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Keywords = palatability

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21 pages, 1375 KB  
Article
Polymeric Sustained-Release Chlorhexidine Coating on Gutta-Percha Points for Prolonged Intracanal Antimicrobial Delivery: An In Vitro Study
by Yarden Sabah, Nathanyel Sebbane, Michael Friedman, Irith Gati, Itzhak Abramovitz, Nurit Kot-Limon and Doron Steinberg
Pharmaceutics 2026, 18(4), 405; https://doi.org/10.3390/pharmaceutics18040405 (registering DOI) - 25 Mar 2026
Abstract
Background: Persistent endodontic infections involving Enterococcus faecalis and Candida albicans are a major cause of root canal treatment failure. Although conventional irrigants, such as sodium hypochlorite and chlorhexidine (CHX), exhibit strong immediate antimicrobial activity, microbes may survive and recover from the initial [...] Read more.
Background: Persistent endodontic infections involving Enterococcus faecalis and Candida albicans are a major cause of root canal treatment failure. Although conventional irrigants, such as sodium hypochlorite and chlorhexidine (CHX), exhibit strong immediate antimicrobial activity, microbes may survive and recover from the initial antimicrobial effect, hence limiting their effectiveness, especially in complex root canal anatomies and in the apical terminus of the tooth. Antibacterial dressing techniques were not proven satisfactory due to depletion of the antibacterial component or difficulty in spreading it evenly along the entire root canal. This study aimed to develop and evaluate the antimicrobial efficacy and release characteristics of a novel sustained-release device (SRD), delivering CHX via gutta-percha points coated with a sustained-release formulation used as a temporary intracanal medicament. Methods: Gutta-percha points were coated with two sustained-release CHX varnishes (CHX1 and CHX2) or a placebo and assessed in vitro. Antimicrobial activity against E. faecalis and C. albicans was evaluated using agar diffusion assays over time. Release kinetics were analyzed using Rhodamine-labeled SRD in a 3D-printed acrylic molar tooth model via fluorescence microscopy. Additionally, biofilm-infected acrylic molar teeth were treated with a placebo, a single 2% CHX irrigation, or SRD-coated gutta-percha points placed as an intracanal dressing prior to obturation. Microbial viability was quantified by colony-forming unit (CFU/mL) analysis from root canals and gutta-percha points. Statistical analysis was performed using one-way ANOVA followed by Tukey’s post hoc multiple comparison test (p < 0.05). Results: SRD-coated gutta-percha points demonstrated sustained antimicrobial activity for up to 21 days against E. faecalis and 19 days against C. albicans. Fluorescence analysis, in an acrylic tooth model, confirmed continuous release for up to 15 days, with pronounced diffusion in the isthmus and palatal canals. In biofilm-infected acrylic teeth models, SRD treatment resulted in a significant reduction of 2–3 log10 CFU/mL compared to placebo groups (p < 0.001) and prevented microbial rebound over the 14-day observation period. In contrast, a single application of 2% CHX solution showed only transient reduction followed by regrowth. Conclusions: Sustained-release CHX delivery via polymer-coated gutta-percha points provided prolonged antimicrobial activity against bacterial and fungal biofilms compared to conventional single-dose CHX application in this in vitro model. These findings support the potential use of coated gutta-percha points as a removable intracanal drug delivery platform prior to final obturation, although further studies incorporating direct-release quantification and in vivo validation are required before clinical translation. Full article
(This article belongs to the Section Drug Delivery and Controlled Release)
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12 pages, 942 KB  
Article
Cephalometric Assessment of Airway-Related Hyoid Position and Velar Morphology Across Skeletal Malocclusions: A Cross-Sectional Study
by Gizem Yazdan Özen, Ali Kağan Özen and Nebiha Hilal Bilge
Diagnostics 2026, 16(6), 947; https://doi.org/10.3390/diagnostics16060947 - 23 Mar 2026
Viewed by 46
Abstract
Background: The anatomical position of the hyoid bone and the morphological characteristics of the soft palate play a key role in upper airway patency, craniofacial balance, and the coordination of functional structures. These features may vary depending on skeletal pattern and gender. This [...] Read more.
Background: The anatomical position of the hyoid bone and the morphological characteristics of the soft palate play a key role in upper airway patency, craniofacial balance, and the coordination of functional structures. These features may vary depending on skeletal pattern and gender. This study aimed to evaluate the relationship between hyoid bone position, soft palate morphology, skeletal classification, and gender using lateral cephalograms. Methods: A total of 120 individuals (60 females and 60 males) were classified as Skeletal Class I, II, or III based on the ANB (A Point–Nasion–B Point) angle. Measurements reflecting hyoid position and pharyngeal airway width were analyzed, including C3–H (distance from the third cervical vertebra to the hyoid bone), C3–RGn (distance from the third cervical vertebra to retrognathion), H–RGn (distance from the hyoid bone to retrognathion), PNS–UPW (distance from the posterior nasal spine to the upper pharyngeal wall), and U–MPW (distance from the uvula to the middle pharyngeal wall). Soft palate types were classified according to the You classification. Statistical analyses included ANOVA (analysis of variance), the Kruskal–Wallis test, the independent samples t-test, the Mann–Whitney U test, and the chi-square test. Results: Significant differences in C3–RGn, H–RGn, and U–MPW were observed between Skeletal Classes I–III and Classes II–III (p < 0.05). In contrast, C3–H and PNS–UPW did not differ significantly among skeletal classes. Soft palate types showed no significant association with skeletal classification or gender. Gender-based comparisons revealed significant differences in C3–H, C3–RGn, H–RGn, and PNS–UPW (p < 0.05). Conclusions: Mandibular-related hyoid measurements and the U–MPW parameter were associated with skeletal pattern, whereas C3–H and PNS–UPW remained relatively stable. Soft palate morphology was not significantly influenced by skeletal class or gender. These findings suggest that the hyoid–tongue–soft palate complex should be evaluated in conjunction with mandibular position during orthodontic diagnosis and treatment planning. Full article
(This article belongs to the Section Clinical Diagnosis and Prognosis)
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15 pages, 1133 KB  
Article
EGCG Derivatives Alleviate Diquat-Induced Liver and Gut Damage in Mice by Activating an Antioxidant Pathway and Enhancing Barrier Function
by Liting Xu, Caiwei Luo, Xuyang Gao, Jianmin Yuan and Bin Fu
Animals 2026, 16(6), 966; https://doi.org/10.3390/ani16060966 - 19 Mar 2026
Viewed by 89
Abstract
(−)-Epigallocatechin 3-gallate (EGCG) is a potent natural antioxidant, but its strong bitterness and poor palatability limit its application in animal production. This study aimed to evaluate the protective effects and underlying mechanisms of chemically synthesized EGCG derivatives against oxidative stress using a diquat-induced [...] Read more.
(−)-Epigallocatechin 3-gallate (EGCG) is a potent natural antioxidant, but its strong bitterness and poor palatability limit its application in animal production. This study aimed to evaluate the protective effects and underlying mechanisms of chemically synthesized EGCG derivatives against oxidative stress using a diquat-induced mouse model. A total of 36 male ICR mice were randomly assigned into six groups (n = 6): Control (T0), Diquat (T1), EGCG + Diquat (T2), Epigallocatechin octanoate (EGCO) + Diquat (T3), Epigallocatechin p-chloromethylbenzoate (EGCP) + Diquat (T4), and Epigallocatechin ibuprofen ester (EGCI) + Diquat (T5). Oxidative stress was induced by intraperitoneal injection of diquat at day 27 of the experiment, while EGCG or its derivatives were administered via dietary supplementation. At day 28, the mice were weighed, killed, and the tissues were sampled. Diquat challenge significantly impaired growth, increased serum injury markers (ALT, AST, DAO, and D-LA) (p < 0.05), suppressed hepatic and jejunal antioxidant enzymes (GPx, SOD, and TAOC) while elevating MDA (p < 0.05), damaged jejunal morphology (villus atrophy) (p < 0.05), and downregulated tight junction proteins (ZO-1 and Occludin) (p < 0.05). Chemically synthesized EGCG derivatives, especially EGCI, effectively alleviated diquat-induced growth impairment and hepatic and intestinal oxidative damage by improving intestinal barrier function and enhancing systemic antioxidant capacity, possibly in part through activation of the nuclear factor erythroid 2-related factor 2/heme oxygenase-1 (Nrf2/HO-1) signaling pathway. Compared with EGCG, EGCI exhibited reduced bitterness and improved palatability, which favored normal feed intake. These findings provide strong theoretical support for the future application of EGCG derivatives, especially EGCI, as functional antioxidant additives in broiler production. Full article
(This article belongs to the Section Animal Nutrition)
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15 pages, 1437 KB  
Systematic Review
Dental Implant Outcomes in Patients with Cleft Lip, Alveolus and/or Palate: A Systematic Analysis of Clinical Studies
by Andrei Tent, Alexandru Mester, Armencea Gabriel, Simion Bran, Dacian Sabau, Andra Piciu and Florin Onisor
Medicina 2026, 62(3), 569; https://doi.org/10.3390/medicina62030569 - 18 Mar 2026
Viewed by 140
Abstract
Background and Objectives: Dental implant placement in grafted alveolar cleft sites has become an integral component of comprehensive cleft rehabilitation. However, survival outcomes vary across studies, and temporal trends in clinical performance have not been systematically quantified. This review aimed to evaluate [...] Read more.
Background and Objectives: Dental implant placement in grafted alveolar cleft sites has become an integral component of comprehensive cleft rehabilitation. However, survival outcomes vary across studies, and temporal trends in clinical performance have not been systematically quantified. This review aimed to evaluate implant survival in grafted alveolar cleft patients and to compare outcomes between early and modern treatment eras. Materials and Methods: A systematic search of the PubMed, Web of Science, Cochrane Library, and Wiley databases was performed in accordance with PRISMA guidelines. Clinical studies reporting implant survival in grafted alveolar cleft sites with a minimum follow-up of 12 months were included. Data extraction encompassed implant survival, timing of placement, grafting protocols, and reported causes of failure. For temporal comparison, studies were stratified into an early era (1997–2008) and a modern era (2010–2026). Weighted pooled survival rates were calculated, and differences between proportions were assessed using a two-proportion Z-test (p < 0.05). Results: 18 studies met the inclusion criteria, representing 1561 implants placed in grafted alveolar cleft sites. Overall reported survival ranged from 80% to 100%. Weighted pooled survival increased from 91.2% (95% CI: 87.9–94.5) in early studies to 94.2% (95% CI: 92.9–95.5) in modern cohorts, demonstrating a statistically significant 3.0% absolute improvement (p = 0.038). Implant failures occurred predominantly during the early osseointegration phase and were commonly associated with insufficient graft volume or inadequate primary stability. Late biological complications were infrequently reported. Conclusions: When appropriate bone reconstruction, healing, and multidisciplinary coordination are achieved, implant therapy represents a reliable component of comprehensive cleft care. Further prospective studies with standardized protocols and long-term follow-up are needed to strengthen evidence-based recommendations. Full article
(This article belongs to the Section Dentistry and Oral Health)
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18 pages, 530 KB  
Review
Narrative Review of Human Adiposity: From Evolutionary Energy-Thriftiness and Ancestral Wellness to the Modern Inflammatory-Related Illness. The Role of Lifestyle Transition
by Roberto Carlos Burini
Lipidology 2026, 3(1), 11; https://doi.org/10.3390/lipidology3010011 - 18 Mar 2026
Viewed by 124
Abstract
Energy thriftiness and metabolic adaptations have had a crucial role in the emergence and spreading of the Homo lineage in the world. A higher-energy demand was required not only for the growing body mass, encephalization and human proliferation, but also for the survival [...] Read more.
Energy thriftiness and metabolic adaptations have had a crucial role in the emergence and spreading of the Homo lineage in the world. A higher-energy demand was required not only for the growing body mass, encephalization and human proliferation, but also for the survival adaptations to the environmental stresses. Because lean body mass lacks the energy-storage capacity required to supply the body’s demands, dedicated fat-storing cells originated. To feed such fat stores, the hominid evolution developed “meat-adaptive” genes to detect, digest and metabolize higher fat diets, and body-fat stores can be affected by lifestyle through hormonal-controlled daily energy balance. In energy surplus conditions, hypertrophy and hyperplasia of adipocytes can occur, with hypertrophic adipocyte signaling both a neo-adipocyte differentiation (leading to hyperplasia) and a local macrophage density (resident + infiltrated macrophages) for fat surplus scavenging. Adiposity-induced inflammation is caused by fat-overstored (hypertrophied) adipocytes that may operate as an overactive endocrine organ secreting an array of pro-inflammatory adipokines that, in combination with resident-macrophage activity and infiltrated blood-recruited, monocyte-derived macrophages, amplify the inflammatory process by spurting pro-inflammatory cytokines into the bloodstream. From an evolutionary perspective, obese humans represent a natural selection overexpressing the “thrifty” genes evolved for efficient food collection and fat deposition intended to help in survival in prolonged periods of famine. However, genetically speaking, obesity is a polygenic multifactorial disorder. Considering the rapidity of obesity-epidemic growth worldwide, epigenetic sets forth the key assumption of the mismatch between our human genome molded over thousands of generations, coping with the unprecedented dietary and physical conditions. Consequently, obesity would be due to our evolutionary-adapted polygenic-charge expressed by a deteriorated lifestyle characterized by high energy-dense food intake coupled with a reduction in caloric expenditure stemming from new mobility-reducing technologies. As a model of lifestyle change (LiSM), our 28-year on-going longitudinal study (“Moving for Health”) has shown effectiveness in the reduction not only of obesity but especially of its comorbidities, in a (10 week to 3 year) length-dependent LiSM. However, a disappointing progressive decrease in compliance with the study has been observed and attributed to the resistance of people to change their actual “obesogenic” lifestyle, basically represented by the individuals’ demand for labor-saving technologies and convenient, affordable, palatable foods. Full article
(This article belongs to the Special Issue Lipid Metabolism and Inflammation-Related Diseases)
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12 pages, 234 KB  
Article
Beyond the Lockdown Kitchen: Young Adult Dietary Choices at the Crossroads of Convenience and Health
by Alice Yip, Wing Kiu Shek, Yee Man Kiki Lee, Ka Ka Lau, Shuk Wai Sip, Tsz Wing Lam, Suet Ching Cheung and Fei Lung Tang
Hygiene 2026, 6(1), 15; https://doi.org/10.3390/hygiene6010015 - 18 Mar 2026
Viewed by 157
Abstract
Background: In the wake of the COVID-19 pandemic, the dietary landscapes of young adults have been profoundly reshaped. As social restrictions ease, the resurgence of dining out presents new behavioral shifts regarding health and safety. Objective: This study investigates the post-pandemic experiences of [...] Read more.
Background: In the wake of the COVID-19 pandemic, the dietary landscapes of young adults have been profoundly reshaped. As social restrictions ease, the resurgence of dining out presents new behavioral shifts regarding health and safety. Objective: This study investigates the post-pandemic experiences of young adults in Hong Kong, focusing on the burgeoning phenomenon of eating out of home and its complex influence on eating habits and food hygiene consciousness. Methods: This qualitative study utilized a phenomenological approach to explore participants’ lived experiences. Semi-structured interviews were conducted with 12 young adults in Hong Kong to gather narratives regarding their dining practices. The data were analyzed using thematic analysis to identify recurring patterns associated with their return to public dining spaces. Results: Three core themes emerged: (i) confined palates: the remaking of the Hong Kong meal in the shadow of a pandemic; (ii) shared screen: mediating hunger from the home-as-hub; and (iii) watchful guard: the moralization of the meal amidst viral uncertainty. Conclusions: These findings dissect the critical, evolving relationship between contemporary consumption patterns and health maintenance. While the small size limits statistical generalizability, the study suggests that post-pandemic dining involves a modified reality of sustained hypervigilance. These insights offer a basis for developing sensitive and targeted public health strategies that resonate with the altered dietary realities of young adults in a post-pandemic world. Full article
(This article belongs to the Section Health Promotion, Social and Behavioral Determinants)
17 pages, 3648 KB  
Article
Acute and Prolonged Effects of Sweeteners and Sweetness Enhancers on Postprandial Appetite Sensations, Palatability, and Ad Libitum Energy Intake in Humans: A SWEET Sub-Study
by Sabina S. H. Andersen, Louise Kjølbæk, Jason C. G. Halford, Joanne A. Harrold and Anne Raben
Nutrients 2026, 18(6), 948; https://doi.org/10.3390/nu18060948 - 17 Mar 2026
Viewed by 399
Abstract
Background/Objectives: Sweeteners and sweetness enhancers (S&SEs) have been proposed to potentially impair appetite regulation by stimulating sweet taste receptors beyond the perception of sweetness, similar to caloric sweeteners. The evidence is, however, not clear. Methods: This sub-study investigated the acute effects of [...] Read more.
Background/Objectives: Sweeteners and sweetness enhancers (S&SEs) have been proposed to potentially impair appetite regulation by stimulating sweet taste receptors beyond the perception of sweetness, similar to caloric sweeteners. The evidence is, however, not clear. Methods: This sub-study investigated the acute effects of a mixture of acesulfame potassium and cyclamate (Ace-K/Cyc) versus water on postprandial appetite sensations and energy intake at baseline, after a two-month weight loss period, and after a four-month weight loss maintenance period, including (S&SE group) or excluding S&SEs (Sugar group) in the diet. A total of 26 participants (18–65 years; BMI ≥ 25.0 kg/m2) were recruited from the one-year randomized controlled SWEET trial. Subjective appetite sensations were measured using visual analogue scales while fasting and nine times during a 250-min postprandial period. During this period, a standardized breakfast (0–10 min) was served and, 2 h later, a test drink containing either Ace-K/Cyc or water (120–130 min) was given. After 265 min, an ad libitum test meal was served. Results: Of 26 participants enrolled, 22 completed test day 2 and 16 completed test day 3. The S&SEs group rated lower prospective consumption and desire to eat something sweet after the test drink with Ace-K/Cyc compared to the sugar group consuming water (p < 0.05), with effects persisting after adjusting for taste. Initial differences in hunger were explained by taste palatability. This was true for all three test days. Ad libitum energy intake did not differ (p > 0.05). Conclusions: Ace-K/Cyc compared to water reduced feelings of prospective consumption and desire to eat something sweet acutely, after two months of weight loss, and after four months of weight loss maintenance. Due to the low sample size and power, larger studies are warranted to confirm these results. Full article
(This article belongs to the Section Carbohydrates)
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12 pages, 1111 KB  
Article
Comparison of Two Methods for Assessing the Maxillary Sinus Volume in Patients with and Without Unilateral Cleft Lip and Palate: A Retrospective Cross-Sectional Study
by Aleksandra Kołodziejska, Wojciech Nazar, Bogna Racka-Pilszak and Anna Wojtaszek-Słomińska
Diagnostics 2026, 16(6), 865; https://doi.org/10.3390/diagnostics16060865 - 14 Mar 2026
Viewed by 248
Abstract
Background/Objectives: The aim of this study was to compare two methods for maxillary sinus volume measurement, assessing their accuracy. The analysis compared the maxillary sinus volume in patients with unilateral cleft lip and palate (UCLP) and in a non-cleft group, using a [...] Read more.
Background/Objectives: The aim of this study was to compare two methods for maxillary sinus volume measurement, assessing their accuracy. The analysis compared the maxillary sinus volume in patients with unilateral cleft lip and palate (UCLP) and in a non-cleft group, using a manual method and a three-dimensional (3D) semi-automated segmentation method. Methods: The research was conducted according to the STROBE guidelines. Sixty patients were included in this study: thirty patients with UCLP were in the research group, and the control group consisted of 30 patients with no craniofacial deformities. Cone-beam computed tomography (CBCT) was analyzed. The manual maxillary sinus volume was calculated based on its approximation to two geometric shapes based on mathematical formulas using linear measurements that were performed on all sinus CBCT scans in the maximum diameter in three planes. The semi-automatic segmentation method using ITK-SNAP 3D-imaging software version 4.2.2 was used to automatically calculate the maxillary sinus volume of the sinuses. The manually calculated volume was compared with the automatically calculated one, and statistical analysis was performed. Results: The cleft group presented lower values in both the automatic and manually calculated volumes for both the right (automatic: p = 0.49; manual p = 0.009) and left (automatic: p = 0.46; manual p = 0.11) maxillary sinuses than the non-cleft group. The cleft group presented statistically significant higher discrepancies in values between the manual and semi-automatic method than the control group (RMSV p = 0.0011; LMSV p = 0.033; TMSV p = 0.003). Conclusions: The manual method may not reveal the exact anatomical topography of the maxillary sinuses. In UCLP patients, the maxillary sinus anatomy may be more complex. Therefore, a semi-automated method may be more advisable to preserve the accuracy of the measurements. Full article
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14 pages, 2264 KB  
Article
Beef-Derived Peptides Mediated Desensitization of Bitter Taste Receptor T2R14 Through GPCR Kinase 2
by Nisha Singh, Julia Drube, Carsten Hoffmann, Rotimi Emmanuel Aluko and Prashen Chelikani
Nutrients 2026, 18(6), 901; https://doi.org/10.3390/nu18060901 - 12 Mar 2026
Viewed by 272
Abstract
Background/Objectives: Humans have at least 26 bitter taste receptors (T2Rs), and among these, bitter taste receptor 14 (T2R14) is highly expressed in both oral and extraoral tissues. Over 100 bitter ligands can activate T2R14, including hormones, vitamins, plant compounds, and peptides. Previous studies [...] Read more.
Background/Objectives: Humans have at least 26 bitter taste receptors (T2Rs), and among these, bitter taste receptor 14 (T2R14) is highly expressed in both oral and extraoral tissues. Over 100 bitter ligands can activate T2R14, including hormones, vitamins, plant compounds, and peptides. Previous studies suggest that bitter tastants such as quinine and caffeine can inhibit G protein-coupled receptor kinases (GRKs) and delay T2R signal termination. Our earlier research showed that peptides from alcalase and chymotrypsin hydrolysates of beef proteins inhibited quinine-dependent calcium release through T2R4, with AGDDAPRAVF and ETSARHL showing the greatest effectiveness. However, the effect of these antagonistic peptides on other T2Rs, such as T2R14 signaling, remains unknown. This study aimed to evaluate the ability of these beef protein-derived peptides to activate or inhibit T2R14 signaling and the involvement of GRK2 in signal termination. Methods and Results: Our results indicate that the above two antagonist peptides significantly inhibit T2R14 activity. Furthermore, GRK2 knockout in HEK cells stably expressing T2R14 decreases intracellular calcium release, as measured by the area under the curve (AUC), and also delays the fall time (indication of desensitization) of the calcium response when exposed to the T2R14 agonist diphenhydramine (DPH) or beef protein-derived agonist peptide TMTL. Next, we measured the effects of these ligands on cAMP accumulation, and our results suggest no significant change in cAMP levels upon treatment with beef protein-derived peptides. Conclusions: Thus, this study showed that beef protein-derived peptides can function as both T2R inhibitors and mediate T2R14 desensitization through GRK2 signaling. These antagonistic food protein-derived peptides inform strategies to enhance nutrition, such as promoting healthier food choices by reducing bitterness and thereby improving the palatability of health-promoting bitter foods, such as fruit and vegetable extracts, as well as bitter medications. Full article
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13 pages, 3526 KB  
Article
A Randomized, Open, Single-Administration, Cross-Over Study to Investigate the Acceptability, Swallowability, Palatability, and Preference of Different Oral Placebo Formulations in Patients with Multiple Sclerosis
by Hans Martin Bosse, Kotryna Karosaite, Carolin Kloft, Melanie Schütte, Marc Pawlitzki, Philipp Albrecht, Sharmishtha Chauhan, Isabelle Gallou, Sebastien Chabaud, Tushar Sawai, Haripriya Tumuluri, Manfred Wargenau, Lucas-Sebastian Spitzhorn and Viviane Klingmann
Pharmaceutics 2026, 18(3), 353; https://doi.org/10.3390/pharmaceutics18030353 - 12 Mar 2026
Viewed by 350
Abstract
Background: There is a paucity of systematic investigations of the acceptability and preference of alternative oral drug formulations in multiple sclerosis (MS) patients. The use of appropriate oral dosage forms has the potential to circumvent challenges associated with the ingestion of tablets. Objective: [...] Read more.
Background: There is a paucity of systematic investigations of the acceptability and preference of alternative oral drug formulations in multiple sclerosis (MS) patients. The use of appropriate oral dosage forms has the potential to circumvent challenges associated with the ingestion of tablets. Objective: This randomized, open, cross-over study aimed to investigate acceptability, swallowability, palatability, and preference of four oral placebo drug formulations of similar sizes/given volumes but different modes of ingestion (film-coated tablet, orodispersible tablet, orodispersible film, and gel) in MS patients. Methods: Acceptability was tested in two patient subgroups (32 participants each) of different MS disability levels (expanded disability status scale [EDSS] < 4 and ≥4). The primary endpoint was acceptability derived as a composite of swallowability (rated by investigator) and palatability (rated by participant). Results: The film-coated tablet showed the highest acceptability rates for EDSS < 4 and EDSS ≥ 4 (100.0%, 93.8%), followed by gel (81.3%, 68.8%). Acceptability rates for all formulations were consistently higher for EDSS < 4 compared to EDSS ≥ 4. Concerning the subjective assessment of palatability, the gel received the highest rate of positive ratings, but also was frequently judged as ‘Unpleasant’. Furthermore, the gel was ranked as the first or second choice as the most-preferred formulation, followed by the film-coated tablet. All formulations were considered safe in the study population. Conclusions: Film-coated tablets are well-suited for use in MS patients and gels may represent an interesting alternative for a certain subgroup of MS patients. Full article
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18 pages, 1701 KB  
Article
Almond Consumption Improves Inflammatory Profiles Independent of Weight Change: A 6-Week Randomized Controlled Trial in Adults with Obesity
by Ayodeji Adepoju, Elaheh Rabbani, Philip Brickey, Victoria Vieira-Potter and Jaapna Dhillon
Nutrients 2026, 18(5), 875; https://doi.org/10.3390/nu18050875 - 9 Mar 2026
Viewed by 1527
Abstract
Background: Obesity is characterized by chronic low-grade systemic inflammation that contributes to metabolic dysfunction. Diet is a modifiable factor that can help reduce this inflammation. Nuts such as almonds are rich in unsaturated fats, and antioxidant and anti-inflammatory micronutrients, which may work [...] Read more.
Background: Obesity is characterized by chronic low-grade systemic inflammation that contributes to metabolic dysfunction. Diet is a modifiable factor that can help reduce this inflammation. Nuts such as almonds are rich in unsaturated fats, and antioxidant and anti-inflammatory micronutrients, which may work synergistically to attenuate obesity-related inflammation. Hence, the objective of this study was to investigate whether daily almond consumption improves systemic inflammatory and immune markers in adults with obesity. Methods: In this randomized controlled parallel-arm trial (ClinicalTrials.gov ID NCT05530499), 69 adults (age 30–45 years) with obesity (BMI 30–45 kg/m2) were assigned to consume either 57 g/day of almonds (n = 38) or an isocaloric snack (cookie; n = 31) for six weeks. Fasting serum inflammatory cytokines, innate immune cell counts, body weight, serum glucose, insulin, lipid profile, and alpha-tocopherol were measured at baseline and week six. Dietary intake, compliance, palatability, acceptance, and appetite ratings were also assessed. Primary outcomes were analyzed using linear mixed models and baseline-adjusted linear models. Results: Subjective compliance was high in both groups, with greater acceptance of almonds (p < 0.05); however, serum alpha-tocopherol did not change. Almond consumption significantly decreased serum IL-6, TNF-α, and IFN-γ over 6 weeks compared with the cookie group (p < 0.05). No significant group differences were observed for innate immune cell counts, body weight, appetite ratings, blood pressure, or serum fasting glucose, insulin, total cholesterol (C), LDL-C, and triglycerides over six weeks. The almond group also increased intakes of monounsaturated fat, fiber, alpha-tocopherol, magnesium, zinc, and manganese, and improved diet quality indices relative to the cookie group (p < 0.05). Conclusions: Daily almond consumption for six weeks improved inflammatory cytokine profiles in adults with obesity, without changes in body weight under free-living conditions. These findings support recommending almonds as part of healthy dietary patterns to help attenuate obesity-related inflammation. Full article
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17 pages, 5672 KB  
Article
Prevalence of Unfilled MB2 Canals and Their Association with Apical Periodontitis: A CBCT-Based Cross-Sectional Study in a German Population
by Maythem Al Fartousi and Christian Ralf Gernhardt
Diagnostics 2026, 16(5), 796; https://doi.org/10.3390/diagnostics16050796 - 7 Mar 2026
Viewed by 608
Abstract
Background/Objectives: The presence of untreated second mesio-buccal canals (MB2) in maxillary first molars is usually associated with endodontic treatment failure. Previous CBCT-based investigations have evaluated the quality of root canal fillings and the prevalence of apical lesions in endodontically treated teeth. However, [...] Read more.
Background/Objectives: The presence of untreated second mesio-buccal canals (MB2) in maxillary first molars is usually associated with endodontic treatment failure. Previous CBCT-based investigations have evaluated the quality of root canal fillings and the prevalence of apical lesions in endodontically treated teeth. However, evidence specifically addressing untreated MB2 canals and their association with apical periodontitis remains limited. Therefore, the aim of this cross-sectional study was to evaluate the prevalence of unfilled MB2 canals in endodontically treated maxillary first molars and their association with apical periodontitis. Methods: CBCT scans of 75 patients from an endodontic practice were retrospectively analyzed. Maxillary first molars (teeth 16 and 26) were evaluated for the presence and filling status of root canals (MB1, MB2, palatal, distal) and the presence of periapical radiolucency using the CBCT periapical index. Two calibrated examiners independently assessed all images. The association between unfilled MB2 canals and apical periodontitis was analyzed using chi-square tests, and odds ratios with 95% confidence intervals were calculated. Results: The mean patient age was 53.4 ± 15.5 years (range: 14–80). An MB2 canal was present in 84% (63/75) of eligible teeth. Among teeth with an MB2 canal, only 20.6% (13/63) were endodontically filled, while 79.4% remained untreated. Apical periodontitis was observed in 65.3% (49/75) of all teeth. A significant association was found between unfilled MB2 canals and apical periodontitis (p < 0.001), with an odds ratio of 0.095 (95% CI: 0.022–0.402), indicating that filled MB2 canals significantly reduced the possible risk of periapical pathology. Conclusions: A high prevalence of unfilled MB2 canals was observed in this German population (79.4%). Furthermore, unfilled MB2 canals were strongly associated with apical periodontitis. Therefore, clinicians should utilize all available diagnostic tools, including CBCT and dental microscopes, to maximize MB2 canal identification and improve endodontic treatment outcomes. Full article
(This article belongs to the Special Issue Advances in Dental Diagnostics)
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4 pages, 596 KB  
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Stepwise Palatal Prosthetic Rehabilitation After Pediatric Ischemic Stroke
by Satoru Kusaka, Yuria Asao, Tatsuya Akitomo, Yuko Iwamoto and Ryota Nomura
Reports 2026, 9(1), 78; https://doi.org/10.3390/reports9010078 - 6 Mar 2026
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Abstract
Pediatric ischemic stroke is rare but may result in severe oral dysfunction. Evidence for prosthetic oral rehabilitation is well established in adults, whereas pediatric data remains limited. We report a pediatric patient with persistent dysphagia and articulatory impairment following recurrent ischemic stroke who [...] Read more.
Pediatric ischemic stroke is rare but may result in severe oral dysfunction. Evidence for prosthetic oral rehabilitation is well established in adults, whereas pediatric data remains limited. We report a pediatric patient with persistent dysphagia and articulatory impairment following recurrent ischemic stroke who underwent stepwise palatal prosthetic intervention. Treatment began with a palatal augmentation prosthesis to establish tolerance and promote tongue–palate contact, followed by a palatal lift prosthesis providing gentle velopharyngeal support. Tongue pressure measurements, oral diadochokinesis, and speech intelligibility improved during appliance use, with gains largely maintained after discontinuation, suggesting motor relearning rather than transient mechanical assistance. This case illustrates the potential value of a tolerance-oriented, stepwise prosthetic strategy in pediatric stroke rehabilitation and underscores the need for individualized adjustment and cautious interpretation of functional metrics. Full article
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17 pages, 433 KB  
Article
Prevalence of Emotional Eating and Its Relationship with Anthropometric and Biochemical Indicators in University Students
by Adriana Aguilar-Galarza, Miriam Hernández-Meza, Karla Carmina Rojas-Saavedra, Karina de la Torre-Carbot, Cristina Elizabeth Fuente-González and Jorge Luis Chávez-Servín
Nutrients 2026, 18(5), 853; https://doi.org/10.3390/nu18050853 - 6 Mar 2026
Viewed by 391
Abstract
Background/Objectives: Emotional eating is a behavioral pattern in which individuals increase food intake in response to emotional states rather than physiological hunger. University students are particularly vulnerable due to academic stress, lifestyle changes, and a food environment dominated by highly palatable options. [...] Read more.
Background/Objectives: Emotional eating is a behavioral pattern in which individuals increase food intake in response to emotional states rather than physiological hunger. University students are particularly vulnerable due to academic stress, lifestyle changes, and a food environment dominated by highly palatable options. Although emotional eating has been associated with adiposity and metabolic alterations, evidence in Mexican university populations remains limited. This study aimed to estimate the prevalence of emotional eating and to examine its association with anthropometric and biochemical indicators in students from the Universidad Autónoma de Querétaro (UAQ). Methods: A cross-sectional study was conducted among 670 first-year university students participating in the SU SALUD-UAQ clinical evaluation. Emotional eating was assessed using the 10-item Emotional Eater Questionnaire (EEQ). Anthropometric measures (body mass index BMI, body fat percentage, and waist circumference) and biochemical markers (triglycerides, total cholesterol, HDL cholesterol, and glucose) were obtained through standardized clinical procedures. Associations were evaluated using multivariable linear and logistic regression models adjusted for sex, age, physical activity level, sleep duration, stress, and socioeconomic status. Results: The prevalence of emotional eating categories was as follows: non-emotional (33.5%), low emotional (31.1%), emotional (27.6%), and highly emotional (7.8%). Higher EEQ scores were independently associated with greater BMI, body fat percentage, and waist circumference in both sexes. In women, emotional eating was also independently associated with less favorable lipid profiles. In addition, students classified as emotional or highly emotional eaters showed higher odds of general and abdominal obesity, particularly among women. Conclusions: Emotional eating is highly prevalent among Mexican university students and is independently associated with increased adiposity in both sexes and with altered lipid profiles in women. These findings highlight the relevance of integrating emotional regulation strategies into university health programs as a component of comprehensive health promotion approaches aimed at addressing emotional eating and its associated anthropometric and metabolic correlates in young adults. Full article
(This article belongs to the Section Clinical Nutrition)
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15 pages, 4182 KB  
Article
Distribution Patterns of Bitterness and Astringency Compounds in Different Tissues and Developmental Stages of Three Sympodial Bamboo Species
by Yuanyuan Li, Yilin Zheng, Xizhi Chen, Chang Xu, Huijuan Lu, Yangyang Zhang, Wentian Song and Xuejun Yu
Foods 2026, 15(5), 897; https://doi.org/10.3390/foods15050897 - 5 Mar 2026
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Abstract
Bamboo shoots are valued as traditional vegetables, but their palatability is often compromised by bitter and astringent compounds. The spatial and temporal distribution of these compounds across species, tissues, and developmental stages remains poorly characterized. This study systematically investigated key taste-active compounds (tannins, [...] Read more.
Bamboo shoots are valued as traditional vegetables, but their palatability is often compromised by bitter and astringent compounds. The spatial and temporal distribution of these compounds across species, tissues, and developmental stages remains poorly characterized. This study systematically investigated key taste-active compounds (tannins, oxalic acid, flavonoids, cyanide compounds, and free amino acids) in three sympodial bamboo species (Bambusa chungii, Dendrocalamus farinosus, and Bambusa oldhamii). We integrated quantitative chemical analysis of shoots at different emergence stages and tissue parts with descriptive sensory evaluation. The results revealed pronounced, species-specific accumulation patterns. For instance, tannin content increased with shoot emergence in all species, whereas oxalic acid and cyanide showed divergent temporal trends among them. Tissue-specific gradients were also evident for most compounds. Correlation analysis with sensory data indicated distinct associations for each species. Bitterness in D. farinosus was most strongly correlated with oxalic acid, while in B. oldhamii, it was closely linked to tannins and cyanide. In B. chungii, specific amino acids (aspartic acid, histidine) and tannins showed significant correlations with bitterness perception. The perception of astringency involved multiple contributing factors. These findings elucidate the distinct biochemical bases of flavor variation in sympodial bamboos. They provide a scientific rationale for optimizing harvest timing and tissue selection, offering targeted strategies for post-harvest processing to improve edible quality and market value. Full article
(This article belongs to the Section Plant Foods)
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