddah, Saudi Arabia. Participants rated the importance of sexual, emotional, and relational QoL domains using a 4-point Likert scale. Latent class analysis (LCA) was used to segment survivors based on their perceived domain importance. Differences in demographic and clinical characteristics across classes were assessed using chi-square tests. A decision tree classifier was employed. Three latent classes emerged: Class 0 (48.8%) prioritized all domains highly; Class 1 (17.8%) reported low importance across domains; and Class 2 (33.3%) emphasized emotional and relational domains while downplaying sexual function. Class group was significantly associated with age (p = 0.001), education (p = 0.04), nationality (p = 0.03), and number of children (p < 0.001). Decision tree analysis identified number of children, age, and marital status as the strongest predictors of high-importance class group. Gynecologic cancer survivors in Saudi Arabia hold diverse priorities regarding QoL domains, primarily shaped by sociocultural context than clinical variables. Tailored survivorship interventions that reflect survivors’ lived values, particularly in relation to age, family structure, and cultural norms, are critical for person-centered oncology care in the region. Full article
(This article belongs to the Section Gynecologic Oncology)
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12 pages, 525 KB  
Article
The Effect of Video-Based Education on Activities of Daily Living and Wound Healing of Patients with Total Hip Replacement: Randomised Controlled Trials
by Ayse Sinem Tas and Ismet Eser
Nurs. Rep. 2025, 15(10), 356; https://doi.org/10.3390/nursrep15100356 - 4 Oct 2025
Abstract
Background and Purpose: There remains a need for effective and accessible education methods to support recovery after total hip replacement. To evaluate the effects of video-based education on daily living activities and wound healing of patients undergoing total hip replacement surgery. Methods: A [...] Read more.
Background and Purpose: There remains a need for effective and accessible education methods to support recovery after total hip replacement. To evaluate the effects of video-based education on daily living activities and wound healing of patients undergoing total hip replacement surgery. Methods: A randomised controlled trial was used. Eligible participants were those aged 18 years and over who had undergone total hip replacement surgery in a training and research hospital. The intervention group received video-based training, while the control group received only routine care. Results: Patients in the video-based training group showed significantly greater improvement in daily living activities, hip function, and wound healing on postoperative days 5 and 30 compared to the control group (p < 0.01). Conclusions: Video-based education significantly improved daily living activities, hip function, and wound healing in patients undergoing total hip replacement. Clinicaltrials ID: NCT06523829 Full article
(This article belongs to the Special Issue Nursing Interventions to Improve Healthcare for Older Adults)
14 pages, 17196 KB  
Article
Characterisation of Titanium-Oxide Thin Films for Efficient pH Sensing in Low-Power Electrochemical Systems
by Zsombor Szomor, Lilia Bató, Orsolya Hakkel, Csaba Dücső, Zsófia Baji, Attila Sulyok, Erzsébet Dodony, Katalin Balázsi, János M. Bozorádi, Zoltán Szabó and Péter Fürjes
Sensors 2025, 25(19), 6113; https://doi.org/10.3390/s25196113 - 3 Oct 2025
Abstract
A compact electrochemical sensor module for pH detection was developed for potential integration into specialized devices used for live cell or tissue incubation, for applications in highly parallelized cell culture analysis, by incorporating Organ-on-Chip devices. This research focuses on the deposition, structural and [...] Read more.
A compact electrochemical sensor module for pH detection was developed for potential integration into specialized devices used for live cell or tissue incubation, for applications in highly parallelized cell culture analysis, by incorporating Organ-on-Chip devices. This research focuses on the deposition, structural and chemical analysis, and functional characterization of different titanium-oxide layers with various compositions as potentially sensitive materials for pH sensing applications. The titanium-oxide layers were deposited using vacuum sputtering and atomic layer deposition at 100 °C and 300 °C, respectively. Transmission electron microscopy and X-ray photoelectron spectroscopy were utilized to determine the specific composition and structure of different titanium-oxide layers. These TiOx-functionalized electrodes were connected to the application-specific analog front-end chip of the low-power readout circuit for precise evaluation. The pH sensitivity of the differently modified electrodes, employing various TiOx materials, was evaluated using pH calibration solutions ranging from pH 6 to 8. Among the various deposition solutions, such as sputtering or high-temperature atomic layer deposition, the TiOx layer deposited using low-temperature atomic layer deposition proved more suitable for pH sensing applications, with a sensitivity of 54.8–56.7 mV/pH, which closely approximates the Nernstian response. Full article
(This article belongs to the Special Issue Sensors from Miniaturization of Analytical Instruments (2nd Edition))
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23 pages, 2767 KB  
Article
Study on Chloride Diffusion Performance and Structural Durability Design of UHPC Under Chloride Salt Erosion
by Wenbo Kang, Kuihua Mei, Wei Liu and Shengjiang Sun
Buildings 2025, 15(19), 3569; https://doi.org/10.3390/buildings15193569 - 3 Oct 2025
Abstract
Normal concrete exhibits poor resistance to chloride penetration, often leading to reinforcement corrosion and premature structural failure. In contrast, ultra-high-performance concrete (UHPC) demonstrates superior resistance to corrosion caused by chloride salts. The chloride diffusion behaviour of UHPC was investigated via long-term immersion (LTI) [...] Read more.
Normal concrete exhibits poor resistance to chloride penetration, often leading to reinforcement corrosion and premature structural failure. In contrast, ultra-high-performance concrete (UHPC) demonstrates superior resistance to corrosion caused by chloride salts. The chloride diffusion behaviour of UHPC was investigated via long-term immersion (LTI) and rapid chloride migration (RCM) tests. Additionally, this study presents the first development of a time-dependent diffusion model for UHPC under chloride corrosion, as well as the proposal of a performance-based design method for calculating the protective layer thickness. Results show that the incorporation of steel fibers reduced the chloride diffusion coefficient (D) by 37.9%. The free chloride content (FCC) in UHPC increased by 92.0% at 2 mm after 300 d of the action of LTI. D decreased by up to 91.0%, whereas the surface chloride concentration (Cs) increased by up to 92.5% under the action of LTI. The time-dependent models of D and Cs followed power and logarithmic functions, respectively. An increase in UHPC surface temperature, relative humidity, and tensile stress ratio significantly diminishes the chloride resistance of UHPC. The minimum UHPC protective layer thicknesses required for UHPC-HPC composite beams with design service lives of 100 years, 150 years, and 200 years are 30 mm, 37 mm, and 43 mm, respectively. Full article
(This article belongs to the Section Building Structures)
25 pages, 3874 KB  
Article
Evaluation of Water Resources Carrying Capacity and Analysis of Influencing Factors in China’s Major Grain-Producing Areas Based on Machine Learning
by Kun Cheng, Xingyang Zhang and Nan Sun
Agriculture 2025, 15(19), 2074; https://doi.org/10.3390/agriculture15192074 - 2 Oct 2025
Abstract
Evaluating regional water resource carrying capacity (WRCC) helps alleviate regional water supply–demand conflicts. This study constructed a 17-indicator system for evaluating WRCC in Major Grain-Producing Areas (MGPAs) based on the “production–living–ecology” functional perspective. It employed a combined Entropy Weight–Root Mean Square Deviation–CRITIC weighting [...] Read more.
Evaluating regional water resource carrying capacity (WRCC) helps alleviate regional water supply–demand conflicts. This study constructed a 17-indicator system for evaluating WRCC in Major Grain-Producing Areas (MGPAs) based on the “production–living–ecology” functional perspective. It employed a combined Entropy Weight–Root Mean Square Deviation–CRITIC weighting approach with a BP neural network model to conduct a comprehensive assessment of WRCC across 13 MGPAs from 2004 to 2023. The results demonstrated the following: (1) Both MGPAs and the national level exhibit a “ecology dominance–living secondary–production weakness” pattern in functional weighting. (2) WRCC in MGPAs is characterized by agricultural production dominance, basic domestic needs as the core, and localized ecological protection as the focus—significantly differing from the national pattern of industrial-driven, economically interconnected, and trans-regional ecological concerns. (3) Spatiotemporally, WRCC levels across the 13 provinces have consistently increased, with a spatial distribution characterized by “higher in the north, lower in the south.” These findings reveal that water resource management in MGPAs requires strategies distinct from national approaches, emphasizing agricultural water conservation and efficiency alongside localized ecological protection. This provides precise policy tools and scientific decision support for implementing water-based production quotas and coordinating food security with water resource security in these regions. Full article
(This article belongs to the Section Artificial Intelligence and Digital Agriculture)
26 pages, 4563 KB  
Article
Personalized Smart Home Automation Using Machine Learning: Predicting User Activities
by Mark M. Gad, Walaa Gad, Tamer Abdelkader and Kshirasagar Naik
Sensors 2025, 25(19), 6082; https://doi.org/10.3390/s25196082 - 2 Oct 2025
Abstract
A personalized framework for smart home automation is introduced, utilizing machine learning to predict user activities and allow for the context-aware control of living spaces. Predicting user activities, such as ‘Watch_TV’, ‘Sleep’, ‘Work_On_Computer’, and ‘Cook_Dinner’, is essential for improving occupant comfort, optimizing energy [...] Read more.
A personalized framework for smart home automation is introduced, utilizing machine learning to predict user activities and allow for the context-aware control of living spaces. Predicting user activities, such as ‘Watch_TV’, ‘Sleep’, ‘Work_On_Computer’, and ‘Cook_Dinner’, is essential for improving occupant comfort, optimizing energy consumption, and offering proactive support in smart home settings. The Edge Light Human Activity Recognition Predictor, or EL-HARP, is the main prediction model used in this framework to predict user behavior. The system combines open-source software for real-time sensing, facial recognition, and appliance control with affordable hardware, including the Raspberry Pi 5, ESP32-CAM, Tuya smart switches, NFC (Near Field Communication), and ultrasonic sensors. In order to predict daily user activities, three gradient-boosting models—XGBoost, CatBoost, and LightGBM (Gradient Boosting Models)—are trained for each household using engineered features and past behaviour patterns. Using extended temporal features, LightGBM in particular achieves strong predictive performance within EL-HARP. The framework is optimized for edge deployment with efficient training, regularization, and class imbalance handling. A fully functional prototype demonstrates real-time performance and adaptability to individual behavior patterns. This work contributes a scalable, privacy-preserving, and user-centric approach to intelligent home automation. Full article
(This article belongs to the Special Issue Sensor-Based Human Activity Recognition)
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28 pages, 989 KB  
Review
The Role of Artificial Intelligence in Biomaterials Science: A Review
by Andrea Martelli, Devis Bellucci and Valeria Cannillo
Polymers 2025, 17(19), 2668; https://doi.org/10.3390/polym17192668 - 2 Oct 2025
Abstract
Biomaterials can be defined as materials that interact positively with living tissues, restoring compromised functions, or enhancing tissue regeneration. Currently, biomaterial research often relies on a “trial-and-error method”, involving numerous experiments driven largely by experience. This strategy leads to a substantial waste of [...] Read more.
Biomaterials can be defined as materials that interact positively with living tissues, restoring compromised functions, or enhancing tissue regeneration. Currently, biomaterial research often relies on a “trial-and-error method”, involving numerous experiments driven largely by experience. This strategy leads to a substantial waste of resources, such as manpower, time, materials, and finances. Optimizing the process is therefore essential. A recent and promising approach to this challenge involves artificial intelligence (AI), as demonstrated by the growing number of studies in this field. AI algorithms rely on data and empower computers with decision-making capabilities, mimicking aspects of the human mind and solving complex tasks with little to no human intervention. Due to their potential, AI and its derivatives are now widely used both in everyday life and in scientific research. In biomaterials science, AI models enable data analysis, pattern recognition, and property prediction. The aim of this review article is to highlight the key results achieved through the application of AI in the field of polymers for biomedical applications and, more broadly, in the development of advanced biomaterials. An overview will be provided on how an AI algorithm works, the differences between traditional programming and AI-based approaches, and their main limitations. Finally, the core topic will be addressed by categorizing biomaterials according to material class. Full article
(This article belongs to the Section Artificial Intelligence in Polymer Science)
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13 pages, 1436 KB  
Article
Functional Characterization of Trypsin in the Induction of Biologically Live Bait Feeding in Mandarin Fish (Siniperca chuatsi) Larvae
by Xiaoru Dong, Ke Lu, Jiaqi Wu, Qiuling Wang and Xu-fang Liang
Cells 2025, 14(19), 1537; https://doi.org/10.3390/cells14191537 - 1 Oct 2025
Abstract
The early developmental transition from endogenous to exogenous feeding is a critical period in carnivorous fish larvae, often associated with high mortality rates in aquaculture. Although trypsin, a key protease in protein digestion, is hypothesized to play a pivotal role in initiating exogenous [...] Read more.
The early developmental transition from endogenous to exogenous feeding is a critical period in carnivorous fish larvae, often associated with high mortality rates in aquaculture. Although trypsin, a key protease in protein digestion, is hypothesized to play a pivotal role in initiating exogenous feeding, the expression dynamics and functional contributions of trypsin and isoforms during early development remain poorly characterized in carnivorous species. This study explores the critical role of trypsin in the early feeding process of carnivorous fish, using mandarin fish (Siniperca chuatsi) as a model, which is a commercially valuable species that faces significant challenges during this phase due to its strict dependence on live prey and underdeveloped digestive system. Phylogenetic analysis indicates that, compared to herbivorous and omnivorous fish, carnivorous fish have evolved a greater number of trypsins, with a distinct branch specifically dedicated to try. RNA-seq data revealed the expression profiles of 13 trypsins during the early developmental stages of the mandarin fish. Most trypsins began to be expressed in large quantities with the appearance of the pancreas, reaching a peak prior to feeding. In situ hybridization revealed the spatiotemporal expression pattern of trypsins, starting from the pancreas in early development and later extending to the intestines. Furthermore, inhibition of trypsins activity successfully suppressed early oral feeding in mandarin fish, which was achieved by increasing the expression of cholecystokinin 2 (CCK2) and proopiomelanocortin (POMC) to suppress appetite. These findings enhance our understanding of the adaptive relationship between the ontogeny of the digestive enzyme system and feeding behavior in carnivorous fish. This research may help alleviate bottleneck issues in aquaculture production by improving the survival rate and growth performance of carnivorous fish during critical early life stages. Full article
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31 pages, 1379 KB  
Article
Functional Impairment in Behavioral Variant Frontotemporal Dementia: Cognitive, Behavioral, Personality, and Brain Perfusion Contributions
by Electra Chatzidimitriou, Georgios Ntritsos, Roza Lagoudaki, Eleni Poptsi, Emmanouil Tsardoulias, Andreas L. Symeonidis, Magda Tsolaki, Eleni Konstantinopoulou, Kyriaki Papadopoulou, Panos Charalambous, Katherine P. Rankin, Eleni Aretouli, Chrissa Sioka, Ioannis Iakovou, Theodora Afrantou, Panagiotis Ioannidis and Despina Moraitou
J. Pers. Med. 2025, 15(10), 466; https://doi.org/10.3390/jpm15100466 - 1 Oct 2025
Abstract
Background/Objectives: Behavioral variant frontotemporal dementia (bvFTD), the most prevalent clinical subtype within the frontotemporal lobar degeneration spectrum disorders, is characterized by early and prominent changes that significantly disrupt everyday functioning. This study aims to identify the key correlates of functional status in bvFTD [...] Read more.
Background/Objectives: Behavioral variant frontotemporal dementia (bvFTD), the most prevalent clinical subtype within the frontotemporal lobar degeneration spectrum disorders, is characterized by early and prominent changes that significantly disrupt everyday functioning. This study aims to identify the key correlates of functional status in bvFTD by investigating the relative contributions of cognitive deficits, behavioral disturbances, personality changes, and brain perfusion abnormalities. Additionally, it seeks to develop a theoretical framework to elucidate how these factors may interconnect and shape unique functional profiles. Methods: A total of 26 individuals diagnosed with bvFTD were recruited from the 2nd Neurology Clinic of “AHEPA” University Hospital in Thessaloniki, Greece, and underwent a comprehensive neuropsychological assessment to evaluate their cognitive functions. Behavioral disturbances, personality traits, and functional status were rated using informant-based measures. Regional cerebral blood flow was assessed using Single Photon Emission Computed Tomography (SPECT) imaging to evaluate brain perfusion patterns. Penalized Least Absolute Shrinkage and Selection Operator (LASSO) regression analysis was performed to identify the most robust correlates of functional impairment, followed by path analyses using structural equation modeling to explore how these factors may interrelate and contribute to functional disability. Results: The severity of negative behavioral symptoms (e.g., apathy), conscientiousness levels, and performance on neuropsychological measures of semantic verbal fluency, visual attention, visuomotor speed, and global cognition were identified as the strongest correlates of performance in activities of daily living. Neuroimaging analysis revealed hypoperfusion in the right prefrontal (Brodmann area 8) and inferior parietal (Brodmann area 40) cortices as statistically significant neural correlates of functional impairment in bvFTD. Path analyses indicated that reduced brain perfusion was associated with attentional and processing speed deficits, which were further linked to more severe negative behavioral symptoms. These behavioral disturbances were subsequently correlated with declines in global cognition and conscientiousness, which were ultimately associated with poorer daily functioning. Conclusions: Hypoperfusion in key prefrontal and parietal regions, along with the subsequent cognitive and neuropsychiatric manifestations, appears to be associated with the pronounced functional limitations observed in individuals with bvFTD, even in early stages. Understanding the key determinants of the disease can inform the development of more targeted, personalized treatment strategies aimed at mitigating functional deterioration and enhancing the quality of life for affected individuals. Full article
(This article belongs to the Special Issue Personalized Diagnosis and Treatment for Neurological Diseases)
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14 pages, 883 KB  
Article
Independence in Activities of Daily Living Among Autistic Toddlers: A Pilot Study Using Ecological Momentary Assessment
by Shani Hillel, Ben Aaronson and Yafit Gilboa
Children 2025, 12(10), 1316; https://doi.org/10.3390/children12101316 - 1 Oct 2025
Abstract
Background: The acquisition of adaptive skills is critical for independence and participation in activities of daily living (ADL). While caregiver perceptions provide valuable insights, most studies on autistic participation have focused on older children and relied on one-time clinic-based assessments. As a result, [...] Read more.
Background: The acquisition of adaptive skills is critical for independence and participation in activities of daily living (ADL). While caregiver perceptions provide valuable insights, most studies on autistic participation have focused on older children and relied on one-time clinic-based assessments. As a result, little is known about how autistic toddlers function in their natural environments across time. Ecological momentary assessment (EMA) is a real-time, context-sensitive method in which parents can report behaviors at multiple time points in the child’s natural environment. This pilot study aimed to examine ADL independence in autistic toddlers compared to their typically developing (TD) peers, to assess the feasibility of using EMA in early childhood, and to compare EMA-based assessments with a one-time standardized report. Methods: 23 autistic toddlers and 28 TD toddlers (aged 18–40 months) participated in the study. Parents completed a one-time report on the self-care scales of the Pediatric Evaluation of Disability Inventory (PEDI) and the Functional Independence Measure for Children (WeeFIM) and then rated their child’s independence on the WeeFIM twice a day for two weeks via their smartphones. Results: EMA was feasible with high response rates (ASD: 91.1%, TD: 88.55%). Autistic toddlers showed different participation profiles, with less independent performance in ADL compared to TD peers. In the autism group, the average EMA scores (M = 16.53, SD = 6.58) were significantly higher than the one-time WeeFIM scores (M = 13.74, SD = 5.23), t (22) = 3.23, p < 0.01, suggesting underreporting in single-time assessments. In contrast, no such difference was found in the TD group. Significant positive correlations were found between the EMA mean and the one-time WeeFIM scores in both groups (r > 0.80), indicating convergent validity. In the autism group only, greater variability in EMA was moderately associated with higher functional independence (r = 0.46, p < 0.01). Conclusions: These findings indicate that autistic toddlers demonstrated higher levels of participation in their natural environment than reflected by the one-time assessment, emphasizing the limitations of single-time-point evaluations. This underscores the importance of collecting data across multiple time points to accurately assess adaptive functioning and ADL participation. The EMA technique demonstrated in this study provides exploratory evidence of feasibility as an ecologically valid approach to assessing functional independence in autistic toddlers, offering a richer and more context-sensitive alternative to traditional one-time clinical assessments. Full article
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