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19 pages, 1368 KB  
Article
Comparison Between Active and Hybrid Magnetic Levitation Systems for High-Speed Transportation
by Andrea Tonoli, Marius Pakštys, Renato Galluzzi, Nicola Amati and Sofiane Ouagued
Appl. Sci. 2025, 15(17), 9793; https://doi.org/10.3390/app15179793 (registering DOI) - 6 Sep 2025
Abstract
The development of alternative transportation methods has become paramount in the context of sustainable urban population connectivity. The promise of hyperloop as a high-speed, low-emission travel means motivates both academic and industrial interests. The present work centers on the design of hyperloop levitation [...] Read more.
The development of alternative transportation methods has become paramount in the context of sustainable urban population connectivity. The promise of hyperloop as a high-speed, low-emission travel means motivates both academic and industrial interests. The present work centers on the design of hyperloop levitation systems. A component-level optimization is outlined for the appropriate selection of levitation module geometric parameters, followed by an integration into a capsule and bogie system. Two heteropolar levitation module types are numerically studied in realistic operating conditions: a hybrid electromagnet configuration with permanent magnets and a fully active one. To give means for comparison, both configurations are designed with the aid of a general multi-objective optimization approach. For the hybrid case, a position controller is synthesized with a zero-power policy and a specific frequency response function. The active configuration features comparable behavior. Two main power consumption streams are considered: gap control and magnetic drag. While the former depends on the position control effort, the latter depends on the losses of ferromagnetic elements. The two systems are compared in smooth and irregular track conditions over the studied speed range of 400–700 km/h. This study demonstrates that the hybrid heteropolar case achieves a minimum of 97.6% in specific power consumption reduction at the maximum speed of 700 km/h under smooth track conditions. Under irregular track conditions, a benefit in average specific consumption reduction is noted up to 662 km/h for the hybrid case. The maximum reduction in specific consumption is 57.2% at the minimum speed of 400 km/h. Full article
(This article belongs to the Section Transportation and Future Mobility)
17 pages, 1120 KB  
Article
Effects of Induced Physical Fatigue on Heart Rate Variability in Healthy Young Adults
by Pei-Chun Kao and David J. Cornell
Sensors 2025, 25(17), 5572; https://doi.org/10.3390/s25175572 (registering DOI) - 6 Sep 2025
Abstract
Detecting physical fatigue can help prevent overexertion. While typically defined at the muscle level, systemic fatigue remains less clear. Heart rate variability (HRV) reflects autonomic adaptability to physical stressors and may provide insight into fatigue-related responses. This study investigated the impact of physical [...] Read more.
Detecting physical fatigue can help prevent overexertion. While typically defined at the muscle level, systemic fatigue remains less clear. Heart rate variability (HRV) reflects autonomic adaptability to physical stressors and may provide insight into fatigue-related responses. This study investigated the impact of physical fatigue on HRV and its correlation with endurance performance. Twenty participants (9 F, 11 M; 23.4 ± 5.0 y) walked on the treadmill at 1.25 m/s with progressively increased incline. HRV metrics were derived from baseline standing (STAND), pre-fatigued (PRE) and post-fatigued walking (POST). Time-domain HRV measures (lnTRI and lnTINN) were significantly reduced at POST compared to PRE or STAND (p < 0.05). Non-linear measures (DFA-α1, lnApEn, and lnSampEn) decreased at POST, while lnPoincaré SD2/SD1 increased. Normalized frequency-domain measures showed no condition effects. Baseline non-linear measures (lnApEn, lnSampEn, lnPoincaré SD2/SD1), normalized frequency measures and Total Power were significantly correlated with total fatiguing duration. Significant reductions in HRV and irregularity were observed post-fatigue. Greater baseline variability, irregularity, and high-frequency band power, reflecting parasympathetic activity, were associated with better endurance performance. Time-domain and non-linear measures were more sensitive to fatigue, whereas frequency-domain measures remain useful for identifying associations with endurance. The findings highlight HRV features that could enhance wearable sensing for fatigue and performance. Full article
(This article belongs to the Special Issue Smart Sensing Technology for Industry and Environmental Applications)
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26 pages, 4813 KB  
Article
Nonlinear Dynamics Analysis of the Wheel-Side Planetary Reducer with Tooth Wear for the In-Wheel Motored Electric Vehicle
by Dehua Shi, Le Sun, Qirui Zhang, Shaohua Wang, Kaimei Zhang, Chunfang Yin and Chun Li
Mathematics 2025, 13(17), 2885; https://doi.org/10.3390/math13172885 (registering DOI) - 6 Sep 2025
Abstract
This paper investigates the nonlinear dynamics of the wheel-side planetary reducer, considering the tooth wear effect. The tooth wear model based on the Archard adhesion wear theory is established, and the impact of tooth wear on meshing stiffness and piecewise-linear backlash of the [...] Read more.
This paper investigates the nonlinear dynamics of the wheel-side planetary reducer, considering the tooth wear effect. The tooth wear model based on the Archard adhesion wear theory is established, and the impact of tooth wear on meshing stiffness and piecewise-linear backlash of the planetary gear system is discussed. Then, the torsional vibration model and dimensionless differential equations considering tooth wear for the wheel-side planetary reducer are established, in which meshing excitations include time-varying mesh stiffness (TVMS), piecewise-linear backlash, and transmission error. The dynamic responses are numerically solved using the fourth-order Runge–Kutta method. On this basis, the nonlinear dynamics, such as the bifurcation and chaos properties of the wheel-side planetary reducer with tooth wear, are analyzed. Simulation results demonstrate that the existence of tooth wear reduces meshing stiffness and increases backlash. The reduction in the meshing stiffness changes the bifurcation path and chaotic amplitude of the system, inducing chaotic phenomena more easily. The increase in the gear backlash causes a higher amplitude of the relative displacement and more severe vibration. Full article
(This article belongs to the Section C2: Dynamical Systems)
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22 pages, 1786 KB  
Article
Perception of University Faculty Members on Providing Policy Recommendations for Disaster Risk Reduction and Sustainable Development: A Case Study of Aceh Province, Indonesia
by Daisuke Sasaki, Yolanda Yolanda, Yuta Hara, Novi Reandy Sasmita and Hizir Sofyan
Sustainability 2025, 17(17), 8033; https://doi.org/10.3390/su17178033 (registering DOI) - 6 Sep 2025
Abstract
The Sendai Framework for Disaster Risk Reduction 2015–2030 articulates the need for a clear understanding of responsibilities across public and private stakeholders, including academia. This study aimed to clarify how university faculty members in Aceh Province, Indonesia, devastated by the 2004 Aceh Tsunami, [...] Read more.
The Sendai Framework for Disaster Risk Reduction 2015–2030 articulates the need for a clear understanding of responsibilities across public and private stakeholders, including academia. This study aimed to clarify how university faculty members in Aceh Province, Indonesia, devastated by the 2004 Aceh Tsunami, perceive the role of universities in suggesting policy recommendations for disaster risk reduction (DRR) and sustainable development, and their perspective on the relationship between those roles and the main functions of universities. A questionnaire survey was conducted with 400 respondents in Aceh Province from July 2023 to November 2023. The authors examined descriptive statistics, followed by Kruskal–Wallis tests and structural equation modeling (SEM). The authors found that most university faculty members were optimistic about the role of universities in providing policy recommendations for DRR. Furthermore, interest in DRR activities and relevant past experiences may influence their perception of these roles. The SEM analysis showed that faculty members perceive universities as key contributors to DRR policy recommendations. Based on the above, the authors posit that universities must adopt measures that empower faculty members to gain interest and experience in DRR activities. Steady progress in the main functions of universities is essential for articulating DRR policy recommendations. Full article
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14 pages, 1621 KB  
Article
A Bluetooth-Enabled Electrochemical Platform Based on Saccharomyces cerevisiae Yeast Cells for Copper Detection
by Ehtisham Wahid, Ohiemi Benjamin Ocheja, Antonello Longo, Enrico Marsili, Massimo Trotta, Matteo Grattieri, Cataldo Guaragnella and Nicoletta Guaragnella
Biosensors 2025, 15(9), 583; https://doi.org/10.3390/bios15090583 (registering DOI) - 5 Sep 2025
Abstract
Copper contamination in the environment poses significant risks to both soil and human health, making the need for reliable monitoring methods crucial. In this study, we report the use of the EmStat Pico module as potentiostat to develop a portable electrochemical biosensor for [...] Read more.
Copper contamination in the environment poses significant risks to both soil and human health, making the need for reliable monitoring methods crucial. In this study, we report the use of the EmStat Pico module as potentiostat to develop a portable electrochemical biosensor for copper detection, utilizing yeast Saccharomyces cerevisiae cells immobilized on a polydopamine (PDA)-coated screen-printed electrode (SPE). By optimizing the sensor design with a horizontal assembly and the volume reduction in the electrolyte solution, we achieved a 10-fold increase in current density with higher range of copper concentrations (0–300 µM CuSO4) compared to traditional (or previous) vertical dipping setups. Additionally, the use of genetically engineered copper-responsive yeast cells further improved sensor performance, with the recombinant strain showing a 1.7-fold increase in current density over the wild-type strain. The biosensor demonstrated excellent reproducibility (R2 > 0.95) and linearity over a broad range of copper concentrations, making it suitable for precise quantitative analysis. To further enhance portability and usability, a Bluetooth-enabled electrochemical platform was integrated with a web application for real-time data analysis, enabling on-site monitoring and providing a reliable, cost-effective tool for copper detection in real world settings. This system offers a promising solution for addressing the growing need for efficient environmental monitoring, especially in agriculture. Full article
(This article belongs to the Special Issue Sensors for Environmental Monitoring and Food Safety—2nd Edition)
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29 pages, 1840 KB  
Article
Multi-Objective Optimization in Virtual Power Plants for Day-Ahead Market Considering Flexibility
by Mohammad Hosein Salehi, Mohammad Reza Moradian, Ghazanfar Shahgholian and Majid Moazzami
Math. Comput. Appl. 2025, 30(5), 96; https://doi.org/10.3390/mca30050096 (registering DOI) - 5 Sep 2025
Abstract
This research proposes a novel multi-objective optimization framework for virtual power plants (VPPs) operating in day-ahead electricity markets. The VPP integrates diverse distributed energy resources (DERs) such as wind turbines, solar photovoltaics (PV), fuel cells (FCs), combined heat and power (CHP) systems, and [...] Read more.
This research proposes a novel multi-objective optimization framework for virtual power plants (VPPs) operating in day-ahead electricity markets. The VPP integrates diverse distributed energy resources (DERs) such as wind turbines, solar photovoltaics (PV), fuel cells (FCs), combined heat and power (CHP) systems, and microturbines (MTs), along with demand response (DR) programs and energy storage systems (ESSs). The trading model is designed to optimize the VPP’s participation in the day-ahead market by aggregating these resources to function as a single entity, thereby improving market efficiency and resource utilization. The optimization framework simultaneously minimizes operational costs, maximizes system flexibility, and enhances reliability, addressing challenges posed by renewable energy integration and market uncertainties. A new flexibility index is introduced, incorporating both the technical and economic factors of individual units within the VPP, offering a comprehensive measure of system adaptability. The model is validated on IEEE 24-bus and 118-bus systems using evolutionary algorithms, achieving significant improvements in flexibility (20% increase), cost reduction (15%), and reliability (a 30% reduction in unsupplied energy). This study advances the development of efficient and resilient power systems amid growing renewable energy penetration. Full article
(This article belongs to the Section Engineering)
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15 pages, 2796 KB  
Article
Liraglutide Increases Gastric Fundus Tonus and Reduces Food Intake in Type 2 Diabetic Rats
by Ana Catarina Carrêlo, Beatriz Martins, Raquel Seiça, Carlos Fontes-Ribeiro, Paulo Matafome and Sónia Silva
Diabetology 2025, 6(9), 96; https://doi.org/10.3390/diabetology6090096 (registering DOI) - 5 Sep 2025
Abstract
Background/Objectives: Incretin-based therapies have demonstrated benefits in glycemic control and the prevention of long-term complications of diabetes. In addition to glucose-dependent insulin secretion stimulation, glucagon-like peptide-1 (GLP-1) also inhibits gastric acid secretion, delays gastric emptying, inhibits gut motility and induces satiety. We aimed [...] Read more.
Background/Objectives: Incretin-based therapies have demonstrated benefits in glycemic control and the prevention of long-term complications of diabetes. In addition to glucose-dependent insulin secretion stimulation, glucagon-like peptide-1 (GLP-1) also inhibits gastric acid secretion, delays gastric emptying, inhibits gut motility and induces satiety. We aimed to understand the modulation of gastric fundus motility by GLP-1 receptor agonists (GLP-1RA). Methods: We have studied the relaxation to sodium nitroprusside (SNP) and noradrenaline (NA) of gastric fundus isolated from Wistar rats and Goto-Kakizaki (GK) rats, an animal model of spontaneous non-obese type 2 diabetes, after Liraglutide treatment (200 μg/kg s.c., b.i.d., 14 days). Results: Decreased relaxation induced by SNP and NA (0.01–889 μM) was observed in treated groups, with no significant changes in SNP maximum relaxation or in nNOS/p-nNOS levels between treated and non-treated rats of both animal models. Accordingly, in rat gastric fundus pre-contracted with 5 µM of carbachol, GLP-1RA (0.05–111.1 nM) induced contractile responses that were GLP-1R-dependent and -independent. Exenatide showed more intrinsic activity, while Liraglutide showed more potency than GLP-1 in Wistar rats. Moreover, GLP-1 showed more intrinsic activity in diabetic rats compared to control ones. Conclusions: Liraglutide-induced increased gastric muscle tone may contribute to the significant decrease in caloric intake and body weight in all treated rats, causing a reduction in gastric accommodation during food intake. Thus, the increased gastric fundus tone induced by GLP-1RA may constitute a peripheral mechanism by which they can reduce food intake and induce satiety. Full article
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25 pages, 9748 KB  
Article
Physical Drivers of Salinity in a Southern Baltic Coastal Lagoon: A Selective Modeling Approach
by Weronika Sowińska, Aleksandra Dudkowska, Maciej Matciak, Wojciech Brodziński and Marta Małgorzata Misiewicz
Water 2025, 17(17), 2630; https://doi.org/10.3390/w17172630 - 5 Sep 2025
Abstract
Coastal lagoons provide vital ecological functions, supporting diverse flora and fauna while being highly sensitive to environmental changes. In the southern Baltic Sea, the Puck Lagoon is a hydrologically distinct subregion of the Gulf of Gdańsk characterized by variable exchange of water with [...] Read more.
Coastal lagoons provide vital ecological functions, supporting diverse flora and fauna while being highly sensitive to environmental changes. In the southern Baltic Sea, the Puck Lagoon is a hydrologically distinct subregion of the Gulf of Gdańsk characterized by variable exchange of water with the outer bay and substantial freshwater inflows. Its benthic communities are particularly sensitive to salinity, yet the processes shaping this parameter remain insufficiently understood. In situ measurements in summer 2020 revealed relatively high salinity in the lagoon (up to 7.7 PSU) compared to the adjacent outer bay (7.2–7.4 PSU), with localized reductions near the Kuźnica Passage and the Reda River mouth. As a first step toward explaining the hydrodynamic processes responsible for these anomalies, we applied a high-resolution, two-dimensional model focused on three fundamental physical drivers: river inflows, open-boundary exchange, and wind forcing. These processes represent the primary controls on salinity in shallow lagoons and provide a basis for evaluating additional mechanisms. The model reproduced observed patterns with a mean absolute error of 0.15 PSU, confirming that this selective framework captures the key features of salinity variability and establishes a baseline for future three-dimensional modeling that will incorporate further processes such as vertical mixing, precipitation, and evaporation. Full article
(This article belongs to the Special Issue Application of Numerical Modeling in Estuarine and Coastal Dynamics)
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31 pages, 1600 KB  
Article
Network-Aware Smart Scheduling for Semi-Automated Ceramic Production via Improved Discrete Hippopotamus Optimization
by Qi Zhang, Changtian Zhang, Man Yao, Xiwang Guo, Shujin Qin, Haibin Zhu, Liang Qi and Bin Hu
Electronics 2025, 14(17), 3543; https://doi.org/10.3390/electronics14173543 - 5 Sep 2025
Abstract
The increasing integration of automation and intelligent sensing technologies in daily-use ceramic manufacturing poses new challenges for efficient scheduling under hybrid flow-shop and shared-kiln constraints. To address these challenges, this study proposes a Mixed-Integer Linear Programming (MILP) model and an Improved Discrete Hippopotamus [...] Read more.
The increasing integration of automation and intelligent sensing technologies in daily-use ceramic manufacturing poses new challenges for efficient scheduling under hybrid flow-shop and shared-kiln constraints. To address these challenges, this study proposes a Mixed-Integer Linear Programming (MILP) model and an Improved Discrete Hippopotamus Optimization (IDHO) algorithm designed for smart, network-aware production environments. The MILP formulation captures key practical features such as batch processing, no-idle kiln constraints, and machine re-entry dynamics. The IDHO algorithm enhances global search performance via segment-based encoding, nonlinear population reduction, and operation-specific mutation strategies, while a parallel evaluation framework accelerates computational efficiency, making the solution viable for industrial-scale, time-sensitive scenarios. The experimental results from 12 benchmark cases demonstrate that IDHO achieves superior performance over six representative metaheuristics (e.g., PSO, GWO, Jaya, DBO), with an average ARPD of 1.04%, statistically significant improvements (p < 0.05), and large effect sizes (Cohen’s d > 0.8). Compared to the commercial solver CPLEX, IDHO provides near-optimal results with substantially lower runtime. The proposed approach contributes to the development of intelligent networked scheduling systems for cyber-physical manufacturing environments, enabling responsive, scalable, and data-driven optimization in smart sensing-enabled production settings. Full article
(This article belongs to the Section Networks)
22 pages, 1473 KB  
Article
Optimized Operation Strategy for Multi-Regional Integrated Energy Systems Based on a Bilevel Stackelberg Game Framework
by Fei Zhao, Lei Du and Shumei Chu
Energies 2025, 18(17), 4746; https://doi.org/10.3390/en18174746 - 5 Sep 2025
Abstract
To enhance spatial resource complementarity and cross-entity coordination among multi-regional integrated energy systems (MRIESs), an optimized operation strategy is developed based on a bilevel Stackelberg game framework. In this framework, the integrated energy system operator (IESO) and MRIES act as the leader and [...] Read more.
To enhance spatial resource complementarity and cross-entity coordination among multi-regional integrated energy systems (MRIESs), an optimized operation strategy is developed based on a bilevel Stackelberg game framework. In this framework, the integrated energy system operator (IESO) and MRIES act as the leader and followers, respectively. Guided by an integrated demand response (IDR) mechanism and a collaborative green certificate and carbon emission trading (GC–CET) scheme, energy prices and consumption strategies are optimized through iterative game interactions. Inter-regional electricity transaction prices and volumes are modeled as coupling variables. The solution is obtained using a hybrid algorithm combining particle swarm optimization (PSO) with mixed-integer programming (MIP). Simulation results indicate that the proposed strategy effectively enhances energy complementarity and optimizes consumption structures across regions. It also balances the interests of the IESO and MRIES, reducing operating costs by 9.97%, 27.7%, and 4.87% in the respective regions. Moreover, in the case study, renewable energy utilization rates in different regions—including an urban residential zone, a renewable-rich suburban area, and an industrial zone—are improved significantly, with Region 2 increasing from 95.06% and Region 3 from 77.47% to full consumption (100%), contributing to notable reductions in carbon emissions. Full article
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16 pages, 1745 KB  
Article
SMS and Telephone Communication as Tools to Reduce Missed Medical Appointments
by Michał Brancewicz, Marlena Robakowska, Marcin Śliwiński and Dariusz Rystwej
Appl. Sci. 2025, 15(17), 9773; https://doi.org/10.3390/app15179773 (registering DOI) - 5 Sep 2025
Abstract
The aim of this study was to analyze the effectiveness of implementing an automated appointment confirmation system in a mental health clinic and to assess its impact on patient attendance, which may indirectly support the patient recovery process. The study was conducted at [...] Read more.
The aim of this study was to analyze the effectiveness of implementing an automated appointment confirmation system in a mental health clinic and to assess its impact on patient attendance, which may indirectly support the patient recovery process. The study was conducted at a mental health outpatient clinic in Gdańsk, Poland, and focused on medical appointments across three affiliated outpatient units. Data from 2019 and 2023 were compared, focusing particularly on the rate of missed appointments (relationship between number of visits that did not take place and total number of visits that were scheduled in the software), form return rates (the relationship between the number of forms returned by patients and the total number sent), and patient opinions regarding the usability of the new system. The results showed a significant reduction in no-show rates—from 18.55% to 7.01%—confirming the high effectiveness of the automated system. The form return rate reached 55.41%, with the highest engagement observed among individuals aged 35–44. Patient evaluation of the system was highly positive—over 93% found it intuitive and meeting their expectations. A proprietary software solution developed in Python, alongside databases and Microsoft Office Access/Excel tools, was used for data collection and analysis. The study demonstrated that a comprehensive approach, combining automated reminders with the ability for quick patient response and telephone support, is an effective tool for improving the accessibility and quality of healthcare services. The analysis also considered limitations related to digital barriers and identified directions for further research, including studies on how patient abstention from appointments affects their recovery process. Full article
(This article belongs to the Section Biomedical Engineering)
23 pages, 4545 KB  
Article
Genome-Wide Association Study and Transcriptome Analysis Reveal Alkaline Stress-Responsive Genes in Bread Wheat (Triticum aestivum L.)
by Xuelian Sun, Xin Kang, Jiayan Wang, Xiaoyan He, Wenxing Liu, Dengan Xu, Xuehuan Dai, Wujun Ma and Jianbin Zeng
Int. J. Mol. Sci. 2025, 26(17), 8659; https://doi.org/10.3390/ijms26178659 - 5 Sep 2025
Abstract
Alkaline stress, driven by high pH and carbonate accumulation, results in severe physiological damage in plants. While the molecular mechanisms underlying alkaline tolerance have been partially elucidated in many crops, they remain largely unexplored in wheat. We hypothesize that alkaline stress tolerance in [...] Read more.
Alkaline stress, driven by high pH and carbonate accumulation, results in severe physiological damage in plants. While the molecular mechanisms underlying alkaline tolerance have been partially elucidated in many crops, they remain largely unexplored in wheat. We hypothesize that alkaline stress tolerance in wheat is genotype-dependent. This study employed an integrated multi-omics approach to assess alkaline stress responses, combining genome-wide association study (GWAS) and RNA-seq analyses. Systematic phenotyping revealed severe alkaline stress-induced root architecture remodeling—with 57% and 73% length reductions after 1- and 3-day treatments, respectively—across 258 accessions. Analysis of the GWAS results identified nine significant alkaline tolerance QTLs on chromosomes 1A, 3B, 3D, 4A, and 5B, along with 285 associated candidate genes. Using contrasting genotypes—Dingxi 38 (tolerant) and TDP.D-27 (sensitive)—as experimental materials, physiological analyses demonstrated that root elongation was less inhibited in Dingxi 38 under alkaline stress compared to TDP.D-27, with superior root integrity observed in the tolerant genotype. Concurrently, Dingxi 38 exhibited enhanced reactive oxygen species (ROS) scavenging capacity. Subsequent RNA-seq analysis identified differentially expressed genes (DEGs) involved in ion homeostasis, oxidative defense, and cell wall remodeling. Integrated GWAS and RNA-seq analyses allowed for the identification of seven high-confidence candidate genes, including transcription factors (MYB38, bHLH148), metabolic regulators (ATP-PFK3), and transporters (OCT7), elucidating a mechanistic basis for adaptation to alkaline conditions. These findings advance our understanding of alkaline tolerance in wheat and provide candidate targets for molecular breeding of saline- and alkaline-tolerant crops. Full article
(This article belongs to the Special Issue Molecular Mechanisms of Plant Abiotic Stress Tolerance: 2nd Edition)
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24 pages, 4279 KB  
Article
Effects of Exposure of PHMG-p, a Humidifier Disinfectant Component, on Eye Dryness: A Study on a Rat Model Based on 1H-NMR Metabolomics
by Jung Dae Lee, Hyang Yeon Kim, Soo Bean Oh, Hyeyoon Goo, Kyong Jin Cho, Gi-Wook Hwang, Suhkmann Kim and Kyu-Bong Kim
Int. J. Mol. Sci. 2025, 26(17), 8660; https://doi.org/10.3390/ijms26178660 - 5 Sep 2025
Abstract
Polyhexamethylene guanidine phosphate (PHMG-p), a widely used disinfectant component in household humidifiers, has been implicated in various health issues, including pulmonary toxicity. Many people use humidifiers to improve dry eye disease (DED). The current study was performed to elucidate the effect of PHMG-p [...] Read more.
Polyhexamethylene guanidine phosphate (PHMG-p), a widely used disinfectant component in household humidifiers, has been implicated in various health issues, including pulmonary toxicity. Many people use humidifiers to improve dry eye disease (DED). The current study was performed to elucidate the effect of PHMG-p on eye dryness in a rat model using metabolomics. Male Sprague Dawley rats were exposed to PHMG-p (0.1% and 0.3%) following a previously established DED induction model using scopolamine hydrobromide and desiccation stress. Ocular surface damage was assessed using corneal fluorescein staining, tear volume measurement, and tear break-up time (TBUT). Plasma and urine samples were analyzed using 1H-NMR-based metabolomics to identify metabolic alterations associated with PHMG-P-p exposure and DED pathogenesis. PHMG-p exposure exacerbated DED symptoms, as evidenced by a significant reduction in tear volume, shorter TBUT, and increased corneal damage compared to the control group. Metabolomic profiling identified distinct metabolic changes in PHMG-p-exposed groups, including alterations in glutamate, glycine, citrate, and succinate metabolism. These metabolic changes correlated with increased levels of inflammatory cytokines such as IL-1β, IL-6, and TNF-α in the corneal and lacrimal gland tissues. Our findings suggest that PHMG-p exposure contributes to DED pathophysiology by inducing metabolic disturbances and inflammatory responses in the ocular surface. This study highlights the need for further investigation into the potential risks of PHMG-p exposure on ocular health and provides novel insights into the metabolic underpinnings of DED. Full article
(This article belongs to the Special Issue Molecular Advances in Dry Eye Syndrome)
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19 pages, 386 KB  
Review
Associations Between Common Hip and Knee Osteoarthritis Treatments and All-Cause Mortality
by John W. Orchard, L. Edward Tutt, Anna Hines and Jessica J. Orchard
Healthcare 2025, 13(17), 2229; https://doi.org/10.3390/healthcare13172229 - 5 Sep 2025
Abstract
Background: Osteoarthritis has a large and growing burden in an ageing population. Controversy exists in current management, particularly regarding opioid use due to increasing negative effects. Clinicians need guidance on the individual mortality associations for common osteoarthritis treatments when compared to a control. [...] Read more.
Background: Osteoarthritis has a large and growing burden in an ageing population. Controversy exists in current management, particularly regarding opioid use due to increasing negative effects. Clinicians need guidance on the individual mortality associations for common osteoarthritis treatments when compared to a control. Aims: The aim is to undertake a structured narrative literature review comparing mortality associations for common osteoarthritis management options. Methods: A search strategy (Web of Science 23 September 2024) was performed to identify observational studies which reported all-cause mortality in a treatment group compared to a control. The control group could be either the general population or those with osteoarthritis who were treated with the following: NSAIDs (non-steroidal anti-inflammatory drugs), opioids, paracetamol, GLP-1 RAs (Glucagon-like peptide-1 receptor agonists), hip or knee arthroplasty, or exercise. Articles were screened by two authors, and each included article was assessed for adequate quality using the strengthening the reporting of observational studies in epidemiology (STROBE) framework. Results: Of 2362 studies retrieved, 39 cohort studies met the inclusion requirements. Exercise, compared to no or lower levels of exercise, had ten studies reporting substantially reduced all-cause mortality. GLP-1 RA agonists had two related studies showing all-cause mortality reduction up to 5 years. Mortality following joint arthroplasty followed a multi-phasic response. There was a short-term post-surgical increase in mortality. However, from 90 days post-surgery to 8–11 years, there were significant reductions in mortality. After 9–12 years post arthroplasty, mortality increased and became significantly higher. Opioids were associated with an increase in mortality in 6 out of 7 studies. Inconsistent trends were found for NSAIDs and paracetamol. Conclusions: Exercise and GLP-1 RA prescription are associated with reduced all-cause mortality. Arthroplasty was found to have survival benefit until 9–11 years post-operatively, whereafter mortality then increased. Opioids were found to consistently increase mortality when used for non-cancer pain at all time points. The other common osteoarthritis treatments assessed were not consistently associated with changes in mortality. Full article
(This article belongs to the Section Healthcare Quality, Patient Safety, and Self-Care Management)
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13 pages, 1078 KB  
Article
Polydatin Modulates Inflammatory Cytokine Expression in Lipoteichoic Acid-Stimulated Human Dental-Pulp Stem Cells
by Rawan Al-Ateeq, Mona Elsafadi, Manikandan Muthurangan and Solaiman Al-Hadlaq
J. Funct. Biomater. 2025, 16(9), 331; https://doi.org/10.3390/jfb16090331 - 5 Sep 2025
Abstract
Gram-positive bacteria are responsible for initiating dental caries. In this process, lipoteichoic acid (LTA), which is expressed on Gram-positive bacteria cell walls, binds to the dental pulp cells, triggering an immune response, followed by inflammation and eventually pulp necrosis. Polydatin is a polyphenolic [...] Read more.
Gram-positive bacteria are responsible for initiating dental caries. In this process, lipoteichoic acid (LTA), which is expressed on Gram-positive bacteria cell walls, binds to the dental pulp cells, triggering an immune response, followed by inflammation and eventually pulp necrosis. Polydatin is a polyphenolic compound that has been shown to modulate inflammatory mediators in a manner favorable to healing. The purpose of this study was to assess levels of expression of the most prevalent cytokines in the inflamed pulp after polydatin treatment of LTA-stimulated human dental-pulp stem cells (hDPSCs). LTA-stimulated hDPSCs were treated with polydatin in three different concentrations (0.01 µM, 0.1 µM, and 1 µM). Interleukin-6 (IL-6), interleukin-8 (IL-8), interleukin-10 (IL-10), and tumor necrosis factor-α (TNF-α) levels were measured using reverse transcription–quantitative polymerase chain reaction (RT-qPCR) and enzyme-linked immunosorbent assay (ELISA) were quantified. Treatment with all concentrations of polydatin significantly decreased IL-6 and TNF-α levels as evaluated by ELISA and RT-qPCR, respectively. In addition, a significant reduction was observed in IL-8 levels of mRNA and in ELISA, with 0.01 µM and with 1 µM of polydatin in RT-qPCR. On the other hand, IL-10 levels increased with all of the concentrations. In conclusion, polydatin treatment of LTA-stimulated hDPSCs modulated inflammatory cytokine production by suppressing IL-6, IL-8, and TNF-α levels while elevating IL-10 levels. Full article
(This article belongs to the Section Dental Biomaterials)
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