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24 pages, 2104 KB  
Article
ERα-Independent Activity of Tamoxifen-Based Transition Metal Hybrids in Triple-Negative Breast Cancer Models In Vitro and In Vivo
by Blagoje Murganić, Tamara Krajnović, Duško Dunđerović, Aleksandr Kazimir, Nasta Tanić, Nikola Tanić, Evamarie Hey-Hawkins, Danijela Maksimović-Ivanić and Sanja Mijatović
Molecules 2026, 31(9), 1376; https://doi.org/10.3390/molecules31091376 - 22 Apr 2026
Abstract
Multiple studies have demonstrated that the conjugation of various metal cores to a modified tamoxifen vector amplifies its antitumor activity, rendering such engineered structures effective even in triple-negative breast cancer (TNBC), a tumor subtype traditionally considered irrelevant for endocrine therapy. With a focus [...] Read more.
Multiple studies have demonstrated that the conjugation of various metal cores to a modified tamoxifen vector amplifies its antitumor activity, rendering such engineered structures effective even in triple-negative breast cancer (TNBC), a tumor subtype traditionally considered irrelevant for endocrine therapy. With a focus on TNBC cell line, this study shows that hybrids with Pd- and Cu- in comparison to Pt-based counterparts exerted an advanced cytotoxic profile in terms of sustained cytotoxicity throughout all tested periods, well synchronized with an intensive and prolonged oxidative burst measured by 4-amino-5-methylamino-2′,7′-difluorofluorescein diacetate (DAF-FM), dihydroethidium (DHE), and dihydrorhodamine 123 (DHR-123) in the background. Translation to the orthotopic syngeneic mouse in vivo model confirmed their superiority toward Pt-based conjugates, as well as tamoxifen alone, with a more profound tumor-reducing potential of Cu-tamoxifen, which was finally restricted by its toxicity. Surprisingly, the tamoxifen vector per se, with an approx. 2-fold lower cytotoxic potential than Pt- and Cu-hybrids in vitro, showed exceptional tumor-reducing potential in vivo, profiled in the last days of the treatment period. Intensive infiltration of immune cells, preferentially lymphocytes, was observed in tumor samples from animals exposed to the tamoxifen vector, underscoring the ligand’s immune potential and again suggesting that cytotoxicity is not a measure of successful treatment. Full article
(This article belongs to the Special Issue Transition Metal Complexes with Bioactive Ligands)
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16 pages, 2210 KB  
Article
Differentiating Resistance Levels and Biochemical Responses of Soybean Cultivars Infected by Diverse Diaporthe Species Using Two Inoculation Methods
by Behnoush Hosseini, Kristina Petrović, Jovana Šućur Elez, Marina Crnković, Febina Mathew, Nitha Rafi and Tobias Immanuel Link
Plants 2026, 15(9), 1284; https://doi.org/10.3390/plants15091284 - 22 Apr 2026
Abstract
Diaporthe spp. are among the most serious pathogens of soybean. Many different Diaporthe species can infect soybean plants. The species differ in their aggressiveness or virulence and in the severity of the damage they cause. Resistance breeding in soybean has been performed for [...] Read more.
Diaporthe spp. are among the most serious pathogens of soybean. Many different Diaporthe species can infect soybean plants. The species differ in their aggressiveness or virulence and in the severity of the damage they cause. Resistance breeding in soybean has been performed for only two Diaporthe species, so far. It would be very advantageous to identify soybean cultivars with resistance against other Diaporthe species as well, both as sources of resistance for breeding and to inform farmers which cultivars should be planted when a given Diaporthe species shows high incidence. We performed greenhouse experiments to differentiate levels of resistance using the Stem Cut and Stem Wound methods for inoculation of the plants with Diaporthe. Symptom severity was rated visually, and at 5 dpi the level of lipid peroxidation (LP), activity of superoxide dismutase (SOD), total phenolics and total flavonoids were measured. Among the four Diaporthe species tested, D. caulivora was most aggressive, followed by D. longicolla. Of the cultivars evaluated, Magnolia exhibited the highest level of resistance with no significant differences observed among the other cultivars. Although biochemical responses could be observed, it was impossible to determine the specific response responsible for elevated resistance in Magnolia. Full article
(This article belongs to the Section Plant Protection and Biotic Interactions)
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24 pages, 2463 KB  
Article
Operational Energy and Lifecycle Assessment of Envelope Retrofit Strategies for District-Heated Residential Buildings: Comparison of Expanded Polystyrene and Bio-Based Insulation
by Dimitrije Manić, Mirko Komatina, Jelena Topić Božič and Milica Perić
Processes 2026, 14(9), 1329; https://doi.org/10.3390/pr14091329 - 22 Apr 2026
Abstract
Improving the energy performance of existing multi-apartment residential buildings is critical for reducing energy consumption and greenhouse gas emissions in Central and Eastern Europe, where large stocks of post-war buildings with limited insulation are connected to district heating systems. This study evaluates façade [...] Read more.
Improving the energy performance of existing multi-apartment residential buildings is critical for reducing energy consumption and greenhouse gas emissions in Central and Eastern Europe, where large stocks of post-war buildings with limited insulation are connected to district heating systems. This study evaluates façade insulation retrofit strategies for two representative typologies in Novi Beograd, Serbia—a high-rise tower and an elongated slab-type (‘lamella’) building—using calibrated dynamic energy models and cradle-to-use lifecycle assessment (LCA) over a 50-year service life. Models were calibrated against measured 2023–2024 heating consumption data (NMBE < 1%, CVRMSE < 15%) and normalized with Typical Meteorological Year weather for consistent scenario comparison. Retrofit scenarios applied expanded polystyrene (EPS) and cellulose insulation at 10, 12, and 15 cm thicknesses. Results show that external insulation reduces annual heating demand by approximately 19–20% compared to the uninsulated baseline (192 kWh/m2·a), with the majority of savings achieved at 10 cm and only marginal gains from additional thickness. Insulation thickness has a stronger influence on operational energy reduction than material choice, as differences between EPS and cellulose remain below 0.5%. LCA indicates 23.6–26.0% lower climate change impacts and 23.6–25.8% reduced cumulative energy demand in retrofit scenarios, with cellulose offering modest advantages due to lower embodied emissions and biogenic carbon storage. These findings support targeted envelope retrofits as an effective strategy for decarbonizing district-heated residential buildings in the region. Full article
(This article belongs to the Special Issue Manufacturing Processes and Thermal Properties of Composite Materials)
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31 pages, 1557 KB  
Article
Palladium(II) Complexes with Chloro-Substituted Salicyl Schiff Bases: Exploring Multimodal Anticancer Mechanisms and Catalase Inhibition
by Jovana S. Dragojević, Žiko Milanović, Kristina Milisavljević, Milena Milutinović, Safija Herenda, Edhem Hasković, Nenad Vanis, Vera M. Divac and Marina D. Kostić
Molecules 2026, 31(8), 1370; https://doi.org/10.3390/molecules31081370 - 21 Apr 2026
Abstract
The search for new anticancer agents with improved efficacy and reduced toxicity has intensified interest in metal-based compounds. In this study, two novel palladium(II) complexes, synthesized from Schiff base ligands derived from 5-chloro-salicylaldehyde and p-hydroxybenzylamine or tyramine, were chemically characterized and biologically [...] Read more.
The search for new anticancer agents with improved efficacy and reduced toxicity has intensified interest in metal-based compounds. In this study, two novel palladium(II) complexes, synthesized from Schiff base ligands derived from 5-chloro-salicylaldehyde and p-hydroxybenzylamine or tyramine, were chemically characterized and biologically evaluated. Both complexes exhibited significant cytotoxic activity against the MCF-7 breast cancer cell line in a dose- and time-dependent manner, with Pd2 showing slightly higher potency. Morphological analysis of treated cells indicated that apoptosis is the predominant mechanism of cell death. To gain deeper insight into the potential mechanisms underlying the observed anticancer activity, several biologically relevant targets were investigated. Enzyme kinetics revealed that the complexes act as uncompetitive inhibitors of liver catalase, suggesting a possible role in the induction of oxidative stress. Fluorescence studies demonstrated that Pd2 interacts with CT-DNA through combined intercalative and minor groove binding modes and exhibits significant binding affinity toward human serum albumin, predominantly at Sudlow’s site I. Molecular docking analysis further supported favorable interactions with catalase, estrogen receptor α, and B-form DNA, providing structural insight into the experimentally observed biological effects. Overall, the study explores multiple potential mechanisms of anticancer action, underscoring the promising therapeutic potential of these palladium(II) complexes, while antitumor activity has been initially assessed using a MCF-7 cell line as a preliminary model. Full article
(This article belongs to the Special Issue Transition Metal Complexes in Cancer Therapy: Beyond Platinum)
19 pages, 2514 KB  
Review
Syphilitic Panuveitis and Rhegmatogenous Retinal Detachment: Diagnostic Pitfalls and Treatment Considerations
by Sofija Davidović Terzić, Siniša Babović, Svetlana Pavin, Aleksandar Miljković, Nikola Denda and Sava Barišić
Medicina 2026, 62(4), 798; https://doi.org/10.3390/medicina62040798 - 21 Apr 2026
Abstract
Syphilitic panuveitis is a severe and diagnostically highly challenging manifestation of ocular syphilis. Its predominant posterior-segment involvement and its tendency to mimic noninfectious or viral uveitis may delay etiologic recognition and increase the risk of permanent vision loss. Rhegmatogenous retinal detachment (RRD) is [...] Read more.
Syphilitic panuveitis is a severe and diagnostically highly challenging manifestation of ocular syphilis. Its predominant posterior-segment involvement and its tendency to mimic noninfectious or viral uveitis may delay etiologic recognition and increase the risk of permanent vision loss. Rhegmatogenous retinal detachment (RRD) is a rare but vision-threatening complication that likely reflects advanced, inflammation-induced disruption of the vitreoretinal interface. A narrative literature review was conducted using the PubMed, Scopus, and Web of Science databases (January 2000 to 10 September 2025). Studies addressing the clinical presentation, imaging findings, pathophysiology, and management of syphilitic panuveitis and associated rhegmatogenous retinal detachment were analyzed. Infectious mimickers were also presented, with particular emphasis on West Nile virus (WNV). Evidence was synthesized qualitatively. Posterior uveitis and panuveitis are one of the most common ocular manifestations of syphilis. Posterior segment involvement in ocular syphilis is frequently bilateral, typically presenting with dense vitritis, retinal vasculitis, and optic neuropathy. RRD is a rare presenting complication, most often developing in areas of prior inflammatory retinitis and arising due to retinal necrosis, persistent vitreoretinal traction, and early proliferative vitreoretinopathy, which increases surgical complexity and may limit functional recovery. HIV coinfection often modifies disease severity. In relevant endemic or seasonal settings, WNV-associated ocular inflammation represents an important diagnostic pitfall. Syphilitic panuveitis should be considered early in patients presenting with unexplained posterior uveitis or panuveitis. Routine testing for syphilis and HIV in the uveitic laboratory palette, together with targeted evaluation for infectious mimickers, is essential to reduce diagnostic delay and avoid inappropriate immunosuppression. RRD should be recognized as a marker of advanced, inflammation-induced vitreoretinal interface damage requiring timely antimicrobial therapy and early involvement of vitreoretinal surgery. Full article
21 pages, 482 KB  
Article
Relationship Between Knowledge, Attitudes, and Practices for the Consumption of Spirulina-Enriched Fruit and Vegetable Juices: Structural Equation Modelling and Consumers’ Preference Evaluation Approach
by Miona Belović, Lato Pezo, Goran Radivojević, Mirjana Penić, Jasmina Lazarević, Bojana Filipčev, Uroš Čakar, Jasmina Vitas and Biljana Cvetković
Nutrients 2026, 18(8), 1309; https://doi.org/10.3390/nu18081309 - 21 Apr 2026
Abstract
Background/Objectives: The presented study aimed to understand the relationship between knowledge, attitudes, and practices, as well as consumers’ preferences for the consumption of Spirulina-enriched fruit and vegetable juices. Methods: A survey about the consumers’ attitudes towards consumption of algae in general and [...] Read more.
Background/Objectives: The presented study aimed to understand the relationship between knowledge, attitudes, and practices, as well as consumers’ preferences for the consumption of Spirulina-enriched fruit and vegetable juices. Methods: A survey about the consumers’ attitudes towards consumption of algae in general and especially Spirulina was conducted to better understand the target groups and marketing strategies for this novel non-alcoholic beverage product. Knowledge–Attitude–Practice (KAP) model in combination with structural equation modelling (SEM) was applied to test the hypothesised relationships between the variables. Additionally, consumers’ preference test was done using a seven-point hedonic scale and ranking of the six juice samples: plain sour cherry juice (SC1), sour cherry juice with 0.8% (SC2) and 1.6% (SC3) of blue Spirulina powder; plain tomato juice (T1), tomato juice with 0.8% (T2) and 1.6% (T3) of blue Spirulina powder. Results: The SEM results showed that there is a limited direct impact of knowledge on social motivation, while personal behaviour strongly predicts social motivation. Namely, perceived nutritional value and health benefits were shown to be the main factors for consumers’ willingness to drink Spirulina-enriched juice. Conclusions: The result of the consumer preference evaluation exposed that the juices containing sour cherry and Spirulina achieved better sensory acceptance and ranking than those containing tomato, pointing out the importance of the product matrix for achieving consumer acceptance. Full article
16 pages, 11682 KB  
Article
Synthesis of RE3+ (RE = Ho, Tb, Pr)-Doped Alumina Ceramic Coatings by Plasma Electrolytic Oxidation of Aluminum: Investigation of Photocatalytic Performance
by Stevan Stojadinović, Darwin Augusto Torres-Ceron, Sebastian Amaya-Roncancio and Nenad Radić
Ceramics 2026, 9(4), 42; https://doi.org/10.3390/ceramics9040042 - 21 Apr 2026
Abstract
Porous, crystalline gamma-Al2O3 coatings with a thickness of (6 ± 0.5) μm and a uniform distribution of rare earth (RE) dopants are synthesized by plasma electrolytic oxidation of aluminum at a current density of 150 mA/cm2 in a boric [...] Read more.
Porous, crystalline gamma-Al2O3 coatings with a thickness of (6 ± 0.5) μm and a uniform distribution of rare earth (RE) dopants are synthesized by plasma electrolytic oxidation of aluminum at a current density of 150 mA/cm2 in a boric acid and borax (BB) solution containing added RE oxide particles (Ho2O3, Tb4O7, and Pr6O11) at concentrations of 1, 2, and 4 g/L. The concentration of RE oxide particles in the BB solution determines the amount of RE elements incorporated into the coatings but does not significantly affect their surface morphology, crystal structure, or light absorption properties. The coatings exhibit high absorption in the middle/near-ultraviolet region, characteristic of Al2O3. Typical 4f-4f transitions of Ho3+, Tb3+, and Pr3+ are observed in the photoluminescence spectra. Photocatalytic evaluations using methyl orange degradation under simulated solar irradiation show that RE doping significantly enhances photocatalytic efficiency. Peak degradation efficiencies are achieved at a concentration of 4 g/L for all RE oxides. After 8 h of irradiation, maximum degradation reaches 88%, 92%, and 85% with pseudo-first-order rate constants (kapp) of about 0.274 h−1, 0.339 h−1, and 0.232 h−1 for coatings synthesized in BB with 4 g/L Ho2O3, Tb4O7, or Pr6O11, respectively. In comparison, the pristine Al2O3 coating achieves only about 50% degradation (kapp ≈ 0.087 h−1). Photoluminescence indicates that RE3+ ions serve as effective charge-carrier traps, suppressing electron–hole pair recombination. RE-doped Al2O3 coatings demonstrate exceptional structural stability and reusability over six cycles, highlighting their potential for sustainable wastewater remediation. Full article
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6 pages, 164 KB  
Editorial
Special Issue: Application of Decision-Making Approaches Under Uncertainty for Sustainable Transport
by Željko Stević, Vladimir Simic and Dillip Kumar Das
Sustainability 2026, 18(8), 4126; https://doi.org/10.3390/su18084126 - 21 Apr 2026
Abstract
Sustainable transport systems are increasingly operating in contexts where uncertainty is no longer the exception but a structural condition [...] Full article
11 pages, 2193 KB  
Article
Assessing the Effects of Thymol and Oxalic Acid on Honey Bee Colony Condition Using Ratiometric Spectral Indicators in Honey and Beeswax
by Mira Stanković, Miroslav Nikčević, Sladjana Z. Spasić and Ksenija Radotić
Insects 2026, 17(4), 440; https://doi.org/10.3390/insects17040440 - 21 Apr 2026
Abstract
Over the past 20 years, honey bee colony declines have been driven by multiple factors, notably diseases and parasites. The parasitic mite Varroa destructor, which weakens the bees’ immune systems, has been particularly harmful. While various synthetic acaricides are used, the chemicals [...] Read more.
Over the past 20 years, honey bee colony declines have been driven by multiple factors, notably diseases and parasites. The parasitic mite Varroa destructor, which weakens the bees’ immune systems, has been particularly harmful. While various synthetic acaricides are used, the chemicals may accumulate in the beeswax, endangering colony health and allowing Varroa populations to develop resistance to these acaricides. These problems have prompted interest in organic alternatives like thymol and oxalic acid. In this study, colony health was assessed through the proteins-to-phenolics spectral ratio in honey and beeswax, determined by fluorescence spectroscopy, as a ratiometric indicator of infection level in treated hives. Over two months, hives were treated with either oxalic acid, thymol, or remained untreated as controls. Neither treatment significantly affected the proteins-to-phenolics ratios in honey, ranging from 0.30 to 0.83, or in beeswax, ranging from 1.40 to 1.83, suggesting that the incorporation of these vital constituents remains stable despite acaricide application. While thymol demonstrates potential adverse effects on bee health, careful management of treatment concentrations is essential to ensure both the efficacy of Varroa control and the preservation of honey quality. These findings provide valuable insights for beekeepers regarding the safe application of organic acaricides. Full article
(This article belongs to the Special Issue Current Advances in Pollinator Insects)
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26 pages, 603 KB  
Article
The D’Alembert Inevitability Theorem
by Jonathan Washburn, Milan Zlatanović and Elshad Allahyarov
Mathematics 2026, 14(8), 1386; https://doi.org/10.3390/math14081386 - 20 Apr 2026
Abstract
We study functions satisfying the composition law F(xy)+F(x/y)=P(F(x),F(y)) with a symmetric polynomial combiner P. We prove that symmetry [...] Read more.
We study functions satisfying the composition law F(xy)+F(x/y)=P(F(x),F(y)) with a symmetric polynomial combiner P. We prove that symmetry together with a quadratic degree bound on P forces a composition law of d’Alembert type. We establish a degree mismatch exclusion criterion showing that symmetric polynomial combiners with degP(u,v)3 do not admit nonconstant continuous solutions, provided the leading term does not cancel (Theorem 1). For continuous nonconstant functions F:R>0R with F(1)=0 satisfying the composition law with a symmetric polynomial P of degree at most two, the combiner is necessarily of the form P(u,v)=2u+2v+cuv, cR (Theorem 3). The equation reduces in logarithmic coordinates to the classical d’Alembert functional equation. For c0, one obtains hyperbolic or trigonometric branches, while c=0 yields the squared-logarithm family. Under the cost-function assumptions F0 and convexity, only the hyperbolic branch with c>0 remains. A unit log-curvature calibration selects the canonical value c=2, which yields the canonical reciprocal cost F(x)=12(x+x1)1. For c0, the result extends to R>0n: every solution depends only on a single linear combination of coordinate logarithms; for c=0, the solution is a general quadratic form i,jaijlnxilnxj. In either case, nontrivial coordinate-wise separable costs are excluded. Full article
(This article belongs to the Section C: Mathematical Analysis)
15 pages, 1061 KB  
Article
Molecular and Phytochemical Variability of Common Juniper (Juniperus communis L.) in the Central Balkans Reveals Differentiation of Populations
by Nemanja Rajčević, Tanja Dodoš, Peđa Janaćković, Ljubodrag Vujisić and Petar D. Marin
Plants 2026, 15(8), 1266; https://doi.org/10.3390/plants15081266 - 20 Apr 2026
Abstract
Juniperus communis is the juniper with the widest geographical distribution, owing to its high ecological valence. Nevertheless, there is only a limited number of studies of its phenotypic and molecular variability. In this study, we coupled leaf essential oil (EO) composition with molecular [...] Read more.
Juniperus communis is the juniper with the widest geographical distribution, owing to its high ecological valence. Nevertheless, there is only a limited number of studies of its phenotypic and molecular variability. In this study, we coupled leaf essential oil (EO) composition with molecular and environmental data to better understand this species’ distribution and variability in the central Balkans. EOs were obtained by simultaneous hydrodistillation and extraction, and analysed using GC coupled with MS and FID detectors. For molecular analysis, inter-simple sequence repeats (ISSR) using five primers were analysed. Three chemotypes were most abundant in the study area: sabinene, an intermediate chemotype, and α-pinene. Several additional chemotypes were also identified. In total, 118 compounds present above 0.05% were detected and identified. Monoterpene hydrocarbons dominated the EO composition (43.8–79.1%). Multivariate analyses showed separation of populations from north to south. ISSRs yielded 78 polymorphic bands. Three genetic pools could also be identified that roughly correspond to this distribution, though data is not completely congruent with chemophenetic. Results indicate high genetic diversity, with high gene flow between populations, but also certain differentiation of populations. Full article
(This article belongs to the Special Issue Molecular Systematics and Chemophenetics of Plants)
19 pages, 1227 KB  
Article
A Comparison of the Effects of Vitamin B12 and Folic Acid on Gait Recovery and Myelination After Femoral Nerve Injury in Rats
by Miloš Basailović, Igor Jakovčevski, Milan Aksić, Joko Poleksić, Gorana Basailović and Nevena Divac
Int. J. Mol. Sci. 2026, 27(8), 3664; https://doi.org/10.3390/ijms27083664 - 20 Apr 2026
Abstract
Peripheral nerve injuries often lead to incomplete recovery despite surgical repair. Vitamin B12 and folic acid have been implicated in nerve regeneration, but their comparative effects have not been systematically evaluated. Twenty-four male Wistar rats underwent femoral nerve transection and were assigned to [...] Read more.
Peripheral nerve injuries often lead to incomplete recovery despite surgical repair. Vitamin B12 and folic acid have been implicated in nerve regeneration, but their comparative effects have not been systematically evaluated. Twenty-four male Wistar rats underwent femoral nerve transection and were assigned to three groups: control, vitamin B12 (2500 µg/kg weekly, subcutaneous), and folic acid (40 mg/L in drinking water). Functional recovery was assessed over eight weeks using foot-base angle (FBA) during beam walking. Histological analysis evaluated axon counts and myelination (g-ratio). Both treatments accelerated early gait recovery compared to controls, with significant FBA improvement at week 4 (p < 0.05). Vitamin B12 produced sustained functional benefits through week 8 and superior myelination (lower g-ratio, p < 0.0001), whereas folic acid increased axon numbers but did not enhance myelin thickness or late-phase recovery. High-dose vitamin B12 significantly improves structural and functional outcomes after femoral nerve injury, while folic acid primarily supports early axonal regrowth. Vitamin B12 represents a promising pharmacological adjunct for peripheral nerve repair. Further research should explore optimal dosing strategies and long-term effects in clinical settings. To our knowledge, no prior study has directly compared the effects of folic acid and vitamin B12 supplementation within the rat femoral-nerve model, providing the rationale for the present head-to-head design. Full article
(This article belongs to the Section Molecular Neurobiology)
21 pages, 418 KB  
Article
Influences of the Different Organizational Performances on Application and Effects of Lean: Case of Serbian Food Companies
by Dejan Kovačević, Sanja Stanisavljev, Milan Nikolić, Dragan Ćoćkalo, Mihalj Bakator, Stefan Ugrinov and Luka Djordjević
Systems 2026, 14(4), 445; https://doi.org/10.3390/systems14040445 - 20 Apr 2026
Viewed by 34
Abstract
This study examines the influences of various organizational performance factors on the application of Lean tools and the effects of Lean methodology implementation. Although Lean management has been widely studied, empirical evidence on the combined influence of internal organizational capabilities and external environmental [...] Read more.
This study examines the influences of various organizational performance factors on the application of Lean tools and the effects of Lean methodology implementation. Although Lean management has been widely studied, empirical evidence on the combined influence of internal organizational capabilities and external environmental pressures on Lean adoption and outcomes in transition economies remains limited. In particular, the relative importance of internal resources and competitive pressures in shaping Lean implementation results has not been sufficiently explored. Therefore, this study aims to analyze how different organizational and environmental factors influence both the application of Lean tools and the effects of Lean methodology implementation. The independent variables considered include: business performance, organizational culture, company size, technical infrastructure and resources, education and competence of employees, training for Lean methodology, management support, competitive pressure and motivation to reduce costs, degree of innovation in the company, the role of the Lean concept in strategic planning, years of company existence, and years of Lean tool implementation. The research was conducted among food industry companies in Serbia, and a total of 183 valid questionnaires were collected. The results indicate that the application of Lean tools is most strongly influenced by training for Lean methodology, followed by business performance and company size. In contrast, the effects of Lean methodology implementation are primarily affected by competitive pressure and motivation to reduce costs, as well as management support. Furthermore, the analysis shows that Lean application and Lean outcomes function as two distinct dimensions: companies may apply Lean tools without achieving significant effects if managerial support or competitive pressure is insufficient. Conversely, firms with strong competitive drivers and committed management achieve noticeably higher performance improvements even with moderate levels of Lean tool adoption. Overall, the findings suggest that the application of Lean tools largely depends on the company’s internal resources, such as employee knowledge and training, business strength, and scale of operations, while the success and outcomes of Lean implementation are more strongly driven by external competitive pressures and the degree of managerial understanding and support. By distinguishing between the determinants of Lean tool adoption and the determinants of Lean implementation outcomes, this study contributes to a clearer understanding of Lean effectiveness in the context of transition economies. Full article
(This article belongs to the Section Systems Practice in Social Science)
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19 pages, 714 KB  
Article
Red Blood Cell Distribution Width and Neutrophil-to-Lymphocyte Ratio as Markers of Cardiovascular Disease and Vascular Calcification in Chronic Kidney Disease: A Large Cohort Study
by Anastasios Zagaliotis, Athanasios Roumeliotis, Stefanos Roumeliotis, Ioannis E. Neofytou, Garyfallia Varouktsi, Eirini Leptokaridou-Mourtzila, Aikaterini Stamou, Vasiliki Sgouropoulou, Gordana Kocic, Andrej Veljkovic, Rudolf Bittner, Willi Jahnen-Dechent, Leon J. Schurgers and Vassilios Liakopoulos
Metabolites 2026, 16(4), 280; https://doi.org/10.3390/metabo16040280 - 20 Apr 2026
Viewed by 61
Abstract
Background/Objectives: Cardiovascular disease (CVD) in chronic kidney disease (CKD) arises from a multifaceted interplay of pathophysiological processes, including chronic inflammation, oxidative stress (OS), and accelerated vascular calcification (VC). Red blood cell distribution width (RDW) and the neutrophil-to-lymphocyte ratio (NLR) have emerged as simple, [...] Read more.
Background/Objectives: Cardiovascular disease (CVD) in chronic kidney disease (CKD) arises from a multifaceted interplay of pathophysiological processes, including chronic inflammation, oxidative stress (OS), and accelerated vascular calcification (VC). Red blood cell distribution width (RDW) and the neutrophil-to-lymphocyte ratio (NLR) have emerged as simple, inexpensive, and readily available hematological indices that may capture these underlying disturbances. As such, they hold promise as accessible biomarkers for stratifying cardiovascular risk in patients with CKD. Methods: This cross-sectional study enrolled 497 patients, comprising 477 with CKD across all stages and 20 controls. We evaluated the associations of RDW and NLR with both traditional and non-traditional cardiovascular risk factors, as well as with serum calcification propensity (T50). Spearman’s correlation and multivariable regression analysis were used to assess these relationships. Results: Both RDW and NLR were significantly elevated in patients with established CVD (p < 0.001 for both) and demonstrated a progressive increase across advancing CKD stages (p < 0.001). RDW and NLR showed positive correlations with age, CVD duration, urea, phosphorus, parathormone, CRP, FG23, and mean carotid intima–media thickness (cIMT), while exhibiting inverse correlations with eGFR, serum albumin, hemoglobin, lipids, antioxidants such as superoxide dismutase, fetuin-A, and T50. Additionally, NLR correlated positively with the duration of hypertension and diabetes, as well as with albuminuria. Quartile analysis revealed a stepwise decline in T50 across increasing categories of RDW and NLR, supporting the link with impaired calcification defense. In multivariable analysis, T50 independently predicted NLR (β = −0.013; p = 0.018), whereas total cholesterol (β = −0.011; p = 0.019) and cIMT (β = 0.38; p = 0.018) emerged as independent determinants of RDW. Conclusions: RDW and NLR strongly reflect the burden of inflammation, metabolic disturbance, and vascular dysfunction in patients across the CKD spectrum. The consistent associations with impaired calcification defense and with established cardiovascular risk markers underscore the potential value as accessible indicators of cardiovascular vulnerability in CKD. These findings support incorporating RDW and NLR into routine risk assessment and highlight T50 as a mechanistically relevant determinant of hematologic inflammation profiles. Full article
(This article belongs to the Section Endocrinology and Clinical Metabolic Research)
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25 pages, 562 KB  
Article
An Integrated Organizational Performance Model for Dual-Sector Companies: The Moderating Role of Company Size
by Nenad Novaković, Aleksandar Sofić, Ranko Bojanić, Ognjen Dopuđ and Aleksandra Sitarević
Adm. Sci. 2026, 16(4), 192; https://doi.org/10.3390/admsci16040192 - 19 Apr 2026
Viewed by 195
Abstract
The increasing adoption of servitization has led many manufacturing companies to operate simultaneously in manufacturing and service activities, creating dual-sector business models characterized by heightened organizational complexity. Although prior research acknowledges that both internal capabilities and contextual conditions shape organizational outcomes, fewer studies [...] Read more.
The increasing adoption of servitization has led many manufacturing companies to operate simultaneously in manufacturing and service activities, creating dual-sector business models characterized by heightened organizational complexity. Although prior research acknowledges that both internal capabilities and contextual conditions shape organizational outcomes, fewer studies have examined these variables within the same empirical model in companies operating under both manufacturing and service logics. Drawing on the resource-based view and contingency theory, this study examines the effects of organizational culture, organizational commitment, knowledge management, environmental uncertainty, and employee retention on organizational performance in dual-sector companies, while also assessing whether these relationships vary by company size. Survey data were collected from 433 employees working in dual-sector companies and were analyzed using confirmatory factor analysis, covariance-based structural equation modeling, and supplementary hierarchical regression analysis. The findings indicate that environmental uncertainty and employee retention did not receive empirical support as independent direct predictors in the structural model. Organizational commitment, knowledge management, and two dimensions of organizational culture—consistency and adaptability—are significant positive predictors of perceived organizational performance. The moderation analysis does not provide strong evidence that company size changes these relationships, although the interaction suggests that environmental uncertainty may be more consequential in large firms. This study contributes to research on servitization by showing that, in dual-sector companies, performance is most strongly associated with internal capabilities that support coordination, shared meaning, and knowledge integration across manufacturing and service activities. For managers, the results highlight the importance of strengthening commitment, adaptive coordination, and cross-domain knowledge processes rather than relying on retention efforts alone. Full article
(This article belongs to the Section Strategic Management)
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