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MethodsX

Elsevier BV

Preprints posted in the last 30 days, ranked by how well they match MethodsX's content profile, based on 16 papers previously published here. The average preprint has a 0.01% match score for this journal, so anything above that is already an above-average fit.

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Sacroiliac Joint Dysfunction and Associated Disability in the Immediate Postpartum Period: A Cross-Sectional Analysis for Clinical Screening and Rehabilitation

Sattar, H.; Bari, M. H.; Munir, M. H.

2026-08-11 rehabilitation medicine and physical therapy 10.64898/2026.08.10.26360087 medRxiv
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Background: Sacroiliac joint (SIJ) pain is a common musculoskeletal condition among postpartum women due to hormonal, biomechanical, and physiological changes during pregnancy and childbirth. Increased ligament laxity, altered posture, weight gain, and pelvic instability may contribute to sacroiliac joint dysfunction. This condition often leads to pelvic girdle pain, low back pain, and functional limitations that affect daily activities such as walking, sitting, standing, and childcare. Objective: To determine the prevalence of sacroiliac joint pain and assess the level of disability among postpartum females in Sialkot. Materials and Methods: A descriptive cross-sectional study was conducted among 300 postpartum women aged 20-40 years from public and private hospitals in Sialkot. Non-probability convenience sampling approach was employed. Sacroiliac joint pain was assessed using clinical provocation tests including FABER, compression, and distraction tests. Pain intensity was measured using the Numerical Pain Rating Scale (NPRS), and functional disability was evaluated using the Oswestry Disability Index (ODI). Data were analyzed using SPSS version 25. Results: Clinical provocation testing demonstrated positive SIJ pain provocation in 84.0% (n=252) of acute postpartum participants, with severe functional disability observed in 46.0% (n=138). Most women reported moderate pain (74.7%), while 20.7% experienced severe pain. According to the ODI, 46% of participants had severe disability, 37.7% moderate disability, 10.7% minimal disability, and 5.7% were classified as crippled. Conclusion: Sacroiliac joint pain is highly prevalent among postpartum females and is associated with considerable functional disability. Early screening and physiotherapy-based rehabilitation may help reduce pain and improve functional outcomes. Keywords: Sacroiliac joint pain, Postpartum women, Pelvic girdle pain, Functional disability, Oswestry Disability Index.

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Optimized Mn2+-Phos-tag Gels Reveal Sarcomeric Protein Dephosphorylation upon Myofibril Preparation

Syed, S. B.; Fenwick, A.; Bodt, S. M. L.; Wishard, R.; Foster, D. B.

2026-08-24 biochemistry 10.64898/2026.08.21.746362 medRxiv
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Precise quantification of myofilament protein phosphorylation is essential for understanding the regulation of cardiac contractility in health and disease. Although Phos-tag SDS-PAGE is widely used to resolve phosphorylated protein isoforms, its reproducibility and quantitative reliability are often limited by variability in the key experimental factors, including gel composition, electrophoretic conditions, protein loading, and sample preparation. Here, we present a standardized manganese (Mn2+)-Phos-tag SDS-PAGE workflow optimized for cardiac myofilament proteins, using myosin regulatory light chain 2 (MLC2) and cardiac troponin I (cTnI) as model targets. We systematically evaluated critical parameters - including Mn2+ and Phos-tag concentrations, acrylamide composition, electrophoretic regime, buffer chemistry, protein loading, and EDTA-mediated transfer - to define conditions that maximize phospho-species resolution while preserving quantitative fidelity. We further demonstrate that electrophoresis rate, sample loading, and extraction strategy significantly influence band morphology, signal intensity, and the apparent distribution of phospho-species. As a use case scenario, we compared Trichloroacetic acid (TCA) extracted mouse left ventricular homogenates with myofibrils prepared using a widely adopted Triton-X-100 tissue-demembranization protocol. Myofibril preparation was associated with profound MLC2 dephosphorylation at the earliest stages of preparation, whereas cTnI exhibited a marked reduction in higher-order, low-stoichiometry phosphoforms. Further evaluation of Myosin-binding protein C (MyBP-C) showed progressive loss of phosphorylation over the course of 24 hours. We submit that TCA-extracted heart standards in combination with Phos-tag gels can provide valuable quality control for the phosphorylation status of myofibril preparations, and that inclusion of a high-affinity PP2A and PP1 phosphatase inhibitor like okadaic acid may benefit future myofibril mechanics studies.

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Initial Staging 18F-FDG PET/CT for Coronary Artery Calcium Scoring to Assess Cardiovascular Risk in Women with Breast Cancer

Fleming, M. R.; Tayon, K. G.; Schneider, A.; McPherson, A. D.; Bianco, S. M.; Parent, E. E.; Sharma, A.; Lin, G.; Norton, N.; Ray, J. C.

2026-08-26 cardiovascular medicine 10.64898/2026.08.24.26361275 medRxiv
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Background. Cardiovascular disease is a leading cause of death among women with breast cancer, and the 2026 ACC/AHA dyslipidemia guideline endorses coronary artery calcium (CAC) scoring to guide statin therapy before cardiotoxic treatment. Breast cancer patients routinely undergo staging 18F-fluorodeoxyglucose PET/CT, whose low-dose CT visualizes the coronary arteries, thus enabling CAC quantification at no additional cost or radiation. Methods. In this single-center retrospective study, consecutive women with newly diagnosed breast cancer undergoing staging 18F-FDG PET/CT (2009?2021) had semi-automated Agatston CAC scoring performed on the low-dose CT and were stratified by CAC presence (CAC-P) versus absence (CAC-A). We assessed a composite of cardiac diagnostic testing (stress testing, coronary CT angiography, invasive angiography), clinical events, and reclassification of statin eligibility per ACC/AHA guideline thresholds in a prevention-eligible subgroup. Results. Among 276 women (mean age 55.5 years; median follow-up 7.1 years), CAC was present in 68 (25%) but was clinically reported in only 5.4%. CAC-P was associated with more cardiac testing (34% vs 12%; age-adjusted hazard ratio 2.75, 95% CI 1.43?5.28) and, though underpowered, with more atherosclerotic events (7.4% vs 1.4%), but not with the all-cause composite. In the prevention-eligible subgroup (n=39), CAC scoring would have changed statin eligibility in 64%, initiating therapy in 62% of CAC-P women and supporting de-prescribing in 67% of CAC-A women. Conclusions. CAC can be feasibly quantified from staging PET/CT in women with breast cancer and would frequently reclassify statin eligibility at no additional cost or radiation, yet is rarely reported.

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FoxTail: An R-Peak-Anchored Event Domain for Visualizing and Quantifying Changes in ECG Dynamics

Garcia, N. M.

2026-08-18 cardiovascular medicine 10.64898/2026.08.16.26360545 medRxiv
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Conventional electrocardiography is highly effective for waveform and rhythm diagnosis, but it is less suited to showing how the internal shape of hundreds or thousands of consecutive heartbeats changes over time. We introduce FOXTAIL, a complementary view that represents each cardiac cycle as an ordered sequence of changes in signal direction. Overlaying these sequences in a fixed visual field makes beat-to-beat organization visible and allows the density, size, stability, and scale persistence of those changes to be measured. We evaluated the representation in recordings containing normal sinus rhythm, paroxysmal atrial fibrillation, severe heart failure, ventricular tachyarrhythmia, and controlled electrode-motion noise. Paired recordings showed that FOXTAIL descriptors can reveal within-person state changes that are not conveyed by a single average beat. The noise and pre-fibrillation analyses also showed that a dense event pattern is not automatically equivalent to physiological complexity, measurement artifact, or impending disease. FOXTAIL is therefore not proposed as a replacement for the diagnostic ECG or as a new classifier, but as an observation and measurement domain for asking a more basic question: how is the electrical organization of the heart changing from one beat to the next, and which of those changes persist across scale?

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The Leiden ex vivo human growth plate model in severe tall stature: a proof-of-concept study

Tuerlings, M.; Ramos, Y. F. M.; Suchiman, H. E. D.; Sayedipour, S.; Joustra, S. D.; Rabelink-Hoogenstraaten, A.; van Duyvenvoorde, H. A.; Kempink, D. R. J.; Bas de Witte, P.; Meulenbelt, I.; de Bruin, C.

2026-08-26 developmental biology 10.64898/2026.08.25.746685 medRxiv
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Background: Viable pediatric human growth plate (GP) tissue is rarely available for translational research, limiting direct investigation of human longitudinal bone growth and pediatric growth disorders. In this proof-of-concept study, we aimed to determine whether it is feasible to establish a clinically integrated ex vivo human GP model using tissue obtained during routine percutaneous epiphysiodesis (PE) procedures in adolescents treated for extreme tall stature or leg length difference due to trauma. Methods: GP tissue and cells were collected during PE and processed using protocols adapted from established methods of human osteoarthritic cartilage processing within the RAAK study. Feasibility was assessed by evaluating tissue collection, cell isolation, contamination rate, monolayer expansion, and generation of three-dimensional cartilage pellets. Proliferation of GP-derived chondrocytes was compared with osteoarthritis-derived articular chondrocytes, and histological assessment was performed to evaluate cartilage-like matrix formation. Results: Across consecutive surgical procedures, viable GP tissue could be obtained reproducibly, with only few samples failing to yield cells and no relevant contamination issues. Isolated GP chondrocytes expanded successfully in two-dimensional culture and showed a strong early proliferative response compared with RAAK-derived chondrocytes. In addition, GP-derived cells formed three-dimensional organoids and histology confirmed cartilage-like matrix deposition supporting their capacity to generate neo-cartilage tissue in vitro. Conclusion: This study demonstrates feasibility to obtain, culture, and functionally assess viable human GP tissue from routine PE surgery. As such, the Leiden ex vivo human GP model provides a unique platform to study local mechanisms of endochondral bone growth, link genetic determinants of height to functional GP biology, and support future therapeutic research in pediatric growth disorders.

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Soft-Tissue versus Hematologic Primary Malignant Cardiac Tumors: Demographics and First-Course Treatment Patterns in the SEER Registry

Mathew, Z.; Mehta, R.; Kim, S.; Jeyaraj, J.; Asif, T.

2026-08-31 cardiovascular medicine 10.64898/2026.08.25.26361262 medRxiv
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Background: Primary malignant cardiac tumors (PMCTs) are rare and histologically heterogeneous. Objective: To compare demographics, specific ICD-O-3 morphologies, first-course treatment patterns, annual registered case counts, and unadjusted overall survival between soft-tissue and hematologic PMCTs. Methods: We identified 730 PMCT cases diagnosed from 2000 to 2021 in SEER 18 (ICD-O-3 topography C38.0). Histologic lineage was assigned from ICD-O-3 morphology. Comparative analyses included soft-tissue (n=458) and hematologic (n=212) tumors. First-course variables were primary-site surgery, chemotherapy (yes versus no/unknown), and radiotherapy (radiation versus none/unknown). Groups were compared with chi-square tests. Overall survival was estimated with Kaplan-Meier methods; follow-up was truncated at 120 months. Results: Soft-tissue PMCTs occurred predominantly at ages 45-64 years (67.9%), whereas hematologic PMCTs occurred predominantly at age [&ge;]65 years (63.2%; p<0.001). Men comprised 59.9% of hematologic and 49.3% of soft-tissue cases (p=0.014). The leading soft-tissue morphology was hemangiosarcoma/angiosarcoma (ICD-O-3 9120/3; 201/458, 43.9%); synovial sarcoma accounted for 20/458 cases (4.4%). Diffuse large B-cell lymphoma, NOS, accounted for 131/212 hematologic tumors (61.8%). Any primary-site surgery was recorded in 66.6% of soft-tissue versus 15.6% of hematologic cases (p<0.001). Chemotherapy was recorded in 67.5% versus 51.1% (p<0.001), and radiotherapy in 9.0% versus 20.5% (p<0.001). In exploratory Kaplan-Meier analyses, hematologic patients with recorded chemotherapy had higher unadjusted 120-month overall survival than those without recorded chemotherapy (42.0% versus 12.2%; log-rank p=7.5x10-). Radiation-associated survival differences were not statistically significant in either lineage. Conclusions: Soft-tissue and hematologic PMCTs have distinct age distributions, named histologies, and first-course treatment patterns in SEER. These findings describe registry coding and do not establish treatment effectiveness or population incidence.

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Fingertip-Surface Interfacial Shear Stress Varies with Sliding Conditions and Electrostatic Actuation

Kenanoglu, C. U.; Vardar, Y.

2026-08-20 biophysics 10.64898/2026.08.13.744590 medRxiv
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Fingertip friction plays a central role in tactile exploration and object manipulation. During sliding, tangential force depends jointly on the real contact area and the interfacial shear stress, both of which can be influenced by sliding conditions. However, changes in fingertip friction are often interpreted primarily through changes in real contact area, whereas the accompanying changes in interfacial shear stress remain less well characterized. This gap is especially relevant for electrostatic surface haptic displays, which modulate fingertip friction by applying a voltage between the finger and the touch surface. Here, we experimentally quantify the mean interfacial shear stress of a sliding fingertip on an electrostatically actuated touchscreen using simultaneous measurements of tangential force and optically resolved real contact area. Ten participants performed sliding trials across three speeds and three normal forces with and without electrostatic actuation. Interfacial shear stress increased with speed and decreased with normal force; in both cases, these trends arose because real contact area varied more strongly than tangential force. Electrostatic actuation further reduced interfacial shear stress, as increasing voltage produced a larger increase in real contact area than in tangential force. These findings show that interfacial shear stress varies systematically with sliding conditions and electrostatic actuation, clarifying how changes in real contact area and interfacial shear stress combine to shape fingertip-surface friction.

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Feasibility study of gait analysis using a new Wearable Force Plate

Sanz Morere, C. B.; Garrido-Lopez, G.; Hayase, M.; Rueda, J.; An, Q.; Shimoda, S.; Moreno, J. C.; Navarro, E.

2026-09-02 rehabilitation medicine and physical therapy 10.64898/2026.08.30.26361786 medRxiv
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Static force plates (FP) are the gold standard for measuring ground reaction forces (GRF) and computing joint moments through inverse dynamics in gait analysis. However, they are restricted to controlled environments, and the number of steps analyzed is limited by the plates embedded in the floor. To address these limitations, portable solutions such as sensorized insoles, socks, or shoes have emerged. Yet, creating wearable systems capable of measuring three-dimensional GRF in real-world conditions remains challenging. Current sensorized shoes often incorporate thick sensors (up to 2 cm), reducing usability and limiting their application in pathological populations or dynamic tasks like running. This study evaluates the usability of ShokacShoes, a novel sensorized shoe integrating three thin, three-dimensional force sensors, and explores its potential as a Wearable Force Plate (WFP). Eight healthy participants performed slow, natural, and fast walking using two insole configurations. Force and temporal metrics were derived from WFP and FP data. Results indicate that WFP enables accurate step segmentation and detects significant effects of speed and insole type on temporal and force metrics, confirming its reliability under different walking conditions. Comparisons with FP revealed differences in force metrics and signal morphology, though temporal parameters remained consistent. These results are likely due to sensor quantity and positioning. Thereby, ShokacShoes represent a valid solution capable of measuring three-dimensional forces within commercial footwear. Future work will focus on validating the applicability of a new version of ShokacShoes against gold-standard FP in a comprehensive validation study involving diverse real-world scenarios and pathological conditions.

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A robust approach for preserving and sectioning fragile 3D spheroids for high-quality histological analysis

Cervantes-Rivera, R.; Figueroa Ortiz, S. J.; Romero Rosas, A. Z.; Sanchez Orozco, A.; Herrera-Vargas, M. A.; Melendez-Herrera, E.; Lopez-Rodriguez, M.; Ochoa-Zarzosa, A.; Lopez-Meza, J. E.

2026-08-11 cell biology 10.64898/2026.08.05.743094 medRxiv
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Three-dimensional (3D) spheroid models have become essential in cancer biology, drug screening, and tissue engineering. However, their small size, fragile structure, and tendency to disintegrate during routine histoprocessing present persistent technical challenges. Conventional paraffin embedding often results in tissue fragmentation, loss of spatial orientation, and poor section quality, whereas cryosectioning often compromises cellular morphology. Here, we present a robust, cost-effective protocol for preserving and sectioning fragile 3D spheroids, resulting in high-quality histological sections with intact architecture and excellent cellular detail. The method involves optimized handling and embedding procedures that stabilize spheroids during standard formalin fixation, paraffin infiltration, and microtomy, eliminating mechanical distortion and preserving spherical integrity for consistent sectioning. We demonstrate successful application across different cell line spheroids, with subsequent compatibility with hematoxylin and eosin (H&E) staining protocols. Compared to conventional methods, our approach significantly reduces sample loss, improves inter-section reproducibility, and preserves fine structural features such as necrotic cores, proliferative zones, and extracellular matrix components. This protocol provides a reliable, accessible solution for routine histological analysis of fragile 3D spheroids, facilitating more accurate morphological and molecular assessment in translational research settings. Key featuresO_LIMaintains spheroid integrity: Prevents mechanical distortion, fragmentation, and loss of spatial orientation during processing. C_LIO_LISignificantly reduces sample loss: Decreases failure rate compared to traditional methods, conserving valuable samples. C_LIO_LIBroad spheroid compatibility: Works effectively with primary tumor-derived, stem cell-derived, and co-culture spheroid models. C_LIO_LIEnables high-quality sectioning and staining: Delivers consistent, reproducible sections that are fully compatible with H&E, IHC, and IF. C_LI Graphical overview O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=140 SRC="FIGDIR/small/743094v1_ufig1.gif" ALT="Figure 1"> View larger version (44K): org.highwire.dtl.DTLVardef@1670c4org.highwire.dtl.DTLVardef@145810aorg.highwire.dtl.DTLVardef@1accb1org.highwire.dtl.DTLVardef@17481c0_HPS_FORMAT_FIGEXP M_FIG C_FIG

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Rapid point-of-care lipoprotein assays by benchtop NMR spectroscopy

Makinen, V.-P.; Tynkkynen, T.; Mantyselka, P.; Ala-Korpela, M.

2026-08-28 cardiovascular medicine 10.64898/2026.08.24.26361213 medRxiv
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BACKGROUND: Circulating lipoprotein measures such as low-density lipoprotein (LDL) cholesterol and apolipoprotein B are causal biomarkers of cardiovascular risk. These can be quantified quickly and accurately by nuclear magnetic resonance (NMR) spectroscopy, but clinical translation has been slow. We investigated easy-to-operate and affordable benchtop NMR technology as a new means to quantify lipoprotein biomarkers in point-of-care settings. METHODS: Serum samples from 336 individuals were analysed with a benchtop NMR spectrometer operating at 80 MHz and a high-field NMR spectrometer operating at 600 MHz. Glucose, apolipoprotein A-I, apolipoprotein B, total triglycerides, total cholesterol, LDL cholesterol and high-density cholesterol were determined by standard biochemistry. Corresponding NMR-based measures were quantified by linear regression. The 80 MHz dataset included experiments with different scan settings to optimize measurement time (1,987 spectra in total). RESULTS: We identified 32 scans (2 min 8 s) as the minimum runtime for lipoprotein quantification. Total triglycerides and glucose were quantified with the highest accuracy (CV [&le;]5.2%, R2 [&ge;]95%), while LDL cholesterol was more challenging (CV = 10.1%, R2 = 72%) and apolipoprotein B in between (CV = 7.4%, R2 = 74%). Epidemiological correlations between biochemistry assays and sex, obesity, glycemia and blood pressure were reproduced by the corresponding benchtop assays (P [&ge;]0.11 for difference). CONCLUSIONS: We developed a new lipoprotein quantification method and demonstrated its feasibility for standard lipoprotein analytics. The portability and cost-effectiveness of benchtop NMR make it an appealing choice for research and clinical settings where rapid and robust results on site are an advantage.

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Respiration-Deficient Cells Require Pyruvate Carboxylase to Suppress Asparagine Auxotrophy

Cui, R.; Ryu, K. W.; Fu, Y.; Bakouny, Z.; Li, D.; Kavlashvili, T.; Sfeir, A.; Thompson, C.

2026-08-13 cell biology 10.64898/2026.08.12.744280 medRxiv
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Mutations in mitochondrial DNA (mtDNA) compromise ETC activity and impair oxidative phosphorylation. Since eukaryotic cells contain multiple copies of mtDNA, the resulting phenotype depends on the proportion of mutant mitochondrial genomes (the heteroplasmy level). Using isogenic cell lines carrying similar mtDNA deletions, a linear decline in cellular respiration was observed as mitochondrial DNA heteroplasmy increased. Despite this, cellular redox imbalance did not change until heteroplasmy exceeded 50%. As heteroplasmy increased past 70%, cells also exhibited an integrated stress response (ISR) and impaired translation was observed. These defects were reversed by either addition of asparagine or overexpression of pyruvate carboxylase (PC). The dependence on exogenous asparagine in other respiration-deficient cells was found to correlate inversely with the PC expression level. For example, patient-derived thyroid tumor cells, harboring high heteroplasmy for a Complex I mtDNA mutation and low levels of PC, exhibited asparagine auxotrophy, and L-asparaginase treatment suppressed tumor growth. Together, these findings demonstrate a role for mitochondrial pyruvate carboxylase in cellular asparagine synthesis under conditions of compromised respiratory activity.

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Concordance Between a Temple-Worn Optical Wearable and Transcranial Doppler During Exercise and Postural Transitions in Healthy Adults

Kumar, A.; van Rosmalen, L.; Gupta, A.; Sharma, S. K.; Gupta, R. C.; Panda, S.; Jain Gupta, N.

2026-09-04 cardiovascular medicine 10.64898/2026.09.02.26362022 medRxiv
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Cerebral hemodynamics are difficult to monitor continuously outside the laboratory. Optical head-worn wearables have been proposed for tracking cerebral blood-flow signals, but they require comparison with an established cerebrovascular reference before they can be interpreted. We evaluated a temple-worn optical wearable, Temple, that outputs a proprietary, dimensionless Brain Flow index, intended as a proxy for relative changes in cerebral hemodynamics, against transcranial Doppler (TCD) ultrasound, which measures blood-flow velocity in the middle cerebral artery (MCAv). Twenty-three healthy adults completed two physiological challenges that elicit distinct and acute cerebral hemodynamic responses: a cycle-ergometer exercise protocol and a stand-to-supine postural transition protocol. Twenty participants were analyzed per protocol. The Brain Flow index tracked MCAv in both protocols, with significant within-subject temporal correlations (median Pearson r = 0.795 and 0.799 for exercise and postural transition; p < 0.001) and directionally concordant, statistically significant transition responses for both increases and decreases in flow. Bland-Altman analysis of the normalized transition responses showed small mean biases between the two devices, consistent with similar relative response shapes. Because both signals were standardized within session before this comparison, it addresses the shape of the relative change rather than agreement in absolute units. The Brain Flow index reproduced the direction and time course of MCAv under both perturbations, including the postural transition, where heart rate moved in the opposite direction. Further studies using complementary modalities and additional cerebrovascular reactivity challenges are required to establish clinical use cases and cerebral specificity of the Brain Flow index.

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The Influence of Hand Muscle Fatigue on Fine Motor Performance During Selected Activities of Daily Living in Healthy Adults.

Alwash, M. A.; Karimi, H.

2026-08-10 rehabilitation medicine and physical therapy 10.64898/2026.08.07.26359929 medRxiv
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[Purpose] By pairing repeated peripheral muscle fatigue induction with a functional and ADL-based assessment, this study tests whether hand muscle fatigue alone is sufficient to im pair fine motor performance in healthy adults performing ADL-inspired tasks. [Participants and Methods] Thirty healthy male and female university students performed 11 tasks twice, once in the pre-fatigue condition and once in the post-fatigue condition. The performance of each task was graded on a 0-4 scale. The score and the time to finish the task (TTFT) were recorded twice, for both the pre- and post-fatigue phases. Maximum force gen eration (MFG) of each participant's grip was recorded prior to the tasks in the pre-fatigue phase and again in the fatigue condition after performing the fatigue protocol. [Results] Muscle fatigue did not have a significant effect on the fine motor performance of the thirty participants, neither (TTFT) nor the scores of each task (p > 0.05) (r=0.08). In contrast, hand muscle fatigue led to a significant decrease in the mean (MFG) for both males and females (p<0.01). [Conclusion] Hand muscle fatigue led to a significant decrease in the mean grip MFG for both sexes. However, this reduction did not translate into impaired fine motor performance during ADL-like tasks. Consequently, under muscle fatigue, hand grip changes during fine tasks tested are rare and have minor to no impact on hand performance. This study suggests that acute peripheral muscle fatigue can coexist with preserved fine motor performance in healthy populations.

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A multimodal protocol for assessing real-world monitoring of lower-limb prosthesis use

Ahmed, M.; Otalora, S.; Das Gupta, S.; Kutsuzawa, G.; Akaydin, A.; Le Kernec, J.; Kobayashi, Y.; Mico-Amigo, E.

2026-08-26 rehabilitation medicine and physical therapy 10.64898/2026.08.21.26360982 medRxiv
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Prosthesis non-use and abandonment remain common among people with lower-limb amputation, yet current outcome measures capture only limited aspects of how prostheses are used in everyday life. Clinical assessments are typically conducted in controlled settings and rely on self-report or aggregate activity counts, which do not adequately represent functional performance, physiological effort, or lived experience during real-world prosthesis use. Wearable and ambient sensing offer a means of addressing this gap, but existing approaches tend to measure single dimensions in isolation and are rarely validated against laboratory reference standards before free-living deployment. This protocol describes an integrated multimodal framework for assessing real-world lower-limb prosthesis use across three complementary domains: classification of activities of daily living, estimation of energy expenditure, and assessment of emotional state. Approximately 40 adults with unilateral transfemoral or transtibial amputation complete a two-phase protocol. In the laboratory phase, wearable inertial, physiological, and ambient sensing are validated against established reference standards, including video annotation and indirect calorimetry. In the free-living phase, validated models are applied during a single seven-day home monitoring period, unifying all three domains within one deployment. A defined data harmonisation and quality-control procedure aligns heterogeneous sensor streams and preserves traceability between laboratory calibration and free-living measurement, enabling reproducible interpretation of functional behaviour, metabolic cost, and momentary emotional experience in relation to established clinical outcome domains. By integrating multimodal sensing at the level of study design rather than post-hoc analysis, the framework provides a validated, reproducible methodology for characterising prosthesis use beyond the capacity of conventional instruments, offering a transferable approach for real-world monitoring in rehabilitation research

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What Matters Most: A Multi-Stakeholder Study of Outcome Domains in Lower-Limb Prosthesis Use

Ahmed, M. E.; Karlsson-Brown, S.; Koufaki, P.; Ahmadi, M.; Mico-Amigo, E. M.

2026-09-03 rehabilitation medicine and physical therapy 10.64898/2026.08.31.26361544 medRxiv
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Purpose: Lower-limb prosthesis use involves interacting physical, psychosocial, and device-related outcomes that may not be fully captured by conventional clinical assessment. This study aimed to develop and evaluate a stakeholder-informed framework of outcome domains relevant to meaningful everyday prosthesis use. Materials and Methods: A mixed-methods participatory design comprised a structured synthesis of selected clinically relevant content from five established patient-reported outcome measures; semi-structured interviews and importance and actionability ratings with 18 contributors (12 prosthesis users, four clinicians, and two industrial partners); and integration of the synthesis, qualitative, and rating findings. Interview records were analysed using reflexive thematic analysis, and ratings were analysed descriptively. Results: The resulting framework comprised four interrelated domains: Mobility, Physical Function, Psychosocial Wellbeing, and Prosthesis Experience. Mobility showed the clearest convergence across stakeholder perspectives. Prosthesis users showed the largest importance actionability gap for Prosthesis Experience (4.5 vs 3.0), whereas clinicians showed the largest gap for Psychosocial Wellbeing (5.0 vs 3.0). Interviews highlighted day-to-day variability in prosthesis use and the influence of confidence, fatigue, comfort, environmental conditions, social context, and device usability. Conclusions: Meaningful outcome assessment in prosthetic rehabilitation should extend beyond mobility alone to consider physical function, psychosocial wellbeing, and prosthesis experience within everyday contexts. The proposed framework provides a stakeholder-informed foundation for multidimensional outcome assessment in prosthetic rehabilitation.

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Sensorimotor effects of heatwrap and exercise in acute low back pain: results of a randomised controlled trial

Cote Picard, C.; Desgagnes, A.; Tittley, J.; Mailloux, C.; Perreault, K.; Mercier, C.; Dionne, C. E.; Roy, J.-S.; Masse-Alarie, H.

2026-09-02 rehabilitation medicine and physical therapy 10.64898/2026.08.31.26361841 medRxiv
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Background: Heatwrap is recommended for acute low back pain (ALBP), and previous research found heatwrap plus exercise more effective than each intervention alone. While recommended by clinical guidelines, their impact on mechanistic outcomes is unknown. This trial aimed to (i) assess immediate and short-term effects of heatwrap alone or combined with exercise, compared with a sham heatwrap, on pain sensitivity, lumbar muscle activity, current pain intensity, and trunk flexion range of motion, and (ii) explore whether changes in pain sensitivity and lumbar muscle activity are associated with changes in clinical symptoms from baseline to 1-week follow-up. Methods: A randomised controlled trial took place at a single research center. Of 315 individuals screened for eligibility, 99 adults with ALBP were recruited and assigned to one of three intervention groups: heatwrap plus exercise (n=34), heatwrap alone (n=33) or sham heatwrap (n=32). Interventions were applied for one hour at the first visit, and immediate effects were measured. Then, interventions were applied for 7 days, and short-term effects were measured at 1-week follow-up. Outcomes included pressure pain threshold, temporal summation of pain, flexion-relaxation ratio, trunk range of motion and current pain intensity. Results: Heatwrap and exercise did not produce greater effects over time than heatwrap alone or a sham heatwrap on all outcomes, and changes in sensorimotor outcomes at one week were not associated with changes in symptoms. Conclusions: Heatwrap and/or exercises did not influence specifically the potential sensorimotor mechanisms tested in individuals with ALBP. Trial registration: ClinicalTrials.gov; registration number: NCT03986047

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Lactate Dehydrogenase Activity and Carbohydrate Metabolism under Vanadium Citrate Exposure: Sex- and Dose-Dependent Effects in Rat Tissues

Iskra, R.; Klymets, H.; Oliynyk, I.

2026-08-24 biochemistry 10.64898/2026.08.23.746541 medRxiv
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Vanadium (V) is a potential insulinomimetic that can modulate carbohydrate metabolism, but its biological effects are sensitive to chemical form, concentration, and sex. Chelation of vanadium with organic ligands, in particular citrate, allows to increase its bioavailability and optimize pharmacokinetic properties. The aim of the study was to evaluate tissue-, dose-, and sex-dependent changes in physiological parameters and activity of the key glycolytic enzyme - lactate dehydrogenase (LDH) - under the influence of vanadium citrate. The study was conducted on 6-week-old Wistar rats of both sexes. The animals received vanadium citrate orally for 36-38 days at doses of 3, 12.5, and 50 g VCit/kg body weight. LDH activity in skeletal muscle, liver, kidney, and pancreas was investigated. No pronounced toxic effect on physiological parameters was detected: body weight dynamics corresponded to age norms, no behavioral changes were observed. LDH activity demonstrated pronounced sexual dimorphism and depended on the dose received. It was established that the optimal dose, which provides a modulating effect without signs of metabolic stress, for females is 12.5 g VCit/kg, while for males - 3 g VCit/kg. The most significant changes in LDH activity were recorded in the pancreas at a dose of 50 g V/kg, where the indicators decreased from 0.81 to 0.31 mol/(min x mg protein) in females and from 1.02 to 0.28 mol/(min x mg protein) in males. The effect of vanadium citrate on carbohydrate metabolism, as well as its dose-, tissue- and sex-specific nature, is likely determined by a dual action: the insulin-like effect of vanadium (redirecting pyruvate to oxidation) and the allosteric inhibition of glycolysis by the citrate ligand (substrate limitation for LDH). The obtained results emphasize the importance of considering sex and dose in the research and development of metabolically active compounds.

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Method for modeling oviduct function and impact on embryonic development

Stephens, K. K.; Ahmad, V.; Silva, M. A.; Shifflett, M. K.; Mao, J.; Rizo, J. A.; Hunter, M. I.; Kelleher, A. M.; Winuthayanon, W.

2026-08-07 cell biology 10.64898/2026.08.06.743297 medRxiv
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Direct experimental analysis of the mammalian oviduct is constrained by limited tissue access and the short lifespan of ex vivo preparations. Extracellular matrix-embedded three-dimensional epithelial organoids provide longer-term in vitro models. However, their inward-facing apical surface and the absence of supporting stromal cells limit physiological studies of the oviduct, including ciliary activity and maternal-embryonic interactions. Here, we provide a step-wise protocol detailing the generation of mouse and human oviductal assembloids in which epithelial cells form an outward-facing (apical-out) layer around a stromal core. Epithelial and stromal cells from adult mouse oviducts or human Fallopian tubes are isolated, expanded separately, and subsequently aggregated in a rotational culture system. The protocol also outlines morphological and immunostaining criteria for confirming cellular organization, whole-mount detection of external cilia, measurement of ciliary beat frequency, and co-culture of mouse assembloids with preimplantation embryos. Mouse and human assembloids retained epithelial and stromal identity and displayed cilia at the accessible outer surface. In a proof-of-concept experiment, embryos co-cultured with the assembloids developed to blastocysts at a rate similar to that of in vivo-derived blastocysts. This reductionist system provides a straightforward and tractable model to investigate oviduct physiology and embryo-maternal communication while allowing direct manipulation and observation of the epithelial interface. Graphical Abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=148 SRC="FIGDIR/small/743297v1_ufig1.gif" ALT="Figure 1"> View larger version (50K): org.highwire.dtl.DTLVardef@1917a7borg.highwire.dtl.DTLVardef@41d7org.highwire.dtl.DTLVardef@e2bf98org.highwire.dtl.DTLVardef@90c9f3_HPS_FORMAT_FIGEXP M_FIG C_FIG SummaryThe protocol for generating mouse and human oviductal assembloids by combining epithelial and stromal cells for studying oviductal function in an in vitro setting.

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Preliminary In Vitro Evaluation Of Naringin And Quercetin For Potential Bioenhancement Of Andrographolide Using Plasma Protein Binding And Hepatic Microsomal Stability Assays

Pisipati, P.; Paranjpe, T.; Natu, S.; Khan, A.; Salgotra, V.

2026-08-12 pharmacology and toxicology 10.64898/2026.08.06.743340 medRxiv
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Several potentially potent anticancer drugs have been identified by in vitro evaluation, such as Andrographolide. These compounds show strong anticancer activity in vitro, but struggle to reach effective concentrations in the bloodstream when taken orally because they dissolve poorly in water or break down rapidly in the body. Bioenhancers, which are compounds that have potential to improve drug stability in the body, offer an alternative solution to overcome this limitation. Naringin and Quercetin have been identified as candidate bioenhancers, and have been hypothesized to potentially slow rapid first pass metabolism of poorly bioavailable drugs. Our work focuses on testing Naringin and Quercetin because they are flavonoids with therapeutic potential, due to their anti-inflammatory and antioxidant properties. Data from the hepatic microsomal assays performed on Naringin and Quercetin suggest moderate to proficient periods of stability in the body, with Naringin having 91.86% remaining, while Quercetin had 74.84% remaining. When administered alongside Andrographolide, a drug known to rapidly degrade in the body, Naringin raised its metabolic stability from 38.93% to 80.77% and on the other hand, Quercetin raised Andrographolide metabolic stability from 38.93% to 86.70%. In addition, plasma protein binding assays show the percentage of compounds available at the target site where Naringin was observed to be 49.32% bound and Quercetin found to be 50.14% bound, implying 50.68% of Naringin, and 49.86% of Quercetin available at the target site, respectively. This preliminary study explores whether Quercetin and Naringin could act as bioenhancers by remaining stable and available in plasma and by slowing the metabolism of poorly bioavailable drugs such as Andrographolide.

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Fundamentals on the Kinetic and Thermodynamic Analysis of Oligonucleotide DNA Hybridization by Surface Plasmon Resonance: A Guide for HIF1α Antisense Design.

Cornwell, S.; Podlaski, F.; Wong, K.; McKittrick, B.; Kim, J.-H.; Windsor, W. T.

2026-08-11 biochemistry 10.64898/2026.08.10.743984 medRxiv
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Antisense oligonucleotides (ASO) are nucleotide polymers that hybridize to sense strands and have been successful in treating a variety of diseases. A wide range of strategies have been investigated to optimize and develop ASO for clinical studies. A key objective for this study was to provide an overview of the range of detailed data that get be obtained and provide an updated method review on how to design surface plasmon resonance (SPR) kinetic experiments for DNA oligonucleotide hybridization studies that can also be applied to other ASO including peptide nucleic acids (PNA). We describe many lessons learned from published literature and provide a state-of-the-art strategy and methods for generating not only kinetic but also thermodynamic characterizations of oligonucleotide hybridization. In this study we have performed an SPR kinetic and thermodynamic analysis for the hybridization of HIF1 antisense DNA strands to its immobilized Intron2-Exon3 splice site sense DNA strand to provide insight, in general, on the optimal length and insight into optimal design of DNA ASOs. We provide a process on how to design experiments to: 1.) obtain oligonucleotide-length dependent kinetics, 2.) analyze reactions to obtain association and dissociation rate kinetics (ka, kd), assess if hybridization follows a 2-state model and to obtain kinetic dissociation constants (Kd), 3.) perform temperature-dependent hybridization kinetics to obtain thermodynamic values ({Delta}H{degrees}, {Delta}S{degrees} and {Delta}G{degrees}) that can give insight into the molecular interactions driving hybridization, 4.) compare experimental thermodynamic values to values derived from nearest-neighbor prediction models to identify atypical reactions and importantly 5.) enable calculations to predict oligomer hybridization affinity at the physiological 37 {degrees}C temperature to asses if the design of the oligomer will have the required cellular activity for a therapeutic effect. The strategy and results presented throughout the paper are compared to previous SPR reports and suggestions made to optimize kinetic studies.