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28 pages, 1779 KB  
Review
Two-Dimensional Carbon-Based Electrochemical Sensors for Pesticide Detection: Recent Advances and Environmental Monitoring Applications
by K. Imran, Al Amin, Gajapaneni Venkata Prasad, Y. Veera Manohara Reddy, Lestari Intan Gita, Jeyaraj Wilson and Tae Hyun Kim
Biosensors 2026, 16(1), 62; https://doi.org/10.3390/bios16010062 - 14 Jan 2026
Viewed by 256
Abstract
Pesticides have been widely applied in agricultural practices over the past decades to protect crops from pests and other harmful organisms. However, their extensive use results in the contamination of soil, water, and agricultural products, posing significant risks to human and environmental health. [...] Read more.
Pesticides have been widely applied in agricultural practices over the past decades to protect crops from pests and other harmful organisms. However, their extensive use results in the contamination of soil, water, and agricultural products, posing significant risks to human and environmental health. Exposure to pesticides can lead to skin irritation, respiratory disorders, and various chronic health problems. Moreover, pesticides frequently enter surface water bodies such as rivers and lakes through agricultural runoff and leaching processes. Therefore, developing effective analytical methods for the rapid and sensitive detection of pesticides in food and water is of great importance. Electrochemical sensing techniques have shown remarkable progress in pesticide analysis due to their high sensitivity, simplicity, and potential for on-site monitoring. Two-dimensional (2D) carbon nanomaterials have emerged as efficient electrocatalysts for the precise and selective detection of pesticides, owing to their large surface area, excellent electrical conductivity, and unique structural features. In this review, we summarize recent advancements in the electrochemical detection of pesticides using 2D carbon-based materials. Comprehensive information on electrode fabrication, sensing mechanisms, analytical performance—including sensing range and limit of detection—and the versatility of 2D carbon composites for pesticide detection is provided. Challenges and future perspectives in developing highly sensitive and selective electrochemical sensing platforms are also discussed, highlighting their potential for simultaneous pesticide monitoring in food and environmental samples. Carbon-based electrochemical sensors have been the subject of many investigations, but their practical application in actual environmental and food samples is still restricted because of matrix effects, operational instability, and repeatability issues. In order to close the gap between laboratory research and real-world applications, this review critically examines sensor performance in real-sample conditions and offers innovative approaches for in situ pesticide monitoring. Full article
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27 pages, 819 KB  
Review
Cognitive and Affective Symptoms of Amyotrophic Lateral Sclerosis: Clinical and Prognostic Aspects
by Leonardo Massoni
Psychiatry Int. 2026, 7(1), 15; https://doi.org/10.3390/psychiatryint7010015 - 7 Jan 2026
Viewed by 201
Abstract
Amyotrophic Lateral Sclerosis is a neurodegenerative disease characterized by progressive muscular impairment resulting in death, mainly from respiratory failure. Interest has recently grown around the clinical and prognostic aspects of cognitive and psychiatric dysfunctions in Amyotrophic Lateral Sclerosis. In fact, about 50% of [...] Read more.
Amyotrophic Lateral Sclerosis is a neurodegenerative disease characterized by progressive muscular impairment resulting in death, mainly from respiratory failure. Interest has recently grown around the clinical and prognostic aspects of cognitive and psychiatric dysfunctions in Amyotrophic Lateral Sclerosis. In fact, about 50% of Amyotrophic Lateral Sclerosis individuals have cognitive impairment, which may affect ALS patients’ quality of life. In this review, we carried out a literature search focusing on neuropsychiatric symptoms of Amyotrophic Lateral Sclerosis and on their relationship with the prognostic aspects of the disease. We pointed out that cognitive impairment in Amyotrophic Lateral Sclerosis as well as psychiatric symptomatology could have a significant effect on disease global outcome, also impacting motor impairment progression. Further studies are needed to shed new light on the biological and neurophysiological basis of cognitive functions and psychological problems in Amyotrophic Lateral Sclerosis and on their impact on disease prognosis. Full article
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17 pages, 965 KB  
Article
Structured Medication Review and Shared Decision-Making in Patients with Mild Intellectual Disabilities Who Use Psychotropic Medication
by Gerda de Kuijper, Josien Jonker and Rien Hoge
Pharmacy 2026, 14(1), 5; https://doi.org/10.3390/pharmacy14010005 - 6 Jan 2026
Viewed by 251
Abstract
People with intellectual disabilities frequently use psychotropic and other medications, sometimes inappropriately. To promote shared decision-making, they require accessible information about their medication. This study combined data from two similar intervention studies, conducted in two different settings, to assess the appropriateness of medication [...] Read more.
People with intellectual disabilities frequently use psychotropic and other medications, sometimes inappropriately. To promote shared decision-making, they require accessible information about their medication. This study combined data from two similar intervention studies, conducted in two different settings, to assess the appropriateness of medication use and the shared decision-making process among adults with mild intellectual disabilities who used psychotropic medication. The intervention consisted of a structured, multidisciplinary medication review, including the provision of accessible psychotropic medication leaflets, and a discussion of the pharmacotherapeutic treatment plan with the patient by either a pharmacist or physician, depending on the setting. Outcomes included medication use, pharmacotherapeutic problems, implementation of recommendations, and perceived shared decision-making, measured with the Shared Decision-Making Questionnaire Q9. The 15 included participants used an average of nearly seven medications, which were mainly neurotropic, gastrointestinal, cardiovascular, and respiratory agents. On average, two pharmacotherapeutic problems were identified; the most common were overtreatment, side effects, and administration difficulties. Recommendations often involved dose reduction or tapering, and about 75% were fully or partially implemented. Both participants and clinicians reported high satisfaction with shared decision-making. Multidisciplinary, structured medication reviews, incorporating accessible medication leaflets, may enhance appropriate medication use and shared decision-making, but more research is needed. Full article
(This article belongs to the Section Pharmacy Practice and Practice-Based Research)
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21 pages, 1268 KB  
Review
Heracleum sosnowskyi Manden. in the Context of Sustainable Development: An Aggressive Invasive Species with Potential for Utilisation in the Extraction of Furanocoumarins and Essential Oils
by Ekaterina Sergeevna Osipova, Evgeny Aleksandrovich Gladkov and Dmitry Viktorovich Tereshonok
J. Xenobiot. 2026, 16(1), 6; https://doi.org/10.3390/jox16010006 - 1 Jan 2026
Viewed by 367
Abstract
Heracleum sosnowskyi Manden., or H. sosnowskyi, of the Apiaceae was first cultivated in the USSR in 1947 as a potential fodder plant. Due to the development of cold-resistant cultivars and the characteristics of H. sosnowskyi, it quickly became feral. As a [...] Read more.
Heracleum sosnowskyi Manden., or H. sosnowskyi, of the Apiaceae was first cultivated in the USSR in 1947 as a potential fodder plant. Due to the development of cold-resistant cultivars and the characteristics of H. sosnowskyi, it quickly became feral. As a result, H. sosnowskyi began to spread as an aggressive invasive species in the 1970s and 1980s. By the 90s it had become an ecological disaster. As well as forming monocultures and displacing native species, H. sosnowskyi contains furanocoumarins, photosensitizing compounds that increase skin sensitivity to ultraviolet rays and cause severe burns. In addition, furanocoumarins have cytotoxic, genotoxic, mutagenic and estrogenic effects. H. sosnowskyi also contains essential oils, which are particularly active during flowering and can irritate the mucous membranes of the eyes and respiratory tract, as well as cause allergic reactions in the form of bronchospasm in people with asthma and hypersensitivity. When released in high concentrations, these biologically active compounds have an allelopathic effect on native plant species, displacing them and reducing biodiversity. As H. sosnowskyi is not native; the biologically active compounds it secretes have a xenobiotic effect, causing serious damage to the ecosystems it occupies. However, in parallel with these negative properties, furanocoumarins have been found to be effective in the treatment of cancer and skin diseases. Furanocoumarins possess antimicrobial antioxidant osteo- and neuroprotective properties. Essential oils containing octyl acetate, carboxylic acid esters, and terpenes can be used in the pharmaceutical industry as antiseptic and anti-inflammatory agents. Additionally, essential oils can be used as biofumigants and natural herbicides. A comprehensive approach allows H. sosnowskyi to be viewed in two ways. On the one hand, it is an aggressive alien species that causes significant damage to ecosystems and poses a threat to human health. On the other hand, it is a potentially valuable natural resource whose biomass can be used within the principles of the circular economy. It is hoped that the use of H. sosnowskyi for economic interests can be a partial compensation for the problem of its aggressive invasion, which is of anthropogenic origin. Full article
(This article belongs to the Section Natural Products/Herbal Medicines)
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18 pages, 14655 KB  
Article
Wearable Sensors to Estimate Outdoor Air Quality of the City of Turin (NW Italy) in an IoT Context: A GIS-Mapped Representation of Diffused Data Recorded over One Year of Monitoring
by Jessica Maria Chicco, Enrico Prenesti, Valerio Morando, Francesco Fiermonte and Giuseppe Mandrone
Smart Cities 2026, 9(1), 7; https://doi.org/10.3390/smartcities9010007 - 30 Dec 2025
Viewed by 339
Abstract
Air pollution is a growing environmental issue in densely populated urban areas worldwide. Rapid population growth and the consequent increase in energy demand, emissions from industrial activities and vehicular traffic, and the reduction in vegetation cover have in recent years led to increasing [...] Read more.
Air pollution is a growing environmental issue in densely populated urban areas worldwide. Rapid population growth and the consequent increase in energy demand, emissions from industrial activities and vehicular traffic, and the reduction in vegetation cover have in recent years led to increasing concerns about quality of life, especially due to serious health problems associated with respiratory diseases. This study focuses on air quality in the city of Turin in north-western Italy. Continuous one-year monitoring, which collected approximately two million georeferenced data points, was possible using specific devices—palm-sized, wearable, and commercially available sensors—in different parts of the city. This enabled the assessment of the geographical and seasonal distributions of the most commonly studied air pollutants, namely particulate matter (PM) of three size fractions, nitrogen dioxide (NO2), and total volatile organic compounds (TVOCs). The results highlight that the north-western zone and the urban centre are the most polluted areas. In particular, seasonal variations suggest that space heating and cooling systems, together with industrial activities, are the main contributors, more so than vehicular traffic. In this context, handheld devices in an IoT context can provide a reliable description of the spatial and temporal distribution of common air pollutants. Full article
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21 pages, 6398 KB  
Article
Integration of Non-Invasive Micro-Test Technology and 15N Tracing Reveals the Impact of Nitrogen Forms at Different Concentrations on Respiratory and Primary Metabolism in Glycyrrhiza uralensis
by Ying Chen, Yisu Cao, Yuan Jiang, Yanjun Wang, Zhengru Zhang, Yuanfan Zhang and Zhirong Sun
Int. J. Mol. Sci. 2026, 27(1), 317; https://doi.org/10.3390/ijms27010317 - 27 Dec 2025
Viewed by 251
Abstract
Glycyrrhiza uralensis is a highly valued medicinal species worldwide. However, a paradox arises in its cultivation in that high nitrogen fertilization boosts yield at the expense of root quality, a problem linked to nitrogen’s regulation of tricarboxylic acid (TCA) cycle-driven respiration. It remains [...] Read more.
Glycyrrhiza uralensis is a highly valued medicinal species worldwide. However, a paradox arises in its cultivation in that high nitrogen fertilization boosts yield at the expense of root quality, a problem linked to nitrogen’s regulation of tricarboxylic acid (TCA) cycle-driven respiration. It remains unclear how different nitrogen forms coordinate respiratory and primary metabolism. We examined the regulatory mechanisms of nitrate (NO3) versus ammonium (NH4+) on these processes in cultivated G. uralensis by supplying seedlings with varying concentrations of K15NO3 or (15NH4)2SO4 in a modified Hoagland solution (HNS). Using non-invasive micro-test technology (NMT) and 15N tracing, we found that G. uralensis employs distinct nitrogen acquisition strategies: sustaining uptake at optimal NH4+ and low-to-moderate NO3, while declining uptake under high NO3. These strategies drove form-specific differences in the activity of key nitrogen assimilation enzymes, nitrate reductase and nitrite reductase (NR/NiR), as well as glutamine synthetase and glutamate synthase (GS/GOGAT), and subsequent glutamate and glutamine accumulation. Ammonium nutrition enhanced primary ammonia assimilation and gamma-aminobutyric acid (GABA) metabolism, leading to greater glutamate and endogenous GABA levels. In contrast, nitrate nutrition preferentially stimulated the TCA cycle, resulting in higher accumulation of α-ketoglutarate (KGA) and succinate. The concomitant increase in GABA catabolism supported this nitrogen-responsive respiratory metabolism, acting as a compensatory mechanism to maintain KGA homeostasis. Our findings inform nitrogen form strategies for G. uralensis cultivation. Full article
(This article belongs to the Section Molecular Plant Sciences)
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13 pages, 1013 KB  
Article
Long-Term Health Consequences of SARS-CoV-2: Reaction Time and Brain Fog
by Ana Lesac Brizić, Branislava Popović, Tina Zavidić, Nevena Todorović, Verica Petrović, Nataša Pilipović-Broćeta, Ana R. Miljković, Aleksandar Ljubotina and Ema Dejhalla
Neurol. Int. 2026, 18(1), 6; https://doi.org/10.3390/neurolint18010006 - 26 Dec 2025
Viewed by 1194
Abstract
Background/Objectives: Beyond respiratory problems, COVID-19 can cause a variety of symptoms, such as neurological disorders caused by biological and psychological factors. Brain fog (BF), a post-illness cognitive impairment that many patients report, can be evaluated with reaction time (RT) testing. Response latency [...] Read more.
Background/Objectives: Beyond respiratory problems, COVID-19 can cause a variety of symptoms, such as neurological disorders caused by biological and psychological factors. Brain fog (BF), a post-illness cognitive impairment that many patients report, can be evaluated with reaction time (RT) testing. Response latency is measured by RT, which can be either simple (sRT) or complex (cRT). This study focuses on how COVID-19 affects cognitive function, with particular attention on RT changes, BF prevalence, and implications for daily life. Methods: The study included 599 participants from Bosnia and Herzegovina, Croatia and Serbia. RT was measured using PsyToolkit and participants completed a COVID-19-associated BF questionnaire. Participants who experienced BF after their latest COVID-19 infection rated its severity using a visual analogue scale (VAS). Additional clinical data were obtained from medical records. Results: BF was reported by 40% of participants post-COVID-19. Men reported it less frequently but found it more disruptive. RT progressively declined post-infection, reaching peak impairment at 15 weeks, following recovery, with RT normalizing by six months. Conclusions: COVID-19 is linked to temporary RT impairment, peaking at 15 weeks post-infection and resolving by six months, independent of BF presence. This study emphasizes the need for a biopsychosocial approach to BF management. Easily available RT assessments should be incorporated into routine clinical practice. Full article
(This article belongs to the Section Aging Neuroscience)
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20 pages, 913 KB  
Review
Post-Translational Modifications in Respiratory Virus Infection: Recent Insights into the Development of In Vitro Models
by Emna Ben Khlifa, Alessia Campese, Andrea Corsi, Cristina Bombieri, Maria Grazia Romanelli, Maria Teresa Valenti, Donato Zipeto, Matteo Castelli, Patricia Marie-Jeanne Lievens and Alessandra Ruggiero
Int. J. Mol. Sci. 2025, 26(24), 12174; https://doi.org/10.3390/ijms262412174 - 18 Dec 2025
Viewed by 482
Abstract
Post-translational modifications (PTMs) are crucial chemical alterations occurring on proteins post-synthesis, impacting various cellular processes. During viral infections, PTMs are shown to play a multitude of roles in viral replication, host interaction, and immune evasion. Thus, these modifications can influence infectivity, with direct [...] Read more.
Post-translational modifications (PTMs) are crucial chemical alterations occurring on proteins post-synthesis, impacting various cellular processes. During viral infections, PTMs are shown to play a multitude of roles in viral replication, host interaction, and immune evasion. Thus, these modifications can influence infectivity, with direct impact on the anti-viral host immune responses and potentially viral adaptation across species. This field is still scarcely explored, whilst understanding PTMs is not only important to advance the knowledge of virus pathology but also potentially to provide insights for vaccine development. In this review, we attempt to summarize the latest findings mainly published over the last 10 years, focusing on the roles of PTMs involved in virus infection and anti-viral immune responses, in the context of relevant human respiratory infections: influenza A virus (IAV), respiratory syncytial virus (RSV), and SARS-CoV-2. We decided to concentrate on these three viruses because they currently represent a global health problem due to recurrent outbreaks and pandemic potential. A deeper characterization of the PTMs may help in understanding virus–host interaction with possible implications on curative strategies. Further, we will report on cutting-edge technologies to study in vitro virus infection in different cellular-based systems. In particular, we describe and discuss the application of 2D and 3D lung organoid cell-culture systems as in vitro models to mimic respiratory environments and to study the PTMs in a controlled setting. Finally, we will discuss the importance of PTMs in the context of next-generation vaccine design, especially for their potential role to offer effective protection against respiratory viruses. Full article
(This article belongs to the Special Issue Viral Infections and Immune Responses)
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26 pages, 1000 KB  
Review
Neurological Sequelae of Long COVID: Mechanisms, Clinical Impact and Emerging Therapeutic Insights
by Muhammad Danial Che Ramli, Beevenna Kaur Darmindar Singh, Zakirah Zainal Abidin, Athirah Azlan, Amanina Nurjannah, Zaw Myo Hein, Che Mohd Nasril Che Mohd Nassir, Rajesh Thangarajan, Noor Aishah Bt. Mohammed Izham and Suresh Kumar
COVID 2025, 5(12), 207; https://doi.org/10.3390/covid5120207 - 16 Dec 2025
Viewed by 1302
Abstract
The COVID-19 pandemic has demonstrated that its effects go far beyond the initial respiratory illness, with many survivors experiencing lasting neurological problems. Some patients develop a condition known as Long COVID, or post-acute sequelae of SARS-CoV-2 infection (PASC), which includes current issues such [...] Read more.
The COVID-19 pandemic has demonstrated that its effects go far beyond the initial respiratory illness, with many survivors experiencing lasting neurological problems. Some patients develop a condition known as Long COVID, or post-acute sequelae of SARS-CoV-2 infection (PASC), which includes current issues such as reduced cognitive function, chronic headaches, depression, neuropathic pain, and sensory disturbances. These symptoms can severely disrupt daily life and overall well-being. In this narrative review, we provide an overview of current understanding regarding the neurological effects of COVID-19, with a focus on Long COVID. We discuss possible underlying mechanisms, including direct viral invasion of the nervous system, immune-related damage, and vascular complications. We also summarize findings from cohort studies and meta-analyses that explore the causes, symptom patterns, and frequency of these neurological issues. Approximately one-third of people who have had COVID-19 report neurological symptoms, especially those who experienced severe illness or were infected with pre-Omicron variants. Emerging research has identified potential biomarkers such as neurofilament light chain (NFL) and glial fibrillary acidic protein (GFAP) that may help in diagnosis. Treatment approaches under investigation include antiviral medications, nutraceuticals, and comprehensive rehabilitation programs. Factors like older age, existing health conditions, and genetic differences in ACE2 and TMPRSS2 genes may affect an individual’s risk. To effectively address these challenges, current research is essential to improve diagnostic methods, develop targeted treatments, and enhance rehabilitation strategies. Ultimately, a coordinated, multidisciplinary effort is crucial to reduce the neurological impact of Long COVID and support better recovery for patients. Full article
(This article belongs to the Special Issue Exploring Neuropathology in the Post-COVID-19 Era)
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11 pages, 2469 KB  
Article
Sonochemical Modification of ZrO2 Nanoparticles with Thiamine Hydrochloride for the Development of Films with PLA for the Adsorption of Hexavalent Chromium
by Carlos Rodrigo Muñiz-Valdez, Nelly Abigaíl Rodríguez-Rosales, Juan Carlos Ortiz-Cuellar, Jesús Fernando Martínez-Villafañe, Josué Gómez-Casas, Gregorio Cadenas-Pliego, Christian Javier Cabello-Alvarado, Marlene Andrade-Guel and Jesús Salvador Galindo-Valdés
Coatings 2025, 15(12), 1484; https://doi.org/10.3390/coatings15121484 - 16 Dec 2025
Viewed by 379
Abstract
Industrial wastewater can be reused in other everyday processes to help combat water scarcity worldwide. One contaminant in industrial wastewater is hexavalent chromium, which is highly toxic and can cause kidney, liver, and respiratory problems, making its removal vital. In this study, PLA-based [...] Read more.
Industrial wastewater can be reused in other everyday processes to help combat water scarcity worldwide. One contaminant in industrial wastewater is hexavalent chromium, which is highly toxic and can cause kidney, liver, and respiratory problems, making its removal vital. In this study, PLA-based films containing modified zirconia nanoparticles were developed via a solution-mixing process for hexavalent chromium adsorption. Obtaining the films involved two stages: the first was the chemical modification of ZrO2 nanoparticles with thiamine hydrochloride (vitamin B1) using fixed-frequency ultrasound at an output of 750 W and 50% amplitude for 60 min. The second stage involved preparing the films by mixing them in the solution using an ultrasonic bath. The nanoparticle concentrations were 0.25, 0.5, and 1 wt%. The results obtained from characterization using Fourier-transform infrared spectroscopy (FT-IR) revealed the characteristic bands of PLA and the characteristic peak of the Zr-O bond corresponding to the ZrO2 nanoparticles. Thermogravimetric analysis (TGA) showed that the ZrO2 nanoparticles provided thermal stability to the PLA polymer. X-ray diffraction (XRD) showed a broad peak of amorphous PLA at 16.8° and signals corresponding to the crystalline phase of ZrO2. The morphology of a cross-section of the films was observed using scanning electron microscopy (SEM), revealing a rough surface with pores. Finally, hexavalent chromium adsorption tests were carried out, measuring the adsorption efficiency under the parameters of pH, concentration, and contact time. The PLAZrO2 sample achieved an adsorption efficiency of 83% at pH 2. Full article
(This article belongs to the Special Issue New Trends in Films and Surfaces for Wastewater Treatment)
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32 pages, 1845 KB  
Systematic Review
Relationship Between Maxillary Transverse Deficiency and Respiratory Problems: A Systematic Review of the Effectiveness of Devices over the Past Decade
by Gaetano Ierardo, Fabiana Nicita, Iole Vozza, Antonella Polimeni and Valeria Luzzi
J. Clin. Med. 2025, 14(24), 8861; https://doi.org/10.3390/jcm14248861 - 15 Dec 2025
Viewed by 438
Abstract
Background/Objectives: Maxillary transverse deficiency is linked to impaired nasal breathing and pediatric sleep-disordered breathing. This systematic review evaluated the effects of maxillary expansion (ME) on upper-airway morphology and breathing function in growing patients. Methods: The search was conducted on PubMed/MEDLINE, Scopus, [...] Read more.
Background/Objectives: Maxillary transverse deficiency is linked to impaired nasal breathing and pediatric sleep-disordered breathing. This systematic review evaluated the effects of maxillary expansion (ME) on upper-airway morphology and breathing function in growing patients. Methods: The search was conducted on PubMed/MEDLINE, Scopus, ScienceDirect, Cochrane CENTRAL, and gray literature (January 2015–April 2025). Eligible RCTs, controlled trials, and cohort/observational studies assessed airway morphology and/or respiratory outcomes after ME in pediatric/adolescent patients. Risk of bias was evaluated with RoB 2 (RCTs) and ROBINS-I (non-randomized studies). The findings were synthesized qualitatively and certainty graded with GRADE. Results: Forty-one studies were included. Imaging consistently showed enlargement of the nasal cavity and nasopharynx after expansion, whereas the effects in the oropharynx and hypopharynx, as well as in the maxillary sinuses, were smaller or variable. Objective patency improved in several studies (higher peak nasal inspiratory flow, reduced nasopharyngeal obstruction, and nasal resistance), whereas computational fluid dynamics generally showed non-significant trends toward lower resistance. Spirometry improved, particularly in oral breathers (gains in FEV1, FVC, FEF25–75%). Polysomnography indicated reductions in AHI and improved oxygenation in some pediatric OSA cohorts, although other RCTs reported null PSG effects. Caregiver-reported sleep and quality-of-life outcomes were consistently enhanced. Device design modestly influenced regional widening, but overall respiratory effects were similar across expanders. By GRADE, certainty was low for airway morphology and very low for breathing function. Conclusions: In growing patients, ME reliably enlarges upper-airway compartments, especially the nasal cavity and nasopharynx, yet functional improvements are heterogeneous. Standardized outcomes and integrated morphological–functional assessments are needed to strengthen the evidence base. Full article
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14 pages, 3521 KB  
Review
Noninvasive Ventilation Effectiveness in Amyotrophic Lateral Sclerosis
by Jesús Sancho, Santos Ferrer and Jaime Signes-Costa
J. Clin. Med. 2025, 14(23), 8609; https://doi.org/10.3390/jcm14238609 - 4 Dec 2025
Viewed by 790
Abstract
Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that affects motor neurons; respiratory problems are the leading cause of death and hospital admissions and are secondary to progressive weakness of the respiratory muscles and upper airway. Noninvasive ventilation (NIV) can increase survival, [...] Read more.
Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that affects motor neurons; respiratory problems are the leading cause of death and hospital admissions and are secondary to progressive weakness of the respiratory muscles and upper airway. Noninvasive ventilation (NIV) can increase survival, alleviate symptoms, reduce hospital admissions, and improve the quality of life of these patients. The key factor in respiratory management of patients with ALS is achieving effective NIV; ineffective NIV has a negative impact on survival, with a reduction of up to 50% compared to patients with an effective technique. The most common cause of ineffective NIV is air leaks; other causes include upper airway obstruction events, residual hypoventilation, hyperventilation, and upper airway obstruction secondary to an oronasal mask. Regular monitoring of the effectiveness of NIV is essential given its impact on survival; the key tools that detect the main problems are the presence of hypoventilation symptoms, arterial blood gases, nocturnal oximetry and capnography, and built-in ventilator software. Different measures have been proposed to address the ineffectiveness of NIV, such as fitting the mask to reduce air leaks, increasing ventilatory support for residual hypoventilation, decreasing ventilatory support for hyperventilation, or a trial with a nasal mask to address oronasal interface effects. In the case of obstruction, the most common measure is to increase positive expiratory pressure during NIV. These measures enable NIV to be effective in 58% of cases, achieving a survival rate similar to that of patients who have effective NIV from the outset. Full article
(This article belongs to the Section Respiratory Medicine)
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21 pages, 2563 KB  
Article
Molecular Epidemiology and Antibiotic Resistance of Sheep-Derived Mannheimia haemolytica in Northwestern China
by Chenxiao Wang, Leina Dou, Juan Wang, Dongyang Ye and Zengqi Yang
Animals 2025, 15(23), 3492; https://doi.org/10.3390/ani15233492 - 4 Dec 2025
Viewed by 487
Abstract
This study comprehensively explored the epidemiology, virulence, antibiotic resistance, and genomic features of ovine-derived Mannheimia haemolytica across three provinces in Northwest China (Gansu, Ningxia, and Shaanxi). Lung tissue samples were collected postmortem from sheep with respiratory disease (nine per province), cultured under sterile [...] Read more.
This study comprehensively explored the epidemiology, virulence, antibiotic resistance, and genomic features of ovine-derived Mannheimia haemolytica across three provinces in Northwest China (Gansu, Ningxia, and Shaanxi). Lung tissue samples were collected postmortem from sheep with respiratory disease (nine per province), cultured under sterile conditions, and screened by morphological, Gram staining, PCR, and NGS methods. Nine M. haemolytica strains were successfully isolated (isolation rate 33.33%) and identified as serotypes A1, A2, and A6, with Shaanxi exhibiting a significantly higher isolation rate of 66.67%. Genomic analysis revealed that each isolate each harbored over 100 virulence genes and displayed notable genetic diversity. In murine assays, intraperitoneal inoculation in mice caused severe breathing problems and death within 24 h; necropsy revealed lung congestion, splenic necrosis foci, and hepatic congestion. Antibiotic susceptibility testing showed sensitivity to ciprofloxacin, azithromycin, gentamicin, and levofloxacin, while resistance was observed for tiamulin and enrofloxacin. These findings indicate a high prevalence and strong pathogenicity of ovine M. haemolytica in Shaanxi, underscore the presence of key resistance traits, and provide a genomic and pathogenic reference to guide region-specific surveillance, therapeutic decisions, and vaccine-oriented control in small ruminant herds. Importantly, these results highlight the need for region-specific monitoring and judicious antibiotic use, which are essential to forestall the spread of resistant strains and to ensure sustainable disease management strategies. Full article
(This article belongs to the Section Veterinary Clinical Studies)
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16 pages, 2515 KB  
Article
Spatial Segregation Within Dissolving Microneedle Patches Overcomes Antigenic Interference and Enables Potent Bivalent Influenza–RSV Vaccination in Mice
by Feng Fan, Yehong Wu, Hongzhe Lin, Xin Zhang, Limei Wang, Yue He, Shijie Zhang, Mingju Zhang, Gan Zhao, Rong Xiang, Yating Kang, Mingyue Chen, Zhuang Li, Yi-Bing Guo, Hang Zhou, Chen Zhao, Man-Chuan Wang, Jian-Yang Gu, Bin Wang and Xiao-Ming Gao
Vaccines 2025, 13(12), 1213; https://doi.org/10.3390/vaccines13121213 - 30 Nov 2025
Viewed by 835
Abstract
Background/Objectives: Given the overlapping seasonality of influenza (Flu) and respiratory syncytial virus (RSV) infections in human populations, Flu–RSV combination vaccines are urgently needed. However, development of combo-vaccines is often faced with intra-vaccine interference which could compromise vaccination outcomes. Here we present an approach [...] Read more.
Background/Objectives: Given the overlapping seasonality of influenza (Flu) and respiratory syncytial virus (RSV) infections in human populations, Flu–RSV combination vaccines are urgently needed. However, development of combo-vaccines is often faced with intra-vaccine interference which could compromise vaccination outcomes. Here we present an approach to overcoming this problem using a microneedle array patch (MAP)-based combo-vaccine with minimum intra-vaccine interference. Methods: Vaccine-laden dissolving MAPs were fabricated using a two-step micro-molding process with polyvinyl alcohol as major excipient. A partition-loading strategy was adopted to ensure spatially segregated distribution of a split-virus Flu vaccine and recombinant prefusion protein of RSV in separate MAP sectors. Serum samples from BALB/c mice post-vaccination were assessed for titers of binding and neutralizing antibodies against the viruses. Live virus challenge studies were carried out to assess the protection efficacy of the MAP-based vaccines. Results: Although i.m. administered standalone Flu and RSV vaccines were able to induce strong IgG responses in BALB/c mice, bidirectional intra-vaccine interference was observed when the two vaccines were co-administered in premixed form. However, when the two vaccines were loaded onto nonoverlapping sectors of D-MAPs for intradermal vaccination, the intra-vaccine interference effect was effectively overcome. The partition-loaded MAP-Flu/RSV combo-vaccine elicited antigen-specific IgG with robust virus-neutralizing activity and was strongly efficacious against either virus in challenge studies. Conclusions: Our data provide proof-of-concept evidence for the potential usefulness of partition-loaded MAPs in overcoming a critical barrier in vaccinology and offer a promising platform for future clinical translation. Full article
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Opinion
Rethinking Pulmonary Function Tests in Patients with Neuromuscular Disease: The Potential Role of Electrical Impedance Tomography
by Andrea Vianello, Gabriella Guarnieri and Federico Lionello
J. Clin. Med. 2025, 14(23), 8486; https://doi.org/10.3390/jcm14238486 - 29 Nov 2025
Viewed by 398
Abstract
An assessment of pulmonary function provides information that can contribute to establishing the severity of respiratory impairment, to predicting the onset of respiratory symptoms, and ultimately to optimizing the care of Neuromuscular Disease (NMD) patients. It is nevertheless well known that conventional Pulmonary [...] Read more.
An assessment of pulmonary function provides information that can contribute to establishing the severity of respiratory impairment, to predicting the onset of respiratory symptoms, and ultimately to optimizing the care of Neuromuscular Disease (NMD) patients. It is nevertheless well known that conventional Pulmonary Function Tests (PFTs) have several technical limitations and that their accuracy depends to some extent on the patient’s ability to cooperate. For this reason, it is essential to move beyond traditional pulmonary function evaluation in individuals with NMD. A relatively new technology, electrical impedance tomography (EIT) is an easy-to-use, radiation-free imaging technique that may overcome many of the limitations of conventional PFTs by producing real-time images of regional ventilation and tidal volume distribution. As it is safe and independent from patient cooperation, EIT is expected to improve the diagnosis of respiratory compromise and facilitate the implementation of timely, personalized treatments for NMD patients. There are nevertheless technical problems that need to be addressed to facilitate its diffusion in clinical practice. Full article
(This article belongs to the Special Issue Clinical Care and Rehabilitation for Neuromuscular Diseases)
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