Search Results (858)

Salinity is a major abiotic stress limiting black gram (Vigna mungo) productivity, particularly in arid and semi-arid regions. Saline soils negatively impact plant growth, nodulation, nitrogen fixation, and yield. This study evaluated the efficacy of co-inoculating salt-tolerant plant growth-promoting bacteria Paenibacillus sp. SPR11 and Bradyrhizobium yuanmingense PR3 on black gram performance under saline field conditions (EC: 8.87 dS m⁻¹; pH: 8.37) with low organic carbon (0.6%) and nutrient deficiencies. In vitro assays demonstrated the biocontrol potential of SPR11, inhibiting Fusarium oxysporum and Macrophomina phaseolina by 76% and 62%, respectively. Germination assays and net house experiments under 300 mM NaCl stress showed that co-inoculation significantly improved physiological traits, including germination rate, root length (61.39%), shoot biomass (59.95%), and nitrogen fixation (52.4%) in nitrogen-free media. Field trials further revealed enhanced stress tolerance markers: chlorophyll content increased by 54.74%, proline by 50.89%, and antioxidant enzyme activities (SOD, CAT, PAL) were significantly upregulated. Electrolyte leakage was reduced by 55.77%, indicating improved membrane stability. Agronomic performance also improved, with co-inoculated plants showing increased root length (7.19%), grain yield (15.55 q ha⁻¹; 77.04% over control), total biomass (26.73 q ha⁻¹; 57.06%), and straw yield (8.18 q ha⁻¹). Pod number, seed count, and seed weight were also enhanced. Nutrient analysis showed elevated uptake of nitrogen, phosphorus, potassium, and key micronutrients (Zn, Fe) in both grain and straw. To the best of our knowledge, this is the very first field-based report demonstrating the synergistic benefits of co-inoculating Paenibacillus sp. SPR11 and Bradyrhizobium yuanmingense PR3 in black gram under saline, nutrient-poor conditions without external nitrogen inputs. The results highlight a sustainable strategy to enhance legume productivity and resilience in salt-affected soils. Full article

This study investigates the role of Big Data Analytics Capabilities (BDACs) in ambidexterity explorative innovation (EXPLRI) and exploitative (EXPLOI) innovation for achieving a sustainable performance (SP) in the manufacturing sector of a resource-constrained developing economy. While a BDAC has been widely linked to innovation in developed economies, its effectiveness in developing contexts shaped by indigenous innovation practices like Jugaad remains underexplored. Anchored in the Resource-Based View (RBV) and Dynamic Capabilities (DC) theory, we propose a model where the BDAC enhances both EXPLRI and EXPLOI, which subsequently leads to an improved sustainable performance. We further examine the Jugaad capability as a cultural moderator. Using survey data from 418 manufacturing firms and analyzed via Partial Least Squares Structural Equation Modeling (PLS-SEM), results confirm that BDA capabilities significantly boost both types of innovations, which positively impact sustainable performance dimensions. Notably, Jugaad positively moderates the relationship between EXPLOI and financial, innovation, and operational performance but negatively moderates the link between EXPLRI and innovation performance. These findings highlight the nuanced influence of culturally embedded innovation practices in BDAC-driven ecosystems. This study contributes by extending the RBV–DC framework to include cultural innovation capabilities and empirically validating the contingent role of Jugaad in enhancing or constraining innovation outcomes. This study also validated the Jugaad capability measurement instrument for the first time in the context of Pakistan. For practitioners, aligning data analytics strategies with local innovative cultures is vital for sustainable growth in emerging markets. Full article

Though the pursuit of sustainable desalination processes with high water recovery has intensified the research interest in membrane distillation (MD), the influence of module connection configuration on performance stability remains poorly explored. The current study provided a comprehensive multiparameter assessment of hollow fibre membrane modules connected in parallel and series in direct contact membrane distillation (DCMD) for the first time. The configurations were evaluated under varying process parameters such as temperature (50–70 °C), flow rates (22.1–32.3 mL·s⁻¹), magnesium concentration as scalant (1.0–4.0 g·L⁻¹), and flow direction (co-current and counter-current), assessing their influence on temperature gradients (∆T), flux and pH stability, salt rejection, and crystallisation. Interestingly, the parallel module configuration maintained high operational stability with uniform flux and temperature differences (∆T) even at high recovery factors (>75%). On one hand, the serial configuration experienced fluctuating ∆T caused by thermal and concentration polarisation, causing an early crystallisation (abrupt drop in feed conductivity). Intensified polarisation effects with accelerated crystallisation increased the membrane risk of wetting, particularly at high recovery factors. Despite these changes, the salt rejection remained relatively high (99.9%) for both configurations across all tested conditions. The findings revealed that acidification trends caused by MgSO₄ were configuration-dependent, where the parallel setup-controlled rate of pH collapse. This study presented a novel framework connecting membrane module architecture to mass and heat transfer phenomena, providing a transformative DCMD module configuration design in water desalination. These findings not only provide the critical knowledge gaps in DCMD module configurations but also inform optimisation of MD water desalination to achieve high recovery and stable operation conditions under realistic brine composition. Full article

Glycyrrhiza uralensis (G. uralensis), a leguminous plant, is an important medicinal and economic plant in saline–alkaline soils of arid regions in China. Its main bioactive components include liquiritin, glycyrrhizic acid, and flavonoids, which play significant roles in maintaining human health and preventing and adjuvantly treating related diseases. However, the cultivation of G. uralensis is easily restricted by adverse soil conditions in these regions, characterized by high salinity, high alkalinity, and nutrient deficiency. This study investigated the impacts of four multistrain microbial inoculants (Pa, Pb, Pc, Pd) on the growth performance and bioactive compound accumulation of G. uralensis in moderately saline–sodic soil. The aim was to screen the most beneficial inoculant from these strains, which were isolated from the rhizosphere of plants in moderately saline–alkaline soils of the Hexi Corridor and possess native advantages with excellent adaptability to arid environments. The results showed that inoculant Pc, comprising Pseudomonas silesiensis, Arthrobacter sp. GCG3, and Rhizobium sp. DG1, exhibited superior performance: it induced a 0.86-unit reduction in lateral root number relative to the control, while promoting significant increases in single-plant dry weight (101.70%), single-plant liquiritin (177.93%), single-plant glycyrrhizic acid (106.10%), and single-plant total flavonoids (107.64%). Application of the composite microbial inoculant Pc induced no significant changes in the pH and soluble salt content of G. uralensis rhizospheric soils. However, it promoted root utilization of soil organic matter and nitrate, while significantly increasing the contents of available potassium and available phosphorus in the rhizosphere. High-throughput sequencing revealed that Pc reorganized the rhizospheric microbial communities of G. uralensis, inducing pronounced shifts in the relative abundances of rhizospheric bacteria and fungi, leading to significant enrichment of target bacterial genera (Arthrobacter, Pseudomonas, Rhizobium), concomitant suppression of pathogenic fungi, and proliferation of beneficial fungi (Mortierella, Cladosporium). Correlation analyses showed that these microbial shifts were linked to improved plant nutrition and secondary metabolite biosynthesis. This study highlights Pc as a sustainable strategy to enhance G. uralensis yield and medicinal quality in saline–alkali ecosystems by mediating microbe–plant–nutrient interactions. Full article

Lightweight steel-framing (LSF) systems have become increasingly prominent in modern construction due to their structural efficiency, design flexibility, and sustainability. However, traditional facade materials such as stone are often cost-prohibitive, and brick veneers—despite their popularity—pose seismic performance concerns. This study introduces an innovative porcelain sheathing system for cold-formed steel (CFS) shear walls. Porcelain has no veins thus it offers integrated and reliable strength unlike granite. Four full-scale CFS shear walls incorporating screwed porcelain sheathing (SPS) were tested under combined cyclic lateral and constant gravity loading. The experimental program investigated key seismic characteristics, including lateral stiffness and strength, deformation capacity, failure modes, and energy dissipation, to calculate the system response modification factor (R). The test results showed that configurations with horizontal sheathing, double mid-studs, and three blocking rows improved performance, achieving up to 21.1 kN lateral resistance and 2.5% drift capacity. The average R-factor was 4.2, which exceeds the current design code values (AISI S213: R = 3; AS/NZS 4600: R = 2), suggesting the enhanced seismic resilience of the SPS-CFS system. This study also proposes design improvements to reduce the risk of brittle failure and enhance inelastic behavior. In addition, the results inform discussions on permissible building heights and contribute to the advancement of CFS design codes for seismic regions. Full article

This study analyzed the heavy metal tolerance and chromium reduction and the potential of plant growth to promote Rhizobium sp. OS-1. By genetic makeup, the Rhizobium strain is nitrogen-fixing and phosphate-solubilizing in metal-contaminated agricultural soil. Among the Rhizobium group, bacterial strain OS-1 showed a significant tolerance to heavy metals, particularly chromium (900 µg/mL), zinc (700 µg/mL), and copper. In the initial investigation, the bacteria strains were morphologically short-rod, Gram-negative, appeared as light pink colonies on media plates, and were biochemically positive for catalase reaction and the ability to ferment glucose, sucrose, and mannitol. Further, bacterial genomic DNA was isolated and amplified with the 16SrRNA gene and sequencing; the obtained 16S rRNA sequence achieved accession no. HE663761.1 from the NCBI GenBank, and it was confirmed that the strain belongs to the Rhizobium genus by phylogenetic analysis. The strain’s performance was best for high hexavalent chromium [Cr(VI)] reduction at 7–8 pH and a temperature of 30 °C, resulting in a total decrease in 96 h. Additionally, the adsorption isotherm Freundlich and Langmuir models fit best for this study, revealing a large biosorption capacity, with Cr(VI) having the highest affinity. Further bacterial chromium reduction was confirmed by an enzymatic test of nitro reductase and chromate reductase activity in bacterial extract. Further, from the metal biosorption study, an Artificial Neural Network (ANN) model was built to assess the metal reduction capability, considering the variables of pH, temperature, incubation duration, and initial metal concentration. The model attained an excellent expected accuracy (R² > 0.90). With these features, this bacterial strain is excellent for bioremediation and use for industrial purposes and agricultural sustainability in metal-contaminated agricultural fields. Full article

Bioactive glass materials have been used for decades in orthopedic surgery, traumatology, and oral and maxillofacial surgery to repair bone defects. This study aimed to evaluate in vitro the survival and proliferation of MG63 human osteosarcoma-derived cells on S53P4 bioactive glass (BonAlive^® granules). Microscopic visualization was performed to directly observe the interactions between the cells and the material. Osteoblast-like cells were examined on non-adherent test plates, on tissue culture (TC)-treated plates and on the surface of the bioglass to assess the differences. Cell survival and proliferation were monitored using a CCK-8 optical density assay. Comparing the mean OD of MG63 cells in MEM on TC-treated plates with cells on BG, we detected a significant difference (p < 0.05), over each time of observation. The sustained cell proliferation confirmed the non-cytotoxic property of the bioglass, as the cell number increased continuously at 48, 72, 96, and 168 h and even did not plateau after 168 h. Since the properties of bioglasses can vary significantly depending on their composition and environment, a thorough characterization of their biocompatibility is crucial to ensure their effective and appropriate application—for example, during hip and knee prosthesis insertion. Full article

Biochar application is a well-recognized strategy to enhance agricultural soil fertility, but its structural heterogeneity leads to inconsistent outcomes in soil improvement, particularly in water and nutrient transport dynamics. In order to ensure the beneficial effects of biochar-amended agricultural soils in terms of water retention and fertilizer fixation, in this paper, we aim to elucidate the effect of the structural heterogeneity of biochar on the hydraulic properties and nutrient transport of agricultural soils. This study compares biochars at millimeter (BMP), micrometer (BUP), and nanometer (BNP) scales using CT scanning, and investigates the effects of different application rates (0.0–2.0%) on soil’s hydraulic properties and nutrient transport using soil column experiments and CDE analyses. The results show that biochar generally decreased soil saturated hydraulic conductivity (SSHC), except for the application of 2.0% BMP, which increased it. Biochar enhanced soil saturated water content (SSWC) and water holding capacity (WHC), with the 2.0% BMP treatment achieving the highest values (SSHC: 49.34 cm/d; SSWC: 0.40 g/g; WHC: 0.25 g/g). BUPs and BNPs inhibited water infiltration due to pore-blocking, while 2.0% BMP promoted infiltration. Convective dispersion equation analysis (CDE) indicated that BUPs and BNPs reduced water and nutrient transport, with 2.0% BMP showing optimal performance. Statistical analyses revealed that biochar’s structural heterogeneity significantly affected soil water repellency, its hydraulic properties, and solute transport (p < 0.05). Smaller particles enhanced water retention and nutrient fixation, while larger particles improved WHC at appropriate rates. These findings provide valuable insights for optimizing biochar application to improve soil functions and support sustainable agriculture. Full article

Background/Objectives: Alectinib, a second-generation tyrosine kinase inhibitor indicated for the treatment of non-small-cell lung cancer (NSCLC), exhibits suboptimal oral bioavailability, primarily attributable to its inherently low aqueous solubility and limited dissolution kinetics. This study aimed to enhance Alectinib’s solubility and therapeutic efficacy by formulating a G4-NH2-PAMAM dendrimer complex. Methods: The complex was prepared using the organic solvent evaporation method and characterized by DSC, FTIR, dynamic light scattering (DLS), and zeta potential measurements. A validated high-performance liquid chromatography (HPLC) method quantified the Alectinib. In vitro drug release studies compared free Alectinib with the G4-NH2-PAMAM dendrimer complex. Cytotoxicity against NSCLC cell line A549 was assessed using MTT assays, clonogenic assay, and scratch-wound assay. Xenograft effect was investigated in the H460 lung cell line. Pharmacokinetic parameters were evaluated in rats using LC–MS/MS. Results: Alectinib exhibited an encapsulation efficiency of 59 ± 5%. In vitro release studies demonstrated sustained drug release at pH 6.8 and faster degradation at pH 2.5. Anticancer activity in vitro showed comparable efficacy to free Alectinib, with 98% migration inhibition. In vivo tumor suppression studies revealed near-complete tumor regression (~100%) after 17 days of treatment, compared to 75% with free Alectinib. Pharmacokinetic analysis indicated enhanced absorption (shorter Tmax), prolonged systemic circulation (longer half-life), and higher bioavailability (increased AUC) for the dendrimer-complexed drug. Conclusions: These findings suggest that the G4-NH2-PAMAM dendrimer system significantly improves Alectinib’s pharmacokinetics and therapeutic potential, making it a promising approach for NSCLC treatment. Full article

The objective of this study was to develop a novel sauce formulation in which egg yolk was substituted with pea and soy proteins, in addition to the incorporation of tomato pomace as a functional ingredient. Nine experimental samples (E1–E3, S1–S3, and P1–P3) and three control samples (E0, S0, and P0) were prepared, corresponding to three protein sources (E: egg yolk, S: soy, P: pea), with increasing concentrations of tomato pomace (0, 2, 4, and 6%). The formulations were adjusted proportionally in terms of water and oil to maintain the desired consistency. The analyses performed included: physico-chemical analysis of the sauce (fat content, peroxide value, and CIE L* a* b* color determination), quality assessment using Fourier Transform Infrared Spectroscopy (FT-IR, rheological measurements, and microstructural evaluation. The sample designated P2 demonstrated a notable correlation with favourable parameters, exhibiting intense colouration, elevated protein content, and consistent rheological properties. However, at higher levels of tomato pomace (notably 6%), microstructural instability was observed, which may limit the formulation’s robustness over time. These findings demonstrate that tomato pomace can enhance the functional and structural characteristics of sauce, while also highlighting the importance of optimizing concentration levels to avoid negative impacts on emulsion stability. Overall, the results support the use of tomato pomace and plant proteins in the formulation of sustainable and innovative food products. Full article

Microalage are broadly recognized as promising agents for sustainable wastewater treatment and biomass generation. However, industrial effluents such as petroleum refinery wastewater (WW) present challenges due to toxic growth inhibiting substances. Three marine microalgae species: Pseudochloris wilhelmii, Nannochloropsis gaditana and Synechococcus sp. MK568070 were examined for cultivation potential in oil refinery WW. Their performance was evaluated in terms of growth dynamics, lipid productivity, and toxicity reduction, with a focus on their suitability for largescale industrial use. N. gaditana demonstrated the highest growth rate and lipid content (37% d.w.) as well as lipid productivity (29.45 mg/(Lday)) with the N-uptake rate of 0.698 mmol/(gday). The highest specific DIN uptake rate was observed inn P. wilhelmii (0.895 mmol/(gday) along with the highest volumetric productivity (93.9 mg/L/day) and WW toxicity removal (76.5%), while Synechococcus sp. MK568070 demonstrated lower performance metrics. A simple numerical model was applied to calculate continuous operation based on empirical results of batch experiments. Sustainability of the microalgae-based WW remediation under the conditions of optimized lipid biomass production was estimated, regarding 2019–2022–2025 cost dynamics. Parameters for optimum open raceway pond cultivation were calculated, and the biomass production accumulation was estimated, with the highest biomass production noted in P. wilhelmii (171.38 t/year). Comparison of treatment costs, production costs and revenue showed that the best candidate for WW remediation is N. gaditana. Full article

Soil organic nitrogen (SON) positively influences crop productivity, greenhouse gas (GHG) emissions, and sustained nitrogen (N) supply. Herein, we observed the effect of different treatments; no fertilizers (CK), chemical fertilizers (nitrogen, phosphorus, and potassium (NPK)), organic manure, and NPK + OM (NPKOM). This study was performed in a randomized complete block design (RCBD) with three replications. The results indicated that NPKOM treatment significantly decreased the nitrous oxide (N₂O) emissions by 19.97% and 17.47% compared to NPK in both years. This was linked with improved soil nutrient availability, soil organic carbon, soil organic nitrogen (SON) storage (10.06% and 12.38%), SON sequestration (150% and 140%), increased soil particulate (44.11% and 44%), and mineral-associated organic N (26.98% and 26.47%) availability. Furthermore, NPKOM also enhanced nitrate reductase (NR: 130% and 112%), glutamine synthetase (GS: 93% and 88%), sucrose phosphate synthase (SPS: 79% and 98%), SSs (synthetic direction; 57% and 50%), and decreased SSs activity in the decomposition direction (18% and 21%). This, in turn, inhibited the decomposition of sucrase and enhanced starch conversion into carbohydrates, thus leading to an increase in rice yield and a decrease in N₂O emissions. All fertilizations, particularly NPKOM, significantly enhanced grain protein contents by increasing N uptake and its availability. Therefore, NPKOM is an effective practice to enhance rice productivity, and SON sequestration and mitigate the N₂O emissions and subsequent climate change. Full article

This study conducted a comprehensive evaluation of the effects of biodegradable (BD) mulching film in onion cultivation, with a focus on plant growth, yield, soil environment, weed suppression, and film degradation, in comparison to conventional polyethylene (PE) film and non-mulching (NM) treatment across multiple regions and years (2023–2024). The BD and PE films demonstrated similar impacts on onion growth, bulb size, yield, and weed suppression, significantly outperforming NM, with yield increases of over 13%. There were no consistent differences in soil pH, electrical conductivity, and physical properties in crops that used either BD or PE film. Soil temperature and moisture were also comparable regardless of which film type was used, confirming BD’s viability as an alternative to PE. However, areas that used BD film had soils which exhibited reduced microbial populations, particularly Bacillus and actinomycetes which was likely caused by degradation by-products. BD film degradation was evident from 150 days post-transplantation, with near-complete decomposition at 60 days post-burial, whereas PE remained largely intact (≈98%) during the same period. These results confirm that BD film can match the agronomic performance of PE while offering the advantage of environmentally friendly degradation. Further research should optimize BD film durability and assess its cost-effectiveness for large-scale sustainable agriculture. Full article

There is a lack of systematic research on the comprehensive regulatory effects of urea and organic fertilizer application on soil quality and cotton yield in summer direct-seeded cotton fields in the Yangtze River Basin. Additionally, there is a redundancy of indicators in the cotton field soil quality evaluation system and a lack of reports on constructing a minimum dataset to evaluate the soil quality status of cotton fields. We aim to accurately and efficiently evaluate soil quality in cotton fields and screen nitrogen application measures that synergistically improve soil quality, cotton yield, and nitrogen fertilizer utilization efficiency. Taking the summer live broadcast cotton field in Jiangxi Province as the research object, four treatments, including CK without nitrogen application, CF with conventional nitrogen application, N1 with nitrogen reduction, and N2 with nitrogen reduction and organic fertilizer application, were set up for three consecutive years from 2022 to 2024. A total of 15 physical, chemical, and biological indicators of the 0–20 cm plow layer soil were measured in each treatment. A minimum dataset model was constructed to evaluate and verify the soil quality status of different nitrogen application treatments and to explore the physiological mechanisms of nitrogen application on yield performance and stability from the perspectives of cotton source–sink relationship, nitrogen use efficiency, and soil quality. The minimum dataset for soil quality evaluation in cotton fields consisted of five indicators: soil bulk density, moisture content, total nitrogen, organic carbon, and carbon-to-nitrogen ratio, with a simplification rate of 66.67% for the evaluation indicators. The soil quality index calculated based on the minimum dataset (MDS) was significantly positively correlated with the soil quality index of the total dataset (TDS) (R² = 0.904, p < 0.05). The model validation parameters RMSE was 0.0733, nRMSE was 13.8561%, and the d value was 0.9529, all indicating that the model simulation effect had reached a good level or above. The order of soil quality index based on MDS and TDS for CK, CF, N1, and N2 treatments was CK < N1 < CF < N2. The soil quality index of N2 treatment under MDS significantly increased by 16.70% and 26.16% compared to CF and N1 treatments, respectively. Compared with CF treatment, N2 treatment significantly increased nitrogen fertilizer partial productivity by 27.97%, 31.06%, and 21.77%, respectively, over a three-year period while maintaining the same biomass, yield level, yield stability, and yield sustainability. Meanwhile, N1 treatment had the risk of significantly reducing both boll density and seed cotton yield. Compared with N1 treatment, N2 treatment could significantly increase the biomass of reproductive organs during the flower and boll stage by 23.62~24.75% and the boll opening stage by 12.39~15.44%, respectively, laying a material foundation for the improvement in yield and yield stability. Under CF treatment, the cotton field soil showed a high degree of soil physical property barriers, while the N2 treatment reduced soil barriers in indicators such as bulk density, soil organic carbon content, and soil carbon-to-nitrogen ratio by 0.04, 0.04, 0.08, and 0.02, respectively, compared to CF treatment. In summary, the minimum dataset (MDS) retained only 33.3% of the original indicators while maintaining high accuracy, demonstrating the model’s efficiency. After reducing nitrogen by 20%, applying 10% total nitrogen organic fertilizer could substantially improve cotton biomass, cotton yield performance, yield stability, and nitrogen partial productivity while maintaining soil quality levels. This study also assessed yield stability and sustainability, not just productivity alone. The comprehensive nitrogen fertilizer management (reducing N + organic fertilizer) under the experimental conditions has high practical applicability in the intensive agricultural system in southern China. Full article

Background/Objectives: Muscle dysmorphia (MD), a subtype of body dysmorphic disorder, is prevalent among males who engage in the non-medical use of anabolic–androgenic steroids (AASs) and performance-enhancing drugs (PEDs). These individuals often experience severe psychopathology, including mood instability, compulsivity, and a distorted body image. Despite its clinical severity, no randomized controlled trials (RCTs) have evaluated structured psychological treatments in this subgroup. This study aimed to assess the efficacy of a manualized cognitive behavioral therapy (CBT) protocol in reducing MD symptoms and associated psychological distress among male steroid users. Results: Participants in the CBT group showed significant reductions in MD symptoms from the baseline to post-treatment (MDDI: p < 0.001, d = 1.12), with gains sustained at follow-up. Large effect sizes were also observed in secondary outcomes including depressive symptoms (PHQ-9: d = 0.98), psychological distress (K10: d = 0.93), disordered eating (EDE-Q: d = 0.74), and exercise addiction (EAI: d = 1.07). No significant changes were observed in the control group. Significant group × time interactions were found for all outcomes (all p < 0.01), indicating CBT’s specific efficacy. Discussion: This study provides the first RCT evidence that CBT significantly reduces both core MD symptoms and steroid-related psychopathology in men engaged in AAS/PED misuse. Improvements extended to mood, body image perception, and compulsive exercise behaviors. These findings support CBT’s transdiagnostic applicability in addressing both the cognitive–behavioral and affective dimensions of MD. Materials and Methods: In this parallel-group, open-label RCT, 59 male gym-goers with DSM-5-TR diagnoses of MD and a history of AAS/PED use were randomized to either a 12-week CBT intervention (n = 30) or a waitlist control group (n = 29). CBT sessions were delivered weekly online and targeted distorted muscularity beliefs, compulsive behaviors, and emotional dysregulation. Primary and secondary outcomes—Muscle Dysmorphic Disorder Inventory (MDDI), PHQ-9, K10, EDE-Q, EAI, and BIG—were assessed at the baseline, post-treatment, and 3-month follow-up. A repeated-measures ANOVA and paired t-tests were used to analyze time × group interactions. Conclusions: CBT offers an effective, scalable intervention for individuals with muscle dysmorphia complicated by anabolic steroid use. It promotes broad psychological improvement and may serve as a first-line treatment option in high-risk male fitness populations. Future studies should examine long-term outcomes and investigate implementation in diverse clinical and cultural contexts. Full article