Search Results (7,237)

The intra-articular application of drugs has gained considerable interest with regard to formulations for advanced drug delivery systems. It has been identified as a potential route for local drug delivery. A drug agent is usually incorporated into the hydrogel to prolong and control the drug release. This study aimed to design and evaluate an intra-articular hydrogel based sodium hyaluronate, which was modified with an additional polymer to enable the sustained release of the incorporated anti-inflammatory agent, diclofenac sodium (NaDic). Viscosity studies, drug release tests and FTIR−ATR measurements, as well as DSC analysis, were carried out to evaluate the obtained formulations. The viscosity measurements were performed using a rotational viscometer. The drug release was carried out by employing the apparatus paddle over the disk. The concentration of the released drug was obtained spectrophotometrically. The results revealed that the addition of the second polymer to the matrix influenced the dynamic viscosity of the hydrogels. The highest viscosity of (25.33 ± 0.55) × 10³ cP was observed when polyacrylic acid (PA) was doped in the formulation. This was due to the hydrogen bond formation between both polymers. The FTIR−ATR investigations and DSC study revealed the hydrogen bond formation between the drug and both polymers. The drug was released the slowest from hydrogel doped with PA and 17.2 ± 3.7% of NaDic was transported to the acceptor fluid within 8 h. The hydrogel based on hyaluronan sodium doped with PA and containing NaDic is a promising formulation for the prolonged and controlled intra-articulate drug delivery of anti-inflammatory agents. Full article

The blended system of solid waste micro-powders is of great significance for the efficient utilization of recycled micro-powder. In this study, a ternary blended cementitious system composed of fly ash, slag, and recycled micro-powder was constructed, and its effects on the workability, mechanical properties, shrinkage performance, and microstructure of recycled mortar were systematically investigated. The experimental results show that with the increasing dosage of slag and recycled micro-powder (partially replacing cement and fly ash), the standard consistency water demand of the cementitious system decreases and the setting time is prolonged. When the replacement levels of recycled micro-powder and slag are both 10%, the 3-day, 7-day, and 28-day mechanical strengths of the mortar specimens are comparable to those of the reference group, with an increased flexural-to-compressive strength ratio and improved brittleness. SEM and mercury intrusion porosimetry (MIP) analyses revealed that systems incorporating low addition levels of recycled micro powder and slag powder exhibit calcium silicate hydrate (C-S-H) gel, acicular ettringite crystals, and a denser pore structure. However, at higher dosages (>10%), the porosity increases significantly and the pore structure deteriorates, resulting in reduced shrinkage performance. Overall, when the replacement rate of cement–fly ash by recycled micro-powder and slag is 10%, the ternary blended system exhibits optimal macroscopic performance and microstructure, providing a scientific basis for the resource utilization of solid waste. Full article

Acute kidney injury (AKI) is a serious clinical condition that is linked to markedly higher rates of morbidity and mortality in cirrhosis patients. Its diagnosis is challenging due to overlapping clinical and laboratory features among causes such as hepatorenal syndrome (HRS), acute tubular injury (ATI), and prerenal hypovolemia. In order to address the distinct pathophysiology and clinical context of cirrhosis, the definitions and classification of AKI have changed over time, moving from RIFLE and AKIN to KDIGO and ICA-AKI. Because cirrhosis patients have altered muscle mass and fluid retention, traditional markers like serum creatinine (sCr) and urine output have significant limitations. Neutrophil gelatinase-associated lipocalin (NGAL), kidney injury molecule-1 (KIM-1), interleukin-18 (IL-18), and cystatin C (CysC) are some of the new biomarkers that have shown promise in early AKI detection and in differentiating structural from functional kidney injury. NGAL and KIM-1 are sensitive indicators of tubular damage with potential prognostic implications. IL-18 reflects inflammatory injury, and CysC offers a more reliable measure of glomerular filtration. Incorporating these markers may improve early diagnosis, risk stratification, and treatment decisions, representing a key direction for future research in managing AKI in cirrhosis. Full article

Machine learning techniques, particularly decision trees, have been extensively utilized in Network-based Intrusion Detection Systems (NIDSs) due to their transparent, rule-based structures that enable straightforward interpretation. However, this transparency presents privacy risks, as decision trees may inadvertently expose sensitive information such as network configurations or IP addresses. In our previous work, we introduced a sensitive pruning-based decision tree to mitigate these risks within a limited dataset and basic pruning framework. In this extended study, three privacy-preserving pruning strategies are proposed: standard sensitive pruning, which conceals specific sensitive attribute values; optimistic sensitive pruning, which further simplifies the decision tree when the sensitive splits are minimal; and pessimistic sensitive pruning, which aggressively removes entire subtrees to maximize privacy protection. The methods are implemented using the J48 (Weka C4.5 package) decision tree algorithm and are rigorously validated across three full-scale NIDS datasets: GureKDDCup, UNSW-NB15, and CIDDS-001. To ensure a realistic evaluation of time-dependent intrusion patterns, a rolling-origin resampling scheme is employed in place of conventional cross-validation. Additionally, IP address truncation and port bilateral classification are incorporated to further enhance privacy preservation. Experimental results demonstrate that the proposed pruning strategies effectively reduce the exposure of sensitive information, significantly simplify decision tree structures, and incur only minimal reductions in classification accuracy. These findings reaffirm that privacy protection can be successfully integrated into decision tree models without severely compromising detection performance. To further support the proposed pruning strategies, this study also includes a comprehensive review of decision tree post-pruning techniques. Full article

Reinforcing PLA composites with natural fibres is a prominent strategy for improving PLA’s properties while benefiting from its intrinsic biodegradation. However, these composites may be susceptible to an inefficient stress-transferring process due to the weak intermolecular interactions between PLA and natural fibres. A well-known practice is to incorporate coupling agents to improve polymer–fibre adhesion, such as carboxylic acids (CAs) and grafted copolymers. CAs are a more affordable and biodegradable option for improving PLA/natural fibre interface strength, resulting in a material with superior mechanical and thermal properties. In this context, this research discusses the potential use of mono (C6 and C8) and di (CC6 and CC8) carboxylic acids as coupling agents in PLA/pecan nutshells (PN) composites. PLA/PN composites with four different CAs were processed in a twin-screw extruder and subsequently injection moulded. The results indicated an increase in the flexural strength of the PLA due to the presence of PN in the neat composite. The use of CAs increased the storage modulus of PLA/PN composites, while C6 and CC8 reduced the PLA composite tan δ peak height. The PLA’s T_g in PLA/PN composite shifted to lower temperatures after the incorporation of CAs while increasing the PLA crystallinity degree. These results strongly suggested that besides acting as efficient coupling agents, these acids also exerted roles as nucleating agents and plasticisers. Full article

This study proposed a mechanochemical activation strategy using ethanol-diisopropanolamine (EDIPA) to improve the grindability and hydration reactivity of basic oxygen furnace slag (BOFS), aiming for its large-scale industrial utilization. The incorporation of EDIPA significantly refined the particle size distribution and reduced the repose angle. As a result, the compressive strength of BOFS paste increased by 25.4 MPa at 28 d with only 0.08 wt.% EDIPA. Conductivity tests demonstrated that EDIPA strongly complexes with Ca²⁺, Al³⁺, and Fe³⁺, facilitating the dissolution of active mineral phases, such as C₁₂A₇ and C₂F, and accelerating hydration reactions. XRD and TG analyses confirmed that the incorporation of EDIPA facilitated the formation of Mc (C₄(A,F)ČH₁₁) and increased the content of C-S-H, both of which contributed to microstructural densification. Microstructural observations further revealed that EDIPA refined Ca(OH)₂ crystals, increasing their specific surface area from 4.7 m²/g to 35.2 m²/g. The combined effect of crystal refinement and enhanced hydration product formation resulted in reduced porosity and improved mechanical properties. Overall, the results demonstrated that EDIPA provided an economical, effective, and scalable means of activating BOFS, thereby promoting its high-value utilization in low-carbon construction materials. Full article

Efforts to enhance the mechanical and physicochemical properties of conventional glass ionomer cement (GIC) are ongoing. This study aimed to evaluate the effect of incorporating varying concentrations of frankincense and myrrh liquids into conventional GIC on its microhardness and sealing ability. Frankincense and myrrh liquids were prepared by dissolving 25 g of each ground resin in 50 mL of distilled water at 60 °C and allowing the solutions to stand for 8 h. Five experimental groups were evaluated: Group A (conventional GIC), Group B (15% frankincense-modified GIC), Group C (25% frankincense-modified GIC), Group D (15% myrrh-modified GIC), and Group E (25% myrrh-modified GIC). Microhardness was evaluated using a Vickers hardness tester, and sealing ability was evaluated via interfacial gap measurements using scanning electron microscopy (SEM). SEM analysis revealed that all modified GIC groups exhibited significantly smaller interfacial gap sizes (Groups B–E: 6.1, 5.22, 5.9, and 5.34 µm, respectively) compared to conventional GIC (Group A: 6.88 µm). However, there were no statistically significant differences in microhardness among the groups (p > 0.5). The incorporation of 15% and 25% concentrations of frankincense or myrrh liquids into conventional GIC significantly improved sealing ability without compromising hardness. Full article

Background and Objectives: Clostridioides difficile infection (CDI) poses a major public health problem worldwide. Materials and Methods: In this retrospective study, we included 274 patients with CDI, who were hospitalized in Internal Medicine Departments in Evangelismos General Hospital in Athens, Greece, during the past decade. Demographic, clinical and laboratory parameters of the patients were recorded. Statistical analysis revealed an association between older age and mortality as well as heart failure and mortality among patients with CDI. Results: Notably, WBC (white blood count), neutrophils, NLR (neutrophil-to-lymphocyte ratio), dNLR (derived NLR), SII (systemic immune–inflammation index) and hs-CRP (high-sensitivity C-reactive protein) demonstrated a positive association with mortality, whereas serum albumin levels and PNR (platelet-to-neutrophil ratio) exhibited an inverse relationship with mortality. We propose that the aforementioned biomarkers may be used as prognostic parameters regarding mortality from CDI. Conclusions: Large scale studies among patients with CDI with the advent of AI (artificial intelligence) may incorporate demographic, clinical and laboratory features into prognostic scores to further characterize the global CDI threat. Full article

(1) Background: Rapid population aging in China intensifies physical and mental health challenges, including negative emotions and social barriers. Physical activity (PA) fosters resilience, adaptability, and successful aging through emotional and social benefits. This study examines the relationship between square-dancing exercise and psychological capital (PsyCap) in middle-aged and elderly individuals using cross-validation, subgroup analysis, and a cross-sequential design. (2) Methods: A cross-sectional study with 5714 participants employed a serial mediation model. Online questionnaires assessed square-dancing exercise, cognitive reappraisal, prosocial behavior tendencies, PsyCap, and interpersonal relationships. Statistical analyses were conducted using SPSS 27.0 and Mplus 8.3, incorporating correlation analysis, structural equation modeling, and subgroup comparisons. (3) Results: (a) Cognitive reappraisal and prosocial behavior mediated the link between square-dancing and PsyCap through three pathways; (b) model stability was confirmed across two random subsamples; (c) cross-group differences emerged in age and interpersonal relationships. Compared with secondary data, this study further validated PsyCap’s stability over six months post-pandemic. (4) Conclusions: The study, based on China’s largest square-dancing sample, establishes a robust serial mediation model. The findings strengthen theoretical foundations for PA-based interventions promoting psychological resilience in aging populations, highlighting structured exercise’s role in mental and social well-being. Full article

The Tibetan-Himalayan region, recognized as a global biodiversity hotspot, is increasingly threatened by the dual pressures of climate change and human activities. Understanding the vulnerability of plant species to these forces is crucial for effective ecological conservation in this region. This study employed an improved Climate Niche Factor Analysis (CNFA) framework to assess the vulnerability of six representative alpine endemic herbaceous plants in this ecologically sensitive region under future climate changes. Our results show distinct spatial vulnerability patterns for the six species, with higher vulnerability in the western regions of the Tibetan-Himalayan region and lower vulnerability in the eastern areas. Particularly under high-emission scenarios (SSP5-8.5), climate change is projected to substantially intensify threats to these plant species, reinforcing the imperative for targeted conservation strategies. Additionally, we found that the current coverage of protected areas (PAs) within the species’ habitats was severely insufficient, with less than 25% coverage overall, and it was even lower (<7%) in highly vulnerable regions. Human activity hotspots, such as the regions around Lhasa and Chengdu, further exacerbate species vulnerability. Notably, some species currently classified as least concern (e.g., Stipa purpurea (S. purpurea)) according to the IUCN Red List exhibit higher vulnerability than species listed as near threatened (e.g., Cyananthus microphyllus (C. microphylla)) under future climate change. These findings suggest that existing biodiversity assessments, such as the IUCN Red List, may not adequately account for future climate risks, highlighting the importance of incorporating climate change projections into conservation planning. Our study calls for expanding and optimizing PAs, improving management, and enhancing climate resilience to mitigate biodiversity loss in the face of climate change and human pressures. Full article

This study investigates the influence of cellulose nanofibrils (CNFs) on the polymerization kinetics of methyl methacrylate (MMA) during in situ suspension polymerization at 70 °C (343.15 K). Four CNF concentrations were evaluated and compared to a reference system without CNFs. Polymerizations were carried out in a thermostatted flask immersed in an ethylene glycol bath and covered to ensure thermal stability. The temperature profiles of both the reaction medium and the surrounding bath were continuously recorded, allowing for the calculation of heat flow, polymerization rate (R_p), and monomer conversion. The incorporation of CNFs led to a significant increase in R_p and faster MMA conversion. This effect was attributed to the presence of nanocellulose within the polymerizing medium, which restricted diffusion and contributed to the onset of the phenomenon of autoacceleration. Additionally, CNFs promoted a higher total heat release, underscoring the need for thermal control during scale-up. The resulting material qualifies as a biocomposite, as biobased nanofibrils became integrated into the polymer matrix. These findings demonstrate that CNFs act as effective kinetic promoters in MMA polymerizations and may serve as functional additives to enhance both reaction performance and sustainability. However, safety considerations remain critical when transferring this approach to industrial processes. Full article

Alpha2-plasmin inhibitor (α2PI) has a heterogeneous structure due to proteolytic cleavages in the circulation. The C-terminally cleaved form loses the plasminogen binding site and is, therefore, a slow plasmin inhibitor (NPB-α2PI). As FXIII primarily crosslinks the plasminogen-binding intact form (PB-α2PI) to fibrin, the effect of NPB-α2PI on fibrinolysis has been less studied. Herein, we investigated the effect of C-terminal truncation. Total-, PB-, and NPB-α2PI antigen levels and α2PI incorporation were measured by ELISAs from samples of 80 healthy individuals. Clot lysis parameters of the same subjects were investigated using an in vitro clot lysis assay. α2PI incorporation into the clot was demonstrated by Western blotting. Clot lysis and clot structure were also analyzed using an α2PI-deficient plasma substituted with recombinant PB- and NPB-α2PI. Both plasma and clot-bound levels of total- and NPB-α2PI showed a significant positive correlation with clot lysis parameters. NPB-α2PI was detected in the clot due to non-covalent binding. Regardless of the type of binding, both forms affected the clot structure by increasing the thickness of the fibrin fibers and reducing the pore size. In conclusion, we found that NPB-α2PI can bind non-covalently to fibrin, and this binding contributes to changes in clot structure and inhibition of fibrinolysis. Full article

Background/Objectives: Maxillofacial silicone prostheses’ long-term color stability remains a challenge. This study aimed to evaluate and compare the color stability of conventional and digital maxillofacial silicone elastomers mixed with nano-sized antimicrobial additives (ZnO nanoparticles and chlorhexidine salt-CHX) at various concentrations over a 10-week period. Methods: A total of nine groups (n = 10) of maxillofacial silicone elastomers were prepared. These included a control group (no additives), conventionally pigmented silicone, digitally pigmented silicone (Spectromatch system), and silicone mixed with ZnO or CHX at 1%, 3%, and 5% by weight. Specimens were fabricated in steel molds and cured at 100 °C for 1 h. Color measurements were performed at baseline and after 1, 4, 6, and 10 weeks using a Minolta Chroma Meter (CIELAB system, ΔE₀₀ formula). Data were analyzed using two-way ANOVA and Tukey HSD post hoc tests (α = 0.05). Results: Color changes (ΔE₀₀) ranged from 0.74 to 2.83 across all groups. The conventional pigmented silicone group showed the highest color difference (ΔE₀₀ = 2.83), while the lowest was observed in the ZnO 1% group (ΔE₀₀ = 0.74). Digital silicone and all antimicrobial-modified groups exhibited acceptable color stability (ΔE₀₀ < 3.1). Time significantly affected color difference, with the largest change occurring during the first four weeks (p < 0.05), followed by stabilization. Regression analysis confirmed high color stability over time for all groups except the conventional pigmented group. Conclusions: This is one of the first studies to directly compare digital and conventional pigmentation methods combined with nano-antimicrobials in maxillofacial silicones. Maxillofacial silicone elastomers mixed with up to 5% ZnO or CHX maintained acceptable color stability over 10 weeks. Digital pigmentation is similar to conventional methods. The incorporation of nano-antimicrobials offers significant microbial resistance and improved color retention. Full article

Polymerase-coupled nanopore sequencing requires DNA polymerases with strong strand displacement activity and high processivity to sustain continuous signal generation. In this study, we characterized two novel B family DNA polymerases, SRHS and BBum, isolated from Bacillus phages SRT01hs and BeachBum, respectively. Both enzymes exhibited robust strand displacement, 3′→5′ exonuclease activity, and maintained processivity under diverse reaction conditions, including across a broad temperature range (10–45 °C) and in the presence of multiple divalent metal cofactors (Mg²⁺, Mn²⁺, Fe²⁺), comparable to the well-characterized Phi29 polymerase. Through biochemical analysis of mutants designed using AlphaFold3-predicted structural models, we identified key residues (G96, M97, D486 in SRHS; S97, M98, A493 in BBum) that modulated exonuclease activity, substrate specificity and metal ion utilization. Engineered variants SRHS_F and BBum_Pro_L efficiently incorporated unnatural nucleotides in the presence of Mg²⁺—a function not observed in Phi29 and other wild-type strand-displacing B family polymerases. These combined biochemical features highlight SRHS and BBum as promising enzymatic scaffolds for nanopore-based long-read sequencing platforms. Full article

Green buildings are recognised for their potential to reduce energy consumption, minimise environmental impact, and improve occupants’ well-being, benefits that are especially critical in rapidly urbanising regions. However, questions remain about whether these buildings fully meet occupant comfort expectations while delivering energy efficiency. This is particularly relevant in Africa, where climate conditions and energy infrastructure challenges make sustainable building operation essential. Although interest in sustainable construction has increased, limited research has examined the real-world performance of green buildings in Africa. This study helps address that gap by evaluating indoor thermal comfort in a green-certified office building and two conventional office buildings in Abuja, Nigeria, through post-occupancy evaluation (POE). The Predicted Mean Vote (PMV) and Thermal Sensation Vote (TSV) were used to assess comfort, revealing discrepancies between predicted and actual occupant responses. In the green building, PMV indicated near-neutral conditions (0.28), yet occupants reported a slightly cool sensation (TSV: −1.1). Neutral temperature analysis showed that the TSV-based neutral temperature (26.5 °C) was 2.2 °C higher than the operative temperature (24.3 °C), suggesting overcooling. These findings highlight the importance of incorporating occupant feedback into HVAC control. Aligning cooling setpoints with comfort preferences could improve satisfaction and reduce unnecessary cooling, promoting energy-efficient building operation. Full article